[
  {
    "phenotype_id": "PH471",
    "phenotype_version_id": 942,
    "name": "Opioid",
    "definition": "Importance:\n\nPeople with epilepsy are at increased risk of mortality, but, to date, the cause-specific risks of all unnatural causes have not been reported.\n\n\nObjective:\n\nTo estimate cause-specific unnatural mortality risks in people with epilepsy and to identify the medication types involved in poisoning deaths.\n\n\nDesign, Setting, and Participants:\n\nThis population-based cohort study used 2 electronic primary care data sets linked to hospitalization and mortality records, the Clinical Practice Research Datalink (CPRD) in England (from January 1, 1998, to March 31, 2014) and the Secure Anonymised Information Linkage (SAIL) Databank in Wales (from January 1, 2001, to December 31, 2014). Each person with epilepsy was matched on age (within 2 years), sex, and general practice with up to 20 individuals without epilepsy. Unnatural mortality was determined using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision codes V01 through Y98 in the Office for National Statistics mortality records. Hazard ratios (HRs) were estimated in each data set using a stratified Cox proportional hazards model, and meta-analyses were conducted using DerSimonian and Laird random-effects models. The analysis was performed from January 5, 2016, to November 16, 2017.\n\n\nExposures:\n\nPeople with epilepsy were identified using primary care epilepsy diagnoses and associated antiepileptic drug prescriptions.\n\n\nMain Outcomes and Measures:\n\nHazard ratios (HRs) for unnatural mortality and the frequency of each involved medication type estimated as a percentage of all medication poisoning deaths.\n\n\nResults:\n\nIn total, 44678 individuals in the CPRD and 14 051 individuals in the SAIL Databank were identified in the prevalent epilepsy cohorts, and 891 429 (CPRD) and 279 365 (SAIL) individuals were identified in the comparison cohorts. In both data sets, 51% of the epilepsy and comparison cohorts were male, and the median age at entry was 40 years (interquartile range, 25-60 years) in the CPRD cohorts and 43 years (interquartile range, 24-64 years) in the SAIL cohorts. People with epilepsy were significantly more likely to die of any unnatural cause (HR, 2.77; 95% CI, 2.43-3.16), unintentional injury or poisoning (HR, 2.97; 95% CI, 2.54-3.48) or suicide (HR, 2.15; 95% CI, 1.51-3.07) than people in the comparison cohort. Particularly large risk increases were observed in the epilepsy cohorts for unintentional medication poisoning (HR, 4.99; 95% CI, 3.22-7.74) and intentional self-poisoning with medication (HR, 3.55; 95% CI, 1.01-12.53). Opioids (56.5% [95% CI, 43.3%-69.0%]) and psychotropic medication (32.3% [95% CI, 20.9%-45.3%)] were more commonly involved than antiepileptic drugs (9.7% [95% CI, 3.6%-19.9%]) in poisoning deaths in people with epilepsy.\n\n\nConclusions and Relevance:\n\nCompared with people without epilepsy, people with epilepsy are at increased risk of unnatural death and thus should be adequately advised about unintentional injury prevention and monitored for suicidal ideation, thoughts, and behaviors. The suitability and toxicity of concomitant medication should be considered when prescribing for comorbid conditions.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Hayley C Gorton, Roger T Webb, Mathew J Carr, Marcos Delpozo-Banos, Ann John, Darren M Ashcroft, Risk of Unnatural Mortality in People With Epilepsy. JAMA Neurology, 75(8), 929-038, 2018."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2021-10-06T16:21:00.545974Z",
    "author": "Hayley C Gorton, Roger T Webb, Mathew J Carr, Marcos Delpozo-Banos, Ann John, Darren M Ashcroft",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2021-10-06T16:21:00.546002Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Drug",
        "value": "3"
      }
    ],
    "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
      }
    ],
    "event_date_range": "01/01/1998 - 31/03/2014",
    "concept_information": [
      {
        "concept_id": 1830,
        "concept_version_id": 4798,
        "concept_name": "Opioid - Primary Care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH471",
        "phenotype_version_id": 942,
        "phenotype_name": "Opioid",
        "code_attribute_header": [
          "Entity type",
          "Category",
          "Coding System (Read)"
        ],
        "codes": [
          {
            "code": "a81..",
            "description": "codeine phosphate [git]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "a811.",
            "description": "codeine phosphate 15mg tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "a812.",
            "description": "codeine phosphate 30mg tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "a813.",
            "description": "codeine phosphate 60mg tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dia1.",
            "description": "*aspirin/paracet/codeine tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dia2.",
            "description": "co-codamol 8mg/500mg tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dia3.",
            "description": "co-codamol 8mg/500mg disp tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dia6.",
            "description": "co-dydramol tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dia7.",
            "description": "*co-proxamol tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaI.",
            "description": "*paracet+codeine 500/30mg/sach",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaJ.",
            "description": "*kapake insts 500mg/30mg/sach",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaL.",
            "description": "*kapake insts 1000mg/60mg pdr",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diam.",
            "description": "kapake tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dian.",
            "description": "paracet+codeine 500/30mg tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diao.",
            "description": "kapake capsules",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diap.",
            "description": "co-codamol 8mg/500mg eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaq.",
            "description": "co-codamol 8mg/500mg capsules",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaT.",
            "description": "codipar caplets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "diaU.",
            "description": "paracet+codeine 500/15mg tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dib3.",
            "description": "*medocodeine tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibD.",
            "description": "paracet+codeine 500/30mg caps",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibG.",
            "description": "tylex effervescent sol.tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibJ.",
            "description": "*remedeine forte eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibK.",
            "description": "*remedeine eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibn.",
            "description": "solpadeine soluble eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibo.",
            "description": "*solpadeine forte disp tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibR.",
            "description": "solpadeine max tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibS.",
            "description": "solpadol capsules",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibt.",
            "description": "tylex 500mg capsules",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibu.",
            "description": "solpadol effervescent tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibv.",
            "description": "remedeine tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibw.",
            "description": "remedeine forte tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dibz.",
            "description": "solpadol caplets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dic3.",
            "description": "zapain caplets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dic4.",
            "description": "zapain capsules",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dica.",
            "description": "codipar 15mg/500mg eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dicJ.",
            "description": "solpadeine headache tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dicK.",
            "description": "solpadeine headache sol tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dicN.",
            "description": "*kapake 30/500 eff tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dicO.",
            "description": "tramacet 325mg/37.5mg tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dicY.",
            "description": "tramacet 325mg/37.5mg eff tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj1..",
            "description": "morphine salts(1) [cns]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj2..",
            "description": "morphine analgesic elixirs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj3..",
            "description": "buprenorphine",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj4..",
            "description": "codeine phosphate [analgesic]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj5..",
            "description": "dextromoramide",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj6..",
            "description": "dextropropoxyphene hcl",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj7..",
            "description": "diamorphine hcl [analgesic]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj8..",
            "description": "dihydrocodeine tartrate",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dj9..",
            "description": "dipipanone hydrochloride",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dja..",
            "description": "*levorphanol tartrate [cns]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djA..",
            "description": "tramadol (2)",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djb..",
            "description": "meptazinol [analgesic]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djB..",
            "description": "tapentadol",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djc..",
            "description": "methadone hcl [analgesic]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djd..",
            "description": "nalbuphine hydrochlor [cns]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dje..",
            "description": "*papaveretum [cns narcotic]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djf..",
            "description": "pentazocine",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djg..",
            "description": "pethidine hydrochlor [analg]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djh..",
            "description": "phenazocine hydrobromide",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dji..",
            "description": "tramadol",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djj..",
            "description": "hydromorphone hydrochloride",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djk..",
            "description": "oxycodone hydrochloride",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djm..",
            "description": "oxycodone hydrochloride (2)",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djy..",
            "description": "morphine salts(3) [cns]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "djz..",
            "description": "morphine salts(2) [cns]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl11.",
            "description": "migraleve duo-pack tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl12.",
            "description": "migraleve pink tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl13.",
            "description": "migraleve yellow tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl14.",
            "description": "*migravess dispersible tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl15.",
            "description": "*migravess forte tablets",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl18.",
            "description": "migraleve duo-pack tablets x48",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl19.",
            "description": "migraleve pink tablets x48",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "dl1a.",
            "description": "*migraleve yellow tablets x48",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "j28O.",
            "description": "ibupro+codeine 200/12.5mg tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "j28V.",
            "description": "ibupro+codeine 200/12.8mg tabs",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "j28z.",
            "description": "*ibupr+codein 300/20mg m/r tab",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "j2pT.",
            "description": "solpadeine migraine ibu+cod",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o41..",
            "description": "alfentanil",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o42..",
            "description": "fentanyl",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o44..",
            "description": "meptazinol [anaesthesia]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o45..",
            "description": "morphine salts [anaesthesia]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o46..",
            "description": "nalbuphine hydrochl [anaesth]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o47..",
            "description": "papaveretum [anaesthesia]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o48..",
            "description": "pethidine hydrochlor [anaesth]",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o49..",
            "description": "phenoperidine hydrochloride",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o4c..",
            "description": "remifentanil",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o4d..",
            "description": "fentanyl (2)",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "o4e..",
            "description": "fentanyl (3)",
            "attributes": {
              "Entity type": "res55: opioid",
              "Category": "drug",
              "Coding System (Read)": "Read"
            }
          }
        ]
      }
    ],
    "status": 2,
    "doi": "https://doi.org/10.48533/dkg2-cq26",
    "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": 942,
        "version_name": "Opioid",
        "version_date": "2021-10-06T16:21:00.568066Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]