health-data-standards 4.2.0 → 4.3.0

checksums.yaml

@@ -1,7 +1,7 @@
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data/lib/health-data-standards.rb

@@ -38,6 +38,7 @@ require_relative 'health-data-standards/models/thing_with_codes'
 require_relative 'health-data-standards/models/result_value'
 require_relative 'health-data-standards/models/coded_result_value'
 require_relative 'health-data-standards/models/physical_quantity_result_value'
+require_relative 'health-data-standards/models/ratio_result_value'
 require_relative 'health-data-standards/models/cda_identifier'
 require_relative 'health-data-standards/models/reference'
 require_relative 'health-data-standards/models/entry'

data/lib/health-data-standards/import/cda/communication_importer.rb

@@ -14,6 +14,7 @@ module HealthDataStandards
 
         def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
           communication = super
+          # communication.direction is deprecated as of QDM 5.4
           communication.direction = find_communication_direction(entry_element)
           extract_reason_or_negation(entry_element, communication)
           extract_references(entry_element, communication)
@@ -22,6 +23,7 @@ module HealthDataStandards
 
         private
 
+        # find_communication_direction is deprecated as of QDM 5.4
         def find_communication_direction(entry_element)
           case entry_element.at_xpath(@template_xpath).value
           when "2.16.840.1.113883.10.20.24.3.3"
@@ -52,4 +54,4 @@ module HealthDataStandards
       end
     end
   end
-end
+end

data/lib/health-data-standards/models/assessment.rb

@@ -1,4 +1,5 @@
 class Assessment < Entry
+  # method deprecated for "Assessment, Recommended" and "Assessment, Order" in QDM 5.4. Remains for "Assessment, Performed".
   field :method,              type: Hash
   field :components,          type: Hash
 end

data/lib/health-data-standards/models/communication.rb

@@ -1,3 +1,15 @@
 class Communication < Entry
+  # :direction is deprecated as of QDM 5.4
   field :direction,           type: String
+
+  # QDM 5.4 merges all communication types.
+  # The following attributes were added for QDM 5.4
+  # * category
+  # * sender
+  # * recipient
+  # * medium
+  field :category,            type: Hash
+  field :sender,              type: Hash
+  field :recipient,           type: Hash
+  field :medium,              type: Hash
 end

data/lib/health-data-standards/models/lab_result.rb

@@ -7,6 +7,7 @@ class LabResult < Entry
   field :referenceRangeLow, as: :reference_range_low, type: Hash
   field :interpretation,      type: Hash  
   field :reaction,            type: Hash
+  # method deprecated for "Laboratory Test, Recommended" and "Laboratory Test, Order" in QDM 5.4. Remains for "Laboratory Test, Performed".
   field :method,              type: Hash
   # The resulting status of a procedure as defined in the QDM documentation. This is different
   # than the status associated with the `Entry` object, which relates to the data criteria

data/lib/health-data-standards/models/medical_equipment.rb

@@ -3,6 +3,7 @@ class MedicalEquipment < Entry
   field :manufacturer, type: String
   field :anatomicalStructure, as: :anatomical_structure, type: Hash
   field :removalTime, as: :removal_time, type: Integer
+  # anatomical approach deprecated as of QDM 5.4
   field :anatomical_approach , type: Hash 
   field :reaction, type: Hash 
    def shift_dates(date_diff)

data/lib/health-data-standards/models/medication.rb

@@ -1,3 +1,4 @@
+# Medication is used for Medication, Immunization and Substance QDM types.
 class Medication < Entry
   # administrationTiming is the same as QDM5.3 frequency in Bonnie
   field :administrationTiming, as: :administration_timing, type: Hash
@@ -5,6 +6,9 @@ class Medication < Entry
   # QDM 5.0 disambiguates dose to be dosage and suppy. 'dose' here represents the QDM 5.0 'dosage'.
   # Bonnie displays this as 'dosage'.
   field :dose, type: Hash
+  field :setting, type: Hash
+  # Attribute deprecated for "Medication, Active", "Medication, Administered", "Immunization, Administered", "Substance, Administered", "Substance, Recommended" in QDM 5.4.
+  # Remains for "Medication, Dispensed", "Medication, Order", "Medication, Discharge", "Immunization, Order", "Substance, Order"
   field :supply, type: Hash
   field :refills, type: Hash
   field :typeOfMedication, as: :type_of_medication, type: Hash
@@ -14,6 +18,7 @@ class Medication < Entry
 
   field :route, type: Hash
   field :anatomical_approach, type: Hash
+  field :dispenserIdentifier, as: :dispenser_identifier, type: Hash
   field :doseRestriction, as: :dose_restriction, type: Hash
   field :fulfillmentInstructions, as: :fulfillment_instructions, type: String
   field :indication, type: Hash
@@ -21,9 +26,12 @@ class Medication < Entry
   field :vehicle, type: Hash
   field :reaction, type: Hash
   field :deliveryMethod, as: :delivery_method, type: Hash
+  field :prescriberIdentifier, as: :prescriber_identifier, type: Hash
   field :patientInstructions, as: :patient_instructions, type: String
   field :doseIndicator, as: :dose_indicator, type: String
+  field :daysSupplied, as: :days_supplied, type: Hash
 
+  # In QDM 5.4: method not present on 'medication'. deprecated for 'substance' (particularly, 'Substance, Recommended')
   field :method ,   type: Hash 
   field :active_datetime ,  type: Integer
   field :signed_datetime ,  type: Integer

data/lib/health-data-standards/models/procedure.rb

@@ -3,9 +3,13 @@ class Procedure < Entry
   field :incisionTime,        type: Integer,      as: :incision_time 
   field :ordinality,          type: Hash
   field :source,              type: Hash
+  # anatomical approach deprecated as of QDM 5.4
   field :anatomical_approach, type: Hash
   field :anatomical_target,   type: Hash
   field :anatomical_location, type: Hash
+  # method deprecated for "Procedure, Recommended" and "Procedure, Order" in QDM 5.4. Remains for "Procedure, Performed".
+  # method deprecated for "Diagnostic Study, Recommended" and "Diagnostic Study, Order" in QDM 5.4. Remains for "Diagnostic Study, Performed".
+  # method deprecated for "Physical Exam, Recommended" and "Physical Exam, Order" in QDM 5.4. Remains for "Physical Exam, Performed".
   field :method,              type: Hash
   field :reaction,            type: Hash 
   # The resulting status of a procedure as defined in the QDM documentation. This is different

data/lib/health-data-standards/models/ratio_result_value.rb

@@ -0,0 +1,6 @@
+class RatioResultValue < ResultValue
+  field :numerator_scalar
+  field :numerator_units, type: String
+  field :denominator_scalar
+  field :denominator_units, type: String
+end

data/lib/health-data-standards/models/svs/value_set.rb

@@ -16,7 +16,6 @@ module HealthDataStandards
       index "concepts.code" => 1
       index "concepts.code_system" => 1
       index "concepts.code_system_name" => 1
-      index "concepts.display_name" => 1
       index "bundle_id" => 1
       scope :by_oid, ->(oid){where(:oid => oid)}
 

data/lib/health-data-standards/util/hqmfr2cql_template_oid_map.json

@@ -219,18 +219,6 @@
       "definition":"care_goal",
       "status":"",
       "negation":false},
-  "2.16.840.1.113883.10.20.28.4.8":{
-      "definition":"communication_from_patient_to_provider",
-      "status":"",
-      "negation":false},
-  "2.16.840.1.113883.10.20.28.4.9":{
-      "definition":"communication_from_provider_to_patient",
-      "status":"",
-      "negation":false},
-  "2.16.840.1.113883.10.20.28.4.10":{
-      "definition":"communication_from_provider_to_provider",
-      "status":"",
-      "negation":false},
   "2.16.840.1.113883.10.20.28.4.13":{
       "definition":"device",
       "status":"applied",
@@ -371,6 +359,10 @@
       "definition":"transfer_to",
       "status":"",
       "negation":false},
+  "2.16.840.1.113883.10.20.28.4.131":{
+      "definition":"assessment",
+      "status":"ordered",
+      "negation":false},
   "2.16.840.1.113883.10.20.28.4.117":{
     "definition":"assessment",
     "status":"performed",
@@ -390,5 +382,9 @@
   "2.16.840.1.113883.10.20.28.4.130": {
     "definition":"participation",
     "status":"",
-    "negation":false}
+    "negation":false},
+  "2.16.840.1.113883.10.20.28.4.132":{
+    "definition":"communication",
+    "status":"performed",
+    "negation":true}
 }

data/lib/hqmf-model/data_criteria.json

@@ -647,6 +647,15 @@
       "hard_status":false,
       "patient_api_function":"communications",
       "not_supported":false},
+  "communication_performed":{
+      "title":"communication, performed",
+      "category":"communications",
+      "definition":"communication",
+      "status":"performed",
+      "sub_category":"",
+      "hard_status":false,
+      "patient_api_function":"communications",
+      "not_supported":false},
   "device":{
       "title":"device",
       "category":"devices",
@@ -1007,6 +1016,15 @@
       "hard_status":false,
       "patient_api_function":"encounters",
       "not_supported":false},
+  "assessment_ordered":{
+      "title":"assessment order",
+      "category":"assessments",
+      "definition":"assessment",
+      "status":"ordered",
+      "sub_category":"",
+      "hard_status":false,
+      "patient_api_function":"assessments",
+      "not_supported":false},
   "assessment_performed":{
       "title":"assessment performed",
       "category":"assessments",

data/lib/hqmf-model/data_criteria.rb

@@ -24,24 +24,35 @@ module HQMF
     # `code`: The code for the entry. This should be included to make HQMF generation work properly. This is whatever code is dictated in the HQMF. For Diagnosis, this is in [HQMF QDM IG](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=346) vol 2 page 155 and is `29308-4`.
     # `code_system`: This is the oid for whatever code system contains `code`. For Diagnosis, this is LOINC: `2.16.840.1.113883.6.1`. This is also located at (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=346) vol 2 page 155.
     # `template_id`: These appear to be related to HQMFr1 template ids. These appear to be dangerously out of date. Don't use.
-    FIELDS = {'ABATEMENT_DATETIME' => {title:'Abatement Datetime', coded_entry_method: :end_date, field_type: :timestamp},
+    FIELDS = {'ABATEMENT_DATETIME' => {title:'Abatement Datetime', coded_entry_method: :end_date, field_type: :timestamp}, # ABATEMENT_DATETIME is no longer used.
               'ACTIVE_DATETIME' => {title:'Active Date/Time', coded_entry_method: :active_datetime, field_type: :timestamp},
+              # ADMISSION_DATETIME is no longer used.
               'ADMISSION_DATETIME' => {title:'Admission Date/Time', coded_entry_method: :admit_time, code: '399423000', code_system:'2.16.840.1.113883.6.96', field_type: :timestamp},
               # QDM 5.0 addition. This is the same as FACILITY_LOCATION.
               # TODO: (LDY 10/5/2016) this is a new attribute from QDM 5.0. We do not yet have the code or template_id for this. This should be updated when we do.
               'ADMISSION_SOURCE' => {title:'Admission Source', coded_entry_method: :admission_source, field_type: :value},
+              # ANATOMICAL_APPROACH_SITE is no longer used.
               'ANATOMICAL_APPROACH_SITE' => {title:'Anatomical Approach Site', coded_entry_method: :anatomical_approach,  field_type: :value},
               'ANATOMICAL_LOCATION_SITE' => {title:'Anatomical Location Site', coded_entry_method: :anatomical_location,  field_type: :value},
+              # ANATOMICAL_STRUCTURE is no longer used.
               'ANATOMICAL_STRUCTURE' => {title:'Anatomical Structure', coded_entry_method: :anatomical_structure, code: '91723000', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1000.2', field_type: :value},
+              # Added in QDM 5.4
+              'CATEGORY' => {title:'Category', coded_entry_method: :category, field_type: :value},
               'CAUSE' => {title:'Cause', coded_entry_method: :cause_of_death, code: '42752001', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1017.2', field_type: :value},
               # TODO: Determine actual code and code_system for component attribute
               'COMPONENT' => {title: 'Component', coded_entry_method: :components, field_type: :value},
+              # CUMULATIVE_MEDICATION_DURATION is no longer used
               'CUMULATIVE_MEDICATION_DURATION' => {title:'Cumulative Medication Duration', coded_entry_method: :cumulative_medication_duration, code: '261773006', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1001.3', field_type: :value},
               # MISSING Date - The date that the patient passed away. - Patient Characteristic Expired
+              # Could not find a code and code_system for this data criteria (days supplied) in HQMF QDM IG v3
+              'DAYS_SUPPLIED' => {title:'Days Supplied', coded_entry_method: :days_supplied, field_type: :value},
               'DIAGNOSIS' => {title:'Diagnosis', coded_entry_method: :diagnosis, field_type: :value},
+              # DISCHARGE_DATETIME is no longer used.
               'DISCHARGE_DATETIME' => {title:'Discharge Date/Time', coded_entry_method: :discharge_time, code: '442864001', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1025.1', field_type: :timestamp},
               # TODO: (LDY 10/5/2016) this changed from "discharge status" to "discharge disposition". likely there is a code and template id change necessary. these are not yet known.
+              # DISCHARGE_STATUS is no longer used.
               'DISCHARGE_STATUS' => {title:'Discharge Disposition', coded_entry_method: :discharge_disposition, code: '309039003', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1003.2', field_type: :value},
+              'DISPENSER_IDENTIFIER' => {title:'Dispenser Identifier', coded_entry_method: :dispenser_identifier, field_type: :value},
               # TODO: (LDY 10/4/2016) this changed from "dose" to "dosage". it's possible that there's another code associated with this. this code was not available at the time of this change.
               'DOSE' => {title:'Dosage', coded_entry_method: :dose, code: '398232005', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1004.1', field_type: :value},
               'FACILITY_LOCATION' => {title:'Facility Location', coded_entry_method: :facility, code: 'SDLOC', field_type: :value},
@@ -49,49 +60,72 @@ module HQMF
               'FACILITY_LOCATION_ARRIVAL_DATETIME' => {title:'Location Period Start Date/Time', coded_entry_method: :facility_arrival, code: 'SDLOC_ARRIVAL', field_type: :nested_timestamp},
               'FACILITY_LOCATION_DEPARTURE_DATETIME' => {title:'Location Period End Date/Time', coded_entry_method: :facility_departure, code: 'SDLOC_DEPARTURE', field_type: :nested_timestamp},
               'FREQUENCY' => {title:'Frequency', coded_entry_method: :administration_timing, code: '307430002', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1006.1', field_type: :value},
+              # HEALTH_RECORD_FIELD is no longer used.
               'HEALTH_RECORD_FIELD' => {title: 'Health Record Field', coded_entry_method: :health_record_field, code: '395676008', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.28.3.102:2014-11-24', field_type: :value},
               'INCISION_DATETIME' => {title:'Incision Date/Time', coded_entry_method: :incision_time, code: '34896006', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.89', field_type: :timestamp},
+              # LATERALITY is no longer used.
               'LATERALITY' => {title:'Laterality', coded_entry_method: :laterality, code: '272741003', code_system:'2.16.840.1.113883.6.96', template_id: '', field_type: :value},
               'LENGTH_OF_STAY' => {title:'Length of Stay', coded_entry_method: :length_of_stay, code: '183797002', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1029.3', field_type: :value},
+              # Added in QDM 5.4
+              'MEDIUM' => {title:'Medium', coded_entry_method: :medium, field_type: :value},
               'METHOD' => {title:'Method', coded_entry_method: :method, template_id: '', field_type: :value},
               # Negation Rationale isn't encoded
+              # ONSET_AGE is no longer used.
               'ONSET_AGE' => {title:'Onset Age', coded_entry_method: :onset_age, code: '445518008', code_system:'2.16.840.1.113883.6.96', template_id: '', field_type: :value},
+              # ONSET_DATETIME is no longer used.
               'ONSET_DATETIME' => {title:'Onset Datetime', coded_entry_method: :start_date, field_type: :timestamp},
+              # ORDINAL is no longer used.
               'ORDINAL' => {title:'Ordinality', coded_entry_method: :ordinality, code: '117363000', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1012.2', field_type: :value}, # previous
               'ORDINALITY' => {title:'Ordinality', coded_entry_method: :ordinality, code: '117363000', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1012.2', field_type: :value},
+              # PATIENT_PREFERENCE is no longer used.
               'PATIENT_PREFERENCE' => {title:'Patient Preference', coded_entry_method: :patient_preference,  code: 'PAT', code_system: '2.16.840.1.113883.5.8', template_id: '2.16.840.1.113883.10.20.24.3.83', field_type: :value},
+              'PRESCRIBER_IDENTIFIER' => {title:'Prescriber Identifier', coded_entry_method: :prescriber_identifier, field_type: :value},
               'PRINCIPAL_DIAGNOSIS' => {title:'Principal Diagnosis', coded_entry_method: :principal_diagnosis, field_type: :value},
+              # PROVIDER_PREFERENCE is no longer used.
               'PROVIDER_PREFERENCE' => {title:'Provider Preference', coded_entry_method: :provider_preference, code: '103323008', code_system: '2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.84', field_type: :value},
+              #RADIATION_DOSAGE is no longer used.
               'RADIATION_DOSAGE' => {title:'Radiation Dosage', coded_entry_method: :radiation_dose, code: '228815006', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.91', field_type: :value},
+              #RADIATION_DURATION is no longer used.
               'RADIATION_DURATION' => {title:'Radiation Duration', coded_entry_method: :radiation_duration, code: '306751006', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.91', field_type: :value},
+              # REACTION is no longer used.
               'REACTION'=> {title:'Reaction', coded_entry_method: :reaction, code: '263851003', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.85', field_type: :value},
               'REASON' => {title:'Reason', coded_entry_method: :reason, code: '410666004', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.10.20.24.3.88', field_type: :value},
+              # Added in QDM 5.4
+              'RECIPIENT' => {title:'Recipient', coded_entry_method: :recipient, field_type: :value},
+              # RECORDED_DATETIME is no longer used.
               'RECORDED_DATETIME' => {title:'Recorded Datetime', coded_entry_method: :start_date, field_type: :timestamp},
               'REFERENCE_RANGE_HIGH' => {title:'Reference Range - High', coded_entry_method: :reference_range_high, field_type: :value},
               'REFERENCE_RANGE_LOW' => {title:'Reference Range - Low', coded_entry_method: :reference_range_low, field_type: :value},
               'REFILLS' => {title:'Refills', coded_entry_method: :refills,  field_type: :value},
               'RELATED_TO' => {title:'Related To', coded_entry_method: :related_to,  code: 'REL', codeSystem: '2.16.840.1.113883.1.11.11603', field_type: :value},
               'RELATIONSHIP' => {title:'Relationship', coded_entry_method: :relationship_to_patient, field_type: :value},
+              # REMOVAL_DATETIME is no longer used.
               'REMOVAL_DATETIME' => {title:'Removal Date/Time', coded_entry_method: :removal_time, code: '118292001', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1032.1', field_type: :timestamp},
               # Result isn't encoded
               # TODO: (LDY 10/4/2016) RESULT_DATETIME is a new attribute in QDM 5.0. We do not yet have codes/template information for this.
               'RESULT_DATETIME' => {title:'Result Date/Time', coded_entry_method: :result_date_time, field_type: :timestamp},
               'ROUTE' => {title:'Route', coded_entry_method: :route, code: '263513008', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1020.2', field_type: :value},
+              # Added in QDM 5.4
+              'SENDER' => {title:'Sender', coded_entry_method: :sender, field_type: :value},
+              'SETTING' => {title:'Setting', coded_entry_method: :setting, field_type: :value},
               'SEVERITY' => {title:'Severity', coded_entry_method: :severity, code: 'SEV', code_system:'2.16.840.1.113883.5.4', template_id: '2.16.840.1.113883.10.20.22.4.8', field_type: :value},
+              # SIGNED_DATETIME is no longer used.
               'SIGNED_DATETIME' =>  {title:'Signed Date/Time', coded_entry_method: :signed_date_time, field_type: :timestamp},
+              # START_DATETIME is no longer used.
               'START_DATETIME' => {title:'Start Date/Time', coded_entry_method: :start_date, code: '398201009', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1027.1', field_type: :timestamp},
               # STATUS is referenced in the code as `qdm_status` because entry/Record already has a `status`/`status_code` field which has a different meaning
               'STATUS' => {title: 'Status', coded_entry_method: :qdm_status, code: '33999-4', code_system:'2.16.840.1.113883.6.1', field_type: :value},
+              # STOP_DATETIME is no longer used.
               'STOP_DATETIME' => {title:'Stop Date/Time', coded_entry_method: :end_date, code: '397898000', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.1026.1', field_type: :timestamp},
               # TODO: (LDY 10/4/2016) SUPPLY is a new attribute in QDM 5.0. We do not yet have codes/template information for this.
               'SUPPLY' => {title:'Supply', coded_entry_method: :supply, field_type: :value},
               'TARGET_OUTCOME' => {title:'Target Outcome', coded_entry_method: :target_outcome, code: '385676005', code_system:'2.16.840.1.113883.6.96', template_id: '', field_type: :value},
-              # MISSING Time - The time that the patient passed away
 
               # Custom field values
               # QDM 5.3 Update: "Related To" replaces Fulfills. We are keeping the fulfills code and only make changes to the UI.
               'FLFS' => {title:'Related To', coded_entry_method: :fulfills, code: 'FLFS', field_type: :reference},
               'SOURCE' => {title:'Source', coded_entry_method: :source, code: '260753009', code_system:'2.16.840.1.113883.6.96', template_id: '2.16.840.1.113883.3.560.1.2001.2', field_type: :value},
+              # TRANSFER_FROM, TRANSFER_FROM_DATETIME, TRANSFER_TO, and TRANSFER_TO_DATETIME are no longer used.
               'TRANSFER_FROM' => {title:'Transfer From', coded_entry_method: :transfer_from, code: 'TRANSFER_FROM', template_id: '2.16.840.1.113883.10.20.24.3.81', field_type: :value},
               'TRANSFER_FROM_DATETIME' => {title:'Transfer From Date/Time', coded_entry_method: :transfer_from_time, code: 'ORG_TIME', template_id: '2.16.840.1.113883.10.20.24.3.81', field_type: :nested_timestamp},
               'TRANSFER_TO' => {title:'Transfer To', coded_entry_method: :transfer_to, code: 'TRANSFER_TO', template_id: '2.16.840.1.113883.10.20.24.3.82', field_type: :value},
@@ -455,6 +489,10 @@ module HQMF
           value = HQMF::Collection.from_json(json)
         when 'FAC'
           value = Facility.new(json)
+        when 'ID'
+          value = HQMF::Identifier.from_json(json)
+        when 'RT'
+          value = HQMF::Ratio.from_json(json)
         else
           raise "Unknown value type [#{type}]"
         end

data/lib/hqmf-model/types.rb

@@ -453,5 +453,42 @@ module HQMF
       check_equality(self,other)
     end
   end
+
+  class Ratio
+    include HQMF::Conversion::Utilities
+    attr_accessor :type, :numerator, :denominator
+
+    # @param [String] type
+    # @param [Value] numerator
+    # @param [Value] denominator
+    def initialize(type, numerator, denominator)
+      @type = type || 'RT'
+      @numerator = numerator
+      @denominator = denominator
+    end
+
+    def self.from_json(json)
+      type = json["type"] if json["type"]
+      numerator = json["numerator"] if json["numerator"]
+      denominator = json["denominator"] if json["denominator"]
+      HQMF::Ratio.new(type, numerator, denominator)
+    end
+
+    def numerator?
+      @numerator
+    end
+
+    def denominator?
+      @denominator
+    end
+
+    def to_json
+      build_hash(self, [:type, :numerator, :denominator])
+    end
+
+    def ==(other)
+      check_equality(self, other)
+    end
+  end
   
 end

data/lib/hqmf-parser/cql/value_set_helper.rb

@@ -93,7 +93,9 @@ module HQMF2CQL
       '2.16.840.1.113883.10.20.28.4.118' => { valueset_path: './*/cda:code', result_path: nil },
       '2.16.840.1.113883.10.20.28.4.119' => { valueset_path: "./*/cda:participation[@typeCode='CSM']/cda:role[@classCode='MANU']/cda:playingEntity[@classCode='MMAT']/cda:code", result_path: nil },
       '2.16.840.1.113883.10.20.28.4.120' => { valueset_path: "./*/cda:participation[@typeCode='CSM']/cda:role[@classCode='MANU']/cda:playingEntity[@classCode='MMAT']/cda:code", result_path: nil },
-      '2.16.840.1.113883.10.20.28.4.130' => { valueset_path: './*/cda:value', result_path: nil }
+      '2.16.840.1.113883.10.20.28.4.130' => { valueset_path: './*/cda:value', result_path: nil },
+      '2.16.840.1.113883.10.20.28.4.131' => { valueset_path: './*/cda:code', result_path: nil },
+      '2.16.840.1.113883.10.20.28.4.132' => { valueset_path: "./*/cda:outboundRelationship[@typeCode='RSON']/cda:observationCriteria/cda:value", result_path: nil },
     }
     # rubocop:enable Metrics/LineLength
 

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: health-data-standards
 version: !ruby/object:Gem::Version
-  version: 4.2.0
+  version: 4.3.0
 platform: ruby
 authors:
 - The MITRE Corporation
 autorequire: 
 bindir: bin
 cert_chain: []
-date: 2018-08-22 00:00:00.000000000 Z
+date: 2018-09-27 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: rest-client
@@ -375,6 +375,7 @@ files:
 - lib/health-data-standards/models/qrda/legal_authenticator.rb
 - lib/health-data-standards/models/qrda/organization.rb
 - lib/health-data-standards/models/qrda/person.rb
+- lib/health-data-standards/models/ratio_result_value.rb
 - lib/health-data-standards/models/record.rb
 - lib/health-data-standards/models/reference.rb
 - lib/health-data-standards/models/result_value.rb
@@ -964,7 +965,7 @@ required_rubygems_version: !ruby/object:Gem::Requirement
       version: '0'
 requirements: []
 rubyforge_project: 
-rubygems_version: 2.6.12
+rubygems_version: 2.7.7
 signing_key: 
 specification_version: 4
 summary: A library for generating and consuming various healthcare related formats.