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Example 46 with Measure

use of org.hl7.fhir.r5.model.Measure 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));
}
Also used : Arrays(java.util.Arrays) Date(java.util.Date) PARAMETER_VALUE_URL(com.ibm.cohort.engine.cdm.CDMConstants.PARAMETER_VALUE_URL) Range(org.hl7.fhir.r4.model.Range) StringUtils(org.apache.commons.lang3.StringUtils) ConceptParameter(com.ibm.cohort.cql.evaluation.parameters.ConceptParameter) InvalidOperatorArgument(org.opencds.cqf.cql.engine.exception.InvalidOperatorArgument) CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) HumanName(org.hl7.fhir.r4.model.HumanName) RatioParameter(com.ibm.cohort.cql.evaluation.parameters.RatioParameter) Map(java.util.Map) StringType(org.hl7.fhir.r4.model.StringType) Assert.fail(org.junit.Assert.fail) ParseException(java.text.ParseException) IntegerType(org.hl7.fhir.r4.model.IntegerType) Patient(org.hl7.fhir.r4.model.Patient) DefineReturnOptions(com.ibm.cohort.engine.measure.evidence.MeasureEvidenceOptions.DefineReturnOptions) IntegerParameter(com.ibm.cohort.cql.evaluation.parameters.IntegerParameter) DateParameter(com.ibm.cohort.cql.evaluation.parameters.DateParameter) DateType(org.hl7.fhir.r4.model.DateType) TimeZone(java.util.TimeZone) CodeParameter(com.ibm.cohort.cql.evaluation.parameters.CodeParameter) Period(org.hl7.fhir.r4.model.Period) MEASURE_PARAMETER_URL(com.ibm.cohort.engine.cdm.CDMConstants.MEASURE_PARAMETER_URL) ParameterDefinition(org.hl7.fhir.r4.model.ParameterDefinition) Collectors(java.util.stream.Collectors) PARAMETER_DEFAULT_URL(com.ibm.cohort.engine.cdm.CDMConstants.PARAMETER_DEFAULT_URL) TimeType(org.hl7.fhir.r4.model.TimeType) List(java.util.List) BooleanType(org.hl7.fhir.r4.model.BooleanType) Assert.assertFalse(org.junit.Assert.assertFalse) Coding(org.hl7.fhir.r4.model.Coding) WireMock.getRequestedFor(com.github.tomakehurst.wiremock.client.WireMock.getRequestedFor) Extension(org.hl7.fhir.r4.model.Extension) UriType(org.hl7.fhir.r4.model.UriType) Parameter(com.ibm.cohort.cql.evaluation.parameters.Parameter) UnsupportedFhirTypeException(com.ibm.cohort.engine.measure.parameter.UnsupportedFhirTypeException) DatetimeParameter(com.ibm.cohort.cql.evaluation.parameters.DatetimeParameter) Type(org.hl7.fhir.r4.model.Type) DateTimeType(org.hl7.fhir.r4.model.DateTimeType) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) HashMap(java.util.HashMap) IntervalParameter(com.ibm.cohort.cql.evaluation.parameters.IntervalParameter) DecimalParameter(com.ibm.cohort.cql.evaluation.parameters.DecimalParameter) Measure(org.hl7.fhir.r4.model.Measure) ArrayList(java.util.ArrayList) Address(org.hl7.fhir.r4.model.Address) Base64BinaryType(org.hl7.fhir.r4.model.Base64BinaryType) QuantityParameter(com.ibm.cohort.cql.evaluation.parameters.QuantityParameter) MEASURE_PARAMETER_VALUE_URL(com.ibm.cohort.engine.cdm.CDMConstants.MEASURE_PARAMETER_VALUE_URL) MatcherAssert.assertThat(org.hamcrest.MatcherAssert.assertThat) Quantity(org.hl7.fhir.r4.model.Quantity) Ratio(org.hl7.fhir.r4.model.Ratio) MeasureSupplementalDataEvaluation(com.ibm.cohort.engine.cqfruler.MeasureSupplementalDataEvaluation) DecimalType(org.hl7.fhir.r4.model.DecimalType) Before(org.junit.Before) MeasureEvidenceOptions(com.ibm.cohort.engine.measure.evidence.MeasureEvidenceOptions) StringParameter(com.ibm.cohort.cql.evaluation.parameters.StringParameter) Assert.assertNotNull(org.junit.Assert.assertNotNull) ListResource(org.hl7.fhir.r4.model.ListResource) Library(org.hl7.fhir.r4.model.Library) Assert.assertTrue(org.junit.Assert.assertTrue) Matchers(org.hamcrest.Matchers) CanonicalType(org.hl7.fhir.r4.model.CanonicalType) Test(org.junit.Test) TimeParameter(com.ibm.cohort.cql.evaluation.parameters.TimeParameter) WireMock.verify(com.github.tomakehurst.wiremock.client.WireMock.verify) WireMock.urlMatching(com.github.tomakehurst.wiremock.client.WireMock.urlMatching) Assert.assertNotEquals(org.junit.Assert.assertNotEquals) CDMConstants(com.ibm.cohort.engine.cdm.CDMConstants) MeasurePopulationType(org.opencds.cqf.common.evaluation.MeasurePopulationType) InstantType(org.hl7.fhir.r4.model.InstantType) AdministrativeGender(org.hl7.fhir.r4.model.Enumerations.AdministrativeGender) BooleanParameter(com.ibm.cohort.cql.evaluation.parameters.BooleanParameter) MeasureReport(org.hl7.fhir.r4.model.MeasureReport) WireMock.urlEqualTo(com.github.tomakehurst.wiremock.client.WireMock.urlEqualTo) Assert.assertEquals(org.junit.Assert.assertEquals) HashMap(java.util.HashMap) StringType(org.hl7.fhir.r4.model.StringType) TimeType(org.hl7.fhir.r4.model.TimeType) DateTimeType(org.hl7.fhir.r4.model.DateTimeType) UriType(org.hl7.fhir.r4.model.UriType) Coding(org.hl7.fhir.r4.model.Coding) CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) Measure(org.hl7.fhir.r4.model.Measure) Ratio(org.hl7.fhir.r4.model.Ratio) InstantType(org.hl7.fhir.r4.model.InstantType) DateType(org.hl7.fhir.r4.model.DateType) BooleanType(org.hl7.fhir.r4.model.BooleanType) Patient(org.hl7.fhir.r4.model.Patient) Period(org.hl7.fhir.r4.model.Period) Quantity(org.hl7.fhir.r4.model.Quantity) MeasureReport(org.hl7.fhir.r4.model.MeasureReport) Range(org.hl7.fhir.r4.model.Range) Date(java.util.Date) IntegerType(org.hl7.fhir.r4.model.IntegerType) Extension(org.hl7.fhir.r4.model.Extension) StringType(org.hl7.fhir.r4.model.StringType) IntegerType(org.hl7.fhir.r4.model.IntegerType) DateType(org.hl7.fhir.r4.model.DateType) TimeType(org.hl7.fhir.r4.model.TimeType) BooleanType(org.hl7.fhir.r4.model.BooleanType) UriType(org.hl7.fhir.r4.model.UriType) Type(org.hl7.fhir.r4.model.Type) DateTimeType(org.hl7.fhir.r4.model.DateTimeType) Base64BinaryType(org.hl7.fhir.r4.model.Base64BinaryType) DecimalType(org.hl7.fhir.r4.model.DecimalType) CanonicalType(org.hl7.fhir.r4.model.CanonicalType) MeasurePopulationType(org.opencds.cqf.common.evaluation.MeasurePopulationType) InstantType(org.hl7.fhir.r4.model.InstantType) DateTimeType(org.hl7.fhir.r4.model.DateTimeType) DecimalType(org.hl7.fhir.r4.model.DecimalType) Library(org.hl7.fhir.r4.model.Library) Base64BinaryType(org.hl7.fhir.r4.model.Base64BinaryType) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.Test)

Example 47 with Measure

use of org.hl7.fhir.r5.model.Measure in project quality-measure-and-cohort-service by Alvearie.

the class MeasureEvaluatorTest method in_populations_defines_returned.

@Test
public void in_populations_defines_returned() throws Exception {
    CapabilityStatement metadata = getCapabilityStatement();
    mockFhirResourceRetrieval("/metadata?_format=json", metadata);
    Patient patient = getPatient("123", AdministrativeGender.MALE, "1970-10-10");
    // Add 2 names to test list
    HumanName name1 = new HumanName();
    name1.setFamily("Jones");
    HumanName name2 = new HumanName();
    name2.setFamily("Smith");
    patient.setName(Arrays.asList(name1, name2));
    // Add marital status to test codeable concept
    CodeableConcept maritalStatus = new CodeableConcept();
    Coding maritalCoding = new Coding();
    maritalCoding.setCode("M");
    maritalCoding.setSystem("http://terminology.hl7.org/CodeSystem/v3-MaritalStatus");
    maritalCoding.setDisplay("Married");
    maritalStatus.setCoding(Arrays.asList(maritalCoding));
    maritalStatus.setText("Married");
    patient.setMaritalStatus(maritalStatus);
    mockFhirResourceRetrieval(patient);
    Library library = setupDefineReturnLibrary();
    expressionsByPopulationType.clear();
    expressionsByPopulationType.put(MeasurePopulationType.INITIALPOPULATION, INITIAL_POPULATION);
    expressionsByPopulationType.put(MeasurePopulationType.DENOMINATOR, DENOMINATOR);
    expressionsByPopulationType.put(MeasurePopulationType.NUMERATOR, NUMERATOR);
    Measure measure = getProportionMeasure("ProportionMeasureName", library, expressionsByPopulationType);
    mockFhirResourceRetrieval(measure);
    MeasureReport report = evaluator.evaluatePatientMeasure(measure.getId(), patient.getId(), null, new MeasureEvidenceOptions(true, DefineReturnOptions.ALL));
    assertNotNull(report);
    assertFalse(report.getEvaluatedResource().isEmpty());
    List<Extension> returnedExtensions = report.getExtensionsByUrl(CDMConstants.EVIDENCE_URL);
    assertFalse(returnedExtensions.isEmpty());
    assertEquals(30, returnedExtensions.size());
}
Also used : Extension(org.hl7.fhir.r4.model.Extension) HumanName(org.hl7.fhir.r4.model.HumanName) Coding(org.hl7.fhir.r4.model.Coding) CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) Measure(org.hl7.fhir.r4.model.Measure) Patient(org.hl7.fhir.r4.model.Patient) MeasureReport(org.hl7.fhir.r4.model.MeasureReport) Library(org.hl7.fhir.r4.model.Library) MeasureEvidenceOptions(com.ibm.cohort.engine.measure.evidence.MeasureEvidenceOptions) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.Test)

Example 48 with Measure

use of org.hl7.fhir.r5.model.Measure in project quality-measure-and-cohort-service by Alvearie.

the class MeasureEvaluatorTest method measure_default_unsupported_type.

@Test(expected = UnsupportedFhirTypeException.class)
public void measure_default_unsupported_type() throws Exception {
    CapabilityStatement metadata = getCapabilityStatement();
    mockFhirResourceRetrieval("/metadata?_format=json", metadata);
    Patient patient = getPatient("123", AdministrativeGender.MALE, "1970-10-10");
    mockFhirResourceRetrieval(patient);
    Library library = mockLibraryRetrieval("TestAdultMales", DEFAULT_VERSION, "cql/fhir-measure/test-parameter-defaults.cql");
    expressionsByPopulationType.clear();
    expressionsByPopulationType.put(MeasurePopulationType.INITIALPOPULATION, INITIAL_POPULATION);
    expressionsByPopulationType.put(MeasurePopulationType.DENOMINATOR, DENOMINATOR);
    expressionsByPopulationType.put(MeasurePopulationType.NUMERATOR, NUMERATOR);
    Measure measure = getProportionMeasure("ProportionMeasureName", library, expressionsByPopulationType);
    Address unsupportedType = new Address();
    unsupportedType.setCity("Cleaveland");
    measure.addExtension(createMeasureParameter("SomeAge", unsupportedType));
    mockFhirResourceRetrieval(measure);
    evaluator.evaluatePatientMeasure(measure.getId(), patient.getId(), null, new MeasureEvidenceOptions());
}
Also used : Address(org.hl7.fhir.r4.model.Address) CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) Measure(org.hl7.fhir.r4.model.Measure) Patient(org.hl7.fhir.r4.model.Patient) Library(org.hl7.fhir.r4.model.Library) MeasureEvidenceOptions(com.ibm.cohort.engine.measure.evidence.MeasureEvidenceOptions) Test(org.junit.Test)

Example 49 with Measure

use of org.hl7.fhir.r5.model.Measure in project quality-measure-and-cohort-service by Alvearie.

the class MeasureEvaluatorTest method in_initial_population_denominator_and_nothing_else___proportion_evaluated_correctly.

@Test
public void in_initial_population_denominator_and_nothing_else___proportion_evaluated_correctly() 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.cql");
    expressionsByPopulationType.clear();
    expressionsByPopulationType.put(MeasurePopulationType.INITIALPOPULATION, INITIAL_POPULATION);
    expressionsByPopulationType.put(MeasurePopulationType.DENOMINATOR, DENOMINATOR);
    expressionsByPopulationType.put(MeasurePopulationType.NUMERATOR, NUMERATOR);
    Measure measure = getProportionMeasure("ProportionMeasureName", library, expressionsByPopulationType);
    mockFhirResourceRetrieval(measure);
    MeasureReport report = evaluator.evaluatePatientMeasure(measure.getId(), patient.getId(), null);
    assertNotNull(report);
    assertEquals(expressionsByPopulationType.size(), report.getGroupFirstRep().getPopulation().size());
    for (MeasureReport.MeasureReportGroupPopulationComponent pop : report.getGroupFirstRep().getPopulation()) {
        MeasurePopulationType type = MeasurePopulationType.fromCode(pop.getCode().getCodingFirstRep().getCode());
        switch(type) {
            case INITIALPOPULATION:
                assertEquals(1, pop.getCount());
                break;
            case DENOMINATOR:
                assertEquals(1, pop.getCount());
                break;
            case NUMERATOR:
                assertEquals(0, pop.getCount());
                break;
            default:
                fail("Unexpected population type in result");
        }
    }
}
Also used : CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) Measure(org.hl7.fhir.r4.model.Measure) Patient(org.hl7.fhir.r4.model.Patient) MeasureReport(org.hl7.fhir.r4.model.MeasureReport) Library(org.hl7.fhir.r4.model.Library) MeasurePopulationType(org.opencds.cqf.common.evaluation.MeasurePopulationType) Test(org.junit.Test)

Example 50 with Measure

use of org.hl7.fhir.r5.model.Measure in project quality-measure-and-cohort-service by Alvearie.

the class MeasureEvaluatorTest method elm_in_initial_population___cohort_evaluated_correctly.

@Test
public void elm_in_initial_population___cohort_evaluated_correctly() 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);
    mockFhirResourceRetrieval(measure);
    MeasureReport report = evaluator.evaluatePatientMeasure(measure.getId(), patient.getId(), null);
    assertNotNull(report);
    assertEquals(1, report.getGroupFirstRep().getPopulationFirstRep().getCount());
    verify(1, getRequestedFor(urlEqualTo("/Patient/123?_format=json")));
    // These ensure that the cache is working
    verify(1, getRequestedFor(urlMatching("/Library\\?url=http.*&_format=json")));
    verify(1, getRequestedFor(urlEqualTo("/Library?name%3Aexact=" + library.getName() + "&version=1.0.0&_format=json")));
}
Also used : CapabilityStatement(org.hl7.fhir.r4.model.CapabilityStatement) Measure(org.hl7.fhir.r4.model.Measure) Patient(org.hl7.fhir.r4.model.Patient) MeasureReport(org.hl7.fhir.r4.model.MeasureReport) Library(org.hl7.fhir.r4.model.Library) Test(org.junit.Test)

Aggregations

Measure (org.hl7.fhir.r4.model.Measure)119 Test (org.junit.Test)97 Library (org.hl7.fhir.r4.model.Library)61 Patient (org.hl7.fhir.r4.model.Patient)45 MeasureReport (org.hl7.fhir.r4.model.MeasureReport)44 HashMap (java.util.HashMap)24 ArrayList (java.util.ArrayList)23 DateParameter (com.ibm.cohort.cql.evaluation.parameters.DateParameter)22 IntervalParameter (com.ibm.cohort.cql.evaluation.parameters.IntervalParameter)22 Parameter (com.ibm.cohort.cql.evaluation.parameters.Parameter)22 ObjectMapper (com.fasterxml.jackson.databind.ObjectMapper)21 ByteArrayOutputStream (java.io.ByteArrayOutputStream)21 MeasureEvidenceOptions (com.ibm.cohort.engine.measure.evidence.MeasureEvidenceOptions)20 CapabilityStatement (org.hl7.fhir.r4.model.CapabilityStatement)20 Test (org.junit.jupiter.api.Test)18 Extension (org.hl7.fhir.r4.model.Extension)15 StringType (org.hl7.fhir.r4.model.StringType)15 DatetimeParameter (com.ibm.cohort.cql.evaluation.parameters.DatetimeParameter)14 CanonicalType (org.hl7.fhir.r4.model.CanonicalType)14 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)14