Vision 3
Read Dictionary Changes
Quarter 3 2013
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Contents
READ CODE CHANGES - QUARTER 3 2013
1
Introduction
Summary
1
1
Read Codes and Keywords Added for this Release
2
Read Codes Changed for this Release
22
Read Codes Deleted for this Release
22
Term Keys Added for this Release
22
Term Keys Changed for this Release
23
Term Keys Deleted for this Release
23
Synonym Keys Added for this Release
24
Synonym Keys Changed for this Release
25
Synonym Keys Deleted for this Release
25
INDEX
27
iii
Read Code Changes Quarter 3 2013
Introduction
This is the change report for the Quarter 3 2013 Medical Read Codes Release of the
Read dictionary.
Summary
There are 496 Read codes added in this release. See Read Codes and Keywords
Added for this Release (page 1)
There are 2 Read codes changed in this release. See Read Codes Changed for this
Release (page 22)
There are 8 Read codes deleted in this release. See Read Codes Deleted for this
Release (page 22)
There are 857 Term Keys added in this release. See Term Keys Added for this
Release (page 22)
There are 15 Term Keys changed in this release. See Term Keys Changed for this
Release (page 22)
There are 10 Term Keys deleted in this release.See Term Keys Deleted for this
Release (page 23)
Read Code Changes - Quarter 3 2013
1
Read Codes and Keywords Added for this
Release
Read
Code
Read Term
Keyword
11520
Patient reports no current disability
DISABILITY
115T.
No history of malignancy
MALIGNANCY
115T0
No history of breast cancer
CANCER
BREAST
115V.
No history of ectopic pregnancy
PREGNANCY
ECTOPIC
115W.
No history of ovarian cyst
OVARIAN
CYST
115X.
No history of depression
DEPRESSION
115Y.
No H/O exposure to occupational risk factor
RISK
OCCUPATION
122J.
No FH of epilepsy
EPILEPSY
122K.
No FH of lung cancer
LUNG
122L.
No FH of prostate cancer
PROSTATE
122M.
No FH of bladder cancer
BLADDER
122N.
No FH of squamous cell carcinoma of skin
SQUAMOUS
SKIN
122P.
No FH of non-Hodgkin lymphoma
HODGKIN
NON
NHL
124K.
FH: neoplasm of lung
LUNG
124K0
FH: Malignant neoplasm of lung
CANCER
124L.
FH: Malignant neoplasm of urinary bladder
CANCER
124M.
FH: Squamous cell carcinoma of skin
SQUAMOUS
SKIN
124N.
FH: Non-Hodgkin lymphoma
HODGKIN
NHL
12Ca.
FH: Long QT syndrome
QT
12E6.
FH: Coeliac disease
COELIAC
12G5.
FH: Pre-eclampsia
PREECLAMPS
ECLAMPSIA
12J70
FH: Congenital hip dysplasia
HIP
DYSPLASIA
139A.
Wishes to donate body to medical research
RESEARCH
MEDICAL
13BD.
Low potassium diet
POTASSIUM
13BE.
Low phosphate diet
PHOSPHATE
13BF.
Elemental diet
ELEMENTAL
2
Read Dictionary Changes Quarter 3 2013
13BG.
Modified texture diet
TEXTURE
MODIFIED
13BH.
Cow's milk protein-free diet
COW
PROTEIN
MILK
13CY.
Does not drive a car
DRIVE
13Ca.
Does not drive a vehicle
DRIVE
13Cb.
Has driving licence
LICENCE
DRIVING
13Cc.
Does not have driving licence
LICENCE
DRIVING
13Cd.
Gross Motor Function Classification System for
Cerebral Palsy level finding
GMFCS
13Cd0
Gross Motor Function Classification System for
Cerebral Palsy level I
GMFCS
13Cd1
Gross Motor Function Classification System for
Cerebral Palsy level II
GMFCS
13Cd2
Gross Motor Function Classification System for
Cerebral Palsy level III
GMFCS
13Cd3
Gross Motor Function Classification System for
Cerebral Palsy level IV
GMFCS
13Cd4
Gross Motor Function Classification System for
Cerebral Palsy level V
GMFCS
13VC7
Multiple and complex disability without physical
disability
MULTIPLE
COMPLEX
13VC8
Multiple and complex disability with physical
disability
COMPLEX
13Wb.
Carer has sole parental responsibility
RESPONSIBI
PARENTAL
13Wc.
Father has sole parental responsibility
RESPONSIBI
PARENTAL
13Wd.
Domestic abuse victim in household
ABUSE
HOUSEHOLD
DOMESTIC
VICTIM
13YB.
Coeliac UK member
COELIAC
UK
13ZK0
Has statement of special educational needs
SEN
STATEMENT
13ZK1
Statement of special educational needs stopped
STATEMENT
SEN
14L50
H/O: rotavirus vaccine allergy
ROTAVIRUS
ALLERGY
14OP0
At high risk of sexually transmitted infection
TRANSMITTE
SEXUALLY
14OP1
At low risk of sexually transmitted infection
TRANSMITTE
SEXUALLY
Read Code Changes - Quarter 3 2013
3
14XG.
Victim of domestic abuse
VICTIM
DOMESTIC
14l..
H/O abnormal cervical smear
SMEAR
CERVICAL
153C.
Gravida more than 10
10
15AB.
H/O: pre-eclampsia
PREECLAMP
ECLAMPSIA
15J..
Vulval rash
VULVAL
16T..
Medically unexplained symptoms
UNEXPLAINE
MEDICALLY
173f.
Anxiety about breathlessness
BREATHLESS
ANXIETY
173g.
Breathlessness causing difficulty eating
BREATHLESS
1H4..
Child aware of parent diagnosis
CHILD
AWARE
1IG..
No evidence of child sexual abuse
SEXUAL
ABUSE
1J30.
Suspected sexual abuse of child
SEXUAL
ABUSE
1J31.
Suspected non-accidental injury to child
INJURY
1J32.
Suspected victim of child neglect
NEGLECT
1JA3.
Suspected multiple sclerosis
MS
SCLEROSIS
MULTIPLE
1JX..
Suspected coronavirus infection
CORONAVIRU
1JY..
Suspected hereditary disease
GENETIC
HEREDITARY
1L6..
Date of diagnosis
DIAGNOSIS
DATE
1PC..
User of electronic cigarette
ELECTRONIC
CIGARETTE
1zz0z
Quarter 3 2013
ADMINISTRA
24710
Carotid bruit absent
CAROTID
ABSENT
24711
Femoral bruit absent
FEMORAL
ABSENT
24712
Renal bruit absent
RENAL
ABSENT
24713
Aortic bruit absent
AORTIC
ABSENT
2475.
Aortic bruit present
AORTIC
24c..
Heart rate
RATE
HEART
26C5.
Nipple abnormality
28E0.
Mild cognitive impairment
4
PELUSIUM
MILD
Read Dictionary Changes Quarter 3 2013
28E1.
Moderate cognitive impairment
MODERATE
28E2.
Severe cognitive impairment
SEVERE
2915.
No neurodisabling condition detected on
examination
NEURODISAB
2916.
No neurodevelopmental condition detected on
examination
NEURODEVEL
2B83.
Near visual acuity - left eye
ACUITY
2B84.
Near visual acuity - right eye
ACUITY
2BX2.
Heterochromic iris
HETEROCHRO
2JY..
Requires oxygen therapy during exercise
OXYGEN
312P.
Vision examination not completed
313P.
Hearing examination not completed
36143
Colposcopy normal
COLPOSCOPY
36154
Colposcopy abnormal
COLPOSCOPY
389E.
Looked after child annual dental health assessment
completed
DENTAL
LOOKED
LAC
38C13
Assessment of psychotic and behavioural symptoms
of dementia
DEMENTIA
38C14
Assessment of cause of psychotic and behavioural
symptoms
38C15
Initial memory assessment
MEMORY
38Gt.
QAdmissions emergency admission risk calculator
ADMISSION
38Gt0
QAdmissions risk of emergency hospital admission
in next 12 months
QADMISSION
38Gt1
QAdmissions risk of emergency hospital admission
in next 30 days
QADMISSION
38Gu.
National Early Warning Score - Royal College of
Physicians
NEWS
RCP
EARLY
WARNING
38Gv.
Diabetes UK diabetes risk score
DIABETES
SCORE
RISK
38Gw.
Gross Motor Function Classification System for
Cerebral Palsy
FUNCTION
GROSS
GMFCS
MOTOR
38Gx.
LYMQOL (Lymphoedema Quality of Life Tool) - arm
38Gy.
Model of Human Occupation Screening Tool version
2.0
MOHOST
38Gz.
Occupational Self Assessment version 2.2
OSA
OCCUPATION
38Q..
Miscellaneous scales - supplemental
SCALE
Read Code Changes - Quarter 3 2013
5
38Q0.
Warwick-Edinburgh Mental Well-being Scale
EDINBURGH
WEMWBS
WARWICK
38Q1.
OCAIRS (Occupational Circumstances Assessment
Interview and Rating Scale) version 4.0
OCAIRS
38Q2.
GULP (gauge, urine, look, plan) Dehydration Risk
Screening Tool
GULP
DEHYDRATIO
38Q3.
LYMQOL (Lymphoedema Quality of Life Tool) - leg
LYMQOL
38Q4.
HCL-32-R1 - hypomania checklist 32 item revised
HCL32R1
38Q5.
Scot-PASQ - Scottish Physical Activity Screening
Questions
ACTIVITY
SCOT
PHYSICAL
PASQ
38R..
Framework for the Assessment of Children in Need
and their Families
FRAMEWORK
CHILDREN
41M..
Blood test declined
BLOOD
42MB0
Natural killer (bright) cell absolute count
KILLER
NK
NATURAL
42MB1
Natural killer (dim) cell absolute count
NK
NATURAL
KILLER
42MB2
Natural killer (bright) cell percentage of
lymphocytes
NK
NATURAL
KILLER
42MB3
Natural killer (dim) cell percentage of lymphocytes
NK
NATURAL
KILLER
42h10
Thrombophilia screening negative
NEGATIVE
42ju.
Activated partial thromboplastin time ratio using
Actin FSL and phospholipid correction
ACTIN
APTT
APTR
CORRECTION
43GE0
Lupus anticoagulant negative
LUPUS
ANTICOAGUL
43GE1
Lupus anticoagulant positive
LUPUS
ANTICOAGUL
43Wi5
Recombinant Cor a 1 hazelnut specific IgE antibody
level
HAZELNUT
43Wi6
Recombinant Cor a 8 hazelnut specific IgE antibody
level
HAZELNUT
43Wi7
Bromelin specific IgE antibody level
BROMELIN
43ZD0
HLA-DR+ percentage of lymphocytes/blast cells
HLA
43a60
Anti-amphiphysin IgG antibody level
AMPHIPHYSI
43a61
Anti-CV2 IgG antibody level
CV2
6
Read Dictionary Changes Quarter 3 2013
43a62
Paraneoplastic Ma antigen 2 IgG antibody level
PNMA2
PARANEOPLA
43bH0
Tuberculosis test by ELISA interferon-gamma
release assay
GAMMA
INTERFERON
IGRA
TB
43k90
Glutamate dehydrogenase antigen positive
GDH
ANTIGEN
43sL.
CD138+ percentage of nucleated cells
CD138
44AT.
Plasma renin activity
RENIN
ACTIVITY
44N10
Haemoglobin electrophoresis normal
HAEMOGLOBI
ELECTROPH
44lzV
Phenylalanine/tyrosine ratio
TYROSINE
PHENYLALAN
44lzW
Aspartate aminotransferase/alanine
aminotransferase ratio
AST
ALT
46Q50
Urine amphetamine negative
46Q51
Urine amphetamine negative
46Q80
Urine benzodiazepine negative
46Q81
Urine benzodiazepine positive
46QA0
Urine cocaine negative
46QA1
Urine cocaine positive
46QB0
Urine methadone negative
46QB1
Urine methadone positive
46QL0
Urine opiate negative
OPIATE
46QL1
Urine opiate positive
OPIATE
46QM0
Urine cannabinoid positive
CANNABINOI
46QM1
Urine cannabinoid negative
CANNABINOI
46Qr0
Urine buprenorphine positive
46Qr1
Urine buprenorphine negative
4E3A.
Acid-fast bacillus sputum smear negative
ACID
FAST
BACILLUS
4E3B.
Acid-fast bacillus sputum smear positive
ACID
FAST
BACILLUS
4JRM.
Serratia screening
SERRATIA
4K290
Cervical smear - borderline change in squamous
cells
SQUAMOUS
4K291
Cervical smear - borderline change in endocervical
cells
ENDOCERVIC
4K2J.
Cervical smear - low grade dyskaryosis
DYSKARYOSI
4K2K.
Cervical smear - high grade dyskaryosis (moderate)
HIGH
DYSKARYOSI
Read Code Changes - Quarter 3 2013
7
4K2L.
Cervical smear - high grade dyskaryosis (severe)
HIGH
DYSKARYOSI
4K2M.
Cervical smear - high grade dyskaryosis with
features of invasive squamous carcinoma
SQUAMOUS
INVASIVE
4K2N.
Cervical smear - features of endocervical type
glandular neoplasia
NEOPLASIA
ENDOCERVIC
4K2P.
Cervical smear - features of non-cervical type
glandular neoplasia
NEOPLASIA
GLANDULAR
4K2Q.
Cervical smear - human papillomavirus negative
HPV
4K2R.
Cervical smear - human papillomavirus positive
HPV
4K4E.
Cervical smear repeat at 24 months
4L4F.
Mitochondrial 1555A>G mutation analysis
1555
MUTATION
MITOCHONDR
4L4F0
Mitochondrial 1555A>G mutation positive
1555
4L4F1
Mitochondrial 1555A>G mutation negative
1555
4L4G.
Protocadherin 19 mutation analysis
PROTOCADHE
PCDH
4L4G0
Heterozygous protocadherin 19 gene mutation
positive
585H1
Renal ultrasound normal
RENAL
585I1
Renal ultrasoRenal ultrasound normalund abnormal
RENAL
615P0
Hormone releasing intrauterine contraceptive device
fitted by other healthcare provider
IUS
IUCD
61F5.
Postcoital intrauterine contraceptive device offered
IUCD
POSTCOITAL
OFFERED
63D7.
Complete placenta at delivery
PLACENTA
COMPLETE
63G..
Uterine membrane observations
MEMBRANE
63G0.
Membranes complete
63G1.
Membranes incomplete
63H..
Time of delivery
DELIVERY
657S.
Booster meningitis C vaccination
MENINGITIS
BOOSTER
657S0
Booster meningitis C vaccination given by other
healthcare provider
MENINGITIS
BOOSTER
65E00
Administration of first intranasal pandemic influenza
vaccination
INTRANASAL
65E10
Administration of second intranasal pandemic
influenza vaccination
INTRANASAL
65E21
First intranasal seasonal influenza vaccination given
by other healthcare provider
INTRANASAL
65E22
Second intranasal seasonal influenza vaccination
given by other healthcare provider
INTRANASAL
8
Read Dictionary Changes Quarter 3 2013
65E30
First intranasal pandemic influenza vaccination
given by other healthcare provider
INTRANASAL
65E40
Second intranasal pandemic influenza vaccination
given by other healthcare provider
INTRANASAL
65ED1
Administration of first intranasal seasonal influenza
vaccination
INTRANASAL
65ED2
Seasonal influenza vaccination given while hospital
inpatient
INPATIENT
HOSPITAL
65ED3
Administration of second intranasal seasonal
influenza vaccination
INTRANASAL
65PW.
Coronavirus contact
CORONAVIRU
65WF.
Requires course of tick-borne encephalitis
vaccination
BORNE
TICK
ENCEPHALIT
65WG.
Requires course of Japanese encephalitis
vaccination
JAPANESE
ENCEPHALIT
65WH.
Requires rubella vaccination
RUBELLA
66AH1
Conversion to insulin in secondary care
INSULIN
CONVERSION
66AH2
Conversion to insulin by diabetes specialist nurse
INSULIN
CONVERSION
66AS0
Diabetes Year of Care annual review
YOC
ANNUAL
66K90
Successful trial without catheter
TWOC
66K91
Failed trial without catheter
TWOC
66RD.
Pharmacy managed repeat prescription
66RE.
Serial prescription issued
SERIAL
66SB.
Shared care - secondary care and tertiary care
TERTIARY
SECONDARY
66Yy.
Review of inhaler technique using inhaler checking
device
INHALER
CHECKING
66o..
Further diabetic monitoring
DIABETIC
66o0.
Incretin mimetic treatment started
MIMETIC
INCRETIN
66p..
Vitamin D deficiency monitoring
DEFICIENCY
VITAMIN
MONITORING
66p0.
Vitamin D deficiency annual review
ANNUAL
REVIEW
DEFICIENCY
VITAMIN
679L2
Education about diabetes and driving
DRIVING
679L2
01
Advice about diabetes and driving
679b0
Education to carer about side effects of child
immunisation
Read Code Changes - Quarter 3 2013
EFFECTS
9
679b0
01
Advice to carer about side effects of child
immunisation
679b0
02
Education to carer about side effects of child
immunisation
SIDE
679h.
Social skills training
SKILLS
TRAINING
SST
67DG.
Provision of information about Healthy Start
vitamins
HEALTHY
VITAMINS
START
67DH.
Informing patient of outcome of CAMHS (Child and
Adolescent Mental Health Service) choice
appointment
CAMHS
INFORMING
CHOICE
OUTCOME
67H9.
Education about lifestyle for risk of diabetes
67Is.
Advice to continue with drug treatment
67It.
Advice on risks of harm to mother from maternal
medication during pregnancy
HARM
MOTHER
MATERNAL
RISKS
67Iu.
Advice on risks of harm to fetus from maternal
medication during pregnancy
FOETUS
MATERNAL
HARM
RISKS
FETUS
67Q0.
Last days of life discussed
LAST
DAYS
67W..
Recommendation to
RECOMMENDA
67W0.
Advice to carer
67W0.
01
Recommendation to carer
67X..
Psychoeducation
PSYCHO
682D.
Human papillomavirus screening
PAPILLOMA
HPV
68Nh0
Booster meningitis C vaccination declined
MENINGITIS
BOOSTER
68Nx.
Parent/guardian not aware of any contraindication
to immunisation
CONTRAINDI
68W20
Bowel Cancer Screening Programme bowel scope
screening test
SCOPE
BCSP
68W21
Bowel scope (flexible sigmoidoscopy) screen:
normal - no further action
SCOPE
68W22
Bowel scope (flexible sigmoidoscopy) screen: minor
polyps removed - no follow up required
68W23
Bowel scope (flexible sigmoidoscopy) screen:
referred for colonoscopy
10
Read Dictionary Changes Quarter 3 2013
68W24
Bowel scope (flexible sigmoidoscopy) screen: cancer
detected
68W25
Bowel scope (flexible sigmoidoscopy) screen:
suspected cancer detected
68W26
Bowel scope (flexible sigmoidoscopy) screen: other
abnormality detected
68W27
Bowel scope (flexible-sigmoidoscopy) screening
invitation declined
68W28
Bowel scope (flexible-sigmoidoscopy) screening
invitation: did not respond
68W29
Bowel scope (flexible-sigmoidoscopy) appointment:
did not attend
68W2A
Bowel scope (flexible-sigmoidoscopy) screening:
attended but not screened
68W2B
Bowel scope (flexible sigmoidoscope) screening
invitation: unsuitable at this time
69DD.
Antipsychotic medication physical health check
ANTIPSYCHO
6B8..
Family Nurse Partnership programme
PARTNERSHI
FAMILY
745A3
Post-exercise pulse oximetry
7738A
Removal of anal seton
SETON
7738B
Insertion of anal seton
SETON
790G2
Percutaneous occlusion of left atrial appendage
APPENDAGE
OCCLUSION
ATRIAL
792E0
Emergency percutaneous coronary intervention
7D036
Vulval polypectomy
VULVAL
7E293
Laparoscopic hysterosacropexy
HYSTEROSAC
7F114
Sweeping of membrane
SWEEPING
MEMBRANE
7G03Q
Excision of dermatofibroma
DERMATOFIB
832..
Application of focused rigidity cast
RIGIDITY
FOCUSED
877C0
Number of hours long-term oxygen therapy
prescribed per day
LTOT
877C1
Number of hours short-burst oxygen therapy
prescribed per day
SBOT
877C2
Number of hours ambulatory oxygen therapy
prescribed per day
AMBULATORY
877D0
Supplier reported volume of long-term oxygen
prescribed per day
LTOT
877D1
Supplier reported volume of short-burst oxygen
prescribed per day
SBOT
877D2
Supplier reported volume of ambulatory oxygen
prescribed per day
AMBULATORY
88AA.
Automatic implantable cardioverter defibrillator
check
ICD
DEFIBRILLA
Read Code Changes - Quarter 3 2013
11
8A91.
Carcinoembryonic antigen monitoring
8AB3.
Telehealth monitoring not appropriate
8BAp.
Insulin passport not checked
PASSPORT
8BPS.
Intrathecal drug delivery device in situ
INTRATHECA
DEVICE
8BPT.
Drug therapy for ADHD (attention deficit
hyperactivity disorder)
ATTENTION
8BPT0
Stimulant drug therapy for ADHD (attention deficit
hyperactivity disorder)
STIMULANT
8BPT1
Non-stimulant drug therapy for ADHD (attention
deficit hyperactivity disorder)
STIMULANT
8BPV.
Patient requests non-blood medical management
REQUEST
BLOOD
8BPW.
Denosumab therapy
DENOSUMAB
8BPX.
Ibandronic acid therapy
IBANDRONIC
8BPY.
Zoledronic acid therapy
ZOLEDRONIC
8BPZ.
Parathyroid hormone therapy
PARATHYROI
8BPa.
Antipsychotic drug therapy for dementia
ANTIPSYCHO
8C441
Nasojejunal feeding
NASOJEJUNA
8C45.
Enteral feeding
FEEDING
ENTERAL
8C450
Gastrostomy feeding
GASTROSTOM
8CA4L
Food fortification education
FOOD
FORTIFICAT
8CA4M
High energy diet education
HIGH
ENERGY
8CA4N
Vitamin education
VITAMIN
8CA4P
Mineral education
MINERAL
8CA4Q
Healthy eating education
HEALTHY
EATING
8CA4R
Fluid restriction education
FLUID
RESTRICTIO
8CA4S
Dietary education for food allergy
FOOD
ALLERGY
8CMc.
Management plan for shared care
SHARED
MANAGEMENT
8CMd.
Emergency health care plan
EMERGENCY
8CS9.
EHCP agreed | EHCP (emergency health care plan)
agreed
EMERGENCY
EHCP
8Cc5.
Management of inflammatory bowel disease
BOWEL
INFLAMMATO
IBD
8CeF.
Preferred place of care - relative's home
RELATIVE
12
CEA
CARCINOEMB
Read Dictionary Changes Quarter 3 2013
8Cp..
Triple P - Positive Parenting Programme
TRIPLE
PARENTING
8Cq..
Application of padding to foot
PADDING
8Cr..
Cutting toenails
TOENAILS
CUTTING
8Cs..
Filing toenails
TOENAILS
FILING
8G101
Dialectical behaviour therapy
DIALECTICA
DBT
8G102
Behavioural parent training
PARENT
BPT
8G130
Cognitive behavioural therapy parenting programme
PARENTING
8G18.
Cognitive stimulation therapy
STIMULATIO
COGNITIVE
CST
8G210
Functional Family Therapy
FUNCTIONAL
FFT
8GE72
Multidimensional Treatment Foster Care
MULTIDIMEN
MTFC
8GF5.
Infant Behavioral Assessment and Intervention
Program
IBAIP
8GJ..
Parent-infant psychotherapy
PARENT
INFANT
8GK..
Multisystemic Therapy
MULTISYSTE
MST
8GL..
Attachment-based therapy
ATTACHMENT
8GM..
Cognitive rehabilitation therapy
COGNITIVE
8GN..
Video interaction guidance
GUIDANCE
VIDEO
INTERACTIO
VIG
8H620
Referral to general practitioner for medication
review
MEDICATION
8HHN0
Referral to voluntary support service for carers
CARERS
8HVk.
Private referral to pain management service
PRIVATE
PAIN
8HVl.
Private referral to hand surgeon
PRIVATE
HAND
8Hga.
Discharge from hospice
HOSPICE
8Hgb.
Discharge from school medical centre
SCHOOL
MEDICAL
8HlJ3
Internal practice referral for acupuncture
ACUPUNCTUR
8Hlw.
Referral for assessment of needs of carer
8I614
Antibiotic prophylaxis not indicated
PROPHYLAX
ANTIBIOTIC
8I6r.
Advice not indicated
ADVICE
Read Code Changes - Quarter 3 2013
13
8I6r0
Advice about long acting reversible contraception
not indicated
ACTING
LARC
CONTRACEPT
LONG
8I87.
Unsuccessful urethral catheter insertion
CATHETER
8I94.
Diabetes structured education programme not
available
STRUCTURED
AVAILABLE
8I95.
Community service currently unavailable
UNAVAILAB
8I96.
Secondary care service currently unavailable
UNAVAILAB
8IC0.
Routine enquiry about domestic abuse declined
ROUTINE
ENQUIRY
8IC1.
Routine enquiry about domestic abuse not made
ROUTINE
ENQUIRY
8IE50
Initial memory assessment declined
MEMORY
8IEm0
First rotavirus vaccination declined
8IEm1
Second rotavirus vaccination declined
8IEq.
Integrated care pathway declined
PATHWAY
INTEGRATED
8IEr.
Referral to falls service declined
FALLS
8IEs.
Referral to voluntary agency declined
VOLUNTARY
AGENCY
8IEt.
Referral to Social Services declined
SERVICES
8IEu.
Dementia screening declined
DEMENTIA
8IEv.
ASSIGN2 cardiovascular disease risk assessment
declined
ASSIGN2
8IEw.
Postnatal examination declined
POSTNATAL
8IEy.
Chronic obstructive pulmonary disease written self
management plan declined
COPD
SELF
MANAGEMENT
8OA9.
Provision of written information about antibiotic
therapy
ANTIBIOTIC
8OAA.
Provision of written information about anticoagulant
therapy
PROVISION
ANTICOAGUL
8OAB.
Provision of written information about leishmaniasis
LEISHMANIA
8OAC.
Provision of written information about stroke
STROKE
8OAD.
Provision of written information about atrial
fibrillation
FIBRILLATI
ATRIAL
8T060
Referral to community Parkinson's service
COMMUNITY
8T0A.
Referral to equipment loan service
LOAN
EQUIPMENT
8T0B.
Referral to paediatric gynaecology service
PAEDIATRIC
GYNAECOLOG
8T0C.
Referral to paediatric allergy service
PAEDIATRIC
ALLERGY
14
Read Dictionary Changes Quarter 3 2013
8T0D.
Referral to paediatric dermatology service
PAEDIATRIC
DERMATOLOG
8T1..
Referral to clinic - additional
REFERRAL
CLINIC
8T10.
Referral to haematuria clinic
CLINIC
REFERRAL
HAEMATURIA
8V1..
Admission to establishment
8V10.
Admission to school medical centre
SCHOOL
MEDICAL
91802
Does not have an informal carer
INFORMAL
918F2
Lives with carer
91C1.
Name changed by deed poll
POLL
DEED
949E.
Patient died in usual place of residence
RESIDENCE
98D1.
Request for individual funding granted
INDIVIDUAL
FUNDING
98D2.
Request for individual funding declined
INDIVIDUAL
9DR..
Photograph certified as true likeness
PHOTOGRAPH
9EVA.
Teledermatology report received
TELEDERM
9EVB.
NHS 111 report received
NHS
111
9G9..
Airway alert form received
ALERT
AIRWAY
9HD..
Offering of CAMHS (Child and Adolescent Mental
Health Service) choice appointment
CHOICE
CAMHS
9KB..
Appli naturalisation Brit citizen - referee declaratn
signed | Application for naturalisation as British
citizen - referee declaration signed
NATURALISA
9N1yJ
Seen in drug misuse clinic
DRUG
9N1yK
Seen in weight management clinic
WEIGHT
9N2W2
Seen by child and adolescent psychologist
ADOLESCENT
9N470
Counselling appointment cancelled by patient
COUNSELLIN
CANCELLED
9N4N1
Did not attend CAMHS (Child and Adolescent Mental
Health Service) choice appointment
CHOICE
CAMHS
9N4N2
Did not attend CAMHS (Child and Adolescent Mental
Health Service) partnership appointment
CAMHS
PARTNERSHI
9N4N3
Did not attend CAMHS (Child and Adolescent Mental
Health Service) return appointment
CAMHS
RETURN
9N4q1
Did not attend first intranasal seasonal influenza
vaccination
SEASONAL
9N4q2
Did not attend first intranasal pandemic influenza
vaccination
PANDEMIC
9N4q3
Did not attend second intranasal seasonal influenza
vaccination
SEASONAL
Read Code Changes - Quarter 3 2013
15
9N4q4
Did not attend second intranasal pandemic influenza
vaccination
PANDEMIC
9N4z8
Did not attend booster meningitis C vaccination
MENINGITIS
9N6o.
Referred by Social Services
SOCIAL
SERVICES
9N6p.
Referred by NHS 111 service
NHS
111
9NFV.
Health visitor antenatal visit
VISIT
ANTENATAL
9NFW.
Care home visit
9NFW0
Care home visit for initial patient assessment
ASSESSMENT
9NFW1
Care home visit for follow-up patient review
REVIEW
9NN70
Under care of mental health in-reach team
INREACH
9NNf6
Under care of gastroenterologist
GASTROENTE
9NSF.
Repeat dispensing service offered
REPEAT
DISPENSING
9NSG.
Declined invitation to join patient participation
group
PARTICIPAT
9NSH.
NHS Health Check not appropriate
NHS
CHECK
9NSJ.
Unsuitable for ASSIGN2 cardiovascular disease risk
assessment
UNSUITABLE
ASSIGN2
9NfF.
Key contact informed in advance of discharge
DISCHARGE
9Ngl.
Under care of health visiting service
VISITING
9Ngl0
Under care of health visiting service - Universal
UNIVERSAL
9Ngl1
Under care of health visiting service - Universal plus
UNIVERSAL
PLUS
9Ngl2
Under care of health visiting service - Universal
partnership plus
PARTNERSHI
UNIVERSAL
PLUS
9Ngm.
Liverpool care pathway for the dying discontinued
LIVERPOOL
9Ngn.
Suspended from last days of life pathway
LIFE
DAYS
9Ngo.
Not on integrated care pathway
INTEGRATED
9Ngp.
On drug therapy for ADHD (attention deficit
hyperactivity disorder)
THERAPY
ADHD
9Ngp0
On stimulant drug therapy for ADHD (attention
deficit hyperactivity disorder)
STIMULANT
9Ngp1
On non-stimulant drug therapy for ADHD (attention
deficit hyperactivity disorder)
STIMULANT
9Ngq.
On parenteral nutrition
PARENTERAL
NUTRITION
9Ngr.
Under care of homeless advocacy service
ADVOCACY
HOMELESS
9Ngs.
Eligible for Care of Next Infant programme
CONI
16
Read Dictionary Changes Quarter 3 2013
9Ngt.
On melatonin for sleep disorder
SLEEP
MELATONIN
9Ngu.
On Delivering Assisted Living Lifestyles at Scale
programme
ASSISTED
LIVING
LIFESTYLES
DALLAS
9Ngv.
Carer understands care plan
UNDERSTAND
9Ngw.
Carer does not understand care plan
UNDERSTAND
9Nh3.
Under care of family nurse partnership team
9Nij.
Did not attend postnatal examination
POSTNATAL
9Nik.
Did not attend counselling appointment
COUNSELLIN
9NjB.
CAMHS (Child and Adolescent Mental Health
Service) appointment cancelled by patient
CAMHS
9NjB0
CAMHS (Child and Adolescent Mental Health
Service) choice appointment cancelled by patient
CHOICE
CAMHS
9NjB1
CAMHS (Child and Adolescent Mental Health
Service) partnership appointment cancelled by
patient
PARTNERSH
CAMHS
9NjB2
CAMHS (Child and Adolescent Mental Health
Service) return appointment cancelled by patient
RETURN
CAMHS
9NjC.
CAMHS (Child and Adolescent Mental Health
Service) appointment cancelled by clinician
CAMHS
9NjC0
CAMHS (Child and Adolescent Mental Health
Service) choice appointment cancelled by clinician
CAMHS
CHOICE
9NjC1
CAMHS (Child and Adolescent Mental Health
Service) partnership appointment cancelled by
clinician
CAMHS
PARTNERSH
9NjC2
CAMHS (Child and Adolescent Mental Health
Service) return appointment cancelled by clinician
CAMHS
9Nt8.
Seen by member of family nurse partnership team
9Nu4.
Dissent from disclosure of personal confidential data
by Health and Social Care Information Centre
HSCIC
9Nu5.
Dissent withdrawn from disclosure of personal
confidential data by Health and Social Care
Information Centre
DISSENT
WITHDRAWN
HSCIC
9Nu6.
Consent given for sharing end of life care
coordination record
SHARING
RECORD
EOLCC
9Nu7.
Withdrawal of consent for sharing end of life care
coordination record
SHARING
RECORD
EOLCC
9Nu8.
Best interest decision taken (Mental Capacity Act
2005) for sharing end of life care coordination
record
INTEREST
BEST
EOLCC
9Nu9.
Consent given by legitimate patient representative
for sharing end of life care coordination record
REPRESENTA
LEGITIMATE
EOLCC
Read Code Changes - Quarter 3 2013
17
9Nu90
Consent given by appointed person with lasting
power of attorney for personal welfare (Mental
Capacity Act 2005) for sharing end of life care
coordination record
9OE9.
Chronic disease management annual review
invitation
9OEA.
Chronic disease management annual review
completed
9OX54
First intranasal seasonal influenza vaccination
declined
SEASONAL
9OX55
First intranasal pandemic influenza vaccination
declined
PANDEMIC
9OX56
Second intranasal seasonal influenza vaccination
declined
SEASONAL
9OX57
Second intranasal pandemic influenza vaccination
declined
PANDEMIC
9OqD.
Dementia screening questionnaire sent to patient
DEMENTIA
9OqE.
Dementia screening questionnaire completed
DEMENTIA
9OqF.
No response to dementia screening invitation
DEMENTIA
9bK..
Further EHR composition types
9bK0.
Clinical letter
9f1..
History obtained from person with parental
responsibility
PARENTAL
9lJ..
Existing patient paper record available
PAPER
9lK..
Patient paper record held at practice
PRACTICE
PAPER
9lL..
Record contains third party information
PARTY
9mL..
Postnatal examination invitation
POSTNATAL
9mL0.
Postnatal examination third invitation
9mL1.
Postnatal examination second invitation
9mL2.
Postnatal examination first invitation
9mM..
Rheumatoid arthritis monitoring invitation
RHEUMATOID
ARTHRITIS
9mM0.
Rheumatoid arthritis monitoring invitation first letter
LETTER
9mM1.
Rheumatoid arthritis monitoring invitation second
letter
LETTER
9mM2.
Rheumatoid arthritis monitoring invitation third
letter
LETTER
9mM3.
Rheumatoid arthritis monitoring verbal invitation
VERBAL
9mM4.
Rheumatoid arthritis monitoring telephone invitation
TELEPHONE
9mP..
Vitamin D deficiency monitoring administration
ADMINISTRA
MONITORING
DEFICIENCY
VITAMIN
18
ATTORNEY
LPA
LASTING
POWER
EOLCC
Read Dictionary Changes Quarter 3 2013
9mP0.
Vitamin D deficiency monitoring invitation
DEFICIENCY
MONITORING
INVITATION
VITAMIN
9mP00
Vitamin D deficiency monitoring first letter
DEFICIENCY
VITAMIN
LETTER
FIRST
MONITORING
9mP01
Vitamin D deficiency monitoring second letter
DEFICIENCY
VITAMIN
MONITORING
LETTER
SECOND
9mP02
Vitamin D deficiency monitoring third letter
DEFICIENCY
VITAMIN
MONITORING
LETTER
THIRD
9mP03
Vitamin D deficiency monitoring verbal invitation
DEFICIENCY
VITAMIN
MONITORING
INVITATION
VERBAL
9mP04
Vitamin D deficiency monitoring telephone invitation
DEFICIENCY
TELEPHONE
INVITATION
VITAMIN
9q3..
Patient consent given to contact carer about care
CONTACT
CARER
9r0..
Routine enquiry about domestic abuse
DOMESTIC
ROUTINE
ENQUIRY
A9910
Pharyngeal lymphogranuloma venereum
PHARYNGEAL
A9911
Rectal lymphogranuloma venereum
RECTAL
BBz0.
[M]Neuroendocrine neoplasm
NEUROENDOC
C10P.
Diabetes mellitus in remission
REMISSION
C10P0
Type I diabetes mellitus in remission
C10P1
Type II diabetes mellitus in remission
C184.
Multiple endocrine neoplasia syndrome type 1
ENDOCRINE
NEOPLASIA
MULTIPLE
C329.
Hypercholesterolaemia
HYPERCHOLE
C39A.
Retinocochleocerebral vasculopathy
RETINOCOCH
SUSAC
VASCULOPAT
Read Code Changes - Quarter 3 2013
19
D3143
Heparin-induced thrombocytopenia
HEPARIN
Eu818
[X]Specific learning disability
SPECIFIC
LEARNING
F11y2
Corticobasal degeneration
DEGENERATI
CORTICOBAS
F13z6
Neuroferritinopathy
NEUROFERRI
F23y6
Choreoathetoid cerebral palsy
CHOREOATHE
CP
F287.
Idiopathic intracranial hypotension
HYPOTENSIO
IIH
IDIOPATHIC
INTRACRANI
F4525
Plateau iris
PLATEAU
IRIS
F5919
Bilateral profound sensorineural hearing loss
PROFOUND
F591A
Bilateral congenital sensorineural hearing loss
CONGENITAL
F591B
Profound sensorineural hearing loss
PROFOUND
F591C
Moderate sensorineural hearing loss
HEARING
MODERATE
LOSS
F591D
Mild sensorineural hearing loss
HEARING
MILD
LOSS
SENSORINEU
F591E
Severe sensorineural hearing loss
SEVERE
G5736
Paroxysmal atrial flutter
FLUTTER
G5yyD
Left ventricular cardiac dysfunction
LVD
G619.
Lobar cerebral haemorrhage
LOBAR
CEREBRAL
G67B.
Reversible cerebral vasoconstriction syndrome
REVERSIBLE
CALL
FLEMING
VASOCONSTR
G735.
HAVS - Hand-arm vibration syndrome
HAVS
WHITE
VIBRATION
SYNDROME
VIBRATION
GA...
Rheumatic heart disease
RHEUMATIC
HEART
GA0..
Carditis due to rheumatic fever
CARDITIS
M12A4
Juvenile spring eruption
SPRING
JUVENILE
M161J
Flexural psoriasis
FLEXURAL
M2002
Subungual corn
SUBUNGUAL
M2003
Fibrous corn
FIBROUS
20
Read Dictionary Changes Quarter 3 2013
M22E.
Lichenoid keratosis
LICHENOID
KERATOSIS
PC4yF
Rokitansky sequence
ROKITANSKY
PJ54.
Ulnar mammary syndrome
MAMMARY
SCHINZEL
ULNAR
PJz31
MeCP2 duplication syndrome
MECP2
DUPLICATIO
PKy5M
Oculofaciocardiodental syndrome
OFCD
OCULOFACIO
PyuAD
[X]Li-Fraumeni syndrome
FRAUMENI
S647.
Acquired brain injury
BRAIN
ACQUIRED
ABI
SN556
Non-accidental traumatic head injury to child
ACCIDENTAL
NAI
CHILD
TRAUMATIC
SP039
Uterine perforation by intrauterine contraceptive
device
IUCD
PERFORATIO
IUD
SP03A
Expulsion of intrauterine contraceptive device
IUCD
EXPULSION
SP06C
Infection associated with intrauterine contraceptive
device
IUCD
SP06D
Infection associated with retained intrauterine
contraceptive device
RETAINED
SP06E
Infection and inflammation associated with retained
intrauterine contraceptive device
INFLAMMATI
SP06F
Inflammation associated with retained intrauterine
contraceptive device
IUCD
INFLAMMATI
SP07Q
Catheter-associated urinary tract infection
UTI
CATHETER
CAUTI
SP07R
Bleeding due to intrauterine contraceptive device
IUCD
SP07S
Retained intrauterine contraceptive device
RETAINED
IUCD
U60K5
[X]Rotavirus vaccine causing adverse effects in
therapeutic use
ROTAVIRUS
U60K6
[X]Herpes zoster vaccine causing adverse effects in
therapeutic use
ZOSTER
HERPES
ZV45S
[V]Ventriculoperitoneal shunt catheter in situ
VENTRICULO
SHUNT
ZV45T
[V]Vagal nerve stimulator in situ
NERVE
VAGAL
STIMULATOR
Read Code Changes - Quarter 3 2013
21
Read Codes Changed for this Release
Read
Code
Read Term
43m8.
Glutamic acid decarboxylase antibody level
43m8.
Glutamic acid decarboxylase antibody level
8IEi.
Medium chain acyl-coenzyme A dehydrogenase deficiency screening
declined
8IEi.
Medium chain acyl-coenzyme A dehydrogenase deficiency screening
declined
Read Codes Deleted for this Release
Read
Code
Read Term
13m0.
Bisexual
13m1.
Heterosexual
13m2.
Sexual orientation unknown
13m3.
Sexual orientation not given - patient refused
E220.
Homosexuality
E2200
Male homosexuality
E2201
Lesbianism
E220z
Homosexuality NOS
Term Keys Added for this Release
Read
Code
Read Term
Keyword
13A5.
Low sodium diet
SODIUM
42MB.
Natural killer cell level
NK
43m8.
Glutamic acid decarboxylase antibody level
GAD
GLUTAMIC
671E.
Discussed with carer
DISCUSS
671F.
Discussed with patient
DISCUSS
792E.
Percutaneous coronary intervention
INTERVENTI
792E.
Percutaneous coronary intervention
CORONARY
8C41.
Parenteral feeding
PARENTERAL
8C41.
Parenteral feeding
FEEDING
22
Read Dictionary Changes Quarter 3 2013
Term Keys Changed for this Release
Read
Code
Read Term
Keyword
13A5.
Low salt diet
LOW
38GA.
Subgrouping to target treatment back screening tool
START
TOOL
43m8.
Glutamic acid decarboxylase antibody level
DECARBOXYL
8IEi.
Medium chain acyl-coenzyme A dehydrogenase
deficiency screening declined
CHAIN
MCADD
DEHYDROGEN
MEDIUM
9ND8.
I/patient disch summary rec'vd
DISCHARGE
9Z...
2013-04-01
JDR1
N0420
Rheumatic carditis
CARDITIS
Rz...
2013-04-01
JDR
SP032
Bleeding due to intrauterine contraceptive device
BLEEDING
CONTRACEPT
Term Keys Deleted for this Release
Read
Codes
Read Term
13m0.
Bisexual
13m1.
Heterosexual
13m2.
Sexual orientation unknown
13m3.
Sexual orientation not given - patient refused
E220.
Homosexuality
E2200
Male homosexuality
E2201
Female homosexuality
E2201 01
Lesbianism
E220z
Homosexuality NOS
N0420
Rheumatic carditis
Read Code Changes - Quarter 3 2013
Keywords
RHEUMATIC
23
Synonym Keys Added for this Release
Read Code
Read Term
Keyword
124K0 00
FH: Lung cancer
CANCER
124L. 00
FH: Bladder cancer
BLADDER
13A5. 01
Low sodium diet
SODIUM
1JY.. 00
Suspected genetic disease
GENETIC
679L2 01
Advice about diabetes and driving
679b0 01
Advice to carer about side effects of child
immunisation
67W0.00
Advice to carer
8C41. 01
Parenteral feeding
8CA4L 00
Food fortification advice
8CA4M 00
High energy diet advice
8CA4N 00
Vitamin advice
8CA4P 00
Mineral advice
8CA4Q 00
Healthy eating advice
8CA4R 00
Fluid restriction advice
8CA4S 00
Dietary advice for food allergy
8Cc5. 03
Management of IBD (inflammatory bowel disease)
8Ce5. 01
Preferred place of care - care home
9ND8. 01
Inpatient discharge summary received
9Ngu. 01
On DALLAS (Delivering Assisted Living Lifestyles at
Scale) programme
C10P0 01
Type 1 diabetes mellitus in remission
C10P1 00
Type 2 diabetes mellitus in remission
C39A. 01
Susac's syndrome
F23y6 01
Choreo-athetotic cerebral palsy
Fy1.. 03
Dual sensory impairment - deafblind
DEAFBLIND
G67B. 02
Call-Fleming syndrome
CALL
FLEMING
G735. 01
Vibration white finger
WHITE
VIBRATION
M1621 01
Pityriasis lichenoides et varioliformis acuta
PITYRIASIS
M1621 02
Pityriasis lichenoides et varioliformis acuta
ACUTA
M1623 01
Pityriasis lichenoides chronica
LICHENOIDE
M1623 02
Pityriasis lichenoides chronica
CHRONICA
M1623 03
Pityriasis lichenoides chronica
PITYRIASIS
PJ54. 01
Schinzel syndrome
SCHINZEL
SP07Q 01
CAUTI - catheter-associated urinary tract infection
CATHETER
24
PARENTERAL
FEEDING
DISCHARGE
SUSAC
Read Dictionary Changes Quarter 3 2013
SP07Q 02
CAUTI - catheter-associated urinary tract infection
UTI
Synonym Keys Changed for this Release
Read Code
Read Term
Keyword
38GA.02
STarT back screening tool
38GA. 02
Subgrouping to target treatment back screening
tool
9Z... 00
2013-04-01
JDR1
9Z... 00
2013-10-01
JDR1
Rz... 01
2013-04-01
JDR
Rz... 01
2013-10-01
JDR
SP032 08
Bleeding due to intrauterine contraceptive device
BLEEDING
SP032 08
Bleeding due to intrauterine contraceptive device
SP032 09
Contraception IUCD causing bleeding
SP032 09
Contraception IUCD causing bleeding
CONTRACEPT
Synonym Keys Deleted for this Release
Read
Code
Read Term
E2201
00
Female homosexuality
Read Code Changes - Quarter 3 2013
Keyword
25
Index
C
Copyright Notice • ii
I
Introduction • 1
R
Read Code Changes - Quarter 3 2013 • 1
Read Codes and Keywords Added for this Release • 1, 2
Read Codes Changed for this Release • 1, 22
Read Codes Deleted for this Release • 1, 22
S
Summary • 1
Synonym Keys Added for this Release • 24
Synonym Keys Changed for this Release • 25
Synonym Keys Deleted for this Release • 25
T
Term Keys Added for this Release • 1, 22
Term Keys Changed for this Release • 1, 23
Term Keys Deleted for this Release • 1, 23
Index
27