<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="atrius-vs-diabetic-retinopathy"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet atrius-vs-diabetic-retinopathy</b></p><a name="atrius-vs-diabetic-retinopathy"> </a><a name="hcatrius-vs-diabetic-retinopathy"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/6.0.2/CodeSystem-icd10.html"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>E10.3</td><td>Type 1 diabetes mellitus with ophthalmic complications</td></tr><tr><td>E11.3</td><td>Type 2 diabetes mellitus with ophthalmic complications</td></tr><tr><td>E12.3</td><td>Malnutrition-related diabetes mellitus with ophthalmic complications</td></tr><tr><td>E13.3</td><td>Other specified diabetes mellitus with ophthalmic complications</td></tr><tr><td>E14.3</td><td>Unspecified diabetes mellitus with ophthalmic complications</td></tr></table></li><li>Include these codes as defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://snomed.info/id/1306699009">1306699009</a></td><td>Stable treated proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/1306700005">1306700005</a></td><td>Stable treated proliferative retinopathy of bilateral eyes due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/1354552000">1354552000</a></td><td>Mild macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/1354553005">1354553005</a></td><td>Moderate macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/1354554004">1354554004</a></td><td>Severe macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/193349004">193349004</a></td><td>Preproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/193350004">193350004</a></td><td>Advanced maculopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/232020009">232020009</a></td><td>Disorder of macula due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/232021008">232021008</a></td><td>Proliferative retinopathy with optic disc neovascularization due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/232022001">232022001</a></td><td>Proliferative retinopathy with neovascularization elsewhere than the optic disc due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/232023006">232023006</a></td><td>Traction detachment of retina due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/25412000">25412000</a></td><td>Microaneurysm of retinal artery due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/311782002">311782002</a></td><td>Advanced retinal disease due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312903003">312903003</a></td><td>Mild nonproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312904009">312904009</a></td><td>Moderate nonproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312905005">312905005</a></td><td>Severe nonproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312906006">312906006</a></td><td>Non-high-risk proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312907002">312907002</a></td><td>High risk proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312908007">312908007</a></td><td>Quiescent proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312909004">312909004</a></td><td>Proliferative retinopathy with iris neovascularization due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/312912001">312912001</a></td><td>Macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/314010006">314010006</a></td><td>Diffuse exudative maculopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/314011005">314011005</a></td><td>Focal exudative maculopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/314014002">314014002</a></td><td>Ischemic maculopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/314015001">314015001</a></td><td>Mixed maculopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/390834004">390834004</a></td><td>Nonproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399862001">399862001</a></td><td>High risk proliferative retinopathy without macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399863006">399863006</a></td><td>Very severe nonproliferative retinopathy without macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399864000">399864000</a></td><td>Macular edema not clinically significant due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399865004">399865004</a></td><td>Very severe proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399866003">399866003</a></td><td>Venous beading of retina due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399868002">399868002</a></td><td>Intraretinal microvascular anomaly due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399869005">399869005</a></td><td>High risk proliferative retinopathy not amenable to photocoagulation due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399870006">399870006</a></td><td>Non-high-risk proliferative retinopathy with no macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399871005">399871005</a></td><td>Visually threatening retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399872003">399872003</a></td><td>Severe nonproliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399873008">399873008</a></td><td>Severe nonproliferative retinopathy without macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399874002">399874002</a></td><td>High risk proliferative retinopathy with clinically significant macula edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399875001">399875001</a></td><td>Non-high-risk proliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399876000">399876000</a></td><td>Very severe nonproliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/399877009">399877009</a></td><td>Very severe nonproliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/420486006">420486006</a></td><td>Exudative maculopathy due to type 1 diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/420789003">420789003</a></td><td>Retinopathy due to type 1 diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/421779007">421779007</a></td><td>Exudative maculopathy due to type 2 diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/422034002">422034002</a></td><td>Retinopathy due to type 2 diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/4855003">4855003</a></td><td>Retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/59276001">59276001</a></td><td>Proliferative retinopathy due to diabetes mellitus (disorder)</td></tr><tr><td><a href="http://snomed.info/id/870420005">870420005</a></td><td>Severe nonproliferative retinopathy with venous beading of retina due to diabetes mellitus (disorder)</td></tr></table></li></ul></div>
  </text>
  <url value="https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-diabetic-retinopathy"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.66219.1.48.122"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="AtriusVsDiabeticRetinopathy"/>
  <title value="Atrius Diabetic Retinopathy"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-21T19:22:21+05:30"/>
  <publisher value="Atrius"/>
  <contact>
    <name value="Atrius"/>
    <telecom>
      <system value="url"/>
      <value value="https://atrius.in"/>
    </telecom>
  </contact>
  <description value="Atrius-authored ValueSet for CQL valueset &quot;Diabetic Retinopathy&quot;. The ICD arm targets WHO ICD-10 (http://hl7.org/fhir/sid/icd-10), which is the system HIS stamps on Condition.code; ICD-10-CM is provenance only. The 190 ICD-10-CM codes in the VSAC expansion roll up to 5 WHO entries (0 block(s) by is-a, 5 exact code(s)). CM-only categories mapped by hand: E08.3 to E13.3, E09.3 to E13.3. Added because WHO carves the disease differently and no ICD-10-CM code rolls up to them: E12.3, E14.3. VSAC OID 2.16.840.1.113883.3.526.3.327 is provenance only."/>
  <purpose value="CQL membership for Atrius measure/pathway libraries. Provenance VSAC OID: 2.16.840.1.113883.3.526.3.327."/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/sid/icd-10"/>
      <concept>
        <code value="E10.3"/>
        <display value="Type 1 diabetes mellitus with ophthalmic complications"/>
      </concept>
      <concept>
        <code value="E11.3"/>
        <display value="Type 2 diabetes mellitus with ophthalmic complications"/>
      </concept>
      <concept>
        <code value="E12.3"/>
        <display value="Malnutrition-related diabetes mellitus with ophthalmic complications"/>
      </concept>
      <concept>
        <code value="E13.3"/>
        <display value="Other specified diabetes mellitus with ophthalmic complications"/>
      </concept>
      <concept>
        <code value="E14.3"/>
        <display value="Unspecified diabetes mellitus with ophthalmic complications"/>
      </concept>
    </include>
    <include>
      <system value="http://snomed.info/sct"/>
      <concept>
        <code value="1306699009"/>
        <display value="Stable treated proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="1306700005"/>
        <display value="Stable treated proliferative retinopathy of bilateral eyes due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="1354552000"/>
        <display value="Mild macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="1354553005"/>
        <display value="Moderate macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="1354554004"/>
        <display value="Severe macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="193349004"/>
        <display value="Preproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="193350004"/>
        <display value="Advanced maculopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="232020009"/>
        <display value="Disorder of macula due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="232021008"/>
        <display value="Proliferative retinopathy with optic disc neovascularization due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="232022001"/>
        <display value="Proliferative retinopathy with neovascularization elsewhere than the optic disc due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="232023006"/>
        <display value="Traction detachment of retina due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="25412000"/>
        <display value="Microaneurysm of retinal artery due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="311782002"/>
        <display value="Advanced retinal disease due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312903003"/>
        <display value="Mild nonproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312904009"/>
        <display value="Moderate nonproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312905005"/>
        <display value="Severe nonproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312906006"/>
        <display value="Non-high-risk proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312907002"/>
        <display value="High risk proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312908007"/>
        <display value="Quiescent proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312909004"/>
        <display value="Proliferative retinopathy with iris neovascularization due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="312912001"/>
        <display value="Macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="314010006"/>
        <display value="Diffuse exudative maculopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="314011005"/>
        <display value="Focal exudative maculopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="314014002"/>
        <display value="Ischemic maculopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="314015001"/>
        <display value="Mixed maculopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="390834004"/>
        <display value="Nonproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399862001"/>
        <display value="High risk proliferative retinopathy without macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399863006"/>
        <display value="Very severe nonproliferative retinopathy without macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399864000"/>
        <display value="Macular edema not clinically significant due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399865004"/>
        <display value="Very severe proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399866003"/>
        <display value="Venous beading of retina due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399868002"/>
        <display value="Intraretinal microvascular anomaly due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399869005"/>
        <display value="High risk proliferative retinopathy not amenable to photocoagulation due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399870006"/>
        <display value="Non-high-risk proliferative retinopathy with no macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399871005"/>
        <display value="Visually threatening retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399872003"/>
        <display value="Severe nonproliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399873008"/>
        <display value="Severe nonproliferative retinopathy without macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399874002"/>
        <display value="High risk proliferative retinopathy with clinically significant macula edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399875001"/>
        <display value="Non-high-risk proliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399876000"/>
        <display value="Very severe nonproliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="399877009"/>
        <display value="Very severe nonproliferative retinopathy with clinically significant macular edema due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="420486006"/>
        <display value="Exudative maculopathy due to type 1 diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="420789003"/>
        <display value="Retinopathy due to type 1 diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="421779007"/>
        <display value="Exudative maculopathy due to type 2 diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="422034002"/>
        <display value="Retinopathy due to type 2 diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="4855003"/>
        <display value="Retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="59276001"/>
        <display value="Proliferative retinopathy due to diabetes mellitus (disorder)"/>
      </concept>
      <concept>
        <code value="870420005"/>
        <display value="Severe nonproliferative retinopathy with venous beading of retina due to diabetes mellitus (disorder)"/>
      </concept>
    </include>
  </compose>
</ValueSet>