quality-measure-engine 2.0.0 → 2.1.0

data/.travis.yml

@@ -1,7 +1,7 @@
 language: ruby
 rvm:
   - 1.9.3
-script: bundle exec rake spec
+script: bundle exec rake test
 services:
   - mongodb
 notifications:

data/Gemfile

@@ -4,4 +4,6 @@ source 'https://rubygems.org'
 gemspec
 
 gem 'pry'
-gem 'pry-nav'
+gem 'pry-nav'
+gem 'pry-rescue'
+gem 'pry-stack_explorer'

data/Gemfile.lock

@@ -1,10 +1,12 @@
 PATH
   remote: .
   specs:
-    quality-measure-engine (2.0.0)
+    quality-measure-engine (2.1.0)
       delayed_job_mongoid (~> 2.0.0)
       mongoid (~> 3.0.9)
       moped (~> 1.2.7)
+      nokogiri (~> 1.5.5)
+      rubyXL (~> 1.2.10)
       rubyzip (~> 0.9.9)
 
 GEM
@@ -38,6 +40,7 @@ GEM
       i18n (~> 0.6)
       multi_json (~> 1.0)
     arel (3.0.2)
+    binding_of_caller (0.6.8)
     builder (3.0.4)
     coderay (1.0.8)
     delayed_job (3.0.3)
@@ -48,6 +51,7 @@ GEM
     erubis (2.7.0)
     hike (1.2.1)
     i18n (0.6.1)
+    interception (0.3)
     journey (1.0.4)
     json (1.7.5)
     mail (2.4.4)
@@ -64,7 +68,8 @@ GEM
       tzinfo (~> 0.3.22)
     moped (1.2.7)
     multi_json (1.3.6)
-    origin (1.0.9)
+    nokogiri (1.5.5)
+    origin (1.0.10)
     polyglot (0.3.3)
     pry (0.9.10)
       coderay (~> 1.0.5)
@@ -72,6 +77,11 @@ GEM
       slop (~> 3.3.1)
     pry-nav (0.2.2)
       pry (~> 0.9.10)
+    pry-rescue (0.12)
+      interception (>= 0.3)
+      pry
+    pry-stack_explorer (0.4.7)
+      binding_of_caller (~> 0.6.8)
     rack (1.4.1)
     rack-cache (1.2)
       rack (>= 0.4)
@@ -97,6 +107,7 @@ GEM
     rake (0.9.2.2)
     rdoc (3.12)
       json (~> 1.4)
+    rubyXL (1.2.10)
     rubyzip (0.9.9)
     simplecov (0.7.1)
       multi_json (~> 1.0)
@@ -121,6 +132,8 @@ DEPENDENCIES
   minitest (~> 4.1.0)
   pry
   pry-nav
+  pry-rescue
+  pry-stack_explorer
   quality-measure-engine!
   rails (~> 3.2.8)
   simplecov (~> 0.7.1)

data/lib/qme/bundle/bundle.rb

@@ -30,5 +30,19 @@ module QME
     def self.entry_key(original, extension)
       original.split('/').last.gsub(".#{extension}", '')
     end
+    
+    def self.unpack_bundle_contents(zip)
+      bundle_contents = { bundle: nil, measures: {}, patients: {}, extensions: {}, results: {} }
+      Zip::ZipFile.open(zip.path) do |zipfile|
+        zipfile.entries.each do |entry|
+          bundle_contents[:bundle] = zipfile.read(entry.name) if entry.name.include? "bundle"
+          bundle_contents[:measures][Bundle.entry_key(entry.name, "json")] = zipfile.read(entry.name) if entry.name.match /^measures.*\.json$/
+          bundle_contents[:patients][Bundle.entry_key(entry.name, "json")] = zipfile.read(entry.name) if entry.name.match /^patients.*\.json$/ # Only need to import one of the formats
+          bundle_contents[:extensions][Bundle.entry_key(entry.name,"js")] = zipfile.read(entry.name) if entry.name.match /^library_functions.*\.js/
+          bundle_contents[:results][Bundle.entry_key(entry.name,"json")] = zipfile.read(entry.name) if entry.name.match /^results.*\.json/
+        end
+      end
+      bundle_contents
+    end
   end
 end

data/lib/qme/bundle/eh_measure_sheet.rb

@@ -0,0 +1,114 @@
+module QME
+  module Bundle
+    class EHMeasureSheet
+      attr_reader :query_cache_document, :patient_cache_documents,
+                  :patient_updates
+
+      def initialize(db, sheet, effective_date=nil)
+        @db = db
+        @sheet = sheet
+        @effective_date = effective_date
+        @patient_cache_documents = []
+        @patient_updates = []
+      end
+
+      def parse
+        qc_document = {}
+        measure_info = extract_measure_info
+        qc_document['population_ids'] = measure_info
+        measure_doc = @db['measures'].where('population_ids' => measure_info).first
+        measure_ids = measure_doc.slice('sub_id', 'nqf_id')
+        measure_ids['measure_id'] = measure_doc['hqmf_id']
+        qc_document.merge!(measure_ids)
+        extract_patients(measure_ids)
+
+        qc_document['population'] = extract_data_from_cell("C#{@population_totals_row}")
+        qc_document['considered'] = @population_totals_row - 3 # header row, blank row and totals row
+        if cv_measure?
+          qc_document['msrpopl'] = extract_data_from_cell("E#{@population_totals_row}")
+        else
+          qc_document['denominator'] = extract_data_from_cell("D#{@population_totals_row}")
+          qc_document['numerator'] = extract_data_from_cell("E#{@population_totals_row}")
+          qc_document['antinumerator'] = qc_document['denominator'] - qc_document['numerator']
+          qc_document['exclusions'] = extract_data_from_cell("F#{@population_totals_row}")
+          qc_document['denexcep'] = extract_data_from_cell("G#{@population_totals_row}")
+        end
+
+        qc_document['test_id'] = nil
+        qc_document['filters'] = nil
+        qc_document['execution_time'] = 0
+        qc_document['effective_date'] = @effective_date
+
+        @query_cache_document = qc_document
+      end
+
+      def extract_patients(measure_ids)
+        row = 2
+        medical_record_number = extract_data_from_cell("B#{row}")
+        while medical_record_number.present?
+          patient_document = extract_patient(row, medical_record_number.to_s)
+          patient_document.merge!(measure_ids)
+          @patient_cache_documents << {'value' => patient_document}
+          @patient_updates << {'medical_record_number' => medical_record_number.to_s,
+                               'measure_id' => measure_ids['measure_id']}
+          row = row + 1
+          medical_record_number = extract_data_from_cell("B#{row}")
+        end
+
+        @population_totals_row = row + 1
+      end
+
+      def extract_measure_info
+        measure_info = {}
+        measure_info['IPP'] = extract_data_from_cell('I5')
+        if cv_measure?
+          measure_info['MSRPOPL'] = extract_data_from_cell('I10')
+          measure_info['stratification'] = extract_data_from_cell('I11') if extract_data_from_cell('I11').present?
+        else
+          measure_info['DENOM'] = extract_data_from_cell('I6')
+          measure_info['NUMER'] = extract_data_from_cell('I7')
+          measure_info['DENEXCEP'] = extract_data_from_cell('I8') if extract_data_from_cell('I8').present?
+          measure_info['DENEX'] = extract_data_from_cell('I9') if extract_data_from_cell('I9').present?
+          measure_info['stratification'] = extract_data_from_cell('I11') if extract_data_from_cell('I11').present?
+        end
+
+        measure_info
+      end
+
+      def extract_patient(row, medical_record_number)
+        record = @db['records'].where('medical_record_number' => medical_record_number).first
+        patient_document = record.slice('first', 'last', 'gender', 'birthdate', 'race',
+                                              'ethnicity', 'languages')
+        patient_document['medical_record_id'] = medical_record_number
+        patient_document['patient_id'] = record['_id'].to_s
+        patient_document['population'] = extract_data_from_cell("C#{row}") || 0
+        if cv_measure?
+          patient_document['values'] = [extract_data_from_cell("E#{row}")]
+        else
+          patient_document['denominator'] = extract_data_from_cell("D#{row}") || 0
+          patient_document['numerator'] = extract_data_from_cell("E#{row}") || 0
+          patient_document['exclusions'] = extract_data_from_cell("F#{row}") || 0
+          patient_document['denexcep'] = extract_data_from_cell("G#{row}") || 0
+          patient_document['antinumerator'] = patient_document['denominator'] - patient_document['numerator']
+
+        end
+        patient_document['test_id'] = nil
+        patient_document['effective_date'] = @effective_date
+
+        patient_document
+      end
+
+      def cv_measure?
+        extract_data_from_cell('E1').eql?('MSRPOPL')
+      end
+
+      private
+
+      def extract_data_from_cell(cell_name)
+        row, column = RubyXL::Parser.convert_to_index(cell_name)
+        @sheet.sheet_data[row][column].try(:value)
+      end
+    end
+
+  end
+end

data/lib/qme/bundle/eh_patient_importer.rb

@@ -0,0 +1,21 @@
+module QME
+  module Bundle
+    class EHPatientImporter
+      def self.load(db, spreadsheet, effective_date=nil)
+        spreadsheet.worksheets.each do |worksheet|
+          ms = EHMeasureSheet.new(db, worksheet, effective_date)
+          ms.parse
+          qc_document = ms.query_cache_document
+          db['query_cache'].insert(qc_document)
+          ms.patient_cache_documents.each do |pcd|
+            db['patient_cache'].insert(pcd)
+          end
+          ms.patient_updates.each do |patient_update|
+            db['records'].find('medical_record_number' => patient_update['medical_record_number']).update(
+                               '$push' => {'measure_ids' => patient_update['measure_id']})
+          end
+        end
+      end
+    end
+  end
+end

data/lib/qme/bundle/importer.rb

@@ -18,16 +18,7 @@ module QME
         Bundle.drop_collections(@db) if delete_existing
         
         # Unpack content from the bundle.
-        bundle_contents = { bundle: nil, measures: {}, patients: {}, extensions: {}, results: {} }
-        Zip::ZipFile.open(zip.path) do |zipfile|
-          zipfile.entries.each do |entry|
-            bundle_contents[:bundle] = zipfile.read(entry.name) if entry.name.include? "bundle"
-            bundle_contents[:measures][Bundle.entry_key(entry.name, "json")] = zipfile.read(entry.name) if entry.name.match /^measures.*\.json$/
-            bundle_contents[:patients][Bundle.entry_key(entry.name, "json")] = zipfile.read(entry.name) if entry.name.match /^patients.*\.json$/ # Only need to import one of the formats
-            bundle_contents[:extensions][Bundle.entry_key(entry.name,"js")] = zipfile.read(entry.name) if entry.name.match /^library_functions/
-            bundle_contents[:results][Bundle.entry_key(entry.name,"json")] = zipfile.read(entry.name) if entry.name.match /^results/
-          end
-        end
+        bundle_contents = QME::Bundle.unpack_bundle_contents(zip)
 
         # Store all JS libraries.
         bundle_contents[:extensions].each do |key, contents|
@@ -63,6 +54,8 @@ module QME
           contents = JSON.parse(contents, {:max_nesting => 100})
           contents.each {|document| @db[collection].insert(document)}
         end
+        
+        bundle_contents
       end
     end
   end

data/lib/qme/tasks/bundle.rake

@@ -4,11 +4,90 @@ db_name = ENV['DB_NAME'] || 'test'
 
 namespace :bundle do
   desc 'Import a quality bundle into the database.'
-  task :import, :bundle_path, :delete_existing, :needs => :environment do |task, args|
+  task :import, [:bundle_path, :delete_existing] => [:environment] do |task, args|
     raise "The path to the measures zip file must be specified" unless args.bundle_path
 
     bundle = File.open(args.bundle_path)    
     importer = QME::Bundle::Importer.new(db_name)
-    importer.import(bundle, args.delete_existing)
+    bundle_contents = importer.import(bundle, args.delete_existing == "true")
+    
+    puts "Successfully imported bundle at: #{args.bundle_path}"
+    puts "\t Imported into environment: #{Rails.env.upcase}" if defined? Rails 
+    puts "\t Measures Loaded: #{bundle_contents[:measures].count}"
+    puts "\t Test Patients Loaded: #{bundle_contents[:patients].count}"
+    puts "\t Extensions Loaded: #{bundle_contents[:extensions].count}"
+    
   end
-end
+  
+  # this task is most likely temporary.  Once Bonnie can handle both EP and EH measures together, this would no longer be required.
+  desc 'Merge two bundles into one.'
+  task :merge, [:bundle_one,:bundle_two] do |t, args|
+    raise "Two bundle zip file paths to be merged must be specified" unless args.bundle_one && args.bundle_two
+    
+    tmpdir = Dir.mktmpdir
+    ['measures','patients','library_functions','results', 'sources'].each do |dir|
+      
+      FileUtils.mkdir_p(File.join(tmpdir, 'output', dir))
+      
+    end
+      
+    begin
+      
+      ({'one'=>args.bundle_one,'two'=>args.bundle_two}).each do |key, source|
+        Zip::ZipFile.open(source) do |zip_file|
+          zip_file.each do |f|
+            f_path=File.join(tmpdir, key, f.name)
+            FileUtils.mkdir_p(File.dirname(f_path))
+            zip_file.extract(f, f_path) unless File.exist?(f_path)
+          end
+        end
+      end
+      
+      
+      ['measures','patients','library_functions', 'sources'].each do |dir|
+        ['one','two'].each do |key|
+          FileUtils.mv(Dir.glob(File.join(tmpdir,key,dir,'*')), File.join(tmpdir,'output',dir))
+        end
+      end
+      
+      Dir.glob(File.join(tmpdir,'one','results','*.json')).each do |result_path_one|
+        json_one = JSON.parse(File.new(result_path_one).read)
+        result_filename = Pathname.new(result_path_one).basename.to_s
+        json_two = JSON.parse(File.new(File.join(tmpdir,'two','results',result_filename)).read)
+        File.open(File.join(tmpdir,'output','results',result_filename), 'w') {|f| f.write(JSON.pretty_generate(json_one + json_two)) }
+      end
+      
+      json_one = JSON.parse(File.new(File.join(tmpdir,'one','bundle.json')).read)
+      json_two = JSON.parse(File.new(File.join(tmpdir,'two','bundle.json')).read)
+      json_out = {}
+
+      ['title','effective_date','version','license','exported'].each do |key|
+        json_out[key] = json_one[key]
+      end
+
+      ['measures','patients','extensions'].each do |key|
+        json_out[key] = (json_one[key] + json_two[key]).uniq
+      end
+
+      File.open(File.join(tmpdir,'output','bundle.json'), 'w') {|f| f.write(JSON.pretty_generate(json_out)) }
+      date_string = Time.now.strftime("%Y-%m-%d")
+
+      out_zip = File.join('tmp','bundles',"bundle-merged-#{date_string}.zip")
+      FileUtils.remove_entry_secure out_zip if File.exists?(out_zip)
+      Zip::ZipFile.open(out_zip, 'w') do |zipfile|
+        path = File.join(tmpdir,'output')
+        Dir[File.join(path,'**','**')].each do |file|
+          zipfile.add(file.sub(path+'/',''),file)
+        end
+      end
+      
+      puts "wrote merged bundle to: #{out_zip}"
+
+    ensure
+      FileUtils.remove_entry_secure tmpdir
+    end
+    
+  
+  end
+  
+end

data/lib/qme/version.rb

@@ -1,3 +1,3 @@
 module QME
-  VERSION = "2.0.0"
+  VERSION = "2.1.0"
 end

data/lib/quality-measure-engine.rb

@@ -3,6 +3,7 @@ require "bundler/setup"
 require 'moped'
 require 'delayed_job_mongoid'
 require 'zip/zip'
+require 'rubyXL'
 
 require "qme/version"
 require 'qme/database_access'
@@ -14,6 +15,8 @@ require 'qme/map/measure_calculation_job'
 
 require 'qme/quality_report'
 
+require 'qme/bundle/eh_measure_sheet'
+require 'qme/bundle/eh_patient_importer'
 require 'qme/bundle/bundle'
 require 'qme/bundle/importer'
 

data/quality-measure-engine.gemspec

@@ -21,6 +21,8 @@ Gem::Specification.new do |gem|
   gem.add_dependency 'mongoid', '~> 3.0.9'
   gem.add_dependency 'rubyzip', '~> 0.9.9'
   gem.add_dependency 'delayed_job_mongoid', '~> 2.0.0'
+  gem.add_dependency 'nokogiri', '~> 1.5.5'
+  gem.add_dependency 'rubyXL', '~> 1.2.10'
 
   gem.add_development_dependency "minitest", "~> 4.1.0"
   gem.add_development_dependency "simplecov", "~> 0.7.1"

data/test/fixtures/delayed_backend_mongoid_jobs/queued_job.json

@@ -1,9 +1,6 @@
 {
-    _id: "508aeff07042f9f88900000d",
-    priority: 0,
-    attempts: 0,
-    handler: "--- !ruby/object:QME::MapReduce::MeasureCalculationJob\ntest_id: \nmeasure_id: test2\nsub_id: b\neffective_date: 1284854400\nfilters: \n",
-    run_at: ISODate("2012-10-26T20:17:52+00:00"),
-    updated_at: ISODate("2012-10-26T20:17:52+00:00"),
-    created_at: ISODate("2012-10-26T20:17:52+00:00")
+    "_id": "508aeff07042f9f88900000d",
+    "priority": 0,
+    "attempts": 0,
+    "handler": "--- !ruby/object:QME::MapReduce::MeasureCalculationJob\ntest_id: \nmeasure_id: test2\nsub_id: b\neffective_date: 1284854400\nfilters: \n"
 }

data/test/fixtures/measures/0142.json

@@ -0,0 +1,19 @@
+{
+  "id": "8A4D92B2-3887-5DF3-0139-0D01C6626E46",
+  "nqf_id": "0142",
+  "hqmf_id": "8A4D92B2-3887-5DF3-0139-0D01C6626E46",
+  "hqmf_set_id": "BB481284-30DD-4383-928C-82385BBF1B17",
+  "hqmf_version_number": 1,
+  "endorser": null,
+  "name": "Aspirin Prescribed at Discharge",
+  "description": "Acute myocardial infarction (AMI) patients who are prescribed aspirin at hospital discharge",
+  "type": "eh",
+  "category": "Miscellaneous",
+  "steward": null,
+  "population_ids": {
+    "IPP": "EDD90083-3417-4221-B3B9-52C4E5FAFAF4",
+    "DENOM": "193A17EC-66B4-4C44-9302-192556C78454",
+    "NUMER": "C224FC7D-B0C3-4A7F-BB9C-4480C3095F9F",
+    "DENEX": "FCE06869-6ADE-4A43-9A28-098D808A55BD"
+  }
+}

data/test/fixtures/measures/0495a.json

@@ -0,0 +1,23 @@
+{
+  "id": "8A4D92B2-3887-5DF3-0139-0C4E41594C98",
+  "nqf_id": "0495",
+  "hqmf_id": "8A4D92B2-3887-5DF3-0139-0C4E41594C98",
+  "hqmf_set_id": "9A033274-3D9B-11E1-8634-00237D5BF174",
+  "hqmf_version_number": 1,
+  "endorser": null,
+  "name": "Median Time from ED Arrival to ED Departure for Admitted ED Patients",
+  "description": "Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department.",
+  "type": "eh",
+  "category": "Miscellaneous",
+  "steward": null,
+  "denominator": null,
+  "numerator": null,
+  "exclusions": null,
+  "sub_id": "a",
+  "subtitle": "Population 1",
+  "short_subtitle": "Population 1",
+  "population_ids": {
+    "IPP": "FA8BE62B-09FB-4B01-8CA8-E3CF1F9A16F6",
+    "MSRPOPL": "F3441A34-7FEA-4DAB-9907-A19885CFF92F"
+  }
+}

data/test/fixtures/measures/0495b.json

@@ -0,0 +1,24 @@
+{
+  "id": "8A4D92B2-3887-5DF3-0139-0C4E41594C98",
+  "nqf_id": "0495",
+  "hqmf_id": "8A4D92B2-3887-5DF3-0139-0C4E41594C98",
+  "hqmf_set_id": "9A033274-3D9B-11E1-8634-00237D5BF174",
+  "hqmf_version_number": 1,
+  "endorser": null,
+  "name": "Median Time from ED Arrival to ED Departure for Admitted ED Patients",
+  "description": "Median time from emergency department arrival to time of departure from the emergency room for patients admitted to the facility from the emergency department.",
+  "type": "eh",
+  "category": "Miscellaneous",
+  "steward": null,
+  "denominator": null,
+  "numerator": null,
+  "exclusions": null,
+  "sub_id": "b",
+  "subtitle": "Population 2",
+  "short_subtitle": "Population 2",
+  "population_ids": {
+    "IPP": "FA8BE62B-09FB-4B01-8CA8-E3CF1F9A16F6",
+    "MSRPOPL": "F3441A34-7FEA-4DAB-9907-A19885CFF92F",
+    "stratification": "1509C6DA-2465-4571-A6D4-AD634BE49BE6"
+  }
+}

data/test/fixtures/records/barry_berry.json

@@ -7,6 +7,7 @@
   "expired": true,
   "clinicalTrialParticipant": false,
   "birthdate": -223262033,
+  "medical_record_number" : "1234",
   "maritalStatus": {
     "code": "M",
     "codeSystem": "HL7"

data/test/fixtures/records/billy_jones_ipp.json

@@ -1,6 +1,7 @@
 {
     "_id": "507eb5977042f9362c000001",
     "birthdate": 1059723000,
+    "medical_record_number" : "1235",
     "conditions": [
         {
             "codes": {

data/test/fixtures/records/jill_jones_denominator.json

@@ -1,6 +1,7 @@
 {
     "_id": "507ec1407042f9362c000017",
     "birthdate": 946715400,
+    "medical_record_number" : "1236",
     "conditions": [
         {
             "codes": {

data/test/unit/qme/bundle/eh_measure_sheet_test.rb

@@ -0,0 +1,37 @@
+require 'test_helper'
+
+class EHMeasureSheetTest < MiniTest::Unit::TestCase
+  include QME::DatabaseAccess
+
+  def setup
+    collection_fixtures(get_db(), 'measures')
+    collection_fixtures(get_db(), 'records', '_id')
+    @workbook = RubyXL::Parser.parse(File.join('test', 'fixtures', 'eh_patient_sheets', 'results_matrix_eh.xlsx'))
+    sheet = @workbook.worksheets[0]
+    @ms = QME::Bundle::EHMeasureSheet.new(get_db(), sheet, 12345000)
+  end
+
+  def test_extract_measure_info
+    measure_info = @ms.extract_measure_info
+    assert_equal 'EDD90083-3417-4221-B3B9-52C4E5FAFAF4', measure_info['IPP']
+    assert_equal '193A17EC-66B4-4C44-9302-192556C78454', measure_info['DENOM']
+  end
+
+  def test_query_cache_document
+    @ms.parse
+    qcd = @ms.query_cache_document
+    assert_equal '0142', qcd['nqf_id']
+    assert_equal 4, qcd['population']
+    assert_equal 12345000, qcd['effective_date']
+  end
+
+  def test_patient_cache_documents
+    @ms.parse
+    pcd = @ms.patient_cache_documents.first
+    assert_equal 1, pcd['value']['population']
+    assert_equal 0, pcd['value']['numerator']
+    assert_equal 1, pcd['value']['antinumerator']
+    assert_equal '1234', pcd['value']['medical_record_id']
+    assert_equal 12345000, pcd['value']['effective_date']
+  end
+end

data/test/unit/qme/bundle/eh_patient_importer_test.rb

@@ -0,0 +1,20 @@
+require 'test_helper'
+
+class EHPatientImporterTest < MiniTest::Unit::TestCase
+  include QME::DatabaseAccess
+
+  def setup
+    get_db['query_cache'].drop()
+    get_db['patient_cache'].drop()
+    collection_fixtures(get_db(), 'measures')
+    collection_fixtures(get_db(), 'records', '_id')
+    @workbook = RubyXL::Parser.parse(File.join('test', 'fixtures', 'eh_patient_sheets', 'results_matrix_eh.xlsx'))    
+  end
+
+  def test_load
+    assert_equal 0, get_db['query_cache'].find().count
+    QME::Bundle::EHPatientImporter.load(get_db, @workbook)
+    assert_equal 3, get_db['query_cache'].find().count
+    assert_equal 12, get_db['patient_cache'].find().count
+  end
+end

data/test/unit/qme/quality_report_test.rb

@@ -42,6 +42,7 @@ class QualityReportTest < MiniTest::Unit::TestCase
         "effective_date" => Time.gm(2010, 9, 19).to_i 
       }
     )
+    collection_fixtures(get_db(), 'delayed_backend_mongoid_jobs', '_id')
   end
 
   def test_calculated

metadata

@@ -1,7 +1,7 @@
 --- !ruby/object:Gem::Specification
 name: quality-measure-engine
 version: !ruby/object:Gem::Version
-  version: 2.0.0
+  version: 2.1.0
   prerelease: 
 platform: ruby
 authors:
@@ -12,7 +12,7 @@ authors:
 autorequire: 
 bindir: bin
 cert_chain: []
-date: 2012-10-31 00:00:00.000000000 Z
+date: 2012-11-14 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: moped
@@ -78,6 +78,38 @@ dependencies:
     - - ~>
       - !ruby/object:Gem::Version
         version: 2.0.0
+- !ruby/object:Gem::Dependency
+  name: nokogiri
+  requirement: !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ~>
+      - !ruby/object:Gem::Version
+        version: 1.5.5
+  type: :runtime
+  prerelease: false
+  version_requirements: !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ~>
+      - !ruby/object:Gem::Version
+        version: 1.5.5
+- !ruby/object:Gem::Dependency
+  name: rubyXL
+  requirement: !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ~>
+      - !ruby/object:Gem::Version
+        version: 1.2.10
+  type: :runtime
+  prerelease: false
+  version_requirements: !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ~>
+      - !ruby/object:Gem::Version
+        version: 1.2.10
 - !ruby/object:Gem::Dependency
   name: minitest
   requirement: !ruby/object:Gem::Requirement
@@ -141,6 +173,8 @@ files:
 - README.md
 - Rakefile
 - lib/qme/bundle/bundle.rb
+- lib/qme/bundle/eh_measure_sheet.rb
+- lib/qme/bundle/eh_patient_importer.rb
 - lib/qme/bundle/importer.rb
 - lib/qme/database_access.rb
 - lib/qme/map/map_reduce_builder.rb
@@ -155,6 +189,10 @@ files:
 - quality-measure-engine.gemspec
 - test/fixtures/bundles/just_measure_0002.zip
 - test/fixtures/delayed_backend_mongoid_jobs/queued_job.json
+- test/fixtures/eh_patient_sheets/results_matrix_eh.xlsx
+- test/fixtures/measures/0142.json
+- test/fixtures/measures/0495a.json
+- test/fixtures/measures/0495b.json
 - test/fixtures/measures/measure_metadata.json
 - test/fixtures/records/barry_berry.json
 - test/fixtures/records/billy_jones_ipp.json
@@ -162,6 +200,8 @@ files:
 - test/fixtures/records/jill_jones_denominator.json
 - test/simplecov_setup.rb
 - test/test_helper.rb
+- test/unit/qme/bundle/eh_measure_sheet_test.rb
+- test/unit/qme/bundle/eh_patient_importer_test.rb
 - test/unit/qme/map/map_reduce_builder_test.rb
 - test/unit/qme/map/map_reduce_executor_test.rb
 - test/unit/qme/map/measure_calculation_job_test.rb
@@ -195,6 +235,10 @@ summary: This library can run JavaScript based clinical quality measures on a re
 test_files:
 - test/fixtures/bundles/just_measure_0002.zip
 - test/fixtures/delayed_backend_mongoid_jobs/queued_job.json
+- test/fixtures/eh_patient_sheets/results_matrix_eh.xlsx
+- test/fixtures/measures/0142.json
+- test/fixtures/measures/0495a.json
+- test/fixtures/measures/0495b.json
 - test/fixtures/measures/measure_metadata.json
 - test/fixtures/records/barry_berry.json
 - test/fixtures/records/billy_jones_ipp.json
@@ -202,6 +246,8 @@ test_files:
 - test/fixtures/records/jill_jones_denominator.json
 - test/simplecov_setup.rb
 - test/test_helper.rb
+- test/unit/qme/bundle/eh_measure_sheet_test.rb
+- test/unit/qme/bundle/eh_patient_importer_test.rb
 - test/unit/qme/map/map_reduce_builder_test.rb
 - test/unit/qme/map/map_reduce_executor_test.rb
 - test/unit/qme/map/measure_calculation_job_test.rb