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Retinal Screening

Evangelos Kontopantelis, David Springate, David Reeves, Darren M Ashcroft, Jose M Valderas, Tim Doran

ID
PH556
Version ID
1112
Type
Biomarker
Data Sources
Valid event data range
01/04/2004 - 31/03/2021
Sex
♀  Female ♂  Male
Agreement Date
2014-01-27
Coding system
Read codes v2 OXMIS codes
Collections
ClinicalCodes Repository Phenotype Library
Tags
No tags

Definition

The study period extended from 1 April 2004, the date of introduction of the incentivisation scheme, to 31 March 2012. Practices’ performance under the QOF is measured over a financial year, so we divided the study period into eight financial years (1 April to 31 March the following year). Not all 644 practices provided research standard data (as assessed by the CPRD assessment algorithm) for the whole period. Within each year, we identified practices that reliably contributed data for the whole year. Our main dataset comprised this group of practices, which varies over time. We also generated two alternative datasets with which to assess the sensitivity of our findings. For the first, we included 452 practices that were continuously active and up to standard for the whole of the study period; for the second, we selected a subsample of 50 practices that were most representative of UK practices in terms of list sizes of patients and area deprivation according to the Index of Multiple Deprivation,13 14 two of the most important predictors of QOF performance.12 15 16 In each of the three datasets, for each financial year, we defined “eligible” patients as those registered with an included practice for the full year.

Publications

  • Evangelos Kontopantelis, David Springate, David Reeves, Darren M Ashcroft, Jose M Valderas, Tim Doran, Withdrawing performance indicators: retrospective analysis of general practice performance under UK Quality and Outcomes Framework. BMJ, 348:g330, 2014.

Clinical Code List

Rows: 64
Code Description Entity type Coding System (OXMIS Read) Category
2BB..00 O/E - retinal inspection Retinal_screening Read test
2BB..11 O/E - retina Retinal_screening Read test
2BB1.00 O/E - retina normal Retinal_screening Read test
2BB2.00 O/E - retinal vessel narrowing Retinal_screening Read test
2BB3.00 O/E - retinal A-V nipping Retinal_screening Read test
2BB4.00 O/E - retinal microaneurysms Retinal_screening Read test
2BB5.00 O/E - retinal haemorrhages Retinal_screening Read test
2BB6.00 O/E - retinal exudates Retinal_screening Read test
2BB7.00 O/E - retinal vascular prolif. Retinal_screening Read test
2BB8.00 O/E - vitreous haemorrhages Retinal_screening Read test
2BB9.00 O/E - retinal pigmentation Retinal_screening Read test
2BBA.00 Examination of retina Retinal_screening Read test
2BBB.00 O/E - Right retina not seen Retinal_screening Read test
2BBC.00 O/E - Left retina not seen Retinal_screening Read test
2BBD.00 O/E - Right retina normal Retinal_screening Read test
2BBE.00 O/E - Left retina normal Retinal_screening Read test
2BBF.00 Retinal abnormality - diabetes related Retinal_screening Read test
2BBG.00 Retinal abnormality - non-diabetes Retinal_screening Read test
2BBH.00 Retinal drusen Retinal_screening Read test
2BBI.00 O/E - no retinopathy Retinal_screening Read test
2BBJ.00 O/E - no right diabetic retinopathy Retinal_screening Read test
2BBK.00 O/E - no left diabetic retinopathy Retinal_screening Read test
2BBL.00 O/E - diabetic maculopathy present both eyes Retinal_screening Read test
2BBM.00 O/E - diabetic maculopathy absent both eyes Retinal_screening Read test
2BBN.00 Myelinated retinal nerve fibres Retinal_screening Read test
2BBO.00 O/E - Laser photocoagulation scars Retinal_screening Read test
2BBP.00 O/E - right eye background diabetic retinopathy Retinal_screening Read test
2BBQ.00 O/E - left eye background diabetic retinopathy Retinal_screening Read test
2BBR.00 O/E - right eye preproliferative diabetic retinopathy Retinal_screening Read test
2BBS.00 O/E - left eye preproliferative diabetic retinopathy Retinal_screening Read test
2BBT.00 O/E - right eye proliferative diabetic retinopathy Retinal_screening Read test
2BBV.00 O/E - left eye proliferative diabetic retinopathy Retinal_screening Read test
2BBW.00 O/E - right eye diabetic maculopathy Retinal_screening Read test
2BBX.00 O/E - left eye diabetic maculopathy Retinal_screening Read test
2BBY.00 O/E - referable retinopathy Retinal_screening Read test
2BBZ.00 O/E - retinal inspection NOS Retinal_screening Read test
2BBa.00 O/E- non-referable retinopathy Retinal_screening Read test
2BBb.00 O/E - fundus not adequately seen Retinal_screening Read test
2BBc.00 O/E - No retinal laser photocoagulation scars Retinal_screening Read test
2BBd.00 O/E - Red reflex absent Retinal_screening Read test
2BBe.00 O/E - right retina partially assessable Retinal_screening Read test
2BBg.00 O/E - right retina fully assessable Retinal_screening Read test
2BBi.00 O/E - right eye no maculopathy Retinal_screening Read test
2BBj.00 O/E - left eye no maculopathy Retinal_screening Read test
2BBk.00 O/E - right eye stable treated prolif diabetic retinopathy Retinal_screening Read test
2BBl.00 O/E - left eye stable treated prolif diabetic retinopathy Retinal_screening Read test
2BBm.00 O/E - right eye clinically significant macular oedema Retinal_screening Read test
2BBn.00 O/E - left eye clinically significant macular oedema Retinal_screening Read test
2BBo.00 O/E - sight threatening diabetic retinopathy Retinal_screening Read test
3128.00 Fundoscopy Retinal_screening Read test
3128.11 Retinoscopy Retinal_screening Read test
3128000 Fundoscopy normal Retinal_screening Read test
3128100 Fundoscopy abnormal Retinal_screening Read test
3128200 Dilated fundoscopy normal Retinal_screening Read test
3128300 Camera fundoscopy Retinal_screening Read test
3128400 Indirect fundoscopy following mydriatic Retinal_screening Read test
3128Z00 Fundoscopy NOS Retinal_screening Read test
3129.00 Eye fundus photography Retinal_screening Read test
312E.00 Direct fundoscopy following mydriatic Retinal_screening Read test
312G.00 Indirect fundoscopy following mydriatic Retinal_screening Read test
58C1.00 Retinal photography Retinal_screening Read test
66AD.00 Fundoscopy - diabetic check Retinal_screening Read test
68A7.00 Diabetic retinopathy screening Retinal_screening Read test
68A8.00 Digital retinal screening Retinal_screening Read test
Rows: 3
Code Description Entity type Coding System (OXMIS Read) Category
X962 FUNDOSCOPY Retinal_screening OXMIS test
X962 AB FUNDOSCOPY ABNORMAL Retinal_screening OXMIS test
X962 NM FUNDOSCOPY NORMAL Retinal_screening OXMIS test

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH556/version/1112/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH556/version/1112/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('PH556', '1112', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH556/version/1112/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH556/version/1112/export/codes/?format=json
CSV site_root/phenotypes/PH556/version/1112/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('PH556', '1112', api_client=client)

Version History

Version
ID
Name Owner Publish date
1112 Retinal Screening ieuan.scanlon 2021-10-06 currently shown

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

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