Methods are described in full in the paper. Briefly: * SLE Read codes, were identified from the CPRD dictionary and from review of code lists reported in previous CPRD studies. * Code lists were reviewed independently by two rheumatologists and those with agreement retained. * Clinical and immunological features suggestive of SLE based on the 2019 EULAR-ACR classification criteria were found. * Immunosuppressants were amended to include SLE related medications which are now more widely used (addition of Leflunomide, Mycophenolate Mofetil, Rituximab and Tacrolimus and Belimumab). * Test data (e.g. white cell count) had inclusion thresholds set based on unit types and expected normal values.