quality-measure-engine 1.0.4 → 1.1.0

data/lib/quality-measure-engine.rb

@@ -2,8 +2,6 @@ require "bundler/setup"
 
 require 'resque/job_with_status'
 
-require_relative 'qme/ext/string'
-
 require_relative 'qme/database_access'
 require_relative 'qme/quality_measure'
 
@@ -13,20 +11,19 @@ require_relative 'qme/map/measure_calculation_job'
 
 require_relative 'qme/quality_report'
 
+require_relative 'qme/randomizer/random_patient_creator'
 require_relative 'qme/randomizer/patient_randomizer'
 require_relative 'qme/randomizer/patient_randomization_job'
 
 require 'singleton'
+require 'health-data-standards'
 
-require_relative 'qme/importer/entry'
-require_relative 'qme/importer/property_matcher'
-require_relative 'qme/importer/patient_importer'
-require_relative 'qme/importer/code_system_helper'
-require_relative 'qme/importer/hl7_helper'
+require_relative 'qme/ext/record'
 
-require_relative 'qme/importer/section_importer'
+require_relative 'qme/importer/property_matcher'
 require_relative 'qme/importer/generic_importer'
 require_relative 'qme/importer/provider_importer'
+require_relative 'qme/importer/measure_properties_generator'
 
 require 'json'
 require 'mongo'

data/lib/tasks/patient_random.rake

@@ -28,7 +28,7 @@ namespace :patient do
     QME::QualityMeasure.all.each_value do |measure_def|
       measure_id = measure_def['id']
       if !processed_measures[measure_id]
-        QME::Importer::PatientImporter.instance.add_measure(measure_id, QME::Importer::GenericImporter.new(measure_def))
+        QME::Importer::MeasurePropertiesGenerator.instance.add_measure(measure_id, QME::Importer::GenericImporter.new(measure_def))
         processed_measures[measure_id]=true
       end
     end
@@ -37,8 +37,8 @@ namespace :patient do
       template = templates[rand(templates.length)]
       generator = QME::Randomizer::Patient.new(template)
       json = JSON.parse(generator.get())
-      patient_record = QME::Importer::PatientImporter.instance.parse_hash(json)
-      loader.save('records', patient_record)
+      patient_record = QME::Randomizer::RandomPatientCreator.parse_hash(json)
+      patient_record.save!
     end
   end
     

metadata

@@ -1,171 +1,165 @@
---- !ruby/object:Gem::Specification 
+--- !ruby/object:Gem::Specification
 name: quality-measure-engine
-version: !ruby/object:Gem::Version 
+version: !ruby/object:Gem::Version
+  version: 1.1.0
   prerelease: 
-  version: 1.0.4
 platform: ruby
-authors: 
+authors:
 - Marc Hadley
 - Andy Gregorowicz
 - Rob Dingwell
 autorequire: 
 bindir: bin
 cert_chain: []
-
-date: 2011-12-16 00:00:00 -05:00
+date: 2012-01-31 00:00:00.000000000 -05:00
 default_executable: 
-dependencies: 
-- !ruby/object:Gem::Dependency 
+dependencies:
+- !ruby/object:Gem::Dependency
   name: mongo
-  prerelease: false
-  requirement: &id001 !ruby/object:Gem::Requirement 
+  requirement: &2151835920 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
-        version: "1.3"
+      - !ruby/object:Gem::Version
+        version: '1.3'
   type: :runtime
-  version_requirements: *id001
-- !ruby/object:Gem::Dependency 
-  name: rubyzip
   prerelease: false
-  requirement: &id002 !ruby/object:Gem::Requirement 
+  version_requirements: *2151835920
+- !ruby/object:Gem::Dependency
+  name: rubyzip
+  requirement: &2151831040 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 0.9.4
   type: :runtime
-  version_requirements: *id002
-- !ruby/object:Gem::Dependency 
-  name: nokogiri
   prerelease: false
-  requirement: &id003 !ruby/object:Gem::Requirement 
+  version_requirements: *2151831040
+- !ruby/object:Gem::Dependency
+  name: nokogiri
+  requirement: &2151826060 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 1.4.4
   type: :runtime
-  version_requirements: *id003
-- !ruby/object:Gem::Dependency 
-  name: resque
   prerelease: false
-  requirement: &id004 !ruby/object:Gem::Requirement 
+  version_requirements: *2151826060
+- !ruby/object:Gem::Dependency
+  name: resque
+  requirement: &2151821480 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 1.15.0
   type: :runtime
-  version_requirements: *id004
-- !ruby/object:Gem::Dependency 
-  name: resque-status
   prerelease: false
-  requirement: &id005 !ruby/object:Gem::Requirement 
+  version_requirements: *2151821480
+- !ruby/object:Gem::Dependency
+  name: resque-status
+  requirement: &2151818440 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 0.2.3
   type: :runtime
-  version_requirements: *id005
-- !ruby/object:Gem::Dependency 
-  name: jsonschema
   prerelease: false
-  requirement: &id006 !ruby/object:Gem::Requirement 
+  version_requirements: *2151818440
+- !ruby/object:Gem::Dependency
+  name: jsonschema
+  requirement: &2151815160 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 2.0.0
   type: :development
-  version_requirements: *id006
-- !ruby/object:Gem::Dependency 
-  name: rspec
   prerelease: false
-  requirement: &id007 !ruby/object:Gem::Requirement 
+  version_requirements: *2151815160
+- !ruby/object:Gem::Dependency
+  name: rspec
+  requirement: &2151812380 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 2.5.0
   type: :development
-  version_requirements: *id007
-- !ruby/object:Gem::Dependency 
-  name: awesome_print
   prerelease: false
-  requirement: &id008 !ruby/object:Gem::Requirement 
+  version_requirements: *2151812380
+- !ruby/object:Gem::Dependency
+  name: awesome_print
+  requirement: &2151808480 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
-        version: "0.3"
+      - !ruby/object:Gem::Version
+        version: '0.3'
   type: :development
-  version_requirements: *id008
-- !ruby/object:Gem::Dependency 
-  name: roo
   prerelease: false
-  requirement: &id009 !ruby/object:Gem::Requirement 
+  version_requirements: *2151808480
+- !ruby/object:Gem::Dependency
+  name: roo
+  requirement: &2151800000 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 1.9.3
   type: :development
-  version_requirements: *id009
-- !ruby/object:Gem::Dependency 
-  name: builder
   prerelease: false
-  requirement: &id010 !ruby/object:Gem::Requirement 
+  version_requirements: *2151800000
+- !ruby/object:Gem::Dependency
+  name: builder
+  requirement: &2151803680 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 3.0.0
   type: :development
-  version_requirements: *id010
-- !ruby/object:Gem::Dependency 
-  name: spreadsheet
   prerelease: false
-  requirement: &id011 !ruby/object:Gem::Requirement 
+  version_requirements: *2151803680
+- !ruby/object:Gem::Dependency
+  name: spreadsheet
+  requirement: &2151912800 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 0.6.5.2
   type: :development
-  version_requirements: *id011
-- !ruby/object:Gem::Dependency 
-  name: google-spreadsheet-ruby
   prerelease: false
-  requirement: &id012 !ruby/object:Gem::Requirement 
+  version_requirements: *2151912800
+- !ruby/object:Gem::Dependency
+  name: google-spreadsheet-ruby
+  requirement: &2152185860 !ruby/object:Gem::Requirement
     none: false
-    requirements: 
+    requirements:
     - - ~>
-      - !ruby/object:Gem::Version 
+      - !ruby/object:Gem::Version
         version: 0.1.2
   type: :development
-  version_requirements: *id012
-description: A library for extracting quality measure information from HITSP C32's and ASTM CCR's
+  prerelease: false
+  version_requirements: *2152185860
+description: A library for extracting quality measure information from HITSP C32's
+  and ASTM CCR's
 email: talk@projectpophealth.org
 executables: []
-
 extensions: []
-
 extra_rdoc_files: []
-
-files: 
+files:
 - lib/qme/database_access.rb
-- lib/qme/ext/string.rb
-- lib/qme/importer/code_system_helper.rb
+- lib/qme/ext/record.rb
 - lib/qme/importer/entry.rb
 - lib/qme/importer/generic_importer.rb
-- lib/qme/importer/hl7_helper.rb
-- lib/qme/importer/patient_importer.rb
+- lib/qme/importer/measure_properties_generator.rb
 - lib/qme/importer/property_matcher.rb
 - lib/qme/importer/provider_importer.rb
-- lib/qme/importer/section_importer.rb
 - lib/qme/map/map_reduce_builder.rb
 - lib/qme/map/map_reduce_executor.rb
 - lib/qme/map/measure_calculation_job.rb
@@ -177,6 +171,7 @@ files:
 - lib/qme/quality_report.rb
 - lib/qme/randomizer/patient_randomization_job.rb
 - lib/qme/randomizer/patient_randomizer.rb
+- lib/qme/randomizer/random_patient_creator.rb
 - lib/qme_test.rb
 - lib/quality-measure-engine.rb
 - lib/tasks/fixtures.rake
@@ -192,30 +187,27 @@ files:
 has_rdoc: true
 homepage: http://github.com/pophealth/quality-measure-engine
 licenses: []
-
 post_install_message: 
 rdoc_options: []
-
-require_paths: 
+require_paths:
 - lib
-required_ruby_version: !ruby/object:Gem::Requirement 
+required_ruby_version: !ruby/object:Gem::Requirement
   none: false
-  requirements: 
-  - - ">="
-    - !ruby/object:Gem::Version 
-      version: "0"
-required_rubygems_version: !ruby/object:Gem::Requirement 
+  requirements:
+  - - ! '>='
+    - !ruby/object:Gem::Version
+      version: '0'
+required_rubygems_version: !ruby/object:Gem::Requirement
   none: false
-  requirements: 
-  - - ">="
-    - !ruby/object:Gem::Version 
-      version: "0"
+  requirements:
+  - - ! '>='
+    - !ruby/object:Gem::Version
+      version: '0'
 requirements: []
-
 rubyforge_project: 
 rubygems_version: 1.6.2
 signing_key: 
 specification_version: 3
-summary: A library for extracting quality measure information from HITSP C32's and ASTM CCR's
+summary: A library for extracting quality measure information from HITSP C32's and
+  ASTM CCR's
 test_files: []
-

data/lib/qme/ext/string.rb

@@ -1,5 +0,0 @@
-class String
-  def to_boolean
-    ['1', 'true', 't'].include?(self.downcase)
-  end
-end

data/lib/qme/importer/code_system_helper.rb

@@ -1,41 +0,0 @@
-module QME
-  module Importer
-    # General helpers for working with codes and code systems
-    class CodeSystemHelper
-      CODE_SYSTEMS = {
-        '2.16.840.1.113883.6.1' =>    'LOINC',
-        '2.16.840.1.113883.6.96' =>   'SNOMED-CT',
-        '2.16.840.1.113883.6.12' =>   'CPT',
-        #'2.16.840.1.113883.3.88.12.80.32' => 'CPT',
-        '2.16.840.1.113883.6.88' =>   'RxNorm',
-        '2.16.840.1.113883.6.103' =>  'ICD-9-CM',
-        '2.16.840.1.113883.6.104' =>  'ICD-9-CM',
-        '2.16.840.1.113883.6.90' =>   'ICD-10-CM',
-        '2.16.840.1.113883.6.14' =>   'HCPCS',
-        '2.16.840.1.113883.6.59' =>   'CVX',
-        '2.16.840.1.113883.6.238' =>   'CDC-RE'
-      }
-      
-      # Returns the name of a code system given an oid
-      # @param [String] oid of a code system
-      # @return [String] the name of the code system as described in the measure definition JSON
-      def self.code_system_for(oid)
-        CODE_SYSTEMS[oid] || "Unknown"
-      end
-      
-      # Returns the oid for a code system given a codesystem name
-      # @param [String] the name of the code system
-      # @return [String] the oid of the code system
-      def self.oid_for_code_system(code_system)
-        CODE_SYSTEMS.invert[code_system]
-      end
-      
-      # Returns the whole map of OIDs to code systems
-      # @terurn [Hash] oids as keys, code system names as values
-      def self.code_systems
-        CODE_SYSTEMS
-      end
-    end
-  end
-end
-

data/lib/qme/importer/hl7_helper.rb

@@ -1,27 +0,0 @@
-module QME
-  module Importer
-    
-    # General helpers for working with HL7 data types
-    class HL7Helper
-      
-      # Converts an HL7 timestamp into an Integer
-      # @param [String] timestamp the HL7 timestamp. Expects YYYYMMDD format
-      # @return [Integer] Date in seconds since the epoch
-      def self.timestamp_to_integer(timestamp)
-        if timestamp && timestamp.length >= 4
-          year = timestamp[0..3].to_i
-          month = timestamp.length >= 6 ? timestamp[4..5].to_i : 1
-          day = timestamp.length >= 8 ? timestamp[6..7].to_i : 1
-          hour = timestamp.length >= 10 ? timestamp[8..9].to_i : 0
-          min = timestamp.length >= 12 ? timestamp[10..11].to_i : 0
-          sec = timestamp.length >= 14 ? timestamp[12..13].to_i : 0
-          
-          Time.gm(year, month, day, hour, min, sec).to_i
-        else
-          nil
-        end
-
-      end
-    end
-  end
-end

data/lib/qme/importer/patient_importer.rb

@@ -1,228 +0,0 @@
-module QME
-  module Importer
-
-    # This class is the central location for taking a HITSP C32 XML document and converting it
-    # into the processed form we store in MongoDB. The class does this by running each measure
-    # independently on the XML document
-    #
-    # This class is a Singleton. It should be accessed by calling PatientImporter.instance
-    class PatientImporter
-
-      include Singleton
-
-      # Creates a new PatientImporter with the following XPath expressions used to find content in 
-      # a HITSP C32:
-      #
-      # Encounter entries
-      #    //cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.127']/cda:entry/cda:encounter
-      #
-      # Procedure entries
-      #    //cda:procedure[cda:templateId/@root='2.16.840.1.113883.10.20.1.29']
-      #
-      # Result entries - There seems to be some confusion around the correct templateId, so the code checks for both
-      #    //cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.15.1'] | //cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.15']
-      #
-      # Vital sign entries
-      #    //cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.14']
-      #
-      # Medication entries
-      #    //cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.112']/cda:entry/cda:substanceAdministration
-      #
-      # Codes for medications are found in the substanceAdministration with the following relative XPath
-      #    ./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code
-      #
-      # Condition entries
-      #    //cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.103']/cda:entry/cda:act/cda:entryRelationship/cda:observation
-      #
-      # Codes for conditions are determined by examining the value child element as opposed to the code child element
-      #
-      # Social History entries (non-C32 section, specified in the HL7 CCD)
-      #    //cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.19']
-      #
-      # Care Goal entries(non-C32 section, specified in the HL7 CCD)
-      #    //cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.1.25']
-      #
-      # Allergy entries
-      #    //cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.1.18']
-      #
-      # Immunization entries
-      #    //cda:substanceAdministration[cda:templateId/@root='2.16.840.1.113883.10.20.1.24']
-      #
-      # Codes for immunizations are found in the substanceAdministration with the following relative XPath
-      #    ./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code
-      def initialize (check_usable = true)
-        @measure_importers = {}
-        @section_importers = {}
-        @id_map = {}
-        @section_importers[:encounters] = SectionImporter.new("//cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.127']/cda:entry/cda:encounter")
-        @section_importers[:procedures] = SectionImporter.new("//cda:procedure[cda:templateId/@root='2.16.840.1.113883.10.20.1.29']")
-        @section_importers[:results] = SectionImporter.new("//cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.15.1'] | //cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.15']")
-        @section_importers[:vital_signs] = SectionImporter.new("//cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.14']")
-        @section_importers[:medications] = SectionImporter.new("//cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.112']/cda:entry/cda:substanceAdministration",
-        "./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code",
-        nil,
-        "./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code/cda:originalText/cda:reference[@value]")
-        @section_importers[:conditions] = SectionImporter.new("//cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.103']/cda:entry/cda:act/cda:entryRelationship/cda:observation",
-        "./cda:value",
-        "./cda:entryRelationship/cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.1.50']/cda:value",
-        "./cda:text/cda:reference[@value]")
-        @section_importers[:social_history] = SectionImporter.new("//cda:observation[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.19']")
-        @section_importers[:care_goals] = SectionImporter.new("//cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.1.25']")
-        @section_importers[:medical_equipment] = SectionImporter.new("//cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.128']/cda:entry/cda:supply",
-        "./cda:participant/cda:participantRole/cda:playingDevice/cda:code")
-        @section_importers[:allergies] = SectionImporter.new("//cda:observation[cda:templateId/@root='2.16.840.1.113883.10.20.1.18']",
-        "./cda:participant/cda:participantRole/cda:playingEntity/cda:code")
-        @section_importers[:immunizations] = SectionImporter.new("//cda:section[cda:templateId/@root='2.16.840.1.113883.3.88.11.83.117']/cda:entry/cda:substanceAdministration",
-        "./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code",
-        nil,
-        "./cda:consumable/cda:manufacturedProduct/cda:manufacturedMaterial/cda:code/cda:originalText/cda:reference[@value]" )
-      end
-
-      def build_id_map(doc)
-        id_map = {}
-        path = "//*[@ID]"
-        ids = doc.xpath(path)
-        ids.each do |id|
-          tag = id['ID']
-          value = id.content
-          id_map[tag] = value
-        end
-        return id_map
-      end
-
-      # @param [boolean] value for check_usable_entries...importer uses true, stats uses false 
-      def check_usable(check_usable_entries)
-        @section_importers.each_pair do |section, importer|
-          importer.check_for_usable = check_usable_entries
-        end
-      end
-
-      # Parses a HITSP C32 document and returns a Hash of of the patient.
-      #
-      # @param [Nokogiri::XML::Document] doc It is expected that the root node of this document
-      #        will have the "cda" namespace registered to "urn:hl7-org:v3"
-      # @return [Hash] a representation of the patient that can be inserted into MongoDB
-      def parse_c32(doc)
-        c32_patient = {}
-        entries = create_c32_hash(doc)
-        get_demographics(c32_patient, doc)
-        process_events(c32_patient, entries)
-      end
-
-      # Parses a patient hash containing demographic and event information
-      #
-      # @param [Hash] patient_hash patient data
-      # @return [Hash] a representation of the patient that can be inserted into MongoDB
-      def parse_hash(patient_hash)
-        patient_record = {}
-        patient_record['first'] = patient_hash['first']
-        patient_record['patient_id'] = patient_hash['patient_id']
-        patient_record['last'] = patient_hash['last']
-        patient_record['gender'] = patient_hash['gender']
-        patient_record['patient_id'] = patient_hash['patient_id']
-        patient_record['birthdate'] = patient_hash['birthdate']
-        patient_record['race'] = patient_hash['race']
-        patient_record['ethnicity'] = patient_hash['ethnicity']
-        patient_record['languages'] = patient_hash['languages']
-        patient_record['addresses'] = patient_hash['addresses']
-        event_hash = {}
-        patient_hash['events'].each do |key, value|
-          event_hash[key.intern] = parse_events(value)
-        end
-        process_events(patient_record, event_hash)
-      end
-
-      # Adds the entries and denormalized measure information to the patient_record.
-      # Each Entry will be converted to a Hash and stored in an Array under the appropriate
-      # section key, such as medications. Measure information is listed under the measures
-      # key which has a Hash value. The Hash has the measure id as a key, and the denormalized
-      # measure information as a value
-      #
-      # @param patient_record - Hash with basic patient demographic information
-      # @entries - Hash of entries with section names a keys and an Array of Entry values
-      def process_events(patient_record, entries)
-        patient_record['measures'] = {}
-        @measure_importers.each_pair do |measure_id, importer|
-          patient_record['measures'][measure_id] = importer.parse(entries)
-        end
-
-        entries.each_pair do |key, value|
-          patient_record[key] = value.map do |e|
-            if e.usable?
-              e.to_hash
-            else
-              nil
-            end
-          end.compact
-        end
-
-        patient_record
-      end
-
-      # Parses a list of event hashes into an array of Entry objects
-      #
-      # @param [Array] event_list list of event hashes
-      # @return [Array] array of Entry objects
-      def parse_events(event_list)
-        event_list.collect do |event|
-          if event.class==String.class
-            # skip String elements in the event list, patient randomization templates
-            # introduce String elements to simplify tailing-comma handling when generating
-            # JSON using ERb
-            nil
-          else
-            QME::Importer::Entry.from_event_hash(event)
-          end
-        end.compact
-      end
-
-      # Adds a measure to run on a C32 that is passed in
-      #
-      # @param [MeasureBase] measure an Class that can extract information from a C32 that is necessary
-      #        to calculate the measure
-      def add_measure(measure_id, importer)
-        @measure_importers[measure_id] = importer
-      end
-
-      # Create a simple representation of the patient from a HITSP C32
-      #
-      # @param [Nokogiri::XML::Document] doc It is expected that the root node of this document
-      #        will have the "cda" namespace registered to "urn:hl7-org:v3"
-      # @return [Hash] a represnetation of the patient with symbols as keys for each section
-      def create_c32_hash(doc, check_usable_entries = true)
-        c32_patient = {}
-        id_map = build_id_map(doc)
-        @section_importers.each_pair do |section, importer|
-          importer.check_for_usable = check_usable_entries
-          c32_patient[section] = importer.create_entries(doc,id_map)
-        end
-        c32_patient
-      end
-
-      # Inspects a C32 document and populates the patient Hash with first name, last name
-      # birth date and gender.
-      #
-      # @param [Hash] patient A hash that is used to represent the patient
-      # @param [Nokogiri::XML::Node] doc The C32 document parsed by Nokogiri
-      def get_demographics(patient, doc)
-        patient['first'] = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:name/cda:given').text
-        patient['last'] = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:name/cda:family').text
-        birthdate_in_hl7ts_node = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime')
-        birthdate_in_hl7ts = birthdate_in_hl7ts_node['value']
-        patient['birthdate'] = HL7Helper.timestamp_to_integer(birthdate_in_hl7ts)
-        gender_node = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:administrativeGenderCode')
-        patient['gender'] = gender_node['code']
-        race_node = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:raceCode')
-        patient['race'] = race_node['code'] if race_node
-        ethnicity_node = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:ethnicGroupCode')
-        patient['ethnicity'] = ethnicity_node['code'] if ethnicity_node
-
-        languages = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient').search('languageCommunication').map {|lc| lc.at_xpath('cda:languageCode')['code'] }
-        patient['languages'] = languages unless languages.empty?
-        
-        id_node = doc.at_xpath('/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:id')
-        patient['patient_id'] = id_node['extension']
-      end
-    end
-  end
-end