Phenotype Library | phenotype: Shoulder Diagnosis

Shoulder Diagnosis

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

PH854

Version ID

1787

Type

Disease or Syndrome

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

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

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C2608/6629 Shoulder Diagnosis - Primary Care - SNOMED CT codes

Rows: 49

Code	Description	Entity type	Coding System (SNOMED)	Category
119633005	Shoulder reconstruction	res174: shoulder diagnoses	SNOMED	diagnostic
125594001	Injury of shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
16982005	Shoulder region structure	res174: shoulder diagnoses	SNOMED	diagnostic
179893007	Arthroscopic acromioplasty	res174: shoulder diagnoses	SNOMED	diagnostic
202329003	Detachment of the glenoid labrum and/or capsule of the shoulder joint	res174: shoulder diagnoses	SNOMED	diagnostic
202841003	Supraspinatus tendinitis	res174: shoulder diagnoses	SNOMED	diagnostic
202843000	Full thickness rotator cuff tear	res174: shoulder diagnoses	SNOMED	diagnostic
202852009	Shoulder tendinitis	res174: shoulder diagnoses	SNOMED	diagnostic
20904001	Arthrodesis of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
217225009	Repair of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
239865003	Osteoarthritis of acromioclavicular joint	res174: shoulder diagnoses	SNOMED	diagnostic
239958005	Painful arc syndrome	res174: shoulder diagnoses	SNOMED	diagnostic
239960007	Impingement syndrome of shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
239961006	Bursitis of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
241633004	MRI of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
263049003	Subluxation of acromioclavicular joint	res174: shoulder diagnoses	SNOMED	diagnostic
263122000	Injury of glenoid labrum of shoulder joint	res174: shoulder diagnoses	SNOMED	diagnostic
263480002	Entire tendon of supraspinatus muscle	res174: shoulder diagnoses	SNOMED	diagnostic
27182002	Sprain of acromioclavicular ligament	res174: shoulder diagnoses	SNOMED	diagnostic
274140005	Subscapularis tendinitis	res174: shoulder diagnoses	SNOMED	diagnostic
275334004	Shoulder strain	res174: shoulder diagnoses	SNOMED	diagnostic
27741009	Calcific tendinitis of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
281812007	Arthroscopy of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
29592009	Radiography of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
303922008	US shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
3199001	Sprain of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
359532006	Rotator cuff impingement syndrome	res174: shoulder diagnoses	SNOMED	diagnostic
399114005	Adhesive capsulitis of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
399346004	Supraspinatus tear	res174: shoulder diagnoses	SNOMED	diagnostic
40257000	Contusion of shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
40799003	Subacromial bursitis	res174: shoulder diagnoses	SNOMED	diagnostic
4106009	Rotator cuff syndrome	res174: shoulder diagnoses	SNOMED	diagnostic
42262007	Total shoulder replacement	res174: shoulder diagnoses	SNOMED	diagnostic
428883008	Rupture of tendon of biceps	res174: shoulder diagnoses	SNOMED	diagnostic
429459001	Arthritis of acromioclavicular joint	res174: shoulder diagnoses	SNOMED	diagnostic
430263007	Arthroscopic shoulder decompression	res174: shoulder diagnoses	SNOMED	diagnostic
442520000	Inflammation of rotator cuff tendon	res174: shoulder diagnoses	SNOMED	diagnostic
45326000	Shoulder pain	res174: shoulder diagnoses	SNOMED	diagnostic
56060000	Repair of musculotendinous cuff of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
67315001	Osteoarthritis of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
6858004	Capsulitis	res174: shoulder diagnoses	SNOMED	diagnostic
78715003	Subdeltoid bursitis	res174: shoulder diagnoses	SNOMED	diagnostic
7885001	Structure of rotator cuff including muscles and tendons	res174: shoulder diagnoses	SNOMED	diagnostic
79092002	Arthrography of shoulder	res174: shoulder diagnoses	SNOMED	diagnostic
85856004	Acromioclavicular joint structure	res174: shoulder diagnoses	SNOMED	diagnostic
86128003	Rupture of tendon of biceps, long head	res174: shoulder diagnoses	SNOMED	diagnostic
91774008	Structure of right shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
91775009	Structure of left shoulder region	res174: shoulder diagnoses	SNOMED	diagnostic
95414005	calcific tendinitis	res174: shoulder diagnoses	SNOMED	diagnostic

API

To Export Phenotype Details:

Format	API
XML	site_root/api/v1/public/phenotypes/PH854/version/1787/detail/?format=xml
JSON	site_root/api/v1/public/phenotypes/PH854/version/1787/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('PH854', '1787', api_client=client)`

To Export Phenotype Code List:

Format	API
XML	site_root/api/v1/public/phenotypes/PH854/version/1787/export/codes/?format=xml
JSON	site_root/api/v1/public/phenotypes/PH854/version/1787/export/codes/?format=json
CSV	site_root/phenotypes/PH854/version/1787/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('PH854', '1787', api_client=client)`

Version History

Version ID	Name	Owner	Publish date
1787	Shoulder Diagnosis	ieuan.scanlon	2022-04-04	currently shown