[
  {
    "phenotype_id": "PH1115",
    "phenotype_version_id": 4059,
    "name": "Childhood Maltreatment",
    "definition": "This phenotype identifies child maltreatment in children aged 0 to 18 years. It encompasses neglect, physical, sexual maltreatment and other maltreatment. Codes for historical cases of neglect have also been included.\n\n# ICD-10 definition\n\nThis definition has been reviewed by a clinician in the study team ([Prof Ann John](https://www.swansea.ac.uk/staff/a.john/)) and published (John et. al.,2023).\n\n# Read code definition\n\nThis definition contains codes for genital mutilation and child protection codes. It has been reviewed by a clinician in the study team ([Prof Ann John](https://www.swansea.ac.uk/staff/a.john/)) and published (John et. al.,2023).\n\n# SNOMED CT definition\n\nThis definition was developed by mapping the existing ICD-10 and Read code definitions and running complementary SNOMED searches. It also provides a separate concept for historical codes (\"History if Child Maltreatment\") which may or may not be considered depending on the research question.\n\n__Note: The SNOMED CT definition has not undergone validation yet.__\n\n# References\n\n[John, A., McGregor, J., Marchant, A., DelPozo-Baños, M., Farr, I., Nurmatov, U., ... & Naughton, A. (2023).](https://www.nature.com/articles/s41598-023-34011-3) An external validation of coding for childhood maltreatment in routinely collected primary and secondary care data. Scientific reports, 13(1), 8138.",
    "implementation": "This code lists has been externally validated against a clinical database of clinician confirmed hospital presenting maltreatment as the gold standard (John et al., in press). Our codes lists were developed from existing literature (e.g. Chandan et al., 2020; Chandan et al., 2019; Syed et al., 2022; Woodman et al., 2012), conducting our own searches for codes that may indicate maltreatment, risk or cause for concern; and finally based upon clinician judgement. This list is more comprehensive than those previously published, encompassing codes for genital mutilation and child protection codes (child protection codes in read codes only).\n\nIn keeping with previous research, we tiered our code list into those strongly indicating maltreatment (current list), and those codes that may indicate possible or suspected maltreatment or potential vulnerability (See Possible Child Maltreatment) (Chandan et al., 2019; Syed et al., 2022).\n\n# References\n\n[Chandan, J. S., Gokhale, K. M., Bradbury-Jones, C., Nirantharakumar, K., Bandyopadhyay, S., & Taylor, J. (2020).](https://doi.org/10.1136/bmjopen-2020-036949) 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.\n\n[Chandan, J. S., Thomas, T., Gokhale, K. M., Bandyopadhyay, S., Taylor, J., & Nirantharakumar, K. (2019).](https://doi.org/10.1016/S2215-0366(19)30369-4) 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.\n\n[John, A., McGregor, J., Marchant, A., DelPozo-Baños, M., Farr, I., Nurmatov, U., ... & Naughton, A. (2023).](https://www.nature.com/articles/s41598-023-34011-3) An external validation of coding for childhood maltreatment in routinely collected primary and secondary care data. Scientific reports, 13(1), 8138.\n\n[Syed, S., Gonzalez-Izquierdo, A., Allister, J., Feder, G., Li, L., & Gilbert, R. (2022).](https://www.thelancet.com/journals/landig/article/PIIS2589-7500(22)00061-9/fulltext) 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.\n\n[Woodman, J., Freemantle, N., Allister, J., de Lusignan, S., Gilbert, R., & Petersen, I. (2012).](https://doi.org/10.1371/journal.pone.0049808) 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.",
    "publications": [
      {
        "doi": "10.1038/s41598-023-34011-3",
        "details": "John, A., McGregor, J., Marchant, A., DelPozo-Baños, M., Farr, I., Nurmatov, U., ... & Naughton, A. (2023). An external validation of coding for childhood maltreatment in routinely collected primary and secondary care data. Scientific reports, 13(1), 8138. https://www.nature.com/articles/s41598-023-34011-3"
      }
    ],
    "validation": "test",
    "citation_requirements": "John, A., McGregor, J., Marchant, A., DelPozo-Baños, M., Farr, I., Nurmatov, U., ... & Naughton, A. (2023). An external validation of coding for childhood maltreatment in routinely collected primary and secondary care data. Scientific reports, 13(1), 8138. None",
    "created": "2023-09-25T16:13:37.551845Z",
    "author": "John, A., McGregor, J., Marchant, A., Delpozobanos, M., Farr, I., Nurmatov, U., Kemp, A., Naughton",
    "collections": [
      {
        "name": "Adolescent Data Platform (ADP)",
        "value": 23
      },
      {
        "name": "DATAMIND",
        "value": 27
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 2,
      "slug": "adp",
      "name": "ADP"
    },
    "world_access": 1,
    "updated": "2024-07-22T13:51:29.609250Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Disease or syndrome",
        "value": "2"
      }
    ],
    "ontology": null,
    "phenoflowid": null,
    "data_sources": [
      {
        "name": "Welsh Longitudinal General Practice Dataset (WLGP) - Welsh Primary Care",
        "value": 502,
        "uid": "33fc3ffd-aa4c-4a16-a32f-0c900aaea3d2",
        "url": "https://healthdatagateway.org/en/dataset/355",
        "datasource_id": 355
      },
      {
        "name": "Patient Episode Dataset for Wales (PEDW)",
        "value": 40,
        "uid": "4c33a5d2-164c-41d7-9797-dc2b008cc852",
        "url": "https://healthdatagateway.org/en/dataset/318",
        "datasource_id": 318
      }
    ],
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      },
      {
        "name": "ICD10 codes",
        "value": 4
      },
      {
        "name": "Read codes v2",
        "value": 5
      }
    ],
    "event_date_range": "",
    "concept_information": [
      {
        "concept_id": 3254,
        "concept_version_id": 11042,
        "concept_name": "Child Maltreatment",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH1115",
        "phenotype_version_id": 4059,
        "phenotype_name": "Childhood Maltreatment",
        "code_attribute_header": null,
        "codes": [
          {
            "code": "092..",
            "description": "Supervisors-protective service",
            "attributes": null
          },
          {
            "code": "092Z.",
            "description": "Protective supervisors NOS",
            "attributes": null
          },
          {
            "code": "0AK..",
            "description": "Prostitutes",
            "attributes": null
          },
          {
            "code": "0AK1.",
            "description": "Female prostitute",
            "attributes": null
          },
          {
            "code": "0AK2.",
            "description": "Male prostitute",
            "attributes": null
          },
          {
            "code": "0AK3.",
            "description": "Child prostitute",
            "attributes": null
          },
          {
            "code": "0AKZ.",
            "description": "Prostitute NOS",
            "attributes": null
          },
          {
            "code": "0AL..",
            "description": "Sex worker",
            "attributes": null
          },
          {
            "code": "133I.",
            "description": "Abandoned child",
            "attributes": null
          },
          {
            "code": "13H7.",
            "description": "Unwanted child",
            "attributes": null
          },
          {
            "code": "13Hl.",
            "description": "Subject of multi-agency public protection arrangements",
            "attributes": null
          },
          {
            "code": "13IC.",
            "description": "child on at risk register",
            "attributes": null
          },
          {
            "code": "13IC0",
            "description": "removed - child abuse register",
            "attributes": null
          },
          {
            "code": "13ICZ",
            "description": "child on at risk regist no",
            "attributes": null
          },
          {
            "code": "13Id.",
            "description": "on child protection register",
            "attributes": null
          },
          {
            "code": "13Ie.",
            "description": "child on supervision order",
            "attributes": null
          },
          {
            "code": "13II.",
            "description": "child deserted by parents",
            "attributes": null
          },
          {
            "code": "13IM.",
            "description": "child on protection register",
            "attributes": null
          },
          {
            "code": "13IO.",
            "description": "child removed protect register | child removed from protection register",
            "attributes": null
          },
          {
            "code": "13Iv.",
            "description": "subject child protection plan | subject to child protection plan",
            "attributes": null
          },
          {
            "code": "13Iw.",
            "description": "no longr sub child protct plan | no longer subject to child protection plan",
            "attributes": null
          },
          {
            "code": "13W40",
            "description": "Child/parent violence",
            "attributes": null
          },
          {
            "code": "13WC.",
            "description": "incest",
            "attributes": null
          },
          {
            "code": "13WT.",
            "description": "child protection observation",
            "attributes": null
          },
          {
            "code": "13WT0",
            "description": "child protection category",
            "attributes": null
          },
          {
            "code": "13WT1",
            "description": "child protect catgry emotional | child protection category emotional",
            "attributes": null
          },
          {
            "code": "13WT2",
            "description": "child protect categry physical | child protection category physical",
            "attributes": null
          },
          {
            "code": "13WT3",
            "description": "child protect category sexual | child protection category sexual",
            "attributes": null
          },
          {
            "code": "13WT4",
            "description": "child protect category neglect | child protection category neglect",
            "attributes": null
          },
          {
            "code": "14Of.",
            "description": "Former sex worker",
            "attributes": null
          },
          {
            "code": "14X..",
            "description": "history of abuse",
            "attributes": null
          },
          {
            "code": "14X0.",
            "description": "history of physical abuse",
            "attributes": null
          },
          {
            "code": "14X1.",
            "description": "history of sexual abuse",
            "attributes": null
          },
          {
            "code": "14X2.",
            "description": "history of emotional abuse",
            "attributes": null
          },
          {
            "code": "14X3.",
            "description": "history of domestic violence",
            "attributes": null
          },
          {
            "code": "14X5.",
            "description": "victim of physical abuse",
            "attributes": null
          },
          {
            "code": "14X6.",
            "description": "victim of sexual abuse",
            "attributes": null
          },
          {
            "code": "14X60",
            "description": "victim of sexual harassment",
            "attributes": null
          },
          {
            "code": "14X7.",
            "description": "victim of emotional abuse",
            "attributes": null
          },
          {
            "code": "14X8.",
            "description": "victim of domestic violence",
            "attributes": null
          },
          {
            "code": "14XD.",
            "description": "history of domestic abuse",
            "attributes": null
          },
          {
            "code": "14XD0",
            "description": "h/o domestic emotional abuse | history of domestic emotional abuse",
            "attributes": null
          },
          {
            "code": "14XD1",
            "description": "h/o domestic physical abuse | history of domestic physical abuse",
            "attributes": null
          },
          {
            "code": "14XD2",
            "description": "h/o domestic sexual abuse | history of domestic sexual abuse",
            "attributes": null
          },
          {
            "code": "14XE.",
            "description": "h/o: be victim domestc violenc | history of being victim of domestic violence",
            "attributes": null
          },
          {
            "code": "14XF.",
            "description": "victim of human trafficking",
            "attributes": null
          },
          {
            "code": "14XG.",
            "description": "victim of domestic abuse",
            "attributes": null
          },
          {
            "code": "14XH.",
            "description": "victim child sexual exploitatn | victim of child sexual exploitation",
            "attributes": null
          },
          {
            "code": "14XJ.",
            "description": "victim of psychological abuse",
            "attributes": null
          },
          {
            "code": "14XK.",
            "description": "victim of financial abuse",
            "attributes": null
          },
          {
            "code": "14XL.",
            "description": "victim of modern slavery",
            "attributes": null
          },
          {
            "code": "14XM.",
            "description": "victim of forced labour",
            "attributes": null
          },
          {
            "code": "14XN.",
            "description": "victim of domestic servitude",
            "attributes": null
          },
          {
            "code": "14XP.",
            "description": "victim of discriminatory abuse",
            "attributes": null
          },
          {
            "code": "14XQ.",
            "description": "victim of organisational abuse",
            "attributes": null
          },
          {
            "code": "14XR.",
            "description": "victim neglect & acts omission | victim of neglect and acts of omission",
            "attributes": null
          },
          {
            "code": "15K..",
            "description": "history of fgm | history of female genital mutilation",
            "attributes": null
          },
          {
            "code": "15K0.",
            "description": "h/o: fem gen mutilation type 3 | h/o: female genital mutilation type 3",
            "attributes": null
          },
          {
            "code": "15K1.",
            "description": "h/o fgm under 1 yr age | h/o: female genital mutilation under 1 year of age",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "code": "15K6.",
            "description": "h/o fgm at 18 yrs or over | h/o: female genital mutilation at 18 years of age or over",
            "attributes": null
          },
          {
            "code": "15L..",
            "description": "Country in which patient underwent female genital mutilation",
            "attributes": null
          },
          {
            "code": "1M60.",
            "description": "punishing with pain",
            "attributes": null
          },
          {
            "code": "3874.",
            "description": "Multidisciplinary case conference",
            "attributes": null
          },
          {
            "code": "6254.",
            "description": "a/n care: h/o child abuse",
            "attributes": null
          },
          {
            "code": "64c..",
            "description": "child protection procedure",
            "attributes": null
          },
          {
            "code": "7C256",
            "description": "Ritual circumcision",
            "attributes": null
          },
          {
            "code": "7D000",
            "description": "Clitoridectomy NEC",
            "attributes": null
          },
          {
            "code": "7D001",
            "description": "Ritual clitoridectomy",
            "attributes": null
          },
          {
            "code": "7D045",
            "description": "Deinfibulation of vulva",
            "attributes": null
          },
          {
            "code": "8CM6.",
            "description": "child protection plan",
            "attributes": null
          },
          {
            "code": "8CM60",
            "description": "child protect core grp meeting | child protection core group meeting",
            "attributes": null
          },
          {
            "code": "8GE1.",
            "description": "abandoned baby care",
            "attributes": null
          },
          {
            "code": "8Hkh.",
            "description": "refer safeguardng childrn team | referral to safeguarding children team",
            "attributes": null
          },
          {
            "code": "9Eq..",
            "description": "Child protection conference report submitted",
            "attributes": null
          },
          {
            "code": "9F7..",
            "description": "Place of safety court order",
            "attributes": null
          },
          {
            "code": "9FA..",
            "description": "child protection medical exam | child protection medical examination",
            "attributes": null
          },
          {
            "code": "9H3Z.",
            "description": "Court of protect cert NOS",
            "attributes": null
          },
          {
            "code": "9NgB.",
            "description": "child no longer safeguard cncn | child no longer safeguarding concern",
            "attributes": null
          },
          {
            "code": "Eu620",
            "description": "[X]Personality change after torture",
            "attributes": null
          },
          {
            "code": "Eu6y2",
            "description": "[X]Munchausen's by proxy",
            "attributes": null
          },
          {
            "code": "K578.",
            "description": "female genital mutilation",
            "attributes": null
          },
          {
            "code": "K5780",
            "description": "fgm type i - who classifn | female genital mutilation type i - who classification | female genital mutilation type i - world health organisation classification",
            "attributes": null
          },
          {
            "code": "K5781",
            "description": "fgm type ii - who classifn | female genital mutilation type ii - who classification | female genital mutilation type ii - world health organisation classification",
            "attributes": null
          },
          {
            "code": "K5782",
            "description": "fgm type iii - who classifn | female genital mutilation type iii - who classification | female genital mutilation type iii - world health organisation classification",
            "attributes": null
          },
          {
            "code": "K5783",
            "description": "fgm type iv - who classifn | female genital mutilation type iv - who classification | female genital mutilation type iv - world health organisation classification",
            "attributes": null
          },
          {
            "code": "READ_CODE",
            "description": "DESCRIPTION",
            "attributes": null
          },
          {
            "code": "SN420",
            "description": "Deprivation of food, unspecified",
            "attributes": null
          },
          {
            "code": "SN430",
            "description": "Deprivation of water",
            "attributes": null
          },
          {
            "code": "SN55.",
            "description": "child maltreatment syndrome",
            "attributes": null
          },
          {
            "code": "SN550",
            "description": "emotional maltreatment, child | emotional maltreatment of child",
            "attributes": null
          },
          {
            "code": "SN551",
            "description": "nutritional maltreatment,child | nutritional maltreatment of child",
            "attributes": null
          },
          {
            "code": "SN552",
            "description": "non-accidental injury to child",
            "attributes": null
          },
          {
            "code": "SN553",
            "description": "battered baby/child syndr.nos | battered baby or child syndrome nos",
            "attributes": null
          },
          {
            "code": "SN554",
            "description": "multiple deprivation of child",
            "attributes": null
          },
          {
            "code": "SN555",
            "description": "physical abuse of child",
            "attributes": null
          },
          {
            "code": "SN556",
            "description": "non-acc traum hed inj to child | non-accidental traumatic head injury to child",
            "attributes": null
          },
          {
            "code": "SN55z",
            "description": "child maltreatment syndr.nos | child maltreatment syndrome nos",
            "attributes": null
          },
          {
            "code": "SN560",
            "description": "battered person unspec.syndr. | battered person unspecified, syndrome",
            "attributes": null
          },
          {
            "code": "SN57.",
            "description": "maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "SN570",
            "description": "neglect or abandonment",
            "attributes": null
          },
          {
            "code": "SN571",
            "description": "sexual abuse",
            "attributes": null
          },
          {
            "code": "SN572",
            "description": "child affec munchausen proxy | child affected by munchausen's by proxy",
            "attributes": null
          },
          {
            "code": "SyuH5",
            "description": "[x]other maltreatment syndrom | [x]other maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "TE4..",
            "description": "accid.-hunger/thirst/neglect | accidents due to hunger, thirst, exposure and neglect",
            "attributes": null
          },
          {
            "code": "TE40.",
            "description": "accid.-abandon helpless person | accidents due to abandonment or neglect of helpless person",
            "attributes": null
          },
          {
            "code": "TE400",
            "description": "accid.-abandon newborn | accident due to abandonment of newborn",
            "attributes": null
          },
          {
            "code": "TE401",
            "description": "accid.-neglect newborn | accident due to neglect of newborn",
            "attributes": null
          },
          {
            "code": "TE404",
            "description": "Exposure to weather conditions resulting from abandonment",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "code": "TL7..",
            "description": "child battering/other maltreat | child battering and other maltreatment",
            "attributes": null
          },
          {
            "code": "TL70.",
            "description": "child battering - parent | child battering or other maltreatment by parent",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "code": "TL7z.",
            "description": "child battering - person nos | child battering or other maltreatment by person nos",
            "attributes": null
          },
          {
            "code": "TLx4.",
            "description": "assault - criminal neglect | assault by criminal neglect",
            "attributes": null
          },
          {
            "code": "TLx40",
            "description": "abandon child-criminal neglect | abandonment of child with intent to injure or kill",
            "attributes": null
          },
          {
            "code": "TLx41",
            "description": "abandon infant-criminal negl. | abandonment of infant with intent to injure or kill",
            "attributes": null
          },
          {
            "code": "TLx4z",
            "description": "abandon helpless person nos | abandonment of helpless person nos",
            "attributes": null
          },
          {
            "code": "U1B3.",
            "description": "[X]Starvation",
            "attributes": null
          },
          {
            "code": "U3M..",
            "description": "[x]neglect and abandonment",
            "attributes": null
          },
          {
            "code": "U3M0.",
            "description": "[x]neglect/abandonm by partner | [x]neglect and abandonment, by spouse or partner",
            "attributes": null
          },
          {
            "code": "U3M1.",
            "description": "[x]neglect/abandonm by parent | [x]neglect and abandonment, by parent",
            "attributes": null
          },
          {
            "code": "U3M2.",
            "description": "[x]neglect/abandonm by friend | [x]neglect and abandonment, by acquaintance or friend",
            "attributes": null
          },
          {
            "code": "U3My.",
            "description": "[x]neglect/abandonm by os pers | [x]neglect and abandonment, by other specified persons",
            "attributes": null
          },
          {
            "code": "U3Mz.",
            "description": "[x]neglect/aband, by unsp pers | [x]neglect and abandonment, by unspecified person",
            "attributes": null
          },
          {
            "code": "U3N..",
            "description": "[x]oth maltreatment syndromes | [x]other maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "U3N0.",
            "description": "[x]oth maltr syndr by partner | [x]other maltreatment syndromes, by spouse or partner",
            "attributes": null
          },
          {
            "code": "U3N1.",
            "description": "[x]oth maltr syndr by parent | [x]other maltreatment syndromes, by parent",
            "attributes": null
          },
          {
            "code": "U3N2.",
            "description": "[x]oth maltr syndr by friend | [x]other maltreatment syndromes, by acquaintance or friend",
            "attributes": null
          },
          {
            "code": "U3N3.",
            "description": "[x]oth maltr syndr by official | [x]other maltreatment syndromes, by official authorities",
            "attributes": null
          },
          {
            "code": "U3Ny.",
            "description": "[x]oth maltr syndr by os pers | [x]other maltreatment syndromes, by other specified persons",
            "attributes": null
          },
          {
            "code": "U3Nz.",
            "description": "[x]oth maltr syndr by unsp per | [x]other maltreatment syndromes, by unspecified person",
            "attributes": null
          },
          {
            "code": "U3P..",
            "description": "[x]maltreatment",
            "attributes": null
          },
          {
            "code": "U3P0.",
            "description": "[x]maltreatment spouse partner | [x]maltreatment, by spouse or partner",
            "attributes": null
          },
          {
            "code": "U3P1.",
            "description": "[x]maltreatment, by parent",
            "attributes": null
          },
          {
            "code": "U3P2.",
            "description": "[x]maltreatm acqaint or friend | [x]maltreatment, by acquaintance or friend",
            "attributes": null
          },
          {
            "code": "U3P3.",
            "description": "[x]maltreatm offic authorities | [x]maltreatment, by official authorities",
            "attributes": null
          },
          {
            "code": "U3Py.",
            "description": "[x]maltreatment oth spec pers | [x]maltreatment, by other specified persons",
            "attributes": null
          },
          {
            "code": "U3Pz.",
            "description": "[x]maltreatment unspec person | [x]maltreatment, by unspecified person",
            "attributes": null
          },
          {
            "code": "Z22A9",
            "description": "Unwanted child",
            "attributes": null
          },
          {
            "code": "Z331.",
            "description": "child protection plan",
            "attributes": null
          },
          {
            "code": "Z3311",
            "description": "intra-agency protection plan",
            "attributes": null
          },
          {
            "code": "Z35..",
            "description": "child protection procedure",
            "attributes": null
          },
          {
            "code": "Z351.",
            "description": "immediate protection of child",
            "attributes": null
          },
          {
            "code": "Z352.",
            "description": "child protection investigation",
            "attributes": null
          },
          {
            "code": "Z3521",
            "description": "child abuse investigation",
            "attributes": null
          },
          {
            "code": "Z41..",
            "description": "Abuse counselling",
            "attributes": null
          },
          {
            "code": "Z411.",
            "description": "Sexual abuse counselling",
            "attributes": null
          },
          {
            "code": "Z412.",
            "description": "Physical abuse counselling",
            "attributes": null
          },
          {
            "code": "Z413.",
            "description": "Verbal abuse counselling",
            "attributes": null
          },
          {
            "code": "Z9KG1",
            "description": "Patient protection monitoring",
            "attributes": null
          },
          {
            "code": "ZH119",
            "description": "Surveillance for child protection",
            "attributes": null
          },
          {
            "code": "ZU272",
            "description": "Deserted by parents",
            "attributes": null
          },
          {
            "code": "ZV154",
            "description": "[v]ph - psychological trauma | [v]personal history of psychological trauma",
            "attributes": null
          },
          {
            "code": "ZV159",
            "description": "History of female genital mutilation",
            "attributes": null
          },
          {
            "code": "ZV1B4",
            "description": "[v]personal history of neglect",
            "attributes": null
          },
          {
            "code": "ZV4F8",
            "description": "[v]targ perc advers discr/pers | [v]target of perceived adverse discrimination & persecution | [v]target of perceived adverse discrimination and persecution",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "code": "ZV4G5",
            "description": "[V]Problems related to alleged physical abuse of child",
            "attributes": null
          },
          {
            "code": "ZV4H2",
            "description": "[v]hostil toward+scapgoat/chld | [v]hostility towards and scapegoating of child",
            "attributes": null
          },
          {
            "code": "ZV4H3",
            "description": "[v]emotional neglect of child",
            "attributes": null
          },
          {
            "code": "ZV4H4",
            "description": "[v]oth prob rltd/neglct upbrng | [v]other problems related to neglect in upbringing",
            "attributes": null
          },
          {
            "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",
            "attributes": null
          },
          {
            "code": "ZV4H6",
            "description": "[v]lack of learning/play exper | [v]lack of learning and play experience",
            "attributes": null
          },
          {
            "code": "ZV4Hy",
            "description": "[v]oth spcf prob reltd/upbring | [v]other specified problems related to upbringing",
            "attributes": null
          },
          {
            "code": "ZV4J8",
            "description": "[v]victim of torture",
            "attributes": null
          },
          {
            "code": "ZV502",
            "description": "[V]Ritual circumcision",
            "attributes": null
          },
          {
            "code": "ZV612",
            "description": "[v]child abuse",
            "attributes": null
          },
          {
            "code": "ZV705",
            "description": "[V]Prostitute health examination",
            "attributes": null
          },
          {
            "code": "ZVu4B",
            "description": "[x]oth prob rel neglec,upbring | [x]other problems related to neglect in upbringing",
            "attributes": null
          }
        ]
      },
      {
        "concept_id": 3272,
        "concept_version_id": 11043,
        "concept_name": "Child Maltreatment",
        "coding_system": {
          "id": 4,
          "name": "ICD10 codes",
          "description": "ICD10 Codes"
        },
        "phenotype_id": "PH1115",
        "phenotype_version_id": 4059,
        "phenotype_name": "Childhood Maltreatment",
        "code_attribute_header": null,
        "codes": [
          {
            "code": "T74",
            "description": "Maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "T740",
            "description": "neglect or abandonment",
            "attributes": null
          },
          {
            "code": "T741",
            "description": "physical abuse",
            "attributes": null
          },
          {
            "code": "T742",
            "description": "sexual abuse",
            "attributes": null
          },
          {
            "code": "T743",
            "description": "psychological abuse",
            "attributes": null
          },
          {
            "code": "T748",
            "description": "other maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "T749",
            "description": "maltreatment syndrome, unspecified",
            "attributes": null
          },
          {
            "code": "Y06",
            "description": "neglect and abandonment",
            "attributes": null
          },
          {
            "code": "Y060",
            "description": "by spouse, partner",
            "attributes": null
          },
          {
            "code": "Y061",
            "description": "by parent",
            "attributes": null
          },
          {
            "code": "Y062",
            "description": "by acquaintance or friend",
            "attributes": null
          },
          {
            "code": "Y068",
            "description": "by other specified persons",
            "attributes": null
          },
          {
            "code": "Y069",
            "description": "by unspecified person",
            "attributes": null
          },
          {
            "code": "Y07",
            "description": "other maltreatment syndromes",
            "attributes": null
          },
          {
            "code": "Y070",
            "description": "by spouse, partner",
            "attributes": null
          },
          {
            "code": "Y071",
            "description": "by parent",
            "attributes": null
          },
          {
            "code": "Y072",
            "description": "by acquaintance or friend",
            "attributes": null
          },
          {
            "code": "Y073",
            "description": "by official authorities",
            "attributes": null
          },
          {
            "code": "Y078",
            "description": "by other specified persons",
            "attributes": null
          },
          {
            "code": "Y079",
            "description": "by unspecified person / mental cruelty",
            "attributes": null
          },
          {
            "code": "Z605",
            "description": "Target of perceived adverse discrimination and persecution",
            "attributes": null
          },
          {
            "code": "Z620",
            "description": "inadequate parental supervision and control",
            "attributes": null
          },
          {
            "code": "Z623",
            "description": "hostility towards and scapegoating of child",
            "attributes": null
          },
          {
            "code": "Z624",
            "description": "emotional neglect of child",
            "attributes": null
          },
          {
            "code": "Z625",
            "description": "other problems related to neglect in upbringing",
            "attributes": null
          },
          {
            "code": "Z626",
            "description": "inappropriate parental pressure and other abnormal qualities of upbringing",
            "attributes": null
          },
          {
            "code": "Z628",
            "description": "Personal history of forced labor or sexual exploitation in childhood",
            "attributes": null
          },
          {
            "code": "Z914",
            "description": "personal history of psychological trauma, not elsewhere classified",
            "attributes": null
          },
          {
            "code": "Z917",
            "description": "personal history of female genital mutilation",
            "attributes": null
          },
          {
            "code": "Z918",
            "description": "Personal history of other specified risk-factors, not elsewhere classified",
            "attributes": null
          }
        ]
      },
      {
        "concept_id": 3696,
        "concept_version_id": 11044,
        "concept_name": "Child Maltreatment",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH1115",
        "phenotype_version_id": 4059,
        "phenotype_name": "Childhood Maltreatment",
        "code_attribute_header": null,
        "codes": [
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            "code": "102457005",
            "description": "Battered baby AND/OR child syndrome (finding)",
            "attributes": null
          },
          {
            "code": "102458000",
            "description": "Shaken baby syndrome (finding)",
            "attributes": null
          },
          {
            "code": "1036511000000100",
            "description": "Child protection conference report submitted (finding)",
            "attributes": null
          },
          {
            "code": "1036521000000106",
            "description": "Child protection conference report submitted",
            "attributes": null
          },
          {
            "code": "1045671000000102",
            "description": "Victim of psychological abuse (finding)",
            "attributes": null
          },
          {
            "code": "1045681000000100",
            "description": "Victim of psychological abuse",
            "attributes": null
          },
          {
            "code": "1045691000000103",
            "description": "Victim of modern slavery (finding)",
            "attributes": null
          },
          {
            "code": "1045701000000103",
            "description": "Victim of modern slavery",
            "attributes": null
          },
          {
            "code": "1045721000000107",
            "description": "Victim of forced labour (finding)",
            "attributes": null
          },
          {
            "code": "1045731000000109",
            "description": "Victim of forced labour",
            "attributes": null
          },
          {
            "code": "1045751000000102",
            "description": "Victim of domestic servitude (finding)",
            "attributes": null
          },
          {
            "code": "1045761000000104",
            "description": "Victim of domestic servitude",
            "attributes": null
          },
          {
            "code": "1045771000000106",
            "description": "Victim of discriminatory abuse (finding)",
            "attributes": null
          },
          {
            "code": "1045791000000105",
            "description": "Victim of organisational abuse (finding)",
            "attributes": null
          },
          {
            "code": "1045801000000109",
            "description": "Victim of organisational abuse",
            "attributes": null
          },
          {
            "code": "1045811000000106",
            "description": "Victim of neglect and acts of omission (finding)",
            "attributes": null
          },
          {
            "code": "1045821000000100",
            "description": "Victim of neglect and acts of omissiion",
            "attributes": null
          },
          {
            "code": "1049061000000104",
            "description": "History of domestic emotional abuse (situation)",
            "attributes": null
          },
          {
            "code": "1049081000000108",
            "description": "History of domestic physical abuse (situation)",
            "attributes": null
          },
          {
            "code": "1049101000000102",
            "description": "History of domestic sexual abuse (situation)",
            "attributes": null
          },
          {
            "code": "1064311000000109",
            "description": "Child protection plan (record artifact)",
            "attributes": null
          },
          {
            "code": "107411000119108",
            "description": "Female genital mutilation type 4 (disorder)",
            "attributes": null
          },
          {
            "code": "1086791000000109",
            "description": "Child is cause for concern regarding sexual exploitation (finding)",
            "attributes": null
          },
          {
            "code": "112081003",
            "description": "Sadistic torture (finding)",
            "attributes": null
          },
          {
            "code": "1155836002",
            "description": "Support of victim of abuse (regime/therapy)",
            "attributes": null
          },
          {
            "code": "1172619003",
            "description": "Support of victim of child abuse (regime/therapy)",
            "attributes": null
          },
          {
            "code": "1172621008",
            "description": "Support of victim of incest (regime/therapy)",
            "attributes": null
          },
          {
            "code": "1172622001",
            "description": "Victim of incest (finding)",
            "attributes": null
          },
          {
            "code": "1188271000000105",
            "description": "Victim of criminal exploitation (finding)",
            "attributes": null
          },
          {
            "code": "1255947006",
            "description": "Victim of institutional abuse (finding)",
            "attributes": null
          },
          {
            "code": "1256044008",
            "description": "Victim of forced marriage (finding)",
            "attributes": null
          },
          {
            "code": "1279539008",
            "description": "Victim of domestic violence (finding)",
            "attributes": null
          },
          {
            "code": "1279934006",
            "description": "Victim of psychological abuse during childhood (finding)",
            "attributes": null
          },
          {
            "code": "1279935007",
            "description": "Victim of emotional abuse during childhood (finding)",
            "attributes": null
          },
          {
            "code": "1281855004",
            "description": "Education about safety plan for victim of abuse (procedure)",
            "attributes": null
          },
          {
            "code": "1285088001",
            "description": "Maltreatment (event)",
            "attributes": null
          },
          {
            "code": "12941000000101",
            "description": "Child at risk case conference payment claim (procedure)",
            "attributes": null
          },
          {
            "code": "130611000119103",
            "description": "Female genital mutilation type 3 (disorder)",
            "attributes": null
          },
          {
            "code": "130621000119105",
            "description": "Female genital mutilation type 2 (disorder)",
            "attributes": null
          },
          {
            "code": "130631000119108",
            "description": "Female genital mutilation type 1 (disorder)",
            "attributes": null
          },
          {
            "code": "134187008",
            "description": "Child protection procedure (regime/therapy)",
            "attributes": null
          },
          {
            "code": "137116002",
            "description": "Prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "137117006",
            "description": "Female prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "137118001",
            "description": "Male prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "137119009",
            "description": "Child prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "137120003",
            "description": "Prostitute NOS (occupation)",
            "attributes": null
          },
          {
            "code": "137903001",
            "description": "Abandoned child (finding)",
            "attributes": null
          },
          {
            "code": "138150008",
            "description": "Unwanted: [pregnancy] or [child] (finding)",
            "attributes": null
          },
          {
            "code": "138195001",
            "description": "Child on at risk register (finding)",
            "attributes": null
          },
          {
            "code": "138201009",
            "description": "Child deserted by parents (& [mother]) (finding)",
            "attributes": null
          },
          {
            "code": "138205000",
            "description": "Child on at risk register (finding)",
            "attributes": null
          },
          {
            "code": "138386004",
            "description": "Incest (finding)",
            "attributes": null
          },
          {
            "code": "138387008",
            "description": "Deprived childhood (finding)",
            "attributes": null
          },
          {
            "code": "138966009",
            "description": "History of abuse (situation)",
            "attributes": null
          },
          {
            "code": "138967000",
            "description": "History of physical abuse (situation)",
            "attributes": null
          },
          {
            "code": "138968005",
            "description": "History of sexual abuse (situation)",
            "attributes": null
          },
          {
            "code": "138969002",
            "description": "History of emotional abuse (situation)",
            "attributes": null
          },
          {
            "code": "139863006",
            "description": "Suspected child abuse (situation)",
            "attributes": null
          },
          {
            "code": "147172006",
            "description": "Battered baby suspect - FH (finding)",
            "attributes": null
          },
          {
            "code": "149940003",
            "description": "Clitoridectomy (procedure)",
            "attributes": null
          },
          {
            "code": "150453008",
            "description": "Ritual clitoridectomy (procedure)",
            "attributes": null
          },
          {
            "code": "151111008",
            "description": "Starvation monitoring (regime/therapy)",
            "attributes": null
          },
          {
            "code": "151663002",
            "description": "Abandoned baby care (regime/therapy)",
            "attributes": null
          },
          {
            "code": "153246001",
            "description": "Child at risk-case conference (procedure)",
            "attributes": null
          },
          {
            "code": "153247005",
            "description": "Child at risk conf attend >1hr (finding)",
            "attributes": null
          },
          {
            "code": "153248000",
            "description": "Child at risk conf attend <1hr (finding)",
            "attributes": null
          },
          {
            "code": "153249008",
            "description": "Child at risk conf fee to SS (finding)",
            "attributes": null
          },
          {
            "code": "153250008",
            "description": "Child at risk conf fee paid (finding)",
            "attributes": null
          },
          {
            "code": "153251007",
            "description": "Child at risk fee unpaid (finding)",
            "attributes": null
          },
          {
            "code": "153252000",
            "description": "Child at risk case conf NOS (procedure)",
            "attributes": null
          },
          {
            "code": "153291005",
            "description": "Place of safety court order (procedure)",
            "attributes": null
          },
          {
            "code": "154906006",
            "description": "Sexual abuse of child (disorder)",
            "attributes": null
          },
          {
            "code": "157741006",
            "description": "Food deprivation (disorder)",
            "attributes": null
          },
          {
            "code": "157742004",
            "description": "Starvation (disorder)",
            "attributes": null
          },
          {
            "code": "157743009",
            "description": "(Deprivation of water) or (thirst) (disorder)",
            "attributes": null
          },
          {
            "code": "157760004",
            "description": "(Non-accidental injury to child) or (battered baby/child) (disorder)",
            "attributes": null
          },
          {
            "code": "157926000",
            "description": "Accident due to hunger, thirst, exposure and neglect (event)",
            "attributes": null
          },
          {
            "code": "158094009",
            "description": "Non-accidental injury to child (disorder)",
            "attributes": null
          },
          {
            "code": "15928101000119105",
            "description": "Relationship problem between parent and adopted child (finding)",
            "attributes": null
          },
          {
            "code": "159798008",
            "description": "Prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "159799000",
            "description": "Female prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "159800001",
            "description": "Male prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "159801002",
            "description": "Child prostitute (occupation)",
            "attributes": null
          },
          {
            "code": "159802009",
            "description": "Prostitute NOS (occupation)",
            "attributes": null
          },
          {
            "code": "160507001",
            "description": "Abandoned child (finding)",
            "attributes": null
          },
          {
            "code": "160798004",
            "description": "Unwanted: [pregnancy] or [child] (finding)",
            "attributes": null
          },
          {
            "code": "160872002",
            "description": "Child on at risk register (finding)",
            "attributes": null
          },
          {
            "code": "160874001",
            "description": "Child on \"at risk\" regist NOS (finding)",
            "attributes": null
          },
          {
            "code": "160877008",
            "description": "Child at risk (finding)",
            "attributes": null
          },
          {
            "code": "160880009",
            "description": "Child deserted by parents (& [mother]) (finding)",
            "attributes": null
          },
          {
            "code": "160887007",
            "description": "Child on protection register (finding)",
            "attributes": null
          },
          {
            "code": "161064007",
            "description": "Child/parent violence (finding)",
            "attributes": null
          },
          {
            "code": "161073004",
            "description": "Incest (event)",
            "attributes": null
          },
          {
            "code": "161074005",
            "description": "Deprived childhood (finding)",
            "attributes": null
          },
          {
            "code": "161703008",
            "description": "History of abuse (situation)",
            "attributes": null
          },
          {
            "code": "161704002",
            "description": "History of physical abuse (situation)",
            "attributes": null
          },
          {
            "code": "161705001",
            "description": "History of sexual abuse (situation)",
            "attributes": null
          },
          {
            "code": "16290721000119109",
            "description": "Victim of human trafficking in adolescence (finding)",
            "attributes": null
          },
          {
            "code": "16290801000119107",
            "description": "Victim of human trafficking in childhood (finding)",
            "attributes": null
          },
          {
            "code": "1659091000000102",
            "description": "Child Protection Conference minutes received (finding)",
            "attributes": null
          },
          {
            "code": "169595006",
            "description": "Antenatal care: history of child abuse (situation)",
            "attributes": null
          },
          {
            "code": "169939009",
            "description": "Battered baby suspect - FH (finding)",
            "attributes": null
          },
          {
            "code": "169951006",
            "description": "Baby \"at-risk\" factors NOS (finding)",
            "attributes": null
          },
          {
            "code": "176561009",
            "description": "Ritual circumcision (procedure)",
            "attributes": null
          },
          {
            "code": "176584002",
            "description": "Clitoridectomy NEC (procedure)",
            "attributes": null
          },
          {
            "code": "176585001",
            "description": "Ritual clitoridectomy (procedure)",
            "attributes": null
          },
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    ],
    "status": 1,
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    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
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      "name": "Clinical-Coded Phenotype",
      "description": "Phenotype definitions that are based on lists of clinical codes, or algorithms using clinical codes.",
      "version_id": 1
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]