Genome-Wide Study of Age-related Macular Degeneration (AMD) in the Personalized Medicine Research Project Below is a flowchart and pseudo code used to select Marshfield’s Age-related Macular Degeneration (AMD) cohort. Pseudo code can be found on the following pages. Included is information specific to each reference identified within the applicable flowchart symbols. If you have questions regarding any of the information presented on this page, you may contact either: Peggy Peissig at peissig.peggy@marshfieldclinic.org or call: 715.221.9880 James Linneman at linneman.james@marshfieldclinic.org or call 715.221.7271 FLOWCHART of AMD Phenotyping Process AMD case (1) PMRP (2) AMD Dx Yes (3) Within ophthalmology Yes (4) 2 or more diagnoses Yes (5) Dx >= 14 days apart Yes Yes (7) Within ophthalmology Yes (8) 2 or more diagnoses Yes (9) Dx >= 14 days apart Yes AMD Case Drusen case (1) PMRP (6) Drusen Dx Control (1) PMRP (10) AMD/ Drusen Dx Yes No (11) Exclusion Dx Yes No (12) Eye exam Last 2 years No Yes (13) Age 50 + at last eye exam No Yes (14) 1+ Comp eye exam (ever) No Yes Control 1 Exclude Drusen Case Pseudo code for the “AMD” Phenotype ID Step Description 1 a -Select all subjects from the PMRP cohort who have: Consented Did not withdraw from the study Include subjects with contact_for_research = ‘N’ Include subjects where questionnaires have been scanned. 2 a -Select subjects with the following diagnoses codes: -Use diagnoses from 1979 to present. Diagnoses of any AMD 'ICD 9' - BETWEEN '362.50' AND '362.52' 3 a -Select from subjects having AMD ICD9 codes given by ophthalmologist/optometrist within ophthalmology/optometry department(s). 4 a -Select subjects having two or more AMD diagnoses (see 2a above); within ophthalmology/optometry (see 3a above). 5 a -Select subjects having two or more AMD diagnoses (see 2a above) within ophthalmology/optometry (see 3a above), where the earliest and most recent diagnosis are at least fourteen days apart. 6 a -Select subjects (see step 1a above) with the following diagnoses codes: -Use diagnoses from 1979 to present. Diagnoses of any Drusen 'ICD 9' - BETWEEN '362.57' AND '362.57' 7 a -Select from subjects having Drusen ICD9 codes given by ophthalmologist/optometrist within ophthalmology/optometry department(s). 8 a -Select subjects having two or more Drusen diagnoses (see 6a above); within ophthalmology/optometry (see 7a above). 9 a -Select subjects having two or more Drusen diagnoses (see 6a above) within ophthalmology/optometry (see 7a above), where the earliest and most recent diagnosis are at least fourteen days apart. 10 a -Select from subjects (see step 1a above) having no AMD diagnoses (see step 2a above) and having no Drusen diagnoses (see step 6a above). 11 a -Select subjects (see step 10a above) having none of the following diagnoses codes: -Use diagnoses from 1979 to present. Diagnoses of any Retinopathy/Diabetic Retinopathy 'ICD 9' IN('362.11','363.31','362.20','364.89','362.30','362.01','362.02','362.03', '362.04','362.05','362.06','362.07','362.10','250.50','250.51','250.52','250.53') 2 Pseudo code for the “AMD” Phenotype ID Step Description 12 a -Select from subjects (see step 11a above) having at least one eye exam within the last two years if living or the last two years prior to date of death if deceased, using CPT codes: 92002, 92004, 92012, 92014, 92018, 92019, or 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245 where provider specialty is Ophthalmology or Optometry. 13 a -Select from subjects age 50 years or older at most recent eye exam (within last two years). 14 a -Select from subjects having one or more comprehensive type eye exams (ever) using CPT codes: 92004, 92014, or 99204, 99205, 99214, 99215, 99244, 99245 where provider specialty is Ophthalmology or Optometry. Last updated: May 1, 2012 3