initial version of measure 0004

fixtures/measures/0004_aod_treatment/patients/denominator_adult.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Happy",          // personal data
+  "last": "Golucky",
+  "gender": "F",
+  "birthdate": 549504000,   // Time.gm(1987,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400]              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/denominator_youth.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Mindy",          // personal data
+  "last": "Chrysler",
+  "gender": "F",
+  "birthdate": 865123200,   // Time.gm(1997,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400]              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/numerator1_adult.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Milo",          // personal data
+  "last": "Jones",
+  "gender": "F",
+  "birthdate": 865123200,   // Time.gm(1997,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400],              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_outpatient_BH_encounter":[ 1256515200]              // Time.gm(2009,10,26).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/numerator1_youth.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Mindy",          // personal data
+  "last": "Chrysler",
+  "gender": "F",
+  "birthdate": 865123200,   // Time.gm(1997,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400],              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_outpatient_BH_encounter":[ 1256515200]              // Time.gm(2009,10,26).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/numerator2_adult.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Jose",          // personal data
+  "last": "Feliciano",
+  "gender": "M",
+  "birthdate": 549504000,   // Time.gm(1987,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //  Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400],              //  Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_outpatient_bh_encounter":[ 1256515200,1256517000] // Treatment Events: Time.gm(2009,10,26).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/numerator2_youth.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Juanita",          // personal data
+  "last": "Sombrero",
+  "gender": "F",
+  "birthdate": 865123200,   // Time.gm(1997,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period)
+   "alcohol_or_drug_dependence_diagnosis_active": [1255910400], //  Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1255910400],              //  Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_outpatient_bh_encounter":[ 1256515200,1256517000] // Treatment Events: Time.gm(2009,10,26).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/population_adult.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Fox",          // personal data
+  "last": "Trot",
+  "gender": "F",
+  "birthdate": 549504000,   // Time.gm(1987,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period), preceeded by diagnosis on 2009/9/1...this is within 60 days and prevents denominator
+   "alcohol_or_drug_dependence_diagnosis_active": [1251763200, 1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1251763200, 1255910400]              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/patients/population_youth.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Mindy",          // personal data
+  "last": "Chrysler",
+  "gender": "F",
+  "birthdate": 865123200,   // Time.gm(1997,6,1).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0004": {
+   // Diagnosis on 2009/10/19 (within measurement period), preceeded by diagnosis on 2009/9/1...this is within 60 days and prevents denominator
+   "alcohol_or_drug_dependence_diagnosis_active": [1251763200, 1255910400], //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+   "encounter_acute_inpt_encounter": [1251763200, 1255910400]              //Time.gm(2009,10,19).to_i and Time.gm(2009,9,1).to_i
+    }
+  }
+}

fixtures/measures/0004_aod_treatment/result.json

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+{
+  "results":[
+    {
+      "id": "0004",
+      "sub_id": "a",
+      "initialPopulation": 5,
+      "numerator": 1,
+      "denominator": 4,
+      "exclusions": 0
+    },
+    {
+      "id": "0004",
+      "sub_id": "b",
+      "initialPopulation": 5,
+      "numerator": 1,
+      "denominator": 4,
+      "exclusions": 0
+    },
+   {
+      "id": "0004",
+      "sub_id": "c",
+      "initialPopulation": 3,
+      "numerator": 1,
+      "denominator": 2,
+      "exclusions": 0
+    },
+   {
+      "id": "0004",
+      "sub_id": "d",
+      "initialPopulation": 3,
+      "numerator": 1,
+      "denominator": 2,
+      "exclusions": 0
+    },
+   {
+      "id": "0004",
+      "sub_id": "e",
+      "initialPopulation": 8,
+      "numerator": 2,
+      "denominator": 6,
+      "exclusions": 0
+    },
+   {
+      "id": "0004",
+      "sub_id": "f",
+      "initialPopulation": 8,
+      "numerator": 2,
+      "denominator": 6,
+      "exclusions": 0
+   }
+
+   ]
+}
+

js/aod_treatment.js

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+// Adds alcohol and drug treatment utility functions to the root JS object. 
+// Since measure 0004 has 3 populations with two numerators each, this allows code reuse.
+//
+// lib/qme/mongo_helpers.rb executes this function on a database
+// connection.
+(function () {
+  var root = this;
+
+  var day = 24 * 60 * 60;
+  var year = 365 * day;
+  var latest_birthdate;
+  var earliest_birthdate;
+  var earliest_encounter;
+  var earliest_diagnosis;
+  var latest_diagnosis;
+  var diagnoses_during_period;
+  var inpatient_encounters;
+  var encounters;
+  var diagnoses_during_encounters;
+  var rehab_and_detox_during_inpatient_encounters;
+
+  var first_alcohol_drug_event;
+  var first_alcohol_drug_treatment_event;
+
+
+  root.alcoholDrugFirstEvent = function(measure, effective_date){
+
+       earliest_encounter = effective_date - 1*year;
+        earliest_diagnosis = effective_date - 1*year;
+        latest_diagnosis = effective_date - 45*day;
+
+
+
+    diagnoses_during_period = selectWithinRange(measure.alcohol_or_drug_dependence_diagnosis_active,earliest_diagnosis,  latest_diagnosis);
+        inpatient_encounters = normalize(measure.encounter_acute_inpt_encounter,measure.encounter_non_acute_inpatient_encounter);
+        encounters = normalize( inpatient_encounters,
+                             measure.encounter_ed_encounter,
+                             measure.encounter_outpatient_bh_encounter);
+        diagnoses_during_encounters = allDiagnosesDuringEncounter(
+                            measure.alcohol_or_drug_dependence_diagnosis_active, 
+                            encounters, earliest_diagnosis, latest_diagnosis);
+        rehab_and_detox_during_inpatient_encounters = allEventsDuringEncounter( 
+                            measure.alcohol_drug_rehab_and_detox_interventions_procedure_performed, 
+                            inpatient_encounters, 
+                            earliest_diagnosis, latest_diagnosis);   
+
+        var first_diagnosis_during_encounter = _.min(diagnoses_during_encounters);
+        var first_rehab_and_detox_during_inpatient_encounter = _.min(rehab_and_detox_during_inpatient_encounters);
+
+        first_alcohol_drug_event = Math.min(first_diagnosis_during_encounter, first_rehab_and_detox_during_inpatient_encounter);
+
+    return(first_alcohol_drug_event);
+
+  };
+
+
+   root.alcohol_drug_denominator = function(measure) {
+        // first_alcohol_drug_event is defined in population
+        var begin_range = first_alcohol_drug_event - 60*day;
+        var previous_event = inRange(measure.alcohol_or_drug_dependence_diagnosis_active, begin_range, first_alcohol_drug_event-1);
+        return(previous_event == 0 );
+  };
+
+  root.alcohol_drug_numerator1 = function(measure) {
+          alcohol_drug_treatments = normalize(
+                 selectWithinRange( measure.encounter_acute_inpt_encounter, first_alcohol_drug_event+1, first_alcohol_drug_event + 14*day),
+                 selectWithinRange( measure.encounter_non_acute_inpatient_encounter, first_alcohol_drug_event+1, first_alcohol_drug_event + 14*day),
+                 selectWithinRange( measure.encounter_outpatient_bh_encounter, first_alcohol_drug_event+1, first_alcohol_drug_event + 14*day));
+
+    if(alcohol_drug_treatments.length > 0) first_alcohol_drug_treatment_event = _.min(alcohol_drug_treatments);
+
+    return(alcohol_drug_treatments.length > 0);
+  };
+
+   root.alcohol_drug_numerator2 = function(measure) {
+   return (inRange(encounters, first_alcohol_drug_treatment_event+1, first_alcohol_drug_treatment_event + 30*day) );
+  };
+
+
+})();
+
+