1+ {
2+ "name" : " Wearables_Sleep" ,
3+ "remarks" : [ " " ],
4+ "states" : {
5+ "Initial" : {
6+ "type" : " Initial" ,
7+ "conditional_transition" : [
8+ {
9+ "transition" : " Female" ,
10+ "condition" : {
11+ "condition_type" : " Gender" ,
12+ "gender" : " F"
13+ }
14+ },
15+ {
16+ "transition" : " Terminal"
17+ }
18+ ]
19+ },
20+ "Terminal" : {
21+ "type" : " Terminal"
22+ },
23+ "Female" : {
24+ "type" : " Simple" ,
25+ "remarks" : [
26+ " About one-in-five Americans use a smart watch or fitness tracker. \n https://www.pewresearch.org/short-reads/2020/01/09/about-one-in-five-americans-use-a-smart-watch-or-fitness-tracker/"
27+ ],
28+ "distributed_transition" : [
29+ {
30+ "transition" : " Age_13-19" ,
31+ "distribution" : 0.21
32+ },
33+ {
34+ "transition" : " Age_20-29" ,
35+ "distribution" : 0.21
36+ },
37+ {
38+ "transition" : " Age_30-39" ,
39+ "distribution" : 0.21
40+ },
41+ {
42+ "transition" : " Age_40-49" ,
43+ "distribution" : 0.21
44+ }
45+ ]
46+ },
47+ "Age_13-19" : {
48+ "type" : " Delay" ,
49+ "direct_transition" : " Endometriosis" ,
50+ "range" : {
51+ "low" : 13 ,
52+ "high" : 19 ,
53+ "unit" : " years"
54+ }
55+ },
56+ "Age_20-29" : {
57+ "type" : " Delay" ,
58+ "direct_transition" : " Endometriosis" ,
59+ "range" : {
60+ "low" : 20 ,
61+ "high" : 29 ,
62+ "unit" : " years"
63+ }
64+ },
65+ "Age_30-39" : {
66+ "type" : " Delay" ,
67+ "direct_transition" : " Endometriosis" ,
68+ "range" : {
69+ "low" : 30 ,
70+ "high" : 39 ,
71+ "unit" : " years"
72+ }
73+ },
74+ "Age_40-49" : {
75+ "type" : " Delay" ,
76+ "direct_transition" : " Endometriosis" ,
77+ "range" : {
78+ "low" : 40 ,
79+ "high" : 49 ,
80+ "unit" : " years"
81+ }
82+ },
83+
84+
85+ "Endometriosis" : {
86+ "type" : " ConditionOnset" ,
87+ "target_encounter" : " Obgyn_Encounter" ,
88+ "codes" : [
89+ {
90+ "system" : " SNOMED-CT" ,
91+ "code" : 129103003 ,
92+ "display" : " Endometriosis (disorder)"
93+ }
94+ ],
95+ "remarks" : [ " " ],
96+ "distributed_transition" : [
97+ {
98+ "transition" : " Obgyn_Encounter" ,
99+ "distribution" : 0.2
100+ },
101+ {
102+ "transition" : " Symptom_Onset_Delay" ,
103+ "distribution" : 0.79
104+ },
105+ {
106+ "transition" : " Terminal" ,
107+ "distribution" : 0.01
108+ }
109+ ]
110+ },
111+ "Symptom_Onset_Delay" : {
112+ "type" : " Delay" ,
113+ "direct_transition" : " Menstrual_Cramps_Symptom" ,
114+ "range" : {
115+ "low" : 1 ,
116+ "high" : 5 ,
117+ "unit" : " years"
118+ }
119+ },
120+ "Menstrual_Cramps_Symptom" : {
121+ "type" : " Symptom" ,
122+ "symptom" : " Cramps" ,
123+ "cause" : " Endometriosis" ,
124+ "direct_transition" : " Menstrual_Cramps_Symptom_Ends" ,
125+ "codes" : [
126+ {
127+ "system" : " SNOMED-CT" ,
128+ "code" : 431416001 ,
129+ "display" : " Menstrual cramp (finding)"
130+ }
131+ ]
132+ },
133+ "Menstrual_Cramps_Symptom_Ends" : {
134+ "type" : " Symptom" ,
135+ "symptom" : " Cramps" ,
136+ "cause" : " Endometriosis" ,
137+ "direct_transition" : " Endometriosis_End"
138+ },
139+
140+ "Endometriosis_End" : {
141+ "type" : " ConditionEnd" ,
142+ "condition_onset" : " Endometriosis" ,
143+ "direct_transition" : " Terminal"
144+ },
145+
146+ "Obgyn_Encounter" : {
147+ "type" : " Encounter" ,
148+ "encounter_class" : " emergency" ,
149+ "reason" : " Gynecology_Exam" ,
150+ "codes" : [
151+ {
152+ "system" : " SNOMED-CT" ,
153+ "code" : 185221008 ,
154+ "display" : " Seen in gynecology clinic (finding)"
155+ }
156+ ],
157+ "direct_transition" : " Gynecology_Exam"
158+ },
159+
160+
161+ "Obgyn_Encounter_End" : {
162+ "type" : " EncounterEnd" ,
163+ "direct_transition" : " Terminal" ,
164+ "discharge_disposition" : {
165+ "system" : " NUBC" ,
166+ "code" : " 01" ,
167+ "display" : " Discharged to home care or self care (routine discharge)"
168+ }
169+ },
170+
171+
172+ "Gynecology_Exam" : {
173+ "type" : " Procedure" ,
174+ "codes" : [
175+ {
176+ "system" : " SNOMED-CT" ,
177+ "code" : 60554003 ,
178+ "display" : " Polysomnography (procedure)"
179+ }
180+ ],
181+ "duration" : {
182+ "low" : 5 ,
183+ "high" : 10 ,
184+ "unit" : " minutes"
185+ },
186+ "direct_transition" : " Endocrinology_Sim"
187+ },
188+ "Endocrinology_Sim" : {
189+ "type" : " Physiology" ,
190+ "model" : " Roblitz2013_Menstrual_Cycle.xml" ,
191+ "solver" : " dormand_prince_54" ,
192+ "step_size" : 1 ,
193+ "sim_duration" : 28 ,
194+ "lead_time" : 0 ,
195+ "inputs" : [
196+ {
197+ "from_exp" : " #{BMI}" ,
198+ "to" : " mass"
199+ }
200+ ],
201+ "outputs" : [
202+ {
203+ "from_list" : " E2" ,
204+ "to" : " endocrinology_data" ,
205+ "type" : " Attribute"
206+ }
207+ ],
208+ "direct_transition" : " HormonePanel" ,
209+ "alt_direct_transition" : " Sleep_Imaging"
210+ },
211+ "HormonePanel" : {
212+ "type" : " Observation" ,
213+ "category" : " procedure" ,
214+ "unit" : " " ,
215+ "codes" : [
216+ {
217+ "system" : " SNOMED-CT" ,
218+ "code" : " 2243-4" ,
219+ "display" : " Estradiol (E2) [Mass/volume] in Serum or Plasma"
220+ }
221+ ],
222+ "sampled_data" : {
223+ "attributes" : [
224+ " endocrinology_data"
225+ ]
226+ },
227+ "direct_transition" : " HormonePanel_Chart"
228+ },
229+ "HormonePanel_Chart" : {
230+ "type" : " Observation" ,
231+ "category" : " procedure" ,
232+ "unit" : " " ,
233+ "codes" : [
234+ {
235+ "system" : " SNOMED-CT" ,
236+ "code" : " 2243-4" ,
237+ "display" : " Estradiol (E2) [Mass/volume] in Serum or Plasma"
238+ }
239+ ],
240+ "attachment" : {
241+ "chart" : {
242+ "type" : " line" ,
243+ "title" : " Estradiol (E2) [Mass/volume] in Serum or Plasma" ,
244+ "axis_attribute_x" : " time" ,
245+ "axis_attribute_y" : " IU/L" ,
246+ "width" : 400 ,
247+ "height" : 200 ,
248+ "series" : [
249+ {
250+ "attribute" : " endocrinology_data"
251+ }
252+ ]
253+ }
254+ },
255+ "direct_transition" : " Clear_endocrinology_data"
256+ },
257+ "Clear_endocrinology_data" : {
258+ "type" : " SetAttribute" ,
259+ "attribute" : " endocrinology_data" ,
260+ "direct_transition" : " Obgyn_Encounter_End"
261+ }
262+ },
263+ "gmf_version" : 1
264+ }
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