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Cardiovascular Comorbidities

Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder

Type
Disease or Syndrome
ID
PH840
Version ID
1759
Data Sources
POpulation Level Analysis and Reporting (POLAR) Database Australia
Valid event data range
01/01/2014 - 31/12/2018
Sex
Female, Male
Agreement Date
2021-09-24
Coding system
SNOMED CT codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Introduction:

General practice is integral to the Australian healthcare system. Outcome Health’s POpulation Level Analysis and Reporting (POLAR) database uses de-identified electronic health records to analyse general practice data in Australia. Previous studies using routinely collected health data for research have not consistently reported the codes and algorithms used to describe the population, exposures, interventions and outcomes in sufficient detail to allow replication. This paper reports a study protocol investigating patterns of care for people presenting with musculoskeletal conditions to general practice in Victoria, Australia. Its focus is on the systematic approach used to classify and select eligible records from the POLAR database to facilitate replication. This will be useful for other researchers using routinely collected health data for research.

Methods and analysis:

This is a retrospective cohort study. Patient-related data will be obtained through electronic health records from a subset of general practices across three primary health networks (PHN) in southeastern Victoria. Data for patients with a low back, neck, shoulder and/or knee condition and who received at least one general practitioner (GP) face-to-face consultation between 1 January 2014 and 31 December 2018 will be included. Data quality checks will be conducted to exclude patients with poor data recording and/or non-continuous follow-up. Relational data files with eligible and valid records will be merged to select the study cohort and the GP care received (consultations, imaging requests, prescriptions and referrals) between diagnosis and 31 December 2018. Number and characteristics of patients and GPs, and number, type and timing of imaging requests, prescriptions for pain relief and referrals to other health providers will be investigated.

Ethics and dissemination:

Ethics approval was obtained from the Cabrini and Monash University Human Research Ethics Committees (Reference Numbers 02-21-01-19 and 16975, respectively). Study findings will be reported to Outcome Health, participating PHNs, disseminated in academic journals and presented in conferences.

Publications

  • Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder, Patterns of care for people presenting to Australian general practice with musculoskeletal complaints based on routinely collected data: protocol for an observational cohort study using the Population Level Analysis and Reporting (POLAR) database. BMJ Open, 11(e055528), 2021.

Clinical Code List

Rows: 29
Code Description Entity type Coding System (SNOMED) Category
128404006 Right heart failure res174: cardiovascular comorbidities SNOMED diagnostic
194828000 Angina res174: cardiovascular comorbidities SNOMED diagnostic
22298006 Myocardial infarction res174: cardiovascular comorbidities SNOMED diagnostic
232717009 Coronary artery bypass graft res174: cardiovascular comorbidities SNOMED diagnostic
232720001 Coronary artery bypass grafts x 2 res174: cardiovascular comorbidities SNOMED diagnostic
232721002 coronary artery bypass grafts x 3 res174: cardiovascular comorbidities SNOMED diagnostic
232722009 Coronary artery bypass grafts x 4 res174: cardiovascular comorbidities SNOMED diagnostic
232722010 Coronary artery bypass grafts x 4 res174: cardiovascular comorbidities SNOMED diagnostic
232723004 Coronary artery bypass grafts x 5 res174: cardiovascular comorbidities SNOMED diagnostic
276789009 Labile hypertension res174: cardiovascular comorbidities SNOMED diagnostic
367363000 Right ventricular failure res174: cardiovascular comorbidities SNOMED diagnostic
38341003 Hypertensive disorder, systemic arterial res174: cardiovascular comorbidities SNOMED diagnostic
394659003 Acute coronary syndrome res174: cardiovascular comorbidities SNOMED diagnostic
401303003 Acute ST segment elevation myocardial infarction res174: cardiovascular comorbidities SNOMED diagnostic
401314000 Acute non-ST segment elevation myocardial infarction res174: cardiovascular comorbidities SNOMED diagnostic
414545008 Ischaemic heart disease res174: cardiovascular comorbidities SNOMED diagnostic
42343007 Congestive heart failure res174: cardiovascular comorbidities SNOMED diagnostic
50490005 Hypertensive encephalopathy res174: cardiovascular comorbidities SNOMED diagnostic
53741008 Coronary arteriosclerosis res174: cardiovascular comorbidities SNOMED diagnostic
54329005 Acute myocardial infarction of anterior wall res174: cardiovascular comorbidities SNOMED diagnostic
56218007 Systolic hypertension res174: cardiovascular comorbidities SNOMED diagnostic
56675007 Acute heart failure res174: cardiovascular comorbidities SNOMED diagnostic
57054005 Acute myocardial infarction res174: cardiovascular comorbidities SNOMED diagnostic
59621000 Essential hypertension res174: cardiovascular comorbidities SNOMED diagnostic
64715009 Hypertensive heart disease res174: cardiovascular comorbidities SNOMED diagnostic
70272006 Malignant hypertension res174: cardiovascular comorbidities SNOMED diagnostic
73795002 Acute myocardial infarction of inferior wall res174: cardiovascular comorbidities SNOMED diagnostic
84114007 Heart failure res174: cardiovascular comorbidities SNOMED diagnostic
85232009 Left ventricular failure res174: cardiovascular comorbidities SNOMED diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH840/version/1759/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH840/version/1759/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('PH840', '1759', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH840/version/1759/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH840/version/1759/export/codes/?format=json
CSV site_root/phenotypes/PH840/version/1759/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('PH840', '1759', api_client=client)

Version History

Version
ID
Name Owner Publish date
1759 Cardiovascular Comorbidities ieuan.scanlon 2022-04-04 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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