[
  {
    "phenotype_id": "PH3632",
    "phenotype_version_id": 8731,
    "name": "Permanent loss of childbearing potential (female patients)",
    "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\nIdentifies codes which indicate a definite loss of childbearing potential which cannot plausibly be restored. The scope of the codelist is limited to female patients.\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": "2026-01-26T23:27:18.539304Z",
    "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": "2026-01-26T23:27:18.531751Z",
    "references": [
      {
        "url": "https://github.com/opensafely/codelist-development/issues/323",
        "title": "Github discussion"
      }
    ],
    "signed_off": [],
    "methodology": "**Search terms / synonyms / search strategy:** Hysterectomy, Fallopian, Ovary, Ovaries, Uterus, Salpingectomy, Oophrectomy, Exenteration of pelvis, Menopause. We also reviewed the NHS Digital reference set on 'Codes that indicate complete removal of the cervix', and included these codes in our codelist as appropriate.\n\n\n**Inclusion criteria for codes:** Code indicates a definite and permanent inability to have children in future.\n\n\n**Exclusion criteria for codes:** Code does not indicate a definite inability to have children, or indicates an inability to have children which may be reversible in future e.g. a reversible sterilisation procedure, or a transient fertility problem.\n\n",
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "open_codelist_id": "opensafely/permanent-loss-of-childbearing-potential-female-patients",
    "source_reference": "https://www.opencodelists.org/codelist/opensafely/permanent-loss-of-childbearing-potential-female-patients/5c43f585",
    "concept_information": [
      {
        "concept_id": 8908,
        "concept_version_id": 16393,
        "concept_name": "opensafely/permanent-loss-of-childbearing-potential-female-patients/5c43f585",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH3632",
        "phenotype_version_id": 8731,
        "phenotype_name": "Permanent loss of childbearing potential (female patients)",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "102447009",
            "description": "Postmenopausal osteoporosis",
            "attributes": null
          },
          {
            "code": "10738891000119107",
            "description": "History of total hysterectomy without abnormal cervical Papanicolaou smear",
            "attributes": null
          },
          {
            "code": "1076221000000107",
            "description": "Abdominal hysterectomy with sacrocolpopexy using mesh",
            "attributes": null
          },
          {
            "code": "11050006",
            "description": "Closure of vesicouterine fistula with hysterectomy",
            "attributes": null
          },
          {
            "code": "112917009",
            "description": "Supracervical hysterectomy with unilateral removal of tube and ovary",
            "attributes": null
          },
          {
            "code": "112918004",
            "description": "Vaginal hysterectomy with colpo-urethrocystopexy, Marshall-Marchetti-Krantz type",
            "attributes": null
          },
          {
            "code": "116140006",
            "description": "Total hysterectomy",
            "attributes": null
          },
          {
            "code": "116141005",
            "description": "Abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "116142003",
            "description": "Radical hysterectomy",
            "attributes": null
          },
          {
            "code": "116143008",
            "description": "Total abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "116144002",
            "description": "Total abdominal hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "1162832007",
            "description": "Mayer Rokitansky Küster Hauser syndrome type 1",
            "attributes": null
          },
          {
            "code": "1163275000",
            "description": "Laparoscopic radical amputation of cervix uteri",
            "attributes": null
          },
          {
            "code": "1163434005",
            "description": "Laparoscopic exenteration of female pelvis",
            "attributes": null
          },
          {
            "code": "1187630003",
            "description": "Subtotal hysterectomy via vaginal approach",
            "attributes": null
          },
          {
            "code": "120037000",
            "description": "Uterus excision",
            "attributes": null
          },
          {
            "code": "1208345004",
            "description": "Laparoscopic anterior exenteration of female pelvis",
            "attributes": null
          },
          {
            "code": "121521000000108",
            "description": "Abdominal hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "121531000000105",
            "description": "Vaginal hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "125155008",
            "description": "Endometrial cells, cytologically benign, in a postmenopausal woman",
            "attributes": null
          },
          {
            "code": "1260298008",
            "description": "Depression following menopause",
            "attributes": null
          },
          {
            "code": "126161000119109",
            "description": "Acquired absence of cervix uteri",
            "attributes": null
          },
          {
            "code": "1286976009",
            "description": "Laparoscopic exenteration of pelvis",
            "attributes": null
          },
          {
            "code": "1287897002",
            "description": "Radical amputation of cervix uteri",
            "attributes": null
          },
          {
            "code": "1295483002",
            "description": "Osteoporotic fracture due to postmenopausal osteoporosis",
            "attributes": null
          },
          {
            "code": "1303414001",
            "description": "Laparoscopic vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "1304071003",
            "description": "Endoscopic vaginal natural orifice transluminal hysterectomy",
            "attributes": null
          },
          {
            "code": "13254001",
            "description": "Abdominal hysterectomy with colpo-urethrocystopexy, Marshall-Marchetti-Krantz type",
            "attributes": null
          },
          {
            "code": "1338019004",
            "description": "Menopause caused by ionizing radiation",
            "attributes": null
          },
          {
            "code": "1338020005",
            "description": "Menopause due to and following radiotherapy",
            "attributes": null
          },
          {
            "code": "138977003",
            "description": "Menopause",
            "attributes": null
          },
          {
            "code": "139044006",
            "description": "H/O: postmenopausal bleeding",
            "attributes": null
          },
          {
            "code": "139056007",
            "description": "H/O: hysterectomy",
            "attributes": null
          },
          {
            "code": "14353000",
            "description": "Salpingectomy of remaining fallopian tube",
            "attributes": null
          },
          {
            "code": "148388001",
            "description": "No smear-amputation of cervix",
            "attributes": null
          },
          {
            "code": "148390000",
            "description": "No smear - no cervix",
            "attributes": null
          },
          {
            "code": "149801009",
            "description": "Bilateral oophorectomy",
            "attributes": null
          },
          {
            "code": "149802002",
            "description": "Oophorectomy of remaining solitary ovary",
            "attributes": null
          },
          {
            "code": "149804001",
            "description": "Bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "149805000",
            "description": "Salpingo-oophorectomy of remaining solitary fallopian tube and ovary",
            "attributes": null
          },
          {
            "code": "149823008",
            "description": "Total bilateral salpingectomy",
            "attributes": null
          },
          {
            "code": "149824002",
            "description": "Salpingectomy of remaining solitary Fallopian tube",
            "attributes": null
          },
          {
            "code": "149831003",
            "description": "Bilateral fallopian tube resection",
            "attributes": null
          },
          {
            "code": "149870009",
            "description": "Hysterectomy",
            "attributes": null
          },
          {
            "code": "149871008",
            "description": "Subtotal abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "149872001",
            "description": "Total abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "149873006",
            "description": "Vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "149875004",
            "description": "Radical vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "149877007",
            "description": "Total abdominal hysterectomy and bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "149878002",
            "description": "Hysterectomy NOS",
            "attributes": null
          },
          {
            "code": "149992007",
            "description": "Hysterectomy and fetus removal",
            "attributes": null
          },
          {
            "code": "149993002",
            "description": "Hysterectomy in pregnancy",
            "attributes": null
          },
          {
            "code": "150881000119107",
            "description": "Long-term current use of postmenopausal hormone replacement therapy",
            "attributes": null
          },
          {
            "code": "156052000",
            "description": "Postmenopausal bleeding",
            "attributes": null
          },
          {
            "code": "156054004",
            "description": "Postmenopausal atrophic vaginitis",
            "attributes": null
          },
          {
            "code": "161788002",
            "description": "History of postmenopausal bleeding",
            "attributes": null
          },
          {
            "code": "161800001",
            "description": "History of hysterectomy",
            "attributes": null
          },
          {
            "code": "171166008",
            "description": "No smear - hysterectomy (& [benign])",
            "attributes": null
          },
          {
            "code": "171167004",
            "description": "No smear-amputation of cervix",
            "attributes": null
          },
          {
            "code": "171169001",
            "description": "No smear - no cervix",
            "attributes": null
          },
          {
            "code": "17142008",
            "description": "Congenital absence of uterus",
            "attributes": null
          },
          {
            "code": "174361000000109",
            "description": "Laparoscopic total abdominal hysterectomy and bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "174371000000102",
            "description": "Laparoscopic hysterectomy",
            "attributes": null
          },
          {
            "code": "176471000000103",
            "description": "Postmenopausal postcoital bleeding",
            "attributes": null
          },
          {
            "code": "176790001",
            "description": "Abdominal hysterectomy (& Wertheim)",
            "attributes": null
          },
          {
            "code": "176792009",
            "description": "Abdominal hysterectomy and excision of periuterine tissue NEC",
            "attributes": null
          },
          {
            "code": "176794005",
            "description": "Hysterectomy: [total abdominal NEC] or [Bonney] or [NEC]",
            "attributes": null
          },
          {
            "code": "176795006",
            "description": "Subtotal abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "176796007",
            "description": "Abdominal hysterectomy (& total) and bilateral salpingoophorectomy",
            "attributes": null
          },
          {
            "code": "176797003",
            "description": "Abdominal hysterectomy & salpingoophorectomy: [right] or [ left]",
            "attributes": null
          },
          {
            "code": "176798008",
            "description": "Abdominal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "176799000",
            "description": "Total abdominal hysterectomy and bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "176800001",
            "description": "Other specified abdominal excision of uterus",
            "attributes": null
          },
          {
            "code": "176801002",
            "description": "Abdominal excision of uterus NOS",
            "attributes": null
          },
          {
            "code": "176802009",
            "description": "Vaginal hysterectomy (& Schauta radical)",
            "attributes": null
          },
          {
            "code": "176803004",
            "description": "Vaginal hysterectomy and excision of periuterine tissue NEC",
            "attributes": null
          },
          {
            "code": "176805006",
            "description": "Vaginal hysterectomy: [NEC] or [Heaney]",
            "attributes": null
          },
          {
            "code": "176806007",
            "description": "Laparoscopy assisted vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "176807003",
            "description": "Vaginal hysterectomy: [OS] or [Ward]",
            "attributes": null
          },
          {
            "code": "176808008",
            "description": "Vaginal excision of uterus NOS",
            "attributes": null
          },
          {
            "code": "176902005",
            "description": "Bilateral salpingectomy NEC",
            "attributes": null
          },
          {
            "code": "176903000",
            "description": "Bilateral oophorectomy NEC",
            "attributes": null
          },
          {
            "code": "176909001",
            "description": "Salpingo-oophorectomy of remaining solitary fallopian tube and ovary",
            "attributes": null
          },
          {
            "code": "176911005",
            "description": "Salpingectomy of remaining solitary fallopian tube NEC",
            "attributes": null
          },
          {
            "code": "176913008",
            "description": "Oophorectomy of remaining solitary ovary NEC",
            "attributes": null
          },
          {
            "code": "17744000",
            "description": "Subtotal hysterectomy after cesarean delivery",
            "attributes": null
          },
          {
            "code": "180055000",
            "description": "Anterior exenteration of pelvis",
            "attributes": null
          },
          {
            "code": "180056004",
            "description": "Posterior exenteration of pelvis",
            "attributes": null
          },
          {
            "code": "188891000000108",
            "description": "No cervical smear required - no uterus",
            "attributes": null
          },
          {
            "code": "190000",
            "description": "Partial hysterectomy",
            "attributes": null
          },
          {
            "code": "190544007",
            "description": "Secondary ovarian failure &/or premature menopause NOS",
            "attributes": null
          },
          {
            "code": "192391000000104",
            "description": "No cervical smear required - no uterus",
            "attributes": null
          },
          {
            "code": "203453001",
            "description": "Postmenopausal osteoporosis with pathological fracture",
            "attributes": null
          },
          {
            "code": "204844007",
            "description": "Agenesis of uterus",
            "attributes": null
          },
          {
            "code": "21237001",
            "description": "Postmenopausal urethral atrophy",
            "attributes": null
          },
          {
            "code": "22650008",
            "description": "Hysterectomy",
            "attributes": null
          },
          {
            "code": "232449005",
            "description": "Postmenopausal atrophy of vocal cord",
            "attributes": null
          },
          {
            "code": "236886002",
            "description": "Hysterectomy",
            "attributes": null
          },
          {
            "code": "236887006",
            "description": "Laparoscopic hysterectomy",
            "attributes": null
          },
          {
            "code": "236888001",
            "description": "Laparoscopic total hysterectomy",
            "attributes": null
          },
          {
            "code": "236889009",
            "description": "Laparoscopic supracervical hysterectomy",
            "attributes": null
          },
          {
            "code": "236890000",
            "description": "Classic SEMM laparoscopic hysterectomy",
            "attributes": null
          },
          {
            "code": "236891001",
            "description": "Laparoscopic radical hysterectomy",
            "attributes": null
          },
          {
            "code": "236987005",
            "description": "Emergency cesarean hysterectomy",
            "attributes": null
          },
          {
            "code": "236988000",
            "description": "Elective cesarean hysterectomy",
            "attributes": null
          },
          {
            "code": "237123000",
            "description": "Normal menopause",
            "attributes": null
          },
          {
            "code": "237138004",
            "description": "Menopause ovarian failure",
            "attributes": null
          },
          {
            "code": "237789005",
            "description": "Premature menopause NOS",
            "attributes": null
          },
          {
            "code": "24068006",
            "description": "Hysterectomy for removal of hydatidiform mole",
            "attributes": null
          },
          {
            "code": "24293001",
            "description": "Excision of cervical stump by abdominal approach",
            "attributes": null
          },
          {
            "code": "248911005",
            "description": "Uterine cervix absent",
            "attributes": null
          },
          {
            "code": "248942000",
            "description": "Uterus absent",
            "attributes": null
          },
          {
            "code": "25811000",
            "description": "Total excision of bilateral fallopian tubes",
            "attributes": null
          },
          {
            "code": "265056007",
            "description": "Vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "265057003",
            "description": "Vaginal hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "265058008",
            "description": "Other specified vaginal excision of uterus",
            "attributes": null
          },
          {
            "code": "268544001",
            "description": "No smear - benign hysterectomy",
            "attributes": null
          },
          {
            "code": "27185000",
            "description": "Vaginal hysterectomy with partial colpectomy and repair of enterocele",
            "attributes": null
          },
          {
            "code": "274971000",
            "description": "Hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "278063007",
            "description": "Post-hysterectomy menopause",
            "attributes": null
          },
          {
            "code": "278064001",
            "description": "Post-radiation menopause",
            "attributes": null
          },
          {
            "code": "27950001",
            "description": "Total hysterectomy with unilateral removal of ovary",
            "attributes": null
          },
          {
            "code": "287922008",
            "description": "Hysterectomy NOS",
            "attributes": null
          },
          {
            "code": "287924009",
            "description": "Excision of cervix stump",
            "attributes": null
          },
          {
            "code": "287945002",
            "description": "Resection of bilateral fallopian tubes",
            "attributes": null
          },
          {
            "code": "288042004",
            "description": "Hysterectomy and fetus removal",
            "attributes": null
          },
          {
            "code": "288043009",
            "description": "Hysterectomy in pregnancy",
            "attributes": null
          },
          {
            "code": "289623005",
            "description": "Body of uterus absent",
            "attributes": null
          },
          {
            "code": "289903006",
            "description": "Menopause present",
            "attributes": null
          },
          {
            "code": "29529008",
            "description": "Supracervical hysterectomy with removal of both tubes and ovaries",
            "attributes": null
          },
          {
            "code": "29827000",
            "description": "Excision of bilateral fallopian tubes and ovaries",
            "attributes": null
          },
          {
            "code": "30160001",
            "description": "Vaginal hysterectomy with total colpectomy and repair of enterocele",
            "attributes": null
          },
          {
            "code": "302190000",
            "description": "Abdominal hysterectomy and right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "302191001",
            "description": "Abdominal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "303709006",
            "description": "Total abdominal hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "307263006",
            "description": "Oophorectomy of remaining solitary ovary",
            "attributes": null
          },
          {
            "code": "307264000",
            "description": "Salpingectomy of remaining solitary Fallopian tube",
            "attributes": null
          },
          {
            "code": "307771009",
            "description": "Radical abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "309879006",
            "description": "Abdominal hysterocolpectomy",
            "attributes": null
          },
          {
            "code": "309880009",
            "description": "Vaginal hysterocolpectomy",
            "attributes": null
          },
          {
            "code": "314231000000107",
            "description": "Laparoscopic subtotal hysterectomy",
            "attributes": null
          },
          {
            "code": "31545000",
            "description": "Total hysterectomy with unilateral removal of tube",
            "attributes": null
          },
          {
            "code": "337801000000101",
            "description": "Laparoscopic subtotal hysterectomy",
            "attributes": null
          },
          {
            "code": "337811000000104",
            "description": "Subtotal abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "337821000000105",
            "description": "Total abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "338051000000107",
            "description": "Premature menopause",
            "attributes": null
          },
          {
            "code": "35955002",
            "description": "Radical vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "359968005",
            "description": "Partial hysterectomy",
            "attributes": null
          },
          {
            "code": "359971002",
            "description": "Ward-Mayo operation for vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "359974005",
            "description": "Tuffier operation for vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "359977003",
            "description": "Mayo operation for vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "359980002",
            "description": "Vaginal panhysterectomy",
            "attributes": null
          },
          {
            "code": "359983000",
            "description": "Heaney operation for vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "361222003",
            "description": "Wertheim-Meigs abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "361223008",
            "description": "Wertheim operation",
            "attributes": null
          },
          {
            "code": "371036001",
            "description": "Postsurgical menopause",
            "attributes": null
          },
          {
            "code": "373717006",
            "description": "Premature menopause",
            "attributes": null
          },
          {
            "code": "376181000000101",
            "description": "Laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "37687000",
            "description": "Congenital absence of cervix",
            "attributes": null
          },
          {
            "code": "387643005",
            "description": "Partial hysterectomy",
            "attributes": null
          },
          {
            "code": "387644004",
            "description": "Supracervical hysterectomy",
            "attributes": null
          },
          {
            "code": "387645003",
            "description": "Bell-Buettner operation for subtotal abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "389317008",
            "description": "H/O: bilateral oophorectomy",
            "attributes": null
          },
          {
            "code": "390052003",
            "description": "H/O: bilateral oophorectomy",
            "attributes": null
          },
          {
            "code": "391083006",
            "description": "History of bilateral oophorectomy",
            "attributes": null
          },
          {
            "code": "392715002",
            "description": "Postmenopausal state",
            "attributes": null
          },
          {
            "code": "393670000",
            "description": "Postmenopausal state",
            "attributes": null
          },
          {
            "code": "394644009",
            "description": "Postmenopausal state",
            "attributes": null
          },
          {
            "code": "4010009",
            "description": "Oophorectomy of remaining ovary with tube",
            "attributes": null
          },
          {
            "code": "403319002",
            "description": "Postmenopausal androgenetic alopecia",
            "attributes": null
          },
          {
            "code": "403325003",
            "description": "Postmenopausal frontal fibrosing alopecia",
            "attributes": null
          },
          {
            "code": "403389006",
            "description": "Postmenopausal flushing",
            "attributes": null
          },
          {
            "code": "403574001",
            "description": "Postmenopausal pruritus",
            "attributes": null
          },
          {
            "code": "41059002",
            "description": "Cesarean hysterectomy",
            "attributes": null
          },
          {
            "code": "413144006",
            "description": "Abdominal hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "413145007",
            "description": "Vaginal hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "414575003",
            "description": "Laparoscopic total abdominal hysterectomy and bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "415149004",
            "description": "Postmenopausal postcoital bleeding",
            "attributes": null
          },
          {
            "code": "41566006",
            "description": "Excision of cervical stump by vaginal approach",
            "attributes": null
          },
          {
            "code": "416099005",
            "description": "No cervical smear required - no uterus",
            "attributes": null
          },
          {
            "code": "427851004",
            "description": "History of bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "427956008",
            "description": "History of normal menopause",
            "attributes": null
          },
          {
            "code": "428078001",
            "description": "History of total hysterectomy",
            "attributes": null
          },
          {
            "code": "428804004",
            "description": "History of hysterectomy for benign disease",
            "attributes": null
          },
          {
            "code": "429290001",
            "description": "History of radical hysterectomy",
            "attributes": null
          },
          {
            "code": "429763009",
            "description": "History of total hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "43061003",
            "description": "Ovariohysterectomy",
            "attributes": null
          },
          {
            "code": "431316002",
            "description": "Laparoscopic subtotal hysterectomy",
            "attributes": null
          },
          {
            "code": "43791001",
            "description": "Vaginal hysterectomy with total colpectomy",
            "attributes": null
          },
          {
            "code": "440383008",
            "description": "Radical amputation of cervix with bilateral total pelvic lymphadenectomy and paraaortic lymph node biopsy",
            "attributes": null
          },
          {
            "code": "441820006",
            "description": "Laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "446446002",
            "description": "Total abdominal hysterectomy and removal of vaginal cuff",
            "attributes": null
          },
          {
            "code": "446679008",
            "description": "Total laparoscopic excision of uterus by abdominal approach",
            "attributes": null
          },
          {
            "code": "447215009",
            "description": "Hysteroscopic destruction of uterus and supporting structures",
            "attributes": null
          },
          {
            "code": "447237002",
            "description": "Hysteroscopic excision of uterus and supporting structures",
            "attributes": null
          },
          {
            "code": "447771005",
            "description": "Abdominal hysterectomy and excision of periuterine tissue",
            "attributes": null
          },
          {
            "code": "448539002",
            "description": "Vaginal hysterectomy and excision of periuterine tissue",
            "attributes": null
          },
          {
            "code": "473171009",
            "description": "History of vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "473173007",
            "description": "History of abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "473239006",
            "description": "Excision of bilateral ovaries for malignant neoplasm of ovary",
            "attributes": null
          },
          {
            "code": "488951000000106",
            "description": "Laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "49493009",
            "description": "Resection of cornua of bilateral fallopian tubes",
            "attributes": null
          },
          {
            "code": "52224004",
            "description": "Pelvic exenteration",
            "attributes": null
          },
          {
            "code": "522531000000108",
            "description": "Acquired absence of uterus",
            "attributes": null
          },
          {
            "code": "522621000000107",
            "description": "History of vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "522631000000109",
            "description": "History of abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "5270002",
            "description": "Destruction of bilateral fallopian tubes",
            "attributes": null
          },
          {
            "code": "53139002",
            "description": "Oophorectomy of remaining ovary",
            "attributes": null
          },
          {
            "code": "535301000000100",
            "description": "Bilateral oophorectomy NEC",
            "attributes": null
          },
          {
            "code": "535331000000106",
            "description": "Salpingectomy of remaining solitary fallopian tube NEC",
            "attributes": null
          },
          {
            "code": "535341000000102",
            "description": "Oophorectomy of remaining solitary ovary NEC",
            "attributes": null
          },
          {
            "code": "53624002",
            "description": "Endoscopic destruction of bilateral fallopian tubes",
            "attributes": null
          },
          {
            "code": "54261007",
            "description": "Excision of uterus and supporting structures",
            "attributes": null
          },
          {
            "code": "54337002",
            "description": "Radical abdominal hysterectomy",
            "attributes": null
          },
          {
            "code": "54490004",
            "description": "Vaginal hysterectomy with repair of enterocele",
            "attributes": null
          },
          {
            "code": "547081000000102",
            "description": "Abdominal hysterectomy and excision of periuterine tissue NEC",
            "attributes": null
          },
          {
            "code": "547101000000108",
            "description": "Other specified abdominal excision of uterus",
            "attributes": null
          },
          {
            "code": "547111000000105",
            "description": "Abdominal excision of uterus NOS",
            "attributes": null
          },
          {
            "code": "556631000000107",
            "description": "Bilateral salpingectomy NEC",
            "attributes": null
          },
          {
            "code": "55853002",
            "description": "Pelvic exenteration, female",
            "attributes": null
          },
          {
            "code": "560671000000103",
            "description": "Vaginal excision of uterus NOS",
            "attributes": null
          },
          {
            "code": "59750000",
            "description": "Total hysterectomy with unilateral removal of tube and ovary",
            "attributes": null
          },
          {
            "code": "608805000",
            "description": "Laparoscopic assisted vaginal hysterectomy with repair of cystocele",
            "attributes": null
          },
          {
            "code": "608806004",
            "description": "Laparoscopic assisted vaginal hysterectomy with repair of rectocele",
            "attributes": null
          },
          {
            "code": "608807008",
            "description": "Laparoscopic assisted vaginal hysterectomy with repair of cystocele and rectocele",
            "attributes": null
          },
          {
            "code": "609230000",
            "description": "Laparoscopic bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "609274003",
            "description": "Laparoscopic bilateral salpingo-oophorectomy with conversion to laparotomy",
            "attributes": null
          },
          {
            "code": "609275002",
            "description": "Laparoscopic bilateral oophorectomy",
            "attributes": null
          },
          {
            "code": "609293001",
            "description": "Laparoscopic left oophorectomy after prior right oophorectomy",
            "attributes": null
          },
          {
            "code": "609295008",
            "description": "Laparoscopic left salpingo-oophorectomy after prior right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "609296009",
            "description": "Laparoscopic right salpingo-oophorectomy after prior left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "6286002",
            "description": "Destructive procedure on ovaries and fallopian tubes",
            "attributes": null
          },
          {
            "code": "63516002",
            "description": "Vaginal hysterectomy with colpo-urethrocystopexy, Pereyra type",
            "attributes": null
          },
          {
            "code": "638501000000108",
            "description": "Total abdominal hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "656011000000103",
            "description": "Vaginal hysterectomy and excision of periuterine tissue NEC",
            "attributes": null
          },
          {
            "code": "661881000000102",
            "description": "Vaginal hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "661891000000100",
            "description": "Other specified vaginal excision of uterus",
            "attributes": null
          },
          {
            "code": "684441000000107",
            "description": "Hysterectomy NOS",
            "attributes": null
          },
          {
            "code": "698448004",
            "description": "History of supracervical hysterectomy",
            "attributes": null
          },
          {
            "code": "699789005",
            "description": "Vaginal hysterectomy with repair of cystocele and rectocele",
            "attributes": null
          },
          {
            "code": "700621000000102",
            "description": "Hysterectomy NEC",
            "attributes": null
          },
          {
            "code": "707911000000104",
            "description": "Acquired absence of uterus",
            "attributes": null
          },
          {
            "code": "708816008",
            "description": "Laparoscopic bilateral salpingo-oophorectomy using robotic assistance",
            "attributes": null
          },
          {
            "code": "708877008",
            "description": "Laparoscopic total hysterectomy using robotic assistance",
            "attributes": null
          },
          {
            "code": "708878003",
            "description": "Laparoscopic radical hysterectomy using robotic assistance",
            "attributes": null
          },
          {
            "code": "708985003",
            "description": "Laparoscopic vaginal hysterectomy using robotic assistance",
            "attributes": null
          },
          {
            "code": "717703006",
            "description": "Bilateral congenital absence of ovary",
            "attributes": null
          },
          {
            "code": "717704000",
            "description": "Bilateral congenital absence of fallopian tube",
            "attributes": null
          },
          {
            "code": "717705004",
            "description": "Mayer-Rokitansky-Küster-Hauser syndrome type 2",
            "attributes": null
          },
          {
            "code": "717950007",
            "description": "Acquired absence of uterus",
            "attributes": null
          },
          {
            "code": "71839007",
            "description": "Vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "72261007",
            "description": "Resection of rectum with pelvic exenteration",
            "attributes": null
          },
          {
            "code": "723171001",
            "description": "Acquired absence of cervix and uterus",
            "attributes": null
          },
          {
            "code": "723172008",
            "description": "Bilateral acquired absence of ovary",
            "attributes": null
          },
          {
            "code": "724158008",
            "description": "Postmenopausal hormone replacement therapy",
            "attributes": null
          },
          {
            "code": "737099004",
            "description": "Abdominal hysterectomy with sacrocolpopexy using mesh",
            "attributes": null
          },
          {
            "code": "739669004",
            "description": "Supracervical hysterectomy with left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "739670003",
            "description": "Supracervical hysterectomy with right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "739671004",
            "description": "Total hysterectomy with left oophorectomy",
            "attributes": null
          },
          {
            "code": "739672006",
            "description": "Total hysterectomy with right oophorectomy",
            "attributes": null
          },
          {
            "code": "739673001",
            "description": "Total hysterectomy with left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "739674007",
            "description": "Total hysterectomy with right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "740514001",
            "description": "Total hysterectomy with right salpingectomy",
            "attributes": null
          },
          {
            "code": "740515000",
            "description": "Total hysterectomy with left salpingectomy",
            "attributes": null
          },
          {
            "code": "74296006",
            "description": "Menopause praecox",
            "attributes": null
          },
          {
            "code": "75835007",
            "description": "Laparoscopic-assisted vaginal hysterectomy",
            "attributes": null
          },
          {
            "code": "762625001",
            "description": "Vaginal hysterectomy and pelvic floor repair",
            "attributes": null
          },
          {
            "code": "763362003",
            "description": "Laterally extended endopelvic resection",
            "attributes": null
          },
          {
            "code": "76498008",
            "description": "Postmenopausal state",
            "attributes": null
          },
          {
            "code": "76742009",
            "description": "Postmenopausal bleeding",
            "attributes": null
          },
          {
            "code": "767610009",
            "description": "Total hysterectomy via vaginal approach",
            "attributes": null
          },
          {
            "code": "767611008",
            "description": "Total abdominal hysterectomy using intrafascial technique",
            "attributes": null
          },
          {
            "code": "767612001",
            "description": "Total hysterectomy via vaginal approach using intrafascial technique",
            "attributes": null
          },
          {
            "code": "76876009",
            "description": "Excision of bilateral ovaries",
            "attributes": null
          },
          {
            "code": "769901000000107",
            "description": "Abdominal hysterectomy and excision of periuterine tissue",
            "attributes": null
          },
          {
            "code": "770111000000109",
            "description": "Vaginal hysterectomy and excision of periuterine tissue",
            "attributes": null
          },
          {
            "code": "778871000000107",
            "description": "Uterus absent",
            "attributes": null
          },
          {
            "code": "77902002",
            "description": "Vaginal hysterectomy with partial colpectomy",
            "attributes": null
          },
          {
            "code": "783095007",
            "description": "Aplasia of uterine cervix",
            "attributes": null
          },
          {
            "code": "783230008",
            "description": "Agenesis of body of uterus",
            "attributes": null
          },
          {
            "code": "783231007",
            "description": "Aplasia of body of uterus",
            "attributes": null
          },
          {
            "code": "784191009",
            "description": "Classic intrafascial supracervical hysterectomy",
            "attributes": null
          },
          {
            "code": "800701000000102",
            "description": "Vaginal hysterectomy and pelvic floor repair",
            "attributes": null
          },
          {
            "code": "81785007",
            "description": "Menopause",
            "attributes": null
          },
          {
            "code": "818949005",
            "description": "Congenital absence of body of uterus",
            "attributes": null
          },
          {
            "code": "82642007",
            "description": "Segmental uterine aplasia",
            "attributes": null
          },
          {
            "code": "860602007",
            "description": "Postpartum excision of uterus",
            "attributes": null
          },
          {
            "code": "860646004",
            "description": "History of postpartum excision of uterus",
            "attributes": null
          },
          {
            "code": "86477000",
            "description": "Total hysterectomy with removal of both tubes and ovaries",
            "attributes": null
          },
          {
            "code": "8793008",
            "description": "Rokitansky sequence",
            "attributes": null
          },
          {
            "code": "88144003",
            "description": "Removal of ectopic interstitial uterine pregnancy requiring total hysterectomy",
            "attributes": null
          },
          {
            "code": "89495003",
            "description": "Destructive procedure on uterus and supporting structures",
            "attributes": null
          },
          {
            "code": "918381000000103",
            "description": "Subtotal abdominal hysterectomy and bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918391000000101",
            "description": "Subtotal abdominal hysterectomy and bilateral salpingoophorectomy",
            "attributes": null
          },
          {
            "code": "918411000000101",
            "description": "Subtotal abdominal hysterectomy and right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918421000000107",
            "description": "Subtotal abdominal hysterectomy and right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918431000000109",
            "description": "Subtotal abdominal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918441000000100",
            "description": "Subtotal abdominal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918451000000102",
            "description": "Vaginal hysterectomy and right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918471000000106",
            "description": "Vaginal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918491000000105",
            "description": "Radical hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "918501000000104",
            "description": "Radical hysterectomy with conservation of ovaries",
            "attributes": null
          },
          {
            "code": "918511000000102",
            "description": "Radical hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "918521000000108",
            "description": "Radical hysterectomy with bilateral salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "937671000000104",
            "description": "Vaginal hysterectomy and right salpingo-oophorectomy",
            "attributes": null
          },
          {
            "code": "937681000000102",
            "description": "Vaginal hysterectomy and left salpingo-oophorectomy",
            "attributes": null
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "5c43f585",
    "open_codelist_version_tag": "",
    "status": 1,
    "doi": "https://doi.org/10.48533/f6q3-7d28",
    "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": 8731,
        "version_name": "Permanent loss of childbearing potential (female patients)",
        "version_date": "2026-01-26T23:27:18.548365Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]