GraphQL Patient Case Presentation using the Problem Oriented Medical Record Schema

Physicians and Clerkships follow the SOAP note in describing and presenting patient cases. 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 that requires complex harmonization with variety of patient case schemas. In this article we attempted to use the GraphQL API for harmonizing patient case data communicated with different care interface and providing the query on the data. This harmonization interface is called QL4POMR as a GraphQL implementation to the POMR SOAP note. Physicians can used this interface to describe and present any patient case for the purpose of diagnosis and prognosis with a varying backend. The QL4POMR implemented a mapping module to map graphs from POMR to HL7 FHIR and vise versa.