0105 added..

fixtures/measures/0105_anti_depressant/patients/denominator.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Rod",          // personal data
+  "last": "Idol",
+  "gender": "M",
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+   "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0105": {
+      "encounter_outpt_bh_encounter": [1262304000],  // Time.gm(2010, 1, 1).to_i
+      "major_depression_diagnosis_active": [1262304000, 1279152000],
+      "antidepressant_medications_medication_dispensed": [1262303000,1262305000],
+      "antidepressant_medications_medication_ordered": [1262303000,1262305000],
+      "antidepressant_medications_medication_active": [1262303000,1262305000]
+    }
+  }
+}

fixtures/measures/0105_anti_depressant/patients/not_population.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Sindy",          // personal data
+  "last": "Ford",
+  "gender": "F",
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0105": {
+    }
+  }
+}

fixtures/measures/0105_anti_depressant/patients/numerator.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Major",          // personal data
+  "last": "Burns",
+  "gender": "M",
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0105": {
+      "encounter_outpt_bh_encounter": [1262304000],  // Time.gm(2010, 1, 1).to_i
+      "major_depression_diagnosis_active": [1262304000, 1279152000],
+      "antidepressant_medications_medication_dispensed": [1262303000,1262305000,1271030400,1271050400],  // 2010-04-12
+      "antidepressant_medications_medication_ordered": [1262303000,1262305000],
+      "antidepressant_medications_medication_active": [1262303000,1262305000]
+
+    }
+  }
+}

fixtures/measures/0105_anti_depressant/patients/numerator2.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Mike",          // personal data
+  "last": "Bundy",
+  "gender": "M",
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0105": {
+      "encounter_outpt_bh_encounter": [1262304000],  // Time.gm(2010, 1, 1).to_i
+      "major_depression_diagnosis_active": [1262304000, 1279152000],
+      "antidepressant_medications_medication_dispensed": [1262303000,1262305000,1278633600,1278643600],// 2010-07-09
+      "antidepressant_medications_medication_ordered": [1262303000,1262305000],
+      "antidepressant_medications_medication_active": [1262303000,1262305000]
+    }
+  } 
+}

fixtures/measures/0105_anti_depressant/patients/population.json

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+// names generated by http://rockstarname.com/
+{
+  "first": "Mindy",          // personal data
+  "last": "Chrysler",
+  "gender": "F",
+  "birthdate": 645408000,   // Time.gm(1990, 6, 15).to_i
+  "measures": {             // bag of measures, one entry per measure
+    "0105": {
+      "encounter_outpt_bh_encounter": [1262304000],  // Time.gm(2010, 1, 1).to_i
+      "major_depression_diagnosis_active": [1262304000, 1279152000],
+      "antidepressant_medications_medication_dispensed": [1262303000,1262305000],
+      "antidepressant_medications_medication_ordered": [1262303000,1262305000],
+      "antidepressant_medications_medication_active": [1262303000,1262305000]
+    }
+  }
+}

fixtures/measures/0105_anti_depressant/result.json

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+{
+  "results":[
+    {
+      "id": "0105",
+      "sub_id": "a",
+      "initialPopulation": 4,
+      "numerator": 2,
+      "denominator": 4,
+      "exclusions": 0
+    },
+    {
+      "id": "0105",
+      "sub_id": "b",
+      "initialPopulation": 4,
+      "numerator": 1,
+      "denominator": 4,
+      "exclusions": 0
+    }
+   ]
+}
+

measures/0105_anti_depressant/0105_NQF_Anti_Depressant_Treatment.col

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+{
+    "root": "root.json",
+    "combinations": [
+        {
+            "metadata": {
+                "sub_id": "a",
+                "subtitle": "Antidepressant medication dispensed for at least 84 days following first diagnosis of major depression",
+                "short_subtitle": "84day",
+                "numerator": {
+                    "and": [
+                        {
+                            "category": "Medication Dispensed",
+                            "title": "Antidepressant medication dispensed for at least 84 days following first diagnosis of major depression" 
+                        } 
+                    ] 
+                }
+            },
+                "map_fn": "84day_map.js" 
+        },
+        {
+            "metadata": {
+                "sub_id": "b",
+                "subtitle": "Antidepressant medication dispensed for at least 180 days following first diagnosis of major depression",
+                "short_subtitle": "180day",
+                "numerator": {
+                    "and": [
+                        {
+                            "category": "Medication Dispensed",
+                            "title": "Antidepressant medication dispensed for at least 180 days following first diagnosis of major depression" 
+                        } 
+                    ] 
+                }
+            },
+                "map_fn": "180day_map.js" 
+
+            } 
+    ] 
+}

measures/0105_anti_depressant/components/180day_map.js

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+function () {
+  var patient = this;
+  var measure = patient.measures["0105"];
+  if (measure==null)
+    measure={};
+
+  <%= init_js_frameworks %>
+
+  var day = 24*60*60;
+  var year = 365*day;
+  var effective_date = <%= effective_date %>;
+  var latest_birthdate = effective_date - (17*year +245*day);
+  var earliest_encounter = effective_date - (1*year + 245*day);
+  var latest_encounter = effective_date - 245*day;
+  var first_diagnosis = null;
+  var encounters_during_interval = null;
+
+  var population = function() {
+    if(patient.birthdate > latest_birthdate){
+        return(false);
+    } 
+  var all_encounters = normalize([
+      measure.encounter_ed_encounter, measure.encounter_outpt_bh_req_pos_encounter,measure.encounter_outpt_bh_encounter]);
+   var encounters_during_interval = inRange(all_encounters, earliest_encounter, latest_encounter);
+   var major_depression_during_interval = inRange(measure.major_depression_diagnosis_active, earliest_encounter, latest_encounter);
+
+   var depression_during_encounter = allDiagnosesDuringEncounter(measure.major_depression_diagnosis_active, all_encounters, earliest_encounter, latest_encounter);
+   if(depression_during_encounter.length == 0) return(false);
+
+   first_diagnosis = _.min(depression_during_encounter);
+   var meds_dispensed_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_dispensed,first_diagnosis - 30*day, first_diagnosis);
+   var meds_dispensed_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_dispensed, first_diagnosis, first_diagnosis + 14*day);
+   var meds_ordered_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_ordered,first_diagnosis - 30*day, first_diagnosis);
+   var meds_ordered_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_ordered, first_diagnosis, first_diagnosis + 14*day);
+   var meds_active_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_active,first_diagnosis - 30*day, first_diagnosis);
+   var meds_active_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_active, first_diagnosis, first_diagnosis + 14*day);
+
+   return(meds_dispensed_before_first_diagnosis30 && meds_ordered_before_first_diagnosis30 &&    
+          meds_active_before_first_diagnosis30 &&
+          meds_dispensed_after_first_diagnosis14 && meds_ordered_after_first_diagnosis14 &&    
+          meds_active_after_first_diagnosis14);
+
+  }
+
+  var denominator = function() {
+    var earlier_major_depression = inRange(measure.major_depression_diagnosis_active, first_diagnosis - 120*day, first_diagnosis-1);
+    var earlier_depression = inRange(measure.depression_diagnosis_active, first_diagnosis - 120*day, first_diagnosis-1);
+
+    return((earlier_major_depression + earlier_depression) == 0);
+  }
+
+
+  var numerator = function() {
+        var meds_after = first_diagnosis + 180*day;
+        var max_meds = _.max(measure.antidepressant_medications_medication_dispensed);
+        return(meds_after < max_meds);
+  }
+
+  var exclusion = function() {
+    return false;
+  }
+
+  map(patient, population, denominator, numerator, exclusion);
+};

measures/0105_anti_depressant/components/84day_map.js

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+function () {
+  var patient = this;
+  var measure = patient.measures["0105"];
+  if (measure==null)
+    measure={};
+
+  <%= init_js_frameworks %>
+
+  var day = 24*60*60;
+  var year = 365*day;
+  var effective_date = <%= effective_date %>;
+  var latest_birthdate = effective_date - (17*year +245*day);
+  var earliest_encounter = effective_date - (1*year + 245*day);
+  var latest_encounter = effective_date - 245*day;
+  var first_diagnosis = null;
+  var encounters_during_interval = null;
+
+  var population = function() {
+    if(patient.birthdate > latest_birthdate){
+        return(false);
+    } 
+   var all_encounters = normalize([
+      measure.encounter_ed_encounter, measure.encounter_outpt_bh_req_pos_encounter,measure.encounter_outpt_bh_encounter]);
+   var encounters_during_interval = inRange(all_encounters, earliest_encounter, latest_encounter);
+   var major_depression_during_interval = inRange(measure.major_depression_diagnosis_active, earliest_encounter, latest_encounter);
+
+   var depression_during_encounter = allDiagnosesDuringEncounter(measure.major_depression_diagnosis_active, all_encounters, earliest_encounter, latest_encounter);
+   if(depression_during_encounter.length == 0) return(false);
+
+   first_diagnosis = _.min(depression_during_encounter);
+   var meds_dispensed_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_dispensed,first_diagnosis - 30*day, first_diagnosis);
+   var meds_dispensed_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_dispensed, first_diagnosis, first_diagnosis + 14*day);
+   var meds_ordered_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_ordered,first_diagnosis - 30*day, first_diagnosis);
+   var meds_ordered_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_ordered, first_diagnosis, first_diagnosis + 14*day);
+   var meds_active_before_first_diagnosis30 = inRange(measure.antidepressant_medications_medication_active,first_diagnosis - 30*day, first_diagnosis);
+   var meds_active_after_first_diagnosis14 = inRange(measure.antidepressant_medications_medication_active, first_diagnosis, first_diagnosis + 14*day);
+
+   return(meds_dispensed_before_first_diagnosis30 && meds_ordered_before_first_diagnosis30 &&    
+          meds_active_before_first_diagnosis30 &&
+          meds_dispensed_after_first_diagnosis14 && meds_ordered_after_first_diagnosis14 &&    
+          meds_active_after_first_diagnosis14);
+
+
+  }
+
+  var denominator = function() {
+    var earlier_major_depression = inRange(measure.major_depression_diagnosis_active, first_diagnosis - 120*day, first_diagnosis-1);
+    var earlier_depression = inRange(measure.depression_diagnosis_active, first_diagnosis - 120*day, first_diagnosis-1);
+
+    return((earlier_major_depression + earlier_depression) == 0);
+  }
+
+
+  var numerator = function() {
+       var meds_after = first_diagnosis + 84*day;
+        var max_meds = _.max(measure.antidepressant_medications_medication_dispensed);
+        return(meds_after < max_meds);  }
+
+  var exclusion = function() {
+    return false;
+  }
+
+  map(patient, population, denominator, numerator, exclusion);
+};

measures/0105_anti_depressant/components/root.json

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+{
+    "id": "0105",
+    "properties": "NQF_Retooled_Measure_0105.xlsx.json",
+    "name": "Anti‐depressant medication management: (a) Effective Acute Phase Treatment, (b)Effective Continuation Phase Treatment",
+    "description": "The percentage of patients 18 years of age and older who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication treatment.",
+    "category": "Miscellaneous",
+    "steward": "NCQA",
+    "parameters": {
+        "effective_date": {
+            "description": "Effective end date for measure",
+            "type": "number",
+            "format": "utc-sec" 
+        } 
+    },
+    "patient": {
+        "birthdate": {
+            "description": "Date of birth",
+            "type": "number",
+            "category_type": "patient_characteristic",
+            "format": "utc-sec",
+            "codes": [
+                {
+                    "set": "HL7",
+                    "version": "3.0",
+                    "values": [
+                        "00110" 
+                    ] 
+                } 
+            ] 
+        } 
+    },
+    "population": {
+        "and": [
+            {
+                "category": "Patient characteristic",
+                "title": "Age 18 years of age or older as of April 30 of the measurement period" 
+            },
+            {
+                "category": "Diagnosis active",
+                "title": "New diagnosis of Major Depression during an encounter from May 1st in the previous year until April 30 of the measurement period" 
+            },
+            {
+                "category": "Medication dispensed",
+                "title": "Antidepressant medication dispensed within 30 days prior to first diagnosis of major depression" 
+            },
+            {
+                "category": "Medication dispensed",
+                "title": "Antidepressant medication dispensed within 14 days following first diagnosis of major depression" 
+            },
+            {
+                "category": "Medication ordered",
+                "title": "Antidepressant medication ordered within 30 days prior to first diagnosis of major depression" 
+            },
+            {
+                "category": "Medication ordered",
+                "title": "Antidepressant medication ordered within 14 days following first diagnosis of major depression" 
+            },
+            {
+                "category": "Medication active",
+                "title": "Antidepressant medication active within 30 days prior to first diagnosis of major depression" 
+            },
+            {
+                "category": "Medication active",
+                "title": "Antidepressant medication active within 14 days following first diagnosis of major depression" 
+            } 
+        ] 
+    },
+    "denominator": {
+        "not": [
+            {
+                "or": [
+                    {
+                        "category": "Diagnosis Active",
+                        "title": "Diagnosis of Major Depression less than 120 days prior to first diagnosis of major depression in population criteria" 
+                    },
+                    {
+                        "category": "Diagnosis Active",
+                        "title": "Diagnosis of Depression less than 120 days prior to first diagnosis of major depression in population criteria" 
+                    } 
+                ] 
+            } 
+        ] 
+    },
+    "exclusions": {
+
+    }
+}