[ { "phenotype_id": "PH840", "phenotype_version_id": 1759, "name": "Cardiovascular 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": "2022-04-04T07:06:36.671580Z", "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": "2022-04-04T07:06:36.671631Z", "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": 2597, "concept_version_id": 6607, "concept_name": "Cardiovascular Comorbidities - Primary Care", "coding_system": { "id": 9, "name": "SNOMED CT codes", "description": "SNOMED CT codes" }, "phenotype_id": "PH840", "phenotype_version_id": 1759, "phenotype_name": "Cardiovascular Comorbidities", "code_attribute_header": [ "Entity type", "Coding System (SNOMED)", "Category" ], "codes": [ { "code": "128404006", "description": "Right heart failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "194828000", "description": "Angina", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "22298006", "description": "Myocardial infarction", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232717009", "description": "Coronary artery bypass graft", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232720001", "description": "Coronary artery bypass grafts x 2", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232721002", "description": "coronary artery bypass grafts x 3", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232722009", "description": "Coronary artery bypass grafts x 4", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232722010", "description": "Coronary artery bypass grafts x 4", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "232723004", "description": "Coronary artery bypass grafts x 5", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "276789009", "description": "Labile hypertension", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "367363000", "description": "Right ventricular failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "38341003", "description": "Hypertensive disorder, systemic arterial", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "394659003", "description": "Acute coronary syndrome", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "401303003", "description": "Acute ST segment elevation myocardial infarction", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "401314000", "description": "Acute non-ST segment elevation myocardial infarction", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "414545008", "description": "Ischaemic heart disease", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "42343007", "description": "Congestive heart failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "50490005", "description": "Hypertensive encephalopathy", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "53741008", "description": "Coronary arteriosclerosis", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "54329005", "description": "Acute myocardial infarction of anterior wall", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "56218007", "description": "Systolic hypertension", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "56675007", "description": "Acute heart failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "57054005", "description": "Acute myocardial infarction", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "59621000", "description": "Essential hypertension", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "64715009", "description": "Hypertensive heart disease", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "70272006", "description": "Malignant hypertension", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "73795002", "description": "Acute myocardial infarction of inferior wall", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "84114007", "description": "Heart failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "85232009", "description": "Left ventricular failure", "attributes": { "Entity type": "res174: cardiovascular comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/sqyv-3478", "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": 1759, "version_name": "Cardiovascular Comorbidities", "version_date": "2022-04-04T07:06:36.698491Z", "is_published": true, "is_latest": true } ] } ]