[
  {
    "phenotype_id": "PH2009",
    "phenotype_version_id": 4615,
    "name": "Multimorbidity_COPD",
    "definition": "This codelist was taken from [OpenCodelists](https://www.opencodelists.org/), created by [OpenSAFELY](https://www.opensafely.org/). We recommend viewing this Phenotype on the OpenCodelist website to view the most recent version.\n\n\n© University of Oxford for the Bennett Institute for Applied Data Science 2025\\. This work may be copied freely for non\\-commercial research and study.\n\n",
    "implementation": null,
    "publications": null,
    "validation": null,
    "citation_requirements": null,
    "created": "2026-01-26T21:33:09.969757Z",
    "author": "University of Bristol",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T21:33:09.965245Z",
    "references": [
      {
        "url": "https://doi.org/10.3399/BJGP.2022.0235",
        "title": "Tsang, Ruby SM, et al. \"Development of a modified Cambridge Multimorbidity Score for use with SNOMED CT: an observational English primary care sentinel network study.\" British Journal of General Practice 73.731 (2023): e435-e442."
      }
    ],
    "signed_off": [],
    "methodology": "",
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "open_codelist_id": "bristol/multimorbidity_copd",
    "source_reference": "https://www.opencodelists.org/codelist/bristol/multimorbidity_copd/11c97d7b",
    "concept_information": [
      {
        "concept_id": 4792,
        "concept_version_id": 12277,
        "concept_name": "bristol/multimorbidity_copd/11c97d7b",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH2009",
        "phenotype_version_id": 4615,
        "phenotype_name": "Multimorbidity_COPD",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "1010333003",
            "description": "Emphysema of left lung",
            "attributes": null
          },
          {
            "code": "1010334009",
            "description": "Emphysema of right lung",
            "attributes": null
          },
          {
            "code": "106001000119101",
            "description": "Chronic obstructive pulmonary disease with acute bronchitis",
            "attributes": null
          },
          {
            "code": "10692761000119107",
            "description": "Asthma-chronic obstructive pulmonary disease overlap syndrome",
            "attributes": null
          },
          {
            "code": "135836000",
            "description": "End stage chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "13645005",
            "description": "Chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "138795009",
            "description": "H/O: [obstructive airway disease(& chronic)] or [bronchitis]",
            "attributes": null
          },
          {
            "code": "155572007",
            "description": "Chronic: [bronchitis NOS] or [tracheobronchitis]",
            "attributes": null
          },
          {
            "code": "16003001",
            "description": "Giant bullous emphysema",
            "attributes": null
          },
          {
            "code": "161526003",
            "description": "H/O: [COAD] or [bronchitis]",
            "attributes": null
          },
          {
            "code": "16846004",
            "description": "Obstructive emphysema",
            "attributes": null
          },
          {
            "code": "1751000119100",
            "description": "Acute exacerbation of chronic obstructive pulmonary disease with asthma",
            "attributes": null
          },
          {
            "code": "1761000119103",
            "description": "Chronic obstructive airway disease with asthma",
            "attributes": null
          },
          {
            "code": "185086009",
            "description": "Chronic obstructive bronchitis",
            "attributes": null
          },
          {
            "code": "195949008",
            "description": "Chronic asthmatic bronchitis",
            "attributes": null
          },
          {
            "code": "195951007",
            "description": "Acute exacerbation of chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "195953005",
            "description": "Mixed simple and mucopurulent chronic bronchitis",
            "attributes": null
          },
          {
            "code": "195957006",
            "description": "Chronic bullous emphysema",
            "attributes": null
          },
          {
            "code": "195958001",
            "description": "Segmental bullous emphysema",
            "attributes": null
          },
          {
            "code": "195959009",
            "description": "Zonal bullous emphysema",
            "attributes": null
          },
          {
            "code": "195963002",
            "description": "Acute vesicular emphysema",
            "attributes": null
          },
          {
            "code": "196001008",
            "description": "Chronic obstructive pulmonary disease with acute lower respiratory infection",
            "attributes": null
          },
          {
            "code": "196026004",
            "description": "Chronic emphysema caused by chemical fumes",
            "attributes": null
          },
          {
            "code": "198411000000102",
            "description": "Chronic obstructive pulmonary disease does not disturb sleep",
            "attributes": null
          },
          {
            "code": "198901000000105",
            "description": "Multiple chronic obstructive pulmonary disease emergency hospital admissions",
            "attributes": null
          },
          {
            "code": "207321000000104",
            "description": "Multiple chronic obstructive pulmonary disease emergency hospital admissions",
            "attributes": null
          },
          {
            "code": "207331000000102",
            "description": "Multiple chronic obstructive pulmonary disease emergency hospital admissions",
            "attributes": null
          },
          {
            "code": "21072009",
            "description": "Gas bubble disease",
            "attributes": null
          },
          {
            "code": "213421000000102",
            "description": "Chronic obstructive pulmonary disease does not disturb sleep",
            "attributes": null
          },
          {
            "code": "213431000000100",
            "description": "Chronic obstructive pulmonary disease does not disturb sleep",
            "attributes": null
          },
          {
            "code": "233674008",
            "description": "Pulmonary emphysema in alpha-1 primary immunodeficiency deficiency",
            "attributes": null
          },
          {
            "code": "233675009",
            "description": "Toxic emphysema",
            "attributes": null
          },
          {
            "code": "233676005",
            "description": "Congenital lobar emphysema",
            "attributes": null
          },
          {
            "code": "233677001",
            "description": "Scar emphysema",
            "attributes": null
          },
          {
            "code": "23958009",
            "description": "Vanishing lung",
            "attributes": null
          },
          {
            "code": "266355005",
            "description": "Bullous emphysema with collapse",
            "attributes": null
          },
          {
            "code": "266356006",
            "description": "Atrophic (senile) emphysema",
            "attributes": null
          },
          {
            "code": "266395007",
            "description": "Chronic: [bronchitis NOS] or [tracheobronchitis]",
            "attributes": null
          },
          {
            "code": "267147002",
            "description": "H/O: [obstructive airway disease(& chronic)] or [bronchitis]",
            "attributes": null
          },
          {
            "code": "270473001",
            "description": "History of chronic obstructive airway disease",
            "attributes": null
          },
          {
            "code": "285381006",
            "description": "Acute infective exacerbation of chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "293241000119100",
            "description": "Acute exacerbation of chronic obstructive bronchitis",
            "attributes": null
          },
          {
            "code": "293991000000106",
            "description": "Very severe chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "294001000000101",
            "description": "Very severe chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "294011000000104",
            "description": "Very severe chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "313296004",
            "description": "Mild chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "313297008",
            "description": "Moderate chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "313299006",
            "description": "Severe chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "31898008",
            "description": "Paraseptal emphysema",
            "attributes": null
          },
          {
            "code": "32544004",
            "description": "Chronic obliterative bronchiolitis caused by inhalation of chemical fumes AND/OR vapors",
            "attributes": null
          },
          {
            "code": "33325001",
            "description": "Compensatory emphysema",
            "attributes": null
          },
          {
            "code": "371611000000107",
            "description": "Chronic obstructive pulmonary disease patient unsuitable for pulmonary rehabilitation",
            "attributes": null
          },
          {
            "code": "383611000000102",
            "description": "At risk of chronic obstructive pulmonary disease exacerbation",
            "attributes": null
          },
          {
            "code": "383621000000108",
            "description": "At risk of chronic obstructive pulmonary disease exacerbation",
            "attributes": null
          },
          {
            "code": "390971000000109",
            "description": "[X]Other conditions related to interstitial emphysema originating in the perinatal period",
            "attributes": null
          },
          {
            "code": "413846005",
            "description": "Chronic obstructive pulmonary disease finding",
            "attributes": null
          },
          {
            "code": "419861000000108",
            "description": "[X]Other specified chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "425748003",
            "description": "Acute exacerbation of chronic bronchitis",
            "attributes": null
          },
          {
            "code": "442025000",
            "description": "Acute exacerbation of chronic asthmatic bronchitis",
            "attributes": null
          },
          {
            "code": "45145000",
            "description": "Unilateral emphysema",
            "attributes": null
          },
          {
            "code": "47895001",
            "description": "Congenital emphysema",
            "attributes": null
          },
          {
            "code": "47938003",
            "description": "Chronic obliterative bronchiolitis",
            "attributes": null
          },
          {
            "code": "487261000000103",
            "description": "Chronic obstructive pulmonary disease patient unsuitable for pulmonary rehabilitation - enhanced services administration",
            "attributes": null
          },
          {
            "code": "491091000000105",
            "description": "Chronic obstructive pulmonary disease patient unsuitable for pulmonary rehabilitation - enhanced services administration",
            "attributes": null
          },
          {
            "code": "49691004",
            "description": "Occupational bronchitis",
            "attributes": null
          },
          {
            "code": "4981000",
            "description": "Panacinar emphysema",
            "attributes": null
          },
          {
            "code": "52571006",
            "description": "Chronic tracheobronchitis",
            "attributes": null
          },
          {
            "code": "528511000000103",
            "description": "Perinatal interstitial emphysema and related conditions",
            "attributes": null
          },
          {
            "code": "57686001",
            "description": "Emphysematous bleb of lung",
            "attributes": null
          },
          {
            "code": "579661000000108",
            "description": "Chronic bullous emphysema NOS",
            "attributes": null
          },
          {
            "code": "601591000000103",
            "description": "Other chronic bronchitis",
            "attributes": null
          },
          {
            "code": "60805002",
            "description": "Hemolytic anemia with emphysema AND cutis laxa",
            "attributes": null
          },
          {
            "code": "61937009",
            "description": "Simple chronic bronchitis",
            "attributes": null
          },
          {
            "code": "621061000000108",
            "description": "Other chronic bronchitis NOS",
            "attributes": null
          },
          {
            "code": "63480004",
            "description": "Chronic bronchitis",
            "attributes": null
          },
          {
            "code": "644271000000105",
            "description": "Chronic obstructive pulmonary disease with acute exacerbation, unspecified",
            "attributes": null
          },
          {
            "code": "649131000000101",
            "description": "Simple chronic bronchitis NOS",
            "attributes": null
          },
          {
            "code": "649141000000105",
            "description": "Mucopurulent chronic bronchitis NOS",
            "attributes": null
          },
          {
            "code": "66110007",
            "description": "Chronic diffuse emphysema caused by inhalation of chemical fumes AND/OR vapors",
            "attributes": null
          },
          {
            "code": "66987001",
            "description": "Congenital lobar emphysema",
            "attributes": null
          },
          {
            "code": "68328006",
            "description": "Centriacinar emphysema",
            "attributes": null
          },
          {
            "code": "697911002",
            "description": "Pulmonary hypertension due to chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "70756004",
            "description": "Bronchial atresia with segmental pulmonary emphysema",
            "attributes": null
          },
          {
            "code": "708030004",
            "description": "Pulmonary emphysema co-occurrent with fibrosis of lung",
            "attributes": null
          },
          {
            "code": "735465007",
            "description": "Protracted bronchitis caused by bacterium",
            "attributes": null
          },
          {
            "code": "74417001",
            "description": "Mucopurulent chronic bronchitis",
            "attributes": null
          },
          {
            "code": "77690003",
            "description": "Interstitial emphysema of lung",
            "attributes": null
          },
          {
            "code": "785736001",
            "description": "Chronic bronchitis co-occurrent with wheeze",
            "attributes": null
          },
          {
            "code": "789661000000102",
            "description": "Preferred place of care for next exacerbation of chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "789671000000109",
            "description": "Preferred place of care for next exacerbation of chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "834491000000101",
            "description": "End stage chronic obstructive airways disease",
            "attributes": null
          },
          {
            "code": "836477007",
            "description": "Chronic emphysema caused by vapor",
            "attributes": null
          },
          {
            "code": "840350008",
            "description": "Chronic obliterative bronchiolitis caused by chemical fumes",
            "attributes": null
          },
          {
            "code": "840351007",
            "description": "Chronic obliterative bronchiolitis caused by vapor",
            "attributes": null
          },
          {
            "code": "84409004",
            "description": "Fetid chronic bronchitis",
            "attributes": null
          },
          {
            "code": "847091000000104",
            "description": "Acute non-infective exacerbation of chronic obstructive pulmonary disease",
            "attributes": null
          },
          {
            "code": "86680006",
            "description": "Ruptured emphysematous bleb of lung",
            "attributes": null
          },
          {
            "code": "87433001",
            "description": "Pulmonary emphysema",
            "attributes": null
          },
          {
            "code": "89099002",
            "description": "Chronic allergic bronchitis",
            "attributes": null
          },
          {
            "code": "944961000000107",
            "description": "Asthma-chronic obstructive pulmonary disease overlap syndrome",
            "attributes": null
          },
          {
            "code": "944971000000100",
            "description": "Asthma-chronic obstructive pulmonary disease overlap syndrome",
            "attributes": null
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "11c97d7b",
    "open_codelist_version_tag": "",
    "status": 1,
    "doi": "https://doi.org/10.48533/dbdy-3t13",
    "is_deleted": false,
    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
      "id": 3,
      "name": "OpenCodelists Phenotype",
      "description": "OpenSafely's OpenCodelist Phenotype, visit https://www.opencodelists.org/ to learn more",
      "version_id": 1
    },
    "versions": [
      {
        "version_id": 4615,
        "version_name": "Multimorbidity_COPD",
        "version_date": "2026-01-26T21:33:09.976807Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]