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dehall committed Sep 5, 2024
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34 changes: 11 additions & 23 deletions docs/diabetic_retinopathy_module_guide.md
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Expand Up @@ -88,7 +88,7 @@ Pattern® (PPP), 2019 edition\[1\].
## Diabetic Retinopathy Treatment

<img src="./media/image1.png" style="width:6.20848in;height:8.9172in"
alt="Diagram Description automatically generated" />
alt="Diabetic Retinopathy Treatment module" />

## Submodules

Expand All @@ -101,32 +101,32 @@ branch of Synthea.
### Intraocular Pressure

<img src="./media/image2.png" style="width:6.5in;height:3.95972in"
alt="Diagram Description automatically generated" />
alt="Intraocular Pressure submodule" />

### Ophthalmic Tomography

<img src="./media/image3.png" style="width:6.5in;height:4.05486in"
alt="Diagram Description automatically generated" />
alt="Ophthalmic Tomography submodule" />

### Visual Acuity

<img src="./media/image4.png" style="width:6.5in;height:4.45069in"
alt="Diagram Description automatically generated" />
alt="Visual Acuity submodule" />

### Diabetic Retinopathy Diagnoses

<img src="./media/image5.png" style="width:6.5in;height:4.19514in"
alt="Diagram, schematic Description automatically generated" />
alt="Diabetic Retinopathy Diagnoses submodule" />

### Diabetic Retinopathy Progression

<img src="./media/image6.png" style="width:6.5in;height:3.92292in"
alt="Diagram Description automatically generated" />
alt="Diabetic Retinopathy Progression submodule" />

### OphthalmicProgression

<img src="./media/image7.png" style="width:3.05044in;height:4.67516in"
alt="Diagram Description automatically generated" />
alt="OphthalmicProgression submodule (non-GMF)" />

### OphthalmicNote

Expand All @@ -148,7 +148,7 @@ A note per encounter is structured as follows:

- Vessels, text depends on DR stage

- Optional “discussed \_ with patient” lines based on hba1c and whether
- Optional “discussed \_ with patient” lines based on HbA1c and whether
this is the first encounter

# Module Concepts
Expand All @@ -160,18 +160,6 @@ relevant to Diabetic Retinopathy.

| System | Code | Display | Module |
|----|----|----|----|
| LOINC | 57108-3 | Macular grid.center point thickness by OCT | ophthalmic_tomography |
| LOINC | 57109-1 | Macular grid.center subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57110-9 | Macular grid.inner superior subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57111-7 | Macular grid.inner nasal subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57112-5 | Macular grid.inner inferior subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57113-3 | Macular grid.inner temporal subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57114-1 | Macular grid.outer superior subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57115-8 | Macular grid.outer nasal subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57116-6 | Macular grid.outer inferior subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57117-4 | Macular grid.outer temporal subfield thickness by OCT | ophthalmic_tomography |
| LOINC | 57118-2 | Macular grid.total volume by OCT | ophthalmic_tomography |
| LOINC | 57119-0 | Optical coherence tomography panel | ophthalmic_tomography |
| LOINC | 79818-1 | Study observation Right retina by OCT | ophthalmic_tomography |
| LOINC | 79819-9 | Study observation Left retina by OCT | ophthalmic_tomography |
| LOINC | 79892-6 | Right eye Intraocular pressure | Intraocular Pressure |
Expand Down Expand Up @@ -260,12 +248,12 @@ in the run command, these changes are applied to the output records:
# Running the Module

To generate the most robust set of data, it is necessary to use the
diabetic_retinopathy branch of Synthea – this branch includes additional
`diabetic_retinopathy` branch of Synthea – this branch includes additional
experimental features which are not implemented on the main branch.
Refer to the Developer Setup and Running guide on the Synthea wiki
(<https://github.com/synthetichealth/synthea/wiki/Developer-Setup-and-Running>
) for instructions on how to setup Synthea, then run git checkout
diabetic_retinopathy to switch to the relevant branch.
) for instructions on how to setup Synthea, then run `git checkout
diabetic_retinopathy` to switch to the relevant branch.

Note 1: to reduce the size of the final dataset, you may wish to remove
modules for conditions that are not of interest. Relationships between
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