{
  "concept_id": 2420,
  "concept_version_id": 6240,
  "coding_system": {
    "id": 8,
    "name": "Med codes",
    "description": "Med codes"
  },
  "name": "Asthma Primary care - BREATHE recommended - 4",
  "description": "\n\nNot found code search\n\n",
  "author": "Luke Daines, Ann Morgan, Mome Mukherjee, Mohammad Al Sallakh, Eimear O'Rourke, Jennifer K Quint",
  "entry_date": "2022-01-17",
  "validation_performed": true,
  "validation_description": "Validation of Read Codes for the Identification of Asthma in CPRDNissen et al. validated a set of Read codes for the identification of asthma in CPRD in 2017. Use of specific asthma codes alone for identification of asthma patients had a positive predictive value (PPV) of 86.4 (77.4 to 95.4). The algorithm with the highest PPV included a non-specific asthma code, evidence of reversibility testing, and prescription of medication (PPV = 90.7 (82.8 to 98.7)).nanF. Nissen, Morales, D. R., Mullerova, H., Smeeth, L., Douglas, I. J., and Quint, J. K., “Validation of asthma recording in the Clinical Practice Research Datalink (CPRD)”, BMJ Open, vol. 7, p. e017474, 2017.nanSystematic Review of Asthma Coding in EHRAl Sallakh et al. and Nissen et al. both reviewed the literature for the validation of asthma in EHR in 2017. They found that high PPV were possible using a variaty of methods; however, there was high heterogeneity in the methods used.nanF. Nissen, Quint, J. K., Wilkinson, S., Mullerova, H., Smeeth, L., Douglas, I. J., \"Validation of Asthma Recording in Electronic Health Records: A Systematic Review\", Clinical Epidemiology, vol. 9, p. 643-656, 2017.F. Nissen, Quint, J. K., Wilkinson, S., Mullerova, H., Smeeth, L., Douglas, I. J., \"Validation of Asthma Recording in Electronic Health Records: Protocol for a Systematic Review \", BMJ Open, vol. 7, p. e014694, 2017.M. A. Al Sallakh, Vadileiou E., Rodgers, S. E., Lyons, R. A., Sheikh, A., Davies, G. A., \"Defining asthma and assessing asthma outcomes using electronic health record data: a systematic scoping review\", Eur Respir J, vol. 49, p. 1700204, 201",
  "publication_doi": "",
  "publication_link": "",
  "secondary_publication_links": "",
  "paper_published": false,
  "source_reference": "",
  "citation_requirements": "",
  "owner_access": 3,
  "group_access": 1,
  "world_access": 2,
  "tags": [],
  "collections": [
    {
      "name": "BREATHE",
      "value": 19,
      "type": 2
    },
    {
      "name": "Phenotype Library",
      "value": 18,
      "type": 2
    }
  ],
  "created_by": null,
  "modified_by": null,
  "owner": null,
  "group": null,
  "phenotype_owner": "PH782",
  "phenotype_owner_history_id": 2206,
  "requested_entity_id": null,
  "components": [
    {
      "id": 2742,
      "name": "BREATHE recommended",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 166556,
          "code": "78",
          "description": "asthma"
        },
        {
          "id": 166667,
          "code": "103945",
          "description": "asthma trigger - damp"
        },
        {
          "id": 166685,
          "code": "29645",
          "description": "Asthma control step 0"
        },
        {
          "id": 166557,
          "code": "81",
          "description": "asthma monitoring"
        },
        {
          "id": 166558,
          "code": "185",
          "description": "acute exacerbation of asthma"
        },
        {
          "id": 166559,
          "code": "232",
          "description": "asthma attack"
        },
        {
          "id": 166560,
          "code": "233",
          "description": "severe asthma attack"
        },
        {
          "id": 166561,
          "code": "1555",
          "description": "bronchial asthma"
        },
        {
          "id": 166562,
          "code": "2290",
          "description": "allergic asthma"
        },
        {
          "id": 166563,
          "code": "3018",
          "description": "mild asthma"
        },
        {
          "id": 166564,
          "code": "3366",
          "description": "severe asthma"
        },
        {
          "id": 166565,
          "code": "3458",
          "description": "occasional asthma"
        },
        {
          "id": 166566,
          "code": "3665",
          "description": "late onset asthma"
        },
        {
          "id": 166567,
          "code": "4442",
          "description": "asthma unspecified"
        },
        {
          "id": 166568,
          "code": "4606",
          "description": "exercise induced asthma"
        },
        {
          "id": 166569,
          "code": "4892",
          "description": "status asthmaticus nos"
        },
        {
          "id": 166570,
          "code": "5267",
          "description": "intrinsic asthma"
        },
        {
          "id": 166571,
          "code": "5627",
          "description": "hay fever with asthma"
        },
        {
          "id": 166572,
          "code": "5798",
          "description": "chronic asthmatic bronchitis"
        },
        {
          "id": 166573,
          "code": "5867",
          "description": "exercise induced asthma"
        },
        {
          "id": 166574,
          "code": "6707",
          "description": "extrinsic asthma with asthma attack"
        },
        {
          "id": 166575,
          "code": "7058",
          "description": "emergency admission, asthma"
        },
        {
          "id": 166576,
          "code": "7146",
          "description": "extrinsic (atopic) asthma"
        },
        {
          "id": 166577,
          "code": "7191",
          "description": "asthma limiting activities"
        },
        {
          "id": 166578,
          "code": "7378",
          "description": "asthma management plan given"
        },
        {
          "id": 166579,
          "code": "7416",
          "description": "asthma disturbing sleep"
        },
        {
          "id": 166580,
          "code": "7731",
          "description": "pollen asthma"
        },
        {
          "id": 166581,
          "code": "8335",
          "description": "asthma attack nos"
        },
        {
          "id": 166582,
          "code": "8355",
          "description": "asthma monitored"
        },
        {
          "id": 166583,
          "code": "9018",
          "description": "number of asthma exacerbations in past year"
        },
        {
          "id": 166584,
          "code": "9552",
          "description": "change in asthma management plan"
        },
        {
          "id": 166585,
          "code": "9663",
          "description": "step up change in asthma management plan"
        },
        {
          "id": 166586,
          "code": "10043",
          "description": "asthma annual review"
        },
        {
          "id": 166587,
          "code": "10274",
          "description": "asthma medication review"
        },
        {
          "id": 166588,
          "code": "10487",
          "description": "asthma - currently active"
        },
        {
          "id": 166589,
          "code": "11370",
          "description": "asthma confirmed"
        },
        {
          "id": 166590,
          "code": "12987",
          "description": "late-onset asthma"
        },
        {
          "id": 166591,
          "code": "13064",
          "description": "asthma severity"
        },
        {
          "id": 166592,
          "code": "13065",
          "description": "moderate asthma"
        },
        {
          "id": 166593,
          "code": "13175",
          "description": "asthma disturbs sleep frequently"
        },
        {
          "id": 166594,
          "code": "13176",
          "description": "asthma follow-up"
        },
        {
          "id": 166668,
          "code": "103952",
          "description": "asthma trigger - emotion"
        },
        {
          "id": 166595,
          "code": "14777",
          "description": "extrinsic asthma without status asthmaticus"
        },
        {
          "id": 166596,
          "code": "15248",
          "description": "hay fever with asthma"
        },
        {
          "id": 166597,
          "code": "16070",
          "description": "asthma nos"
        },
        {
          "id": 166598,
          "code": "16667",
          "description": "asthma control step 2"
        },
        {
          "id": 166599,
          "code": "16785",
          "description": "asthma control step 1"
        },
        {
          "id": 166600,
          "code": "18223",
          "description": "step down change in asthma management plan"
        },
        {
          "id": 166601,
          "code": "18224",
          "description": "asthma control step 3"
        },
        {
          "id": 166602,
          "code": "18323",
          "description": "intrinsic asthma with asthma attack"
        },
        {
          "id": 166603,
          "code": "19167",
          "description": "asthma monitoring by nurse"
        },
        {
          "id": 166604,
          "code": "19519",
          "description": "asthma treatment compliance unsatisfactory"
        },
        {
          "id": 166605,
          "code": "19520",
          "description": "asthma treatment compliance satisfactory"
        },
        {
          "id": 166606,
          "code": "20860",
          "description": "asthma control step 5"
        },
        {
          "id": 166607,
          "code": "20886",
          "description": "asthma control step 4"
        },
        {
          "id": 166608,
          "code": "21232",
          "description": "allergic asthma nec"
        },
        {
          "id": 166609,
          "code": "22752",
          "description": "occupational asthma"
        },
        {
          "id": 166610,
          "code": "24479",
          "description": "emergency asthma admission since last appointment"
        },
        {
          "id": 166611,
          "code": "24506",
          "description": "further asthma - drug prevent."
        },
        {
          "id": 166612,
          "code": "24884",
          "description": "asthma causes daytime symptoms 1 to 2 times per week"
        },
        {
          "id": 166613,
          "code": "25181",
          "description": "asthma restricts exercise"
        },
        {
          "id": 166614,
          "code": "25791",
          "description": "asthma clinical management plan"
        },
        {
          "id": 166615,
          "code": "26501",
          "description": "asthma never causes daytime symptoms"
        },
        {
          "id": 166616,
          "code": "26503",
          "description": "asthma causes daytime symptoms most days"
        },
        {
          "id": 166617,
          "code": "26504",
          "description": "asthma never restricts exercise"
        },
        {
          "id": 166618,
          "code": "26506",
          "description": "asthma severely restricts exercise"
        },
        {
          "id": 166619,
          "code": "26861",
          "description": "asthma sometimes restricts exercise"
        },
        {
          "id": 166620,
          "code": "27926",
          "description": "extrinsic asthma with status asthmaticus"
        },
        {
          "id": 166621,
          "code": "29325",
          "description": "intrinsic asthma without status asthmaticus"
        },
        {
          "id": 166622,
          "code": "30458",
          "description": "asthma monitoring by doctor"
        },
        {
          "id": 166623,
          "code": "30815",
          "description": "asthma causing night waking"
        },
        {
          "id": 166624,
          "code": "31167",
          "description": "asthma night-time symptoms"
        },
        {
          "id": 166625,
          "code": "31225",
          "description": "asthma causes daytime symptoms 1 to 2 times per month"
        },
        {
          "id": 166626,
          "code": "38143",
          "description": "asthma never disturbs sleep"
        },
        {
          "id": 166627,
          "code": "38144",
          "description": "asthma limits walking up hills or stairs"
        },
        {
          "id": 166628,
          "code": "38145",
          "description": "asthma limits walking on the flat"
        },
        {
          "id": 166629,
          "code": "38146",
          "description": "asthma disturbs sleep weekly"
        },
        {
          "id": 166630,
          "code": "39478",
          "description": "wood asthma"
        },
        {
          "id": 166631,
          "code": "39570",
          "description": "asthma causes night symptoms 1 to 2 times per month"
        },
        {
          "id": 166632,
          "code": "40823",
          "description": "brittle asthma"
        },
        {
          "id": 166633,
          "code": "41017",
          "description": "aspirin induced asthma"
        },
        {
          "id": 166634,
          "code": "41020",
          "description": "absent from work or school due to asthma"
        },
        {
          "id": 166635,
          "code": "42824",
          "description": "asthma daytime symptoms"
        },
        {
          "id": 166636,
          "code": "45073",
          "description": "intrinsic asthma nos"
        },
        {
          "id": 166637,
          "code": "45782",
          "description": "extrinsic asthma nos"
        },
        {
          "id": 166638,
          "code": "46529",
          "description": "attends asthma monitoring"
        },
        {
          "id": 166639,
          "code": "47337",
          "description": "asthma accident and emergency attendance since last visit"
        },
        {
          "id": 166640,
          "code": "47684",
          "description": "detergent asthma"
        },
        {
          "id": 166641,
          "code": "58196",
          "description": "intrinsic asthma with status asthmaticus"
        },
        {
          "id": 166642,
          "code": "73522",
          "description": "work aggravated asthma"
        },
        {
          "id": 166643,
          "code": "93736",
          "description": "royal college of physicians asthma assessment"
        },
        {
          "id": 166644,
          "code": "98185",
          "description": "asthma control test"
        },
        {
          "id": 166645,
          "code": "99793",
          "description": "patient has a written asthma personal action plan"
        },
        {
          "id": 166646,
          "code": "100107",
          "description": "health education - asthma self management"
        },
        {
          "id": 166647,
          "code": "100397",
          "description": "asthma control questionnaire"
        },
        {
          "id": 166648,
          "code": "100509",
          "description": "under care of asthma specialist nurse"
        },
        {
          "id": 166649,
          "code": "100740",
          "description": "health education - structured asthma discussion"
        },
        {
          "id": 166650,
          "code": "102170",
          "description": "asthma review using roy colleg of physicians three questions"
        },
        {
          "id": 166651,
          "code": "102209",
          "description": "mini asthma quality of life questionnaire"
        },
        {
          "id": 166652,
          "code": "102301",
          "description": "asthma trigger - seasonal"
        },
        {
          "id": 166653,
          "code": "102341",
          "description": "asthma trigger - pollen"
        },
        {
          "id": 166654,
          "code": "102395",
          "description": "asthma causes symptoms most nights"
        },
        {
          "id": 166655,
          "code": "102400",
          "description": "asthma causes night time symptoms 1 to 2 times per week"
        },
        {
          "id": 166656,
          "code": "102449",
          "description": "asthma trigger - respiratory infection"
        },
        {
          "id": 166657,
          "code": "102713",
          "description": "asthma limits activities 1 to 2 times per month"
        },
        {
          "id": 166658,
          "code": "102871",
          "description": "asthma trigger - exercise"
        },
        {
          "id": 166659,
          "code": "102888",
          "description": "asthma limits activities 1 to 2 times per week"
        },
        {
          "id": 166660,
          "code": "102952",
          "description": "asthma trigger - warm air"
        },
        {
          "id": 166661,
          "code": "103318",
          "description": "health education - structured patient focused asthma discuss"
        },
        {
          "id": 166662,
          "code": "103321",
          "description": "asthma trigger - animals"
        },
        {
          "id": 166663,
          "code": "103612",
          "description": "asthma never causes night symptoms"
        },
        {
          "id": 166664,
          "code": "103631",
          "description": "royal college physician asthma assessment 3 question score"
        },
        {
          "id": 166665,
          "code": "103813",
          "description": "asthma trigger - cold air"
        },
        {
          "id": 166666,
          "code": "103944",
          "description": "asthma trigger - airborne dust"
        },
        {
          "id": 166669,
          "code": "103955",
          "description": "asthma trigger - tobacco smoke"
        },
        {
          "id": 166670,
          "code": "103998",
          "description": "asthma limits activities most days"
        },
        {
          "id": 166671,
          "code": "105420",
          "description": "asthma self-management plan review"
        },
        {
          "id": 166672,
          "code": "105674",
          "description": "asthma self-management plan agreed"
        },
        {
          "id": 166673,
          "code": "106805",
          "description": "chronic asthma with fixed airflow obstruction"
        },
        {
          "id": 166674,
          "code": "107167",
          "description": "number days absent from school due to asthma in past 6 month"
        },
        {
          "id": 166675,
          "code": "719",
          "description": "H/O: asthma"
        },
        {
          "id": 166676,
          "code": "1208",
          "description": "Childhood asthma"
        },
        {
          "id": 166677,
          "code": "4836",
          "description": "Nocturnal cough / wheeze"
        },
        {
          "id": 166678,
          "code": "7229",
          "description": "Asthma prophylactic medication used"
        },
        {
          "id": 166679,
          "code": "11022",
          "description": "Asthma trigger"
        },
        {
          "id": 166680,
          "code": "13173",
          "description": "Asthma not disturbing sleep"
        },
        {
          "id": 166681,
          "code": "13174",
          "description": "Asthma not limiting activities"
        },
        {
          "id": 166682,
          "code": "18141",
          "description": "Asthma monitoring due"
        },
        {
          "id": 166683,
          "code": "19539",
          "description": "Asthma monitoring check done"
        },
        {
          "id": 166684,
          "code": "25796",
          "description": "Mixed asthma"
        },
        {
          "id": 166686,
          "code": "40864",
          "description": "[X] Adverse reaction to theophylline - asthma"
        },
        {
          "id": 166687,
          "code": "48591",
          "description": "Adverse reaction to theophylline (asthma)"
        },
        {
          "id": 166688,
          "code": "5138",
          "description": "patient in asthma study"
        },
        {
          "id": 166689,
          "code": "5515",
          "description": "seen in asthma clinic"
        },
        {
          "id": 166690,
          "code": "11387",
          "description": "refuses asthma monitoring"
        },
        {
          "id": 166691,
          "code": "18763",
          "description": "referral to asthma clinic"
        },
        {
          "id": 166692,
          "code": "20422",
          "description": "asthma clinic administration"
        },
        {
          "id": 166693,
          "code": "25705",
          "description": "asthma monitor 3rd letter"
        },
        {
          "id": 166694,
          "code": "25706",
          "description": "asthma monitor 2nd letter"
        },
        {
          "id": 166695,
          "code": "25707",
          "description": "asthma monitor 1st letter"
        },
        {
          "id": 166696,
          "code": "26496",
          "description": "health education - asthma"
        },
        {
          "id": 166697,
          "code": "30308",
          "description": "dna - did not attend asthma clinic"
        },
        {
          "id": 166698,
          "code": "30382",
          "description": "asthma monitoring admin.nos"
        },
        {
          "id": 166699,
          "code": "31135",
          "description": "asthma monitor phone invite"
        },
        {
          "id": 166700,
          "code": "35927",
          "description": "asthma leaflet given"
        },
        {
          "id": 166701,
          "code": "37943",
          "description": "asthma monitor verbal invite"
        },
        {
          "id": 166702,
          "code": "41554",
          "description": "asthma monitor offer default"
        },
        {
          "id": 166703,
          "code": "92109",
          "description": "asthma outreach clinic"
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6240,
      "version_name": "Asthma Primary care - BREATHE recommended - 4",
      "version_date": "2022-01-17T13:58:39.934705Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}