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Diabetic Complications

Victor W Zhong, Juhaeri Juhaeri, Stephen R Cole, Christian M Shay, Carolyn A Chew-Graham, Penny Gordon-Larsen, Evangelos Kontopantelis, Elizabeth J Mayer-Davis

Type
Disease or Syndrome
ID
PH729
Version ID
1458
Data Sources
Valid event data range
01/04/1997 - 31/03/2014
Sex
Female, Male
Agreement Date
2017-10-23
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Aims:

To determine association between HbA1C variability and hypoglycemia requiring hospitalization (HH) in adults with type 1 diabetes (T1D) and type 2 diabetes (T2D).

Methods:

Using nested case-control design in electronic health record data in England, one case with first or recurrent HH was matched to one control who had not experienced HH in incident T1D and T2D adults. HbA1C variability was determined by standard deviation of ≥3 HbA1C results. Conditional logistic models were applied to determine association of HbA1C variability with first and recurrent HH.

Results:

In T1D, every 1.0% increase in HbA1C variability was associated with 90% higher first HH risk (95% CI, 1.25–2.89) and 392% higher recurrent HH risk (95% CI, 1.17–20.61). In T2D, a 1.0% increase in HbA1C variability was associated with 556% higher first HH risk (95% CI, 3.88–11.08) and 573% higher recurrent HH risk (95% CI,1.59–28.51). In T2D for first HH, the association was the strongest in non-insulin non-sulfonylurea users (P b 0.0001); for recurrent HH, the association was stronger in insulin users than sulfonylurea users (P = 0.07). The HbA1C variability-HH association was stronger in more recent years in T2D (P ≤ 0.004).

Conclusions:

HbA1C variability is a strong predictor for HH in T1D and T2D.

Publications

  • Victor W Zhong, Juhaeri Juhaeri, Stephen R Cole, Christian M Shay, Carolyn A Chew-Graham, Penny Gordon-Larsen, Evangelos Kontopantelis, Elizabeth J Mayer-Davis, HbA1C variability and hypoglycemia hospitalization in adults with type 1 and type 2 diabetes: A nested case-control study. Journal of Diabetes and Its Complications, 32(2), 2017.

Clinical Code List

Rows: 218
Code Description Entity type Category Coding System (Read)
2BBL.00 O/E - diabetic maculopathy present both eyes res50: diabetic complications diagnostic Read
2BBM.00 O/E - diabetic maculopathy absent both eyes res50: diabetic complications diagnostic Read
2BBP.00 O/E - right eye background diabetic retinopathy res50: diabetic complications diagnostic Read
2BBQ.00 O/E - left eye background diabetic retinopathy res50: diabetic complications diagnostic Read
2BBR.00 O/E - right eye preproliferative diabetic retinopathy res50: diabetic complications diagnostic Read
2BBS.00 O/E - left eye preproliferative diabetic retinopathy res50: diabetic complications diagnostic Read
2BBT.00 O/E - right eye proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
2BBV.00 O/E - left eye proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
2BBW.00 O/E - right eye diabetic maculopathy res50: diabetic complications diagnostic Read
2BBX.00 O/E - left eye diabetic maculopathy res50: diabetic complications diagnostic Read
2BBk.00 O/E - right eye stable treated prolif diabetic retinopathy res50: diabetic complications diagnostic Read
2BBl.00 O/E - left eye stable treated prolif diabetic retinopathy res50: diabetic complications diagnostic Read
2BBo.00 O/E - sight threatening diabetic retinopathy res50: diabetic complications diagnostic Read
2BBr.00 Impaired vision due to diabetic retinopathy res50: diabetic complications diagnostic Read
2G5L.00 O/E - Left diabetic foot - ulcerated res50: diabetic complications diagnostic Read
2G5V.00 O/E - right chronic diabetic foot ulcer res50: diabetic complications diagnostic Read
2G5W.00 O/E - left chronic diabetic foot ulcer res50: diabetic complications diagnostic Read
C104.00 Diabetes mellitus with renal manifestation res50: diabetic complications diagnostic Read
C104.11 Diabetic nephropathy res50: diabetic complications diagnostic Read
C104y00 Other specified diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C104z00 Diabetes mellitus with nephropathy NOS res50: diabetic complications diagnostic Read
C105.00 Diabetes mellitus with ophthalmic manifestation res50: diabetic complications diagnostic Read
C105y00 Other specified diabetes mellitus with ophthalmic complicatn res50: diabetic complications diagnostic Read
C105z00 Diabetes mellitus NOS with ophthalmic manifestation res50: diabetic complications diagnostic Read
C106.00 Diabetes mellitus with neurological manifestation res50: diabetic complications diagnostic Read
C106.11 Diabetic amyotrophy res50: diabetic complications diagnostic Read
C106.12 Diabetes mellitus with neuropathy res50: diabetic complications diagnostic Read
C106.13 Diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C106y00 Other specified diabetes mellitus with neurological comps res50: diabetic complications diagnostic Read
C106z00 Diabetes mellitus NOS with neurological manifestation res50: diabetic complications diagnostic Read
C107.00 Diabetes mellitus with peripheral circulatory disorder res50: diabetic complications diagnostic Read
C107.11 Diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C107z00 Diabetes mellitus NOS with peripheral circulatory disorder res50: diabetic complications diagnostic Read
C108000 Insulin-dependent diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C108011 Type I diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C108012 Type 1 diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C108100 Insulin-dependent diabetes mellitus with ophthalmic comps res50: diabetic complications diagnostic Read
C108112 Type 1 diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C108200 Insulin-dependent diabetes mellitus with neurological comps res50: diabetic complications diagnostic Read
C108211 Type I diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C108212 Type 1 diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C108300 Insulin dependent diabetes mellitus with multiple complicatn res50: diabetic complications diagnostic Read
C108311 Type I diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C108500 Insulin dependent diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C108511 Type I diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C108512 Type 1 diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C108600 Insulin dependent diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C108700 Insulin dependent diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C108711 Type I diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C108712 Type 1 diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C108B00 Insulin dependent diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C108B11 Type I diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C108C00 Insulin dependent diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C108D00 Insulin dependent diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C108D11 Type I diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C108F00 Insulin dependent diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C108F11 Type I diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C108H00 Insulin dependent diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C108H11 Type I diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C108J11 Type I diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C108J12 Type 1 diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C108y00 Other specified diabetes mellitus with multiple comps res50: diabetic complications diagnostic Read
C108z00 Unspecified diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C109000 Non-insulin-dependent diabetes mellitus with renal comps res50: diabetic complications diagnostic Read
C109011 Type II diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C109012 Type 2 diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C109100 Non-insulin-dependent diabetes mellitus with ophthalm comps res50: diabetic complications diagnostic Read
C109111 Type II diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C109112 Type 2 diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C109200 Non-insulin-dependent diabetes mellitus with neuro comps res50: diabetic complications diagnostic Read
C109211 Type II diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C109212 Type 2 diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C109300 Non-insulin-dependent diabetes mellitus with multiple comps res50: diabetic complications diagnostic Read
C109312 Type 2 diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C109400 Non-insulin dependent diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C109411 Type II diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C109412 Type 2 diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C109500 Non-insulin dependent diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C109511 Type II diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C109512 Type 2 diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C109600 Non-insulin-dependent diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C109611 Type II diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C109612 Type 2 diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C109A00 Non-insulin dependent diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C109A11 Type II diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C109B00 Non-insulin dependent diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C109B11 Type II diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C109C00 Non-insulin dependent diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C109C11 Type II diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C109C12 Type 2 diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C109E00 Non-insulin depend diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C109E11 Type II diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C109E12 Type 2 diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C109F00 Non-insulin-dependent d m with peripheral angiopath res50: diabetic complications diagnostic Read
C109F11 Type II diabetes mellitus with peripheral angiopathy res50: diabetic complications diagnostic Read
C109F12 Type 2 diabetes mellitus with peripheral angiopathy res50: diabetic complications diagnostic Read
C109G00 Non-insulin dependent diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C109G11 Type II diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C109G12 Type 2 diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C109H00 Non-insulin dependent d m with neuropathic arthropathy res50: diabetic complications diagnostic Read
C109H11 Type II diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C109H12 Type 2 diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C10E000 Type 1 diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C10E012 Insulin-dependent diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C10E100 Type 1 diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C10E111 Type I diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C10E112 Insulin-dependent diabetes mellitus with ophthalmic comps res50: diabetic complications diagnostic Read
C10E200 Type 1 diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C10E212 Insulin-dependent diabetes mellitus with neurological comps res50: diabetic complications diagnostic Read
C10E300 Type 1 diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C10E311 Type I diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C10E312 Insulin dependent diabetes mellitus with multiple complicat res50: diabetic complications diagnostic Read
C10E500 Type 1 diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C10E511 Type I diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C10E512 Insulin dependent diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C10E600 Type 1 diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C10E611 Type I diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C10E612 Insulin dependent diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C10E700 Type 1 diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C10E711 Type I diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C10E712 Insulin dependent diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C10EA00 Type 1 diabetes mellitus without complication res50: diabetic complications diagnostic Read
C10EA11 Type I diabetes mellitus without complication res50: diabetic complications diagnostic Read
C10EB00 Type 1 diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C10EC00 Type 1 diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C10EC11 Type I diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C10EC12 Insulin dependent diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C10ED00 Type 1 diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C10ED12 Insulin dependent diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C10EF00 Type 1 diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C10EF12 Insulin dependent diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C10EG00 Type 1 diabetes mellitus with peripheral angiopathy res50: diabetic complications diagnostic Read
C10EH00 Type 1 diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C10EJ00 Type 1 diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C10EK00 Type 1 diabetes mellitus with persistent proteinuria res50: diabetic complications diagnostic Read
C10EL00 Type 1 diabetes mellitus with persistent microalbuminuria res50: diabetic complications diagnostic Read
C10EL11 Type I diabetes mellitus with persistent microalbuminuria res50: diabetic complications diagnostic Read
C10EP00 Type 1 diabetes mellitus with exudative maculopathy res50: diabetic complications diagnostic Read
C10EP11 Type I diabetes mellitus with exudative maculopathy res50: diabetic complications diagnostic Read
C10EQ00 Type 1 diabetes mellitus with gastroparesis res50: diabetic complications diagnostic Read
C10EQ11 Type I diabetes mellitus with gastroparesis res50: diabetic complications diagnostic Read
C10F000 Type 2 diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C10F011 Type II diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
C10F100 Type 2 diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C10F111 Type II diabetes mellitus with ophthalmic complications res50: diabetic complications diagnostic Read
C10F200 Type 2 diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C10F211 Type II diabetes mellitus with neurological complications res50: diabetic complications diagnostic Read
C10F300 Type 2 diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C10F311 Type II diabetes mellitus with multiple complications res50: diabetic complications diagnostic Read
C10F400 Type 2 diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C10F411 Type II diabetes mellitus with ulcer res50: diabetic complications diagnostic Read
C10F500 Type 2 diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C10F511 Type II diabetes mellitus with gangrene res50: diabetic complications diagnostic Read
C10F600 Type 2 diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C10F611 Type II diabetes mellitus with retinopathy res50: diabetic complications diagnostic Read
C10FA00 Type 2 diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C10FA11 Type II diabetes mellitus with mononeuropathy res50: diabetic complications diagnostic Read
C10FB00 Type 2 diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C10FB11 Type II diabetes mellitus with polyneuropathy res50: diabetic complications diagnostic Read
C10FC00 Type 2 diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C10FC11 Type II diabetes mellitus with nephropathy res50: diabetic complications diagnostic Read
C10FE00 Type 2 diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C10FE11 Type II diabetes mellitus with diabetic cataract res50: diabetic complications diagnostic Read
C10FF00 Type 2 diabetes mellitus with peripheral angiopathy res50: diabetic complications diagnostic Read
C10FF11 Type II diabetes mellitus with peripheral angiopathy res50: diabetic complications diagnostic Read
C10FG00 Type 2 diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C10FG11 Type II diabetes mellitus with arthropathy res50: diabetic complications diagnostic Read
C10FH00 Type 2 diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C10FH11 Type II diabetes mellitus with neuropathic arthropathy res50: diabetic complications diagnostic Read
C10FL00 Type 2 diabetes mellitus with persistent proteinuria res50: diabetic complications diagnostic Read
C10FL11 Type II diabetes mellitus with persistent proteinuria res50: diabetic complications diagnostic Read
C10FM00 Type 2 diabetes mellitus with persistent microalbuminuria res50: diabetic complications diagnostic Read
C10FM11 Type II diabetes mellitus with persistent microalbuminuria res50: diabetic complications diagnostic Read
C10FQ00 Type 2 diabetes mellitus with exudative maculopathy res50: diabetic complications diagnostic Read
C10FR00 Type 2 diabetes mellitus with gastroparesis res50: diabetic complications diagnostic Read
C10y.00 Diabetes mellitus with other specified manifestation res50: diabetic complications diagnostic Read
C10yy00 Other specified diabetes mellitus with other spec comps res50: diabetic complications diagnostic Read
C10yz00 Diabetes mellitus NOS with other specified manifestation res50: diabetic complications diagnostic Read
C10z.00 Diabetes mellitus with unspecified complication res50: diabetic complications diagnostic Read
C10zy00 Other specified diabetes mellitus with unspecified comps res50: diabetic complications diagnostic Read
C10zz00 Diabetes mellitus NOS with unspecified complication res50: diabetic complications diagnostic Read
Cyu2300 [X]Unspecified diabetes mellitus with renal complications res50: diabetic complications diagnostic Read
F345000 Diabetic mononeuritis multiplex res50: diabetic complications diagnostic Read
F35z000 Diabetic mononeuritis NOS res50: diabetic complications diagnostic Read
F372.11 Diabetic polyneuropathy res50: diabetic complications diagnostic Read
F372.12 Diabetic neuropathy res50: diabetic complications diagnostic Read
F372000 Acute painful diabetic neuropathy res50: diabetic complications diagnostic Read
F372100 Chronic painful diabetic neuropathy res50: diabetic complications diagnostic Read
F372200 Asymptomatic diabetic neuropathy res50: diabetic complications diagnostic Read
F381300 Myasthenic syndrome due to diabetic amyotrophy res50: diabetic complications diagnostic Read
F381311 Diabetic amyotrophy res50: diabetic complications diagnostic Read
F3y0.00 Diabetic mononeuropathy res50: diabetic complications diagnostic Read
F420.00 Diabetic retinopathy res50: diabetic complications diagnostic Read
F420000 Background diabetic retinopathy res50: diabetic complications diagnostic Read
F420100 Proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
F420200 Preproliferative diabetic retinopathy res50: diabetic complications diagnostic Read
F420300 Advanced diabetic maculopathy res50: diabetic complications diagnostic Read
F420400 Diabetic maculopathy res50: diabetic complications diagnostic Read
F420500 Advanced diabetic retinal disease res50: diabetic complications diagnostic Read
F420600 Non proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
F420700 High risk proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
F420800 High risk non proliferative diabetic retinopathy res50: diabetic complications diagnostic Read
F420z00 Diabetic retinopathy NOS res50: diabetic complications diagnostic Read
F440700 Diabetic iritis res50: diabetic complications diagnostic Read
F464000 Diabetic cataract res50: diabetic complications diagnostic Read
G73y000 Diabetic peripheral angiopathy res50: diabetic complications diagnostic Read
K01x111 Kimmelstiel - Wilson disease res50: diabetic complications diagnostic Read
K08yA00 Proteinuric diabetic nephropathy res50: diabetic complications diagnostic Read
K08yA11 Clinical diabetic nephropathy res50: diabetic complications diagnostic Read
M037200 Cellulitis in diabetic foot res50: diabetic complications diagnostic Read
M271000 Ischaemic ulcer diabetic foot res50: diabetic complications diagnostic Read
M271100 Neuropathic diabetic ulcer - foot res50: diabetic complications diagnostic Read
M271200 Mixed diabetic ulcer - foot res50: diabetic complications diagnostic Read
N030000 Diabetic cheiroarthropathy res50: diabetic complications diagnostic Read
N030011 Diabetic cheiropathy res50: diabetic complications diagnostic Read
N030100 Diabetic Charcot arthropathy res50: diabetic complications diagnostic Read
R054200 [D]Gangrene of toe in diabetic res50: diabetic complications diagnostic Read
R054300 [D]Widespread diabetic foot gangrene res50: diabetic complications diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH729/version/1458/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH729/version/1458/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH729', '1458', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH729/version/1458/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH729/version/1458/export/codes/?format=json
CSV site_root/phenotypes/PH729/version/1458/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH729', '1458', api_client=client)

Version History

Version
ID
Name Owner Publish date
1458 Diabetic Complications ieuan.scanlon 2021-10-06 currently shown

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