quality-measure-engine 1.1.5 → 2.0.0
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- data/.gitignore +12 -0
- data/.travis.yml +16 -0
- data/Gemfile +5 -21
- data/Gemfile.lock +126 -0
- data/LICENSE.txt +13 -0
- data/README.md +23 -44
- data/Rakefile +6 -29
- data/lib/qme/bundle/bundle.rb +34 -0
- data/lib/qme/bundle/importer.rb +69 -0
- data/lib/qme/database_access.rb +7 -11
- data/lib/qme/map/map_reduce_builder.rb +4 -1
- data/lib/qme/map/map_reduce_executor.rb +55 -43
- data/lib/qme/map/measure_calculation_job.rb +24 -23
- data/lib/qme/quality_measure.rb +5 -5
- data/lib/qme/quality_report.rb +37 -19
- data/lib/qme/railtie.rb +7 -0
- data/lib/qme/tasks/bundle.rake +14 -0
- data/lib/qme/version.rb +3 -0
- data/lib/quality-measure-engine.rb +13 -25
- data/quality-measure-engine.gemspec +28 -0
- data/test/fixtures/bundles/just_measure_0002.zip +0 -0
- data/test/fixtures/delayed_backend_mongoid_jobs/queued_job.json +9 -0
- data/test/fixtures/measures/measure_metadata.json +52 -0
- data/test/fixtures/records/barry_berry.json +471 -0
- data/test/fixtures/records/billy_jones_ipp.json +78 -0
- data/test/fixtures/records/jane_jones_numerator.json +120 -0
- data/test/fixtures/records/jill_jones_denominator.json +78 -0
- data/test/simplecov_setup.rb +18 -0
- data/test/test_helper.rb +26 -0
- data/test/unit/qme/map/map_reduce_builder_test.rb +38 -0
- data/test/unit/qme/map/map_reduce_executor_test.rb +56 -0
- data/test/unit/qme/map/measure_calculation_job_test.rb +22 -0
- data/test/unit/qme/quality_measure_test.rb +14 -0
- data/{spec/qme/quality_report_spec.rb → test/unit/qme/quality_report_test.rb} +32 -20
- metadata +91 -115
- data/VERSION +0 -1
- data/js/map_reduce_utils.js +0 -173
- data/js/underscore_min.js +0 -25
- data/lib/qme/ext/record.rb +0 -43
- data/lib/qme/importer/entry.rb +0 -126
- data/lib/qme/importer/generic_importer.rb +0 -117
- data/lib/qme/importer/measure_properties_generator.rb +0 -39
- data/lib/qme/importer/property_matcher.rb +0 -110
- data/lib/qme/measure/database_loader.rb +0 -83
- data/lib/qme/measure/measure_loader.rb +0 -174
- data/lib/qme/measure/properties_builder.rb +0 -184
- data/lib/qme/measure/properties_converter.rb +0 -27
- data/lib/qme/randomizer/patient_randomization_job.rb +0 -47
- data/lib/qme/randomizer/patient_randomizer.rb +0 -250
- data/lib/qme/randomizer/random_patient_creator.rb +0 -47
- data/lib/qme_test.rb +0 -13
- data/lib/tasks/fixtures.rake +0 -91
- data/lib/tasks/measure.rake +0 -110
- data/lib/tasks/mongo.rake +0 -68
- data/lib/tasks/patient_random.rake +0 -45
- data/spec/qme/bundle_spec.rb +0 -37
- data/spec/qme/importer/generic_importer_spec.rb +0 -73
- data/spec/qme/importer/measure_properties_generator_spec.rb +0 -15
- data/spec/qme/importer/property_matcher_spec.rb +0 -174
- data/spec/qme/map/map_reduce_builder_spec.rb +0 -38
- data/spec/qme/map/measures_spec.rb +0 -38
- data/spec/qme/map/patient_mapper_spec.rb +0 -11
- data/spec/qme/measure_loader_spec.rb +0 -12
- data/spec/qme/properties_builder_spec.rb +0 -61
- data/spec/spec_helper.rb +0 -120
- data/spec/validate_measures_spec.rb +0 -21
@@ -1,38 +0,0 @@
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describe QME::MapReduce::Builder do
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before do
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@loader = QME::Database::Loader.new('test')
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raw_measure_json = File.read(File.join('fixtures', 'entry', 'sample.json'))
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@measure_json = JSON.parse(raw_measure_json)
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end
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it 'should extract the measure metadata' do
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measure = QME::MapReduce::Builder.new(@loader.get_db, @measure_json, 'effective_date'=>Time.gm(2010, 9, 19).to_i)
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measure.id.should eql('0043')
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end
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it 'should extract one parameter for measure 0043' do
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time = Time.gm(2010, 9, 19).to_i
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measure = QME::MapReduce::Builder.new(@loader.get_db, @measure_json, 'effective_date'=>time)
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measure.params.size.should eql(1)
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measure.params.should have_key('effective_date')
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measure.params['effective_date'].should eql(time)
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end
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it 'should raise a RuntimeError if not passed all the parameters' do
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lambda { QME::MapReduce::Builder.new(@measure_json) }.should
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raise_error(RuntimeError, 'No value supplied for measure parameter: effective_date')
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end
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end
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describe QME::MapReduce::Builder::Context do
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before do
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@loader = QME::Database::Loader.new('test')
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end
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it 'should set instance methods from the supplied hash' do
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vars = {'a'=>10, 'b'=>20}
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context = QME::MapReduce::Builder::Context.new(@loader.get_db, vars)
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binding = context.get_binding
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eval("a",binding).should eql(10)
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eval("b",binding).should eql(20)
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end
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end
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describe QME::MapReduce::Executor do
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before do
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@loader = QME::Database::Loader.new('test')
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if ENV['MEASURE_DIR']
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@measures = Dir.glob(File.join(ENV['MEASURE_DIR'], '*'))
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else
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@measures = Dir.glob(File.join('measures', '*'))
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end
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# define custom matchers
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RSpec::Matchers.define :match_population do |population|
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match do |value|
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value == population
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end
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end
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RSpec::Matchers.define :match_denominator do |denominator|
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match do |value|
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value == denominator
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end
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end
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RSpec::Matchers.define :match_numerator do |numerator|
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match do |value|
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value == numerator
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end
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end
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RSpec::Matchers.define :match_exclusions do |exclusions|
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match do |value|
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value == exclusions
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end
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end
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end
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it 'should produce the expected results for each measure' do
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validate_measures(@measures,@loader)
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end
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end
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@@ -1,12 +0,0 @@
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describe QME::Measure::Loader do
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before do
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@measure_def_dir = File.join('fixtures', 'measure_defs', 'sample_single_from_multi_xls')
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end
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it 'Should load the sample measure correctly' do
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measure = QME::Measure::Loader.load_measure(@measure_def_dir)
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measure = measure[0]
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measure['measure'].should have_key('eyes')
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measure['measure'].should have_key('esrd_diagnosis_active')
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end
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end
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require 'ap'
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describe QME::Measure::PropertiesBuilder do
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before do
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@json_file = File.join('fixtures', 'measure_props', 'props2.xlsx.json')
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@properties = JSON.parse(File.read(@json_file))
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end
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it 'Should patch the definition' do
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@properties['N_1810']['value'].should be_nil
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patched_properties = QME::Measure::PropertiesBuilder.patch_properties(@properties, @json_file)
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patched_properties['N_1810']['value'].should have_key('type')
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patched_properties['N_1472']['group_type'].should eql('abstract')
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end
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it 'Should group properties' do
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@properties.values.select { |value| value['standard_concept_id']=='N_c102' }.should_not be_empty
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patched_properties = QME::Measure::PropertiesBuilder.patch_properties(@properties, @json_file)
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grouped_properties = QME::Measure::PropertiesBuilder.build_groups(patched_properties)
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grouped_properties.select { |key| key['standard_concept_id']=='N_c102' }.should be_empty
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grouped_properties.select { |key| key['standard_concept_id']=='N_c190' }.should_not be_empty
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end
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it 'Should create the expected properties' do
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result = QME::Measure::PropertiesBuilder.build_properties(@properties, @json_file)
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result['measure'].should have_key('diastolic_blood_pressure_physical_exam_finding')
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result['measure']['diastolic_blood_pressure_physical_exam_finding'].should have_key('standard_concept')
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result['measure']['diastolic_blood_pressure_physical_exam_finding']['standard_concept'].should eql('diastolic_blood_pressure')
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result['measure']['diastolic_blood_pressure_physical_exam_finding'].should have_key('standard_category')
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result['measure']['diastolic_blood_pressure_physical_exam_finding']['standard_category'].should eql('physical_exam')
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result['measure']['diastolic_blood_pressure_physical_exam_finding']['items']['type'].should eql('object')
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result['measure']['diastolic_blood_pressure_physical_exam_finding'].should have_key('codes')
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result['measure']['diastolic_blood_pressure_physical_exam_finding']['codes'].length.should eql(1)
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result['measure'].should have_key('encounter_outpatient_encounter')
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result['measure']['encounter_outpatient_encounter']['items']['type'].should eql('number')
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result['measure'].should have_key('esrd_diagnosis_active')
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result['measure']['esrd_diagnosis_active']['standard_category'].should eql('diagnosis_condition_problem')
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result['measure']['esrd_diagnosis_active']['codes'].length.should eql(3)
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end
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it 'Should not create the excluded properties' do
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result = QME::Measure::PropertiesBuilder.build_properties(@properties, @json_file)
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result['measure'].select { |key| QME::Measure::PropertiesBuilder::PROPERTIES_TO_IGNORE.include?(key['standard_concept']) }.should be_empty
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end
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it 'Should expand code ranges for CPT codes' do
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result = QME::Measure::PropertiesBuilder.extract_code_values("1, 2-5, 6 ", "SNOMED-CT")
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result.length.should eql(3)
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result.should include("1")
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result.should include("2-5")
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result.should include("6")
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result = QME::Measure::PropertiesBuilder.extract_code_values("1, 2-5, 6 ", "CPT")
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result.length.should eql(6)
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result.should include("1")
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result.should include("2")
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result.should include("3")
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result.should include("4")
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result.should include("5")
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result.should include("6")
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end
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end
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data/spec/spec_helper.rb
DELETED
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begin
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require 'cover_me'
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rescue LoadError
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puts 'cover_me unavailable, running without code coverage measurement'
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end
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require 'bundler/setup'
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#require 'pry'
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PROJECT_ROOT = File.dirname(__FILE__) + '/../'
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require PROJECT_ROOT + 'lib/quality-measure-engine'
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Bundler.require(:test)
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ENV['DB_NAME'] = 'test'
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def reload_bundle(bundle_dir='.', measure_dir=ENV['MEASURE_DIR'] || 'measures')
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loader = QME::Database::Loader.new
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loader.drop_collection('bundles')
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loader.drop_collection('measures')
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loader.drop_collection('manual_exclusions')
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loader.save_bundle(bundle_dir, measure_dir)
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loader
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end
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def validate_measures(measure_dirs, loader)
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reload_bundle
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loader.get_db.collection('manual_exclusions').save({'measure_id'=>'test1', 'medical_record_id'=>'1234567890'})
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measure_dirs.each do |dir|
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# check for sample data
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fixture_dir = File.join('fixtures', 'measures', File.basename(dir))
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patient_files = Dir.glob(File.join(fixture_dir, 'patients', '*.json'))
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if patient_files.length==0
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puts "Skipping #{dir}, no sample data in #{fixture_dir}"
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next
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end
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puts "Parsing #{dir}"
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loader.drop_collection('records')
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loader.drop_collection('query_cache')
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loader.drop_collection('patient_cache')
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# load measure from file system
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# this is innefficient, could just load it from DB as its already stored there
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measures = QME::Measure::Loader.load_measure(dir)
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# patients can include an optional test_id population identifier, extract this if present
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test_id = nil
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# load db with sample patient records
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patient_files.each do |patient_file|
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patient = JSON.parse(File.read(patient_file))
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test_id ||= patient['test_id']
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loader.save('records', patient)
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end
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# load expected results
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result_file = File.join('fixtures', 'measures', File.basename(dir), 'result.json')
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expected = JSON.parse(File.read(result_file))
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# evaulate measure using Map/Reduce and validate results
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measures.each do |measure|
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measure_id = measure['id']
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sub_id = measure['sub_id']
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puts "Validating measure #{measure_id}#{sub_id}"
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executor = QME::MapReduce::Executor.new(measure_id, sub_id,
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'effective_date'=>Time.gm(2010, 9, 19).to_i,
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'test_id'=>test_id)
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executor.map_records_into_measure_groups
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result = executor.count_records_in_measure_groups
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if expected['initialPopulation'] == nil
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# multiple results for multi numerator/denominator measure
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# loop through list of results to find the matching one
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expected['results'].each do |expect|
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if expect['id'].eql?(measure_id) && (sub_id==nil || expect['sub_id'].eql?(sub_id))
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result['population'].should match_population(expect['initialPopulation'])
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result['numerator'].should match_numerator(expect['numerator'])
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result['denominator'].should match_denominator(expect['denominator'])
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result['exclusions'].should match_exclusions(expect['exclusions'])
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(result['numerator']+result['antinumerator']).should eql(expect['denominator'])
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break
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end
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end
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else
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result['population'].should match_population(expected['initialPopulation'])
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result['numerator'].should match_numerator(expected['numerator'])
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result['denominator'].should match_denominator(expected['denominator'])
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result['exclusions'].should match_exclusions(expected['exclusions'])
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(result['numerator']+result['antinumerator']).should eql(expected['denominator'])
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end
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end
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puts ' - done'
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end
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end
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def validate_patient_mapping(loader)
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reload_bundle
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loader.drop_collection('records')
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loader.drop_collection('query_cache')
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loader.drop_collection('patient_cache')
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patient_file = File.join('fixtures', 'mapping', 'test1_numerator.json')
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patient = JSON.parse(File.read(patient_file))
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loader.save('records', patient)
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executor = QME::MapReduce::Executor.new('test1', nil,
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'effective_date'=>Time.gm(2010, 9, 19).to_i)
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result = executor.get_patient_result('patient1')
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result['population'].should be(true)
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result['numerator'].should be(true)
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result['denominator'].should be(true)
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result['exclusions'].should be(false)
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result['antinumerator'].should be(false)
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end
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# Validate the measure specifications and patient samples
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require 'json'
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describe JSON, 'All measure specifications' do
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it 'should be valid JSON' do
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Dir.glob(File.join('measures', '*', '*.json')).each do |measure_file|
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measure = File.read(measure_file)
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json = JSON.parse(measure)
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end
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end
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end
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describe JSON, 'All patient samples' do
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it 'should be valid JSON' do
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16
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-
Dir.glob(File.join('fixtures', 'measures', '*', 'patients', '*.json')).each do |measure_file|
|
17
|
-
measure = File.read(measure_file)
|
18
|
-
json = JSON.parse(measure)
|
19
|
-
end
|
20
|
-
end
|
21
|
-
end
|