[ { "phenotype_id": "PH882", "phenotype_version_id": 1843, "name": "Metastatic Tumour", "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": "2022-04-04T07:08:12.031266Z", "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": "2022-04-04T07:08:12.031291Z", "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": 2644, "concept_version_id": 6701, "concept_name": "Metastatic Tumour - Primary Care", "coding_system": { "id": 5, "name": "Read codes v2", "description": "Read codes v2" }, "phenotype_id": "PH882", "phenotype_version_id": 1843, "phenotype_name": "Metastatic Tumour", "code_attribute_header": [ "Entity type", "Coding System (ICD-10 Read)", "Category" ], "codes": [ { "code": "B153.00", "description": "Secondary malignant neoplasm of liver", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B56..00", "description": "Secondary and unspecified malignant neoplasm of lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560.00", "description": "Secondary and unspec malig neop lymph nodes head/face/neck", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560000", "description": "Secondary and unspec malig neop of superficial parotid LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560100", "description": "Secondary and unspec malignant neoplasm mastoid lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560200", "description": "Secondary and unspec malig neop superficial cervical LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560300", "description": "Secondary and unspec malignant neoplasm occipital lymph node", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560400", "description": "Secondary and unspec malig neop deep parotid lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560500", "description": "Secondary and unspec malig neop submandibular lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560600", "description": "Secondary and unspec malig neop of facial lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560700", "description": "Secondary and unspec malig neop submental lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560800", "description": "Secondary and unspec malig neop anterior cervical LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560900", "description": "Secondary and unspec malig neop deep cervical LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B560z00", "description": "Secondary unspec malig neop lymph nodes head/face/neck NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561.00", "description": "Secondary and unspec malig neop intrathoracic lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561000", "description": "Secondary and unspec malig neop internal mammary lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B56..11", "description": "Lymph node metastases", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561100", "description": "Secondary and unspec malig neop intercostal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561200", "description": "Secondary and unspec malig neop diaphragmatic lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561300", "description": "Secondary and unspec malig neop ant mediastinal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561400", "description": "Secondary and unspec malig neop post mediastinal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561500", "description": "Secondary and unspec malig neop paratracheal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561600", "description": "Secondary and unspec malig neop superfic tracheobronchial LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561700", "description": "Secondary and unspec malig neop inferior tracheobronchial LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561800", "description": "Secondary and unspec malig neop bronchopulmonary lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561900", "description": "Secondary and unspec malig neop pulmonary lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B561z00", "description": "Secondary and unspec malig neop intrathoracic LN NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562.00", "description": "Secondary and unspec malig neop intra-abdominal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562000", "description": "Secondary and unspec malig neop coeliac lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562100", "description": "Secondary and unspec malig neop superficial mesenteric LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562200", "description": "Secondary and unspec malig neop inferior mesenteric LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562300", "description": "Secondary and unspec malig neop common iliac lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562400", "description": "Secondary and unspec malig neop external iliac lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B562z00", "description": "Secondary and unspec malig neop intra-abdominal LN NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563.00", "description": "Secondary and unspec malig neop axilla and upper limb LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563000", "description": "Secondary and unspec malig neop axillary lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563100", "description": "Secondary and unspec malig neop supratrochlear lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563200", "description": "Secondary and unspec malig neop infraclavicular lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563300", "description": "Secondary and unspec malig neop pectoral lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B563z00", "description": "Secondary and unspec malig neop axilla and upper limb LN NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B564.00", "description": "Secondary and unspec malig neop inguinal and lower limb LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B564000", "description": "Secondary and unspec malig neop superficial inguinal LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B564100", "description": "Secondary and unspec malig neop deep inguinal lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B564z00", "description": "Secondary and unspec malig neop of inguinal and leg LN NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B565.00", "description": "Secondary and unspec malig neop intrapelvic lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B565000", "description": "Secondary and unspec malig neop internal iliac lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B565200", "description": "Secondary and unspec malig neop circumflex iliac LN", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B565300", "description": "Secondary and unspec malig neop sacral lymph nodes", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B565z00", "description": "Secondary and unspec malig neop intrapelvic LN NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B56y.00", "description": "Secondary and unspec malig neop lymph nodes multiple sites", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B56z.00", "description": "Secondary and unspec malig neop lymph nodes NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B57..00", "description": "Secondary malig neop of respiratory and digestive systems", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B570.00", "description": "Secondary malignant neoplasm of lung", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B571.00", "description": "Secondary malignant neoplasm of mediastinum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B57..11", "description": "Metastases of respiratory and/or digestive systems", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B57..12", "description": "Secondary carcinoma of respiratory and/or digestive systems", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B572.00", "description": "Secondary malignant neoplasm of pleura", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B573.00", "description": "Secondary malignant neoplasm of other respiratory organs", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B574.00", "description": "Secondary malignant neoplasm of small intestine and duodenum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B574000", "description": "Secondary malignant neoplasm of duodenum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B574200", "description": "Secondary malignant neoplasm of ileum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B574z00", "description": "Secondary malig neop of small intestine or duodenum NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B575.00", "description": "Secondary malignant neoplasm of large intestine and rectum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B575000", "description": "Secondary malignant neoplasm of colon", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B575100", "description": "Secondary malignant neoplasm of rectum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B575z00", "description": "Secondary malig neop of large intestine or rectum NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B576.00", "description": "Secondary malig neop of retroperitoneum and peritoneum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B576000", "description": "Secondary malignant neoplasm of retroperitoneum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B576100", "description": "Secondary malignant neoplasm of peritoneum", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B576200", "description": "Malignant ascites", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B576z00", "description": "Secondary malig neop of retroperitoneum or peritoneum NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B577.00", "description": "Secondary malignant neoplasm of liver", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B577.11", "description": "Liver metastases", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B57y.00", "description": "Secondary malignant neoplasm of other digestive organ", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B57z.00", "description": "Secondary malig neop of respiratory or digestive system NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B58..00", "description": "Secondary malignant neoplasm of other specified sites", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B580.00", "description": "Secondary malignant neoplasm of kidney", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B581.00", "description": "Secondary malignant neoplasm of other urinary organs", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B581000", "description": "Secondary malignant neoplasm of ureter", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B58..11", "description": "Secondary carcinoma of other specified sites", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B581100", "description": "Secondary malignant neoplasm of bladder", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B581200", "description": "Secondary malignant neoplasm of urethra", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B581z00", "description": "Secondary malignant neoplasm of other urinary organ NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582.00", "description": "Secondary malignant neoplasm of skin", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582000", "description": "Secondary malignant neoplasm of skin of head", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582100", "description": "Secondary malignant neoplasm of skin of face", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582200", "description": "Secondary malignant neoplasm of skin of neck", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582300", "description": "Secondary malignant neoplasm of skin of trunk", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582400", "description": "Secondary malignant neoplasm of skin of shoulder and arm", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582500", "description": "Secondary malignant neoplasm of skin of hip and leg", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582600", "description": "Secondary malignant neoplasm of skin of breast", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B582z00", "description": "Secondary malignant neoplasm of skin NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B583.00", "description": "Secondary malignant neoplasm of brain and spinal cord", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B583000", "description": "Secondary malignant neoplasm of brain", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B583100", "description": "Secondary malignant neoplasm of spinal cord", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B583200", "description": "Cerebral metastasis", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B583z00", "description": "Secondary malignant neoplasm of brain or spinal cord NOS", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B584.00", "description": "Secondary malignant neoplasm of other part of nervous system", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B585.00", "description": "Secondary malignant neoplasm of bone and bone marrow", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B585000", "description": "Pathological fracture due to metastatic bone disease", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B586.00", "description": "Secondary malignant neoplasm of ovary", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B587.00", "description": "Secondary malignant neoplasm of adrenal gland", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B58y.00", "description": "Secondary malignant neoplasm of other specified sites", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B58y000", "description": "Secondary malignant neoplasm of breast", "attributes": { "Entity type": "res69: metastatic_tumour", "Coding System (ICD-10 Read)": "Read", "Category": "diagnostic" } }, { "code": "B58y100", "description": "Secondary malignant neoplasm of uterus", "attributes": { "Entity type": "res69: 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