health-data-standards 4.0.6 → 4.1.0

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.2.cat1.erb

@@ -0,0 +1,29 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Communication from patient to provider -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.2" 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 => 'author_qdm', :locals => {:entry => entry}) %>
+    <participant typeCode="AUT">
+      <participantRole classCode="PAT">
+        <code code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Patient"/>
+      </participantRole>
+    </participant>
+
+    <participant typeCode="IRCP">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.22.cat1.erb

@@ -0,0 +1,24 @@
+<entry>
+  <act classCode="ACT" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <templateId root="2.16.840.1.113883.10.20.24.3.132" extension="2017-08-01"/>
+    <id root="<%= UUID.generate %>" />
+    <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter" codeSystemName="ActClass"/>
+    <entryRelationship typeCode="SUBJ">
+      <encounter classCode="ENC" moodCode="RQO">
+        <!--  Plan of Care Activity Encounter template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.40" extension="2014-06-09"/>
+        <!-- Encounter order template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.22" extension="2017-08-01"/>
+        <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+        <%== code_display(entry, 'preferred_code_sets' => ['SNOMED-CT', 'ICD-9-CM', 'ICD-10-CM', 'CPT', 'HCPCS', 'CDT'], 'value_set_map' => filtered_vs_map) %>
+        <text><%= entry.description %></text>
+        <statusCode code="active"/>
+      
+        <!-- Attribute: datetime -->
+        <%== render(:partial => 'author_qdm', :locals => {:entry => entry}) %>
+
+      </encounter>
+    </entryRelationship>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"], :r2_compatibility => r2_compatibility}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.23.cat1.erb

@@ -0,0 +1,94 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!--Encounter performed Act -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.133" extension="2017-08-01"/>
+    <id root="<%= UUID.generate %>" />
+    <code code="ENC" codeSystem="2.16.840.1.113883.5.6" displayName="Encounter" codeSystemName="ActClass"/>
+    <entryRelationship typeCode="SUBJ">
+      <encounter classCode="ENC" moodCode="EVN">
+        <!--  Encounter activities template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/> 
+        <!-- Encounter performed template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.23" 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>
+          <!-- We try to look for the admit/discharge times on the encounter if they are
+               there. If not, we fall back to the typical start/end date. -->
+          <low <%= value_or_null_flavor(entry.admit_time || entry.start_time) %>/>
+          <high <%= value_or_null_flavor(entry.discharge_time || entry.end_time) %>/>
+        </effectiveTime>
+        <% if entry.discharge_disposition.present? %>
+            <sdtc:dischargeDispositionCode code="<%= entry.discharge_disposition.code %>" 
+                codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.discharge_disposition.code_system) %>"/>
+        <% end -%>
+        <% if entry.respond_to?(:facility) && entry.facility.present? -%>
+        <participant typeCode="LOC">
+          <!-- Facility Location template -->
+          <templateId root="2.16.840.1.113883.10.20.24.3.100" extension="2017-08-01"/>
+          <time>
+            <!-- Attribute: facility location arrival datetime -->
+            <low <%= value_or_null_flavor(entry.start_time) %>/>
+            <!-- Attribute: facility location departure datetime -->
+            <high <%= value_or_null_flavor(entry.end_time) %>/>
+          </time>
+          <participantRole classCode="SDLOC">
+            <% if entry.facility[:values][0].present? -%>
+                <code code="<%= entry.facility.values[0][0].code.code %>" 
+                  codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.facility.values[0][0].code.code_system) %>"/>
+            <% else -%>
+            <code nullFlavor="UNK"/>
+            <% end -%>
+            <telecom nullFlavor="UNK"/>
+            <playingEntity classCode="PLC">
+              <name><%= entry.facility[:values][0]['display'] %></name>
+            </playingEntity>
+          </participantRole>
+        </participant>
+        <% end -%>
+        <% if entry.reason.present? -%>
+          <%== render(:partial => 'reason', :locals => {:entry => entry,:reason_oids=>field_oids["REASON"]}) %>
+        <% end -%>
+        <% if entry.principalDiagnosis %>
+            <entryRelationship typeCode="REFR">
+                <observation classCode="OBS" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.24.3.152" extension="2017-08-01"/>
+                  <id root="1.3.6.1.4.1.115" extension="<%= UUID.generate %>"/>
+                  <code code="8319008" codeSystem="2.16.840.1.113883.6.96" displayName="Principal Diagnosis" codeSystemName="SNOMED CT"/>
+                  <value code="<%= entry.principal_diagnosis.code %>" xsi:type="CD" codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.principal_diagnosis.code_system) %>"/>
+                </observation>
+            </entryRelationship>
+        <% end -%>
+        <% if entry.diagnosis %>
+            <entryRelationship typeCode="REFR">
+                <act classCode="ACT" moodCode="EVN">
+                  <templateId root="2.16.840.1.113883.10.20.22.4.80" extension="2015-08-01"/>
+                  <code code="29308-4" codeSystem="2.16.840.1.113883.6.1" displayName="Diagnosis" codeSystemName="LOINC"/>
+                  <entryRelationship typeCode="SUBJ">
+                    <observation classCode="OBS" moodCode="EVN">
+                      <!--  Problem observation template -->
+                      <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
+                      <id root="1.3.6.1.4.1.115" extension="<%= UUID.generate %>"/>
+                      <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: admission datetime -->
+                        <low <%= value_or_null_flavor(entry.start_time) %>/>
+                        <!-- Attribute: discharge datetime -->
+                        <high <%= value_or_null_flavor(entry.end_time) %>/>
+                      </effectiveTime>
+                      <value code="<%= entry.diagnosis.values[1][0].code %>" xsi:type="CD" codeSystem="<%= HealthDataStandards::Util::CodeSystemHelper.oid_for_code_system(entry.diagnosis.values[1][0].code_system) %>"/>
+                    </observation>
+                  </entryRelationship>
+                </act>
+            </entryRelationship>
+        <% end -%>
+      </encounter>
+    </entryRelationship>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"], :r2_compatibility => r2_compatibility}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.3.cat1.erb

@@ -0,0 +1,25 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <templateId root="2.16.840.1.113883.10.20.24.3.3" 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' => ['SNOMED-CT', 'LOINC']) %>
+    <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 => 'author_qdm', :locals => {:entry => entry}) %>
+    <participant typeCode="AUT">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+    
+    <participant typeCode="IRCP">
+      <participantRole classCode="PAT"/>
+    </participant>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.31.cat1.erb

@@ -0,0 +1,18 @@
+<entry>
+  <act classCode="ACT" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <!-- Plan of Care Activity Act template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.39" extension="2014-06-09"/>
+    <!-- Intervention Order template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.31" 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"]}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.32.cat1.erb

@@ -0,0 +1,21 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Consolidation CDA: Procedure Activity Act template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
+    <!-- Intervention Performed Template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.32" 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 => 'reason', :locals => {:entry => entry ,:reason_oids=>field_oids["REASON"]}) %>
+    <%if !entry.values.empty? %>
+      <%== render(:partial=> 'result_value', :locals => {:values => entry.values}) %>
+    <% end %>
+
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.37.cat1.erb

@@ -0,0 +1,16 @@
+<entry>
+  <observation classCode="OBS" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <!-- Consolidation Plan of Care Activity Observation -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
+    <!-- Lab Test Order -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.37" 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"/>
+
+    <!-- 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/_2.16.840.1.113883.10.20.24.3.38.cat1.erb

@@ -0,0 +1,23 @@
+<entry>
+  <observation classCode="OBS" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Lab test performed -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.38" 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 => 'author_qdm', :locals => {:entry => entry}) %>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+    <%if !entry.values.empty? %>
+      <%== render(:partial => 'results', :locals => {:entry => entry, :result_oids => result_oids, :value_set_oid => value_set_oid}) %>
+    <% end %>
+    <% if entry.components -%>
+      <%== render(:partial => 'components', :locals => {:entry => entry} ) %>
+    <% end %>
+    </observation>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.4.cat1.erb

@@ -0,0 +1,29 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Communication from provider to provider -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.4" 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', 'SNOMED-CT']) %>
+    <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 => 'author_qdm', :locals => {:entry => entry}) %>
+    <participant typeCode="AUT">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+
+    <participant typeCode="IRCP">
+      <participantRole classCode="ASSIGNED">
+        <code code="158965000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Medical Practitioner"/>
+      </participantRole>
+    </participant>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+    <%== render(:partial => 'fulfills', :locals => {:entry => entry}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.41.cat1.erb

@@ -0,0 +1,45 @@
+<entry>
+  <substanceAdministration classCode="SBADM" moodCode="EVN">
+    <!-- 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="2017-08-01"/>
+
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <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 %>
+    <%== render(:partial => 'medication_details', :locals => {:entry => entry, :route_oids=>field_oids["ROUTE"]}) %>
+
+    <% 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, 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['*']) %>
+        </manufacturedMaterial>
+        <manufacturerOrganization>
+          <name>Medication Factory Inc.</name>
+        </manufacturerOrganization>
+      </manufacturedProduct>
+    </consumable>
+
+    <%== render(:partial => 'medication_dispense', :collection => entry.fulfillmentHistory, :locals => {:entry => entry, :value_set_map => value_set_map, :value_set_oid => value_set_oid}) %>
+
+  </substanceAdministration>
+
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.42.cat1.erb

@@ -0,0 +1,27 @@
+<entry>
+  <substanceAdministration classCode="SBADM" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Medication Activity (consolidation) template -->
+    <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
+    <!-- Medication, Administered template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.42" 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 xsi:type="IVL_TS">
+      <low <%= value_or_null_flavor(entry.start_time) %>/>
+      <high <%= value_or_null_flavor(entry.end_time) %>/>
+    </effectiveTime>
+    <%== render(:partial => 'medication_details', :locals => {:entry => entry, :route_oids=>field_oids["ROUTE"]}) %>
+    <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, 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['*']) %>
+        </manufacturedMaterial>
+      </manufacturedProduct>
+    </consumable>
+    <%== render(:partial => 'reason', :locals => {:entry => entry,:reason_oids=>field_oids["REASON"]}) %>
+  </substanceAdministration>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.45.cat1.erb

@@ -0,0 +1,36 @@
+<entry>
+  <act classCode="ACT" moodCode="EVN" <%== negation_indicator(entry) %>>
+    <!-- Medication Dispensed Act -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.139" extension="2017-08-01"/>
+    <id root="<%= UUID.generate %>" />
+    <code code="SPLY" codeSystem="2.16.840.1.113883.5.6" displayName="supply" codeSystemName="ActClass"/>
+    <entryRelationship typeCode="SUBJ">
+      <!--Medication dispensed -->
+      <supply classCode="SPLY" moodCode="EVN">
+        <!--  Medication Dispensed template -->
+        <templateId root="2.16.840.1.113883.10.20.24.3.45" extension="2017-08-01"/>
+        <!-- Medication Dispense template -->
+        <templateId root="2.16.840.1.113883.10.20.22.4.18" extension="2014-06-09"/>
+        <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+        <text><%= entry.description %></text>
+        <statusCode code="completed"/>
+        <effectiveTime xsi:type="IVL_TS">
+          <low <%= value_or_null_flavor(entry.start_time) %>/>
+          <high <%= value_or_null_flavor(entry.end_time) %>/>
+        </effectiveTime>
+        <product>
+          <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>
+          </manufacturedProduct>
+        </product>
+        <%== render(:partial => 'author_qdm', :locals => {:entry => entry}) %>
+      </supply>
+    </entryRelationship>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"], :r2_compatibility => r2_compatibility}) %>
+  </act>
+</entry>

data/templates/cat1/r5/_2.16.840.1.113883.10.20.24.3.47.cat1.erb

@@ -0,0 +1,41 @@
+<entry>
+  <!--Medication Order -->
+  <substanceAdministration classCode="SBADM" moodCode="RQO" <%== negation_indicator(entry) %>>
+    <templateId root="2.16.840.1.113883.10.20.22.4.42" extension="2014-06-09"/>
+    <!-- Medication, Order template -->
+    <templateId root="2.16.840.1.113883.10.20.24.3.47" extension="2017-08-01"/>
+    <id root="1.3.6.1.4.1.115" extension="<%= entry.id %>"/>
+    <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.negationInd %>
+      <effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
+        <period nullFlavor="NA"/>
+      </effectiveTime>
+    <% elsif 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.allowedAdministrations.present? %>
+      <repeatNumber value="<%== entry.allowedAdministrations %>" />
+    <% end %>
+     <%== render(:partial => 'medication_details', :locals => {:entry => entry, :route_oids=>field_oids["ROUTE"]}) %>
+    <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, 'value_set_map' => filtered_vs_map, 'preferred_code_sets' => ['RxNorm']) %>
+        </manufacturedMaterial>
+      </manufacturedProduct>
+    </consumable>
+    <%== render(:partial => 'author_qdm', :locals => {:entry => entry}) %>
+    <%== render(:partial => 'reason', :locals => {:entry => entry, :reason_oids=>field_oids["REASON"]}) %>
+  </substanceAdministration>
+</entry>