cqm-reports 1.0.0.0 → 2.0.4

data/lib/qrda-import/base-importers/demographics_importer.rb

@@ -9,7 +9,7 @@ module QRDA
         patient.qdmPatient.birthDatetime = DateTime.parse(patient_element.at_xpath('cda:birthTime')['value'])
         pcbd = QDM::PatientCharacteristicBirthdate.new
         pcbd.birthDatetime = patient.qdmPatient.birthDatetime
-        pcbd.dataElementCodes = [{ code: '21112-8', codeSystem: 'LOINC' }]
+        pcbd.dataElementCodes = [{ code: '21112-8', codeSystemOid: '2.16.840.1.113883.6.1' }]
         patient.qdmPatient.dataElements << pcbd
 
         pcs = QDM::PatientCharacteristicSex.new
@@ -29,9 +29,9 @@ module QRDA
       end
 
       def code_if_present(code_element)
-        return unless code_element && code_element['codeSystem'] && code_element['code']
+        return unless code_element && code_element['code'] && code_element['codeSystem']
 
-        QDM::Code.new(code_element['code'], HQMF::Util::CodeSystemHelper.code_system_for(code_element['codeSystem']))
+        QDM::Code.new(code_element['code'], code_element['codeSystem'])
       end
     end
   end

data/lib/qrda-import/base-importers/section_importer.rb

@@ -49,7 +49,7 @@ module QRDA
         if @result_xpath
           entry.result = extract_result_values(entry_element)
         end
-        extract_reason_or_negation(entry_element, entry)
+        extract_negation(entry_element, entry)
         entry
       end
 
@@ -79,9 +79,8 @@ module QRDA
       end
 
       def code_if_present(code_element)
-        return unless code_element && code_element['codeSystem'] && code_element['code']
-
-        QDM::Code.new(code_element['code'], HQMF::Util::CodeSystemHelper.code_system_for(code_element['codeSystem']))
+        return unless code_element && code_element['code'] && code_element['codeSystem']
+        QDM::Code.new(code_element['code'], code_element['codeSystem'])
       end
 
       def extract_dates(parent_element, entry)
@@ -96,13 +95,13 @@ module QRDA
           high_time = DateTime.parse(parent_element.at_xpath(interval_xpath)['value'])
         end
         if parent_element.at_xpath("#{interval_xpath}/cda:low")
-          low_time = DateTime.parse(parent_element.at_xpath("#{interval_xpath}/cda:low")['value'])
+          low_time = if parent_element.at_xpath("#{interval_xpath}/cda:low")['value']
+                       DateTime.parse(parent_element.at_xpath("#{interval_xpath}/cda:low")['value'])
+                     end
         end
         if parent_element.at_xpath("#{interval_xpath}/cda:high")
           high_time = if parent_element.at_xpath("#{interval_xpath}/cda:high")['value']
                         DateTime.parse(parent_element.at_xpath("#{interval_xpath}/cda:high")['value'])
-                      else
-                        DateTime.new(9999,1,1)
                       end
         end
         if parent_element.at_xpath("#{interval_xpath}/cda:center")
@@ -122,25 +121,26 @@ module QRDA
         # If a frequency interval is not found, return nil
         return nil unless frequency[:low]
         # If a frequency interval is found, search for a corresponding Direct Reference Code
-        key, value = Qrda::Export::Helper::FrequencyHelper::FREQUENCY_CODE_MAP.select { |_k,v| v[:low] == frequency['low'] && v[:high] == frequency['high'] && v[:institution_specified] == frequency['institution_specified'] && v[:unit] == frequency['unit'] }.first
+        key, value = Qrda::Export::Helper::FrequencyHelper::FREQUENCY_CODE_MAP.select { |_k,v| v[:low] == frequency[:low] && v[:high] == frequency[:high] && v[:institution_specified] == frequency[:institution_specified] && v[:unit] == frequency[:unit] }.first
         # If a Direct Reference Code isn't found, return nil
         return nil unless key
         # If a Direct Reference Code is found, return that code
-        QDM::Code.new(key, HQMF::Util::CodeSystemHelper.code_system_for(value[:codeSystem]))
+        QDM::Code.new(key, value[:code_system])
       end
 
       def extract_frequency_in_hours(parent_element, frequency_xpath)
         # Need to go get low, high and institutionspecified
-        low = parent_element.at_xpath("#{frequency_xpath}/@value").value if parent_element.at_xpath("#{frequency_xpath}/@value")
-        low = parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@value").value if parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@value")
+        low = parent_element.at_xpath("#{frequency_xpath}/@value").value.to_i if parent_element.at_xpath("#{frequency_xpath}/@value")
+        low = parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@value").value.to_i if parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@value")
         unit = parent_element.at_xpath("#{frequency_xpath}/@unit").value if parent_element.at_xpath("#{frequency_xpath}/@unit")
         unit = parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@unit").value if parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:low/@unit")
-        high = parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:high/@value").value if parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:high/@value")
+        high = parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:high/@value").value.to_i if parent_element.at_xpath("#{frequency_xpath}/cda:period/cda:high/@value")
         institution_specified = parent_element.at_xpath("#{frequency_xpath}/@institutionSpecified") || false
         # Expected units are H (hours) and D (days)
         if unit && unit.upcase == 'D'
           low = low * 24 if low
-          high = high * 34 if high
+          high = high * 24 if high
+          unit = 'h'
         end
         { low: low, high: high, unit: unit, institution_specified: institution_specified }
       end
@@ -158,44 +158,48 @@ module QRDA
 
         value = value_element['value']
         if value.present?
-          return value.strip.to_i if (value_element['unit'] == "1" || value_element['unit'].nil?)
+          return value.strip.to_f if (value_element['unit'] == "1" || value_element['unit'].nil?)
 
-          return QDM::Quantity.new(value.strip.to_i, value_element['unit'])
+          return QDM::Quantity.new(value.strip.to_f, value_element['unit'])
         elsif value_element['code'].present?
           return code_if_present(value_element)
         end
       end
 
-      # extracts the reason or negation data. if an element is negated and the code has a null flavor, a random code is assigned for calculation
-      # coded_parent_element is the 'parent' element when the coded is nested (e.g., medication order)
-      def extract_reason_or_negation(parent_element, entry, coded_parent_element = nil)
-        coded_parent_element ||= parent_element
-        reason_element = parent_element.xpath(".//cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value | .//cda:entryRelationship[@typeCode='RSON']/cda:act[cda:templateId/@root='2.16.840.1.113883.10.20.1.27']/cda:code")
+      def extract_reason(parent_element)
+        return unless @reason_xpath
+        reason_element = parent_element.xpath(@reason_xpath)
         negation_indicator = parent_element['negationInd']
-        unless reason_element.blank?
-          if negation_indicator.eql?('true')
-            entry.negationRationale = code_if_present(reason_element.first)
-          else
-            entry.reason = code_if_present(reason_element.first) unless @entry_does_not_have_reason
-          end
-        end
-        extract_negated_code(coded_parent_element, entry)
+        # Return and do not set reason attribute if the entry is negated
+        return nil if negation_indicator.eql?('true')
+        
+        reason_element.blank? ? nil : code_if_present(reason_element.first) 
+      end
+
+      def extract_negation(parent_element, entry)
+        negation_element = parent_element.xpath("./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value")
+        negation_indicator = parent_element['negationInd']
+        # Return and do not set negationRationale attribute if the entry is not negated
+        return unless negation_indicator.eql?('true') 
+        
+        entry.negationRationale = code_if_present(negation_element.first) unless negation_element.blank?
+        extract_negated_code(parent_element, entry)
       end
 
-      def extract_negated_code(coded_parent_element, entry)
-        code_elements = coded_parent_element.xpath(@code_xpath)
+      def extract_negated_code(parent_element, entry)
+        code_elements = parent_element.xpath(@code_xpath)
         code_elements.each do |code_element|
           if code_element['nullFlavor'] == 'NA' && code_element['sdtc:valueSet']
-            entry.dataElementCodes = [{ code: code_element['sdtc:valueSet'], codeSystem: 'NA_VALUESET' }]
+            entry.dataElementCodes = [{ code: code_element['sdtc:valueSet'], codeSystemOid: '1.2.3.4.5.6.7.8.9.10' }]
           end
         end
       end
 
       def extract_scalar(parent_element, scalar_xpath)
         scalar_element = parent_element.at_xpath(scalar_xpath)
-        return unless scalar_element
+        return unless scalar_element && scalar_element['value'].present?
 
-        QDM::Quantity.new(scalar_element['value'].to_i, scalar_element['unit'])
+        QDM::Quantity.new(scalar_element['value'].to_f, scalar_element['unit'])
       end
 
       def extract_components(parent_element)

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::AssessmentOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         assessment_order = super
+        assessment_order.reason = extract_reason(entry_element)
         assessment_order
       end
 

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

@@ -9,6 +9,7 @@ module QRDA
         @result_xpath = "./cda:value"
         @method_xpath = './cda:methodCode'
         @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::AssessmentPerformed
       end
 
@@ -16,6 +17,7 @@ module QRDA
         assessment_performed = super
         assessment_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
         assessment_performed.components = extract_components(entry_element)
+        assessment_performed.reason = extract_reason(entry_element)
         assessment_performed
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::AssessmentRecommended
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         assessment_recommended = super
+        assessment_recommended.reason = extract_reason(entry_element)
         assessment_recommended
       end
 

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

@@ -3,9 +3,8 @@ module QRDA
     class CommunicationPerformedImporter < SectionImporter
       def initialize(entry_finder = QRDA::Cat1::EntryFinder.new("./cda:entry/cda:act[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.156']"))
         super(entry_finder)
-        @entry_does_not_have_reason = true
         @id_xpath = './cda:id'
-        @code_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
+        @code_xpath = "./cda:entryRelationship[@typeCode='REFR']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @author_datetime_xpath = "./cda:author/cda:time"
         @relevant_period_xpath = "./cda:effectiveTime"
         @related_to_xpath = "./sdtc:inFulfillmentOf1/sdtc:actReference"

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

@@ -8,12 +8,14 @@ module QRDA
         @author_datetime_xpath = "./cda:author/cda:time"
         @relevant_period_xpath = "./cda:effectiveTime"
         @anatomical_location_site_xpath = "./cda:targetSiteCode"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::DeviceApplied
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         device_applied = super
         device_applied.anatomicalLocationSite = code_if_present(entry_element.at_xpath(@anatomical_location_site_xpath))
+        device_applied.reason = extract_reason(entry_element)
         device_applied
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.9']/cda:id"
         @code_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.9']/cda:participant/cda:participantRole/cda:playingDevice/cda:code"
         @author_datetime_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.9']/cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.9']/cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::DeviceOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         device_order = super
+        device_order.reason = extract_reason(entry_element)
         device_order
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.10']/cda:id"
         @code_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.10']/cda:participant/cda:participantRole/cda:playingDevice/cda:code"
         @author_datetime_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.10']/cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.10']/cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::DeviceRecommended
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         device_recommended = super
+        device_recommended.reason = extract_reason(entry_element)
         device_recommended
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::DiagnosticStudyOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         diagnostic_study_order = super
+        diagnostic_study_order.reason = extract_reason(entry_element)
         diagnostic_study_order
       end
 

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

@@ -13,6 +13,7 @@ module QRDA
         @method_xpath = './cda:methodCode'
         @facility_locations_xpath = "./cda:participant[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.100']"
         @components_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.149']"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::DiagnosticStudyPerformed
       end
 
@@ -24,6 +25,7 @@ module QRDA
         diagnostic_study_performed.method = code_if_present(entry_element.at_xpath(@method_xpath))
         diagnostic_study_performed.facilityLocation = extract_facility_locations(entry_element)[0]
         diagnostic_study_performed.components = extract_components(entry_element)
+        diagnostic_study_performed.reason = extract_reason(entry_element)
         diagnostic_study_performed
       end
 

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

@@ -7,12 +7,14 @@ module QRDA
         @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_locations_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']"
+        @reason_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.22']/cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::EncounterOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         encounter_order = super
         encounter_order.facilityLocation = extract_facility_locations(entry_element)[0]
+        encounter_order.reason = extract_reason(entry_element)
         encounter_order
       end
 

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

@@ -7,12 +7,14 @@ module QRDA
         @code_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.24']/cda:code"
         @author_datetime_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.24']/cda:author/cda:time"
         @facility_locations_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.24']/cda:participant[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.100']"
+        @reason_xpath = "./cda:entryRelationship/cda:encounter[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.24']/cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::EncounterRecommended
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         encounter_recommended = super
         encounter_recommended.facilityLocation = extract_facility_locations(entry_element)[0]
+        encounter_recommended.reason = extract_reason(entry_element)
         encounter_recommended
       end
 

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

@@ -8,6 +8,7 @@ module QRDA
         @author_datetime_xpath = "./cda:effectiveTime"
         @dosage_xpath = "./cda:doseQuantity"
         @route_xpath = "./cda:routeCode"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::ImmunizationAdministered
       end
 
@@ -15,6 +16,7 @@ module QRDA
         immunization_administered = super
         immunization_administered.dosage = extract_scalar(entry_element, @dosage_xpath)
         immunization_administered.route = code_if_present(entry_element.at_xpath(@route_xpath))
+        immunization_administered.reason = extract_reason(entry_element)
         immunization_administered
       end
 

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

@@ -10,6 +10,7 @@ module QRDA
         @dosage_xpath = "./cda:doseQuantity"
         @supply_xpath = "./cda:entryRelationship/cda:supply[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.99']/cda:quantity"
         @route_xpath = "./cda:routeCode"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::ImmunizationOrder
       end
 
@@ -19,6 +20,7 @@ module QRDA
         immunization_order.dosage = extract_scalar(entry_element, @dosage_xpath)
         immunization_order.supply = extract_scalar(entry_element, @supply_xpath)
         immunization_order.route = code_if_present(entry_element.at_xpath(@route_xpath))
+        immunization_order.reason = extract_reason(entry_element)
         immunization_order
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::InterventionOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         intervention_order = super
+        intervention_order.reason = extract_reason(entry_element)
         intervention_order
       end
 

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

@@ -9,12 +9,14 @@ module QRDA
         @author_datetime_xpath = "./cda:author/cda:time"
         @result_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.2']/cda:value"
         @status_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.24.3.93']/cda:value"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/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.reason = extract_reason(entry_element)
         intervention_performed
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::InterventionRecommended
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         intervention_recommended = super
+        intervention_recommended.reason = extract_reason(entry_element)
         intervention_recommended
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::LaboratoryTestOrder
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         laboratory_test_order = super
+        laboratory_test_order.reason = extract_reason(entry_element)
         laboratory_test_order
       end
 

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

@@ -12,6 +12,7 @@ module QRDA
         @result_xpath = "./cda:entryRelationship/cda:observation[cda:templateId/@root = '2.16.840.1.113883.10.20.22.4.2']/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']"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::LaboratoryTestPerformed
       end
 
@@ -21,6 +22,7 @@ module QRDA
         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.reason = extract_reason(entry_element)
         laboratory_test_performed
       end
 

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

@@ -6,11 +6,13 @@ module QRDA
         @id_xpath = './cda:id'
         @code_xpath = './cda:code'
         @author_datetime_xpath = "./cda:author/cda:time"
+        @reason_xpath = "./cda:entryRelationship[@typeCode='RSON']/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.24.3.88']/cda:value"
         @entry_class = QDM::LaboratoryTestRecommended
       end
 
       def create_entry(entry_element, nrh = NarrativeReferenceHandler.new)
         laboratory_test_recommended = super
+        laboratory_test_recommended.reason = extract_reason(entry_element)
         laboratory_test_recommended
       end