{ "concept_id": 3254, "concept_version_id": 11042, "coding_system": { "id": 5, "name": "Read codes v2", "description": "Read codes v2" }, "name": "Child Maltreatment", "description": "

This concept forms part of the Datamind and ADP Childhood Maltreatment Phenotype


", "author": "Amanda Marchant", "entry_date": "2022-11-22", "validation_performed": true, "validation_description": "Our codes lists were developed from existing literature (Joht Singh Chandan et al., 2020; J. S. Chandan, K. Okoth, et al., 2020; Chandan et al., 2019; McKenzie & Scott, 2011; McKenzie et al., 2011; Schnitzer et al., 2011; Syed et al., 2022; Woodman et al., 2012), conducting our own searches for codes that may be indicate maltreatment, risk or cause for concern; and finally based upon clinician judgement. \r\nA validation exercise was run using an external clinical dataset of suspected maltreatment presenting to hospital as the gold standard following the methodology of previous research (John et al 2016). We compared cases identified by the Read and ICD-10 codes here and those identified in the clinical dataset. We calculated sensitivity, specificity, PPV and NPV and 95% CI’s and explored reasons for identifying false negatives and false positives.\r\nWe developed an algorithm with high specificity. Sensitivity varied between datasets with Read codes performing with higher sensitivity than ICD-10 codes. Paper in press.", "publication_doi": "", "publication_link": "", "secondary_publication_links": "Chandan, J. S., Gokhale, K. M., Bradbury-Jones, C., Nirantharakumar, K., Bandyopadhyay, S., & Taylor, J. (2020). Exploration of trends in the incidence and prevalence of childhood maltreatment and domestic abuse recording in UK primary care: a retrospective cohort study using 'the health improvement network' database. BMJ Open, 10(6), e036949. https://doi.org/10.1136/bmjopen-2020-036949 \r\nChandan, J. S., Gokhale, K. M., Bradbury-Jones, C., Nirantharakumar, K., Bandyopadhyay, S., & Taylor, J. (2020). Exploration of trends in the incidence and prevalence of childhood maltreatment and domestic abuse recording in UK primary care: a retrospective cohort study using ‘the health improvement network’ database. BMJ Open, 10(6), e036949. https://doi.org/10.1136/bmjopen-2020-036949 \r\nChandan, J. S., Okoth, K., Gokhale, K. M., Bandyopadhyay, S., Taylor, J., & Nirantharakumar, K. (2020). Increased cardiometabolic and mortality risk following childhood maltreatment in the United Kingdom. Journal of the American Heart Association, 9(10), e015855. \r\nChandan, J. S., Thomas, T., Gokhale, K. M., Bandyopadhyay, S., Taylor, J., & Nirantharakumar, K. (2019). The burden of mental ill health associated with childhood maltreatment in the UK, using The Health Improvement Network database: a population-based retrospective cohort study. Lancet Psychiatry, 6(11), 926-934. https://doi.org/10.1016/S2215-0366(19)30369-4 \r\nJohn, A., McGregor, J., Fone, D., Dunstan, F., Cornish, R., Lyons, R. A., & Lloyd, K. R. (2016). Case-finding for common mental disorders of anxiety and depression in primary care: an external validation of routinely collected data. BMC medical informatics and decision making, 16(1), 1-10. https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-016-0274-7 \r\nMcKenzie, K., & Scott, D. A. (2011). Using routinely collected hospital data for child maltreatment surveillance: issues, methods and patterns. BMC Public Health, 11, 7. https://doi.org/10.1186/1471-2458-11-7 \r\nMcKenzie, K., Scott, D. A., Waller, G. S., & Campbell, M. (2011). Reliability of routinely collected hospital data for child maltreatment surveillance. BMC Public Health, 11, 8. https://doi.org/10.1186/1471-2458-11-8 \r\nSchnitzer, P. G., Slusher, P. L., Kruse, R. L., & Tarleton, M. M. (2011). Identification of ICD codes suggestive of child maltreatment. Child Abuse Negl, 35(1), 3-17. https://doi.org/10.1016/j.chiabu.2010.06.008 \r\nSyed, S., Gonzalez-Izquierdo, A., Allister, J., Feder, G., Li, L., & Gilbert, R. (2022). Identifying adverse childhood experiences with electronic health records of linked mothers and children in England: a multistage development and validation study. The Lancet Digital Health. \r\nWoodman, J., Freemantle, N., Allister, J., de Lusignan, S., Gilbert, R., & Petersen, I. (2012). Variation in recorded child maltreatment concerns in UK primary care records: a cohort study using The Health Improvement Network (THIN) database. PLoS One, 7(11), e49808. https://doi.org/10.1371/journal.pone.0049808", "paper_published": false, "source_reference": "John, A., McGregor, J., Marchant, A., Delpozobanos, M., Farr, I., Nurmatov, U., Kemp, A., Naughton, A Case-finding for CM: an external validation study using a clinically assessed hospital-based cohort of suspected cases. [in press]", "citation_requirements": "John, A., McGregor, J., Marchant, A., Delpozobanos, M., Farr, I., Nurmatov, U., Kemp, A., Naughton, A Case-finding for CM: an external validation study using a clinically assessed hospital-based cohort of suspected cases. [in press]", "owner_access": 3, "group_access": 3, "world_access": 1, "tags": [], "collections": [ { "name": "Adolescent Data Platform (ADP)", "value": 23, "type": 2 }, { "name": "DATAMIND", "value": 27, "type": 2 }, { "name": "Phenotype Library", "value": 18, "type": 2 } ], "created_by": null, "modified_by": null, "owner": null, "group": null, "phenotype_owner": "PH1115", "phenotype_owner_history_id": 4059, "requested_entity_id": null, "components": [ { "id": 3923, "name": "Child Maltreatment - Definite - Neglect - 0-18 years (core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270194, "code": "ZV4H3", "description": "[v]emotional neglect of child" }, { "id": 270176, "code": "13II.", "description": "child deserted by parents" }, { "id": 270177, "code": "13WT4", "description": "child protect category neglect | child protection category neglect" }, { "id": 270178, "code": "SN551", "description": "nutritional maltreatment,child | nutritional maltreatment of child" }, { "id": 270179, "code": "SN554", "description": "multiple deprivation of child" }, { "id": 270180, "code": "SN570", "description": "neglect or abandonment" }, { "id": 270181, "code": "TE4..", "description": "accid.-hunger/thirst/neglect | accidents due to hunger, thirst, exposure and neglect" }, { "id": 270182, "code": "TE40.", "description": "accid.-abandon helpless person | accidents due to abandonment or neglect of helpless person" }, { "id": 270183, "code": "TE40z", "description": "acc.-abandon helpless pers.nos | accident due to abandonment/neglect of helpless person nos | accident due to abandonment or neglect of helpless person nos" }, { "id": 270184, "code": "TLx4.", "description": "assault - criminal neglect | assault by criminal neglect" }, { "id": 270185, "code": "TLx40", "description": "abandon child-criminal neglect | abandonment of child with intent to injure or kill" }, { "id": 270186, "code": "TLx41", "description": "abandon infant-criminal negl. | abandonment of infant with intent to injure or kill" }, { "id": 270187, "code": "TLx4z", "description": "abandon helpless person nos | abandonment of helpless person nos" }, { "id": 270188, "code": "U3M..", "description": "[x]neglect and abandonment" }, { "id": 270189, "code": "U3M0.", "description": "[x]neglect/abandonm by partner | [x]neglect and abandonment, by spouse or partner" }, { "id": 270190, "code": "U3M1.", "description": "[x]neglect/abandonm by parent | [x]neglect and abandonment, by parent" }, { "id": 270191, "code": "U3M2.", "description": "[x]neglect/abandonm by friend | [x]neglect and abandonment, by acquaintance or friend" }, { "id": 270192, "code": "U3My.", "description": "[x]neglect/abandonm by os pers | [x]neglect and abandonment, by other specified persons" }, { "id": 270193, "code": "U3Mz.", "description": "[x]neglect/aband, by unsp pers | [x]neglect and abandonment, by unspecified person" }, { "id": 270195, "code": "ZV4H4", "description": "[v]oth prob rltd/neglct upbrng | [v]other problems related to neglect in upbringing" }, { "id": 270196, "code": "ZVu4B", "description": "[x]oth prob rel neglec,upbring | [x]other problems related to neglect in upbringing" } ] }, { "id": 3924, "name": "Child Maltreatment - Definite - Neglect - 0-18 years (historical) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270197, "code": "14XR.", "description": "victim neglect & acts omission | victim of neglect and acts of omission" }, { "id": 270198, "code": "ZV1B4", "description": "[v]personal history of neglect" } ] }, { "id": 3925, "name": "Child Maltreatment - Definite - Other- 0-18 years (Historical) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270199, "code": "13IC0", "description": "removed - child abuse register" }, { "id": 270200, "code": "13IO.", "description": "child removed protect register | child removed from protection register" }, { "id": 270201, "code": "13Iw.", "description": "no longr sub child protct plan | no longer subject to child protection plan" }, { "id": 270202, "code": "14X..", "description": "history of abuse" }, { "id": 270203, "code": "14XD.", "description": "history of domestic abuse" }, { "id": 270204, "code": "14XF.", "description": "victim of human trafficking" }, { "id": 270205, "code": "14XG.", "description": "victim of domestic abuse" }, { "id": 270206, "code": "14XK.", "description": "victim of financial abuse" }, { "id": 270207, "code": "14XL.", "description": "victim of modern slavery" }, { "id": 270208, "code": "14XM.", "description": "victim of forced labour" }, { "id": 270209, "code": "14XN.", "description": "victim of domestic servitude" }, { "id": 270210, "code": "14XP.", "description": "victim of discriminatory abuse" }, { "id": 270211, "code": "14XQ.", "description": "victim of organisational abuse" }, { "id": 270212, "code": "6254.", "description": "a/n care: h/o child abuse" }, { "id": 270213, "code": "9NgB.", "description": "child no longer safeguard cncn | child no longer safeguarding concern" }, { "id": 270214, "code": "READ_CODE", "description": "DESCRIPTION" } ] }, { "id": 3926, "name": "Child Maltreatment - Definite - Other - 0-18 years (core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270215, "code": "092..", "description": "Supervisors-protective service" }, { "id": 270216, "code": "092Z.", "description": "Protective supervisors NOS" }, { "id": 270217, "code": "133I.", "description": "Abandoned child" }, { "id": 270218, "code": "13Hl.", "description": "Subject of multi-agency public protection arrangements" }, { "id": 270219, "code": "13IC.", "description": "child on at risk register" }, { "id": 270220, "code": "13ICZ", "description": "child on at risk regist no" }, { "id": 270221, "code": "13Id.", "description": "on child protection register" }, { "id": 270222, "code": "13Ie.", "description": "child on supervision order" }, { "id": 270223, "code": "13IM.", "description": "child on protection register" }, { "id": 270224, "code": "13Iv.", "description": "subject child protection plan | subject to child protection plan" }, { "id": 270225, "code": "13W40", "description": "Child/parent violence" }, { "id": 270226, "code": "13WT.", "description": "child protection observation" }, { "id": 270227, "code": "13WT0", "description": "child protection category" }, { "id": 270228, "code": "3874.", "description": "Multidisciplinary case conference" }, { "id": 270229, "code": "64c..", "description": "child protection procedure" }, { "id": 270230, "code": "8CM6.", "description": "child protection plan" }, { "id": 270231, "code": "8CM60", "description": "child protect core grp meeting | child protection core group meeting" }, { "id": 270232, "code": "8Hkh.", "description": "refer safeguardng childrn team | referral to safeguarding children team" }, { "id": 270233, "code": "9Eq..", "description": "Child protection conference report submitted" }, { "id": 270234, "code": "9F7..", "description": "Place of safety court order" }, { "id": 270235, "code": "9FA..", "description": "child protection medical exam | child protection medical examination" }, { "id": 270236, "code": "9H3Z.", "description": "Court of protect cert NOS" }, { "id": 270237, "code": "SN55.", "description": "child maltreatment syndrome" }, { "id": 270238, "code": "SN55z", "description": "child maltreatment syndr.nos | child maltreatment syndrome nos" }, { "id": 270239, "code": "SN57.", "description": "maltreatment syndromes" }, { "id": 270240, "code": "SN572", "description": "child affec munchausen proxy | child affected by munchausen's by proxy" }, { "id": 270241, "code": "SyuH5", "description": "[x]other maltreatment syndrom | [x]other maltreatment syndromes" }, { "id": 270242, "code": "U3N..", "description": "[x]oth maltreatment syndromes | [x]other maltreatment syndromes" }, { "id": 270243, "code": "U3N0.", "description": "[x]oth maltr syndr by partner | [x]other maltreatment syndromes, by spouse or partner" }, { "id": 270244, "code": "U3N1.", "description": "[x]oth maltr syndr by parent | [x]other maltreatment syndromes, by parent" }, { "id": 270245, "code": "U3N2.", "description": "[x]oth maltr syndr by friend | [x]other maltreatment syndromes, by acquaintance or friend" }, { "id": 270246, "code": "U3N3.", "description": "[x]oth maltr syndr by official | [x]other maltreatment syndromes, by official authorities" }, { "id": 270247, "code": "U3Ny.", "description": "[x]oth maltr syndr by os pers | [x]other maltreatment syndromes, by other specified persons" }, { "id": 270248, "code": "U3Nz.", "description": "[x]oth maltr syndr by unsp per | [x]other maltreatment syndromes, by unspecified person" }, { "id": 270249, "code": "U3P..", "description": "[x]maltreatment" }, { "id": 270250, "code": "U3P0.", "description": "[x]maltreatment spouse partner | [x]maltreatment, by spouse or partner" }, { "id": 270251, "code": "U3P1.", "description": "[x]maltreatment, by parent" }, { "id": 270252, "code": "U3P2.", "description": "[x]maltreatm acqaint or friend | [x]maltreatment, by acquaintance or friend" }, { "id": 270253, "code": "U3P3.", "description": "[x]maltreatm offic authorities | [x]maltreatment, by official authorities" }, { "id": 270254, "code": "U3Py.", "description": "[x]maltreatment oth spec pers | [x]maltreatment, by other specified persons" }, { "id": 270255, "code": "U3Pz.", "description": "[x]maltreatment unspec person | [x]maltreatment, by unspecified person" }, { "id": 270256, "code": "Z331.", "description": "child protection plan" }, { "id": 270257, "code": "Z3311", "description": "intra-agency protection plan" }, { "id": 270258, "code": "Z35..", "description": "child protection procedure" }, { "id": 270259, "code": "Z351.", "description": "immediate protection of child" }, { "id": 270260, "code": "Z352.", "description": "child protection investigation" }, { "id": 270261, "code": "Z3521", "description": "child abuse investigation" }, { "id": 270262, "code": "Z41..", "description": "Abuse counselling" }, { "id": 270263, "code": "Z9KG1", "description": "Patient protection monitoring" }, { "id": 270264, "code": "ZH119", "description": "Surveillance for child protection" }, { "id": 270265, "code": "ZV4F8", "description": "[v]targ perc advers discr/pers | [v]target of perceived adverse discrimination & persecution | [v]target of perceived adverse discrimination and persecution" }, { "id": 270266, "code": "ZV4Hy", "description": "[v]oth spcf prob reltd/upbring | [v]other specified problems related to upbringing" }, { "id": 270267, "code": "ZV612", "description": "[v]child abuse" } ] }, { "id": 3927, "name": "Child Maltreatment - Definite - Physical - 0-18 years (historical) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270268, "code": "14X0.", "description": "history of physical abuse" }, { "id": 270269, "code": "14X3.", "description": "history of domestic violence" }, { "id": 270270, "code": "14X5.", "description": "victim of physical abuse" }, { "id": 270271, "code": "14X8.", "description": "victim of domestic violence" }, { "id": 270272, "code": "14XD1", "description": "h/o domestic physical abuse | history of domestic physical abuse" }, { "id": 270273, "code": "14XE.", "description": "h/o: be victim domestc violenc | history of being victim of domestic violence" }, { "id": 270274, "code": "15K..", "description": "history of fgm | history of female genital mutilation" }, { "id": 270275, "code": "15K0.", "description": "h/o: fem gen mutilation type 3 | h/o: female genital mutilation type 3" }, { "id": 270276, "code": "15K1.", "description": "h/o fgm under 1 yr age | h/o: female genital mutilation under 1 year of age" }, { "id": 270277, "code": "15K2.", "description": "h/o fgm btwn 1 and 5 yrs age | h/o: fgm between 1 and under 5 years of age | h/o: female genital mutilation between 1 and under 5 years of age" }, { "id": 270278, "code": "15K3.", "description": "h/o fgm btwn 5 and 10 yrs age | h/o: fgm between 5 and under 10 years of age | h/o: female genital mutilation between 5 and under 10 years of age" }, { "id": 270279, "code": "15K4.", "description": "h/o fgm btwn 10 and 15 yrs age | h/o: fgm between 10 and under 15 years of age | h/o: female genital mutilation between 10 and under 15 years of age" }, { "id": 270280, "code": "15K5.", "description": "h/o fgm btwn 15 and 18 yrs age | h/o: fgm between 15 and under 18 years of age | h/o: female genital mutilation between 15 and under 18 years of age" }, { "id": 270281, "code": "15K6.", "description": "h/o fgm at 18 yrs or over | h/o: female genital mutilation at 18 years of age or over" }, { "id": 270282, "code": "1M60.", "description": "punishing with pain" } ] }, { "id": 3928, "name": "Child Maltreatment - Definite - Physical - 0-18 years (core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270283, "code": "13WT2", "description": "child protect categry physical | child protection category physical" }, { "id": 270284, "code": "15L..", "description": "Country in which patient underwent female genital mutilation" }, { "id": 270285, "code": "7C256", "description": "Ritual circumcision" }, { "id": 270286, "code": "7D000", "description": "Clitoridectomy NEC" }, { "id": 270287, "code": "7D001", "description": "Ritual clitoridectomy" }, { "id": 270288, "code": "7D045", "description": "Deinfibulation of vulva" }, { "id": 270289, "code": "Eu620", "description": "[X]Personality change after torture" }, { "id": 270290, "code": "K578.", "description": "female genital mutilation" }, { "id": 270291, "code": "K5780", "description": "fgm type i - who classifn | female genital mutilation type i - who classification | female genital mutilation type i - world health organisation classification" }, { "id": 270292, "code": "K5781", "description": "fgm type ii - who classifn | female genital mutilation type ii - who classification | female genital mutilation type ii - world health organisation classification" }, { "id": 270293, "code": "K5782", "description": "fgm type iii - who classifn | female genital mutilation type iii - who classification | female genital mutilation type iii - world health organisation classification" }, { "id": 270294, "code": "K5783", "description": "fgm type iv - who classifn | female genital mutilation type iv - who classification | female genital mutilation type iv - world health organisation classification" }, { "id": 270296, "code": "SN420", "description": "Deprivation of food, unspecified" }, { "id": 270297, "code": "SN430", "description": "Deprivation of water" }, { "id": 270298, "code": "SN552", "description": "non-accidental injury to child" }, { "id": 270299, "code": "SN553", "description": "battered baby/child syndr.nos | battered baby or child syndrome nos" }, { "id": 270300, "code": "SN555", "description": "physical abuse of child" }, { "id": 270301, "code": "SN556", "description": "non-acc traum hed inj to child | non-accidental traumatic head injury to child" }, { "id": 270302, "code": "SN560", "description": "battered person unspec.syndr. | battered person unspecified, syndrome" }, { "id": 270303, "code": "TL7..", "description": "child battering/other maltreat | child battering and other maltreatment" }, { "id": 270304, "code": "TL70.", "description": "child battering - parent | child battering or other maltreatment by parent" }, { "id": 270305, "code": "TL7y.", "description": "child battering - other person | child battering or other maltreatment by other spec person | child battering or other maltreatment by other specified person" }, { "id": 270306, "code": "TL7z.", "description": "child battering - person nos | child battering or other maltreatment by person nos" }, { "id": 270307, "code": "U1B3.", "description": "[X]Starvation" }, { "id": 270308, "code": "Z412.", "description": "Physical abuse counselling" }, { "id": 270309, "code": "ZV159", "description": "History of female genital mutilation" }, { "id": 270310, "code": "ZV4G5", "description": "[V]Problems related to alleged physical abuse of child" }, { "id": 270311, "code": "ZV4J8", "description": "[v]victim of torture" }, { "id": 270312, "code": "ZV502", "description": "[V]Ritual circumcision" } ] }, { "id": 3930, "name": "Child Maltreatment - Definite - Psychological - 0-18 years (core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270318, "code": "13H7.", "description": "Unwanted child" }, { "id": 270319, "code": "13WT1", "description": "child protect catgry emotional | child protection category emotional" }, { "id": 270320, "code": "Eu6y2", "description": "[X]Munchausen's by proxy" }, { "id": 270321, "code": "SN550", "description": "emotional maltreatment, child | emotional maltreatment of child" }, { "id": 270322, "code": "TE404", "description": "Exposure to weather conditions resulting from abandonment" }, { "id": 270323, "code": "Z22A9", "description": "Unwanted child" }, { "id": 270324, "code": "Z413.", "description": "Verbal abuse counselling" }, { "id": 270325, "code": "ZU272", "description": "Deserted by parents" }, { "id": 270326, "code": "ZV4H2", "description": "[v]hostil toward+scapgoat/chld | [v]hostility towards and scapegoating of child" }, { "id": 270327, "code": "ZV4H5", "description": "[v]inap par prss+abn qual upbg | [v]inappropriat parental press+oth abn qualities/upbringing | [v]inappropriate parental pressure and other abnormal qualities of upbringing" }, { "id": 270328, "code": "ZV4H6", "description": "[v]lack of learning/play exper | [v]lack of learning and play experience" } ] }, { "id": 3931, "name": "Child Maltreatment - Definite - Sexual- 0-18 years (Historical) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270329, "code": "14Of.", "description": "Former sex worker" }, { "id": 270330, "code": "14X1.", "description": "history of sexual abuse" }, { "id": 270331, "code": "14X6.", "description": "victim of sexual abuse" }, { "id": 270332, "code": "14X60", "description": "victim of sexual harassment" }, { "id": 270333, "code": "14XD2", "description": "h/o domestic sexual abuse | history of domestic sexual abuse" }, { "id": 270334, "code": "14XH.", "description": "victim child sexual exploitatn | victim of child sexual exploitation" } ] }, { "id": 3932, "name": "Child Maltreatment - Definite - Psychological - 0-18 years (historical) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270336, "code": "14X2.", "description": "history of emotional abuse" }, { "id": 270337, "code": "14X7.", "description": "victim of emotional abuse" }, { "id": 270338, "code": "14XD0", "description": "h/o domestic emotional abuse | history of domestic emotional abuse" }, { "id": 270339, "code": "14XJ.", "description": "victim of psychological abuse" }, { "id": 270341, "code": "ZV154", "description": "[v]ph - psychological trauma | [v]personal history of psychological trauma" } ] }, { "id": 3933, "name": "Child Maltreatment - Definite - Sexual- 0-18 years (Core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 270342, "code": "0AK..", "description": "Prostitutes" }, { "id": 270343, "code": "0AK1.", "description": "Female prostitute" }, { "id": 270344, "code": "0AK2.", "description": "Male prostitute" }, { "id": 270345, "code": "0AK3.", "description": "Child prostitute" }, { "id": 270346, "code": "0AKZ.", "description": "Prostitute NOS" }, { "id": 270347, "code": "0AL..", "description": "Sex worker" }, { "id": 270348, "code": "13WC.", "description": "incest" }, { "id": 270349, "code": "13WT3", "description": "child protect category sexual | child protection category sexual" }, { "id": 270350, "code": "SN571", "description": "sexual abuse" }, { "id": 270351, "code": "Z411.", "description": "Sexual abuse counselling" }, { "id": 270352, "code": "ZV4F9", "description": "[v]prob,all sex ab ch,outs sup | [v]probs rel alleg sex abuse child by pers out prim sup grp | [v]problems related to alleged sexual of abuse child by person outside primary support group" }, { "id": 270353, "code": "ZV4G4", "description": "[v]pb/al sx ab cld/pr pri s gp | [v]problem relatd/alleg sex abuse cld by person prim sup grp | [v]problems related to alleged sex abuse child by person within primary support group" }, { "id": 270354, "code": "ZV705", "description": "[V]Prostitute health examination" } ] }, { "id": 3935, "name": "Child Maltreatment - Definite - Neglect - 0-1 years (core) - Read Codes", "logical_type": "INCLUDE", "source_type": "CONCEPT", "source": null, "codes": [ { "id": 271990, "code": "8GE1.", "description": "abandoned baby 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