[
  {
    "phenotype_id": "PH2015",
    "phenotype_version_id": 4621,
    "name": "Multimorbidity_heart failure",
    "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": "2026-01-26T21:33:22.644659Z",
    "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": "2026-01-26T21:33:22.639155Z",
    "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_heart-failure",
    "source_reference": "https://www.opencodelists.org/codelist/bristol/multimorbidity_heart-failure/4c00a3c7",
    "concept_information": [
      {
        "concept_id": 4798,
        "concept_version_id": 12283,
        "concept_name": "bristol/multimorbidity_heart-failure/4c00a3c7",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH2015",
        "phenotype_version_id": 4621,
        "phenotype_name": "Multimorbidity_heart failure",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "10091002",
            "description": "High output heart failure",
            "attributes": null
          },
          {
            "code": "1010444007",
            "description": "Legal abortion complicated by cardiac failure",
            "attributes": null
          },
          {
            "code": "1010447000",
            "description": "Illegal abortion complicated by cardiac failure",
            "attributes": null
          },
          {
            "code": "101281000119107",
            "description": "Congestive heart failure due to cardiomyopathy",
            "attributes": null
          },
          {
            "code": "10335000",
            "description": "Chronic right-sided heart failure",
            "attributes": null
          },
          {
            "code": "10519008",
            "description": "Acute pulmonary edema caused by fumes AND/OR vapors",
            "attributes": null
          },
          {
            "code": "10633002",
            "description": "Acute congestive heart failure",
            "attributes": null
          },
          {
            "code": "1064941000000106",
            "description": "Heart failure with reduced ejection fraction",
            "attributes": null
          },
          {
            "code": "10674871000119105",
            "description": "Pulmonary edema caused by chemical fumes",
            "attributes": null
          },
          {
            "code": "11016261000119104",
            "description": "Nutritional therapy for congestive heart failure done",
            "attributes": null
          },
          {
            "code": "111282000",
            "description": "Acute respiratory insufficiency",
            "attributes": null
          },
          {
            "code": "111283005",
            "description": "Chronic left-sided heart failure",
            "attributes": null
          },
          {
            "code": "11468004",
            "description": "Postoperative pulmonary edema",
            "attributes": null
          },
          {
            "code": "120639003",
            "description": "Hantavirus pulmonary syndrome",
            "attributes": null
          },
          {
            "code": "120851000119104",
            "description": "Systolic heart failure stage D",
            "attributes": null
          },
          {
            "code": "120861000119102",
            "description": "Systolic heart failure stage C",
            "attributes": null
          },
          {
            "code": "120871000119108",
            "description": "Systolic heart failure stage B",
            "attributes": null
          },
          {
            "code": "120881000119106",
            "description": "Diastolic heart failure stage D",
            "attributes": null
          },
          {
            "code": "120891000119109",
            "description": "Diastolic heart failure stage C",
            "attributes": null
          },
          {
            "code": "120901000119108",
            "description": "Diastolic heart failure stage B",
            "attributes": null
          },
          {
            "code": "12095001",
            "description": "Legal abortion with cardiac arrest AND/OR failure",
            "attributes": null
          },
          {
            "code": "123620007",
            "description": "Hantanvirus pulmonary syndrome",
            "attributes": null
          },
          {
            "code": "128404006",
            "description": "Right heart failure",
            "attributes": null
          },
          {
            "code": "134378009",
            "description": "Congestive heart failure monitoring",
            "attributes": null
          },
          {
            "code": "134440006",
            "description": "Referral to heart failure clinic",
            "attributes": null
          },
          {
            "code": "13839000",
            "description": "Bernheim's syndrome",
            "attributes": null
          },
          {
            "code": "151157005",
            "description": "Cardiac failure therapy",
            "attributes": null
          },
          {
            "code": "153931000119109",
            "description": "Acute combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "153941000119100",
            "description": "Chronic combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "153951000119103",
            "description": "Acute on chronic combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "15629541000119106",
            "description": "Congestive heart failure stage C due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629591000119103",
            "description": "Congestive heart failure stage B due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629641000119107",
            "description": "Systolic heart failure stage B due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629741000119102",
            "description": "Systolic heart failure stage C due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15781000119107",
            "description": "Hypertensive heart AND chronic kidney disease with congestive heart failure",
            "attributes": null
          },
          {
            "code": "15964661000119102",
            "description": "Acute cor pulmonale due to septic pulmonary embolism",
            "attributes": null
          },
          {
            "code": "15964701000119109",
            "description": "Acute cor pulmonale co-occurrent and due to saddle embolus of pulmonary artery",
            "attributes": null
          },
          {
            "code": "161505003",
            "description": "History of heart failure",
            "attributes": null
          },
          {
            "code": "16838951000119100",
            "description": "Acute on chronic right-sided congestive heart failure",
            "attributes": null
          },
          {
            "code": "175112006",
            "description": "Transluminal heart assist operations",
            "attributes": null
          },
          {
            "code": "175115008",
            "description": "Transluminal maintenance of heart assist system",
            "attributes": null
          },
          {
            "code": "175117000",
            "description": "Transluminal removal of heart assist system",
            "attributes": null
          },
          {
            "code": "182826002",
            "description": "Cardiac failure therapy",
            "attributes": null
          },
          {
            "code": "188151000000107",
            "description": "Admit heart failure emergency",
            "attributes": null
          },
          {
            "code": "188171000000103",
            "description": "Referral to heart failure nurse",
            "attributes": null
          },
          {
            "code": "188661000000101",
            "description": "Seen in heart failure clinic",
            "attributes": null
          },
          {
            "code": "191651000000108",
            "description": "Admit heart failure emergency",
            "attributes": null
          },
          {
            "code": "191671000000104",
            "description": "Referral to heart failure nurse",
            "attributes": null
          },
          {
            "code": "192161000000108",
            "description": "Seen in heart failure clinic",
            "attributes": null
          },
          {
            "code": "19242006",
            "description": "Pulmonary edema",
            "attributes": null
          },
          {
            "code": "194767001",
            "description": "Benign hypertensive heart disease with congestive cardiac failure",
            "attributes": null
          },
          {
            "code": "194779001",
            "description": "Hypertensive heart and renal disease with (congestive) heart failure",
            "attributes": null
          },
          {
            "code": "194781004",
            "description": "Hypertensive heart and renal disease with both (congestive) heart failure and renal failure",
            "attributes": null
          },
          {
            "code": "194884000",
            "description": "Acute pulmonary heart disease NOS",
            "attributes": null
          },
          {
            "code": "194887007",
            "description": "Other chronic pulmonary heart disease",
            "attributes": null
          },
          {
            "code": "194889005",
            "description": "Other chronic pulmonary heart disease NOS",
            "attributes": null
          },
          {
            "code": "195111005",
            "description": "Decompensated cardiac failure",
            "attributes": null
          },
          {
            "code": "195112003",
            "description": "Compensated cardiac failure",
            "attributes": null
          },
          {
            "code": "195114002",
            "description": "Acute left ventricular failure",
            "attributes": null
          },
          {
            "code": "195548008",
            "description": "[X]Pulmonary heart disease and diseases of pulmonary circulation",
            "attributes": null
          },
          {
            "code": "196151000",
            "description": "Pulmonary insufficiency following shock",
            "attributes": null
          },
          {
            "code": "196152007",
            "description": "Pulmonary insufficiency following surgery",
            "attributes": null
          },
          {
            "code": "196153002",
            "description": "Pulmonary insufficiency following trauma",
            "attributes": null
          },
          {
            "code": "198868006",
            "description": "Cardiac failure following abortive pregnancy",
            "attributes": null
          },
          {
            "code": "202131000000103",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "202141000000107",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "202231000000106",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "202251000000104",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "203791000000106",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "20606002",
            "description": "Acute bovine pulmonary emphysema AND edema",
            "attributes": null
          },
          {
            "code": "206586007",
            "description": "Congenital cardiac failure",
            "attributes": null
          },
          {
            "code": "207553000",
            "description": "[D]Cardiorespiratory failure",
            "attributes": null
          },
          {
            "code": "207891000000108",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "207901000000109",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "207911000000106",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "207921000000100",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "208051000000107",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "208061000000105",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "208091000000104",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "208101000000107",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "211441000000105",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "211451000000108",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "229491000000106",
            "description": "Open implantation of ventricular assist device",
            "attributes": null
          },
          {
            "code": "229511000000103",
            "description": "Open heart assist operations",
            "attributes": null
          },
          {
            "code": "232957001",
            "description": "Cardiac support procedure",
            "attributes": null
          },
          {
            "code": "232961007",
            "description": "Intraventricular pump support operation",
            "attributes": null
          },
          {
            "code": "232962000",
            "description": "Transluminal insertion of intraventricular pump",
            "attributes": null
          },
          {
            "code": "232963005",
            "description": "Transluminal maintenance of intraventricular pump",
            "attributes": null
          },
          {
            "code": "232965003",
            "description": "Implantation of cardiac ventricular assist device",
            "attributes": null
          },
          {
            "code": "232966002",
            "description": "Implantation of right cardiac ventricular assist device",
            "attributes": null
          },
          {
            "code": "232967006",
            "description": "Implantation of left cardiac ventricular assist device",
            "attributes": null
          },
          {
            "code": "232968001",
            "description": "Implantation of cardiac biventricular assist device",
            "attributes": null
          },
          {
            "code": "232969009",
            "description": "Cardiac support using extracorporeal membrane oxygenation circuitry",
            "attributes": null
          },
          {
            "code": "23341000119109",
            "description": "Congestive heart failure with right heart failure",
            "attributes": null
          },
          {
            "code": "233705000",
            "description": "Neurogenic pulmonary edema",
            "attributes": null
          },
          {
            "code": "233706004",
            "description": "Drug-induced acute pulmonary edema",
            "attributes": null
          },
          {
            "code": "233707008",
            "description": "High altitude pulmonary edema",
            "attributes": null
          },
          {
            "code": "233708003",
            "description": "Post-upper airway obstruction pulmonary edema",
            "attributes": null
          },
          {
            "code": "233709006",
            "description": "Toxic pulmonary edema",
            "attributes": null
          },
          {
            "code": "233710001",
            "description": "Chemical-induced pulmonary edema",
            "attributes": null
          },
          {
            "code": "233711002",
            "description": "Oxygen-induced pulmonary edema",
            "attributes": null
          },
          {
            "code": "233712009",
            "description": "Fluid overload pulmonary edema",
            "attributes": null
          },
          {
            "code": "233924009",
            "description": "Heart failure as a complication of care",
            "attributes": null
          },
          {
            "code": "235581000000105",
            "description": "Open heart assist operations NOS",
            "attributes": null
          },
          {
            "code": "238401000000107",
            "description": "Other specified open heart assist operations",
            "attributes": null
          },
          {
            "code": "240629003",
            "description": "Malarial shock lung",
            "attributes": null
          },
          {
            "code": "241974001",
            "description": "Altitude edema",
            "attributes": null
          },
          {
            "code": "247361000000100",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "248381000000108",
            "description": "Heart failure monitoring telephone invitation",
            "attributes": null
          },
          {
            "code": "248501000000107",
            "description": "Heart failure monitoring verbal invitation",
            "attributes": null
          },
          {
            "code": "248511000000109",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "248521000000103",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "248531000000101",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "250411000000105",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "251651000000102",
            "description": "Heart failure monitoring telephone invite",
            "attributes": null
          },
          {
            "code": "251661000000104",
            "description": "Heart failure monitoring verbal invite",
            "attributes": null
          },
          {
            "code": "251671000000106",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "251681000000108",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "251691000000105",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "253041000000107",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "25544003",
            "description": "Low output heart failure",
            "attributes": null
          },
          {
            "code": "259981000000101",
            "description": "Open heart assist operations",
            "attributes": null
          },
          {
            "code": "259991000000104",
            "description": "Open implantation of ventricular assist device",
            "attributes": null
          },
          {
            "code": "260021000000104",
            "description": "Open heart assist operations NOS",
            "attributes": null
          },
          {
            "code": "266233000",
            "description": "Chronic pulmonary heart disease NOS",
            "attributes": null
          },
          {
            "code": "274096000",
            "description": "Pulmonary heart disease",
            "attributes": null
          },
          {
            "code": "274631000000105",
            "description": "Heart failure monitoring telephone invite",
            "attributes": null
          },
          {
            "code": "274641000000101",
            "description": "Heart failure monitoring verbal invite",
            "attributes": null
          },
          {
            "code": "274651000000103",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "274661000000100",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "274671000000107",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "275514001",
            "description": "Impaired left ventricular function",
            "attributes": null
          },
          {
            "code": "276514007",
            "description": "Neonatal cardiac failure",
            "attributes": null
          },
          {
            "code": "276637009",
            "description": "Hemorrhagic pulmonary edema",
            "attributes": null
          },
          {
            "code": "277638005",
            "description": "Sepsis-associated left ventricular failure",
            "attributes": null
          },
          {
            "code": "277639002",
            "description": "Sepsis-associated right ventricular failure",
            "attributes": null
          },
          {
            "code": "286952009",
            "description": "Pulmonary heart disease NOS",
            "attributes": null
          },
          {
            "code": "286953004",
            "description": "Other pulmonary heart disease",
            "attributes": null
          },
          {
            "code": "308118002",
            "description": "Cardiac failure therapy",
            "attributes": null
          },
          {
            "code": "309634009",
            "description": "History of heart failure in last year",
            "attributes": null
          },
          {
            "code": "314206003",
            "description": "Refractory heart failure",
            "attributes": null
          },
          {
            "code": "325431000000103",
            "description": "Congestive heart failure due to valvular disease",
            "attributes": null
          },
          {
            "code": "33622007",
            "description": "Round heart disease",
            "attributes": null
          },
          {
            "code": "33644002",
            "description": "Postvalvulotomy syndrome",
            "attributes": null
          },
          {
            "code": "338101000000107",
            "description": "Congestive heart failure due to valvular disease",
            "attributes": null
          },
          {
            "code": "359617009",
            "description": "Acute right-sided heart failure",
            "attributes": null
          },
          {
            "code": "359620001",
            "description": "Acute right heart failure",
            "attributes": null
          },
          {
            "code": "360371003",
            "description": "Acute cardiac pulmonary edema",
            "attributes": null
          },
          {
            "code": "364006",
            "description": "Acute left-sided heart failure",
            "attributes": null
          },
          {
            "code": "366784002",
            "description": "Congestive heart failure monitoring",
            "attributes": null
          },
          {
            "code": "366862009",
            "description": "Congestive heart failure monitoring",
            "attributes": null
          },
          {
            "code": "367363000",
            "description": "Right ventricular failure",
            "attributes": null
          },
          {
            "code": "36890002",
            "description": "Temporary cardioassist with artificial heart",
            "attributes": null
          },
          {
            "code": "371862006",
            "description": "Depression of left ventricular systolic function",
            "attributes": null
          },
          {
            "code": "389838008",
            "description": "Heart failure annual review",
            "attributes": null
          },
          {
            "code": "389937002",
            "description": "Heart failure follow-up",
            "attributes": null
          },
          {
            "code": "39028003",
            "description": "Implantation of heart auxiliary ventricle",
            "attributes": null
          },
          {
            "code": "390570006",
            "description": "Heart failure annual review",
            "attributes": null
          },
          {
            "code": "390671000",
            "description": "Heart failure follow-up",
            "attributes": null
          },
          {
            "code": "390771000000106",
            "description": "[X]Pulmonary heart disease and diseases of pulmonary circulation",
            "attributes": null
          },
          {
            "code": "390884006",
            "description": "Heart failure follow-up",
            "attributes": null
          },
          {
            "code": "390885007",
            "description": "Heart failure annual review",
            "attributes": null
          },
          {
            "code": "392748002",
            "description": "Heart failure confirmed",
            "attributes": null
          },
          {
            "code": "393703008",
            "description": "Heart failure confirmed",
            "attributes": null
          },
          {
            "code": "395105005",
            "description": "Heart failure confirmed",
            "attributes": null
          },
          {
            "code": "403298007",
            "description": "Red half-moon nail in congestive heart failure",
            "attributes": null
          },
          {
            "code": "405276000",
            "description": "Negative pressure pulmonary edema",
            "attributes": null
          },
          {
            "code": "40541001",
            "description": "Acute pulmonary edema",
            "attributes": null
          },
          {
            "code": "407606009",
            "description": "New York Heart Association classification - class II",
            "attributes": null
          },
          {
            "code": "407607000",
            "description": "New York Heart Association classification - class III",
            "attributes": null
          },
          {
            "code": "407608005",
            "description": "New York Heart Association classification - class IV",
            "attributes": null
          },
          {
            "code": "410431009",
            "description": "Cardiorespiratory failure",
            "attributes": null
          },
          {
            "code": "416683003",
            "description": "Emergency hospital admission for heart failure",
            "attributes": null
          },
          {
            "code": "416717003",
            "description": "Seen in heart failure clinic",
            "attributes": null
          },
          {
            "code": "417146007",
            "description": "Referral to heart failure nurse",
            "attributes": null
          },
          {
            "code": "417996009",
            "description": "Systolic heart failure",
            "attributes": null
          },
          {
            "code": "418304008",
            "description": "Diastolic heart failure",
            "attributes": null
          },
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            "code": "419038004",
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