Imi

lib/nutrition.js

@@ -0,0 +1,146 @@
+module.exports = { // this needs work or the section needs or both
+  "id": "nutrition",
+  "type": "object",
+  "properties": {
+    /* "date_time": {
+      "$ref": "cda_date"
+    }, */
+    /*     "identifiers": {
+          "type": "string",
+          "item": {
+            "$ref": "cda_id"
+          },
+        }, */
+    /*  "value": {
+       "type": "string"
+     }, */
+    /*  "value": {
+       "type": "string"
+     }, */
+    "code": {
+      "type": "string"
+    },
+    "title": {
+      "type": "string"
+    },
+    "text": {
+      "type": "string"
+    },
+    "entry": {
+      "type": "array",
+      "observation": {
+        "type": "object",
+        "properties": {
+          "id": {
+            "type": "array"
+          },
+          "statusCode": {
+            "type": "string"
+          },
+          "code": {
+            "type": "string"
+          },
+          "templateId": {
+            "type": "string"
+          },
+          "title": {
+            "type": "string"
+          },
+          "effectiveTime": {
+            "type": "string"
+          },
+          "value": {
+            "type": "string"
+          },
+          "entryRelationship": {
+            "type": "array",
+            "nutritionAssessment": {
+              "type": "object",
+              "properties": {
+                /*           "identifiers": {
+                            "type": "string",
+                            "item": {
+                              "$ref": "cda_id"
+                            },
+                          }, */
+                "templateId": {
+                  "type": "string"
+                },
+                "id": {
+                  "type": "array"
+                },
+                /*           "classCode": {
+                            "type": "string"
+                          },
+                          "moodCode": {
+                            "type": "string"
+                          }, */
+                "code": {
+                  "type": "string"
+                },
+                /*  "codeSystem": {
+                    "type": "string"
+                  }, */
+                "statusCode": {
+                  "type": "string"
+                },
+                "effectiveTime": {
+                  "$ref": "cda_date"
+                },
+                "value": {
+                  "type": "string"
+                },
+                "authorParticipation": {
+                  "type": "object",
+                  "properties": {
+                    "templateId": {
+                      "type": "string"
+                    },
+                    "time": {
+                      "$ref": "cda_date"
+                    },
+                    "assignedAuthor": {
+                      "type": "string",
+                      "id": {
+                        "type": "string"
+                      },
+                      "code": {
+                        "type": "string"
+                      },
+                      "assignedPerson": {
+                        "type": "string"
+                      },
+                      "name": {
+                        "type": "array"
+                      },
+                      "representedOrganization": {
+                        "type": "string",
+                        "id": {
+                          "type": "array"
+                        },
+                        "name": {
+                          "type": "array"
+                        },
+                        "telecom": {
+                          "type": "array"
+                        },
+                        "addr": {
+                          "type": "array"
+                        }
+                      }
+                    }
+                  }
+                }
+              }
+            }
+          }
+        }
+      }
+    }
+  },
+  "additionalProperties": false,
+  "minProperties": 1,
+  // "required": [
+  //   "value"
+  // ]
+};

lib/parser/ccda/ccd.js

@@ -21,6 +21,9 @@ var exportCCD = function (version) {
   var hospital_discharge_instructions_section = require("./sections/hospital_discharge_instructions").hospital_discharge_instructions_section(version)[0];
   var hospital_discharge_medications_section = require("./sections/hospital_discharge_medications").hospital_discharge_medications_section(version)[0];
   var functional_status_section = require("./sections/functional_status").functionalStatusSection(version)[0];
+  var review_of_systems_section = require("./sections/review_of_systems").reviewOfSystemsSection(version)[0];
+  var nutrition_section = require("./sections/nutrition").nutritionSection(version);
+  var plan_of_treatment_section = require("./sections/plan_of_treatment").planOfTreatmentSection(version);
 
   return component.define("CCD")
     .fields([
@@ -41,7 +44,10 @@ var exportCCD = function (version) {
       ["reason_for_referral", "0..1", reason_for_referral_section.xpath(), reason_for_referral_section],
       ["hospital_discharge_instructions", "0..1", hospital_discharge_instructions_section.xpath(), hospital_discharge_instructions_section],
       ["hospital_discharge_medications", "0..1", hospital_discharge_medications_section.xpath(), hospital_discharge_medications_section],
-      ["functional_statuses", "0..1", functional_status_section.xpath(), functional_status_section]
+      ["functional_statuses", "0..1", functional_status_section.xpath(), functional_status_section],
+      ["nutrition_observations", "0..1", nutrition_section.xpath(), nutrition_section],
+      ["review_of_systems", "0..1", review_of_systems_section.xpath(), review_of_systems_section],
+      ["plan_of_treatment", "0..1", plan_of_treatment_section.xpath(), plan_of_treatment_section]
     ]);
 };
 

lib/parser/ccda/sections/immunizations.js

@@ -51,6 +51,31 @@ var exportImmunizationsSection = function (version) {
       ["manufacturer", "0..1", "h:manufacturerOrganization/h:name/text()"],
     ]);
 
+  var Indication = component.define("Indication")
+    .fields([
+      ["identifiers", "0..*", "h:id", shared.Identifier],
+      ["code", "0..1", "h:code", shared.ConceptDescriptor],
+      ["date_time", "0..1", "h:effectiveTime", shared.EffectiveTime],
+      ["value", "0..1", "h:value", shared.ConceptDescriptor]
+    ]);
+
+  var ImmunizationSeverityObservation = component.define("immunizationSeverityObservation")
+    .fields([
+      ["code", "0..1", "h:value", shared.ConceptDescriptor],
+      ["interpretation", "0..1", "h:interpretationCode", shared.ConceptDescriptor]
+    ]);
+
+  var ImmunizationReaction = component.define("immunizationReaction");
+  ImmunizationReaction.templateRoot(["2.16.840.1.113883.10.20.22.4.9"]);
+  ImmunizationReaction.fields([
+    ["identifiers", "0..*", "h:id", shared.Identifier],
+    ["date_time", "1..1", "h:effectiveTime", shared.EffectiveTime],
+    ["reaction", "1..1", "h:value", shared.ConceptDescriptor],
+    ["free_text_reaction", "0..1", "h:text", shared.TextWithReference],
+    ["severity", "0..1", "h:entryRelationship/h:observation", ImmunizationSeverityObservation]
+  ]);
+  ImmunizationReaction.cleanupStep(cleanup.promoteFreeTextIfNoReaction);
+
   var ImmunizationActivity = component.define("ImmunizationActivity")
     .templateRoot([clinicalStatementsIDs.ImmunizationActivity, clinicalStatementsIDs.MedicationActivity])
     .fields([
@@ -63,6 +88,8 @@ var exportImmunizationsSection = function (version) {
       ["performer", "0..1", "h:performer/h:assignedEntity", shared.assignedEntity],
       ["instructions", "0..1", "h:entryRelationship[@typeCode='SUBJ']/h:act", ImmunizationInstructions],
       ["refusal_reason", "0..1", "h:entryRelationship/h:observation/h:code/@code", shared.SimpleCode("2.16.840.1.113883.5.8")],
+      ["indications", "0..*", "h:entryRelationship[@typeCode='RSON']/h:observation", Indication],
+      ["reaction", "0..1", "h:entryRelationship[@typeCode='CAUS']/h:observation", ImmunizationReaction],
     ]).cleanupStep(function () { // Quick and dirty fix for when refusal_reason catches other observations in Vitera.
       if (this.js) { // Refusal reason should use the template id
         if (this.js.refusal_reason && (!_.get(this, "js.refusal_reason.js"))) {

lib/parser/ccda/sections/medications.js

@@ -30,6 +30,23 @@ var exportMedicationsSection = function (version) {
   source: http://wiki.siframework.org/CDA+-+Medications+Section
 
   */
+
+    var MedicationSeverityObservation = component.define("immunizationSeverityObservation")
+      .fields([
+        ["code", "0..1", "h:value", shared.ConceptDescriptor],
+        ["interpretation", "0..1", "h:interpretationCode", shared.ConceptDescriptor]
+      ]);
+    var MedicationReaction = component.define("medicationReaction")
+      .templateRoot(["2.16.840.1.113883.10.20.22.4.9"])
+      .fields([
+        ["identifiers", "0..*", "h:id", shared.Identifier],
+        ["date_time", "1..1", "h:effectiveTime", shared.EffectiveTime],
+        ["reaction", "1..1", "h:value", shared.ConceptDescriptor],
+        ["free_text_reaction", "0..1", "h:text", shared.TextWithReference],
+        ["severity", "0..1", "h:entryRelationship/h:observation", MedicationSeverityObservation]
+      ])
+      .cleanupStep(cleanup.promoteFreeTextIfNoReaction);
+
   var MedicationInterval = component.define("MedicationInterval")
     .fields([
       ["phase", "0..1", "./h:phase", shared.EffectiveTime],
@@ -85,12 +102,29 @@ var exportMedicationsSection = function (version) {
   // *                      ccda-r1.1 (LATEST VERSION)                         *
   // ***************************************************************************
 
+  var immunizationMedicationInformation;
   var medicationInformation;
   var medicationSupplyOrder;
   var medicationActivity;
   var medicationsSection;
+  var manufacturedMaterial;
 
   if (version === "") {
+
+    manufacturedMaterial = component.define("manufacturedMaterial")
+    .fields([
+      ["code", "1..1", "h:manufacturedMaterial/h:code "],
+      ["translation", "0..*", "h:manufacturedMaterial/h:translation"],
+      ["lotNumberText", "0..*", "h:manufacturedMaterial/h:lotNumberText"],
+      ["manufacturerOrganization", "0..1", "h:manufacturerOrganization"],
+    ]);
+
+    immunizationMedicationInformation = component.define("immunizationMedicationInformation")
+    .templateRoot("2.16.840.1.113883.10.20.22.4.54")
+    .fields([
+      ["id", "0..*", "h:id"],
+      ["manufacturedMaterial", "1..1", "h:manufacturedMaterial", manufacturedMaterial],
+    ]);
     medicationInformation = component.define("medicationInformation")
       .templateRoot("2.16.840.1.113883.10.20.22.4.23")
       .fields([
@@ -133,7 +167,8 @@ var exportMedicationsSection = function (version) {
         ["identifiers", "0..*", "h:id", shared.Identifier],
         ["performer", "0..1", "h:performer", MedicationPerformer],
         ["supply", "0..1", "h:entryRelationship[@typeCode='REFR']/h:supply", medicationSupplyOrder],
-        ["product", "0..1", "h:product/h:manufacturedProduct", medicationInformation]
+        ["product", "0..1", "h:product/h:manufacturedProduct", medicationInformation],
+        ["product", "0..1", "h:product/h:manufacturedProduct", immunizationMedicationInformation]
       ]);
 
     medicationActivity = component.define("medicationActivity")
@@ -144,6 +179,7 @@ var exportMedicationsSection = function (version) {
         ["sig", "0..1", "h:text", shared.TextWithReference],
         ["product", "1..1", "h:consumable/h:manufacturedProduct", medicationInformation],
         ["supply", "0..1", "h:entryRelationship[@typeCode='REFR']/h:supply", medicationSupplyOrder],
+        ["reactions", "0..*", "h:entryRelationship[@typeCode='CAUS']/h:observation", MedicationReaction],
         ["administration", "0..1", "../h:substanceAdministration", MedicationAdministration],
         ["performer", "0..1", "h:performer", MedicationPerformer],
         ["drug_vehicle", "0..1", "h:participant[@typeCode='CSM']/h:participantRole/h:playingEntity[@classCode='MMAT']/h:code", shared.ConceptDescriptor],
@@ -192,11 +228,12 @@ var exportMedicationsSection = function (version) {
 
     // ignore negationInd medications
 
-    medicationsSection = component.define("medicationsSection");
-    medicationsSection.templateRoot(["2.16.840.1.113883.10.20.22.2.1", "2.16.840.1.113883.10.20.22.2.1.1"]);
-    medicationsSection.fields([
-      ["medications", "0..*", medicationActivity.xpath(), medicationActivity]
-    ]);
+    medicationsSection = component.define("medicationsSection")
+      .templateRoot(["2.16.840.1.113883.10.20.22.2.1", "2.16.840.1.113883.10.20.22.2.1.1"])
+      .fields([
+        ["medications", "0..*", medicationActivity.xpath(), medicationActivity]// seems to include all of activity and everything defined in it
+      ]);
+      // console.log(medicationsSection)
     medicationsSection.cleanupStep(cleanup.replaceWithField('medications'));
     return [medicationsSection, medicationActivity];
 
@@ -205,6 +242,21 @@ var exportMedicationsSection = function (version) {
     // ***************************************************************************
   } else {
 
+      manufacturedMaterial = component.define("manufacturedMaterial")
+      .fields([
+        ["code", "1..1", "h:manufacturedMaterial/h:code "],
+        ["translation", "0..*", "h:manufacturedMaterial/h:translation"],
+        ["lotNumberText", "0..*", "h:manufacturedMaterial/h:lotNumberText"],
+        ["lotNumberText", "0..1", "h:lotNumberText"],
+      ]);
+
+    immunizationMedicationInformation = component.define("immunizationMedicationInformation")
+      .templateRoot("2.16.840.1.113883.10.20.22.4.54")
+      .fields([
+        ["id", "0..*", "h:id"],
+        ["manufacturedMaterial", "1..1", "h:manufacturedMaterial", manufacturedMaterial],
+        ["manufacturerOrganization", "1..1", "h:manufacturerOrganization"],
+      ]);
     medicationInformation = component.define("medicationInformation")
       .templateRoot("2.16.840.1.113883.10.20.1.53")
       .fields([

lib/parser/ccda/sections/nutrition.js

@@ -0,0 +1,37 @@
+var shared = require("../shared");
+var component = require("@amida-tech/blue-button-xml").component.withNullFlavor();
+var cleanup = require("../cleanup");
+
+var exportNutritionSection = function () {
+  var nutritionalStatusObservation;
+  var nutritionSection;
+  var nutritionAssessment;
+
+  nutritionAssessment = component.define("nutritionAssessment")
+    .templateRoot("2.16.840.1.113883.10.20.22.4.138")
+    .fields([
+      ["identifiers", "1..*", "h:id", shared.Identifier],
+      ["date_time", "1..1", "h:effectiveTime", shared.EffectiveTime],
+      ["value", "1..1", "h:value[@xsi:type='CD']/@displayName"],
+    ]);
+
+  nutritionalStatusObservation = component.define("nutritionalStatusObservation")
+    .templateRoot("2.16.840.1.113883.10.20.22.4.124")
+    .fields([
+      ["identifiers", "1..*", "h:id", shared.Identifier],
+      ["date_time", "1..1", "h:effectiveTime", shared.EffectiveTime],
+      ["value", "1..1", "h:value[@xsi:type='CD']/@displayName"],
+      ["assessments", "1..*", "h:entryRelationship/h:observation", nutritionAssessment],
+    ]);
+
+    nutritionSection = component.define("nutritionSection")
+      .templateRoot("2.16.840.1.113883.10.20.22.2.57")
+      .fields([
+        ["observations", "0..*", "h:entry/h:observation", nutritionalStatusObservation],
+      ]);
+
+    nutritionSection.cleanupStep(cleanup.replaceWithField('observations'));
+    return nutritionSection;
+};
+
+exports.nutritionSection = exportNutritionSection;

lib/parser/ccda/sections/plan_of_treatment.js

@@ -0,0 +1,32 @@
+var shared = require("../shared");
+var component = require("@amida-tech/blue-button-xml").component.withNullFlavor();
+
+var exportPlanOfTreatmentSection = function() {
+  var planOfTreatmentNutritionRecommendation = component.define('planOfTreatmentNutritionRecommendation');
+  planOfTreatmentNutritionRecommendation.templateRoot(["2.16.840.1.113883.10.20.22.4.130"]);
+  planOfTreatmentNutritionRecommendation.fields([
+    ["identifiers", "0..*", "h:id", shared.Identifier],
+    ["code", "1..1", "h:code", shared.ConceptDescriptor],
+    ["date_time", "0..1", "h:effectiveTime", shared.EffectiveTime]
+  ]);
+
+  var planOfTreatmentIndication = component.define("planOfTreatmentIndication")
+  planOfTreatmentIndication.templateRoot(["2.16.840.1.113883.10.20.22.4.19"])
+  planOfTreatmentIndication.fields([
+    ["identifiers", "0..*", "h:id", shared.Identifier],
+    ["code", "0..1", "h:code", shared.ConceptDescriptor],
+    ["date_time", "0..1", "h:effectiveTime", shared.EffectiveTime],
+    ["value", "0..1", "h:value", shared.ConceptDescriptor]
+  ]);
+
+  var planOfTreatmentSection = component.define("planOfTreatmentSection");
+  planOfTreatmentSection.templateRoot(["2.16.840.1.113883.10.20.22.2.10"]);
+  planOfTreatmentSection.fields([
+    ["indications", "0..*", planOfTreatmentIndication.xpath(), planOfTreatmentIndication],
+    ["nutrition_recommendations", "0..*", planOfTreatmentNutritionRecommendation.xpath(), planOfTreatmentNutritionRecommendation]
+  ])
+
+  return planOfTreatmentSection;
+};
+
+exports.planOfTreatmentSection = exportPlanOfTreatmentSection;