quality-measure-engine 2.5.3 → 3.0.0.beta.1

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Files changed (27) hide show
  1. checksums.yaml +9 -9
  2. data/Gemfile.lock +4 -4
  3. data/lib/qme/database_access.rb +2 -22
  4. data/lib/qme/manual_exclusion.rb +18 -0
  5. data/lib/qme/map/map_reduce_builder.rb +10 -10
  6. data/lib/qme/map/map_reduce_executor.rb +33 -33
  7. data/lib/qme/map/measure_calculation_job.rb +69 -15
  8. data/lib/qme/patient_cache.rb +31 -0
  9. data/lib/qme/quality_measure.rb +11 -55
  10. data/lib/qme/quality_report.rb +98 -74
  11. data/lib/qme/version.rb +1 -1
  12. data/lib/quality-measure-engine.rb +2 -3
  13. data/test/fixtures/library_functions/map_reduce_utils.js +6 -0
  14. data/test/fixtures/measures/0002.json +1 -1
  15. data/test/fixtures/measures/measure_metadata.json +1 -0
  16. data/test/mongoid.yml +6 -0
  17. data/test/test_helper.rb +3 -7
  18. data/test/unit/qme/map/map_reduce_builder_test.rb +2 -2
  19. data/test/unit/qme/map/map_reduce_executor_test.rb +27 -38
  20. data/test/unit/qme/map/measure_calculation_job_test.rb +2 -2
  21. data/test/unit/qme/quality_measure_test.rb +3 -39
  22. data/test/unit/qme/quality_report_test.rb +12 -9
  23. metadata +9 -11
  24. data/lib/qme/bundle/eh_measure_sheet.rb +0 -117
  25. data/lib/qme/bundle/eh_patient_importer.rb +0 -25
  26. data/test/unit/qme/bundle/eh_measure_sheet_test.rb +0 -37
  27. data/test/unit/qme/bundle/eh_patient_importer_test.rb +0 -20
data/lib/qme/quality_report.rb CHANGED
@@ -1,12 +1,41 @@
1
1
  module QME
2
2
 
3
+ class QualityReportResult
4
+ include Mongoid::Document
5
+ include Mongoid::Timestamps
6
+
7
+ field :population_ids, type: Hash
8
+ field :IPP, type: Integer
9
+ field :DENOM, type: Integer
10
+ field :NUMER, type: Integer
11
+ field :antinumerator, type: Integer
12
+ field :DENEX, type: Integer
13
+ field :DENEXCEP, type: Integer
14
+ field :MSRPOPL, type: Integer
15
+ field :OBSERV, type: Float
16
+ field :supplemental_data, type: Hash
17
+
18
+ embedded_in :quality_report, inverse_of: :result
19
+ end
3
20
  # A class that allows you to create and obtain the results of running a
4
21
  # quality measure against a set of patient records.
5
22
  class QualityReport
6
23
 
7
- include DatabaseAccess
8
- extend DatabaseAccess
9
- determine_connection_information
24
+ include Mongoid::Document
25
+ include Mongoid::Timestamps
26
+ store_in collection: 'query_cache'
27
+
28
+ field :nqf_id, type: String
29
+ field :npi, type: String
30
+ field :calculation_time, type: Time
31
+ field :status, type: Hash, default: {"state" => "unkown", "log" => []}
32
+ field :measure_id, type: String
33
+ field :sub_id, type: String
34
+ field :test_id
35
+ field :effective_date, type: Integer
36
+ field :filters, type: Hash
37
+ embeds_one :result, class_name: "QME::QualityReportResult", inverse_of: :quality_report
38
+
10
39
 
11
40
  POPULATION = 'IPP'
12
41
  DENOMINATOR = 'DENOM'
@@ -24,29 +53,21 @@ module QME
24
53
  POSTAL_CODE = 'POSTAL_CODE'
25
54
  PAYER = 'PAYER'
26
55
 
27
- # Gets rid of all calculated QualityReports by dropping the patient_cache
28
- # and query_cache collections
29
- def self.destroy_all
30
- determine_connection_information
31
- get_db()["query_cache"].drop
32
- get_db()["patient_cache"].drop
33
- end
56
+
34
57
 
35
58
  # Removes the cached results for the patient with the supplied id and
36
59
  # recalculates as necessary
37
60
  def self.update_patient_results(id)
38
- determine_connection_information()
39
-
40
61
  # TODO: need to wait for any outstanding calculations to complete and then prevent
41
62
  # any new ones from starting until we are done.
42
63
 
43
64
  # drop any cached measure result calculations for the modified patient
44
- get_db()["patient_cache"].find('value.medical_record_id' => id).remove_all()
65
+ QME::PatientCache.where('value.medical_record_id' => id).destroy()
45
66
 
46
67
  # get a list of cached measure results for a single patient
47
- sample_patient = get_db()['patient_cache'].find().first()
68
+ sample_patient = QME::PatientCache.where({}).first
48
69
  if sample_patient
49
- cached_results = get_db()['patient_cache'].find({'value.patient_id' => sample_patient['value']['patient_id']})
70
+ cached_results = QME::PatientCache.where({'value.patient_id' => sample_patient['value']['patient_id']})
50
71
 
51
72
  # for each cached result (a combination of measure_id, sub_id, effective_date and test_id)
52
73
  cached_results.each do |measure|
@@ -60,27 +81,25 @@ module QME
60
81
 
61
82
  # remove the query totals so they will be recalculated using the new results for
62
83
  # the modified patient
63
- get_db()["query_cache"].drop()
84
+ self.destroy_all
64
85
  end
65
86
 
66
- # Creates a new QualityReport
67
- # @param [String] measure_id value of the measure's id field
68
- # @param [String] sub_id value of the measure's sub_id field, may be nil
69
- # for measures with only a single numerator and denominator
70
- # @param [Hash] parameter_values slots in the measure definition that need to
71
- # be filled in and an optional test_id to identify a sub-population.
72
- def initialize(measure_id, sub_id, parameter_values)
73
- @measure_id = measure_id
74
- @sub_id = sub_id
87
+
88
+
89
+
90
+ def self.find_or_create(measure_id, sub_id, parameter_values)
75
91
  @parameter_values = parameter_values
76
- determine_connection_information
92
+ @parameter_values[:filters] = self.normalize_filters(@parameter_values[:filters])
93
+ query = {measure_id: measure_id, sub_id: sub_id}
94
+ query.merge! @parameter_values
95
+ self.find_or_create_by(query)
77
96
  end
78
97
 
79
98
  # Determines whether the quality report has been calculated for the given
80
99
  # measure and parameters
81
100
  # @return [true|false]
82
101
  def calculated?
83
- ! result().nil?
102
+ self.status["state"] == "completed"
84
103
  end
85
104
 
86
105
  # Determines whether the patient mapping for the quality report has been
@@ -89,15 +108,19 @@ module QME
89
108
  ! patient_result().nil?
90
109
  end
91
110
 
111
+
92
112
  # Kicks off a background job to calculate the measure
93
113
  # @return a unique id for the measure calculation job
94
- def calculate(asynchronous=true)
95
-
96
- options = {'measure_id' => @measure_id, 'sub_id' => @sub_id}
114
+ def calculate(parameters, asynchronous=true)
115
+
116
+ options = {'quality_report_id' => self.id}
117
+ options.merge! parameters || {}
97
118
 
98
- options.merge! @parameter_values
99
- options['filters'] = QME::QualityReport.normalize_filters(@parameter_values['filters'])
119
+ if self.status["state"] == "completed" && !options["recalculate"]
120
+ return self
121
+ end
100
122
 
123
+ self.status["state"] = "queued"
101
124
  if (asynchronous)
102
125
  job = Delayed::Job.enqueue(QME::MapReduce::MeasureCalculationJob.new(options))
103
126
  job._id
@@ -107,59 +130,60 @@ module QME
107
130
  end
108
131
  end
109
132
 
110
- # Returns the status of a measure calculation job
111
- # @param job_id the id of the job to check on
112
- # @return [Symbol] Will return the status: :complete, :queued, :running, :failed
113
- def status(job_id)
114
- job = Delayed::Job.where(_id: job_id).first
115
- if job.nil?
116
- # If we can't find the job, we assume that it is complete
117
- :complete
118
- else
119
- if job.locked_at.nil?
120
- :queued
121
- else
122
- if job.failed?
123
- :failed
124
- else
125
- :running
126
- end
127
- end
128
- end
133
+ def patient_results
134
+ ex = QME::MapReduce::Executor.new(self.measure_id,self.sub_id, self.attributes)
135
+ QME::PatientCache.where(patient_cache_matcher)
129
136
  end
130
-
131
- # Gets the result of running a quality measure
132
- # @return [Hash] measure groups (like numerator) as keys, counts as values or nil if
133
- # the measure has not yet been calculated
134
- def result
135
- cache = get_db()["query_cache"]
136
- query = {:measure_id => @measure_id, :sub_id => @sub_id,
137
- :effective_date => @parameter_values['effective_date'],
138
- :test_id => @parameter_values['test_id']}
139
- if @parameter_values['filters']
140
- query.merge!({filters: QME::QualityReport.normalize_filters(@parameter_values['filters'])})
141
- else
142
- query.merge!({filters: nil})
143
- end
144
-
145
- cache.find(query).first()
137
+
138
+ def measure
139
+ QME::QualityMeasure.where({"hqmf_id"=>self.measure_id, "sub_id" => self.sub_id}).first
146
140
  end
147
-
141
+
148
142
  # make sure all filter id arrays are sorted
149
143
  def self.normalize_filters(filters)
150
144
  filters.each {|key, value| value.sort_by! {|v| (v.is_a? Hash) ? "#{v}" : v} if value.is_a? Array} unless filters.nil?
151
145
  end
152
146
 
153
147
  def patient_result(patient_id = nil)
154
- cache = get_db()["patient_cache"]
155
- query = {'value.measure_id' => @measure_id, 'value.sub_id' => @sub_id,
156
- 'value.effective_date' => @parameter_values['effective_date'],
157
- 'value.test_id' => @parameter_values['test_id']}
148
+ query = patient_cache_matcher
158
149
  if patient_id
159
150
  query['value.medical_record_id'] = patient_id
160
151
  end
161
- cache.find(query).first()
152
+ QME::PatientCache.where(query).first()
162
153
  end
163
-
154
+
155
+
156
+ def patient_cache_matcher
157
+ match = {'value.measure_id' => self.measure_id,
158
+ 'value.sub_id' => self.sub_id,
159
+ 'value.effective_date' => self.effective_date,
160
+ 'value.test_id' => test_id,
161
+ 'value.manual_exclusion' => {'$in' => [nil, false]}}
162
+
163
+ if(filters)
164
+ if (filters['races'] && filters['races'].size > 0)
165
+ match['value.race.code'] = {'$in' => filters['races']}
166
+ end
167
+ if (filters['ethnicities'] && filters['ethnicities'].size > 0)
168
+ match['value.ethnicity.code'] = {'$in' => filters['ethnicities']}
169
+ end
170
+ if (filters['genders'] && filters['genders'].size > 0)
171
+ match['value.gender'] = {'$in' => filters['genders']}
172
+ end
173
+ if (filters['providers'] && filters['providers'].size > 0)
174
+
175
+ providers = filters['providers'].map { |pv| {'providers' => Moped::BSON::ObjectId(pv) } }
176
+ match['value.provider_performances.provider_id']= {'$in' => providers}
177
+ end
178
+ if (filters['languages'] && filters['languages'].size > 0)
179
+ match["value.languages"] = {'$in' => filters['languages']}
180
+ end
181
+ end
182
+ match
164
183
  end
184
+
185
+
186
+ end
187
+
188
+
165
189
  end
data/lib/qme/version.rb CHANGED
@@ -1,3 +1,3 @@
1
1
  module QME
2
- VERSION = "2.5.3"
2
+ VERSION = "3.0.0.beta.1"
3
3
  end
data/lib/quality-measure-engine.rb CHANGED
@@ -9,6 +9,8 @@ require "qme/version"
9
9
  require 'qme/database_access'
10
10
  require 'qme/quality_measure'
11
11
  require 'qme/quality_report'
12
+ require 'qme/patient_cache'
13
+ require 'qme/manual_exclusion'
12
14
 
13
15
  require 'qme/map/map_reduce_builder'
14
16
  require 'qme/map/map_reduce_executor'
@@ -17,8 +19,5 @@ require 'qme/map/cv_aggregator'
17
19
 
18
20
 
19
21
 
20
- require 'qme/bundle/eh_measure_sheet'
21
- require 'qme/bundle/eh_patient_importer'
22
-
23
22
 
24
23
  require 'qme/railtie' if defined?(Rails)
data/test/fixtures/library_functions/map_reduce_utils.js CHANGED
@@ -41,5 +41,11 @@ root.map = function(record, population, denominator, numerator, exclusion, denex
41
41
 
42
42
  if (typeof Logger != 'undefined') value['logger'] = Logger.logger
43
43
 
44
+ value.measure_id = hqmfjs.hqmf_id
45
+ value.sub_id = hqmfjs.sub_id
46
+ value.nqf_id = hqmfjs.nqf_id
47
+ value.test_id = hqmfjs.test_id
48
+ value.effective_date = hqmfjs.effective_date;
49
+
44
50
  emit(ObjectId(), value);
45
51
  };
data/test/fixtures/measures/0002.json CHANGED
@@ -621,7 +621,7 @@
621
621
  "conjunction": "and",
622
622
  "items": []
623
623
  },
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','56226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// 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 ",
624
+ "map_fn": "function() {\n var patient = this;\n var effective_date = <%= effective_date %>;\n\n hqmfjs = {}\n hqmfjs.hqmf_id = '2E679CD2-3FEC-4A75-A75A-61403E5EFEE8'; hqmfjs.sub_id = null; hqmfjs.nqf_id = '0002'; hqmfjs.test_id=null; hqmfjs.effective_date = effective_date;\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 = 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// 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 ",
625
625
  "measure": {
626
626
  "encounter_encounter_ambulatory_including_pediatrics": {
627
627
  "type": "array",
data/test/fixtures/measures/measure_metadata.json CHANGED
@@ -1,6 +1,7 @@
1
1
  {
2
2
 
3
3
  "id": "0043",
4
+ "nqf_id" : "0043",
4
5
  "name": "Pneumonia Vaccination Status for Older Adults",
5
6
  "description": "Patients more than 65 years old who received a pneumococcal vaccine.",
6
7
  "category": "Miscellaneous",
data/test/mongoid.yml ADDED
@@ -0,0 +1,6 @@
1
+ test:
2
+ sessions:
3
+ default:
4
+ database: test
5
+ hosts:
6
+ - localhost:27017
data/test/test_helper.rb CHANGED
@@ -3,17 +3,13 @@ require 'minitest/autorun'
3
3
  require 'quality-measure-engine'
4
4
  require 'test/unit'
5
5
  require 'turn'
6
-
7
- db_host = ENV['TEST_DB_HOST'] || 'localhost'
8
-
9
- Mongoid.configure do |config|
10
- config.sessions = { default: { hosts: [ "#{db_host}:27017" ], database: 'test' }}
11
- end
6
+ require 'pry-nav'
7
+ Mongoid.load!(File.join(File.dirname(__FILE__),"mongoid.yml"), :test)
12
8
 
13
9
  class MiniTest::Unit::TestCase
14
10
 
15
11
  def load_system_js
16
- Mongoid.default_session['system.js'].find.remove_all
12
+ Mongoid.default_session['system.js'].find.remove_all
17
13
  Dir.glob(File.join(File.dirname(__FILE__), 'fixtures', "library_functions", '*.js')).each do |json_fixture_file|
18
14
  name = File.basename(json_fixture_file,".*")
19
15
  fn = "function () {\n #{File.read(json_fixture_file)} \n }"
data/test/unit/qme/map/map_reduce_builder_test.rb CHANGED
@@ -4,8 +4,8 @@ class MapReduceBuilderTest < MiniTest::Unit::TestCase
4
4
  include QME::DatabaseAccess
5
5
 
6
6
  def setup
7
- raw_measure_json = File.read(File.join('test', 'fixtures', 'measures', 'measure_metadata.json'))
8
- @measure_json = JSON.parse(raw_measure_json)
7
+ collection_fixtures(get_db(), 'measures')
8
+ @measure_json = QME::QualityMeasure.where({"nqf_id" => '0043'}).first
9
9
  load_system_js
10
10
  end
11
11
 
data/test/unit/qme/map/map_reduce_executor_test.rb CHANGED
@@ -10,12 +10,15 @@ class MapReduceExecutorTest < MiniTest::Unit::TestCase
10
10
  collection_fixtures(get_db(), 'measures')
11
11
  collection_fixtures(get_db(), 'records', '_id')
12
12
  collection_fixtures(get_db(), 'bundles')
13
+ options = {'measure_id' => "2E679CD2-3FEC-4A75-A75A-61403E5EFEE8",
14
+ 'effective_date' => Time.gm(2011, 1, 15).to_i}
15
+ @quality_report =QME::QualityReport.find_or_create_by(options)
13
16
  load_system_js
14
17
  end
15
18
 
16
19
  def test_map_records_into_measure_groups
17
- executor = QME::MapReduce::Executor.new("2E679CD2-3FEC-4A75-A75A-61403E5EFEE8", nil,
18
- 'effective_date' => Time.gm(2011, 1, 15).to_i)
20
+ executor = QME::MapReduce::Executor.new(@quality_report.measure_id,@quality_report.sub_id, {
21
+ 'effective_date' => Time.gm(2011, 1, 15).to_i})
19
22
 
20
23
  executor.map_records_into_measure_groups
21
24
 
@@ -29,14 +32,14 @@ class MapReduceExecutorTest < MiniTest::Unit::TestCase
29
32
 
30
33
 
31
34
  def test_calculate_supplemental_data_elements
32
- executor = QME::MapReduce::Executor.new("2E679CD2-3FEC-4A75-A75A-61403E5EFEE8", nil,
33
- 'effective_date' => Time.gm(2011, 1, 15).to_i)
35
+ executor = QME::MapReduce::Executor.new(@quality_report.measure_id,@quality_report.sub_id, {
36
+ 'effective_date' => Time.gm(2011, 1, 15).to_i})
34
37
 
35
38
  executor.map_records_into_measure_groups
36
- executor.count_records_in_measure_groups
37
- assert_equal 1, get_db['query_cache'].find().count
38
- doc = get_db['query_cache'].find().first
39
- suppl = doc["supplemental_data"]
39
+ result = executor.count_records_in_measure_groups
40
+
41
+ suppl = result["supplemental_data"]
42
+
40
43
  assert !suppl.empty?, "should contain supplemental data entries"
41
44
  ipp = {QME::QualityReport::RACE =>{"UNK"=>2, "1002-5"=>1},
42
45
  QME::QualityReport::ETHNICITY => {"UNK"=>1, "2186-5"=>2},
@@ -66,46 +69,32 @@ class MapReduceExecutorTest < MiniTest::Unit::TestCase
66
69
  end
67
70
 
68
71
  def test_count_records_in_measure_groups
69
- executor = QME::MapReduce::Executor.new("2E679CD2-3FEC-4A75-A75A-61403E5EFEE8", nil,
70
- 'effective_date' => Time.gm(2011, 1, 15).to_i)
72
+ executor = QME::MapReduce::Executor.new(@quality_report.measure_id,@quality_report.sub_id, {
73
+ 'effective_date' => Time.gm(2011, 1, 15).to_i})
71
74
  executor.map_records_into_measure_groups
72
- executor.count_records_in_measure_groups
73
- assert_equal 1, get_db['query_cache'].find().count
74
- doc = get_db['query_cache'].find().first
75
- assert_equal 3, doc[QME::QualityReport::POPULATION]
76
- assert_equal 2, doc[QME::QualityReport::DENOMINATOR]
77
- assert_equal 1, doc[QME::QualityReport::NUMERATOR]
75
+ result = executor.count_records_in_measure_groups
76
+ assert_equal 3, result[QME::QualityReport::POPULATION]
77
+ assert_equal 2, result[QME::QualityReport::DENOMINATOR]
78
+ assert_equal 1, result[QME::QualityReport::NUMERATOR]
78
79
  end
79
80
 
80
81
  def test_map_record_into_measure_groups
81
- executor = QME::MapReduce::Executor.new("2E679CD2-3FEC-4A75-A75A-61403E5EFEE8", nil,
82
- 'effective_date' => Time.gm(2011, 1, 15).to_i)
82
+ executor = QME::MapReduce::Executor.new( @quality_report.measure_id,@quality_report.sub_id, {
83
+ 'effective_date' => Time.gm(2011, 1, 15).to_i})
83
84
  executor.map_record_into_measure_groups("12345")
84
85
 
85
- assert_equal 1, get_db['patient_cache'].find().count
86
- assert_equal 1, get_db['patient_cache'].find("value.#{QME::QualityReport::POPULATION}" => 1).count
87
- assert_equal 0, get_db['patient_cache'].find("value.#{QME::QualityReport::POPULATION}" => 0).count
88
- assert_equal 1, get_db['patient_cache'].find("value.#{QME::QualityReport::DENOMINATOR}" => 1).count
89
- assert_equal 1, get_db['patient_cache'].find("value.#{QME::QualityReport::NUMERATOR}" => 1).count
86
+ assert_equal 1, QME::PatientCache.count
87
+ assert_equal 1, QME::PatientCache.where("value.#{QME::QualityReport::POPULATION}" => 1).count
88
+ assert_equal 0, QME::PatientCache.where("value.#{QME::QualityReport::POPULATION}" => 0).count
89
+ assert_equal 1, QME::PatientCache.where("value.#{QME::QualityReport::DENOMINATOR}" => 1).count
90
+ assert_equal 1, QME::PatientCache.where("value.#{QME::QualityReport::NUMERATOR}" => 1).count
90
91
  end
91
92
 
92
93
  def test_get_patient_result
93
- executor = QME::MapReduce::Executor.new("2E679CD2-3FEC-4A75-A75A-61403E5EFEE8", nil,
94
- 'effective_date' => Time.gm(2011, 1, 15).to_i)
95
- result = executor.get_patient_result("12345")
96
- assert_equal 0, get_db['patient_cache'].find().count
97
- assert result[QME::QualityReport::NUMERATOR]
98
- end
99
-
100
- def test_get_patient_result_with_bundle_id
101
- measure_id = "2E679CD2-3FEC-4A75-A75A-61403E5EFEE8"
102
- bundle_id = get_db()['bundles'].find.first
103
- get_db()['measures'].find('id' => measure_id).update(:$set => {'bundle_id' => bundle_id})
104
- executor = QME::MapReduce::Executor.new(measure_id, nil,
105
- 'effective_date' => Time.gm(2011, 1, 15).to_i, 'bundle_id' => bundle_id)
94
+ executor = QME::MapReduce::Executor.new(@quality_report.measure_id,@quality_report.sub_id, {
95
+ 'effective_date' => Time.gm(2011, 1, 15).to_i})
106
96
  result = executor.get_patient_result("12345")
107
- assert_equal 0, get_db['patient_cache'].find().count
97
+ assert_equal 0, QME::PatientCache.count
108
98
  assert result[QME::QualityReport::NUMERATOR]
109
99
  end
110
-
111
100
  end
data/test/unit/qme/map/measure_calculation_job_test.rb CHANGED
@@ -17,8 +17,8 @@ class MapCalculationJobTest < MiniTest::Unit::TestCase
17
17
  def test_perform
18
18
  options = {'measure_id' => "2E679CD2-3FEC-4A75-A75A-61403E5EFEE8",
19
19
  'effective_date' => Time.gm(2011, 1, 15).to_i}
20
-
21
- job = Delayed::Job.enqueue(QME::MapReduce::MeasureCalculationJob.new(options))
20
+ qr = QME::QualityReport.find_or_create_by(options)
21
+ job = Delayed::Job.enqueue(QME::MapReduce::MeasureCalculationJob.new({'quality_report_id' => qr.id,"oid_dictionary"=>{}}))
22
22
  assert job
23
23
  end
24
24
  end