quality-measure-engine 2.2.0 → 2.3.0

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Files changed (26) hide show
  1. data/Gemfile.lock +59 -55
  2. data/lib/qme/map/cv_aggregator.rb +40 -0
  3. data/lib/qme/map/map_reduce_executor.rb +35 -6
  4. data/lib/qme/version.rb +1 -1
  5. data/lib/quality-measure-engine.rb +2 -2
  6. data/quality-measure-engine.gemspec +3 -3
  7. data/test/fixtures/bundles/bundle.json +10 -0
  8. data/test/fixtures/bundles/measures_0003_0002.zip +0 -0
  9. data/test/fixtures/library_functions/hqmf_utils.js +5146 -0
  10. data/test/fixtures/library_functions/map_reduce_utils.js +45 -0
  11. data/test/fixtures/library_functions/underscore_min.js +32 -0
  12. data/test/fixtures/measures/0002.json +1415 -0
  13. data/test/fixtures/measures/0142.json +1 -0
  14. data/test/fixtures/measures/0495a.json +1 -0
  15. data/test/fixtures/measures/0495b.json +1 -0
  16. data/test/fixtures/measures/measure_metadata.json +1 -0
  17. data/test/test_helper.rb +16 -0
  18. data/test/unit/qme/map/map_reduce_builder_test.rb +1 -0
  19. data/test/unit/qme/map/map_reduce_executor_test.rb +5 -2
  20. data/test/unit/qme/map/measure_calculation_job_test.rb +5 -3
  21. data/test/unit/qme/quality_measure_test.rb +6 -3
  22. data/test/unit/qme/quality_report_test.rb +2 -0
  23. metadata +20 -9
  24. data/lib/qme/bundle/bundle.rb +0 -51
  25. data/lib/qme/bundle/importer.rb +0 -63
  26. data/lib/qme/tasks/bundle.rake +0 -95
data/test/fixtures/library_functions/map_reduce_utils.js ADDED
@@ -0,0 +1,45 @@
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+ // Adds common utility functions to the root JS object. These are then
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+ // available for use by the map-reduce functions for each measure.
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+ // lib/qme/mongo_helpers.rb executes this function on a database
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+ // connection.
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+
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+ var root = this;
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+
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+ root.map = function(record, population, denominator, numerator, exclusion, denexcep) {
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+ var value = {IPP: 0, DENOM: 0, NUMER: 0, DENEXCEP: 0,
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+ DENEX: 0, antinumerator: 0, patient_id: record._id,
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+ medical_record_id: record.medical_record_number,
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+ first: record.first, last: record.last, gender: record.gender,
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+ birthdate: record.birthdate, test_id: record.test_id,
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+ provider_performances: record.provider_performances,
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+ race: record.race, ethnicity: record.ethnicity, languages: record.languages};
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+ var ipp = population()
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+ if (Specifics.validate(ipp)) {
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+ value.IPP = 1;
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+ if (Specifics.validate(denexcep(), ipp)) {
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+ value.DENEXCP = 1;
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+ } else {
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+ denom = denominator();
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+ if (Specifics.validate(denom, ipp)) {
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+ value.DENOM = 1;
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+ numer = numerator()
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+ if (Specifics.validate(numer, denom, ipp)) {
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+ value.NUMER = 1;
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+ } else {
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+ excl = exclusion()
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+ if (Specifics.validate(excl, denom, ipp)) {
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+ value.DENEX = 1;
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+ value.DENOM = 0;
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+ } else {
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+ value.antinumerator = 1;
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+ }
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+ }
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+ }
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+ }
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+ }
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+
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+
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+ if (typeof Logger != 'undefined') value['logger'] = Logger.logger
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+
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+ emit(ObjectId(), value);
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+ };
data/test/fixtures/library_functions/underscore_min.js ADDED
@@ -0,0 +1,32 @@
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+ // Underscore.js 1.3.3
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+ // (c) 2009-2012 Jeremy Ashkenas, DocumentCloud Inc.
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+ // Underscore is freely distributable under the MIT license.
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+ // Portions of Underscore are inspired or borrowed from Prototype,
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+ // Oliver Steele's Functional, and John Resig's Micro-Templating.
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+ // For all details and documentation:
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+ // http://documentcloud.github.com/underscore
8
+ (function(){function r(a,c,d){if(a===c)return 0!==a||1/a==1/c;if(null==a||null==c)return a===c;a._chain&&(a=a._wrapped);c._chain&&(c=c._wrapped);if(a.isEqual&&b.isFunction(a.isEqual))return a.isEqual(c);if(c.isEqual&&b.isFunction(c.isEqual))return c.isEqual(a);var e=l.call(a);if(e!=l.call(c))return!1;switch(e){case "[object String]":return a==""+c;case "[object Number]":return a!=+a?c!=+c:0==a?1/a==1/c:a==+c;case "[object Date]":case "[object Boolean]":return+a==+c;case "[object RegExp]":return a.source==
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10
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data/test/fixtures/measures/0002.json ADDED
@@ -0,0 +1,1415 @@
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+ {
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+
3
+ "id": "2E679CD2-3FEC-4A75-A75A-61403E5EFEE8",
4
+ "nqf_id": "0002",
5
+ "hqmf_id": "2E679CD2-3FEC-4A75-A75A-61403E5EFEE8",
6
+ "hqmf_set_id": "B5FEE67F-F5C4-4C73-9D58-1941F9729539",
7
+ "hqmf_version_number": 1,
8
+ "endorser": "",
9
+ "name": "Appropriate Testing for Children with Pharyngitis",
10
+ "description": "The percentage of children 2–18 years of age who were diagnosed with Pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.",
11
+ "category": "Miscellaneous",
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+ "steward": "",
13
+ "population": {
14
+ "conjunction": "and",
15
+ "items": [
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+ {
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+ "conjunction": "and",
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+ "items": [
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+ {
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+ "title": "birth date",
21
+ "description": "Patient Characteristic: birth date",
22
+ "standard_category": "individual_characteristic",
23
+ "qds_data_type": "individual_characteristic",
24
+ "code_list_id": "2.16.840.1.113883.3.560.100.4",
25
+ "property": "birthtime",
26
+ "type": "characteristic",
27
+ "definition": "patient_characteristic_birthdate",
28
+ "hard_status": false,
29
+ "negation": false,
30
+ "inline_code_list": {
31
+ "LOINC": [
32
+ "21112-8"
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+ ]
34
+ },
35
+ "temporal_references": [
36
+ {
37
+ "type": "SBS",
38
+ "reference": "MeasurePeriod",
39
+ "range": {
40
+ "type": "IVL_PQ",
41
+ "low": {
42
+ "type": "PQ",
43
+ "unit": "a",
44
+ "value": "2",
45
+ "inclusive?": true,
46
+ "derived?": false
47
+ }
48
+ },
49
+ "title": "MeasurePeriod"
50
+ }
51
+ ]
52
+ },
53
+ {
54
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624
+ "map_fn": "function() {\n var patient = this;\n var effective_date = <%= effective_date %>;\n\n hqmfjs = {}\n <%= init_js_frameworks %>\n \n \n var patient_api = new hQuery.Patient(patient);\n\n \n\n // clear out logger\n if (typeof Logger != 'undefined') Logger.logger = [];\n // turn on logging if it is enabled\n if (Logger.enabled) enableLogging();\n \n \n // #########################\n // ##### DATA ELEMENTS #####\n // #########################\n\n OidDictionary = {'2.16.840.1.113883.3.464.0001.231':{'CPT':['99201','99202','99203','99204','99205','99211','99212','99213','99214','99215','99217','99218','99219','99220','99241','99242','99243','99244','99245','99384','99385','99394','99395','99401','99402','99403','99404','99411','99412','99420','99429'],'ICD-9-CM':['V70.0','V70.3','V70.5','V70.6','V70.8','V70.9']},'2.16.840.1.113883.3.464.0001.250':{'CPT':['87070','87071','87081','87430','87650','87651','87652','87880'],'LOINC':['11268-0','17656-0','18481-2','31971-5','49610-9','5036-9','626-2','6556-5','6557-3','6558-1','6559-9'],'SNOMED-CT':['89634005.0','122121004.0','122205003.0','122245007.0','122303007.0']},'2.16.840.1.113883.3.464.0001.369':{'ICD-9-CM':['034.0','462.0','463.0'],'SNOMED-CT':['140004.0','652005.0','1532007.0','2091005.0','2365002.0','10351008.0','11461005.0','13177009.0','14465002.0','17741008.0','23166004.0','24078009.0','27878001.0','31309002.0','39271004.0','40766000.0','41582007.0','43878008.0','47841006.0','51209006.0','51476001.0','55355000.0','58031004.0','59221008.0','59471009.0','63866002.0','70020005.0','72430001.0','76651006.0','78430008.0','78911000.0','82228008.0','87326000.0','90176007.0','90979004.0','95885008.0','102453009.0','109362006.0','111277007.0','111816002.0','111816002.0','126664009.0','164260005.0','186659004.0','186675001.0','186963008.0','195655000.0','195655000.0','195656004.0','195657008.0','195658003.0','195659006.0','195660001.0','195662009.0','195662009.0','195663004.0','195666007.0','195667003.0','195668008.0','195669000.0','195670004.0','195671000.0','195672007.0','195673002.0','195676005.0','195677001.0','195707008.0','195779005.0','195780008.0','195782000.0','195798007.0','195803003.0','195804009.0','195924009.0','232399005.0','232400003.0','232401004.0','232402006.0','232403001.0','232404007.0','232405008.0','232405008.0','232406009.0','232417005.0','232420002.0','234528007.0','240444009.0','240547000.0','300932000.0','302911003.0','312422001.0','363746003.0','399095008.0','405737000.0','415724006.0','J02','J02.0','J02.8','J02.9','J03','J03.0','J03.00','J03.01','J03.8','J03.80','J03.81','J03.9','J03.90','J03.91']},'2.16.840.1.113883.3.464.0001.373':{'RxNorm':['197450','197451','200346','204871','250156','309054','309058','309076','309077','309078','309079','309085','309086','309087','309090','309091','309092','309093','351127','419849','476576','562619','645956','746671','847360']},'2.16.840.1.113883.3.464.0001.157':{'RxNorm':['105134.0','105152.0','199693.0','199694.0','199928.0','199997.0','239187.0','239191.0','240984.0','246282.0','250463.0','308177.0','308181.0','308182.0','308183.0','308188.0','308189.0','308191.0','308192.0','308194.0','308207.0','308208.0','308209.0','308210.0','308212.0','313797.0','313798.0','313799.0','313800.0','313801.0','313819.0','313850.0','346892.0','392151.0','392152.0','403945.0','476299.0','562255.0','562256.0','598025.0','746669.0','756252.0','789980.0','791939.0','791947.0','802550.0','846994.0','852904.0','308206']},'2.16.840.1.113883.3.464.0001.172':{'RxNorm':['562251.0','562253.0','562508.0','617293.0','617295.0','617296.0','617302.0','617304.0','617309.0','617316.0','617322.0','617423.0','617430.0','617975.0','617976.0','617981.0','617989.0','617993.0','617995.0','617996.0','645806.0']},'2.16.840.1.113883.3.560.100.4':{'LOINC':['21112-8']},'2.16.840.1.113883.3.464.0001.45':{'CPT':['99281','99282','99283','99284','99285']},'2.16.840.1.113883.3.464.0001.48':{'CPT':['99201','99202','99203','99204','99205','99211','99212','99213','99214','99215','99217','99218','99219','99220','99241','99242','99243','99244','99245','99384','99385','99394','99395','99401','99402','99403','99404','99411','99412','99420','99429']},'2.16.840.1.113883.3.464.0001.50':{'ICD-9-CM':['V70.0','V70.3','V70.5','V70.6','V70.8','V70.9']},'2.16.840.1.113883.3.464.0001.246':{'RxNorm':['105170.0','105171.0','197454.0','197455.0','197456.0','242794.0','250582.0','309046.0','309047.0','309048.0','309049.0','309051.0','309052.0','309053.0','309110.0','309111.0','309112.0','309113.0','309114.0','309115.0','309121.0','313889.0','313920.0','313929.0','347996.0','406696.0','476193.0','562062.0','562641.0','637173.0','645617.0','755615.0','755616.0','755617.0','796301.0','854220.0']},'2.16.840.1.113883.3.464.0001.247':{'RxNorm':['108449.0','141843.0','198332.0','198333.0','244967.0','562707.0']},'2.16.840.1.113883.3.464.0001.249':{'CPT':['87070','87071','87081','87430','87650','87651','87652','87880']},'2.16.840.1.113883.3.464.0001.251':{'LOINC':['11268-0','17656-0','18481-2','31971-5','49610-9','5036-9','626-2','6556-5','6557-3','6558-1','6559-9']},'2.16.840.1.113883.3.464.0001.252':{'SNOMED-CT':['89634005.0','122121004.0','122205003.0','122245007.0','122303007.0']},'2.16.840.1.113883.3.464.0001.302':{'RxNorm':['141970.0','197518.0','197519.0','205964.0','259233.0','284215.0','309329.0','309332.0','309333.0','309335.0','309336.0','309337.0','309338.0','309339.0','309340.0','358917.0','392275.0','477451.0','562266.0','745483.0','797274.0','853019.0','882548.0','885131.0','890921.0','900391.0','900424.0','900460.0']},'2.16.840.1.113883.3.464.0001.308':{'RxNorm':['204844.0','248656.0','251854.0','141962.0','141963.0','197516.0','197517.0','197650.0','206085.0','240741.0','259543.0','308459.0','308460.0','308461.0','309321.0','309322.0','310157.0','310160.0','310161.0','310162.0','310165.0','346618.0','359385.0','486912.0','486955.0','486960.0','487129.0','577162.0','577378.0','597193.0','597194.0','597298.0','597455.0','686350.0','686354.0','686355.0','686400.0','686405.0','686406.0','686418.0','686447.0','750151.0','751864.0','861416.0']},'2.16.840.1.113883.3.464.0001.341':{'RxNorm':['105078.0','204466.0','207390.0','207391.0','312260.0','312263.0','312266.0','312270.0','617857.0','617881.0','623677.0','623695.0','731538.0','731558.0','731560.0','731564.0','731567.0','731570.0','731572.0','731575.0','731590.0','745047.0','745051.0','745053.0','745276.0','745278.0','745280.0','745282.0','745284.0','745286.0','745292.0','745296.0','745300.0','745302.0','745303.0','745462.0','745464.0','745477.0','745479.0','745519.0','745560.0','745561.0','745585.0','824584.0','834040.0','834046.0','834061.0','834102.0','834179.0','834182.0','836306.0','863538.0']},'2.16.840.1.113883.3.464.0001.368':{'RxNorm':['197595.0','197596.0','309860.0','313945.0','406366.0']},'2.16.840.1.113883.3.464.0001.371':{'ICD-9-CM':['034.0','462.0','463.0']},'2.16.840.1.113883.3.464.0001.372':{'SNOMED-CT':['140004.0','652005.0','1532007.0','2091005.0','2365002.0','10351008.0','11461005.0','13177009.0','14465002.0','17741008.0','23166004.0','24078009.0','27878001.0','31309002.0','39271004.0','40766000.0','41582007.0','43878008.0','47841006.0','51209006.0','51476001.0','55355000.0','58031004.0','59221008.0','59471009.0','63866002.0','70020005.0','72430001.0','76651006.0','78430008.0','78911000.0','82228008.0','87326000.0','90176007.0','90979004.0','95885008.0','102453009.0','109362006.0','111277007.0','111816002.0','111816002.0','126664009.0','164260005.0','186659004.0','186675001.0','186963008.0','195655000.0','195655000.0','195656004.0','195657008.0','195658003.0','195659006.0','195660001.0','195662009.0','195662009.0','195663004.0','195666007.0','195667003.0','195668008.0','195669000.0','195670004.0','195671000.0','195672007.0','195673002.0','195676005.0','195677001.0','195707008.0','195779005.0','195780008.0','195782000.0','195798007.0','195803003.0','195804009.0','195924009.0','232399005.0','232400003.0','232401004.0','232402006.0','232403001.0','232404007.0','232405008.0','232405008.0','232406009.0','232417005.0','232420002.0','234528007.0','240444009.0','240547000.0','300932000.0','302911003.0','312422001.0','363746003.0','399095008.0','405737000.0','415724006.0','J02','J02.0','J02.8','J02.9','J03','J03.0','J03.00','J03.01','J03.8','J03.80','J03.81','J03.9','J03.90','J03.91']},'2.16.840.1.113883.3.464.0001.385':{'RxNorm':['197511.0','197512.0','198044.0','198048.0','198049.0','198050.0','199370.0','199886.0','240639.0','240640.0','250095.0','259311.0','309304.0','309308.0','309309.0','309310.0','310445.0','311296.0','311364.0','311787.0','313522.0','313523.0','314009.0','315065.0','351156.0','359383.0','403921.0','477391.0','597446.0','637560.0','644541.0','794769.0','877486.0']},'2.16.840.1.113883.3.464.0001.397':{'RxNorm':['105189','197449','197452','197453','197898','197899','204929','245239','309040','309041','309042','309043','309044','309045','309080','309081','309095','309096','309097','309098','309099','309100','309101','309103','311370','311371','313888','313926','349507','349508','387065','387066','476322','476325','476327','476623']},'2.16.840.1.113883.3.464.0001.406':{'RxNorm':['142118.0','198334.0','198335.0','313137.0','648254.0','686383.0','894883.0','198235','198420','246252','312340','313134','315219','413716','756189']},'2.16.840.1.113883.3.464.0001.408':{'RxNorm':['105220','105227','197633','197984','197985','198249','198250','198252','199026','199027','207362','207364','242807','242814','283535','310026','310027','310028','310029','310030','313251','313252','313253','313254','314108','317127','348869','348870','349114','349115','349116','351121','359465','403840','406524','434018','597520','597521','597808','629695','629697','629699','630819','630824','630827','643821','645613','645614','645619','647109','687231','700408','705861','728207','756134','756192','799048','858062','858065','858372','858375']},'2.16.840.1.113883.3.464.0001.409':{'RxNorm':['197450','197451','200346','204871','250156','309054','309058','309076','309077','309078','309079','309085','309086','309087','309090','309091','309092','309093','351127','419849','476576','562619','645956','746671','847360']}};\n // Measure variables\nvar MeasurePeriod = {\n \"low\": new TS(\"20100101\", null, true),\n \"high\": new TS(\"20110101\", null, true)\n}\nhqmfjs.MeasurePeriod = function(patient) {\n return [new hQuery.CodedEntry(\n {\n \"start_time\": MeasurePeriod.low.asDate().getTime()/1000,\n \"end_time\": MeasurePeriod.high.asDate().getTime()/1000,\n \"codes\": {}\n }\n )];\n}\nif (typeof effective_date === 'number') {\n MeasurePeriod.high.date = new Date(1000*effective_date);\n MeasurePeriod.low.date = new Date(1000*effective_date);\n MeasurePeriod.low.date.setFullYear(MeasurePeriod.low.date.getFullYear()-1);\n}\n\n// Data critera\nhqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_4 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"dispensed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_6 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"ordered\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationActivePharyngitisAntibiotics_precondition_8 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"active\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_1 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n events = SBS(events, hqmfjs.GROUP_SBS_CHILDREN_1(patient), new IVL_PQ(null, new PQ(3, \"d\", true)));\n return events;\n}\n\nhqmfjs.GROUP_SBS_CHILDREN_1 = function(patient) {\n var events = UNION(\n hqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_4(patient),\n hqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_6(patient),\n hqmfjs.MedicationActivePharyngitisAntibiotics_precondition_8(patient)\n );\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.LaboratoryTestPerformedGroupAStreptococcusTest_precondition_11 = function(patient) {\n var events = patient.laboratoryTests();\n events = events.withStatuses([\"performed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.250\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = SBE(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_1(patient), new IVL_PQ(null, new PQ(3, \"d\", true)));\n return events;\n}\n\nhqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_16 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"dispensed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_18 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"ordered\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationActivePharyngitisAntibiotics_precondition_20 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"active\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_13 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n events = SBS(events, hqmfjs.GROUP_SBS_CHILDREN_2(patient), new IVL_PQ(null, new PQ(3, \"d\", true)));\n return events;\n}\n\nhqmfjs.GROUP_SBS_CHILDREN_2 = function(patient) {\n var events = UNION(\n hqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_16(patient),\n hqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_18(patient),\n hqmfjs.MedicationActivePharyngitisAntibiotics_precondition_20(patient)\n );\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.LaboratoryTestPerformedGroupAStreptococcusTest_precondition_23 = function(patient) {\n var events = patient.laboratoryTests();\n events = events.withStatuses([\"performed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.250\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = SAE(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_13(patient), new IVL_PQ(null, new PQ(3, \"d\", true)));\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_26 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_28 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n return events;\n}\n\nhqmfjs.DiagnosisActivePharyngitis_precondition_29 = function(patient) {\n var events = patient.allProblems();\n events = events.withStatuses([\"active\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.369\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_28(patient));\n return events;\n}\n\nhqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_34 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"dispensed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_36 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"ordered\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.MedicationActivePharyngitisAntibiotics_precondition_38 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"active\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_31 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n events = SBS(events, hqmfjs.GROUP_SBS_CHILDREN_3(patient), new IVL_PQ(null, new PQ(3, \"d\", true)));\n return events;\n}\n\nhqmfjs.GROUP_SBS_CHILDREN_3 = function(patient) {\n var events = UNION(\n hqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_34(patient),\n hqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_36(patient),\n hqmfjs.MedicationActivePharyngitisAntibiotics_precondition_38(patient)\n );\n\n events.specificContext=Specifics.identity()\n return events;\n}\n\nhqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_49 = function(patient) {\n var events = patient.encounters();\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.231\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = DURING(events, hqmfjs.MeasurePeriod(patient));\n return events;\n}\n\nhqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_42 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"dispensed\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = SBS(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_49(patient), new IVL_PQ(null, new PQ(30, \"d\", true)));\n return events;\n}\n\nhqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_44 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"ordered\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = SBS(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_49(patient), new IVL_PQ(null, new PQ(30, \"d\", true)));\n return events;\n}\n\nhqmfjs.MedicationActivePharyngitisAntibiotics_precondition_46 = function(patient) {\n var events = patient.allMedications();\n events = events.withStatuses([\"active\"]);\n events = events.withoutNegation();\n var codes = getCodes(\"2.16.840.1.113883.3.464.0001.373\");\n var start = null;\n var end = null;\n events = events.match(codes, start, end, true);\n\n events = SBS(events, hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_49(patient), new IVL_PQ(null, new PQ(30, \"d\", true)));\n return events;\n}\n\nhqmfjs.PatientCharacteristicBirthDate_precondition_53 = function(patient) {\nvar value = patient.birthtime();\nvar events = [value];\nevents = SBS(events, hqmfjs.MeasurePeriod(patient), new IVL_PQ(new PQ(2, \"a\", true), null));\nevents.specificContext=Specifics.identity();\nreturn events;\n\n}\n\nhqmfjs.PatientCharacteristicBirthDate_precondition_55 = function(patient) {\nvar value = patient.birthtime();\nvar events = [value];\nevents = SBS(events, hqmfjs.MeasurePeriod(patient), new IVL_PQ(null, new PQ(17, \"a\", true)));\nevents.specificContext=Specifics.identity();\nreturn events;\n\n}\n\n\n\n // #########################\n // ##### MEASURE LOGIC #####\n // #########################\n \n hqmfjs.initializeSpecifics = function(patient_api, hqmfjs) { Specifics.initialize(patient_api,hqmfjs) }\n\n // INITIAL PATIENT POPULATION\n hqmfjs.IPP = function(patient) {\n return allTrue( \n allTrue( \n hqmfjs.PatientCharacteristicBirthDate_precondition_53(patient), \n hqmfjs.PatientCharacteristicBirthDate_precondition_55(patient)\n )\n );\n};\n\n\n // DENOMINATOR\n hqmfjs.DENOM = function(patient) {\n return allTrue( \n allTrue( \n hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_26(patient), \n hqmfjs.DiagnosisActivePharyngitis_precondition_29(patient), \n atLeastOneTrue( \n hqmfjs.EncounterEncounterAmbulatoryIncludingPediatrics_precondition_31(patient)\n ), \n atLeastOneFalse( \n atLeastOneTrue( \n hqmfjs.MedicationDispensedPharyngitisAntibiotics_precondition_42(patient), \n hqmfjs.MedicationOrderPharyngitisAntibiotics_precondition_44(patient), \n hqmfjs.MedicationActivePharyngitisAntibiotics_precondition_46(patient)\n )\n )\n )\n );\n};\n\n\n // NUMERATOR\n hqmfjs.NUMER = function(patient) {\n return allTrue( \n allTrue( \n hqmfjs.LaboratoryTestPerformedGroupAStreptococcusTest_precondition_11(patient), \n hqmfjs.LaboratoryTestPerformedGroupAStreptococcusTest_precondition_23(patient)\n )\n );\n};\n\n\n hqmfjs.EXCL = function(patient) { return new Boolean(false); }\n hqmfjs.DENEXCEP = function(patient) { return new Boolean(false); }\n \n\n hqmfjs.initializeSpecifics(patient_api, hqmfjs)\n \n var population = function() {\n return executeIfAvailable(hqmfjs.IPP, patient_api);\n }\n var denominator = function() {\n return executeIfAvailable(hqmfjs.DENOM, patient_api);\n }\n var numerator = function() {\n return executeIfAvailable(hqmfjs.NUMER, patient_api);\n }\n var exclusion = function() {\n return executeIfAvailable(hqmfjs.EXCL, patient_api);\n }\n var denexcep = function() {\n return executeIfAvailable(hqmfjs.DENEXCEP, patient_api);\n }\n \n var executeIfAvailable = function(optionalFunction, arg) {\n if (typeof(optionalFunction)==='function')\n return optionalFunction(arg);\n else\n return false;\n }\n\n if (Logger.enabled) enableMeasureLogging(hqmfjs);\n\n map(patient, population, denominator, numerator, exclusion, denexcep);\n \n };\n ",
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