[
  {
    "phenotype_id": "PH935",
    "phenotype_version_id": 4155,
    "name": "Learning difficulties",
    "definition": "Learning difficulties is a broad term used for different conditions that affect the normal learning ability of individuals (Burt, 2004, p. 786).\n\n# Read codes and ICD-10 definition\n\nThese definitions have been previously published in peer-reviewed journals (John et al, 2022).\n\n# SNOMED CT definition\n\nThis definition has been created from mapped Read codes and ICD-10 definitions, as well as an additional exploration of SNOMED CT codes. It includes codes referring to acquired learning difficulties, as well as codes for aphasia and dysphasia.\n\n__Warning: The SNOMED CT definition have not undergone validation yet.__\n\n# References\n\n[John,A., Friedmann, Y., DelPozo-Banos, M., Frizzati, A., Ford, T., & Thapar, A.(2022).](https://doi.org/10.1016/S2215-0366(21)00367-9) Association of school absence and exclusion with recorded neurodevelopmental disorders, mental disorders, or self-harm: a nationwide, retrospective, electronic cohort study of children and young people in Wales, UK. The Lancet Psychiatry. Volume 9, Issue 1,2022,Pages 23-34,ISSN 2215-0366.",
    "implementation": "",
    "publications": [
      {
        "doi": "10.1016/S2215-0366(21)00367-9",
        "details": "John, A., Friedmann, Y., DelPozo-Banos, M., Frizzati, A., Ford, T., & Thapar, A. (2022). Association of school absence and exclusion with recorded neurodevelopmental disorders, mental disorders, or self-harm: A nationwide, retrospective, electronic cohort study of children and young people in Wales, UK. The Lancet Psychiatry, 9(1), 23–34. https://doi.org/10.1016/S2215-0366(21)00367-9"
      }
    ],
    "validation": "None",
    "citation_requirements": "John, A., Friedmann, Y., DelPozo-Banos, M., Frizzati, A., Ford, T., & Thapar, A. (2022). Association of school absence and exclusion with recorded neurodevelopmental disorders, mental disorders, or self-harm: A nationwide, retrospective, electronic cohort study of children and young people in Wales, UK. The Lancet Psychiatry, 9(1), 23–34.",
    "created": "2022-05-05T08:20:52.124094Z",
    "author": "A. John, Y. Friedmann, M. DelPozo-Banos, A. Frizzati, T. Ford, A. Thapar",
    "collections": [
      {
        "name": "Adolescent Data Platform (ADP)",
        "value": 23
      },
      {
        "name": "DATAMIND",
        "value": 27
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 2,
      "slug": "adp",
      "name": "ADP"
    },
    "world_access": 2,
    "updated": "2024-07-22T13:47:56.576207Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Disease or syndrome",
        "value": "2"
      }
    ],
    "ontology": null,
    "phenoflowid": null,
    "data_sources": [
      {
        "name": "Welsh Longitudinal General Practice Dataset (WLGP) - Welsh Primary Care",
        "value": 502,
        "uid": "33fc3ffd-aa4c-4a16-a32f-0c900aaea3d2",
        "url": "https://healthdatagateway.org/en/dataset/355",
        "datasource_id": 355
      },
      {
        "name": "Patient Episode Dataset for Wales (PEDW)",
        "value": 40,
        "uid": "4c33a5d2-164c-41d7-9797-dc2b008cc852",
        "url": "https://healthdatagateway.org/en/dataset/318",
        "datasource_id": 318
      }
    ],
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      },
      {
        "name": "ICD10 codes",
        "value": 4
      },
      {
        "name": "Read codes v2",
        "value": 5
      }
    ],
    "event_date_range": "",
    "concept_information": [
      {
        "concept_id": 2711,
        "concept_version_id": 9910,
        "concept_name": "Learning Difficulties - Primary care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH935",
        "phenotype_version_id": 4155,
        "phenotype_name": "Learning difficulties",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "2B5..",
            "description": "o/e - symbolic dysfunction",
            "attributes": {}
          },
          {
            "code": "2B55.",
            "description": "o/e - dyslexia",
            "attributes": {}
          },
          {
            "code": "8E23.",
            "description": "dyslexia training",
            "attributes": {}
          },
          {
            "code": "E2F02",
            "description": "developmental dyslexia",
            "attributes": {}
          },
          {
            "code": "Eu80.",
            "description": "[x]spec develop dis speech/lan | [x]specific developmental disorders of speech and language",
            "attributes": {}
          },
          {
            "code": "Eu800",
            "description": "[x]specif speech articulat dis | [x]specific speech articulation disorder",
            "attributes": {}
          },
          {
            "code": "Eu801",
            "description": "[x]expressive language disordr | [x]expressive language disorder",
            "attributes": {}
          },
          {
            "code": "Eu80z",
            "description": "[x]dev disord speech/lang unsp | [x]developmental disorder of speech and language unspecified | [x]developmental disorder of speech and language, unspecified",
            "attributes": {}
          },
          {
            "code": "Eu81.",
            "description": "[x]specif scholastic devel dis | [x]specific developmental disorders of scholastic skills",
            "attributes": {}
          },
          {
            "code": "Eu810",
            "description": "[x]specific reading disorder",
            "attributes": {}
          },
          {
            "code": "Eu811",
            "description": "[x]specific spelling disorder",
            "attributes": {}
          },
          {
            "code": "Eu812",
            "description": "[x]specific disord arithmetic | [x]specific disorder of arithmetical skills",
            "attributes": {}
          },
          {
            "code": "Eu813",
            "description": "[x]mixed scholastic skill dis | [x]mixed disorder of scholastic skills",
            "attributes": {}
          },
          {
            "code": "Eu81y",
            "description": "[x]oth dis scholastic skills | [x]other developmental disorders of scholastic skills",
            "attributes": {}
          },
          {
            "code": "Eu81z",
            "description": "[x]dev dis scholas skills unsp | [x]developmental disorder of scholastic skills, unspecified",
            "attributes": {}
          },
          {
            "code": "Eu82.",
            "description": "[x]spec devel disor motor func | [x]specific developmental disorder of motor function",
            "attributes": {}
          },
          {
            "code": "Eu83.",
            "description": "[x]mix specific develop disord | [x]mixed specific developmental disorders",
            "attributes": {}
          },
          {
            "code": "R046.",
            "description": "[d]other symbolic dysfunction",
            "attributes": {}
          },
          {
            "code": "R0463",
            "description": "[d]dyslexia",
            "attributes": {}
          }
        ]
      },
      {
        "concept_id": 2940,
        "concept_version_id": 9911,
        "concept_name": "Learning Difficulties- ICD-10",
        "coding_system": {
          "id": 4,
          "name": "ICD10 codes",
          "description": "ICD10 Codes"
        },
        "phenotype_id": "PH935",
        "phenotype_version_id": 4155,
        "phenotype_name": "Learning difficulties",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "F80",
            "description": "specific developmental disorders of speech an language",
            "attributes": null
          },
          {
            "code": "F80.0",
            "description": "specific speech articulation disorder",
            "attributes": null
          },
          {
            "code": "F80.1",
            "description": "expressive language disorder",
            "attributes": null
          },
          {
            "code": "F80.9",
            "description": "developmental disorder of speech and language, unspecified",
            "attributes": null
          },
          {
            "code": "F81",
            "description": "specific developmental disorders of scholastic skills",
            "attributes": null
          },
          {
            "code": "F81.0",
            "description": "specific readinf disorder",
            "attributes": null
          },
          {
            "code": "F81.1",
            "description": "specific spelling disorder",
            "attributes": null
          },
          {
            "code": "F81.2",
            "description": "specific disorder of arithmetical skills",
            "attributes": null
          },
          {
            "code": "F81.3",
            "description": "mixed disorder of scholastic skills",
            "attributes": null
          },
          {
            "code": "F81.8",
            "description": "other developmental disorders of scholastic skills",
            "attributes": null
          },
          {
            "code": "F81.9",
            "description": "developmental disorder od scholastic skills, unspecified",
            "attributes": null
          },
          {
            "code": "F82",
            "description": "specific developmental disorder of motor function",
            "attributes": null
          },
          {
            "code": "F83",
            "description": "mixed specific developmental disorders",
            "attributes": null
          },
          {
            "code": "R48",
            "description": "dyslexia and other symbolic dysfunctions, not elsewhere specified",
            "attributes": null
          },
          {
            "code": "R48.0",
            "description": "dyslexia and alexia",
            "attributes": null
          }
        ]
      },
      {
        "concept_id": 3663,
        "concept_version_id": 11002,
        "concept_name": "Learning dfficulties",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH935",
        "phenotype_version_id": 4155,
        "phenotype_name": "Learning difficulties",
        "code_attribute_header": null,
        "codes": [
          {
            "code": "102938007",
            "description": "Difficulty writing (finding)",
            "attributes": null
          },
          {
            "code": "10325006",
            "description": "Anomic aphasia (finding)",
            "attributes": null
          },
          {
            "code": "106169008",
            "description": "Aphasia, agnosia, dyslexia AND/OR apraxia (finding)",
            "attributes": null
          },
          {
            "code": "106170009",
            "description": "Dyslexia AND/OR speech dysfunction (finding)",
            "attributes": null
          },
          {
            "code": "1070261000000101",
            "description": "Difficulty learning basic skills (finding)",
            "attributes": null
          },
          {
            "code": "1070271000000108",
            "description": "Difficulty learning complex skills (finding)",
            "attributes": null
          },
          {
            "code": "1070701000000105",
            "description": "Difficulty recognising symbols (finding)",
            "attributes": null
          },
          {
            "code": "1071281000000104",
            "description": "Difficulty writing for examinations (finding)",
            "attributes": null
          },
          {
            "code": "1071291000000102",
            "description": "Difficulty writing for lessons (finding)",
            "attributes": null
          },
          {
            "code": "1071301000000103",
            "description": "Difficulty writing messages (finding)",
            "attributes": null
          },
          {
            "code": "1071311000000101",
            "description": "Difficulty writing own name (finding)",
            "attributes": null
          },
          {
            "code": "11800000",
            "description": "Subcortical alexia (finding)",
            "attributes": null
          },
          {
            "code": "1287780002",
            "description": "Consultation for speech problem (procedure)",
            "attributes": null
          },
          {
            "code": "138428002",
            "description": "Language difficulty (finding)",
            "attributes": null
          },
          {
            "code": "139562006",
            "description": "Speech problem (& symptom) (finding)",
            "attributes": null
          },
          {
            "code": "139565008",
            "description": "Has difficulty with speech (finding)",
            "attributes": null
          },
          {
            "code": "139567000",
            "description": "Speech problem NOS (finding)",
            "attributes": null
          },
          {
            "code": "141128000",
            "description": "O/E - symbolic dysfunction (finding)",
            "attributes": null
          },
          {
            "code": "141132006",
            "description": "O/E - agraphia (finding)",
            "attributes": null
          },
          {
            "code": "141133001",
            "description": "O/E - dyslexia (finding)",
            "attributes": null
          },
          {
            "code": "141134007",
            "description": "O/E - symbolic dysfunction NOS (finding)",
            "attributes": null
          },
          {
            "code": "151498009",
            "description": "Dyslexia training (procedure)",
            "attributes": null
          },
          {
            "code": "154953009",
            "description": "Developmental delay (& [learning] or [specific]) (disorder)",
            "attributes": null
          },
          {
            "code": "154954003",
            "description": "(Dyslexia: (& [developmental]) or reading delay (disorder)",
            "attributes": null
          },
          {
            "code": "154955002",
            "description": "(Developmental aphasia) or (delayed speech) or (speech delay) (disorder)",
            "attributes": null
          },
          {
            "code": "154956001",
            "description": "Clumsiness -motor delay (disorder)",
            "attributes": null
          },
          {
            "code": "154957005",
            "description": "(Disturbance in learning) or (development delay - NOS) (disorder)",
            "attributes": null
          },
          {
            "code": "158316004",
            "description": "[D]Alexia (situation)",
            "attributes": null
          },
          {
            "code": "158317008",
            "description": "[D]Alexia with agraphia (situation)",
            "attributes": null
          },
          {
            "code": "158318003",
            "description": "[D]Dyslexia (situation)",
            "attributes": null
          },
          {
            "code": "15977008",
            "description": "Adjustment disorder with academic inhibition (disorder)",
            "attributes": null
          },
          {
            "code": "161129001",
            "description": "Learning difficulties (finding)",
            "attributes": null
          },
          {
            "code": "161156004",
            "description": "Language difficulty (finding)",
            "attributes": null
          },
          {
            "code": "16170002",
            "description": "Musical alexia (finding)",
            "attributes": null
          },
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            "code": "162292007",
            "description": "Speech problem (& symptom) (finding)",
            "attributes": null
          },
          {
            "code": "162294008",
            "description": "Has difficulty with speech (finding)",
            "attributes": null
          },
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            "code": "162296005",
            "description": "Speech problem NOS (finding)",
            "attributes": null
          },
          {
            "code": "163928003",
            "description": "On examination - symbolic dysfunction (finding)",
            "attributes": null
          },
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            "code": "163932009",
            "description": "On examination - agraphia (finding)",
            "attributes": null
          },
          {
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            "description": "On examination - dyslexia (finding)",
            "attributes": null
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            "description": "Dyslexia training (regime/therapy)",
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            "code": "192053002",
            "description": "Specific academic &/or work inhibition (disorder)",
            "attributes": null
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            "code": "192123006",
            "description": "Academic underachievement disorder (disorder)",
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            "code": "192138007",
            "description": "Developmental dyslexia (disorder)",
            "attributes": null
          },
          {
            "code": "192139004",
            "description": "Specific spelling disorder (disorder)",
            "attributes": null
          },
          {
            "code": "192140002",
            "description": "Specific reading disorder NOS (disorder)",
            "attributes": null
          },
          {
            "code": "192141003",
            "description": "Dyscalculia (disorder)",
            "attributes": null
          },
          {
            "code": "192142005",
            "description": "Other specific learning difficulty (disorder)",
            "attributes": null
          },
          {
            "code": "192143000",
            "description": "(Developmental disorder: [language] or [speech]) or (articulation defect) (disorder)",
            "attributes": null
          },
          {
            "code": "192144006",
            "description": "(Developmental aphasia) or (word deafness) (disorder)",
            "attributes": null
          },
          {
            "code": "192145007",
            "description": "Speech or language developmental disorder NOS (disorder)",
            "attributes": null
          },
          {
            "code": "192563004",
            "description": "Disorder of speech and language development (disorder)",
            "attributes": null
          },
          {
            "code": "192564005",
            "description": "[X] Specific speech articulation disorder (& [developmental (& phonological)] or [dyslalia] or [functional] or [lalling])",
            "attributes": null
          },
          {
            "code": "192565006",
            "description": "[X] Expressive language disorder: [developmental dysphasia, expressive type] or [developmental aphasia, expressive type] (disorder)",
            "attributes": null
          },
          {
            "code": "192566007",
            "description": "[X] Receptive language disorder (& [congenit auditory imperception] or [development dysphasia, receptive] or [development Wernicke's aphasia] or [word deafness] or [development aphasia, receptive]) (disorder)",
            "attributes": null
          },
          {
            "code": "192568008",
            "description": "[X] (Other developmental disorders of speech and language) or (lisping) (disorder)",
            "attributes": null
          },
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            "code": "192569000",
            "description": "[X] Developmental disorder of speech &/or language, unspecified or NOS (disorder)",
            "attributes": null
          },
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            "code": "192570004",
            "description": "[X]Specific developmental disorders of scholastic skills (disorder)",
            "attributes": null
          },
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            "code": "192571000",
            "description": "Specific reading disorder (disorder)",
            "attributes": null
          },
          {
            "code": "192572007",
            "description": "[X] Specific spelling disorder (& [spelling retardation without reading disorder]) (disorder)",
            "attributes": null
          },
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            "code": "192574008",
            "description": "[X]Specific disorder of arithmetical skills (disorder)",
            "attributes": null
          },
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            "code": "192576005",
            "description": "[X] Developmental disorders of scholastic skills: [other] or [expressive writing disorder] (disorder)",
            "attributes": null
          },
          {
            "code": "192577001",
            "description": "[X]Developmental disorder of scholastic skills, unspecified (disorder)",
            "attributes": null
          },
          {
            "code": "192578006",
            "description": "[X]Specific developmental disorder of motor function (& [co-ordination disorder] or [dyspraxia] or [clumsy child syndrome]) (disorder)",
            "attributes": null
          },
          {
            "code": "192579003",
            "description": "[X]Mixed specific developmental disorders (disorder)",
            "attributes": null
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            "code": "196881000000108",
            "description": "Articulation delay (finding)",
            "attributes": null
          },
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            "code": "20301004",
            "description": "Dysphasia (finding)",
            "attributes": null
          },
          {
            "code": "206983005",
            "description": "[D]Other symbolic dysfunction (situation)",
            "attributes": null
          },
          {
            "code": "206984004",
            "description": "[D]Symbolic dysfunction, unspecified (situation)",
            "attributes": null
          },
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            "code": "206985003",
            "description": "[D]Alexia (situation)",
            "attributes": null
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            "code": "206986002",
            "description": "[D]Alexia with agraphia (situation)",
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            "code": "206987006",
            "description": "[D]Dyslexia (situation)",
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            "description": "[D]Symbolic dysfunction NOS (situation)",
            "attributes": null
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            "code": "207618002",
            "description": "[X]Other and unspecified symbolic dysfunctions (finding)",
            "attributes": null
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            "code": "20971000175105",
            "description": "Education for reading impairment (procedure)",
            "attributes": null
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            "code": "224998004",
            "description": "Slow learner (finding)",
            "attributes": null
          },
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            "code": "228145007",
            "description": "Impairment of speech form (finding)",
            "attributes": null
          },
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            "code": "229667000",
            "description": "Semantic impairment (disorder)",
            "attributes": null
          },
          {
            "code": "229671002",
            "description": "Language disorder associated with right hemisphere damage (disorder)",
            "attributes": null
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          {
            "code": "229672009",
            "description": "Language disorder of dementia (disorder)",
            "attributes": null
          },
          {
            "code": "229673004",
            "description": "Language disorder associated with thought disorder (disorder)",
            "attributes": null
          },
          {
            "code": "229676007",
            "description": "Language-related cognitive disorder (disorder)",
            "attributes": null
          },
          {
            "code": "229680002",
            "description": "Deep dyslexia (finding)",
            "attributes": null
          },
          {
            "code": "229681003",
            "description": "Phonological dyslexia (finding)",
            "attributes": null
          },
          {
            "code": "229682005",
            "description": "Surface dyslexia (finding)",
            "attributes": null
          },
          {
            "code": "229698003",
            "description": "Articulatory dyspraxia (disorder)",
            "attributes": null
          },
          {
            "code": "229699006",
            "description": "Immature articulatory praxis (disorder)",
            "attributes": null
          },
          {
            "code": "229701006",
            "description": "Developmental articulatory dyspraxia (disorder)",
            "attributes": null
          },
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            "code": "229703009",
            "description": "Developmental verbal dyspraxia (disorder)",
            "attributes": null
          },
          {
            "code": "229719002",
            "description": "Phonological disorder (disorder)",
            "attributes": null
          },
          {
            "code": "229728001",
            "description": "Velopharyngeal mislearning (disorder)",
            "attributes": null
          },
          {
            "code": "229729009",
            "description": "Developmental language impairment (disorder)",
            "attributes": null
          },
          {
            "code": "229730004",
            "description": "Expressive language impairment (disorder)",
            "attributes": null
          },
          {
            "code": "229731000",
            "description": "Receptive language impairment (disorder)",
            "attributes": null
          },
          {
            "code": "229738006",
            "description": "Word finding difficulty (disorder)",
            "attributes": null
          },
          {
            "code": "229739003",
            "description": "Developmental language disorder (disorder)",
            "attributes": null
          },
          {
            "code": "229745006",
            "description": "Developmental semantic impairment (disorder)",
            "attributes": null
          },
          {
            "code": "229746007",
            "description": "Specific language impairment (finding)",
            "attributes": null
          },
          {
            "code": "229747003",
            "description": "Developmental dysphasia (finding)",
            "attributes": null
          },
          {
            "code": "23011003",
            "description": "Global aphasia (finding)",
            "attributes": null
          },
          {
            "code": "230786001",
            "description": "Congenital dysphasia (disorder)",
            "attributes": null
          },
          {
            "code": "230787005",
            "description": "Congenital expressive dysphasia (disorder)",
            "attributes": null
          },
          {
            "code": "231534001",
            "description": "Disorder of speech and language development (disorder)",
            "attributes": null
          },
          {
            "code": "231535000",
            "description": "Language development disorder (disorder)",
            "attributes": null
          },
          {
            "code": "231543005",
            "description": "Speech and language disorder (disorder)",
            "attributes": null
          },
          {
            "code": "23168003",
            "description": "Speech dysfunction (finding)",
            "attributes": null
          },
          {
            "code": "23766009",
            "description": "Basic learning problem in reading (finding)",
            "attributes": null
          },
          {
            "code": "26439000",
            "description": "Basic learning problem in arithmetic (finding)",
            "attributes": null
          },
          {
            "code": "267095009",
            "description": "Speech problem (finding)",
            "attributes": null
          },
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