[ { "phenotype_id": "PH854", "phenotype_version_id": 1787, "name": "Shoulder Diagnosis", "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": "2022-04-04T07:06:56.913760Z", "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": "2022-04-04T07:06:56.913785Z", "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": 2608, "concept_version_id": 6629, "concept_name": "Shoulder Diagnosis - Primary Care", "coding_system": { "id": 9, "name": "SNOMED CT codes", "description": "SNOMED CT codes" }, "phenotype_id": "PH854", "phenotype_version_id": 1787, "phenotype_name": "Shoulder Diagnosis", "code_attribute_header": [ "Entity type", "Coding System (SNOMED)", "Category" ], "codes": [ { "code": "119633005", "description": "Shoulder reconstruction", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "125594001", "description": "Injury of shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "16982005", "description": "Shoulder region structure", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "179893007", "description": "Arthroscopic acromioplasty", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202329003", "description": "Detachment of the glenoid labrum and/or capsule of the shoulder joint", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202841003", "description": "Supraspinatus tendinitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202843000", "description": "Full thickness rotator cuff tear", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202852009", "description": "Shoulder tendinitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "20904001", "description": "Arthrodesis of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "217225009", "description": "Repair of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239865003", "description": "Osteoarthritis of acromioclavicular joint", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239958005", "description": "Painful arc syndrome", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239960007", "description": "Impingement syndrome of shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239961006", "description": "Bursitis of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241633004", "description": "MRI of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "263049003", "description": "Subluxation of acromioclavicular joint", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "263122000", "description": "Injury of glenoid labrum of shoulder joint", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "263480002", "description": "Entire tendon of supraspinatus muscle", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "27182002", "description": "Sprain of acromioclavicular ligament", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "274140005", "description": "Subscapularis tendinitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "275334004", "description": "Shoulder strain", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "27741009", "description": "Calcific tendinitis of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "281812007", "description": "Arthroscopy of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "29592009", "description": "Radiography of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "303922008", "description": "US shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "3199001", "description": "Sprain of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "359532006", "description": "Rotator cuff impingement syndrome", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "399114005", "description": "Adhesive capsulitis of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "399346004", "description": "Supraspinatus tear", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "40257000", "description": "Contusion of shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "40799003", "description": "Subacromial bursitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "4106009", "description": "Rotator cuff syndrome", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "42262007", "description": "Total shoulder replacement", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "428883008", "description": "Rupture of tendon of biceps", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "429459001", "description": "Arthritis of acromioclavicular joint", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "430263007", "description": "Arthroscopic shoulder decompression", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "442520000", "description": "Inflammation of rotator cuff tendon", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "45326000", "description": "Shoulder pain", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "56060000", "description": "Repair of musculotendinous cuff of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "67315001", "description": "Osteoarthritis of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "6858004", "description": "Capsulitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "78715003", "description": "Subdeltoid bursitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "7885001", "description": "Structure of rotator cuff including muscles and tendons", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "79092002", "description": "Arthrography of shoulder", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "85856004", "description": "Acromioclavicular joint structure", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "86128003", "description": "Rupture of tendon of biceps, long head", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "91774008", "description": "Structure of right shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "91775009", "description": "Structure of left shoulder region", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "95414005", "description": "calcific tendinitis", "attributes": { "Entity type": "res174: shoulder diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/fpzw-3q65", "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": 1787, "version_name": "Shoulder Diagnosis", "version_date": "2022-04-04T07:06:56.939681Z", "is_published": true, "is_latest": true } ] } ]