Rework measure 0061 diabetes bp to use generated properties

fixtures/measures/0061_diabetes_bp/patients/denominator1.json

@@ -0,0 +1,11 @@
+{
+  "first": "Bert",                                          // personal data
+  "last": "Bloggs",
+  "gender": "M",
+  "birthdate": -290390400,                                  // Time.gm(1960, 10, 19).to_i
+  "measures": {                                             // bag of measures, one entry per measure
+    "0061": {
+      "medications_indicative_of_diabetes_medication_dispensed": 1277856000      // Time.gm(2010, 6, 30).to_i
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/denominator2.json

@@ -0,0 +1,12 @@
+{
+  "first": "Sarah",                             // personal data
+  "last": "Bloggs",
+  "gender": "F",
+  "birthdate": -290390400,                      // Time.gm(1960, 10, 19).to_i
+  "measures": {                                 // bag of measures, one entry per measure
+    "0061": {
+      "diabetes_diagnosis_active": 1277856000,         // Time.gm(2010, 6, 30).to_i
+      "encounter_acute_inpatient_or_ed_encounter": 1277856000   // Time.gm(2010, 6, 30).to_i
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/denominator3.json

@@ -0,0 +1,12 @@
+{
+  "first": "Paul",                                        // personal data
+  "last": "Hewson",
+  "gender": "M",
+  "birthdate": 340761600,                                 // Time.gm(1980, 10, 19).to_i
+  "measures": {                                           // bag of measures, one entry per measure
+    "0061": {
+      "diabetes_diagnosis_active": 1277856000,                   // Time.gm(2010, 6, 30).to_i
+      "encounter_non_acute_inpatient_outpatient_or_ophthalmology_encounter": [1275177600, 1277856000]   // Time.gm(2010, 5, 30).to_i and Time.gm(2010, 6, 30).to_i
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/denominator4.json

@@ -0,0 +1,32 @@
+{ // not in the numerator since bp result is normal
+  "first": "Curt",                              // personal data
+  "last": "Smith",
+  "gender": "M",
+  "birthdate": -290390400,                      // Time.gm(1960, 10, 19).to_i
+  "measures": {                                 // bag of measures, one entry per measure
+    "0061": {
+      "medications_indicative_of_diabetes_medication_dispensed": 1277856000, // Time.gm(2010, 6, 30).to_i
+      "encounter_non_acute_inpatient_outpatient_or_ophthalmology_encounter": [1275177600, 1277856000],   // Time.gm(2010, 5, 30).to_i and Time.gm(2010, 6, 30).to_i
+      "systolic_blood_pressure_physical_exam_finding": [
+        {
+          "date": 1277856000,        // Time.gm(2010, 6, 30).to_i
+          "value": 130
+        },
+        {
+          "date": 1277856000,        // Time.gm(2010, 6, 30).to_i
+          "value": 150
+        }
+      ],
+      "diastolic_blood_pressure_physical_exam_finding": [
+        {
+          "date": 1277856000,        // Time.gm(2010, 6, 30).to_i
+          "value": 85
+        },
+        {
+          "date": 1277856000,        // Time.gm(2010, 6, 30).to_i
+          "value": 100
+        }
+      ]
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/exclusion.json

@@ -0,0 +1,12 @@
+{
+  "first": "Sarah",                       // personal data
+  "last": "Evans",
+  "gender": "F",
+  "birthdate": -467337600,                // Time.gm(1955, 3, 12).to_i
+  "measures": {                           // bag of measures, one entry per measure
+    "0061": {
+      "medications_indicative_of_diabetes_medication_dispensed": 1277856000, // Time.gm(2010, 6, 30).to_i
+      "polycystic_ovaries_diagnosis_active": 1272585600    // Time.gm(2010, 4, 30).to_i
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/numerator1.json

@@ -0,0 +1,24 @@
+{
+  "first": "Suzanne",
+  "last": "Smith",
+  "gender": "F",
+  "birthdate": -290390400,                              // Time.gm(1960, 10, 19).to_i
+  "measures": {
+    "0061": {
+      "medications_indicative_of_diabetes_medication_dispensed": 1277856000, // Time.gm(2010, 6, 30).to_i
+      "encounter_non_acute_inpatient_outpatient_or_ophthalmology_encounter": [1275177600, 1277856000], // Time.gm(2010, 5, 30).to_i and Time.gm(2010, 6, 30).to_i
+      "systolic_blood_pressure_physical_exam_finding": [
+        {
+          "date": 1277856000,                           // Time.gm(2010, 6, 30).to_i
+          "value": 145
+        }
+      ],
+      "diastolic_blood_pressure_physical_exam_finding": [
+        {
+          "date": 1277856000,                           // Time.gm(2010, 6, 30).to_i
+          "value": 85
+        }
+      ]
+    }
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/numerator_eye2.json

@@ -0,0 +1,8 @@
+{
+  "first": "Lilian",                                   // personal data
+  "last": "Smith",
+  "gender": "F",
+  "birthdate": -290390400,                              // Time.gm(1960, 10, 19).to_i
+  "measures": {                                         // bag of measures, one entry per measure
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/population_all1.json

@@ -0,0 +1,8 @@
+{
+  "first": "Jennifer",        // personal data
+  "last": "Thompson",
+  "gender": "F",
+  "birthdate": -290390400,    // Time.gm(1960, 10, 19).to_i
+  "measures": {               // bag of measures, one entry per measure
+  }
+}

fixtures/measures/0061_diabetes_bp/patients/population_all2.json

@@ -0,0 +1,8 @@
+{
+  "first": "Emily",           // personal data
+  "last": "Jones",
+  "gender": "F",
+  "birthdate": -290390400,    // Time.gm(1960, 10, 19).to_i
+  "measures": {               // bag of measures, one entry per measure
+  }
+}

fixtures/measures/0061_diabetes_bp/result.json

@@ -0,0 +1,7 @@
+{
+  "id": "0061",
+  "initialPopulation": 9,
+  "numerator": 1,
+  "denominator": 5,
+  "exclusions": 1
+}

measure_props/NQF_Retooled_Measure_0061.xlsx.json.patch

@@ -0,0 +1,19 @@
+{
+  "N_364": {  
+    "standard_code_list": "163031004, 174255007, 23154005, 251073000, 271650006, 314451001, 314452008, 314453003, 314454009, 314455005, 314456006, 314457002, 314458007, 314459004, 314460009, 314461008, 314462001, 314465004, 315613000, 400975005, 407555005, 407557002, 42689008, 53813002",
+    "value": {
+      "type": "number",
+      "description": "diastolic blood pressure",
+      "date_description": "Date of diastolic blood pressure" 
+    }
+  },
+  "N_1279": {
+    "standard_code_list": "12929001, 163030003, 251070002, 251071003, 271649006, 314438006, 314439003, 314440001, 314441002, 314442009, 314443004, 314444005, 314445006, 314446007, 314447003, 314448008, 314449000, 314464000, 315612005, 399304008, 400974009, 407554009, 407556006, 72313002, 81010002",
+    "value": {
+      "type": "number",
+      "description": "systolic blood pressure",
+      "date_description": "Date of systolic blood pressure" 
+    }
+  }
+}
+

stage/diabetes/components/0061_NQF_Diabetes_Blood_Pressure_Management.js → measures/0061_diabetes_bp/0061_NQF_Diabetes_Blood_Pressure_Management.js

@@ -28,16 +28,12 @@ function () {
   // the denominator, and the exclusions are shared in the 'diabetes_utils.js' file
   // that is located in the /js directory of the project
   var numerator = function() {
-    var latest_encounter_acute_inpatient=null, latest_encounter_non_acute_inpatient=null, latest_encounter_outpatient=null, latest_encounter_outpatient_ophthamological_services=null;
-    if (measure.encounter_acute_inpatient)
-      latest_encounter_acute_inpatient = _.max(_.select(measure.encounter_acute_inpatient, function(when){return inRange(when, period_start, effective_date); }));
-    if (measure.encounter_non_acute_inpatient)
-      latest_encounter_non_acute_inpatient = _.max(_.select(measure.encounter_non_acute_inpatient, function(when){return inRange(when, period_start, effective_date); }));
-    if (measure.encounter_outpatient)
-      latest_encounter_outpatient = _.max(_.select(measure.encounter_outpatient, function(when){return inRange(when, period_start, effective_date); }));
-    if (measure.encounter_outpatient_ophthamological_services)
-      latest_encounter_outpatient_ophthamological_services = _.max(_.select(measure.encounter_outpatient_ophthamological_services, function(when){return inRange(when, period_start, effective_date); }));
-    latest_encounter = _.max([latest_encounter_acute_inpatient, latest_encounter_non_acute_inpatient, latest_encounter_outpatient, latest_encounter_outpatient_ophthamological_services]);
+    var latest_encounter_acute=null, latest_encounter_other=null;
+    if (measure.encounter_acute_inpatient_or_ed_encounter)
+      latest_encounter_acute = _.max(_.select(measure.encounter_acute_inpatient_or_ed_encounter, function(when){return inRange(when, period_start, effective_date); }));
+    if (measure.encounter_non_acute_inpatient_outpatient_or_ophthalmology_encounter)
+      latest_encounter_other = _.max(_.select(measure.encounter_non_acute_inpatient_outpatient_or_ophthalmology_encounter, function(when){return inRange(when, period_start, effective_date); }));
+    latest_encounter = _.max([latest_encounter_acute, latest_encounter_other]);
 
     if (latest_encounter==null)
       return false;
@@ -47,8 +43,8 @@ function () {
     start_latest_encounter = latest_encounter-day;
     end_latest_encounter = latest_encounter+day;
 
-    systolic_min = minValueInDateRange(measure.systolic_blood_pressure, start_latest_encounter, end_latest_encounter, 200);
-    diastolic_min = minValueInDateRange(measure.diastolic_blood_pressure, start_latest_encounter, end_latest_encounter, 200);
+    systolic_min = minValueInDateRange(measure.systolic_blood_pressure_physical_exam_finding, start_latest_encounter, end_latest_encounter, 200);
+    diastolic_min = minValueInDateRange(measure.diastolic_blood_pressure_physical_exam_finding, start_latest_encounter, end_latest_encounter, 200);
     return (systolic_min<140 && diastolic_min<90);
   }
 

measures/0061_diabetes_bp/0061_NQF_Diabetes_Blood_Pressure_Management.json

@@ -0,0 +1,136 @@
+{
+  "id": "0061",
+  "properties": "NQF_Retooled_Measure_0061.xlsx.json",
+  "name": "Diabetes Blood Pressure Management",
+  "description": "The percentage of patients 18–75 years of age with diabetes (type 1 or type 2) who had BP <140/90 mmHg.",
+  "category": "Diabetes",
+  "steward": "NCQA",
+  "parameters": {
+    "effective_date": {
+      "description": "Effective end date for measure",
+      "type": "number",
+      "format": "utc-sec" 
+    } 
+  },
+  "patient": {
+    "birthdate": {
+      "description": "Date of birth",
+      "critical": true,
+      "type": "number",
+      "format": "utc-sec",
+      "codes": [
+        {
+          "set": "HL7",
+          "version": "3.0",
+          "values": [
+            "00110"
+          ] 
+        } 
+      ] 
+    } 
+  },
+  "population": {
+    "category": "Patient Characteristic",
+    "title": "Age between 17 and 74" 
+  },
+  "denominator": {
+    "or": [
+      {
+        "category": "Medication",
+        "title": "Medication Indicative of Diabetes Within 2 years" 
+      },
+      {
+        "and": [
+          {
+            "category": "Diagnosis",
+            "title": "Diabetes Active Within 2 years" 
+          },
+          {
+            "or": [
+              {
+                "category": "Encounter",
+                "title": "Acute Inpatient or ED" 
+              },
+              {
+                "category": "Encounter",
+                "title": "Non‐Acute Inpatient, Outpatient, or Ophthalmology" 
+              } 
+            ] 
+          } 
+        ] 
+      } 
+    ] 
+  },
+  "numerator": {
+    "and": [
+      {
+        "category": "Physical Exam Finding",
+        "title": "Minimum diastolic BP during most recent encounter < 90" 
+      },
+      {
+        "category": "Physical Exam Finding",
+        "title": "Minimum systolic BP during most recent encounter < 140" 
+      } 
+    ] 
+  },
+  "exclusions": {
+    "or": [
+      {
+        "and": [
+          {
+            "category": "Diagnosis",
+            "title": "Polycystic Ovaries" 
+          },
+          {
+            "and": [
+              {
+                "category": "Diagnosis",
+                "title": "Diabetes Not Active Within 2 years" 
+              },
+              {
+                "or": [
+                  {
+                    "category": "Encounter",
+                    "title": "No Acute Inpatient or ED" 
+                  },
+                  {
+                    "category": "Encounter",
+                    "title": "No Non‐Acute Inpatient, Outpatient, or Ophthalmology" 
+                  } 
+                ] 
+              } 
+            ] 
+          } 
+        ] 
+      },
+      {
+        "and": [
+          {
+            "category": "Diagnosis",
+            "title": "Gestational Diabetes or Steroid Induced Diabetes Within 2 years" 
+          },
+          {
+            "category": "Medication",
+            "title": "Medications Indicative of Diabetes Within 2 years" 
+          },
+          {
+            "category": "Diagnosis",
+            "title": "Diabetes Active within 2 years" 
+          },
+          {
+            "or": [
+              {
+                "category": "Encounter",
+                "title": "Acute Inpatient or ED Within 2 years" 
+              },
+              {
+                "category": "Encounter",
+                "title": "Non‐Acute Inpatient, Outpatient, or Opthalmology" 
+              } 
+            ] 
+          } 
+        ] 
+      } 
+    ] 
+  }
+}