Class: USCoreTestKit::Generator::MustSupportMetadataExtractorUsCore6

Inherits:
Object
  • Object
show all
Defined in:
lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb

Constant Summary collapse

US_CORE_CATEGORY = 
['sdoh', 'functional-status', 'disability-status', 'cognitive-status']

Instance Attribute Summary collapse

Instance Method Summary collapse

Constructor Details

#initialize(profile, must_supports) ⇒ MustSupportMetadataExtractorUsCore6

Returns a new instance of MustSupportMetadataExtractorUsCore6.



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 10

def initialize(profile, must_supports)
  self.profile = profile
  self.must_supports = must_supports
end

Instance Attribute Details

#must_supports ⇒ Object

Returns the value of attribute must_supports.



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 6

def must_supports
  @must_supports
end

#profile ⇒ Object

Returns the value of attribute profile.



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 6

def profile
  @profile
end

Instance Method Details

#add_must_support_choices ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 39

def add_must_support_choices
  us_core_5_extractor.add_must_support_choices

  more_choices = []

  case profile.type
  when 'Goal'
    more_choices << {
      paths: ['startDate', 'target.dueDate']
    }
  when 'MedicationRequest'
    more_choices << {
      paths: ['reasonCode', 'reasonReference'],
      uscdi_only: true
    }
  when 'ServiceRequest'
    more_choices << {
      paths: ['reasonCode', 'reasonReference'],
      uscdi_only: true
    }
  end

  if profile.id == 'us-core-observation-screening-assessment'
    more_choices << {
      target_profiles: [
        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment',
        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse'
      ]
    }
  end

  if more_choices.present?
    must_supports[:choices] ||= []
    must_supports[:choices].concat(more_choices)
  end
end

#add_patient_uscdi_elements ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 76

def add_patient_uscdi_elements
  return unless profile.type == 'Patient'

  us_core_4_extractor.add_patient_telecom_communication_uscdi
  us_core_3_extractor.update_patient_previous_name_address

  must_supports[:elements].each do |element|
    case element[:path]
    when 'deceased[x]'
      element[:original_path] = element[:path]
      element[:path] = 'deceasedDateTime'
    end
  end
end

#handle_special_cases ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 27

def handle_special_cases
  add_must_support_choices
  add_patient_uscdi_elements
  update_smoking_status_effective
  remove_practitioner_address
  remove_diagnosticreport_media
  remove_patient_gender_identity
  remove_medicationdispense_practitioner
  remove_coverage_group_name
  remove_must_supports_from_encounter_diagnosis
end

#remove_coverage_group_name ⇒ Object

US Core v6.1.0 Patch FHIR-50283, Remove MustSupport element from Coverage:

  • group name



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 134

def remove_coverage_group_name
  return unless profile.type == 'Coverage'
  must_supports[:elements].delete_if { |element| element[:path] == 'class:group.name' }
end

#remove_diagnosticreport_media ⇒ Object

US Core v6.1.0 Patch FHIR-46240, Remove the Must Support on media and media.link



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 109

def remove_diagnosticreport_media
  return unless profile.id == 'us-core-diagnosticreport-note'
  must_supports[:elements].delete_if { |element| element[:path].start_with?('media') }
end

#remove_medicationdispense_practitioner ⇒ Object

US Core v6.1.0 Patch FHIR-50239, Remove MustSupport target profile from MedicationDispense.performer.actor

  • US Core Practitioner



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 123

def remove_medicationdispense_practitioner
  return unless profile.type == 'MedicationDispense'

  element = must_supports[:elements].find { |element| element[:path] == 'performer.actor' }
  element[:target_profiles].delete_if do |url|
    url == 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
  end
end

#remove_must_supports_from_encounter_diagnosis ⇒ Object

US Core v6.1.0 Patch FHIR-50288, Remove these MustSupport elements from US Core Condition Encounter Diagnosis:

  • Condition.extension:assertedDate

  • Condition.onsetDateTime

  • clinical status

  • verification status



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 144

def remove_must_supports_from_encounter_diagnosis
  return unless profile.id == 'us-core-condition-encounter-diagnosis'
  must_supports[:extensions].delete_if { |extension| extension[:id] == 'Condition.extension:assertedDate' }
  must_supports[:elements].delete_if { |element| ['onsetDateTime', 'clinicalStatus', 'verificationStatus'].include?(element[:path]) }
  must_supports[:choices].delete_if { |choice| choice[:paths].include?('onsetDateTime') }
end

#remove_patient_gender_identity ⇒ Object

genderIdentify is removed as directed by ASTP/ONC enforcement discretion issued on March 21, 2025: www.healthit.gov/topic/certification-ehrs/enforcement-discretion



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 116

def remove_patient_gender_identity
  return unless profile.type == 'Patient'
  must_supports[:extensions].delete_if { |extension| extension[:id] == 'Patient.extension:genderIdentity' }
end

#remove_practitioner_address ⇒ Object

US Core v6.1.0 Patch FHIR-44693, Add MustSupport choice between Practitioner.address and PractitionerRole This is fixed formally in US Core v7



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 102

def remove_practitioner_address
  return unless profile.type == 'Practitioner'

  must_supports[:elements].delete_if { |element| element[:path].start_with?('address') }
end

#update_smoking_status_effective ⇒ Object

US Core v6.1.0 Patch FHIR-43355, US Core Smoking Status Observation Profile may be supported either Observation.effectiveDateTime or Observation.effectivePeriod data element



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 93

def update_smoking_status_effective
  return unless profile.id == 'us-core-smokingstatus'

  must_supports[:slices].delete_if { |slice| slice[:slice_id] == 'Observation.effective[x]:effectiveDateTime' }
  must_supports[:elements] << { path: 'effective[x]' }
end

#us_core_3_extractor ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 15

def us_core_3_extractor
  @us_core_3_extractor ||= MustSupportMetadataExtractorUsCore3.new(profile, must_supports)
end

#us_core_4_extractor ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 19

def us_core_4_extractor
  @us_core_4_extractor ||= MustSupportMetadataExtractorUsCore4.new(profile, must_supports)
end

#us_core_5_extractor ⇒ Object 



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# File 'lib/us_core_test_kit/generator/must_support_metadata_extractor_us_core_6.rb', line 23

def us_core_5_extractor
  @us_core_5_extractor ||= MustSupportMetadataExtractorUsCore5.new(profile, must_supports)
end