The benefits of using electronic health records (EHRs) for disease risk screening and personalized health-care decisions are being increasingly recognized. Here we present a computationally feasible statistical approach with which to address the methodological challenges involved in utilizing historical repeat measures of multiple risk factors recorded in EHRs to systematically identify patients at high risk of future disease. The approach is principally based on a 2-stage dynamic landmark model. The first stage estimates current risk factor values from all available historical repeat risk factor measurements via landmark-age–specific multivariate linear mixed-effects models with correlated random intercepts, which account for sporadically recorded repeat measures, unobserved data, and measurement errors. The second stage predicts future disease risk from a sex-stratified Cox proportional hazardsmodel, with estimated current risk factor values from the first stage.We exemplify thesemethods by developing and validating a dynamic 10-year cardiovascular disease risk prediction model using primary-care EHRs for age, diabetes status, hypertension treatment, smoking status, systolic blood pressure, total cholesterol, and high-density lipoprotein cholesterol in 41,373 persons from 10 primary-care practices in England andWales contributing to The Health Improvement Network (1997–2016). Using cross-validation, the model was well-calibrated (Brier score = 0.041, 95% confidence interval: 0.039, 0.042) and had good discrimination (C-index = 0.768, 95%confidence interval: 0.759, 0.777).
Ellie Paige, Jessica Barret, David Stevens, Ruth H Keogh, Michael J Sweeting, Irwin Nazareth, Irene Peterson, Angela M Wood, Landmark Models for Optimizing the Use of Repeated Measurements of Risk Factors in Electronic Health Records to Predict Future Disease Risk. American Journal of Epidemiology, 187(7): 1530-1538, 2018.
Code | Description | Entity type | Category | Coding System (Read) |
---|---|---|---|---|
13AB.00 | Diabetic lipid lowering diet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
13AC.00 | Diabetic weight reducing diet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
13B1.00 | Diabetic diet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
1434 | H/O: diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
14F4.00 | H/O: Admission in last year for diabetes foot problem | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBF.00 | Retinal abnormality - diabetes related | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBJ.00 | O/E - no right diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBK.00 | O/E - no left diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBL.00 | O/E - diabetic maculopathy present both eyes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBM.00 | O/E - diabetic maculopathy absent both eyes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBP.00 | O/E - right eye background diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBQ.00 | O/E - left eye background diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBR.00 | O/E - right eye preproliferative diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBS.00 | O/E - left eye preproliferative diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBT.00 | O/E - right eye proliferative diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBV.00 | O/E - left eye proliferative diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBW.00 | O/E - right eye diabetic maculopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBX.00 | O/E - left eye diabetic maculopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBk.00 | O/E - right eye stable treated prolif diabetic retino | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBl.00 | O/E - left eye stable treated prolif diabetic retinop | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBo.00 | O/E - sight threatening diabetic retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2BBr.00 | Impair vision due diab retinop | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G51000 | Foot abnormality - diabetes related | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5A.00 | O/E - Right diabetic foot at risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5B.00 | O/E - Left diabetic foot at risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5C.00 | Foot abnormality - diabetes related | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5E.00 | O/E - Right diabetic foot at low risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5F.00 | O/E - Right diabetic foot at moderate risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5G.00 | O/E - Right diabetic foot at high risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5H.00 | O/E - Right diabetic foot - ulcerated | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5I.00 | O/E - Left diabetic foot at low risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5J.00 | O/E - Left diabetic foot at moderate risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5K.00 | O/E - Left diabetic foot at high risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5L.00 | O/E - Left diabetic foot - ulcerated | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5V.00 | O/E - right chronic diabetic foot ulcer | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5W.00 | O/E - left chronic diabetic foot ulcer | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5d.00 | O/E - Left diabetic foot at increased risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
2G5e.00 | O/E - Right diabetic foot at increased risk | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
3882 | Diabetes well being questionnaire | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
3883 | Diabetes treatment satisfaction questionnaire | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
42W..00 | Hb. A1C - diabetic control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
42WZ.00 | Hb. A1C - diabetic control NOS | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
42c..00 | HbA1 - diabetic control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
661M400 | Diabetes self-management plan agreed | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
661N400 | Diabetes self-management plan review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A..00 | Diabetic monitoring | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A1.00 | Initial diabetic assessment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A2.00 | Follow-up diabetic assessment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A3.00 | Diabetic on diet only | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A4.00 | Diabetic on oral treatment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A5.00 | Diabetic on insulin | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A8.00 | Has seen dietician - diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66A9.00 | Understands diet - diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AA.11 | Injection sites - diabetic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AD.00 | Fundoscopy - diabetic check | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AG.00 | Diabetic drug side effects | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AH.00 | Diabetic treatment changed | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AH000 | Conversion to insulin | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AI.00 | Diabetic - good control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AJ.00 | Diabetic - poor control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AJ.11 | Unstable diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AJ100 | Brittle diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AJz00 | Diabetic - poor control NOS | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AK.00 | Diabetic - cooperative patient | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AL.00 | Diabetic-uncooperative patient | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AM.00 | Diabetic - follow-up default | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AN.00 | Date diabetic treatment start | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AO.00 | Date diabetic treatment stopp. | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AP.00 | Diabetes: practice programme | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AQ.00 | Diabetes: shared care programme | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AQ000 | Unsuitable for diabetes year of care programme | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AQ100 | Declined consent for diabetes year of care programme | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AR.00 | Diabetes management plan given | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AS.00 | Diabetic annual review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AT.00 | Annual diabetic blood test | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AU.00 | Diabetes care by hospital only | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AV.00 | Diabetic on insulin and oral treatment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AW.00 | Diabetic foot risk assessment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AX.00 | Diabetes: shared care in pregnancy - diabetol and obs | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AY.00 | Diabetic diet - good compliance | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66AZ.00 | Diabetic monitoring NOS | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Aa.00 | Diabetic diet - poor compliance | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Ab.00 | Diabetic foot examination | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Ac.00 | Diabetic peripheral neuropathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Af.00 | Patient diabetes education review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Ai.00 | Diabetic 6 month review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Ak.00 | Diabetic monitoring - lower risk albumin excretion | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Al.00 | Diabetic monitoring - higher risk albumin excretion | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66An.00 | Diabetes type 1 review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Ao.00 | Diabetes type 2 review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Aq.00 | Diabetic foot screen | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66As.00 | Diabetic on subcutaneous treatment | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66At.00 | Diabetic dietary review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66At000 | Type I diabetic dietary review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66At011 | Type 1 diabetic dietary review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66At100 | Type II diabetic dietary review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66At111 | Type 2 diabetic dietary review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Au.00 | Diabetic erectile dysfunction review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Av.00 | Diabetic assessment of erectile dysfunction | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
66Az.00 | High risk of diabetes mellitus annual review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
6761 | Diabetic pre-pregnancy counselling | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
679L000 | Education in self management of diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
679R.00 | Patient offered diabetes structured education program | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
67D8.00 | Provision of diabetes clinical summary | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
67IJ100 | Pre-conception advice for diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
68A7.00 | Diabetic retinopathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
68A9.00 | Diabetic retinopathy screening offered | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
68AB.00 | Diabetic digital retinopathy screening offered | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
889A.00 | Diab mellit insulin-glucose infus acute myocardial in | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8A12.00 | Diabetic crisis monitoring | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8A13.00 | Diabetic stabilisation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8B3l.00 | Diabetes medication review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8BL2.00 | Patient on maximal tolerated therapy for diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8CA4100 | Pt advised re diabetic diet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8CMW700 | Diabetes clinical pathway | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8CP2.00 | Transition of diabetes care options discussed | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8CR2.00 | Diabetes clinical management plan | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8CS0.00 | Diabetes care plan agreed | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H2J.00 | Admit diabetic emergency | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H3O.00 | Non-urgent diabetic admission | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H4F.00 | Referral to diabetologist | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H4e.00 | Referral to diabetes special interest general practit | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H7C.00 | Refer, diabetic liaison nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H7f.00 | Referral to diabetes nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8H7r.00 | Refer to diabetic foot screener | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HBG.00 | Diabetic retinopathy 12 month review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HBH.00 | Diabetic retinopathy 6 month review | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HHy.00 | Referral to diabetic register | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HKE.00 | Diabetology D.V. requested | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HLE.00 | Diabetology D.V. done | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HME.00 | Listed for Diabetology admissn | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HTE100 | Referral to community diabetes clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HTe.00 | Referral to diabetes preconception counselling clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HTi.00 | Referral to multidisciplinary diabetic clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HTk.00 | Referral to diabetic eye clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HVU.00 | Private referral to diabetologist | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hg4.00 | Discharged from care of diabetes specialist nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8HgC.00 | Discharged from diabetes shared care programme | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hj1.00 | Family/carer referral to diabetes structured educatio | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hj3.00 | Referral to DAFNE diabetes structured education progr | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hl1.00 | Referral for diabetic retinopathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hl4.00 | Referral to community diabetes specialist nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8Hlc.00 | Referral to community diabetes service | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I3W.00 | Diabetic foot examination declined | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I3X.00 | Diabetic retinopathy screening refused | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I57.00 | Patient held diabetic record declined | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I6F.00 | Diabetic retinopathy screening not indicated | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I6G.00 | Diabetic foot examination not indicated | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I81.00 | Did not complete diabetes structured education progra | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8I82.00 | Did not complete DAFNE diabetes structured education | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8IAs.00 | Diabetic dietary review declined | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8IE2.00 | Diabetes care plan declined | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
8IEQ.00 | Referral to community diabetes specialist nurse decli | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
918T.00 | Diabetes key contact | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9360 | Patient held diabetic record issued | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
93C4.00 | Patient consent given for addition to diabetic regist | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9M00.00 | Informed consent for diabetes national audit | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9M10.00 | Informed dissent for diabetes national audit | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N0m.00 | Seen in diabetic nurse consultant clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N0n.00 | Seen in community diabetes specialist clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N0o.00 | Seen in community diabetic specialist nurse clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N1Q.00 | Seen in diabetic clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N1i.00 | Seen in diabetic foot clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N1o.00 | Seen in multidisciplinary diabetic clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N1v.00 | Seen in diabetic eye clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N2d.00 | Seen by diabetologist | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N2i.00 | Seen by diabetic liaison nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N4I.00 | DNA - Did not attend diabetic clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9N4p.00 | Did not attend diabetic retinopathy clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NM0.00 | Attending diabetes clinic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NN8.00 | Under care of diabetologist | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NN9.00 | Under care of diabetes specialist nurse | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NND.00 | Under care of diabetic foot screener | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NiA.00 | Did not attend diabetes structured education programm | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NiC.00 | Did not attend DAFNE diabetes structured education pr | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9NiZ.00 | Did not attend diabetes foot screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9Nl4.00 | Seen by general practitioner special interest in diab | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL..00 | Diabetes monitoring admin. | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL..11 | Diabetes clinic administration | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL1.00 | Attends diabetes monitoring | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL2.00 | Refuses diabetes monitoring | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL3.00 | Diabetes monitoring default | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL4.00 | Diabetes monitoring 1st letter | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL5.00 | Diabetes monitoring 2nd letter | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL6.00 | Diabetes monitoring 3rd letter | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL7.00 | Diabetes monitor.verbal invite | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL8.00 | Diabetes monitor.phone invite | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OL9.00 | Diabetes monitoring deleted | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLA.00 | Diabetes monitor. check done | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLA.11 | Diabetes monitored | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLC.00 | Family/carer attended diabetes structured education p | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLD.00 | Diabetic patient unsuitable for digital retinal photo | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLF.00 | Diabetes structured education programme completed | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLH.00 | Attended DAFNE diabetes structured education programm | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLJ.00 | DAFNE diabetes structured education programme complet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLL.00 | XPERT diabetes structured education programme complet | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLM.00 | Diabetes structured education programme declined | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLN.00 | Diabetes monitor invitation by SMS (short message ser | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9OLZ.00 | Diabetes monitoring admin.NOS | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9Oy..00 | Diabetes screening administration | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9b92000 | Diabetic medicine | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9h4..00 | Exception reporting: diabetes quality indicators | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9h41.00 | Excepted from diabetes qual indicators: Patient unsui | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9h42.00 | Excepted from diabetes quality indicators: Informed d | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9h43.00 | Excepted from diabetes qual indicators: service unava | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0..00 | Diabetic retinopathy screening administrative status | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m00.00 | Eligible for diabetic retinopathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m01.00 | Ineligible for diabetic retinopathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m02.00 | Eligb temp inactv diab ret scr | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m03.00 | Eligb perm inactv diab ret scr | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m04.00 | Excluded from diabetic retinopathy screening | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m05.00 | Excluded from diabetic retinopathy screening as moved | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m06.00 | Excluded from diabetic retinopathy screening as decea | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m07.00 | Excluded diabetc retinop screen as under care ophthal | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m08.00 | Exclu diab ret screen as blind | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0A.00 | Declined diabetic retinop scrn | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0B.00 | Ex diab ret scr no cntct detls | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0C.00 | Excluded frm diabetic retinopathy screen as terminal | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0D.00 | Excluded from diabetic retinopthy screen as learn dis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
9m0E.00 | Excluded from diabetic retinopathy screen physical di | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C10..00 | Diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100.00 | Diabetes mellitus with no mention of complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100000 | Diabetes mellitus, juvenile type, no mention of compl | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100011 | Insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100100 | Diabetes mellitus, adult onset, no mention of complic | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100111 | Maturity onset diabetes | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100112 | Non-insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C100z00 | Diabetes mellitus NOS with no mention of complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C101.00 | Diabetes mellitus with ketoacidosis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C101000 | Diabetes mellitus, juvenile type, with ketoacidosis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C101100 | Diabetes mellitus, adult onset, with ketoacidosis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C101y00 | Other specified diabetes mellitus with ketoacidosis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C101z00 | Diabetes mellitus NOS with ketoacidosis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C102.00 | Diabetes mellitus with hyperosmolar coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C102000 | Diabetes mellitus, juvenile type, with hyperosmolar c | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C102100 | Diabetes mellitus, adult onset, with hyperosmolar com | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C102z00 | Diabetes mellitus NOS with hyperosmolar coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C103.00 | Diabetes mellitus with ketoacidotic coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C103000 | Diabetes mellitus, juvenile type, with ketoacidotic c | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C103100 | Diabetes mellitus, adult onset, with ketoacidotic com | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C103y00 | Other specified diabetes mellitus with coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C103z00 | Diabetes mellitus NOS with ketoacidotic coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104.00 | Diabetes mellitus with renal manifestation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104.11 | Diabetic nephropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104000 | Diabetes mellitus, juvenile type, with renal manifest | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104100 | Diabetes mellitus, adult onset, with renal manifestat | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104y00 | Other specified diabetes mellitus with renal complica | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C104z00 | Diabetes mellitus with nephropathy NOS | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C105.00 | Diabetes mellitus with ophthalmic manifestation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C105000 | Diabetes mellitus, juvenile type, + ophthalmic manife | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C105100 | Diabetes mellitus, adult onset, + ophthalmic manifest | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C105y00 | Other specified diabetes mellitus with ophthalmic com | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C105z00 | Diabetes mellitus NOS with ophthalmic manifestation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106.00 | Diabetes mellitus with neurological manifestation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106.11 | Diabetic amyotrophy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106.12 | Diabetes mellitus with neuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106.13 | Diabetes mellitus with polyneuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106000 | Diabetes mellitus, juvenile, + neurological manifesta | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106100 | Diabetes mellitus, adult onset, + neurological manife | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106y00 | Other specified diabetes mellitus with neurological c | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C106z00 | Diabetes mellitus NOS with neurological manifestation | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107.00 | Diabetes mellitus with peripheral circulatory disorde | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107.11 | Diabetes mellitus with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107.12 | Diabetes with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107000 | Diabetes mellitus, juvenile +peripheral circulatory d | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107100 | Diabetes mellitus, adult, + peripheral circulatory di | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107200 | Diabetes mellitus, adult with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107300 | IDDM with peripheral circulatory disorder | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107400 | NIDDM with peripheral circulatory disorder | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107y00 | Other specified diabetes mellitus with periph circ co | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C107z00 | Diabetes mellitus NOS with peripheral circulatory dis | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108.00 | Insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108.11 | IDDM-Insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108.12 | Type 1 diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108.13 | Type I diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108000 | Insulin-dependent diabetes mellitus with renal compli | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108011 | Type I diabetes mellitus with renal complications | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108012 | Type 1 diabetes mellitus with renal complications | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108100 | Insulin-dependent diabetes mellitus with ophthalmic c | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108111 | Type I diabetes mellitus with ophthalmic complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108112 | Type 1 diabetes mellitus with ophthalmic complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108200 | Insulin-dependent diabetes mellitus with neurological | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108211 | Type I diabetes mellitus with neurological complicati | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108212 | Type 1 diabetes mellitus with neurological complicati | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108300 | Insulin dependent diabetes mellitus with multiple com | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108311 | Type I diabetes mellitus with multiple complications | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108312 | Type 1 diabetes mellitus with multiple complications | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108400 | Unstable insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108411 | Unstable type I diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108412 | Unstable type 1 diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108500 | Insulin dependent diabetes mellitus with ulcer | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108511 | Type I diabetes mellitus with ulcer | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108512 | Type 1 diabetes mellitus with ulcer | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108600 | Insulin dependent diabetes mellitus with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108611 | Type I diabetes mellitus with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108612 | Type 1 diabetes mellitus with gangrene | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108700 | Insulin dependent diabetes mellitus with retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108711 | Type I diabetes mellitus with retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108712 | Type 1 diabetes mellitus with retinopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108800 | Insulin dependent diabetes mellitus - poor control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108811 | Type I diabetes mellitus - poor control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108812 | Type 1 diabetes mellitus - poor control | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108900 | Insulin dependent diabetes maturity onset | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108911 | Type I diabetes mellitus maturity onset | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108912 | Type 1 diabetes mellitus maturity onset | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108A00 | Insulin-dependent diabetes without complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108A11 | Type I diabetes mellitus without complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108A12 | Type 1 diabetes mellitus without complication | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108B00 | Insulin dependent diabetes mellitus with mononeuropat | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108B11 | Type I diabetes mellitus with mononeuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108B12 | Type 1 diabetes mellitus with mononeuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108C00 | Insulin dependent diabetes mellitus with polyneuropat | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108C11 | Type I diabetes mellitus with polyneuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108C12 | Type 1 diabetes mellitus with polyneuropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108D00 | Insulin dependent diabetes mellitus with nephropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108D11 | Type I diabetes mellitus with nephropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108D12 | Type 1 diabetes mellitus with nephropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108E00 | Insulin dependent diabetes mellitus with hypoglycaemi | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108E11 | Type I diabetes mellitus with hypoglycaemic coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108E12 | Type 1 diabetes mellitus with hypoglycaemic coma | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108F00 | Insulin dependent diabetes mellitus with diabetic cat | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108F11 | Type I diabetes mellitus with diabetic cataract | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108F12 | Type 1 diabetes mellitus with diabetic cataract | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108G00 | Insulin dependent diab mell with peripheral angiopath | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108G11 | Type I diabetes mellitus with peripheral angiopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108G12 | Type 1 diabetes mellitus with peripheral angiopathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108H00 | Insulin dependent diabetes mellitus with arthropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108H11 | Type I diabetes mellitus with arthropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108H12 | Type 1 diabetes mellitus with arthropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108J00 | Insulin dependent diab mell with neuropathic arthropa | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108J11 | Type I diabetes mellitus with neuropathic arthropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108J12 | Type 1 diabetes mellitus with neuropathic arthropathy | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108y00 | Other specified diabetes mellitus with multiple comps | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C108z00 | Unspecified diabetes mellitus with multiple complicat | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C109.00 | Non-insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C109.11 | NIDDM - Non-insulin dependent diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C109.12 | Type 2 diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C109.13 | Type II diabetes mellitus | res67: Diabetes_Diagnostic_Code | diagnostic | Read |
C109000 | Non-insulin-dependent diabetes mellitus with renal co | res67: Diabetes_Diagnostic_Code | diagnostic |