Symptoms: chest pain without confirmed diagnosis



Codelist metadata

Coding system

SNOMED CT

Coding system release

unknown

Organisation

OpenSAFELY

Codelist ID

opensafely/symptoms-chest-pain-unexplained

Version ID

7c28fdff

Versions

About

Description

Code list aiming to identify individuals consulting complaining of chest pain. Aiming to identify unexplained chest pain.

Methodology

Identified from intial search terms outside of OpenCodelists: "chest pain" "costochondritis" "rib pain" "parasternal" "precordi" "praecord" chest wall" "chest discomfort" retrosternal" "painful respir" "retrosternal" "painful breath"

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

Candidate codelist uploaded to OpenCodelists for review of candidate codes.

Excluded definite diagnoses. Specifically excluded codes related to rapid access chest pain clinic as local guidelines for these clinics may include those with cardiac symptoms other than chest pain (e.g., shortness of breath).

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
10000006 Radiating chest pain
102587001 Acute chest pain
102588006 Chest wall pain
102589003 Atypical chest pain
102591006 Chest wall tenderness
110742002 Pleura and chest wall (combined site)
120151002 Chest wall closure
128256001 Respiratory finding on palpation of chest wall
13057000 Pleuropericardial chest pain
139228007 Chest pain
139230009 Central chest pain
139231008 Precordial pain
139232001 Anterior chest wall pain
139234000 Parasternal pain
139236003 Atypical chest pain
139237007 Retrosternal pain
139238002 Chest pain on exertion
139239005 Rib pain
139240007 Chest pain NOS
139693002 (Symptom: chest wall) or (C/O symptom: [chest wall] or [abdominal wall])
152096003 Referred to acute chest pain clinic
152099005 Referral to rapid access chest pain clinic
153403001 Seen in rapid access chest pain clinic
156848001 (Bone/cartilage disorder NOS) or (costochrondritis) or (Tietze's syndrome)
158393008 [D]Chest pain
158394002 [D]Precordial pain
158396000 [D]Anterior chest wall pain
158399007 [D]Chest discomfort
158402008 Retrosternal pain [D]
158403003 [D]Musculoskeletal chest pain
158404009 [D]Chest pain NOS
16089411000119109 History of chest pain
161972006 Central chest pain
161973001 Anterior chest wall pain
161974007 Parasternal pain
161976009 Rib pain
161977000 Costal margin chest pain
161978005 Chest pain NOS
162424004 (Symptom: chest wall) or (C/O symptom: [chest wall] or [abdominal wall])
162425003 Chest wall tenderness
181608004 Entire chest wall
181610002 Specified chest wall NEC
181611003 Chest wall NEC
183867000 Referred to acute chest pain clinic
183870001 Referral to rapid access chest pain clinic
185199005 Seen in rapid access chest pain clinic
194835008 Ischaemic chest pain
203323007 (Bone infection NOS of other specified site) or (costochondritis NOS)
203523006 Costochondritis
203529005 (Bone or cartilage disorders NOS) or (costochondritis NOS)
203731000000105 History of chest pain
204811001 Entire substernal region
207078009 [D]Chest pain
207079001 [D](Chest pain: (unspecified) or (retrosternal))
207080003 [D]Precordial pain
207081004 [D]Anterior chest wall pain
207082006 [D]Painful respiration NOS
207085008 [D]Chest discomfort
207088005 [D]Parasternal chest pain
207089002 [D]Musculoskeletal chest pain
207090006 [D]Non-cardiac chest pain
207091005 [D]Retrosternal chest pain
207092003 [D]Central chest pain
207093008 [D]Chest pain NOS
207583009 [X]Other chest pain
2237002 Pleuritic pain
225566008 Ischemic chest pain
225708008 Precordial thump
233845001 Cardiac syndrome X
23476008 Destruction of lesion of chest wall
239671000000106 Cardiac chest pain
240136001 Costochondritis NOS
244237006 Chest wall artery
251897005 Chest pain rating
255568007 Retrosternal
261149009 Parasternal
261168007 Posterolateral chest wall
264076007 Lower left parasternal
264245006 Upper left parasternal
267107009 Symptom: chest wall
268130001 (Bone/cartilage disorder NOS) or (costochrondritis) or (Tietze's syndrome)
271330001 [D]Chest pain, unspecified
274253004 [D]Retrosternal pain
274664007 Chest pain on breathing
274668005 Non-cardiac chest pain
276501006 Symptom: chest wall
279019008 Central crushing chest pain
279084009 Chest discomfort
279231003 Entire precordium
279234006 Retrosternal region
279242007 Parasternal line
281245003 Musculoskeletal chest pain
285385002 Left sided chest pain
285386001 Right sided chest pain
285389008 Upper chest pain
297217002 Rib pain
297791000000102 Central anterior chest wall structure
29857009 Chest pain
308150007 [D]Retrosternal chest pain
309552003 [D]Painful respiration
313438003 [D]Central chest pain
315014005 Seen in rapid access chest pain clinic
315015006 Referral to rapid access chest pain clinic
33547000 Structure of substernal region
3368006 Dull chest pain
34791000119103 Chest pain due to pericarditis
366958004 Chest wall pain
367183005 Chest wall pain
36859004 Esophageal chest pain
371030007 Squeezing chest pain
372074006 Skeletal muscle structure of chest wall
372172008 Chest wall part
372216005 Part of chest wall
393606005 Costochondritis
397721000000106 [D]Chest pain NOS
420695009 Absence of precordial signs
421243000 Precordial lift
421433001 Precordial heave
422296006 Precordial sign
425421000000105 [X]Other chest pain
426396005 Cardiac chest pain
430894003 Strain of muscle of chest wall
43470008 Pain in heart
440571000000100 [D]Painful respiration NOS
444821009 Assessment of chest pain
4568003 Retrosternal pain
46707002 Structure of precordium
471551000000103 [D]Chest pain NOS
498151000000109 [D]Chest pain
498161000000107 [D]Precordial pain
498171000000100 [D]Anterior chest wall pain
498201000000104 [D]Chest discomfort
498231000000105 [D]Parasternal chest pain
498241000000101 [D]Musculoskeletal chest pain
498251000000103 [D]Non-cardiac chest pain
502141000000102 [D]Chest pain, unspecified
502361000000104 [D]Retrosternal pain
502641000000109 [D]Retrosternal chest pain
502711000000102 [D]Painful respiration
502911000000100 [D]Central chest pain
514831000000109 Chest pain assessment
556321000000100 Specified chest wall NEC
556331000000103 Chest wall NEC
559961000000104 Chest pain NOS
59021001 Angina decubitus
59139008 Crushing chest pain
621811000000103 Costochondritis NOS
63698005 Anterior chest wall structure
64109004 Costal chondritis
71884009 Precordial pain
721908003 Strain of muscle of anterior chest wall
75483001 Breathing painful
76052000 Posterior chest wall structure
78387000 Asphyxiation by sustained compression of chest
78904004 Chest wall structure
80416006 Dissociation of movement of chest wall
81953000 Chest pain on exertion
9267009 Chest pain at rest
97001000119106 Localized chest pain

Codes not in the full codelist are in faint grey.