[
  {
    "phenotype_id": "PH879",
    "phenotype_version_id": 1837,
    "name": "Diabetes With Complications",
    "definition": "Background:\n\nSelf-harm is a major risk factor for suicide, with older adults (older than 65 years) having reportedly greater suicidal intent than any other age group. With the aging population rising and paucity of research focus in this age group, the extent of the problem of self-harm needs to be established. In a primary care cohort of older adults we aimed to investigate the incidence of self-harm, subsequent clinical management, prevalence of mental and physical diagnoses, and unnatural-cause mortality risk, including suicide.\n\n\nMethods:\n\nThe UK Clinical Practice Research Datalink contains anonymised patient records from general practice that routinely capture clinical information pertaining to both primary and secondary care services. We identified 4124 adults aged 65 years and older with a self-harm episode ascertained from Read codes recorded during 2001–14. We calculated standardised incidence and in 2854 adults with at least 12 months follow-up examined the frequency of psychiatric referrals and prescription of psychotropic medication after self-harm. We estimated prevalence of mental and physical illness diagnoses before and after self-harm and, using Cox regression in a matched cohort, we examined cause-specific mortality risks.\n\n\nFindings:\n\nOverall incidence of self-harm in older adults aged 65 years and older was 4·1 per 10 000 person-years with stable gender-specific rates observed over the 13-year period. After self-harm, 335 (11·7%) of 2854 adults were referred to mental health services, 1692 (59·3%) were prescribed an antidepressant, and 336 (11·8%) were prescribed a tricyclic antidepressant (TCA). Having a diagnosed previous mental illness was twice as prevalent in the self-harm cohort as in the comparison cohort (prevalence ratio 2·10 [95% CI 2·03–2·17]) and with a previous physical health condition prevalence was 20% higher in the self-harm cohort compared to the comparison cohort (1·20 [1·17–1·23]). Adults from the self-harm cohort (n=2454) died from unnatural causes an estimated 20 times more frequently than the comparison cohort (n=48 921) during the first year. A markedly elevated risk of suicide (hazard ratio 145·4 [95% CI 53·9–392·3]) was observed in the self-harm cohort.\n\n\nInterpretation: \n\nWithin primary care, we have identified a group of older adults at high risk from unnatural death, particularly within the first year of self-harm. We have highlighted a high frequency of prescription of TCAs, known to be potentially fatally toxic in overdose. We emphasise the need for early intervention, careful alternative prescribing, and increased support when older adults consult after an episode of self-harm and with other health conditions.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Catherine Morgan, Roger T Webb, Mathew J Carr, Evangelos Kontopantelis, Carolyn A Chew-Graham, Nav Kapur, Darren M. Ashcroft, Self-harm in a primary care cohort of older people incidence, clinical management, and risk of suicide and other causes of death. Psychiatry, 5, 2018."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2022-04-04T07:08:03.902495Z",
    "author": "Catherine Morgan, Roger T Webb, Mathew J Carr, Evangelos Kontopantelis, Carolyn A Chew-Graham, Nav Kapur, Darren M. Ashcroft",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2022-04-04T07:08:03.902520Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Disease or syndrome",
        "value": "2"
      }
    ],
    "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": "ICD10 codes",
        "value": 4
      },
      {
        "name": "Read codes v2",
        "value": 5
      }
    ],
    "event_date_range": "01/01/2001 - 31/12/2014",
    "concept_information": [
      {
        "concept_id": 2638,
        "concept_version_id": 6689,
        "concept_name": "Diabetes With Complications - Primary Care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH879",
        "phenotype_version_id": 1837,
        "phenotype_name": "Diabetes With Complications",
        "code_attribute_header": [
          "Entity type",
          "Coding System (ICD-10 Read)",
          "Category"
        ],
        "codes": [
          {
            "code": "2BBk.00",
            "description": "O/E - right eye stable treated prolif diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBl.00",
            "description": "O/E - left eye stable treated prolif diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBL.00",
            "description": "O/E - diabetic maculopathy present both eyes",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBP.00",
            "description": "O/E - right eye background diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBQ.00",
            "description": "O/E - left eye background diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBR.00",
            "description": "O/E - right eye preproliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBS.00",
            "description": "O/E - left eye preproliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "2BBV.00",
            "description": "O/E - left eye proliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C104000",
            "description": "Diabetes mellitus, juvenile type, with renal manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C104.11",
            "description": "Diabetic nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C104y00",
            "description": "Other specified diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C104z00",
            "description": "Diabetes mellitus with nephropathy NOS",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C105.00",
            "description": "Diabetes mellitus with ophthalmic manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C105000",
            "description": "Diabetes mellitus, juvenile type, + ophthalmic manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C105100",
            "description": "Diabetes mellitus, adult onset, + ophthalmic manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C105y00",
            "description": "Other specified diabetes mellitus with ophthalmic complicatn",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C105z00",
            "description": "Diabetes mellitus NOS with ophthalmic manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106.00",
            "description": "Diabetes mellitus with neurological manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106100",
            "description": "Diabetes mellitus, adult onset, + neurological manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106.11",
            "description": "Diabetic amyotrophy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106.12",
            "description": "Diabetes mellitus with neuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106.13",
            "description": "Diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106y00",
            "description": "Other specified diabetes mellitus with neurological comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C106z00",
            "description": "Diabetes mellitus NOS with neurological manifestation",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108000",
            "description": "Insulin-dependent diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108011",
            "description": "Type I diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108012",
            "description": "Type 1 diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108100",
            "description": "Insulin-dependent diabetes mellitus with ophthalmic comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108200",
            "description": "Insulin-dependent diabetes mellitus with neurological comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108211",
            "description": "Type I diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108212",
            "description": "Type 1 diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108700",
            "description": "Insulin dependent diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108711",
            "description": "Type I diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108712",
            "description": "Type 1 diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108B00",
            "description": "Insulin dependent diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108B11",
            "description": "Type I diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108C00",
            "description": "Insulin dependent diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108D00",
            "description": "Insulin dependent diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108D11",
            "description": "Type I diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108F00",
            "description": "Insulin dependent diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108F11",
            "description": "Type I diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108H00",
            "description": "Insulin dependent diabetes mellitus with arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C108J12",
            "description": "Type 1 diabetes mellitus with neuropathic arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109000",
            "description": "Non-insulin-dependent diabetes mellitus with renal comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109011",
            "description": "Type II diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109012",
            "description": "Type 2 diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109100",
            "description": "Non-insulin-dependent diabetes mellitus with ophthalm comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109111",
            "description": "Type II diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109112",
            "description": "Type 2 diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109200",
            "description": "Non-insulin-dependent diabetes mellitus with neuro comps",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109211",
            "description": "Type II diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109212",
            "description": "Type 2 diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109600",
            "description": "Non-insulin-dependent diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109611",
            "description": "Type II diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109612",
            "description": "Type 2 diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109A00",
            "description": "Non-insulin dependent diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109A11",
            "description": "Type II diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109B00",
            "description": "Non-insulin dependent diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109B11",
            "description": "Type II diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109C00",
            "description": "Non-insulin dependent diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109C11",
            "description": "Type II diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109C12",
            "description": "Type 2 diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109E00",
            "description": "Non-insulin depend diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109E11",
            "description": "Type II diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109E12",
            "description": "Type 2 diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109H00",
            "description": "Non-insulin dependent d m with neuropathic arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109H11",
            "description": "Type II diabetes mellitus with neuropathic arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C109H12",
            "description": "Type 2 diabetes mellitus with neuropathic arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10E000",
            "description": "Type 1 diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10E100",
            "description": "Type 1 diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10E200",
            "description": "Type 1 diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10EB00",
            "description": "Type 1 diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10EC00",
            "description": "Type 1 diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10ED00",
            "description": "Type 1 diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10EF00",
            "description": "Type 1 diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10EQ00",
            "description": "Type 1 diabetes mellitus with gastroparesis",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F000",
            "description": "Type 2 diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F011",
            "description": "Type II diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F100",
            "description": "Type 2 diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F200",
            "description": "Type 2 diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F600",
            "description": "Type 2 diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10F611",
            "description": "Type II diabetes mellitus with retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FA00",
            "description": "Type 2 diabetes mellitus with mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FB00",
            "description": "Type 2 diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FB11",
            "description": "Type II diabetes mellitus with polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FC00",
            "description": "Type 2 diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FC11",
            "description": "Type II diabetes mellitus with nephropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FE00",
            "description": "Type 2 diabetes mellitus with diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FH00",
            "description": "Type 2 diabetes mellitus with neuropathic arthropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "C10FR00",
            "description": "Type 2 diabetes mellitus with gastroparesis",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F372.11",
            "description": "Diabetic polyneuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F372.12",
            "description": "Diabetic neuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F374z00",
            "description": "Polyneuropathy in disease NOS",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F381300",
            "description": "Myasthenic syndrome due to diabetic amyotrophy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F381311",
            "description": "Diabetic amyotrophy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F3y0.00",
            "description": "Diabetic mononeuropathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420.00",
            "description": "Diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420100",
            "description": "Proliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420200",
            "description": "Preproliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420300",
            "description": "Advanced diabetic maculopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420400",
            "description": "Diabetic maculopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420600",
            "description": "Non proliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420700",
            "description": "High risk proliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420800",
            "description": "High risk non proliferative diabetic retinopathy",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F420z00",
            "description": "Diabetic retinopathy NOS",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "F464000",
            "description": "Diabetic cataract",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          },
          {
            "code": "K01x111",
            "description": "Kimmelstiel - Wilson disease",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "Read",
              "Category": "diagnostic"
            }
          }
        ]
      },
      {
        "concept_id": 2639,
        "concept_version_id": 6691,
        "concept_name": "Diabetes With Complications - Primary Care",
        "coding_system": {
          "id": 4,
          "name": "ICD10 codes",
          "description": "ICD10 Codes"
        },
        "phenotype_id": "PH879",
        "phenotype_version_id": 1837,
        "phenotype_name": "Diabetes With Complications",
        "code_attribute_header": [
          "Entity type",
          "Coding System (ICD-10 Read)",
          "Category"
        ],
        "codes": [
          {
            "code": "E10.2",
            "description": "Insulin-dependent diabetes mellitus with renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.3",
            "description": "Insulin-dependent diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.4",
            "description": "Insulin-dependent diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.5",
            "description": "Insulin-dependent diabetes mellitus with peripheral circulatory complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.6",
            "description": "Insulin-dependent diabetes mellitus with other specified complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.7",
            "description": "Insulin-dependent diabetes mellitus with  multiple complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E10.8",
            "description": "Insulin-dependent diabetes mellitus with unspecified complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.2",
            "description": "Non-insulin depend diabetes mellitus with  renal complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.3",
            "description": "Non-insulin depend diabetes mellitus with ophthalmic complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.4",
            "description": "Non-insulin depend diabetes mellitus with neurological complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.5",
            "description": "Non-insulin depend diabetes mellitus with peripheral circulatory complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.6",
            "description": "Non-insulin depend diabetes mellitus with other specified complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.7",
            "description": "Non-insulin depend diabetes mellitus with multiple complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          },
          {
            "code": "E11.8",
            "description": "Non-insulin depend diabetes mellitus with  unspecified complications",
            "attributes": {
              "Entity type": "res69: diabetes_with_complications",
              "Coding System (ICD-10 Read)": "ICD-10",
              "Category": "diagnostic"
            }
          }
        ]
      }
    ],
    "status": 2,
    "doi": "https://doi.org/10.48533/pmfc-md75",
    "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": 1837,
        "version_name": "Diabetes With Complications",
        "version_date": "2022-04-04T07:08:03.933983Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]