[
  {
    "phenotype_id": "PH839",
    "phenotype_version_id": 1757,
    "name": "Cancer Comorbidities",
    "definition": "Introduction:\n\nGeneral practice is integral to the Australian healthcare system. Outcome Health’s POpulation Level Analysis and Reporting (POLAR) database uses de-identified electronic health records to analyse general practice data in Australia. Previous studies using routinely collected health data for research have not consistently reported the codes and algorithms used to describe the population, exposures, interventions and outcomes in sufficient detail to allow replication. This paper reports a study protocol investigating patterns of care for people presenting with musculoskeletal conditions to general practice in Victoria, Australia. Its focus is on the systematic approach used to classify and select eligible records from the POLAR database to facilitate replication. This will be useful for other researchers using routinely collected health data for research.\n\n\nMethods and analysis:\n\nThis is a retrospective cohort study. Patient-related data will be obtained through electronic health records from a subset of general practices across three primary health networks (PHN) in southeastern Victoria. Data for patients with a low back, neck, shoulder and/or knee condition and who received at least one general practitioner (GP) face-to-face consultation between 1 January 2014 and 31 December 2018 will be included. Data quality checks will be conducted to exclude patients with poor data recording and/or non-continuous follow-up. Relational data files with eligible and valid records will be merged to select the study cohort and the GP care received (consultations, imaging requests, prescriptions and referrals) between diagnosis and 31 December 2018. Number and characteristics of patients and GPs, and number, type and timing of imaging requests, prescriptions for pain relief and referrals to other health providers will be investigated.\n\n\nEthics and dissemination:\n\nEthics approval was obtained from the Cabrini and Monash University Human Research Ethics Committees (Reference Numbers 02-21-01-19 and 16975, respectively). Study findings will be reported to Outcome Health, participating PHNs, disseminated in academic journals and presented in conferences.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder, Patterns of care for people presenting to Australian general practice with musculoskeletal complaints based on routinely collected data: protocol for an observational cohort study using the Population Level Analysis and Reporting (POLAR) database. BMJ Open, 11(e055528), 2021."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2022-04-04T07:06:35.025988Z",
    "author": "Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2022-04-04T07:06:35.026013Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Disease or syndrome",
        "value": "2"
      }
    ],
    "ontology": null,
    "phenoflowid": "",
    "data_sources": [
      {
        "name": "POpulation Level Analysis and Reporting (POLAR) Database Australia",
        "value": 34,
        "datasource_id": 34
      }
    ],
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "event_date_range": "01/01/2014 - 31/12/2018",
    "concept_information": [
      {
        "concept_id": 2596,
        "concept_version_id": 6605,
        "concept_name": "Cancer Comorbidities - Primary Care",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH839",
        "phenotype_version_id": 1757,
        "phenotype_name": "Cancer Comorbidities",
        "code_attribute_header": [
          "Entity type",
          "Coding System (SNOMED)",
          "Category"
        ],
        "codes": [
          {
            "code": "10438002",
            "description": "Glomus tumour",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "109385007",
            "description": "Kaposi's sarcoma (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "109978004",
            "description": "T-cell lymphoma (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "109979007",
            "description": "B cell lymphoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "109995007",
            "description": "Myelodysplastic syndrome (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "115239009",
            "description": "Bone tumour",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "11671000",
            "description": "Adenoid cystic carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "118600007",
            "description": "Malignant lymphoma (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "118601006",
            "description": "Non-Hodgkin's lymphoma (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "118613001",
            "description": "Hairy cell leukaemia (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "118617000",
            "description": "Burkitt's lymphoma (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "123841004",
            "description": "Neoplasm of uterine cervix",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "123843001",
            "description": "Neoplasm of ovary",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "123845008",
            "description": "Adenocarcinoma of endometrium",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126488004",
            "description": "Neoplasm of skin",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126713003",
            "description": "Neoplasm of lung",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126824007",
            "description": "Neoplasm of stomach",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126838000",
            "description": "Neoplasm of colon",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126851005",
            "description": "Neoplasm of liver",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126880001",
            "description": "Neoplasm of kidney",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126885006",
            "description": "Neoplasm of bladder",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126921000",
            "description": "Neoplasm of vagina",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126926005",
            "description": "Neoplasm of breast",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126949007",
            "description": "Acoustic neuroma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126951006",
            "description": "Neoplasm of central nervous system",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "126962006",
            "description": "Neoplasm of spinal cord",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127018007",
            "description": "Neoplasm of thyroid gland",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127020005",
            "description": "Neoplasm of parathyroid gland",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127021009",
            "description": "Neoplasm of adrenal gland",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127024001",
            "description": "Neoplasm of pituitary gland",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127225006",
            "description": "Chronic myelomonocytic leukaemia",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "127231009",
            "description": "Neoplasm of thymus",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "128462008",
            "description": "Secondary malignant neoplastic disease",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "128474007",
            "description": "Parathyroid adenoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "128822004",
            "description": "Precursor cell lymphoblastic leukaemia",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "128929007",
            "description": "Non-Hodgkin lymphoma - category",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "129000002",
            "description": "Langerhans cell histiocytosis, unifocal (clinical)",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "14537002",
            "description": "Hodgkin lymphoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "1651000119109",
            "description": "Primary adenocarcinoma of pancreas",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "16652001",
            "description": "Fabry's disease",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "1761000119103",
            "description": "Chronic obstructive airway disease with asthma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "188192002",
            "description": "Malignant neoplasm of endometrium of corpus uteri",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "189336000",
            "description": "Carcinoma in situ of breast",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "233854003",
            "description": "Atrial myxoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "253010003",
            "description": "Microprolactinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "25370001",
            "description": "Hepatocellular carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254582000",
            "description": "Adenocarcinoma of rectum",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254609000",
            "description": "Carcinoma of ampulla of Vater",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254622008",
            "description": "Squamous cell carcinoma of bronchus",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254626006",
            "description": "Adenocarcinoma of lung",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254629004",
            "description": "Large cell carcinoma of lung",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254632001",
            "description": "Small cell carcinoma of lung",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254634000",
            "description": "Squamous cell carcinoma of lung",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254637007",
            "description": "Non-small cell lung cancer",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254837009",
            "description": "Malignant tumour of breast",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254838004",
            "description": "Carcinoma of breast",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254849005",
            "description": "Malignant epithelial tumour of ovary",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254877001",
            "description": "Sarcoma of uterus",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "25487800",
            "description": "Endometrial carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254887002",
            "description": "Adenocarcinoma of cervix",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254893005",
            "description": "Carcinoma of vagina",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254900004",
            "description": "Carcinoma of prostate",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254915003",
            "description": "Clear cell carcinoma of kidney",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254935002",
            "description": "Intracranial tumour",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254956000",
            "description": "Pituitary adenoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254963000",
            "description": "Pituitary microadenoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "254965007",
            "description": "Pituitary macroadenoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255029007",
            "description": "Papillary thyroid carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255034006",
            "description": "Thyroid follicular adenoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255035007",
            "description": "Adrenal carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255046005",
            "description": "Neuroendocrine tumour",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255081007",
            "description": "Carcinoma of caecum",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255084004",
            "description": "Squamous cell carcinoma of anal margin",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255108000",
            "description": "Carcinoma of bladder",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "255109008",
            "description": "Transitional cell carcinoma of bladder",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "269533000",
            "description": "Carcinoma of colon",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "27090000",
            "description": "Transitional cell carcinoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "276811008",
            "description": "Gastric lymphoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "276975007",
            "description": "Carcinoma of larynx",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "277637000",
            "description": "Large cell anaplastic lymphoma",
            "attributes": {
              "Entity type": "res174: cancer comorbidities",
              "Coding System (SNOMED)": "SNOMED",
              "Category": "diagnostic"
            }
          },
          {
            "code": "28054005",
            "description": "Cutaneous T-cell lymphoma",
            "attributes": {
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