Problem Oriented Diagnostic Service for Describing Clinical Cases based on the GraphQL POMR Approach

Since late 1960s when Dr. Larry Weed painted the roadmap to the formal process of medical diagnosis and the way it should structured around problem list based on what he calls SOAP note (Subjective, Objective, Assessment and the Plan), no real implementation or integration of his vision in providing the 'glue' to link the number of required layers, including the SOAP structuring, semantics of assessments and workflows, clinical decision support systems logic, task planning and querying each case based on flexible schema. Diagnosis, as Weed put it, a process that can describe a clear, logical and systematic approach for clinical diagnosis based on Weed's approach when a patient encountered a clinical issue. This process need to be modeled a service that can integrate with the other clinical systems and services including the medical record systems. In this article we are proposing such service based on Weeds approach for the clinical diagnosis purposes. The described service starts with a SOAP schema that utilizes the GraphQL standard and its associated toolkits to offer physicians and pre-clerkships the mean for describing diagnosis of clinical cases according to the Weed's approach. Particular attention has been given to processing and refining of the of SOAP diagnosis note through primitives like create, retrieve, update and delete (CRUD).