Alcohol use

A. John, S. Rees

PH1107 / 3517 Clinical-Coded Phenotype

  1. Overview

    Phenotype Type
    Disease or syndrome
    Sex
    Both
    Valid Event Date Range
    No data
    Coding System
    SNOMED CT codesICD10 codesRead codes v2
    Data Sources
    Welsh Longitudinal General Practice Dataset (WLGP), Patient Episode Dataset for Wales (PEDW)
    Collections
    Adolescent Data Platform (ADP)DATAMINDPhenotype Library
    Tags
    No data

  2. Definition

    Codes denoting alcohol use, including diagnoses of alcoholism, poisoning by alcohol in its various forms, and where alcohol has been found to be the cause of other health conditions.

    ICD-10 defintion

    This definition is based on validated, published and comparable code lists (Rees et. al., 2022; DelPozo-Banos et. al., 2018; Kim et. al., 2017; NHS, 2018; NHS, 2019; Syed et. al., 2018; Walsh et. al., 2018) and reviewed by a clinician in the study team (Prof Ann John).

    Read codes definition

    This definition also includes alcohol-related symptoms, observations, medications, behaviours, referrals and contacts with other services. It contains prescriptions relevant to treatment for alcohol use disorder (disulfiram and acamprosate), as almost all recipients were found to have a history of alcohol use (Rees et. al., 2022); and excludes those used primarily for pain management. Codes requiring an associated value of units relating to alcohol consumption volumes are excluded, as these do not confidently denote alcohol use disorder on their own. We included codes denoting ongoing intervention/treatment (e.g., alcohol withdrawal assessment).

    This definition is based on validated, published and comparable code lists (Rees et. al., 2022; DelPozo-Banos et. al., 2018; Kim et. al., 2017; NHS, 2018; NHS, 2019; Syed et. al., 2018; Walsh et. al., 2018) and reviewed by a clinician in the study team (Prof Ann John). 

    SNOMED CT definition

    The SNOMED codes for alcohol use were developed by mapping the existing ICD-10 and Read code definitions and complementary SNOMED searches. Treatments using disulfiram administered with benzyl benzoates were excluded as these are indicated for other diseases. Observations on alcohol intake, including attitudes toward drinking, were not included unless they specified quantifiable values. Exceptions were codes that determined alcohol involvement due to level of intoxication. Alcohol users disorder identification test are not included unless a positive result is specified.

    Note: The SNOMED CT definition has not undergone validation yet.

    References

    DelPozo-Banos, M., John, A., Petkov, N., Berridge, D. M., Southern, K., LLoyd, K., ... & Travieso, C. M. (2018). Using neural networks with routine health records to identify suicide risk: feasibility study. JMIR mental health, 5(2), e10144.

    Kim, Y. G., Baltabekova, A. Z., Zhiyenbay, E. E., Aksambayeva, A. S., Shagyrova, Z. S., Khannanov, R., ... & Shustov, A. V. (2017). Recombinant Vaccinia virus-coded interferon inhibitor B18R: Expression, refolding and a use in a mammalian expression system with a RNA-vector. PLoS One, 12(12), e0189308. 

    NHS National Services Scotland (2018). Alcohol-related hospital statistics Scotland 2017/18. 

    NHS National Services Scotland (2019). Drug-related hospital statistics Scotland 2017/18. 

    Rees, S., Watkins, A., Keauffling, J., & John, A. (2022). Incidence, Mortality and Survival in Young People with Co-Occurring Mental Disorders and Substance Use: A Retrospective Linked Routine Data Study in Wales. Clinical Epidemiology, 14, 21 

    Syed, S., Gilbert, R., & Wolpert, M. (2018). Parental alcohol misuse and the impact on children: a rapid evidence review of service presentations and interventions. 

    Walsh E, Jones R, Cox S. (2018). Data mining Wales: the annual profile for substance misuse 2017–18.

  3. Implementation

    Implementation

    No data

  4. Clinical Code List

  5. Publication

    Citation Requirements

    Rees, S., Watkins, A., Keauffling, J., & John, A. (2022). Incidence, mortality and survival in young people with co-occurring mental disorders and substance use: a retrospective linked routine data study in Wales. Clinical Epidemiology, 21-38.

    Citation Example

    A. John, S. Rees. PH1107 / 3517 - Alcohol use. Phenotype Library [Online]. 22 July 2024. Available from: http://phenotypes.healthdatagateway.org/phenotypes/PH1107/version/3517/detail/. [Accessed 23 November 2024]

  6. API

    To Export Phenotype Details:

    FormatAPI
    JSON site_root/api/v1/phenotypes/PH1107/version/3517/detail/?format=json
    R Package

    # Download here

    library(ConceptLibraryClient)


    # Connect to API

    client = ConceptLibraryClient::Connection$new(public=TRUE)


    # Get details of phenotype

    phenotype_details = client$phenotypes$get_detail(
     'PH1107',
     version_id=3517
    )

    Py Package

    # Download here

    from pyconceptlibraryclient import Client


    # Connect to API

    client = Client(public=True)


    # Get codelist of phenotype

    phenotype_codelist = client.phenotypes.get_detail(
     'PH1107',
     version_id=3517
    )

    To Export Phenotype Code List:

    FormatAPI
    JSON site_root/api/v1/phenotypes/PH1107/version/3517/export/codes/?format=json
    CSV site_root/phenotypes/PH1107/version/3517/export/codes/
    R Package

    # Download here

    library(ConceptLibraryClient)


    # Connect to API

    client = ConceptLibraryClient::Connection$new(public=TRUE)


    # Get codelist of phenotype

    phenotype_codelist = client$phenotypes$get_codelist(
     'PH1107',
     version_id=3517
    )

    Py Package

    # Download here

    from pyconceptlibraryclient import Client


    # Connect to API

    client = Client(public=True)


    # Get codelist of phenotype

    phenotype_codelist = client.phenotypes.get_codelist(
     'PH1107',
     version_id=3517
    )

  7. Version History

    Version IDNameOwnerPublish date
    3517 Alcohol use delpozom2024-07-22currently shown
    2435 Alcohol use delpozom2023-09-12