Coding | Meaning |
Y5002 | "Bumping" of heart |
Y5003 | "Fluttering" of heart |
Y5053 | #Pubis of pelvis |
Y5056 | #Radius/ulna-lower end-colles |
Y5057 | #Rib |
Y5058 | #Scaphoid |
Y5059 | #Scapula |
Y5060 | #Shaft of femur |
Y5061 | #Skull |
Y5062 | #Skull - multiple |
Y1329 | 1 |
Y1d77 | 1 lead ECG |
Y1340 | 10 |
Y0021 | 10g Monofilament |
Y0210 | 10g Monofilament: Not Done |
Y1342 | 12 |
Y1343 | 13 |
Y1348 | 17 |
Y1350 | 19 |
Y0a16 | 1st Booster Low dose Diphtheria, Tetanus & Pertussis |
Y01aa | 1st ray position |
Y1330 | 2 |
Y1347 | 20 |
Y1351 | 21 |
Y1352 | 22 |
Y1353 | 23 |
Y1354 | 24 |
Y0a99 | 24 hour ECG fitted |
Y0a9f | 24 hour ECG removed |
Y1355 | 25 |
Y079f | 28 day history of alcohol use |
Y07a3 | 28 day history of amphetamine use |
Y07a4 | 28 day history of cannabis use |
Y07ae | 28 day history of college/education system attendance |
Y07a1 | 28 day history of crack use |
Y07a6 | 28 day history of injecting non prescribed drugs |
Y07a0 | 28 day history of opiates use |
Y07a5 | 28 day history of other problem drug use |
Y07ad | 28 day history of paid work |
Y07a2 | 28 day history of powder cocaine use |
Y07a9 | 28 day history of selling drugs |
Y0a17 | 2nd Booster Low dose Diphtheria, Tetanus & Pertussis |
Y1331 | 3 |
Y1332 | 4 |
Y1333 | 5 |
Y181c | 5FP - Initial Assessment |
Y181f | 5FP - Other reason |
Y1334 | 6 |
Y04d9 | 6 monthly review arranged |
Y04da | 6 monthly review completed |
Y1335 | 7 |
Y3700 | 7 month hearing exam |
Y1337 | 8 |
Y5116 | 8 week exam.abnormal -referred |
Y1339 | 9 |
Y001c | A&E department attended |
Y0c7f | A&E department patient advice leaflet given |
Y5524 | A-V cannulate -blood treatment |
Y5147 | A/N Rh antibody screen |
Y5136 | A/N blood group screen NOS |
Y5135 | A/N blood group screen done |
Y5137 | A/N booking examination |
Y5142 | A/N care: poor obstetr history |
Y5151 | A/N sickle cell screen done |
Y1258 | ABPI - Left |
Y1259 | ABPI - Right |
Y2919 | ADHD: Core symptoms (adult) |
Y1eb1 | AMGEVITA injection |
Y5485 | ASO - antistreptolysin O titre |
Y5159 | Abdo/pelv.mass/swelling NOS[D] |
Y5160 | Abdom.repair diaphrag. hernia |
Y5161 | Abdom/pelvic symptoms NOS [D] |
Y3065 | Abdominal surgery |
Y4168 | Ability to answer yes / no questions |
Y09ba | Ability to answer yes / no questions: no |
Y4204 | Ability to copy letters |
Y2294 | Ability to exercise restricted due to general health |
YA685 | Ability to express pain |
YA452 | Ability to maintain safe personal environment |
Y2224 | Ability to self care |
YA752 | Ability to transfer - bath |
YA747 | Ability to transfer - bed |
YA748 | Ability to transfer - chair |
YA754 | Ability to transfer - stair lift |
YA750 | Ability to transfer - toilet |
YA776 | Able to eat with assistance |
Y3355 | Able to get off floor |
YA513 | Able to hold pelvic floor with cough |
YA781 | Able to manage stairs with assistance of person |
YA775 | Able to perform dressing activity with assistance |
YA778 | Able to perform shopping activities with assistance |
YA045 | Able to prepare hot drinks |
YA046 | Able to prepare snacks |
Y1eb6 | Able to swallow moderately thick drinks - IDDSI (International Dysphagia Diet Standardisation Initiative) level 3 |
Y1eb3 | Able to swallow pureed food - IDDSI (International Dysphagia Diet Standardisation Initiative) level 4 |
Y1cad | Able to swallow regular food - IDDSI (International Dysphagia Diet Standardisation Initiative) level 7 |
Y1ca5 | Able to swallow thin drinks - IDDSI (International Dysphagia Diet Standardisation Initiative) level 0 |
YA774 | Able to use toilet with assistance |
Y4457 | Able to walk short distances only |
YA113 | Able to walk with assistance of one person |
YA771 | Able to wash self with assistance |
Y0f2f | Abnormal appearance of the eardrum |
Y0f30 | Abnormal appearance of the outer ear |
Y3239 | Abnormalities NOS |
Y3327 | Abnormalities of gait and mobility |
Y2852 | Absent from orthoptic school vision screening test |
Y16b0 | Access to Online Services Declined by Patient |
YA144 | Access within residence is difficult |
Y1119 | Accident avoidance |
Y5208 | Accident caused by storm/flood |
Y5220 | Accident poison - disinfectants |
Y5236 | Accident wound in medical care |
Y1783 | Accidental Ingestion |
Y3528 | Accommodation |
Y0ae8 | Accommodation Status Not Known |
YA329 | Acquired Lymphoedema of right leg |
Y5272 | Acquired deformity - nose |
Y5275 | Acquired haemolytic anaemias |
YA327 | Acquired lymphoedema of left leg |
Y5276 | Acromio-clavicular joint X-ray |
YA794 | Action taken |
Y027d | Active range of left elbow extension |
Y02d3 | Active range of left hip abduction |
Y02cd | Active range of left hip extension |
Y02e5 | Active range of left hip external rotation |
Y02c7 | Active range of left hip flexion |
Y02df | Active range of left hip internal rotation |
Y02f1 | Active range of left knee extension |
Y02eb | Active range of left knee flexion |
Y022d | Active range of left shoulder abduction |
Y023d | Active range of left shoulder adduction |
Y021d | Active range of left shoulder extension |
Y025d | Active range of left shoulder external rotation |
Y020d | Active range of left shoulder flexion |
Y024d | Active range of left shoulder internal rotation |
Y02a9 | Active range of left wrist extension |
Y02a3 | Active range of left wrist flexion |
Y02bb | Active range of left wrist pronation |
Y02c1 | Active range of left wrist supination |
Y02d4 | Active range of right hip abduction |
Y02da | Active range of right hip adduction |
Y02ce | Active range of right hip extension |
Y02e6 | Active range of right hip external rotation |
Y02c8 | Active range of right hip flexion |
Y02e0 | Active range of right hip internal rotation |
Y02f2 | Active range of right knee extension |
Y02ec | Active range of right knee flexion |
Y022e | Active range of right shoulder abduction |
Y023e | Active range of right shoulder adduction |
Y021e | Active range of right shoulder extension |
Y025e | Active range of right shoulder external rotation |
Y020e | Active range of right shoulder flexion |
Y024e | Active range of right shoulder internal rotation |
Y02aa | Active range of right wrist extension |
Y02a4 | Active range of right wrist flexion |
Y2807 | Activities of daily living: Bathing/showering/washing: Action required |
Y2804 | Activities of daily living: Bathing/showering/washing: Discussed |
Y2809 | Activities of daily living: Dressing/undressing: Discussed |
Y2817 | Activities of daily living: Eating/Drinking: Discussed |
Y2825 | Activities of daily living: Occupation/leisure activities: Discussed |
Y2795 | Activities of daily living: Toilet: Discussed |
Y0a70 | Activity - Bedbound |
Y0a6d | Activity - Walks Frequently |
Y0023 | Activity Target Notes |
Y00f1 | Activity factor |
Y5278 | Acupunture for anaesthesia |
Y5294 | Acute RH. fever - heart involv |
Y5295 | Acute RH. fever - no heart inv |
Y5279 | Acute abdomen [D] |
Y01ed | Acute cough |
Y5283 | Acute epiglottitis |
Y5284 | Acute exacerbation COAD |
Y5285 | Acute iritis (iridocyclitis) |
Y5286 | Acute low respitract infection |
Y0c8e | Acute oral mucosal condition |
Y1250 | Acute pathology - referred HES |
Y5293 | Acute recurrent tonsillitis |
Y1b24 | Acute severe exacerbation of allergic asthma |
Y5298 | Acute up resp tract infection |
Y3440 | Acute with perforation |
Y5299 | Acute/subac. endocarditis NOS |
Y237d | Additional SCR dataset uploaded under COPI Regulations |
Y00f4 | Additional energy for weight gain |
YA863 | Additional social needs - no statement |
Y0172 | Address of concerns regarding return to work |
Y0173 | Address of concerns regarding sexual activity |
Y1120 | Adequate insurance for health and sport activities |
Y5300 | Adipose tissue reduct.op. NOS |
Y5303 | Admit medical emergency unsp. |
Y5304 | Admit ophthalmological emerg. |
Y5305 | Admit surgical emergency unsp. |
Y5315 | Adult 40 year screen |
Y5316 | Adult 45 year screen |
Y5317 | Adult 50 year screen |
Y3073 | Adult female |
Y5321 | Adult hypertr.pyloric stenosis |
Y5323 | Adult imm.- 2nd recall |
Y5324 | Adult imm.- 3rd recall |
Y3072 | Adult male |
Y5326 | Adult screen admin. NOS |
Y5327 | Adv direct signed (copy notes) |
Y0160 | Adverse effects to medication - Action Taken |
Y3532 | Adverse reaction to Hepatitis A 1st or Booster vaccine |
Y3533 | Adverse reaction to Hepatitis B 1st, 2nd, 3rd or Booster vaccine |
Y0da3 | Adverse reaction to phenoxymethylpenicillin |
Y016d | Advice about voluntary bereavement services |
Y071d | Advice and information |
Y5330 | Advice folic acid pre-pregncy |
Y00e7 | Advice given - cervical smear |
Y00e6 | Advice given - pelvic floor exercises |
Y212c | Advice given about severe acute respiratory syndrome coronavirus 2 by telephone (situation) |
Y212d | Advice given about severe acute respiratory syndrome coronavirus 2 infection (situation) |
Y0494 | Advice given by named nurse |
Y0495 | Advice given by nurse advisor |
Y0490 | Advice given by person |
Y066a | Advice given by social services |
Y1101 | Advice given re eye health |
Y049e | Advice given to GP |
Y2757 | Advice given to adult |
Y0497 | Advice given to designated nurse |
Y04a2 | Advice given to external enquiry |
Y04a0 | Advice given to mental health staff |
Y0499 | Advice given to nurse advisor |
Y0491 | Advice given to person |
Y066b | Advice given to social services |
Y01f2 | Advice on flu vaccination |
Y1b25 | Advice on risk harm to fetus from maternl Sodium Valproate dur preg |
Y1280 | Advice re fasting |
Y0978 | Advice to continue with treatment : no |
Y3622 | Advised about footwear |
Y1202 | Advised to reduce alcohol intake |
Y3203 | Advised to see chiropodist |
Y5336 | Aeronautical eng.- general |
Y0022 | Age Diabetes Diagnosed |
Y4573 | Agitation or aggression |
Y3772 | Agreed glycemic goals |
Y5354 | Albumin / creatinine ratio |
Y5355 | Albuminuria [D] |
Y0c6c | Alcohol Audit Score |
Y0044 | Alcohol Target Notes |
Y0973 | Alcohol abuse: no |
Y5356 | Alcohol consumption screen |
Y1e23 | Alcohol rehabilitation and detoxification |
Y0c9d | Alcohol related to A&E attendances - Confirmed |
Y5362 | Alkaline phosphatase raised[D] |
Y5363 | Allergic dis. follow-up assess |
Y2626 | Allergies to dressings/topical applications |
Y3502 | Allowance / DLA applied for |
Y3503 | Allowance / DLA not appropriate |
Y3501 | Already receiving attendance allowance / DLA |
YA091 | Altered bladder function |
Y3179 | Always aware of urine leaking/dribbling |
Y3167 | Always has hesitancy in passing urine |
Y3146 | Always urgent when needs to pass urine |
Y093b | Ambulance request for patient: no |
Y0c50 | Ambulatory insulin pump |
Y1d04 | Ambulatory insulin pump: Medtronic 640G |
Y0c8b | Ambulatory insulin pump: Other |
YA503 | Amount of urinary leakage |
Y5391 | Amylase, serum level raised[D] |
Y0571 | Anal dilatation - rectal mucosa visible |
Y045e | Anal fissure extensive |
Y045d | Anal fissure superficial |
Y0467 | Anal laxity |
Y0570 | Anal reddening |
Y0ac0 | Analysis & interpretation of ambulatory blood pressure profiles |
Y07f0 | Angina Grade 1 - No Limitation Of Ordinary Activity |
Y07f1 | Angina Grade 2 - Slight Limitation Of Ordinary Activity |
Y07f2 | Angina Grade 3 - Marked Limitation Of Ordinary Activity |
Y07f3 | Angina Grade 4 - No Physical Activity Possible |
YA379 | Ankle pronation on walking |
Y0e64 | Annual X-ray of hands and feet requested |
Y3045 | Annual review of diabetic foot assessment |
Y2754 | Antenatal problems |
Y5434 | Antenatal us scan 9-16 weeks |
Y03a1 | Anterior swelling of leg |
Y0020 | Anti HBs |
Y11e0 | Anti-cyclic citrullinated peptide antibody level (UoM Units) |
Y158d | Anti-psychotic medication prescribed |
Y16ea | Anti-tissue transglutaminase level (chemiluminescent immunoassay) |
Y0011 | Antibody Screen |
Y0e20 | Anticoagulation leaflet given |
Y1e1f | Antidepressant therapy |
Y213a | Antigen of 2019-nCoV (novel coronavirus) |
Y034a | Antimicrobial wound dressing |
Y5451 | Aphonia [D] |
Y4054 | Aphonic |
Y5452 | Aphthous ulcers - mouth ulcers |
Y5453 | Apnoea [D] |
Y2585 | Appetite decreased over last few months |
Y5457 | Appetite increased |
Y5458 | Appetite loss [D] |
Y1307 | Appointment For Doctor |
Y1308 | Appointment For Nurse |
Y1296 | Appointment Not Validated |
Y1309 | Appointment With Healthcare Professional |
Y0476 | Appointment cancelled by service |
Y0a9d | Appointment with GPSI in echocardiography |
Y0f52 | Areas of difficulty with hearing: Background noise |
Y5462 | Armed forces medical exam. |
Y5464 | Arterial carbon dioxide |
Y5470 | Arthrography of knee |
Y5471 | Arthrotomy + drainage |
Y5472 | Arthrotomy + exploration |
Y5474 | Arthrotomy+removal loose body |
Y5477 | Artificial membrane rupture |
Y5479 | Ascites [D] |
Y5481 | Ask for hosp death disch lett. |
Y5482 | Asked to come-assess progress |
Y5483 | Asked to come-investig result |
Y1126 | Asplenic traveller advice |
Y159e | Assault on patient |
Y5487 | Assault with corrosive/caustic |
Y5491 | Assault: NOS |
Y5494 | Assault: stab/cut |
Y0c12 | Assess under MHA section 136 |
Y2359 | Assessment |
YA049 | Assessment completed |
Y100b | Assessment for risk of dehydration |
Y1d55 | Assessment of Co-morbidity severity - Notes |
Y1cbd | Assessment of lifestyle |
Y20bb | Assessment of swallowing |
Y0f4f | Assessment outcomes: case history |
Y1cc3 | Assessment using QRISK cardiovascular disease 10 year risk calculator |
Y22a4 | Assessment using coronavirus disease 19 severity scale (procedure) |
Y2456 | Assistance required: Getting in/out bed |
Y2458 | Assistance required: Wheelchair use |
Y0024 | Asthma Control |
Y0045 | Asthma Prophylaxis Drug ID |
Y0030 | Asthma Trigger Control |
Y0142 | Asthma Trigger Other |
Y0092 | Asthma Trigger Other Text |
Y0429 | Asthma Trigger Work Related |
Y13a9 | Asthma attack - peak flow less than |
Y13a8 | Asthma attack - reliever use more frequent than every |
Y139b | Asthma guidance |
Y137e | Asthma guidance |
Y5496 | Asthma prophylaxis used |
Y01eb | Asthma trigger - dust mites |
YA598 | Asthma trigger - humidity |
YA596 | Asthma trigger - perfumes |
YA599 | Asthma trigger - wind |
Y0944 | Asthma: no |
Y0f33 | Asymmetrical hearing loss |
Y1f0a | At moderate risk for fall |
Y09a3 | At risk of DSH - deliberate self harm: no |
Y4916 | At risk of aspiration |
Y4856 | At risk of tuberculosis |
Y5497 | Ataxia [D] |
Y5499 | Atherosclerosis NOS |
Y1f19 | Atrial fibrillation monitoring invitation |
YA536 | Atrophe blanche |
Y2276 | Atrophic |
YA507 | Atrophic vaginitis |
Y5506 | Attempt suicide - NOS |
Y5502 | Attempt suicide - cut/stab |
Y5503 | Attempt suicide - drowning |
Y5508 | Attempt suicide - drug overdose |
Y5505 | Attempt suicide - hanging |
Y5507 | Attempt suicide - suffocate |
Y12c8 | Attempted Suicide with Intent - Yes |
Y0787 | Attempted carbon monoxide validation |
Y5510 | Attend hormone repl monitoring |
YA253 | Attendant controlled outdoor powered chair |
Y01d6 | Attendant controlled outdoor powered wheelchair required |
Y01d1 | Attendant propelled wheelchair required |
Y0a4b | Attended BBA by midwife or doctor |
Y17c8 | Attended NHS diabetes prevention programme |
Y0473 | Attended appointment |
Y5512 | Attended new patient screen |
YX128 | Attending Diabetes satellite clinic |
Y052b | Attending respite care |
Y0a98 | Attending satellite clinic |
Y2500 | Attends Smoking Cessation Clinic in Practice |
Y0b9f | Attends Vitamin D Deficiency Clinic |
YA481 | Attends hospice |
Y5513 | Attends hypertension monitor. |
Y2856 | Attends other hospital eye dept for vision condition |
Y2855 | Attends own optometrist for vision condition |
Y5515 | Attends stop smoking monitor. |
YA281 | Attention span |
Y3950 | Audio (general exam): FAIL |
Y3954 | Audio (general exam): SATISFACTORY |
Y3956 | Audio exam - Frequency 1000 (Left ear): PASS |
Y0b22 | Audio examination |
Y3270 | Audio referral |
Y3273 | Audio referral from: Community audiology |
Y3275 | Audio referral from: General practitioner |
Y3279 | Audio referral from: Other agency |
Y3274 | Audio referral to: Community audiology |
Y3280 | Audio referral to: Other agency |
Y3286 | Audio referral to: Speech & language therapist |
Y1532 | Audio test left ear 1000 Hz |
Y1533 | Audio test left ear 2000 Hz |
Y1530 | Audio test left ear 250 Hz |
Y0eef | Audio test left ear 3000 Hz |
Y1534 | Audio test left ear 4000 Hz |
Y1531 | Audio test left ear 500 Hz |
Y07cb | Audio test left ear 6000 Hz |
Y1535 | Audio test left ear 8000 Hz |
Y1538 | Audio test right ear 1000 Hz |
Y1539 | Audio test right ear 2000 Hz |
Y1536 | Audio test right ear 250 Hz |
Y0eee | Audio test right ear 3000 Hz |
Y1540 | Audio test right ear 4000 Hz |
Y1537 | Audio test right ear 500 Hz |
Y07ca | Audio test right ear 6000 Hz |
Y1541 | Audio test right ear 8000 Hz |
Y3627 | Audio test satisfactory |
Y3223 | Audio test tympanum (left) |
Y3224 | Audio test tympanum (right) |
YX052 | Audiology centre/clinic |
YX053 | Audiometrician - for further hearing tests |
Y09b3 | Auditory hallucinations : no |
Y05ca | Auditory neuropathy |
Y05ea | Auditory prompts required |
Y5518 | Auditory/vestib. test done |
Y5519 | Auditory/vestib. test not done |
Y5520 | Augment.mammoplasty - silicone |
Y5521 | Augment.mammoplasty-prosthesis |
Y1e95 | Autism Spectrum Quotient (AQ-10) |
Y2917 | Autistic spectrum disorder - Autism checklist |
YA295 | Autumn exacerbation in respiratory disorder |
Y5525 | Avascular necrosis - bone |
Y2048 | Avaxim 1 |
Y2049 | Avaxim 2 |
Y0560 | Avaxim Booster |
YA456 | Aware of entitlement to allowances |
Y5527 | Awareness of heart beat [D] |
Y9961 | Awareness of problem |
Y5528 | Axillary clearance |
Y0125 | B-HCG |
Y5530 | B12 def.-dubious diag.criteria |
Y5531 | B12 defic. initial assessment |
Y5532 | B12 defic. monitoring NOS |
Y5533 | B12 defic.follow-up assessment |
Y5534 | BAAF Adult 1-initial exam |
Y208a | BARD Fibrosis Score |
Y2716 | BCG positive |
Y2714 | BCG status |
YA392 | BMI centile |
Y5675 | BP raised,hyperten not diag[D] |
Y5676 | BP reading labile [D] |
Y5677 | BP screen - 1st recall |
Y5678 | BP screen - recall deleted |
Y5538 | Baby extremely prem.28-32 week |
Y5539 | Baby post-mature |
Y2193 | Background Retinopathy - Refer Camera |
YA391 | Bacterial infection of nail |
Y5547 | Barium enema - general |
Y5548 | Barium meal - general |
Y5549 | Barium thro colostomy exam. |
Y5550 | Barotrauma - ears |
Y5551 | Bartholins gland marsupialis. |
Y5552 | Basal metabolic rate - BMR |
Y2461 | Basic foot care |
Y4615 | Batch number and expiry date |
Y0ee7 | Batteries 13 - orange |
Y0ee8 | Batteries 314 - brown |
YA574 | Behaviour and social development observation |
Y09e2 | Behavioural domain review (diabetes YOC) |
Y5558 | Behcets syndrome |
Y5561 | Benign neoplasms |
Y0c23 | Benzodiazepine withdrawal Custody Health Observation Scale |
Y033b | Berg Balance score |
Y5576 | Bi-lateral fallop. tuboplasty |
Y5565 | Bicuspid aortic valve - congen |
Y5568 | Bilat.endosc.fallopian cautery |
Y1f13 | Binge eating disorder |
Y5590 | Biopsy by endoscopy |
Y5592 | Biopsy by punch |
YA177 | Biphasic |
Y1479 | Birth in NHS hospital - delivery facilities associated with consultant ward |
Y1481 | Birth in NHS hospital - delivery facilities associated with consultant/GMP/midwife ward inclusive of any combination of two of the professionals mentioned |
Y1477 | Birth in NHS hospital - delivery facilities associated with midwife ward |
Y1491 | Birth state: Dead |
Y1487 | Birth state: Live |
Y1488 | Birth state: Still birth, ante partum |
Y1489 | Birth state: Still birth, intra partum |
Y5597 | Birth weight of baby |
Y03f3 | Bite mark on face |
Y03fa | Bite mark on hand |
Y03f7 | Bite mark on lower limb |
Y03f4 | Bite mark on neck |
Y03f5 | Bite mark on trunk |
Y03f8 | Bite mark on upper limb |
Y0ec5 | Black Screening tool for Osteoporosis |
Y5000 | Black-eye |
Y5599 | Blackout [D] |
Y0daa | Bladder Disability Score |
Y5601 | Bladder fistula closed |
Y5602 | Bladder function test abn. [D] |
Y2228 | Bladder retraining |
Y5606 | Bladder-neck obstruction |
Y1a63 | Blatchford pre-endoscopy upper GI haemorrhage risk score |
Y5608 | Blind lead dog rehabilitation |
Y1fca | Blister |
Y3066 | Blister of wound |
Y5611 | Bloating [D] |
Y5001 | Blocked ear |
Y4994 | Blocking in speech |
Y0124 | Blood Iron |
Y2212 | Blood Sample Requested By Hospital |
Y00df | Blood Spot - date sample received |
YA000 | Blood Spot Negative results letter sent |
Y5613 | Blood chemistry abnormal [D] |
Y5614 | Blood dis.- initial assessment |
Y3611 | Blood glucose check: frequency |
YA518 | Blood glucose range |
YA520 | Blood glucose range - after breakfast |
YA524 | Blood glucose range - after dinner |
YA522 | Blood glucose range - after lunch |
YA525 | Blood glucose range - before bed |
YA519 | Blood glucose range - before breakfast |
YA523 | Blood glucose range - before dinner |
Y0cea | Blood glucose range - before evening meal |
YA521 | Blood glucose range - before lunch |
YA526 | Blood glucose range - during the night |
Y3569 | Blood pressure monitoring for consultant |
Y01ff | Blood pressure suggested |
Y1ec3 | Blood pressure taking |
Y5623 | Blood sent for haemat. test |
YA538 | Blood spot - date sample taken |
Y3615 | Blood test: other |
Y1558 | Blue Badge disabled driver |
Y5627 | Body Mass Index |
Y2363 | Body Temperature |
Y5636 | Boil - hand |
Y5637 | Boil - leg (excl. foot) |
Y5639 | Boil - trunk |
Y5642 | Bone - sequestrum removal |
Y5644 | Bone condylotomy |
Y2519 | Bone density scan Abnormal |
Y2518 | Bone density scan Normal |
Y5648 | Bone excision NOS |
Y5652 | Bone internal fixat.- removed |
Y0ba0 | Bone mineral density |
Y5657 | Bone repair operation NOS |
Y5658 | Bone shortening |
Y5659 | Bone tumour/metast.irradiat. |
Y3580 | Booking of patient transport (non urgent) |
Y0a57 | Booster Engerix B paediatric prefilled syringe 0.5ml vaccination |
Y0672 | Booster HIB and Meningitis C vaccination |
Y0a15 | Booster Low dose Diphtheria, Tetanus & Pertussis |
Y0e50 | Booster Pneumococcal polysaccharide conjugated vaccination |
Y073c | Booster Typhoid Oral vaccination |
Y5661 | Booster combined hep A&B vaccn |
Y0a32 | Booster dTP + Polio + Hib vaccination (LDD) |
Y0a26 | Booster dTP + Polio vaccination (LDD) |
Y0a2c | Booster dTaP vaccination (LDD) |
Y5665 | Born by caesarean delivery |
Y09dc | Born by cephalic delivery NOS |
Y0cfc | Born in Democratic Republic of Congo |
Y5667 | Bornholms disease |
Y0001 | Bottles of wine |
Y0739 | Bottles of wine per day |
Y5669 | Bowel sounds abnormal [D] |
YA322 | Bradykinesia |
Y5681 | Brain lobectomy |
Y11d9 | Brain natriuretic peptide level (UOM pg/ml) |
Y5683 | Brain scan abnormal [D] |
Y5693 | Breast abscess - obstetric |
Y5694 | Breast abscess drainage |
Y5695 | Breast diseases |
YA736 | Breast fed at discharge |
Y5699 | Breast feeding problem |
Y5700 | Breast feeding started |
Y4947 | Breast feeding started at birth |
Y5701 | Breast feeding stopped |
Y5705 | Breast lump local excision |
Y5707 | Breast operations |
Y5708 | Breast plastic surgery NOS |
Y5709 | Breast screen abnorm.-told pat |
Y5710 | Breast screen non-attender |
Y5711 | Breast screen requested |
Y5713 | Breast symptoms/signs NOS |
Y5717 | Breech extraction op. |
Y5718 | Breech/instrument del. op. NOS |
Y5719 | Brief examn. of resp. system |
Y1640 | Bristol stool chart type |
Y04fc | Bristol stool form score |
Y07d3 | British sign language |
Y5722 | Bronchodilators used 1/day |
Y5726 | Bronchus FB - incision removal |
Y2677 | Brown staining - left leg |
Y2678 | Brown staining - right leg |
YA535 | Brown staining of the skin |
Y0a11 | Brugada Syndrome |
Y5728 | Bruise - abdominal wall |
Y5729 | Bruise - back |
Y5730 | Bruise - breast |
Y5732 | Bruise - chest wall |
Y5733 | Bruise - eye |
Y5734 | Bruise - eye NOS |
Y5737 | Bruise - face NOS |
Y5740 | Bruise - lower limb |
Y5741 | Bruise - lower limb NOS |
Y5742 | Bruise - neck |
Y5743 | Bruise - nose |
Y5744 | Bruise - scalp |
Y5748 | Bruise - upper limb |
Y5749 | Bruise - upper limb NOS |
Y5751 | Building soc.counter cashier |
Y5753 | Burn - arm |
Y5755 | Burn - arm - erythema |
Y5770 | Burn - head - NOS |
Y5774 | Burn - leg/foot - NOS |
Y5772 | Burn - leg/foot - blister |
Y5777 | Burn - pharynx |
Y5785 | Burn - wrist/hand - NOS |
Y5784 | Burn - wrist/hand - erythema |
Y5786 | Burning of skin [D] |
Y5788 | Burr holes |
Y5792 | Bursitis - hand |
Y5793 | Bursitis - hip |
Y5798 | C/O - post nasal drip |
YA783 | C/O mouth breathing |
Y5799 | C/O: perineal pain |
Y5859 | CAT scan - abdomen |
Y5860 | CAT scan - brain |
Y5861 | CAT scan - face |
Y5862 | CAT scan - neck |
Y5863 | CAT scan - pelvis |
Y1c36 | CHC Fast Track received |
Y1cd7 | CHC Local Appeal requested |
Y1d98 | CHC No Longer Eligible For Fast Track Funding |
Y1147 | CHD NSF Completed |
Y1361 | CHD invite letter |
Y1561 | CHD invite letter 2 |
Y1562 | CHD invite letter 3 |
Y1256 | CHD risk assessment done (10yr value) |
Y1eab | COPD assessment GOLD Category - Group A |
Y1eac | COPD assessment GOLD Category - Group B |
Y1ead | COPD assessment GOLD Category - Group C |
Y1eae | COPD assessment GOLD Category - Group D |
Y1498 | COPD monitoring check done |
Y1499 | COPD monitoring check due |
Y1570 | COPD monitoring offer default |
Y0e73 | CORE Assessment Score - All Items |
Y0e71 | CORE Assessment Score - Risk |
Y0e6e | CORE Assessment Score - Well-being |
Y0afa | CPA discharge: Transfer To Other Health Provider |
Y04e8 | CVD risk assessment done (10yr value) |
Y0ea1 | Ca intra abdominal (unspecified) |
Y5812 | Ca ovary |
Y5815 | Ca thyroid |
Y5820 | Caesarean section op. NOS |
Y5821 | Caesarean section operation |
Y2315 | Calcaneus |
YA171 | Calcium requirement |
Y5823 | Calculus of gall bladder |
Y0c4a | Callus left foot |
Y0c4b | Callus right foot |
Y3711 | Callus site |
Y4105 | Can follow instructions independantly |
Y0522 | Can understand instructions |
Y0be5 | Canadian Study of Health and Ageing (CSHA) Clinical Frailty Scale |
Y0474 | Cancelled appointment |
Y1001 | Cancer - Breast |
Y1002 | Cancer - Digestive Organs |
Y1003 | Cancer - Eye, Brain & Other CNS |
Y1004 | Cancer - Female Genital Organs |
Y1005 | Cancer - Ill Defined, Unspecified |
Y1006 | Cancer - Lip, Oral Cavity, & Pharynx |
Y1007 | Cancer - Lymphoid / Haematopoietic |
Y1008 | Cancer - Male Genital Organs |
Y1009 | Cancer - Other Specified Sites |
Y1010 | Cancer - Respiratory & Intrathoracic |
Y1011 | Cancer - Urinary Tract |
Y034c | Cancer surgery on neck |
YA810 | Candidiasis of nipple |
Y1ebc | Cannabis misuse |
Y3876 | Capillary haemoglobin |
Y2654 | Capillary refill 3-5 seconds |
Y2653 | Capillary refill <3 seconds |
Y2655 | Capillary refill >5 seconds |
Y2652 | Capillary refill Instant |
Y2270 | Capillary refill left |
Y2269 | Capillary refill right |
Y1e16 | Carbapenemase producing Enterobacteruacea (CPE) |
Y5825 | Carbon monoxide - toxic effect |
Y0d02 | Carcinoma of Bowel |
Y0d03 | Carcinoma of Uterus |
Y3626 | Cardiac disease monitoring Angina |
Y3625 | Cardiac disease monitoring CVA |
Y3623 | Cardiac disease monitoring TIA |
Y5838 | Cardiac function tests |
Y5840 | Cardiac neuroses |
Y5842 | Cardiac pacemaker NOS |
Y5841 | Cardiac pacemaker implanted |
Y2645 | Cardiac problems |
Y3494 | Cardiopulmonary resuscitation appropriate |
Y3495 | Cardiopulmonary resuscitation not appropriate |
Y5845 | Cardiorespiratory failure [D] |
Y9914 | Cards Trial |
YA037 | Care Pathway |
Y3743 | Care plan not produced for client |
Y3404 | Care plan produced for client |
Y2598 | Care/Service review: Outcome |
Y0455 | Carer Insight Of Illness |
Y2438 | Carer Psychological status: Loss of short term memory |
Y3026 | Carer assessment applies to |
Y2395 | Carer attitudes to incontinence: Coping |
Y2459 | Carer does not want form completing |
Y3507 | Carer needs and support plan |
Y2314 | Carer not offered a carer needs form |
Y15b6 | Carer of other - Carer accepts services |
Y15b7 | Carer of other - Carer declines services - Information and advice given |
Y15b4 | Carer of other - Carers service offered |
Y2258 | Carer offered a carer needs form |
YA593 | Carer present |
Y2326 | Carer wants form completing |
Y0166 | Carer(s) contacted |
Y15a4 | Carers assessment accepted |
Y15a5 | Carers assessment declined |
Y3744 | Carers assessment not offered |
Y3405 | Carers assessment offered |
Y4330 | Carers concerns about patient |
Y3101 | Carers involved |
Y3613 | Carers involved in diabetic management |
Y2594 | Carers need assessment completed (if relevant) |
Y2593 | Carers need assessment offered |
Y3033 | Carers perception of current problem |
Y5852 | Caretakers |
Y5854 | Carotid artery occluded |
Y0e9d | Carpal tunnel Post op attendance in primary care |
Y0e96 | Carpal tunnel diagnosed in primary care |
Y0e9e | Carpal tunnel prior approval checked and met |
Y0e97 | Carpal tunnel syndrome information leaflet given |
Y1220 | Cataract (left eye) |
Y5866 | Cataract extract +lens implant |
Y5867 | Cataract extraction unspec. |
Y1221 | Cataract present (right eye) |
Y5868 | Cataract screen |
Y0c44 | Cataract surgery left |
Y0c45 | Cataract surgery right |
Y5871 | Catheter urine -> culture. |
Y2231 | Catheterisation indwelling |
Y9963 | Cause Unspecified |
Y1097 | Cause of Death - Old Age |
Y0e26 | Cause of death recorded elsewhere |
Y5874 | Causes of accidents NOS |
Y5877 | Cellulitis - leg - excl. foot |
Y5878 | Cellulitis/abscess - arm |
YA757 | Central heating |
Y5881 | Cephalosporin/cephamycin react |
Y5887 | Cerv.smear: borderline changes |
Y5888 | Cerv.smear:severe dysk.?inv.ca |
Y0b93 | Cervarix 2 |
Y0439 | Cervical Smear Recall - Not Wanted |
Y5889 | Cervical canal dilatation |
Y0a22 | Cervical cytology brush (Cervex type) |
Y5890 | Cervical disc lesion-displaced |
Y5891 | Cervical disorder NOS |
Y5893 | Cervical lymph node -radic.exc |
Y5894 | Cervical polyp excision |
Y0a4f | Cervical smear - human papilloma virus infection |
Y158f | Cervical smear - sample rejected by lab |
Y5896 | Cervical smear screen admin. |
Y0396 | Cervical smear transformation zone cells absent |
Y0386 | Cervical smear transformation zone cells present |
Y5897 | Cervical smear: ? gland neopl. |
Y5899 | Cervical smear:atrophic change |
Y5900 | Cervical smear:inadequate spec |
Y5902 | Cervical spond.- no myelopathy |
Y5903 | Cervical spond.with myelopathy |
Y4870 | Chair too low |
Y3104 | Chair/Bed bound |
Y0e59 | Challenging arthritis course invite |
Y5906 | Change in voice [D] |
YA128 | Characteristics of wheelchair |
Y095e | Charcots arthropathy: no |
Y00d0 | Chemical cautery of verruca pedis |
Y5913 | Chemical scientists |
Y0219 | Chest Expansion: Abnormal |
Y0929 | Chest Pain: unknown |
Y5914 | Chest discomfort [D] |
Y5915 | Chest lump [D] |
Y2497 | Chest pain referral |
Y092a | Chest pain: none |
Y5920 | Chest pressure [D] |
Y5922 | Chest sounds abnormal NOS [D] |
Y5925 | Chest tightness [D] |
Y3732 | Chicken pox vaccine |
Y3570 | Child 6-8 week examination |
Y9944 | Child Examination: Manipulation |
Y3917 | Child Examination: Walking Gait |
Y1496 | Child Vaccinations Given |
Y070e | Child and Adolescent Mental Health Services (CAMHS) |
Y3341 | Child concern |
Y5987 | Child exam.: spine |
Y1407 | Child examination: Diet |
Y3254 | Child examination: Enuresis |
Y1426 | Child examination: Physical health |
YX054 | Child guidance clinic |
Y3022 | Child has out grown asthma |
YX055 | Child psychiatrist |
Y2969 | Childcare arrangements discussed |
Y0e7c | Childs Record(s) Reviewed |
YX056 | Chiropodist |
Y3056 | Chiropody appointment at community chiropody |
Y3057 | Chiropody appointment at hospital podiatry |
Y3059 | Chiropody appointment for corns & callus |
Y3058 | Chiropody appointment for nail care |
Y3061 | Chiropody appointment for other |
Y3060 | Chiropody appointment for ulceration |
Y0415 | Chlamydia Negative |
Y0414 | Chlamydia Positive |
Y4555 | Chlamydia diagnostic test |
Y4563 | Chlamydia test result - negative |
Y4562 | Chlamydia test result - positive |
Y6014 | Choking sensation [D] |
Y6016 | Cholecystotomy - GB incision |
Y6019 | Cholecystotomy NOS |
Y6024 | Choledochotomy NOS |
Y1277 | Cholesterol High |
Y6028 | Chondrodermat nodular helicis |
Y9919 | Choose |
Y6030 | Choroid lesion destruction |
Y6031 | Chr dis monitor - 1st recall |
Y6032 | Chr dis monitor - 2nd recall |
Y6033 | Chr dis monitor - 3rd recall |
Y6034 | Chr disease - drug resistance |
Y6035 | Chr. airway obstruction NOS |
Y6046 | Chr.dis-default from follow-up |
Y6038 | Chr.dis.- follow up assessment |
Y6041 | Chr.dis.- treatment changed |
Y6042 | Chr.dis.-drug compliance check |
Y6048 | Chr.obst. pulm. dis. screen |
Y10b2 | Chronic Respiratory Disease |
Y6052 | Chronic bronchitis, acute exac |
Y6054 | Chronic dis monitoring check |
Y6055 | Chronic iridocyclitis |
Y1f1a | Chronic kidney disease monitoring invitation |
Y6056 | Chronic obst. pulm. dis. NOS |
Y1f1b | Chronic obstructive pulmonary disease monitoring invitation |
Y6061 | Chronic pulmonary heart dis. |
Y6062 | Chronic purulent otitis media |
YA666 | Chronic respiratory disease questionnaire results |
Y6064 | Chronic serous otitis media |
YA869 | Chronic ulcer of surgical wound |
Y6068 | Civil eng.- consultancy/advice |
Y6070 | Civil eng.-feasability studies |
Y6071 | Cleaners |
Y2249 | Clear Wound Exudate |
Y3782 | Clear response - no follow up required |
Y6073 | Cleft lip plastic operation |
Y2407 | Client Psychological status: Depressed |
Y2421 | Client Psychological status: Loss of short term memory |
Y0abf | Client declined to answer |
Y0fc2 | Client provided with any other recovery support elements |
Y0e77 | Client started to lose weight prior to assessment |
Y072a | Clients unilateral unplanned exit |
Y6076 | Climacteric symptoms |
Y4644 | Clinic is the preferred method of notification for partner 1 |
Y4646 | Clinic is the preferred method of notification for partner 3 |
Y4647 | Clinic is the preferred method of notification for partner 4 |
Y09df | Clinical domain review (diabetes YOC) |
Y0fd8 | Clinical management plan to date |
Y2397 | Clinical signs present |
YA684 | Clinician confirmed treatment |
Y229e | Close exposure to severe acute respiratory syndrome coronavirus 2 infection (event) |
Y6078 | Close heart septal defect |
Y6081 | Closed reduction - # elbow |
Y6085 | Closed reduction - # hip |
Y6088 | Closed reduction - # shoulder |
Y6094 | Closed reduction- # nasal bone |
Y6097 | Closed reduction-#tibia/fibula |
Y2587 | Clothing recently started to feel loose |
Y4829 | Cluster reduction |
Y4871 | Cluttered furniture |
Y6104 | Coagulation/bleeding tests |
Y6107 | Cobalt,blood level abnormal[D] |
Y2156 | Cog Neuro Screening Test (CNST) |
Y03f0 | Cognitive skills normal |
Y4344 | Cognitively Unimpaired |
Y4098 | Cold |
Y6109 | Colic [D] |
Y6111 | Colicky abdominal pain |
Y2639 | Colour of wound on left leg |
Y3847 | Colour vision test - Satisfactory |
Y073f | Combined Hep A & B First Booster |
Y1c4f | Combined healthy eating and physical education programme |
Y3561 | Comments/Additional vaccines |
Y4778 | Communication - commenting |
Y4777 | Communication - greeting |
Y4779 | Communication - requesting |
Y4211 | Communication Questionaire - Information given by |
Y4523 | Communication Questionaire completed |
Y4521 | Communication Questionaire: Carer |
Y4522 | Communication Questionaire: Relationship to patient |
YA842 | Communication disability |
YA261 | Communication needs assessment required |
Y2832 | Communication: Action required |
Y2831 | Communication: Assessed |
Y2830 | Communication: Discussed |
Y0154 | Community Based Exercise Programme |
Y204c | Community Care and Treatment Review |
Y0dbf | Community matron: Admission avoidance |
Y0dbd | Community matron: Frequent attenders |
Y0dbc | Community matron: High risk patient |
Y0dbb | Community matron: Medium risk patient |
Y19ff | Completed National Health Service diabetes programme - digital intervention |
Y0e51 | Completed VTE assessment submitted |
Y4976 | Compliant with management plan |
Y0e62 | Compliments about care |
Y2339 | Comprehension |
Y1083 | Compression Therapy Used |
Y1283 | Computed Tomography Booked |
YA285 | Computer access needs |
Y0202 | Conclusion |
Y01c7 | Condition causes frustration |
YA665 | Condition screened for - not suspected |
YA054 | Condom split |
YA051 | Condoms issued |
Y059b | Conductive hearing loss - otitis media effusion |
Y059d | Conductive hearing loss - otitis media effusion unilateral |
Y059e | Conductive hearing loss - structural unilateral |
Y3367 | Confidence scale score |
Y4854 | Confidentiality discussed with patient |
Y0f48 | Confirmation of Individual Management Plan goals |
Y0f4d | Confirmation of all support services leaflets given |
Y0f42 | Confirmation of patient able to fit hearing aid |
Y0f47 | Confirmation of patient received the hearing aids |
Y6139 | Cong.genu valgum (knock-knee) |
Y4596 | Congenital Hypothyroidism Result: Borderline |
Y3486 | Congenital deformity of hand |
YA553 | Congenital hypothyroidism screening not suspected |
Y3829 | Congenital hypothyroidism test negative |
Y3828 | Congenital hypothyroidism test positive |
Y06fc | Connexions |
Y2936 | Consent forum checklist |
Y1af7 | Consent given - potential blood transfusion for baby or prior consent to baby receiving blood if required |
Y0c3e | Consent given for influenza A (H1N1v) 2009 vaccination |
Y0788 | Consent given to share smoking cessation data |
Y001d | Consent obtained |
Y4064 | Constant |
Y2668 | Constant painful neuropathy |
Y04fb | Constipation risk |
YX065 | Consultant (other) |
YX059 | Consultant ENT surgeon |
YX129 | Consultant Urologist |
YX061 | Consultant opthalmologist |
YX062 | Consultant orthopaedic surgeon |
YX063 | Consultant paediatrician |
YX064 | Consultant surgeon (general or paediatric) |
Y22b5 | Consultation via video conference |
Y22ae | Consultation via video conference not available (situation) |
Y033e | Contact dermatitis due to dressing |
Y6165 | Contact dermatitis:medicaments |
Y04d5 | Contact with alcohol service |
Y04d3 | Contact with continence service |
Y04d4 | Contact with drugs service |
Y04d0 | Contact with lifestyle service |
Y04cf | Contact with mental health service |
Y04d6 | Contact with physical health service |
Y04cd | Contact with service |
Y04ce | Contact with sexual health service |
Y04d2 | Contact with smoking cessation service |
Y04d1 | Contact with weight management service |
Y03c2 | Contemporaneous notes available |
YA602 | Contented smoker |
Y3194 | Continence diagnosis: Double |
Y3193 | Continence diagnosis: Faecal |
Y3191 | Continence diagnosis: Overflow/dribble |
Y3188 | Continence diagnosis: Stress |
Y3189 | Continence diagnosis: Urge |
Y0afb | Continuing risk of Hepatitis B |
Y0581 | Convergence weakness |
Y4019 | Conversation Partner |
Y6198 | Convulsions, infantile [D] |
Y3098 | Coping |
Y0cf2 | Copy of referral letter not offered to patient |
Y0cf1 | Copy of referral letter offered to patient |
Y3386 | Core entrant int exam |
Y04c7 | Core group meeting |
Y3710 | Corn site |
Y1f1c | Coronary heart disease monitoring invitation |
Y20fa | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 (disorder) |
Y228d | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 confirmed by laboratory test (situation) |
Y228e | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 confirmed using clinical diagnostic criteria (situation) |
Y22a1 | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 excluded (situation) |
Y22a2 | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 excluded by laboratory test (situation) |
Y22a3 | Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 excluded using clinical diagnostic criteria (situation) |
Y22a5 | Coronavirus disease 19 severity scale (assessment scale) |
Y229c | Coronavirus disease 19 severity score (observable entity) |
Y0500 | Correction Type - Spectacles |
Y4396 | Cough absent |
Y1887 | Cover Test - Did not attend (reason given) |
Y1861 | Cover Test - Pass |
Y6225 | Cramps, abdominal [D] |
Y0272 | Cranial Nerve Test Normal |
Y4799 | Creaky voice |
Y3325 | Crusting/non-healing lesion |
Y00d1 | Cryotherapy of verruca pedis |
Y2904 | Cryptic tuberculosis |
Y0e54 | Cslgen Inactivated Influenza Vaccine (Split Virion) |
Y3823 | Cslgen Inactivated Influenza Vaccine (Split Virion) (CHIRON) |
Y4561 | Culture |
Y3536 | Current health problems |
Y01b9 | Current interests / hobbies |
Y3537 | Current medication |
Y2628 | Current wound dressing regime |
Y0ad9 | Currently Residing: Specialist rehabilitation/recovery |
YA161 | Currently changing |
Y2277 | Cynotic |
Y07ee | Cystic Fibrosis Result: Further investigation required |
YA558 | Cystic fibrosis carrier |
Y07ea | Cystic fibrosis negative |
Y07e9 | Cystic fibrosis positive |
YA555 | Cystic fibrosis screening not suspected |
Y1294 | Cystoscopy Booked |
Y2171 | Cystoscopy abnormal findings |
Y0388 | Cytology Report |
YX131 | Cytoscopy Expected Findings & Plan of Action if Found |
Y1cb1 | DIALOG item 2 score - how satisfied are you with your physical health |
Y1cb4 | DIALOG item 5 score - how satisfied are you with your leisure activities |
Y1c8f | DICES risk assessments |
Y1363 | DNA CHD Appointment |
Y1779 | DNA Dietician |
Y1780 | DNA Optician |
Y1778 | DNA Podiatry Clinic |
Y1362 | DNA smear |
Y2004 | DNA smear clinic |
Y06bc | DT + Polio Unspecified Booster |
Y6451 | DTP (triple)+polio vacc. NOS |
Y06c2 | DTP + HIB 1st Booster |
Y06c4 | DTP + Polio 1st Booster |
Y0762 | DTP + Polio Booster |
Y06c0 | DTP 2nd Booster |
Y2000 | DTP Reinforcing Vacc |
Y06be | DTP Unspecified Booster |
Y2891 | DTaP/IPV Reinforcing |
Y6454 | DU - acute NOS |
Y6458 | DU - chronic NOS |
YA291 | Daily variation in respiratory disorder |
Y0c59 | Dark Brown |
Y3055 | Date chiropody appointment required |
Y2596 | Date of Care/Service review |
Y3524 | Date of departure |
Y2599 | Date of final transition review |
Y2602 | Date of health action plan assessment |
YA847 | Date of last multi-agency meeting |
Y4526 | Date of next ENT appointment |
Y2467 | Date/length of time wound present |
YA265 | Day care centre |
YA489 | Daytime incontinence |
YA490 | Daytime incontinence of faeces |
Y0079 | Death Notes |
Y0082 | Death Reason |
Y6287 | Debility, unspecified [D] |
Y0563 | Decision made to proceed without consent |
Y0ef9 | Declined information pack about carer services |
Y07fe | Declined referral for Mental Health Assessment |
Y07fc | Declined referral to Drugs Service |
Y19fe | Declined referral to National Health Service diabetes programme - digital intervention |
Y205d | Declined to register for online access to myCOPD application |
Y3023 | Deed of name change |
Y0a97 | Definitive Clinical Assessment Urgency - less urgent (6hours) |
Y0a96 | Definitive Clinical Assessment Urgency - urgent (2hours) |
Y01a4 | Deformities |
Y1012 | Degenerative Nervous System Diseases |
Y3869 | Delivered at Home |
Y3870 | Delivered at other |
Y3868 | Delivery booked with Consultant in Hospital |
Y3872 | Delivery with consultant in hospital |
Y1f1d | Dementia monitoring invitation |
Y000c | Dementia review done |
Y1104 | Dental advice given |
Y2487 | Dental issues |
Y095c | Depressive disorder: no |
Y0785 | Dermoscopy |
Y3525 | Destination(s) |
Y210e | Detection of severe acute respiratory syndrome coronavirus 2 using polymerase chain reaction technique (procedure) |
Y2344 | Developmental Problem |
Y1603 | Diabetes Care in nursing home |
Y2534 | Diabetes Edu Compl. : Urine Ketone Test (Type I) |
Y2530 | Diabetes Education Compl. : Looking After Yourself |
Y2531 | Diabetes Education Compl. : Monitoring of Diabetes |
Y2520 | Diabetes Education Completed : Additional Support |
Y2521 | Diabetes Education Completed : Any Other Problems |
Y2522 | Diabetes Education Completed : Driving & Diabetes |
Y2523 | Diabetes Education Completed : Eye Care |
Y2524 | Diabetes Education Completed : Footcare |
Y2525 | Diabetes Education Completed : Hyperglycaemia |
Y2526 | Diabetes Education Completed : Hypoglycaemia |
Y2527 | Diabetes Education Completed : Identification |
Y2528 | Diabetes Education Completed : Illness Management |
Y2529 | Diabetes Education Completed : Insulins |
Y2532 | Diabetes Education Completed : Pregnancy |
Y2533 | Diabetes Education Completed : Treatment Plan |
Y2535 | Diabetes Education Completed : What is Diabetes? |
Y1290 | Diabetes Obesity Clinic |
Y0e22 | Diabetes UK- Diabetes risk score |
Y1c52 | Diabetes and and your feet (low) information prescription (Diabetes UK) issued |
Y139a | Diabetes and high HbA1c information prescription (Diabetes UK) issued |
Y138e | Diabetes and high blood pressure information prescription (Diabetes UK) issued |
Y138f | Diabetes and high cholesterol information prescription (Diabetes UK) issued |
Y093f | Diabetes mellitus: no |
Y1279 | Diabetes review at home |
Y0fe4 | Diabetic 4 month review in primary care |
Y0fe3 | Diabetic 8 month review in primary care |
Y1286 | Diabetic Clinic |
Y0015 | Diabetic Control |
Y1288 | Diabetic Control Clinic |
Y0c9b | Diabetic Foot Risk Status for Scored Assessment |
Y2200 | Diabetic Impotence |
Y1586 | Diabetic Nephropathy (Not Proven by Biopsy) |
Y1585 | Diabetic Nephropathy (Proven by Biopsy) |
Y0c48 | Diabetic foot examined left |
Y0c49 | Diabetic foot examined right |
Y3579 | Diabetic review |
Y2622 | Diabetic ulcer |
Y6321 | Diagn. asp. spermatocoele |
Y6322 | Diagn. aspiration cyst |
Y6327 | Diagn. aspiration/puncture NOS |
Y6335 | Diaphragmatic hern.complicated |
Y147b | Diastolic reading taken at fifth Korotkoff sound |
Y147a | Diastolic reading taken at fourth Korotkoff sound |
Y6336 | Diathermy to cervix |
Y17c6 | Did not attend NHS diabetes prevention programme |
Y1613 | Did not attend examination - no reason given |
Y1612 | Did not attend examination - reason given |
Y17c7 | Did not complete NHS diabetes prevention programme |
Y6337 | Diet - patient initiated |
Y0078 | Diet Target Advice |
Y2252 | Diet control |
Y1310 | Diet notes |
Y1105 | Dietary advice given |
Y05ae | Difficulties with parenting |
Y2582 | Difficulty eating or chewing food |
Y6339 | Difficulty in swallowing [D] |
Y4774 | Difficulty spelling |
Y1133 | Diftavax 1 |
Y06b3 | Diftavax 2nd Booster |
Y2059 | Diftavax Reinforcing |
Y6340 | Digestive symptoms NOS [D] |
Y6342 | Digestive system disease NOS |
Y6343 | Digestive system symptoms [D] |
Y2272 | Digital Doppler left |
Y2271 | Digital Doppler right |
Y0551 | Digital rectal exam |
Y046d | Digital vaginal examination |
Y6345 | Dilatation of colostomy |
Y6347 | Dilatation of oesophagus |
Y06a8 | Diphtheria/Tetanus Unspecified Booster |
Y6348 | Diplopia - double vision |
Y6349 | Diplopia/double vision |
Y06a3 | Diptheria LD Unspecified Booster |
Y6350 | Direct (conjugated) bilirubin |
Y0440 | Direct Bilirubin |
Y0512 | Direct Ophthalmoscopy |
Y06e5 | Direct access short stay hostel |
Y6352 | Direct oesophagoscopy |
Y12fa | Disability Questionnaire - Hearing |
Y3415 | Disabled |
Y6354 | Disabled driver reprt requestd |
Y0c7e | Discharge to hospital within this NHS trust |
Y0c7d | Discharge to other hospital |
Y6363 | Discharged from hosp. care NOS |
Y0ea2 | Discharged from hospice & subsequently died |
Y3401 | Discharged from hospital/residential care |
YA355 | Discharged to district nurse |
YA356 | Discharged to practice nurse |
Y04f8 | Disclaimer form signed |
Y2955 | Discussed barrier method |
Y2971 | Discussed benefit entitlement |
Y2952 | Discussed combined pill |
Y2954 | Discussed contraception implants |
Y2953 | Discussed contraception injection |
Y2959 | Discussed family support |
Y2957 | Discussed professional support |
Y2956 | Discussed progesterone only contraception |
Y2960 | Discussed support of friends |
Y2958 | Discussed voluntary support |
Y1d79 | Discussion about end of life care planning |
YA516 | Discussion about investigation options |
YA517 | Discussion about treatment options |
Y6368 | Disl.knee + lat. meniscus tear |
Y1639 | Dislikes |
Y6370 | Dislocat. nasal septum reduced |
Y6373 | Dislocated ankle reduced |
Y6374 | Dislocated finger |
Y6379 | Dislocated knee NOS |
Y6381 | Dislocated nasal bone reduced |
Y6382 | Dislocated patella reduced |
Y6387 | Dislocated thumb |
Y6391 | Disorders of adrenal glands |
Y6392 | Disorders of conjunctiva |
Y6393 | Disorders of penis NOS |
Y6394 | Disorders of stomach function |
Y6396 | Disorders of uterus NOS |
Y06ae | Dispensing review of use of medicines |
YA492 | Disposable incontinence appliance |
Y038b | Distal swelling of arm |
Y039d | Distal swelling of leg |
Y0f3b | Distressing tinnitus |
Y07d9 | District nurse taken additional blood |
Y3602 | District nurse to check injection site: injection device used |
Y3603 | District nurse to check injection site: size of needle used |
Y07de | District nurse to obtain and test urine sample for microalbuminuria |
Y07db | District nurse to take blood for |
Y07e3 | District nurse to take blood for HBA1C |
Y07df | District nurse to take blood for LFT |
Y07e2 | District nurse to take blood for blood glucose |
Y07e1 | District nurse to take blood for urea & electrolyte (renal) |
Y3609 | District nurse to test urine |
Y9983 | Divergent concomitant strabismus |
Y6403 | Diverticular disease NOS |
Y0674 | Divorced/Person whose Civil Partnership has been dissolved |
Y6405 | Dizziness [D] |
Y6407 | Dizziness and giddiness NOS[D] |
Y4873 | Dizziness on reaching up |
Y4874 | Dizziness on stooping |
Y09ac | Dizziness: no |
Y1620 | Doctor examiner |
Y1300 | Doctor recall/review |
Y1581 | Does Not Want Copies Of Letters |
YA120 | Does manage stairs with two handrails |
Y08e4 | Does not have a psychiatric nurse or care worker |
Y3124 | Does not have control of bowels |
Y6408 | Does not have nose bleeds |
Y3126 | Does not suffer urgency with bowels |
Y07fa | Does not take drugs intravenously |
Y016b | Dog allergy |
Y08ca | Domestic violence in the home questionnaire - No, never |
Y2740 | Domiciliary visit |
Y3617 | Doppler studies not completed but arranged |
Y1a8b | Downs Syndrome Risk to Fetus - Low |
Y6411 | Downs screening - blood sent |
Y2935 | Downs syndrome & dementia checklist |
Y2227 | Dressings requested by Hospital |
Y2583 | Drink instead of eating food at mealtimes |
Y3249 | Driver injured in non-traffic accident |
Y3088 | Driving licence class 1 |
Y3089 | Driving licence class 2 |
Y4025 | Drooling - Constant |
Y4026 | Drooling - Excessive/constant |
Y4024 | Drooling - Sometimes |
Y6417 | Drowsiness [D] |
Y0cb5 | Drug Dosage |
Y09a5 | Drug compliance poor: no |
Y1207 | Drug compliance unknown |
Y4609 | Drug history |
Y6418 | Drug psychoses |
Y6420 | Drug reaction - Penicillin |
Y6421 | Drug reaction - tetracycline |
Y6422 | Drug reaction NOS |
Y6431 | Drug reaction: CNS drug |
Y6434 | Drug reaction: CVS drug NOS |
Y6439 | Drug reaction: GIT drug |
Y6423 | Drug reaction: anaesthetic |
Y6426 | Drug reaction: antibiotic |
Y6427 | Drug reaction: anticonvulsant |
Y6443 | Drug reaction: antiinflam analg |
Y6428 | Drug reaction: beta-blocker |
Y6444 | Drug reaction: nicotine |
Y6440 | Drug reaction: opiate/narcotic |
Y6441 | Drug reaction: paracetamol |
Y6442 | Drug reaction: salicylate |
Y0753 | Drug treatment initiated |
Y2386 | Dry / Scaling |
YA229 | Dry body weight |
Y0757 | Dual Diagnosis |
Y08c4 | Dukoral 1 |
Y08c5 | Dukoral 2 |
Y1712 | Duration of sickness certificate (Days) |
Y08c2 | Duration of sickness certificate (Months) |
Y08c1 | Duration of sickness certificate (Weeks) |
Y3526 | Duration of stay |
YA352 | Duration of wound |
Y6466 | Dysphagia [D] |
Y4403 | Dysphagia Assessment Summary |
Y6467 | Dysphagia NOS [D] |
Y6468 | Dysphonia [D] |
Y6469 | Dysplasia of cervix |
Y6470 | Dyspnoea [D] |
Y0e6d | Dyspnoea Obstruction Smoking Status Exacerbation Frequency (DOSE) Score |
YA298 | Dyspnoea trigger |
Y09ae | Dyspnoea: no |
Y6471 | Dysuria [D] |
Y6472 | Dysuria NOS [D] |
Y6475 | E.N.T. swab taken NOS |
Y6476 | E.U.A. |
Y6490 | ECG: P wave |
Y6496 | ECG: P-R interval prolonged |
Y6497 | ECG: P-R interval shortened |
Y6498 | ECG: Q wave |
Y6504 | ECG: Q-T interval prolonged |
Y6510 | ECG: S-T depression |
Y6511 | ECG: S-T elevation |
Y6513 | ECG: T wave |
Y6514 | ECG: T wave flattened |
Y6515 | ECG: T wave inverted |
Y6491 | ECG: partial A-V block - 2:1 |
Y6493 | ECG: partial sinu-atrial block |
Y6518 | ECG:partial A-V block-long P-R |
Y6577 | ENA antibody level |
Y4525 | ENT Consultant |
Y1a12 | EQ-5D-Y (EuroQol Five Dimension (Youth)) doing usual activities score |
Y1a11 | EQ-5D-Y (EuroQol Five Dimension (Youth)) having pain or discomfort score |
Y1a14 | EQ-5D-Y (EuroQol Five Dimension (Youth)) mobility score |
Y12c1 | ESQ Scale 11: Recommend to friend |
Y12bf | ESQ Scale 9: Appointment time |
Y6617 | ESWL - renal calculus |
Y6618 | ESWL - ureteric calculus |
Y01f7 | Early hallux limitus |
Y4308 | Easy tired after illness |
Y2355 | Eating & Drinking |
Y2933 | Eating & drinking: Diary sheet |
Y2930 | Eating & drinking: Oral skills assessment |
Y6484 | Ecchymoses, spontaneous [D] |
Y6519 | Echocardiogram abnormal [D] |
Y0711 | Economically inactive |
Y0c6a | Economically inactive - Health Issue |
Y6522 | Ectopic beats/extrasystoles |
Y212e | Educated about severe acute respiratory syndrome coronavirus 2 infection (situation) |
Y0381 | Education : Adjustment of insulin |
Y0350 | Education : Appropriate method of glucose testing |
Y0360 | Education : Availability of Talisman/Medialerts |
Y0346 | Education : Awareness of family and friends - hypoglycaemia |
Y0347 | Education : Carrying glucose - hypoglycaemia |
Y0345 | Education : Carrying identification - hypoglyceamia |
Y0340 | Education : Causes and prevention of hyperglycaemia |
Y0343 | Education : Causes of hypoglyceamia |
Y0328 | Education : Chiropody (state registered) |
Y0337 | Education : Contraception |
Y0375 | Education : Correct use of insulin equipment |
Y0323 | Education : DVLC and insurance notification |
Y0316 | Education : Diabetes UK enrolement |
Y0317 | Education : Diabetes UK local contact numbers |
Y0315 | Education : Diabetes UK local groups |
Y0351 | Education : Diabetes monitoring technique |
Y0362 | Education : Diabetic Symptoms |
Y0364 | Education : Diabetic backup literature |
Y0353 | Education : Diabetic record keeping |
Y0307 | Education : Eating out |
Y0304 | Education : Effects of alcohol |
Y0303 | Education : Effects of smoking |
Y0308 | Education : Employment issues |
Y0305 | Education : Exercise |
Y0361 | Education : Explaination of the diabetic condition |
Y0330 | Education : Foot daily checking |
Y0326 | Education : Foot hygene |
Y0327 | Education : Foot nail care |
Y0329 | Education : Footwear and socks |
Y0335 | Education : Free eye checks |
Y0318 | Education : General effects of illness and diabetes |
Y0348 | Education : Glucagon/Hypostop - hypoglycaemia |
Y0367 | Education : Healthy Eating principles |
Y0309 | Education : Holiday Climate advice |
Y0312 | Education : Holiday Sickness |
Y0311 | Education : Holiday Supplies |
Y0310 | Education : Holiday Travel/health insurance |
Y0313 | Education : Holiday access to health service |
Y0321 | Education : How to adjust medication |
Y0325 | Education : Hypoglycaemia |
Y0324 | Education : Implications to license |
Y0349 | Education : Importance of good control |
Y0301 | Education : Importance of regular check ups |
Y0332 | Education : Importance of regular checks (eye) |
Y0297 | Education : Impotence |
Y0379 | Education : Insulin injection sites |
Y0377 | Education : Insulin injection technique |
Y0382 | Education : Insulin prescription exemption |
Y0358 | Education : Interpretation of ketone test results |
Y0341 | Education : Ketoacidosis |
Y0383 | Education : Ketone testing technique |
Y0319 | Education : More frequent glucose testing |
Y0299 | Education : Nephropathy |
Y0298 | Education : Neuropathy |
Y0333 | Education : Optician |
Y0371 | Education : Oral medication check: Administration time |
Y0370 | Education : Oral medication check: Doseage |
Y0369 | Education : Oral medication check: Length of Action |
Y0372 | Education : Oral medication check: Side effects including hypoglyaecemia |
Y0368 | Education : Oral medication check: Type |
Y0336 | Education : Preconceptual counselling |
Y0338 | Education : Pregnancy advice |
Y0359 | Education : Rationale for carrying ID Card |
Y0363 | Education : Rationale of treatment and use of tablets/insulin (diabetes) |
Y0366 | Education : Referral to dietician |
Y0300 | Education : Retinopathy |
Y0314 | Education : Role of Diabetes UK |
Y0380 | Education : Rotation of insulin sities |
Y0355 | Education : Sharps disposal |
Y0339 | Education : Signs and symptoms of hyperglycaemia |
Y0342 | Education : Signs and symptoms of hypoglycaemia |
Y0376 | Education : Storage of insulin |
Y0365 | Education : The importance of diet |
Y0344 | Education : Treatment and prevention of hypoglycaemia |
Y0373 | Education : Type and action of insulin |
Y0374 | Education : Type of insulin injection device |
Y0356 | Education : Urine ketone test technique |
Y0320 | Education : Vomiting |
Y0306 | Education : Weight |
Y0302 | Education : What care to expect |
Y0354 | Education : What to do with diabetic results |
Y0322 | Education : When to consult a doctor |
Y0378 | Education : When to inject insulin |
Y0334 | Education : Where and how to get help (eye) |
Y0331 | Education : Where and how to get help (feet) |
Y0352 | Education : Why and when to test (Diabetes) |
Y0357 | Education : Why and when to test (ketones) |
Y0032 | Education Chiropody |
Y0034 | Education Diabetes Date |
Y0101 | Education Excercise Date |
Y0067 | Education Exercise |
Y0068 | Education Glucose Monitor Date |
Y0064 | Education Hyperglycaemia |
Y0094 | Education Hypo Causes Date |
Y0087 | Education Hypo Prevention Date |
Y0088 | Education Hypo Symptoms Date |
Y0047 | Education Literature Date |
Y0073 | Education Rec Results Date |
Y0138 | Education Smoking |
Y06fb | Education service |
Y4078 | Effective |
Y6530 | Effusion - elbow joint |
Y6537 | Effusion - wrist joint |
Y6538 | Effusion of joint |
Y6540 | Elbow joint stiffness |
Y6547 | Elect.sinus rhythm conversion |
Y2369 | Elective Surgery |
Y6558 | Electroconvulsive therapy -ECT |
Y6559 | Electroencephalogram |
Y19f4 | Electronic Prescription Service exception retraction |
Y183d | Electronic frailty index |
Y6564 | Elevated sedimentation rate[D] |
Y6565 | Embolus/thrombus artery NOS |
Y6566 | Emergency admission asthma |
Y6570 | Emigration medical - + tests |
Y6571 | Emmigration examination |
Y3062 | Emollients not used |
Y2899 | Emollients used |
Y09e0 | Emotional domain review (diabetes YOC) |
Y1cee | Employed by care home |
Y1cf0 | Employed by domiciliary care provider |
Y1cef | Employed by nursing home |
Y0ac6 | Employment Status Not Applicable |
Y0ac5 | Employment Status Not Disclosed |
Y6574 | Employment medical exams. |
Y6575 | Employment medical-examination |
Y6576 | Employment report-no exam. |
Y06fa | Employment service |
Y2848 | Employment status - Disabled |
Y2854 | Employment status - Long term sickness |
Y6578 | Encephalopathy NOS |
YA068 | Encopresis care pathway |
Y2951 | Encouraged pelvic floor exercises |
Y1c4b | End of life care assessment |
Y6580 | Endo retro cholangiopancreatog |
Y0284 | Endocrine Assessment |
Y6583 | Endosc removal ureteric stent |
Y6585 | Endoscop insert ureteric stent |
Y6586 | Endoscopic colon biopsy |
Y6591 | Endoscopy: gastrointestinal |
Y6595 | Endoscopy: gastrointestinal NOS |
Y6592 | Endoscopy: respiratory system |
YA510 | Endurance of pelvic floor contraction |
Y2067 | Engerix 1 |
Y2068 | Engerix 2 |
Y2069 | Engerix 3 |
Y137b | Engerix B prefilled syringe 1ml - 1st Scheduled Booster |
Y137c | Engerix B prefilled syringe 1ml - Booster |
Y136e | Engerix B prefilled syringe 1ml - part 1 |
Y136f | Engerix B prefilled syringe 1ml - part 2 |
Y137a | Engerix B prefilled syringe 1ml - part 3 |
Y0745 | Engerix First Booster |
Y2070 | Engerix Reinforcing |
Y6599 | Engineering machining |
Y0436 | Enhanced Care Plan Approach (CPA) |
Y6601 | Enterovirus meningitis |
Y6602 | Entitled to prescription exemp |
Y00c5 | Enucleation of heloma durum |
Y00ce | Enucleation of heloma fibrous |
Y00c9 | Enucleation of heloma millare |
Y00c7 | Enucleation of heloma molle |
Y00cb | Enucleation of heloma neurovasculare |
YA204 | Enucleation of skin lesion |
Y2349 | Environmental Problems |
Y05e7 | Environmental control needs |
Y3880 | Enzira Inactivated Influenza Vaccine (Split Virion) (CHIRON/WYETH), Booster |
Y3821 | Enzira Inactivated Influenza Vaccine (Split Virion) (CHIRON/WYETH), Part 1 |
Y12f4 | Enzira Inactivated Influenza Vaccine (WYETH/CSL) Booster |
Y4560 | Enzyme immunoassay |
Y2230 | Epaxal reinforcing |
Y1466 | Epaxal vaccine part 1 |
Y1467 | Epaxal vaccine part 2 |
Y6606 | Epididymis lesion excised |
Y6609 | Epigastric hernia - simple |
Y6610 | Epigastric pain [D] |
Y2913 | Epilepsy assessment |
Y1571 | Epilepsy monitoring 1st letter |
Y1572 | Epilepsy monitoring 2nd letter |
Y1573 | Epilepsy monitoring 3rd letter |
Y0941 | Epilepsy: no |
Y6612 | Epistaxis [D] |
Y6613 | Epistaxis control -cryosurgery |
Y6614 | Epistotomy repair |
Y2382 | Epithelialisation (pink) |
YA532 | Epithelialisation of wound |
Y0ffe | Equipment in working order |
Y2172 | Equipment needed to complete task |
Y1987 | Equipment ordered |
Y3383 | Equipment requested |
Y0531 | Equipment requirements |
Y3040 | Equipment secured |
Y9928 | Erectial Disfunction Study |
Y2387 | Erythema |
Y6616 | Erythematous conditions |
Y00f0 | Estimated average energy requirement |
Y200c | Estimated creatinine clearance using actual weight (Cockcroft-Gault formula) |
Y1ffd | Estimated creatinine clearance using adjusted weight (Cockcroft-Gault formula) |
Y1ffe | Estimated creatinine clearance using ideal weight (Cockcroft-Gault formula) |
Y01f1 | Ethnicity risk factor |
Y6621 | Eustachian catarrh |
Y6622 | Evacuation by drainage |
YA151 | Evening eating routine |
Y072f | Ever shared |
Y4570 | Evidence of acute psychosis |
Y1944 | Evidence of lack of understanding |
Y1743 | Evidence of lower limb weakness |
Y1943 | Evidence of mental health problems |
Y1744 | Evidence of one sided weakness |
Y1947 | Evidence of other factors affecting risk |
Y1738 | Evidence of pain and / or discomfort |
Y1942 | Evidence of poor / no hearing |
Y1905 | Evidence of pressure areas / wounds |
Y1748 | Evidence of problems with balance |
Y1747 | Evidence of problems with breathing |
Y1746 | Evidence of problems with circulation |
Y1739 | Evidence of rigidity / stiffness |
Y1749 | Evidence of shortness of breath / heart problems |
Y1742 | Evidence of upper limb weakness |
Y6626 | Ex cigar smoker |
Y6627 | Ex pipe smoker |
Y6628 | Ex smoker |
YA911 | Exam - L eye - red reflex/general appearance - satisfactory |
YA994 | Exam - L eye vision impairment - referral |
YA919 | Exam - R eye - red reflex/general appearance - satisfactory |
YA997 | Exam - R eye vision impairment - problem |
YA941 | Exam - abdomen - observation |
YA940 | Exam - abdomen - problem |
YA939 | Exam - abdomen - satisfactory |
Y167e | Exam - cardiac abnormalities - problem suspected |
YA887 | Exam - cryptorchidism - satisfactory |
YA984 | Exam - cyanosis - observation |
YA982 | Exam - cyanosis - satisfactory |
YA873 | Exam - dysplasia L hip - observation |
YA872 | Exam - dysplasia L hip - problem |
YA871 | Exam - dysplasia L hip - satisfactory |
YA879 | Exam - dysplasia R hip - observation |
YA878 | Exam - dysplasia R hip - problem |
YA877 | Exam - dysplasia R hip - satisfactory |
YA975 | Exam - femoral pulse - satisfactory |
YA925 | Exam - fontanelle - satisfactory |
YA955 | Exam - genitalia - observation |
YA953 | Exam - genitalia - satisfactory |
Y007c | Exam - head control - satisfactory |
Y008e | Exam - manipulation - satisfactory |
YA968 | Exam - murmur - satisfactory |
Y002e | Exam - palate - problem |
Y002d | Exam - palate - satisfactory |
Y00aa | Exam - sleep - observation |
Y00ac | Exam - sleep - referral |
Y00a8 | Exam - sleep - satisfactory |
Y00a0 | Exam - social smile - satisfactory |
YA933 | Exam - spine - problem |
YA936 | Exam - spine - referral |
YA932 | Exam - spine - satisfactory |
Y004f | Exam - startles - satisfactory |
Y003e | Exam - stills - satisfactory |
Y006b | Exam - tone - satisfactory |
YA947 | Exam - urinary system - problem |
YA907 | Exam - vision impairment - referral |
YA903 | Exam - vision impairment - satisfactory |
Y6634 | Exam. for suspected TB |
Y6635 | Exam. for work accident |
Y1611 | Examination not required |
Y040c | Examination position |
Y040d | Examination position supine |
Y6638 | Exanthem [D] |
Y1f96 | Excepted from cervical screening quality indicators - no response to three invitations (finding) |
Y1f95 | Excepted from chronic obstructive pulmonary disease quality indicators - service unavailable (finding) |
Y1f9d | Excepted from heart failure quality indicators - service unavailable (finding) |
Y4485 | Excessive caffeine |
Y6644 | Excision intradermal naevi |
Y6645 | Excision lipoma |
Y0aa7 | Excision margin |
Y6646 | Excision of skin NOS |
Y6647 | Excision papilloma |
Y6648 | Excision skin lesion-histology |
Y2453 | Exercise ECG |
Y0157 | Exercise Programme NOS |
Y2297 | Exercise advice leaflet given |
Y0772 | Exercise: ADNFS level 0 |
Y0773 | Exercise: ADNFS level 1 |
Y0775 | Exercise: ADNFS level 2 |
Y0776 | Exercise: ADNFS level 3 |
Y0777 | Exercise: ADNFS level 4 |
Y0778 | Exercise: ADNFS level 5 |
Y1154 | Expired carbon monoxide reading 0-6 |
Y1156 | Expired carbon monoxide reading 12-20 |
Y1157 | Expired carbon monoxide reading 20+ |
Y1155 | Expired carbon monoxide reading 7-11 |
YA515 | Explanation of illness given |
Y6656 | Exploration of thyroid |
Y6657 | Explosive accident NOS |
Y20ce | Exposure to severe acute respiratory syndrome coronavirus 2 infection (event) |
Y6663 | Ext.beam + chemotherapy |
Y0e48 | Extended Spectrum Beta Lactamase Resistant Infection |
Y6671 | External ear disorders NOS |
Y6674 | External ear plastic operat. |
Y6675 | External haemorrhoids - simple |
Y6676 | External radiotherapy |
Y6677 | Extr nuclear antigen negative |
Y6679 | Extracapsular lens extraction |
Y157e | Extractable Nuclear Antigen level |
Y4125 | Extreme |
Y4571 | Extremely disturbed behaviour |
YA336 | Exudate - Serous |
YA337 | Exudate - blood stained |
YA338 | Exudate - purulent (green / yellow) |
Y3654 | Exudate: bleeding |
Y3702 | Exudate: none |
Y3655 | Exudate: purulent |
Y3653 | Exudate: serious |
Y0048 | Eye Correction |
Y0019 | Eye Overview |
Y0038 | Eye Recall Review |
Y0043 | Eye Screening Method |
Y0216 | Eye Test: Abnormal |
Y0215 | Eye Test: Normal |
Y6685 | Eye diseases |
Y6686 | Eye disorders NOS |
Y081c | Eye movement - grossly normal |
Y0e5d | Eye screening for hydroxychloroquine |
Y6690 | Eyeball removal |
Y6691 | Eyelid operations NOS |
Y0077 | Eyes Opthalmoscopy Done By |
Y2475 | Eyes checked annually |
Y2498 | Eyes never checked |
Y6694 | F.B. left in hand |
Y6696 | F.B. left in knee |
Y4552 | F/H - venous thromboembolism |
Y193d | F/H 1st degree relative heart abnormalities |
Y193c | F/H Congenital heart disease |
Y192d | F/H Inherited Disorders |
Y1549 | F/H Left Ventricular Hypertrophy |
Y6754 | FB in orifice NOS |
YA604 | FEV1 percentage change |
Y0152 | FH CHD |
ya299 | FH: Alpha 1 anti-trypsin deficiency |
Y00b8 | FH: Cardiac anomily |
YA608 | FH: Emphysema |
Y2353 | FH: Hearing Impairment |
Y6794 | FH: Mental disorder |
Y1068 | FH: Venous Disease |
Y6798 | FH: pernicious anaemia |
Y12ef | FLUENZ TETRA nasal suspension 0.2mL |
Y11ca | FLUENZ nasal suspension 0.2mL second part |
Y17b6 | FLUMIST Quadrivalent Influenza Vaccine Live, Intranasal 2 |
Y6899 | FW 8-applic for presc exempt |
Y6701 | Face lift surgery |
Y6712 | Facial nerve disorders |
Y17bd | Factor VIII level (UOM=%) |
Y102f | Factor VIIIc level (UOM=%) |
Y05ed | Factors contributing to swelling |
Y4478 | Factors improve / worsen condition |
Y2537 | Faecel occult blood test Negative |
Y2536 | Faecel occult blood test Positive |
Y2538 | Faecel occult blood test Weak Positive |
Y1469 | Failed encounter - patient did not answer door |
Y2898 | Failed to attend Initial appointment |
Y4572 | Failure or inability to engage in screening process |
Y0424 | Fair |
Y3084 | Fair skin/poor tanning |
Y3354 | Fall - Help summoned |
Y4875 | Fall - Time spent on the floor |
Y6727 | Fall - ladders/scaffolding |
Y6728 | Fall - one level to another |
Y6729 | Fall - stairs/steps |
Y6734 | Fallopian insufflation - dye |
Y6737 | Fallopian tube insufflation |
Y6738 | Fallopian tube lesion excision |
Y6742 | Fallopian tuboplasty |
Y051a | Falls at night |
Y0784 | Falls risk assessment template score |
Y4752 | Family break up |
Y1ab5 | Family history of genetic disorder |
Y1f27 | Family history of heart failure |
Y2942 | Family initial assessment completed |
Y037c | Family member affected |
Y3637 | Family member not interested in stopping smoking |
Y3636 | Family member other substance misuse |
YA069 | Family member present |
Y033c | Family planning history |
Y6750 | Fascia lesion excised |
Y1cc0 | Fasting blood glucose measurement |
Y01fe | Fasting glucose level suggested |
Y6753 | Fatigue [D] |
Y0e5e | Fatigue management advice |
Y4050 | Fatigues |
Y014b | Feeding via jejunostomy route |
Y3530 | Feels faint when given injection |
Y2584 | Feels full quickly when first starts eating |
Y2734 | Feet - plantar pressure |
Y0099 | Feet 10g Monofilament Text |
Y041f | Female genital bruising |
Y042b | Female genital labial fusion |
Y6763 | Female genital operation NOS |
Y6770 | Female pelvic inflam. dis. NOS |
Y6776 | Femoral hernia - complicated |
Y6777 | Femoral herniorrhapy - unilat. |
Y0e47 | Femoral neck BMD DEXA type DMS/Medilink |
Y0e44 | Femoral neck BMD DEXA type GE-Lunar |
Y0e45 | Femoral neck BMD DEXA type Hologic |
Y0e46 | Femoral neck BMD DEXA type Norland |
Y6784 | Feto/placental hormones NOS |
YA202 | Fibrous corn |
Y6806 | Finance/invest./ins.clerk NOS |
Y03e0 | Fine motor / manipulation skills normal |
Y6808 | Fire officers |
Y0a54 | First Engerix B paediatric prefilled syringe 0.5ml vaccination |
Y08b1 | First Fendrix vaccination |
Y066f | First Hepatitis B Booster vaccination |
Y0bb2 | First Pandemrix Vaccination |
Y0801 | First Reception Screening (Positive Response) |
Y08ba | First Tab vaccination |
Y073b | First Typhoid Oral vaccination |
Y0a23 | First dTP + Polio vaccination (LDD) |
Y0a1a | First low dose diphth, tet, acellular pert and inactiv polio vaccination |
Y4581 | First night risk assessment form completed |
Y0e0e | First rabies vaccination (Sanofi Pasteru MSD) |
Y0a8e | First rabies vaccination (Verorab) |
YA386 | First ray hallux abductovalgus |
YA387 | First ray plantarflexed |
Y2371 | Fistula |
Y6815 | Fistula contrast radiography |
Y0d0a | Fitness for work assessed |
Y0d0c | Fitness for work: No further assessment required |
Y0d0b | Fitness for work: Requires further assessment |
Y6817 | Fitness to attend school exam. |
Y6818 | Fitness to travel exam. |
Y2687 | Flared left ankle |
Y2688 | Flared right ankle |
Y6819 | Flat foot - pes planus |
Y6820 | Flatulence [D] |
Y6821 | Flatulence NOS [D] |
Y6823 | Flu like illness NOS |
Y1cfd | Fluad vaccine suspension for injection 0.5ml pre-filled syringes (Seqirus Vaccines Ltd) |
Y1fbe | Flucelvax Tetra (Seqirus UK) |
Y0f37 | Fluctuating hearing loss |
Y4513 | Fluid intake recommendation |
Y3197 | Fluid intake/output/frequency volume chart |
Y3768 | Fluids not restricted |
Y3199 | Fluids restricted |
Y6833 | Fluoroscopy - gall bladder |
Y6839 | Flushing [D] |
Y6840 | Folate deficiency anaemia |
Y012d | Folate requirement |
Y0120 | Follow Up Date |
Y6841 | Follow up (wait and see) |
Y6842 | Follow up 6 weeks |
Y0477 | Follow up appointment |
Y09c4 | Follow up outpatient clinic - : no |
Y6844 | Follow up visit |
Y0f2c | Follow-up appointment: telephone |
Y6845 | Follow-up neurol. assessment |
Y0134 | Folow Up Action |
Y1118 | Food and Water Safety |
Y00ef | Food phobia |
Y6849 | Food-handler medical exam. |
Y0016 | Foot Pulses |
Y0213 | Foot Pulses Abnormal |
Y0212 | Foot Pulses Normal |
Y0214 | Foot Pulses Not Tested |
Y6850 | Foot abnormal-diabetes related |
Y6851 | Foot bone fusion |
Y095a | Foot callus: no |
Y00e1 | Foot condition worsened |
Y3518 | Foot ulcer present |
Y2633 | Footwear fastening: Lace/buckle |
Y2634 | Footwear fastening: Slip on |
Y2635 | Footwear fastening: Velcro |
Y2629 | Footwear good fit |
Y1208 | Footwear/care advice given |
Y6854 | Forced vital capacity - FVC |
Y6855 | Forceps head rotation op. |
Y6862 | Foreign body accident: eye |
Y6864 | Foreign body accidents |
Y6865 | Foreign body in ext. eye NOS |
Y6869 | Foreign body in pharynx-throat |
Y6870 | Foreign body in resp.syst. NOS |
Y3658 | Form to be sent to |
Y0201 | Formal Exercise attendance 25% |
Y0200 | Formal Exercise attendance 50% |
Y055b | Formal support network |
Y1606 | Foster parent present |
Y6878 | Found dead [D] |
Y08b5 | Fourth Fendrix vaccination |
Y6879 | Fracture malunion - fore arm |
Y6880 | Fracture malunion-pelvis/thigh |
Y2551 | Fracture of left Scaphoid bone |
Y2550 | Fracture of right Scaphoid bone |
YA579 | Fraser competent for consent |
Y6884 | Free T3 level |
Y6885 | Free T4 level |
Y1de6 | FreeStyle Libre Sensor (Abbott Laboratories Ltd) |
Y6888 | Frenumectomy - tongue |
YA297 | Frequency nocturnal dyspnoea |
YA214 | Frequency of A&E encounter |
Y0a00 | Frequency of A&E encounter: no |
YA216 | Frequency of GP encounter |
Y1022 | Frequency of hypoglycaemic episodes |
Y0c02 | Frequency of hypoglycaemic episodes (weekly) |
Y1023 | Frequency of hypoglycaemic episodes requiring paramedic intervention |
Y6889 | Frequency of micturit. NOS [D] |
Y3119 | Frequency of symptoms during the day |
Y3120 | Frequency of symptoms during the night |
YA215 | Frequency of unplanned hospital admissions |
Y0e91 | Frequent caller to urgent care services |
Y2737 | Friction - callous corns on feet |
Y2736 | Friction - superficial callous/blisters/seed corn on feet |
YA071 | Friend present |
Y1def | Friends & Family Test (FFT) |
Y1559 | Frozen Shoulder - Left |
Y1560 | Frozen Shoulder - Right |
Y6895 | Full blood count - FBC |
Y01fc | Full blood count suggested |
Y6896 | Full post-natal examination |
Y4066 | Full range |
Y6897 | Full resp. system examination |
Y2941 | Fully completed |
Y04eb | Functional exercise assessment results |
Y2374 | Functional incontinence |
Y1583 | Fundus Abnormal |
Y1584 | Fundus Normal |
Y3714 | Fungal infection of feet |
Y3715 | Fungal infection of nails |
Y4877 | Furniture walker |
Y4210 | Further assessment |
Y4424 | Further assessment required |
Y09bb | Further assessment required: no |
Y6898 | Further asthma - drug prevent. |
Y2299 | Further background information |
Y1405 | Further investigation required |
Y2423 | Further investigations required and findings |
YA545 | Further sample required |
Y0e98 | Futura splint given in primary care |
Y15aa | GAD-7 Question 1 Score: Feeling nervous, anxious or on edge |
Y15ab | GAD-7 Question 2 Score: Not being able to stop or control worrying |
Y15ac | GAD-7 Question 3 Score: Worrying too much about different things |
Y15ad | GAD-7 Question 4 Score: Trouble relaxing |
Y15ae | GAD-7 Question 5 Score: Being so restless that it is hard to sit still |
Y15af | GAD-7 Question 6 Score: Becoming easily annoyed or irritable |
Y15b0 | GAD-7 Question 7 Score: Feeling afraid as if something awful might happen |
Y0fc0 | GBM antibody level (units = AI) |
Y1c49 | GDPR compliant consent for non-direct-care care-related communications from organisation gaining consent |
Y0a58 | GFR calculated Cockcroft-Gault formula |
Y6960 | GIT complications |
Y6968 | GMS4 cont (nonIUCD) up to date |
Y1461 | GP Assessment Notes |
Y1cfe | GP Assist |
Y108b | GP Medical Records Incomplete |
Y0e52 | GP contact avoided due to nursing intervention |
YA039 | GP follow up |
Y0716 | GP prescribing |
Y09f1 | GP2GP EhrEmpty consultation |
Y0aab | GSF status amber |
Y0aac | GSF status green |
Y0aaa | GSF status red |
Y6985 | GU - chronic NOS |
Y6900 | Gait abnormality [D] |
Y6902 | Galactassaemia screen |
Y6904 | Gall bladder repair |
Y3694 | Gammaglobulin |
Y6908 | Gammaglobulin admin. NOS |
Y6915 | Ganglion/synov.cyst - NOS |
Y6910 | Ganglion/synov.cyst - elbow |
Y6911 | Ganglion/synov.cyst - hand |
Y6912 | Ganglion/synov.cyst - hip |
Y6913 | Ganglion/synov.cyst - knee |
Y6914 | Ganglion/synov.cyst - multiple |
Y6917 | Ganglion/synov.cyst - wrist |
Y6918 | Ganglion/synov.cyst-ankle/foot |
Y6922 | Gastric irrigation - lavage |
Y6923 | Gastritis/duodenitis NOS |
Y06ff | General hospital |
Y2909 | General nursing assessment |
YX039 | General practitioner |
Y6932 | General symptoms [D] |
Y6934 | General well - being schedule |
Y0963 | General wellbeing - Problem |
Y0966 | General wellbeing -Is Stable |
Y0965 | General wellbeing - Has worsened |
Y0964 | General wellbeing - Is worsening |
Y0967 | General wellbeing - Satisfactory |
Y1b97 | Generalised anxiety disorder 7 item score |
Y6935 | Generalised pain [symptom] |
Y6936 | Generalised swelling |
Y3642 | Genitalia |
Y6938 | Genitourinary dis. screen NOS |
Y1273 | Geriatric Screening - Invitation |
Y6952 | Geriatric monitor. check done |
Y6956 | Geriatric screen - seen |
Y6957 | Geriatric screen admin. |
Y6958 | Geriatric screen admin. NOS |
Y6959 | Giddiness [D] |
YA838 | Given up smoking completely during pregnancy |
YA837 | Given up smoking completely prior to pregnancy |
Y0285 | Given: Consent Form for Caverject Injections |
Y0ef7 | Glasgow Hearing Aid Profile Benefit |
Y0002 | Glasses of wine |
Y0738 | Glasses of wine per day |
Y6962 | Glaucoma screen |
Y6965 | Gluten free diet |
Y6966 | Glycosuria [D] |
Y144b | Goal Attainment Score |
Y6969 | Goitre - simple, unspecified |
Y1782 | Gold Standards Framework |
Y6970 | Gonococcal infections |
Y6971 | Gout screen |
Y6972 | Govt.dept.employee-examination |
Y6973 | Govt.dept.employee-report only |
Y0e33 | Grade of pressure sore on right elbow (waterlow assessment) |
Y9989 | Granuloma and granuloma-like lesions of oral mucosa |
Y6975 | Gravida status |
Y207e | Greater trochanteric pain syndrome |
Y2251 | Green/Yellow Wound Exudate |
Y6976 | Grenz ray therapy - up to 10Kv |
Y016f | Grieving support required |
Y03dd | Gross motor / locomotor skills normal |
Y4425 | Group work |
Y3074 | Growth of pigmented skin lesion |
Y6986 | Gynae. dis. monitoring NOS |
Y6987 | Gynae. disorder monitoring |
Y6988 | Gynae. follow-up assessment |
Y6989 | Gynae. treatment changed |
Y6990 | Gynae.dis.treatment started |
Y6991 | Gynae.dis.treatment stopped |
Y6992 | Gynae.disorder: initial assess |
Y4550 | H/O - PMS |
Y4549 | H/O - headache |
Y4551 | H/O - thrombophlebitis / VTE |
Y1ab3 | H/O Cancer |
Y3656 | H/O Carcinoma of breast |
Y00d9 | H/O fainting |
Y1aa4 | H/O genital herpes |
Y00db | H/O polydipsia |
Y00dc | H/O polyuria |
Y2574 | H/O: Breathlessness |
Y4480 | H/O: Hearing loss |
Y4482 | H/O: Injury / Trauma |
Y2572 | H/O: Intermittent claudication |
Y4481 | H/O: Intubation |
Y3657 | H/O: Ischaemic heart disease |
Y4479 | H/O: Laryngitis/URTIs |
Y2581 | H/O: Local Anesthetic |
YA175 | H/O: Peripheral vascular disease |
Y2575 | H/O: Polydypsia/Polyurea |
Y2576 | H/O: Sensory Loss |
Y01ea | H/O: bronchiolitis |
Y6996 | H/O: cardiac surgery |
Y09a9 | H/O: drug abuse: no |
Y01e9 | H/O: gastric reflux |
Y01f0 | H/O: implantable cardioverter-defibrillator in situ |
Y04ea | H/O: leg ulcer |
YA868 | H/O: malignant neoplasm of breast |
YA741 | H/O: mental health problem |
Y6998 | H/O: myocardial infarct <60 |
Y6999 | H/O: myocardial infarct >60 |
YA738 | H/O: post natal depression |
Y7000 | H/O: post-coital bleeding |
Y7001 | H/O: post-partum haemorrhage |
YA689 | H/O: recurrent ear infection |
Y2539 | H/O: retinopathy |
Y7003 | H/O: splenectomy |
Y1265 | HBVAXPRO 10 - pt1 |
Y1266 | HBVAXPRO 10 - pt2 |
Y1267 | HBVAXPRO 10 - pt3 |
Y1269 | HBVAXPRO 40 - pt1 |
Y1271 | HBVAXPRO 40 - pt3 |
Y0013 | HBsAg |
Y22db | HEF - Determinant 2 - Specialist learning disability service provision |
Y0670 | HIB and Meningitis C vaccination |
Y1014 | HIV Disease / AIDS |
Y0664 | HIV healthy eating advice |
Y7131 | HLA B27 antigen screen |
Y7147 | HP clinic check done+claimable |
Y7148 | HTLV-3 antibody test |
Y1c99 | HV Emotional well being outcome rating |
YA718 | Habitual coughing |
YA717 | Habitual throat clearing |
Y7006 | Haemarthrosis - ankle/foot |
Y7010 | Haemarthrosis - knee joint |
Y1a67 | Haematological disorder |
Y1cbf | Haemoglobin A1c measurement |
Y3483 | Haemolytic disease of foetus and newborn NOS |
Y7023 | Haemoptysis [D] |
Y7024 | Haemoptysis NOS [D] |
Y7026 | Haemorrhoidectomy: crushing |
Y7027 | Haemorrhoids - NOS |
Y7028 | Haemorrhoids - obstetric |
Y7029 | Haemorrhoids - piles |
Y7030 | Haemorrhoids sclerosing inj. |
Y7031 | Haemorrhoids: ligate/excise |
Y7033 | Halitosis [D] |
Y7034 | Hallucinations [D] |
Y7038 | Hallucinations, olfactory [D] |
Y7040 | Hallux valgus bunionectomy |
Y7041 | Hallux valgus ostectomy |
Y7042 | Hammer toe - acquired |
Y7045 | Hand joint stiffness |
Y7046 | Hand plastic op. + implant |
Y1032 | Handling: Environment: Hot / Cold / Humid Conditions |
Y1020 | Handling: Environment: Limited space |
Y1033 | Handling: Environment: Poor Lighting Conditions |
Y1021 | Handling: Environment: Slippery or uneven floors / steps |
Y1034 | Handling: Environment: Sub Total |
Y1042 | Handling: Handling: Sub Total |
Y1039 | Handling: Other Factors: Have previous accidents been reported |
Y1036 | Handling: Other Factors: Present a hazard for carers / volunteers / non - employees |
Y1037 | Handling: Other Factors: Present a hazard to employees |
Y1040 | Handling: Other Factors: Present transport problems |
Y1038 | Handling: Other Factors: Requires specific information / training |
Y1035 | Handling: Other Factors: Requires unusual capability |
Y1041 | Handling: Other Factors: Sub Total |
Y4510 | Handover Report : Overall Communication |
Y4512 | Handover Report : Plan |
Y1f8a | Handover details |
Y7053 | Hare lip |
Y22ac | Has National Health Service digital isolation note (finding) |
Y1fc1 | Has ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) |
YA243 | Has access to wheelchair adapted vehicle |
Y206c | Has advance care plan |
YA162 | Has changed and maintained changes |
YA160 | Has changed, but relapsed |
Y7055 | Has eye pain |
Y7056 | Has flu vaccination at hosp. |
Y1f3f | Has mental capacity to decline consent |
Y1f41 | Has mental capacity to give consent |
Y08dd | Has no concerns over their physical health |
Y7060 | Has nose bleeds - epistaxis |
Y2851 | Has not attended orthoptic school vision screening test |
Y08db | Has not been homeless in the past year |
Y08eb | Has not been referred for Mental Health Assessment |
Y0800 | Has not had BCG Vaccination |
Y07fb | Has not previously used drugs |
Y08e6 | Has not received medication for mental health problems |
Y08d6 | Has not seen Doctor in previous few months |
YA756 | Has pendant alarm services |
Y7061 | Has pins and needles |
Y1111 | Haverix Monodose 1 |
Y1112 | Haverix Monodose 2 |
Y057e | Havrix Junior Booster |
Y2084 | Havrix Mono Junior Monodose 1 |
Y2086 | Havrix Monodose 1 |
Y2087 | Havrix Monodose 2 |
Y1151 | Havrix Monodose Reinforcing |
Y3028 | Hazard or risk identified |
Y7064 | HbA1 7 - 10% - borderlne contr |
Y7062 | HbA1 < 7% - good control |
Y7063 | HbA1 > 10% - bad control |
Y1180 | HbVaxpro 1 |
Y1181 | HbVaxpro 2 |
Y1182 | HbVaxpro 3 |
Y7065 | Head and neck symptoms [D] |
Y0c0c | Head injury information given verbally to patient |
Y7072 | Headache [D] |
Y7073 | Headache symptom NOS [D] |
Y3709 | Heaf: scar present |
Y0cec | Health Education - Age of consent for sexual activity |
Y2912 | Health action plan |
Y2604 | Health action plan: Outcome |
Y2603 | Health action plan: Persons present |
Y7074 | Health ed. - alcohol |
Y7075 | Health ed. - breast exam. |
Y7077 | Health ed. - exercise |
Y7078 | Health ed. testicular examin. |
Y09cc | Health information not received from outside source: no |
YX002 | Health information received from outside source |
Y1f61 | Health of the Nation Outcome Scales for working age adults rating scale 7 score - problems with depressed mood |
YA460 | Health supplements |
Y0179 | Health: Non attendance of formal exercise session |
Y4332 | Healthcare transport required for appointments |
Y2383 | Healthy Granulations |
Y1de7 | Healthy Hearts |
Y0663 | Healthy eating advice for ethnic minorities |
YA351 | Healthy skin |
Y0f1c | Hearing Aid BTE |
Y0f1e | Hearing Aid Fitting Binaural |
Y0f1d | Hearing Aid Fitting Monaural |
Y0f20 | Hearing Aid Not Working |
Y7080 | Hearing loss NOS |
Y19bc | Hearing screening - Offered and declined |
Y1013 | Heart / Circulatory Disease |
Y1d74 | Heart Failure Rehabilitation Programme Completed |
Y7081 | Heart disease screen |
Y7082 | Heart disease screen - risk |
Y7083 | Heart disease screen NOS |
Y1f20 | Heart failure monitoring invitation |
Y7084 | Heart murmur [D] |
Y7085 | Heart murmur NOS [D] |
Y7086 | Heart murmur, benign [D] |
Y7087 | Heart murmur, functional [D] |
Y7088 | Heart murmur, innocent [D] |
Y7089 | Heart murmur, undiagnosed [D] |
Y2772 | Heart problems |
Y7091 | Heart sounds, abnormal [D] |
Y7101 | Heartburn NOS [D] |
Y7102 | Heat cramps |
Y7106 | Heavy goods vehicle exam. |
YA164 | Heavy physical job |
Y7110 | Heavy smoker - 20-39 cigs/day |
Y2630 | Heel height 1" |
Y7112 | Helicobact breath test pos |
Y7113 | Helicobact eradication therapy |
Y0404 | Helicobacter Pylori Negative |
Y0403 | Helicobacter Pylori Positive |
Y7114 | Helicobacter breath test |
Y1596 | Hep B Surface Antigen Negative |
Y1594 | Hep B Surface Antigen Positive |
Y09f2 | Hep B Vacc - Not Offered |
Y075e | Hep B Vacc - acquired immunity |
Y075d | Hep B Vacc - immunised already |
Y075b | Hep B Vacc - offered and refused |
Y0ac2 | Hep B Vacc- Assessed as not appropriate to offer |
Y075c | Hep B Vacc- offered and accepted |
Y1598 | Hep C Negative |
Y0df9 | Hep C Test - Completed |
Y0dfa | Hep C Test - Not tested |
Y0ac3 | Hep C test - Assessed as not appropriate to offer |
Y0759 | Hep C test - offered and accepted |
Y075a | Hep C test - offered and refused |
Y18bb | Hep C test result PCR (RNA) status - Negative |
Y7115 | Hepatitis A non immune |
Y0a48 | Hepatitis B 20 mcg/ml - Adolescent 1 |
Y076c | Hepatitis B 20 mcg/ml Booster |
Y076b | Hepatitis B 20 mcg/ml vaccination Second Booster |
Y0a0c | Hepatitis B 20mcg dose 2 |
Y06e0 | Hepatitis B Second Booster |
Y06a0 | Hepatitis B Unspecified Booster |
Y096b | Hepatitis B status - Negative |
Y096d | Hepatitis B status - Positive |
Y096c | Hepatitis B status - Unknown |
Y7117 | Hepatitis B surface antig +ve |
Y096f | Hepatitis C status -Positive |
Y0970 | Hepatitis C status - Negative |
Y2037 | Hepatitis C virus negative |
Y7116 | Hepatitis ant.radioimmunoassay |
Y7119 | Hepatomegaly [D] |
Y1184 | Hepatyrix 1 |
Y1185 | Hepatyrix 2 |
Y1215 | Hepatyrix Part 1 (Generic) |
Y1253 | Hepatyrix Reinforcing |
Y2006 | Hepatyrix vaccination part 1 |
Y7121 | Herpetic stomatitis |
Y1d9b | Heterosexual or Straight |
Y0a42 | High dose methadone replacement |
Y20fd | High priority for severe acute respiratory syndrome coronavirus 2 vaccination (finding) |
Y3529 | High risk activities |
Y228a | High risk category for developing complication from coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 infection (finding) |
Y3226 | Higher managerial and professional occupations |
Y7127 | Hip joint stiffness |
Y7128 | Hip reconstruction |
Y7130 | History / symptoms |
Y4421 | History of Dysphagia |
Y3517 | History of foot ulcer |
Y4567 | History of infection |
YA494 | History of pelvic surgery |
YA325 | History of relapse |
Y7133 | Hoarseness [D] |
Y1803 | Hold letters (no patient record) |
Y1599 | Home Haemodialysis |
Y3363 | Home care assessment |
Y7136 | Horm repl monitor check done |
Y7138 | Hormone implant operation |
Y7142 | Hormone repl monitor default |
Y0153 | Hospital Based Exercise Programme |
Y2280 | Hot foot |
Y0ac7 | Hours Worked Per Week Not Disclosed |
Y7145 | House rented from housing ass. |
Y7146 | House rented-private landlord |
Y1604 | Housebound diabetes care |
Y22a7 | Household isolation (procedure) |
Y22a6 | Household isolation note issued to patient (finding) |
Y1d6d | Housing Problems - Severe |
Y0ae7 | Housing Status Not Applicable |
Y1a6a | How many people live in household? |
Y056c | Human bite - adult |
Y056b | Human bite - child |
Y4484 | Hydration Adequate |
Y3290 | Hydrocele &/or spermatocele |
Y7151 | Hyperaesthesia [D] |
Y7153 | Hyperhidrosis [D] |
Y7160 | Hypersomnia + sleep apnoea [D] |
Y7161 | Hyperten.monitor offer default |
Y7163 | Hypertension of preg. NOS |
Y7164 | Hypertension screen |
Y7165 | Hypertension screen admin. |
Y7166 | Hypertension screen admin. NOS |
Y7170 | Hypertrophy - nasal turbinates |
Y7171 | Hyperventilation [D] |
Y7172 | Hypoaesthesia [D] |
Y7173 | Hypochondrial pain [D] |
Y3291 | Hypospadias NOS |
Y2706 | Hypothyroidism negative |
Y2707 | Hypothyroidism positive |
Y2705 | Hypothyroidism screening test |
Y1217 | Hysterectomy Required |
Y7178 | Hysterosalpingography |
Y7371 | I-V cholecystography |
Y7373 | I-V sclerosing injection NOS |
Y7179 | I/patient disch summary recvd |
Y0442 | IMP - Diftavax low dose given |
Y0452 | IMP - Influenza vaccination given |
Y0ec1 | INR taken by district nurse |
Y16fa | IPOS - level of secretions symptom |
Y16bf | IPOS - level of shortness of breath |
Y16c5 | IPOS - level of sore/dry mouth |
Y16d2 | IPOS - oral thrush level |
Y1b0a | IPS Alcohol dependency |
Y000e | IUD device used |
Y4547 | IUD threads seen |
YA680 | IUS check |
YA681 | IUS threads seen |
Y18d9 | Ideal body weight - Devine formula |
Y18db | Ideal body weight - Lemmens formula |
Y7181 | Ideal weight |
Y3196 | Identification of continence problem & treatment plan |
Y7182 | Ileostomy closed |
Y05ce | Immediate physiotherapy |
Y7190 | Immunisat. screen NOS |
Y2720 | Immunisation intention |
Y7193 | Immuno-electrophor. abnormal |
Y7194 | Immuno-electrophoresis |
Y7196 | Immuno-electrophoresis NOS |
Y7197 | Immunoglobulin level raised[D] |
YA208 | Impact of condition |
Y01e5 | Impact of disorder on employment |
Y3506 | Impact of illness |
Y017c | Impact of illness on lifestyle |
Y2774 | Impaired eyesight |
Y2773 | Impaired hearing |
Y09b7 | Impaired hearing : no |
Y094c | Impaired mobility: no |
YA057 | Implant expired |
YA058 | Implant no longer required |
Y0529 | Imported notes |
Y3713 | Imported summary notes |
Y0e78 | Imuvac Booster |
Y0521 | In bed needs re-positioning |
YA527 | In remission off medication |
YA528 | In remission on medication |
Y7250 | In-house opthalmology |
Y0a8d | Inactivated Influenza Vaccine (Split Virion) (CSL Biotherapies) Booster |
Y0a8c | Inactivated Influenza Vaccine (Split Virion) (CSL Biotherapies) Part 1 |
Y19ee | Inactivated Influenza Vaccine (Split Virion) (Pfizer) |
Y3881 | Inactivated Influenza Vaccine (Split Virion) BP (Aventis Pasteur MSD), Booster |
Y1193 | Inactivated Influenza Vaccine (Split Virion) BP (Aventis Pasteur MSD), Part 1 |
Y12f6 | Inactivated Influenza Vaccine (Split Virion) BP (Sanofi Pasteur MSD) Booster |
Y12f5 | Inactivated Influenza Vaccine (Split Virion) BP (Sanofi Pasteur MSD) Part 1 |
Y08c3 | Inactivated Influenza Vaccine (Split Virion) Booster |
Y0121 | Inadequate Smear Result |
Y4885 | Inappropriate footwear |
Y7199 | Incise renal pelvis -pyelotomy |
Y7200 | Incision of bone |
Y7202 | Incision of skin NOS |
Y7204 | Incisional hernia repair |
Y3786 | Incomplete - appointment missed |
Y3790 | Incomplete - declined screen |
Y3787 | Incomplete - lost contact |
Y7205 | Incomplete spontaneous abortn. |
Y3210 | Incontinence assessment outcome: Improved |
Y3211 | Incontinence assessment outcome: Managed |
Y3212 | Incontinence assessment outcome: Stable |
Y7206 | Incontinence of faeces [D] |
Y7207 | Incontinence of faeces NOS [D] |
Y7208 | Incontinence of urine [D] |
Y7209 | Incontinence of urine NOS [D] |
Y3221 | Incontinence pads |
Y3207 | Incontinent product |
Y3612 | Independent in diabetic management |
YA112 | Independent walking with aids |
Y7212 | Independent: chair/bed transf. |
Y138a | Indicators - asthma attack |
Y137f | Indicators - worsening asthma |
Y0f2b | Individual Management Plan Goals - other |
Y7217 | Individual psych. exam. |
YA145 | Indoor toilet downstairs |
YA146 | Indoor toilet upstairs |
Y7221 | Induration of skin [D] |
YA531 | Induration of wound |
Y2679 | Induration of wound - Left |
Y2680 | Induration of wound - Right |
Y7222 | Industrial designers |
Y4079 | Ineffective |
Y19ea | Infanrix Hexa |
Y19ed | Infanrix Hexa 3 |
Y2950 | Infant feeding method discussed: Breast & bottle fed |
Y2948 | Infant feeding method discussed: Breast fed |
Y7229 | Infect.dis.prevent/control NOS |
Y7230 | Infected tiss. surgical toilet |
Y4553 | Infection leaflet given |
Y210b | Infection of upper respiratory tract caused by severe acute respiratory syndrome coronavirus 2 (disorder) |
Y7231 | Infections of nipple - obst. |
Y0580 | Inferior oblique overreaction |
Y7234 | Inflammation of eyelids |
Y3075 | Inflammatory response of pigmented skin lesion |
Y2547 | Influenza Immunisation invite letter 1 |
Y2548 | Influenza Immunisation invite letter 2 |
Y2549 | Influenza Immunisation invite letter 3 |
Y2003 | Influenza reinforcing Vacc |
Y2009 | Influvac (Solvay) |
Y1cf9 | Influvac Sub-unit vaccine suspension for injection 0.5ml pre-filled syringes (Mylan) |
Y1cfc | Influvac sub-unit Tetra vaccine suspension for injection 0.5ml pre-filled syringes (Mylan) 1 pre-filled disposable injection |
YA726 | Informal observations |
Y055c | Informal support network |
Y3767 | Information given re sick day rules |
Y0fd9 | Information given to patient at time of referral |
Y2999 | Information leaflet given: Immunisation |
Y3015 | Information leaflet given: NHS direct contact number |
Y3013 | Information leaflet given: Pelvic floor exercises |
Y3757 | Information leaflet given: Risk |
Y3618 | Information leaflet given: footwear/care |
Y2499 | Information leaflet given: keeping an eye on diabetes |
Y3614 | Information leaflet given: testing your own blood sugar |
Y4415 | Information passed to H.C.A |
Y4416 | Information passed to MDT notes |
Y4418 | Information passed to bedside notice |
Y4417 | Information passed to doctor |
Y4419 | Information passed to family |
Y4420 | Information passed to other |
Y4414 | Information passed to staff nurse |
Y2972 | Informed of 6 weeks postnatal check with GP |
Y2973 | Informed of routine health visitor service and CHS programme |
Y7243 | Inguinal hernia - direct, NOS |
Y7246 | Inguinal herniorrhaphy-unilat. |
Y7247 | Inguinal herniotomy, bilateral |
Y7248 | Inguinal herniotomy, unilat. |
Y0901 | Inhaler technique not observed |
Y7252 | Initial ophth. assessment |
Y2544 | Initial profile |
Y7253 | Initial psych. assessment |
Y7256 | Inject eye - local action |
Y7258 | Inject ligament - local action |
Y072e | Injected in last 30 days |
Y09f4 | Injects with needle or syringe used by someone else |
Y0578 | Injury of glans penis |
Y7260 | Injury to bladder |
Y7264 | Injury to spleen |
Y7272 | Inorg.salt/vit. supplement NOS |
Y1dfb | Inpatient stay - 2 weeks - 1 month |
Y0714 | Inpatient treatment |
YA428 | Input - output equipment needs |
Y1117 | Insect bite avoidance |
Y7289 | Insect bite: arm - non venom |
Y7291 | Insect bite: foot - non-venom |
Y7292 | Insect bite: hand - non-venom |
Y7293 | Insect bite: leg - non-venom |
Y7302 | Insertn coronary artery stent |
Y09b2 | Insomnia: no |
Y0cbb | Insulin correction dose |
Y1206 | Insulin doses |
Y7305 | Insurance claim exam. |
Y7307 | Insurance medical-travel canc |
Y7308 | Insurance proposal exam. |
Y7309 | Insurance report-travel canc |
Y7312 | Intelligence quotient (IQ) |
Y0b07 | Intended delivery - In NHS hospital - Delivery facilities associated with consultant/GMP/midwife ward inclusive of any combination of two of the professionals mentioned |
Y0b0a | Intended delivery - In other hospital or institution |
Y15a3 | Intends to or has undertaken thoughts or actions to change birth sex to self-identified gender |
Y2966 | Intends to return to work full-time |
Y2967 | Intends to return to work part-time |
Y2860 | Intention to return to work |
Y20c5 | Interim Review first Invitation |
Y7317 | Intermediate resp. syst. exam. |
Y1369 | Intermittency when urinating |
Y018b | Intermittent disorientation |
Y7329 | Internal metabolic radiotherap |
YA280 | Interpersonal skills |
Y0ac1 | Interpretation & evaluation of basic Spirometry |
Y04ae | Interpreter needed - sign language |
Y072b | Intervention withdrawn |
Y7333 | Intervertebral disc excision |
Y7336 | Intra articular injection |
Y7350 | Intra-venous pyelogr.-general |
Y9990 | Intra-ventricular haemorrhage |
Y1f11 | Intraocular pressure of left eye |
Y1f12 | Intraocular pressure of right eye |
YA829 | Intrathecal analgesia |
YA207 | Intrauterine contraceptive system fitted |
Y1303 | Intravenous Urogram Abnormal |
Y1285 | Intravenous Urogram Booked |
Y1302 | Intravenous Urogram Normal |
Y7351 | Intrinsic (allergic) eczema |
Y7354 | Investig. result counselling |
Y2589 | Involuntary weight loss in last 3 months |
Y7357 | Iris/ciliary body operat. NOS |
Y7358 | Iron blood level abnormal [D] |
Y7359 | Iron deficiency screen |
Y010d | Iron requirement |
Y4849 | Irritation of external genitalia |
Y12ad | Is a Young Carer |
YA163 | Is about to change |
YA159 | Is considering change |
Y209e | Is no longer on gold standards palliative care framework |
Y12ae | Is not a Young Carer |
Y08d7 | Is not receiving prescribed medication |
Y2285 | Ischaemic pain - at night |
Y2284 | Ischaemic pain - walking |
Y3064 | Ischaemic pain - walking and at night |
YA330 | Ischaemic pain at rest in lower limb |
Y2282 | Ischaemic pain left foot |
Y2281 | Ischaemic pain right foot |
YA346 | Ischaemic ulcer |
Y0810 | Ishihara Test |
Y7362 | Isotope - plasma volume |
Y7366 | Isotope lung perfusion scan |
Y7368 | Isotope static scan bone-marro |
Y7369 | Isotope uptake/excret studies |
Y1b1e | JAK2 inhibitor (form not specified) |
Y2011 | Japanese Encephalitis 2 |
Y2012 | Japanese Encephalitis 3 |
Y3464 | Jaundice NOS |
YA688 | Jaw tension |
Y0a8b | Joint British Societies adjusted cardiovascular 10yr risk |
Y0a8a | Joint British Societies cardiovascular 10yr risk |
Y7380 | Joint incision - arthrotomy |
Y7381 | Joint lesion excised |
Y2728 | Joint movement good |
Y2730 | Joint movement poor |
Y2729 | Joint movement restricted |
Y7383 | Joint pain NOS |
Y3123 | Joint parental responsibility |
Y2254 | Joint replacement |
Y7384 | Juvenile osteochond. of spine |
Y4188 | Keys |
Y7386 | Kidney excision - nephrectomy |
Y4887 | Knee hyperextension gait |
Y7390 | Knee joint stiffness |
Y7391 | Knee: meniscectomy |
Y09e3 | Knowledge / health beliefs domain review (diabetes YOC) |
Y7392 | Kyphoscoliosis/scoliosis-acqu. |
Y0413 | LKM Anitbody |
Y0072 | LKM Anitibody |
Y7393 | Lab. procedure - general - NOS |
Y7394 | Lab. test requested - not done |
Y7395 | Lab. test result abnormal |
Y7397 | Lab.tech.- general science |
Y7398 | Lab.technician - analysis |
Y7401 | Lab.technician - physics |
YA539 | Laboratory identifier |
Y3942 | Laboratory location |
Y01fa | Laboratory procedure suggested |
Y7403 | Laboratory technicians |
Y7406 | Laceration - eyelid |
Y7408 | Lacrimal operation NOS |
Y7409 | Lacrimal system disorders |
Y7410 | Lacrimal system syringe |
Y7411 | Lactose free diet |
Y7412 | Laminectomy - unspecified |
Y05b3 | Language barriers |
Y7414 | Laparoscopy/peritoneoscopy |
Y7415 | Laparotomy NOS |
Y7418 | Laparotomy: FB removal |
Y7417 | Laparotomy: exploratory |
Y7419 | Laparotomy: perit.adhes.divide |
Y147c | Large BP cuff used |
Y0504 | Laser Scars |
Y7425 | Laser therapy - skin lesion |
Y01e8 | Last oxygen assessment done |
Y038e | Lateral swelling of arm |
Y03a0 | Lateral swelling of leg |
Y2232 | Leakage of urine in 24 hours |
Y12b5 | Learning Disability Indicator - No |
Y12b4 | Learning Disability Indicator - Yes |
Y0a7e | Learning difficulties health assessment |
Y2938 | Learning disability assessment |
Y1282 | Left ABPI |
Y1777 | Left Brachial Pressure |
Y2701 | Left ankle measurement (cms) |
Y2681 | Left atrophe blanche |
Y2703 | Left calf measurement (cms) |
Y1475 | Left ear result |
Y3644 | Left ear: clear response |
Y3645 | Left ear: no clear response |
Y2637 | Left fixed ankle joint |
Y01da | Left hand control required |
YA389 | Left leg length |
YA572 | Left mid thigh circumference |
Y03a5 | Left mid upper arm circumference |
Y2697 | Left oedema/lymphoedema |
Y2691 | Left pedal pulses absent |
Y2689 | Left reperfusion time >3 secs |
Y0dc2 | Left upper limb total volume |
YA326 | Leg oedema - left |
YA328 | Leg oedema - right |
Y7433 | Leg varic. vein sclerosing inj |
Y04bb | Length of time providing care to patient |
Y2372 | Length of time wound present |
Y7445 | Lens operation NOS |
Y4610 | Less than 72 hours since unprotected sexual intercourse |
Y2424 | Lesser digital deformity |
Y2733 | Lesser toe deformities |
Y7450 | Lethargy [D] |
Y138b | Leucocyte A-galactosidase level |
Y7451 | Leucocytosis -high white count |
Y7453 | Leukaemia - unspec. cell acute |
YA692 | Level of concern of friends and family |
Y1dac | Level of sedation |
Y1db0 | Level of sedation: Awake and responsive |
Y4209 | Liaison with staff |
YA241 | Life aspirations |
Y7458 | Life ass.exam.completed |
Y7459 | Life ass.exam.rep. sent off |
Y7460 | Life ass.prelim.rep.completed |
Y7463 | Life ass.prelim.rep.sent off |
Y7464 | Life ass.prelim.report NOS |
Y7465 | Life assurance - forms receivd |
Y7466 | Life assurance reprt requested |
Y0c57 | Light Brown |
Y7467 | Light smoker - 1-9 cigs/day |
Y2659 | Light touch Occ/Proximal not distal |
Y7468 | Lightheadedness [D] |
Y1638 | Likes |
Y1dc3 | Limb movement evaluation: mild weakness in left arm |
Y1dcf | Limb movement evaluation: mild weakness in left leg |
Y1dce | Limb movement evaluation: mild weakness in right leg |
Y15fa | Limited a lot by behavioural and emotional disability |
YA713 | Limited non-verbal communication |
Y2775 | Limited walking ability indoors with aid |
Y2776 | Limited walking ability outdoors with or without aid |
Y0ec4 | Lindop Parkinsons Assessment Scale |
Y7472 | Lingual tonsil excision |
Y7476 | Lipid lowering therapy |
Y7478 | Listed for E.N.T. admission |
Y7479 | Listed for Neurosurgical admis |
Y7477 | Listed for admission to hosp. |
Y2614 | Listening and attention skills |
Y7480 | Literary/artistic/sports occ. |
Y7481 | Lithium blood level abnorm.[D] |
Y1e21 | Lithium therapy |
Y7490 | Liver operations |
Y7491 | Liver scan abnormal [D] |
Y0ae5 | Lives In Extra Care Sheltered Housing |
Y01cc | Lives in a basement flat |
Y01cb | Lives in a bungalow |
YA744 | Lives in a care home with nursing |
Y01cd | Lives in a ground floor flat |
Y01cf | Lives in a mobile home |
Y11c5 | Lives in a registered nursing home (social care return) |
Y01ce | Lives in an upper floor flat |
YA743 | Lives in care home |
Y01ca | Lives in house |
Y4888 | Lives in shared accommodation |
YA791 | Lives in temporary accommodation |
Y3100 | Lives with |
YA235 | Lives with husband |
YA314 | Lives with spouse |
YA234 | Lives with wife |
YA100 | Loan of wheelchair |
Y2411 | Local anaesthetic assesment form |
Y7494 | Local auth.employee-examinat. |
Y7495 | Local auth.employee-report |
Y7498 | Local govt. officer NOS |
Y034e | Local recurrence of malignant tumour of ovary |
Y034d | Local recurrence of malignant tumour of uterus |
Y035a | Local recurrence of malignant tumour of vulva |
Y7501 | Local superfic.swelling NOS[D] |
Y1635 | Localisation-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localised onset |
Y1788 | Localisation-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures |
Y4889 | Location of falls |
Y3027 | Location of hazard or risk |
Y000d | Location of last smear test |
Y7502 | Loin pain [D] |
Y7504 | Long term assistance |
Y0c7c | Long term sick or disabled |
Y0708 | Longstanding illness disability |
Y015c | Loose fitting clothing |
Y01e6 | Loose tobacco consumption |
Y2464 | Loss of protective sensation (10g), no deformity, no previous ulcer |
Y7507 | Loss of voice [D] |
Y1d75 | Low carbohydrate diet education |
Y0a1e | Low dose diphth, tet, acellular pert and inactiv polio vaccination first booster |
Y7509 | Low forceps delivery op. |
Y228c | Low risk category for developing complication from coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 infection (finding) |
Y7511 | Lower abd. soft tiss.X-ray NOS |
Y1452 | Lower left 3rd molar (Wisdom tooth) |
Y0dd8 | Lower limb total excess volume |
Y0ddb | Lower limb total excess volume percentage |
Y7514 | Lower respiratory tract infect |
Y1444 | Lower right 3rd molar (Wisdom tooth) |
Y7515 | Lower urinary tract stone NOS |
Y7516 | Lower uterine segment caesar. |
YA679 | Lubricant issued |
Y7517 | Lumbar disc lesion - displaced |
Y7519 | Lump in breast NOS |
Y7520 | Lump in head or neck [D] |
Y7523 | Lung function mildly obstruct. |
Y7524 | Lung function signific. obstr. |
Y7525 | Lung function testing |
Y7528 | Lung x-ray abnormal NOS [D] |
Y7530 | Lung x-ray, coin lesion [D] |
Y7531 | Lung x-ray, shadow [D] |
Y0402 | Lupus anticoag screen Negative |
Y0401 | Lupus anticoag screen Positive |
Y7532 | Lupus anticoagulant screen |
Y7535 | Lymph node excision |
Y7536 | Lymphadenopathy [D] |
Y7539 | Lymphocytosis - relative |
Y0ea3 | Lymphoedema due to cancer treatment |
Y2902 | Lymphoma in Remission |
Y0ea4 | Lympoedema cause uncertain |
Y0d09 | MED3 - Specified conditions |
Y7613 | MED4 Doctors statement |
Y7614 | MED5 - doctors special stat. |
Y08d1 | MFV-JECT Booster |
Y0692 | MMR First Booster |
Y2091 | MMR II 1 |
Y016c | MMR second booster |
Y0ef3 | MMRvaxPRO 1 |
Y0ef4 | MMRvaxPRO booster |
Y7696 | MRE kept,medico-legal reasons |
Y1204 | MSU sent for ACR |
Y1203 | MSU sent for MC & S |
Y1205 | MSU sent for Protein Creatinin Index |
Y00ea | MUST step 1 (BMI score) outcome |
Y00eb | MUST step 2 (weight loss score) outcome |
Y00ec | MUST step 3 (acute disease effect score) outcome |
Y1236 | Macular oedema (left eye) |
Y1237 | Macular oedema (right eye) |
Y2196 | Maculopathy - Refer Camera |
Y4134 | Made eye contact |
YA172 | Magnesium requirement |
YA141 | Main access at front of residence |
Y0b8d | Main communication method British signing language |
Y0ace | Mainstream Housing |
Y4132 | Maintains eye contact |
Y7548 | Maintenance technicians |
Y3293 | Malabsorption due to intolerance NEC |
Y7549 | Malaise [D] |
Y7550 | Malaise and fatigue [D] |
Y7551 | Malaise and fatigue NOS [D] |
Y3551 | Malaria advice given |
Y3553 | Malaria chemoprophylaxis advised |
Y3552 | Malaria leaflet given |
Y7553 | Male genital disorder NOS |
Y7556 | Male genital organ diseases |
Y7558 | Male sterilis. reversal NOS |
Y7560 | Male sterilisation operation |
Y1bd6 | Male-to-female transsexual |
Y2368 | Malignancy |
Y00e9 | Malnutrition Universal Screening Tool (MUST) score |
Y7563 | Mammary gland contrast radiog. |
Y7564 | Mammogram abnormal [D] |
YA237 | Management expectations |
Y4857 | Management plan observation |
Y7565 | Manager - public utilities |
Y7567 | Managerial occupations |
Y7573 | Mandible - prosthesis |
Y0da7 | Mantoux result 0 - 6 mm |
Y0da9 | Mantoux result 15+ mm |
Y0673 | Married/Civil Partner |
Y7580 | Mass in head or neck [D] |
Y7581 | Mass, localized superficial[D] |
Y1314 | Mastaflu (MASTA) |
Y1cf7 | Mastaflu vaccine suspension for injection 0.5ml pre-filled syringes (Masta Ltd) 1 pre-filled disposable injection |
Y7583 | Mat B1 - cert of expected conf |
Y2990 | Maternal well-being discussed: Alcohol and drugs |
YA500 | Maximum urine volume |
Y0d0d | May benefit from a phased return to work |
Y0d0e | May benefit from altered hours |
Y0d0f | May benefit from amended duties |
Y0d10 | May benefit from workplace adaptations |
Y7600 | Mean corpusc. Hb. conc. (MCHC) |
Y7601 | Mean corpuscular volume (MCV) |
Y1fa5 | Measurement of expired nitric oxide |
Y211a | Measurement of severe acute respiratory syndrome coronavirus 2 antigen (procedure) |
Y073a | Measures of spirits per day |
Y7608 | Mechanical catheter problem |
Y7609 | Mechanical engineers |
Y039f | Medial swelling of leg |
Y2578 | Medical condition comments |
Y2768 | Medical condition prevents travel to clinic |
Y7618 | Medical equip. provision NOS |
Y4951 | Medical equipment failure |
Y7619 | Medical evaluation for rehab. |
Y3540 | Medical insurance arranged |
YA667 | Medical research council dyspnoea score |
Y09cb | Medical/psychiatric report not required: no |
YX001 | Medical/psychiatric report required |
Y1045 | Medication affecting healing |
Y1ec7 | Medication compliance |
YA461 | Medication management plan in situ |
Y1298 | Medication on discharge letter |
Y20a8 | Medication review done by clinical pharmacist |
Y06af | Medicine list reviewed for inefficient use/unwanted medicines |
Y7625 | Melanoma - head/neck |
Y7626 | Melanoma - lower limb |
Y7627 | Melanoma - trunk |
Y7628 | Melanoma - upper limb |
Y7629 | Melanoma of skin NOS |
Y12d4 | Meningococcal B Vaccine (Bexsero) 1 |
Y157b | Meningococcal B Vaccine (Bexsero) 2 |
Y157d | Meningococcal B Vaccine (Bexsero) Booster |
Y1143 | Meningococcal a,c,w135+y 1 |
Y0749 | Menitorix First Booster |
Y7634 | Menstruation disorders |
Y1d4d | Mental Health History - Low |
Y1d50 | Mental Health History - Notes |
Y1148 | Mental Health NSF Completed |
Y0d13 | Mental capacity assessment |
Y7635 | Mental disorders |
Y1c2b | Mental health clustering tool (MHCT) score |
Y0da5 | Menveo |
Y1128 | Metformin c/i due to poor renal function |
Y1f04 | Metformin therapy |
Y0db3 | Methadone Reduction Therapy |
YA499 | Micturition frequency per 24 hours |
Y01a8 | Mid tarsal joint observation |
Y04aa | Mid thoracic pain |
YA150 | Mid-afternoon eating routine |
YA148 | Mid-morning eating routine |
Y0ce5 | Mild Wheeze |
Y1224 | Mild background retinopathy (left eye) |
Y1225 | Mild background retinopathy (right eye) |
Y0f6f | Mild hearing loss |
YA501 | Minimum urine volume |
Y2345 | Minor Illness |
Y0fc6 | Minor Surgery Reason: Recurrent bleeding not amenable to cryotherapy |
Y0fc9 | Minor Surgery Reason: Significant pain |
Y0fc8 | Minor Surgery Reason: Subject to recurrent trauma because of site of lesion |
Y2186 | Minor injuries unit |
Y1fd2 | Minor surgery - haemostasis achieved |
Y0ea5 | Minor surgery instruments sterilised at CSSD |
YA867 | Mirena 20mcg/24hrs intrauterine system |
Y23fb | Mixed dementia |
Y050c | Mobile but with pain |
Y0a74 | Mobility - Completely Immobile |
Y0a71 | Mobility - No Limitations |
Y0a72 | Mobility - Slightly Limited |
Y0a73 | Mobility - Very Limited |
Y2784 | Mobility indoor/stairs: Observed |
Y0ce6 | Moderate Wheeze |
Y0f70 | Moderate hearing loss |
Y228b | Moderate risk category for developing complication from coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 infection (finding) |
Y0a6c | Moisture - Constantly Moist |
YA290 | Monitoring requirements |
Y2289 | Monofilament 75g |
Y2662 | Monofilament Occ/Proximal not distal |
Y2660 | Monofilament sensation present |
Y2452 | Monophasic |
Y4803 | Monotonous pitch |
Y0caa | Mood Disability Score |
Y4284 | Moody after illness |
Y4225 | More |
Y07ce | More Than Half The Days |
Y0282 | Morning Erections |
Y3882 | Mother Discharged |
Y7687 | Mother current breast feeding |
Y3874 | Mother has Diabetes |
Y1752 | Mother: number of live births |
Y9939 | Mothers Gestation (Calc/Est) |
Y0731 | Mothers Parity |
Y9935 | Mothers previous live births |
Y9938 | Mothers previous neonatal deaths |
YA156 | Motivation to change |
Y4769 | Motivation to follow regime |
Y1158 | Motivation to quit smoking |
YA851 | Multi-agency meeting action plan |
YA850 | Multi-agency meeting outcomes |
YA849 | Multi-agency report received |
Y04c6 | Multi-disciplinary team meeting |
Y1e15 | Multidrug Resistant Organism |
Y10b7 | Multiple Sclerosis |
Y7714 | Musculo-skeletal operation NOS |
Y7715 | Musculoskeletal pain [D] |
Y0295 | Muse Prescribed |
Y7718 | Myalgia/myositis - fore-arm |
Y7719 | Mycoplasma pneumonia |
Y7722 | Myelography - general |
Y0fbf | Myeloperoxidase antibody level (units = AI) |
Y1299 | Myocardial Perfusion Scan |
Y7727 | Myringotomy + grommet inserted |
Y7728 | Myringotomy-middle ear drained |
Y0464 | N - Not Examined |
Y0426 | N/A |
Y019f | NCSP - level shoulders |
Y17a8 | NDTMS - 28 day history of tobacco use |
Y114a | NDTMS - Alcohol consumed during the daytime on a weekend |
Y113e | NDTMS - Alcohol consumed during the evening on a weekday |
Y114c | NDTMS - Alcohol consumed during the evening on a weekend |
Y113d | NDTMS - Alcohol not consumed during the daytime on a weekday |
Y115c | NDTMS - Alcohol prescribing intention is relapse prevention |
Y18c3 | NDTMS - Client has take home naloxone and training information |
Y0f7f | NDTMS - Client involved in Motivational Interventions |
Y0f81 | NDTMS - Client involved with Contingency Management (Drug Focused) |
Y0f83 | NDTMS - Client involved with Family and Social Network Interventions |
Y0f7a | NDTMS - Client prescribing intention is Maintenance |
Y0f7c | NDTMS - Client prescribing intention is Relapse Prevention |
Y0f78 | NDTMS - Client prescribing intention is Withdrawal |
Y0f91 | NDTMS - Client provided with Mental Health Interventions |
Y0f9f | NDTMS - Client provided with family support |
Y0f9b | NDTMS - Client provided with peer support involvement |
Y18ae | NDTMS - Currently employed |
Y18bf | NDTMS - Engaged with IAPT |
Y0f8f | NDTMS - Evidence-based psychosocial interventions to support relapse prevention |
Y0f96 | NDTMS - Intervention Setting - Primary Care |
Y10e6 | NDTMS - Not in employment or education or training (NEET) |
Y0e6b | NDTMS - Referred to Community Provider |
Y0e83 | NDTMS - Referred to treatment provider |
Y0fbc | NDTMS - Sub Intervention Assessment Date |
Y0fb0 | NDTMS - Time in Treatment - 14 hours or less |
Y0fbd | NDTMS - Time in Treatment Assessment Date |
Y10e3 | NDTMS - YP anxiety status |
Y114f | NDTMS - YP did not consume alcohol on their own |
Y10e4 | NDTMS - YP happiness status |
Y115a | NDTMS - YP has drunk over alcohol guidelines |
Y115b | NDTMS - YP has not drunk over alcohol guidelines |
Y10d2 | NDTMS - YP offered screen for Chlamydia: Not appropriate |
Y10cb | NDTMS - YP offered screen for STI: Accepted |
Y10e1 | NDTMS - YP satisfaction with life score |
Y10e5 | NDTMS - relationship with family/close friends status |
Y1d3f | NEWS2 National Early Warning Score |
Y1d35 | NEWS2 SpO2 Scale 1 |
Y17be | NHS diabetes prevention programme |
Y17bf | NHS diabetes prevention programme invitation first letter |
Y17c0 | NHS diabetes prevention programme invitation second letter |
Y17c1 | NHS diabetes prevention programme invitation third letter |
Y17c4 | NHS diabetes prevention programme short message service invitation |
Y17c2 | NHS diabetes prevention programme telephone invitation |
Y17c3 | NHS diabetes prevention programme verbal invitation |
Y7783 | NHS employee report-no exam. |
YA102 | NHS provision of wheelchair |
YA077 | NHS treatment received |
Y7881 | NOS |
Y2428 | Nail pathology |
Y7729 | Nailing of bone |
Y7730 | Nappy rash : dermatitis |
Y7731 | Nasal polyps |
Y7732 | Nasal septal perf. closure |
Y7733 | Nasal septum-submucous resect. |
Y7735 | Nasal sinus operation NOS |
Y7737 | Nasal sinus puncture + irrigat |
Y2198 | National Enhanced Service - Minor Injuries |
Y0f74 | National early warning score for acute illness severity (RCP) |
Y3409 | Nature of difficulty |
Y7741 | Nausea [D] |
Y7742 | Nausea and vomiting [D] |
Y3512 | Near patient testing ES - level 1 |
Y3513 | Near patient testing ES - level 2 |
Y3514 | Near patient testing ES - level 3 |
Y3515 | Near patient testing ES - level 4 |
Y1218 | Near vision (left eye) |
Y1219 | Near vision (right eye) |
Y07cf | Nearly Every Day |
Y1327 | Nebulised at hospital |
Y1326 | Nebulised at surgery |
YA605 | Nebuliser therapy using mask |
YA686 | Neck tension |
Y2384 | Necrotic Tissue (black) |
YA565 | Needs alarm equipment |
YA313 | Needs help washing self |
Y1658 | Needs special diet |
Y3032 | Needs to get out of bed at night |
Y7745 | Neg./double contrast pyelogram |
YA551 | Negative screening findings |
Y3884 | Neonatal Discharge |
Y7746 | Nephritis/nephrosis/neph syndr |
Y7747 | Nephropathy screen |
Y7748 | Nephrotomy + calculus removal |
Y7752 | Nerv/musculosk.symptom NOS [D] |
Y7754 | Nerv/musculoskeletal sympt.[D] |
Y7755 | Nerve repair |
Y7756 | Nerve root/plexus disorders |
Y7757 | Nerve stimulation abnormal [D] |
Y7761 | Neuralgia/neuritis - fore arm |
Y7763 | Neurol. dis. treatment changed |
Y7764 | Neurol.diag.proced. - done |
Y7765 | Neurol.diag.proced.- not done |
Y7768 | Neurol.disorder monitoring NOS |
Y3071 | Neurological surgery |
Y0c4c | Neuropathic pain left foot |
Y0c4d | Neuropathic pain right foot |
YA345 | Neuropathic ulcer |
Y0012 | Neuropathy Level Worst Side |
Y0206 | Neuropathy Level Worst Side: Ankle |
Y0205 | Neuropathy Level Worst Side: Foot |
Y0203 | Neuropathy Test Not Done |
Y7769 | Neuroses |
YA195 | Neurotip pain sensation abnormal |
YA194 | Neurotip pain sensation normal |
Y4062 | Never |
Y3519 | Never had foot ulcers |
Y3235 | Never had paid employment/long-term unemployment |
Y3169 | Never has hesitancy in passing urine |
Y3148 | Never urgent when needs to pass urine |
Y7771 | New patient screen |
Y7777 | New patient screen NOS |
Y7772 | New patient screen admin. |
Y7773 | New patient screen admin. NOS |
Y7774 | New patient screen default |
Y7775 | New patient screen deleted |
Y7776 | New patient screen done |
Y7778 | New patient screen phone inv. |
Y7779 | New patient screen verbal inv. |
Y3044 | New patients annual diabetic foot assessment |
Y7780 | New pt. screen-no abnormality |
Y7782 | New reg.check done + claimable |
YA668 | New sex partners in the last 3 months |
Y15d5 | Newborn audiology test bilateral hearing loss |
Y0ba6 | Newborn blood spot - Sickle cell repeat/further sample required: transfusion - status 03 |
Y1109 | Next Appointment at Diabetes Unit |
Y3624 | Next visit arranged |
Y7785 | Night visit paid-higher rate |
Y7786 | Night visit paid-lower rate |
Y0fcf | Nimenrix 1 |
Y0428 | No |
Y0758 | No Dual Diagnosis |
Y7804 | No FH: Diabetes |
Y0ce1 | No FH: Ischaemic Heart Disease <60 |
Y0ce2 | No FH: Ischaemic Heart Disease >60 |
Y2283 | No Ischaemic pain |
Y3756 | No Ischaemic pain: left foot |
Y3755 | No Ischaemic pain: right foot |
Y2190 | No Photocoagulation Left eye |
Y2189 | No Photocoagulation Right eye |
Y1a07 | No Signs of Wound Infection |
Y2245 | No Wound Odour |
Y3237 | No abnormalities |
Y2303 | No change in sensation |
Y7792 | No consent - influenza imm. |
Y7797 | No consent - tetanus imm. |
Y1618 | No consent for examination received |
Y7798 | No consent pneumococcal immun |
Y4579 | No current indication/evidence of risk, suitable for multi-cell location |
Y7802 | No current problems/disability |
Y3414 | No dependents |
Y1102 | No eye problems |
Y0900 | No family history of diabetes Mellitus |
Y08ff | No family history of high blood pressure |
Y2731 | No feet abnormalities |
Y2735 | No friction on feet |
Y0488 | No further action required |
Y1103 | No hearing problems |
YX027 | No immediate action required |
Y4428 | No input required |
Y3292 | No jaundice |
Y3222 | No longer a carer |
Y2672 | No muscle wasting |
YA669 | No new sex partners in the last 3 months |
YA357 | No odour |
Y1609 | No other person present |
Y2666 | No painful neuropathy |
Y2669 | No paralysis |
YA079 | No previous treatment received |
Y1419 | No problem |
Y3131 | No prolapse |
Y1222 | No retinopathy (left eye) |
Y1223 | No retinopathy (right eye) |
Y1248 | No retinopathy - review 12 months |
Y3129 | No sensation |
Y4629 | No significant history of STD |
Y1028 | No significant hypoglycaemic attacks |
Y1030 | No significant hypoglycaemic attacks requiring outside help |
YA122 | No stairs in home environment |
Y2868 | No transport |
Y0c51 | No. of children under 18 yrs living with client at least one night |
Y7807 | Nodule, subcutaneous [D] |
Y0f38 | Noise Induced hearing loss |
Y3883 | Non Elective Caesarean Section |
Y0c46 | Non diabetic eye disease left |
Y0c47 | Non diabetic eye disease right |
Y1251 | Non diabetic pathology - referred via GOS 18 |
Y7808 | Non european travel |
Y7809 | Non functioning kidney |
Y7811 | Non toxic, multinodular goitre |
Y2766 | Non wheelchair dependent but requires chair for daily use |
Y0aca | Non-Settled |
Y121c | Non-Smoker (History Unknown) |
Y0e02 | Non-complex social care needs |
Y056a | Non-human bite - animal |
Y020b | Non-pitting oedema ankle |
Y020a | Non-pitting oedema foot |
Y020c | Non-pitting oedema leg |
Y7817 | Non-rheum. aortic incompetence |
Y7819 | Non-rheum. mitral incompetence |
Y7820 | Non-rheumat atrial fibril |
Y7821 | Non-rheumatic valvular disease |
Y7835 | Non-specific urethritis |
Y7846 | Non-surg. endocervical biopsy |
Y7849 | Non-surg. endometrial biopsy |
Y7854 | Non-surg. female organ biopsy |
Y7859 | Non-surg. urinary biopsy NOS |
Y7865 | Non-surgical biopsy - admin |
Y7868 | Non-surgical biopsy: anus |
Y7872 | Non-urgent dermatology admisn. |
Y7873 | Non-urgent gynaecol.admission |
Y7874 | Non-urgent haematology admisn. |
Y7875 | Non-urgent hosp.admission unsp |
Y7876 | Non-urgent ophthalmolog.admisn |
Y7877 | Non-urgent orthopaedic admisn. |
Y7879 | Non-urgent plastic surg.admisn |
Y7880 | Non-urgent psychiatric admisn. |
Y0abd | None of the children live with client |
Y7829 | Nonspec cervical smear abn.[D] |
Y7834 | Nonspecific low BP reading [D] |
Y7836 | Nonspecific urine findings [D] |
Y7837 | Nonspecific x-ray findings [D] |
Y2188 | Normal Macula Left eye |
Y2187 | Normal Macula Right eye |
Y1375 | Normal Sigmoidoscopy |
YX132 | Normal Urethra, Prostate & Bladder |
YA708 | Normal communicative intent |
Y2463 | Normal sensation, no deformity, no previous ulcer |
Y2778 | Normal sitting ability |
Y4397 | Normal voice quality |
Y7882 | Nose bleed symptom |
Y7883 | Nose bleed symptom NOS |
Y7886 | Nose reconstructed |
Y1582 | Not Asked |
Y07cc | Not At All |
Y1600 | Not Suitable for Renal Transplant |
Y0abe | Not a parent |
Y07bc | Not been at risk of eviction within past 28 days |
Y1a00 | Not completed National Health Service diabetes programme - digital intervention |
YA158 | Not considered any change |
Y3416 | Not disabled |
Y08f5 | Not had Influenza vaccination |
Y08fc | Not had Pneumovax II vaccine injection |
Y07bb | Not had acute housing problem (been homeless) in last 28 days |
Y0734 | Not in education, training or employment |
Y07bd | Not injected in the last 28 days |
Y7890 | Not interested in stop smoking |
Y07b4 | Not known if client is employed |
Y08f6 | Not known if had Influenza vaccination |
Y08ec | Not known if had MMR Vaccination |
Y08ed | Not known if had Meningitis C Vaccination |
Y08fb | Not known if had Pneumovax II vaccine injection |
Y08f2 | Not known if had Tetanus vaccination |
Y0158 | Not referred for Exercise Programme |
Y1734 | Not sent for histology |
Y07b8 | Not shared needles or paraphernalia in last 28 days |
Y7897 | Not up to date with immunisat. |
Y1ca2 | Number of Pulmonary Rehabilitation Classes attended |
Y15b9 | Number of actions recommended by Medicines Optimisation Pharmacist |
Y1025 | Number of admissions for high glucose problem |
Y045c | Number of anal fissures present |
Y1492 | Number of births this confinement |
Y0754 | Number of children under 16 years |
Y0fdb | Number of condoms issued |
Y2944 | Number of days post delivery |
Y0755 | Number of drinking days in month prior to initial assessment |
Y4743 | Number of ectopic pregnancies |
Y3351 | Number of falls in last 12 months |
Y3360 | Number of falls within 3 months after initial contact |
YA310 | Number of hours of oxygen therapy per day |
YA567 | Number of lymph nodes removed |
YA590 | Number of near falls in the last year |
Y4742 | Number of neonatal deaths |
Y4616 | Number of new sexual partners in the last 12 months |
YA495 | Number of normal deliveries |
Y3343 | Number of past admissions due to fall |
Y01ec | Number of pillows |
Y1257 | Number of seizures per month |
Y0756 | Number of units consumed on a drinking day in month prior to initial assessment |
Y01e7 | Number of unscheduled encounters for COPD in the last 12 months |
Y0f73 | Number of wound sites |
Y2408 | Number per day |
Y7898 | Numbness [D] |
Y0d11 | Nursing Home Les Assessment Completed Higher Rate |
Y7900 | Nursing/other home |
Y0a76 | Nutrition - Adequate |
Y0a75 | Nutrition - Excellent |
Y0a77 | Nutrition - Probably Inadequate |
Y2590 | Nutritional risk score |
Y7906 | O.Lab with fetal malposition |
Y7912 | O/E - Cheyne-Stokes resp. |
Y00bc | O/E - L.dorsalis pedis palpable |
Y0254 | O/E - L.femoral pulse not done |
Y0252 | O/E - L.popliteal pulse not done |
Y00be | O/E - L.post.tib.pulse palpable |
Y0246 | O/E - L.posterior tibial absent |
Y0247 | O/E - L.posterior tibial present |
Y00c0 | O/E - R.dorsalis pedis palpable |
Y0255 | O/E - R.femoral pulse not done |
Y0253 | O/E - R.popliteal pulse not done |
Y00c2 | O/E - R.post.tib.pulse palpable |
Y0249 | O/E - R.posterior tibial absent |
Y0250 | O/E - R.posterior tibial present |
Y7931 | O/E - VE -uterine swelling |
Y7907 | O/E - arterial wall cord like |
Y7908 | O/E - blood stained ear disch. |
Y7909 | O/E - blood stained vag. disch |
Y7911 | O/E - capilliary naevi present |
Y4957 | O/E - eye movements abnormal |
Y7917 | O/E - height 10-20% < average |
Y7922 | O/E - lichenified skin |
Y7929 | O/E - retinal A-V nipping |
Y7930 | O/E - thyroid gland - NOS |
Y090e | O/E - visual acuity L eye = 4/6 |
YX071 | O/E - visual acuity L eye =6/15 |
YX073 | O/E - visual acuity L eye =6/7 |
Y1713 | O/E - visual acuity L eye =6/>60 |
Y0845 | O/E - visual acuity L-eye = 2/6 |
Y0848 | O/E - visual acuity L-eye = 2/BB |
Y3909 | O/E - visual acuity L-eye = 3/36 |
Y3894 | O/E - visual acuity L-eye = 3/6 |
Y3912 | O/E - visual acuity L-eye = 3/60 |
Y0875 | O/E - visual acuity L-eye = 5/18 |
Y0872 | O/E - visual acuity L-eye = 5/6 |
Y0878 | O/E - visual acuity L-eye = 5/60 |
Y1829 | O/E - visual acuity L-eye = 6/0 |
Y08ad | O/E - visual acuity L-eye = 6/08 |
Y088a | O/E - visual acuity L-eye = 6/15 |
Y08ac | O/E - visual acuity L-eye = 6/16 |
Y08ab | O/E - visual acuity L-eye = 6/19 |
Y08aa | O/E - visual acuity L-eye = 6/20 |
Y1830 | O/E - visual acuity L-eye = 6/3 |
Y1831 | O/E - visual acuity L-eye = 6/30 |
Y08b0 | O/E - visual acuity L-eye = 6/75 |
Y08a3 | O/E - visual acuity L-eye = 6/96 |
Y0892 | O/E - visual acuity L-eye = 9/6 |
Y3910 | O/E - visual acuity R-eye = 3/36 |
Y3895 | O/E - visual acuity R-eye = 3/6 |
Y3913 | O/E - visual acuity R-eye = 3/60 |
Y3898 | O/E - visual acuity R-eye = 3/9 |
Y0864 | O/E - visual acuity R-eye = 4/6 |
Y091b | O/E - visual acuity R-eye = 4/60 |
Y087c | O/E - visual acuity R-eye = 5/5 |
Y087d | O/E - visual acuity R-eye = 5/6 |
Y0883 | O/E - visual acuity R-eye = 5/60 |
Y087e | O/E - visual acuity R-eye = 5/9 |
Y0922 | O/E - visual acuity R-eye = 6/13 |
Y088d | O/E - visual acuity R-eye = 6/15 |
Y08a0 | O/E - visual acuity R-eye = 6/16 |
Y1833 | O/E - visual acuity R-eye = 6/3 |
Y1837 | O/E - visual acuity R-eye = 6/30 |
Y1834 | O/E - visual acuity R-eye = 6/4 |
Y089d | O/E - visual acuity R-eye = 6/40 |
Y089c | O/E - visual acuity R-eye = 6/61 |
Y1556 | O/E - visual acuity R-eye = 6/7 |
Y0895 | O/E - visual acuity R-eye = 9/6 |
Y1841 | O/E - visual acuity both eyes |
Y3914 | O/E - visual acuity both eyes = 3/60 |
Y086b | O/E - visual acuity both eyes = 5/9 |
Y1824 | O/E - visual acuity both eyes = 6/12 |
Y1826 | O/E - visual acuity both eyes = 6/18 |
Y1827 | O/E - visual acuity both eyes = 6/24 |
Y1847 | O/E - visual acuity both eyes = 6/36 |
Y0695 | O/E - visual acuity both eyes = 6/4 |
Y0835 | O/E - visual acuity both eyes = 6/5 |
Y0885 | O/E - visual acuity both eyes = 6/5 |
Y1822 | O/E - visual acuity both eyes = 6/6 |
Y2235 | O/E - visual acuity both eyes = 6/60 |
Y1823 | O/E - visual acuity both eyes = 6/9 |
Y3316 | O/E - visual acuity with glasses both |
Y3317 | O/E - visual acuity with glasses left |
Y3318 | O/E - visual acuity with glasses right |
Y3319 | O/E - visual acuity without glasses both |
Y3320 | O/E - visual acuity without glasses left |
Y3321 | O/E - visual acuity without glasses right |
Y7938 | O/E -raised intracranial press |
Y19cd | O/E Ears - no abnormality detected |
Y7943 | O/E-height > 20% below average |
Y7945 | O/E-red/green colour blindness |
Y7939 | O/E: cholesterol gall stone |
Y7940 | O/E: gall stone |
Y7941 | O/E: gall stone NOS |
Y18ea | OE Cephalic Presentation |
Y3020 | OTC analgesia product |
Y3021 | OTC health food |
Y0e75 | OWL Quality of Life Score |
Y4158 | Object selection |
Y2444 | Objective history |
Y01ad | Observation of gait - excess pronation |
YA098 | Observation of meniscus |
YA097 | Observation of patella movement |
YA106 | Observation of sensation of lower limb |
YA451 | Observation of urinary catheter |
Y01f4 | Observations of pattern of weight |
YA447 | Observations relating to coping mechanisms |
Y4781 | Observed |
Y2667 | Occasional painful neuropathy |
Y7960 | Occult blood screen |
Y0783 | Occupation Not Known |
Y3362 | Occupational therapy assessment |
Y7961 | Ocular laceration |
Y7963 | Ocular m. myotomy |
Y7966 | Ocular muscle operations NOS |
Y7968 | Ocular penetration - FB |
Y09db | Odyssey triage recorded |
Y7972 | Oedema NOS [D] |
Y7975 | Oedema, localized [D] |
Y7977 | Oesophageal disease NOS |
Y7978 | Oesophageal perforation |
Y7981 | Oesophageal webb rupture |
Y7983 | Oesophagostomy |
Y7988 | Oesophagus lesion excision |
Y7989 | Oesophagus operation NOS |
Y7992 | Oesteopathic manipulation |
Y9986 | Of spine |
Y2247 | Offensive Wound Odour |
YA359 | Offensive odour |
Y0168 | Offer of counselling for carer(s) |
Y0167 | Offer of education for carer(s) |
Y0165 | Offer of guidance of action on relapse |
Y2586 | Often feel as though going to be sick |
Y04f7 | On Admission assessments started |
Y2262 | On Waiting List for Regular Therapy |
Y1601 | On Waiting List for Renal Transplant |
Y2906 | Ongoing therapy |
Y3145 | Only child |
Y1552 | Onset of respiration |
Y3111 | Onset of symptoms 0 to 6 months ago |
Y3114 | Onset of symptoms over 2 years ago |
Y3112 | Onset of symptoms up to 12 months ago |
Y3113 | Onset of symptoms up to 2 years ago |
Y2266 | Onward Referral |
Y2619 | Onward referral made (specify) |
Y8005 | Open # reduction+intern.fixat. |
Y8010 | Open wound - ankle |
Y8014 | Open wound - ear |
Y8016 | Open wound - eyebrow |
Y8018 | Open wound - foot |
Y8019 | Open wound - fore arm |
Y8020 | Open wound - forehead |
Y8026 | Open wound - knee |
Y8028 | Open wound - leg |
Y8030 | Open wound - lower limb |
Y8035 | Open wound - scalp |
Y8037 | Open wound - thigh |
Y8039 | Open wound - thumb |
Y8040 | Open wound - toe |
Y8041 | Open wound - upper arm |
Y8044 | Open wound - wrist |
Y8046 | Open wound NOS - lower limb |
Y8049 | Operation on brain NOS |
Y8053 | Operations to aid deliv. NOS |
Y8059 | Ophthalmic herpes zoster |
Y03fe | Ophthalmologist consulted |
Y0fd0 | Optaflu |
Y1797 | Optician involved |
YA824 | Oral analgesia |
Y3539 | Oral contraception taken |
Y8061 | Oral contraceptive re-started |
Y8062 | Oral leukoplakia |
Y2255 | Oral medication |
Y1b3d | Oral penicillin challenge test negative |
Y8064 | Oral/salivary/jaw dis. NOS |
Y8069 | Orchitis/epididymitis |
Y8070 | Orchitis/epididymitis NOS |
Y4674 | Organisation |
Y8073 | Oro-antral fistula repair |
Y3070 | Orthopaedic surgery |
Y01b1 | Orthotic prescription |
Y8081 | Osteoarthritis - NOS |
Y8078 | Osteoarthritis - elbow joint |
Y8079 | Osteoarthritis - hip joint |
Y8080 | Osteoarthritis - knee joint |
Y8082 | Osteoarthritis - wrist joint |
Y8083 | Osteoarthritis -shoulder joint |
Y8084 | Osteochond dissecans |
Y8085 | Osteomyelitis NOS |
Y8089 | Osteomyelitis NOS - hand |
Y8090 | Osteomyelitis NOS - hip |
Y8091 | Osteomyelitis NOS - knee |
Y8092 | Osteomyelitis NOS - multiple |
Y8095 | Osteotomy - unspecified |
Y8096 | Otalgia - earache |
Y1642 | Other Mental Disability |
Y1016 | Other Non Cancer Diagnosis |
Y8210 | Other X-ray diagn. procedures |
Y2238 | Other acute aetiology of wound |
YX066 | Other agency involved |
Y1789 | Other and unspecified drugs, medicaments and biological substances |
Y8103 | Other arthroplasty NOS |
Y3295 | Other atopic dermatitis |
Y8108 | Other candidiasis |
Y3439 | Other cerebellar ataxia |
Y2310 | Other change in sensation |
Y2239 | Other chronic aetiology of wound |
Y2331 | Other comments regarding blood pressure |
Y2325 | Other comments regarding blood samples |
Y3616 | Other comments regarding diabetic management |
Y3600 | Other comments regarding eyes |
Y3610 | Other comments regarding glucose |
Y3607 | Other comments regarding injection sites |
Y2301 | Other comments regarding lifestyle |
Y2335 | Other comments regarding urine sample |
Y3298 | Other congenital malformations of the limb(s) |
Y8117 | Other diagnostic radiology |
Y8118 | Other dislocation reduct. NOS |
YA793 | Other disorder suspected |
Y8120 | Other electrical stim. NOS |
Y8122 | Other endocrine funct.study[D] |
Y081f | Other eye abnormality - referral indicated (lid and pupil abnormalities etc) |
Y2241 | Other factors which delay healing |
Y8126 | Other fascia operations |
Y8127 | Other female genital disorders |
Y8129 | Other forceps delivery op. |
Y8132 | Other ill-defined condition[D] |
Y8134 | Other immunization (Rate A) |
Y8135 | Other immunization (Rate B) |
Y8136 | Other immunization claim |
Y8139 | Other inflam skin/subcut disea |
Y1252 | Other investigation required |
Y8142 | Other joint pain |
Y8149 | Other lymphatic op. NOS |
Y8160 | Other neoplasm screen NOS |
Y2302 | Other neurological test |
Y8168 | Other nutritional deficiencies |
Y2620 | Other outcome |
Y1608 | Other person present |
Y2685 | Other pressures - Left |
Y2686 | Other pressures - Right |
Y3076 | Other professionals involved |
Y3099 | Other psychological details |
Y2613 | Other reason for discharge |
Y3550 | Other recommended vaccine |
Y4331 | Other relevant information |
Y4232 | Other relevant information from Carer |
Y8181 | Other skin/subcutan disorders |
Y8182 | Other skin/subcutaneous op. |
Y8183 | Other skin/subcutaneous op.NOS |
Y3236 | Other spontaneous cephalic |
Y071f | Other structured intervention |
Y3082 | Other surgery |
Y8188 | Other sympathectomy |
Y8189 | Other sympt.abdomen/pelvis [D] |
Y8191 | Other tendon operations NOS |
Y8196 | Other thyroid operations NOS |
Y2240 | Other type of wound |
Y8201 | Other urinary contrast radiog. |
Y8204 | Other uterine operations |
Y8214 | Otoplasty - prominent ear |
Y0f6b | Otoscopy: Left Ear canal - obstruction |
Y0f6a | Otoscopy: Left Ear canal blocked with wax |
Y0f69 | Otoscopy: Left Ear canal clear |
Y0f6c | Otoscopy: Left ear drum clear |
Y0f6e | Otoscopy: Left ear drum not seen |
Y0f6d | Otoscopy: Left ear drum perforation |
Y0f65 | Otoscopy: Right Ear canal - obstruction |
Y0f64 | Otoscopy: Right Ear canal blocked with wax |
Y0f63 | Otoscopy: Right Ear canal clear |
Y0f66 | Otoscopy: Right ear drum clear |
Y0f68 | Otoscopy: Right ear drum not seen |
Y0f67 | Otoscopy: Right ear drum perforation |
Y8216 | Outbreak of malaria- advice |
YA967 | Outcome - general examination |
Y006a | Outcome - hearing |
Y00a7 | Outcome - speech and language |
YA821 | Outcome of assessment |
Y3591 | Outcome of bed rail risk assessment |
Y071c | Outreach |
YA395 | Outside toilet |
Y8218 | Ovarian hormone implant opern |
YA459 | Over the counter medication |
Y0946 | Over the counter products: no |
Y0146 | Overview Atopic |
Y0145 | Overview Hypo Aware |
Y0028 | Overview Notes |
YA508 | Oxford grading for pelvic floor strength |
YA309 | Oxygen flow rate |
Y19de | Oxygen saturation (self-monitoring) |
Y1d3b | Oxygen therapy via continuous positive airways pressure |
Y0460 | P - Problem |
Y8225 | P/N - fifth day visit |
Y8226 | P/N - first day visit |
Y8227 | P/N - fourth day visit |
Y8228 | P/N - ninth day visit |
Y8229 | P/N - second day visit |
Y8231 | P/N - sixth day visit |
Y8232 | P/N - tenth day visit |
Y8233 | P/N - third day visit |
Y8234 | P/N care <48hrs after birth |
Y8235 | P/N care >48hrs after birth |
Y8430 | PFR 60-80% of predicted |
Y8431 | PFR after bronchodilation |
Y11f2 | PHQ-9 Question 1 Score: Little interest or pleasure in doing things |
Y11f3 | PHQ-9 Question 2 Score: Feeling down, depressed, or hopeless |
Y11f4 | PHQ-9 Question 3 Score: Trouble falling or staying asleep, or sleeping too much |
Y11f5 | PHQ-9 Question 4 Score: Feeling tired or having little energy |
Y11f6 | PHQ-9 Question 5 Score: Poor appetite or overeating |
Y11f7 | PHQ-9 Question 6 Score: Feeling bad about yourself - or that you are a failure or have let yourself or your family down |
Y11f8 | PHQ-9 Question 7 Score: Trouble concentrating on things, such as reading the newspaper or watching television |
Y11f9 | PHQ-9 Question 8 Score: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual |
Y11fa | PHQ-9 Question 9 Score: Thoughts that you would be better off dead, or of hurting yourself in some way |
Y0e21 | PHQ-9 questionnaire given |
Y1870 | PKU 2 - Sample Taken |
Y4584 | PKU Result: Parent refused blood test |
Y1388 | PKU sample received at laboratory |
Y4586 | PKU: blood test performed |
Y0281 | PNS Other(s) |
Y0280 | PNS Right Knee |
Y8675 | PSV + conductor exam. |
Y040a | Paediatric neurologist consulted |
Y11ba | Paid Employment - more than 16 hours per week |
Y2699 | Pain - Left leg |
Y2700 | Pain - Right leg |
YA350 | Pain at dressing change |
Y8238 | Pain in left iliac fossa [D] |
Y8239 | Pain in right iliac fossa [D] |
Y1d7a | Pain self efficacy questionnaire score |
Y8241 | Pain, generalized [D] |
Y8242 | Pain, pleuritic [D] |
Y8243 | Pain, precordial [D] |
Y8244 | Painful respiration [D] |
Y8245 | Painful swallowing |
Y8246 | Painful urination [D] |
Y2483 | Paitent can walk on a treadmill |
Y8247 | Palate incision - fenestration |
Y1000 | Palliative Care Diagnoses |
Y8249 | Pallor [D] |
Y2437 | Palpable |
Y2273 | Palpable Absent |
YA431 | Palpable by clinician |
YA430 | Palpable by patient |
Y8252 | Palpitations [D] |
Y8253 | Palpitations NOS [D] |
Y09af | Palpitations: no |
Y8255 | Pancreas operations |
Y0baf | Pandemic influenza vacc advised |
Y0bae | Pandemic influenza vacc offered |
Y0be3 | Pandemrix consent |
Y0be4 | Pandemrix refusal |
Y1141 | Paper medical records unavailable |
Y1800 | Paper record held here |
Y8261 | Parachuting medical exam. |
Y8262 | Paraesthesia [D] |
Y8263 | Parageusia [D] |
Y8264 | Paralysis - vocal cords/larynx |
Y8265 | Paralysis agitans |
Y2670 | Paralysis flaccid |
Y2671 | Paralysis spastic |
Y9991 | Paraplegia and tetraplegia |
Y8269 | Parathyroid operations |
Y1517 | Parent / carer present at assessment |
Y1792 | Parent not present |
Y1605 | Parent present |
Y8271 | Parent reassured |
Y0e0c | Parent refusal to weight measured |
Y2719 | Parental responsibility |
Y2984 | Parenting issues explained: Family support |
Y8272 | Parity status |
Y8273 | Parkinsons Society member |
Y8276 | Part post-natal care-1 visit |
Y8277 | Part post-natal care-2 visits |
Y8278 | Part post-natal care-3 visits |
Y3299 | Partial epilepsy |
Y8282 | Partial ostectomy |
Y8284 | Partial thromboplastin time |
Y2940 | Partially completed |
YA014 | Participates in pretend play |
Y1472 | Pass |
Y031f | Passive range of left ankle eversion |
Y030f | Passive range of left ankle inversion |
Y02d5 | Passive range of left hip abduction |
Y02db | Passive range of left hip adduction |
Y02cf | Passive range of left hip extension |
Y02e7 | Passive range of left hip external rotation |
Y02c9 | Passive range of left hip flexion |
Y02e1 | Passive range of left hip internal rotation |
Y02f3 | Passive range of left knee extension |
Y02ed | Passive range of left knee flexion |
Y022f | Passive range of left shoulder abduction |
Y025f | Passive range of left shoulder external rotation |
Y020f | Passive range of left shoulder flexion |
Y024f | Passive range of left shoulder internal rotation |
Y02ab | Passive range of left wrist extension |
Y02a5 | Passive range of left wrist flexion |
Y02bd | Passive range of left wrist pronation |
Y02c3 | Passive range of left wrist supination |
Y032a | Passive range of right ankle eversion |
Y031a | Passive range of right ankle inversion |
Y02d6 | Passive range of right hip abduction |
Y02dc | Passive range of right hip adduction |
Y02d0 | Passive range of right hip extension |
Y02e8 | Passive range of right hip external rotation |
Y02ca | Passive range of right hip flexion |
Y02e2 | Passive range of right hip internal rotation |
Y02f4 | Passive range of right knee extension |
Y02ee | Passive range of right knee flexion |
Y023a | Passive range of right shoulder abduction |
Y026a | Passive range of right shoulder external rotation |
Y021a | Passive range of right shoulder flexion |
Y025a | Passive range of right shoulder internal rotation |
YA682 | Past expiry date |
Y00e4 | Past treatment |
Y8288 | Pat. de-registered by GP NOS |
Y8301 | Patellectomy |
Y8304 | Path. disloc. - elbow joint |
Y8314 | Path.fracture - hand |
Y0007 | Pathology Action |
Y0008 | Pathology Comment |
Y0010 | Pathology Test |
YA053 | Pathology result missing |
Y1d9a | Patient Activation Measure assessment not appropriate |
Y0162 | Patient Goals Achieved |
Y0161 | Patient Goals Review |
Y0eed | Patient Held Health Plan Commenced |
Y0eec | Patient Held Health Plan Declined |
Y0e55 | Patient Immunocompetant |
Y0454 | Patient Insight Of Illness |
Y0196 | Patient Referred for Long Term Followup (Phase 4) |
Y1263 | Patient Refused Referral |
Y0e15 | Patient Specific Functional Scale |
Y2713 | Patient able to access optometrist |
Y0e13 | Patient administration status - patient self-administration |
Y8320 | Patient advised mobilise part |
Y0f4b | Patient advised on lost or damaged hearing aid policy |
Y8326 | Patient advised re OTC medicat |
Y8323 | Patient advised re bed rest |
Y8324 | Patient advised re diet |
Y2215 | Patient advised to ring emergency services |
Y1fcc | Patient and carer concerns |
Y1fea | Patient and carer concerns, expectations and wishes |
Y3761 | Patient appears to be average weight |
Y3763 | Patient appears to be obese |
Y3762 | Patient appears to be overweight |
Y0197 | Patient attended formal exercise programme |
Y0176 | Patient attending formal exercise session |
Y4542 | Patient attends CASH service for cervical smear |
Y4541 | Patient attends GP practice for cervical smear |
YA010 | Patient awaiting hearing test |
Y4334 | Patient aware of any allowances they are entitled to |
Y1637 | Patient aware of referral |
Y2465 | Patient can not walk on treadmill |
Y100a | Patient choice of equipment |
Y2412 | Patient complains of |
YA782 | Patient concerned about speech difficulty |
Y4231 | Patient concerns at the time of illness |
Y4230 | Patient concerns following illness |
YA683 | Patient confirmed treatment |
Y4122 | Patient consent for use of recordings for other |
Y4119 | Patient consent for use of recordings for research |
Y4118 | Patient consent for use of recordings for teaching / demonstration to other professionals |
Y4117 | Patient consent for use of recordings for teaching / demonstration to students |
Y1026 | Patient consented to shared diabetic computer record |
Y09da | Patient consented to sharing of information: no |
Y4499 | Patient consents to voice recording |
Y8333 | Patient de-registered by GP |
Y8334 | Patient de-registration |
Y17f3 | Patient does not have communication/information need |
Y046b | Patient examined under anaesthetic |
Y046c | Patient examined under sedation |
Y4636 | Patient had sex with females in the last 3 months |
Y4635 | Patient had sex with males in the last 3 months |
Y1c9f | Patient has a written Bronchiectasis personal action plan |
Y17f2 | Patient has communication/information need |
Y09fb | Patient has not previously used drugs |
Y2769 | Patient in nursing home bed |
Y1378 | Patient informed of next injection due date |
Y8341 | Patient initiated enc. NOS |
Y1d83 | Patient initiated on anticoagulant therapy more > 1 week after AF diagnosis |
Y0f44 | Patient instructed on cleaning of hearing aids |
Y0f3f | Patient instructed on fitting of hearing aid |
Y0f4e | Patient instructed on how to contact us - free phone number |
Y4654 | Patient is the preferred method of notification for partner 1 |
Y4655 | Patient is the preferred method of notification for partner 2 |
Y4656 | Patient is the preferred method of notification for partner 3 |
Y4657 | Patient is the preferred method of notification for partner 4 |
Y16b8 | Patient language unknown |
Y2588 | Patient looks thin |
Y09e4 | Patient main issue today (diabetes YOC) |
Y8343 | Patient not seen > 5 years |
Y10b5 | Patient on Co-ordinate My Care |
Y8344 | Patient reassured |
Y1cc6 | Patient referral for vocational rehabilitation |
Y8346 | Patient refused lab. test |
Y8347 | Patient reg. - data queries |
Y8348 | Patient reg. data unknown |
Y8350 | Patient reg. date queries NOS |
Y22b7 | Patient reported having already had Covid-19 in the recent past (not tested) |
Y22b8 | Patient reported having already had Covid-19 in the recent past (tested) |
Y1a6e | Patient reports an admission to HDU in last 12 months |
Y1af0 | Patient reports history of genital infection |
Y1a7a | Patient reports migraines /severe headaches |
Y1a7f | Patient reports muscoskeletal disorder |
Y1a6d | Patient reports taking antipsychotic medication |
YA464 | Patient requires medication to be administered |
Y2205 | Patient seeing counsellor in specialist agency |
YA238 | Patient self care |
Y8351 | Patient self de-reg NOS |
Y8353 | Patient self discharge |
Y0ab3 | Patient status alert: special notes |
Y0395 | Patient taking hormones |
Y4640 | Patient treated for chlamydial infection |
Y3808 | Patient undecided (Pallative Care) |
Y22b9 | Patient waiting to be tested for Covid-19 |
Y4539 | Patient wishes to see doctor |
Y0bb4 | Patient withdrawn from local study |
Y4329 | Patients concerns following illness |
Y3115 | Patients condition stable |
Y4335 | Patients description of dysphasia history |
YA402 | Patients expectations of assessment |
Y4917 | Patients expectations of care |
YA694 | Patients interpretation of cause of symptoms |
Y3496 | Patients involvement in decision making |
Y3029 | Patients perception of current problem |
Y0fd6 | Patients reason for requesting referral |
Y13a7 | Peak flow - worsening asthma - less than |
Y2342 | Pedal pulses absent |
Y8356 | Pelvic abscess drainage |
Y3215 | Pelvic floor assessment |
YA509 | Pelvic floor contraction observation |
Y8357 | Pelvic floor repair op. NOS |
Y3219 | Pelvic floor treatments |
Y8358 | Pelvic lump [D] |
Y8359 | Pelvic mass [D] |
Y4187 | Pen |
Y8365 | Penile discharge [D] |
Y8366 | Penis operation NOS |
Y8367 | Pentagastrin test-acid secret. |
Y8424 | Per-oral cholecystography |
Y0e30 | Percentage CD14 Monocyte Count |
YA308 | Percentage oxygen therapy |
Y0222 | Percussion: Abnormal |
Y0221 | Percussion: Normal |
Y8368 | Percut. needle biopsy - liver |
Y8372 | Perforation of ear drum |
Y8373 | Peri articular injection |
Y8374 | Perianal abscess drained |
Y8375 | Perianal candida |
Y045f | Perianal skin changes |
Y046f | Perianal swab taken |
Y8406 | Perineal tear/lacerat. repair |
Y8408 | Periodic exam. during employ |
Y1784 | Periodic paralysis |
Y2675 | Peripheral hair absent |
Y2673 | Peripheral hair present |
Y2674 | Peripheral hair thinning |
Y8411 | Peripheral nerve dis. NOS |
Y8412 | Peripheral nerve surg. biopsy |
Y8413 | Peripheral oedema [D] |
Y2648 | Peripheral pulses regular |
Y8416 | Peritoneum - ascites tap |
Y8419 | Peritonsillar abscess -quinsey |
Y8422 | Permanent cardiac pacemaker |
Y0f31 | Persistent earache |
Y3368 | Person benefited from intervention |
Y2364 | Personal Hygiene |
Y2835 | Personal wellbeing: Assessed |
Y2834 | Personal wellbeing: Discussed |
Y2833 | Personal wellbeing: Observed |
Y4233 | Personality - Before illness |
Y8426 | Pesticides - toxic effect |
Y8427 | Petechiae [D] |
Y8433 | Pharmacists |
Y0c08 | Phenindione Dose |
Y8439 | Phobic state |
Y8440 | Phonocardiogram abnormal [D] |
YA231 | Phosphorus requirement |
Y2192 | Photocoagulation Left eye |
Y2191 | Photocoagulation Right eye |
Y0513 | Photography (Dilated) |
Y0700 | Physical - motor disability |
Y1b34 | Physical Activity Clinical Advice Pad - PACAP |
Y00f3 | Physical activity level |
Y8446 | Physical disabil.assess score |
Y8449 | Physical/nutrit. assessment |
Y102b | Physio Any Qualified Provider Episode of Care |
Y8456 | Pilonidal sinus excision |
Y0004 | Pints of beer |
Y0737 | Pints of beer per day |
YA182 | Pitting oedema ankle |
YA180 | Pitting oedema foot |
YA184 | Pitting oedema leg |
Y8458 | Pituitary function test |
Y8460 | Placenta praevia - no hge |
Y8464 | Plain X-ray ankle joint |
Y8465 | Plain X-ray clavicle |
Y8466 | Plain X-ray elbow |
Y8467 | Plain X-ray ethmoidal cells |
Y8469 | Plain X-ray foot |
Y8470 | Plain X-ray frontal sinuses |
Y8471 | Plain X-ray hand |
Y8474 | Plain X-ray knee |
Y8475 | Plain X-ray lumbar spine |
Y8476 | Plain X-ray lumbar/sacral spi. |
Y8477 | Plain X-ray mandible |
Y8478 | Plain X-ray mastoid process |
Y8480 | Plain X-ray maxillary sinuses |
Y8481 | Plain X-ray neck of femur |
Y8484 | Plain X-ray patella |
Y8486 | Plain X-ray pubis |
Y8487 | Plain X-ray ribs |
Y8488 | Plain X-ray sacro-iliac joint |
Y8489 | Plain X-ray scapula |
Y8490 | Plain X-ray shoulder joint |
Y8491 | Plain X-ray sternum |
Y8492 | Plain X-ray temporomandib.jnt |
Y8493 | Plain X-ray thoracic cage |
Y8494 | Plain X-ray thoracic spine |
Y8463 | Plain radiography |
Y0a4d | Planned Home Birth attended by Midwife or doctor |
Y0a4e | Planned Home Birth unattended by Midwife or doctor |
Y01be | Planned intervention |
YA179 | Planned nail procedure |
Y1fce | Planned surgery to left foot |
Y1fcf | Planned surgery to right foot |
Y04c8 | Planning meeting |
Y17bb | Plasma antithrombin III activity (UOM=%) |
Y17ba | Plasma factor XI level (UOM=iu/dL) |
Y17ca | Plasma free protein S level (UOM=%) |
Y17cc | Plasma renin level (UOM=nmol/L/h) |
Y177f | Plasma ristocetin cofactor level (UoM U/dL) |
Y8506 | Pleurodynia [D] |
Y103d | Pneumococcal IgG level (UOM: u/mL) |
Y19f0 | Pneumococcal Polysaccharide Vaccine (MSD) |
Y1731 | Pneumococcal Vaccination Invite letter 1 |
Y1732 | Pneumococcal Vaccination Invite letter 2 |
Y1733 | Pneumococcal Vaccination Invite letter 3 |
Y15f3 | Pneumococcal polysaccharide vaccine (sanofi pasteur MSD Ltd) |
Y210a | Pneumonia caused by severe acute respiratory syndrome coronavirus 2 (disorder) |
Y8508 | Pneumonia/influenza NOS |
Y1f0f | Pneumovax 23 |
Y1137 | Pneumovax ll 1 |
Y2430 | Podiatry / Chiropody care |
Y8509 | Poikilocytosis [D] |
Y0600 | Point of Care Echocardiogram |
Y8515 | Poisoning: venom spiders |
Y05da | Polio Vaccine Live Booster |
Y8518 | Polydipsia [D] |
Y8519 | Polydipsia NOS [D] |
Y2416 | Polydypsia / Polurea |
Y8522 | Polyuria [D] |
Y0425 | Poor |
Y0503 | Poor View Obtained |
Y4490 | Poor postural alignment |
Y8523 | Poor self esteem |
Y0f3e | Poor speech discrimination |
Y1043 | Poor tissue perfusion |
YA559 | Positive screening findings |
Y1073 | Possible indicators: Arterial Disease: Angina |
Y1071 | Possible indicators: Arterial Disease: Diabetes |
Y2218 | Possible indicators: Arterial Disease: Family history of heart disease |
Y1077 | Possible indicators: Arterial Disease: Hypertension |
Y1079 | Possible indicators: Arterial Disease: Intermitted claudication |
Y1081 | Possible indicators: Arterial Disease: Ischaemic rest pain |
Y1076 | Possible indicators: Arterial Disease: Peripheral vascular disease |
Y1080 | Possible indicators: Arterial Disease: Previous arterial surgery |
Y1072 | Possible indicators: Arterial Disease: Smoking |
Y1075 | Possible indicators: Arterial Disease: Tranient ischaemic attack |
Y1059 | Possible indicators: Venous Disease: Leg Fracture |
Y1058 | Possible indicators: Venous Disease: Actual DVT |
Y2217 | Possible indicators: Venous Disease: Family history of venous disease |
Y1057 | Possible indicators: Venous Disease: Heart failure |
Y1063 | Possible indicators: Venous Disease: Leg injury |
Y1060 | Possible indicators: Venous Disease: Phlebitis |
Y1069 | Possible indicators: Venous Disease: Previous leg ulceration |
Y1067 | Possible indicators: Venous Disease: Previous major surgery |
Y1066 | Possible indicators: Venous Disease: Previous vein surgery |
Y1062 | Possible indicators: Venous Disease: Suspected DVT |
Y1056 | Possible indicators: Venous Disease: Varicose veins |
Y1255 | Post cancer review within 6 months of diagnosis |
Y8527 | Post mortem exam. |
Y8530 | Post mortem exam. requested |
Y8531 | Post mortem report received |
Y8532 | Post mortem result |
Y8533 | Post nasal space X-ray |
Y8534 | Post natal visiting NOS |
Y0ea8 | Post operative nausea and vomiting score (0-3) |
Y8537 | Post traumatic epilepsy |
Y8539 | Post-coital ccept procedures |
Y2945 | Post-delivery maternal breast condition |
Y2947 | Post-delivery maternal other condition |
Y8561 | Post-natal exercises |
Y8564 | Post-op. fistula |
Y8565 | Post-op. foreign body |
Y00e3 | Post-operative skin disinfection |
Y01b2 | Post-treatment pain scale |
Y8578 | Post-viral arthropathy |
Y8579 | Post-viral infect. debility |
Y3214 | Post-void residual urine amount |
Y043f | Posterior fourchette abnormal |
Y03a2 | Posterior swelling of leg |
Y8549 | Postmastectomy lymphoedema |
Y4948 | Postnatal depression support provided |
Y8562 | Postnatal visiting |
Y8570 | Postpartum DVT |
YA323 | Postural instability |
Y8576 | Postural proteinuria |
Y8580 | Postviral syndr.(asthenic) [D] |
YA169 | Potassium requirement |
Y2838 | Potential result of hazard |
Y4923 | Power of ankle plantar flexion |
Y4932 | Power of hip flexion |
Y02c6 | Power of right wrist supination |
Y4941 | Power of wrist extension |
Y4942 | Power of wrist flexion |
Y4946 | Power of wrist ulnar deviation |
Y04ec | Powered wheelbase required |
YA488 | Pre assessment questionnaire completed |
Y2194 | Pre-Proliferative Retinopathy - Refer Camera |
Y8583 | Pre-auricular fistula excised |
Y1591 | Pre-dialysis Patient |
Y3568 | Pre-op assessment |
Y00e2 | Pre-operative skin disinfection |
Y8615 | Pre-primary teachers |
Y018d | Pre-treatment pain scale |
Y8582 | Pre/post-operative proced.NOS |
Y8585 | Precipitancy |
Y04fd | Predisposition to constipation |
Y15c1 | Pref place of death not achieved - move pt to hospital clinical reasons |
Y15c8 | Pref place of death not achieved - not known |
Y1f36 | Preferred place of death achieved |
Y167b | Preferred place of death: NOS |
Y017d | Preferred place of treatment |
Y8588 | Preg. + anaemia |
Y8590 | Preg. + thyroid dysfunction |
Y8595 | Preg.+ diabetes mellitus |
Y8602 | Pregnancy risk factors NOS |
Y0f3d | Premature hearing loss |
Y0c28 | Preoperative checklist - Allergies noted |
Y0c32 | Preoperative checklist - Bladder empty |
Y0c2d | Preoperative checklist - Blood results with patient |
Y0c26 | Preoperative checklist - Consent form signed/labelled |
Y0c34 | Preoperative checklist - DVT prophylaxsis given to patient |
Y0c30 | Preoperative checklist - Operation site marked |
Y0c27 | Preoperative checklist - Patient prescriptions noted |
Y0c25 | Preoperative checklist - Patient record with patient |
Y0c2c | Preoperative checklist - X-ray Result with patient |
Y8616 | Preprolifer diabet retinopathy |
YA592 | Prescribed medication |
Y8619 | Prescribed post-coital OCP |
Y0c81 | Prescription confirmed by fax order |
Y0c80 | Prescription given by verbal order |
Y1ec8 | Prescription of drug |
YA609 | Presence of person |
YA449 | Present at death of person |
YA040 | Present at encounter |
Y0a82 | Pressure induced skin damage present |
Y0a81 | Pressure risk assessment (Braden scale) - Declined |
Y0a7f | Pressure risk assessment (Braden scale) - Done |
Y0a80 | Pressure risk assessment (Braden scale) - Not Done |
Y2367 | Pressure sore |
Y2621 | Pressure ulcer |
Y0cc4 | Pressure ulcer grade 1 EPUAPCS |
Y0cc5 | Pressure ulcer grade 2 EPUAPCS |
Y0cc6 | Pressure ulcer grade 3 EPUAPCS |
Y0cc7 | Pressure ulcer grade 4 EPUAPCS |
Y1f32 | Pressure ulcer stage 1 |
Y1f33 | Pressure ulcer stage 2 |
Y1f34 | Pressure ulcer stage 3 |
Y8622 | Preterm delivery jaundice |
Y0c41 | Prevenar - 13 1 |
Y0c42 | Prevenar - 13 2 |
Y0c8c | Prevenar - 13 Reinforcing |
Y22b0 | Preventative reverse self-isolation of uninfected patient from exposure to contagion (procedure) |
Y22a8 | Preventative reverse self-isolation of uninfected patient from exposure to contagion (procedure) |
Y22a9 | Preventative reverse self-isolation of uninfected patient household from exposure to contagion (procedure) |
Y139e | Preventer inhaler dose am |
Y13a6 | Preventer inhaler dose pm |
Y8623 | Preventive procedures |
Y8624 | Preventive procedures NOS |
Y0730 | Previous Hep B infected |
Y3359 | Previous annual falls assessments |
Y0e9f | Previous carpal tunnel injection given |
Y4627 | Previous chlamydia test result - unknown |
YA784 | Previous constipation |
Y1082 | Previous leg ulceration : Notes |
Y1553 | Previous live births |
Y1551 | Previous neonatal deaths |
YA209 | Previous problems with IUD / IUS |
Y1555 | Previous still births |
Y2413 | Previous treatments |
Y2627 | Previous wound dressing |
Y3535 | Previous/Current medical history |
Y8626 | Prickly heat - sweat rash |
Y102d | Primary Care Management of Inflammatory Bowel Disease |
Y0fe1 | Primary Care Management of Irritable Bowel Disease |
Y102e | Primary Care Management of Irritable Bowel Syndrome |
Y8627 | Primary closed-angle glaucoma |
Y4863 | Primary enuresis |
Y8628 | Primary excisn lumbar IV disc |
Y8629 | Primary teachers |
Y8630 | Primary tuberculosis infection |
Y8631 | Printing/photogr.process NOS |
Y2104 | Priorix 1 |
Y10b3 | Priorix Booster |
Y2105 | Priorix Reinforcing |
Y8634 | Private ENT referral |
Y8632 | Private cardiological referral |
Y8633 | Private dermatology referral |
Y8635 | Private gastroenterol referral |
Y8637 | Private general surg referral |
Y8639 | Private gynaecologic referral |
Y8641 | Private neurological referral |
Y8642 | Private neurosurgical referral |
Y8644 | Private ophthalmolog referral |
Y8645 | Private orthopaedic referral |
YA078 | Private treatment received |
Y2361 | Problem Identified / Action |
Y3103 | Problem causes sexual dysfunction |
Y2756 | Problem identified at clinic |
Y3102 | Problem interferes with social activity |
Y4154 | Problem with eye contact |
Y017b | Problems relating to advancing illness or death of friend or family |
Y8651 | Proctostomy |
Y8652 | Proctostomy closure |
Y03fc | Professional consulted |
Y017f | Profound deafness |
Y0f72 | Profound hearing loss |
Y0293 | Prolactin Checked |
Y8656 | Prolapsed umbilical cord |
Y8657 | Proliferat diabet retinopathy |
Y3085 | Prolonged U.V. exposure |
Y2425 | Prominent met heads |
Y1ec4 | Promotion of social support |
Y0792 | Prompted for smoking cessation support by Advert |
Y078f | Prompted for smoking cessation support by Friend |
Y0789 | Prompted for smoking cessation support by GP |
Y0795 | Prompted for smoking cessation support by Helpline |
Y078a | Prompted for smoking cessation support by Hospital Consultant |
Y0793 | Prompted for smoking cessation support by Leaflet |
Y0798 | Prompted for smoking cessation support by New attempt |
Y0796 | Prompted for smoking cessation support by Other |
Y078d | Prompted for smoking cessation support by Other Health Professional |
Y0797 | Prompted for smoking cessation support by Pharmacist |
Y078e | Prompted for smoking cessation support by Relative |
Y0790 | Prompted for smoking cessation support by Smoke Free Bus |
Y3407 | Property owned by |
Y2422 | Proposed surgery |
YA199 | Proprioception ankle abnormal |
YA198 | Proprioception ankle normal |
YA197 | Proprioception toe abnormal |
YA196 | Proprioception toe normal |
Y8663 | Prostatic calculus |
Y17b8 | Protein C function estimate (UoM %) |
Y0fbe | Proteinase 3 antibody level (units = AI) |
Y8669 | Proteinuria [D] |
Y8670 | Proteinuria NOS [D] |
Y1366 | Proteinuria Negative |
Y1365 | Proteinuria Positive |
Y8672 | Provident assoc claim-unpaid |
Y8673 | Provider initiated encount NOS |
Y15b2 | Provision of access to Patient Facing Service declined by Patient |
Y22b6 | Provision of advice, assessment or treatment limited due to coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 pandemic (situation) |
YA245 | Provision of computer access technology |
YA799 | Provision of disposable equipment |
Y0ef8 | Provision of information pack about carer services |
YA797 | Provision of syringe driver |
Y1c7f | Provision of written information about Diabetes and your feet (low risk of complications) |
Y1c7e | Provision of written information about Diabetes and your feet (moderate or high risk of complications) |
Y1a5e | Provision of written information about diabetes and mood |
Y1a60 | Provision of written information about keeping your kidneys healthy |
Y1a61 | Provision of written information about kidney disease |
Y038c | Proximal swelling of arm |
Y039e | Proximal swelling of leg |
Y0821 | Pseudo-squint |
Y0e61 | Psoriasis area and severity index |
Y0e63 | Psoriatic arthritis response criteria assessment |
Y8676 | Psych. disorder monitoring NOS |
Y8677 | Psych. drug side effects |
Y8679 | Psych.treatment started |
Y8680 | Psych.treatment stopped |
Y8683 | Pt advised buy medical kit |
Y8685 | Pt non compliant with advice |
YA676 | Pt. did not have sex abroad with non-regular sex partner in last 3 months |
Y4633 | Pt. does not know if condom used during last sexual intercourse |
Y8694 | Pubic lice - crabs |
Y8696 | Puerperium complic. NOS |
Y0f3a | Pulsatile tinnitus |
Y19f6 | Pulse (self monitoring) |
Y1c26 | Pulse Rate Lying |
Y1c25 | Pulse Rate Sitting |
Y1c24 | Pulse Rate Standing |
Y0242 | Pulse Rhythm: AF |
Y8704 | Punch biopsy - prostate |
Y8713 | Pyog. arthr. - knee joint |
Y8718 | Pyrexia [D] |
Y8719 | Pyrexia of unknown origin [D] |
Y184b | QDiabetes 10 year diabetes risk |
Y17dc | QRISK2 10 Year Risk Score Review |
Y17e0 | QRISK2 10 Year Risk Score Review - Antihypertensive drugs prescribed |
Y17dd | QRISK2 10 Year Risk Score Review - No change in treatment |
Y17de | QRISK2 10 Year Risk Score Review - Statins prescribed |
Y17df | QRISK2 10 Year Risk Score Review - Statins stopped |
Y17e1 | QRISK2 10 Year Risk Score Review Complete |
Y0a0d | QTcB Interval Duration |
Y19f3 | Quadrivalent influenza vaccine Split Virion inactivated (Sanofi Pasteur) |
Y1fa3 | Quality and Outcomes Framework - diagnostic spirometry service not available (situation) |
Y1f9b | Quality and Outcomes Framework - echocardiography service not available (situation) |
Y1f90 | Quality and Outcomes Framework asthma quality indicator-related care invitation (procedure) |
Y1f8e | Quality and Outcomes Framework atrial fibrillation quality indicator-related care invitation (procedure) |
Y1f92 | Quality and Outcomes Framework cancer quality indicator-related care invitation (procedure) |
Y1f97 | Quality and Outcomes Framework cardiovascular disease primary prevention quality indicator-related care invitation (procedure) |
Y1f94 | Quality and Outcomes Framework chronic obstructive pulmonary disease quality indicator-related care invitation (procedure) |
Y1f98 | Quality and Outcomes Framework dementia quality indicator-related care invitation (procedure) |
Y1f9a | Quality and Outcomes Framework diabetes mellitus quality indicator-related care invitation (procedure) |
Y1f9c | Quality and Outcomes Framework heart failure quality indicator-related care invitation (procedure) |
Y1f9e | Quality and Outcomes Framework hypertension quality indicator-related care invitation (procedure) |
Y1f9f | Quality and Outcomes Framework mental health quality indicator-related care invitation (procedure) |
Y1f8f | Quality and Outcomes Framework quality indicator-related care invitation (procedure) |
Y1fa1 | Quality and Outcomes Framework rheumatoid arthritis quality indicator-related care invitation (procedure) |
Y1f93 | Quality and Outcomes Framework secondary prevention of coronary heart disease quality indicator-related care invitation (procedure) |
Y1fa2 | Quality and Outcomes Framework smoking quality indicator-related care invitation (procedure) |
Y1fa4 | Quality and Outcomes Framework stroke and transient ischaemic attack quality indicator-related care invitation (procedure) |
Y1374 | Quality of life due to urinary symptoms |
Y8779 | RAST test |
Y8780 | RBC - red blood cell shape |
Y8781 | RBC - red blood cell size |
Y8782 | RBC folate abnormal |
Y8783 | RBC protoporphyrin level |
Y8785 | RBCs - hypochromic |
Y8786 | RBCs - macrocytic |
Y8789 | RBCs - polychromasia |
Y8792 | RBCs - spherocytes |
Y019e | RCSP - genu varum |
Y0a0e | RR Interval Duration |
Y01b0 | RS scan overview |
Y0a91 | Rabies booster vaccination (Verorab) |
Y3770 | Rabies reinforcing vaccination |
Y1321 | Rabipur Vaccine 1 |
Y1322 | Rabipur Vaccine 2 |
Y1323 | Rabipur Vaccine 3 |
Y4991 | Rabipur vaccine booster |
Y9930 | Race - British |
Y9931 | Race - Indian |
Y9932 | Race - Mediterranean |
Y8725 | Radiation exposure screen |
Y03ff | Radiologist consulted |
Y0418 | Radiology |
Y8761 | Radioth.:temporary implant NOS |
Y8766 | Radioth:temp.head/neck implant |
Y8768 | Radiotherapy - post-op.control |
Y8769 | Radiotherapy - pre-op. control |
Y036f | Radiotherapy to abdomen |
Y037b | Radiotherapy to bone |
Y036a | Radiotherapy to breast |
Y036d | Radiotherapy to chest wall |
Y035e | Radiotherapy to head |
Y035f | Radiotherapy to neck |
Y036e | Radiotherapy to pelvis |
Y037a | Radiotherapy to perineum |
Y8771 | Radiotherapy-tumour palliation |
Y8773 | Rambling |
Y8775 | Ramsay-Hunt syndrome |
Y01fd | Random glucose level suggested |
Y1550 | Ranking (if multiple) |
Y8776 | Ranula - salivary mucocele |
Y8777 | Rash/nonsp.skin erupt.NOS [D] |
Y8778 | Rash/nonspec.skin eruption [D] |
Y2360 | Re-assessment |
Y8930 | Re-suture wound |
Y2286 | Re-test required |
YA724 | Reaction from others to condition |
Y8805 | Reaction: skin/topical agent |
Y8806 | Reaction: tetanus antitoxin |
Y8807 | Reaction: tetanus vaccine |
Y8810 | Reactive arthropathy unspec |
Y4218 | Reads newspaper |
Y4548 | Reason for attendance |
Y1610 | Reason for non-examination |
Y3384 | Reasons for equipment request |
Y17b3 | Receiving disabled persons council tax |
Y2460 | Recent change in sensation |
Y1246 | Recent retinal detachment (left eye) |
Y1247 | Recent retinal detachment (right eye) |
Y8815 | Receptionists |
Y4411 | Recommend diet, mashed foods |
Y4410 | Recommend diet, soft foods |
Y4404 | Recommend fluids, thin |
Y4409 | Recommend normal diet |
Y3554 | Recommended dose |
Y3542 | Recommended vaccine: Diphtheria |
Y3545 | Recommended vaccine: Hepatitis A |
Y3546 | Recommended vaccine: Hepatitis B |
Y3547 | Recommended vaccine: Meningitis |
Y3543 | Recommended vaccine: Polio |
Y3549 | Recommended vaccine: Rabies |
Y3541 | Recommended vaccine: Tetanus |
Y3544 | Recommended vaccine: Typhoid |
Y3548 | Recommended vaccine: Yellow fever |
Y0898 | Recorded cause of certified sickness absence from work |
Y2256 | Recreational Drugs |
Y0470 | Rectal swab taken |
Y8818 | Rectum incision/excision |
Y8819 | Rectum-abdominoperin resection |
Y8828 | Recur. disloc.- shoulder joint |
Y2263 | Recurrent infection |
Y8830 | Recurrent urinary tract infecn |
Y2250 | Red Wound Exudate |
Y8831 | Red blood cell (RBC) count |
Y8834 | Red blood cell folate |
Y8835 | Red blood cell size normal |
Y148e | Red cell vitamin B1 level (UOM nmol/L) |
Y8838 | Red cell volume abnormal [D] |
Y3012 | Redness of tissue damage present |
Y8839 | Reduce adipose tissue abd.wall |
Y0227 | Reduced Breath Sounds |
Y3985 | Reduced Smoker |
Y4802 | Reduced range of pitch |
Y2693 | Reduced sensation on left leg |
Y2694 | Reduced sensation on right leg |
Y8845 | Reduction of haemorrhoids |
Y00c4 | Reduction of heloma durum |
Y00cd | Reduction of heloma fibrous |
Y00ca | Reduction of heloma neurovasculare |
Y00d2 | Reduction of hyperkeratosis |
Y1473 | Refer |
Y8847 | Refer Cardiothoracic surgeon |
Y8851 | Refer to A. & E. department |
Y0938 | Refer to accident and emergency department: no |
Y1474 | Refer to audiology |
Y8852 | Refer to cardiac rehab nurse |
Y19c5 | Refer to child health services - admin |
YA324 | Refer to community support worker |
YX029 | Refer to doctor Re: substance use |
Y8854 | Refer to hosp. eye casualty |
Y8856 | Refer to occupational therapy |
Y0af3 | Referral Review |
Y070b | Referral by concerned other |
Y1872 | Referral by optician |
Y0fda | Referral criteria status |
Y2481 | Referral for ambulatory ECG |
Y0e9c | Referral for carpal tunnel injection in house tier 2 |
Y1f03 | Referral for diabetic care |
Y2482 | Referral for exercise tolerance test |
Y1f00 | Referral for lifestyle education |
Y8858 | Referral for sigmiodoscopy |
Y3348 | Referral from GP out of hours |
Y3344 | Referral from accident and emergency notification |
Y1910 | Referral from agency |
Y3346 | Referral from ambulance service |
Y1913 | Referral from audiology centre/clinic |
Y1914 | Referral from audiometrician - for further hearing tests |
Y1917 | Referral from chiropodist |
Y1925 | Referral from consultant (other) |
Y1920 | Referral from consultant ENT surgeon |
Y1921 | Referral from consultant opthalmologist |
Y1922 | Referral from consultant orthopaedic surgeon |
Y1924 | Referral from consultant surgeon (general or paediatric) |
Y1926 | Referral from dentist |
Y1927 | Referral from district handicap team (multiple - professional assessment team) |
Y3349 | Referral from fire service |
Y1929 | Referral from general practitioner |
Y3347 | Referral from home care |
Y3345 | Referral from hospital letter |
Y1932 | Referral from optician |
Y1933 | Referral from orthoptist |
Y1940 | Referral from other |
Y1934 | Referral from physiotherapist |
Y1935 | Referral from school eye clinic |
Y1938 | Referral from social services |
Y0aa2 | Referral into Cardiology GPSI - 24 hour ECG request |
Y0aa0 | Referral into Cardiology GPSI - Echocardiography request |
Y0a9c | Referral into Cardiology GPSI service - Full service request |
Y0a9b | Referral into GPSI service |
Y0a9a | Referral into Service |
YA845 | Referral received |
Y04dd | Referral refused |
Y2541 | Referral to Cardiac Rehabilitation Service |
Y05bc | Referral to Child and Adolescent Mental Health Service |
Y209d | Referral to Community Nursing Service |
Y05bd | Referral to Connexions |
Y0159 | Referral to Health Psychologist |
Y1dff | Referral to Mental Health Home Treatment Team |
Y17c5 | Referral to NHS diabetes prevention programme |
Y1100 | Referral to Substance Abuse Clinic |
Y0e7a | Referral to Telehealth Monitoring Service |
Y05a4 | Referral to adult care services |
Y1694 | Referral to aids assessment centre |
Y1eff | Referral to alcohol misuse service |
Y2480 | Referral to ambulatory blood pressure recording |
Y1695 | Referral to artificial limb and appliance centre |
Y05cd | Referral to assistive technology service |
Y1696 | Referral to audiology centre/clinic |
Y1697 | Referral to audiometrician - for further hearing tests |
Y1698 | Referral to child guidance clinic |
Y1699 | Referral to child psychiatrist |
Y1700 | Referral to chiropodist |
Y2478 | Referral to chronic cardiac pain service |
Y1702 | Referral to community mental handicap team |
Y1708 | Referral to consultant (other) |
Y1703 | Referral to consultant ENT surgeon |
Y2842 | Referral to consultant ophthalmologist |
Y2844 | Referral to consultant ophthalmologist other |
Y1704 | Referral to consultant opthalmologist |
Y1705 | Referral to consultant orthopaedic surgeon |
Y1707 | Referral to consultant surgeon (general or paediatric) |
Y3195 | Referral to continence advisor |
Y0e4d | Referral to cosmetic surgery arbitration panel |
Y1709 | Referral to dentist |
Y1710 | Referral to district handicap team (multiple - professional assessment team) |
Y05a9 | Referral to early intervention service |
Y1711 | Referral to educational psychologist |
Y05aa | Referral to family centre |
YA450 | Referral to family therapist |
Y0efa | Referral to gastroenterology special interest GP |
Y9948 | Referral to general practitioner |
Y4896 | Referral to handyman scheme |
Y05a8 | Referral to home based therapy service |
Y2845 | Referral to independent optometrist |
Y1715 | Referral to optician |
Y1723 | Referral to other |
Y3080 | Referral to other agency |
Y0fd1 | Referral to podiatric surgeon |
Y05d2 | Referral to psychologist declined |
Y1735 | Referral to secondary multidisciplinary team |
Y1722 | Referral to speech therapist |
Y0e95 | Referral to tier 2 MSK services |
Y2409 | Referral to vascular consultant |
Y0506 | Referred To Ophthalmic Clinic |
Y8859 | Referred by mid-wife |
Y0175 | Referred for sexual councelling |
Y3758 | Referred to GP |
Y19fd | Referred to National Health Service diabetes programme - digital intervention |
Y1839 | Referred to audiologist clinic |
Y2292 | Referred to dietician |
Y1632 | Referred to education authority for consideration of statement |
Y1799 | Referred to orthopaedic surgeon |
Y3759 | Referred to podiatry |
Y0fd5 | Referrers assessment of urgency |
Y1328 | Refractory Hypertension |
Y8862 | Refuse procedure-after thought |
Y1727 | Refused all examinations/ screenings |
Y1617 | Refused all examinations/screenings |
Y1616 | Refused all medical examinations |
Y1615 | Refused examination |
Y8864 | Refused new patient screen |
YA603 | Refused smoking cessation programme |
Y1500 | Refuses COPD monitoring check |
Y8866 | Refuses hypertension monitor. |
Y3511 | Refuses neuropathy monitoring |
Y3510 | Refuses retinopathy monitoring |
Y8867 | Regional enteritis-small bowel |
Y01ba | Registered deaf |
Y1756 | Registered with dentist |
Y1f63 | Registration for online access to myCOPD application |
Y205e | Registration for online access to myCOPD application |
Y070f | Regular employment |
Y2431 | Regular podiatry care |
Y8870 | Reiters disease/syndrome |
Y1d58 | Relationship Issues - Moderate |
Y1607 | Relative present |
Y4497 | Relaxation Activities / Opportunities |
Y2379 | Relevant Medication History |
Y2447 | Relevant current medication |
Y139f | Reliever inhaler dose (if needed) |
Y13a0 | Reliever inhaler usage per week |
Y4993 | Religion (Other) |
Y22b4 | Remote consultation |
Y8874 | Removal of foreign bodies NOS |
Y8878 | Removal of skin blemish |
Y8880 | Removal of skin sutures |
Y8882 | Removal of tattoo marks |
Y8888 | Remove object from conjunctiva |
Y1590 | Renal MRA Result (Magnetic Resonance Angiography) |
Y1284 | Renal Ultrasound Booked |
Y1589 | Renal Ultrasound Result (for a text box) |
Y8896 | Renal colic [D] |
Y8897 | Renal colic NOS [D] |
Y8899 | Renal incision - nephrotomy |
Y8900 | Rep.presc. monitoring NOS |
Y8901 | Rep.presc.-follow-up assess. |
Y8903 | Rep.presc.treatment started |
Y8904 | Rep.presc.treatment stopped |
Y8907 | Rept to Drug Safety Resch Unit |
Y01d0 | Requirements of wheelchair |
Y053c | Requires ECG single lead monitor |
Y2304 | Requires a Medium-High Level of Speech and Language Therapy Intervention |
Y4918 | Requires a hearing aid |
Y0960 | Requires a hepatitis B vaccination |
Y4461 | Requires aids / appliances to aid ADL |
Y1414 | Requires assistance with toileting |
Y053a | Requires blood glucose monitor |
Y0533 | Requires blood pressure measurement |
Y017e | Requires continuing care assessment |
Y1684 | Requires continuing dental treatment |
Y4458 | Requires crutches to walk |
Y0dba | Requires diphtheria vaccination |
YA225 | Requires dressing aids |
Y054c | Requires electronic medication reminder |
Y054e | Requires electronic reminder system |
Y053f | Requires online questionnaire |
Y1688 | Requires physiotherapy |
YA462 | Requires prompting to take medication |
Y0536 | Requires pulse oximetry monitor |
Y0539 | Requires spirometry monitor |
Y1691 | Requires supervision of medication by a nurse |
Y0540 | Requires telehealth monitoring |
YA453 | Requires transport for appointments |
Y053e | Requires video telephony |
Y053b | Requires warfarin (INR) monitor |
Y8910 | Requires yellow fever vaccine |
Y0719 | Residential rehabilitation |
Y03bb | Resisted range of thoracic spine left rotation |
Y03ba | Resisted range of thoracic spine right rotation |
Y8912 | Resp. disease monitoring NOS |
Y8913 | Resp. disease screen NOS |
Y8914 | Resp. flow rate measured |
Y8916 | Respir/chest symptoms NOS [D] |
Y8917 | Respiration monitoring |
Y0112 | Respiratory Target PEFR |
Y8923 | Respiratory diseases NOS |
Y8925 | Respiratory failure [D] |
Y8927 | Respiratory flow rates |
Y8928 | Respiratory insufficiency [D] |
Y3377 | Responsible health professional |
Y1b44 | Responsible professional |
Y2203 | Restless Legs syndrome study |
Y4701 | Results of partner 1 chlamydia test(s) - negative |
Y4711 | Results of partner 1 chlamydia test(s) - positive |
Y4719 | Results of partner 9 chlamydia test(s) - positive |
Y8931 | Retention of urine [D] |
Y8932 | Retina abnormal - diabet relat |
Y8933 | Retina/choroid/vitreous op.NOS |
Y8936 | Retinal photocoag. therapy |
Y8937 | Retinal tear/defect |
Y8938 | Retinal vascular changes NOS |
Y1249 | Retinopathy - referred for photos |
Y0c9a | Retired from paid work |
YA200 | Retracted toe |
Y8942 | Retroperitoneal tissue ops. |
Y8943 | Retropharyngeal absces.drained |
Y8944 | Retropubic urethral suspension |
Y3417 | Revaxis 1 |
Y06d3 | Revaxis 1st Booster |
Y3418 | Revaxis 2 |
Y06d4 | Revaxis 2nd Booster |
Y3400 | Revaxis 3 |
Y2895 | Revaxis Reinforcing |
YA304 | Reversibility trial by inhaled steroid |
YA303 | Reversibility trial by oral steroid |
Y100e | Review of pain management care plan |
YA466 | Review of risk assessment required |
Y04d8 | Review status |
Y4995 | Revision in speech |
Y8958 | Rheum. arth. - knee joint |
Y8964 | Rheumat. drug side effect |
Y8965 | Rheumat. follow-up assessment |
Y8966 | Rheumat. initial assessment |
Y8968 | Rheumat. treatment change |
Y8969 | Rheumat.dis.- joints affected |
Y8970 | Rheumat.dis.treatment started |
Y8972 | Rheumatism NOS - ankle/foot |
Y8973 | Rheumatism NOS - elbow |
Y8975 | Rheumatism NOS - hip |
Y8977 | Rheumatism NOS - multiple |
Y8978 | Rheumatism NOS - shoulder |
Y8980 | Rheumatoid arthritis screen |
Y8981 | Rheumatol.dis. monitoring NOS |
Y1281 | Right ABPI |
Y1776 | Right Brachial Pressure |
Y2702 | Right ankle measurement (cms) |
Y2682 | Right atrophe blanche |
Y2704 | Right calf measurement (cms) |
Y1476 | Right ear result |
Y3648 | Right ear: clear response |
Y3649 | Right ear: no clear response |
Y1f71 | Right eye, pupil size small |
Y2638 | Right fixed ankle joint |
Y01d9 | Right hand control required |
YA388 | Right leg length |
YA573 | Right mid thigh circumference |
Y2698 | Right oedema/lymphoedema |
Y2692 | Right pedal pulses absent |
Y2690 | Right reperfusion time >3 secs |
Y045a | Right testis absent |
Y0dc6 | Right upper limb total volume |
YA320 | Rigidity - upper limbs |
Y8982 | Ringing of haemorrhoids |
Y2168 | Risk Assessment Review |
Y1de9 | Risk Management Plan Required |
Y3403 | Risk assessment completed |
YA465 | Risk assessment required |
Y2462 | Risk classification |
YA870 | Risk factors |
Y8984 | Rose Waaler test - sheep cells |
Y0f3c | Rotary vertigo |
Y22bc | Roth score: counting time in one breath (1st) |
Y22bd | Roth score: counting time in one breath (after 3 breaths) |
Y22ba | Roth score: max count in one breath (1st) |
Y22bb | Roth score: max count in one breath (after 3 breaths) |
Y2496 | Routine Cardiac referral |
Y8986 | Routine episiotomy + repair |
Y3234 | Routine occupations |
Y8994 | Rubella antibody screen admin. |
Y8997 | Rubella screen |
Y8998 | Rubella screen - blood sent |
Y9000 | Rubella screen not offered |
Y9001 | Rubella screen not wanted |
Y9002 | Rubella screen offered |
Y0459 | S - Satisfactory |
Y23f4 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection result negative |
Y23f7 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection result positive |
Y1bc7 | SCORE Index of Family Function and Change 15 average total score |
Y2207 | STI Testing done |
Y0014 | STS |
Y0417 | STS Negative |
Y9011 | Sacral disorder NOS |
Y1121 | Safe sex while abroad |
Y1d4a | Safeguarding Concern - No |
Y15ce | Safeguarding vulnerability - parent MH concerns |
Y15d3 | Safeguarding vulnerability - other |
Y15cc | Safeguarding vulnerability - repeat A&E attendances |
Y9013 | Salango - oophorotomy |
Y9017 | Salivary duct dilatation |
Y9019 | Salivary gland diseases |
Y9021 | Salivary gland/duct op. NOS |
Y1730 | Sample not sent to laboratory |
Y9023 | Sample sent to lab. for test |
YA206 | Sanding of skin lesion |
Y4860 | Sanitation arrangements |
Y05e9 | Scan settings |
Y2683 | Scar tissue on left leg |
Y2684 | Scar tissue on right leg |
Y9027 | Schilling test -B12 absorption |
Y9028 | Schizophrenic psychoses NOS |
Y109d | School Entrant Hearing Screening - No clear response - unilateral referral |
Y1795 | School eye clinic |
Y9031 | School screen for verrucae |
Y3306 | Scoliosis NOS |
Y0510 | Screened By Community Optometrist |
Y0509 | Screened By GP |
Y0508 | Screened By Hospital Clinic |
Y0b9c | Screened by Consultant Physician |
Y0b9b | Screened by Ophthalmic Optician |
Y4952 | Screening delayed |
Y15a9 | Screening for AF using WatchBP - AF not detected |
Y18d5 | Screening for atrial fibrillation |
YA294 | Seasonal variation in respiratory disorder |
Y9041 | Sebaceous gland disorder NOS |
Y9042 | Seborrhoeic dermatitis/eczema |
Y0a55 | Second Engerix B paediatric prefilled syringe 0.5ml vaccination |
Y08b2 | Second Fendrix vaccination |
Y0768 | Second Hepatitis B 20 mcg/ml vaccination |
Y3835 | Second Influenza vaccination |
Y0bb3 | Second Pandemrix Vaccination |
Y3830 | Second Pneumococcal vaccination |
Y05d8 | Second Polio Vaccine Live |
Y08bb | Second Tab vaccination |
Y0a24 | Second dTP + Polio vaccination (LDD) |
Y0e0f | Second rabies vaccination (Sanofi Pasteru MSD) |
Y0a8f | Second rabies vaccination (Verorab) |
Y9043 | Second tetanus + polio vacc. |
Y9058 | Secondary PPH |
Y9057 | Secondary Parkinsonism - drugs |
Y4864 | Secondary enuresis |
Y9060 | Secondary teachers |
Y0ea7 | Sedation score (0-3) |
Y1766 | Seen by CAMHS (Child & adolescent mental health service) |
Y2354 | Seen by Educational Psychologist |
Y1b31 | Seen by Volunteer |
Y1764 | Seen by audiology |
Y9064 | Seen by chiropracter |
Y20a6 | Seen by clinical pharmacist |
Y1d87 | Seen by community alcohol team |
Y4528 | Seen by learning disability team |
Y9066 | Seen by mid-wife |
Y9067 | Seen by occupation therap |
Y1765 | Seen by ophthalmics |
Y3046 | Seen by private state registered podiatry service |
Y4530 | Seen by rehabilitation medicine service |
Y002a | Seen by responsible person |
Y4529 | Seen by tissue viability nurse |
YA855 | Seen by welfare officer |
Y1278 | Seen in combined clinic |
Y0aa1 | Seen in minor surgery - Plastic clinic |
Y0aa3 | Seen in satellite clinic |
Y9068 | Seen in warden sup flat |
Y9069 | Seen in warden sup house |
Y0e5a | Self care course invite |
Y9071 | Self catering travel |
Y03ee | Self help skills normal |
Y9072 | Self monit blood+urine glucose |
Y9073 | Self monitoring blood glucose |
Y9074 | Self monitoring urine glucose |
YA101 | Self provision of wheelchair |
Y07b1 | Self reported physical health status score |
Y07ac | Self reported psychological health status score |
Y07b2 | Self reported quality of life score |
Y2612 | Self-discharge at parents request |
YA252 | Self-drive indoor / outdoor powered wheelchair |
Y228f | Self-isolation (procedure) |
Y22ad | Self-isolation note issued to patient (finding) |
Y19a1 | Self-monitoring of Standing Blood Pressure |
Y097d | Self-neglect: no |
Y229a | Self-taking of swab for severe acute respiratory syndrome coronavirus 2 offered (situation) |
Y9076 | Selling occupations |
Y9077 | Semen abnormal [D] |
Y9078 | Semen abnormal NOS [D] |
Y2905 | Semen analysis test requested |
Y2121 | Semen sample post vasectomy |
Y9080 | Semen volume v.low: <0.5 ml. |
Y3498 | Send copies of medical letters to carer |
Y9083 | Senile (atrophic) vaginitis |
Y3128 | Sensation |
Y058f | Sensorineural hearing loss - mild |
Y0590 | Sensorineural hearing loss - moderate |
Y0591 | Sensorineural hearing loss - profound |
Y0592 | Sensorineural hearing loss - severe |
Y1044 | Sensory impairment |
Y2417 | Sensory loss |
Y0a65 | Sensory perception - No Impairment |
Y9092 | Separated epiph.-closed reduct |
Y9093 | Ser alk phos bone enzyme lev |
Y0106 | Serum EPP |
Y13d9 | Serum N-terminal pro B-type natruretic peptide conc (UOM ng/L) |
Y0060 | Serum Sodium Valpoarate Level |
Y17c9 | Serum alpha-fetoprotein level (UOM=ug/L) |
Y9097 | Serum amino-acids NOS |
Y9099 | Serum folate |
Y17b9 | Serum free beta human chorionic gonadotrophin level (UoM IU/L) |
Y9101 | Serum iron abnormal |
Y9102 | Serum lipoprotein level |
Y1f10 | Serum lipoprotein(a) level (UOM=mg/L) |
Y148c | Serum paraprotein level (UOM pmol/L) |
Y11c7 | Serum parathyroid hormone level (UOM ng/L) |
Y1090 | Service Involved: Chiropody |
Y1086 | Service Involved: Day Centre |
Y1093 | Service Involved: Home Health Care Team |
Y1088 | Service Involved: Home Help |
Y1094 | Service Involved: Intermediate care services |
Y1089 | Service Involved: Laundry Service |
Y1091 | Service Involved: Marie Curie |
Y1087 | Service Involved: Meals On Wheels |
Y1084 | Service Involved: Palliative Care |
Y1095 | Service Involved: Social services |
Y2887 | Service involved: Education |
Y2888 | Service involved: Other |
Y2884 | Service involved: Sure start |
Y3505 | Services involved |
Y11bb | Settled Accommodation |
Y06ea | Settled with friends/family |
Y07cd | Several Days |
Y0ce7 | Severe Wheeze |
Y20d1 | Severe acute respiratory syndrome coronavirus 2 detected (finding) |
Y20d2 | Severe acute respiratory syndrome coronavirus 2 not detected (finding) |
Y210c | Severe acute respiratory syndrome coronavirus 2 serology (observable entity) |
Y212a | Severe acute respiratory syndrome coronavirus 2 vaccination not indicated (situation) |
Y0f71 | Severe hearing loss |
Y3461 | Severe hypo |
YA841 | Severe learning disability |
Y1da8 | Severe pain on movement |
Y9105 | Sexual activity - 2-3x / month |
Y4697 | Sexual partner infected |
Y4698 | Sexual partner infected - chlamydia |
Y4608 | Sexual problems |
Y17b5 | Shared Care Ended |
Y9107 | Shared care - hospice / GP |
Y9108 | Shared care: district nurse/GP |
Y9109 | Shared care: health visitor/GP |
Y9110 | Shared care: other agency / GP |
Y9111 | Shared care: practice nurse/GP |
Y2170 | Sharing information with family / friends discussed |
Y0ae4 | Sheltered Housing For Older People |
Y22b1 | Shielding of uninfected patient household from exposure to contagion |
Y9112 | Shirodkar suture -in pregnancy |
YA306 | Short burst oxygen therapy |
Y4293 | Short tempered after illness |
Y06e6 | Short term B&B/hotel |
Y9125 | Shortness of breath [D] |
Y9126 | Shotgun applic cert-fee paid |
Y1417 | Should avoid direct sunlight |
Y1412 | Should use hearing aid |
Y1410 | Should wear glasses |
Y9128 | Shoulder arthroplasty |
Y9130 | Shoulder joint stiffness |
YA687 | Shoulder tension |
Y2178 | Sickle Cell - Negative |
Y2182 | Sickle Cell - Positive - Sickle cell disorder |
Y3993 | Sickle Cell Test Result: Trait |
YA557 | Sickle cell carrier |
Y3867 | Sickle cell carrier - Probable Haemo Variant |
Y9132 | Sickle cell disease screen |
YA562 | Sickle cell screening positive |
Y0ec6 | Siemens audiological device |
Y1027 | Significant hypoglycaemic attacks |
Y1029 | Significant hypoglycaemic attacks requiring outside help |
Y1d07 | Signposted to IAPT |
Y1e8c | Signposting carer to resource |
Y22aa | Signposting to CHMS (COVID-19 Home Management Service) (procedure) |
Y22b3 | Signposting to GP (general practitioner) video consultation |
Y22ab | Signposting to National Health Service online isolation note service (procedure) |
Y1e0b | Signposting to Other (specify) |
Y2771 | Single - living alone |
Y2762 | Single - living with family |
YA312 | Single photon emission computed tomography for parkinsons |
Y0057 | Siprometry FEV1 |
Y0056 | Siprometry FVC |
Y3827 | Site of Metastases |
Y4544 | Site of Progestogen injection - left buttock |
Y4611 | Site of Progestogen injection - left deltoid |
Y4613 | Site of Progestogen injection - left thigh |
Y4545 | Site of Progestogen injection - right buttock |
Y4612 | Site of Progestogen injection - right deltoid |
Y4614 | Site of Progestogen injection - right thigh |
Y0572 | Site of continuous pain |
Y038a | Site of lymphoedema |
Y055e | Site of previous pain |
Y2738 | Site of skin lesions |
Y19e2 | Sitting diastolic blood pressure (self-monitoring) |
Y19e1 | Sitting systolic blood pressure (self-monitoring) |
Y2616 | Skills in the fluency of speech |
Y9138 | Skin FB removal |
Y1116 | Skin care when travelling |
Y9135 | Skin cauterisation |
Y3652 | Skin colour |
Y2650 | Skin colour palor |
Y2651 | Skin colour rubor/cyanosis |
Y2275 | Skin condition left foot |
Y3050 | Skin condition left foot atrophic |
Y3054 | Skin condition left foot cynotic |
Y3048 | Skin condition left foot normal |
Y3052 | Skin condition left foot oedematous |
Y2274 | Skin condition right foot |
Y3049 | Skin condition right foot atrophic |
Y3053 | Skin condition right foot cynotic |
Y3047 | Skin condition right foot normal |
Y3051 | Skin condition right foot oedematous |
YA342 | Skin exudate amount - high |
YA340 | Skin exudate amount - low |
YA341 | Skin exudate amount - moderate |
YA339 | Skin exudate amount - none |
Y9141 | Skin for graft excision |
Y03aa | Skin intact |
Y9142 | Skin lesion excision |
Y1b39 | Skin prick test for penicillin negative |
Y9144 | Skin scrapings biopsy |
Y9146 | Skin sensation disturbance [D] |
Y9148 | Skin symptoms NOS [D] |
Y9149 | Skin tattooing |
Y2279 | Skin temperature left foot |
Y2278 | Skin temperature right foot |
Y9153 | Skin traction |
Y2723 | Skin type dry |
Y2676 | Skin type normal |
Y2724 | Skin type sweaty |
Y9157 | Skin/subcutaneous diseases NOS |
Y9158 | Skin/subcutaneous infections |
Y9160 | Skin/subcutaneous operations |
Y9161 | Skin/subcutaneous tissu diseas |
Y9162 | Skin: type 4 late reaction |
Y9984 | Skull, face and jaw |
Y2343 | Sleep Problem |
Y9167 | Sleep dysfunction NEC [D] |
YA080 | Sleeping posture |
Y0518 | Sleeps well at night |
Y2246 | Slight Wound Odour |
YA358 | Slight odour |
Y9172 | Slipped femoral epiphysis-uppr |
Y4897 | Slippery floor surface |
Y2244 | Slough (Yellow) |
Y4898 | Slow gait |
Y9173 | Slow virus infection of CNS |
Y9174 | Slowing of urinary stream [D] |
Y147e | Small BP cuff used |
Y9176 | Small bowel polyps excised |
Y0387 | Smear Clinical Data |
Y0391 | Smear Reason: Clinically Indicated |
Y0a19 | Smear Reason: Follow-Up After Treatment |
Y0a7c | Smear Reason: Opportunistic |
Y0a7d | Smear Reason: Other |
Y0392 | Smear Reason: Previous Abnormal Smear |
Y07e4 | Smear Reason: Previous Inadequate Smear |
Y0389 | Smear Reason: Routine Call |
Y0390 | Smear Reason: Routine Recall |
Y0397 | Smear Result Abnormal NOS |
Y0385 | Smear Slide Number |
Y0393 | Smear Specimen Type: Cervical Scrape |
Y0394 | Smear Specimen Type: Other |
Y0384 | Smear Under GMS |
Y0481 | Smear Under Other GMS |
Y3562 | Smear consent given |
Y3563 | Smear information leaflet given |
Y0e79 | Smear taken - sample site unknown |
Y0e27 | Smear taken elsewhere |
Y9179 | Smell & taste disorder [D] |
Y9180 | Smell & taste disorder NOS [D] |
YA835 | Smoked during pregnancy |
Y1758 | Smoker in household |
Y4949 | Smoker in the household |
Y2505 | Smoking Cessation Advice Outcome - Lost To Clinic |
Y2504 | Smoking Cessation Advice Outcome - Not Quit |
Y2503 | Smoking Cessation Advice Outcome - Quit |
Y121d | Smoking Status Not Stated (Patient declined to respond) |
Y0018 | Smoking Target Notes |
Y0982 | Smoking status at 4 weeks - Stopped smoking |
Y0984 | Smoking status at 4 weeks - Ex-smoker |
Y098b | Smoking status at 4 weeks - Motivation to quit smoking |
Y0983 | Smoking status at 4 weeks - Smoker |
Y0988 | Smoking status at 4 weeks - Smoking Cessation Advice Outcome -Not Quit |
Y098c | Smoking status at 4 weeks - Smoking Cessation Advice Outcome -Quit |
Y0987 | Smoking status at 4 weeks - Smoking reduced |
Y098a | Smoking status at 4 weeks - Smoking restarted |
Y099f | Smoking status at 52 weeks - Current non-smoker |
Y099d | Smoking status at 52 weeks - Smoking Cessation Advice Outcome - Quit |
Y098d | Smoking status between 4 and 52 weeks - Attends Smoking Cessation Clinic in Practice |
Y0993 | Smoking status between 4 and 52 weeks - Current non-smoker |
Y0995 | Smoking status between 4 and 52 weeks - Date ceased smoking |
Y0999 | Smoking status between 4 and 52 weeks - Did not attend smoking cessation clinic |
Y098f | Smoking status between 4 and 52 weeks - Keeps trying to stop smoking |
Y099a | Smoking status between 4 and 52 weeks - Smoking Cessation Advice Outcome - Not Quit |
Y098e | Smoking status between 4 and 52 weeks - Smoking Cessation Advice Outcome - Quit |
Y0997 | Smoking status between 4 and 52 weeks - Smoking restarted |
Y0992 | Smoking status between 4 and 52 weeks - Stopped smoking |
Y3856 | Snellen distance vision test - Pass |
Y058a | Snellen test 6m |
Y0eaf | Social Care Assessment Outcomes |
Y1d5e | Social Isolation - High |
Y1d5b | Social Isolation - None |
Y1d5f | Social Isolation - Notes |
Y03eb | Social and interactive skills normal |
Y09e1 | Social domain review (diabetes YOC) |
Y9183 | Social group 3 - non manual |
YA698 | Social interaction difficulties |
Y06e8 | Social landlord rented |
Y0b65 | Social services first contact with client |
YA788 | Social services present |
Y3771 | Social worker assigned |
Y9185 | Social/personal history |
Y3225 | Socio-economic status |
YA170 | Sodium requirement |
Y9188 | Soft tiss.X-ray chest abnormal |
Y9189 | Soft tiss.X-ray chest normal |
Y9194 | Soft tiss.X-ray neck abnormal |
Y9197 | Soft tiss.X-ray thoracic aorta |
Y9201 | Soft tissue X-ray ear |
Y9202 | Soft tissue X-ray neck |
Y9204 | Solicitors exam+report sent |
Y4063 | Sometimes |
Y3180 | Sometimes aware of urine leaking/dribbling |
Y3168 | Sometimes has hesitancy in passing urine |
Y3183 | Sometimes leaks after passing urine |
Y3174 | Sometimes passes small amounts of urine |
Y3147 | Sometimes urgent when needs to pass urine |
Y3150 | Sometimes wets if doesnt get to toilet immediately |
Y9205 | Somnolence [D] |
Y10a9 | Source of information about healthcare clinic - Friends & Family |
Y10aa | Source of information about healthcare clinic - Just Walked In |
Y10ac | Source of information about healthcare clinic - Other |
Y10ae | Source of information about healthcare clinic - Personal Invite |
Y10af | Source of information about healthcare clinic - Society Event |
Y10b0 | Source of information about healthcare clinic - Website |
Y9206 | Spasms [D] |
Y148f | Special notes reviewed |
Y3379 | Special requirements |
Y0715 | Specialist prescibing |
YA421 | Specialist wheelchair seating |
Y3596 | Speciality of occupational therapist |
Y2380 | Specific Times |
Y1123 | Specific advice for diabetics |
Y1124 | Specific advice for elderly travellers |
Y0709 | Specific learning disability |
YA537 | Specimen received in laboratory |
Y0710 | Speculum Serial Number |
YA033 | Speech intelligible to anybody |
YX067 | Speech therapist |
Y9209 | Sperm morph. low: 30-50% norm. |
Y9213 | Sperm mot. 6-8 hrs.low 10-30% |
Y9215 | Sperm no./cc good:> 60 million |
Y9216 | Sperm no./cc low: 10-30 mill. |
Y9220 | Spermatic cord hydrocele rep. |
Y9225 | Sphincter of oddi operation |
Y9226 | Spinal anaesthesia |
Y9227 | Spinal arthrodesis |
Y9231 | Spinal drainage - lumbar punct |
Y9233 | Spinal nerve root injury |
YA448 | Spiritual wellbeing |
Y1557 | Spirometry refused |
Y9237 | Spleen enlargement [D] |
Y9238 | Spleen operations |
Y9245 | Splinter: foot |
Y9246 | Splinter: hand |
Y19c2 | Spontaneous Other Cephalic |
Y9252 | Spontaneous membrane rupture |
Y1127 | Sporting Holiday |
Y9253 | Sprain - Achilles tendon |
Y9254 | Sprain - back |
Y9255 | Sprain - foot NOS |
Y9256 | Sprain - fore arm |
Y9257 | Sprain - hand NOS |
Y9258 | Sprain - lateral knee ligament |
Y9259 | Sprain - lower leg |
Y9260 | Sprain - medial knee ligament |
Y9262 | Sprain - wrist |
Y9263 | Sprain -cruciate knee ligament |
Y9265 | Sprained elbow |
Y9266 | Sprained foot |
Y9267 | Sprained hip |
Y9268 | Sprained jaw |
Y9269 | Sprained knee |
Y9270 | Sprained knee NOS |
Y9271 | Sprained ribs |
YA296 | Spring exacerbation in respiratory disorder |
Y9273 | Spurious (overflow) diarrhoea |
Y9274 | Sputum abnormal [D] |
Y9276 | Sputum abnormal colour [D] |
Y9279 | Sputum,positiv.culture find[D] |
Y9280 | Sputum: mucopurulent |
Y1ec1 | Staff supervision |
Y4771 | Stammer coping strategy |
Y9282 | Stammering and stuttering |
Y147d | Standard BP cuff used |
Y19e0 | Standing diastolic blood pressure (self-monitoring) |
Y19df | Standing systolic blood pressure (self-monitoring) |
YA836 | Started smoking again after birth |
YA722 | Starting a new school |
Y1629 | Statement - no health needs |
YA864 | Statement - no social needs |
Y1630 | Statement - with health needs |
Y1631 | Statement - with social needs |
Y1e31 | Status at deduction: Discharged - Back to GP |
Y1e72 | Status at deduction: YP - Not Known Ref Adult Treatment Provider |
Y06e3 | Staying with friends as a short term guest |
YA569 | Stemmers sign negative |
YA568 | Stemmers sign positive |
YA047 | Steps to access property |
Y1858 | Stereopsis - Pass |
Y082f | Stereopsis standard 340 seconds |
Y0432 | Sterile Supply Barcode |
Y3538 | Steroids taken |
Y9298 | Stomach/duodenum disorder NOS |
Y9300 | Stool abnormal [D] |
Y9305 | Stool mucus abnormal [D] |
Y19d7 | Stop Smoking Medication Offered |
Y0bf4 | Stop Smoking Services - Attended closed groups |
Y0bf6 | Stop Smoking Services - Attended drop-in clinics |
Y0bf7 | Stop Smoking Services - Attended one to ones |
Y0bf5 | Stop Smoking Services - Attended open groups |
Y0bf9 | Stop Smoking Services - Dealt with through telephone support sessions |
Y0c00 | Stop Smoking Services - In Intermediate occupations |
Y0bf1 | Stop Smoking Services - In Managerial/Professional occupation |
Y0bf2 | Stop Smoking Services - In Routine/Manual occupation |
Y0beb | Stop Smoking Services - Intervention Settings (1H) |
Y0bed | Stop Smoking Services - Never worked or unemployed for over 1 year |
Y0bee | Stop Smoking Services - Retired |
Y0bef | Stop Smoking Services - Sick/Disabled and unable to return to work |
Y0be7 | Stop Smoking Services - Successfully quit where non-smoking status confirmation attempted by CO validation |
Y0be8 | Stop Smoking Services - Successfully quit where non-smoking status confirmed by CO validation |
Y0bf3 | Stop Smoking Services - Unable to code |
Y0bfa | Stop Smoking Services - Using Stop Smoking Services setting |
Y0bfb | Stop Smoking Services - Using pharmacy setting |
Y0c01 | Stop Smoking Services - Using primary care setting |
Y9308 | Stop smoking monitor.chck done |
Y0e93 | Stothard questionnaire completed |
Y0e94 | Stothard questionnaire score |
YA095 | Straight leg raise (sciatic nerve) neural tension test |
Y1371 | Straining when urinating |
Y9311 | Strangury [D] |
Y137d | Strep pharyngitis probability (Modified Centor) score |
Y9314 | Strep.throat + scarlatina NOS |
Y4496 | Stress Factors |
YA166 | Stress factor |
Y9315 | Stress related problem |
Y9316 | Stretching of fascia |
Y9318 | Stricture of anus/rectum |
YX137 | Stroke/TIA annual review |
Y1563 | Stroke/Tia monitoring 1st letter |
Y1564 | Stroke/Tia monitoring 2nd letter |
Y1565 | Stroke/Tia monitoring 3rd letter |
Y1566 | Stroke/Tia monitoring offer default |
Y2441 | Strong & biphasic |
Y0155 | Structured Home Based Exercise Programme |
Y071e | Structured alcohol intervention |
Y0717 | Structured psychosocial intervention |
YA832 | Sub cutaneous analgesia |
Y2636 | Sub-Ungal |
Y9328 | Sub-talar/triple arthrodesis |
Y9325 | Subcut injection heparin |
Y4546 | Subdermal contraceptive implant |
Y2443 | Subjective history |
YA380 | Subtalar joint pronation instability |
Y9331 | Sudden death, cause unknown[D] |
Y9332 | Sudden hearing loss NOS |
Y3125 | Suffers urgency with bowels |
Y0507 | Suggest Referral To Ophthalmic Clinic |
YA056 | Suggested date of removal |
Y1d43 | Suicidality / Risk of Self Harm - High |
Y1d41 | Suicidality / Risk of Self Harm - Low |
Y1d40 | Suicidality / Risk of Self Harm - None |
Y1d44 | Suicidality/ Risk of Self Harm - Notes |
Y9336 | Suicide - successful |
Y094e | Suicide risk: no |
Y11eb | Summary Assessment of Characteristics |
YA292 | Summer exacerbation in respiratory disorder |
Y2295 | Superficial Callous / Blisters / Seed Corns |
Y9340 | Superficial injury NOS |
Y9342 | Superficial injury NOS: arm |
Y9344 | Superficial injury NOS: face |
Y9345 | Superficial injury NOS: foot |
Y9346 | Superficial injury NOS: hand |
Y9347 | Superficial injury NOS: leg |
Y9348 | Superficial injury NOS: neck |
Y9349 | Superficial injury NOS: scalp |
Y9351 | Superficial injury: face |
Y9353 | Superficial injury: scalp |
Y2758 | Superficial/graze |
Y9356 | Supernumary nipple |
YA152 | Supper / night time eating routine |
Y4358 | Support from carers |
YA769 | Support received - private cleaner |
Y0ad2 | Supported Accommodation |
Y052c | Suprapubic catheter present |
Y9372 | Surg. biopsy - female gen. NOS |
Y9375 | Surg. biopsy - male genital |
Y9381 | Surg. biopsy - salivary gland |
Y9399 | Surgical biopsy - GIT NOS |
Y9389 | Surgical biopsy - anus |
Y9392 | Surgical biopsy - breast |
Y9403 | Surgical biopsy - liver |
Y9405 | Surgical biopsy - nose |
Y9407 | Surgical biopsy - palate |
Y9408 | Surgical biopsy - penis |
Y9409 | Surgical biopsy - pharynx |
Y9413 | Surgical biopsy - tongue |
Y9419 | Surgical biopsy skin NOS |
Y9421 | Surgical diathermy |
Y9424 | Surgical tooth extraction unsp |
Y2624 | Surgical wound |
Y9425 | Surgical/supportive stockings |
Y2385 | Surrounding Skin |
Y1055 | Surrounding Skin: Healthy |
Y1493 | Suspected congenital anomaly |
Y20cf | Suspected coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 (situation) |
Y3081 | Suspected melanoma |
Y3086 | Suspected squamous cell carcinoma |
Y9429 | Suture failure in surgical op. |
Y2213 | Suture removal requested by hospital |
Y229d | Swab for severe acute respiratory syndrome coronavirus 2 taken by healthcare professional (situation) |
Y229b | Swab for severe acute respiratory syndrome coronavirus 2 taken by subject (situation) |
Y9430 | Sweat gland disorders |
Y4094 | Sweet |
Y03a4 | Swelling extends beyond leg |
Y9431 | Swelling in head or neck [D] |
Y0574 | Swelling of left abdomen |
Y0556 | Swelling of left anterior chest wall |
Y0575 | Swelling of right abdomen |
Y0557 | Swelling of right anterior chest wall |
Y0576 | Swelling of right lumbar region |
Y0559 | Swelling of right posterior chest wall |
Y9432 | Swelling, local superficial[D] |
Y9433 | Swelling, mass abdo/pelv [D] |
Y9434 | Swelling, mass, lump chest [D] |
Y9437 | Swollen glands [D] |
YA331 | Swollen legs during pregnancy due to venous insufficiency |
Y196e | Symphysis pubis dysfunction |
Y9442 | Symptom occurs pre-menstrually |
Y3307 | Symptoms involving respiratory system and other chest symptoms |
Y4794 | Symptoms vary daily |
Y4796 | Symptoms vary monthly |
Y9445 | Symptoms,signs,ill-def.cond[D] |
Y9450 | Synacthen challenge - adrenal |
Y9451 | Syncope and collapse [D] |
Y9452 | Syncope and collapse NOS [D] |
Y2502 | Syncope referral |
Y9453 | Syndactyly - webbed digits |
Y9455 | Synovial cyst removed |
Y9462 | Synovitis/tenosyn.- NOS |
Y9458 | Synovitis/tenosyn.- ankle/foot |
Y9459 | Synovitis/tenosyn.- elbow |
Y9461 | Synovitis/tenosyn.- knee |
Y9463 | Synovitis/tenosyn.- shoulder |
YA830 | Syringe driver analgesia |
Y06f9 | Syringe exchange |
YA008 | Systematic sound preference |
Y1a09 | Systemic Infection Suspected |
Y9466 | Systems analyst/computer prog. |
Y9589 | TOP - vacuum extraction |
Y0ab9 | TOP Care Coordination - Yes |
Y079c | TOP review treatment stage: Careplan review |
Y079b | TOP review treatment stage: Modality start |
Y1394 | TSH re-test required |
Y1393 | TSH sample received at labratory |
Y9663 | TUR: bladder diathermy |
Y0224 | TVF/VR: Normal |
Y3558 | Tablets recommended: Chloroquine |
Y3557 | Tablets recommended: Doxycycline |
Y3555 | Tablets recommended: Malarone |
Y3556 | Tablets recommended: Mefloquine |
Y3559 | Tablets recommended: Proguanil |
YA154 | Take away food intake |
Y018a | Takes night sedation |
Y22a0 | Taking of swab for severe acute respiratory syndrome coronavirus 2 (procedure) |
Y0051 | Target Units Of Alcohol |
Y1955 | Task involves strenuous pushing / pulling |
Y9472 | Taught self catheterisation |
Y3779 | Td/IPV |
Y05d1 | Td/IPV (Part 2) |
Y05d0 | Td/IPV (Part One) |
Y06d5 | Td/IPV 1st Booster |
Y2892 | Td/IPV Reinforcing |
Y9479 | Technical sales representat. |
Y1357 | Telephone advice by NHS Direct |
Y211b | Telephone consultation for suspected severe acute respiratory syndrome coronavirus 2 (procedure) |
Y19f7 | Temperature (self monitoring) |
Y2404 | Temperature gradient |
Y2664 | Temperature sensation not present |
Y2663 | Temperature sensation present |
Y0421 | Template |
Y9482 | Temporo-mandib.joint manipulat |
Y9483 | Temporomandibular arthrogram |
Y9485 | Tendinitis of hip region |
Y9493 | Tendon re-attached |
Y9496 | Tendon sutured |
Y2764 | Terminally ill with poor prognosis |
Y9499 | Termination of pregnancy op. |
YX079 | Test Type 1 |
Y20d0 | Tested for 2019-nCoV (Wuhan) infection |
Y9505 | Testicular lesion excision |
Y9506 | Testicular prosthesis inserted |
Y9507 | Testicular self examination |
Y9509 | Testis excision NOS |
Y9510 | Testis excision/orchidectomy |
Y0291 | Testosterone Checked |
Y06d8 | Tetanus + Polio 1st Booster |
Y06d7 | Tetanus + Polio Unspecified Booster |
Y06da | Tetanus Diphtheria LD and Polio Unspecified Booster |
Y069d | Tetanus Unspecified Booster |
Y1276 | Tetanus and Low Dose Diphtheria and Polio Reinforcing |
Y1140 | Tetanus and Low Dose Diptheria and Polio - pt1 |
Y092f | Tetanus vaccination required |
Y0de6 | Textual Problem |
Y2727 | Texture broken/dry |
Y2725 | Texture healthy |
Y4533 | Thalassaemia test result: Trait |
Y4750 | Thalassaemia: sample tested by laboratory |
Y1b4b | The UK Sepsis Trust Community Sepsis Screening Assessment Completed - Red flag sepsis |
Y145f | The UK Sepsis Trust ED Sepsis Screening Assessment Completed - Sepsis Unlikely |
Y145d | The UK Sepsis Trust GP Sepsis Screening Assessment Completed - Red Flag Sepsis |
Y145b | The UK Sepsis Trust GP Sepsis Screening Assessment Completed - Sepsis Unlikely |
Y145c | The UK Sepsis Trust GP Sepsis Screening Assessment Completed - Sepsis may be present |
Y145a | The UK Sepsis Trust GP Sepsis Screening Assessment Triggered |
Y4675 | The agency/body that contacted partner 1 |
Y9519 | Therapeutic asp. hydrocele |
Y9527 | Therapeutic aspiration - bursa |
Y9531 | Therapeutic aspiration-general |
Y2618 | Therapy not required - discharged |
Y0ae9 | There are no plans for social worker involvement |
Y0af1 | There are no plans for the patient to receive visits from local authority domiciliary care workers between this review and next |
Y0aeb | There are no plans for the patient to use a local Authority day centre between this review and next |
Y0aed | There are no plans for the patient to use a sheltered work facility between this review and next |
Y0aea | There are plans for social worker involvement |
Y0af2 | There are plans for the patient to receive visits from local authority domiciliary care worker |
Y9532 | Thermography - breast |
Y0a56 | Third Engerix B paediatric prefilled syringe 0.5ml vaccination |
Y08b3 | Third Fendrix vaccination |
Y0769 | Third Hepatitis B 20 mcg/ml vaccination |
Y4989 | Third cholera vaccination |
Y0a25 | Third dTP + Polio vaccination (LDD) |
Y0e10 | Third rabies vaccination (Sanofi Pasteru MSD) |
Y0a90 | Third rabies vaccination (Verorab) |
Y9535 | Third tetanus + polio vacc. |
Y9536 | Thirst, excessive [D] |
Y9540 | Thoracic disc lesion-displaced |
Y9542 | Thoracic repair diaphr.hernia |
Y4061 | Throat Clearing |
Y9546 | Throat pain [D] |
Y9547 | Throat,positiv.culture find[D] |
Y1a66 | Thromboembolic disorder |
Y9548 | Thrombophilia screen |
Y9550 | Thrombosed haemorrhoid:incised |
Y9553 | Thyroglossal duct excision |
Y9555 | Thyroid disorder screen |
Y1390 | Thyroid function test unsatisfactory |
Y1575 | Thyroid monitoring 1st letter |
Y1576 | Thyroid monitoring 2nd letter |
Y1577 | Thyroid monitoring 3rd letter |
Y1578 | Thyroid monitoring offer default |
Y9556 | Thyroid scan abnormal [D] |
Y2115 | Tick Born Encephalitis 3 |
Y057a | Tick Born Encephalitis Booster |
YA786 | Time of attendance in A&E |
Y037f | Time of onset following diagnosis |
YA401 | Timed up and go (TUGT) test |
Y01b5 | Times when patient alone |
Y01ee | Timing of cough |
Y9560 | Tinea of body - ringworm |
Y9561 | Tinea pedis - athletes foot |
Y9562 | Tingling of skin [D] |
Y9563 | Tinnitus symptoms |
Y9567 | Tissue inject.for local action |
Y13d8 | Tissue transglutaminase IgA level |
Y2264 | To be seen on a review basis |
Y9569 | Tobacco usage screen |
Y3109 | Toilet aid needed (specify) |
Y2219 | Toilet upstairs |
Y9574 | Tongue tie |
Y9579 | Tooth extraction - forceps |
Y9582 | Tooth removal |
Y9588 | Tooth: root canal therapy |
YA390 | Topical iodine to skin |
Y9591 | Torsion dystonia |
Y0147 | Total CO2 |
Y1373 | Total International Prostate Symptom Score |
Y9592 | Total alkaline phosphatase |
Y0cc2 | Total daily insulin basal rate |
Y0cc3 | Total daily insulin bolus rate |
Y13dc | Total glycosylated haemoglobin level IFCC aligned |
Y2591 | Total risk score malnutrition |
Y9596 | Total white cell count |
Y9614 | Transaminase or LDH raised [D] |
Y3424 | Transfer moved in |
Y3425 | Transfer moved out |
Y077d | Transfer-degraded drug allergy |
Y0779 | Transfer-degraded record Entry |
Y077b | Transfer-degraded referral |
Y19f2 | Transfer-degraded uncertain vaccination entry |
Y2327 | Transferred to another care provider |
Y3426 | Transferred to hospital N |
Y050d | Transfers with frame |
Y050e | Transfers with rotunda |
Y1f50 | Transgender |
Y9616 | Transient hypertension of preg |
Y052f | Transport advice |
Y9619 | Transureth. bladder neck excis |
Y9623 | Trauma - amputation-upper limb |
Y9625 | Traumatic amputation - finger |
Y9626 | Traumatic amputation - foot |
Y9635 | Traumatic arth. - hand joint |
Y9637 | Traumatic arth. - knee joint |
Y9638 | Traumatic arth. - other joint |
Y052e | Traumatic perianal haematoma |
Y9642 | Traumatic pneumohaemothorax |
Y2623 | Traumatic wound |
Y9644 | Travel cancellation exam. |
Y9645 | Travel examinations |
Y3560 | Travel record card given |
Y0c79 | Treatment Goal: Reduced Controlled Use |
Y0c7a | Treatment Goal: Unknown |
Y0db7 | Treatment Outcome Profile Completed |
Y0735 | Treatment completed drug free |
Y0712 | Treatment declined by client |
Y9646 | Tremor [D] |
Y9647 | Tremor - familial/benign |
Y9650 | Trigeminal nerve disorders |
Y9651 | Trigeminal nerve disorders NOS |
Y9652 | Trigger point inj-local action |
YA178 | Triphasic |
Y1fbf | Trivalent Influenza Vaccine High Dose (split virion, inactivated) (Sanofi Pasteur) |
Y092e | Tuberculosis (BCG) vaccination: unknown |
Y9660 | Tuberculosis-kidney + other GU |
Y093d | Tuberculosis: no |
Y9661 | Tumour marker levels |
Y9662 | Tumour of uterine body |
Y08b6 | Twinrix 1 |
Y08b7 | Twinrix 2 |
Y08b8 | Twinrix 3 |
Y1162 | Twinrix Adult 1 |
Y1163 | Twinrix Adult 2 |
Y1164 | Twinrix Adult 3 |
Y3796 | Twinrix Adult Reinforcing |
Y08b9 | Twinrix Reinforcing |
Y9668 | Twins - 1 still + 1 live born |
Y9669 | Twins - both still born |
YA672 | Two or more sex partners in the last 12 months |
Y3841 | Type 2 colour vision test - Pass |
Y3842 | Type 2 colour vision test - Satisfactory |
Y2943 | Type of delivery |
Y2857 | Type of employment of principle earner |
YA505 | Type of fluid intake |
Y3527 | Type of holiday |
Y2717 | Type of milk |
Y01e0 | Type of seating cushion required |
Y1948 | Type of task |
Y1168 | Typherix - Single Dose |
Y1169 | Typhim VI - Single Dose |
Y057c | Typhoid third vaccination |
Y9765 | U-S abdominal scan |
Y9767 | U-S gallbladder scan |
Y9768 | U-S great vessel scan |
Y9769 | U-S heart scan |
Y9770 | U-S kidneys |
Y9771 | U-S liver scan |
Y9773 | U-S obstetric scan abnormal |
Y9774 | U-S obstetric scan normal |
Y9775 | U-S obstetric scan requested |
Y9776 | U-S pelvic scan |
Y9779 | U-S scan - fetal maturity |
Y9780 | U-S scan - fetal presentation |
Y9781 | U-S scan - multiple fetus |
YA333 | Ulcer contains slough |
Y9673 | Ultrafiltration of blood |
Y9675 | Ultrasound cardiogram abn. [D] |
Y9676 | Ultrasound scan of thyroid |
Y9680 | Umbilical discharge [D] |
Y3309 | Umbilical hernia without obstruction or gangrene |
Y9684 | Umbilical pain [D] |
Y9685 | Umbilical swelling [D] |
Y2333 | Unable To Determine Wound Condition |
Y2296 | Unable to exercise |
Y3356 | Unable to get off floor |
Y4903 | Unable to get up off the floor |
YA768 | Unable to perform laundry activities |
Y2427 | Unable to weigh patient: other reason |
Y2415 | Unable to weigh patient: patient unable to weight bear |
YA074 | Unaccompanied |
Y9689 | Unconsciousness [D] |
Y4084 | Uncoordinated |
Y2210 | Under care of CPA worker |
YA470 | Under care of community rehabilitation service |
Y05c3 | Under care of drug and alcohol services |
YA477 | Under care of hospice at home |
Y018c | Under care of hospital at home service |
YA472 | Under care of intermediate care service |
YA483 | Under care of learning disability team |
Y05e5 | Under care of learning mentor |
YA484 | Under care of long term care team |
YA514 | Under care of nursing home staff |
Y2759 | Under care of ophthalmic consultant |
Y3018 | Under care of optician |
YA486 | Under care of phlebotomist |
YA487 | Under care of rapid response team |
Y05c4 | Under care of respite services |
YA474 | Under care of specialist wound care service |
YA475 | Under care of voluntary service |
Y3067 | Undermining of wound |
Y4157 | Understands situation |
Y1239 | Unexplained decrease in VA (right eye) |
YA081 | Unexplained weight loss |
Y2466 | Unified cardiac referral note |
Y3310 | Unilat or unspec inguin hernia without obstruct or gangrene |
Y9692 | Unilat.fallopian tube ligation |
Y9693 | Unilat.salpingo-oophorectomy |
Y0f32 | Unilateral hearing loss |
Y0597 | Unilateral sensorineural hearing loss - mild - left ear |
Y0593 | Unilateral sensorineural hearing loss - mild - right ear |
Y0598 | Unilateral sensorineural hearing loss - moderate - left ear |
Y0594 | Unilateral sensorineural hearing loss - moderate - right ear |
Y059a | Unilateral sensorineural hearing loss - profound - left ear |
Y0596 | Unilateral sensorineural hearing loss - profound - right ear |
Y0599 | Unilateral sensorineural hearing loss - severe - left ear |
Y0595 | Unilateral sensorineural hearing loss - severe - right ear |
Y9694 | Unilateral thyroidectomy |
Y0f39 | Unilateral tinnitus |
Y17b2 | Unknown cause of hearing loss |
Y4630 | Unknown if patient has other diagnosis of an STI in the last 12 months |
Y033f | Unknown pathology under wound |
Y0e1a | Unplanned first attendance |
Y0e1b | Unplanned follow up |
Y4462 | Unresponsive mental state |
Y3311 | Unspecified cleft palate with cleft lip, unilateral |
Y9993 | Unspecified diabetes mellitus |
Y3467 | Unspecified disorder of eye movements |
Y3326 | Unspecified fall, occurrence outside |
Y097e | Unspecified injury of wrist and hand: no |
Y9700 | Unspecified viraemia [D] |
Y9701 | Up to date with immunisations |
Y0cae | Upper Limb Disability Score |
Y9702 | Upper abd. soft tiss.X-ray NOS |
Y9703 | Upper abd. soft tissue X-ray |
Y1437 | Upper left 2nd molar |
YA087 | Upper limb tension test 1 - Median |
Y0dca | Upper limb total excess volume |
Y0dcd | Upper limb total excess volume percentage |
Y9706 | Upper resp tract infection |
Y1430 | Upper right 1st molar |
Y1434 | Upper right lateral |
Y9712 | Ureter reimplanted in bladder |
Y9714 | Ureterectomy -ureter resection |
Y9715 | Ureteric colic [D] |
Y9717 | Urethra diverticulum excision |
Y9720 | Urethral catheterisation |
Y9723 | Urethral incision -urethrotomy |
Y9724 | Urethral remove ureter calcul. |
Y9728 | Urethrotomy + exploration |
YA506 | Urgency of defecation |
Y2495 | Urgent Cardiac referral |
Y01fb | Urinalysis suggested |
Y9731 | Urinary bladder distension |
Y9732 | Urinary bladder repair |
Y9733 | Urinary bladder repair NOS |
Y9738 | Urinary dis.treatment started |
Y9739 | Urinary dis.treatment stopped |
Y9742 | Urinary incontin/sling opn.NOS |
Y9743 | Urinary neoplasm screen |
Y9744 | Urinary pan-endoscopy |
Y9745 | Urinary symptoms NOS [D] |
Y9747 | Urinary system symptoms [D] |
Y9748 | Urinary tract operation NOS |
Y0236 | Urine Nitrite test negative |
Y1b46 | Urine albumin/creatinine ratio cannot be calculated by laboratory |
Y2509 | Urine amphetamine level Negative |
Y17e3 | Urine free cortisol level (UoM nmol/L) |
Y1636 | Urine glucose test positive |
Y2346 | Urine not tested: other reason |
Y2337 | Urine not tested: sample contaminated |
Y2336 | Urine not tested: unable to obtain sample |
Y3019 | Urine pH |
Y3324 | Urine sample requested by hospital |
Y9761 | Urine screen NOS |
Y9756 | Urine screen abnormal |
Y9757 | Urine screen due |
Y9758 | Urine screen for blood |
Y09a8 | Urine screen for chlamydia: no |
Y9759 | Urine screen for protein |
Y9760 | Urine screen normal |
Y9764 | Urine smell abormal |
Y3092 | Urological TURP |
Y3090 | Urological cystitis |
Y3091 | Urological enlarged prostate |
Y3093 | Urological tumour |
Y4907 | Use of care alarm aid |
Y2169 | Use of shared electronic records discussed |
Y044f | Uses IUS |
Y05a1 | Uses air conduction hearing aid - in the ear |
Y05a0 | Uses air conduction hearing aid - post aural - digital |
Y059f | Uses bone conduction hearing aids |
Y044e | Uses contraceptive pill |
Y4909 | Uses electric wheelchair |
YA274 | Uses electronic writing aid |
YA268 | Uses gestures |
Y3121 | Uses laxatives |
Y4910 | Uses leg brace |
Y4911 | Uses leg prosthesis |
YA463 | Uses medication administration system |
YA041 | Uses one crutch |
YA043 | Uses one stick |
Y033a | Uses orthotic shoes |
Y032f | Uses orthotics |
YA315 | Uses powered scooter |
Y9788 | Uses sheath + spermicide |
Y01ef | Uses spacer device |
Y044c | Uses tampons |
YA042 | Uses two crutches |
YA044 | Uses two sticks |
Y4912 | Uses varifocals |
Y4913 | Uses walking stick |
Y4914 | Uses wheeled zimmer frame |
YA273 | Uses written communication |
Y4569 | Uterocervical length (cm) |
Y9792 | Uterovaginal pessary |
Y9793 | Uterovaginal prolapse -partial |
Y9794 | Uterovaginal prolapse-complete |
Y9796 | V.D.R.L. test |
Y0e56 | VAS overall wellbeing |
Y0e58 | VAS spine |
Y0eea | VTE Re-assessment submitted |
Y0e4a | VTE assessment bleeding risk |
Y0e4b | VTE assessment mechanical thromboprophylaxis risk |
Y0e49 | VTE assessment thrombosis risk |
Y1122 | Vaccination advice |
Y0287 | Vacuum Device Loaned |
Y9798 | Vaginal disorders NOS |
Y9799 | Vaginal excision NOS |
Y9800 | Vaginal fluid abnormal [D] |
Y9801 | Vaginal removal of IUCD |
Y1170 | Vaqta Adult Reinforcing |
Y4919 | Variable appetite |
Y4772 | Variable stammer |
Y0434 | Varicella Zoster Virus IgG |
Y0435 | Varicella Zoster Virus IgM |
Y0a05 | Varicella zoster live vaccine 1 |
Y9806 | Varicocele - scrotal varices |
Y9809 | Varicose ulcer of leg |
Y9810 | Varicose vein ligate + strip |
Y9811 | Varicose vein ligation |
Y9812 | Varicose vein op. NOS |
Y2656 | Varicose veins not present |
Y9813 | Varicose veins of legs |
Y2658 | Varicose veins operated on |
Y2657 | Varicose veins present |
Y9814 | Varicose veins,legs - obst. |
Y0a03 | Varivax live vaccine 1 |
Y0a04 | Varivax live vaccine 2 |
Y2414 | Vascular assessment |
Y9979 | Vasomotor and allergic rhinitis |
Y9820 | Vasovagal attack [D] |
Y0ebf | Vault Smear - Recall Deleted |
Y9827 | Venogram - renal |
Y0de5 | Venous Thromboembolism Risk Assessment Completed |
Y9836 | Venous flare |
Y9837 | Venous thrombosis NOS |
Y1125 | Venous thrombosis avoidance |
Y3312 | Ventral hernia without obstruction or gangrene |
Y0e9a | Verbal consent for carpal tunnel injection given |
Y9842 | Vertigo NEC [D] |
Y9843 | Very heavy smoker - 40+cigs/d |
Y01f8 | ViATIM booster vaccine |
Y0289 | Viagra Prescribed |
YA189 | Vibartion sense left medial malleolus |
YA193 | Vibartion sense right medial malleolus |
Y2287 | Vibration : 1st MTPJ |
Y2288 | Vibration : ankle |
YA188 | Vibration sense left 1st MTPJ |
YA186 | Vibration sense left foot |
YA192 | Vibration sense right 1st MTPJ |
YA190 | Vibration sense right foot |
Y4151 | Videofluroscopy Procedure |
Y1295 | Viral Induced Wheeze |
Y9853 | Viral diseases NOS |
Y1f29 | Viral hepatitis E |
Y1724 | Vision Screening Test |
Y1807 | Vision colour result - Pass |
Y03e3 | Vision equivocal |
Y3256 | Vision treatment |
Y3261 | Vision treatment - Advise see optician |
Y3262 | Vision treatment - Attending optician |
Y2036 | Visit request by district nurse |
Y0cab | Visual Disability Score |
Y4961 | Visual acuity left eye - corrected |
Y4982 | Visual acuity left eye - corrected - LogMAR |
YA803 | Visual acuity left eye - uncorrected - LogMAR |
YA584 | Visual acuity left eye corrected at 6 metres |
Y4964 | Visual acuity left eye corrected counts fingers only |
Y4965 | Visual acuity left eye corrected perceives light only |
Y4966 | Visual acuity left eye corrected sees hand movements |
YA582 | Visual acuity left eye uncorrected at 6 metres |
YA800 | Visual acuity not tested - left |
YA801 | Visual acuity not tested - right |
Y4967 | Visual acuity right eye - corrected |
YA585 | Visual acuity right eye - corrected - LogMAR |
YA802 | Visual acuity right eye - uncorrected - LogMAR |
YA583 | Visual acuity right eye corrected at 6 metres |
Y4969 | Visual acuity right eye corrected counts fingers only |
Y4970 | Visual acuity right eye corrected perceives light only |
Y4971 | Visual acuity right eye corrected sees hand movements |
YA581 | Visual acuity right eye uncorrected at 6 metres |
Y0588 | Visual acuity test |
Y9858 | Visual disturbances |
Y0943 | Visual hallucinations: no |
Y9860 | Vit B12 deficiency screen |
Y012c | Vitamin B12 requirement |
Y011b | Vitamin D requirement |
Y3315 | Vitamin K given oral |
Y10b6 | Vitamin b6 level (nmol/L) |
Y1242 | Vitreous Haem (left eye) |
Y1243 | Vitreous Haem (right eye) |
Y11b4 | VitruCare account exists |
Y9862 | Vocal cord injection |
Y9960 | Vocal strain |
Y4493 | Vocal strain |
Y4806 | Voice onset normal |
Y4812 | Voice recording |
Y3116 | Voicing dysuria symptoms |
Y3117 | Voicing haematuria symptoms |
Y3118 | Voicing nocturia symptoms |
YA305 | Volume of FEV1 reversibility |
YA504 | Volume of fluid intake over 24 hours |
Y0a9e | Waited 2-4 weeks |
Y0aa5 | Waited 4-6 weeks |
Y0aa6 | Waited 6-8 weeks |
Y0aa4 | Waited less than 2 weeks |
Y2236 | Walk In Appointment |
Y3886 | Walking Gait |
Y0517 | Walks independently with frame |
Y050f | Walks independently with stick |
Y4822 | Walks steadily |
Y4823 | Walks unsteadily |
Y0ce9 | Walsall pressure ulcer risk assessment score |
Y1580 | Wants Copies Of Letters |
Y09ab | Wants to stop smoking: no |
Y234d | Ward Round Decisions |
Y0786 | Warfarin Dose |
Y0573 | Warfarin prophylaxis |
Y3002 | Waterlow Continence |
Y3005 | Waterlow Medication |
Y0f2e | Wax whole or partial obstruction of the external auditory canal |
Y2442 | Weak & Biphasic |
Y1370 | Weak urinary stream |
Y4049 | Weakness on left |
Y4048 | Weakness on right |
Y1376 | Weaning |
Y1201 | Week number attending clinic |
Y1200 | Week number on nicotine replacement therapy |
Y19f5 | Weight (self monitoring) |
Y9885 | Weight gain, abnormal [D] |
Y3764 | Weight leaflet given |
Y9886 | Weight loss, abnormal [D] |
Y1c4c | Weight management programme |
Y4055 | Wet |
Y06ac | Wheat Allergy |
Y2767 | Wheelchair for occasional use outside home |
Y0ce4 | Wheeze Management Plan |
YA366 | Wide based gait |
Y0675 | Widowed/Surviving Civil Partner |
YA293 | Winter exacerbation in respiratory disorder |
Y2448 | With Phenolisation |
Y20ca | Work of breathing: Normal |
Y2997 | Work status discussed: Intends to become full-time parent |
Y2995 | Work status discussed: Intends to return to work |
Y13a1 | Worsening asthma - preventer inhaler increased dose |
Y13a2 | Worsening asthma - reliever inhaler increased dose 4 hourly |
Y13a3 | Worsening asthma - steroid Rescue dose prednisolone |
Y13a4 | Worsening asthma - steroid Rescue dose prednisolone no. 5mg tabs |
Y13a5 | Worsening asthma - steroid Rescue dose prednisolone no. days treatment |
Y0f35 | Worsening of an existing hearing loss: rapid |
Y0f36 | Worsening of an existing hearing loss: recent |
Y0f34 | Worsening of an existing hearing loss: sudden |
Y1c65 | Would recommend services to family and friends |
Y2267 | Wound Amount: High/Strike through |
Y2257 | Wound Amount: Low |
Y2261 | Wound Amount: Medium |
Y2253 | Wound Amount: None |
Y0129 | Wound Antibiotics |
Y2334 | Wound Bed Description: Black |
Y1048 | Wound Bed Description: Blistering |
Y1050 | Wound Bed Description: Fungating |
Y1049 | Wound Bed Description: Green |
Y1051 | Wound Bed Description: Odour |
Y1047 | Wound Bed Description: Overgranulating |
Y3069 | Wound Bed Description: Yellow |
Y0084 | Wound Details |
Y0128 | Wound Dressing By |
Y0100 | Wound Dressing Frequency |
Y0086 | Wound Exudate |
Y0102 | Wound Fragile |
Y0103 | Wound Healthy |
Y2268 | Wound Infection: Action Taken |
Y0115 | Wound Odour |
Y0070 | Wound Site |
Y0110 | Wound Sloughy |
Y0104 | Wound Width |
YA534 | Wound contains necrotic tissue |
YA533 | Wound contains slough |
YA344 | Wound deteriorating |
YA348 | Wound fungating |
Y2469 | Wound margin / surrounding skin |
YA353 | Wound observation odour |
Y2398 | Wound swab sent |
YA343 | Wound unchanged |
Y1053 | Wound: Cavity |
Y1052 | Wound: Shallow Cavity |
YA853 | Written agreement received |
Y0e9b | Written consent for carpal tunnel injection given |
Y0009 | X-ray Result |
Y0029 | X-ray result RC |
Y0b31 | YP involved in Self Harm at Treatment Start: not known |
Y0e2a | Year 6 health check refused |
Y001b | Year 6 review |
Y04db | Yearly review arranged |
Y04dc | Yearly review completed |
Y0427 | Yes |
Y0ec3 | Zostavax |
Y07c3 | average amount of alcohol on a using day |
Y07c7 | average amount of amphetamines on a using day |
Y07c8 | average amount of cannabis on a using day |
Y07c6 | average amount of cocaine on a using day |
Y07c5 | average amount of crack on a using day |
Y07c4 | average amount of opiates on a using day |
Y07c9 | average amount of other problem substance on a using day |
Y1df4 | discharged to GP |
Y1df3 | discharged to IAPT |
Y1df7 | discharged to Other (please specify) |
Y1f3b | eConsultation via online application |
Y1471 | not required |
-1 | redacted - potentially sensitive or identifying |
-2 | redacted - rare occupation |
Y2399 | results obtained |
Y13ae | von Willebrand factor activity (UOM=IU/dL) |
Y013b | Feeding orally |
Y015b | Overweight build |
Y01b4 | Referrers expectations of assessment |
Y04f4 | Admission observations |
Y07ff | Has not had Meningitis C Vaccination |
Y094b | Physical violence: no |
Y09a4 | Risk of self neglect: no |
Y0ad0 | Placed In Temporary Accommodation By Local Authority |
Y0e01 | Complex social care needs |
Y0e40 | Grade of pressure sore on sacrum (waterlow assessment) |
Y1392 | Thyroid function test refused |
Y1463 | Discharge to other |
Y15c2 | Pref place of death not achieved - pt changed mind |
Y15c7 | Pref place of death not achieved - other |
Y1685 | Requires occupational therapy |
Y1757 | Safety equipment used |
Y175f | Weight advice - verbal & written (MOSAIC trial) |
Y17ae | Not on Learning Disability Register |
Y1963 | Task involves wearing protective clothing |
Y1974 | Task requires other capabilities |
Y1986 | Equipment required |
Y19ce | O/E Ears - abnormality detected |
Y19f9 | Serum glomerular basement membrane antibody level (UoM=AI) |
Y1a68 | Partner present at encounter |
Y1bb6 | Outcome Rating Scale total score |
Y1c50 | Urinary catheter passport given |
Y1c59 | Patient Activation Measure Score |
Y1c6d | Cosmopore E 8cm x 10cm |
Y1c71 | Foam Lite ConvaTec 8cm x 8cm |
Y1cac | Able to swallow soft and bite-sized food - IDDSI (International Dysphagia Diet Standardisation Initiative) level 6 |
Y1cbb | Clozapine therapy |
Y1cc2 | Total cholesterol:HDL ratio measurement |
Y1cfb | Influenza Tetra MYL vaccine suspension for injection 0.5ml pre-filled syringes (Mylan) 1 pre-filled disposable injection |
Y1d1b | CHC Fast Track patient died before funding started |
Y1d34 | Red cell vitamin B2 level (UOM=nmol/L) |
Y1d3a | Oxygen therapy via non-invasive ventilation |
Y1d4b | Safeguarding Concern -Yes |
Y1daf | Level of sedation: Responds to verbal command |
Y1df5 | discharged to secondary Mental Health service |
Y1e82 | Status at deduction: YP - Treatment Declined |
Y1e8f | Signposting to Early Help Service |
Y1eb7 | History of fall |
Y1ec2 | Communication care management |
Y1ee4 | Epidural Catheter Removed |
Y1f15 | Serum prolactin polyethylene glycol recovery level (UOM=%) |
Y1f1e | Depression monitoring invitation |
Y1f21 | Lipid disorder monitoring invitation |
Y1f26 | Family history of malignant neoplasm of thyroid |
Y1f3c | Referral for cognitive behavioural therapy for psychosis |
Y1f42 | Has mental capacity to give consent for assessment |
Y1f88 | Whooley depression screen score |
Y1f91 | Excepted from asthma quality indicators - service unavailable (finding) |
Y1fa0 | Quality and Outcomes Framework - pulmonary rehabilitation service not available (situation) |
Y1ffb | Generalised functional disorder |
Y203f | Verification of allergy status |
Y204e | AMT4 score (abbreviated mental test-4) |
Y205c | Registration for online access to myCOPD application offered |
Y208d | Three Item Loneliness Scale |
Y20a1 | History of traumatic brain injury |
Y20a4 | Serum cardiolipin IgG antibody level |
Y20a5 | Serum cardiolipin IgM antibody level |
Y20a7 | Seen by clinical pharmacist in care home |
Y20aa | History of alcohol abuse |
Y20b4 | Andrology service |
Y20bf | Change in insulin dose |
Y20c9 | Anti B2 glycoprotein 1 IgG antibody level (UOM=CU) |
Y20ef | Working diagnosis |
Y20f3 | Semaglutide 0.25mg/0.19ml solution for injection 1.5ml pre-filled disposable device |
Y20f4 | Interim Review Completed |
Y210f | Measurement of severe acute respiratory syndrome coronavirus 2 antibody (procedure) |
Y211c | Serotype 2019-nCoV (novel coronavirus) |
Y211d | SARS-CoV-2 immunisation course contraindicated |
Y211e | SARS-CoV-2 immunisation course declined |
Y211f | Severe acute respiratory syndrome coronavirus 2 vaccination invitation short message service text message sent (situation) |
Y212b | Severe acute respiratory syndrome coronavirus 2 vaccine not available (situation) |
Y212f | Antibody to 2019-nCoV (novel coronavirus) |
Y213c | First Quadrivalent (QIV) Inactivated Seasonal Influenza |
Y213d | New Confusion |
Y213e | Personal Wellbeing Score rating - I am satisfied with my life |
Y213f | Personal Wellbeing Score rating - I was happy yesterday |
Y214a | Personal Wellbeing Score rating - I was not anxious yesterday |
Y214b | Personal Wellbeing Score rating - what I do in my life is worthwhile |
Y214d | Personal Wellbeing Score rating |
Y216c | IV (intravenous) infusion of magnesium sulfate |
Y217c | Dietary supplement |
Y2222 | Chemical toilet |
Y22cf | Ultrasonography of soft tissue |
Y230e | Change of Nasogastric tube |
Y23a5 | Absence of right leg |
Y23da | Survivor of conflagration in residential building or apartment |
Y23db | Bereavement due to conflagration in residential building or apartment |
Y23e0 | Referral to online diabetes structured education programme |
Y23e4 | Urgent supply of prescription items by community pharmacy |
Y23e6 | Does not have immunity to SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y23e9 | Has immunity to SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y23ea | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgG detection result negative |
Y23eb | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgG detection result equivocal |
Y23ec | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgG detection result positive |
Y23ee | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgM detection result negative |
Y23f0 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgM detection result positive |
Y23f6 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result unknown |
Y23f8 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgG detection result unknown |
Y23f9 | Dull pain |
Y23fc | Oedema of lower leg |
Y240e | Point of care measurement of severe acute respiratory syndrome coronavirus 2 antibody (procedure) |
Y240f | Point of care severe acute respiratory syndrome coronavirus 2 species detection test (procedure) |
Y241a | Severe acute respiratory syndrome coronavirus 2 species detection test (procedure) |
Y241b | Supply of medication for minor illness by community pharmacy (record artifact) |
Y243d | Save sample for serum serology |
Y245c | Exposure to confirmed case of severe acute respiratory syndrome coronavirus 2 infection (event) |
Y246c | Provision of advice, assessment or treatment delayed due to coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 pandemic (situation) |
Y246f | Severe acute respiratory syndrome coronavirus 2 immunoglobulin A detected (finding) |
Y247c | Severe acute respiratory syndrome coronavirus 2 immunoglobulin A not detected (finding) |
Y24ad | PC19Q I was admitted to hospital due to my coronavirus infection |
Y253d | Recently performed a direct current defibrillation procedure (event) |
Y255f | Recently performed administration of continuous positive airway pressure ventilation (event) |
Y25a6 | PC19Q I dont think I have had COVID-19 (coronavirus) disease |
Y25be | PC19Q I had a Covid-19 swab (nose/throat) test on: |
Y25c1 | PC19Q I had a Covid-19 test (other type) on: |
Y260f | Reviewed by Care Home MDT |
Y261a | Multifactorial Falls Risk Assessment |
Y2649 | Peripheral pulses irregular |
Y267c | Photography of patient |
Y269d | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antigen detection result positive |
Y269e | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antigen detection result negative |
Y26a0 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antigen detection result unknown |
Y26a1 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antibody detection result positive |
Y26a2 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antibody detection result negative |
Y26a3 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antibody detection result indeterminate |
Y26a4 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antibody detection result unknown |
Y26a6 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgM detection result indeterminate |
Y26b0 | PC19Q I have had a test for COVID-19 |
Y26b2 | PC19Q My test for COVID-19 was positive |
Y26b3 | PC19Q My test for COVID-19 was negative |
Y271b | PC19Q How likely on a scale of 1-5 (1 being not at all likely, and 5 being very likely) would you be to get a vaccine for COVID-19? |
Y27af | Assessment of medication supply |
Y27c1 | Adjuvanted trivalent influenza vaccine (surface antigen, inactivated) suspension for injection 0.5ml pre-filled syringes (Seqirus Vaccines Ltd) |
Y27cf | Patient given information |
Y27d1 | Patient given written information |
Y27d8 | Personal protective equipment |
Y27da | Heart failure medication review |
Y27dd | Orthogeriatrics service |
Y27de | Referral to Macmillan Cancer Support |
Y27e3 | Seen by pharmacy technician |
Y27ea | Bowel cancer screening programme liquid faecal immunochemical test abnormal |
Y27eb | Bowel cancer screening programme liquid faecal immunochemical test normal |
Y280a | Liaising with pharmacist |
Y281b | Cancer safety netting |
Y281c | Seen by first contact physiotherapist |
Y281e | Personalised Care and Support Plan agreed |
Y281f | Seen by physician associate |
Y282a | Review of Personalised Care and Support Plan |
Y282b | Structured medication review |
Y2839 | Score risk for hazard causing injury or damage |
Y289b | PTSD (post-traumatic stress disorder) checklist for DSM-5 (Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition) (PCL-5) total symptom severity score |
Y28ab | Review |
Y28b2 | Unresponsive |
Y28c8 | Signposting to service |
Y28d4 | Does use dosette box |
Y28fa | Long term systemic steroid user |
Y2903 | Inflammatory bowel disease in remission |
Y290c | Face to face consultation |
Y292a | Has access to a Home Blood Pressure Monitor |
Y292e | Has access to a Mobile phone |
Y293a | Has access to Android Smart Phone with access to internet |
Y293f | Individual doesnt know Broadband Speed |
Y294a | Not interested in learning how to use online grocery service |
Y295b | Can and does use online banking |
Y295f | Can send/receive text messages but chooses not to |
Y296e | Can send/receive emails but chooses not to |
Y297d | Can download and use apps but chooses not to |
Y298d | Can and does make & receive video calls |
Y299b | Knows how to watch videos online but chooses not to |
Y299e | Would like to learn how to book GP appointments online to access care |
Y29a3 | Would like to learn how to order repeat prescription online to access care |
Y29a8 | AskMyGP - would like to learn how to use it to access care |
Y29ad | Would like to learn how to use video consultation with doctor &/or nurse to access care |
Y29b3 | Self Care Portal - can use it with help from others |
Y29b9 | Improving access to online services (IAOS) completed paper format by patient |
Y29bb | Improving access to online services template completed |
Y29bc | Encounter by short message service text messaging |
Y29bd | Video-link encounter |
Y29cf | Uses NHS App |
Y29e7 | Administration of first dose of SARS-CoV-2 vaccine |
Y29ec | SARS-CoV-2 vaccination dose declined |
Y29ed | SARS-CoV-2 vaccination first dose declined |
Y29ee | SARS-CoV-2 vaccination second dose declined |
Y2a0f | COVID-19 mRNA Vaccine BNT162b2 30micrograms/0.3ml dose concentrate for suspension for injection multidose vials (Pfizer-BioNTech) part 1 |
Y2a15 | Current ongoing illness following confirmed SARS-CoV-2 infection |
Y2a38 | Flublok quadrivalent influenza vaccine |
Y2a3a | COVID-19 mRNA Vaccine BNT162b2 30micrograms/0.3ml dose concentrate for suspension for injection multidose vials (Pfizer-BioNTech) part 2 |
Y2a3b | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive |
Y2a3c | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result negative |
Y2b3d | Dysphasia TOM (Therapy Outcome Measure) wellbeing score |
Y3122 | Does not use laxatives |
Y3328 | Unsteady carrying food/drink |
Y3776 | Feeding: Solids |
Y4621 | Chlamydia test result - insufficient specimen |
Y6945 | Geriatric 75 year screen |
YA334 | Ulcer contains necrotic tissue |
YA611 | Social worker present |
Y0283 | Solitary Erections |
Y0815 | Cover test - No deviation near. Distance testing not possible |
Y0d12 | Nursing Home Les Assessment Completed Lower Rate |
Y0f22 | Hearing Aid Blocked with Wax |
Y1064 | Possible indicators: Venous Disease: Chest pain / pulmonary embolism |
Y112f | NDTMS - 28 day history of solvent use |
Y17d4 | Plasma D-dimer (D-E-D) expressed in FEU (UoM mg/L) |
Y19e3 | Whole blood thiopurine methyltransferase (UOM=pmol/h/mgHb) |
Y1a04 | Number of physiotherapy appointments attended |
Y1a18 | Adult specialist palliative care currency model |
Y1a65 | Extracorporeal shock wave therapy (procedure) |
Y1a79 | Patient reports recent infections |
Y1b1c | tofacitinib (form not specified) |
Y1b3c | Oral penicillin challenge test positive |
Y1b55 | Number of steps per day |
Y1c72 | Foam Lite ConvaTec 10cm x 10cm |
Y1d03 | Ambulatory insulin pump: Omnipod |
Y1d86 | Dietary information declined |
Y1f18 | Plasma factor XII level (UOM=%) |
Y205a | Remote diabetes structured education and support programme completed |
Y205b | Did not commence remote structured diabetes education and support programme |
Y20bd | Education about safe storage and management of medication |
Y20f6 | Assessed risk of hospital admission for physical health treatment |
Y20f9 | Did not attend severe acute respiratory syndrome coronavirus 2 vaccination (finding) |
Y210d | Severe acute respiratory syndrome coronavirus 2 vaccination (procedure) |
Y2195 | Proliferative Retinopathy - Refer Camera |
Y221e | NDTMS - Client declined to answer whether they used New Psychoactive Substances during their episode of treatment |
Y221f | NDTMS - Client engaged in mental health interventions outside of substance misuse treatment in 28 days prior to custody |
Y229f | SARS-CoV-2 immunisation course not done |
Y231c | Continuous renal replacement therapy |
Y23fa | Referrer details |
Y25ac | PC19Q I think I have been exposed to COVID-19 (coronavirus) disease |
Y25b1 | PC19Q I take NSAIDs regularly |
Y26a7 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) IgA detection result indeterminate |
Y26b1 | PC19Q I have not had a test for COVID-19 |
Y26b6 | PC19Q No one in my household has had a positive test for COVID-19 |
Y27dc | Neurological rehabilitation service |
Y27fd | Faecal analysis |
Y280f | Blood ketone testing strips |
Y281d | Care plan agreed |
Y282c | Living temporarily in care home |
Y288b | IAPT (Improving Access to Psychological Therapies) treatment PEQ (Patient Experience Questionnaire) question 2 score |
Y28b9 | Referral to total diet replacement programme |
Y28c9 | Signposting to minor eye conditions service |
Y28f1 | Keele University PROMPPT Study into Prescribed opiates for pain - Low level opioid group |
Y28f2 | Keele University PROMPPT Study into Prescribed opiates for pain - Moderate level opioid group |
Y28f3 | Keele Univeristy PROMPPT Study into Prescribed opiates for pain - High level opioid group |
Y28f4 | Long term methotrexate user |
Y292b | Has access to a Blood Pressure readings app |
Y29a6 | Knows how to & does order repeat prescription online |
Y29c5 | Multidisciplinary case management |
Y29d2 | Clinical assessment indicates this patient is NOT frail |
Y29d6 | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 1 - very fit |
Y29d8 | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 3 - managing well |
Y29d9 | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 4 - vulnerable |
Y29da | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 5 - mildly frail |
Y29dc | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 7 - severely frail |
Y29e3 | Did not attend for first dose of vaccine against SARS-CoV-2 |
Y29e4 | Did not attend for second dose of vaccine against SARS-CoV-2 |
Y29e5 | Adverse reaction to SARS-CoV-2 vaccine |
Y29e8 | Administration of second dose of SARS-CoV-2 vaccine |
Y29e9 | Immunisation course to achieve immunity against SARS-CoV-2 |
Y29ea | Immunisation course against SARS-CoV-2 started |
Y29ef | SARS-CoV-2 vaccination dose not given |
Y29f0 | SARS-CoV-2 vaccination first dose not given |
Y2a0e | SARS-2 Coronavirus vaccine |
Y2a10 | COVID-19 Vac AstraZeneca (ChAdOx1 S recomb) 5x10000000000 viral particles/0.5ml dose sol for inj MDV part 1 |
Y2a16 | Reasonable adjustments for health and care access |
Y2a17 | Requires reasonable adjustments for health and care access (Equality Act 2010) |
Y2a18 | B&DC Cancer Speciality Pathway Consulted |
Y2a19 | B&DC Cardiovascular Speciality Pathway Consulted |
Y2a1a | B&DC Care of the Elderly Speciality Pathway Consulted |
Y2a1c | B&DC Complex Care Speciality Pathway Consulted |
Y2a1d | B&DC Covid-19 Speciality Pathway Consulted |
Y2a1e | B&DC Diabetes Speciality Pathway Consulted |
Y2a1f | B&DC Dermatology Speciality Pathway Consulted |
Y2a20 | B&DC Diagnostics Speciality Pathway Consulted |
Y2a21 | B&DC ENT Speciality Pathway Consulted |
Y2a22 | B&DC Gastroenterology Speciality Pathway Consulted |
Y2a23 | B&DC Hepatology Speciality Pathway Consulted |
Y2a24 | B&DC Gynaecology Speciality Pathway Consulted |
Y2a27 | B&DC Mental Health Speciality Pathway Consulted |
Y2a28 | B&DC MSK Speciality Pathway Consulted |
Y2a29 | B&DC Rheumatology Speciality Pathway Consulted |
Y2a2a | B&DC Nephrology Speciality Pathway Consulted |
Y2a2b | B&DC Neurology Speciality Pathway Consulted |
Y2a2c | B&DC Nutrition Speciality Pathway Consulted |
Y2a2e | B&DC Ophthalmology Speciality Pathway Consulted |
Y2a2f | B&DC Palliative Care Speciality Pathway Consulted |
Y2a31 | B&DC Respiratory Speciality Pathway Consulted |
Y2a34 | B&DC Surgery Speciality Pathway Consulted |
Y2a36 | B&DC Urology Speciality Pathway Consulted |
Y2a39 | COVID-19 Vac AstraZeneca (ChAdOx1 S recomb) 5x10000000000 viral particles/0.5ml dose sol for inj MDV part 2 |
Y2a3d | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive at the limit of detection |
Y2a44 | Referral to remote virtual care pulse oximetry monitoring service |
Y2a46 | Discharge from remote virtual care pulse oximetry monitoring service |
Y2a47 | Remote virtual care pulse oximetry monitoring ended |
Y2a48 | Remote virtual care pulse oximetry monitoring started |
Y2a49 | Remote virtual care pulse oximetry monitoring not appropriate |
Y2a4a | Remote virtual care pulse oximetry monitoring declined |
Y2a4b | Discussion about remote virtual care pulse oximetry monitoring |
Y2a4e | Recent weight loss |
Y2a61 | Cauda equina syndrome suspected |
Y2b59 | Lynch syndrome |
Y2b62 | Medication management |
Y2b76 | B&DC Haematology Speciality Pathway Consulted |
Y2b7b | Oropharyngeal dysphagia |
Y2b80 | Allergic reaction caused by vaccine product |
Y2b84 | Tongue swelling |
Y2b85 | Lip swelling |
Y2b86 | Acute disease caused by severe acute respiratory syndrome coronavirus 2 infection |
Y2b87 | Post-COVID-19 syndrome |
Y2b88 | Signposting to Your COVID Recovery |
Y2b89 | Referral to post-COVID assessment clinic |
Y2b8a | Referral to Your COVID Recovery rehabilitation platform |
Y2b97 | Has access to pulse oximeter |
Y2b9c | COVID-19 mRNA (nucleoside modified) Vaccine Moderna 0.1mg/0.5mL dose dispersion for injection multidose vials part 1 |
Y2ba3 | Excepted from non-diabetic hyperglycaemia quality indicators - patient unsuitable |
Y2baa | Lloyd George record scanned (third party) and attached to record |
Y2bdb | Herpes simplex keratitis |
Y2bdc | Retinal tear |
Y2bde | Lumbar radiculopathy |
Y2be2 | Herpes zoster keratitis |
Y2be5 | Conjunctival laceration |
Y2beb | Allergic conjunctivitis |
Y2c1e | Allergy to nickel |
Y3378 | Patient job title |
Y4886 | Incorrect bed height |
YA236 | Referrers expectations of care |
YA276 | Wants to communicate |
YA796 | Provision of pulse oximeter |
Y0589 | Snellen test 1/3m |
Y059c | Conductive hearing loss - structural |
Y05a5 | Referral to bloodspot screening |
Y09dd | Pre 3-5 year routine vision check |
Y0a93 | Clinical Assessment Urgency - urgent (20mins) |
Y0af7 | CPA discharge: Patient Died |
Y0bf0 | Stop Smoking Services - Home carer (Unpaid) |
Y0e70 | CORE Assessment Score - Functioning |
Y0f1f | Hearing Aid Service - Repair |
Y0f62 | Areas of difficulty with hearing: Other |
Y16b7 | Patient ethnicity could not be communicated |
Y17e6 | Plasma antithrombin 111 antigen level (UOM=%) |
Y19c1 | Spontaneous Vertex |
Y19c6 | Maternal blood loss |
Y1c6a | Aquacel Ag + Ribbon 1cm x 45cm |
Y1c8e | Assessment of philosophical, cultural, and spiritual beliefs and values |
Y1d4c | Mental Health History - None |
Y1d5d | Social Isolation - Moderate |
Y1d7e | CHC Fast Track Funding start date |
Y1ea1 | First Episode of Psychosis |
Y1ef9 | Able to swallow easy to chew food - IDDSI (International Dysphagia Diet Standardisation Initiative) level 7 |
Y1f07 | Referral to employment support service |
Y1fd4 | No significant past medical history |
Y1feb | Finding related to care planning |
Y20b8 | Provision of leaflet |
Y20c4 | Semaglutide |
Y20c6 | Interim Review second Invitation |
Y20c7 | Interim Review third Invitation |
Y20d8 | Some progress toward goal |
Y214c | Personal Wellbeing Score rating summary |
Y21f6 | NDTMS - Client prescribed acamprosate to prevent relapse to alcohol use |
Y2373 | Unable to weigh patient: no scales available |
Y23a0 | Prescription chart checked |
Y23cf | Dietetic Goals |
Y23f2 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) total immunoglobulin arbitrary concentration in serum |
Y23f5 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result equivocal |
Y240c | Central laboratory measurement of severe acute respiratory syndrome coronavirus 2 antibody (procedure) |
Y2610 | Speech & language therapy report: Other comments |
Y261d | MFRA: Has experienced blackouts, loss of consciousness or inability to recollect mechanism of falls, not due to memory |
Y264f | MFRA: Lying BP after 5 minutes and standing BP after 3 minutes has been recorded and indicates a deficit |
Y27e2 | Moving to new residence |
Y27e6 | Bill sent |
Y27e7 | Fee paid |
Y27f3 | Arrival by emergency road ambulance |
Y27f5 | Arrival by non-emergency road ambulance |
Y283c | PHQ-4 - Patient Health Questionnaire-4 |
Y28a0 | Irritable Bowel Syndrome - Symptom Severity Scale score |
Y28a5 | Ability to perform function / activity |
Y28a6 | Activities specific balance confidence score |
Y28ad | Monitoring pedal pulse |
Y28b6 | Early evening eating routine |
Y28b8 | Total diet replacement programme invitation |
Y28bc | Total diet replacement programme commenced |
Y28bf | Total diet replacement programme completed |
Y28c1 | Total diet replacement programme contraindicated |
Y28c4 | Patient given licence for MyAsthma App |
Y28d1 | Signposting to counselling |
Y28ed | Apnea Hypopnea Index |
Y28f0 | 4AT (4 As Test) score |
Y296d | Can send &/or receive emails with help from others |
Y29ba | Provision of Improving access to online services questionnaire |
Y29be | Physical assessment |
Y29c0 | Edinburgh Dysphagia Score |
Y29cd | Uses AIRMID |
Y29d7 | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 2 - well |
Y29db | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 6 - moderately frail |
Y29dd | CSHA (Canadian Study of Health and Aging) Clinical Frailty Scale level 8 - very severely frail |
Y29f1 | SARS-CoV-2 vaccination second dose not given |
Y2a25 | B&DC Immunology Speciality Pathway Consulted |
Y2a30 | B&DC Paediatrics Speciality Pathway Consulted |
Y2a33 | B&DC Sexual health Speciality Pathway Consulted |
Y2aaf | Equipment Services TOM (Therapy Outcome Measure) carer wellbeing score |
Y2b54 | Wound Care TOM (Therapy Outcome Measure) wellbeing score |
Y2b64 | Opioid dosage tapering |
Y2b6f | No longer considered to require Fast Track care |
Y2b75 | B&DC Genetics Speciality Pathway Consulted |
Y2b78 | Neurogenic bowel |
Y2b7a | Oesophageal dysphagia |
Y2b81 | Anaphylaxis due to substance |
Y2b8c | Assessment using COVID-19 Yorkshire Rehabilitation Screening tool |
Y2b96 | Heart failure with mid range ejection fraction |
Y2ba5 | Suspected sickle cell trait |
Y2bdd | Degeneration of retina |
Y2be3 | Traumatic mydriasis |
Y2be4 | Traumatic iritis |
Y2be9 | Dysfunction of sphincter of Oddi |
Y2bea | Avascular necrosis of bone of hip |
Y2bec | Hypercapnic respiratory failure |
Y2bed | Ulcer of skin of lower extremity |
Y2bf3 | Injury of muscle of lower back |
Y2bfc | Metastatic spinal cord compression |
Y2c01 | Musculoskeletal service |
Y2c08 | Group consultation via video conference |
Y2c09 | Cancer EOTS (End of Treatment Summary) Plan |
Y2c0c | Seen by health and wellbeing coach |
Y2c39 | Patient entered into trial |
Y2c42 | COVID-19 Additional Information |
Y2c44 | COVID-19 Additional Information - Are you a carer - No |
Y2c45 | COVID-19 Additional Information - Are you a carer - Not specified |
Y2c47 | COVID-19 Additional Information - Are you a social care worker - No |
Y2c48 | COVID-19 Additional Information - Are you a social care worker - Not specified |
Y2c4a | COVID-19 Additional Information - Are you a health care worker - No |
Y2c4b | COVID-19 Additional Information - Are you a health care worker - Not specified |
Y2c4d | COVID-19 Additional Information - Do you work in a residential care home for older people - No |
Y2c4e | COVID-19 Additional Information - Do you work in a residential care home for older people - Not specified |
Y2c50 | COVID-19 Additional information - Do you live in a residential care home - No |
Y2c51 | COVID-19 Additional Information - Do you live in a residential care home - Not specified |
Y2c53 | COVID-19 Additional Information - Pregnancy Status - Pregnant or could be pregnant - No |
Y2c7c | Referral to autism assessment service |
Y2c7e | Provision of information about cancer support services available in primary care |
Y2c7f | Appointment rescheduled by service |
Y2ca0 | Consultation via video conference (procedure) |
Y2cac | Medically fit for COVID-19 immunisation today |
Y2cad | Consent for vaccination provided by patient |
Y2caf | QOF (Quality and Outcomes Framework) non-diabetic hyperglycaemia quality indicator-related care invitation |
Y2cb5 | PSA monitoring interval |
Y2ccd | Handover from ambulance |
Y2ceb | Seen by care coordinator |
Y2d01 | SARS-CoV-2 First Vaccination offered |
Y2d03 | ORBIT-AF (Outcomes Registry for Better Informed Treatment of Atrial Fibrillation) bleeding risk score |
Y2d04 | Administration of first dose of vaccine product containing only Human alphaherpesvirus 3 antigen for shingles |
Y2d55 | COVID-19 |
Y2d56 | Blood test |
Y2d5b | Peak expiratory flow measurement |
Y2d5c | Provision of support for self-management |
Y2d5e | Referral to community service |
Y2d5f | Dyspnoea caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y2d60 | Fever caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y2d61 | Lower respiratory infection caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y2d63 | Pneumonia caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) |
Y2de2 | MRI of brain |
Y2df8 | Transcatheter aortic valve replacement |
Y2e63 | Referral to weight management service |
Y2eae | Insertion of midline cannula (procedure) |
Y2eb5 | COVID-19 Vaccine Novavax (adj) 5mcg/0.5ml dose susp for inj multidose vials (Baxter Oncology GmbH) part 1 |
Y2eb6 | COVID-19 Vaccine Novavax (adj) 5mcg/0.5ml dose susp for inj multidose vials (Baxter Oncology GmbH) part 2 |
Y2ed4 | eConsult referral to Cardiology Service |
Y2ed5 | eConsult referral to Renal Service |
Y2ed8 | eConsult referral to MSK / Orthopaedic Service |
Y2edb | eConsult referral to Rheumatology Service |
Y2ee0 | eConsult referral to Urology Service |
Y2efc | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) protection maintenance course declined |
Y2f27 | Fluad Tetra vaccine suspension for injection 0.5ml pre-filled syringes (Seqirus UK Ltd) |
Y2f2d | Provision of steroid emergency card not indicated |
Y2f2e | Provision of steroid emergency card |
Y2f2f | Has steroid emergency card |
Y2f30 | Referral for provision of steroid emergency card |
Y2f39 | Unable to automatically file a third-party immunisation message |
Y3036 | Alternative equipment |
Y4149 | Status of nutritional intake |
Y4152 | Videofluroscopy : Findings, Oral stage |
Y4471 | Lying flat |
Y6703 | Facial # -closed reduction NOS |
Y9622 | Trauma - amputation-lower limb |
YA107 | Brachioradialis reflex normal |
YA115 | Able to mobilise with self propelled wheelchair |
YA143 | Access to residence is difficult |
YA149 | Mid day eating routine |
YA777 | Able to drink with assistance |
YA875 | Exam - dysplasia L hip - referral |