use of org.hl7.fhir.dstu2016may.model.Quantity in project cqf-ruler by DBCG.
the class ActivityDefinitionApplyProvider method resolveMedicationRequest.
private MedicationRequest resolveMedicationRequest(ActivityDefinition activityDefinition, String patientId) throws ActivityDefinitionApplyException {
// intent, medication, and subject are required
MedicationRequest medicationRequest = new MedicationRequest();
medicationRequest.setIntent(MedicationRequest.MedicationRequestIntent.ORDER);
medicationRequest.setSubject(new Reference(patientId));
if (activityDefinition.hasProduct()) {
medicationRequest.setMedication(activityDefinition.getProduct());
} else {
throw new ActivityDefinitionApplyException("Missing required product property");
}
if (activityDefinition.hasDosage()) {
medicationRequest.setDosageInstruction(activityDefinition.getDosage());
}
if (activityDefinition.hasBodySite()) {
throw new ActivityDefinitionApplyException("BodySite does not map to " + activityDefinition.getKind());
}
if (activityDefinition.hasCode()) {
throw new ActivityDefinitionApplyException("Code does not map to " + activityDefinition.getKind());
}
if (activityDefinition.hasQuantity()) {
throw new ActivityDefinitionApplyException("Quantity does not map to " + activityDefinition.getKind());
}
return medicationRequest;
}
use of org.hl7.fhir.dstu2016may.model.Quantity in project quality-measure-and-cohort-service by Alvearie.
the class CQLToFHIRMeasureReportHelperTest method testRatio.
@Test
public void testRatio() {
String unit = "ml";
BigDecimal amount1 = new BigDecimal("4.0");
Quantity quantity1 = new Quantity().withUnit(unit).withValue(amount1);
BigDecimal amount2 = new BigDecimal("7.0");
Quantity quantity2 = new Quantity().withUnit(unit).withValue(amount2);
Ratio ratio = new Ratio().setNumerator(quantity1).setDenominator(quantity2);
IBaseDatatype fhirTypeValue = CQLToFHIRMeasureReportHelper.getFhirTypeValue(ratio);
assertTrue(fhirTypeValue instanceof org.hl7.fhir.r4.model.Ratio);
org.hl7.fhir.r4.model.Ratio castResult = (org.hl7.fhir.r4.model.Ratio) fhirTypeValue;
verifyBaseTypeAsQuantity(castResult.getNumerator(), amount1, unit);
verifyBaseTypeAsQuantity(castResult.getDenominator(), amount2, unit);
}
use of org.hl7.fhir.dstu2016may.model.Quantity in project quality-measure-and-cohort-service by Alvearie.
the class CQLToFHIRMeasureReportHelperTest method testIntervalQuantity_shouldReturnRange.
@Test
public void testIntervalQuantity_shouldReturnRange() {
String unit = "ml";
BigDecimal startAmount = new BigDecimal("4.0");
BigDecimal endAmount = new BigDecimal("5.0");
Quantity startQuantity = new Quantity().withUnit(unit).withValue(startAmount);
Quantity endQuantity = new Quantity().withUnit(unit).withValue(endAmount);
IBaseDatatype fhirTypeValue = CQLToFHIRMeasureReportHelper.getFhirTypeValue(new Interval(startQuantity, true, endQuantity, true));
assertTrue(fhirTypeValue instanceof Range);
Range castResult = (Range) fhirTypeValue;
verifyBaseTypeAsQuantity(castResult.getLow(), startAmount, unit);
verifyBaseTypeAsQuantity(castResult.getHigh(), endAmount, unit);
}
use of org.hl7.fhir.dstu2016may.model.Quantity in project quality-measure-and-cohort-service by Alvearie.
the class MeasureEvaluatorTest method measure_report_generated___FHIR_measure_parameters_on_measure_report.
@Test
public void measure_report_generated___FHIR_measure_parameters_on_measure_report() throws Exception {
CapabilityStatement metadata = getCapabilityStatement();
mockFhirResourceRetrieval("/metadata?_format=json", metadata);
Patient patient = getPatient("123", AdministrativeGender.MALE, "1970-10-10");
mockFhirResourceRetrieval(patient);
Library library = mockLibraryRetrieval("TestDummyPopulations", DEFAULT_VERSION, "cql/fhir-measure/test-dummy-populations.xml", ELM_MIME_TYPE);
Measure measure = getCohortMeasure("CohortMeasureName", library, INITIAL_POPULATION);
Map<String, Type> measureParameters = new HashMap<>();
measureParameters.put("base64Param", new Base64BinaryType("AAA"));
measureParameters.put("booleanParam", new BooleanType(false));
measureParameters.put("dateParam", new DateType("2020-01-01"));
measureParameters.put("dateTimeParam", new DateTimeType("2020-01-01T12:00:00"));
measureParameters.put("decimalParam", new DecimalType(12.0));
measureParameters.put("instantParam", new InstantType("2020-01-01T12:00:00-04:00"));
measureParameters.put("integerParam", new IntegerType(1));
measureParameters.put("stringParam", new StringType("str"));
measureParameters.put("timeParam", new TimeType("05:30:00"));
measureParameters.put("uriParam", new UriType("abcde"));
measureParameters.put("codeableConceptParam", new CodeableConcept().setText("display").addCoding(new Coding().setCode("val").setSystem("sys").setDisplay("display")));
measureParameters.put("codingParam", new Coding().setCode("v").setSystem("s").setDisplay("d"));
measureParameters.put("periodParam", new Period().setStart(new Date(1)).setEnd(new Date(2)));
measureParameters.put("quantityParam", new Quantity().setValue(1).setUnit("g"));
measureParameters.put("rangeParam", new Range().setLow(new Quantity().setUnit("g").setValue(1)).setHigh(new Quantity().setUnit("g").setValue(5)));
measureParameters.put("ratioParam", new Ratio().setNumerator(new Quantity().setUnit("g").setValue(1)).setDenominator(new Quantity().setUnit("g").setValue(5)));
List<Extension> parameterExtensions = measureParameters.entrySet().stream().map(x -> createMeasureParameter(x.getKey(), x.getValue())).collect(Collectors.toList());
measure.setExtension(parameterExtensions);
mockFhirResourceRetrieval(measure);
MeasureReport report = evaluator.evaluatePatientMeasure(measure.getId(), patient.getId(), null);
assertNotNull(report);
List<String> parameterNames = report.getExtension().stream().filter(x -> x.getUrl().equals(MEASURE_PARAMETER_VALUE_URL)).map(x -> (ParameterDefinition) x.getValue()).map(ParameterDefinition::getName).collect(Collectors.toList());
// Expected parameters are the ones listed above, plus the special parameters
// measurement period and product line
assertEquals(measureParameters.size() + 2, parameterNames.size());
assertTrue(parameterNames.containsAll(measureParameters.keySet()));
assertTrue(parameterNames.contains(CDMConstants.MEASUREMENT_PERIOD));
assertTrue(parameterNames.contains(CDMConstants.PRODUCT_LINE));
}
use of org.hl7.fhir.dstu2016may.model.Quantity in project quality-measure-and-cohort-service by Alvearie.
the class MeasureEvaluation method evaluate.
protected MeasureReport evaluate(Measure measure, Context context, List<Patient> patients, MeasureReport.MeasureReportType type, boolean isSingle, boolean includeEvaluatedResources) {
MeasureReportBuilder reportBuilder = new MeasureReportBuilder();
reportBuilder.buildStatus("complete");
reportBuilder.buildType(type);
reportBuilder.buildMeasureReference(measure.getIdElement().getResourceType() + "/" + measure.getIdElement().getIdPart());
if (type == MeasureReport.MeasureReportType.INDIVIDUAL && CollectionUtils.isNotEmpty(patients)) {
IdType patientId = patients.get(0).getIdElement();
reportBuilder.buildPatientReference(patientId.getResourceType() + "/" + patientId.getIdPart());
}
reportBuilder.buildPeriod(measurementPeriod);
MeasureReport report = reportBuilder.build();
Map<String, Resource> resources = new HashMap<>();
Map<String, Set<String>> codeToResourceMap = new HashMap<>();
MeasureScoring measureScoring = MeasureScoring.fromCode(measure.getScoring().getCodingFirstRep().getCode());
if (measureScoring == null) {
throw new RuntimeException("Measure scoring is required in order to calculate.");
}
List<Measure.MeasureSupplementalDataComponent> sde = measure.getSupplementalData();
Map<String, Map<String, Integer>> sdeAccumulators = new HashMap<>();
for (Measure.MeasureGroupComponent group : measure.getGroup()) {
MeasureReport.MeasureReportGroupComponent reportGroup = new MeasureReport.MeasureReportGroupComponent();
reportGroup.setId(group.getId());
report.getGroup().add(reportGroup);
// Declare variables to avoid a hash lookup on every patient
// TODO: Isn't quite right, there may be multiple initial populations for a
// ratio measure...
Measure.MeasureGroupPopulationComponent initialPopulationCriteria = null;
Measure.MeasureGroupPopulationComponent numeratorCriteria = null;
Measure.MeasureGroupPopulationComponent numeratorExclusionCriteria = null;
Measure.MeasureGroupPopulationComponent denominatorCriteria = null;
Measure.MeasureGroupPopulationComponent denominatorExclusionCriteria = null;
Measure.MeasureGroupPopulationComponent denominatorExceptionCriteria = null;
Map<String, Resource> initialPopulation = null;
Map<String, Resource> numerator = null;
Map<String, Resource> numeratorExclusion = null;
Map<String, Resource> denominator = null;
Map<String, Resource> denominatorExclusion = null;
Map<String, Resource> denominatorException = null;
Map<String, Patient> initialPopulationPatients = null;
Map<String, Patient> numeratorPatients = null;
Map<String, Patient> numeratorExclusionPatients = null;
Map<String, Patient> denominatorPatients = null;
Map<String, Patient> denominatorExclusionPatients = null;
Map<String, Patient> denominatorExceptionPatients = null;
for (Measure.MeasureGroupPopulationComponent pop : group.getPopulation()) {
MeasurePopulationType populationType = MeasurePopulationType.fromCode(pop.getCode().getCodingFirstRep().getCode());
if (populationType != null) {
switch(populationType) {
case INITIALPOPULATION:
initialPopulationCriteria = pop;
initialPopulation = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
initialPopulationPatients = new HashMap<>();
}
break;
case NUMERATOR:
numeratorCriteria = pop;
numerator = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
numeratorPatients = new HashMap<>();
}
break;
case NUMERATOREXCLUSION:
numeratorExclusionCriteria = pop;
numeratorExclusion = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
numeratorExclusionPatients = new HashMap<>();
}
break;
case DENOMINATOR:
denominatorCriteria = pop;
denominator = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
denominatorPatients = new HashMap<>();
}
break;
case DENOMINATOREXCLUSION:
denominatorExclusionCriteria = pop;
denominatorExclusion = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
denominatorExclusionPatients = new HashMap<>();
}
break;
case DENOMINATOREXCEPTION:
denominatorExceptionCriteria = pop;
denominatorException = new HashMap<>();
if (type == MeasureReport.MeasureReportType.SUBJECTLIST) {
denominatorExceptionPatients = new HashMap<>();
}
break;
default:
throw new UnsupportedOperationException("Measure population, observation and measure population exclusion are used for continuous-variable scoring measures which are not supported");
}
}
}
switch(measureScoring) {
case PROPORTION:
case RATIO:
{
// For each patient in the initial population
for (Patient patient : patients) {
// Are they in the initial population?
boolean inInitialPopulation = evaluatePopulationCriteria(context, patient, initialPopulationCriteria, initialPopulation, initialPopulationPatients, null, null, null);
populateResourceMap(context, MeasurePopulationType.INITIALPOPULATION, resources, codeToResourceMap, includeEvaluatedResources);
if (inInitialPopulation) {
// Are they in the denominator?
boolean inDenominator = evaluatePopulationCriteria(context, patient, denominatorCriteria, denominator, denominatorPatients, denominatorExclusionCriteria, denominatorExclusion, denominatorExclusionPatients);
populateResourceMap(context, MeasurePopulationType.DENOMINATOR, resources, codeToResourceMap, includeEvaluatedResources);
if (inDenominator) {
// Are they in the numerator?
boolean inNumerator = evaluatePopulationCriteria(context, patient, numeratorCriteria, numerator, numeratorPatients, numeratorExclusionCriteria, numeratorExclusion, numeratorExclusionPatients);
populateResourceMap(context, MeasurePopulationType.NUMERATOR, resources, codeToResourceMap, includeEvaluatedResources);
if (!inNumerator && inDenominator && (denominatorExceptionCriteria != null)) {
// Are they in the denominator exception?
boolean inException = false;
for (Resource resource : evaluateCriteria(context, patient, denominatorExceptionCriteria)) {
inException = true;
denominatorException.put(resource.getIdElement().getIdPart(), resource);
denominator.remove(resource.getIdElement().getIdPart());
populateResourceMap(context, MeasurePopulationType.DENOMINATOREXCEPTION, resources, codeToResourceMap, includeEvaluatedResources);
}
if (inException) {
if (denominatorExceptionPatients != null) {
denominatorExceptionPatients.put(patient.getIdElement().getIdPart(), patient);
}
if (denominatorPatients != null) {
denominatorPatients.remove(patient.getIdElement().getIdPart());
}
}
}
}
}
MeasureSupplementalDataEvaluation.populateSDEAccumulators(context, patient, sdeAccumulators, sde);
}
// Calculate actual measure score, Count(numerator) / Count(denominator)
if (numerator != null && MapUtils.isNotEmpty(denominator)) {
reportGroup.setMeasureScore(new Quantity(numerator.size() / (double) denominator.size()));
}
break;
}
case COHORT:
{
// For each patient in the patient list
for (Patient patient : patients) {
evaluatePopulationCriteria(context, patient, initialPopulationCriteria, initialPopulation, initialPopulationPatients, null, null, null);
populateResourceMap(context, MeasurePopulationType.INITIALPOPULATION, resources, codeToResourceMap, includeEvaluatedResources);
MeasureSupplementalDataEvaluation.populateSDEAccumulators(context, patient, sdeAccumulators, sde);
}
break;
}
case CONTINUOUSVARIABLE:
throw new UnsupportedOperationException("Scoring type CONTINUOUSVARIABLE is not supported");
}
// Add population reports for each group
addPopulationCriteriaReport(report, reportGroup, initialPopulationCriteria, initialPopulation != null ? initialPopulation.size() : 0, initialPopulationPatients != null ? initialPopulationPatients.values() : null);
addPopulationCriteriaReport(report, reportGroup, numeratorCriteria, numerator != null ? numerator.size() : 0, numeratorPatients != null ? numeratorPatients.values() : null);
addPopulationCriteriaReport(report, reportGroup, numeratorExclusionCriteria, numeratorExclusion != null ? numeratorExclusion.size() : 0, numeratorExclusionPatients != null ? numeratorExclusionPatients.values() : null);
addPopulationCriteriaReport(report, reportGroup, denominatorCriteria, denominator != null ? denominator.size() : 0, denominatorPatients != null ? denominatorPatients.values() : null);
addPopulationCriteriaReport(report, reportGroup, denominatorExclusionCriteria, denominatorExclusion != null ? denominatorExclusion.size() : 0, denominatorExclusionPatients != null ? denominatorExclusionPatients.values() : null);
addPopulationCriteriaReport(report, reportGroup, denominatorExceptionCriteria, denominatorException != null ? denominatorException.size() : 0, denominatorExceptionPatients != null ? denominatorExceptionPatients.values() : null);
}
for (Entry<String, Set<String>> entry : codeToResourceMap.entrySet()) {
ListResource list = new ListResource();
for (String element : entry.getValue()) {
ListResource.ListEntryComponent comp = new ListEntryComponent();
comp.setItem(new Reference('#' + element));
list.addEntry(comp);
}
if (!list.isEmpty()) {
list.setId(UUID.randomUUID().toString());
list.setTitle(entry.getKey());
resources.put(list.getId(), list);
}
}
if (MapUtils.isNotEmpty(resources)) {
List<Reference> evaluatedResourceIds = new ArrayList<>();
resources.forEach((key, resource) -> {
evaluatedResourceIds.add(new Reference(resource.getId()));
});
report.setEvaluatedResource(evaluatedResourceIds);
}
if (MapUtils.isNotEmpty(sdeAccumulators)) {
report = MeasureSupplementalDataEvaluation.processAccumulators(report, sdeAccumulators, isSingle, patients);
}
return report;
}
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