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@rmrlangford
rmrlangford committed Jul 18, 2024
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193 changes: 183 additions & 10 deletions input/fsh/examples.fsh
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Original file line number Diff line number Diff line change
Expand Up @@ -1025,7 +1025,7 @@ Title: "Service Request - Referred to PMTCT"
Description: "Represents a service request for the patient's referral to PMTCT."
* status = #completed
* intent = #order
* code = $SCT#3457005
* code = $LNC#LP173238-9
* code.text = "Patient referral"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
Expand Down Expand Up @@ -1464,8 +1464,8 @@ Description: "This is used to record the patient's cervical cancer screening typ
Instance: CervicalCancerScreeningMethodExample
InstanceOf: CervicalCancerScreeningMethod
Usage: #example
Title: "Observation - Cervical Cancer Screening Method"
Description: "This is used to record the patient's cervical cancer screening method."
Title: "Observation - Cervical Cancer Screening HPV Method"
Description: "This is used to record the patient's cervical cancer screening method as HPV."
* status = #final
* category = $OBSERVATION_CATEGORY#exam
* code = $SCT#171149006
Expand All @@ -1475,6 +1475,7 @@ Description: "This is used to record the patient's cervical cancer screening met
* encounter = Reference(GeneralEncounterExample)
* performer = Reference(CurrentServiceProviderExample)
* effectiveDateTime = "2024-01-25"
* basedOn = Reference(CervicalCancerScreeningServiceRequestForHPVExample)

Instance: CervicalCancerHPVPositiveScreeningResultExample
InstanceOf: CervicalCancerScreeningResult
Expand All @@ -1491,7 +1492,7 @@ Description: "Indicates that the patient has a positive screening for HPV."
* performer = Reference(CurrentServiceProviderExample)
* effectiveDateTime = "2024-01-25"
* derivedFrom = Reference(CervicalCancerScreeningDoneExample)
* basedOn = Reference(CervicalCancerCarePlanFullExample)
* basedOn = Reference(CervicalCancerCarePlanHPVWithTreatmentRequestExample)

Instance: CervicalCancerVIAPositiveScreeningResultExample
InstanceOf: CervicalCancerScreeningResult
Expand All @@ -1508,7 +1509,7 @@ Description: "Indicates that the patient has a positive screening for VIA."
* performer = Reference(CurrentServiceProviderExample)
* effectiveDateTime = "2024-01-25"
* derivedFrom = Reference(CervicalCancerScreeningDoneExample)
* basedOn = Reference(CervicalCancerCarePlanFullExample)
* basedOn = Reference(CervicalCancerCarePlanVIAWithTreatmentRequestExample)

Instance: CervicalCancerHPVNegtiveScreeningResultExample
InstanceOf: CervicalCancerScreeningResult
Expand Down Expand Up @@ -1896,8 +1897,8 @@ Description: "Used to record the OI medication (Fluconazole) that will be prescr
* code = $LNC#18924-1
* code.text = "Fluconazole"

Instance: ReferralWithinFacilitytExample
InstanceOf: ReferralInServiceRequest
Instance: ReferralWithinFacilityExample
InstanceOf: HIVReferralInServiceRequest
Usage: #example
Title: "Service Request - Incoming Referral From Within Facility - (Existing ART Client)"
Description: "Used to capture a pateint's referral information."
Expand All @@ -1914,7 +1915,7 @@ Description: "Used to capture a pateint's referral information."
* reasonCode = $LNC#LA6517-2

Instance: ReferralFromOutsideFacilitytExample
InstanceOf: ReferralInServiceRequest
InstanceOf: HIVReferralInServiceRequest
Usage: #example
Title: "Service Request - Incoming Referral From Outside Facility - (New ART Client)"
Description: "Used to capture a pateint's referral information."
Expand Down Expand Up @@ -2216,7 +2217,7 @@ Description: "Records the health related activities for patients associated with
* type.coding[ART] = $LNC#LP66375-4
* patient = Reference(GeneralPatientExample)
* managingOrganization = Reference(CurrentServiceProviderExample)
* referralRequest[Incoming] = Reference(ReferralWithinFacilitytExample)
* referralRequest[Incoming] = Reference(ReferralWithinFacilityExample)

Instance: HIVEpisodeOfCareReferralFromOutsideFacilityExample
InstanceOf: EthEpisodeOfCare
Expand Down Expand Up @@ -3761,4 +3762,176 @@ Description: "Adds the prescribed medication of INH to the medication history fo
* subject = Reference(GeneralPatientExample)
* context = Reference(GeneralEncounterExample)
* effectivePeriod.start = "2009-11-24"
* reasonReference = Reference(TBProphylaxisTypeINHObservationExample)
* reasonReference = Reference(TBProphylaxisTypeINHObservationExample)

Instance: CervicalCancerScreeningServiceRequestForHPVExample
InstanceOf: CervicalCancerScreeningServiceRequest
Usage: #example
Title: "Service Request - Cervical Cancer Screening HPV Method"
Description: "Represents the service request for the HPV method of cervical cancer screening."
* status = #active
* intent = #order
* code = $CERVICAL_CANCER_SCREENING_METHOD#hpv-dna-test
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* authoredOn = "2024-01-25"

Instance: CervicalCancerDiagnosticReportForHPVExample
InstanceOf: CervicalCancerDiagnosticReport
Usage: #example
Title: "Diagnostic Report - Tested Positive for Cervical Cancer (HPV)"
Description: "Indicates that the patient tested HPV positive for cervical cancer."
* status = #final
* category = $LNC#11502-2
* code = $LNC#72135-7
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* result = Reference(CervicalCancerHPVPositiveScreeningResultExample)
* issued = "2024-01-25T11:45:33+11:00"
* basedOn = Reference(CervicalCancerScreeningServiceRequestForHPVExample)
* performer = Reference(CurrentServiceProviderExample)

Instance: CervicalCancerTreatmentServiceRequestForHPVExample
InstanceOf: CervicalCancerTreatmentServiceRequest
Usage: #example
Title: "Service Request - Request for Cryotherapy as Treatment for Cervical Cancer (HPV Positive)"
Description: "Indicates that a request was made for cryotherapy as the targeted treatment for the HPV positive patient"
* status = #active
* intent = #order
* code = $PRECANCEROUS_TREAT#cryotherapy
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* authoredOn = "2024-01-25"
* reasonReference = Reference(CervicalCancerDiagnosticReportForHPVExample)

Instance: CervicalCancerTreatmentReceivedForHPVExample
InstanceOf: CervicalCancerTreatmentReceived
Usage: #example
Title: "Observation - Received Cryotherapy Treatment For the HPV+ Diagnosis"
Description: "Indicates that the patient received cryotherapy as treatment after being diagnosed psoitive for cervical cancer (using HPV as the method)."
* status = #final
* category = $OBSERVATION_CATEGORY#therapy
* code = $LNC#LA13405-8
* code.text = "Treatment received"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* effectiveDateTime = "2023-12-11"
* performer = Reference(CurrentServiceProviderExample)
* valueDateTime = "2023-12-11"
* basedOn = Reference(CervicalCancerScreeningServiceRequestForHPVExample)

Instance: CervicalCancerCarePlanHPVExample
InstanceOf: CervicalCancerCarePlan
Usage: #example
Title: "Care Plan - Request for Cervical Cancer Screening (HPV Method)"
Description: "Indicates the activity associated with the request for cervical cancer screening using HPV as the method of screening."
* status = #active
* intent = #order
* created = "2024-03-20"
* category[+] = $LNC#LP173209-0
* category[=].text = "Cervical cancer"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* activity[+].reference = Reference(CervicalCancerScreeningServiceRequestForHPVExample)

Instance: CervicalCancerCarePlanHPVWithTreatmentRequestExample
InstanceOf: CervicalCancerCarePlan
Usage: #example
Title: "Care Plan - Request for Cervical Cancer Screening (HPV Method) - Incl. the Service Request For Cryotherapy Treatment"
Description: "Indicates the activities associated with the requests for cervical cancer screening (using HPV as the method) and cryotherapy as the received treatment."
* status = #active
* intent = #order
* created = "2024-03-20"
* category[+] = $LNC#LP173209-0
* category[=].text = "Cervical cancer"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* activity[+].reference = Reference(CervicalCancerScreeningServiceRequestForHPVExample)
* activity[=].reference = Reference(CervicalCancerTreatmentServiceRequestForHPVExample)
* activity[=].outcomeReference = Reference(CervicalCancerTreatmentReceivedForHPVExample)

Instance: CervicalCancerScreeningServiceRequestForVIAExample
InstanceOf: CervicalCancerScreeningServiceRequest
Usage: #example
Title: "Service Request - Cervical Cancer Screening VIA Method"
Description: "Represents the service request for the VIA method of cervical cancer screening."
* status = #active
* intent = #order
* code = $CERVICAL_CANCER_SCREENING_METHOD#via-test
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* authoredOn = "2024-01-25"

Instance: CervicalCancerDiagnosticReportForVIAExample
InstanceOf: CervicalCancerDiagnosticReport
Usage: #example
Title: "Diagnostic Report - Tested Positive for Cervical Cancer (VIA)"
Description: "Indicates that the patient tested VIA positive for cervical cancer."
* status = #final
* category = $LNC#11502-2
* code = $LNC#72135-7
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* result = Reference(CervicalCancerVIAPositiveScreeningResultExample)
* issued = "2024-01-25T11:45:33+11:00"
* basedOn = Reference(CervicalCancerScreeningServiceRequestForVIAExample)
* performer = Reference(CurrentServiceProviderExample)

Instance: CervicalCancerTreatmentServiceRequestForVIAExample
InstanceOf: CervicalCancerTreatmentServiceRequest
Usage: #example
Title: "Service Request - Request for Cryotherapy as Treatment for Cervical Cancer (VIA Positive)"
Description: "Indicates that a request was made for cryotherapy as the targeted treatment for the VIA positive patient"
* status = #active
* intent = #order
* code = $PRECANCEROUS_TREAT#cryotherapy
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* authoredOn = "2024-01-25"
* reasonReference = Reference(CervicalCancerDiagnosticReportForVIAExample)

Instance: CervicalCancerTreatmentReceivedForVIAExample
InstanceOf: CervicalCancerTreatmentReceived
Usage: #example
Title: "Observation - Received Cryotherapy Treatment For the VIA+ Diagnosis"
Description: "Indicates that the patient received cryotherapy as treatment after being diagnosed psoitive for cervical cancer (using VIA as the method)."
* status = #final
* category = $OBSERVATION_CATEGORY#therapy
* code = $LNC#LA13405-8
* code.text = "Treatment received"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* effectiveDateTime = "2023-12-11"
* performer = Reference(CurrentServiceProviderExample)
* valueDateTime = "2023-12-11"
* basedOn = Reference(CervicalCancerScreeningServiceRequestForVIAExample)

Instance: CervicalCancerCarePlanVIAExample
InstanceOf: CervicalCancerCarePlan
Usage: #example
Title: "Care Plan - Request for Cervical Cancer Screening (VIA Method)"
Description: "Indicates the activity associated with the request for cervical cancer screening using VIA as the method of screening."
* status = #active
* intent = #order
* created = "2024-03-20"
* category[+] = $LNC#LP173209-0
* category[=].text = "Cervical cancer"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* activity[+].reference = Reference(CervicalCancerScreeningServiceRequestForVIAExample)

Instance: CervicalCancerCarePlanVIAWithTreatmentRequestExample
InstanceOf: CervicalCancerCarePlan
Usage: #example
Title: "Care Plan - Request for Cervical Cancer Screening (VIA Method) - Incl. the Service Request For Cryotherapy Treatment"
Description: "Indicates the activities associated with the requests for cervical cancer screening (using VIA as the method) and cryotherapy as the received treatment."
* status = #active
* intent = #order
* created = "2024-03-20"
* category[+] = $LNC#LP173209-0
* category[=].text = "Cervical cancer"
* subject = Reference(GeneralPatientExample)
* encounter = Reference(GeneralEncounterExample)
* activity[+].reference = Reference(CervicalCancerScreeningServiceRequestForVIAExample)
* activity[=].reference = Reference(CervicalCancerTreatmentServiceRequestForVIAExample)
* activity[=].outcomeReference = Reference(CervicalCancerTreatmentReceivedForVIAExample)
19 changes: 12 additions & 7 deletions input/fsh/profiles.fsh
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Expand Up @@ -346,7 +346,7 @@ Title: "Service Request - Cervical Cancer Screening Method"
Description: "Represents the service request for the method of cervical cancer screening."
* code from CervicalCancerScreeningMethodValueSet (required)
* category 1..1
* category = $LNC#LP114948-5
* category = $LNC#LP94892-4
* authoredOn 1..1

Profile: CervicalCancerDiagnosticReport
Expand All @@ -366,7 +366,7 @@ Title: "Service Request - Cervical Cancer Treatment"
Description: "Represents the service request for the cervical cancer treatment."
* code from CervicalCancerTreatmentReceivedValueSet (required)
* category 1..1
* category = $LNC#LP114959-2
* category = $LNC#89429-5
* authoredOn 1..1
* reasonReference 1..1
* reasonReference only Reference(CervicalCancerDiagnosticReport)
Expand All @@ -377,7 +377,7 @@ Id: cervical-cancer-treatment-received-observation
Title: "Observation - Cervical Cancer Treatment Received"
Description: "This is used to record the date the patient received cervical cancer treatment."
* category 1..1
* category = $OBSERVATION_CATEGORY#exam
* category = $OBSERVATION_CATEGORY#therapy
* code = $LNC#LA13405-8
* value[x] only dateTime
* valueDateTime 1..1
Expand Down Expand Up @@ -535,6 +535,8 @@ Parent: GenericServiceRequest
Id: tb-screening-service-request
Title: "Service Request - TB Screening"
Description: "Service request used to examine the specimen taken during TB screening."
* category 1..1
* category = $LNC#LP94892-4
* code from TBScreeningDiagnosticTestTypeValueSet (required)
* reasonReference 1..1
* reasonReference only Reference(TBScreeningResultObservation)
Expand Down Expand Up @@ -640,6 +642,8 @@ Title: "Service Request - PCR HIV Test"
Description: "Represents the service request for PCR HIV testing."
* code = $LNC#9836-8
* authoredOn 1..1
* category 1..1
* category = $LNC#LP94892-4

Profile: ConfirmedHIVPositive
Parent: GenericObservation
Expand Down Expand Up @@ -939,7 +943,7 @@ Parent: GenericServiceRequest
Id: referred-for-pmtct-service-request
Title: "Service Request - Patient Referral to PMTCT"
Description: "Represents a service request for the patient's referral to PMTCT."
* code = $SCT#3457005
* code = $LNC#LP173238-9
* authoredOn 1..1
* insert Slice(orderDetail, reasons why this should be supported, value, coding, open, Slicing the items based on the linkId value, false)
* orderDetail contains
Expand Down Expand Up @@ -1497,13 +1501,14 @@ Description: "This is used to record the type for the ARV regimen change categor

Profile: ReferralOutServiceRequest
Parent: GenericServiceRequest
Id: refferal-out-service-request
Id: referral-out-service-request
Title: "Service Request - Request for Referral"
Description: "Service request used to make a request for a referral."
* intent = #order
* code = $LNC#LP173238-9
* locationReference 1..*
* authoredOn 1..1
* reasonReference 1..*

Profile: ARVMedicationAdministration
Parent: MedicationAdministration
Expand Down Expand Up @@ -1546,7 +1551,7 @@ Description: "Used to record the OI medication that will be prescribed to the pa
* code from OpportunisticInfectionsTreatmentValueSet (required)
* code.text 1..1

Profile: ReferralInServiceRequest
Profile: HIVReferralInServiceRequest
Parent: GenericServiceRequest
Id: referral-in-service-request
Title: "Service Request - Incoming Referral Information"
Expand Down Expand Up @@ -1790,7 +1795,7 @@ Description: "Records the health related activities for patients associated with

* referralRequest[Incoming] ^definition =
"reason(s) why this should be supported."
* referralRequest[Incoming] only Reference(ReferralInServiceRequest)
* referralRequest[Incoming] only Reference(HIVReferralInServiceRequest)

* referralRequest[Outgoing] ^definition =
"reason(s) why this should be supported."
Expand Down
2 changes: 1 addition & 1 deletion input/fsh/terminology.fsh
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Original file line number Diff line number Diff line change
Expand Up @@ -223,7 +223,7 @@ Description: "A list of codes describing the precancerous lesion treatment recei
* #leep "LEEP"
* #referred-for-leep "Referred for LEEP"
* #referred-for-suspicious-cancer-evaluation "Referred for Suspicious cancer evaluation"
//* #other "Other"
* #other "Other"

ValueSet: CervicalCancerTreatmentReceivedValueSet
Id: cervical-cancer-treatment-received-value-set
Expand Down

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