health-data-standards 3.6.1 → 3.7.0

data/templates/cat3/r1/_author.cat3.erb

@@ -0,0 +1,28 @@
+ <!-- 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="<%= author.time.to_formatted_s(:number) %>"/>
+    <assignedAuthor>
+      <!-- Registry author ID -->
+      <%== render :partial=>"id", :collection=>author.ids, :id=>"identifier" %>
+      <%== render :partial=>"address" , :collection=>author.addresses %>
+      <%== render :partial=>"telecom" , :collection=>author.telecoms %>
+
+      <% if author.person %>
+        <assignedPerson>
+        <name>
+           <given><%= author.person.given %></given>
+           <family><%= author.person.family %></family>
+        </name>
+        </assignedPerson> 
+      <% elsif author.device %>
+       <assignedAuthoringDevice>
+         <manufacturerModelName><%= author.device.model %></manufacturerModelName>
+         <softwareName><%= author.device.name %></softwareName>
+       </assignedAuthoringDevice>
+      <% end %> 
+     
+     <%== render :partial=>"organization", :locals=>{organization: author.organization, tag_name: "representedOrganization"} %>
+
+    </assignedAuthor>
+  </author>

data/templates/cat3/r1/_id.cat3.erb

@@ -0,0 +1 @@
+<id <%== identifier.root.nil? ? "" : "root='#{identifier.root}'" -%> extension="<%= identifier.extension %>"/>

data/templates/cat3/{_measure_data.cat3.erb → r1/_measure_data.cat3.erb}

@@ -84,7 +84,7 @@
   <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Sex Supplemental Data', 
                 :template_ids => ['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} %>   
+                :supplemental_data_value_code_system => '2.16.840.1.113883.5.1', :count => count, :qrda3_version => qrda3_version} %>   
       <% end -%>
     <% end -%>
   <%   ethnicity_supplimental_data = population.supplemental_data["ETHNICITY"]
@@ -96,7 +96,7 @@
   <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Ethnicity Supplemental Data', 
                 :template_ids => ['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} %>   
+                :supplemental_data_value_code_system => '2.16.840.1.113883.6.238', :count => count, :qrda3_version => qrda3_version} %>   
       <% end -%>
     <% end -%>
   <%   race_supplimental_data = population.supplemental_data["RACE"]
@@ -108,18 +108,19 @@
   <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Race Supplemental Data', 
                 :template_ids => ['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} %>   
+                :supplemental_data_value_code_system => '2.16.840.1.113883.6.238', :count => count, :qrda3_version => qrda3_version} %>   
       <% end -%>
     <% end -%>
   <%   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 %>  <%= population.id %>   -->        
+ <!--         PAYER Supplemental Data Reporting   for<%= population.type %>  <%= population.id %>   -->
+ <% payer_templates_ids = ['2.16.840.1.113883.10.20.27.3.9', '2.16.840.1.113883.10.20.24.3.55'] %>
  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Payer Supplemental Data', 
-                :template_ids => ['2.16.840.1.113883.10.20.27.3.9', '2.16.840.1.113883.10.20.24.3.55'], :supplemental_data_code => '48768-6',
+                :template_ids => payer_templates_ids, :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} %>   
+                :supplemental_data_value_code_system => '2.16.840.1.113883.3.221.5', :count => count, :qrda3_version => qrda3_version} %>   
       <% end -%>
     <% end -%>
   <% end -%>

data/templates/cat3/{_performance_rate.cat3.erb → r1/_performance_rate.cat3.erb}

@@ -12,9 +12,7 @@
   <reference typeCode="REFR">
      <externalObservation classCode="OBS" moodCode="EVN">
        <id root="<%= population_group.numerator.id %>"/>
-       <code code="NUMER" displayName="Numerator"
-        codeSystem="2.16.840.1.113883.5.1063"
-        codeSystemName="ObservationValue"/>
+       <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 → r1/_supplemental_data.cat3.erb}

@@ -10,10 +10,12 @@
       <code code="<%= supplemental_data_code %>" 
             codeSystem="<%= supplemental_data_code_system %>"/>
       <statusCode code="completed"/>
+      <% if template_name == 'Payer Supplemental Data' %>
       <effectiveTime>
         <low nullFlavor="NA"/>
         <high nullFlavor="NA"/>
       </effectiveTime>
+      <% end %>
       <% if supplemental_data_value_code == "" || supplemental_data_value_code == "UNK" -%>
       <value xsi:type="CD" 
              nullFlavor="UNK" />

data/templates/cat3/r1/_telecom.cat3.erb

@@ -0,0 +1 @@
+<telecom use="<%=telecom.use%>" value="tel:+<%=telecom.value%>" />

data/templates/cat3/{show.cat3.erb → r1/show.cat3.erb}

@@ -10,7 +10,7 @@
   -->
   <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). -->
+  <!-- QRDA Category III 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"/>
   <%== render :partial=>"id", :locals=>{identifier: header.identifier} %>
 
@@ -94,7 +94,7 @@ Measure Section
           <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"/>
+          <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>
@@ -106,7 +106,7 @@ Measure Section
               <!-- 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"/>
+              <templateId root="2.16.840.1.113883.10.20.27.3.1" />
               <id extension="<%= measure['id'] || UUID.generate %>"/>
               <statusCode code="completed"/>
               <reference typeCode="REFR">
@@ -129,14 +129,14 @@ Measure Section
                   result.population_groups.each do |pg|
               -%>
               <component>
-              <%== render :partial => 'performance_rate', :locals => {:population_group => pg} %>
+              <%== render :partial => 'performance_rate', :locals => {:population_group => pg, :qrda3_version => qrda3_version} %>
               </component>
               <% end
                 end -%>
               <% result.populations.each do |pop|
                    unless pop.type == 'OBSERV' -%>
               <component>
-              <%== render :partial => 'measure_data', :locals => {:aggregate_count => result, :population => pop} %>
+              <%== render :partial => 'measure_data', :locals => {:aggregate_count => result, :population => pop, :qrda3_version => qrda3_version} %>
               </component>
               <%   end
                  end -%>

data/templates/cat3/r1_1/_address.cat3.erb

@@ -0,0 +1,9 @@
+<addr use="<%= address.use %>">
+  <% 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>
+</addr>

data/templates/cat3/r1_1/_author.cat3.erb

@@ -0,0 +1,28 @@
+ <!-- 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="<%= author.time.to_formatted_s(:number) %>"/>
+    <assignedAuthor>
+      <!-- Registry author ID -->
+      <%== render :partial=>"id", :collection=>author.ids, :id=>"identifier" %>
+      <%== render :partial=>"address" , :collection=>author.addresses %>
+      <%== render :partial=>"telecom" , :collection=>author.telecoms %>
+
+      <% if author.person %>
+        <assignedPerson>
+        <name>
+           <given><%= author.person.given %></given>
+           <family><%= author.person.family %></family>
+        </name>
+        </assignedPerson> 
+      <% elsif author.device %>
+       <assignedAuthoringDevice>
+         <manufacturerModelName><%= author.device.model %></manufacturerModelName>
+         <softwareName><%= author.device.name %></softwareName>
+       </assignedAuthoringDevice>
+      <% end %> 
+     
+     <%== render :partial=>"organization", :locals=>{organization: author.organization, tag_name: "representedOrganization"} %>
+
+    </assignedAuthor>
+  </author>

data/templates/cat3/r1_1/_continuous_variable_value.cat3.erb

@@ -0,0 +1,20 @@
+<entryRelationship typeCode="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="<%= value %>" 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="<%= id %>"/>
+      </externalObservation>
+    </reference>
+  </observation>
+</entryRelationship>  

data/templates/cat3/r1_1/_id.cat3.erb

@@ -0,0 +1 @@
+<id <%== identifier.root.nil? ? "" : "root='#{identifier.root}'" -%> extension="<%= identifier.extension %>"/>

data/templates/cat3/r1_1/_measure_data.cat3.erb

@@ -0,0 +1,136 @@
+
+<!--   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" extension="2016-02-01"/>
+  <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 == 'IPP' ? 'IPOP' : population.type %>"
+         codeSystem="2.16.840.1.113883.5.4"  
+         codeSystemName="ActCode"/>
+  <!-- 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="<%= population.value.round %>"/>
+      <methodCode code="COUNT" 
+        displayName="Count" 
+        codeSystem="2.16.840.1.113883.5.84" 
+        codeSystemName="ObservationMethod"/>
+    </observation>
+  </entryRelationship>
+  <% population.stratifications.each do |strat| -%>
+
+  <!--  Startification Reporting Template for <%= population.type %>  <%= population.id %>  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.value.round %>"/>
+          <methodCode code="COUNT" 
+                      displayName="Count" 
+                      codeSystem="2.16.840.1.113883.5.84" 
+                      codeSystemName="ObservationMethod"/>
+        </observation>
+      </entryRelationship>
+      <% if population.type == 'MSRPOPL' -%>
+      <% 
+      #need to lookup the observation population entry and then find the stratification entry for it
+      observ = aggregate_count.populations.find{|p| p.type == "OBSERV"}
+      obs_strat = observ.stratifications.find{|s| s.id == strat.id}
+        if obs_strat
+      %>
+      <%== render :partial => 'continuous_variable_value', :locals => {:id => observ.id, :value=>obs_strat.value } %>
+      <% 
+        end
+      end -%>
+      <reference typeCode="REFR">
+        <externalObservation classCode="OBS" moodCode="EVN">
+          <id root="<%= strat.id %>"/>
+        </externalObservation>
+      </reference>
+    </observation>
+  </entryRelationship>
+  <% end -%>
+  <% 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 %>  <%= population.id %>      --> 
+         
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Sex Supplemental Data', 
+                :template_ids => ['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, :qrda3_version => qrda3_version} %>   
+      <% end -%>
+    <% end -%>
+  <%   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 %>  <%= population.id %>     --> 
+
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Ethnicity Supplemental Data', 
+                :template_ids => ['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, :qrda3_version => qrda3_version} %>   
+      <% end -%>
+    <% end -%>
+  <%   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 %>  <%= population.id %> --> 
+
+  <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Race Supplemental Data', 
+                :template_ids => ['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, :qrda3_version => qrda3_version} %>   
+      <% end -%>
+    <% end -%>
+  <%   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 %>  <%= population.id %>   -->
+ <% payer_templates_ids = ['2.16.840.1.113883.10.20.27.3.9'] %>
+ <%== render :partial => 'supplemental_data', :locals => {:template_name => 'Payer Supplemental Data', 
+                :template_ids => payer_templates_ids, :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, :qrda3_version => qrda3_version} %>   
+      <% end -%>
+    <% end -%>
+  <% end -%>
+  <% if population.type == 'MSRPOPL' -%>
+  <%  observ = aggregate_count.populations.find{|p| p.type == "OBSERV"} %>
+  <%== render :partial => 'continuous_variable_value', :locals => {:id => observ.id, :value=>observ.value}%>
+  <% end -%>
+  <reference typeCode="REFR">
+     <externalObservation classCode="OBS" moodCode="EVN">
+        <id root="<%= population.id %>"/>
+     </externalObservation>
+  </reference>
+</observation>

data/templates/cat3/r1_1/_organization.cat3.erb

@@ -0,0 +1,6 @@
+<<%=tag_name %>>
+  <!-- Represents unique registry organization TIN -->
+   <%== render :partial=>"id", :collection=>organization.ids, :id=> "identifier" %>
+  <!-- Contains name - specific registry not required-->
+  <name><%= organization.name %></name>
+</<%=tag_name %>>

data/templates/cat3/r1_1/_performance_rate.cat3.erb

@@ -0,0 +1,18 @@
+<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"/>
+  <% if population_group.performance_rate_denominator > 0 %>
+  <value xsi:type="REAL" value="<%= population_group.performance_rate.round(6) %>"/>
+  <% else %>
+    <value xsi:type="REAL" nullFlavor="NA"/>
+  <% end %>
+  <reference typeCode="REFR">
+     <externalObservation classCode="OBS" moodCode="EVN">
+       <id root="<%= population_group.numerator.id %>"/>
+       <code code="NUMER" displayName="Numerator" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ObservationValue"/>
+    </externalObservation>
+  </reference>
+</observation>

data/templates/{cat1/_providers.cat1.erb → cat3/r1_1/_providers.cat3.erb}

@@ -1,6 +1,6 @@
 <documentationOf typeCode="DOC">
   <serviceEvent classCode="PCPR"> <!-- care provision -->
-  <% if patient.provider_performances.empty? -%>
+  <% if providers.empty? -%>
     <!-- No provider data found in the patient record
          putting in a fake provider -->
     <effectiveTime>
@@ -8,45 +8,45 @@
       <high value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
     </effectiveTime>
     <!-- You can include multiple performers, each with an NPI, TIN, CCN. -->
-    <performer typeCode="PRF"> 
+    <performer typeCode="PRF">
       <time>
         <low value="20020716"/>
         <high value="<%= Time.now.utc.to_formatted_s(:number) %>"/>
       </time>
       <assignedEntity>
         <!-- This is the provider NPI -->
-        <id root="2.16.840.1.113883.4.6" extension="111111111" /> 
+        <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" /> 
+          <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" /> 
+          <id root="2.16.840.1.113883.4.336" extension="54321" />
         </representedOrganization>
       </assignedEntity>
     </performer>
   <% else -%>
-    <% patient.provider_performances.each do |pp| -%>
+    <% providers.each do |prov| -%>
       <effectiveTime>
-        <low <%= value_or_null_flavor(pp.start_date) %>/>
-        <high <%= value_or_null_flavor(pp.end_date) %>/>
+        <low value= "<%= start_date.utc.to_formatted_s(:number) %>" />
+        <high value= "<%= end_date.utc.to_formatted_s(:number) %>" />
       </effectiveTime>
       <!-- You can include multiple performers, each with an NPI, TIN, CCN. -->
-      <performer typeCode="PRF"> 
+      <performer typeCode="PRF">
         <time>
-          <low <%= value_or_null_flavor(pp.start_date) %>/>
-          <high <%= value_or_null_flavor(pp.end_date) %>/>
+          <low value="<%= start_date.utc.to_formatted_s(:number) %>" />
+          <high value="<%= end_date.utc.to_formatted_s(:number) %>" />
         </time>
         <assignedEntity>
-          <% pp.provider.cda_identifiers.each do |cda_id| -%>
+          <% prov.cda_identifiers.each do |cda_id| -%>
             <% unless cda_id.root.eql? '2.16.840.1.113883.4.2' -%>
-          <id root="<%= cda_id.root %>" extension="<%= cda_id.extension %>" /> 
+          <id root="<%= cda_id.root %>" extension="<%= cda_id.extension %>" />
             <% end -%>
           <% end -%>
           <representedOrganization>
-            <% pp.provider.cda_identifiers.each do |cda_id| -%>
-            <% if cda_id.root.eql?('2.16.840.1.113883.4.2') -%>
-            <id root="2.16.840.1.113883.4.2" extension="<%= cda_id.extension %>" /> 
-            <% end -%>  
+            <% prov.cda_identifiers.each do |cda_id| -%>
+              <% if cda_id.root.eql?('2.16.840.1.113883.4.2') -%>
+                <id root="2.16.840.1.113883.4.2" extension="<%= cda_id.extension %>" />
+              <% end -%>
             <% end -%>
           </representedOrganization>
         </assignedEntity>
@@ -54,4 +54,4 @@
     <% end -%>
   <% end -%>
   </serviceEvent>
-</documentationOf>
+</documentationOf>