[ { "phenotype_id": "PH412", "phenotype_version_id": 824, "name": "Chronic Obstructive Pulmonary Disease", "definition": "Patient level data were extracted from the General Practice Research Database (GPRD), which contains anonymised, patient based data on morbidity, prescribing, treatment, and referral collected from over 500 general practices, covering about 7% of the UK population (4.4 million patients).14 Data are in Read code format—a hierarchical system used to code clinical data. Additional data on prescriptions and test results are available as free-text entries. We selected a sample of 148 practices that provided data to the GPRD continuously between January 2000 and December 2007, structured to include a range of list (patient panel) sizes. Selected practices were nationally representative in terms of patient sex and age distribution and area socioeconomic deprivation but had a relatively large average list size, reflecting a bias towards larger practices in the GPRD. Overall, the selected practices performed marginally better than national practices on the clinical indicators in the Quality and Outcomes Framework. A random selection of 4500 patients registered for at least one day between 1 January 2000 and 31 December 2007 was drawn from each practice. For practices with fewer than 4501 patients, all patients were selected. The final sample consisted of 653 500 patients. Patients with relevant conditions were identified from their diagnostic Read codes. Patients for whom targets were met were identified from the relevant Read codes and free-text terms.\n\n\n\n\n\n\n\n\n", "implementation": "", "publications": [ { "doi": null, "details": "Tim Doran, Evangelos Kontopantelis, Jose M Valderas, Stephen Campbell, Martin Roland, Chris Salisbury, David Reeves, Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework. BMJ, 342:d3590, 2011." } ], "validation": "", "citation_requirements": "", "created": "2021-10-06T16:18:22.731634Z", "author": "Tim Doran, Evangelos Kontopantelis, Jose M Valderas, Stephen Campbell, Martin Roland, Chris Salisbury, David Reeves", "collections": [ { "name": "ClinicalCodes Repository", "value": 25 }, { "name": "Phenotype Library", "value": 18 } ], "tags": null, "organisation": null, "world_access": 1, "updated": "2021-10-06T16:18:22.731662Z", "sex": [ { "name": "Both", "value": "3" } ], "type": [ { "name": "Disease or syndrome", "value": "2" } ], "ontology": null, "phenoflowid": "", "data_sources": [ { "name": "CPRD GOLD", "value": 5, "uid": "a29feafa-7bdd-44e9-b977-c9d26425e67f", "url": "https://healthdatagateway.org/en/dataset/694", "datasource_id": 694 } ], "coding_system": [ { "name": "Read codes v2", "value": 5 }, { "name": "OXMIS codes", "value": 15 } ], "event_date_range": "01/01/2000 - 31/12/2007", "concept_information": [ { "concept_id": 1751, "concept_version_id": 4640, "concept_name": "Chronic Obstructive Pulmonary Disease - Primary Care", "coding_system": { "id": 5, "name": "Read codes v2", "description": "Read codes v2" }, "phenotype_id": "PH412", "phenotype_version_id": 824, "phenotype_name": "Chronic Obstructive Pulmonary Disease", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "66YB.00", "description": "Chronic obstructive pulmonary disease monitoring", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Yd.00", "description": "COPD accident and emergency attendance since last visit", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YD.00", "description": "Chronic obstructive pulmonary disease monitoring due", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Ye.00", "description": "Emergency COPD admission since last appointment", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Yf.00", "description": "Number of COPD exacerbations in past year", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Yg.00", "description": "Chronic obstructive pulmonary disease disturbs sleep", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Yh.00", "description": "Chronic obstructive pulmonary disease does not disturb sleep", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66Yi.00", "description": "Multiple COPD emergency hospital admissions", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YI.00", "description": "COPD self-management plan given", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YL.00", "description": "Chronic obstructive pulmonary disease follow-up", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YL.11", "description": "COPD follow-up", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YL.12", "description": "COAD follow-up", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YM.00", "description": "Chronic obstructive pulmonary disease annual review", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YS.00", "description": "Chronic obstructive pulmonary disease monitoring by nurse", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "66YT.00", "description": "Chronic obstructive pulmonary disease monitoring by doctor", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "8H2R.00", "description": "Admit COPD emergency", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H3...00", "description": "Chronic obstructive pulmonary disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H31..00", "description": "Chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H310.00", "description": "Simple chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H310000", "description": "Chronic catarrhal bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H310z00", "description": "Simple chronic bronchitis NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H311.00", "description": "Mucopurulent chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H311000", "description": "Purulent chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H311100", "description": "Fetid chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H311z00", "description": "Mucopurulent chronic bronchitis NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312.00", "description": "Obstructive chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312000", "description": "Chronic asthmatic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312011", "description": "Chronic wheezy bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312100", "description": "Emphysematous bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312200", "description": "Acute exacerbation of chronic obstructive airways disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312300", "description": "Bronchiolitis obliterans", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H312z00", "description": "Obstructive chronic bronchitis NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H313.00", "description": "Mixed simple and mucopurulent chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H31y.00", "description": "Other chronic bronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H31y100", "description": "Chronic tracheobronchitis", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H31yz00", "description": "Other chronic bronchitis NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H31z.00", "description": "Chronic bronchitis NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32..00", "description": "Emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320.00", "description": "Chronic bullous emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320000", "description": "Segmental bullous emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320100", "description": "Zonal bullous emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320200", "description": "Giant bullous emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320300", "description": "Bullous emphysema with collapse", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H320z00", "description": "Chronic bullous emphysema NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H321.00", "description": "Panlobular emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H322.00", "description": "Centrilobular emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32y.00", "description": "Other emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32y000", "description": "Acute vesicular emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32y100", "description": "Atrophic (senile) emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32y111", "description": "Acute interstitial emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32y200", "description": "MacLeod's unilateral emphysema", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32yz00", "description": "Other emphysema NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H32z.00", "description": "Emphysema NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H36..00", "description": "Mild chronic obstructive pulmonary disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H37..00", "description": "Moderate chronic obstructive pulmonary disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H38..00", "description": "Severe chronic obstructive pulmonary disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H3y..11", "description": "Other specified chronic obstructive pulmonary disease", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "H3z..11", "description": "Chronic obstructive pulmonary disease NOS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } } ] }, { "concept_id": 1752, "concept_version_id": 4642, "concept_name": "Chronic Obstructive Pulmonary Disease - Primary Care", "coding_system": { "id": 15, "name": "OXMIS codes", "description": "OXMIS codes" }, "phenotype_id": "PH412", "phenotype_version_id": 824, "phenotype_name": "Chronic Obstructive Pulmonary Disease", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "491", "description": "CHRONIC BRONCHITIS", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "491 E", "description": "CHRONIC BRONCHITIS WITH EMPHYSEMA", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "492", "description": "EMPHYSEMA PULMONARY", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "492 AC", "description": "EMPHYSEMA APICAL BULLAE", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "5199G", "description": "OBSTRUCTIVE AIRWAYS DISEASE CHRONIC", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "5199GE", "description": "EXACERBATION COAD", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "5199GL", "description": "COLD (CHRONIC OBSTRUCTIVE LUNG DISEASE)", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "5199GP", "description": "COPD (CHRONIC OBSTRUCTIVE PULMONARY DISE", "attributes": { "Entity type": "chronic obstructive pulmonary diasease", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/19vt-qs46", "is_deleted": null, "publish_status": 2, "owner": "ieuan.scanlon", "template": { "id": 1, "name": "Clinical-Coded Phenotype", "description": "Phenotype definitions that are based on lists of clinical codes, or algorithms using clinical codes.", "version_id": 1 }, "versions": [ { "version_id": 824, "version_name": "Chronic Obstructive Pulmonary Disease", "version_date": "2021-10-06T16:18:22.759350Z", "is_published": true, "is_latest": true } ] } ]