health-data-standards 3.3.0 → 3.4.0

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.2.cat1.erb

@@ -4,9 +4,7 @@
     <templateId root="2.16.840.1.113883.10.20.24.3.2"/>
     <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>  
     <%== code_display(entry, 'value_set_map' => value_set_map, 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
-    <text>
-       <%= entry.description %>
-    </text>
+    <text><%= entry.description %></text>
     <statusCode code="completed"/>
     <effectiveTime>
       <low <%= value_or_null_flavor(entry.start_time) %>/>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.20.cat1.erb

@@ -1,3 +1,6 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
     <!-- Consolidated Result Observation templateId (Implied Template) -->
@@ -14,7 +17,8 @@
       <low <%= value_or_null_flavor(entry.start_time) %>/>
       <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
-    <%== render(:partial => 'result_value', :locals => {:values => [entry.values.first], :result_oids=>result_oids}) %>
+    <%== render(:partial => 'result_value', :locals => {:values => [value], :result_oids=>result_oids}) %>
     <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
   </observation>
-</entry>
+</entry>
+<% end %>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.22.cat1.erb

@@ -5,7 +5,7 @@
     <!-- Encounter order template -->
     <templateId root="2.16.840.1.113883.10.20.24.3.22"/>
     <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
-    <%== code_display(entry, 'value_set_map' => value_set_map, 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <%== code_display(entry, 'preferred_code_sets' => ['SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM', 'CPT'], 'value_set_map' => value_set_map, 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
     <text><%= entry.description %></text>
     <statusCode code="new"/>
   

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.23.cat1.erb

@@ -53,6 +53,27 @@
     </participant>
     <% end -%>
 
+    <% if entry.respond_to?(:transferFrom) && entry.transferFrom.present? -%>
+    <participant typeCode="ORG">
+      <time value="<%= entry.transferFrom.time %>"/> 
+      <participantRole classCode="LOCE">
+        <templateId root="2.16.840.1.113883.10.20.24.3.81"/> 
+        <%== code_display(entry.transferFrom, 'value_set_map' => value_set_map, 'preferred_code_sets' => ['SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM', 'CPT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+      </participantRole> 
+    </participant>
+    <% end -%>
+
+    <% if entry.respond_to?(:transferTo) && entry.transferTo.present? -%>
+    <participant typeCode="DST">
+      <time value="<%= entry.transferTo.time %>"/> 
+      <participantRole classCode="LOCE">
+        <!-- Transfer To (Destination) template --> 
+        <templateId root="2.16.840.1.113883.10.20.24.3.82"/> 
+        <%== code_display(entry.transferTo, 'value_set_map' => value_set_map, 'preferred_code_sets' => ['SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM', 'CPT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+      </participantRole> 
+    </participant>
+    <% end -%>
+
     <% if entry.reason.present? -%>
     <entryRelationship typeCode="RSON">
       <observation classCode="OBS" moodCode="EVN">

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

@@ -1,3 +1,6 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <observation classCode="OBS" moodCode="EVN">
     <!-- Functional Status Result Observation (consolidation) template -->
@@ -15,6 +18,7 @@
     </effectiveTime>
 
     <!-- Result -->
-    <%== render(:partial => 'result_value', :locals => {:values => [entry.values.first], :result_oids=>result_oids}) %>
+    <%== render(:partial => 'result_value', :locals => {:values => [value], :result_oids=>result_oids}) %>
   </observation>
-</entry>
+</entry>
+<% end %>

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

@@ -6,6 +6,7 @@
     <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,'value_set_map' => value_set_map, '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) %>/>

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

@@ -5,6 +5,7 @@
     <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, 'value_set_map' => value_set_map, '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) %>/>

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

@@ -18,6 +18,7 @@
         <templateId root="2.16.840.1.113883.10.20.24.3.87"/>
         <id root="<%= UUID.generate %>"/>
         <%== code_display(entry, 'value_set_map' => value_set_map, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+        <text><%= entry.description %></text>
         <statusCode code="completed"/>
         <effectiveTime <%= value_or_null_flavor(entry.start_time) %>/>
         <% ev = entry.values.first

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

@@ -1,3 +1,6 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <!--Laboratory test, result -->
   <observation classCode="OBS" moodCode="EVN">
@@ -13,6 +16,7 @@
       <low <%= value_or_null_flavor(entry.start_time) %>/>
       <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
-    <%== render(:partial => 'result_value', :locals => {:values => [entry.values.first], :result_oids=>result_oids}) %>
+    <%== render(:partial => 'result_value', :locals => {:values => [value], :result_oids=>result_oids}) %>
   </observation>
-</entry>
+</entry>
+<% end %>

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

@@ -22,6 +22,7 @@
       <participantRole classCode="MANU">
         <playingEntity classCode="MMAT">
           <%== code_display(entry,'value_set_map' => value_set_map, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+          <text><%= entry.description %></text>
         </playingEntity>
       </participantRole>
     </participant>

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

@@ -24,6 +24,7 @@
               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\"") %>
+        <text><%= entry.description %></text>
       </observation>
     </entryRelationship>
     <% end -%>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.57.cat1.erb

@@ -1,3 +1,6 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <!-- Physical Exam Finding -->
   <observation classCode="OBS" moodCode="EVN">
@@ -7,12 +10,14 @@
     <templateId root="2.16.840.1.113883.10.20.24.3.57"/>
     <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
     <%== code_display(entry, 'value_set_map' => value_set_map, '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 => 'result_value', :locals => {:values => [entry.values.first], :result_oids=>result_oids}) %>
+    <%== render(:partial => 'result_value', :locals => {:values => [value], :result_oids=>result_oids}) %>
   </observation>
-</entry>
+</entry>
+<% end %>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.59.cat1.erb

@@ -1,3 +1,6 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
     <!-- Procedure Activity Procedure (Consolidation) template -->
@@ -12,6 +15,7 @@
       <low <%= value_or_null_flavor(entry.start_time) %>/>
       <high <%= value_or_null_flavor(entry.end_time) %>/>
     </effectiveTime>
-    <%== render(:partial => 'result_value', :locals => {:values => [entry.values.first], :result_oids=>result_oids}) %>
+    <%== render(:partial => 'result_value', :locals => {:values => [value], :result_oids=>result_oids}) %>
   </observation>
 </entry>
+<% end %>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.66.cat1.erb

@@ -1,6 +1,6 @@
-
-<% vals = entry.values || [nil]
-   vals.each do |value| %>
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <procedure classCode="PROC" moodCode="EVN">
     <!-- Consolidated Procedure Activity Procedure TemplateId 

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

@@ -1,5 +1,6 @@
-<% vals = entry.values || [nil]
-   vals.each do |value| %>
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
 <entry>
   <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
     <!-- Consolidation Assessment Scale Observation templateId -->
@@ -8,6 +9,7 @@
     <templateId root="2.16.840.1.113883.10.20.24.3.69"/>
     <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
     <%== code_display(entry, 'value_set_map' => value_set_map,'preferred_code_sets' => ['LOINC', 'SNOMED-CT'], 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
     <statusCode code="completed"/>
 
     <effectiveTime>

data/templates/cat1/_2.16.840.1.113883.10.20.24.3.7.cat1.erb

@@ -6,7 +6,7 @@
     <templateId root="2.16.840.1.113883.10.20.24.3.7"/>
     <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
     <code code="360030002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="application of device"/>
-    <text>Device, Applied</text>
+    <text><%= entry.description %></text>
     <statusCode code="completed"/>
     
     <effectiveTime>

data/templates/cat3/_continuous_variable_value.cat3.erb

@@ -5,7 +5,7 @@
       <originalText>Time Difference</originalText>
     </code>
     <statusCode code="completed"/>
-    <value xsi:type="PQ" value="<%= population.population_count('OBSERV') %>" unit="min"/>
+    <value xsi:type="PQ" value="<%= population.value %>" unit="min"/>
     <methodCode code="MEDIAN" 
                 displayName="Median" 
                 codeSystem="2.16.840.1.113883.5.84" 
@@ -13,7 +13,7 @@
     <reference typeCode="REFR">
       <!-- reference to the relevant measure observation in the eMeasure -->
       <externalObservation classCode="OBS" moodCode="EVN">
-        <id root="<%= population.population_id('OBSERV') %>"/>
+        <id root="<%=population.id %>"/>
       </externalObservation>
     </reference>
   </observation>

data/templates/cat3/_measure_data.cat3.erb

@@ -1,5 +1,5 @@
 
-<!--   MEASURE DATA REPORTING FOR    <%= population_type %>  <%= aggregate_count.population_id(population_type) %>  -->
+<!--   MEASURE DATA REPORTING FOR    <%= population.type %>  <%= population.id %>  -->
 <observation classCode="OBS" moodCode="EVN">
   <!-- Measure Data template -->
   <templateId root="2.16.840.1.113883.10.20.27.3.5"/>
@@ -8,7 +8,7 @@
         displayName="Assertion" 
         codeSystemName="ActCode"/>
   <statusCode code="completed"/>
-  <value xsi:type="CD" code="<%= population_type %>" 
+  <value xsi:type="CD" code="<%= population.type %>" 
          codeSystem="2.16.840.1.113883.5.1063"  
          codeSystemName="ObservationValue"/>
   <!-- Aggregate Count -->
@@ -19,16 +19,16 @@
         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).round %>"/>
+      <value xsi:type="INT" value="<%= population.value.round %>"/>
       <methodCode code="COUNT" 
         displayName="Count" 
         codeSystem="2.16.840.1.113883.5.84" 
         codeSystemName="ObservationMethod"/>
     </observation>
   </entryRelationship>
-  <% aggregate_count.stratifications.each do |strat| -%>
+  <% population.stratifications.each do |strat| -%>
 
-  <!--  Startification Reporting Template for <%= population_type %>  <%= aggregate_count.population_id(population_type) %>  Stratification <%= strat.id %>   -->
+  <!--  Startification Reporting Template for <%= population.type %>  <%= population.id %>  Stratification <%= strat.id %>   -->
 
   <entryRelationship typeCode="COMP">
     <observation classCode="OBS" moodCode="EVN">
@@ -48,14 +48,14 @@
                 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).round %>"/>
+          <value xsi:type="INT" value="<%= strat.value.round %>"/>
           <methodCode code="COUNT" 
                       displayName="Count" 
                       codeSystem="2.16.840.1.113883.5.84" 
                       codeSystemName="ObservationMethod"/>
         </observation>
       </entryRelationship>
-      <% if population_type == 'MSRPOPL' -%>
+      <% if population.type == 'MSRPOPL' -%>
       <%== render :partial => 'continuous_variable_value', :locals => {:population => strat} %>
       <% end -%>
       <reference typeCode="REFR">
@@ -66,12 +66,12 @@
     </observation>
   </entryRelationship>
   <% end -%>
-  <% if aggregate_count.supplemental_data.present? -%>
-  <%   sex_supplimental_data = aggregate_count.supplemental_data_for(population_type, "SEX")
+  <% if population.supplemental_data.present? -%>
+  <%   sex_supplimental_data = population.supplemental_data["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) %>       --> 
+   <!--    SEX Supplemental Data Reporting for <%= population.type %>  <%= population.id %>      --> 
          
   <%== 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',
@@ -79,11 +79,11 @@
                 :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")
+  <%   ethnicity_supplimental_data = population.supplemental_data["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) %>     --> 
+    <!--     ETHNICITY Supplemental Data Reporting  for <%= population.type %>  <%= population.id %>     --> 
 
   <%== 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',
@@ -91,11 +91,11 @@
                 :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")
+  <%   race_supplimental_data = population.supplemental_data["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) %>    --> 
+   <!--      RACE Supplemental Data Reporting  for <%= population.type %>  <%= population.id %> --> 
 
   <%== 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',
@@ -103,11 +103,11 @@
                 :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")
+  <%   payer_supplimental_data = population.supplemental_data["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) %>     -->        
+ <!--         PAYER Supplemental Data Reporting   for<%= population.type %>  <%= population.id %>   -->        
   <%== 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,
@@ -115,12 +115,12 @@
       <% end -%>
     <% end -%>
   <% end -%>
-  <% if population_type == 'MSRPOPL' -%>
-  <%== render :partial => 'continuous_variable_value', :locals => {:population => aggregate_count} %>
+  <% if population.type == 'MSRPOPL' -%>
+  <%== render :partial => 'continuous_variable_value', :locals => {:population => aggregate_count.populations.find{|p| p.type == "OBSERV"}}%>
   <% end -%>
   <reference typeCode="REFR">
      <externalObservation classCode="OBS" moodCode="EVN">
-        <id root="<%= aggregate_count.population_id(population_type) %>"/>
+        <id root="<%= population.id %>"/>
      </externalObservation>
   </reference>
 </observation>

data/templates/cat3/_performance_rate.cat3.erb

@@ -4,10 +4,10 @@
     displayName="Performance Rate" 
     codeSystemName="2.16.840.1.113883.6.1"/>
   <statusCode code="completed"/>
-  <value xsi:type="REAL" value="<%= aggregate_count.performance_rate %>"/>
+  <value xsi:type="REAL" value="<%= population_group.performance_rate %>"/>
   <reference typeCode="REFR">
      <externalObservation classCode="OBS" moodCode="EVN">
-       <id root="<%= aggregate_count.numerator.id %>"/>
+       <id root="<%= population_group.numerator.id %>"/>
        <code code="NUMER" displayName="Numerator"
         codeSystem="2.16.840.1.113883.5.1063"
         codeSystemName="ObservationValue"/>

data/templates/cat3/show.cat3.erb

@@ -123,16 +123,18 @@ Measure Section
               </reference>
              
               <% result = results[measure['hqmf_id']]
-                 unless result.is_cv? || result.multiple_population_types?
+                 unless result.is_cv? 
+                  result.population_groups.each do |pg|
               -%>
               <component>
-              <%== render :partial => 'performance_rate', :locals => {:aggregate_count => result} %>
+              <%== render :partial => 'performance_rate', :locals => {:population_group => pg} %>
               </component>
-              <% end -%>
-              <% result.top_level_populations.each do |pop| 
+              <% end
+                end -%>
+              <% result.populations.each do |pop| 
                    unless pop.type == 'OBSERV' -%>
               <component>
-              <%== render :partial => 'measure_data', :locals => {:aggregate_count => result, :population_type => pop.type, :population_id => pop.id} %>
+              <%== render :partial => 'measure_data', :locals => {:aggregate_count => result, :population => pop} %>
               </component>
               <%   end
                  end -%>

data/templates/gc32/_advance_directive.gc32.erb

@@ -1,5 +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>
+  <freeText><%= advance_directive.description %></freeText>
 </advanceDirective>

data/templates/gc32/_entry_attributes.gc32.erb

@@ -6,5 +6,5 @@
 <% 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>
+<freeText><%=entry.description %></freeText>
 <%== gc32_effective_time(entry)%>

data/templates/gc32/_insurance_provider.gc32.erb

@@ -22,7 +22,7 @@
   </guarantor>
   <% end %>
   <healthPlanName><%=insurance_provider.name%></healthPlanName>
-  <% if insurance_provider.free_text%>
-    <freeText><%= insurance_provider.free_text%></freeText>
+  <% if insurance_provider.description%>
+    <freeText><%= insurance_provider.description%></freeText>
   <% end %>
 </insuranceProvider>

metadata

@@ -1,8 +1,7 @@
 --- !ruby/object:Gem::Specification
 name: health-data-standards
 version: !ruby/object:Gem::Version
-  version: 3.3.0
-  prerelease: 
+  version: 3.4.0
 platform: ruby
 authors:
 - Andy Gregorowicz
@@ -13,12 +12,11 @@ authors:
 autorequire: 
 bindir: bin
 cert_chain: []
-date: 2013-11-07 00:00:00.000000000 Z
+date: 2014-01-23 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: rest-client
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -26,7 +24,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -34,7 +31,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: erubis
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -42,7 +38,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -50,7 +45,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: mongoid
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -58,7 +52,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -66,7 +59,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: activesupport
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -74,7 +66,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -82,7 +73,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: uuid
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -90,7 +80,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -98,7 +87,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: builder
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -106,7 +94,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -114,7 +101,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: nokogiri
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -122,7 +108,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -130,7 +115,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: rubyzip
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - '='
       - !ruby/object:Gem::Version
@@ -138,7 +122,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - '='
       - !ruby/object:Gem::Version
@@ -146,7 +129,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: log4r
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -154,7 +136,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -162,7 +143,6 @@ dependencies:
 - !ruby/object:Gem::Dependency
   name: memoist
   requirement: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -170,7 +150,6 @@ dependencies:
   type: :runtime
   prerelease: false
   version_requirements: !ruby/object:Gem::Requirement
-    none: false
     requirements:
     - - ~>
       - !ruby/object:Gem::Version
@@ -204,6 +183,7 @@ files:
 - lib/health-data-standards/ext/node.rb
 - lib/health-data-standards/ext/string.rb
 - lib/health-data-standards/ext/symbol.rb
+- lib/health-data-standards/import/bulk_record_importer.rb
 - lib/health-data-standards/import/bundle/importer.rb
 - lib/health-data-standards/import/c32/care_goal_importer.rb
 - lib/health-data-standards/import/c32/condition_importer.rb
@@ -215,6 +195,7 @@ files:
 - lib/health-data-standards/import/cat1/diagnostic_study_order_importer.rb
 - lib/health-data-standards/import/cat1/ecog_status_importer.rb
 - lib/health-data-standards/import/cat1/encounter_order_importer.rb
+- lib/health-data-standards/import/cat1/encounter_performed_importer.rb
 - lib/health-data-standards/import/cat1/entry_package.rb
 - lib/health-data-standards/import/cat1/gestational_age_importer.rb
 - lib/health-data-standards/import/cat1/insurance_provider_importer.rb
@@ -326,6 +307,7 @@ files:
 - lib/health-data-standards/models/svs/value_set.rb
 - lib/health-data-standards/models/telecom.rb
 - lib/health-data-standards/models/thing_with_codes.rb
+- lib/health-data-standards/models/transfer.rb
 - lib/health-data-standards/models/treating_provider.rb
 - lib/health-data-standards/models/vital_sign.rb
 - lib/health-data-standards/railtie.rb
@@ -541,26 +523,25 @@ files:
 homepage: https://github.com/projectcypress/health-data-standards
 licenses:
 - APL 2.0
+metadata: {}
 post_install_message: 
 rdoc_options: []
 require_paths:
 - lib
 required_ruby_version: !ruby/object:Gem::Requirement
-  none: false
   requirements:
-  - - ! '>='
+  - - '>='
     - !ruby/object:Gem::Version
       version: '0'
 required_rubygems_version: !ruby/object:Gem::Requirement
-  none: false
   requirements:
-  - - ! '>='
+  - - '>='
     - !ruby/object:Gem::Version
       version: '0'
 requirements: []
 rubyforge_project: 
-rubygems_version: 1.8.25
+rubygems_version: 2.0.6
 signing_key: 
-specification_version: 3
+specification_version: 4
 summary: A library for generating and consuming various healthcare related formats.
 test_files: []