1. Algorithm for Identifying obesity from hospital & claims data & EMR through ICD-9, ICD-10 or READ codes
At least one ICD-9 in (278, 783,V85.30-V85.44 )†
278 Obesity278.0 Obesity783.1 Abnormal weight gain
V85.30-V85.44 Body mass index codes
OR
At least one ICD-10 in (E660, E661, E668, E669, R635)†
E660 Obesity due to excess caloriesE661 Drug-induced obesityE668 Other obesityE669 Obesity unspecifiedR635 Abnormal weight gain
OR
At least one READ code in :
1266 FH: Obesity1444 H/O: obesity222A O/E - obese22K5 Body mass index 30+22K7 Body mass index 40+6478 Child weight > 97th centile647O Child weight = 98th centile647P Child wt 98.1st-99.6th centile647Q Child weight > 99.6th centile66C Obesity monitoring1444.00 H/O: obesity222A.00 O/E - obese22K5.00 Body mass index 30+22K7.00 Body mass index 40+66C..00 Obesity monitoring22A4.00 O/E - weight 10-20% over ideal22A5.00 O/E - weight > 20% over ideal22A5.11 O/E – obese22K2.00 Body Mass Index high K/M266C1.00 Initial obesity assessment66C2.00 Follow-up obesity assessment66C4.00 Has seen dietician – obesity66C5.00 Treatment of obesity changed66C6.00 Treatment of obesity started66CZ.00 Obesity monitoring NOS90K..00 Obesity monitoring admin.9OK..11 Obesity clinic administration9OK1.00 Attends obesity monitoring9OK2.00 Refuses obesity monitoring9OK3.00 Obesity monitoring default9OK4.00 Obesity monitoring 1st letter9OK5.00 Obesity monitoring 2nd letter9OK6.00 Obesity monitoring 3rd letter
9OK7.00 Obesity monitoring verbal inv.9OK8.00 Obesity monitor phone invite9OK9.00 Obesity monitoring deleted6878 Obesity screen9OK Obesity monitoring admin.C380 ObesityC38y0 Pickwickian syndromeC38z0 Simple obesity NOSC38z1 AdiposityCyu70 [X]Other obesityZV778 [V]Obesity screening66CE.00 Reason for obesity therapy – occupationalCyu7000 [X] Other obesityC38z100 AdiposityC38z000 Simple obesity NOSC38y000 Pickwickian syndromeC380.00 Obesity9OKA.00 Obesity monitoring check done9OKZ.00 Obesity monitoring admin.NOSC38..00 Obesity and other hyperalimentationC380000 Obesity due to excess caloriesC380100 Drug-induced obesityC380200 Extreme obesity with alveolar hypoventilationC380300 Morbid obesityC380400 Central obesityC380500 Generalised obesityC38y.11 Pickwickian syndromeC38z.00 Obesity and other hyperalimentation NOSCyu7.00 [X]Obesity and other hyperalimentationL161.12 Maternal obesity syndromeZC2CM00 Dietary advice for obesityZV65319 [V]Dietary counselling in obesity
O/E On Examination, C/O Complaining of, H/O History of, FH: Family History
ENHANCED OBESITY
At least one BMI Values equal or above to 30
Record all BMI values for each center and the date it was recorded (blue).
BMI classification
Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults. It is defined as the weight in kilograms divided by the square of the height in metres (kg/m2). For example, an adult who weighs 70kg and whose height is 1.75m will have a BMI of 22.9.
BMI = 70 kg / (1.75 m2) = 70 / 3.06 = 22.9
Table 1: The International Classification of adult underweight, overweight and obesity according to BMI
I11.0 Hypertensive heart disease with (congestive) heart failureI11.9 Hypertensive heart disease without (congestive) heart failure
I12 Hypertensive renal diseaseI12.0 Hypertensive renal disease with renal failureI12.9 Hypertensive renal disease without renal failure
I13 Hypertensive heart and renal diseaseI13.0 Hypertensive heart and renal disease with (congestive) heart failureI13.1 Hypertensive heart and renal disease with renal failureI13.2 Hypertensive heart and renal disease with both (congestive) heart failure and renal failureI13.9 Hypertensive heart and renal disease, unspecified
I15 Secondary hypertensionI15.0 Renovascular hypertensionI15.1 Hypertension secondary to other renal disordersI15.2 Hypertension secondary to endocrine disordersI15.8 Other secondary hypertensionI15.9 Secondary hypertension, unspecified
Or
At least one READ code in the following:
6146200 Hypertension induced by oral contraceptive pill
662b.00 Moderate hypertension control662F.00 Hypertension treatm. started662O.00 On treatment for hypertensionG2...00 Hypertensive diseaseG2...11 BP - hypertensive diseaseG20..00 Essential hypertensionG20..11 High blood pressureG200.00 Malignant essential hypertensionG201.00 Benign essential hypertensionG202.00 Systolic hypertensionG203.00 Diastolic hypertensionG20z.00 Essential hypertension NOSG20z.11 Hypertension NOSG21..00 Hypertensive heart diseaseG210.00 Malignant hypertensive heart diseaseG210000 Malignant hypertensive heart disease without
CCFG210100 Malignant hypertensive heart disease with
CCFG211.00 Benign hypertensive heart diseaseG211000 Benign hypertensive heart disease without
CCFG211100 Benign hypertensive heart disease with CCFG21z.00 Hypertensive heart disease NOSG21z000 Hypertensive heart disease NOS without CCFG21z011 Cardiomegaly - hypertensiveG21z100 Hypertensive heart disease NOS with CCFG21zz00 Hypertensive heart disease NOSG22..00 Hypertensive renal diseaseG22..11 NephrosclerosisG220.00 Malignant hypertensive renal diseaseG221.00 Benign hypertensive renal diseaseG222.00 Hypertensive renal disease with renal failureG22z.00 Hypertensive renal disease NOSG22z.11 Renal hypertensionG23..00 Hypertensive heart and renal diseaseG230.00 Malignant hypertensive heart and renal
L120z00 Benign essential hypertension in preg/childb/puerp NOS
L121.00 Renal hypertension in pregnancy/childbirth/puerperium
L121000 Renal hypertension in pregnancy/childbirth/puerp unspecified
L121100 Renal hypertension in pregnancy/childbirth/puerp - delivered
L121z00 Renal hypertension in pregnancy/childbirth/puerperium NOS
L122.00 Other pre-existing hypertension in preg/childbirth/puerp
L122000 Other pre-existing hypertension in preg/childb/puerp unspec
L122100 Other pre-existing hypertension in preg/childb/puerp - deliv
L122z00 Other pre-existing hypertension in preg/childb/puerp NOS
L123.00 Transient hypertension of pregnancyL123000 Transient hypertension of pregnancy
unspecifiedL123100 Transient hypertension of pregnancy -
deliveredL123200 Transient hypertension of pregnancy - deliv
with p/n compL123300 Transient hypertension of pregnancy - not
deliveredL123400 Transient hypertension of pregnancy +
postnatal complicationL123500 Gestational hypertensionL123600 Transient hypertension of pregnancyL123z00 Transient hypertension of pregnancy NOSL124.00 Mild or unspecified pre-eclampsiaL124.11 Mild pre-eclampsiaL124.12 Toxaemia NOSL124000 Mild or unspecified pre-eclampsia unspecifiedL124100 Mild or unspecified pre-eclampsia - deliveredL124200 Mild or unspecified pre-eclampsia - delivered
with p/n compL124300 Mild or unspecified pre-eclampsia - not
deliveredL124400 Mild or unspecified pre-eclampsia with p/n
complicationL124500 Mild pre-eclampsiaL124600 Pre-eclampsia, unspecifiedL124z00 Mild or unspecified pre-eclampsia NOSL125.00 Severe pre-eclampsiaL125000 Severe pre-eclampsia unspecifiedL125100 Severe pre-eclampsia - deliveredL125200 Severe pre-eclampsia - delivered with
postnatal complicationL125300 Severe pre-eclampsia - not deliveredL125400 Severe pre-eclampsia with postnatal
complicationL125z00 Severe pre-eclampsia NOSL126.00 EclampsiaL126000 Eclampsia unspecifiedL126100 Eclampsia - deliveredL126200 Eclampsia - delivered with postnatal
complicationL126300 Eclampsia - not deliveredL126400 Eclampsia with postnatal complicationL12B.00 Proteinuric hypertension of pregnancyL12z.00 Unspecified hypertension in
pregnancy/childbirth/puerperiumL12z000 Unspecified hypertension in
preg/childb/puerp unspecifiedL12z100 Unspecified hypertension in
pregnancy/childbirth/puerperiumL120.00 Benign essential hypertension in
pregnancy/childbirth/puerpL120000 Benign essential hypertension in
preg/childb/puerp unspecL120100 Benign essential hypertension in
preg/childb/puerp - delivL120300 Benign essential hypertension in
preg/childb/puerp-not delivL120400 Benign essential hypertension in
preg/childb/puerp +p/n comp
14A2.00 H/O: hypertension2465.00 O/E - BP borderline raised2466.00 O/E - BP reading raised2467.00 O/E - BP reading very high662..12 Hypertension monitoring6624.00 Borderline hyperten:yearly obs6627.00 Good hypertension control6628.00 Poor hypertension control6629.00 Hypertension:follow-up default662c.00 Hypertension six month review662d.00 Hypertension annual review662G.00 Hypertensive treatm.changed662H.00 Hypertension treatm.stopped662P.00 Hypertension monitoring662r.00 Trial withdrawal of antihypertensive therapy8B26.00 Antihypertensive therapy8BL0.00 Patient on maximal tolerated
antihypertensive therapy8CR4.00 Hypertension clinical management plan8HT5.00 Referral to hypertension clinic8I3I.00 Calcium channel blocker declined8I3N.00 Hypertension treatment refused9N03.00 Seen in hypertension clinic9N1y200 Seen in hypertension clinic9N4L.00 DNA - Did not attend hypertension clinic9OI..00 Hypertension monitoring adminL126500 Eclampsia in pregnancyL126600 Eclampsia in labourL126z00 Eclampsia NOSL127.00 Pre-eclampsia or eclampsia with pre-existing
hypertensionL127000 Pre-eclampsia or eclampsia with hypertension
unspecifiedL127100 Pre-eclampsia or eclampsia with hypertension
- deliveredL127200 Pre-eclampsia or eclampsia with hypertension
- del+p/n compL127300 Pre-eclampsia or eclampsia with hypertension
- not deliveredL127z00 Pre-eclampsia or eclampsia + pre-existing
preg/childb/puerp - deliveredL12z200 Unspecified hypertension in
preg/childb/puerp -del +p/n compL12z300 Unspecified hypertension in
preg/childb/puerp - not delivL12zz00 Unspecified hypertension in
preg/childb/puerp NOSL124500 Mild pre-eclampsiaL124600 Pre-eclampsia, unspecifiedL124z00 Mild or unspecified pre-eclampsia NOSL125.00 Severe pre-eclampsiaL125000 Severe pre-eclampsia unspecifiedL125100 Severe pre-eclampsia - deliveredL125200 Severe pre-eclampsia - delivered with
postnatal complicationL125300 Severe pre-eclampsia - not deliveredL125400 Severe pre-eclampsia with postnatal
complicationL125z00 Severe pre-eclampsia NOSL126.00 EclampsiaL126000 Eclampsia unspecifiedL126100 Eclampsia - deliveredL126200 Eclampsia - delivered with postnatal
complicationL126300 Eclampsia - not deliveredL126400 Eclampsia with postnatal complicationL126500 Eclampsia in pregnancyL126600 Eclampsia in labourL126z00 Eclampsia NOSL127.00 Pre-eclampsia or eclampsia with pre-existing
hypertensionL127000 Pre-eclampsia or eclampsia with hypertension
unspecifiedL127100 Pre-eclampsia or eclampsia with hypertension
- deliveredL127200 Pre-eclampsia or eclampsia with hypertension
- del+p/n compL127300 Pre-eclampsia or eclampsia with hypertension
- not deliveredL127z00 Pre-eclampsia or eclampsia + pre-existing
and puerperiumL129.00 Moderate pre-eclampsiaL12A.00 HELLP - Syndrome haemolysis, elev liver
enzyme low plateletsL12B.00 Proteinuric hypertension of pregnancyL12z.00 Unspecified hypertension in
pregnancy/childbirth/puerperiumL12z000 Unspecified hypertension in
preg/childb/puerp unspecifiedL12z100 Unspecified hypertension in
preg/childb/puerp - deliveredL12z200 Unspecified hypertension in
preg/childb/puerp -del +p/n compL12z300 Unspecified hypertension in
preg/childb/puerp - not delivL12zz00 Unspecified hypertension in
preg/childb/puerp NOSR1y2.00 [D]Raised blood pressure readingSLC6.00 Other hypertensive agent poisoningSLC6z00 Hypertensive agent poisoning NOSSLC9.00 Poisoning by calcium-channel blockersTJC7.00 Adverse reaction to other antihypertensivesTJC7100 Adverse reaction to methyldopaTJC7700 Adverse reaction to captoprilTJC7z00 Adverse reaction to antihypertensives NOSU60C511 [X] Adverse reaction to other
U60C51A [X] Adverse reaction to antihypertensives NOS
O/E On Examination, C/O Complaining of, H/O History of, FH: Family History
HYPERLIPIDEMIA
1. Algorithm for Identifying hyperlipidemia from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (272)†
272 Disorders of lipoid metabolism272.0 Pure hypercholesterolemia272.1 Pure hyperglyceridemia272.2 Mixed hyperlipidemia272.3 Hyperchylomicronemia272.4 Other and unspecified hyperlipidemia272.5 Lipoprotein deficiencies272.6 Lipodystrophy272.7 Lipidoses272.8 Other disorders of lipoid metabolism272.9 Unspecified disorder of lipoid metabolism
Or
At least one ICD-10 in (E78)†
E78 Disorders of lipoprotein metabolism and other lipidaemiasE78.0 Pure hypercholesterolaemiaE78.1 Pure hyperglyceridaemiaE78.2 Mixed hyperlipidaemiaE78.3 HyperchylomicronaemiaE78.4 Other hyperlipidaemiaE78.5 Hyperlipidaemia, unspecifiedE78.6 Lipoprotein deficiencyE78.8 Other disorders of lipoprotein metabolismE78.9 Disorder of lipoprotein metabolism, unspecified
Or
At least one READ code in the following:
44P4.00 Serum cholesterol very high8BAG.00 Cholesterol reduction programme8BAG000 Cholesterol reduction programme - invited8BAG100 Cholesterol reduction program - attended8BAG200 Cholesterol reduction program - declined8CA4700 Patient advised re low cholesterol diet8CR3.00 Hyperlipidaemia clinical management planC320.00 Pure hypercholesterolaemiaC320100 HyperbetalipoproteinaemiaC320200 Hyperlipidaemia, group AC320300 Low-density-lipoprotein-type (LDL) hyperlipoproteinaemiaC320400 Fredrickson's hyperlipoproteinaemia, type IIaC320y00 Other specified pure hypercholesterolaemiaC320z00 Pure hypercholesterolaemia NOSC322.00 Mixed hyperlipidaemia
C322.12 Fredrickson type III lipidaemiaC322000 Familial combined hyperlipidaemiaC324.00 Hyperlipidaemia NOSC325100 Hypo-alpha-lipoproteinaemiaC325200 Hypo-beta-lipoproteinaemiaC325300 A-beta-lipoproteinaemiaC327100 Gaucher's diseaseC327200 Niemann-Pick diseaseC375800 Multiple sulphatase deficiencyCyu8D00 [X]Other hyperlipidaemiaF102100 Cerebral degeneration in Niemann-Pick diseaseF4E5100 XanthelasmaU60C600 [X]Antihyperlipidaem/antiarterioscl drg caus adv ef ther useZC2CJ00 Dietary advice for hyperlipidaemiaZV65317 [V]Dietary surveillance in hypercholesterolaemia
O/E On Examination, C/O Complaining of, H/O History of, FH: Family History
ENHANCED HYPERLIPIDEMIA
At least prescription (or dispensed) for: Montréal Boston UK
proteinuria1Z17.11 CKD stage 1 with proteinuria1Z18.00 Chronic kidney disease stage 1 without
proteinuria1Z19.00 Chronic kidney disease stage 2 with
proteinuria1Z19.11 CKD stage 2 with proteinuria1Z1A.00 Chronic kidney disease stage 2 without
proteinuria1Z1A.11 CKD stage 2 without proteinuria1Z1B.00 Chronic kidney disease stage 3 with
proteinuria1Z1B.11 CKD stage 3 with proteinuria1Z1C.00 Chronic kidney disease stage 3 without
proteinuria1Z1C.11 CKD stage 3 without proteinuria1Z1D.00 Chronic kidney disease stage 3A with
proteinuria1Z1D.11 CKD stage 3A with proteinuria1Z1E.00 Chronic kidney disease stage 3A without
proteinuria1Z1E.11 CKD stage 3A without proteinuria1Z1F.00 Chronic kidney disease stage 3B with
proteinuria1Z1F.11 CKD stage 3B with proteinuria1Z1G.00 Chronic kidney disease stage 3B without
proteinuria1Z1G.11 CKD stage 3B without proteinuria1Z1H.00 Chronic kidney disease stage 4 with
proteinuria1Z1H.11 CKD stage 4 with proteinuria1Z1J.00 Chronic kidney disease stage 4 without
proteinuria1Z1J.11 CKD stage 4 without proteinuria1Z1K.00 Chronic kidney disease stage 5 with
proteinuria1Z1K.11 CKD stage 5 with proteinuria1Z1L.00 Chronic kidney disease stage 5 without
proteinuria1Z1L.11 CKD stage 5 without proteinuria4512.00 Renal function tests abnormal4515.00 Differential renal function4516.00 Renal function tests borderline4519.00 Deteriorating renal function4I27.00 Peritoneal fluid sample4I29.00 Peritoneal dialysis sample5573.00 Renal arteriogram abnormal66i..00 Chronic kidney disease monitoring6AA..00 Chronic kidney disease annual review7261011 Cyclodialysis7A61900 Ligation of arteriovenous dialysis fistula7B00.00 Transplantation of kidney7B00000 Autotransplant of kidney7B00100 Transplantation of kidney from live donor7B00111 Allotransplantation of kidney from live donor7B00200 Transplantation of kidney from cadaver7B00211 Allotransplantation of kidney from cadaver7B00300 Allotransplantation of kidney from cadaver,
heart-beating7B00400 Allotransplantation kidney from cadaver,
heart non-beating7B00y00 Other specified transplantation of kidney7B00z00 Transplantation of kidney NOS7B01500 Transplant nephrectomy
294 Persistent mental disorders due to conditions classified elsewhere294.0 Amnestic disorder in conditions classified elsewhere294.1 Dementia in conditions classified elsewhere294.8 Other persistent mental disorders due to conditions classified elsewhere294.9 Unspecified persistent mental disorders due to conditions classified elsewhere
331 Other cerebral degenerations331.0 Alzheimer's disease331.1 Frontotemporal dementia331.2 Senile degeneration of brain331.3 Communicating hydrocephalus331.4 Obstructive hydrocephalus331.5 Idiopathic normal pressure hydrocephalus (INPH)331.7 Cerebral degeneration in diseases classified elsewhere331.8 Other cerebral degeneration331.9 Cerebral degeneration, unspecified
Or
At least one ICD-10 in (733.0, 733.1)†
F00 Dementia in Alzheimer's disease (G30.-+)F00.0 Dementia in Alzheimer's disease with early onset (G30.0+)F00.1 Dementia in Alzheimer's disease with late onset (G30.1+)F00.2 Dementia in Alzheimer's disease, atypical or mixed type (G30.8+)F00.9 Dementia in Alzheimer's disease, unspecified (G30.9+)
F01 Vascular dementiaF01.0 Vascular dementia of acute onsetF01.1 Multi-infarct dementiaF01.2 Subcortical vascular dementiaF01.3 Mixed cortical and subcortical vascular dementiaF01.8 Other vascular dementiaF01.9 Vascular dementia, unspecified
F02 Dementia in other diseases classified elsewhereF02.0 Dementia in Pick's disease (G31.0+)F02.1 Dementia in Creutzfeldt-Jakob disease (A81.0+)F02.2 Dementia in Huntington's disease (G10+)F02.3 Dementia in Parkinson's disease (G20+)F02.4 Dementia in human immunodeficiency virus [HIV] disease (B22.0+)F02.8 Dementia in other specified diseases classified elsewhere
F03 Unspecified dementiaF04 Organic amnesic syndrome, not induced by alcohol and other psychoactive substancesF05 Delirium, not induced by alcohol and other psychoactive substances
F05.0 Delirium not superimposed on dementia, so describedF05.1 Delirium superimposed on dementiaF05.8 Other deliriumF05.9 Delirium, unspecified
F06 Other mental disorders due to brain damage and dysfunction and to physical diseaseF06.0 Organic hallucinosisF06.1 Organic catatonic disorderF06.2 Organic delusional [schizophrenia-like] disorderF06.3 Organic mood [affective] disorders
Jennifer Haas, 10/17/12,
Again these are not likely to be dementia
F06.4 Organic anxiety disorderF06.5 Organic dissociative disorderF06.6 Organic emotionally labile [asthenic] disorderF06.7 Mild cognitive disorderF06.8 Other specified mental disorders due to brain damage and dysfunction and to physical diseaseF06.9 Unspecified mental disorder due to brain damage and dysfunction and to physical disease
G30 Alzheimer's diseaseG30.0 Alzheimer's disease with early onsetG30.1 Alzheimer's disease with late onsetG30.8 Other Alzheimer's diseaseG30.9 Alzheimer's disease, unspecified
G31 Other degenerative diseases of nervous system, not elsewhere classifiedG31.0 Circumscribed brain atrophyG31.1 Senile degeneration of brain, not elsewhere classifiedG31.2 Degeneration of nervous system due to alcoholG31.8 Other specified degenerative diseases of nervous systemG31.9 Degenerative disease of nervous system, unspecified
G32 Other degenerative disorders of nervous system in diseases classified elsewhereG32.0 Subacute combined degeneration of spinal cord in diseases classified G32.8
Jennifer Haas, 10/17/12,
Not dementia
Or
At least one READ code in:
Eu02.% Dementia in other diseases ECE00..% Senile/presenile dementiaEu01.% [X]Vascular dementiaE02y1 Drug-induced dementiaE012.% Other alcoholic dementiaEu00.% [X]Dementia in Alzheimer's diseaseE041. Dementia in conditions ECEu041. [X]Delirium superimposed on dementiaF110. – F112. Alzheimer's disease and other cerebral
degenerationsF116. Lewy body disease1461.00 H/O: dementia66h..00 Dementia monitoring6AB..00 Dementia annual review9Ou..00 Dementia monitoring administration9Ou1.00 Dementia monitoring first letter9Ou2.00 Dementia monitoring second letter9Ou3.00 Dementia monitoring third letter9Ou4.00 Dementia monitoring verbal invite9Ou5.00 Dementia monitoring telephone inviteE00..11 Senile dementiaE00..12 Senile/presenile dementiaE000.00 Uncomplicated senile dementiaE001.00 Presenile dementiaE001000 Uncomplicated presenile dementiaE001100 Presenile dementia with deliriumE001200 Presenile dementia with paranoiaE001300 Presenile dementia with depressionE001z00 Presenile dementia NOSE002.00 Senile dementia with depressive or paranoid featuresE002000 Senile dementia with paranoiaE002100 Senile dementia with depressionE002z00 Senile dementia with depressive or paranoid features NOSE003.00 Senile dementia with deliriumE004.00 Arteriosclerotic dementiaE004.11 Multi infarct dementiaE004000 Uncomplicated arteriosclerotic dementiaE004100 Arteriosclerotic dementia with deliriumE004200 Arteriosclerotic dementia with paranoiaE004300 Arteriosclerotic dementia with depressionE004z00 Arteriosclerotic dementia NOS
E012.00 Other alcoholic dementiaE012.11 Alcoholic dementia NOSE02y100 Drug-induced dementiaE041.00 Dementia in conditions ECEu00.00 [X]Dementia in Alzheimer's diseaseEu00000 [X]Dementia in Alzheimer's disease with early onsetEu00011 [X]Presenile dementia,Alzheimer's typeEu00012 [X]Primary degen dementia, Alzheimer's type, presenile onsetEu00100 [X]Dementia in Alzheimer's disease with late onsetEu00112 [X]Senile dementia,Alzheimer's typeEu00113 [X]Primary degen dementia of Alzheimer's type, senile onsetEu00200 [X]Dementia in Alzheimer's dis, atypical or mixed typeEu00z00 [X]Dementia in Alzheimer's disease, unspecifiedEu00z11 [X]Alzheimer's dementia unspecEu01.00 [X]Vascular dementiaEu01.11 [X]Arteriosclerotic dementiaEu01000 [X]Vascular dementia of acute onsetEu01100 [X]Multi-infarct dementiaEu01111 [X]Predominantly cortical dementiaEu01200 [X]Subcortical vascular dementiaEu01300 [X]Mixed cortical and subcortical vascular dementiaEu01y00 [X]Other vascular dementiaEu01z00 [X]Vascular dementia, unspecifiedEu02.00 [X]Dementia in other diseases classified elsewhereEu02000 [X]Dementia in Pick's diseaseEu02100 [X]Dementia in Creutzfeldt-Jakob diseaseEu02200 [X]Dementia in Huntington's diseaseEu02300 [X]Dementia in Parkinson's diseaseEu02400 [X]Dementia in human immunodef virus [HIV] diseaseEu02500 [X]Lewy body dementiaEu02y00 [X]Dementia in other specified diseases classif elsewhereEu02z00 [X] Unspecified dementiaEu02z11 [X] Presenile dementia NOSEu02z13 [X] Primary degenerative dementia NOSEu02z14 [X] Senile dementia NOSEu02z16 [X] Senile dementia, depressed or paranoid typeEu04100 [X]Delirium superimposed on dementiaEu10711 [X]Alcoholic dementia NOSF110.00 Alzheimer's diseaseF110000 Alzheimer's disease with early onsetF110100 Alzheimer's disease with late onsetF111.00 Pick's diseaseF112.00 Senile degeneration of brainF116.00 Lewy body diseaseZS7C500 Language disorder of dementia
CANCER
1. Algorithm for identifying cancer from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (140-239)†:
140-195 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphatic and hematopoietic tissue
196-198 Malignant neoplasms, stated or presumed to be secondary, of specified sites199 Malignant neoplasms, without specification of site200-208 Malignant neoplasms, stated or presumed to be primary, of lymphatic and hematopoietic tissue209 Neuroendocrine tumors
Or
At least one ICD-10 in (C00-C97)†:
This chapter contains the following blocks:
C00-C97 Malignant neoplasms
Or
At least one READ code in:†:
B0…% Malignant neoplasm of lip, oral cavity and pharynxB1…% Malignant neoplasm of digestive organs and peritoneumB2…% Malignant neoplasm of respiratory tract and intrathoracic organsB30..% Malignant neoplasm of bone and articular cartilageB31..% Malignant neoplasm of connective and other soft tissueB32..% Malignant melanoma of skinB34..% Malignant neoplasm of female breastB35..% Malignant neoplasm of male breastB3y.. Malignant neoplasm of bone, connective tissue, skin and breast otherwise specifiedB3z.. Malignant neoplasm of bone, connective tissue, skin and breast NOSB4…% Malignant neoplasm of genitourinary organB5…% Malignant neoplasm of other and unspecified sitesB6…% Malignant neoplasm of lymphatic and haemopoietic tissue
ASTHMA
1. Algorithm for identifying asthma from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (493)†:
493 Asthma493.0 Extrinsic asthma493.1 Intrinsic asthma493.2 Chronic obstructive asthma493.8 Other forms of asthma493.9 Asthma, unspecified
H33..% Asthma14B4.00 H/O: asthma173A.00 Exercise induced asthma173c.00 Occupational asthma173d.00 Work aggravated asthma178..00 Asthma trigger1780.00 Aspirin induced asthma1781.00 Asthma trigger - pollen1787.00 Asthma trigger - seasonal1789.00 Asthma trigger - respiratory infection1J70.00 Suspected asthma1O2..00 Asthma confirmed388t.00 Royal College of Physicians asthma assessment38DL.00 Asthma control test38DT.00 Asthma control questionnaire38DV.00 Mini asthma quality of life questionnaire663..11 Asthma monitoring663N.00 Asthma disturbing sleep663N000 Asthma causing night waking663N100 Asthma disturbs sleep weekly663N200 Asthma disturbs sleep frequently663O.00 Asthma not disturbing sleep663O000 Asthma never disturbs sleep663P.00 Asthma limiting activities663Q.00 Asthma not limiting activities663U.00 Asthma management plan given663V.00 Asthma severity663V000 Occasional asthma663V100 Mild asthma663V200 Moderate asthma663V300 Severe asthma663W.00 Asthma prophylactic medication used663d.00 Emergency asthma admission since last appointment663e.00 Asthma restricts exercise663e000 Asthma sometimes restricts exercise663e100 Asthma severely restricts exercise
8795.00 Asthma control step 28796.00 Asthma control step 38797.00 Asthma control step 48798.00 Asthma control step 58B3j.00 Asthma medication review8CMA000 Patient has a written asthma personal action plan8CR0.00 Asthma clinical management plan8H2P.00 Emergency admission, asthma8HTT.00 Referral to asthma clinic9N1d.00 Seen in asthma clinic9N4Q.00 DNA - Did not attend asthma clinic9NI8.00 Asthma outreach clinic9NNX.00 Under care of asthma specialist nurse9OJ..00 Asthma monitoring admin.9OJ..11 Asthma clinic administration9OJ1.00 Attends asthma monitoring9OJ2.00 Refuses asthma monitoring9OJ3.00 Asthma monitor offer default9OJ4.00 Asthma monitor 1st letter9OJ5.00 Asthma monitor 2nd letter9OJ6.00 Asthma monitor 3rd letter9OJ7.00 Asthma monitor verbal invite9OJ8.00 Asthma monitor phone invite9OJ9.00 Asthma monitoring deleted9OJA.00 Asthma monitoring check done9OJA.11 Asthma monitored9OJZ.00 Asthma monitoring admin.NOS9Q21.00 Patient in asthma studyG581.11 Asthma - cardiacH312000 Chronic asthmatic bronchitisH33..00 AsthmaH33..11 Bronchial asthmaH330.00 Extrinsic (atopic) asthmaH330.11 Allergic asthmaH330.13 Hay fever with asthmaH330.14 Pollen asthmaH330000 Extrinsic asthma without status asthmaticus
663f.00 Asthma never restricts exercise663h.00 Asthma - currently dormant663j.00 Asthma - currently active663m.00 Asthma accident and emergency attendance since last visit663n.00 Asthma treatment compliance satisfactory663p.00 Asthma treatment compliance unsatisfactory663q.00 Asthma daytime symptoms663r.00 Asthma causes night symptoms 1 to 2 times per month663s.00 Asthma never causes daytime symptoms663t.00 Asthma causes daytime symptoms 1 to 2 times per month663u.00 Asthma causes daytime symptoms 1 to 2 times per week663v.00 Asthma causes daytime symptoms most days663w.00 Asthma limits walking up hills or stairs663x.00 Asthma limits walking on the flat663y.00 Number of asthma exacerbations in past year66Y5.00 Change in asthma management plan66Y9.00 Step up change in asthma management plan66YA.00 Step down change in asthma management plan66YC.00 Absent from work or school due to asthma66YE.00 Asthma monitoring due66YJ.00 Asthma annual review66YK.00 Asthma follow-up66YP.00 Asthma night-time symptoms66YQ.00 Asthma monitoring by nurse66YR.00 Asthma monitoring by doctor66YZ.00 Does not have asthma management plan66Yp.00 Asthma review using Roy Colleg of Physicians three questions66Yq.00 Asthma causes night time symptoms 1 to 2 times per week66Yr.00 Asthma causes symptoms most nights679J.00 Health education - asthma679J000 Health education - asthma self management679J100 Health education - structured asthma discussion68C3.00 Asthma screening8791.00 Further asthma - drug prevent.8793.00 Asthma control step 08794.00 Asthma control step 1
H330011 Hay fever with asthmaH330100 Extrinsic asthma with status asthmaticusH330111 Extrinsic asthma with asthma attackH330z00 Extrinsic asthma NOSH331.00 Intrinsic asthmaH331.11 Late onset asthmaH331000 Intrinsic asthma without status asthmaticusH331100 Intrinsic asthma with status asthmaticusH331111 Intrinsic asthma with asthma attackH331z00 Intrinsic asthma NOSH332.00 Mixed asthmaH333.00 Acute exacerbation of asthmaH334.00 Brittle asthmaH33z.00 Asthma unspecifiedH33z000 Status asthmaticus NOSH33z011 Severe asthma attackH33z100 Asthma attackH33z111 Asthma attack NOSH33z200 Late-onset asthmaH33zz00 Asthma NOSH33zz11 Exercise induced asthmaH33zz12 Allergic asthma NECH35y600 Sequoiosis (red-cedar asthma)H35y700 Wood asthmaH47y000 Detergent asthmaSLF7100 Salbutamol poisoningSLF7z00 Antiasthmatic poisoning NOSTJF7.00 Adverse reaction to antiasthmaticsTJF7000 Adverse reaction to salbutamolTJF7200 Adverse reaction to aminophyllineTJF7300 Adverse reaction to theophylline (asthma)TJF7z00 Adverse reaction to antiasthmatic NOSU60F600 [X]Antiasthmats caus adverse effects in therapeut use, NECU60F615 [X] Adverse reaction to theophylline - asthmaU60F61A [X] Adverse reaction to antiasthmatic NOS
COPD
1. Algorithm for identifying COPD from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (490-492, 494-496)†:
490 Bronchitis, not specified as acute or chronic491 Chronic bronchitis492 Emphysema494 Bronchiectasis495 Extrinsic allergic alveolitis496 Chronic airway obstruction, not elsewhere classified
Or
At least one ICD-10 in (J40-J44, J47)†:
J40 Bronchitis, not specified as acute or chronicJ41 Simple and mucopurulent chronic bronchitis
1. Algorithm for identifying MI from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (410)†:
410 Acute myocardial infarction410.0 Of anterolateral wall410.1 Of other anterior wall410.2 Of inferolateral wall410.3 Of inferoposterior wall410.4 Of other inferior wall410.5 Of other lateral wall410.6 True posterior wall infarction410.7 Subendocardial infarction410.8 Of other specified sites410.9 Unspecified site
Or
At least one ICD-10 in (I21, I22)†:
I21 Acute myocardial infarctionI21.0 Acute transmural myocardial infarction of anterior wallI21.1 Acute transmural myocardial infarction of inferior wallI21.2 Acute transmural myocardial infarction of other sitesI21.3 Acute transmural myocardial infarction of unspecified siteI21.4 Acute subendocardial myocardial infarctionI21.9 Acute myocardial infarction, unspecified
I22 Subsequent myocardial infarctionI22.0 Subsequent myocardial infarction of anterior wallI22.1 Subsequent myocardial infarction of inferior wallI22.8 Subsequent myocardial infarction of other sitesI22.9 Subsequent myocardial infarction of unspecified site
1. Algorithm for identifying ischemic heart disease from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (411, 412, 413, 414)†:
411 Other acute and subacute forms of ischemic heart disease411.0 Postmyocardial infarction syndrome411.1 Intermediate coronary syndrome411.8 Other
412 Old myocardial infarction413 Angina pectoris
413.0 Angina decubitus413.1 Prinzmetal angina413.9 Other and unspecified angina pectoris
414 Other forms of chronic ischemic heart disease414.0 Coronary atherosclerosis414.1 Aneurysm and dissection of heart414.2 Chronic total occlusion of coronary artery414.3 Coronary atherosclerosis due to lipid rich plaque414.8 Other specified forms of chronic ischemic heart disease414.9 Chronic ischemic heart disease, unspecified
Or
At least one ICD-10 in (I21, I22)†:
I20 Angina pectorisI20.0 Unstable anginaI20.1 Angina pectoris with documented spasmI20.8 Other forms of angina pectorisI20.9 Angina pectoris, unspecified
I24 Other acute ischaemic heart diseasesI24.0 Coronary thrombosis not resulting in myocardial infarctionI24.1 Dressler's syndromeI24.8 Other forms of acute ischaemic heart disease
I25 Chronic ischaemic heart diseaseI25.0 Atherosclerotic cardiovascular disease, so describedI25.1 Atherosclerotic heart diseaseI25.3 Aneurysm of heartI25.4 Coronary artery aneurysmI25.5 Ischaemic cardiomyopathyI25.6 Silent myocardial ischaemiaI25.8 Other forms of chronic ischaemic heart diseaseI25.9 Chronic ischaemic heart disease, unspecified
G33..00 Angina pectorisG330.00 Angina decubitusG330000 Nocturnal anginaG330z00 Angina decubitus NOSG331.00 Prinzmetal's anginaG331.11 Variant angina pectorisG332.00 Coronary artery spasmG33z.00 Angina pectoris NOSG33z000 Status anginosusG33z100 StenocardiaG33z200 Syncope anginosaG33z300 Angina on effortG33z400 Ischaemic chest painG33z500 Post infarct anginaG33z600 New onset anginaG33z700 Stable angina
G311.00 Preinfarction syndromeG311.11 Crescendo anginaG311.12 Impending infarctionG311.13 Unstable anginaG311.14 Angina at restG311000Myocardial infarction abortedG311011MI - myocardial infarction abortedG311100Unstable anginaG311200Angina at restG311300Refractory anginaG311400Worsening anginaG311500Acute coronary syndromeG311z00 Preinfarction syndrome NOSG312.00 Coronary thrombosis not resulting in myocardial infarctionG31y.00 Other acute and subacute ischaemic heart diseaseG31y000Acute coronary insufficiencyG31y200Subendocardial ischaemiaG31y300Transient myocardial ischaemiaG31yz00 Other acute and subacute ischaemic heart disease NOS
G33zz00 Angina pectoris NOSG34..00 Other chronic ischaemic heart diseaseG340.00 Coronary atherosclerosisG340.11 Triple vessel disease of the heartG340.12 Coronary artery diseaseG340000Single coronary vessel diseaseG340100Double coronary vessel diseaseG342.00 Atherosclerotic cardiovascular diseaseG343.00 Ischaemic cardiomyopathyG34y.00 Other specified chronic ischaemic heart diseaseG34y000Chronic coronary insufficiencyG34y100Chronic myocardial ischaemiaG34yz00 Other specified chronic ischaemic heart disease NOSG34z000 Asymptomatic coronary heart diseaseG3z..00 Ischaemic heart disease NOS
HYPOGLYCEMIA
1. Algorithm for Identifying hypoglycemia from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (251)†
251 Other disorders of pancreatic internal secretion251.0 Hypoglycemic coma251.1 Other specified hypoglycemia251.2 Hypoglycemia, unspecified
Or
At least one ICD-10 in (E15, E16)†
E15 Nondiabetic hypoglycaemic comaE16 Other disorders of pancreatic internal secretion
E16.0 Drug-induced hypoglycaemia without comaE16.1 Other hypoglycaemiaE16.2 Hypoglycaemia, unspecifiedE16.3 Increased secretion of glucagonE16.4 Abnormal secretion of gastrinE16.8 Other specified disorders of pancreatic internal secretionE16.9 Disorder of pancreatic internal secretion, unspecified
Or
At least one ICD-10 in:†:
66A6.00 Last hypo. attack66A7.00 Frequency of hypo. attacks66A7000Frequency of hospital treated hypoglycaemia66A7100Frequency of GP or paramedic treated hypoglycaemia66AJ300 Recurrent severe hypos66Ad.00 Hypoglycaemic attack requiring 3rd party assistanceC109D00Non-insulin dependent diabetes mellitus with hypoglyca comaC109D11Type II diabetes mellitus with hypoglycaemic comaC109D12Type 2 diabetes mellitus with hypoglycaemic comaC10FD00Type 2 diabetes mellitus with hypoglycaemic comaC10FD11Type II diabetes mellitus with hypoglycaemic coma
C110.00 Hypoglycaemic comaC110z00 Hypoglycaemic coma NOSC112.00 Hypoglycaemia unspecifiedC112000 Reactive hypoglycaemia NOSC112100 Spontaneous hypoglycaemia NOSC112z00 Hypoglycaemia unspecified NOSC116.00 Other hypoglycaemiaC116000 Post-prandial hypoglycaemiaC11y100 Drug-induced hypoglycaemia without comaCyu3000 [X]Other hypoglycaemiaF374500 Polyneuropathy in hypoglycaemiaU602300[X]Insul/oral hypoglyc drugs caus adverse eff therapeut useZV65318[V]Dietary counselling in hypoglycaemia
STROKE
1. Algorithm for identifying stroke from hospital & claims data (if date is correct) through ICD-9 or ICD-10
At least one ICD-9 in (431-434, 436)†:
430 Subarachnoid hemorrhage431 Intracerebral hemorrhage432 Other and unspecified intracranial hemorrhage
I63 Cerebral infarctionI63.0 Cerebral infarction due to thrombosis of precerebral arteriesI63.1 Cerebral infarction due to embolism of precerebral arteriesI63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteriesI63.3 Cerebral infarction due to thrombosis of cerebral arteriesI63.4 Cerebral infarction due to embolism of cerebral arteriesI63.5 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteriesI63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenicI63.8 Other cerebral infarctionI63.9 Cerebral infarction, unspecified
I64 Stroke, not specified as haemorrhage or infarctionOr
At least one ICD-10 in:†:
G600.00Ruptured berry aneurysmG61..00 Intracerebral haemorrhageG61..11 CVA - cerebrovascular accid due to intracerebral haemorrhageG61..12 Stroke due to intracerebral haemorrhageG610.00 Cortical haemorrhageG611.00 Internal capsule haemorrhageG612.00 Basal nucleus haemorrhageG613.00 Cerebellar haemorrhageG614.00 Pontine haemorrhageG615.00 Bulbar haemorrhageG616.00 External capsule haemorrhageG617.00 Intracerebral haemorrhage, intraventricularG618.00 Intracerebral haemorrhage, multiple localizedG61X000Left sided intracerebral haemorrhage, unspecifiedG61X100Right sided intracerebral haemorrhage, unspecifiedG61z.00 Intracerebral haemorrhage NOSG63..11 Infarction - precerebralG630.00 Basilar artery occlusionG632.00 Vertebral artery occlusionG633.00 Multiple and bilateral precerebral arterial occlusionG63y.00 Other precerebral artery occlusionG63y000Cerebral infarct due to thrombosis of precerebral arteriesG63y100Cerebral infarction due to embolism of precerebral arteriesG64..00 Cerebral arterial occlusionG64..11 CVA - cerebral artery occlusionG64..12 Infarction - cerebralG64..13 Stroke due to cerebral arterial occlusionG640.00 Cerebral thrombosisG640000Cerebral infarction due to thrombosis of cerebral arteries
G641.00 Cerebral embolismG641.11 Cerebral embolusG641000Cerebral infarction due to embolism of cerebral arteriesG64z.00 Cerebral infarction NOSG64z.11 Brainstem infarction NOSG64z000 Brainstem infarctionG64z200 Left sided cerebral infarctionG64z300 Right sided cerebral infarctionG654.00 Multiple and bilateral precerebral artery syndromesG66..00 Stroke and cerebrovascular accident unspecifiedG66..11 CVA unspecifiedG66..12 Stroke unspecifiedG66..13 CVA - Cerebrovascular accident unspecifiedG663.00 Brain stem stroke syndromeG664.00 Cerebellar stroke syndromeG667.00 Left sided CVAG668.00 Right sided CVAG676000Cereb infarct due cerebral venous thrombosis, nonpyogenicG677000Occlusion and stenosis of middle cerebral arteryG677100Occlusion and stenosis of anterior cerebral arteryG677200Occlusion and stenosis of posterior cerebral arteryG677300Occlusion and stenosis of cerebellar arteriesG677400Occlusion+stenosis of multiple and bilat cerebral arteriesG6W..00 Cereb infarct due unspocclus/stenos precerebr arteriesG6X..00 Cerebrl infarctn due/unspcf occlusn or sten/cerebrl artrs
