Examples with MeasureScoring org.hl7.fhir.r4.model.codesystems.MeasureScoring used on opensource projects

Example 1 with MeasureScoring

use of org.hl7.fhir.r4.model.codesystems.MeasureScoring 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;
}

Example 2 with MeasureScoring

use of org.hl7.fhir.r4.model.codesystems.MeasureScoring in project quality-measure-and-cohort-service by Alvearie.

the class CDMMeasureEvaluation method evaluatePatientMeasure.

/**
 * Evaluate a CDM Patient Quality Measure
 *
 * @param measure   CDM Patient Quality Measure
 * @param context   CQL Engine Execution Context pre-configured for use in
 *                  measure evaluation
 * @param patientIds Patient ID(s) of the patient to evaluate (first element when generating INDIVIDUAL type report)
 * @param evidenceOptions MeasureEvidenceOptions to indicate whether or not to return evaluated resources and define level results
 * @param parameterMap Map of parameter names to Parameter objects
 * @param type  Type of report to be generated
 * @return MeasureReport with population components filled out.
 */
public MeasureReport evaluatePatientMeasure(Measure measure, Context context, List<String> patientIds, MeasureEvidenceOptions evidenceOptions, Map<String, Parameter> parameterMap, MeasureReport.MeasureReportType type) {
    context.setExpressionCaching(true);
    boolean includeEvaluatedResources = (evidenceOptions != null) ? evidenceOptions.isIncludeEvaluatedResources() : false;
    MeasureReport report;
    switch(type) {
        case INDIVIDUAL:
            report = evaluation.evaluatePatientMeasure(measure, context, patientIds.get(0), includeEvaluatedResources);
            break;
        case SUBJECTLIST:
            report = evaluation.evaluatePatientListMeasure(measure, context, patientIds, includeEvaluatedResources);
            break;
        default:
            throw new IllegalStateException("Unsupported measure report type requested: " + type);
    }
    setReportMeasureToMeasureId(report, measure);
    MeasureScoring scoring = MeasureScoring.fromCode(measure.getScoring().getCodingFirstRep().getCode());
    switch(scoring) {
        case PROPORTION:
        case RATIO:
            // implement custom logic for CDM care-gaps
            Iterator<Measure.MeasureGroupComponent> it = measure.getGroup().iterator();
            for (int i = 0; it.hasNext(); i++) {
                Measure.MeasureGroupComponent group = it.next();
                MeasureReport.MeasureReportGroupComponent reportGroup = report.getGroup().get(i);
                boolean evaluateCareGaps = isEligibleForCareGapEvaluation(reportGroup);
                for (Measure.MeasureGroupPopulationComponent pop : group.getPopulation()) {
                    if (pop.getCode().hasCoding(CDMConstants.CDM_CODE_SYSTEM_MEASURE_POPULATION_TYPE, CDMConstants.CARE_GAP)) {
                        Boolean result = Boolean.FALSE;
                        if (evaluateCareGaps) {
                            result = evaluateCriteria(context, pop.getCriteria().getExpression());
                        }
                        MeasureReport.MeasureReportGroupPopulationComponent output = new MeasureReport.MeasureReportGroupPopulationComponent();
                        // need this to differentiate between multiple instances of care-gap
                        output.setId(pop.getId());
                        output.setCode(pop.getCode());
                        output.setCount(result ? 1 : 0);
                        reportGroup.addPopulation(output);
                    }
                }
            }
            break;
        default:
    }
    if (context instanceof CDMContext) {
        CDMContext defineContext = (CDMContext) context;
        // Grab the define results from the expression cache
        MeasureEvidenceOptions.DefineReturnOptions defineReturnOptions = (evidenceOptions != null) ? evidenceOptions.getDefineReturnOption() : MeasureEvidenceOptions.DefineReturnOptions.NONE;
        addDefineEvaluationToReport(report, defineContext, defineReturnOptions);
    }
    List<Extension> parameterExtensions = getParameterExtensions(measure, context, parameterMap);
    parameterExtensions.forEach(report::addExtension);
    return report;
}

Example 3 with MeasureScoring

use of org.hl7.fhir.r4.model.codesystems.MeasureScoring in project quality-measure-and-cohort-service by Alvearie.

the class MeasureTestBase method getTemplateMeasure.

public Measure getTemplateMeasure(String measureName, Library library, MeasureScoring scoring) throws Exception {
    Measure measure = new Measure();
    measure.setId(measureName);
    measure.setName(measureName);
    measure.setVersion("1.0.0");
    measure.setUrl("http://ibm.com/health/Measure/" + URLEncoder.encode(measureName, "UTF-8"));
    measure.setDate(new Date());
    measure.setLibrary(Arrays.asList(asCanonical(library)));
    measure.setScoring(new CodeableConcept().addCoding(new Coding().setCode(scoring.toCode())));
    measure.setMeta(new Meta().setVersionId(MEASURE_META_VERSION_ID));
    return measure;
}