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HEALTH SURVEY FOR ENGLAND: 1991

co DING INSTRUCTIONS

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GHS CODING FRAME FOR LONGSTANDING ILLNESS

!4J Complaint

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Health

01 Cancer (neoplasm) includinq lumps, masses, tumours and qrowths and beniqn Inon-malignant) lumps and cysts

incl. leukaemia (cancer of the blood) Hodgkin’s disease Lyniphoma acoustic neuroma Neurofibromatosis hereditary cancer Cancers sited in any part of the body or system eg. lung cancer, breast cancer, stomach cancer, skin cancer, bone cancer All tumours, growths, masses, lumps and cysts whether malignant or benign eg tumour on brain, growth in bowel, growth on spinal cord, lump in breast, cyst on eye, cyst in kidney. Wilms tumour rodent ulcers sarcomas, careinomas mastectomy (nes) hysterectomy for cancer of womb colostomy caused by cancer part of intestines removed (cancer) after affect of cancer(nes)

Endocrine/nutritional/metabelic diseases and i.nununitydisorders

02 Diabetes - incl. Hyperglycemia

03 Other endocrinejmetabolic - incl. underactive/overactivethyroid, goitre hormone deficiency, deficiency of growth hormone, dwarfism Beckwith - Wiedem;nn Addison’s disease Cushing’s syndrome Gilbert’s syndrome Coeliac disease phenylketonuria Cvstic fibrosis

syndrome

Malacia Wilson’s disease Myxoedema (n.e.s)

AIDS, AIDS carrier, HIV positive rickets obesity[overweight gout water/fluid retention hypopotassaemia, lack of potassium hypercalcemia

N Thyroid trouble and tiredness - code 03 only

Overactive thyroid and swelling in neck - code 03 only.

Health

~ Mental, behav~ourlal and personality disorders

04 Mental ~llness/anxiety/depression/nerves(nes) - mcl. schlzophren~a, manic depress.$ve sen~le dement~a, forgetfulness, gets confused nervous breakdown, neurasthen~a, nervous trouble anxiety, panic attacks stress nerves (nes) depression phobias

NB

autlstlc child anorexia nervosa alcohol~sm, recovered not cured alcohollc drug addict spaech ~mpedment, stammer dyslexla hyperactive ch~ld. catalepsy concusslon syndrome

Alzheuner’s d~sease, degenerative brain d~sease = code OB

Mental handicap -

lnc1. Down’s syndrome, mongol mentally retarded, subnO~al

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Health

y& Eye complaints

09 Cataract/par eye sight/bllndness -

mcl. operation for cataracts, now need glasses bad eyeglghtfnearly blind because of cataracts hsrdenlng of lens lens replants m both eyes bad eyea~ght, restrxted v~slon, partially sighted short s~ghted, long sighted, myopia trouble with eyes (nes), eyes not good (nes) bind in one eye, loss of one eye blmdnesa caused by diabetes detached/scarred retina tunnel vlslon blurred v~s~on

10 Other eye compla~nts -

lncl. glaucoma buphthal.m-as lr~tla retmltls plgmentosa night bl~ndness astigmatism double vlslon colour blind sgumt, lazy eye scarred cornea, corneal ulcers hemorrhage behind eye &y eye syndrome, trouble w~th tear ducts, watery eyes eyes are l~ght sensltlve In]ury to eye eye lnfectlon, con]unctlvltls. Sty on eye floater In eye

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liealth

~ Ear complaints

(^11) Poor hearing/deafness -

incl. hard of hearing, slightly deaf conductive/ne~e/noise induced deafness deaf and dumb otosclerosis poor hearing after mastoid operation

12 Tinnitus/noises in the ear -

incl. pulsing in the ear

13 Meniere’s disease/ear complaints causing balance problems -

incl. labyrinthitis, loss of balance - inner ear vertigo

14 Other ear complaints -

incl. otitis media glue ear disorders of Eustachian tube perforated ear drum (nes) middle/inner ear problems mastoiditis ear trouble (nes), ear problem (wax) ear aches and discharges ear infection

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k —MC Complaints of respiratorysystem

22 Bronchitis/emphysema - incl. chronic bronchitis bronchiectasis

23 Asthma - incl. bronchial asthma, allergic asthma asthma - allergy to house dust/grass/cat fur

NB Exclude cardiac asthma - code 18

24 Hayfever - incl. allergic rhinitis

25 Other respiratory complaints - incl. bronchial trouble, chest trouble (nes) bad chest (nes), weak chest - wheezy breathlessness pneumoconiosis, byssinosis, asbestosis and other industrial, respiratory diseases, pigeon fanciers’s lung lung complaint (nes), lung problems (nes) damaged lung (nes), lost lower lobe of left lung lung damage by viral pneumonia fibrosis of lung ulcer on lung, fluid on lung furred up airways, collapsed lung chest infections, get a lot of colds recurrent pleurisy sinus trouble, sinusitis rhinitis (nes) catarrh adenoid problems, nasal polyps sore throat, pharyngitis throat trouble (nes), throat irritation throat infection tonsillitis abscess on larynx coughing fits allergy to dust/cat fur paralysis of vocal cords Croup

~ TB (pulmonary tuberculosis) - code 37 Cystic fibrosis - code 03 Skin allergy - code 39 Food allergy - code 27 Allergy (nes) - code 41 Pilonidal sinus - code 39 Sick sinus syndrome - code 18 Whooping cough - code 37

If complaint is breathlessness with the cause also stated, code the cause: —

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eg breathlessness as a result of anaemia (code 38) breathlessness due to hole in heart (code 18) breathlessness due to angina (code 16)

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Health

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~ Complaints of the dlgestlve system

26 Stomach ulcer/ulcar (nes)/sbdommal hernLa/rupture - incl. gastric/duodenal/peptic ulcer ulcer (nes) double/ngu~nal/dmphragm/hiatus/umbll~cal hern~a hernia (nes), rupture (nes).

27 Other d~gestlve complamts (stomach, liver, pancraas, bile ducts, small ntestne - duodenum, ]e3unum and Ileum) -

mcl. stomach trouble (nes), sbdomnal trouble (nes) nd~gest~on, heart burn, dyspepsia nervous stomach, ac~d stomach inflamed duodenum weakness In intestines lleostomy pancreas problems throat trouble - d~fficulty In swallowing atone m gallbladder, gallbladder problems l~ver disease, b~liary artesla clrrhosls of tha llver, l~ver problems food allergles.

28 Complamts^ of bowel/colon (large lntestne,^ caecum, bowel, colon, rectum) - Lncl. colltls, colon trouble, ulcerative colltls Spastic colon enterltls dlvert~culltls mrlteble bowel, In flanmatlonof bowel pcIlypon bowel colostomy (nes) Crohn’s disease Hlrschsprung’s disease frequent dlarrhoea, constipation faacal lncOntlnence/encOpresls. grumbl~ng append~x

~ exclude piles - code 19 Cancer of stomach/kwel - code 01

29 Complaints of teathlmouth/tongue - lncl. mpacted wisdom tcoth, gmgavltls ulcers on tongue, mouth ulcers cleft palate, hare 11P no sense of taste

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~ Musculoskeletal - complamts of bones/]ontsfmuscles

34 ArthrltIs/rheumatism/flbrosLtls -

lncl. arthritis/rheumatism m any part of the body os.teoarthrltIs, rheumato~d arthrltIs, polynyalgla rheumatica psorlasls arthr~tls (also code psorlasls ) -- (^) StIll’s d~sease rheumatic symptoms arthr~tls as result of broken lmb

(^35) Back problems/sl~pped d~sc/spine/neck -

incl. back trouble, lower back problems, back ache spondylltis, spondylosis prolapsed ~nvertebral discs worn d~scs In spine - affects legs

dsmage,fracture or ln]ury to back/spine/neck

curvature of aplne lumbago, Inflanrnatlon of spinal joint disc trouble Schuermann’s dlseaae

~ Exclude If dsmage/~n]ury to spine results m paralysls - code 08 Sc~atIca - code 08 Trapped nerve In spne - code 08

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liealth

MC—

36 Other

incl.

problems of bones/joints/muscles -

osteomyelitis’ brittle bones, osteoporosis Pierre Robin syndrome Paget’s disease Perthe’s disease Schlatter’s disease Sever’s disease dislocations eg dislocation of hip, clicky hip, dislocated knee/finger fracture, damage or injury to extremities, ribs, collarbone, pelvis, skull, eg. knee injury, broken leg, gun shot wounds in leg and shOulder, Can’t hold left arm out flat - broke it as a child, broken nose, deviated septum

absence or loss of limb eg lost leg in war, finger amputated, born without

arms deformity of limbs eg club foot, clawhand, malformed jaw walk with limp as a result of polio, polio (nes), after affects of polio (nes) Systemic sclerosis, myotonia (nes) disseminated lupus hip replacement (nes) hip infection, TB hip torn muscle in leg, torn ligsments, tendinitis bad shoulder, bad leg, collapsed knee cap, knee cap removed cartilage problems frozen shoulder aching arm, stiff a.mn,sore arm muscle strained leg muscles, pain in thigh muscles stiff joints, joint pains, contraction of sinews, muscle wastage Dupuytren’s contraction bursitis, housemaid’s knee, tennis elbow delayed healing of bones or badly set fractures weak legs, leg trouble, pain in legs lags won’t go, clifficulty in walking crsmp in hand physically handicapped (nes) flat feet, bunions. chondrodystrophia tenosynovitis

NB Muscular dystrophy - code 08

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Health

~ 39 skin complaints

iricl.eczema psoriasis, psoriasis arthritis (also code arthritis) dermatitis epidermolysis, bulosa pilonidal sinusitis impetigo acne skin rashes and irritations skin allergies, Leaf rash, angio-oedema skin ulcer, ulcer on Lirrb(nes) birth mark burned arm (nes ) cellulitis (nes ) carbuncles, boils, warts, verruca corns, callouses ingrown toenail chilblains abscess in groin

NE Rodent ulcer - code 01 varicose ulcer, varicose eczema - code 20

40 other complaints

incl. insomnia sleepwalking fainting adhesions hair failing out, alopecia travel sickness nose bleeds no sense of smell duinh,no speech

NB Deaf and dumb - code 11 only.

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41 Unclasslf~sble (no other codable compla~nt)

ncl. old age/weak w~th old age general nfu-suty allergy (nes), allerglc reaction to some drugs (nes) war wound (nes ), road accident Ln]ury (nes ) t~redness (nes ) generally mn down (nes) weight loss (nes) after affects of menmgltls (nes) had men~nglt~s - left ma suscept~ble to to other things (nes) alectrlcal treatment on cheek (nes) swollen glands (nes) embarrass~ng Itch (nes) glass m head - too near temple to be remoVed (nes)

42 Complalnt no longer present

m Only usa th~s code ~f Lt ~s actually stated that the complamt no longer affects the mf ormant.

Exclude If complamt kept under control by med~catlon - code to sltejsystem.

99 NA/Refusal

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MEDICAL DIET ~f)= ?-l

21. Include d~ets recommended by doctor, nurse or d~etxlan only, also by e nutrltlonlst.

Exclude slnmnng

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diets

Include in precede 3 -

Include In precede 4 -

unless reconm!endedby a doctor.

low saturated fat diet; avoidance of whole-fat m~lk; whole-fat cheese; cream; butter; hard margarlnes, fat buttar, fatty meat.

eat more of bread, chappattls, pltta bread (particularly wholemeal), cereals; frult, vegetables; peas, beans, lent~ls; potatoes;

• rice (particularly brown) pasta (particularly wholewheat).

‘Other diet’ answers - leave in precede 5. eg high protein; commonsense eating; sens~ble eating, cut out acid food; cut down on everything, avoid dairy products; low sugar diet; low carbohydrate diet; to put we~ght on, eat lots of bananas for potassium

ACTIVITY AND EXERCISE (4+?GE^ 22-)

25 Q.9.

Include - sports done akxoad.

• training, practicing, refereeing, coaching

Exclude - sports done on a professional basis.

Code 01 (^) - include cycling as a means

• include racing.
• exclude motor cycling.

of transport

===JQ - differentiation between the 2 groups is not important, but make sure that one exercise is not double counted (eg - press-ups included in both code 02 and 03)

Other sports as exercise (specify~

Examine answers recorded, and code from the following frame, entering the single digit code in the OFF USE bex and ring.