[
  {
    "phenotype_id": "PH3997",
    "phenotype_version_id": 9194,
    "name": "Heart failure (broad - for excluding people)",
    "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\nList of all codes related to heart failure, to exclude people with previous history or evidence of heart failure. This includes not only diagnoses, but heart failure\\-related medication reviews or management plans.\n\n\nThis list is meant to be very broad, and is not to be used to identify new diagnoses.\n\n\nJJL \\- I excluded foetal and neonatal as this study is of adults. \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": "2026-01-26T23:42:30.842607Z",
    "author": "REDUCEHF",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T23:42:30.836593Z",
    "references": [],
    "signed_off": [],
    "methodology": "Used all codes included in NHSD Primary Care Domain heart failure refsets (https://www.opencodelists.org/codelist/nhsd\\-primary\\-care\\-domain\\-refsets/?q\\=heart\\+failure), and added all relevant child codes. Searched for \"heart failure\" and included all missing relevant codes. Codes related to fetal / neonatal heart failure, suspected heart failure, family history of heart failure, and at risk for heart failure excluded.\n\n",
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "open_codelist_id": "reducehf/heart-failure-broad-for-excluding-people",
    "source_reference": "https://www.opencodelists.org/codelist/reducehf/heart-failure-broad-for-excluding-people/17bd3b08",
    "concept_information": [
      {
        "concept_id": 9371,
        "concept_version_id": 16856,
        "concept_name": "reducehf/heart-failure-broad-for-excluding-people/17bd3b08",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH3997",
        "phenotype_version_id": 9194,
        "phenotype_name": "Heart failure (broad - for excluding people)",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "10091002",
            "description": "High output heart failure",
            "attributes": null
          },
          {
            "code": "101281000119107",
            "description": "Congestive heart failure due to cardiomyopathy",
            "attributes": null
          },
          {
            "code": "10335000",
            "description": "Chronic right-sided heart failure",
            "attributes": null
          },
          {
            "code": "10633002",
            "description": "Acute congestive heart failure",
            "attributes": null
          },
          {
            "code": "1064941000000106",
            "description": "Heart failure with reduced ejection fraction",
            "attributes": null
          },
          {
            "code": "106741000000105",
            "description": "New York Heart Association classification - class I",
            "attributes": null
          },
          {
            "code": "106751000000108",
            "description": "New York Heart Association classification - class II",
            "attributes": null
          },
          {
            "code": "1084871000000106",
            "description": "New York Heart Association Classification class",
            "attributes": null
          },
          {
            "code": "1085041000000109",
            "description": "Assessment using congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischaemic attack score",
            "attributes": null
          },
          {
            "code": "1085111000000109",
            "description": "Congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischaemic attack score",
            "attributes": null
          },
          {
            "code": "11016261000119104",
            "description": "Nutritional therapy for congestive heart failure done",
            "attributes": null
          },
          {
            "code": "1108711000000108",
            "description": "Excepted from heart failure quality indicators - service unavailable",
            "attributes": null
          },
          {
            "code": "1110931000000103",
            "description": "Quality and Outcomes Framework heart failure quality indicator-related care invitation",
            "attributes": null
          },
          {
            "code": "111283005",
            "description": "Chronic left-sided heart failure",
            "attributes": null
          },
          {
            "code": "11321000175108",
            "description": "Heart failure education declined",
            "attributes": null
          },
          {
            "code": "113901000052102",
            "description": "Heart failure following administration of antineoplastic agent",
            "attributes": null
          },
          {
            "code": "1204200007",
            "description": "Left ventricular failure with normal ejection fraction due to valvular heart disease",
            "attributes": null
          },
          {
            "code": "1204203009",
            "description": "Left ventricular failure with normal ejection fraction due to coronary arteriosclerosis",
            "attributes": null
          },
          {
            "code": "1204204003",
            "description": "Left ventricular failure with normal ejection fraction due to myocarditis",
            "attributes": null
          },
          {
            "code": "1204206001",
            "description": "Left ventricular failure with normal ejection fraction due to cardiomyopathy",
            "attributes": null
          },
          {
            "code": "1204462004",
            "description": "Left ventricular failure with sepsis",
            "attributes": null
          },
          {
            "code": "1204468000",
            "description": "Right ventricular failure with sepsis",
            "attributes": null
          },
          {
            "code": "120851000119104",
            "description": "Systolic heart failure stage D",
            "attributes": null
          },
          {
            "code": "120861000119102",
            "description": "Systolic heart failure stage C",
            "attributes": null
          },
          {
            "code": "120871000119108",
            "description": "Systolic heart failure stage B",
            "attributes": null
          },
          {
            "code": "120881000119106",
            "description": "Diastolic heart failure stage D",
            "attributes": null
          },
          {
            "code": "1208843003",
            "description": "Right ventricular failure due to heart valve disorder",
            "attributes": null
          },
          {
            "code": "1208846006",
            "description": "Right ventricular failure due to disorder of lung",
            "attributes": null
          },
          {
            "code": "1208848007",
            "description": "Right ventricular failure due to disorder of pulmonary circulation",
            "attributes": null
          },
          {
            "code": "1208850004",
            "description": "Right ventricular failure due to right ventricular infarction",
            "attributes": null
          },
          {
            "code": "120891000119109",
            "description": "Diastolic heart failure stage C",
            "attributes": null
          },
          {
            "code": "120901000119108",
            "description": "Diastolic heart failure stage B",
            "attributes": null
          },
          {
            "code": "1264003007",
            "description": "Acute right ventricular failure following incision of heart",
            "attributes": null
          },
          {
            "code": "128404006",
            "description": "Right heart failure",
            "attributes": null
          },
          {
            "code": "1287376009",
            "description": "Minnesota Living with Heart Failure Questionnaire",
            "attributes": null
          },
          {
            "code": "1296659009",
            "description": "Acute exacerbation of chronic heart failure",
            "attributes": null
          },
          {
            "code": "134378009",
            "description": "Congestive heart failure monitoring",
            "attributes": null
          },
          {
            "code": "134401001",
            "description": "Left ventricular systolic dysfunction",
            "attributes": null
          },
          {
            "code": "134434004",
            "description": "New York Heart Assoc classification heart failure symptoms",
            "attributes": null
          },
          {
            "code": "134440006",
            "description": "Referral to heart failure clinic",
            "attributes": null
          },
          {
            "code": "13839000",
            "description": "Bernheim's syndrome",
            "attributes": null
          },
          {
            "code": "138777006",
            "description": "H/O: heart failure",
            "attributes": null
          },
          {
            "code": "138789008",
            "description": "H/O: Heart failure in last year",
            "attributes": null
          },
          {
            "code": "143411000000100",
            "description": "Quality and Outcomes Framework heart failure quality indicator-related care invitation using preferred method of communication",
            "attributes": null
          },
          {
            "code": "153931000119109",
            "description": "Acute combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "153941000119100",
            "description": "Chronic combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "153951000119103",
            "description": "Acute on chronic combined systolic and diastolic heart failure",
            "attributes": null
          },
          {
            "code": "155374007",
            "description": "Heart failure",
            "attributes": null
          },
          {
            "code": "155375008",
            "description": "(Congestive cardiac failure) or (dropsy) or (cardiac insufficiency) or (right heart failure) or (right ventricular failure)",
            "attributes": null
          },
          {
            "code": "155377000",
            "description": "Heart failure NOS",
            "attributes": null
          },
          {
            "code": "15629541000119106",
            "description": "Congestive heart failure stage C due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629591000119103",
            "description": "Congestive heart failure stage B due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629641000119107",
            "description": "Systolic heart failure stage B due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15629741000119102",
            "description": "Systolic heart failure stage C due to ischemic cardiomyopathy",
            "attributes": null
          },
          {
            "code": "15781000119107",
            "description": "Hypertensive heart AND chronic kidney disease with congestive heart failure",
            "attributes": null
          },
          {
            "code": "15964661000119102",
            "description": "Acute cor pulmonale due to septic pulmonary embolism",
            "attributes": null
          },
          {
            "code": "15964701000119109",
            "description": "Acute cor pulmonale co-occurrent and due to saddle embolus of pulmonary artery",
            "attributes": null
          },
          {
            "code": "161505003",
            "description": "History of heart failure",
            "attributes": null
          },
          {
            "code": "161520009",
            "description": "H/O: Heart failure in last year",
            "attributes": null
          },
          {
            "code": "16253001",
            "description": "Dilated peripartum cardiomyopathy",
            "attributes": null
          },
          {
            "code": "16838951000119100",
            "description": "Acute on chronic right-sided congestive heart failure",
            "attributes": null
          },
          {
            "code": "188151000000107",
            "description": "Admit heart failure emergency",
            "attributes": null
          },
          {
            "code": "188171000000103",
            "description": "Referral to heart failure nurse",
            "attributes": null
          },
          {
            "code": "188661000000101",
            "description": "Seen in heart failure clinic",
            "attributes": null
          },
          {
            "code": "188711000000109",
            "description": "Seen by community heart failure nurse",
            "attributes": null
          },
          {
            "code": "191651000000108",
            "description": "Admit heart failure emergency",
            "attributes": null
          },
          {
            "code": "191671000000104",
            "description": "Referral to heart failure nurse",
            "attributes": null
          },
          {
            "code": "192161000000108",
            "description": "Seen in heart failure clinic",
            "attributes": null
          },
          {
            "code": "192211000000103",
            "description": "Seen by community heart failure nurse",
            "attributes": null
          },
          {
            "code": "194767001",
            "description": "Benign hypertensive heart disease with congestive cardiac failure",
            "attributes": null
          },
          {
            "code": "194779001",
            "description": "Hypertensive heart and renal disease with (congestive) heart failure",
            "attributes": null
          },
          {
            "code": "194781004",
            "description": "Hypertensive heart and renal disease with both (congestive) heart failure and renal failure",
            "attributes": null
          },
          {
            "code": "195108009",
            "description": "Heart failure: [right] or [congestive]",
            "attributes": null
          },
          {
            "code": "195109001",
            "description": "Acute congestive heart failure",
            "attributes": null
          },
          {
            "code": "195110006",
            "description": "Chronic congestive heart failure",
            "attributes": null
          },
          {
            "code": "195111005",
            "description": "Decompensated cardiac failure",
            "attributes": null
          },
          {
            "code": "195112003",
            "description": "Compensated cardiac failure",
            "attributes": null
          },
          {
            "code": "195114002",
            "description": "Acute left ventricular failure",
            "attributes": null
          },
          {
            "code": "195116000",
            "description": "Acute heart failure",
            "attributes": null
          },
          {
            "code": "195117009",
            "description": "Heart: [weak] or [failure NOS]",
            "attributes": null
          },
          {
            "code": "195132002",
            "description": "Post cardiac operation heart failure NOS",
            "attributes": null
          },
          {
            "code": "200171000000102",
            "description": "Referred by heart failure nurse specialist",
            "attributes": null
          },
          {
            "code": "200201000000101",
            "description": "Discharge from practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "200361000000106",
            "description": "Did not attend practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "202131000000103",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "202141000000107",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "202221000000109",
            "description": "Heart failure monitoring administration",
            "attributes": null
          },
          {
            "code": "202231000000106",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "202251000000104",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "203791000000106",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "206586007",
            "description": "Congenital cardiac failure",
            "attributes": null
          },
          {
            "code": "207891000000108",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "207901000000109",
            "description": "Heart failure information given to patient",
            "attributes": null
          },
          {
            "code": "207911000000106",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "207921000000100",
            "description": "Referral to heart failure exercise programme",
            "attributes": null
          },
          {
            "code": "208031000000100",
            "description": "Heart failure monitoring administration",
            "attributes": null
          },
          {
            "code": "208041000000109",
            "description": "Heart failure monitoring administration",
            "attributes": null
          },
          {
            "code": "208051000000107",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "208061000000105",
            "description": "Heart failure review completed",
            "attributes": null
          },
          {
            "code": "208091000000104",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "208101000000107",
            "description": "Heart failure care plan discussed with patient",
            "attributes": null
          },
          {
            "code": "211441000000105",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "211451000000108",
            "description": "Referred to heart failure education group",
            "attributes": null
          },
          {
            "code": "213214001",
            "description": "[Cardiac insufficiency] or [heart failure] as a complication of care",
            "attributes": null
          },
          {
            "code": "216741000000105",
            "description": "Referred by heart failure nurse specialist",
            "attributes": null
          },
          {
            "code": "216751000000108",
            "description": "Referred by heart failure nurse specialist",
            "attributes": null
          },
          {
            "code": "216801000000101",
            "description": "Discharge from practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "216811000000104",
            "description": "Discharge from practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "217751000000106",
            "description": "Did not attend practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "217761000000109",
            "description": "Did not attend practice nurse heart failure clinic",
            "attributes": null
          },
          {
            "code": "22959007",
            "description": "Cardiac arrest AND/OR heart failure following molar AND/OR ectopic pregnancy",
            "attributes": null
          },
          {
            "code": "23341000119109",
            "description": "Congestive heart failure with right heart failure",
            "attributes": null
          },
          {
            "code": "233924009",
            "description": "Heart failure as a complication of care",
            "attributes": null
          },
          {
            "code": "233925005",
            "description": "Right ventricular failure",
            "attributes": null
          },
          {
            "code": "247361000000100",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "248381000000108",
            "description": "Heart failure monitoring telephone invitation",
            "attributes": null
          },
          {
            "code": "24841007",
            "description": "Cardiorespiratory failure during AND/OR resulting from a procedure",
            "attributes": null
          },
          {
            "code": "248501000000107",
            "description": "Heart failure monitoring verbal invitation",
            "attributes": null
          },
          {
            "code": "248511000000109",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "248521000000103",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "248531000000101",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "248571000000104",
            "description": "Did not attend heart failure clinic",
            "attributes": null
          },
          {
            "code": "248701000000104",
            "description": "Exception reporting: heart failure quality indicators",
            "attributes": null
          },
          {
            "code": "249291000000108",
            "description": "Excepted from heart failure quality indicators: Patient unsuitable",
            "attributes": null
          },
          {
            "code": "249301000000107",
            "description": "Excepted from heart failure quality indicators: Informed dissent",
            "attributes": null
          },
          {
            "code": "250411000000105",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "251161000000108",
            "description": "Did not attend heart failure clinic",
            "attributes": null
          },
          {
            "code": "251651000000102",
            "description": "Heart failure monitoring telephone invite",
            "attributes": null
          },
          {
            "code": "251661000000104",
            "description": "Heart failure monitoring verbal invite",
            "attributes": null
          },
          {
            "code": "251671000000106",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "251681000000108",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "251691000000105",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "251951000000108",
            "description": "Exception reporting: heart failure quality indicators",
            "attributes": null
          },
          {
            "code": "251961000000106",
            "description": "Excepted from heart failure quality indicators: Patient unsuitable",
            "attributes": null
          },
          {
            "code": "251971000000104",
            "description": "Excepted from heart failure quality indicators: Informed dissent",
            "attributes": null
          },
          {
            "code": "253041000000107",
            "description": "Heart failure 6 month review",
            "attributes": null
          },
          {
            "code": "25544003",
            "description": "Low output heart failure",
            "attributes": null
          },
          {
            "code": "266248006",
            "description": "Heart failure NOS",
            "attributes": null
          },
          {
            "code": "266308000",
            "description": "(Congestive cardiac failure) or (dropsy) or (cardiac insufficiency) or (right heart failure) or (right ventricular failure)",
            "attributes": null
          },
          {
            "code": "274141000000108",
            "description": "Did not attend heart failure clinic",
            "attributes": null
          },
          {
            "code": "274631000000105",
            "description": "Heart failure monitoring telephone invite",
            "attributes": null
          },
          {
            "code": "274641000000101",
            "description": "Heart failure monitoring verbal invite",
            "attributes": null
          },
          {
            "code": "274651000000103",
            "description": "Heart failure monitoring first letter",
            "attributes": null
          },
          {
            "code": "274661000000100",
            "description": "Heart failure monitoring second letter",
            "attributes": null
          },
          {
            "code": "274671000000107",
            "description": "Heart failure monitoring third letter",
            "attributes": null
          },
          {
            "code": "274931000000102",
            "description": "Exception reporting: heart failure quality indicators",
            "attributes": null
          },
          {
            "code": "274941000000106",
            "description": "Excepted from heart failure quality indicators: Patient unsuitable",
            "attributes": null
          },
          {
            "code": "274951000000109",
            "description": "Excepted from heart failure quality indicators: Informed dissent",
            "attributes": null
          },
          {
            "code": "27511000175107",
            "description": "Heart failure management program",
            "attributes": null
          },
          {
            "code": "307481000000103",
            "description": "Heart failure education",
            "attributes": null
          },
          {
            "code": "307491000000101",
            "description": "Heart failure education",
            "attributes": null
          },
          {
            "code": "307501000000107",
            "description": "Heart failure education",
            "attributes": null
          },
          {
            "code": "309634009",
            "description": "History of heart failure in last year",
            "attributes": null
          },
          {
            "code": "314206003",
            "description": "Refractory heart failure",
            "attributes": null
          },
          {
            "code": "319410000",
            "description": "Vasodilators in heart failure [no drugs here]",
            "attributes": null
          },
          {
            "code": "325431000000103",
            "description": "Congestive heart failure due to valvular disease",
            "attributes": null
          },
          {
            "code": "33644002",
            "description": "Postvalvulotomy syndrome",
            "attributes": null
          },
          {
            "code": "338101000000107",
            "description": "Congestive heart failure due to valvular disease",
            "attributes": null
          },
          {
            "code": "352161000000109",
            "description": "Congestive heart failure, hypertension, age, diabetes, stroke 2 stroke risk score",
            "attributes": null
          },
          {
            "code": "352171000000102",
            "description": "Congestive heart failure, hypertension, age, diabetes, stroke 2, stroke risk score",
            "attributes": null
          },
          {
            "code": "352181000000100",
            "description": "Congestive heart failure, hypertension, age, diabetes, stroke 2, stroke risk score",
            "attributes": null
          },
          {
            "code": "359617009",
            "description": "Acute right-sided heart failure",
            "attributes": null
          },
          {
            "code": "359620001",
            "description": "Acute right heart failure",
            "attributes": null
          },
          {
            "code": "364006",
            "description": "Acute left-sided heart failure",
            "attributes": null
          },
          {
            "code": "366743000",
            "description": "New York Heart Association classification of heart failure symptoms",
            "attributes": null
          },
          {
            "code": "366746008",
            "description": "New York Heart Association classification of heart failure symptoms",
            "attributes": null
          },
          {
            "code": "366784002",
            "description": "Congestive heart failure monitoring",
            "attributes": null
          },
          {
            "code": "366810007",
            "description": "Referral to heart failure clinic",
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            "description": "Congestive heart failure monitoring",
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            "description": "Referral to heart failure clinic",
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            "description": "Right ventricular failure",
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            "description": "High risk of heart failure screening invitation",
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            "description": "Heart failure screening invitation",
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            "description": "Heart failure screening invitation",
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            "description": "Heart failure annual review",
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            "description": "Heart failure screen",
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            "description": "Heart failure follow-up",
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            "description": "Heart failure annual review",
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            "description": "Heart failure screen",
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            "description": "Heart failure follow-up",
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            "description": "Heart failure follow-up",
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            "description": "Heart failure annual review",
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            "description": "Heart failure confirmed",
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            "description": "Heart failure confirmed",
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            "description": "Red half-moon nail in congestive heart failure",
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            "description": "Echocardiogram shows left ventricular systolic dysfunction",
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            "description": "New York Heart Association classification - class II",
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            "description": "New York Heart Association classification - class III",
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            "description": "New York Heart Association classification - class IV",
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            "description": "Emergency hospital admission for heart failure",
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            "description": "Seen in heart failure clinic",
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            "description": "Referral to heart failure nurse",
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            "description": "Systolic heart failure",
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            "description": "Diastolic heart failure",
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            "description": "New York Heart Association Classification - Class I",
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            "code": "420816009",
            "description": "New York Heart Association Classification",
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            "description": "New York Heart Association Classification - Class III",
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            "description": "New York Heart Classification finding",
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            "code": "421704003",
            "description": "New York Heart Association Classification - Class II",
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            "code": "422293003",
            "description": "New York Heart Association Classification - Class IV",
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            "description": "Congestive heart failure",
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            "description": "Heart failure education",
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            "description": "Decompensated chronic heart failure",
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            "description": "Right heart failure due to pulmonary hypertension",
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            "description": "Congestive heart failure due to left ventricular systolic dysfunction",
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            "description": "Congestive heart failure due to valvular disease",
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            "description": "Rheumatic left ventricular failure",
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            "description": "Acute diastolic heart failure",
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            "description": "Diastolic heart failure stage A",
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            "description": "Systolic heart failure stage A",
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            "description": "Acute right-sided heart failure",
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            "description": "Acute exacerbation of chronic congestive heart failure",
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            "description": "Heart failure self management plan",
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            "description": "Symptomatic congestive heart failure",
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            "description": "Congestive heart failure clinic",
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            "description": "Referral to heart failure exercise program",
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            "description": "Assessment using New York Heart Association Classification",
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            "description": "Cor pulmonale",
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            "description": "Referral to multidisciplinary heart failure team",
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            "description": "Low output heart failure due to and following Fontan operation",
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            "code": "873891000000103",
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          {
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            "description": "New York Heart Association classification - class III",
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          {
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            "description": "New York Heart Association classification - class IV",
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            "description": "Telehealth monitoring for chronic heart failure",
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            "description": "Biventricular congestive heart failure",
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            "description": "Provision of information about heart failure",
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          {
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          {
            "code": "98041000000103",
            "description": "New York Heart Association classification - class II",
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          {
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            "description": "New York Heart Association classification - class III",
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