opensafely / codelist-development

Repository for discussion of OpenSAFELY codelists
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*CONDITION*: Variceal bleeding #281

Open chrisjwood16 opened 9 months ago

chrisjwood16 commented 9 months ago

User Requirements*

The ISARIC COVID-19 case report form collects data on patients medical history. A detailed completion guide collects data on patients medical history. A planned ISARIC validation study requires a series of SNOMED CT codelists to replicate as closely as possible the details given in the ISARIC case report form. This codelist is designed to identify people with variceal bleeding, to be used in combination with other codelists to identify people with various severities of liver disease.

Coding system*

SNOMED CT

Sensitivity versus specificity / Relevant definitions

Specificity focused

Variceal haemorrhage is defined as bleeding from an oesophageal or gastric varix at the time of endoscopy or the presence of large oesophageal varices with blood in the stomach and no other recognisable cause of bleeding.

Existing relevant codelists

N/A

Search terms / synonyms / search strategy

Identify "Bleeding oesophageal varices (17709002)" parent term. Include all child terms.

Search terms: Varices - review terms and include exclude as below.

Inclusion Criteria for Codes

Codes indicating bleeding oesophageal or gastric varices

Exclusion Criteria for Codes

Varices without bleeding

Borderline cases

Bleeding varices of prostate (438510004) - excluded Procedures related to treatment of bleeding varices - excluded

Final codelist

https://www.opencodelists.org/codelist/user/chriswood/variceal-bleeding/24605e7f/