QL4POMR Interface as a Graph-Based Clinical Diagnosis Web Service

Sabah Mohammed (), Jinan Fiaidhi () and Darien Sawyer ()
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Sabah Mohammed: Lakehead University
Jinan Fiaidhi: Lakehead University
Darien Sawyer: Lakehead University

A chapter in LISS 2021, 2022, pp 43-56 from Springer

Abstract: Abstract Most of the experienced physicians follow the SOAP note structure in documenting patient cases and their care journey. The SOAP note was originated from the problem-oriented medical record (POMR) developed nearly 60 years ago by Lawrence Weed, MD. However, the POMR/SOAP is not commonly found in electronic medical records (EMR) used today due to the flexible nature of building patient cases. Previous EMRs as well as clinical decision making software requires information to follow a strict schema which pushed POMR away from being implemented. However, the development of GraphQL is a wind of change that offer building a flexible interface and providing the query on the data that have semi structured schema like the POMR. This article developed a QL4POMR as a GraphQL implementation to the POMR SOAP note. Physicians can use this interface and create any patient case and present it for the purpose of diagnosis and prognosis with a varying backends. The QL4POMR implemented a mapping module to map graphs from POMR to HL7 FHIR and vise versa. Neo4j was used as backend to integrate all the data irrelevant of their nature as soon as the data is identified by objects and relations. The progress reported in this article is quite encouraging and advocates for further enhancements.

Keywords: POMR; SOAP; GraphQL; Neo4J; e-Diagnosis; Graph Databases (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1007/978-981-16-8656-6_5

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