[
  {
    "phenotype_id": "PH512",
    "phenotype_version_id": 1024,
    "name": "Chronic Obstructive Pulmonary Disease (COPD)",
    "definition": "Background:\n\nThe UK’s Quality and Outcomes Framework (QOF) was introduced in 2004/5, linking remuneration for general practices to recorded quality of care for chronic conditions, including diabetes mellitus. We assessed the effect of the incentives on recorded quality of care for diabetes patients and its variation by patient and practice characteristics.\n\n\nMethods: \n\nUsing the General Practice Research Database we selected a stratified sample of 148 English general practices in England, contributing data from 2000/1 to 2006/7, and obtained a random sample of 653 500 patients in which 23 920 diabetes patients identified. We quantified annually recorded quality of care at the patient-level, as measured by the 17 QOF diabetes indicators, in a composite score and analysed it longitudinally using an Interrupted Time Series design.\n\n\nResults:\n\nRecorded quality of care improved for all subgroups in the pre-incentive period. In the first year of the incentives, composite quality improved over-and-above this pre-incentive trend by 14.2% (13.7–14.6%). By the third year the improvement above trend was smaller, but still statistically significant, at 7.3% (6.7–8.0%). After 3 years of the incentives, recorded levels of care varied significantly for patient gender, age, years of previous care, number of co-morbid conditions and practice diabetes prevalence.\n\n\nConclusions:\n\nThe introduction of financial incentives was associated with improvements in the recorded quality of diabetes care in the first year. These improvements included some measures of disease control, but most captured only documentation of recommended aspects of clinical assessment, not patient management or outcomes of care. Improvements in subsequent years were more modest. Variation in care between population groups diminished under the incentives, but remained substantial in some cases.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Evangelos Kontopantelis, David Reeves, Jose M Valderas, Stephen Campbell, Tim Doran, Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme a longitudinal observational study. BMJ Qual Saf, 22, 53-64, 2013."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2021-10-06T16:23:11.299203Z",
    "author": "Evengelos Kontopantelis, David Reeves, Jose M Valderas, Stephen Campbell, Tim Doran",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2021-10-06T16:23:11.299231Z",
    "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": 1884,
        "concept_version_id": 4906,
        "concept_name": "Chronic Obstructive Pulmonary Disease (COPD) - Primary Care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH512",
        "phenotype_version_id": 1024,
        "phenotype_name": "Chronic Obstructive Pulmonary Disease (COPD)",
        "code_attribute_header": [
          "Entity type",
          "Coding System (OXMIS Read)",
          "Category"
        ],
        "codes": [
          {
            "code": "66YB.00",
            "description": "Chronic obstructive pulmonary disease monitoring",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Yd.00",
            "description": "COPD accident and emergency attendance since last visit",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YD.00",
            "description": "Chronic obstructive pulmonary disease monitoring due",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Ye.00",
            "description": "Emergency COPD admission since last appointment",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Yf.00",
            "description": "Number of COPD exacerbations in past year",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Yg.00",
            "description": "Chronic obstructive pulmonary disease disturbs sleep",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Yh.00",
            "description": "Chronic obstructive pulmonary disease does not disturb sleep",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66Yi.00",
            "description": "Multiple COPD emergency hospital admissions",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YI.00",
            "description": "COPD self-management plan given",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YL.00",
            "description": "Chronic obstructive pulmonary disease follow-up",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YL.11",
            "description": "COPD follow-up",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YL.12",
            "description": "COAD follow-up",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YM.00",
            "description": "Chronic obstructive pulmonary disease annual review",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YS.00",
            "description": "Chronic obstructive pulmonary disease monitoring by nurse",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "66YT.00",
            "description": "Chronic obstructive pulmonary disease monitoring by doctor",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "8H2R.00",
            "description": "Admit COPD emergency",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "test"
            }
          },
          {
            "code": "H3...00",
            "description": "Chronic obstructive pulmonary disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H31..00",
            "description": "Chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H310.00",
            "description": "Simple chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H310000",
            "description": "Chronic catarrhal bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H310z00",
            "description": "Simple chronic bronchitis NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H311.00",
            "description": "Mucopurulent chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H311000",
            "description": "Purulent chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H311100",
            "description": "Fetid chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H311z00",
            "description": "Mucopurulent chronic bronchitis NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312.00",
            "description": "Obstructive chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312000",
            "description": "Chronic asthmatic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312011",
            "description": "Chronic wheezy bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312100",
            "description": "Emphysematous bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312200",
            "description": "Acute exacerbation of chronic obstructive airways disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "symptom"
            }
          },
          {
            "code": "H312300",
            "description": "Bronchiolitis obliterans",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H312z00",
            "description": "Obstructive chronic bronchitis NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H313.00",
            "description": "Mixed simple and mucopurulent chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H31y.00",
            "description": "Other chronic bronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H31y100",
            "description": "Chronic tracheobronchitis",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H31yz00",
            "description": "Other chronic bronchitis NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H31z.00",
            "description": "Chronic bronchitis NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32..00",
            "description": "Emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320.00",
            "description": "Chronic bullous emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320000",
            "description": "Segmental bullous emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320100",
            "description": "Zonal bullous emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320200",
            "description": "Giant bullous emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320300",
            "description": "Bullous emphysema with collapse",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H320z00",
            "description": "Chronic bullous emphysema NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H321.00",
            "description": "Panlobular emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H322.00",
            "description": "Centrilobular emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32y.00",
            "description": "Other emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32y000",
            "description": "Acute vesicular emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32y100",
            "description": "Atrophic (senile) emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32y111",
            "description": "Acute interstitial emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32y200",
            "description": "MacLeod's unilateral emphysema",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32yz00",
            "description": "Other emphysema NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H32z.00",
            "description": "Emphysema NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H36..00",
            "description": "Mild chronic obstructive pulmonary disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H37..00",
            "description": "Moderate chronic obstructive pulmonary disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H38..00",
            "description": "Severe chronic obstructive pulmonary disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H3y..11",
            "description": "Other specified chronic obstructive pulmonary disease",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "H3z..11",
            "description": "Chronic obstructive pulmonary disease NOS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "Read",
              "Category": "diagnostic"
            }
          }
        ]
      },
      {
        "concept_id": 1885,
        "concept_version_id": 4908,
        "concept_name": "Chronic Obstructive Pulmonary Disease (COPD) - Primary Care",
        "coding_system": {
          "id": 15,
          "name": "OXMIS codes",
          "description": "OXMIS codes"
        },
        "phenotype_id": "PH512",
        "phenotype_version_id": 1024,
        "phenotype_name": "Chronic Obstructive Pulmonary Disease (COPD)",
        "code_attribute_header": [
          "Entity type",
          "Coding System (OXMIS Read)",
          "Category"
        ],
        "codes": [
          {
            "code": "491",
            "description": "CHRONIC BRONCHITIS",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "491 E",
            "description": "CHRONIC BRONCHITIS WITH EMPHYSEMA",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "492",
            "description": "EMPHYSEMA PULMONARY",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "492 AC",
            "description": "EMPHYSEMA APICAL BULLAE",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "5199G",
            "description": "OBSTRUCTIVE AIRWAYS DISEASE CHRONIC",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "5199GE",
            "description": "EXACERBATION COAD",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "symptom"
            }
          },
          {
            "code": "5199GL",
            "description": "COLD (CHRONIC OBSTRUCTIVE LUNG DISEASE)",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          },
          {
            "code": "5199GP",
            "description": "COPD (CHRONIC OBSTRUCTIVE PULMONARY DISE",
            "attributes": {
              "Entity type": "res43: copd_kontopantelis_bmjqs2012",
              "Coding System (OXMIS Read)": "OXMIS",
              "Category": "diagnostic"
            }
          }
        ]
      }
    ],
    "status": 2,
    "doi": "https://doi.org/10.48533/df8b-yv57",
    "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": [
      {
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]