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create problem-list-item-create #430

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177 changes: 177 additions & 0 deletions docs/hooks/problem-list-item-create.md
Original file line number Diff line number Diff line change
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# `problem-list-item-create`

| Metadata | Value
| ---- | ----
| specificationVersion | 1.0
| hookVersion | 0.1.0
| hookMaturity | [1 - Submitted](../../specification/current/#hook-maturity-model)

## Workflow

The `problem-list-item-create` hook fires once a clinician has added one or more new problems to a patient's problem list.
This hook may fire with one or more newly added conditions of category `problem-list-item` that are newly finalized.
The context of the hook includes these new conditions. Note that this hook occurs once the new problem(s) is finalized; thereby enabling the CDS Service to recommend actions related to the problem in lieu of suggesting modifications to the newly created problem.

## Context

Field | Optionality | Prefetch Token | Type | Description
----- | -------- | ---- | ---- | ----
`userId` | REQUIRED | Yes | *string* | The id of the current user.<br />For this hook, the user is expected to be of type [Practitioner](https://www.hl7.org/fhir/practitioner.html) or [PractitionerRole](https://www.hl7.org/fhir/practitioner.html).<br />For example, PractitionerRole/123 or Practitioner/abc.
`patientId` | REQUIRED | Yes | *string* | The FHIR `Patient.id` of the current patient in context
`encounterId` | OPTIONAL | Yes | *string* | The FHIR `Encounter.id` of the current encounter in context
`conditions` | REQUIRED | No | *object* | DSTU2 - FHIR Bundle of Conditions where `category` is `problem-list-item`<br/> STU3 - FHIR Bundle of Conditions where `category` is `problem-list-item`<br/> R4 - FHIR Bundle of Conditions where `category` is `problem-list-item`

### Example (R4)

```json
{
"context": {
"userId": "Practitioner/123",
"patientId": "1288992",
"encounterId": "89284",
"conditions": {
"resourceType": "Bundle",
"entry": [
{
"resource": {
"resourceType": "Condition",
"id": "3a14127f",
"category": "problem-list-item",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16114001",
"display": "Fracture of ankle"
}
],
"text": "Fracture of ankle"
},
"subject": {
"reference": "Patient/1288992"
},
"onsetDateTime": "2018-10-15T04:13:17-04:00",
"assertedDate": "2018-11-15"
}
}
]
}
}
}
```

### Example (STU3)

```json
{
"context":{
"userId":"Practitioner/123",
"patientId":"1288992",
"encounterId":"89284",
"conditions":{
"resourceType":"Bundle",
"entry":[
{
"resource":{
"resourceType":"Condition",
"id":"3a14127f",
"category":"problem-list-item",
"clinicalStatus":"active",
"verificationStatus":"confirmed",
"code":{
"coding":[
{
"system":"http://snomed.info/sct",
"code":"16114001",
"display":"Fracture of ankle"
}
],
"text":"Fracture of ankle"
},
"subject":{
"reference":"Patient/1288992"
},
"onsetDateTime":"2018-10-15T04:13:17-04:00",
"assertedDate":"2018-11-15"
}
}
]
}
}
}
```

### Example (DSTU2)

```json
{
"context": {
"userId": "Practitioner/123",
"patientId": "1288992",
"encounterId": "89284",
"conditions": {
"resourceType": "Bundle",
"entry": [
{
"resource": {
"resourceType": "Condition",
"id": "smart-Condition-548",
"category": {
"text": "Problem",
"coding": [
{
"system": "http://argonautwiki.hl7.org/extension-codes",
"code": "problem",
"display": "Problem"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vitamin D deficiency</div>"
},
"patient": {
"reference": "Patient/1288992"
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "34713006",
"display": "Vitamin D deficiency"
}
],
"text": "Vitamin D deficiency"
},
"clinicalStatus": "active",
"verificationStatus": "confirmed",
"onsetDateTime": "2018-11-15"
}
}
]
}
}
}
```

## Change Log

Version | Description
---- | ----
0.1.0 | Initial Release
1 change: 1 addition & 0 deletions mkdocs.yml
Original file line number Diff line number Diff line change
Expand Up @@ -28,6 +28,7 @@ nav:
- 'encounter-start 1' : 'hooks/encounter-start.md'
- 'encounter-discharge 1' : 'hooks/encounter-discharge.md'
- 'medication-refill 1' : 'hooks/medication-refill.md'
- 'problem-list-item-create 1' : 'hooks/problem-list-item-create.md'
- Quick Start: 'quickstart.md'
- Cheat Sheet: 'cheat-sheet/Cheat Sheet - Sept 2019.pdf'
- Best Practices: 'best-practices.md'
Expand Down
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