[ { "phenotype_id": "PH556", "phenotype_version_id": 1112, "name": "Retinal Screening", "definition": "The study period extended from 1 April 2004, the date of introduction of the incentivisation scheme, to 31 March 2012. Practices’ performance under the QOF is measured over a financial year, so we divided the study period into eight financial years (1 April to 31 March the following year). Not all 644 practices provided research standard data (as assessed by the CPRD assessment algorithm) for the whole period. Within each year, we identified practices that reliably contributed data for the whole year. Our main dataset comprised this group of practices, which varies over time. We also generated two alternative datasets with which to assess the sensitivity of our findings. For the first, we included 452 practices that were continuously active and up to standard for the whole of the study period; for the second, we selected a subsample of 50 practices that were most representative of UK practices in terms of list sizes of patients and area deprivation according to the Index of Multiple Deprivation,13 14 two of the most important predictors of QOF performance.12 15 16 In each of the three datasets, for each financial year, we defined “eligible” patients as those registered with an included practice for the full year.\n\n\n\n\n\n\n\n\n", "implementation": "", "publications": [ { "doi": null, "details": "Evangelos Kontopantelis, David Springate, David Reeves, Darren M Ashcroft, Jose M Valderas, Tim Doran, Withdrawing performance indicators: retrospective analysis of general practice performance under UK Quality and Outcomes Framework. BMJ, 348:g330, 2014." } ], "validation": "", "citation_requirements": "", "created": "2021-10-06T16:24:44.414183Z", "author": "Evangelos Kontopantelis, David Springate, David Reeves, Darren M Ashcroft, Jose M Valderas, Tim Doran", "collections": [ { "name": "ClinicalCodes Repository", "value": 25 }, { "name": "Phenotype Library", "value": 18 } ], "tags": null, "organisation": null, "world_access": 1, "updated": "2021-10-06T16:24:44.414213Z", "sex": [ { "name": "Both", "value": "3" } ], "type": [ { "name": "Biomarker", "value": "1" } ], "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": "01/04/2004 - 31/03/2021", "concept_information": [ { "concept_id": 1949, "concept_version_id": 5036, "concept_name": "Retinal Screening - Primary Care", "coding_system": { "id": 5, "name": "Read codes v2", "description": "Read codes v2" }, "phenotype_id": "PH556", "phenotype_version_id": 1112, "phenotype_name": "Retinal Screening", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "2BB..00", "description": "O/E - retinal inspection", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB1.00", "description": "O/E - retina normal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB..11", "description": "O/E - retina", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB2.00", "description": "O/E - retinal vessel narrowing", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB3.00", "description": "O/E - retinal A-V nipping", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB4.00", "description": "O/E - retinal microaneurysms", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB5.00", "description": "O/E - retinal haemorrhages", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB6.00", "description": "O/E - retinal exudates", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB7.00", "description": "O/E - retinal vascular prolif.", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB8.00", "description": "O/E - vitreous haemorrhages", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BB9.00", "description": "O/E - retinal pigmentation", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBa.00", "description": "O/E- non-referable retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBA.00", "description": "Examination of retina", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBb.00", "description": "O/E - fundus not adequately seen", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBB.00", "description": "O/E - Right retina not seen", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBc.00", "description": "O/E - No retinal laser photocoagulation scars", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBC.00", "description": "O/E - Left retina not seen", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBd.00", "description": "O/E - Red reflex absent", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBD.00", "description": "O/E - Right retina normal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBe.00", "description": "O/E - right retina partially assessable", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBE.00", "description": "O/E - Left retina normal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBF.00", "description": "Retinal abnormality - diabetes related", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBg.00", "description": "O/E - right retina fully assessable", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBG.00", "description": "Retinal abnormality - non-diabetes", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBH.00", "description": "Retinal drusen", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBi.00", "description": "O/E - right eye no maculopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBI.00", "description": "O/E - no retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBj.00", "description": "O/E - left eye no maculopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBJ.00", "description": "O/E - no right diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBk.00", "description": "O/E - right eye stable treated prolif diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBK.00", "description": "O/E - no left diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBl.00", "description": "O/E - left eye stable treated prolif diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBL.00", "description": "O/E - diabetic maculopathy present both eyes", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBm.00", "description": "O/E - right eye clinically significant macular oedema", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBM.00", "description": "O/E - diabetic maculopathy absent both eyes", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBn.00", "description": "O/E - left eye clinically significant macular oedema", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBN.00", "description": "Myelinated retinal nerve fibres", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBo.00", "description": "O/E - sight threatening diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBO.00", "description": "O/E - Laser photocoagulation scars", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBP.00", "description": "O/E - right eye background diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBQ.00", "description": "O/E - left eye background diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBR.00", "description": "O/E - right eye preproliferative diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBS.00", "description": "O/E - left eye preproliferative diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBT.00", "description": "O/E - right eye proliferative diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBV.00", "description": "O/E - left eye proliferative diabetic retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBW.00", "description": "O/E - right eye diabetic maculopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBX.00", "description": "O/E - left eye diabetic maculopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBY.00", "description": "O/E - referable retinopathy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "2BBZ.00", "description": "O/E - retinal inspection NOS", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128.00", "description": "Fundoscopy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128000", "description": "Fundoscopy normal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128100", "description": "Fundoscopy abnormal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128.11", "description": "Retinoscopy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128200", "description": "Dilated fundoscopy normal", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128300", "description": "Camera fundoscopy", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128400", "description": "Indirect fundoscopy following mydriatic", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3128Z00", "description": "Fundoscopy NOS", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "3129.00", "description": "Eye fundus photography", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "312E.00", "description": "Direct fundoscopy following mydriatic", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "312G.00", "description": "Indirect fundoscopy following mydriatic", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "58C1.00", "description": "Retinal photography", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "66AD.00", "description": "Fundoscopy - diabetic check", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "68A7.00", "description": "Diabetic retinopathy screening", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } }, { "code": "68A8.00", "description": "Digital retinal screening", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "Read", "Category": "test" } } ] }, { "concept_id": 1950, "concept_version_id": 5038, "concept_name": "Retinal Screening - Primary Care", "coding_system": { "id": 15, "name": "OXMIS codes", "description": "OXMIS codes" }, "phenotype_id": "PH556", "phenotype_version_id": 1112, "phenotype_name": "Retinal Screening", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "X962", "description": "FUNDOSCOPY", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "OXMIS", "Category": "test" } }, { "code": "X962 AB", "description": "FUNDOSCOPY ABNORMAL", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "OXMIS", "Category": "test" } }, { "code": "X962 NM", "description": "FUNDOSCOPY NORMAL", "attributes": { "Entity type": "Retinal_screening", "Coding System (OXMIS Read)": "OXMIS", "Category": "test" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/mdzh-3168", "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": 1112, "version_name": "Retinal Screening", "version_date": "2021-10-06T16:24:44.435770Z", "is_published": true, "is_latest": true } ] } ]