Adapt the Case management module (therapy and clinical course) for COVID-19 [2]

[Chinedar]

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Feature Description

The attached form, is a bit modified from what we have implemented for Lassa Fever case management (therapy and clinical course tabs). This reduces the cycle requests throughout the admission of patient. Focuses on data collected on admission, management strategy, and discharge details.

attached form

COVID_CASEMGT_FORMS_updated12042020.docx

to be reviewed by

@MartinWahnschaffeSymeda

[bernardsilenou]

Here are the changes to do:

Pre-existing conditions

• Add
  • Obesity
  • Current smoker
  • Former smoker
  • Chronic lung disease
  • Asthma
  • Sickle cell disease

Symptoms

• Add

  • Wheezing
  • Skin rashes
  • Skin ulcers
  • Inability to walk
  • Bleeding
  • Lymphadenopathy
  • Lost/reduced sense of smell
  • Lost/reduced sense of taste
  • In-drawing of chest wall
  • Cough with sputum
  • Cough with heamoptysis

• Remove

  • Rapid breathing
  • cough
  • Malaise
  • Excitation or irrtability
  • Pharyngeal exudate

• Relabel

  • "Cinjunctival injection" with "Conjunctivitis"
  • "Coma" with "Coma/Somnolence"

Complicatinons

• Add other complications followed by a text field as in symptoms

[markusmann-vg]

Assumption: Removal of the symptoms will just be removed from the list (frontend) but not the db No data needs to be migrated

Web & App / risk of uncertainty

[MartinWahnschaffe]

@bernardsilenou Just to make sure: The pre-existing conditions are only visible for clinicians, correct?

[BarnaBartha]

@bernardsilenou For pre-existing conditions:

• "Chronic lung disease" -> we already have "Chronic pulmonary disease", should we rename this or is this a separate one?

For the new symptoms:

• Bleeding -> there are several types, should we use unexplained bleeding?
• Lymphadenopathy -> there are several types Inguinal/Axillary/Cervical which one should be used, or should we add a new one ?

[bernardsilenou]

@BarnaBartha Maintain only Chronic pulmonary disease please, it was an error

• Bleeding -> there are several types, should we use unexplained bleeding? Yes please
• Lymphadenopathy -> there are several types Inguinal/Axillary/Cervical which one should be used, or should we add a new one ? Just add a new one called "Lymphadenopathy", WHO did not specify which type.

[bernardsilenou]

@MartinWahnschaffeSymeda Yes please, I think not only pre-existing conditions but the whole clinical course tab, right?

[MartinWahnschaffe]

@bernardsilenou Correct

[BarnaBartha]

Summary of changes done within this issue:

Pre-existing conditions

    Obesity   - was missing -> added
    Current smoker  - was missing -> added
    Former smoker  - was missing -> added
    Chronic lung disease  - was missing -> used chronicPulmonaryDisease     
    Asthma. - was missing -> added
    Sickle cell disease. - was missing -> added 

Added symptoms

    Wheezing - was missing  -> added
    Skin rashes - was present w/o link to Coronavirus   -> added
    Skin ulcers - was missing  -> added
    Inability to walk - was missing  -> added
    Bleeding     - was present in other forms    -> used unexplained bleeding
    Lymphadenopathy - was present in other forms -> added new field Lymphadenopathy
    Lost/reduced sense of smell - was present
    Lost/reduced sense of taste - was present
    In-drawing of chest wall     - was missing   -> added
    Cough with sputum - was missing  -> added
    Cough with heamoptysis - was missing -> added

Removed symptoms

    Rapid breathing  - was present -> removed linking to Coronavirus
    Cough - was present -> removed linking to Coronavirus
    Malaise - was present -> removed linking to Coronavirus
    Excitation or irrtability - was present -> removed linking to Coronavirus
    Pharyngeal exudate - was present -> removed linking to Coronavirus

Relabel

"Conjunctival injection" with "Conjunctivitis" -> relabeled
"Coma" with "Coma/Somnolence"    -> relabeled

Complications on symptoms Add other complications followed by a text field as in symptoms -> added Other complications symptom state switch and corresponding text area

[Chinedar]

Clinical measurements like: "capillary refill time>2seconds (Yes/No), "malnutrition (Yes/No/Undernutrition/Obesity", Conciousness level (A/V/P/U) have to be captured.
@MateStrysewskeSym @bernardsilenou These need to be worked in please.

[MateStrysewske]

@Chinedar @bernardsilenou Please exactly specify the missing variables and open a new issue for them please. This issue is closed because everything that Bernard had specified has been worked on.

[MartinWahnschaffe]

We need to adjust this for germany and in general:

• [x] for now re-add cough to the symptoms for COVID. This will also make sense for the other countries, because it allows them update the new cough fields based on the old one
• [x] Hide the following pre-existing conditions in the UI and app for Germany: Obesity Current smoker Former smoker Chronic lung disease Asthma Sickle cell disease
• [x] Hide the following symptoms in the UI and app for Germany: Wheezing Skin rashes Skin ulcers Inability to walk Bleeding Lymphadenopathy In-drawing of chest wall Cough with sputum Cough with heamoptysis

Implementation suggestion:

• We could add another check into the AbstractEditForm.initializeVisibilitiesAndAllowedVisibilities method on whether the field should be hidden by country. This would set the diseaseVisibility variable in the method to false when needed. The implementation of the logic could for now be put into the specific EditForm implementation (e.g. SymptomsForm).
• In the app the same approach can be taken with the BaseFragment.setVisibilityByDisease method

All other Germany specific implementations for COVID will be handled separately.