[
  {
    "phenotype_id": "PH2017",
    "phenotype_version_id": 4623,
    "name": "Multimorbidity_psychosis/bipolar disorder",
    "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": "2026-01-26T21:33:25.524887Z",
    "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": "2026-01-26T21:33:25.518580Z",
    "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_psychosisbipolar-disorder",
    "source_reference": "https://www.opencodelists.org/codelist/bristol/multimorbidity_psychosisbipolar-disorder/19e1bd5d",
    "concept_information": [
      {
        "concept_id": 4800,
        "concept_version_id": 12285,
        "concept_name": "bristol/multimorbidity_psychosisbipolar-disorder/19e1bd5d",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH2017",
        "phenotype_version_id": 4623,
        "phenotype_name": "Multimorbidity_psychosis/bipolar disorder",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "10875004",
            "description": "Severe mixed bipolar I disorder with psychotic features, mood-incongruent",
            "attributes": null
          },
          {
            "code": "1089481000000106",
            "description": "Cataleptic schizophrenia",
            "attributes": null
          },
          {
            "code": "10981006",
            "description": "Severe mixed bipolar I disorder with psychotic features",
            "attributes": null
          },
          {
            "code": "111482003",
            "description": "Subchronic schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "111483008",
            "description": "Catatonic schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "111484002",
            "description": "Undifferentiated schizophrenia",
            "attributes": null
          },
          {
            "code": "111485001",
            "description": "Mixed bipolar I disorder in full remission",
            "attributes": null
          },
          {
            "code": "1196001",
            "description": "Chronic bipolar II disorder, most recent episode major depressive",
            "attributes": null
          },
          {
            "code": "12939007",
            "description": "Chronic disorganized schizophrenia",
            "attributes": null
          },
          {
            "code": "12969000",
            "description": "Severe bipolar II disorder, most recent episode major depressive, in full remission",
            "attributes": null
          },
          {
            "code": "133091000119105",
            "description": "Rapid cycling bipolar I disorder",
            "attributes": null
          },
          {
            "code": "13313007",
            "description": "Mild bipolar disorder",
            "attributes": null
          },
          {
            "code": "13581000",
            "description": "Severe bipolar I disorder, single manic episode with psychotic features, mood-congruent",
            "attributes": null
          },
          {
            "code": "13746004",
            "description": "Bipolar disorder",
            "attributes": null
          },
          {
            "code": "138739000",
            "description": "H/O: schizophrenia",
            "attributes": null
          },
          {
            "code": "14291003",
            "description": "Subchronic disorganized schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "14495005",
            "description": "Severe bipolar I disorder, single manic episode without psychotic features",
            "attributes": null
          },
          {
            "code": "1499003",
            "description": "Bipolar I disorder, single manic episode with postpartum onset",
            "attributes": null
          },
          {
            "code": "161468000",
            "description": "History of schizophrenia",
            "attributes": null
          },
          {
            "code": "162004",
            "description": "Severe manic bipolar I disorder without psychotic features",
            "attributes": null
          },
          {
            "code": "16238741000119105",
            "description": "Bipolar disorder caused by drug",
            "attributes": null
          },
          {
            "code": "16295005",
            "description": "Bipolar II disorder, most recent episode major depressive",
            "attributes": null
          },
          {
            "code": "16506000",
            "description": "Mixed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "16990005",
            "description": "Subchronic schizophrenia",
            "attributes": null
          },
          {
            "code": "17435002",
            "description": "Chronic paranoid schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "17782008",
            "description": "Bipolar I disorder, most recent episode manic with catatonic features",
            "attributes": null
          },
          {
            "code": "191526005",
            "description": "Schizophrenic disorders",
            "attributes": null
          },
          {
            "code": "191527001",
            "description": "Simple schizophrenia",
            "attributes": null
          },
          {
            "code": "191530008",
            "description": "Acute exacerbation of subchronic schizophrenia",
            "attributes": null
          },
          {
            "code": "191531007",
            "description": "Acute exacerbation of chronic schizophrenia",
            "attributes": null
          },
          {
            "code": "191536002",
            "description": "Subchronic hebephrenic schizophrenia",
            "attributes": null
          },
          {
            "code": "191537006",
            "description": "Chronic hebephrenic schizophrenia",
            "attributes": null
          },
          {
            "code": "191538001",
            "description": "Acute exacerbation of subchronic hebephrenic schizophrenia",
            "attributes": null
          },
          {
            "code": "191539009",
            "description": "Acute exacerbation of chronic hebephrenic schizophrenia",
            "attributes": null
          },
          {
            "code": "191540006",
            "description": "Hebephrenic schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "191542003",
            "description": "Catatonic schizophrenia",
            "attributes": null
          },
          {
            "code": "191547009",
            "description": "Acute exacerbation of subchronic catatonic schizophrenia",
            "attributes": null
          },
          {
            "code": "191548004",
            "description": "Acute exacerbation of chronic catatonic schizophrenia",
            "attributes": null
          },
          {
            "code": "191554003",
            "description": "Acute exacerbation of subchronic paranoid schizophrenia",
            "attributes": null
          },
          {
            "code": "191555002",
            "description": "Acute exacerbation of chronic paranoid schizophrenia",
            "attributes": null
          },
          {
            "code": "191563001",
            "description": "Acute exacerbation of subchronic latent schizophrenia",
            "attributes": null
          },
          {
            "code": "191577003",
            "description": "Cenesthopathic schizophrenia",
            "attributes": null
          },
          {
            "code": "191618007",
            "description": "Bipolar affective disorder, current episode manic",
            "attributes": null
          },
          {
            "code": "191620005",
            "description": "Bipolar affective disorder, currently manic, mild",
            "attributes": null
          },
          {
            "code": "191621009",
            "description": "Bipolar affective disorder, currently manic, moderate",
            "attributes": null
          },
          {
            "code": "191623007",
            "description": "Bipolar affective disorder, currently manic, severe, with psychosis",
            "attributes": null
          },
          {
            "code": "191625000",
            "description": "Bipolar affective disorder, currently manic, in full remission",
            "attributes": null
          },
          {
            "code": "191627008",
            "description": "Bipolar affective disorder, current episode depression",
            "attributes": null
          },
          {
            "code": "191629006",
            "description": "Bipolar affective disorder, currently depressed, mild",
            "attributes": null
          },
          {
            "code": "191630001",
            "description": "Bipolar affective disorder, currently depressed, moderate",
            "attributes": null
          },
          {
            "code": "191632009",
            "description": "Bipolar affective disorder, currently depressed, severe, with psychosis",
            "attributes": null
          },
          {
            "code": "191634005",
            "description": "Bipolar affective disorder, currently depressed, in full remission",
            "attributes": null
          },
          {
            "code": "191636007",
            "description": "Mixed bipolar affective disorder",
            "attributes": null
          },
          {
            "code": "191638008",
            "description": "Mixed bipolar affective disorder, mild",
            "attributes": null
          },
          {
            "code": "191639000",
            "description": "Mixed bipolar affective disorder, moderate",
            "attributes": null
          },
          {
            "code": "191641004",
            "description": "Mixed bipolar affective disorder, severe, with psychosis",
            "attributes": null
          },
          {
            "code": "191643001",
            "description": "Mixed bipolar affective disorder, in full remission",
            "attributes": null
          },
          {
            "code": "192322009",
            "description": "[X]Undifferentiated schizophrenia",
            "attributes": null
          },
          {
            "code": "192327003",
            "description": "[X]Schizophrenia, unspecified",
            "attributes": null
          },
          {
            "code": "192356003",
            "description": "[X]Bipolar affective disorder, current episode manic without psychotic symptoms",
            "attributes": null
          },
          {
            "code": "192359005",
            "description": "[X]Bipolar affective disorder, current episode severe depression without psychotic symptoms",
            "attributes": null
          },
          {
            "code": "192362008",
            "description": "Bipolar affective disorder, current episode mixed",
            "attributes": null
          },
          {
            "code": "192363003",
            "description": "[X]Bipolar affective disorder, currently in remission",
            "attributes": null
          },
          {
            "code": "192365005",
            "description": "[X]Bipolar affective disorder, unspecified",
            "attributes": null
          },
          {
            "code": "19300006",
            "description": "Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-congruent",
            "attributes": null
          },
          {
            "code": "20960007",
            "description": "Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-incongruent",
            "attributes": null
          },
          {
            "code": "21894002",
            "description": "Chronic catatonic schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "21900002",
            "description": "Bipolar I disorder, most recent episode depressed with catatonic features",
            "attributes": null
          },
          {
            "code": "22121000",
            "description": "Depressed bipolar I disorder in full remission",
            "attributes": null
          },
          {
            "code": "22407005",
            "description": "Bipolar II disorder, most recent episode major depressive with catatonic features",
            "attributes": null
          },
          {
            "code": "231444002",
            "description": "Organic bipolar disorder",
            "attributes": null
          },
          {
            "code": "23741000119105",
            "description": "Severe manic bipolar I disorder",
            "attributes": null
          },
          {
            "code": "247804008",
            "description": "Schizophrenic prodrome",
            "attributes": null
          },
          {
            "code": "26025008",
            "description": "Residual schizophrenia",
            "attributes": null
          },
          {
            "code": "261000119107",
            "description": "Severe depressed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "26203008",
            "description": "Severe depressed bipolar I disorder with psychotic features, mood-incongruent",
            "attributes": null
          },
          {
            "code": "26472000",
            "description": "Paraphrenia",
            "attributes": null
          },
          {
            "code": "26530004",
            "description": "Severe bipolar disorder with psychotic features, mood-incongruent",
            "attributes": null
          },
          {
            "code": "26847009",
            "description": "Chronic schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "268617001",
            "description": "Acute schizophrenic episode",
            "attributes": null
          },
          {
            "code": "268692006",
            "description": "[X]Schizotypal disorder",
            "attributes": null
          },
          {
            "code": "268697000",
            "description": "[X]Other non-organic psychotic disorders",
            "attributes": null
          },
          {
            "code": "271000119101",
            "description": "Severe mixed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "27387000",
            "description": "Subchronic disorganized schizophrenia",
            "attributes": null
          },
          {
            "code": "28663008",
            "description": "Severe manic bipolar I disorder with psychotic features",
            "attributes": null
          },
          {
            "code": "28884001",
            "description": "Moderate bipolar I disorder, single manic episode",
            "attributes": null
          },
          {
            "code": "29599000",
            "description": "Chronic undifferentiated schizophrenia",
            "attributes": null
          },
          {
            "code": "29929003",
            "description": "Bipolar I disorder, most recent episode depressed with atypical features",
            "attributes": null
          },
          {
            "code": "30336007",
            "description": "Chronic residual schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "30520009",
            "description": "Severe bipolar II disorder, most recent episode major depressive with psychotic features",
            "attributes": null
          },
          {
            "code": "30687003",
            "description": "Bipolar II disorder, most recent episode major depressive with postpartum onset",
            "attributes": null
          },
          {
            "code": "30935000",
            "description": "Manic bipolar I disorder in full remission",
            "attributes": null
          },
          {
            "code": "31373002",
            "description": "Disorganized schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "31446002",
            "description": "Bipolar I disorder, most recent episode hypomanic",
            "attributes": null
          },
          {
            "code": "31658008",
            "description": "Chronic paranoid schizophrenia",
            "attributes": null
          },
          {
            "code": "33380008",
            "description": "Severe manic bipolar I disorder with psychotic features, mood-incongruent",
            "attributes": null
          },
          {
            "code": "34315001",
            "description": "Bipolar II disorder, most recent episode major depressive with melancholic features",
            "attributes": null
          },
          {
            "code": "35218008",
            "description": "Chronic disorganized schizophrenia with acute exacerbation",
            "attributes": null
          },
          {
            "code": "35252006",
            "description": "Disorganized schizophrenia",
            "attributes": null
          },
          {
            "code": "3530005",
            "description": "Bipolar I disorder, single manic episode, in full remission",
            "attributes": null
          },
          {
            "code": "35481005",
            "description": "Mixed bipolar I disorder in remission",
            "attributes": null
          },
          {
            "code": "35722002",
            "description": "Severe bipolar II disorder, most recent episode major depressive, in remission",
            "attributes": null
          },
          {
            "code": "35846004",
            "description": "Moderate bipolar II disorder, most recent episode major depressive",
            "attributes": null
          },
          {
            "code": "36583000",
            "description": "Mixed bipolar I disorder in partial remission",
            "attributes": null
          },
          {
            "code": "371596008",
            "description": "Bipolar I disorder",
            "attributes": null
          },
          {
            "code": "371599001",
            "description": "Severe bipolar I disorder",
            "attributes": null
          },
          {
            "code": "371600003",
            "description": "Severe bipolar disorder",
            "attributes": null
          },
          {
            "code": "371604007",
            "description": "Severe bipolar II disorder",
            "attributes": null
          },
          {
            "code": "38295006",
            "description": "Involutional paraphrenia",
            "attributes": null
          },
          {
            "code": "38368003",
            "description": "Schizoaffective disorder, bipolar type",
            "attributes": null
          },
          {
            "code": "39610001",
            "description": "Undifferentiated schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "40926005",
            "description": "Moderate mixed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "41521002",
            "description": "Subchronic paranoid schizophrenia with acute exacerbations",
            "attributes": null
          },
          {
            "code": "41552001",
            "description": "Mild bipolar I disorder, single manic episode",
            "attributes": null
          },
          {
            "code": "416340002",
            "description": "Late onset schizophrenia",
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          },
          {
            "code": "416422002",
            "description": "Referral for bipolar disorder",
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          },
          {
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            "description": "[X]Schizophrenia, schizotypal and delusional disorders",
            "attributes": null
          },
          {
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            "description": "[X]Bipolar affective disorder, unspecified",
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          },
          {
            "code": "41832009",
            "description": "Severe bipolar I disorder, single manic episode with psychotic features",
            "attributes": null
          },
          {
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            "description": "Bipolar disorder in full remission",
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          },
          {
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            "description": "[X] (Bipolar affective disorders: [bipolar II] or [other]) or (recurrent manic episodes)",
            "attributes": null
          },
          {
            "code": "426091000000108",
            "description": "[X]Other bipolar affective disorders",
            "attributes": null
          },
          {
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            "description": "[X]Other schizophrenia",
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          },
          {
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          },
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            "description": "Subchronic catatonic schizophrenia",
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          },
          {
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            "description": "[X]Bipolar affective disorder, current episode manic with psychotic symptoms",
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          },
          {
            "code": "43568002",
            "description": "Bipolar II disorder, most recent episode major depressive with atypical features",
            "attributes": null
          },
          {
            "code": "43769008",
            "description": "Mild mixed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "441833000",
            "description": "Lethal catatonia",
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          },
          {
            "code": "442251000000107",
            "description": "[X]Undifferentiated schizophrenia",
            "attributes": null
          },
          {
            "code": "443561000000100",
            "description": "[X]Bipolar affective disorder, current episode manic without psychotic symptoms",
            "attributes": null
          },
          {
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            "description": "[X] Schizotypal disorder (& [latent] or [latent schizophrenic reaction] or [borderline] or [prepsychotic] or [prodromal] or [pseudoneurotic] or [pseudopsychopathic]",
            "attributes": null
          },
          {
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            "description": "Severe bipolar disorder with psychotic features",
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          },
          {
            "code": "454161000000105",
            "description": "[X]Bipolar affective disorder, currently in remission",
            "attributes": null
          },
          {
            "code": "45479006",
            "description": "Manic bipolar I disorder in remission",
            "attributes": null
          },
          {
            "code": "455161000000109",
            "description": "[X]Other non-organic psychotic disorders",
            "attributes": null
          },
          {
            "code": "46229002",
            "description": "Severe mixed bipolar I disorder without psychotic features",
            "attributes": null
          },
          {
            "code": "465911000000102",
            "description": "[X]Bipolar affective disorder, current episode severe depression without psychotic symptoms",
            "attributes": null
          },
          {
            "code": "467121000000100",
            "description": "[X]Bipolar affective disorder, current episode mild or moderate depression",
            "attributes": null
          },
          {
            "code": "470301000000100",
            "description": "[X]Schizophrenia, unspecified",
            "attributes": null
          },
          {
            "code": "470741000000103",
            "description": "[X] (Schizophrenia: [cenesthopathic] or [other]) or (schizophreniform disorder [including psychosis] NOS)",
            "attributes": null
          },
          {
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            "attributes": null
          },
          {
            "code": "48937005",
            "description": "Bipolar II disorder, most recent episode hypomanic",
            "attributes": null
          },
          {
            "code": "4926007",
            "description": "Schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "49468007",
            "description": "Depressed bipolar I disorder",
            "attributes": null
          },
          {
            "code": "49512000",
            "description": "Depressed bipolar I disorder in partial remission",
            "attributes": null
          },
          {
            "code": "51133006",
            "description": "Residual schizophrenia in remission",
            "attributes": null
          },
          {
            "code": "51637008",
            "description": "Chronic bipolar I disorder, most recent episode depressed",
            "attributes": null
          },
          {
            "code": "530301000000105",
            "description": "Bipolar affective disorder, currently manic, severe, without mention of psychosis",
            "attributes": null
          },
          {
            "code": "530311000000107",
            "description": "Bipolar affective disorder, currently depressed, severe, without mention of psychosis",
            "attributes": null
          },
          {
            "code": "53049002",
            "description": "Severe bipolar disorder without psychotic features",
            "attributes": null
          },
          {
            "code": "53607008",
            "description": "Depressed bipolar I disorder in remission",
            "attributes": null
          },
          {
            "code": "54761006",
            "description": "Severe depressed bipolar I disorder with psychotic features, mood-congruent",
            "attributes": null
          },
          {
            "code": "55516002",
            "description": "Bipolar I disorder, most recent episode manic with postpartum onset",
            "attributes": null
          },
          {
            "code": "5703000",
            "description": "Bipolar disorder in partial remission",
            "attributes": null
          },
          {
            "code": "579811000000105",
            "description": "Paranoid schizophrenia NOS",
            "attributes": null
          },
          {
            "code": "58214004",
            "description": "Schizophrenia",
            "attributes": null
          },
          {
            "code": "589331000000102",
            "description": "Unspecified schizophrenia",
            "attributes": null
          },
          {
            "code": "589341000000106",
            "description": "Simple schizophrenia NOS",
            "attributes": null
          },
          {
            "code": "589351000000109",
            "description": "Hebephrenic schizophrenia NOS",
            "attributes": null
          },
          {
            "code": "589361000000107",
            "description": "Unspecified catatonic schizophrenia",
            "attributes": null
          },
          {
            "code": "59617007",
            "description": "Severe depressed bipolar I disorder with psychotic features",
            "attributes": null
          },
          {
            "code": "602481000000108",
            "description": "Mixed bipolar affective disorder, NOS",
            "attributes": null
          },
          {
            "code": "613511000000109",
            "description": "Bipolar affective disorder, currently depressed, NOS",
            "attributes": null
          },
          {
            "code": "613581000000102",
            "description": "Mixed bipolar affective disorder, unspecified",
            "attributes": null
          },
          {
            "code": "61403008",
            "description": "Severe depressed bipolar I disorder without psychotic features",
            "attributes": null
          },
          {
            "code": "615921000000105",
            "description": "Bipolar affective disorder, currently manic, in partial or unspecified remission",
            "attributes": null
          },
          {
            "code": "615931000000107",
            "description": "Bipolar affective disorder, currently manic, NOS",
            "attributes": null
          },
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