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Updated severe mental illness code set #204

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Expand Up @@ -8,9 +8,9 @@ Defined as any diagnosis of:

or patients on the severe mental illness register.

CTV3 code sets from OpenSafely.
CTV3 code sets from OpenSafely and the NHS PCD refsets.

SNOMED code set created from the following codes and all their descendants:
SNOMED code set supplemented from the following codes and all their descendants:

| SNOMED code | Description |
| ----------- | ------------------------------------------- |
Expand All @@ -25,8 +25,17 @@ By examining the prevalence of codes (number of patients with the code in their

The discrepancy between the patients counted when using the IDs vs using the clinical codes is due to these being new codes which haven't all filtered through to the main Graphnet dictionary. The prevalence range `1.04% - 1.77%` is perhaps too wide suggesting there is an underreporting from TPP practices - or the CTV3 code set differs from the others.

_Update **2024-03-15**: Prevalence now 1.14% - 1.18% which suggests it is now well defined._

| Date | Practice system | Population | Patients from ID | Patient from code |
| ---------- | --------------- | ---------- | ---------------: | ----------------: |
| 2021-03-11 | EMIS | 2600658 | 46405 (1.78%) | 46081 (1.77%) |
| 2021-03-11 | TPP | 210333 | 2200 (1.05%) | 2196 (1.04%) |
| 2021-03-11 | Vision | 333251 | 6770 (2.03%) | 5338 (1.60%) |
| 2024-03-15 | EMIS | 2526522 | 44626 (1.77%) | 29709 (1.18%) |
| 2024-03-15 | TPP | 201758 | 2455 (1.22%) | 2294 (1.14%) |
| 2024-03-15 | Vision | 335186 | 5667 (1.69%) | 3830 (1.14%) |

## Audit log

- Find_missing_codes last run 2024-03-15
Expand Up @@ -590,4 +590,73 @@
70814008 Subchronic residual schizophrenia with acute exacerbations (disorder)
35218008 Chronic disorganized schizophrenia with acute exacerbations (disorder)
79204003 Chronic undifferentiated schizophrenia with acute exacerbations (disorder)
191563001 Acute exacerbation of subchronic latent schizophrenia (disorder)
191563001 Acute exacerbation of subchronic latent schizophrenia (disorder)
789061003 Rapid cycling bipolar II disorder (disorder)
231496004 Hypomania (disorder)
191593007 Recurrent manic episodes, moderate (disorder)
47447001 Grandiose delusion disorder (disorder)
33736005 Severe major depression with psychotic features, mood-congruent (disorder)
1089681000000108 Mania with psychotic features (disorder)
191562006 Chronic latent schizophrenia (disorder)
755331000000108 Recurrent major depressive episodes, severe, with psychosis, psychosis in remission (disorder)
60099002 Severe major depression with psychotic features, mood-incongruent (disorder)
191559008 Latent schizophrenia (disorder)
28475009 Severe recurrent major depression with psychotic features (disorder)
723901004 Delusional disorder currently in full remission (disorder)
191588009 Single manic episode in full remission (disorder)
764641000000104 Single manic episode, severe (disorder)
430852001 Severe major depression, single episode, with psychotic features (disorder)
1127191000000108 First episode psychosis (finding)
48500005 Delusional disorder (disorder)
268619003 Manic disorder, single episode (disorder)
16238741000119105 Bipolar disorder caused by drug (disorder)
274952002 Borderline schizophrenia (disorder)
191583000 Single manic episode, mild (disorder)
764731000000103 Single manic episode in partial remission (disorder)
15193003 Severe recurrent major depression with psychotic features, mood-incongruent (disorder)
33323008 Somatic delusion disorder (disorder)
33078009 Severe recurrent major depression with psychotic features, mood-congruent (disorder)
723899008 Delusional disorder currently symptomatic (disorder)
191586008 Single manic episode, severe, with psychosis (disorder)
191565008 Latent schizophrenia in remission (disorder)
764681000000107 Recurrent manic episodes, in remission (disorder)
191677006 Acute hysterical psychosis (disorder)
726772006 Major depression with psychotic features (disorder)
191584006 Single manic episode, moderate (disorder)
764741000000107 Single manic episode in remission (disorder)
191590005 Recurrent manic episodes (disorder)
191604000 Single major depressive episode, severe, with psychosis (disorder)
723900003 Delusional disorder currently in partial remission (disorder)
31027006 Schizotypal personality disorder (disorder)
191672000 Paranoia querulans (disorder)
231487004 Persistent delusional disorder (disorder)
231485007 Post-schizophrenic depression (disorder)
191613003 Recurrent major depressive episodes, severe, with psychosis (disorder)
191561004 Subchronic latent schizophrenia (disorder)
1089511000000100 Recurrent depression with current severe episode and psychotic features (disorder)
698951002 Delusional disorder in remission (disorder)
755321000000106 Single major depressive episode, severe, with psychosis, psychosis in remission (disorder)
191564007 Acute exacerbation of chronic latent schizophrenia (disorder)
60123008 Delusional disorder, mixed type (disorder)
191670008 Shared paranoid disorder (disorder)
41932008 Amok (disorder)
231494001 Mania (disorder)
1089671000000106 Mania with mood-incongruent psychotic features (disorder)
191595000 Recurrent manic episodes, severe, with psychosis (disorder)
231495000 Manic stupor (disorder)
191667009 Paranoid disorder (disorder)
1089661000000104 Mania with mood-congruent psychotic features (disorder)
191592002 Recurrent manic episodes, mild (disorder)
764621000000106 Recurrent manic episodes, severe (disorder)
191668004 Simple paranoid state (disorder)
268622001 Chronic paranoid psychosis (disorder)
77911002 Severe major depression, single episode, with psychotic features, mood-congruent (disorder)
764671000000105 Recurrent manic episodes, in partial remission (disorder)
191658009 Atypical manic disorder (disorder)
417601000000102 [X]Schizophrenia, schizotypal and delusional disorders (disorder)
191597008 Recurrent manic episodes, in full remission (disorder)
755301000000102 Paranoid state in remission (disorder)
307504004 Oneirophrenia (finding)
20250007 Severe major depression, single episode, with psychotic features, mood-incongruent (disorder)
73867007 Severe major depression with psychotic features (disorder)
278506006 Involutional paranoid state (disorder)