health-data-standards 4.0.6 → 4.1.0

data/templates/cat1/r5/_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="2017-08-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry,'value_set_map' => filtered_vs_map) %>
+    <text><%= entry.description %></text>
+    <statusCode code="active"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+    </effectiveTime>
+  </observation>
+</entry>

data/templates/cat1/r5/_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="2017-08-01"/> 
+    <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\"") %>
+  </observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.105.cat1.erb

@@ -0,0 +1,65 @@
+<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 -->
+            <routeCode code="<%= entry.route[:code] %>" codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.route[:code_system]) %>"/>
+        <% 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) %>
+            </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/r5/_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\"") %>
+      </observation>
+    </component>
+  </organizer>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.135.cat1.erb

@@ -0,0 +1,69 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN">
+    <!-- Conforms to C-CDA 2.1 Problem Concern Act (V3) -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" />
+    <!-- Diagnosis Concern Act -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.137" extension="2017-08-01"/>
+    <id root="<%= UUID.generate %>" />
+    <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
+    <% if entry.end_time %>
+    <statusCode code="completed" />
+    <% else %>
+    <statusCode code="active" />
+    <% end %>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %> />
+      <high <%= value_or_null_flavor(entry.end_time) %> />
+    </effectiveTime>
+    <entryRelationship typeCode="SUBJ">
+      <observation classCode="OBS" moodCode="EVN">
+        <!-- Conforms to C-CDA R2.1 Problem Observation (V3) -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
+        <!-- Diagnosis template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.135" extension="2017-08-01" />
+        <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>" />
+        <code code="29308-4" codeSystem="2.16.840.1.113883.6.1">
+          <translation code="282291009" codeSystem="2.16.840.1.113883.6.96"/>
+        </code>
+        <statusCode code="completed" />
+        <effectiveTime>
+          <!-- Attribute: onset datetime -->
+          <low <%= value_or_null_flavor(entry.start_time) %> />
+          <!-- Attribute: abatement datetime -->
+          <high <%= value_or_null_flavor(entry.end_time) %> />
+        </effectiveTime>
+        <%== code_display(entry, 'tag_name' => 'value', 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'],
+                                 'extra_content' => "xsi:type=\"CD\"") %>
+        <% if entry.laterality -%>
+          <targetSiteCode code="<%= entry.laterality[:code] %>"
+                          codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.laterality[:codeSystem] || entry.laterality[:code_system]) %>"
+                          <% if entry.laterality.has_key?(:title) -%>
+                            displayName="<%=entry.laterality[:title]%>"
+                          <% end -%>/>
+        <% end -%>
+        <% if entry.anatomical_location -%>
+          <targetSiteCode code="<%= entry.anatomical_location[:code] %>"
+                          codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.anatomical_location[:codeSystem] || entry.anatomical_location[:code_system]) %>"
+                          <% if entry.anatomical_location.has_key?(:title) -%>
+                            displayName="<%=entry.anatomical_location[:title]%>"
+                          <% end -%>/>
+        <% end -%>
+        <% if entry.severity -%>
+          <entryRelationship typeCode="REFR">
+            <observation classCode="OBS" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09" />
+              <code code="SEV" codeSystem="2.16.840.1.113883.5.4" />
+              <statusCode code="completed" />
+              <value xsi:type="CD"
+                     code="<%= entry.severity[:code] %>"
+                     codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.severity[:codeSystem] || entry.severity[:code_system]) %>"
+                     <% if entry.severity.has_key?(:title) -%>
+                       displayName="<%=entry.severity[:title]%>"
+                     <% end -%>/>
+            </observation>
+          </entryRelationship>
+        <% end -%>
+      </observation>
+    </entryRelationship>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.136.cat1.erb

@@ -0,0 +1,50 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN">
+    <!-- Conforms to C-CDA 2.1 Problem Concern Act (V3) -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" />
+    <!-- Symptom Concern Act -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.138" extension="2016-08-01"/>
+    <id root="<%= UUID.generate %>" />
+    <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
+    <statusCode code="active" />
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %> />
+    </effectiveTime>
+    <entryRelationship typeCode="SUBJ">
+      <observation classCode="OBS" moodCode="EVN">
+        <!-- Conforms to C-CDA R2.1 Problem Observation (V3) -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
+        <!-- Symptom template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.136" />
+        <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>" />
+        <code code="75325-1" codeSystem="2.16.840.1.113883.6.1">
+          <translation code="418799008" codeSystem="2.16.840.1.113883.6.96"/>
+        </code>
+        <statusCode code="completed" />
+        <effectiveTime>
+          <!-- Attribute: onset datetime -->
+          <low <%= value_or_null_flavor(entry.start_time) %> />
+          <!-- Attribute: abatement datetime -->
+          <high <%= value_or_null_flavor(entry.end_time) %> />
+        </effectiveTime>
+        <%== code_display(entry, 'tag_name' => 'value', 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['LOINC', 'SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM'],
+                                 'extra_content' => "xsi:type=\"CD\"") %>
+        <% if entry.severity -%>
+          <entryRelationship typeCode="REFR">
+            <observation classCode="OBS" moodCode="EVN">
+              <templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09" />
+              <code code="SEV" codeSystem="2.16.840.1.113883.5.4" />
+              <statusCode code="completed" />
+              <value xsi:type="CD"
+                     code="<%= entry.severity[:code] %>"
+                     codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.severity[:codeSystem] || entry.severity[:code_system]) %>"
+                     <% if entry.severity.has_key?(:title) -%>
+                       displayName="<%=entry.severity[:title]%>"
+                     <% end -%>/>
+            </observation>
+          </entryRelationship>
+        <% end -%>
+      </observation>
+    </entryRelationship>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.140.cat1.erb

@@ -0,0 +1,25 @@
+<entry>
+  <substanceAdministration classCode="SBADM" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Immunization Activity template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2014-06-09"/>
+    <!-- Immunization, Administered template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.140" extension="2017-08-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <code code="416118004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Administration"/>
+    <statusCode code="completed"/>
+    <effectiveTime <%= value_or_null_flavor(entry.start_time) %>/>
+    <%== render(:partial => 'medication_details', :locals => {:entry => entry, :route_oids=>field_oids["ROUTE"]}) %>
+    <consumable>
+      <manufacturedProduct classCode="MANU">
+        <!-- Immunization Information (consolidation) template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
+        <id root="<%= UUID.generate %>"/>
+        <manufacturedMaterial>
+          <%== code_display(entry, 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['CVX', 'RxNorm']) %>
+          <lotNumberText>1</lotNumberText>
+        </manufacturedMaterial>
+      </manufacturedProduct>
+    </consumable>
+    <%== render(:partial => 'reason', :locals => {:entry => entry,:reason_oids=>field_oids["REASON"]}) %>
+  </substanceAdministration>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.144.cat1.erb

@@ -0,0 +1,24 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
+<entry>
+  <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Assessment Performed -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.144" extension="2017-08-01" />
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'value_set_map' => filtered_vs_map,'preferred_code_sets' => ['*']) %>
+    <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 => [value], :result_oids=>result_oids} ) %>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+    <% if entry.components -%>
+      <%== render(:partial => 'components', :locals => {:entry => entry} ) %>
+    <% end %>
+  </observation>
+</entry>
+<% end %>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.145.cat1.erb

@@ -0,0 +1,18 @@
+<entry>
+  <observation classCode="OBS" moodCode="INT" <%== negation_indicator(entry) %>>
+    <!-- Conforms to C-CDA R2.1 Planned Observation (V2) -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09" />
+    <!-- Assessment Recommended -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.145" extension="2017-08-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry, 'value_set_map' => filtered_vs_map,'preferred_code_sets' => ['*']) %>
+    <text><%= entry.description %></text>
+    <statusCode code="active"/>
+    <effectiveTime>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <%== render(:partial => 'author_qdm', :locals => {:entry => entry}) %>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+  </observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.146.cat1.erb

@@ -0,0 +1,33 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- Adverse Event -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.146" extension="2017-08-01"/>
+    <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>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+        <value xsi:type="CD" 
+           code="281647001" 
+           displayName="Adverse reaction"
+           codeSystem="2.16.840.1.113883.6.96" 
+           codeSystemName="SNOMED CT"/>
+    <author>
+      <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
+      <time <%= value_or_null_flavor(entry.as_point_in_time) %>/>
+      <assignedAuthor>
+        <id root="<%= UUID.generate %>"/>
+      </assignedAuthor>
+    </author> 
+    <entryRelationship typeCode="CAUS" inversionInd="true">
+      <observation classCode="OBS" moodCode="EVN">
+        <templateId root="2.16.840.1.113883.10.20.24.3.148" extension="2017-08-01" />
+        <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
+        <statusCode code="completed" />
+        <%== code_display(entry, 'tag_name' => 'value', 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['*']) %>
+      </observation>
+  </entryRelationship>
+  </observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.147.cat1.erb

@@ -0,0 +1,28 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN">
+    <!-- Conforms to C-CDA R2.1 Substance or Device Allergy - Intolerance Observation (V2) -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.90" extension="2014-06-09"/>
+    <!-- Allergy Intolerance -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.147" extension="2017-08-01"/>
+    <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>
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <value xsi:type="CD" 
+           code="419199007" 
+           displayName="Allergy to substance"
+           codeSystem="2.16.840.1.113883.6.96" 
+           codeSystemName="SNOMED CT"/>
+    <participant typeCode="CSM">
+      <participantRole classCode="MANU">
+        <playingEntity classCode="MMAT">
+          <%== code_display(entry,'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['RxNorm', 'SNOMED-CT', 'CVX']) %>
+          <name><%= entry.description %></name>
+        </playingEntity>
+      </participantRole>
+    </participant>
+  </observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.17.cat1.erb

@@ -0,0 +1,17 @@
+<entry>
+  <observation classCode="OBS" moodCode="RQO" <%== negation_indicator(entry) %>>
+  <!-- Consolidated Plan of Care Activity Observation
+       templateId (Implied Template) -->
+  <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+  <!-- Diagnostic Study, Order template -->
+  <templateId root="2.16.840.1.113883.10.20.24.3.17" extension="2017-08-01"/>
+  <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+  <%== code_display(entry, 'value_set_map' => filtered_vs_map,'preferred_code_sets' => ['LOINC']) %>
+  <text><%= entry.description %></text>
+  <statusCode code="active"/>
+
+  <!-- Attribute: datetime -->
+  <%== render(:partial => 'author_qdm', :locals => {:entry => entry}) %>
+  <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+</observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.18.cat1.erb

@@ -0,0 +1,29 @@
+<% vals = entry.values.empty? ? [nil] : entry.values 
+   vals.each do |value| 
+ %>   
+<entry>
+  <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Consolidated Procedure Activity Observation templateId 
+       (Implied Template) -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.13" extension="2014-06-09"/>
+    <!-- Diagnostic Study, Performed template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.18" extension="2017-08-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <%== code_display(entry,'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['*']) %>
+    <text><%= entry.description %></text>
+    <statusCode code="completed"/>
+    <effectiveTime>
+      <!-- Attribute: Start Datetime -->
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <!-- Attribute: End Datetime -->
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <value nullFlavor="NA" xsi:type="CD" />
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+    <%== render(:partial => 'results', :locals => {:entry => entry, :result_oids => result_oids, :value_set_oid => value_set_oid}) %>
+    <% if entry.components -%>
+      <%== render(:partial => 'components', :locals => {:entry => entry} ) %>
+    <% end %>
+  </observation>
+</entry>
+<% end %>