quality-measure-engine 0.1.0

data/lib/quality_measure_engine.rb

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+LIB = File.dirname(__FILE__)
+
+require LIB + '/patches/v8'
+
+require LIB + '/qme/map/map_reduce_builder'
+require LIB + '/qme/map/map_reduce_executor'
+require LIB + '/qme/query/json_document_builder'
+
+
+require 'json'
+require 'mongo'

data/measures/0032/0032_NQF_Cervical_Cancer_Screening.json

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+{
+  "id": "0032",
+  "name": "Cervical Cancer Screening",
+  "steward": "NCQA",
+  "parameters": {
+    "effective_date": {
+      "name": "Effective end date for measure",
+      "type": "long"
+    }
+  },
+  "properties": {
+    "birthdate": {
+      "name": "Date of birth",
+      "type": "long",
+      "codes": [
+        {
+          "set": "HL7",
+          "version": "3.0",
+          "values": ["00110"]
+        }
+      ]
+    },
+    "encounter_outpatient": {
+      "name": "Date of outpatient encounter",
+      "type": "long",
+      "codes": [
+        {
+          "set": "CPT",
+          "version": "06/2009",
+          "values": ["99201", "99202", "99203", "99204", "99205", "99211", "99212", "99213", "99214", "99215", "99217", "99218", "99219", "99220", "99241", "99242", "99243", "99244", "99245", "99341", "99342", "99343", "99344", "99345", "99347-99350", "99384", "99385", "99386", "99387", "99394", "99395", "99396", "99397", "99401", "99402", "99403", "99404", "99411", "99412", "99420", "99429", "99455", "99456"]
+        },
+        {
+          "set": "ICD-9-CM",
+          "version": "06/2009",
+          "values": ["V70.0", "V70.3", "V70.5", "V70.6", "V70.8", "V70.9"]
+        }
+      ]
+    },
+    "encounter_obgyn": {
+      "name": "Date of ObGyn encounter",
+      "type": "long",
+      "codes": [
+        {
+          "set": "ICD-9-CM",
+          "version": "06/2009",
+          "values": ["V24", "V25", "V26", "V27", "V28", "V45.5", "V61.5", "V61.6", "V61.7", "V69.2", "V72.3", "V72.4"]
+        }
+      ]
+    },
+    "hysterectomy": {
+      "name": "Hysterectomy performed",
+      "type": "long",
+      "codes": [
+        {
+          "set": "CPT",
+          "version": "06/2009",
+          "values": ["51925", "56308", "58150", "58152", "58200", "58210", "58240", "58260", "58262", "58263", "58267", "58270", "58275", "58280", "58285", "58290", "58291", "58292", "58293", "58294", "58550", "58552", "58553", "58554", "58570", "58571", "58572", "58573", "58951", "58953", "58954", "58956", "59135"]
+        },
+        {
+          "set": "ICD-9-CM",
+          "version": "06/2009",
+          "values": ["618.5", "68.4", "68.41", "68.49", "68.5", "68.51", "68.59", "68.6", "68.61", "68.69", "68.7", "68.71", "68.79", "68.8", "V67.01", "V76.47", "V88.01", "V88.03"]
+        },
+        {
+          "set": "ICD-10-CM",
+          "version": "06/2009",
+          "values": ["N81.81", "Z12.72", "Z90.71", "Z90.710", "Z90.7112"]
+        },
+        {
+          "set": "SNOMED-CT",
+          "version": "07/2009",
+          "values": ["116140006", "116142003", "116143008", "116144002", "236886002", "236888001", "236891001", "27950001", "307771009", "31545000", "35955002", "361222003", "361223008", "414575003", "59750000", "79095000", "86477000", "88144003"]
+        }
+      ]
+    },
+    "pap_test": {
+      "name": "Pap test",
+      "type": "long",
+      "codes": [
+        {
+          "set": "CPT",
+          "version": "06/2009",
+          "values": ["88141", "88142", "88143", "88147", "88148", "88150", "88152", "88153", "88154", "88155", "88164", "88165", "88166", "88167", "88174", "88175"]
+        },
+        {
+          "set": "HCPCS",
+          "version": "06/2009",
+          "values": ["G0123", "G0124", "G0141", "G0143", "G0144", "G0145", "G0147", "G0148", "P3000", "P3001", "Q0091"]
+        },
+        {
+          "set": "ICD-10-CM",
+          "version": "06/2009",
+          "values": ["Z12.4", "Z12.72"]
+        },
+        {
+          "set": "ICD-9-CM",
+          "version": "06/2009",
+          "values": ["91.46", "V72.32"]
+        },
+        {
+          "set": "LOINC",
+          "version": "06/2009",
+          "values": ["10524-7", "18500-9", "19762-4", "19764-0", "19765-7", "19766-5", "19774-9", "33717-0", "47527-7", "47528-5"]
+        },
+        {
+          "set": "SNOMED-CT",
+          "version": "07/2009",
+          "values": ["439958008", "440615002", "440623000"]
+        }
+      ]
+    }
+  },
+  "calculated_dates": {
+    "earliest_birthdate": "effective_date - 64*year",
+    "latest_birthdate": "effective_date - 23*year",
+    "earliest_encounter": "effective_date - 2*year",
+    "earliest_pap": "effective_date - 3*year"
+  },
+  "population": {
+    "and": [
+      {
+        "category": "Patient Characteristic",
+        "title": "Age >= 23 before measure period",
+        "query": {"birthdate": {"_lte": "@latest_birthdate"}}
+      },
+      {
+        "category": "Patient Characteristic",
+        "title": "Age <= 64 before measure period",
+        "query": {"birthdate": {"_gte": "@earliest_birthdate"}}
+      }
+    ]
+  },
+  "denominator": {
+    "and": [
+      {
+        "or": [
+          {
+            "category": "Outpatient Encounter",
+            "title": "Outpatient encounter within last three years",
+            "query": {"encounter_outpatient": {"_gte": "@earliest_encounter"}}
+          },
+          {
+            "category": "ObGyn Encounter",
+            "title": "ObGyn encounter within last three years",
+            "query": {"encounter_obgyn": {"_gte": "@earliest_encounter"}}
+          }
+        ]
+      },
+      {
+        "or": [
+          {
+            "category": "Procedure performed",
+            "title": "No hysterectomy",
+            "query": {"hysterectomy": null}
+          },
+          {
+            "category": "Procedure performed",
+            "title": "Hysterectomy after effective date",
+            "query": {"hysterectomy": {"_gte": "@effective_date"}}
+          }
+        ]
+      }
+    ]
+  },
+  "numerator": {
+    "category": "Medication Administered",
+    "title": "Pneumococcal vaccination",
+    "query": {"pap_test": {"_gte": "@earliest_pap"}}
+  },
+  "exception": {}
+}

data/measures/0032/patients/denominator1.json

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+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -290390400,                            // Time.gm(1960, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0032": {
+      "encounter_outpatient": 1277856000              // Time.gm(2010, 6, 30).to_i
+    }
+  }
+}

data/measures/0032/patients/denominator2.json

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+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -290390400,                            // Time.gm(1960, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0032": {
+      "encounter_obgyn": 1277856000              // Time.gm(2010, 6, 30).to_i
+    }
+  }
+}

data/measures/0032/patients/numerator1.json

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+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -290390400,                            // Time.gm(1960, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0032": {
+      "encounter_obgyn": 1277856000,                  // Time.gm(2010, 6, 30).to_i
+      "pap_test": 1214784000                         // Time.gm(2008, 6, 30).to_i
+    }
+  }
+}

data/measures/0032/patients/population1.json

@@ -0,0 +1,9 @@
+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -290390400,                            // Time.gm(1960, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0032": {
+    }
+  }
+}

data/measures/0032/patients/population2.json

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+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -290390400,                            // Time.gm(1960, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0032": {
+      "encounter_obgyn": 1277856000,              // Time.gm(2010, 6, 30).to_i
+      "hysterectomy": 1277856000
+    }
+  }
+}

data/measures/0032/result/result.json

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+{
+  "initialPopulation": 5,
+  "numerator": 1,
+  "denominator": 3,
+  "exclusions": 0
+}

data/measures/0043/0043_NQF_PneumoniaVaccinationStatusForOlderAdults.json

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+{
+  "id": "0043",
+  "name": "Pneumonia Vaccination Status for Older Adults",
+  "steward": "NCQA",
+  "parameters": {
+    "effective_date": {
+      "name": "Effective end date for measure",
+      "type": "long"
+    }
+  },
+  "properties": {
+    "birthdate": {
+      "name": "Date of birth",
+      "type": "long",
+      "codes": [
+        {
+          "set": "HL7",
+          "version": "3.0",
+          "values": ["00110"]
+        }
+      ]
+    },
+    "encounter": {
+      "name": "Date of encounter",
+      "type": "long",
+      "codes": [
+        {
+          "set": "CPT",
+          "version": "06/2009",
+          "values": ["99201", "99202", "99203", "99204", "99205", "99211", "99212", "99213", "99214", "99215", "99217", "99218", "99219", "99220", "99241", "99242", "99243", "99244", "99245", "99341", "99342", "99343", "99344", "99345", "99347-99350", "99384", "99385", "99386", "99387", "99394", "99395", "99396", "99397", "99401", "99402", "99403", "99404", "99411", "99412", "99420", "99429", "99455", "99456"]
+        },
+        {
+          "set": "ICD-9-CM",
+          "version": "06/2009",
+          "values": ["V70.0", "V70.3", "V70.5", "V70.6", "V70.8", "V70.9"]
+        }
+      ]
+    },
+    "vaccination": {
+      "name": "Pneumococcal vaccination",
+      "type": "boolean",
+      "codes": [
+        {
+          "set": "RxNorm",
+          "version": "07/2009",
+          "values": ["854931", "854933", "854935", "854937", "854939", "854941", "854943", "854945", "854947", "854949", "854951", "854953", "854955", "854957", "854959", "854961", "854963", "854965", "854967", "854969", "854971", "854973", "854975", "854977"]
+        }
+      ]
+    }
+  },
+  "calculated_dates": {
+    "earliest_birthdate": "effective_date - 65*year",
+    "earliest_encounter": "effective_date - year"
+  },
+  "population": {
+    "category": "Patient Characteristics",
+    "title": "Age >= 64 before measure period",
+    "query": {"birthdate": {"_lte": "@earliest_birthdate"}}
+  },
+  "denominator": {
+    "category": "Outpatient Encounter",
+    "title": "Outpatient encounter within the measurement period",
+    "query": {"encounter": {"_gte": "@earliest_encounter"}}
+  },
+  "numerator": {
+    "category": "Medication Administered",
+    "title": "Pneumococcal vaccination",
+    "query": {"vaccination": true}
+  },
+  "exception": {}
+}

data/measures/0043/patients/denominator.json

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+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -921542400,                            // Time.gm(1940, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0043": {
+      "encounter": 1284854400,                        // Time.gm(2010, 9, 19)
+      "vaccination": false
+    }
+  }
+}

data/measures/0043/patients/numerator.json

@@ -0,0 +1,11 @@
+{
+  "first": "Fred",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -921542400,                            // Time.gm(1940, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0043": {
+      "encounter": 1284854400,                        // Time.gm(2010, 9, 19)
+      "vaccination": true
+    }
+  }
+}

data/measures/0043/patients/population.json

@@ -0,0 +1,10 @@
+{
+  "first": "Bert",                                    // personal data
+  "last": "Bloggs",
+  "birthdate": -921542400,                            // Time.gm(1940, 10, 19).to_i
+  "measures": {                                       // bag of measures, one entry per measure
+    "0043": {
+      "vaccination": true
+    }
+  }
+}

data/measures/0043/result/result.json

@@ -0,0 +1,6 @@
+{
+  "initialPopulation": 3,
+  "numerator": 1,
+  "denominator": 2,
+  "exclusions": 0
+}

data/quality-measure-engine.gemspec

@@ -0,0 +1,102 @@
+# Generated by jeweler
+# DO NOT EDIT THIS FILE DIRECTLY
+# Instead, edit Jeweler::Tasks in Rakefile, and run the gemspec command
+# -*- encoding: utf-8 -*-
+
+Gem::Specification.new do |s|
+  s.name = %q{quality-measure-engine}
+  s.version = "0.1.0"
+
+  s.required_rubygems_version = Gem::Requirement.new(">= 0") if s.respond_to? :required_rubygems_version=
+  s.authors = ["Marc Hadley", "Andy Gregorowicz"]
+  s.date = %q{2010-10-28}
+  s.description = %q{A library for extracting quality measure information from HITSP C32's and ASTM CCR's}
+  s.email = %q{talk@projectpophealth.org}
+  s.extra_rdoc_files = [
+    "README.md"
+  ]
+  s.files = [
+    ".gitignore",
+     "Gemfile",
+     "Gemfile.lock",
+     "README.md",
+     "Rakefile",
+     "VERSION",
+     "fixtures/complex_measure.json",
+     "fixtures/result_example.json",
+     "lib/patches/v8.rb",
+     "lib/qme/map/map_reduce_builder.rb",
+     "lib/qme/map/map_reduce_executor.rb",
+     "lib/qme/query/json_document_builder.rb",
+     "lib/quality_measure_engine.rb",
+     "measures/0032/0032_NQF_Cervical_Cancer_Screening.json",
+     "measures/0032/patients/denominator1.json",
+     "measures/0032/patients/denominator2.json",
+     "measures/0032/patients/numerator1.json",
+     "measures/0032/patients/population1.json",
+     "measures/0032/patients/population2.json",
+     "measures/0032/result/result.json",
+     "measures/0043/0043_NQF_PneumoniaVaccinationStatusForOlderAdults.json",
+     "measures/0043/patients/denominator.json",
+     "measures/0043/patients/numerator.json",
+     "measures/0043/patients/population.json",
+     "measures/0043/result/result.json",
+     "quality-measure-engine.gemspec",
+     "schema/result.json",
+     "schema/schema.json",
+     "spec/qme/map/map_reduce_builder_spec.rb",
+     "spec/qme/measures_spec.rb",
+     "spec/qme/query/json_document_builder_spec.rb",
+     "spec/schema_spec.rb",
+     "spec/spec_helper.rb",
+     "spec/validate_measures_spec.rb"
+  ]
+  s.homepage = %q{http://github.com/pophealth/quality-measure-engine}
+  s.rdoc_options = ["--charset=UTF-8"]
+  s.require_paths = ["lib"]
+  s.rubygems_version = %q{1.3.7}
+  s.summary = %q{A library for extracting quality measure information from HITSP C32's and ASTM CCR's}
+  s.test_files = [
+    "spec/qme/map/map_reduce_builder_spec.rb",
+     "spec/qme/measures_spec.rb",
+     "spec/qme/query/json_document_builder_spec.rb",
+     "spec/schema_spec.rb",
+     "spec/spec_helper.rb",
+     "spec/validate_measures_spec.rb"
+  ]
+
+  if s.respond_to? :specification_version then
+    current_version = Gem::Specification::CURRENT_SPECIFICATION_VERSION
+    s.specification_version = 3
+
+    if Gem::Version.new(Gem::VERSION) >= Gem::Version.new('1.2.0') then
+      s.add_runtime_dependency(%q<mongo>, ["~> 1.1"])
+      s.add_runtime_dependency(%q<mongomatic>, ["~> 0.5.8"])
+      s.add_runtime_dependency(%q<therubyracer>, ["~> 0.7.5"])
+      s.add_runtime_dependency(%q<bson_ext>, ["~> 1.1.1"])
+      s.add_development_dependency(%q<jsonschema>, ["~> 2.0.0"])
+      s.add_development_dependency(%q<rspec>, ["~> 2.0.0"])
+      s.add_development_dependency(%q<awesome_print>, ["~> 0.2.1"])
+      s.add_development_dependency(%q<jeweler>, ["~> 1.4.0"])
+    else
+      s.add_dependency(%q<mongo>, ["~> 1.1"])
+      s.add_dependency(%q<mongomatic>, ["~> 0.5.8"])
+      s.add_dependency(%q<therubyracer>, ["~> 0.7.5"])
+      s.add_dependency(%q<bson_ext>, ["~> 1.1.1"])
+      s.add_dependency(%q<jsonschema>, ["~> 2.0.0"])
+      s.add_dependency(%q<rspec>, ["~> 2.0.0"])
+      s.add_dependency(%q<awesome_print>, ["~> 0.2.1"])
+      s.add_dependency(%q<jeweler>, ["~> 1.4.0"])
+    end
+  else
+    s.add_dependency(%q<mongo>, ["~> 1.1"])
+    s.add_dependency(%q<mongomatic>, ["~> 0.5.8"])
+    s.add_dependency(%q<therubyracer>, ["~> 0.7.5"])
+    s.add_dependency(%q<bson_ext>, ["~> 1.1.1"])
+    s.add_dependency(%q<jsonschema>, ["~> 2.0.0"])
+    s.add_dependency(%q<rspec>, ["~> 2.0.0"])
+    s.add_dependency(%q<awesome_print>, ["~> 0.2.1"])
+    s.add_dependency(%q<jeweler>, ["~> 1.4.0"])
+  end
+end
+