health-data-standards 0.7.1 → 0.8.0

data/templates/_condition.gc32.erb

@@ -1,11 +1,11 @@
-<condition <% if condition.cause_of_death %> causeOfDeath="true" <% end %> xmlns="urn:hl7-org:greencda:c32">
-  <id><%= condition.id%></id>
-  <%== code_display result, "tag_name" => "code", 'preferred_code_sets' => ['SNOMED-CT'] %>
+<condition <% unless condition.cause_of_death.nil? %>causeOfDeath="<%= condition.cause_of_death %>"<% end %> xmlns="urn:hl7-org:greencda:c32">
+  <id><%= condition.id %></id>
+  <%== code_display condition, "tag_name" => "code", 'preferred_code_sets' => ['SNOMED-CT'] %>
   <% if condition.name %>
-    <name><%= condition.name%></name>
+    <name><%= condition.name %></name>
   <% end %>
   <effectiveTime>
-    <start><%= Time.at(condition.start_time)%></start>
-    <end><%= Time.at(condition.end_time)%></end>
+    <start><%= time_if_not_nil(condition.start_time, condition.time) %></start>
+    <end><%= time_if_not_nil(condition.end_time) %></end>
   </effectiveTime>
 </condition>

data/templates/_conditions.c32.erb

@@ -24,7 +24,7 @@
         <statusCode code="active"/>
         <% end -%>
         <effectiveTime>
-          <low value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+          <low <%= value_or_null_flavor(entry.as_point_in_time) %>/>
         </effectiveTime>
         <entryRelationship typeCode="SUBJ" inversionInd="false">
           <observation classCode="OBS" moodCode="EVN">
@@ -38,7 +38,7 @@
             </text>
             <statusCode code="completed"/>
             <effectiveTime>
-              <low value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+              <low <%= value_or_null_flavor(entry.as_point_in_time) %>/>
             </effectiveTime>
             <%== code_display(entry, {'tag_name' => 'value', 'extra_content' => 'xsi:type="CD"', 'preferred_code_sets' => ['SNOMED-CT']}) %>
             <% if entry.status -%>

data/templates/_encounter.gc32.erb

@@ -0,0 +1,32 @@
+<encounter xmlns="urn:hl7-org:greencda:c32">
+  <id><%= encounter.id %></id>
+  <code />
+  <%== code_display encounter, "tag_name" => "code", 'preferred_code_sets' => ['SNOMED-CT'] %>
+  <% if encounter.status %>
+    <status code="completed"/>
+  <% end %>
+  <effectiveTime>
+    <start><%= Time.at(encounter.start_time) %></start>
+    <% if encounter.end_time %>
+      <end><%= Time.at(encounter.end_time) %></end>
+    <% end %>
+  </effectiveTime>
+  <%== code_display encounter, "tag_name" => "dishcargeDisposition", 'attribute' => "discharge_disposition" %>
+  <%== code_display encounter, "tag_name" => "admissionType", 'attribute' => "admit_type" %>
+  <% if provider %>
+  <%= render partial: 'provider', locals: {provider: encounter.performer, tag_name: 'performer'}%>
+  <% end %>
+  <% facility = encounter.facility %>
+  <% if facility %>
+  <facility>
+      <id><%= facility.id%></id>
+      <name><%= facility.name%></name>
+      <% facility.addresses.each do |addr| %>
+        <%= render :partial => "address", locals: {address: addr} %>
+      <% end %>
+      <% facility.telecoms.each do |tele| %>
+        <%= render :partial => "telecom", locals: {telecom: tele} %>
+      <% end %>
+    <% end %>
+  </facility>
+</encounter>

data/templates/_encounters.c32.erb

@@ -21,7 +21,7 @@
         <text>
           <reference value="#encounters-desc-<%= i %>"/>
         </text>
-        <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+        <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
       </encounter>
     </entry>
     <% end -%>

data/templates/_immunization.gc32.erb

@@ -0,0 +1,9 @@
+<immunization <% if refused %> refused="true" <% end %> xmlns="urn:hl7-org:greencda:c32">
+  <id><%= immunization.id %></id>
+  <%== code_display immunization, "preferred_code_sets" => ["RxNorm", "SNOMED-CT"] %>
+  <administeredDate><%= Time.at(immunization.time)%></administeredDate>
+  <% if immunization.series_number %>
+    <seriesNumber><%= immunization.series_number %></seriesNumber>
+  <% end %>
+  <%== code_display immunization, "tag_name" => "refusalReason", "attribute" => "refusal_reason", "preferred_code_sets" => ["SNOMED-CT"] %>
+</immunization>

data/templates/_immunizations.c32.erb

@@ -21,7 +21,7 @@
                 <reference value="#immunizations-desc-<%= i %>"/>
               </text>
               <statusCode code="completed"/>
-              <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+              <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
               <doseQuantity nullFlavor="UNK"/>
               <consumable>
                 <manufacturedProduct>

data/templates/_medical_equipment.c32.erb

@@ -15,7 +15,7 @@
         <!-- Supply activity template -->
         <id root="<%= UUID.generate %>"/>
         <statusCode code="completed"/>
-        <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+        <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
         <participant typeCode="DEV">
           <participantRole classCode="MANU">
             <templateId root="2.16.840.1.113883.10.20.1.52"/>

data/templates/_medication.gc32.erb

@@ -0,0 +1,60 @@
+<medication>
+  <id><%= medication.id%></id>
+  <status>completed</status>
+  <freeTextSig><%= medication.free_text_sig%></freeTextSig>
+  <%== code_display medication, "tag_name" => "route", "attribute" => "route", "preferred_code_sets" => ["NCI Thesaurus"] %>
+  <%== quantity_display medication.dose, :dose %>
+  <% if medication.dose_indicator %>
+  <doseIndication><%medication.dose_indicator%></doseIndication>
+  <% end %>
+  
+  <%== code_display medication, "tag_name" => "site", "attribute" => "site", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% if medication.dose_restriction %>
+  <doseRestriction>
+    <numerator><%= medication.dose_restriction["numerator"]%></numerator>
+    <denominator><%= medication.dose_restriction["denominator"]%></denominator>
+  </doseRestriction>
+  <% end %>
+  <% if medication.administration_timing %>
+    <administrationTiming institutionSpecified="<%= medication.administration_timing[:insitution_specified] %>">
+      <start><%= Time.at(medication.start_time) %></start>
+      <end><%= Time.at(medication.end_time)%></end>
+      <%== quantity_display medication.administration_timing["period"], :period %>
+    </administrationTiming>
+  <% end %>
+  <%== code_display medication, "tag_name" => "productForm", "attribute" => "product_form", "preferred_code_sets" => ["NCI Thesaurus"]  %>
+  <% if medication.delivery_method %>
+    <%== code_display medication, "tag_name" => "deliveryMethod", "attribute" => "delivery_method", "preferred_code_sets" => medication.delivery_method.keys %>
+  <% end %>
+  <%== code_display medication, "tag_name" => "type", "attribute" => "type_of_medication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <%== code_display medication, "tag_name" => "statusOfMedication", "attribute" => "status_of_medication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <%== code_display medication, "tag_name" => "indication", "attribute" => "indication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <%== code_display medication, "tag_name" => "vehicle", "attribute" => "vehicle", "preferred_code_sets" => ["SNOMED-CT"] %>
+  
+  <% if medication.dose_indicator %>
+    <doseIndicator><%= medication.dose_indicator %></doseIndicator>
+  <% end %>
+  
+  <% if medication.patient_instructions %>
+    <patientInstructions><%=medication.patient_instructions%></patientInstructions>
+  <% end %>
+  
+  <% if medication.fulfillment_instructions %>
+    <fulfillmentInstructions><%=medication.fulfillment_instructions%></fulfillmentInstructions>
+  <% end %>
+  <% medication.fulfillment_history.each do |fh| %>
+  <fulfillmentHistory <%if (fh.fill_status) %> fillStatus="<%=fh.fill_status%>" <% end %>
+    <% if fh.fill_number %> fillNumber="<%=fh.fill_number%>" <% end %>>
+    <prescriptionNumber><%=fh.prescription_number%></prescriptionNumber>
+    <dispenseDate><%= Time.at(fh.dispense_date)%></dispenseDate>
+    <%== quantity_display fh.quantity_dispensed, :quantityDispensed %>
+  </fulfillmentHistory>
+  <% end %>
+  <% medication.order_information.each do |oi| %>
+    <orderInformation <% if oi.order_number %><%= "orderNumber=\"#{oi.order_number}\"" %> <% end %> <% if oi.fills %> <%= "fills=\"#{oi.fills}\"" %> <% end %>>
+      <%== quantity_display oi.quantity_ordered, "quantityOrdered" %>
+      <orderDateTime><%= Time.at(oi.order_date_time)%></orderDateTime>
+      <expirationDateTime><%= Time.at(oi.order_expiration_date_time)%></expirationDateTime>
+    </orderInformation>
+  <% end %>
+</medication>

data/templates/_medications.c32.erb

@@ -18,7 +18,7 @@
         <id root="<%= UUID.generate %>"/>
         <statusCode code="completed"/>
         <effectiveTime xsi:type="IVL_TS">
-          <low value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+          <low <%= value_or_null_flavor(entry.as_point_in_time) %>/>
           <high nullFlavor="UNK"/>
         </effectiveTime>
         <consumable>

data/templates/_narrative_block.c32.erb

@@ -18,7 +18,7 @@
       <% entries.each_with_index do |entry, i| -%>
         <tr>
           <td ID="<%= section %>-desc-<%= i %>"><%= entry.description %></td>
-          <td ID="<%= section %>-code-<%= i %>"><%= entry.codes_to_s %></td>
+          <td ID="<%= section %>-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
           <td><%= entry.times_to_s %></td>
            <% if status.present? %>
             <td><%= entry.status %></td>

data/templates/_organization.gc32.erb

@@ -0,0 +1,10 @@
+<organization>
+  <id><%= organization.id%></id>
+  <name><%= organization.name%></name>
+  <% organization.addresses.each do |addr| %>
+    <%= render :partial => "address", locals: {address: addr} %>
+  <% end %>
+  <% organization.telecoms.each do |tele| %>
+    <%= render :partial => "telecom", locals: {telecom: tele} %>
+  <% end %>
+</organization>

data/templates/_pedigree.hdata.erb

@@ -0,0 +1,24 @@
+<PedigreeInfo>
+  <% unless pedigree.source_documents.empty? && pedigree.source_documents.empty?%>
+  <Source derived="true">
+    <% pedigree.source_documents.each do |source| %>
+    <PedigreeInfo>
+      <Author><%=source.author.name%></Author>
+      <Organization><%= source.organization %></Organization>
+    </PedigreeInfo>
+    <% end %>
+    <% pedigree.source_documents.each do |doc|%>
+    <Document>
+      <Target <% if doc.extension %> targetExtension="<%=doc.extension%>" <% end %>><%= doc.uri %></Target>
+    </Document>
+  </Source>
+  <% end %>
+  <% if pedigree.author %>
+    <Author typeCode="<%= pedigree.author.type %>" role="<%= pedigree.author.role%>">
+      <%= pedigree.author.name %>
+    </Author>
+  <% end %>
+  <% if pedigree.organization %>
+  <Organization><%= pedigree.organization %></Organization>
+  <% end %>
+</PedigreeInfo>

data/templates/_procedure.gc32.erb

@@ -0,0 +1,8 @@
+<procedure xmlns="urn:hl7-org:greencda:c32">
+  <id><%= procedure.id %></id>
+  <%== code_display procedure, "tag_name" => "code", 'preferred_code_sets' => ['SNOMED-CT'] %>
+  <effectiveTime>
+    <start><%= time_if_not_nil(procedure.start_time, procedure.time)%></start>
+    <end><%= time_if_not_nil(procedure.end_time)%></end>
+  </effectiveTime>
+</procedure>

data/templates/_procedures.c32.erb

@@ -23,7 +23,7 @@
           <reference value="#procedures-desc-<%= i %>"/>
         </text>
         <statusCode code="completed"/>
-        <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+        <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
       </procedure>
     </entry>
     <% end -%>

data/templates/_provider.gc32.erb

@@ -0,0 +1,19 @@
+<% tag_name ||= "provider" %>
+<<%=tag_name%>>
+  <id><%=provider.id%></id>
+  <name>
+    <title><%=provider.title%></title>
+    <givenName><%= provider.given_name%></givenName>
+    <familyName><%= provider.family_name%></familyName>
+  </name>
+  <npi>1234567890</npi>
+  <specialty></specialty>
+  <% provider.addresses.each do |addr| %>
+    <%= render :partial => "address", locals: {address: addr} %>
+  <% end %>
+  <% provider.telecoms.each do |tele| %>
+    <%= render :partial => "telecom", locals: {telecom: tele} %>
+  <% end %>
+  <%= render :partial => "organization", locals: { organization: provider.organization } %>
+  
+</<%=tag_name%>>

data/templates/_results.c32.erb

@@ -44,7 +44,7 @@
               <reference value="#results-desc-<%= i %>"/>
             </text>
             <statusCode code="completed"/>
-            <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+            <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
             <% if entry.value -%>
             <value xsi:type="PQ" value="<%= entry.value["scalar"] %>" <% if entry.value["units"]-%>unit="<%= entry.value["units"] %>"<% end -%>/>
             <% else -%>

data/templates/_social_history.c32.erb

@@ -18,7 +18,7 @@
         <id root="<%= UUID.generate %>"/>
         <%== code_display(entry, {:preferred_code_sets => ['SNOMED-CT']}) %>
         <statusCode code="completed"/>
-        <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+        <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
       </observation>
     </entry>
     <% end -%>

data/templates/_social_history.gc32.erb

@@ -0,0 +1,6 @@
+<socialHistory xmlns="urn:hl7-org:greencda:c32">
+  <id><%= social_history.id%></id>
+  <status><%= social_history.status %></status>
+  <%== code_display social_history, 'preferred_code_sets' => ['SNOMED-CT'] %>
+  <%== quantity_display social_history.value %>
+</socialHistory>

data/templates/_telecom.gc32.erb

@@ -0,0 +1 @@
+<telecom <% if telecom.use %> use="<%= telecom.use%>" <% end %> <% if telecom.value %> value="<%= telecom.value %>" <% end %> <% if telecom.preferred %> preferred="<%= telecom.preferred %>" <% end %> />

data/templates/_vital_sign.gc32.erb

@@ -0,0 +1,12 @@
+<vitalSign xmlns="urn:hl7-org:greencda:c32">
+    <id><%= vital_sign.id %></id>
+    
+    <%== code_display vital_sign, "tag_name" => "code", 'preferred_code_sets' => ['SNOMED-CT'] %>
+    <% if vital_sign.status %>
+      <status code="completed"/>
+    <% end %>
+    
+    <effectiveTime><%= Time.at(vital_sign.time) %></effectiveTime>
+
+    <value amount="<%= vital_sign.value['scalar']%>" unit="<%= vital_sign.value['units'] %>" />
+</vitalSign>

data/templates/_vital_signs.c32.erb

@@ -33,7 +33,7 @@
               <reference value="vitals-desc-<%= i %>"/>
             </text>
             <statusCode code="completed"/>
-            <effectiveTime value="<%= Time.at(entry.time).utc.to_formatted_s(:number) %>"/>
+            <effectiveTime <%= value_or_null_flavor(entry.as_point_in_time) %>/>
             <% if entry.value -%>
             <value xsi:type="PQ" value="<%= entry.value["scalar"] %>" <% if entry.value["units"]-%>unit="<%= entry.value["units"] %>"<% end -%>/>
             <% else -%>

data/templates/metadata.hdata.erb

@@ -0,0 +1,35 @@
+<Document xmlns="http://www.hl7.org/schemas/hdata/2009/11/metadata">
+  <MediaType>application/xml</MediaType>
+  <MediaType>application/json</MediaType>
+  <% metadata.pedigrees.each do |pedigree| %>
+    <%= render :partial => "pedigree", locals: {pedigree: pedigree}%>
+  <% end %>
+  <Title><%= entry.id %></Title>
+  <LinkedDocuments>
+    <% metadata.linked_documents.each do |link| %>
+    <Link>
+      <Target <% if link.extension %> targetExtension="<%=link.extension%>" <% end %>><%= link.uri %></Target>
+    </Link>
+    <% end %>
+  </LinkedDocuments>
+  <RecordDate>
+    <CreatedDateTime><%= metadata.original_creation_time%></CreatedDateTime>
+    <Modified>
+      <% metadata.modified_dates.each do |md| %>
+        <ModifiedInfo>
+          <ChangeDateTime><%= md.timestamp %></ChangeDateTime>
+          <%= render :partial => "pedigree", locals: {pedigree: md.pedigree}%>
+        </ModifiedInfo>
+      <% end %>
+    </Modified>
+    <Copied>
+      <% metadata.copied_dates.each do |cd| %>
+        <CopiedInfo>
+          <ChangeDateTime><%= cd.timestamp %></ChangeDateTime>
+          <%= render :partial => "pedigree", locals: {pedigree: cd.pedigree}%>
+        </CopiedInfo>
+      <% end %>
+    </Copied>
+  </RecordDate>
+  <Confidentiality><%= metadata.confidentiality%></Confidentiality>
+</Document>

data/templates/show.html.erb

@@ -0,0 +1,287 @@
+ 
+    <script language="javascript">
+    var cur_view = "section";
+      function toggle(id) {
+        var e = document.getElementById(id);
+        if (cur_view=="section"){
+          document.getElementById("patient_information_by_section").style.display = 'none';
+          document.getElementById("table_by_encounter").style.display = 'block';
+          document.getElementById('toggle_button').innerHTML="View By Section";
+          cur_view = "encounter";
+        }else{
+          document.getElementById("patient_information_by_section").style.display = 'block';
+          document.getElementById("table_by_encounter").style.display = 'none';
+          document.getElementById('toggle_button').innerHTML="View By Encounter";
+          cur_view = "section";
+        }         
+      }
+    </script>
+     <div>
+      <h3><a href="#" onclick="toggle('table_by_encounter');" id='toggle_button'>View By Encounter</a></h3>
+     </div>
+     <div id="table_by_encounter" style="display:none">
+        <% patient.encounters.sort! { |a,b| a.start_time <=> b.start_time } %>
+        <% patient.encounters.each_with_index do |encounter,idx| %>
+
+          <%
+            encounter_allergies=0
+            encounter_care_goals=0
+            encounter_vital_signs=0
+            encounter_results=0
+            encounter_conditions=0
+            encounter_procedures=0
+            encounter_medications=0
+            encounter_social_history=0
+            encounter_immunizations=0
+            encounter_medical_equipment=0
+          %>
+
+            <br/><br/>
+            <h3>Encounter <%= patient.encounters.count - idx %></h3>
+            <table border="1" width="100%" class="narr_table">
+              
+              <tbody>                
+                <tr>
+                  <th class="narr_th">Description</th>
+                  <th class="narr_th">Codes</th>
+                  <th class="narr_th">Time</th>
+                 
+                    <th class="narr_th">Status</th>
+               
+                  
+                  
+                    <th class="narr_th">Value</th>
+                  
+                </tr>        
+                   <tr class="narr_tr">
+                        <td ID="encounters-desc-<%= idx %>"><%= encounter.description %></td>
+                        <td ID="encounters-code-<%= idx %>"><b><%= encounter.codes_to_s %></b><br/><i><%= encounter.specifics %></i></td>
+                        <td><%= encounter.times_to_s %></td>
+                        <td> </td>   
+                        <td> </td>   
+                         
+                      </tr>
+                <!-- Select Allergies for this Encounter -->
+               
+               
+                <% patient.allergies.each_with_index do |entry, i| %>               
+                  <% if encounter.times_to_s == entry.times_to_s -%>
+                    <% if encounter_allergies==0 -%>
+                       <tr class="narr_tr">
+                        <th class="narr_th" colspan="5">Allergies</th>
+                      </tr>
+                      <% encounter_allergies=1 %>
+                    <% end %>
+                      <tr class="narr_tr">
+                        <td ID="allergies-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="allergies-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>  
+                        <td> </td>
+                        <td> </td>                     
+                      </tr>
+                  <% end %>
+                <% end %>
+             
+
+                <!-- Select Car Goals for this Encounter -->
+                
+                
+                 <% patient.care_goals.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                       <% if encounter_care_goals==0 -%>
+                        <tr class="narr_tr">
+                          <th class="narr_th" colspan="5">Care Goals</th>
+                        </tr>
+                        <% encounter_care_goals=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="care_goals-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="care_goals-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>   
+                        <td> </td>
+                        <td> </td>                     
+                      </tr>
+                    <% end %>
+                <% end %>
+             
+
+               <!-- Select Vitals for this Encounter -->
+                 <% patient.vital_signs.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_vital_signs==0 -%>
+                        <tr class="narr_tr">
+                          <th class="narr_th" colspan="5">Vital Signs</th>
+                        </tr>
+                        <% encounter_vital_signs=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="vitals-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="vitals-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td> 
+                        <td> </td>                          
+                        <td><%= entry.value["scalar"] %></td>   
+                                         
+                      </tr>
+                    <% end %>
+                <% end %>
+              
+
+               <!-- Select lab results for this Encounter -->
+               <% patient.results.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_results==0 -%>
+                          <tr class="narr_tr">
+                          <th class="narr_th" colspan="5">Lab Results</th>
+                        </tr>
+                        <% encounter_results=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="results-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="results-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>
+                        <td> </td>   
+                        <td><%= entry.value["scalar"] %></td>  
+                                      
+                      </tr>
+                    <% end %>
+                <% end %>
+             
+
+                 <!-- Select conditions for this Encounter -->
+               
+                
+                 <% patient.conditions.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_conditions==0 -%>
+                          <tr class="narr_tr">
+                            <th class="narr_th" colspan="5">Problems</th>
+                          </tr>
+                          <% encounter_conditions=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="conditions-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="conditions-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>                        
+                        <td><%= entry.status %></td>
+                        <td> </td>   
+                      </tr>
+                    <% end %>              
+                 <% end %>
+
+               <!-- Select procedures for this Encounter -->
+             
+                
+                 <% patient.procedures.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_procedures==0 -%>
+                        <tr class="narr_tr">
+                          <th class="narr_th" colspan="5">Procedures</th>
+                         </tr>
+                        <% encounter_procedures=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="procedures-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="procedures-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>
+                        <td> </td>   
+                        <td> </td>                           
+                      </tr>
+                    <% end %>
+                <% end %>
+              
+
+                <!-- Select Medications for this Encounter -->
+             
+               
+                 <% patient.medications.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_medications==0 -%>
+                        <tr class="narr_tr">
+                          <th class="narr_th" colspan="5">Medications</th>
+                        </tr>
+                      <% encounter_medications=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="medications-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="medications-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>                        
+                        <td><%= entry.status %></td> 
+                        <td> </td>                          
+                      </tr>
+                    <% end %>
+                  <% end %>
+              
+
+                 <!-- Select Social History for this Encounter -->
+                
+               
+                 <% patient.social_history.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_social_history==0 -%>
+                          <tr class="narr_tr">
+                            <th class="narr_th" colspan="5">Social History</th>
+                          </tr>
+                        <% encounter_social_history=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="social_history-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="social_history-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td> 
+                        <td> </td>   
+                        <td> </td>                           
+                      </tr>
+                    <% end %>
+                 <% end %>
+              
+
+                 <!-- Select immunizations for this Encounter -->
+                
+                
+                 <% patient.immunizations.each_with_index do |entry, i| %>               
+                    <% if encounter.times_to_s == entry.times_to_s -%>
+                      <% if encounter_immunizations==0 -%>
+                        <tr class="narr_tr">
+                         <th class="narr_th" colspan="5">Immunizations</th>
+                        </tr>
+                        <% encounter_immunizations=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="immunizations-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="immunizations-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td> 
+                        <td> </td>   
+                        <td> </td>                          
+                      </tr>
+                    <% end %>
+                  <% end %>
+               
+
+                 <!-- Select medical_equipment for this Encounter -->
+               
+               
+                 <% patient.medical_equipment.each_with_index do |entry, i| %>               
+                   <% if encounter.times_to_s == entry.times_to_s -%>
+                       <% if encounter_medical_equipment==0 -%>
+                          <tr class="narr_tr">
+                            <th class="narr_th" colspan="5">Medical Equipment</th>
+                          </tr>
+                        <% encounter_medical_equipment=1 %>
+                      <% end %>
+                      <tr class="narr_tr">
+                        <td ID="medical_equipment-desc-<%= i %>"><%= entry.description %></td>
+                        <td ID="medical_equipment-code-<%= i %>"><b><%= entry.codes_to_s %></b><br/><i><%= entry.specifics %></i></td>
+                        <td><%= entry.times_to_s %></td>  
+                        <td> </td>   
+                        <td> </td>                         
+                      </tr>
+                  <% end %>
+                 <% end %>
+     
+               
+              </tbody>
+            </table>
+       
+   
+      <% end %>
+  </div>
+