[ { "phenotype_id": "PH848", "phenotype_version_id": 1775, "name": "Neck Diagnoses", "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": "2022-04-04T07:06:49.517599Z", "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": "2022-04-04T07:06:49.517625Z", "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": 2604, "concept_version_id": 6621, "concept_name": "Neck Diagnoses - Primary Care", "coding_system": { "id": 9, "name": "SNOMED CT codes", "description": "SNOMED CT codes" }, "phenotype_id": "PH848", "phenotype_version_id": 1775, "phenotype_name": "Neck Diagnoses", "code_attribute_header": [ "Entity type", "Coding System (SNOMED)", "Category" ], "codes": [ { "code": "11049006.0", "description": "Cervical radiculitis", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "1121000000000.0", "description": "Chronic neck pain", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "122494005.0", "description": "Cervical spine structure", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "161882006.0", "description": "Stiff neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "169068008.0", "description": "CT of neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202664003.0", "description": "Cervical myelopathy", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "209557005.0", "description": "Neck sprain", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239541009.0", "description": "Excision of cervical intervertebral disc", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "240215009.0", "description": "Prolapsed cervical intervertebral disc", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241578008.0", "description": "CT of cervical spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241646009.0", "description": "MRI of cervical spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "262522002.0", "description": "Injury of cervical spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "279016001.0", "description": "Cervicogenic headache", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "279029001.0", "description": "Pain in cervical spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "298393001.0", "description": "cervical kyphosis", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "301000000000.0", "description": "Muscle spasm of cervical muscle of neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "33420007.0", "description": "Diffuse cervicobrachial syndrome", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "360437006.0", "description": "Strain of tendon of neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "360450007.0", "description": "Strain of neck muscle", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "387800004.0", "description": "Cervical spine Degeneration", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "387801000.0", "description": "Cervical arthritis", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "39848009.0", "description": "Whiplash injury to neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "405773007.0", "description": "Kyphoscoliosis deformity of spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "414564002.0", "description": "Kyphosis deformity of spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "425878001.0", "description": "Cervical disc disorder", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "445429009.0", "description": "Cervical laminectomy", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "45048000.0", "description": "Neck structure", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "54404000.0", "description": "Cervical radiculopathy", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "59703009.0", "description": "cervical spinal fusion by anterior technique", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "66769009.0", "description": "Radiography of cervical spine", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "69195002.0", "description": "Degeneration of cervical intervertebral disc", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "70070008.0", "description": "Torticollis", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "71760005.0", "description": "Cervico-occipital neuralgia", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "72221006.0", "description": "Magnetic resonance imaging of neck", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "72535009.0", "description": "Cervical rib", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "81099000.0", "description": "Cervical arthrodesis", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "81680005.0", "description": "Neck pain", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "83561009.0", "description": "Spinal stenosis in cervical region", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "90460009.0", "description": "Neck injury", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "95671001.0", "description": "Cervical nerve root compression", "attributes": { "Entity type": "res174: neck diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/1tg5-2177", "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": 1775, "version_name": "Neck Diagnoses", "version_date": "2022-04-04T07:06:49.544427Z", "is_published": true, "is_latest": true } ] } ]