@smarttracker/blue-button-generate/lib/entryLevel/medicationEntryLevel.js

Blue Button CCDA Generator.

"use strict";

var fieldLevel = require('../fieldLevel');
var leafLevel = require('../leafLevel');
var condition = require("../condition");
var contentModifier = require("../contentModifier");

var sharedEntryLevel = require("./sharedEntryLevel");

var key = contentModifier.key;
var required = contentModifier.required;
var dataKey = contentModifier.dataKey;

var medicationInformation = {
  key: "manufacturedProduct",
  attributes: {
    classCode: "MANU"
  },
  content: [
    fieldLevel.templateId("2.16.840.1.113883.10.20.22.4.23"),
    fieldLevel.id, {
      key: "manufacturedMaterial",
      content: [{
        key: "code",
        attributes: leafLevel.code,
        content: [{
          key: "originalText",
          text: leafLevel.inputProperty("unencoded_name"),
          content: [{
            key: "reference",
            attributes: {
              "value": leafLevel.nextReference("medinfo")
            }
          }]
        }, {
          key: "translation",
          attributes: leafLevel.code,
          dataKey: "translations"
        }]
      }],
      dataKey: "product",
      required: true
    }, {
      key: "manufacturerOrganization",
      content: {
        key: "name",
        text: leafLevel.input,
      },
      dataKey: "manufacturer"
    }
  ],
  dataTransform: function (input) {
    if (input.product) {
      input.product.unencoded_name = input.unencoded_name;
    }
    return input;
  }
};

var medicationSupplyOrder = {
  key: "supply",
  attributes: {
    classCode: "SPLY",
    moodCode: "INT"
  },
  content: [
    fieldLevel.templateId("2.16.840.1.113883.10.20.22.4.17"),
    fieldLevel.id,
    fieldLevel.statusCodeCompleted,
    fieldLevel.effectiveTime, {
      key: "repeatNumber",
      attributes: {
        value: leafLevel.input
      },
      dataKey: "repeatNumber"
    }, {
      key: "quantity",
      attributes: {
        value: leafLevel.input
      },
      dataKey: "quantity"
    }, {
      key: "product",
      content: medicationInformation,
      dataKey: "product"
    },
    fieldLevel.author, {
      key: "entryRelationship",
      attributes: {
        typeCode: "SUBJ",
        inversionInd: "true"
      },
      content: [
        [sharedEntryLevel.instructions, required]
      ],
      dataKey: "instructions"
    }
  ],
  toDo: "statusCode needs to allow values other than completed",
  notImplemented: [
    "product:immunizationMedicationInformation"
  ]
};

var medicationDispense = {
  key: "supply",
  attributes: {
    classCode: "SPLY",
    moodCode: "EVN"
  },
  content: [
    fieldLevel.templateId("2.16.840.1.113883.10.20.22.4.18"),
    fieldLevel.id,
    fieldLevel.statusCodeCompleted,
    fieldLevel.effectiveTime, {
      key: "product",
      content: medicationInformation,
      dataKey: "product"
    },
    fieldLevel.performer
  ],
  toDo: "statusCode needs to allow different values than completed",
  notImplemented: [
    "repeatNumber",
    "quantity",
    "product:ImmunizationMedicationInformation",
    "entryRelationship:medicationSupplyOrder",
  ]
};

exports.medicationActivity = {
  key: "substanceAdministration",
  attributes: {
    classCode: "SBADM",
    moodCode: function (input) {
      var status = input.status;
      if (status) {
        if (status === 'Prescribed') {
          return 'INT';
        }
        if (status === 'Completed') {
          return 'EVN';
        }
      }
      return null;
    }
  },
  content: [
    fieldLevel.templateId("2.16.840.1.113883.10.20.22.4.16"),
    fieldLevel.uniqueId,
    fieldLevel.id, {
      key: "text",
      text: leafLevel.input,
      dataKey: "sig"
    },
    fieldLevel.statusCodeCompleted, [fieldLevel.effectiveTime, required], {
      key: "effectiveTime",
      attributes: {
        "xsi:type": "PIVL_TS",
        "institutionSpecified": "true",
        "operator": "A"
      },
      content: {
        key: "period",
        attributes: {
          value: leafLevel.inputProperty("value"),
          unit: leafLevel.inputProperty("unit")
        },
      },
      dataKey: "administration.interval.period",
    }, {
      key: "routeCode",
      attributes: leafLevel.code,
      dataKey: "administration.route"
    }, {
      key: "doseQuantity",
      attributes: {
        value: leafLevel.inputProperty("value"),
        unit: leafLevel.inputProperty("unit")
      },
      dataKey: "administration.dose"
    }, {
      key: "rateQuantity",
      attributes: {
        value: leafLevel.inputProperty("value"),
        unit: leafLevel.inputProperty("unit")
      },
      dataKey: "administration.rate"
    }, {
      key: "administrationUnitCode",
      attributes: leafLevel.code,
      dataKey: "administration.form"
    }, {
      key: "consumable",
      content: medicationInformation,
      dataKey: "product"
    },
    fieldLevel.performer, {
      key: "participant",
      attributes: {
        typeCode: "CSM"
      },
      content: [
        [sharedEntryLevel.drugVehicle, required]
      ],
      dataKey: "drug_vehicle"
    }, {
      key: "entryRelationship",
      attributes: {
        typeCode: "RSON"
      },
      content: [
        [sharedEntryLevel.indication, required]
      ],
      dataKey: "indication"
    }, {
      key: "entryRelationship",
      attributes: {
        typeCode: "REFR"
      },
      content: [
        [medicationSupplyOrder, required]
      ],
      dataKey: "supply"
    }, {
      key: "entryRelationship",
      attributes: {
        typeCode: "REFR"
      },
      content: [
        [medicationDispense, required]
      ],
      dataKey: "dispense"
    }, {
      key: "precondition",
      attributes: {
        typeCode: "PRCN"
      },
      content: [
        fieldLevel.templateId("2.16.840.1.113883.10.20.22.4.25"), [sharedEntryLevel.preconditionForSubstanceAdministration, required]
      ],
      dataKey: "precondition",
      warning: "templateId needs to be in preconditionForSubstanceAdministration but CCD_1.xml contradicts"
    }
  ],
  notImplemented: [
    "code",
    "text:reference",
    "repeatNumber",
    "approachSiteCode",
    "maxDoseQuantity",
    "entryRelationship:instructions",
    "reactionObservation"
  ]
};