health-data-standards 3.6.1 → 3.7.0

data/templates/cat1/r3/_record_target.cat1.erb

@@ -0,0 +1,56 @@
+  <recordTarget>
+    <patientRole>
+      <% if (patient.medical_record_number && patient.medical_record_assigner) %>
+        <id extension="<%= patient.medical_record_number %>" root="<%= patient.medical_record_assigner %>"/>
+        <% if cms_compatibility %>
+          <id extension="<%= patient.medical_record_number %>" root="1.3.6.1.4.1.115" />
+        <% end %>
+      <% else -%>
+        <id extension="12345" root="PlaceholderOrganization" />
+      <% end -%>
+      <addr use="HP">
+        <% if patient.addresses.present?
+            patient.addresses.each do |address| -%>
+            <% address.street.each do |street| -%>
+              <streetAddressLine><%= street %></streetAddressLine>
+            <% end %>
+            <city><%= address.city %></city>
+            <state><%= address.state %></state>
+            <postalCode><%= address.zip %></postalCode>
+            <country><%= address.country %></country>
+          <% end -%>
+        <% else -%>
+          <streetAddressLine>202 Burlington Rd.</streetAddressLine>
+          <city>Bedford</city>
+          <state>MA</state>
+          <postalCode>01730</postalCode>
+          <country>US</country>
+        <% end -%>
+      </addr>
+      <telecom use="WP" value="tel:+1-781-271-3000"/>
+      <patient>
+        <name>
+          <given><%= patient.first %></given>
+          <family><%= patient.last %></family>
+        </name>
+        <administrativeGenderCode code="<%= patient.gender %>" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
+        <birthTime value="<%= Time.at(patient.birthdate).utc.to_formatted_s(:number) %>"/>
+        <% if (patient.race) %>
+          <raceCode code="<%= patient.race['code'] %>" <% if patient.race['name']%>displayName="<%= patient.race['name'] %>"<% end %> codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
+        <% end %>
+        <% if (patient.ethnicity) %>
+          <ethnicGroupCode code="<%= patient.ethnicity['code'] %>" <% if patient.ethnicity['name']%>displayName="<%= patient.ethnicity['name'] %>"<% end %> codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
+        <% end %>
+        <%
+          languages = patient.languages
+          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"/>
+            <templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.1" assigningAuthorityName="IHE/PCC"/>
+            <languageCode code="<%= language %>"/>
+          </languageCommunication>
+        <% end %>
+      </patient>
+    </patientRole>
+  </recordTarget>

data/templates/cat1/r3/_reporting_parameters.cat1.erb

@@ -0,0 +1,31 @@
+      <component>
+        <section>
+          <!-- This is the templateId for Reporting Parameters section -->
+          <templateId root="2.16.840.1.113883.10.20.17.2.1" />
+          <% if cms_compatibility %>
+          <templateId root="2.16.840.1.113883.10.20.17.2.1" extension="2015-07-01" />
+          <% end %>
+          <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" />
+              <% if cms_compatibility %>
+              <templateId root="2.16.840.1.113883.10.20.17.3.8" extension="2015-07-01" />
+              <% end %>
+              <id root="1.3.6.1.4.1.115" extension="<%= identifier_for([start_date, end_date]) %>" />
+              <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/r3/_result_value.cat1.erb

@@ -0,0 +1,28 @@
+<% values.compact!
+   if !values.empty?
+      values.each do |ev| 
+	     if ev.respond_to?(:codes) 
+        extra_content = 'xsi:type="CD"'
+        if defined? result_oids
+          preferred_code = ev.preferred_code(['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'])
+          oid = oid_for_code(preferred_code,result_oids, ev.entry.record["bundle_id"])
+          if oid
+            extra_content += " sdtc:valueSet='#{oid}'"
+          end
+        end
+        -%>
+	<%== code_display(ev, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'], 'tag_name' => 'value', 'extra_content' => extra_content) %>
+	<%   elsif ev.respond_to?(:scalar) -%>
+	<%     if is_num?(ev.scalar) -%>
+	<value xsi:type="PQ" value="<%= ev.scalar %>" <% if ev.units && (ev.units != "") -%>unit="<%= ev.units %>"<% else -%>unit="1"<% end -%>/>
+	<%     elsif is_bool?(ev.scalar)%>
+	<value xsi:type="BL" value="<%= ev.scalar %>" />
+	<%     else -%>
+	<value xsi:type="ST" ><%= ev.scalar %></value> 
+	<%     end 
+	     end
+      end
+   # else is empty   
+   else -%>
+<value xsi:type="CD" nullFlavor="UNK"/>
+<% end -%>

data/templates/cat1/r3/show.cat1.erb

@@ -0,0 +1,183 @@
+<?xml version="1.0" encoding="utf-8"?>
+<% if !measures.empty? %>
+<% reporting_program = if measures.first.type == 'ep'
+    'PQRS_MU_INDIVIDUAL'
+    else
+    'HQR_EHR'
+    end -%>
+<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" extension="2014-06-09"/>
+  <!-- QRDA templateId -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.1" extension="2014-12-01" />
+  <!-- QDM-based QRDA templateId -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.2" extension="2014-12-01" />
+  <% if cms_compatibility %>
+  <!-- CMS QRDA templateId -->
+  <templateId root="2.16.840.1.113883.10.20.24.1.3" extension="2015-07-01" />
+  <% end %>
+  <!-- This is the globally unique identifier for this QRDA document -->
+  <id root="<%= UUID.generate %>"/>
+  <!-- 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"/>
+  <!-- reported patient -->
+  <%== render :partial => 'record_target', :locals => {:patient => patient, :cms_compatibility => cms_compatibility} %>
+  <!-- Example of an author who is a device -->
+  <% if header %>
+    <%== render :partial=>"author", :collection=>header.authors %>
+    <!-- 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. -->
+
+    <!-- The custodian of the CDA document is the same as the legal authenticator in this
+    example and represents the reporting organization. -->
+    <!-- SHALL -->
+    <custodian>
+      <assignedCustodian>
+        <%== render :partial=>"organization", :locals=>{organization: header.custodian.organization, tag_name: "representedCustodianOrganization"} %>
+      </assignedCustodian>
+    </custodian>
+    <!-- This needs to take reporting program into account EH/EP-->
+    <% if cms_compatibility %>
+    <informationRecipient>
+      <intendedRecipient>
+        <id root="2.16.840.1.113883.3.249.7" extension="<%= reporting_program %>"/>
+      </intendedRecipient>
+    </informationRecipient>
+    <% end %>
+    <!-- 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="<%= header.legal_authenticator.time.utc.to_formatted_s(:number) %>"/>
+      <!-- SHALL -->
+      <signatureCode code="S"/>
+      <assignedEntity>
+        <!-- SHALL ID -->
+        <%== render :partial=>"id", :collection=>header.legal_authenticator.ids, :id=>"identifier" %>
+        <%== render :partial=>"address" , :collection=>header.legal_authenticator.addresses %>
+	<%== render :partial => "telecom", :collection => header.legal_authenticator.telecoms %>
+        <assignedPerson>
+          <name>
+             <given><%= header.legal_authenticator.person.given %></given>
+             <family><%= header.legal_authenticator.person.family %></family>
+          </name>
+       </assignedPerson>
+
+        <%== render :partial=>"organization", :locals=>{organization: header.legal_authenticator.organization, tag_name: "representedOrganization"} %>
+      </assignedEntity>
+    </legalAuthenticator>
+  <% else %>
+    <author>
+      <time value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
+      <assignedAuthor>
+        <!-- id extension="Cypress" root="2.16.840.1.113883.19.5"/ -->
+        <!-- NPI -->
+        <% if cms_compatibility %>
+        <% patient.provider_performances.each do |pp| -%>
+        <% pp.provider.cda_identifiers.each do |cda_id| -%>
+            <% if cda_id.root.eql?('2.16.840.1.113883.4.6') -%>
+            <id root="2.16.840.1.113883.4.6" extension="<%= cda_id.extension %>" />
+            <% end -%>
+            <% end -%>
+            <% end -%>
+          <% else %>
+        <id extension="FakeNPI" root="2.16.840.1.113883.4.6"/>
+        <% end %>
+        <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>
+          <!-- HQR Only -->
+          <% if cms_compatibility && reporting_program == 'HQR_EHR' %>
+            <id root="2.16.840.1.113883.4.336" extension="800890"/>
+          <% else %>
+            <id root="2.16.840.1.113883.19.5"/>
+          <% end %>
+          <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>
+    <!-- This needs to take reporting program into account EH/EP-->
+    <% if cms_compatibility %>
+    <informationRecipient>
+      <intendedRecipient>
+        <id root="2.16.840.1.113883.3.249.7" extension="<%= reporting_program %>"/>
+      </intendedRecipient>
+    </informationRecipient>
+    <% end %>
+    <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>
+  <% end %>
+
+  <%== render :partial => 'providers', :locals => {:patient => patient} %>
+
+  <component>
+    <structuredBody>
+      <%== render :partial => 'measures', :locals => {:measures => measures, :patient => patient} %>
+      <%== render :partial => 'reporting_parameters', :locals => {:start_date => start_date, :end_date => end_date, :cms_compatibility => cms_compatibility} %>
+      <%== render :partial => 'patient_data', :locals => {:measures => measures, :patient => patient, :cms_compatibility => cms_compatibility, :qrda_version => qrda_version} %>
+    </structuredBody>
+  </component>
+</ClinicalDocument>
+<% else %>
+<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"/>
+<% end %>

data/templates/cat1/r3_1/_2.16.840.1.113883.10.20.24.3.1.cat1.erb

@@ -0,0 +1,14 @@
+<entry>
+  <observation classCode="OBS" moodCode="GOL">
+    <!-- Conforms to C-CDA R2 Goal Observation -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.121" />
+    <templateId root="2.16.840.1.113883.10.20.24.3.1" extension="2016-02-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry,'value_set_map' => filtered_vs_map, 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+    <text><%= entry.description %></text>
+    <statusCode code="active"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+  </observation>
+</entry>

data/templates/cat1/r3_1/_2.16.840.1.113883.10.20.24.3.103.cat1.erb

@@ -0,0 +1,17 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <templateId root="2.16.840.1.113883.10.20.24.3.103" extension="2016-02-01"/> 
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
+    <statusCode code="completed" />
+    <effectiveTime>
+      <!-- Attribute: Start Datetime -->
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <!-- Attribute: Stop Datetime -->
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <%== code_display(entry, 'preferred_code_sets' => ['*'],
+                             'tag_name' => 'value','value_set_map' => filtered_vs_map,
+                             'extra_content' => "xsi:type=\"CD\" sdtc:valueSet=\"#{value_set_oid}\"") %>
+  </observation>
+</entry>

data/templates/cat1/r3_1/_2.16.840.1.113883.10.20.24.3.105.cat1.erb

@@ -0,0 +1,68 @@
+<entry>
+  <act classCode="ACT" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <!-- Discharge Medication Entry -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.105" extension="2016-02-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="75311-1"
+          codeSystem="2.16.840.1.113883.6.1" 
+          codeSystemName="LOINC" 
+          displayName="Discharge medications"/> 
+    <statusCode code="active"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+    <entryRelationship typeCode="SUBJ">
+      <substanceAdministration moodCode="EVN" classCode="SBADM">
+        <!-- Medication Activity (consolidation) template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/> 
+        <!-- Medication, Active template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.41" extension="2016-02-01"/>
+        
+        <id root="<%= UUID.generate %>"/>
+        <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>
+        <% if entry.administrationTiming.present?
+          period = entry.administrationTiming['period'] %>
+          <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+            <period value="<%= period['value']%>" unit="<%= period['unit']%>"/>
+          </effectiveTime>
+        <% end %>
+        <% if entry.route.present? -%>
+        <!-- Attribute: route -->
+          <% vset = oid_for_code(entry.route.code,field_oids["ROUTE"], entry.record["bundle_id"]) %>
+          <% if vset %>
+            <routeCode code="<%= entry.route['code'] %>" codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.route['code_system']) %>" sdtc:valueSet="<%= vset %>"/>
+          <% end %>
+        <% end -%>
+        
+        <!-- Attribute: dose -->
+        <% if entry.dose.present? -%>
+          <doseQuantity value="<%= entry.dose['value']%>"/>
+        <% end -%>
+
+        <% 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" extension="2014-06-09"/>
+            <id root="<%= UUID.generate %>"/>
+            <manufacturedMaterial>
+              <%== code_display(entry,'preferred_code_sets' => ['RxNorm'],'value_set_map' => filtered_vs_map, 'extra_content' => "sdtc:valueSet=\"#{value_set_oid}\"") %>
+            </manufacturedMaterial>
+            <manufacturerOrganization>
+              <name>Medication Factory Inc.</name>
+            </manufacturerOrganization>
+          </manufacturedProduct>
+        </consumable>
+      </substanceAdministration>
+    </entryRelationship>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+  </act>
+</entry>

data/templates/cat1/r3_1/_2.16.840.1.113883.10.20.24.3.12.cat1.erb

@@ -0,0 +1,53 @@
+<entry typeCode="DRIV">
+  <organizer moodCode="EVN" classCode="CLUSTER">
+    <templateId root="2.16.840.1.113883.10.20.22.4.45" extension="2015-08-01"/>
+    <!--    Family history organizer template   -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.12" extension="2016-02-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <!-- The subject is currently hardcoded to father -->
+    <subject>
+      <relatedSubject classCode="PRS">
+        <code code="FTH" displayName="Father" 
+              codeSystemName="HL7RoleCode" 
+              codeSystem="2.16.840.1.113883.5.111">
+          <translation code="9947008" 
+                displayName="Biological father" 
+                codeSystemName="SNOMED CT" 
+                codeSystem="2.16.840.1.113883.6.96"/>
+        </code>
+        <subject>
+          <administrativeGenderCode 
+               code="M" codeSystem="2.16.840.1.113883.5.1"
+               codeSystemName="HL7AdministrativeGender" 
+               displayName="Male"/>
+            <birthTime value="1912"/>
+        </subject>
+      </relatedSubject>
+    </subject>
+    <component>
+      <observation classCode="OBS" moodCode="EVN">
+        <!-- Conforms to C-CDA R2.1 Family History Observation (V3) -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.46" extension="2015-08-01"/>
+        <!-- Family History QDM (V2) -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.112" extension="2016-12-01"/>
+        <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+        <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
+          <translation code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
+        </code>
+        <statusCode code="completed"/>
+        <effectiveTime>
+          <low <%= value_or_null_flavor(entry.start_time) %>/>
+          <high <%= value_or_null_flavor(entry.end_time) %>/>
+        </effectiveTime>
+        <%== code_display(entry, 'value_set_map' => filtered_vs_map,'preferred_code_sets' => ['SNOMED-CT'],
+                         'tag_name' => 'value',
+                         'extra_content' => "xsi:type=\"CD\" sdtc:valueSet=\"#{value_set_oid}\"") %>
+      </observation>
+    </component>
+  </organizer>
+</entry>