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Trying to fix basic functionality again.

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This commit is contained in:
Gabe Richman
2025-03-23 11:53:47 -07:00
parent ebda48190a
commit 2141e81f42
406 changed files with 173963 additions and 69 deletions
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src/main/resources/modules/bronchitis.json Normal file
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{
"name": "Bronchitis",
"remarks": [
"For now this covers only acute bronchitis. Chronic bronchitis is one of the conditions included in chronic obstructive pulmonary disease (COPD).",
"Acute bronchitis is the fifth most common reason why adults see their GP; 5% of the adult population seeks medical advice for bronchitis each year.",
"Most of the data here comes from the following sources: ",
"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278319/",
"http://www.aafp.org/afp/1998/0315/p1270.html"
],
"states": {
"Initial": {
"type": "Initial",
"direct_transition": "Potential_Infection"
},
"Potential_Infection": {
"type": "Delay",
"exact": {
"quantity": 1,
"unit": "months"
},
"complex_transition": [
{
"condition": {
"condition_type": "Age",
"operator": "<",
"quantity": 18,
"unit": "years"
},
"distributions": [
{
"distribution": 0.005,
"transition": "Bronchitis_Infection",
"remarks": [
"6% of children get bronchitis each year.",
"6% / year == ~ .5% per month?"
]
},
{
"distribution": 0.995,
"transition": "Potential_Infection"
}
]
},
{
"distributions": [
{
"distribution": 0.00416,
"transition": "Bronchitis_Infection",
"remarks": [
"5% of the adult population seeks medical advice for bronchitis each year.",
"5% / year == ~ .42% per month?"
]
},
{
"distribution": 0.99584,
"transition": "Potential_Infection"
}
]
}
]
},
"Bronchitis_Infection": {
"type": "ConditionOnset",
"target_encounter": "Doctor_Visit",
"codes": [
{
"system": "SNOMED-CT",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
}
],
"direct_transition": "Bronchitis_Symptom1"
},
"Bronchitis_Symptom1": {
"type": "Symptom",
"symptom": "Cough",
"range": {
"low": 25,
"high": 75
},
"direct_transition": "Bronchitis_Symptom2"
},
"Bronchitis_Symptom2": {
"type": "Symptom",
"symptom": "Mucus",
"range": {
"low": 25,
"high": 50
},
"direct_transition": "Bronchitis_Symptom3"
},
"Bronchitis_Symptom3": {
"type": "Symptom",
"symptom": "Shortness of Breath",
"range": {
"low": 25,
"high": 75
},
"direct_transition": "Bronchitis_Symptom4"
},
"Bronchitis_Symptom4": {
"type": "Symptom",
"symptom": "Sore Throat",
"range": {
"low": 25,
"high": 50
},
"direct_transition": "Bronchitis_Symptom5"
},
"Bronchitis_Symptom5": {
"type": "Symptom",
"symptom": "Fatigue",
"range": {
"low": 25,
"high": 75
},
"direct_transition": "Bronchitis_Symptom6"
},
"Bronchitis_Symptom6": {
"type": "Symptom",
"symptom": "Fever",
"range": {
"low": 25,
"high": 50
},
"direct_transition": "Bronchitis_Symptom7"
},
"Bronchitis_Symptom7": {
"type": "Symptom",
"symptom": "Body Aches",
"range": {
"low": 0,
"high": 25
},
"direct_transition": "Bronchitis_Symptom8"
},
"Bronchitis_Symptom8": {
"type": "Symptom",
"symptom": "Nasal Congestion",
"range": {
"low": 25,
"high": 50
},
"direct_transition": "Bronchitis_Symptom9"
},
"Bronchitis_Symptom9": {
"type": "Symptom",
"symptom": "Nausea/Vomiting",
"range": {
"low": 0,
"high": 25
},
"direct_transition": "Bronchitis_Symptom10"
},
"Bronchitis_Symptom10": {
"type": "Symptom",
"symptom": "Diarrhea",
"range": {
"low": 0,
"high": 25
},
"direct_transition": "Symptoms_Dont_improve"
},
"Symptoms_Dont_improve": {
"type": "Delay",
"range": {
"low": 1,
"high": 3,
"unit": "days"
},
"direct_transition": "Doctor_Visit"
},
"Doctor_Visit": {
"type": "Encounter",
"encounter_class": "ambulatory",
"reason": "Bronchitis_Infection",
"remarks": [
"There are no reliable diagnostic signs or laboratory tests, so the diagnosis of acute bronchitis is essentially a clinical one. ",
"The most important condition to rule out is acute pneumonia. "
],
"codes": [
{
"system": "SNOMED-CT",
"code": "185345009",
"display": "Encounter for symptom (procedure)"
}
],
"distributed_transition": [
{
"distribution": 0.05,
"transition": "Chest_Xray"
},
{
"distribution": 0.2,
"transition": "Sputum_Test"
},
{
"distribution": 0.5,
"transition": "Lung_Function_Test"
},
{
"distribution": 0.2,
"transition": "Bronchitis_CarePlan_Selector"
}
]
},
"Chest_Xray": {
"type": "Procedure",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "SNOMED-CT",
"code": "399208008",
"display": "Plain X-ray of chest (procedure)"
}
],
"duration": {
"low": 10,
"high": 25,
"unit": "minutes"
},
"direct_transition": "Bronchitis_CarePlan_Selector"
},
"Sputum_Test": {
"type": "Procedure",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "SNOMED-CT",
"code": "269911007",
"display": "Sputum examination (procedure)"
}
],
"duration": {
"low": 3,
"high": 15,
"unit": "minutes"
},
"direct_transition": "Bronchitis_CarePlan_Selector"
},
"Lung_Function_Test": {
"type": "Procedure",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "SNOMED-CT",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
}
],
"duration": {
"low": 10,
"high": 25,
"unit": "minutes"
},
"direct_transition": "Bronchitis_CarePlan_Selector"
},
"Bronchitis_CarePlan_Selector": {
"type": "Simple",
"conditional_transition": [
{
"condition": {
"condition_type": "And",
"conditions": [
{
"condition_type": "Age",
"operator": ">=",
"quantity": 18,
"unit": "years"
},
{
"condition_type": "Attribute",
"attribute": "smoker",
"operator": "==",
"value": true
}
]
},
"transition": "Smoker_CarePlan"
},
{
"transition": "Nonsmoker_CarePlan"
}
]
},
"Smoker_CarePlan": {
"type": "CarePlanStart",
"assign_to_attribute": "bronchitis_careplan",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "SNOMED-CT",
"code": "53950000",
"display": "Respiratory therapy (procedure)"
}
],
"activities": [
{
"system": "SNOMED-CT",
"code": "710081004",
"display": "Smoking cessation therapy (regime/therapy)"
},
{
"system": "SNOMED-CT",
"code": "304510005",
"display": "Recommendation to avoid exercise (procedure)"
},
{
"system": "SNOMED-CT",
"code": "371605008",
"display": "Deep breathing and coughing exercises (regime/therapy)"
}
],
"direct_transition": "OTC_Medicine"
},
"Nonsmoker_CarePlan": {
"type": "CarePlanStart",
"assign_to_attribute": "bronchitis_careplan",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "SNOMED-CT",
"code": "53950000",
"display": "Respiratory therapy (procedure)"
}
],
"activities": [
{
"system": "SNOMED-CT",
"code": "304510005",
"display": "Recommendation to avoid exercise (procedure)"
},
{
"system": "SNOMED-CT",
"code": "371605008",
"display": "Deep breathing and coughing exercises (regime/therapy)"
}
],
"direct_transition": "OTC_Medicine"
},
"OTC_Medicine": {
"type": "Simple",
"remarks": [
"Up to 95% of bronchitis cases are viral so antibiotics are rarely prescribed",
"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278319/"
],
"complex_transition": [
{
"condition": {
"condition_type": "Symptom",
"symptom": "Mucus",
"operator": "<",
"value": 30
},
"distributions": [
{
"distribution": 0.8,
"transition": "Cough_suppressant"
},
{
"distribution": 0.2,
"transition": "Acetaminophen"
}
],
"remarks": [
"cough suppressants shouldn't be given if the cough brings up mucus"
]
},
{
"distributions": [
{
"distribution": 0.1,
"transition": "Cough_suppressant"
},
{
"distribution": 0.9,
"transition": "Acetaminophen"
}
]
}
]
},
"Cough_suppressant": {
"type": "MedicationOrder",
"assign_to_attribute": "OTC_Bronchitis_Med",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "RxNorm",
"code": "1043400",
"display": "Acetaminophen 21.7 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution"
}
],
"direct_transition": "End_Doctor_Visit"
},
"Acetaminophen": {
"type": "MedicationOrder",
"assign_to_attribute": "OTC_Bronchitis_Med",
"reason": "Bronchitis_Infection",
"codes": [
{
"system": "RxNorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
}
],
"direct_transition": "End_Doctor_Visit"
},
"End_Doctor_Visit": {
"type": "EncounterEnd",
"direct_transition": "Wait_for_condition_to_resolve"
},
"Wait_for_condition_to_resolve": {
"type": "Delay",
"range": {
"low": 1,
"high": 3,
"unit": "weeks"
},
"direct_transition": "Bronchitis_Subsides"
},
"Bronchitis_Subsides": {
"type": "ConditionEnd",
"condition_onset": "Bronchitis_Infection",
"direct_transition": "Bronchitis_Symptom1_Subsides"
},
"Bronchitis_Symptom1_Subsides": {
"type": "Symptom",
"symptom": "Cough",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom2_Subsides"
},
"Bronchitis_Symptom2_Subsides": {
"type": "Symptom",
"symptom": "Mucus",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom4_Subsides"
},
"Bronchitis_Symptom4_Subsides": {
"type": "Symptom",
"symptom": "Sore Throat",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom5_Subsides"
},
"Bronchitis_Symptom5_Subsides": {
"type": "Symptom",
"symptom": "Fatigue",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom6_Subsides"
},
"Bronchitis_Symptom6_Subsides": {
"type": "Symptom",
"symptom": "Fever",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom7_Subsides"
},
"Bronchitis_Symptom7_Subsides": {
"type": "Symptom",
"symptom": "Body Aches",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom8_Subsides"
},
"Bronchitis_Symptom8_Subsides": {
"type": "Symptom",
"symptom": "Nasal Congestion",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom9_Subsides"
},
"Bronchitis_Symptom9_Subsides": {
"type": "Symptom",
"symptom": "Nausea/Vomiting",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom10_Subsides"
},
"Bronchitis_Symptom10_Subsides": {
"type": "Symptom",
"symptom": "Diarrhea",
"exact": {
"quantity": 0
},
"direct_transition": "Bronchitis_Symptom3_Subsides"
},
"Bronchitis_Symptom3_Subsides": {
"type": "Symptom",
"symptom": "Shortness of Breath",
"exact": {
"quantity": 0
},
"conditional_transition": [
{
"condition": {
"condition_type": "Attribute",
"attribute": "OTC_Bronchitis_Med",
"operator": "is not nil"
},
"transition": "End_OTC_Medication"
},
{
"transition": "Next_Well_Visit"
}
]
},
"End_OTC_Medication": {
"type": "MedicationEnd",
"referenced_by_attribute": "OTC_Bronchitis_Med",
"direct_transition": "Next_Well_Visit"
},
"Next_Well_Visit": {
"type": "Encounter",
"wellness": true,
"direct_transition": "End_Bronchitis_CarePlan",
"reason": "Bronchitis_Infection"
},
"End_Bronchitis_CarePlan": {
"type": "CarePlanEnd",
"referenced_by_attribute": "bronchitis_careplan",
"direct_transition": "End_Wellness_Visit"
},
"End_Wellness_Visit": {
"type": "EncounterEnd",
"direct_transition": "Potential_Infection"
}
},
"gmf_version": 1
}