updated

jembi · Jul 19, 2024 · dca5f74 · dca5f74
1 parent d28ec69
commit dca5f74
Show file tree

Hide file tree

Showing 4 changed files with 92 additions and 3 deletions.
diff --git a/input/fsh/examples.fsh b/input/fsh/examples.fsh
@@ -3971,4 +3971,50 @@ Description: "Documents the medical history for the patient"
 * date = "2024-03-20"
 * source = Reference(GeneralPractitionerExample)
 * entry[+].item = Reference(OpportunisicInfectionsPulmonaryTBExample)
-* entry[+].item = Reference(OpportunisicInfectionsChronicDiarrheaExample)
+* entry[+].item = Reference(OpportunisicInfectionsChronicDiarrheaExample)
+
+Instance: NotAssessedForPainObservationExample
+InstanceOf: AssessedForPainObservation
+Usage: #example
+Title: "Observation - Not Assessed for Pain"
+Description: "Indicates that the patient has not been assessed for pain."
+* status = #final
+* category = $OBSERVATION_CATEGORY#exam
+* code = $LNC#LP428833-0
+* code.text = "Assessed for pain"
+* subject = Reference(GeneralPatientExample)
+* encounter = Reference(GeneralEncounterExample)
+* effectiveDateTime = "2023-12-11"
+* performer = Reference(CurrentServiceProviderExample)
+* valueCodeableConcept = $YesNoCodeSystem#false
+
+Instance: AssessedForPainObservationExample
+InstanceOf: AssessedForPainObservation
+Usage: #example
+Title: "Observation - Assessed for Pain"
+Description: "Indicates that the patient has been assessed for pain."
+* status = #final
+* category = $OBSERVATION_CATEGORY#exam
+* code = $LNC#LP428833-0
+* code.text = "Assessed for pain"
+* subject = Reference(GeneralPatientExample)
+* encounter = Reference(GeneralEncounterExample)
+* effectiveDateTime = "2023-12-11"
+* performer = Reference(CurrentServiceProviderExample)
+* valueCodeableConcept = $YesNoCodeSystem#true
+* hasMember = Reference(LevelOfPainObservationExample)
+
+Instance: LevelOfPainObservationExample
+InstanceOf: LevelOfPainObservation
+Usage: #example
+Title: "Observation - Level of Pain"
+Description: "Indicates the level of pain the patient is experiencing."
+* status = #final
+* category = $OBSERVATION_CATEGORY#exam
+* code = $LNC#LL5953-6
+* code.text = "Pain interpretation"
+* subject = Reference(GeneralPatientExample)
+* encounter = Reference(GeneralEncounterExample)
+* effectiveDateTime = "2023-12-11"
+* performer = Reference(CurrentServiceProviderExample)
+* valueCodeableConcept = $YesNoCodeSystem#true
diff --git a/input/fsh/invariant-constraints.fsh b/input/fsh/invariant-constraints.fsh
@@ -151,4 +151,9 @@ Severity: #error
 Invariant: Observation-alternate-tpt-Follow-Up-2
 Description: "If Observation.valueCodeableConcept.coding.code is \"182992009\" then Observation.hasMember for slice \"TPTCompleted\" SHALL be present."
 Expression: "value.coding.where(system = 'http://snomed.info/sct' and code = '182992009').exists() implies hasMember.slice('http://moh.gov.et/fhir/hiv/StructureDefinition/alternate-tpt-at-follow-up-observation', 'TPTCompleted').exists()"
-Severity: #error
+Severity: #error
+
+Invariant: Observation-Assessed-For-Pain-1
+Description: "If Observation.valueCodeableConcept.coding.code is \"true\" then hasMember SHALL be present."
+Expression: "value.coding.where(system = 'http://moh.gov.et/fhir/hiv/CodeSystem/yes-no-code-system' and code = 'true').exists() implies hasMember.exists()"
+Severity: #error
diff --git a/input/fsh/profiles.fsh b/input/fsh/profiles.fsh
@@ -2825,3 +2825,31 @@ Description: "Documents the medical history for the patient"
 * entry 1..*
 * entry.item only Reference(OpportunisicInfections)
 
+Profile: AssessedForPainObservation
+Parent: GenericObservation
+Id: assessed-for-pain-observation
+Title: "Observation - Assessed for Pain"
+Description: "Documents whether the patient has been assessed for pain."
+* obeys Observation-Assessed-For-Pain-1
+* category 1..1
+* category = $OBSERVATION_CATEGORY#exam
+* code = $LNC#LP428833-0
+* value[x] only CodeableConcept
+* valueCodeableConcept 1..1
+* valueCodeableConcept from YesNoValueSet (required)
+* hasMember 0..1 MS
+* hasMember ^definition =
+    "reason(s) why this should be supported."
+* hasMember only Reference(LevelOfPainObservation)
+
+Profile: LevelOfPainObservation
+Parent: GenericObservation
+Id: level-of-pain-observation
+Title: "Observation - Level of Pain"
+Description: "Indicates the level of pain the patient is experiencing."
+* category 1..1
+* category = $OBSERVATION_CATEGORY#exam
+* code = $LNC#LL5953-6
+* value[x] only CodeableConcept
+* valueCodeableConcept 1..1
+* valueCodeableConcept from YesNoValueSet (required)
diff --git a/input/fsh/terminology.fsh b/input/fsh/terminology.fsh
@@ -2035,4 +2035,14 @@ Description: "Codes used for representing opportunistic infections."
 * $SCT#14232007 "Cryptococcal meningitis"
 * $SCT#363354003 "Malignant tumor of cervix"
 * $SCT#79740000 "Candidiasis of mouth"
-* $SCT#118601006 "Non-Hodgkin's lymphoma"
+* $SCT#118601006 "Non-Hodgkin's lymphoma"
+
+ValueSet: PainScaleValueSet
+Id: pain-scale-value-set
+Title: "Pain Scale"
+Description: "Codes used for representing level of pain (pain scale)."
+* ^experimental = false
+* $LNC#LA131-5 "No pain"
+* $LNC#LA15111-0 "Mild pain"
+* $LNC#LA135-6 "Moderate pain"
+* $LNC#LA15109-4 "Severe pain"