cqm-parsers 0.1.0

data/lib/qrda-import/data-element-importers/diagnosis_importer.rb

@@ -0,0 +1,23 @@
+module QRDA
+  module Cat1
+    class DiagnosisImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.137']"))
+        super(entry_finder)
+        @code_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.135']/cda:value"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @prevalence_period_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.135']/cda:effectiveTime"
+        @anatomical_location_site_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.135']/cda:targetSiteCode"
+        @severity_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.135']/cda:entryRelationship/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.22.4.8']/cda:value"
+        @entry_class = QDM::Diagnosis
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        diagnosis = super
+        diagnosis.anatomicalLocationSite = code_if_present(entry_element.at_xpath(@anatomical_location_site_xpath))
+        diagnosis.severity = code_if_present(entry_element.at_xpath(@severity_xpath))
+        diagnosis
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/diagnostic_study_order_importer.rb

@@ -0,0 +1,20 @@
+module QRDA
+  module Cat1
+    class DiagnosticStudyOrderImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.17']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @method_xpath = './cda:methodCode'
+        @entry_class = QDM::DiagnosticStudyOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        diagnostic_study_order = super
+        diagnostic_study_order.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        diagnostic_study_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/diagnostic_study_performed_importer.rb

@@ -0,0 +1,30 @@
+module QRDA
+  module Cat1
+    class DiagnosticStudyPerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.18']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @relevant_period_xpath = "./cda:effectiveTime"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @result_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:value"
+        @result_datetime_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:effectiveTime"
+        @status_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.93']/cda:value"
+        @method_xpath = './cda:methodCode'
+        @facility_location_xpath = "./cda:participant[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.100']/cda:participantRole[@classCode='SDLOC']/cda:code"
+        @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @entry_class = QDM::DiagnosticStudyPerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        diagnostic_study_performed = super
+        diagnostic_study_performed.resultDatetime = extract_time(entry_element, @result_datetime_xpath)
+        diagnostic_study_performed.status = code_if_present(entry_element.at_xpath(@status_xpath))
+        diagnostic_study_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        diagnostic_study_performed.facilityLocation = code_if_present(entry_element.at_xpath(@facility_location_xpath))
+        diagnostic_study_performed.components = extract_components(entry_element)
+        diagnostic_study_performed
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/encounter_order_importer.rb

@@ -0,0 +1,20 @@
+module QRDA
+  module Cat1
+    class EncounterOrderImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.132']"))
+        super(entry_finder)
+        @code_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.22']/cda:code"
+        @author_datetime_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.22']/cda:author/cda:time"
+        @facility_location_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.22']/cda:participant[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.100']/cda:participantRole[@classCode='SDLOC']/cda:code"
+        @entry_class = QDM::EncounterOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        encounter_order = super
+        encounter_order.facilityLocation = code_if_present(entry_element.at_xpath(@facility_location_xpath))
+        encounter_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/encounter_performed_importer.rb

@@ -0,0 +1,41 @@
+module QRDA
+  module Cat1
+    class EncounterPerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.133']"))
+        super(entry_finder)
+        @code_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:code"
+        @relevant_period_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:effectiveTime"
+        @author_datetime_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:author/cda:time"
+        @admission_source_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:participant/cda:participantRole[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.151']/cda:code"
+        @discharge_disposition_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/sdtc:dischargeDispositionCode"
+        @facility_xpath = "./cda:entryRelationship/cda:encounter/cda:participant[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.100']"
+        @principal_diagnosis_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:entryRelationship/cda:observation[cda:code/@code='8319008']/cda:value"
+        @diagnosis_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.23']/cda:entryRelationship/cda:act/cda:entryRelationship/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']"
+        @entry_class = QDM::EncounterPerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        encounter_performed = super
+        encounter_performed.admissionSource = code_if_present(entry_element.at_xpath(@admission_source_xpath))
+        encounter_performed.dischargeDisposition = code_if_present(entry_element.at_xpath(@discharge_disposition_xpath))
+        extract_facility(entry_element, encounter_performed)
+        encounter_performed.principalDiagnosis = code_if_present(entry_element.at_xpath(@principal_diagnosis_xpath))
+        encounter_performed.diagnoses = extract_diagnoses(entry_element)
+        encounter_performed
+      end
+
+      private
+
+      def extract_diagnoses(parent_element)
+        diagnosis_elements = parent_element.xpath(@diagnosis_xpath)
+        diagnosis_list = []
+        diagnosis_elements.each do |diagnosis_element|
+          diagnosis_value = diagnosis_element.at_xpath("./cda:value")
+          diagnosis_list << code_if_present(diagnosis_value)
+        end
+        diagnosis_list.empty? ? nil : diagnosis_list
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/immunization_administered_importer.rb

@@ -0,0 +1,18 @@
+module QRDA
+  module Cat1
+    class ImmunizationAdministeredImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.140']"))
+        super(entry_finder)
+        @relevant_period_xpath = nil
+        @author_datetime_xpath = "./cda:effectiveTime"
+        @entry_class = QDM::ImmunizationAdministered
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        immunization_administered = super
+        immunization_administered
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/intervention_order_importer.rb

@@ -0,0 +1,18 @@
+module QRDA
+  module Cat1
+    class InterventionOrderImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.31']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @entry_class = QDM::InterventionOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        intervention_order = super
+        intervention_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/intervention_performed_importer.rb

@@ -0,0 +1,22 @@
+module QRDA
+  module Cat1
+    class InterventionPerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.32']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @relevant_period_xpath = "./cda:effectiveTime"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @result_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:value"
+        @status_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.93']/cda:value"
+        @entry_class = QDM::InterventionPerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        intervention_performed = super
+        intervention_performed.status = code_if_present(entry_element.at_xpath(@status_xpath))
+        intervention_performed
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/laboratory_test_order_importer.rb

@@ -0,0 +1,20 @@
+module QRDA
+  module Cat1
+    class LaboratoryTestOrderImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.37']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @method_xpath = './cda:methodCode'
+        @entry_class = QDM::LaboratoryTestOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        laboratory_test_order = super
+        laboratory_test_order.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        laboratory_test_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/laboratory_test_performed_importer.rb

@@ -0,0 +1,28 @@
+module QRDA
+  module Cat1
+    class LaboratoryTestPerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.38']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @relevant_period_xpath = "./cda:effectiveTime"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @status_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.93']/cda:value"
+        @method_xpath = './cda:methodCode'
+        @result_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:value"
+        @result_datetime_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:effectiveTime"
+        @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @entry_class = QDM::LaboratoryTestPerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        laboratory_test_performed = super
+        laboratory_test_performed.status = code_if_present(entry_element.at_xpath(@status_xpath))
+        laboratory_test_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        laboratory_test_performed.resultDatetime = extract_time(entry_element, @result_datetime_xpath)
+        laboratory_test_performed.components = extract_components(entry_element)
+        laboratory_test_performed
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/medication_active_importer.rb

@@ -0,0 +1,17 @@
+module QRDA
+  module Cat1
+    class MedicationActiveImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.41']"))
+        super(entry_finder)
+        @author_datetime_xpath = nil
+        @entry_class = QDM::MedicationActive
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        medication_active = super
+        medication_active
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/medication_administered_importer.rb

@@ -0,0 +1,17 @@
+module QRDA
+  module Cat1
+    class MedicationAdministeredImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.42']"))
+        super(entry_finder)
+        @route_xpath = "./cda:routeCode"
+        @entry_class = QDM::MedicationAdministered
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        medication_administered = super
+        medication_administered
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/medication_discharge_importer.rb

@@ -0,0 +1,19 @@
+module QRDA
+  module Cat1
+    class MedicationDischargeImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.105']"))
+        super(entry_finder)
+        @code_xpath = "./cda:entryRelationship/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.16']/cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code"
+        @relevant_period_xpath = nil
+        @author_datetime_xpath = "./cda:entryRelationship/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.16']/cda:author/cda:time"
+        @entry_class = QDM::MedicationDischarge
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        medication_discharge = super
+        medication_discharge
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/medication_dispensed_importer.rb

@@ -0,0 +1,19 @@
+module QRDA
+  module Cat1
+    class MedicationDispensedImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.139']"))
+        super(entry_finder)
+        @relevant_period_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.18']/cda:effectiveTime"
+        @author_datetime_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.18']/cda:author/cda:time"
+        @code_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.18']/cda:product/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code"
+        @entry_class = QDM::MedicationDispensed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        medication_dispensed = super
+        medication_dispensed
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/medication_order_importer.rb

@@ -0,0 +1,16 @@
+module QRDA
+  module Cat1
+    class MedicationOrderImporter < MedicationImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:substanceAdministration[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.47']"))
+        super(entry_finder)
+        @entry_class = QDM::MedicationOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        medication_order = super
+        medication_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/patient_characteristic_expired.rb

@@ -0,0 +1,21 @@
+module QRDA
+  module Cat1
+    class PatientCharacteristicExpired < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.54']"))
+        super(entry_finder)
+        @code_xpath = './cda:value'
+        @expired_datetime_xpath = './cda:effectiveTime/cda:low'
+        @cause = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.4']/cda:value"
+        @entry_class = QDM::PatientCharacteristicExpired
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        patient_characteristic_expired = super
+        patient_characteristic_expired.expiredDatetime = extract_time(entry_element, @expired_datetime_xpath)
+        patient_characteristic_expired.cause = code_if_present(entry_element.at_xpath(@cause))
+        patient_characteristic_expired
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/physical_exam_performed_importer.rb

@@ -0,0 +1,26 @@
+module QRDA
+  module Cat1
+    class PhysicalExamPerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.59']"))
+        super(entry_finder)
+        @code_xpath = "./cda:code"
+        @relevant_period_xpath = "./cda:effectiveTime"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @method_xpath = './cda:methodCode'
+        @result_xpath = "./cda:value"
+        @anatomical_location_site_xpath = "./cda:targetSiteCode"
+        @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @entry_class = QDM::PhysicalExamPerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        physical_exam_performed = super
+        physical_exam_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        physical_exam_performed.anatomicalLocationSite = code_if_present(entry_element.at_xpath(@anatomical_location_site_xpath))
+        physical_exam_performed.components = extract_components(entry_element)
+        physical_exam_performed
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/procedure_order_importer.rb

@@ -0,0 +1,26 @@
+module QRDA
+  module Cat1
+    class ProcedureOrderImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:procedure[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.63']"))
+        super(entry_finder)
+        @code_xpath = './cda:code'
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @method_xpath = './cda:methodCode'
+        @anatomical_approach_site_xpath = "./cda:approachSiteCode"
+        @anatomical_location_site_xpath = "./cda:targetSiteCode"
+        @ordinality_xpath = "./cda:priorityCode"
+        @entry_class = QDM::ProcedureOrder
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        procedure_order = super
+        procedure_order.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        procedure_order.anatomicalApproachSite = code_if_present(entry_element.at_xpath(@anatomical_approach_site_xpath))
+        procedure_order.anatomicalLocationSite = code_if_present(entry_element.at_xpath(@anatomical_location_site_xpath))
+        procedure_order.ordinality = code_if_present(entry_element.at_xpath(@ordinality_xpath))
+        procedure_order
+      end
+
+    end
+  end
+end

data/lib/qrda-import/data-element-importers/procedure_performed_importer.rb

@@ -0,0 +1,34 @@
+module QRDA
+  module Cat1
+    class ProcedurePerformedImporter < SectionImporter
+      def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:procedure[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.64']"))
+        super(entry_finder)
+        @code_xpath = "./cda:code"
+        @relevant_period_xpath = "./cda:effectiveTime"
+        @author_datetime_xpath = "./cda:author/cda:time"
+        @method_xpath = './cda:methodCode'
+        @result_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation/cda:value"
+        @status_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.93']/cda:value"
+        @anatomical_approach_site_xpath = "./cda:approachSiteCode"
+        @anatomical_location_site_xpath = "./cda:targetSiteCode"
+        @ordinality_xpath = "./cda:priorityCode"
+        @incision_datetime_xpath = "./cda:entryRelationship/cda:procedure[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.89']/cda:effectiveTime"
+        @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @entry_class = QDM::ProcedurePerformed
+      end
+
+      def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
+        procedure_performed = super
+        procedure_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
+        procedure_performed.status = code_if_present(entry_element.at_xpath(@status_xpath))
+        procedure_performed.anatomicalApproachSite = code_if_present(entry_element.at_xpath(@anatomical_approach_site_xpath))
+        procedure_performed.anatomicalLocationSite = code_if_present(entry_element.at_xpath(@anatomical_location_site_xpath))
+        procedure_performed.ordinality = code_if_present(entry_element.at_xpath(@ordinality_xpath))
+        procedure_performed.incisionDatetime = extract_time(entry_element, @incision_datetime_xpath)
+        procedure_performed.components = extract_components(entry_element)
+        procedure_performed
+      end
+
+    end
+  end
+end