{
  "concept_id": 1572,
  "concept_version_id": 4283,
  "coding_system": {
    "id": 5,
    "name": "Read codes v2",
    "description": "Read codes v2"
  },
  "name": "Spina bifida - Primary care",
  "description": "",
  "author": "Kuan V, Denaxas S, Gonzalez-Izquierdo A, Direk K, Bhatti O, Husain S, Sutaria S, Hingorani M, Nitsch D, Parisinos C, Lumbers T, Mathur R, Sofat R, Casas JP, Wong I, Hemingway H, Hingorani A",
  "entry_date": "2021-10-06",
  "validation_performed": true,
  "validation_description": "cross-sour",
  "publication_doi": "10.1016/S2589-7500(19)30012-3",
  "publication_link": "",
  "secondary_publication_links": "",
  "paper_published": true,
  "source_reference": "",
  "citation_requirements": "",
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  "world_access": 1,
  "tags": [],
  "collections": [
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      "name": "CALIBER",
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      "type": 2
    },
    {
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    }
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          "id": 73148,
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          "description": "Insertion of Halber valve for spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Sacral spina bifida with hydrocephalus - open",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Spina bifida with hydrocephalus - open",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Rachischisis with hydrocephalus",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Spina bifida with hydrocephalus - open NOS",
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            "Disease": "Spina bifida",
            "Medcode": "47288.0",
            "Category": "Diagnosis of Spina bifida"
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          "description": "Lumbar spina bifida with hydrocephalus - closed",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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          "id": 73171,
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          "description": "Spina bifida with hydrocephalus - closed",
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            "Disease": "Spina bifida",
            "Medcode": "93902.0",
            "Category": "Diagnosis of Spina bifida"
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          "id": 73172,
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          "description": "Thoracolumbar spina bifida with hydrocephalus - closed",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Spina bifida with stenosis of aqueduct of Sylvius",
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            "Disease": "Spina bifida",
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            "Category": "Diagnosis of Spina bifida"
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          "description": "Spina bifida with hydrocephalus",
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            "Disease": "Spina bifida",
            "Medcode": "46790.0",
            "Category": "Diagnosis of Spina bifida"
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          "description": "Dandy - Walker syndrome with spina bifida",
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            "Disease": "Spina bifida",
            "Medcode": "59218.0",
            "Category": "Diagnosis of Spina bifida"
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          "description": "Other specified spina bifida with hydrocephalus",
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            "Disease": "Spina bifida",
            "Medcode": "73085.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
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          "id": 73178,
          "code": "P10z.00",
          "description": "Spina bifida with hydrocephalus NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "64717.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73179,
          "code": "P110000",
          "description": "Spina bifida without hydrocephalus, site unspecified",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "101013.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73180,
          "code": "P110100",
          "description": "Cervical spina bifida without mention of hydrocephalus",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "68221.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73181,
          "code": "P110200",
          "description": "Thoracic spina bifida without mention of hydrocephalus",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "96709.0",
            "Category": "Diagnosis of Spina bifida"
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        },
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          "id": 73182,
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          "description": "Lumbar spina bifida without mention of hydrocephalus",
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            "Disease": "Spina bifida",
            "Medcode": "96407.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
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          "id": 73183,
          "code": "P110z00",
          "description": "Unspecified spina bifida without hydrocephalus NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "95018.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73184,
          "code": "P111.00",
          "description": "Spinal hydromeningocele",
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            "Disease": "Spina bifida",
            "Medcode": "53578.0",
            "Category": "Diagnosis of Spina bifida"
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        },
        {
          "id": 73185,
          "code": "P112.00",
          "description": "Hydromyelocele",
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            "Disease": "Spina bifida",
            "Medcode": "67878.0",
            "Category": "Diagnosis of Spina bifida"
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        },
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          "id": 73186,
          "code": "P113000",
          "description": "Spinal meningocele of unspecified site",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "53929.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73187,
          "code": "P113100",
          "description": "Cervical spinal meningocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "67351.0",
            "Category": "Diagnosis of Spina bifida"
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        },
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          "id": 73188,
          "code": "P113200",
          "description": "Thoracic spinal meningocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "91600.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73189,
          "code": "P113300",
          "description": "Lumbar spinal meningocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "61862.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73190,
          "code": "P113.00",
          "description": "Spinal meningocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "6866.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73191,
          "code": "P113z00",
          "description": "Spinal meningocele NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "50365.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73192,
          "code": "P114000",
          "description": "Meningomyelocele of unspecified site",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "99332.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73193,
          "code": "P114100",
          "description": "Cervical meningomyelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "107144.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73194,
          "code": "P114200",
          "description": "Thoracic meningomyelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "99299.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73195,
          "code": "P114300",
          "description": "Lumbar meningomyelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "47827.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73196,
          "code": "P114.00",
          "description": "Meningomyelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "9722.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73197,
          "code": "P114z00",
          "description": "Meningomyelocele NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "57611.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73198,
          "code": "P115100",
          "description": "Cervical myelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "94598.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73199,
          "code": "P115300",
          "description": "Lumbar myelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "66516.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73200,
          "code": "P115.00",
          "description": "Myelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "31775.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73201,
          "code": "P115z00",
          "description": "Myelocele NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "73712.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73202,
          "code": "P116100",
          "description": "Cervical myelocystocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "107377.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73203,
          "code": "P116300",
          "description": "Lumbar myelocystocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "101493.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73204,
          "code": "P116.00",
          "description": "Myelocystocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "59380.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73205,
          "code": "P116z00",
          "description": "Myelocystocele NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "109893.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73206,
          "code": "P117200",
          "description": "Thoracic spina bifida without hydrocephalus - open",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "95478.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73207,
          "code": "P117300",
          "description": "Lumbar spina bifida without hydrocephalus - open",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "69397.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73208,
          "code": "P117400",
          "description": "Sacral spina bifida without hydrocephalus - open",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "71525.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73209,
          "code": "P117.00",
          "description": "Spina bifida without hydrocephalus - open",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "99281.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73210,
          "code": "P117.11",
          "description": "Fissured spine",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "56386.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73211,
          "code": "P117.12",
          "description": "Rachischisis",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "67708.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73212,
          "code": "P117z00",
          "description": "Spina bifida without hydrocephalus - open NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "73608.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73213,
          "code": "P118000",
          "description": "Unspecified spina bifida without hydrocephalus - closed",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "69370.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73214,
          "code": "P118100",
          "description": "Cervical spina bifida without hydrocephalus - closed",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "72018.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73215,
          "code": "P118300",
          "description": "Lumbar spina bifida without hydrocephalus - closed",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "65936.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73216,
          "code": "P118400",
          "description": "Sacral spina bifida without hydrocephalus - closed",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "70923.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73217,
          "code": "P118.00",
          "description": "Spina bifida without hydrocephalus - closed",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "48609.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73218,
          "code": "P118z00",
          "description": "Spina bifida without hydrocephalus - closed NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "65246.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73219,
          "code": "P11..00",
          "description": "Spina bifida without mention of hydrocephalus",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "5431.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73220,
          "code": "P11y.00",
          "description": "Other specified spina bifida without hydrocephalus",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "99894.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73221,
          "code": "P11y.11",
          "description": "Syringomyelocele",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "43593.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73222,
          "code": "P11z.00",
          "description": "Spina bifida without mention of hydrocephalus NOS",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "98280.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73223,
          "code": "P1...00",
          "description": "Spina bifida",
          "attributes": {
            "Disease": "Spina bifida",
            "Medcode": "3947.0",
            "Category": "Diagnosis of Spina bifida"
          }
        },
        {
          "id": 73224,
          "code": "P1z..00",
          "description": "Spina bifida NOS",
          "attributes": {
            "Disease": "Spina bifida",
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