health-data-standards 2.2.1 → 3.0.3

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.28.cat1.erb

@@ -0,0 +1,20 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- Functional Status Result Observation (consolidation) template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.67"/>
+    <!-- Functional Status, Result template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.28"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+
+    <!-- Result -->
+    <%== render(:partial => 'result_value', :locals => {:entry => entry}) %>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.3.cat1.erb

@@ -0,0 +1,24 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <templateId root="2.16.840.1.113883.10.20.24.3.3"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>  
+    <%== code_display(entry, 'preferred_code_sets' => ['SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+    
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.as_point_in_time) %>/>
+    </effectiveTime>
+    
+    <participant typeCode="AUT">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+    
+    <participant typeCode="IRCP">
+      <participantRole classCode="PAT"/>
+    </participant>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.31.cat1.erb

@@ -0,0 +1,20 @@
+<entry>
+  <act classCode="ACT" moodCode="RQO">
+    <!-- Plan of Care Activity Act template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.39"/>
+    <!-- Intervention Order template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.31"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <statusCode code="completed"/>
+    <author>
+      <time <%= value_or_null_flavor(entry.as_point_in_time) %>/>
+      <assignedAuthor>
+        <id root="<%= UUID.generate %>"/>
+      </assignedAuthor>
+    </author>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.32.cat1.erb

@@ -0,0 +1,15 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Consolidation CDA: Procedure Activity Act template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.12"/>
+    <templateId root="2.16.840.1.113883.10.20.24.3.32"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.34.cat1.erb

@@ -0,0 +1,58 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN">
+    <!-- Consolidation CDA: Procedure Activity Act template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.12"/>
+    <templateId root="2.16.840.1.113883.10.20.24.3.34"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <entryRelationship typeCode="REFR">
+      <observation classCode="OBS" moodCode="EVN">
+        <!-- Result Observation template (consolidation) -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
+        <!-- Result template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.87"/>
+        <id root="<%= UUID.generate %>"/>
+        <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+        <statusCode code="completed"/>
+        <effectiveTime <%= value_or_null_flavor(entry.start_time) %>/>
+        <% ev = entry.values.first
+           if ev.present?
+             if ev.respond_to?(:codes) -%>
+        <%== code_display(ev, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'tag_name' => 'value', 'extra_content' => "xsi:type=\"CD\"") %>
+        <%   elsif ev.respond_to?(:scalar) -%>
+        <%     if is_num?(ev.scalar) -%>
+        <value xsi:type="PQ" value="<%= ev.scalar %>" <% if ev.units -%>unit="<%= ev.units %>"<% end -%>/>
+        <%     elsif is_bool?(ev.scalar)%>
+        <value xsi:type="BL" value="<%= ev.scalar %>" />
+        <%     else -%>
+        <value xsi:type="ST" ><%= ev.scalar %></value> 
+        <%     end 
+             end
+           else -%>
+        <value xsi:type="PQ" nullFlavor="UNK"/>
+        <% end -%>
+
+        <!-- Attribute: Status -->
+        <entryRelationship typeCode="REFR">
+          <observation classCode="OBS" moodCode="EVN">
+            <templateId root="2.16.840.1.113883.10.20.24.3.93"/>
+            <id root="<%= UUID.generate %>"/>
+            <code code="33999-4" 
+                  codeSystem="2.16.840.1.113883.6.1"
+                  codeSystemName="LOINC"
+                  displayName="Status"/>
+            <value xsi:type="CD" 
+                  code="33999-4"
+                  codeSystem="2.16.840.1.113883.6.1"
+                  displayName="Final Report"/>
+          </observation>
+        </entryRelationship>
+      </observation>
+    </entryRelationship>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.37.cat1.erb

@@ -0,0 +1,20 @@
+<entry>
+  <observation classCode="OBS" moodCode="RQO">
+    <!-- Consolidation Plan of Care Activity Observation -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.44"/>
+    <!-- Lab Test Order -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.37"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="new"/>
+
+    <!-- Attribute: datetime -->
+    <author>
+      <time <%= value_or_null_flavor(entry.as_point_in_time) %>/>
+      <assignedAuthor>
+        <id nullFlavor="NA" root="<%= UUID.generate %>"/>
+      </assignedAuthor>
+    </author>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.38.cat1.erb

@@ -0,0 +1,16 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Lab test performed -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.38"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.4.cat1.erb

@@ -0,0 +1,27 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Communication from provider to provider -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.4"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+
+    <participant typeCode="AUT">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+
+    <participant typeCode="IRCP">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.40.cat1.erb

@@ -0,0 +1,17 @@
+<entry>
+  <!--Laboratory test, result -->
+  <observation classCode="OBS" moodCode="EVN">
+    <!--  Result Observation (consolidation) template  -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
+    <!-- Laboratory Test, Result template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.40"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low value="<%= entry.start_time %>"/>
+    </effectiveTime>
+    <%== render(:partial => 'result_value', :locals => {:entry => entry}) %>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.41.cat1.erb

@@ -0,0 +1,38 @@
+<entry>
+  <substanceAdministration classCode="SBADM" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Medication Activity (consolidation) template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.16"/> 
+    <!-- Medication, Active template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.41"/>
+    
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <text><%= entry.description %></text>
+    <statusCode code="active"/> 
+    <effectiveTime xsi:type="IVL_TS">
+        <low <%= value_or_null_flavor(entry.start_time) %>/>
+        <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    
+    <%== render(:partial => 'medication_details', :locals => {:entry => entry}) %>
+
+
+    <% if entry.product_form.present? -%>
+    <administrationUnitCode code="<%= entry.product_form['code'] %>" codeSystem="<%= entry.product_form['codeSystem'] %>"/>
+    <% end -%>
+
+    <consumable>
+      <manufacturedProduct classCode="MANU">
+        <!-- Medication Information (consolidation) template --> 
+        <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
+        <id root="<%= UUID.generate %>"/>
+        <manufacturedMaterial>
+          <%== code_display(entry, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+        </manufacturedMaterial>
+        <manufacturerOrganization>
+          <name>Medication Factory Inc.</name>
+        </manufacturerOrganization>
+      </manufacturedProduct>
+    </consumable>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </substanceAdministration>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.42.cat1.erb

@@ -0,0 +1,38 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Medication, Administered template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.42"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="416118004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Administration"/>
+    <statusCode code="completed"/>
+    <effectiveTime xsi:type="IVL_TS">
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <entryRelationship typeCode="COMP">
+      <substanceAdministration classCode="SBADM" moodCode="EVN">
+        <!-- Medication Activity (consolidation) template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
+        <id root="<%= UUID.generate %>"/>
+        <text><%= entry.description %></text>
+        <statusCode code="completed"/>
+        <effectiveTime xsi:type="IVL_TS">
+          <low <%= value_or_null_flavor(entry.start_time) %>/>
+          <high <%= value_or_null_flavor(entry.end_time) %>/>
+        </effectiveTime>
+        <%== render(:partial => 'medication_details', :locals => {:entry => entry}) %>
+        <consumable>
+          <manufacturedProduct classCode="MANU">
+            <!-- Medication Information (consolidation) template -->
+            <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
+            <id root="<%= UUID.generate %>"/>
+            <manufacturedMaterial>
+              <%== code_display(entry, 'preferred_code_sets' => ['RxNorm', 'CVX', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+            </manufacturedMaterial>
+          </manufacturedProduct>
+        </consumable>
+      </substanceAdministration>
+    </entryRelationship>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </act>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.43.cat1.erb

@@ -0,0 +1,24 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- consolidation CDA Allergy observation template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
+    <!--  Medication Allergy -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.43"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="ASSERTION" displayName="Assertion" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+    <value code="62014003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Adverse drug effect" xsi:type="CD"/>
+
+    <participant typeCode="CSM">
+      <participantRole classCode="MANU">
+        <playingEntity classCode="MMAT">
+          <%== code_display(entry, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+          <name><%= entry.description %></name>
+        </playingEntity>
+      </participantRole>
+    </participant>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.44.cat1.erb

@@ -0,0 +1,24 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- consolidation CDA Allergy observation template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
+    <!--  Medication Allergy -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.44"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="ASSERTION" displayName="Assertion" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+    <value code="416098002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Drug allergy" xsi:type="CD"/>
+
+    <participant typeCode="CSM">
+      <participantRole classCode="MANU">
+        <playingEntity classCode="MMAT">
+          <%== code_display(entry, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+          <name><%= entry.description %></name>
+        </playingEntity>
+      </participantRole>
+    </participant>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.45.cat1.erb

@@ -0,0 +1,26 @@
+<entry>
+  <!--Medication dispensed -->
+  <supply classCode="SPLY" moodCode="EVN">
+    <!--  Medication Dispensed template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.45"/>
+    <!-- Medication Dispense template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.18"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+    <effectiveTime xsi:type="IVL_TS">
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <product>
+      <manufacturedProduct classCode="MANU">
+        <!-- Medication Information (consolidation) template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
+        <id root="<%= UUID.generate %>"/>
+        <manufacturedMaterial>
+          <%== code_display(entry, :extra_content => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+        </manufacturedMaterial>
+      </manufacturedProduct>
+    </product>
+  </supply>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.46.cat1.erb

@@ -0,0 +1,30 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- consolidation CDA Allergy Observation template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.7"/>
+    <templateId root="2.16.840.1.113883.10.20.24.3.46"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="ASSERTION" 
+          displayName="Assertion" 
+          codeSystem="2.16.840.1.113883.5.4" 
+          codeSystemName="ActCode"/>
+    <statusCode code="completed"/>
+    <effectiveTime>
+        <low value="<%= entry.start_time %>"/>
+    </effectiveTime>
+    <value xsi:type="CD" 
+           code="59037007" 
+           displayName="Drug intolerance"
+           codeSystem="2.16.840.1.113883.6.96" 
+           codeSystemName="SNOMED CT"/>
+
+    <participant typeCode="CSM">
+      <participantRole classCode="MANU">
+        <playingEntity classCode="MMAT">
+          <%== code_display(entry, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+          <text><%= entry.description %></text>
+        </playingEntity>
+      </participantRole>
+    </participant>
+  </observation>
+</entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.47.cat1.erb

@@ -0,0 +1,26 @@
+<entry>
+  <!--Medication Order -->
+  <substanceAdministration classCode="SBADM" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <templateId root="2.16.840.1.113883.10.20.22.4.42"/>
+    <!-- Medication, Order template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.47"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <text><%= entry.description %></text>
+    <statusCode code="new"/>
+    <effectiveTime xsi:type="IVL_TS">
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <consumable>
+      <manufacturedProduct classCode="MANU">
+        <!-- Medication Information (consolidation) template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
+        <id root="<%= UUID.generate %>"/>
+        <manufacturedMaterial>
+          <%== code_display(entry, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+        </manufacturedMaterial>
+      </manufacturedProduct>
+    </consumable>
+    <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
+  </substanceAdministration>
+</entry>