Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { OID_ALLERGIES_SECTION_ENTRIES_REQUIRED, OID_ASSESSMENTS_SECTION, OID_CARE_TEAMS_SECTION, OID_CONTINUITY_OF_CARE_DOCUMENT, OID_ENCOUNTERS_SECTION_ENTRIES_REQUIRED, OID_FUNCTIONAL_STATUS_SECTION, OID_GOALS_SECTION, OID_HEALTH_CONCERNS_SECTION, OID_IMMUNIZATIONS_SECTION_ENTRIES_OPTIONAL, OID_IMMUNIZATIONS_SECTION_ENTRIES_REQUIRED, OID_MEDICAL_EQUIPMENT_ENTRIES_OPTIONAL, OID_MEDICATIONS_SECTION_ENTRIES_REQUIRED, OID_MENTAL_STATUS_SECTION, OID_NOTES_SECTION, OID_PAYERS_SECTION, OID_PLAN_OF_CARE_SECTION, OID_PROBLEMS_SECTION_ENTRIES_REQUIRED, OID_PROCEDURES_SECTION_ENTRIES_REQUIRED, OID_REASON_FOR_REFERRAL, OID_REFERAL_SUMMARY_C_CDA, OID_RESULTS_SECTION_ENTRIES_REQUIRED, OID_SOCIAL_HISTORY_SECTION_ENTRIES_OPTIONAL, OID_US_REALM_CDA_HEADER, OID_VITAL_SIGNS_SECTION_ENTRIES_REQUIRED, } from './oids'; import { LOINC_ALLERGIES_SECTION, LOINC_ASSESSMENTS_SECTION, LOINC_CARE_TEAM_SECTION, LOINC_DEVICES_SECTION, LOINC_ENCOUNTERS_SECTION, LOINC_FUNCTIONAL_STATUS_SECTION, LOINC_GOALS_SECTION, LOINC_HEALTH_CONCERNS_SECTION, LOINC_IMMUNIZATIONS_SECTION, LOINC_INSURANCE_SECTION, LOINC_MEDICATIONS_SECTION, LOINC_MENTAL_STATUS_SECTION, LOINC_NOTES_SECTION, LOINC_PLAN_OF_TREATMENT_SECTION, LOINC_PROBLEMS_SECTION, LOINC_PROCEDURES_SECTION, LOINC_REASON_FOR_REFERRAL_SECTION, LOINC_RESULTS_SECTION, LOINC_SOCIAL_HISTORY_SECTION, LOINC_VITAL_SIGNS_SECTION, } from './systems'; import type { CcdaTemplateId } from './types'; export const CCDA_TEMPLATE_IDS = [ { '@_root': OID_US_REALM_CDA_HEADER, '@_extension': '2015-08-01', }, { '@_root': OID_US_REALM_CDA_HEADER, }, { '@_root': OID_CONTINUITY_OF_CARE_DOCUMENT, '@_extension': '2015-08-01', }, { '@_root': OID_CONTINUITY_OF_CARE_DOCUMENT, }, ]; export const REFERRAL_TEMPLATE_IDS = [ { '@_root': OID_US_REALM_CDA_HEADER, '@_extension': '2015-08-01', }, { '@_root': OID_US_REALM_CDA_HEADER, }, { '@_root': OID_REFERAL_SUMMARY_C_CDA, '@_extension': '2015-08-01', }, { '@_root': OID_REFERAL_SUMMARY_C_CDA, }, ]; // Order from Alice Newman guide: // A) USCDI Data Class/Element: Allergies and Intolerances // B) USCDI Data Class/Element: Medications // C) USCDI Data Class/Element: Problems // D) USCDI Data Class/Element: Immunizations // E) USCDI Data Class/Element: Vital Signs // F) USCDI Data Class/Element: Smoking Status // G) USCDI Data Class/Element: Procedures // H) USCDI Data Class/Element: Clinical Notes // I) USCDI Data Class/Element: Laboratory Tests // J) USCDI Data Class/Element: Laboratory Values/Results // K) USCDI Data Class/Element: Clinical Notes // L) USCDI Data Class/Element: Unique Device Identifiers for a Patient’s Implantable Device(s) // M) USCDI Data Class/Element: Assessment and Plan of Treatment: // N) USCDI Data Class/Element: Goals // O) USCDI Data Class/Element: HealthConcerns // P) USCDI Data Class/Element: Clinical Notes // Example C-CDA Structure based on your USCDI list: // 1. Allergies and Intolerances // 2. Medications // 3. Problems // 4. Immunizations // 5. Vital Signs // 6. Social History (including Smoking Status) // 7. Procedures // 8. Results (including Laboratory Tests and Values/Results) // 9. Clinical Notes // 10. Device (Unique Device Identifiers) // 11. Plan of Care (including Assessment and Plan of Treatment, Goals, and Health Concerns) // Allergies and Intolerances 2.16.840.1.113883.10.20.22.2.6.1 Allergies Section (entries required) export const ALLERGIES_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_ALLERGIES_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, { '@_root': OID_ALLERGIES_SECTION_ENTRIES_REQUIRED }, ]; // Medications 2.16.840.1.113883.10.20.22.2.1.1 Medications Section (entries required) export const MEDICATIONS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_MEDICATIONS_SECTION_ENTRIES_REQUIRED, '@_extension': '2014-06-09' }, ]; // Problems 2.16.840.1.113883.10.20.22.2.5.1 Problem Section (entries required) export const PROBLEMS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_PROBLEMS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, { '@_root': OID_PROBLEMS_SECTION_ENTRIES_REQUIRED }, ]; // Immunizations 2.16.840.1.113883.10.20.22.2.2.1 Immunizations Section (entries required) export const IMMUNIZATIONS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_IMMUNIZATIONS_SECTION_ENTRIES_OPTIONAL }, { '@_root': OID_IMMUNIZATIONS_SECTION_ENTRIES_OPTIONAL, '@_extension': '2015-08-01' }, { '@_root': OID_IMMUNIZATIONS_SECTION_ENTRIES_REQUIRED }, { '@_root': OID_IMMUNIZATIONS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, ]; // Vital Signs 2.16.840.1.113883.10.20.22.2.4.1 Vital Signs Section (entries required) export const VITAL_SIGNS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_VITAL_SIGNS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, ]; // Smoking Status 2.16.840.1.113883.10.20.22.2.16 Social History Section (entries required) - Use appropriate entries within this section for smoking status. export const SOCIAL_HISTORY_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_SOCIAL_HISTORY_SECTION_ENTRIES_OPTIONAL }, { '@_root': OID_SOCIAL_HISTORY_SECTION_ENTRIES_OPTIONAL, '@_extension': '2015-08-01' }, ]; // Procedures 2.16.840.1.113883.10.20.22.2.7.1 Procedures Section (entries required) // 47519-4 export const PROCEDURES_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_PROCEDURES_SECTION_ENTRIES_REQUIRED, '@_extension': '2014-06-09' }, ]; // Clinical Notes 2.16.840.1.113883.10.20.22.2.10 General Header Constraints (entries required) - Clinical notes can be included in various sections using this template ID. export const CLINICAL_NOTES_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_PLAN_OF_CARE_SECTION, '@_extension': '2014-06-09' }, ]; // Laboratory Tests (Orders) 2.16.840.1.113883.10.20.22.2.3.1 Results Section (entries required) - Lab orders would be included as entries in this section. export const LAB_TESTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_RESULTS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, ]; // Laboratory Values/Results 2.16.840.1.113883.10.20.22.2.3.1 Results Section (entries required) - Lab results would also be included as entries in this section. export const RESULTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_RESULTS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, ]; // Unique Device Identifiers for a Patient's Implantable Device(s) 2.16.840.1.113883.10.20.22.2.23 Medical Equipment Section - Use appropriate entries within this section for implantable devices. export const DEVICES_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_MEDICAL_EQUIPMENT_ENTRIES_OPTIONAL, '@_extension': '2015-08-01' }, ]; export const ASSESSMENTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [{ '@_root': OID_ASSESSMENTS_SECTION }]; // Assessment and Plan of Treatment 2.16.840.1.113883.10.20.22.2.17 Assessment and Plan Section export const PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_PLAN_OF_CARE_SECTION }, { '@_root': OID_PLAN_OF_CARE_SECTION, '@_extension': '2014-06-09' }, ]; // Encounters 2.16.840.1.113883.10.20.22.2.22.1 Encounters Section (entries required) export const ENCOUNTERS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_ENCOUNTERS_SECTION_ENTRIES_REQUIRED, '@_extension': '2015-08-01' }, ]; // Goals 2.16.840.1.113883.10.20.22.2.17 Assessment and Plan Section - Goals can be included as entries within this section. export const GOALS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [{ '@_root': OID_GOALS_SECTION }]; // Health Concerns 2.16.840.1.113883.10.20.22.2.58 Health concerns can be represented as problems. export const HEALTH_CONCERNS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_HEALTH_CONCERNS_SECTION, '@_extension': '2015-08-01' }, ]; export const REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_REASON_FOR_REFERRAL, '@_extension': '2014-06-09' }, ]; export const MENTAL_STATUS_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_MENTAL_STATUS_SECTION, '@_extension': '2015-08-01' }, ]; export const PATIENT_NOTES_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_NOTES_SECTION, '@_extension': '2016-11-01' }, ]; export const CARE_TEAM_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_CARE_TEAMS_SECTION, '@_extension': '2022-06-01' }, ]; export const INSURANCE_SECTION_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_PAYERS_SECTION, '@_extension': '2015-08-01' }, { '@_root': OID_PAYERS_SECTION }, ]; export const FUNCTIONAL_STATUS_TEMPLATE_IDS: CcdaTemplateId[] = [ { '@_root': OID_FUNCTIONAL_STATUS_SECTION, '@_extension': '2014-06-09' }, { '@_root': OID_FUNCTIONAL_STATUS_SECTION }, ]; // 1. Allergies and Intolerances // 2. Medications // 3. Problems // 4. Immunizations // 5. Vital Signs // 6. Social History (including Smoking Status) // 7. Procedures // 8. Results (including Laboratory Tests and Values/Results) // 9. Clinical Notes // 10. Device (Unique Device Identifiers) // 11. Plan of Care (including Assessment and Plan of Treatment, Goals, and Health Concerns) export const LOINC_TO_TEMPLATE_IDS: Record<string, CcdaTemplateId[]> = Object.fromEntries([ [LOINC_ALLERGIES_SECTION, ALLERGIES_SECTION_TEMPLATE_IDS], [LOINC_MEDICATIONS_SECTION, MEDICATIONS_SECTION_TEMPLATE_IDS], [LOINC_PROBLEMS_SECTION, PROBLEMS_SECTION_TEMPLATE_IDS], [LOINC_IMMUNIZATIONS_SECTION, IMMUNIZATIONS_SECTION_TEMPLATE_IDS], [LOINC_VITAL_SIGNS_SECTION, VITAL_SIGNS_SECTION_TEMPLATE_IDS], [LOINC_SOCIAL_HISTORY_SECTION, SOCIAL_HISTORY_SECTION_TEMPLATE_IDS], [LOINC_PROCEDURES_SECTION, PROCEDURES_SECTION_TEMPLATE_IDS], [LOINC_RESULTS_SECTION, RESULTS_SECTION_TEMPLATE_IDS], [LOINC_ASSESSMENTS_SECTION, ASSESSMENTS_SECTION_TEMPLATE_IDS], [LOINC_PLAN_OF_TREATMENT_SECTION, PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS], [LOINC_ENCOUNTERS_SECTION, ENCOUNTERS_SECTION_TEMPLATE_IDS], [LOINC_GOALS_SECTION, GOALS_SECTION_TEMPLATE_IDS], [LOINC_HEALTH_CONCERNS_SECTION, HEALTH_CONCERNS_SECTION_TEMPLATE_IDS], [LOINC_REASON_FOR_REFERRAL_SECTION, REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS], [LOINC_MENTAL_STATUS_SECTION, MENTAL_STATUS_SECTION_TEMPLATE_IDS], [LOINC_NOTES_SECTION, PATIENT_NOTES_SECTION_TEMPLATE_IDS], [LOINC_CARE_TEAM_SECTION, CARE_TEAM_SECTION_TEMPLATE_IDS], [LOINC_INSURANCE_SECTION, INSURANCE_SECTION_TEMPLATE_IDS], [LOINC_DEVICES_SECTION, DEVICES_SECTION_TEMPLATE_IDS], [LOINC_FUNCTIONAL_STATUS_SECTION, FUNCTIONAL_STATUS_TEMPLATE_IDS], ]);