health-data-standards 3.0.6 → 3.1.0

data/templates/c32/show.c32.erb

@@ -8,7 +8,7 @@
   <templateId root="2.16.840.1.113883.3.88.10.20.3" assigningAuthorityName="HITSP/C32"/>
  
   <templateId root="2.16.840.1.113883.3.88.11.32.1" assigningAuthorityName="HITSP/C32"/>
-  <id root="2.16.840.1.113883.3.72" extension="<%= patient.id %>" assigningAuthorityName="NIST Healthcare Project"/>
+  <id root="2.16.840.1.113883.19.5" extension="<%= patient.id %>" assigningAuthorityName="Cypress Project"/>
   <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
   <title>Cypress C32 Patient Test Record: <%= patient.first %> <%= patient.last %></title>
   <effectiveTime value="<%= Time.now.utc.to_formatted_s(:number) %>"/>

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

@@ -9,6 +9,7 @@
 
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
 
     <participant typeCode="AUT">

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

@@ -10,7 +10,8 @@
     <text><%= entry.description %></text>
     <statusCode code="completed"/>
     <effectiveTime>
-      <low value="<%= entry.start_time %>"/>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
     <%== render(:partial => 'result_value', :locals => {:entry => entry}) %>
   </observation>

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

@@ -9,6 +9,7 @@
     <statusCode code="completed"/>
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
     <value code="416098002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Drug allergy" xsi:type="CD"/>
 

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

@@ -10,7 +10,7 @@
           codeSystemName="ActCode"/>
     <statusCode code="completed"/>
     <effectiveTime>
-        <low value="<%= entry.start_time %>"/>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
     </effectiveTime>
     <value xsi:type="CD" 
            code="59037007" 

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.54.cat1.erb

@@ -5,12 +5,27 @@
     <templateId root="2.16.840.1.113883.10.20.22.4.79"/>
     <!-- Patient Characteristic Expired -->
     <templateId root="2.16.840.1.113883.10.20.24.3.54"/>
-    <id root="<%= UUID.generate %>"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
     <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7ActCode"/>
     <statusCode code="completed"/>
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>
     </effectiveTime>
     <value code="419099009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Dead" sdtc:valueSet="2.16.840.1.113883.3.666.5.539" xsi:type="CD"/>
+    <% if entry.respond_to? :code 
+       # Currently, Record does not support coded cause of death, but this should allow it to work
+       # when Record supports it.
+    -%>
+    <entryRelationship typeCode="CAUS">
+      <observation classCode="OBS" moodCode="EVN">
+        <id root="<%= UUID.generate %>"/>
+        <code code="ASSERTION" 
+              codeSystem="2.16.840.1.113883.5.4"
+              codeSystemName="HL7ActCode"/>
+        <statusCode code="completed"/>
+        <%== code_display(entry, 'tag_name' => 'value', 'preferred_code_sets' => ['SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'extra_content' => "xsi:type=\"CD\"") %>
+      </observation>
+    </entryRelationship>
+    <% end -%>
   </observation>
 </entry>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.62.cat1.erb

@@ -9,7 +9,7 @@
           displayName="Assertion"/>  
     <statusCode code="completed"/>
     <effectiveTime>
-      <low value="<%= entry.start_time %>"/>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
     </effectiveTime>
     <value xsi:type="CD"
            code="102460003"

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.69.cat1.erb

@@ -10,13 +10,18 @@
 
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
 
     <% ev = entry.values.first
-       if ev.present? && ev.respond_to?(:scalar) -%>
+       if ev.present? && ev.respond_to?(:scalar) 
+        if is_num?(ev.scalar) -%>
     <value xsi:type="INT" value="<%= ev.scalar %>"/>
+        <% else -%>
+        <value xsi:type="ST"><%= ev.scalar%></value>
+        <% end %>  
     <% else -%>
-    <value nullFlavor="UNK"/>
+    <value  xsi:type="CD" nullFlavor="UNK"/>
     <% end -%>
     <%== render(:partial => 'reason', :locals => {:entry => entry}) %>
   </observation>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.76.cat1.erb

@@ -8,13 +8,14 @@
     <code code="418799008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Symptom"/>
     <text><%= entry.description %></text>
     <statusCode code="completed"/> 
-    <%== code_display(entry, 'preferred_code_sets' => ['SNOMED-CT'], 'tag_name' => 'value', 'extra_content' => "xsi:type=\"CD\" sdtc:valueSet=\"#{value_set_oid}\"") %>
+   
     
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>
       <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
     
+     <%== code_display(entry, 'preferred_code_sets' => ['SNOMED-CT'], 'tag_name' => 'value', 'extra_content' => "xsi:type=\"CD\" sdtc:valueSet=\"#{value_set_oid}\"") %>
     <!-- Status -->
     <entryRelationship typeCode="REFR">
       <observation classCode="OBS" moodCode="EVN">

data/templates/cat1/_medication_details.cat1.erb

@@ -1,9 +1,9 @@
-<% if entry.route.present? -%>
-<!-- Attribute: route -->
-<routeCode code="<%= entry.route['code'] %>" codeSystem="<%= entry.route['codeSystem'] %>"/>
+<% if entry.route.present? 
+      # hard coded to NCI Thesaurus for the code system since Cat I mandates that
+-%>
+<routeCode code="<%= entry.route['code'] %>" codeSystem="2.16.840.1.113883.3.26.1.1"/>
 <% end -%>
 
-<!-- Attribute: dose -->
 <% if entry.dose.present? -%>
 <doseQuantity value="<%= entry.dose['value']%>"/>
 <% end -%>

data/templates/cat1/_record_target.cat1.erb

@@ -1,6 +1,6 @@
   <recordTarget>
     <patientRole>
-      <id root="Cypress" extension="<%= patient.id %>"/>
+      <!-- id root="Cypress" extension="<%= patient.id %>"/ -->
       <!-- Fake Medicare HIC number -->
       <id extension="12345" root="2.16.840.1.113883.4.572"/>
       <addr use="HP">
@@ -26,7 +26,7 @@
         <% end %>
         <%
           languages = patient.languages 
-          languages = ["en-US"] if languages.nil? or languages.empty?
+          languages = ["eng"] if languages.nil? or languages.empty?
           languages.each do |language|%>
           <languageCommunication>
             <templateId root="2.16.840.1.113883.3.88.11.83.2" assigningAuthorityName="HITSP/C83"/>

data/templates/cat1/_result_value.cat1.erb

@@ -4,7 +4,7 @@
 <%== 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 -%>/>
+<value xsi:type="PQ" value="<%= ev.scalar %>" <% if ev.units && (ev.units != "") -%>unit="<%= ev.units %>"<% end -%>/>
 <%     elsif is_bool?(ev.scalar)%>
 <value xsi:type="BL" value="<%= ev.scalar %>" />
 <%     else -%>

data/templates/cat1/show.cat1.erb

@@ -21,14 +21,14 @@
   <!-- 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"/>
+  <languageCode code="eng"/>
   <!-- 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"/>
+      <!-- id extension="Cypress" root="2.16.840.1.113883.19.5"/ -->
       <!-- NPI -->
       <id extension="FakeNPI" root="2.16.840.1.113883.4.6"/>
       <addr>

data/templates/cat3/_continuous_variable_value.cat3.erb

@@ -0,0 +1,20 @@
+<entryRelationship type="COMP">
+  <observation classCode="OBS" moodCode="EVN">
+    <templateId root="2.16.840.1.113883.10.20.27.3.2"/>
+    <code nullFlavor="OTH">
+      <originalText>Time Difference</originalText>
+    </code>
+    <statusCode code="completed"/>
+    <value xsi:type="PQ" value="<%= population.population_count('OBSERV') %>" unit="min"/>
+    <methodCode code="MEDIAN" 
+                displayName="Median" 
+                codeSystem="2.16.840.1.113883.5.84" 
+                codeSystemName="ObservationMethod"/>
+    <reference typeCode="REFR">
+      <!-- reference to the relevant measure observation in the eMeasure -->
+      <externalObservation classCode="OBS" moodCode="EVN">
+        <id root="<%= population.population_id('OBSERV') %>"/>
+      </externalObservation>
+    </reference>
+  </observation>
+</entryRelationship>  

data/templates/cat3/_measure_data.cat3.erb

@@ -0,0 +1,126 @@
+
+<!--   MEASURE DATA REPORTING FOR    <%= population_type %>  <%= aggregate_count.population_id(population_type) %>  -->
+<observation classCode="OBS" moodCode="EVN">
+  <!-- Measure Data template -->
+  <templateId root="2.16.840.1.113883.10.20.27.3.5"/>
+  <code code="ASSERTION" 
+        codeSystem="2.16.840.1.113883.5.4" 
+        displayName="Assertion" 
+        codeSystemName="ActCode"/>
+  <statusCode code="completed"/>
+  <value xsi:type="CD" code="<%= population_type %>" 
+         codeSystem="2.16.840.1.113883.5.1063"  
+         codeSystemName="ObservationValue"/>
+  <!-- Aggregate Count -->
+  <entryRelationship typeCode="SUBJ" inversionInd="true">
+    <observation classCode="OBS" moodCode="EVN">
+      <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
+      <code code="MSRAGG" 
+        displayName="rate aggregation" 
+        codeSystem="2.16.840.1.113883.5.4" 
+        codeSystemName="ActCode"/>
+      <value xsi:type="INT" value="<%= aggregate_count.population_count(population_type, population_id) %>"/>
+      <methodCode code="COUNT" 
+        displayName="Count" 
+        codeSystem="2.16.840.1.113883.5.84" 
+        codeSystemName="ObservationMethod"/>
+    </observation>
+  </entryRelationship>
+  <% aggregate_count.stratifications.each do |strat| -%>
+
+  <!--  Startification Reporting Template for <%= population_type %>  <%= aggregate_count.population_id(population_type) %>  Stratification <%= strat.id %>   -->
+
+  <entryRelationship typeCode="COMP">
+    <observation classCode="OBS" moodCode="EVN">
+      <templateId root="2.16.840.1.113883.10.20.27.3.4"/>
+      <code code="ASSERTION" 
+            codeSystem="2.16.840.1.113883.5.4" 
+            displayName="Assertion" 
+            codeSystemName="ActCode"/>
+      <statusCode code="completed"/>
+      <value xsi:type="CD" nullFlavor="OTH">
+       <originalText>Stratum</originalText>
+      </value>
+      <entryRelationship typeCode="SUBJ" inversionInd="true">
+        <observation classCode="OBS" moodCode="EVN">
+          <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
+          <code code="MSRAGG" 
+                displayName="rate aggregation" 
+                codeSystem="2.16.840.1.113883.5.4" 
+                codeSystemName="ActCode"/>
+          <value xsi:type="INT" value="<%= strat.population_count(population_type, population_id) %>"/>
+          <methodCode code="COUNT" 
+                      displayName="Count" 
+                      codeSystem="2.16.840.1.113883.5.84" 
+                      codeSystemName="ObservationMethod"/>
+        </observation>
+      </entryRelationship>
+      <% if population_type == 'MSRPOPL' -%>
+      <%== render :partial => 'continuous_variable_value', :locals => {:population => strat} %>
+      <% end -%>
+      <reference typeCode="REFR">
+        <externalObservation classCode="OBS" moodCode="EVN">
+          <id root="<%= strat.id %>"/>
+        </externalObservation>
+      </reference>
+    </observation>
+  </entryRelationship>
+  <% end -%>
+  <% if aggregate_count.supplemental_data.present? -%>
+  <%   sex_supplimental_data = aggregate_count.supplemental_data_for(population_type, "SEX")
+       if sex_supplimental_data.present?
+         sex_supplimental_data.each do |sex, count| -%>
+   
+   <!--    SEX Supplemental Data Reporting for <%= population_type %> <%= aggregate_count.population_id(population_type) %>       --> 
+         
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Sex Supplemental Data', 
+                :template_id => '2.16.840.1.113883.10.20.27.3.6', :supplemental_data_code => '184100006',
+                :supplemental_data_code_system => '2.16.840.1.113883.6.96', :supplemental_data_value_code => sex,
+                :supplemental_data_value_code_system => '2.16.840.1.113883.5.1', :count => count} %>   
+      <% end -%>
+    <% end -%>
+  <%   ethnicity_supplimental_data = aggregate_count.supplemental_data_for(population_type, "ETHNICITY")
+       if ethnicity_supplimental_data.present?
+         ethnicity_supplimental_data.each do |ethnicity, count| -%>
+
+    <!--     ETHNICITY Supplemental Data Reporting  for <%= population_type %> <%= aggregate_count.population_id(population_type) %>     --> 
+
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Ethnicity Supplemental Data', 
+                :template_id => '2.16.840.1.113883.10.20.27.3.7', :supplemental_data_code => '364699009',
+                :supplemental_data_code_system => '2.16.840.1.113883.6.96', :supplemental_data_value_code => ethnicity,
+                :supplemental_data_value_code_system => '2.16.840.1.113883.6.238', :count => count} %>   
+      <% end -%>
+    <% end -%>
+  <%   race_supplimental_data = aggregate_count.supplemental_data_for(population_type, "RACE")
+       if race_supplimental_data.present?
+         race_supplimental_data.each do |race, count| -%>
+
+   <!--      RACE Supplemental Data Reporting  for <%= population_type %> <%= aggregate_count.population_id(population_type) %>    --> 
+
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Race Supplemental Data', 
+                :template_id => '2.16.840.1.113883.10.20.27.3.8', :supplemental_data_code => '103579009',
+                :supplemental_data_code_system => '2.16.840.1.113883.6.96', :supplemental_data_value_code => race,
+                :supplemental_data_value_code_system => '2.16.840.1.113883.6.238', :count => count} %>   
+      <% end -%>
+    <% end -%>
+  <%   payer_supplimental_data = aggregate_count.supplemental_data_for(population_type, "PAYER")
+       if payer_supplimental_data.present?
+         payer_supplimental_data.each do |payer, count| -%>
+
+ <!--         PAYER Supplemental Data Reporting   for <%= population_type %> <%= aggregate_count.population_id(population_type) %>     -->        
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Payer Supplemental Data', 
+                :template_id => '2.16.840.1.113883.10.20.27.3.9', :supplemental_data_code => '48768-6',
+                :supplemental_data_code_system => '2.16.840.1.113883.6.1', :supplemental_data_value_code => payer,
+                :supplemental_data_value_code_system => '2.16.840.1.113883.3.221.5', :count => count} %>   
+      <% end -%>
+    <% end -%>
+  <% end -%>
+  <% if population_type == 'MSRPOPL' -%>
+  <%== render :partial => 'continuous_variable_value', :locals => {:population => aggregate_count} %>
+  <% end -%>
+  <reference typeCode="REFR">
+     <externalObservation classCode="OBS" moodCode="EVN">
+        <id root="<%= aggregate_count.population_id(population_type) %>"/>
+     </externalObservation>
+  </reference>
+</observation>

data/templates/cat3/_performance_rate.cat3.erb

@@ -0,0 +1,16 @@
+<observation classCode="OBS" moodCode="EVN">
+  <templateId root="2.16.840.1.113883.10.20.27.3.14"/>
+  <code code="72510-1" codeSystem="2.16.840.1.113883.6.1"
+    displayName="Performance Rate" 
+    codeSystemName="2.16.840.1.113883.6.1"/>
+  <statusCode code="completed"/>
+  <value xsi:type="REAL" value="<%= aggregate_count.performance_rate %>"/>
+  <reference typeCode="REFR">
+     <externalObservation classCode="OBS" moodCode="EVN">
+       <id root="<%= aggregate_count.numerator.id %>"/>
+       <code code="NUMER" displayName="Numerator"
+        codeSystem="2.16.840.1.113883.5.1063"
+        codeSystemName="ObservationValue"/>
+    </externalObservation>
+  </reference>
+</observation>

data/templates/cat3/_supplemental_data.cat3.erb

@@ -0,0 +1,36 @@
+  <!--                            Supplemental Date Template                                                  -->
+
+  <entryRelationship typeCode="COMP">
+    <observation classCode="OBS" moodCode="EVN">
+      <!-- <%= template_name %> -->
+      <templateId root="<%= template_id %>"/>
+        <id nullFlavor="NA" />
+      <code code="<%= supplemental_data_code %>" 
+            codeSystem="<%= supplemental_data_code_system %>"/>
+      <statusCode code="completed"/>
+      <% if supplemental_data_value_code == "" || supplemental_data_value_code == "UNK" -%>
+      <value xsi:type="CD" 
+             nullFlavor="UNK" />
+      <% else -%>
+      
+      <value xsi:type="CD" 
+             code="<%= supplemental_data_value_code %>"
+             codeSystem="<%= supplemental_data_value_code_system %>"/>
+      <% end %>       
+      <entryRelationship typeCode="SUBJ" inversionInd="true">
+        <!-- Aggregate Count template -->
+        <observation classCode="OBS" moodCode="EVN">
+          <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
+          <code code="MSRAGG" 
+                displayName="rate aggregation" 
+                codeSystem="2.16.840.1.113883.5.4" 
+                codeSystemName="ActCode"/>
+          <value xsi:type="INT" value="<%= count %>"/>
+          <methodCode code="COUNT" 
+                      displayName="Count" 
+                      codeSystem="2.16.840.1.113883.5.84" 
+                      codeSystemName="ObservationMethod"/>
+        </observation>
+      </entryRelationship>
+    </observation>
+  </entryRelationship> 

data/templates/cat3/show.cat3.erb

@@ -0,0 +1,157 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
+ xmlns="urn:hl7-org:v3"
+ xmlns:cda="urn:hl7-org:v3">
+
+  <!-- 
+    ********************************************************
+    CDA Header
+    ********************************************************
+  -->
+  <realmCode code="US"/>
+  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+  <!-- QRDA Category III Release 1 template ID (this template ID differs from QRDA III comment only template ID). -->
+  <templateId root="2.16.840.1.113883.10.20.27.1.1"/>
+  <id root="<%= UUID.generate %>"/>
+  <!-- SHALL QRDA III document type code -->
+  <code code="55184-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
+    displayName="Quality Reporting Document Architecture Calculated Summary Report"/>
+  <!-- SHALL Title, SHOULD have this content -->
+  <title>QRDA Calculated Summary Report</title>
+  <!-- SHALL  -->
+  <effectiveTime value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+  <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+  <languageCode code="en-US"/>
+  <!-- SHOULD The version of the file being submitted. -->
+  <versionNumber value="1"/>
+  <!-- SHALL contain recordTarget and ID - but ID is nulled to NA. This is an aggregate summary report. Therefore CDA's required patient identifier is nulled. -->
+  <recordTarget>
+    <patientRole>
+      <id nullFlavor="NA"/>
+    </patientRole>
+  </recordTarget>
+  <!-- SHALL have 1..* author. MAY be device or person. 
+    The author of the CDA document in this example is a device at a data submission vendor/registry. -->
+  <author>
+    <time value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+    <assignedAuthor>
+      <!-- Registry author ID -->
+      <id extension="Cypress" root="MITRE"/>
+      <assignedAuthoringDevice>
+        <softwareName></softwareName>
+      </assignedAuthoringDevice>
+      <representedOrganization>
+        <!-- Represents unique registry organization TIN -->
+        <id root="root" extension="ext"/>
+        <!-- Contains name - specific registry not required-->
+        <name></name>
+      </representedOrganization>
+    </assignedAuthor>
+  </author>
+  <!-- The custodian of the CDA document is the same as the legal authenticator in this 
+  example and represents the reporting organization. -->
+  <!-- SHALL -->
+  <custodian>
+    <assignedCustodian>
+      <representedCustodianOrganization>
+        <!-- SHALL have an id - This is an example root -->
+        <id root="root"/>
+        <!-- SHOULD Name not required -->
+        <name>Cypress</name>
+      </representedCustodianOrganization>
+    </assignedCustodian>
+  </custodian>
+  <!-- The legal authenticator of the CDA document is a single person who is at the 
+    same organization as the custodian in this example. This element must be present. -->
+  <!-- SHALL -->
+  <legalAuthenticator>
+    <!-- SHALL -->
+    <time value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+    <!-- SHALL -->
+    <signatureCode code="S"/>
+    <assignedEntity>
+      <!-- SHALL ID -->
+      <id root="root"/>
+      <!-- SHALL -->
+      <representedOrganization>
+        <!-- SHALL Id -->
+        <!-- example root -->
+        <id root="root"/>
+      </representedOrganization>
+    </assignedEntity>
+  </legalAuthenticator>
+  
+
+  <!-- 
+********************************************************
+CDA Body
+********************************************************
+-->
+  <component>
+    <structuredBody>
+      <!-- 
+********************************************************
+QRDA Category III Reporting Parameters 
+********************************************************
+-->
+<%== cat1_renderer.render :partial => 'reporting_parameters', :locals => {:start_date => start_date, :end_date => end_date} %>
+      <!-- 
+********************************************************
+Measure Section
+********************************************************
+-->
+      <component>
+        <section>
+          <!-- Implied template Measure Section templateId -->
+          <templateId root="2.16.840.1.113883.10.20.24.2.2"/>
+          <!-- In this case the query is using an eMeasure -->
+          <!-- QRDA Category III Measure Section template -->
+          <templateId root="2.16.840.1.113883.10.20.27.2.1"/>
+          <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+          <title>Measure Section</title>
+          <text>
+             
+          </text>
+          <% measures.each do |measure| %>
+          <entry>
+            <organizer classCode="CLUSTER" moodCode="EVN">
+              <!-- Implied template Measure Reference templateId -->
+              <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
+              <!-- SHALL 1..* (one for each referenced measure) Measure Reference and Results template -->
+              <templateId root="2.16.840.1.113883.10.20.27.3.1"/>
+              <statusCode code="completed"/>
+              <reference typeCode="REFR">
+                <externalDocument classCode="DOC" moodCode="EVN">
+                  <!-- SHALL: required Id but not restricted to the eMeasure Document/Id-->
+                  <!-- QualityMeasureDocument/id This is the version specific identifier for eMeasure -->
+                  <id root="<%= measure['hqmf_id'] %>"/>
+                  
+                  <!-- SHOULD This is the title of the eMeasure -->
+                  <text><%= measure['name'] %></text>
+                  <!-- SHOULD: setId is the eMeasure version neutral id  -->
+                  <setId root="<%= measure['hqmf_set_id'] %>"/>
+                  <!-- This is the sequential eMeasure Version number -->
+                  <versionNumber value="1"/>
+                </externalDocument>
+              </reference>
+             
+              <% result = results[measure['hqmf_id']]
+                 unless result.is_cv? || result.multiple_population_types?
+              -%>
+              <component>
+              <%== render :partial => 'performance_rate', :locals => {:aggregate_count => result} %>
+              </component>
+              <% end -%>
+              <% result.top_level_populations.each do |pop| 
+                   unless pop.type == 'OBSERV' -%>
+              <%== render :partial => 'measure_data', :locals => {:aggregate_count => result, :population_type => pop.type, :population_id => pop.id} %>
+              <%   end
+                 end -%>
+            </organizer>
+          </entry>
+          <% end %>
+        </section>
+      </component>
+    </structuredBody>
+  </component>
+</ClinicalDocument>