health-data-standards 2.2.1 → 3.0.3

data/templates/cat1/_reporting_parameters.cat1.erb

@@ -0,0 +1,24 @@
+      <component>
+        <section>
+          <!-- This is the templateId for Reporting Parameters section -->
+          <templateId root="2.16.840.1.113883.10.20.17.2.1"/>
+          <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+          <title>Reporting Parameters</title>
+          <text>
+            <list>
+              <item>Reporting period: <%= start_date.to_formatted_s(:long_ordinal) %> - <%= end_date.to_formatted_s(:long_ordinal) %></item>
+            </list>
+          </text>
+          <entry typeCode="DRIV">
+            <act classCode="ACT" moodCode="EVN">
+              <!-- This is the templateId for Reporting Parameteres Act -->
+              <templateId root="2.16.840.1.113883.10.20.17.3.8"/>
+              <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+              <effectiveTime>
+                <low value="<%= start_date.to_formatted_s(:number) %>"/>
+                <high value="<%= end_date.to_formatted_s(:number) %>"/>
+              </effectiveTime>
+            </act>
+          </entry>
+        </section>
+      </component>

data/templates/cat1/_result_value.cat1.erb

@@ -0,0 +1,16 @@
+<% 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="CD" nullFlavor="UNK"/>
+<% end -%>

data/templates/cat1/show.cat1.erb

@@ -0,0 +1,125 @@
+<?xml version="1.0" encoding="utf-8"?>
+<?xml-stylesheet type="text/xsl" href="cda.xsl"?>
+<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+ xmlns="urn:hl7-org:v3"
+ xmlns:voc="urn:hl7-org:v3/voc"
+ xmlns:sdtc="urn:hl7-org:sdtc">
+  <!-- QRDA Header -->
+  <realmCode code="US"/>
+  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+  <!-- US Realm Header Template Id -->
+  <templateId root="2.16.840.1.113883.10.20.22.1.1"/> 
+  <!-- QRDA templateId -->   
+  <templateId root="2.16.840.1.113883.10.20.24.1.1"/>
+  <!-- QDM-based QRDA templateId -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.2"/>
+  <!-- This is the globally unique identifier for this QRDA document -->
+  <id root="5b010313-eff2-432c-9909-6193d8416fac"/>
+  <!-- QRDA document type code -->
+  <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+  <title>QRDA Incidence Report</title>
+  <!-- This is the document creation time -->
+  <effectiveTime value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
+  <languageCode code="en-US"/>
+  <!-- reported patient -->
+  <%== render :partial => 'record_target', :locals => {:patient => patient} %>
+  <!-- Example of an author who is a device -->
+  <author>
+    <time value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+    <assignedAuthor>
+      <id extension="Cypress" root="2.16.840.1.113883.19.5"/>
+      <!-- NPI -->
+      <id extension="FakeNPI" root="2.16.840.1.113883.4.6"/>
+      <addr>
+        <streetAddressLine>202 Burlington Rd.</streetAddressLine>
+        <city>Bedford</city>
+        <state>MA</state>
+        <postalCode>01730</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="WP" value="tel:(781)271-3000"/>
+      <assignedAuthoringDevice>
+        <manufacturerModelName>Cypress</manufacturerModelName >
+        <softwareName>Cypress</softwareName >
+      </assignedAuthoringDevice >
+    </assignedAuthor>   
+  </author>
+  <custodian>
+    <assignedCustodian>
+      <representedCustodianOrganization>
+        <id root="2.16.840.1.113883.19.5"/>
+        <name>Cypress Test Deck</name>
+        <telecom use="WP" value="tel:(781)271-3000"/>
+        <addr>
+          <streetAddressLine>202 Burlington Rd.</streetAddressLine>
+          <city>Bedford</city>
+          <state>MA</state>
+          <postalCode>01730</postalCode>
+          <country>US</country>
+        </addr>
+      </representedCustodianOrganization>
+    </assignedCustodian>
+  </custodian>
+  <legalAuthenticator>
+    <time value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+    <signatureCode code="S"/>
+    <assignedEntity>
+      <id root="bc01a5d1-3a34-4286-82cc-43eb04c972a7"/>
+      <addr>
+        <streetAddressLine>202 Burlington Rd.</streetAddressLine>
+        <city>Bedford</city>
+        <state>MA</state>
+        <postalCode>01730</postalCode>
+        <country>US</country>
+      </addr>
+      <telecom use="WP" value="tel:(781)271-3000"/>
+      <assignedPerson>
+        <name>
+           <given>Henry</given>
+           <family>Seven</family>
+        </name>
+     </assignedPerson>
+      <representedOrganization>
+        <id root="2.16.840.1.113883.19.5"/>
+        <name>Cypress</name>
+      </representedOrganization>
+    </assignedEntity>
+  </legalAuthenticator>
+
+  <!-- TODO: This is where the provider information will go.
+       It is currently hard coded, but should be replaced with the providers
+       and the time over which they are performing. --> 
+  <documentationOf typeCode="DOC">
+    <serviceEvent classCode="PCPR"> <!-- care provision -->
+      <effectiveTime>
+        <low value="20100601"/>
+        <high value="20100915"/>
+      </effectiveTime>
+      <!-- You can include multiple performers, each with an NPI, TIN, CCN. -->
+      <performer typeCode="PRF"> 
+        <time>
+          <low value="20020716"/>
+          <high value="20070915"/>
+        </time>
+        <assignedEntity>
+          <!-- This is the provider NPI -->
+          <id root="2.16.840.1.113883.4.6" extension="111111111" /> 
+          <representedOrganization>
+            <!-- This is the organization TIN -->
+            <id root="2.16.840.1.113883.4.2" extension="1234567" /> 
+            <!-- This is the organization CCN -->
+            <id root="2.16.840.1.113883.4.336" extension="54321" /> 
+          </representedOrganization>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+  <component>
+    <structuredBody>
+      <%== render :partial => 'measures', :locals => {:measures => measures} %>
+      <%== render :partial => 'reporting_parameters', :locals => {:start_date => start_date, :end_date => end_date} %>
+      <%== render :partial => 'patient_data', :locals => {:measures => measures, :patient => patient} %>
+    </structuredBody>
+  </component>
+</ClinicalDocument>

data/templates/{_address.gc32.erb → gc32/_address.gc32.erb}

@@ -1,7 +1,7 @@
 <% tag_name ||= "address"%>
 <<%=tag_name%>>
   <% address.street.each do |street| %>
-    <streetAddressLine><%= street %></streetAddressLine>
+    <street><%= street %></street>
   <% end %>
   <city><%= address.city %></city>
   <state><%= address.state %></state>

data/templates/gc32/_advance_directive.gc32.erb

@@ -0,0 +1,5 @@
+<advanceDirective xmlns="urn:hl7-org:greencda:c32">
+  <%== gc32_code_display advance_directive, 'preferred_code_sets' => ['SNOMED-CT'] %>
+  <%== gc32_effective_time(advance_directive)%>
+  <freeText><%= advance_directive.free_text %></freeText>
+</advanceDirective>

data/templates/gc32/_allergy.gc32.erb

@@ -0,0 +1,12 @@
+<allergy xmlns="urn:hl7-org:greencda:c32" id="<%=allergy.id%>">
+  <%== render partial: "entry_attributes", locals: {entry: allergy, code_sets: ['SNOMED-CT', "RxNorm", "FDA"]}%>
+  <% if allergy.type %>
+  <%== gc32_code_display allergy, "tag_name" => "type", "attribute" => "type", 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'] %>
+  <% end %>
+  <% if allergy.reaction && allergy.reaction['code'] %>
+      <reaction code="<%= allergy.reaction['code'] %>" codeSystem="<%= allergy.reaction['code_system'] %>" />
+  <% end %>
+  <% if allergy.severity && !allergy.severity.empty? %>
+  <%== gc32_code_display allergy, "tag_name" => "severity", "attribute" => "severity", 'preferred_code_sets' => ['SNOMED-CT'] %>
+  <% end %>
+</allergy>

data/templates/{_care_goal.gc32.erb → gc32/_care_goal.gc32.erb}

@@ -5,4 +5,4 @@ type = case care_goal
          care_goal.class.name.underscore
        end
 %>
-<%= render partial: type, locals: {type => care_goal} %>
+<%== render partial: type, locals: {type => care_goal} %>

data/templates/gc32/_condition.gc32.erb

@@ -0,0 +1,10 @@
+<condition id="<%= condition.id %>" <% unless condition.cause_of_death.nil? %>causeOfDeath="<%= condition.cause_of_death %>"<% end %> xmlns="urn:hl7-org:greencda:c32">
+  <%== render partial: "entry_attributes", locals: {entry: condition, code_sets: ['SNOMED-CT', "ICD-9-CM", "ICD-10-CM"]}%>
+  <% if condition.priority %>
+    <priority><%= condition.priority %></priority>
+  <% end %>
+  <type><%= condition.type %></type>
+  <% condition.treating_provider.each do |tp| %>
+  <%== render partial: 'provider', locals: {provider: tp} %>
+  <% end %>
+</condition>

data/templates/gc32/_encounter.gc32.erb

@@ -0,0 +1,28 @@
+<encounter xmlns="urn:hl7-org:greencda:c32" id="<%= encounter.id %>">
+  <%== render partial: "entry_attributes", locals: {entry: encounter, code_sets: ["CPT", "SNOMED-CT"]}%>
+  <% if encounter.discharge_disposition %>
+  <%== gc32_code_display encounter, "tag_name" => "dischargeDisposition", 'attribute' => "discharge_disposition", 'preferred_code_sets' => ["NUBC"] %>
+  <% end %>
+  <% if encounter.admit_type%>
+  <%== gc32_code_display encounter, "tag_name" => "admissionType", 'attribute' => "admit_type", 'preferred_code_sets' => ["NUBC"] %>
+  <% end %>
+  <% if provider %>
+  <%== render partial: 'provider', locals: {provider: encounter.performer, tag_name: 'performer'}%>
+  <% end %>
+  <% facility = encounter.facility %>
+  <% if facility %>
+  <facility>
+      <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 %>
+    <%== gc32_interval(encounter, "duration", :admit_time, :discharge_time) %>
+  </facility>
+  <% end %>
+  <% if encounter.performer %>
+  <%== render partial: 'provider', locals: {provider: encounter.performer} %>
+  <% end %>
+</encounter>

data/templates/gc32/_entry.gc32.erb

@@ -0,0 +1,3 @@
+<entry xmlns="urn:hl7-org:greencda:c32" id="<%= entry.id %>">
+  <%== render partial: "entry_attributes", locals: {entry: entry, code_sets: ["SNOMED-CT", "LOINC"]}%>
+</entry>

data/templates/gc32/_entry_attributes.gc32.erb

@@ -0,0 +1,10 @@
+<% if entry.codes.empty? %>
+  <code />
+<% else %>  
+  <%== gc32_code_display entry, "tag_name" => "code", 'preferred_code_sets' => code_sets %>
+<% end %>
+<% if entry.status_code && !entry.status_code.empty? %>
+<%== gc32_code_display entry, "tag_name" => "status", "attribute" => "status_code", 'preferred_code_sets' => ['SNOMED-CT', "HL7 ActStatus"] %>
+<% end %>
+<freeText><%=entry.free_text %></freeText>
+<%== gc32_effective_time(entry)%>

data/templates/gc32/_immunization.gc32.erb

@@ -0,0 +1,9 @@
+<immunization xmlns="urn:hl7-org:greencda:c32" id="<%= immunization.id%>" <% if refused %> refused="true" <% end %>>
+  <%== render partial: "entry_attributes", locals: {entry: immunization, code_sets: ["RxNorm", "CVX", "FDA"]}%>
+  <% if immunization.series_number %>
+    <seriesNumber><%= immunization.series_number %></seriesNumber>
+  <% end %>
+  <% if immunization.refusal_reason %>
+  <%== gc32_code_display immunization, "tag_name" => "refusalReason", "attribute" => "refusal_reason", "preferred_code_sets" => ["HL7 ActNoImmunicationReason"] %>
+  <% end %>
+</immunization>

data/templates/gc32/_insurance_provider.gc32.erb

@@ -0,0 +1,28 @@
+  <insuranceProvider xmlns="urn:hl7-org:greencda:c32" id="<%=insurance_provider.id%>">
+  <insuranceType code="<%== insurance_provider.type %>" codeSystem="2.16.840.1.113883.3.88.12.3221.5.2" />
+  <%== render partial: "organization", locals: {organization: insurance_provider.payer, tag_name: payer} %>
+  <% if insurance_provider.subscriber %>
+    <subscriber>
+      <%== render partial: 'person_attributes', locals: {person: insurance_provider.subscriber} %>
+    </subscriber>
+  <% end %>
+  <% if insurance_provider.relationship %>
+  <%== gc32_code_display insurance_provider, "attribute" => "relationship", "tag_name" => "relationshipToSubscriber" %>
+  <% end %>
+  <% insurance_provider.guarantors.each do |g| %>
+  <guarantor>
+    <%== gc32_interval(insurance_provider, "financialResponsibilityDateRange", :start_time, :end_time) %>
+    <% if g.organization %>
+      <%== render partial: 'organization', locals: {organization: g.organization}%>
+    <% elsif g.person%>
+      <person>
+        <%== render partial: 'person_attributes', locals: {person: g.person} %>
+      </person>
+    <% end %>
+  </guarantor>
+  <% end %>
+  <healthPlanName><%=insurance_provider.name%></healthPlanName>
+  <% if insurance_provider.free_text%>
+    <freeText><%= insurance_provider.free_text%></freeText>
+  <% end %>
+</insuranceProvider>

data/templates/gc32/_medical_equipment.gc32.erb

@@ -0,0 +1,6 @@
+<medicalEquipment xmlns="urn:hl7-org:greencda:c32" id="<%= medical_equipment.id%>">
+  <%== render partial: "entry_attributes", locals: {entry: medical_equipment, code_sets: ["SNOMED-CT", "LOINC"]}%>
+  <% if medical_equipment.values.first %>
+    <%== quantity_display medical_equipment.values.first, "quantity" %>
+  <% end %>
+</medicalEquipment>

data/templates/gc32/_medication.gc32.erb

@@ -0,0 +1,91 @@
+<medication xmlns="urn:hl7-org:greencda:c32" id="<%=medication.id%>">
+  <%== render partial: "entry_attributes", locals: {entry: medication, code_sets: ["RxNorm", "CVX", "FDA"]}%>
+  <% if medication.administration_timing %>
+    <administrationTiming institutionSpecified="<%= medication.administration_timing['institution_specified'] %>">
+      <period amount="<%=medication.administration_timing['period']['value'] %>" unit="<%= medication.administration_timing['period']['unit']%>" />
+    </administrationTiming>
+  <% end %>
+  <% if medication.route %>
+  <%== gc32_code_display medication, "tag_name" => "route", "attribute" => "route", "preferred_code_sets" => ["NCI Thesaurus"] %>
+  <% end %> 
+  <% if medication.site %>
+  <%== gc32_code_display medication, "tag_name" => "site", "attribute" => "site", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end %>
+  <%== quantity_display medication.dose, :dose %>
+  <% if medication.dose_indicator %>
+  <doseIndication><%=medication.dose_indicator%></doseIndication>
+  <% end %>
+  <% if medication.dose_restriction %>
+  <doseRestriction>
+    <numerator><%= medication.dose_restriction["numerator"]%></numerator>
+    <denominator><%= medication.dose_restriction["denominator"]%></denominator>
+  </doseRestriction>
+  <% end %>
+  <% if medication.product_form %>
+  <%== gc32_code_display medication, "tag_name" => "productForm", "attribute" => "product_form", "preferred_code_sets" => ["FDA", "NCI Thesaurus"]  %>
+  <% end %>
+  <% if medication.delivery_method %>
+    <%== gc32_code_display medication, "tag_name" => "deliveryMethod", "attribute" => "delivery_method", "preferred_code_sets" => medication.delivery_method.keys %>
+  <% end %>
+  <% if medication.type_of_medication%>
+  <%== gc32_code_display medication, "tag_name" => "type", "attribute" => "type_of_medication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end %>
+  <% if medication.status_of_medication%>
+  <%== gc32_code_display medication, "tag_name" => "statusOfMedication", "attribute" => "status_of_medication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end %>
+  <%if medication.indication%>
+  <%== gc32_code_display medication, "tag_name" => "indication", "attribute" => "indication", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end %>
+  <% if medication.vehicle %>
+  <%== gc32_code_display medication, "tag_name" => "vehicle", "attribute" => "vehicle", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end%>
+  <% 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>
+    <% if fh.dispense_date %>
+      <dispenseDate value="<%=Time.at(fh.dispense_date).xmlschema%>" />
+    <% end %>
+    <%== 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 %>>
+      <% if oi.quantity_ordered %>
+      <%== quantity_display oi.quantity_ordered, "quantityOrdered" %>
+      <% end %>
+      <% if oi.order_date_time %>
+        <orderedDateTime value="<%=Time.at(oi.order_date_time).xmlschema%>" />
+      <% end %>
+      <% if oi.order_expiration_date_time %>
+        <expirationDateTime value="<%=Time.at(oi.order_expiration_date_time).xmlschema%>" />
+      <% end %>
+    </orderInformation>
+  <% end %>
+  <% include_providers ||= false %>
+  <% if include_providers %>
+  <prescribers>
+  <% medication.order_information.each do |oi| %>
+    <% if oi.provider %>
+      <%== render partial: 'provider', locals: {provider: oi.provider, tag_name: 'prescriber'} %>
+    <% end %>
+  <% end %>
+  </prescribers>
+  <pharmacists>
+  <% medication.fulfillment_history.each do |fh| %>
+    <% if oi.provider %>
+      <%== render partial: 'provider', locals: {provider: fh.provider, tag_name: 'pharmacist'} %>
+    <% end %>
+  <% end %>
+  </pharmacists>
+  <% end %> 
+</medication>

data/templates/gc32/_organization.gc32.erb

@@ -0,0 +1,10 @@
+<% tag_name ||= "organization"%>
+<<%=tag_name%> id="<%=organization.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/gc32/_person_attributes.gc32.erb

@@ -0,0 +1,7 @@
+<%== render partial: 'name', locals: {person: person} %>
+<% person.addresses.each do |addr| %>
+  <%== render :partial => "address", locals: {address: addr} %>
+<% end %>
+<% person.telecoms.each do |tele| %>
+  <%== render :partial => "telecom", locals: {telecom: tele} %>
+<% end %>

data/templates/gc32/_procedure.gc32.erb

@@ -0,0 +1,9 @@
+<procedure xmlns="urn:hl7-org:greencda:c32" id="<%=procedure.id%>">
+  <%== render partial: "entry_attributes", locals: {entry: procedure, code_sets: ['CPT', 'ICD-9-CM', 'ICD-10-CM', 'HCPCS', 'SNOMED-CT']}%>
+  <% if procedure.site %>
+    <%== gc32_code_display procedure, "tag_name" => "site", "attribute" => "site", "preferred_code_sets" => ["SNOMED-CT"] %>
+  <% end %>
+  <% if procedure.performer %>
+  <%== render partial: 'provider', locals: {provider: procedure.performer} %>
+  <% end %>
+</procedure>

data/templates/gc32/_provider.gc32.erb

@@ -0,0 +1,9 @@
+<% tag_name ||= "provider" %>
+<<%=tag_name%> id="<%= provider.id%>">
+  <%== render :partial => 'person_attributes', locals: {person: provider} %>
+  <npi>1234567890</npi>
+  <specialty></specialty>
+  <% if provider.organization %> 
+    <%== render :partial => "organization", locals: { organization: provider.organization } %>
+  <% end %>
+</<%=tag_name%>>