{
  "concept_id": 2427,
  "concept_version_id": 6254,
  "coding_system": {
    "id": 17,
    "name": "ICD9 codes",
    "description": "ICD9 codes"
  },
  "name": "Asthma Secondary care -  1",
  "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": "PH783",
  "code_attribute_header": [
    "Breathe Recommended",
    "Campbell 2020",
    "Sakai-Bizmark 2019",
    "Veeranki 2018",
    "Munoz 2020",
    "Andrews 2018",
    "Yang 2020",
    "Gokhale 2020",
    "To 2018",
    "Xie 2018",
    "Seol 2021"
  ],
  "phenotype_owner_history_id": 2207,
  "requested_entity_id": null,
  "components": [
    {
      "id": 2749,
      "name": "Asthma Secondary care",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 167344,
          "code": "493",
          "description": "Asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "Y",
            "Sakai-Bizmark 2019": "Y",
            "Veeranki 2018": "Y",
            "Munoz 2020": "Y",
            "Andrews 2018": "Y",
            "Yang 2020": "Y",
            "Gokhale 2020": "Y",
            "To 2018": "Y",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167345,
          "code": "493.0",
          "description": "Extrinsic asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167346,
          "code": "493.00",
          "description": "Extrinsic asthma, unspecified",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "Y",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167347,
          "code": "493.01",
          "description": "Extrinsic asthma with status asthmaticus",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167348,
          "code": "493.02",
          "description": "Extrinsic asthma with (acute) exacerbation",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "Y",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "Y",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167349,
          "code": "493.1",
          "description": "Intrinsic asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167350,
          "code": "493.10",
          "description": "Intrinsic asthma, unspecified",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167351,
          "code": "493.11",
          "description": "Intrinsic asthma with status asthmaticus",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167352,
          "code": "493.12",
          "description": "Intrinsic asthma with (acute) exacerbation",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "Y",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "Y",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167353,
          "code": "493.2",
          "description": "Chronic obstructive asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167354,
          "code": "493.20",
          "description": "Chronic obstructive asthma, unspecified",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167355,
          "code": "493.21",
          "description": "Chronic obstructive asthma with status asthmaticus",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167356,
          "code": "493.22",
          "description": "Chronic obstructive asthma with (acute) exacerbation",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "Y",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167357,
          "code": "493.8",
          "description": "Other forms of asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167358,
          "code": "493.81",
          "description": "Exercise induced bronchospasm",
          "attributes": {
            "Breathe Recommended": "",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167359,
          "code": "493.82",
          "description": "Cough variant asthma",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167360,
          "code": "493.9",
          "description": "Asthma, unspecified",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167361,
          "code": "493.90",
          "description": "Asthma, unspecified type, unspecified",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "Y",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167362,
          "code": "493.91",
          "description": "Asthma, unspecified type, with status asthmaticus",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        },
        {
          "id": 167363,
          "code": "493.92",
          "description": "Asthma, unspecified type, with (acute) exacerbation",
          "attributes": {
            "Breathe Recommended": "Y",
            "Campbell 2020": "Y",
            "Sakai-Bizmark 2019": "",
            "Veeranki 2018": "",
            "Munoz 2020": "Y",
            "Andrews 2018": "",
            "Yang 2020": "",
            "Gokhale 2020": "Y",
            "To 2018": "",
            "Xie 2018": "Y",
            "Seol 2021": "Y"
          }
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6254,
      "version_name": "Asthma Secondary care -  1",
      "version_date": "2022-01-17T13:58:53.127164Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}