Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import type { WithId } from '@medplum/core'; import { LOINC, SNOMED, UCUM, createReference, getReferenceString } from '@medplum/core'; import type { ActivityDefinition, ObservationDefinition, PlanDefinition, Questionnaire, RequestGroup, ServiceRequest, SpecimenDefinition, Task, } from '@medplum/fhirtypes'; import { DrAliceSmith, DrAliceSmithSchedule, HomerDiagnosticReport, HomerSimpson } from '@medplum/mock'; export const Covid19AssessmentQuestionnaire: WithId<Questionnaire> = { resourceType: 'Questionnaire', url: 'http://fhir.data4life.care/covid-19/r4/Questionnaire/covid19-recommendation', version: '4.0.0', date: '2021-02-08T22:00:00.000Z', subjectType: ['Patient'], useContext: [ { code: { system: 'http://provider.foomedical.com', code: 'questionnaireType', }, valueCodeableConcept: { text: 'patient-form', }, }, ], status: 'draft', publisher: 'Good Health Clinic', contact: [ { name: 'D4L data4life gGmbH', telecom: [ { system: 'url', value: 'https://www.data4life.care', }, ], }, ], description: 'COVID-19 Assessment Questionnaire', name: 'COVID-19 Assessment Questionnaire', code: [ { system: LOINC, code: '84170-0', display: 'Infectious disease Risk assessment and screening note', }, ], item: [ { type: 'group', required: true, linkId: 'P', text: 'Personal information', item: [ { type: 'choice', required: true, linkId: 'P1', code: [ { code: '21612-7', display: 'Age - Reported', system: LOINC, }, ], text: 'Are you 65 years old or older?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', answerOption: [ { valueString: 'Yes', id: 'id-1000', }, { valueString: 'No', id: 'id-1001', }, ], }, { type: 'choice', required: true, linkId: 'P2', code: [ { code: '71802-3', display: 'Housing status', system: LOINC, }, ], text: 'What is your current living situation?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/housing-situation', answerOption: [ { valueString: 'Lives alone', id: 'id-1100', }, { valueString: 'Lives with other(s)', id: 'id-1101', }, ], }, { type: 'choice', required: true, linkId: 'P3', text: 'At least once a week, do you privately care for people with age-related conditions, chronic illnesses, or frailty?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', item: [ { linkId: 'P3-Explanation', type: 'display', text: "Care services or support that you provide in connection with your professional activity isn't meant.", }, ], answerOption: [ { valueString: 'Yes', id: 'id-1200', }, { valueString: 'No', id: 'id-1201', }, ], }, { type: 'choice', required: true, linkId: 'P4-revised', text: 'Do you work or are you cared for/accommodated in one of the following areas?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/shared-location-class', answerOption: [ { valueString: "Working in the medical field (care, doctor's office, hospital, or similar)", id: 'id-1300', }, { valueString: 'Working in a community facility (school, day care center, university, care home, etc.)', id: 'id-1301', }, { valueString: 'Cared for or accommodated in a community facility (school, day care center, care home, etc.)', id: 'id-1302', }, { valueString: 'Cared for or accommodated in the medical sector (care or hospital)', id: 'id-1303', }, { valueString: 'No', id: 'id-1304', }, ], }, { type: 'choice', required: true, linkId: 'P5', code: [ { code: '72166-2', display: 'Tobacco smoking status', system: LOINC, }, ], text: 'Do you smoke?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', answerOption: [ { valueString: 'Yes', id: 'id-1400', }, { valueString: 'No', id: 'id-1401', }, ], }, { type: 'choice', required: true, linkId: 'P6', code: [ { code: '82810-3', display: 'Pregnancy status', system: LOINC, }, ], text: 'Are you pregnant?', answerValueSet: 'http://loinc.org/vs/LL4129-4', answerOption: [ { valueString: 'Pregnant', id: 'id-1500', }, { valueString: 'Not pregnant', id: 'id-1501', }, { valueString: 'Unknown', id: 'id-1502', }, ], }, ], }, { type: 'group', required: true, linkId: 'C', text: 'Contact with COVID-19 cases', item: [ { type: 'choice', required: true, linkId: 'C0', code: [ { code: '840546002', display: 'Exposure to SARS-CoV-2', system: SNOMED, }, ], text: 'Have you had close contact with a confirmed case?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', item: [ { linkId: 'C0-Explanation', type: 'display', text: 'Close contact with a confirmed case means:\n\n* Face-to-face contact for longer than 15 minutes\n* Direct, physical contact (touching, shaking hands, kissing)\n* Being within 1.5 meters of the person for more than 15 minutes\n* Contact with or exchange of body fluids\n* Living in the same apartment\n\n\nChoose "no" if you have worn adequate protective measures (mask, smock) on contact.', }, ], answerOption: [ { valueString: 'Yes', id: 'id-1000', }, { valueString: 'No', id: 'id-1001', }, ], }, { type: 'date', required: true, linkId: 'CZ', code: [ { code: '94652-5', display: 'Known exposure date', system: LOINC, }, ], text: 'What day was the last contact?', enableWhen: [ { question: 'C0', operator: '=', answerCoding: { system: LOINC, code: 'LA33-6', }, }, ], item: [ { linkId: 'CZ-Explanation', type: 'display', text: 'Ensure that you enter a full date in the DD MM YYYY format that isn’t in the future.', }, ], }, ], }, { type: 'group', required: true, linkId: 'S', text: 'Symptoms', item: [ { type: 'choice', required: false, linkId: 'X0', code: [ { code: '75325-1', display: 'Symptom', system: LOINC, }, ], text: 'In the past 24 hours, which of the following symptoms have you had? (multiple selection possible)', repeats: true, answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/covapp-symptoms-group-1', item: [ { linkId: 'X0-Explanation', type: 'display', text: 'The question relates to acute or exacerbated symptoms and excludes chronic complaints or seasonal or allergic complaints. If you have a chronic illness, compare your current symptoms with your previous problems to answer the question.\n\nIf you haven\'t had any of the symptoms, choose the "Next" button without selecting a symptom.', }, ], answerOption: [ { valueString: 'Fever above 38°C', id: 'id-1000', }, { valueString: 'Chills', id: 'id-1001', }, { valueString: 'Body aches', id: 'id-1002', }, { valueString: 'Loss of taste or smell', id: 'id-1003', }, ], }, { type: 'choice', required: false, linkId: 'X2', code: [ { code: '75325-1', display: 'Symptom', system: LOINC, }, ], text: 'In the past 24 hours, which of the following symptoms have you had? (multiple selection possible)', repeats: true, answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/covapp-symptoms-group-2', item: [ { linkId: 'X2-Explanation', type: 'display', text: 'If you haven\'t had any of the symptoms, choose the "Next" button without selecting a symptom.', }, ], answerOption: [ { valueString: 'Feeling tired or weak', id: 'id-1100', }, { valueString: 'Persistent cough', id: 'id-1101', }, { valueString: 'Runny nose', id: 'id-1102', }, { valueString: 'Diarrhea', id: 'id-1103', }, { valueString: 'Sore throat', id: 'id-1104', }, { valueString: 'Headache', id: 'id-1105', }, ], }, { type: 'choice', required: true, linkId: 'SB', code: [ { code: '267036007', display: 'Dyspnea (finding)', system: SNOMED, }, ], text: 'In the past 24 hours, did you feel that you were more quickly out of breath than usual?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', item: [ { linkId: 'SB-Explanation', type: 'display', text: 'Choose "Yes" if you have difficulty breathing or shortness of breath:\n- While sitting or lying down\n- When getting up from a bed or a chair\n- After light activity, such as going for a walk or climbing some stairs\n\nIf you have chronic lung disease, compare your current breathing problems with your previous breathing problems.', }, ], answerOption: [ { valueString: 'Yes', id: 'id-1200', }, { valueString: 'No', id: 'id-1201', }, ], }, { type: 'date', required: true, linkId: 'SZ', code: [ { code: '85585-8', display: 'Date of condition onset', system: LOINC, }, ], text: 'With regard to all questions about symptoms: since when have you had the symptoms you specified?', enableWhen: [ { question: 'X0', operator: 'exists', answerBoolean: true, }, { question: 'X2', operator: 'exists', answerBoolean: true, }, { question: 'SB', operator: '=', answerCoding: { system: LOINC, code: 'LA33-6', }, }, ], enableBehavior: 'any', item: [ { linkId: 'SZ-Explanation', type: 'display', text: 'Make sure to enter a full date in the DD MM YYYY format that isn’t in the future.', }, ], }, ], }, { type: 'group', required: false, linkId: 'D', text: 'Chronic illnesses', item: [ { type: 'choice', required: false, linkId: 'X3', text: 'Has a doctor diagnosed you with any of the following illnesses?', repeats: true, answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/covapp-chronic-disease', item: [ { linkId: 'X3-Explanation', type: 'display', text: 'If you don\'t have any of the illnesses, choose the "Next" button without selecting a symptom.', }, ], answerOption: [ { valueString: 'Heart disease', id: 'id-1000', }, { valueString: 'Lung disease', id: 'id-1001', }, { valueString: 'Immunodeficiency', id: 'id-1002', }, { valueString: 'Diabetes', id: 'id-1003', }, { valueString: 'Obesity', id: 'id-1004', }, { valueString: 'Other', id: 'id-1005', }, ], }, { type: 'integer', required: false, linkId: 'D6', code: [ { system: LOINC, code: '8302-2', display: 'Body height', }, ], text: "What's your height? (in cm)", extension: [ { url: 'http://hl7.org/fhir/StructureDefinition/maxValue', valueDecimal: 300, }, { url: 'http://hl7.org/fhir/StructureDefinition/minValue', valueDecimal: 10, }, { url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-unit', valueCoding: { system: UCUM, code: 'cm', display: '[cm]', }, }, ], item: [ { linkId: 'D6-Explanation', type: 'display', text: 'We use your height and weight to calculate your body mass index (BMI). The BMI can be a risk factor in the context of COVID-19.', }, ], }, { type: 'integer', required: false, linkId: 'D5', code: [ { system: LOINC, code: '29463-7', display: 'Body Weight', }, ], text: "What's your weight? (in kg)", extension: [ { url: 'http://hl7.org/fhir/StructureDefinition/maxValue', valueDecimal: 600, }, { url: 'http://hl7.org/fhir/StructureDefinition/minValue', valueDecimal: 0, }, { url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-unit', valueCoding: { system: UCUM, code: 'kg', display: '[kg]', }, }, ], item: [ { linkId: 'D5-Explanation', type: 'display', text: 'We use your height and weight to calculate your body mass index (BMI). The BMI can be a risk factor in the context of COVID-19.', }, ], }, ], }, { type: 'group', required: true, linkId: 'M', text: 'Medication', item: [ { type: 'choice', required: true, linkId: 'M0', code: [ { code: 'steroid-intake', display: 'Taking steroids', system: 'http://fhir.data4life.care/covid-19/r4/CodeSystem/medication-questions', }, ], text: 'Are you currently taking steroids?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesnodontknow', answerOption: [ { valueString: 'Yes', id: 'id-1000', }, { valueString: 'No', id: 'id-1001', }, { valueString: "Don't know", id: 'id-1002', }, ], }, { type: 'choice', required: true, linkId: 'M1', code: [ { code: 'immunosuppressant-intake', display: 'Taking immunosuppressants', system: 'http://fhir.data4life.care/covid-19/r4/CodeSystem/medication-questions', }, ], text: 'Are you currently taking immunosuppressants?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesnodontknow', item: [ { linkId: 'M1-Explanation', type: 'display', text: 'You take or get immunosuppressants after an organ transplant, during therapy for an autoimmune disease, or during chemotherapy.', }, ], answerOption: [ { valueString: 'Yes', id: 'id-1100', }, { valueString: 'No', id: 'id-1101', }, { valueString: "Don't know", id: 'id-1102', }, ], }, { type: 'choice', required: true, linkId: 'M2', code: [ { code: 'recent-influenza-vaccine', display: 'Influenza vaccine for the current influenza season', system: 'http://fhir.data4life.care/covid-19/r4/CodeSystem/medication-questions', }, ], text: 'Have you been vaccinated against flu between August 1, 2020 and today?', answerValueSet: 'http://fhir.data4life.care/covid-19/r4/ValueSet/yesno', answerOption: [ { valueString: 'Yes', id: 'id-1200', }, { valueString: 'No', id: 'id-1201', }, ], }, ], }, ], language: 'en', title: 'COVID-19 Assessment Questionnaire', id: 'covid19-assessment', }; export const Covid19NasalSpecimen: WithId<SpecimenDefinition> = { resourceType: 'SpecimenDefinition', id: 'covid19-nasal-specimen', typeCollected: { coding: [{ system: SNOMED, code: '871810001', display: 'Mid-turbinate nasal swab' }], }, }; export const Covid19PCRObservationDefinition: WithId<ObservationDefinition> = { resourceType: 'ObservationDefinition', id: 'covid19pcr-observation-definition', preferredReportName: 'SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection', code: { coding: [ { code: '94500-6', system: LOINC, display: 'SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection', }, ], }, permittedDataType: ['string'], }; export const Covid19PCRTest: WithId<ActivityDefinition> = { resourceType: 'ActivityDefinition', id: 'covid19-pcr-test', url: 'http://example.com/ActivityDefinition/covid-pcr', status: 'active', kind: 'ServiceRequest', title: 'Order SARS-CoV-2 (COVID-19) RNA panel', name: 'Order SARS-CoV-2 (COVID-19) RNA panel', description: 'Order SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection (Loinc: 94531-1)', code: { coding: [ { system: LOINC, code: '94531-1', display: 'SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection', }, ], }, specimenRequirement: [createReference(Covid19NasalSpecimen)], observationResultRequirement: [createReference(Covid19PCRObservationDefinition)], }; export const Covid19ReviewReport: WithId<ActivityDefinition> = { resourceType: 'ActivityDefinition', url: 'http://example.com/ActivityDefinition/review-covid-report', title: 'Review COVID-19 Report', name: 'Review COVID-19 Report', description: 'Review COVID-19 PCR diagnostic results', id: 'covid19-review-report', status: 'active', kind: 'Task', participant: [ { type: 'practitioner', }, ], }; export const Covid19CarePlanDefinition: WithId<PlanDefinition> = { resourceType: 'PlanDefinition', url: 'http://example.com/PlanDefinition/covid19', title: 'COVID-19 Evaluation Pre-Admission to Inpatient Oncology Department', identifier: [ { system: 'foomedical.com', value: 'covid19-plan-def', }, ], status: 'active', action: [ { id: '0', title: 'Request COVID-19 Symptoms Assessment', description: 'Request patient to complete "Request COVID-19 Symptoms Assessment" questionnaire', definitionCanonical: Covid19AssessmentQuestionnaire.url, timingDateTime: '2022-01-01', }, { id: '2', title: 'Order SARS-CoV-2 (COVID-19) RNA panel', description: 'Order SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection (Loinc: 94531-1)', definitionCanonical: Covid19PCRTest.url, timingDateTime: '2022-01-04', }, { id: '3', title: 'Review COVID-19 Report', description: 'Review COVID-19 PCR diagnostic results', definitionCanonical: Covid19ReviewReport.url, timingDateTime: '2022-01-05', }, ], id: 'covid19-care-plan-definition', }; export const Covid19PCRLabService: WithId<PlanDefinition> = { resourceType: 'PlanDefinition', title: 'SARS-CoV-2 (COVID-19) RNA panel', description: 'SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection (Loinc: 94531-1)', type: { coding: [ { system: 'http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-definition-type', code: 'test', display: 'Unitary measurement performed on an in vitro biologic specimen', }, ], }, identifier: [ { system: 'foomedical.com', value: 'covid19-pcr-lab', }, ], status: 'active', useContext: [ { code: { system: 'http://terminology.hl7.org/CodeSystem/usage-context-type', code: 'task', }, valueCodeableConcept: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode', code: 'LABOE', display: 'laboratory test order entry task', }, ], }, }, ], action: [ { id: '0', title: 'SARS-CoV-2 (COVID-19) RNA panel', description: 'SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection (Loinc: 94531-1)', definitionCanonical: Covid19PCRTest.url, timingDateTime: '2022-01-04', code: [ { coding: [ { system: LOINC, code: '94531-1', display: 'SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection', }, ], }, ], }, ], id: 'covid19-care-plan-definition', }; export const Covid19AssessmentTask: WithId<Task> = { meta: { author: createReference(DrAliceSmith) }, resourceType: 'Task', focus: { reference: getReferenceString(Covid19AssessmentQuestionnaire), display: 'Covid19 Assessment Questionnaire', }, description: 'Request patient to complete "Request COVID-19 Symptoms Assessment" questionnaire', intent: 'order', status: 'completed', for: createReference(HomerSimpson), requester: createReference(DrAliceSmith), id: 'covid19-assessment-task', }; export const Covid19InitialConsultTask: WithId<Task> = { meta: { author: createReference(DrAliceSmith) }, resourceType: 'Task', focus: { reference: 'Appointment/e60dfe9c-2252-47aa-bf12-305b40daf370', }, description: 'Schedule initial patient consultation', intent: 'order', status: 'completed', for: createReference(HomerSimpson), requester: createReference(DrAliceSmith), id: 'covid19-initial-consult-task', }; export const Covid19PCRServiceRequest: WithId<ServiceRequest> = { // Required fields resourceType: 'ServiceRequest', id: 'covid19pcr-service-request', status: 'active', intent: 'order', subject: createReference(HomerSimpson), // Code code: { coding: [ { system: LOINC, code: '94531-1', display: 'SARS-CoV-2 (COVID-19) RNA panel - Respiratory specimen by NAA with probe detection', }, ], }, }; export const Covid19PCRTask: WithId<Task> = { meta: { author: createReference(DrAliceSmith) }, resourceType: 'Task', description: 'Order COVID-19 PCR Panel (Loinc: 94531-1)', intent: 'order', status: 'completed', for: createReference(HomerSimpson), focus: createReference(Covid19PCRServiceRequest), requester: createReference(DrAliceSmith), id: 'covid19pcr-task', }; export const Covid19ReviewLabsTask: WithId<Task> = { meta: { author: createReference(DrAliceSmith) }, resourceType: 'Task', focus: createReference(HomerDiagnosticReport), description: 'Review COVID-19 PCR diagnostic results', intent: 'order', status: 'in-progress', for: createReference(HomerSimpson), requester: createReference(DrAliceSmith), id: 'covid19-review-labs-task', }; export const Covid19FollowUpConsultTask: WithId<Task> = { meta: { author: createReference(DrAliceSmith) }, resourceType: 'Task', focus: createReference(DrAliceSmithSchedule), description: 'Schedule patient follow-up call to review diagnostic results', intent: 'order', status: 'on-hold', for: createReference(HomerSimpson), requester: createReference(DrAliceSmith), id: 'covid19-follow-up-consult-task', }; export const Covid19RequestGroup: WithId<RequestGroup> = { resourceType: 'RequestGroup', status: 'active', intent: 'order', instantiatesCanonical: [Covid19CarePlanDefinition.url as string], identifier: [ { system: 'foomedical.com', value: 'requestGroup-patient-female-2', }, ], subject: createReference(HomerSimpson), action: [ { id: 'action-1', resource: createReference(Covid19AssessmentTask), title: 'COVID-19 Symptoms Assessment', }, { id: 'action-0', resource: createReference(Covid19InitialConsultTask), title: 'Initial Patient Consultation', }, { id: 'action-2', resource: createReference(Covid19PCRTask), title: 'Order COVID-19 PCR Test', }, { id: 'action-3', resource: createReference(Covid19ReviewLabsTask), title: 'Review COVID-19 Report', }, { id: 'action-4', resource: createReference(Covid19FollowUpConsultTask), title: 'Patient Follow Up: Patient admission appointment with specialist', }, ], id: 'covid19-request-group', code: { text: 'COVID 19 Assessment', }, };