Module: ONCCertificationG10TestKit::ProfileSelector

Includes:
G10Options
Included in:
BulkExportValidationTester
Defined in:
lib/onc_certification_g10_test_kit/profile_selector.rb

Constant Summary

Constants included from G10Options

G10Options::BULK_DATA_1, G10Options::BULK_DATA_1_REQUIREMENT, G10Options::BULK_DATA_2, G10Options::BULK_DATA_2_REQUIREMENT, G10Options::SMART_1, G10Options::SMART_1_REQUIREMENT, G10Options::SMART_2, G10Options::SMART_2_2, G10Options::SMART_2_2_REQUIREMENT, G10Options::SMART_2_REQUIREMENT, G10Options::US_CORE_3, G10Options::US_CORE_3_REQUIREMENT, G10Options::US_CORE_4, G10Options::US_CORE_4_REQUIREMENT, G10Options::US_CORE_5, G10Options::US_CORE_5_REQUIREMENT, G10Options::US_CORE_6, G10Options::US_CORE_6_REQUIREMENT, G10Options::US_CORE_7, G10Options::US_CORE_7_REQUIREMENT, G10Options::US_CORE_VERSION_NUMBERS

Instance Method Summary collapse

Methods included from G10Options

#us_core_7_and_above?, #us_core_version, #using_us_core_3?, #using_us_core_4?, #using_us_core_5?, #using_us_core_6?, #using_us_core_7?, #versioned_us_core_module

Instance Method Details

#extract_profile(resource_type) ⇒ Object 



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# File 'lib/onc_certification_g10_test_kit/profile_selector.rb', line 7

def extract_profile(resource_type)
  if resource_type == 'Medication'
    versioned_us_core_module.const_get('USCoreTestSuite').metadata.find do |meta|
      meta.resource == resource_type
    end.profile_url
  elsif resource_type == 'Location' && location_use_base_fhir?
    'http://hl7.org/fhir/StructureDefinition/Location'
  else
    versioned_us_core_module.const_get("#{resource_type}Group").metadata.profile_url
  end
end

#location_use_base_fhir? ⇒ Boolean

Returns:

  • (Boolean) 


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# File 'lib/onc_certification_g10_test_kit/profile_selector.rb', line 19

def location_use_base_fhir?
  using_us_core_3? || using_us_core_4? || using_us_core_5? ||
    using_us_core_6?
end

#observation_contains_code?(observation_resource, code) ⇒ Boolean

Returns:

  • (Boolean) 


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# File 'lib/onc_certification_g10_test_kit/profile_selector.rb', line 24

def observation_contains_code?(observation_resource, code)
  observation_resource&.code&.coding&.any? { |coding| coding&.code == code }
end

#resource_contains_category?(resource, category_code, category_system = nil) ⇒ Boolean

rubocop:disable Metrics/CyclomaticComplexity

Returns:

  • (Boolean) 


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# File 'lib/onc_certification_g10_test_kit/profile_selector.rb', line 28

def resource_contains_category?(resource, category_code, category_system = nil) # rubocop:disable Metrics/CyclomaticComplexity
  resource&.category&.any? do |category|
    category.coding&.any? do |coding|
      coding.code == category_code &&
        (category_system.blank? || coding.system.blank? || category_system == coding.system)
    end
  end
end

#select_profile(resource) ⇒ Object

rubocop:disable Metrics/CyclomaticComplexity



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# File 'lib/onc_certification_g10_test_kit/profile_selector.rb', line 37

def select_profile(resource) # rubocop:disable Metrics/CyclomaticComplexity
  profiles = []

  case resource.resourceType
  when 'Condition'
    case us_core_version
    when US_CORE_5, US_CORE_6, US_CORE_7
      if resource_contains_category?(resource, 'encounter-diagnosis', 'http://terminology.hl7.org/CodeSystem/condition-category')
        profiles << extract_profile('ConditionEncounterDiagnosis')
      elsif resource_contains_category?(resource, 'problem-list-item',
                                        'http://terminology.hl7.org/CodeSystem/condition-category') ||
            resource_contains_category?(resource, 'health-concern', 'http://hl7.org/fhir/us/core/CodeSystem/condition-category')
        profiles << extract_profile('ConditionProblemsHealthConcerns')
      end
    else
      profiles << extract_profile(resource.resourceType)
    end
  when 'DiagnosticReport'
    profiles << if resource_contains_category?(resource, 'LAB', 'http://terminology.hl7.org/CodeSystem/v2-0074')
                  extract_profile('DiagnosticReportLab')
                else
                  extract_profile('DiagnosticReportNote')
                end
  when 'Observation'
    profiles << extract_profile('Smokingstatus') if observation_contains_code?(resource, '72166-2')

    if us_core_7_and_above? && (
          observation_contains_code?(resource, '11367-0') ||
          observation_contains_code?(resource, '401201003') ||
          observation_contains_code?(resource, '782516008')
        )
      profiles << extract_profile('Smokingstatus')
    end

    profiles << extract_profile('ObservationLab') if resource_contains_category?(resource, 'laboratory', 'http://terminology.hl7.org/CodeSystem/observation-category')

    profiles << extract_profile('PediatricBmiForAge') if observation_contains_code?(resource, '59576-9')

    profiles << extract_profile('PediatricWeightForHeight') if observation_contains_code?(resource, '77606-2')

    profiles << extract_profile('PulseOximetry') if observation_contains_code?(resource, '59408-5')

    if observation_contains_code?(resource, '8289-1')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('HeadCircumference')
                  else
                    extract_profile('HeadCircumferencePercentile')
                  end
    end

    if observation_contains_code?(resource, '9843-4') && !using_us_core_3?
      profiles << extract_profile('HeadCircumference')
    end

    # FHIR Vital Signs profiles: https://www.hl7.org/fhir/observation-vitalsigns.html
    # Vital Signs Panel, Oxygen Saturation are not required by USCDI
    # Body Mass Index is replaced by :pediatric_bmi_age Profile
    # Systolic Blood Pressure, Diastolic Blood Pressure are covered by :blood_pressure Profile
    # Head Circumference is replaced by US Core Head Occipital-frontal Circumference Percentile Profile
    profiles << extract_profile('Bmi') if observation_contains_code?(resource, '39156-5') && !using_us_core_3?

    if observation_contains_code?(resource, '85354-9')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Bp')
                  else
                    extract_profile('BloodPressure')
                  end
    end

    if observation_contains_code?(resource, '8302-2')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Bodyheight')
                  else
                    extract_profile('BodyHeight')
                  end
    end

    if observation_contains_code?(resource, '8310-5')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Bodytemp')
                  else
                    extract_profile('BodyTemperature')
                  end
    end

    if observation_contains_code?(resource, '29463-7')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Bodyweight')
                  else
                    extract_profile('BodyWeight')
                  end
    end

    if observation_contains_code?(resource, '8867-4')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Heartrate')
                  else
                    extract_profile('HeartRate')
                  end
    end

    if observation_contains_code?(resource, '9279-1')
      profiles << case us_core_version
                  when US_CORE_3
                    extract_profile('Resprate')
                  else
                    extract_profile('RespiratoryRate')
                  end
    end

    if using_us_core_5? &&
       resource_contains_category?(
         resource, 'clinical-test', 'http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category'
       )
      profiles << extract_profile('ObservationClinicalTest')
    end

    if (using_us_core_5? || using_us_core_6? || using_us_core_7?) && observation_contains_code?(resource, '76690-7')
      profiles << extract_profile('ObservationSexualOrientation')
    end

    if using_us_core_5? &&
       resource_contains_category?(resource, 'social-history',
                                   'http://terminology.hl7.org/CodeSystem/observation-category')
      profiles << extract_profile('ObservationSocialHistory')
    end

    if using_us_core_5? &&
       resource_contains_category?(resource, 'imaging',
                                   'http://terminology.hl7.org/CodeSystem/observation-category')
      profiles << extract_profile('ObservationImaging')
    end

    if resource_contains_category?(resource, 'survey',
                                   'http://terminology.hl7.org/CodeSystem/observation-category')
      if using_us_core_5?
        # We will simply match all Observations of category "survey" to SDOH,
        # and do not look at the category "sdoh".  US Core spec team says that
        # support for the "sdoh" category is limited, and the validation rules
        # allow for very generic surveys to validate against this profile.
        # And will not validate against the ObservationSurvey profile itself.
        # This may not be exactly precise but it works out the same

        # if we wanted to be more specific here, we would add:
        # `resource_contains_category?(resource, 'sdoh',
        #                                       'http://terminology.hl7.org/CodeSystem/observation-category') &&`
        # along with a specific extract_profile('ObservationSurvey') to catch non-sdoh.
        profiles << extract_profile('ObservationSdohAssessment')
      elsif using_us_core_6? || using_us_core_7?
        profiles << extract_profile('ObservationScreeningAssessment')
      end
    end

    if (using_us_core_6? || using_us_core_7?) && observation_contains_code?(resource, '11341-5')
      profiles << extract_profile('ObservationOccupation')
    end

    if (using_us_core_6? || using_us_core_7?) && observation_contains_code?(resource, '86645-9')
      profiles << extract_profile('ObservationPregnancyintent')
    end

    if (using_us_core_6? || using_us_core_7?) && observation_contains_code?(resource, '82810-3')
      profiles << extract_profile('ObservationPregnancystatus')
    end

    clinical_result_categories = [
      'laboratory', 'exam', 'therpay', 'imaging', 'procedure', 'vital-signs', 'activity'
    ]

    if (using_us_core_6? || using_us_core_7?) && clinical_result_categories.any? do |category|
         resource_contains_category?(
           resource, category, 'http://terminology.hl7.org/CodeSystem/observation-category'
         )
       end
      profiles << extract_profile('ObservationClinicalResult')
    end

    if using_us_core_7? && observation_contains_code?(resource, '75773-2')
      profiles << extract_profile('TreatmentInterventionPreference')
    end

    if using_us_core_7? && observation_contains_code?(resource, '95541-9')
      profiles << extract_profile('CareExperiencePreference')
    end

    if using_us_core_7? && observation_contains_code?(resource, '96607-7')
      profiles << extract_profile('AverageBloodPressure')
    end

    nil
  else
    profiles << extract_profile(resource.resourceType)
  end

  profiles
rescue StandardError
  skip "Could not determine profile of \"#{resource.resourceType}\" resource."
end