fhir_scorecard 1.8.0 → 3.0.1

data/lib/rubrics.rb

@@ -1,12 +1,13 @@
 module FHIR
   class Rubrics
 
+    @@disabled = [:us_core, :standard_health_record]
     @@rubrics = {}
 
     def self.apply(record)
       report = {}
       @@rubrics.each do |key,rubric| 
-        report[key] = rubric.call(record)
+        report[key] = rubric.call(record) unless @@disabled.include?(key)
       end
       report
     end
@@ -19,5 +20,13 @@ module FHIR
       {:points=>points,:message=>message}
     end
 
+    def self.enable(rubric)
+      @@disabled.delete(rubric)
+    end
+
+    def self.disable(rubric)
+      @@disabled << rubric unless @@disabled.include?(rubric)
+    end
+
   end
 end

data/lib/rubrics/standard_health_record.rb

@@ -0,0 +1,39 @@
+module FHIR
+  class StandardHealthRecordRubric < FHIR::Rubrics
+
+    # Resources should adhere to the Standard Health Record (SHR) Implementation Guide (IG)
+    rubric :standard_health_record do |record|
+      results = {
+        :eligible_resources => 0,
+        :validated_resources => 0
+      }
+
+      resources = record.entry.map{|e|e.resource}
+      resources.each_with_index do |resource, index|
+        profile = FHIR::ImplementationGuideLookup.guess_shr_profile(resource)
+        if profile
+          results[:eligible_resources] += 1
+          errors = profile.validate_resource(resource)
+          if errors.empty?
+            results[:validated_resources] += 1
+          else
+            puts "------------------------------"
+            puts "#{index+1} of #{resources.size}"
+            puts "Profile: #{profile.id}"
+            puts "ERRORS"
+            puts errors
+            puts "WARNINGS"
+            puts profile.warnings
+          end
+        end
+      end
+
+      percentage = results[:validated_resources].to_f / results[:eligible_resources].to_f
+      percentage = 0.0 if percentage.nan?
+      points = 10.0 * percentage
+      message = "#{(100 * percentage).to_i}% (#{results[:validated_resources]}/#{results[:eligible_resources]}) of eligible resources conform to the Standard Health Record (SHR) Implementation Guide."
+      response(points.to_i,message)
+    end
+
+  end
+end

data/lib/rubrics/us_core.rb

@@ -0,0 +1,39 @@
+module FHIR
+  class USCoreRubric < FHIR::Rubrics
+
+    # Resources should adhere to the US Core Implementation Guide (IG)
+    rubric :us_core do |record|
+      results = {
+        :eligible_resources => 0,
+        :validated_resources => 0
+      }
+
+      resources = record.entry.map{|e|e.resource}
+      resources.each_with_index do |resource, index|
+        profile = FHIR::ImplementationGuideLookup.guess_uscore_profile(resource)
+        if profile
+          results[:eligible_resources] += 1
+          errors = profile.validate_resource(resource)
+          if errors.empty?
+            results[:validated_resources] += 1
+          else
+            puts "------------------------------"
+            puts "#{index+1} of #{resources.size}"
+            puts "Profile: #{profile.id}"
+            puts "ERRORS"
+            puts errors
+            puts "WARNINGS"
+            puts profile.warnings
+          end
+        end
+      end
+
+      percentage = results[:validated_resources].to_f / results[:eligible_resources].to_f
+      percentage = 0.0 if percentage.nan?
+      points = 10.0 * percentage
+      message = "#{(100 * percentage).to_i}% (#{results[:validated_resources]}/#{results[:eligible_resources]}) of eligible resources conform to the US Core Implementation Guide."
+      response(points.to_i,message)
+    end
+
+  end
+end

data/lib/scorecard.rb

@@ -42,5 +42,13 @@ module FHIR
       @report
     end
 
+    def enable_us_core
+      FHIR::Rubrics.enable(:us_core)
+    end
+
+    def enable_shr
+      FHIR::Rubrics.enable(:standard_health_record)
+    end
+
   end
 end

data/lib/tasks/tasks.rake

@@ -12,17 +12,20 @@ namespace :fhir do
       puts 'A path to FHIR Bundle is required!'
     else
       contents = File.open(bundle_path,'r:UTF-8',&:read)
+      FHIR.logger.level = Logger::INFO
       scorecard = FHIR::Scorecard.new
+      scorecard.enable_us_core
+      scorecard.enable_shr
       report = scorecard.score(contents)
       puts 
       puts "  POINTS            CATEGORY   MESSAGE"
       puts "  ------            --------   -------"
       report.each do |key,value|
         next if key==:points
-        printf("   %3d  %20s   %s\n", value[:points], key, value[:message])
+        printf("   %3d  %22s   %s\n", value[:points], key, value[:message])
       end
       puts "  ------"
-      printf("   %3d  %20s\n", report[:points], 'TOTAL')
+      printf("   %3d  %22s\n", report[:points], 'TOTAL')
       puts
     end
   end
@@ -159,10 +162,14 @@ namespace :fhir do
             include_code = (row[12]=='PT')
           when 'ICD10PCS'
             codeSystem = 'ICD10'
-            include_code = (row[12]=='PT')            
+            include_code = (row[12]=='PT')
           when 'ICD9CM'
             codeSystem = 'ICD9'
             include_code = (row[12]=='PT')
+          when 'CPT'
+            include_code = (row[12]=='PT')
+          when 'HCPCS'
+            include_code = (row[12]=='PT')
           when 'MTHICD9'
             codeSystem = 'ICD9'
             include_code = true
@@ -196,12 +203,94 @@ namespace :fhir do
       puts "Completed in #{minutes.floor} minute(s) #{seconds.floor} second(s)."
       puts 'Done.'
     else
-      puts 'UMLS file not found.'
-      puts 'Download the US National Library of Medicine (NLM) Unified Medical Language System (UMLS) Full Release files'
-      puts '  -> https://www.nlm.nih.gov/research/umls/licensedcontent/umlsknowledgesources.html'
-      puts 'Install the metathesaurus with the following data sources:'
-      puts '  CVX|CVX;ICD10CM|ICD10CM;ICD10PCS|ICD10PCS;ICD9CM|ICD9CM;LNC|LNC;MTHICD9|ICD9CM;RXNORM|RXNORM;SNOMEDCT_US|SNOMEDCT'
-      puts 'After installation, copy `{install path}/META/MRCONSO.RRF` into your `./terminology` folder, and rerun this task.'
+      download_umls_notice
+    end
+  end
+
+  def download_umls_notice
+    puts 'UMLS file not found.'
+    puts 'Download the US National Library of Medicine (NLM) Unified Medical Language System (UMLS) Full Release files'
+    puts '  -> https://www.nlm.nih.gov/research/umls/licensedcontent/umlsknowledgesources.html'
+    puts 'Install the metathesaurus with the following data sources:'
+    puts '  CVX|CVX;ICD10CM|ICD10CM;ICD10PCS|ICD10PCS;ICD9CM|ICD9CM;LNC|LNC;MTHICD9|ICD9CM;RXNORM|RXNORM;SNOMEDCT_US|SNOMEDCT;CPT;HCPCS'
+    puts 'After installation, copy `{install path}/META/MRCONSO.RRF` into your `./terminology` folder, and rerun this task.'
+  end
+
+  desc 'post-process UMLS terminology file for translations'
+  task :process_umls_translations, [] do |t, args|
+    require 'find'
+    puts 'Looking for `./terminology/MRCONSO.RRF`...'
+    input_file = Find.find('terminology').find{|f| f=='terminology/MRCONSO.RRF' }
+    if input_file
+      start = Time.now
+      output_filename = 'terminology/translations_umls.txt'
+      output = File.open(output_filename,'w:UTF-8')
+      line = 0
+      excluded = 0
+      excluded_systems = Hash.new(0)
+      begin
+        entire_file = File.read(input_file)
+        puts "Writing to #{output_filename}..."
+        current_umls_concept = nil
+        translation = Array.new(10)
+        entire_file.split("\n").each do |l|
+          row = l.split('|')
+          line += 1
+          include_code = false
+          concept = row[0]
+          if concept != current_umls_concept && !current_umls_concept.nil?
+            output.write("#{translation.join('|')}\n") unless translation[1..-2].reject(&:nil?).length < 2
+            translation = Array.new(10)
+            current_umls_concept = concept
+            translation[0] = current_umls_concept
+          elsif current_umls_concept.nil?
+            current_umls_concept = concept
+            translation[0] = current_umls_concept
+          end
+          codeSystem = row[11]
+          code = row[13]
+          translation[9] = row[14]
+          case codeSystem
+          when 'SNOMEDCT_US'
+            translation[1] = code if (row[4]=='PF' && ['FN','OAF'].include?(row[12]))
+          when 'LNC'
+            translation[2] = code
+          when 'ICD10CM'
+            translation[3] = code if (row[12]=='PT')
+          when 'ICD10PCS'
+            translation[3] = code if (row[12]=='PT')
+          when 'ICD9CM'
+            translation[4] = code if (row[12]=='PT')
+          when 'MTHICD9'
+            translation[4] = code
+          when 'RXNORM'
+            translation[5] = code
+          when 'CVX'
+            translation[6] = code if (['PT','OP'].include?(row[12]))
+          when 'CPT'
+            translation[7] = code if (row[12]=='PT')
+          when 'HCPCS'
+            translation[8] = code if (row[12]=='PT')
+          when 'SRC'
+            # 'SRC' rows define the data sources in the file
+          else
+            excluded_systems[codeSystem] += 1
+          end
+        end
+      rescue Exception => e
+        puts "Error at line #{line}"
+        puts e.message
+      end
+      output.close
+      puts "Processed #{line} lines."
+      puts "Excluded code systems: #{excluded_systems}" if !excluded_systems.empty?
+      finish = Time.now
+      minutes = ((finish-start)/60)
+      seconds = (minutes - minutes.floor) * 60
+      puts "Completed in #{minutes.floor} minute(s) #{seconds.floor} second(s)."
+      puts 'Done.'
+    else
+      download_umls_notice
     end
   end
 end

metadata

@@ -1,29 +1,29 @@
 --- !ruby/object:Gem::Specification
 name: fhir_scorecard
 version: !ruby/object:Gem::Version
-  version: 1.8.0
+  version: 3.0.1
 platform: ruby
 authors:
 - Jason Walonoski
 autorequire: 
 bindir: bin
 cert_chain: []
-date: 2016-12-09 00:00:00.000000000 Z
+date: 2017-05-02 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: fhir_models
   requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - "~>"
+    - - ">="
       - !ruby/object:Gem::Version
-        version: '1.8'
+        version: 3.0.0
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
     requirements:
-    - - "~>"
+    - - ">="
       - !ruby/object:Gem::Version
-        version: '1.8'
+        version: 3.0.0
 description: A Gem for scoring FHIR Patient Records (as Bundles)
 email: jwalonoski@mitre.org
 executables: []
@@ -40,6 +40,608 @@ files:
 - Rakefile
 - fhir_scorecard.gemspec
 - lib/fhir_scorecard.rb
+- lib/implementation_guides.rb
+- lib/resources/profile_indicators.json
+- lib/resources/standard_health_record/CodeSystem-shr-actor-LanguageQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-base-GenericAnswersCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-base-MissingValueReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-AlcoholUseScreeningToolCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-DietNutritionConcernCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-PhysicalActivityLimitationCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-ReligiousPracticeStatusCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-ReligiousRestrictionCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-SleepQualityReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-SpecialDietFollowedCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-behavior-SubstanceAbuseTreatmentTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-CodingQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-PerformanceGradingScaleCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-QualitativeDateTimeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-QualitativeFrequencyCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-QualitativeLikelihoodCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-QualitativeValueScaleCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-SemiquantitativeDurationCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-SemiquantitativeFrequencyCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-SettingCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-ThreePriorityCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-core-ThreeValueLogicCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-demographics-AddressUseCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-demographics-InsuranceProviderTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-demographics-TelecomQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-demographics-TelephoneTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-device-RespiratoryAssistDeviceCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-device-RespiratoryRateSettingCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-encounter-EncounterTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-encounter-EpisodeOfCareCompletionCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-encounter-ReasonEncounterDidNotHappenCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-encounter-ReferralSourceTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-encounter-TreatmentCooperationCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-AnimalExposureCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-CoinhabitantCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-HomeEnvironmentRiskCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-IncomeSourceCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-NonCashBenefitCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-environment-ResourceStabilityCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lab-RequestStatusCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-EducationalAttainmentCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-EmploymentStatusCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-MilitaryServiceDischargeStatusCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-MilitaryServiceEraCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-MilitaryStatusCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-TeratogenCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-lifehistory-USMilitaryBranchCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-medication-MedicationChangeReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-medication-MedicationChangeTypeCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-medication-ReasonMedicationNotUsedCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-observation-ExposureReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-observation-ObservationNotMadeReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-problem-EvidenceQualityCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-problem-GradeOrStageCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-problem-ProblemCategoryCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-sex-ContraceptiveMethodCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-sex-ContraceptiveMethodReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-sex-ContraceptiveNotUsedReasonCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-sex-GenderIdentityCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-skin-PressureUlcerAssociationCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-skin-SupportSurfaceBodyPositionCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-skin-SupportSurfaceCategoryCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-skin-SupportSurfaceComponentCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-skin-SupportSurfaceFeatureCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-BloodPressureMethodCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-BloodPressureQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-BodyHeightQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-BodyTemperatureQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-BodyWeightQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-HeartRateMethodCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-HeartRateQualifierCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-RespiratoryRateMethodCS.json
+- lib/resources/standard_health_record/CodeSystem-shr-vital-RespiratoryRateQualifierCS.json
+- lib/resources/standard_health_record/ImplementationGuide-1.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-base64Binary-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-boolean-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-code-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-date-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-dateTime-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-decimal-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-id-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-instant-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-integer-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-markdown-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-oid-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-positiveInt-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-string-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-time-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-unsignedInt-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-uri-extension.json
+- lib/resources/standard_health_record/StructureDefinition-primitive-xhtml-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Affiliation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-AgeAtDeath-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Anonymized-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-DateOfDeath-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Deceased-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-EmergencyContact.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-FictionalPerson-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-LanguageQualifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-LanguageUsed-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-MedicalSpecialty-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-NoPrimaryCareProvider.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Organization.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Participant-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-ParticipationType-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Practitioner-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-Practitioner.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-PrimaryCareProvider.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-ProviderRelationship.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-RelatedPerson-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-RelatedPerson.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-SpokenLanguageProficiency-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-actor-WrittenLanguageProficiency-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-adverse-AdverseReaction-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-adverse-AdverseReaction.json
+- lib/resources/standard_health_record/StructureDefinition-shr-adverse-AdverseReactionAttribution-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-adverse-AttributionCertainty-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-AllergyIntolerance.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-DrugAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-FoodAllergy-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-FoodAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-NoKnownAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-NoKnownDrugAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-NoKnownEnvironmentalAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-allergy-NoKnownFoodAllergy.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-ActionCode-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-AssociatedEncounter-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-Author-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-Entry.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-FocalSubject-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-Informant-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-Language-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-Narrative.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-NonOccurrenceModifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-OriginalCreationDate-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-PatientInstructions-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-PerformerInstructions-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-ShrId-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-base-SubjectIsThirdPartyModifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-AlcoholBingeFrequency-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-AlcoholUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-AssessmentTool-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-BehavioralObservation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-DietAndNutrition.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-DietNutritionConcern-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ExerciseHoursPerWeek-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-HasSufficientFood-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-HoursSleepPerNight-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-IntravenousDrugUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-NicotineUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ONCSmokingStatus.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-PhysicalActivityLevel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-PhysicalActivityLimitation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ReadinessToChange-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ReligiousPractice.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ReligiousPracticeStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ReligiousRestriction-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-SleepQuality.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-SleepQualityReason-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-SpecialDietFollowed-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-SubstanceAbuseTreatment.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-SubstanceUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-TroubleFallingAsleep-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-TroubleStayingAsleep-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ViolentBehaviorRisk.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ViolentRiskToOthers-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-ViolentRiskToSelf-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-behavior-WakeFeelingRested-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Address.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Age-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Age.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-AgeGroup-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-AgeRange-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Annotation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Area-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-BodySite-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-BodySite.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Circumference-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-ClockDirection-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-CodeableConcept-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-CodeableConcept.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Coding.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-CodingQualifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Count-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Country-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Depth-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Details-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-DollarAmount.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Duration-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Duration.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-EffectiveDate-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-EffectiveTimePeriod-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-EffectiveTimePeriod.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Explanation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Frequency-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GeneralizedAge-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GeneralizedDateTime-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GeneralizedLikelihood-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GeneralizedTemporalContext-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GeopoliticalLocation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Geoposition.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GestationalAge-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GestationalTemporalContext-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-GestationalTimePeriod-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-HumanName.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Identifier.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Length-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Likelihood-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Location-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-LowerBound-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-LowerBound.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-OccurrenceTime-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Percentage-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-PeriodOfUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Priority-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-QualitativeDateTime-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-QualitativeLikelihood-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Quantity-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Quantity.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Reason-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Setting-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-State-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Statistic.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-StatisticType-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Substance-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-TimePeriod-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-TimePeriod.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-UnitedStatesAddress.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-UpperBound-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-UpperBound.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Volume-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-core-Width-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-CountryOfIssue-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-DriversLicenseNumber-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-FamilialRelationship-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-FathersName-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-HealthInsurance.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-HomeTelephoneNumber.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-PassportNumber-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-PersonOfRecord-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-PersonOfRecord.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-SocialSecurityNumber-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-StateOfIssue-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-Telecom.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-TelecomTypeOther-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-TelephoneNumber.json
+- lib/resources/standard_health_record/StructureDefinition-shr-demographics-WorkTelephoneNumber.json
+- lib/resources/standard_health_record/StructureDefinition-shr-device-Device.json
+- lib/resources/standard_health_record/StructureDefinition-shr-device-DeviceUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-device-DeviceUseStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-device-Implanted-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-Encounter.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-EncounterNonOccurrenceModifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-Facility-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-Facility.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-MobileFacility-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-PaymentSource-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-ReferralDate-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-ReferralSourceType-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-encounter-TreatmentCooperation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-AnimalExposure-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-AnimalExposure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-AnnualIncome-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-AnnualIncome.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordChildCare-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordChildCare.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordClothing-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordClothing.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordDentalCare-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordDentalCare.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordFood-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordFood.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordHousing-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordHousing.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordMedication-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordMedication.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordTransportation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordTransportation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordUtilities-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-CanAffordUtilities.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-Coinhabitant-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-Coinhabitant.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-DomesticViolence-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-DomesticViolence.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-EmotionalSafety-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-EmotionalSafety.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-EnvironmentalExposuresPanel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-ExposureMethod-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-ExposureReason-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-ExposureSourceOrVector-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-ExposureToSubstance.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-FinancialSituationPanel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HomeEnvironmentRisk-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HomeEnvironmentRisk.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HouseholdSituationPanel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HouseholdSize-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HouseholdSize.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HousingSecurity-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-HousingSecurity.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-IncomeSource-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-IncomeSource.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-IncomeStability-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-IncomeStability.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-NonCashBenefit-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-NonCashBenefit.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-NumberOfDependents-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-NumberOfDependents.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-PhysicalSafety-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-PhysicalSafety.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-SocialEnvironmentPanel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-TransportationAvailability-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-environment-TransportationAvailability.json
+- lib/resources/standard_health_record/StructureDefinition-shr-immunization-Immunization.json
+- lib/resources/standard_health_record/StructureDefinition-shr-immunization-ImmunizationAdministered.json
+- lib/resources/standard_health_record/StructureDefinition-shr-immunization-ImmunizationNotGiven.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-ChangeFlag-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-HIVScreeningTest.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-HIVScreeningTestRequest.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-HIVSupplementalTest.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-HIVSupplementalTestRequest.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-Test-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-Test.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lab-TestRequest.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-CongenitalAbnormalities.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-EducationalAttainment.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-Employer-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-Employment.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-EmploymentStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryBranch-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryService.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryServiceDischargeStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryServiceEra-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-MilitaryStatus.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-Occupation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-PrenatalExposure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-ServiceConnectedDisability-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-lifehistory-Travel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-Adherence-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-AdherenceLevel-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MaximumDosePerTimePeriod.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-Medication.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationAfterChange-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationBeforeChange-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationChange.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationNotAdministered.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationNotPrescribed.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationNotPrescribedModifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationPrescription.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-MedicationUse.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-NonAdherenceReason-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-RouteIntoBody-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-medication-TypeOfChange-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-CodeableConceptObservation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-HistoryObservation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-Observation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-ObservationCode-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-ObservationNonOccurrenceModifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-ObservationQualifier-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-ObservationReason-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-Panel.json
+- lib/resources/standard_health_record/StructureDefinition-shr-observation-SocialHistory.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Abatement-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-AcademicProblem.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Asplenia.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Criticality-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-IncludeOnProblemList-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Injury.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Manifestation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Manifestation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-MentalHealthProblem.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Preexisting-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Problem.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-Severity-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-SupportingEvidenceQuality-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-problem-WhenClinicallyRecognized-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-procedure-Procedure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-ContraceptiveMethodRecommendation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-ContraceptiveMethodsUsed.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-CurrentPregnancyStatus-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-DifficultyWithIntercourse-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-Dispensed-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-GenderIdentity-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-GenderIdentity.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-NumberOfLivingChildren-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-NumberOfPreviousPregnancies-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-NumberOfSexualPartnersPastYear-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-PregnancyHistory.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-PregnancyIntention.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-ReasonForNotRecommendingContraceptive-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-SexualActivity-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-SexualBehavior.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-SexualIdentity.json
+- lib/resources/standard_health_record/StructureDefinition-shr-sex-SexualOrientation-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-CausativeFactor-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-ImmersionDepth-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-PressureUlcer.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-PressureUlcerBodySite.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-PressureUlcerManifestation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-PressureUlcerNotPresent.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-SupportSurface.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-SupportSurfaceBodyPosition-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-SupportSurfaceCategory-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-SupportSurfaceComponent-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-SupportSurfaceEmployed.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-VisibleInternalStructure-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundBedAndEdge-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundEdgeAppearance-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundExudate-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundSize-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundTunnelling-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-skin-WoundUndermining-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BloodPressure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BodyHeight.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BodyLength.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BodyMassIndex.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BodyTemperature.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-BodyWeight.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-DiastolicPressure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-HeadCircumference.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-HeadTiltAngle-extension.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-HeartRate.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-OxygenSaturation.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-RespiratoryRate.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-SystolicPressure.json
+- lib/resources/standard_health_record/StructureDefinition-shr-vital-VitalSign.json
+- lib/resources/standard_health_record/ValueSet-shr-actor-AgeGroupVS.json
+- lib/resources/standard_health_record/ValueSet-shr-actor-HealthcareRoleVS.json
+- lib/resources/standard_health_record/ValueSet-shr-actor-LanguageQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-adverse-MedDRAVS.json
+- lib/resources/standard_health_record/ValueSet-shr-allergy-AllergenIrritantVS.json
+- lib/resources/standard_health_record/ValueSet-shr-allergy-AllergyVerificationStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-allergy-DrugIngredientVS.json
+- lib/resources/standard_health_record/ValueSet-shr-allergy-FoodSubstanceVS.json
+- lib/resources/standard_health_record/ValueSet-shr-base-GenericAnswersVS.json
+- lib/resources/standard_health_record/ValueSet-shr-base-MissingValueReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-AlcoholUseScreeningToolVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-DietNutritionConcernVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-PhysicalActivityLimitationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-ReligiousPracticeStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-ReligiousRestrictionVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-SleepQualityReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-SpecialDietFollowedVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-SubstanceAbuseTreatmentTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-behavior-SubstanceOfAbuseVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-BodyPositionVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-BodySiteVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-ClinicalFindingAbsentVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-ClockDirectionVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-CodingQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-DirectionalityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-DiseaseFindingVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-LateralityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-LowerBoundTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-ManifestationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-PerformanceGradingScaleVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-PortionTotalityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-QualitativeDateTimeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-QualitativeFrequencyVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-QualitativeLikelihoodVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-QualitativeValueScaleVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-SemiquantitativeDurationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-SemiquantitativeFrequencyVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-SettingVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-StatisticTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-ThreePriorityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-ThreeValueLogicVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-TimeUnitOfMeasureVS.json
+- lib/resources/standard_health_record/ValueSet-shr-core-UpperBoundTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-demographics-AddressUseVS.json
+- lib/resources/standard_health_record/ValueSet-shr-demographics-InsuranceProviderTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-demographics-TelecomQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-demographics-TelephoneTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-device-RespiratoryAssistDeviceVS.json
+- lib/resources/standard_health_record/ValueSet-shr-device-RespiratoryRateSettingVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-EncounterTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-EncounterUrgencyVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-EpisodeOfCareCompletionVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-ReasonEncounterDidNotHappenVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-ReferralSourceTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-encounter-TreatmentCooperationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-AnimalExposureVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-CoinhabitantVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-HomeEnvironmentRiskVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-IncomeSourceVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-NonCashBenefitVS.json
+- lib/resources/standard_health_record/ValueSet-shr-environment-ResourceStabilityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-immunization-ImmunizationNotGivenReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-ChangeFlagVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-HIVScreeningTestCodeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-HIVScreeningTestResultVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-HIVSupplementalTestCodeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-HIVSupplementalTestResultVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-RequestStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lab-TestInterpretationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-CongenitalAbnormalitiesVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-EducationalAttainmentVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-EmploymentStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-MilitaryServiceDischargeStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-MilitaryServiceEraVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-MilitaryStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-TeratogenVS.json
+- lib/resources/standard_health_record/ValueSet-shr-lifehistory-USMilitaryBranchVS.json
+- lib/resources/standard_health_record/ValueSet-shr-medication-MedicationChangeReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-medication-MedicationChangeTypeVS.json
+- lib/resources/standard_health_record/ValueSet-shr-medication-MedicationNonAdherenceReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-medication-MedicationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-medication-ReasonMedicationNotUsedVS.json
+- lib/resources/standard_health_record/ValueSet-shr-observation-ExposureReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-observation-NonLabObservationStatusVS.json
+- lib/resources/standard_health_record/ValueSet-shr-observation-ObservationNotMadeReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-problem-DSMVS.json
+- lib/resources/standard_health_record/ValueSet-shr-problem-EvidenceQualityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-problem-GradeOrStageVS.json
+- lib/resources/standard_health_record/ValueSet-shr-problem-ProblemCategoryVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-CommonPregnancyComplicationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-ContraceptiveMethodReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-ContraceptiveMethodVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-ContraceptiveNotUsedReasonVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-DifficultyWithIntercourseVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-GenderIdentityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-SexualActivityVS.json
+- lib/resources/standard_health_record/ValueSet-shr-sex-SexualOrientationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-PressureUlcerAssociationVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-PressureUlcerBodySiteVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-SupportSurfaceBodyPositionVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-SupportSurfaceCategoryVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-SupportSurfaceComponentVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-SupportSurfaceFeatureVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-SupportSurfaceVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-VisibleInternalStructureVS.json
+- lib/resources/standard_health_record/ValueSet-shr-skin-WoundEdgeAppearanceVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BloodPressureBodySiteVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BloodPressureMethodVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BloodPressureQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BodyHeightQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BodyTemperatureBodySiteVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BodyTemperatureQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-BodyWeightQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-HeartRateMethodVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-HeartRateQualifierVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-OxygenSaturationBodySiteVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-RespiratoryRateMethodVS.json
+- lib/resources/standard_health_record/ValueSet-shr-vital-RespiratoryRateQualifierVS.json
+- lib/resources/standard_health_record/spec.internals
+- lib/resources/us_core/CapabilityStatement-client.json
+- lib/resources/us_core/CapabilityStatement-server.json
+- lib/resources/us_core/CodeSystem-careplan-category.json
+- lib/resources/us_core/CodeSystem-cdcrec.json
+- lib/resources/us_core/CodeSystem-condition-category.json
+- lib/resources/us_core/ConceptMap-ndc-cvx.json
+- lib/resources/us_core/ImplementationGuide-ig.json
+- lib/resources/us_core/StructureDefinition-us-core-allergyintolerance.json
+- lib/resources/us_core/StructureDefinition-us-core-birthsex.json
+- lib/resources/us_core/StructureDefinition-us-core-careplan.json
+- lib/resources/us_core/StructureDefinition-us-core-careteam.json
+- lib/resources/us_core/StructureDefinition-us-core-condition.json
+- lib/resources/us_core/StructureDefinition-us-core-device.json
+- lib/resources/us_core/StructureDefinition-us-core-diagnosticreport.json
+- lib/resources/us_core/StructureDefinition-us-core-direct.json
+- lib/resources/us_core/StructureDefinition-us-core-ethnicity.json
+- lib/resources/us_core/StructureDefinition-us-core-goal.json
+- lib/resources/us_core/StructureDefinition-us-core-immunization.json
+- lib/resources/us_core/StructureDefinition-us-core-location.json
+- lib/resources/us_core/StructureDefinition-us-core-medication.json
+- lib/resources/us_core/StructureDefinition-us-core-medicationrequest.json
+- lib/resources/us_core/StructureDefinition-us-core-medicationstatement.json
+- lib/resources/us_core/StructureDefinition-us-core-observationresults.json
+- lib/resources/us_core/StructureDefinition-us-core-organization.json
+- lib/resources/us_core/StructureDefinition-us-core-patient.json
+- lib/resources/us_core/StructureDefinition-us-core-practitioner.json
+- lib/resources/us_core/StructureDefinition-us-core-procedure.json
+- lib/resources/us_core/StructureDefinition-us-core-profile-link.json
+- lib/resources/us_core/StructureDefinition-us-core-race.json
+- lib/resources/us_core/StructureDefinition-us-core-smokingstatus.json
+- lib/resources/us_core/StructureDefinition-us-core-vitalsigns.json
+- lib/resources/us_core/ValueSet-detailed-ethnicity.json
+- lib/resources/us_core/ValueSet-detailed-race.json
+- lib/resources/us_core/ValueSet-omb-ethnicity-category.json
+- lib/resources/us_core/ValueSet-omb-race-category.json
+- lib/resources/us_core/ValueSet-simple-language.json
+- lib/resources/us_core/ValueSet-us-core-birthsex.json
+- lib/resources/us_core/ValueSet-us-core-careteam-provider-roles.json
+- lib/resources/us_core/ValueSet-us-core-condition-category.json
+- lib/resources/us_core/ValueSet-us-core-cvx.json
+- lib/resources/us_core/ValueSet-us-core-medication-codes.json
+- lib/resources/us_core/ValueSet-us-core-narrative-status.json
+- lib/resources/us_core/ValueSet-us-core-ndc-vaccine-codes.json
+- lib/resources/us_core/ValueSet-us-core-observation-ccdasmokingstatus.json
+- lib/resources/us_core/ValueSet-us-core-observation-value-codes.json
+- lib/resources/us_core/ValueSet-us-core-problem.json
+- lib/resources/us_core/ValueSet-us-core-procedure-code.json
+- lib/resources/us_core/ValueSet-us-core-procedure-icd10pcs.json
+- lib/resources/us_core/ValueSet-us-core-provider-role.json
+- lib/resources/us_core/ValueSet-us-core-provider-specialty.json
+- lib/resources/us_core/ValueSet-us-core-substance-ndfrt.json
+- lib/resources/us_core/ValueSet-us-core-substance-rxnorm.json
+- lib/resources/us_core/ValueSet-us-core-substance-sct.json
+- lib/resources/us_core/ValueSet-us-core-substance.json
+- lib/resources/us_core/spec.internals
 - lib/rubrics.rb
 - lib/rubrics/codes_exist.rb
 - lib/rubrics/codes_umls.rb
@@ -54,6 +656,8 @@ files:
 - lib/rubrics/rxnorm_meds.rb
 - lib/rubrics/smoking_status.rb
 - lib/rubrics/snomed_conditions.rb
+- lib/rubrics/standard_health_record.rb
+- lib/rubrics/us_core.rb
 - lib/rubrics/vital_signs.rb
 - lib/scorecard.rb
 - lib/tasks/tasks.rake