[
  {
    "phenotype_id": "PH3556",
    "phenotype_version_id": 8623,
    "name": "Malabsorption due to pancreatic insufficiency",
    "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\nThis codelist defines pancreatic insufficiency to define malabsorption disorders for the purpose of the vitamin D study. \nFor this reason, it focuses on exocrine insufficiency of lipid absorption, as opposed to endocrine insufficiency (diabetes is not included by default).\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": "2026-01-26T23:22:01.561534Z",
    "author": "OpenSAFELY",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T23:22:01.556085Z",
    "references": [
      {
        "url": "https://github.com/opensafely/codelist-development/issues/367",
        "title": "Github"
      }
    ],
    "signed_off": [],
    "methodology": "This codelist prioritises specificity by identifying those who should be eligible for vitamin D testing and supplementation due to insufficiency or deficiency of pancreatic enzymes responsible for lipid absorption.\n\n\nSearch terms: exocrine panc*, pancreatic, pancreatic deficiency, pancreatic enzyme, pancreatic insufficiency.\n\n\nInclusion criteria for codes:\nany disorders of exocrine pancreatic insufficiency causing lipid malabsorption. This includes congenital and acquired disorders.\n\n\nExclusion criteria for codes:\nexclude endocrine\\-only insufficiency (diabetes) and protein\\- or carbohydrate\\-only malabsorption (e.g triptase or amylase deficiencies), codes related to medicines rather than diagnoses.\n\n",
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "open_codelist_id": "opensafely/malabsorption-due-to-pancreatic-insufficiency",
    "source_reference": "https://www.opencodelists.org/codelist/opensafely/malabsorption-due-to-pancreatic-insufficiency/17552cc2",
    "concept_information": [
      {
        "concept_id": 8800,
        "concept_version_id": 16285,
        "concept_name": "opensafely/malabsorption-due-to-pancreatic-insufficiency/17552cc2",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH3556",
        "phenotype_version_id": 8623,
        "phenotype_name": "Malabsorption due to pancreatic insufficiency",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "1144555008",
            "description": "Aplasia of pancreas",
            "attributes": null
          },
          {
            "code": "1222660008",
            "description": "Pancreatic agenesis, holoprosencephaly syndrome",
            "attributes": null
          },
          {
            "code": "124499004",
            "description": "Deficiency of pancreatic elastase",
            "attributes": null
          },
          {
            "code": "1260450002",
            "description": "Infantile multisystem neurologic, endocrine, pancreatic disease",
            "attributes": null
          },
          {
            "code": "155845009",
            "description": "Pancreatic steatorrhoea",
            "attributes": null
          },
          {
            "code": "197487009",
            "description": "Pancreatic steatorrhea",
            "attributes": null
          },
          {
            "code": "204806003",
            "description": "Agenesis of pancreas",
            "attributes": null
          },
          {
            "code": "25685003",
            "description": "Congenital deficiency of pancreatic lipase",
            "attributes": null
          },
          {
            "code": "302920007",
            "description": "Pancreatic malabsorption",
            "attributes": null
          },
          {
            "code": "309491000000108",
            "description": "Pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "3549009",
            "description": "Pancreatic acinar atrophy",
            "attributes": null
          },
          {
            "code": "3571004",
            "description": "Megaloblastic anemia due to pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "37992001",
            "description": "Pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "47367009",
            "description": "Exocrine pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "522461000000102",
            "description": "Exocrine pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "54576000",
            "description": "Pancreatic steatorrhea",
            "attributes": null
          },
          {
            "code": "68591005",
            "description": "Congenital hypoplasia of pancreas",
            "attributes": null
          },
          {
            "code": "69478001",
            "description": "Pancreatic colipase deficiency",
            "attributes": null
          },
          {
            "code": "707450006",
            "description": "Pancreatic insufficiency due to cystic fibrosis of pancreas",
            "attributes": null
          },
          {
            "code": "707766007",
            "description": "Exocrine pancreatic manifestation co-occurrent and due to cystic fibrosis",
            "attributes": null
          },
          {
            "code": "707841000000107",
            "description": "Exocrine pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "719044008",
            "description": "Partial agenesis of pancreas",
            "attributes": null
          },
          {
            "code": "722206009",
            "description": "Pancreatic hypoplasia, diabetes mellitus, congenital heart disease syndrome",
            "attributes": null
          },
          {
            "code": "722207000",
            "description": "Pancreatic insufficiency, dyserythropoietic anemia, calvarial hyperostosis syndrome",
            "attributes": null
          },
          {
            "code": "722873005",
            "description": "Secondary pancreatic insufficiency",
            "attributes": null
          },
          {
            "code": "763212006",
            "description": "Combined pancreatic lipase and colipase deficiency",
            "attributes": null
          },
          {
            "code": "773673002",
            "description": "Hypoplasia of pancreas, intestinal atresia, hypoplasia of gallbladder syndrome",
            "attributes": null
          },
          {
            "code": "78960005",
            "description": "Pancreatic triacylglycerol lipase deficiency",
            "attributes": null
          },
          {
            "code": "88281007",
            "description": "Atrophy of pancreas",
            "attributes": null
          },
          {
            "code": "89454001",
            "description": "Shwachman syndrome",
            "attributes": null
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "17552cc2",
    "open_codelist_version_tag": "",
    "status": 1,
    "doi": "https://doi.org/10.48533/afkg-6q05",
    "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": 8623,
        "version_name": "Malabsorption due to pancreatic insufficiency",
        "version_date": "2026-01-26T23:22:01.570369Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]