Telehealth Practice Recommendations for Diabetic Retinopathy, Second Edition
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Second Edition Editorial Committee: Helen K. Li, MD (Chair), Mark Horton, OD, MD (Co-chair), Sven-Erik Bursell, PhD, Jerry Cavallerano, OD, PhD, Ingrid Zimmer-Galler, MD, Mathew Tennant, MD Writing Committees: Clinical: Jerry Cavallerano, OD, PhD (Chair), Ingrid Zimmer-Galler, MD Technology: Sven-Erik Bursell, PhD (Chair), Michael Abramoff, MD, PhD, Edward Chaum, MD, PhD, Debra Cabrera DeBuc, PhD Operations: Mark Horton, OD, MD (Chair), Helen K. Li, MD, Tom Leonard-Martin, PhD, MPH, Mathew Tennant, MD, Marc Winchester, BA Other Contributors: Reviewers [R], ATA Standard and Guidelines Committee Members [SG], ATA Staff [S] Nina Antoniotti, RN, MBA, PhD [Chair, SG] Jordana Bernard, MBA [S] David Brennan, MSBE [SG] Anne Burdick, MD, MPH [SG] Jerry Cavallerano, OD, PhD [SG] Brian Grady, MD [SG] Tom Hirota, DO [SG] Elizabeth Krupinski, PhD [Vice Chair, SG] Cindy K. Leenknecht, MS, APRN-CS, CCRP [SG] Jonathan Linkous, MPA [S] Lou Theurer [SG] Jill Winters, PhD, RN [SG] First Edition American Telemedicine Association, Ocular Telehealth Special Interest Group, and the National Institute of Standards and Technology Working Group American Telemedicine Association Executive Committee: Jonathan D. Linkous, Richard Bakalar, MD, Adam Darkins, MD, Col. Ronald K. Poropatich, MD American Telemedicine Association Ocular Telehealth Special Interest Group: Jerry Cavallerano, OD, PhD (Chair), Mary G. Lawrence, MD, M.P.H. (Vice Chair) Editorial Committee: Helen K. Li, MD (Co-chair), Mathew Tennant, MD (Co-chair), Sven Bursell, PhD, Jerry Cavallerano, OD, PhD, Mark Horton, OD, MD, Richard Bakalar, MD Writing Committees: Clinical: Jerry Cavallerano, OD, PhD (Chair), Mary G. Lawrence, MD, MPH, Ingrid Zimmer-Galler, MD, COL Wendall Bauman, MD Technology: Sven Bursell, PhD (Chair), W. Kelly Gardner Operations: Mark Horton, OD, MD (Chair), Lloyd Hildebrand, MD, Jay Federman, MD National Institute of Standards and Technology: Lisa Carnahan Veterans Administration: Peter Kuzmak, John M. Peters, Adam Darkins, MD At Large Group Participants: Jehanara Ahmed, MD, Lloyd M. Aiello, MD, Lloyd P. Aiello, MD, PhD, Gary Buck, Ying Ling Chen, PhD, Denise Cunningham, CRA, RBP, M.Ed., Eric Goodall, Ned Hope, Eugene Huang, PhD, Larry Hubbard, MAT, Mark Janczewski, MD, J.W.L. Lewis, PhD, Hiro Matsuzaki, COL Francis L. McVeigh, OD, Jordana Motzno, Diane Parker-Taillon, Robert Read, Peter Soliz, PhD, Bernard Szirth, PhD, COL Robert A. Vigersky, MD, COL Thomas Ward, MD American Telemedicine Association Administrative Contributor: Catherine Diver Table of Contents 1. PREAMBLE 2. INTRODUCTION 3. BACKGROUND a. The Diabetic Retinopathy Study b. Early Treatment Diabetic Retinopathy Study c. Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications d. The United Kingdom Prospective Diabetes Study e. The Diabetic Retinopathy Clinical Research Network 4. PRINCIPLES OF A TELEHEALTH DR PROGRAM a. Mission b. Vision c. Goals d. Guiding Principles 5. ETHICS 6. CLINICAL VALIDATION a. Category 1 b. Category 2 c. Category 3 d. Category 4 7. COMMUNICATION 8. PERSONNEL QUALIFICATIONS a. Medical Care Supervision b. Patient Care Coordinator c. Image Acquisition d. Image Review and Evaluation e. Information Systems 9. EQUIPMENT SPECIFICATIONS a. Interoperability b. Image Acquisition c. Compression d. Data Communication and Transmission e. Computer Display f. Archiving and Retrieval g. Security h. Reliability and Redundancy i. Documentation j. Image Analysis 10. LEGAL REQUIREMENTS a. Health Insurance Portability and Accountability Act b. Privileging and Credentialing c. Stark Act and Self-Referrals d. State Medical Practice Acts/Licensure e. Tort Liability f. Duty g. Standards of Care h. Consent 11. QUALITY CONTROL 12. OPERATIONS 13. CUSTOMER SUPPORT a. Originating Site b. Transmission c. Distant Site 14. FINANCIAL FACTORS a. Reimbursement b. Grants c. Federal Programs d. Other Financial Factors e. Equipment Cost 15. SUMMARY REFERENCES APPENDIX 1. Interoperability 2. Digital Imaging and Communications in Medicine (DICOM) Metadata 3. Computer-Aided Detection 4. Health Insurance Portability and Accountability Act 5. Privileging and Credentialing 6. Quality Control 7. Operational Specifications 8. Customer Support 9. Reimbursement ABBREVIATIONS GLOSSARY
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it