// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors
// SPDX-License-Identifier: Apache-2.0
import type { Questionnaire } from '@medplum/fhirtypes';
export const defaultSoapNoteQuestionnaire: Questionnaire = {
resourceType: 'Questionnaire',
name: 'SOAP Note - Menopause',
title: 'SOAP Note - Menopause Service',
status: 'active',
id: 'b0166b1b-d4b8-4d09-b6bc-2f094cf7de9e',
item: [
{
id: 'id-55',
linkId: 'date',
type: 'date',
text: 'Date of Visit',
initial: [
{
valueDate: '2023-10-19',
},
],
},
{
id: 'id-64',
linkId: 'g10',
type: 'group',
text: 'Subjective Evaluation',
item: [
{
id: 'id-94',
linkId: 'q29',
type: 'boolean',
text: 'Hot flashes',
},
{
id: 'id-96',
linkId: 'q31',
type: 'boolean',
text: 'Mood swings',
},
{
id: 'id-95',
linkId: 'q30',
type: 'boolean',
text: 'Vaginal dryness',
},
{
id: 'id-97',
linkId: 'q32',
type: 'boolean',
text: 'Sleep Disturbance',
},
{
id: 'id-67',
linkId: 'q13',
type: 'open-choice',
text: 'Self-reported history',
answerOption: [
{
id: 'id-76',
valueString: 'Blood clots',
},
{
id: 'id-77',
valueString: 'Stroke',
},
{
id: 'id-78',
valueString: 'Breast cancer',
},
{
id: 'id-79',
valueString: 'Endometrial cancer',
},
{
id: 'id-80',
valueString: 'Irregular bleeding',
},
{
id: 'id-81',
valueString: 'BMI > 30',
},
],
},
{
id: 'id-100',
linkId: 'q34',
type: 'text',
text: 'Details',
},
],
},
{
id: 'id-68',
linkId: 'g14',
type: 'group',
text: 'Objective Evaluation',
item: [
{
id: 'id-92',
linkId: 'q27',
type: 'boolean',
text: 'Confirmed patient age > 45 y as of today',
},
],
},
{
id: 'id-71',
linkId: 'g17',
type: 'group',
text: 'Assessment',
item: [
{
id: 'id-72',
linkId: 'q18',
type: 'choice',
text: 'Based on data, submit the SNOMED diagnosis codes for this patient.',
answerOption: [
{
id: 'id-83',
valueString: 'No current problems (160245001)',
},
{
id: 'id-84',
valueString: 'Early menopause (160397006)',
},
{
id: 'id-85',
valueString: 'Late menopause (160398001)',
},
],
},
{
id: 'id-98',
linkId: 'q33',
type: 'string',
text: 'Other Diagnosis Code',
},
],
},
{
id: 'id-86',
linkId: 'g21',
type: 'group',
text: 'Plan',
item: [
{
id: 'id-87',
linkId: 'q22',
type: 'open-choice',
text: 'Outline next steps',
answerOption: [
{
id: 'id-88',
valueString: 'Order cholesterol test',
},
{
id: 'id-89',
valueString: 'Order imaging',
},
{
id: 'id-90',
valueString: 'Refer to specialist',
},
{
id: 'id-99',
valueString: 'Systemic HRT',
},
{
id: 'id-100',
valueString: 'SSRI/SNRI',
},
{
id: 'id-101',
valueString: 'Local HRT',
},
{
id: 'id-102',
valueString: 'OTC treatment',
},
],
},
],
},
{
id: 'id-103',
linkId: 'q37',
type: 'choice',
text: 'Choose a code for this visit',
answerOption: [
{
id: 'id-104',
valueString: '99204 (Moderate Complexity)',
},
{
id: 'id-105',
valueString: '99205 (High Complexity)',
},
],
},
],
subjectType: ['Patient'],
};
