Symptoms: breathlessness



Codelist metadata

Coding system

SNOMED CT

Coding system release

unknown

Organisation

OpenSAFELY

Codelist ID

opensafely/symptoms-breathlessness-new

Version ID

2b952474

Versions

About

Description

Code list aiming to identify individuals consulting complaining of being short of breath.

Methodology

Identified from intial search terms outside of OpenCodelists: "breathless" "short of breath" "dyspnoea" "dyspnea" "sob" "gasping" "orthopnoea" "orthopnea" "tachypnea" "tachypnoea" "respiratory"

Clearly irrelevant codes excluded (with review by a second clinician)

Candidate codelist uploaded to OpenCodelists for review of candidate codes.

Specifically excluded tacypnoea as suggests increased breath rate, but not necessarily subjective sensation of breathlessness (e.g., could be increased resp rate as a reaction to pain or acidosis). Did not exclude signs of difficulty breathing (e.g., intercostal recession). Excluded ARDS, but retained respiratory distress.

Signed off by

  • Kate Mansfield, (Dec. 1, 2022)
  • Caroline Morton, (Dec. 1, 2022)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

code term
102579002 Shallow breathing
1047261000000103 Breathlessness care management
1049241000000109 Opioid therapy for breathlessness management
106048009 Respiratory finding
1060991000000107 Medical Research Council Breathlessness Scale grade 5a
1061001000000106 Medical Research Council Breathlessness Scale grade 5b
1089951000000108 Extended Medical Research Council dyspnoea scale
1089971000000104 Extended Medical Research Council dyspnoea scale grade 1
1089981000000102 Extended Medical Research Council dyspnoea scale grade 2
1089991000000100 Extended Medical Research Council dyspnoea scale grade 3
1090001000000101 Extended Medical Research Council dyspnoea scale grade 5a
1090011000000104 Extended Medical Research Council dyspnoea scale grade 4
1090021000000105 Extended Medical Research Council dyspnoea scale grade 5b
1099341000000108 Modified Medical Research Council dyspnoea scale
1099371000000102 Modified Medical Research Council dyspnoea scale grade 0
1099381000000100 Modified Medical Research Council dyspnoea scale grade 1
1099391000000103 Modified Medical Research Council dyspnoea scale grade 2
1099401000000100 Modified Medical Research Council dyspnoea scale grade 3
1099411000000103 Modified Medical Research Council dyspnoea scale grade 4
111273006 Acute respiratory disease
111282000 Acute respiratory insufficiency
11140008 Respiratory assist, manual
11891009 Breath
119981000146107 Dyspnea caused by Severe acute respiratory syndrome coronavirus 2
12611000132107 Severe acute respiratory syndrome confirmed
129893005 Respiratory alteration
1325181000000106 Ongoing symptomatic disease caused by severe acute respiratory syndrome coronavirus 2
13474005 Acute respiratory distress, NEC
139175004 Respiratory symptoms
139192008 (Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)
139194009 Breathless - moderate exertion
139195005 Breathless - mild exertion
139196006 Dyspnoea at rest
139197002 (Breathless - lying flat) or (orthopnoea symptom)
139198007 Paroxysmal nocturnal dyspnoea
139201002 Dyspnoea
139204005 Dyspnoea on exertion
139207003 Breathlessness NOS
139218003 Respiratory symptoms NOS
139220000 Respiratory symptom NOS
140107002 O/E - dyspnoea
140108007 O/E - orthopnoea
140109004 O/E - respiratory distress
140131007 O/E - tachypnoea
154921000 (Pschogenic resp symptoms: [cough] or [hiccough] or [yawn] or [hyperventilation]) or (psychogenic aphonia)
155627006 (Respiratory disease NOS) or (adult respiratory distress syndrome) or (pneumomediastinum) or (tracheomalacia)
158369003 [D]Respiratory system and chest symptoms
158371003 [D]Dyspnoea
158373000 [D]Orthopnoea
158374006 [D]Tachypnoea
158377004 [D]Respiratory distress
158378009 Respiratory insufficiency [D]
158379001 [D]Shortness of breath
158417007 [D]Respiratory system and chest symptoms NOS
161920001 Respiratory symptom
161937008 (Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)
161938003 No breathlessness
161939006 Breathless - moderate exertion
161940008 Breathless - mild exertion
161941007 Dyspnea at rest
161942000 (Breathless - lying flat) or (orthopnoea symptom)
161946002 Dyspnoea
161948001 Dyspnoea on exertion
161951008 Breathlessness NOS
161961001 Respiratory symptoms NOS
161963003 Respiratory symptom NOS
162890008 On examination - dyspnea
162891007 On examination - orthopnea
162892000 On examination - respiratory distress
162916002 On examination - tachypnea
162977002 On examination - respiratory examination NOS
170608002 Initial respiratory assessment
17216000 Dyspnea, class I
191959003 Psychogenic respiratory symptom NOS
20112008 Dyspnea leaning over
20139000 Structure of respiratory system
20573003 Ineffective breathing pattern
207047005 [D]Respiratory system and chest symptoms
207049008 [D]Respiratory symptom, unspecified
207051007 [D]Orthopnea
207052000 [D]Tachypnea
207055003 [D]Respiratory distress
207056002 [D]Respiratory insufficiency
207057006 [D]Shortness of breath
207059009 [D]Dyspnea
207062007 [D]Breathlessness
207106005 [D]Other respiratory system and chest symptoms
207108006 [D]Respiratory system and chest symptoms NOS
23141003 Gasping for breath
248548009 Nocturnal dyspnea
248565000 Respiratory effort
248566004 Visible respiratory effort
248578000 Sobbing respiration
24921003 Dyspnea raising arms
251896001 Breathlessness rating
251916001 Respiratory dead space
25209001 Inspiratory dyspnea
266374002 Respiratory system diseases (& lung diseases)
266411000 (Respiratory disease NOS) or (adult respiratory distress syndrome) or (pneumomediastinum) or (tracheomalacia)
267036007 Dyspnea
268771003 (Pschogenic resp symptoms: [cough] or [hiccough] or [yawn] or [hyperventilation]) or (psychogenic aphonia)
271822008 Respiratory observation
271823003 Tachypnea
271825005 Respiratory distress
271882006 On examination - respiratory
271908009 Respiratory examination finding
276572003 Poor respiratory drive
278197002 Entire respiratory system
278907009 Respiratory pattern
281488008 Entire lower respiratory tract
28263002 Crying
297107002 Respiratory insufficiency [D]
297216006 Increasing breathlessness
301233008 Functional finding of respiratory tract
301257008 Respiratory finding of chest
301820005 Finding of respiratory effort
308149007 [D]Breathlessness
308924007 Respiratory symptom findings (context-dependent category)
321570009 Respiratory system structure -retired- [duplicate]
34560001 Expiratory dyspnea
364048003 Respiratory observable
364055001 Respiratory characteristics of chest
366129003 Finding of respiratory effort
366143008 Finding of respiratory pattern
389324009 Short of breath dressing/undressing
389325005 Breathless - strenuous exertion
389326006 MRC Breathlessness Scale: grade 1
389327002 MRC Breathlessness Scale: grade 2
389328007 MRC Breathlessness Scale: grade 3
389329004 MRC Breathlessness Scale: grade 4
389330009 MRC Breathlessness Scale: grade 5
390057009 Short of breath dressing/undressing
390058004 Breathless - strenuous exertion
390059007 MRC Breathlessness Scale: grade 1
390060002 MRC Breathlessness Scale: grade 2
390061003 MRC Breathlessness Scale: grade 3
390062005 MRC Breathlessness Scale: grade 4
390063000 MRC Breathlessness Scale: grade 5
390870001 Short of breath dressing/undressing
390871002 Breathless - strenuous exertion
391120009 Medical Research Council Dyspnoea scale grade 1
391123006 Medical Research Council Dyspnoea scale grade 2
391124000 Medical Research Council Dyspnoea scale grade 3
391125004 Medical Research Council Dyspnoea scale grade 4
391126003 Medical Research Council Dyspnoea scale grade 5
397702004 Borg Breathlessness Score finding
397718005 Borg Breathlessness Scale finding
39950000 Dyspnea, class III
402741000000107 [D]Respiratory system and chest symptoms NOS
409051000000101 [D]Respiratory system and chest symptoms NOS
409623005 Respiratory insufficiency
42002000 Avian infectious bronchitis
422834003 Respiratory assessment
430390000 Sleep-related neurogenic tachypnea
43186005 Tachypnea
45541000000106 Borg Breathlessness Score: 0 none at all
45591000000101 Borg Breathlessness Score: 1 very slight
45601000000107 Borg Breathlessness Score: 2 slight
45611000000109 Borg Breathlessness Score: 3 moderate
45651000000108 Borg Breathlessness Score: 5 severe
45671000000104 Borg Breathlessness Score: 6 severe (+)
45721000000109 Borg Breathlessness Score: 7 very severe
45731000000106 Borg Breathlessness Score: 8 very severe (+)
45741000000102 Borg Breathlessness Score: 9 very, very severe (almost maximal)
45751000000104 Borg Breathlessness Score: 10 maximal
49233005 Dyspnea
497901000000105 [D]Respiratory system and chest symptoms
497921000000101 [D]Respiratory symptom, unspecified
497941000000108 [D]Orthopnoea
497951000000106 [D]Tachypnoea
497981000000100 [D]Respiratory distress
497991000000103 [D]Respiratory insufficiency
498001000000107 [D]Shortness of breath
498021000000103 [D]Dyspnoea
498361000000109 [D]Other respiratory system and chest symptoms
50043002 Disorder of respiratory system
502631000000100 [D]Breathlessness
51395007 Respiratory failure
540021000000102 Psychogenic respiratory symptom NOS
549301000000102 Respiratory symptoms NOS
549311000000100 Respiratory symptom NOS
55442000 Paroxysmal nocturnal dyspnea
568981000000105 On examination - respiratory examination NOS
572661000000100 Breathlessness NOS
57769004 Dyspnea after eating
58926004 Medullary gasping center function
59265000 Paroxysmal dyspnea
60845006 Dyspnea on exertion
62744007 Orthopnea
702535006 Anxiety about breathlessness
702581006 Difficulty eating due to breathlessness
719413006 Breathlessness care management
719415004 Breathlessness care
719416003 Opioid therapy for breathlessness management
72365000 Dyspnea, class II
73322006 Dyspnea, class IV
7550008 Transitory tachypnea of newborn
778791000000103 Respiratory observations of chest
7808001 Respiratory depth, function
789162008 Borg category ratio 10 scale
80954004 Decreased respiratory function
819101000000108 Psychogenic respiratory symptom
852051000000107 Minimal breathlessness
859231000000103 Medical Research Council dyspnoea scale
870179002 modified Medical Research Council Dyspnea Scale
887741000000102 Anxiety about breathlessness
887751000000104 Anxiety about breathlessness
888131000000106 Breathlessness causing difficulty eating
888141000000102 Breathlessness causing difficulty eating

Codes not in the full codelist are in faint grey.