procedure_source_concept_id

SUS Outpatient Procedure Occurrence

Source column PrimaryProcedure. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

	select
		distinct
		op.GeneratedRecordIdentifier,
		op.NHSNumber,
		op.AppointmentDate,
		op.AppointmentTime,
		p.ProcedureOPCS as PrimaryProcedure
	from omop_staging.sus_OP op
		inner join omop_staging.sus_OP_OPCSProcedure p
		on op.MessageId = p.MessageId
	where NHSNumber is not null
		and AttendedorDidNotAttend in ('5','6')

Comment or raise an issue for this mapping.

SUS CCMDS Procedure Occurrence

Source column ProcedureSourceValue. CCMDS Critical Care Activity Code Concept IDs

ProcedureSourceValue procedure_source_concept_id notes
1 4161831 Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)
2 4165535 Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)
3 4301351 Surgery (PATIENT received surgery)
4 4193981 Exchange Transfusion (PATIENT received exchange transfusion)
5 4324124 Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)
6 44806352 Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin
7 4021169 Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))
8 4273223 Convulsions (PATIENT having convulsions requiring treatment)
9 4239130 Oxygen Therapy
10 46271806 Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)
11 37395956 Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)
12 4050429 Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)
13 4262010 Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
14 4262010 Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)
15 4122478 Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)
16 4050864 Haemofiltration (PATIENT received Haemofiltration)
21 4237490 Resident - Caring for Baby
22 4141651 Continuous monitoring
23 4165358 Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)
24 4263536 Tube-fed (PATIENT being tube-fed)
25 618552 Barrier nursed (PATIENT being barrier nursed)
26 4151902 Phototherapy (PATIENT receiving phototherapy)
27 4301936 Special monitoring
28 4033847 Observations at regular intervals
29 4303434 Intravenous medication
50 4141651 Continuous electrocardiogram monitoring
51 37157166 Invasive ventilation via endotracheal tube
52 4337047 Invasive ventilation via tracheostomy tube
53 44791135 Non-invasive ventilatory support
55 4082245 Nasopharyngeal airway
56 4074666 Advanced ventilatory support (Jet or Oscillatory ventilation)
57 4061066 Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58 4122478 Apnoea requiring intervention
59 46272934 Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60 4213288 Arterial line monitoring
61 4049990 Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62 4322479 Central venous pressure monitoring
63 4161519 Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64 4232320 Cardio-pulmonary resuscitation (CPR)
65 4336747 Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66 4120120 Haemodialysis
67 4052539 Plasma filtration or Plasma exchange
68 2000097 ICP-intracranial pressure monitoring
69 40756782 Intraventricular catheter or external ventricular drain
70 4080110 Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71 4144062 Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72 44805305 Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)
73 4262005 Continuous pulse oximetry
74 4222885 Patient nursed in single occupancy cubicle
80 37158406 Heated Humidified High Flow Therapy (HHHFT)
81 4051310 Presence of an umbilical venous line
82 4080110 Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin)
83 4203429 Therapeutic hypothermia
87 4022139 Administration of intravenous (IV) blood products
96 4086422 intravenous infusion of sedative agent

Notes

		select distinct
				apc.NHSNumber,
				apc.GeneratedRecordIdentifier,
				cc.CriticalCareStartDate as ProcedureOccurrenceStartDate,
				coalesce(cc.CriticalCareStartTime, '00:00:00') as ProcedureOccurrenceStartTime,
				coalesce(cc.CriticalCarePeriodDischargeDate, cc.EventDate) as ProcedureOccurrenceEndDate,
				coalesce(cc.CriticalCarePeriodDischargeTime, '00:00:00') as ProcedureOccurrenceEndTime,
				d.CriticalCareActivityCode as ProcedureSourceValue
		from omop_staging.sus_CCMDS_CriticalCareActivityCode d
		inner join omop_staging.sus_CCMDS cc on d.MessageId = cc.MessageId
		inner join omop_staging.sus_APC apc on cc.GeneratedRecordID = apc.GeneratedRecordIdentifier
		where apc.NHSNumber is not null
		and d.CriticalCareActivityCode != '99'  -- No Defined Critical Care Activity

Comment or raise an issue for this mapping.

SUS APC Procedure Occurrence

Source column PrimaryProcedure. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

select
	distinct
		apc.GeneratedRecordIdentifier,
		apc.NHSNumber,
		p.ProcedureDateOPCS as PrimaryProcedureDate,
		p.ProcedureOPCS as PrimaryProcedure
from omop_staging.sus_APC apc
	inner join omop_staging.sus_OPCSProcedure p
		on apc.MessageId = p.MessageId
where NHSNumber is not null

Comment or raise an issue for this mapping.

SUS AE Procedure Occurrence

Source column PrimaryProcedure. Accident and Emergency Treatment to OMOP Procedure Concept IDs

PrimaryProcedure procedure_source_concept_id notes
01 4080499 Dressing
011 4080499 Dressing - dressing minor wound/burn/eye
012 4080499 Dressing - dressing major wound/burn
02 4080807 Bandage
03 4147691 Sutures
031 4147691 Sutures - primary sutures
032 4147691 Sutures - secondary/complex suture
033 4147691 Sutures - removal of sutures/clips
04 42538257 Wound Closure
041 4074344 Wound Closure - steristrips
042 4141971 Wound Closure - wound glue
043 42538257 Wound Closure - other (e.g. clips)
05 4232206 Plaster of Paris
051 4108844 Plaster of Paris - application
052 4078743 Plaster of Paris - removal
06 4194049 Splint
08 4032408 Removal
09 4080504 Physiotherapy
091 4080504 Physiotherapy - strapping, ultra sound treatment, short wave diathermy, manipulation
092 4218040 Physiotherapy - gait re-education, falls prevention
10 4190331 Manipulation
101 4042533 Manipulation - manipulation of upper limb fracture
102 42709780 Manipulation - manipulation of lower limb fracture
103 4190331 Manipulation - manipulation of dislocation
11 4211374 I&D
12 4311035 IV Cannula
13 4041656 Central Line
14 4178105 Irrigation
15 4202832 Intubation
16 44782942 Chest Drain
17 4074328 Urinary Catheter
18 4180456 Defibrillation
181 4180456 Defibrillation - defibrillation
182 4180456 Defibrillation - external pacing
19 4205502 CPR
20 46273093 Minor Surgery
21 4304206 Observation
22 4172321 Guidance
221 4172321 Guidance - written
222 4172321 Guidance - verbal
23 4160439 Anaesthesia
231 4174669 Anaesthesia - general anaesthetic
232 4303995 Anaesthesia - local anaesthetic
233 4117443 Anaesthesia - regional block
234 4140470 Anaesthesia - entonox
235 4219502 Anaesthesia - sedation
236 4160439 Anaesthesia - other
24 4293740 Tetanus
241 4293740 Tetanus - immune
242 4293740 Tetanus - tetanus toxoid course
243 4293740 Tetanus - tetanus toxoid booster
244 4037789 Tetanus - human immunoglobulin
245 4250328 Tetanus - combined tetanus/diphtheria course
246 4133518 Tetanus - combined tetanus/diphtheria booster
25 44790388 Nebuliser
28 4085113 Thrombolysis
281 4018703 Thrombolysis - streptokinase parenteral thrombolysis
282 4085113 Thrombolysis - recombinant
283 4241698 Thrombolysis - plasminogen activator
29 4088217 Parenteral Drugs
291 4161519 Parenteral Drugs - intravenous drug, e.g. stat/bolus
292 4030886 Parenteral Drugs - intravenous infusion
30 4254901 Vital Signs
31 4118442 Burns Review
32 4079701 X-ray Review
33 4295944 Fracture Review
34 4075964 Wound Cleaning
35 44793314 Dressing/Wound Review
36 4180243 Sling
37 4262407 Epistaxis Control
38 4092976 Nasal Airway
39 4339620 Oral Airway
40 4239130 Supplemental Oxygen
41 4306204 Positive Pressure
42 4213288 Arterial Line
43 763496 Infusion Fluids
44 4024656 Blood Transfusion
45 4149930 Pericardiocentesis
46 4080549 Lumbar Puncture
47 4170811 Joint Aspiration
48 4083710 Minor Plastic
49 4086432 Rewarming
50 4086433 Cooling
51 4162585 Medication
511 4123242 Medication - oral
512 4298276 Medication - intra-muscular
513 4303435 Medication - subcutaneous
514 4302260 Medication - per rectum
515 4123242 Medication - sublingual
516 4235706 Medication - intra-nasal
517 4021805 Medication - eye drops
518 4334396 Medication - ear drops
519 4075356 Medication - topical skin cream
52 4261887 OT
521 4261887 OT - OT functional assessment
522 4013690 OT - OT activities of daily living equipment provision
53 4083010 Walking Aid Loan
54 44791868 Social Work
55 4148277 Eye
551 4148277 Eye - orthoptic exercises
552 4162096 Eye - laser of retina/iris or posterior capsule
553 4259619 Eye - retrobulbar injection
554 4161695 Eye - epilation of lashes
555 4252594 Eye - subconjunctival injection
56 4305000 Dental
57 4052492 Prescription
27   Not Mappable
99   Not Mappable

Notes

	select
		distinct
			ae.GeneratedRecordIdentifier,
			ae.NHSNumber,
			ae.CDSActivityDate as PrimaryProcedureDate,
			p.AccidentAndEmergencyTreatment as PrimaryProcedure
	from omop_staging.sus_AE ae
		inner join omop_staging.sus_AE_treatment p
			on AE.MessageId = p.MessageId
	where NHSNumber is not null

Comment or raise an issue for this mapping.

Cosd V9 Procedure Occurrence Procedure Opcs

Source column ProcedureOpcsCode. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

  • ProcedureOpcsCode PROCEDURE (OPCS) is a Patient Procedure other than the PRIMARY PROCEDURE (OPCS). PROCEDURE (OPCS)
;with XMLNAMESPACES('http://www.datadictionary.nhs.uk/messages/COSD-v9-0-1' AS COSD901),								
CosdRecords as (				
	select								
		T.staging.value('(Id/@root)[1]', 'uniqueidentifier') as Id,								
		T.staging.query('.') as Node								
		from omop_staging.cosd_staging								
	cross apply content.nodes('COSD901:COSD/*') as T(staging)								
	where T.staging.exist('Id/@root') = 1								
		and Content.value('namespace-uri((/*:COSD)[1])','nvarchar(max)') = 'http://www.datadictionary.nhs.uk/messages/COSD-v9-0-1'								
		and substring (FileName, 15, 2) = 'CO'								
), ProcedureOpcs as (				
	select								
		Id,								
		T.p.value('.', 'varchar(max)') as ProcedureOpcsCode															
	from CosdRecords								
	cross apply Node.nodes('ColorectalRecord/Treatment/Surgery/ProcedureOpcs/@code') as T(p)
), COSD as (
	select
		Id,
		Node.value('(ColorectalRecord/LinkagePatientId/NhsNumber/@extension)[1]', 'varchar(max)') as NhsNumber,
		Node.value('(ColorectalRecord/Treatment/Surgery/ProcedureDate)[1]', 'varchar(max)') as ProcedureDate
	from CosdRecords
)
select
	distinct
		c.NhsNumber,
		c.ProcedureDate,
		p.ProcedureOpcsCode
from COSD c
	inner join ProcedureOpcs p
		on c.Id = p.Id;

Comment or raise an issue for this mapping.

Cosd V9 Procedure Occurrence Primary Procedure Opcs

Source column PrimaryProcedureOpcs. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

  • PrimaryProcedureOpcs PRIMARY PROCEDURE (OPCS) is the OPCS Classification of Interventions and Procedures code which is used to identify the primary Patient Procedure carried out. PRIMARY PROCEDURE (OPCS)
;with XMLNAMESPACES('http://www.datadictionary.nhs.uk/messages/COSD-v9-0-1' AS COSD901),								
CosdRecords as (				
	select								
		T.staging.value('(Id/@root)[1]', 'uniqueidentifier') as Id,								
		T.staging.query('.') as Node								
		from omop_staging.cosd_staging								
	cross apply content.nodes('COSD901:COSD/*') as T(staging)								
	where T.staging.exist('Id/@root') = 1								
		and Content.value('namespace-uri((/*:COSD)[1])','nvarchar(max)') = 'http://www.datadictionary.nhs.uk/messages/COSD-v9-0-1'								
		and substring (FileName, 15, 2) = 'CO'								
), COSD as (
	select
		Id,
		Node.value('(ColorectalRecord/LinkagePatientId/NhsNumber/@extension)[1]', 'varchar(max)') as NhsNumber,
		Node.value('(ColorectalRecord/Treatment/Surgery/ProcedureDate)[1]', 'varchar(max)') as ProcedureDate,
		Node.value('(ColorectalRecord/Treatment/Surgery/PrimaryProcedureOpcs/@code)[1]', 'varchar(max)') as PrimaryProcedureOpcs
	from CosdRecords
)
select
	distinct
		NhsNumber,
		ProcedureDate,
		PrimaryProcedureOpcs
from COSD c
where ProcedureDate is not null and PrimaryProcedureOpcs is not null;

Comment or raise an issue for this mapping.

Cosd V8 Procedure Occurrence Procedure Opcs

Source column ProcedureOpcsCode. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

  • ProcedureOpcsCode PROCEDURE (OPCS) is a Patient Procedure other than the PRIMARY PROCEDURE (OPCS). PROCEDURE (OPCS)
;with XMLNAMESPACES('http://www.datadictionary.nhs.uk/messages/COSD-v8-1' AS COSD),
    CosdRecords as ( 
    select
        T.staging.value('(Id/@root)[1]', 'uniqueidentifier') as Id,
        T.staging.query('*[local-name() != "Id"][1]/*[1]') as Node -- Select the first inner element of the element that is not called Id.
    from omop_staging.cosd_staging
    cross apply content.nodes('COSD:COSD/*') as T(staging)
    where T.staging.exist('Id/@root') = 1
            and Content.value('namespace-uri((/*:COSD)[1])','nvarchar(max)') = 'http://www.datadictionary.nhs.uk/messages/COSD-v8-1'
            and substring (FileName, 15, 2) = 'CO'
), CO as (
	select 
        Id,
        Node,
        Node.value('(ColorectalCore/ColorectalCoreLinkagePatientId/NHSNumber/@extension)[1]', 'varchar(max)') as NhsNumber,
		Node.value('(ColorectalCore/ColorectalCoreTreatment/ColorectalCoreSurgeryAndOtherProcedures/ProcedureDate)[1]', 'varchar(max)') as ProcedureDate,
		Node.value('(ColorectalCore/ColorectalCoreTreatment/ColorectalCoreSurgeryAndOtherProcedures/PrimaryProcedureOPCS/@code)[1]', 'varchar(max)') as PrimaryProcedureOpcs
	from CosdRecords        
), ProcedureOpcs as (				
	select								
		Id,								
		T.p.value('.', 'varchar(max)') as ProcedureOpcsCode															
	from CosdRecords								
	cross apply Node.nodes('ColorectalCore/ColorectalCoreTreatment/ColorectalCoreSurgeryAndOtherProcedures/ProcedureOPCS/@code') as T(p)
)
select
	distinct
		c.NhsNumber,
		c.ProcedureDate,
		p.ProcedureOpcsCode
from CO c
	inner join ProcedureOpcs p
		on c.Id = p.Id;

Comment or raise an issue for this mapping.

Cosd V8 Procedure Occurrence Primary Procedure Opcs

Source column PrimaryProcedureOpcs. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

  • PrimaryProcedureOpcs PRIMARY PROCEDURE (OPCS) is the OPCS Classification of Interventions and Procedures code which is used to identify the primary Patient Procedure carried out. PRIMARY PROCEDURE (OPCS)
;with XMLNAMESPACES('http://www.datadictionary.nhs.uk/messages/COSD-v8-1' AS COSD),
    CosdRecords as ( 
    select
            T.staging.value('(Id/@root)[1]', 'uniqueidentifier') as Id,
            T.staging.query('*[local-name() != "Id"][1]/*[1]') as Node -- Select the first inner element of the element that is not called Id.
    from omop_staging.cosd_staging
    cross apply content.nodes('COSD:COSD/*') as T(staging)
    where T.staging.exist('Id/@root') = 1
            and Content.value('namespace-uri((/*:COSD)[1])','nvarchar(max)') = 'http://www.datadictionary.nhs.uk/messages/COSD-v8-1'
            and substring (FileName, 15, 2) = 'CO'
), CO as (
	select 
        Id,
        Node,
        Node.value('(ColorectalCore/ColorectalCoreLinkagePatientId/NHSNumber/@extension)[1]', 'varchar(max)') as NhsNumber,
		Node.value('(ColorectalCore/ColorectalCoreTreatment/ColorectalCoreSurgeryAndOtherProcedures/ProcedureDate)[1]', 'varchar(max)') as ProcedureDate,
		Node.value('(ColorectalCore/ColorectalCoreTreatment/ColorectalCoreSurgeryAndOtherProcedures/PrimaryProcedureOPCS/@code)[1]', 'varchar(max)') as PrimaryProcedureOpcs
	from CosdRecords        
)
select
	distinct
		NhsNumber,
		ProcedureDate,
		PrimaryProcedureOpcs
from CO c
where ProcedureDate is not null and PrimaryProcedureOpcs is not null;

Comment or raise an issue for this mapping.

CDS Procedure Occurrence

Source column PrimaryProcedure. Resolve OPCS4 codes to OMOP concepts. If code cannot be mapped, map using the parent code.

select
	distinct
		l1.RecordConnectionIdentifier,
		l1.NHSNumber,
		p.PrimaryProcedureDate,
		p.PrimaryProcedure
from omop_staging.cds_line01 l1
	inner join omop_staging.cds_procedure p
		on l1.MessageId = p.MessageId
where l1.NHSNumber is not null;

Comment or raise an issue for this mapping.