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Add measure 0389 overuse of bone scan for prostate cancer
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26 changes: 26 additions & 0 deletions
26
fixtures/measures/0389_prostate_bone_scan/patients/denominator.json
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,26 @@ | ||
| { | ||
| "first": "Mercy", // personal data | ||
| "last": "Watson", | ||
| "gender": "F", | ||
| "birthdate": -132624000, // Time.gm(1965, 10, 19).to_i | ||
| "measures": { // bag of measures, one entry per measure | ||
| "0389": { | ||
| "prostate_cancer_diagnosis_active": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "prostate_cancer_treatment_procedure_performed": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "ajcc_cancer_stage_low_risk_recurrence_prostate_cancer_procedure_result": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "prostate_specific_antigen_test_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 9 | ||
| } | ||
| ], | ||
| "gleason_score_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 5 | ||
| } | ||
| ], | ||
| "bone_scan_diagnostic_study_performed": [1275350400] // Time.gm(2010,6,1).to_i] | ||
| } | ||
| } | ||
| } |
27 changes: 27 additions & 0 deletions
27
fixtures/measures/0389_prostate_bone_scan/patients/exclusion.json
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
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| { | ||
| "first": "Doug", // personal data | ||
| "last": "Bobbins", | ||
| "gender": "M", | ||
| "birthdate": -132624000, // Time.gm(1965, 10, 19).to_i | ||
| "measures": { // bag of measures, one entry per measure | ||
| "0389": { | ||
| "prostate_cancer_diagnosis_active": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "prostate_cancer_treatment_procedure_performed": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "ajcc_cancer_stage_low_risk_recurrence_prostate_cancer_procedure_result": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "prostate_specific_antigen_test_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 9 | ||
| } | ||
| ], | ||
| "gleason_score_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 5 | ||
| } | ||
| ], | ||
| "bone_scan_diagnostic_study_performed": [1275350400], // Time.gm(2010,6,1).to_i] | ||
| "salvage_therapy_procedure_performed": [1275350400] // Time.gm(2010,6,1).to_i | ||
| } | ||
| } | ||
| } |
10 changes: 10 additions & 0 deletions
10
fixtures/measures/0389_prostate_bone_scan/patients/not_population.json
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,10 @@ | ||
| { | ||
| "first": "Marnie", // personal data | ||
| "last": "Mason", | ||
| "gender": "F", | ||
| "birthdate": -132624000, // Time.gm(1965, 10, 19).to_i | ||
| "measures": { // bag of measures, one entry per measure | ||
| "0389": { | ||
| } | ||
| } | ||
| } |
26 changes: 26 additions & 0 deletions
26
fixtures/measures/0389_prostate_bone_scan/patients/numerator.json
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,26 @@ | ||
| { | ||
| "first": "Mercy", // personal data | ||
| "last": "Street", | ||
| "gender": "F", | ||
| "birthdate": -132624000, // Time.gm(1965, 10, 19).to_i | ||
| "measures": { // bag of measures, one entry per measure | ||
| "0389": { | ||
| "prostate_cancer_diagnosis_active": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "prostate_cancer_treatment_procedure_performed": [1272672000], // Time.gm(2010,5,1).to_i | ||
| "ajcc_cancer_stage_low_risk_recurrence_prostate_cancer_procedure_result": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "prostate_specific_antigen_test_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 9 | ||
| } | ||
| ], | ||
| "gleason_score_laboratory_test_result": [ | ||
| { | ||
| "date": [1270080000], // Time.gm(2010,4,1).to_i | ||
| "value": 5 | ||
| } | ||
| ], | ||
| "bone_scan_diagnostic_study_performed": [1270080000] // Time.gm(2010,4,1).to_i] before diagnosis so shouldn't count | ||
| } | ||
| } | ||
| } |
11 changes: 11 additions & 0 deletions
11
fixtures/measures/0389_prostate_bone_scan/patients/population.json
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| @@ -0,0 +1,11 @@ | ||
| { | ||
| "first": "Merril", // personal data | ||
| "last": "Peterson", | ||
| "gender": "M", | ||
| "birthdate": -132624000, // Time.gm(1965, 10, 19).to_i | ||
| "measures": { // bag of measures, one entry per measure | ||
| "0389": { | ||
| "prostate_cancer_diagnosis_active": [1272672000] // Time.gm(2010,5,1).to_i | ||
| } | ||
| } | ||
| } |
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| @@ -0,0 +1,6 @@ | ||
| { | ||
| "initialPopulation": 4, | ||
| "numerator": 1, | ||
| "denominator": 2, | ||
| "exclusions": 1 | ||
| } |
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| @@ -0,0 +1,16 @@ | ||
| { | ||
| "A_1335": { | ||
| "value": { | ||
| "type": "number", | ||
| "description": "Gleason score", | ||
| "date_description": "Date of Gleason score" | ||
| } | ||
| }, | ||
| "A_1338": { | ||
| "value": { | ||
| "type": "number", | ||
| "description": "Prostate cancer specific antigen test", | ||
| "date_description": "Date of prostate cancer specific antigen test" | ||
| } | ||
| } | ||
| } |
58 changes: 58 additions & 0 deletions
58
measures/0389_prostate_bone_scan/0389_NQF_Prostate_Bone_Scan.js
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,58 @@ | ||
| function () { | ||
| var patient = this; | ||
| var measure = patient.measures["0389"]; | ||
| 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 - 18*year; | ||
| var earliest_encounter = effective_date - 1*year; | ||
|
|
||
| var population = function() { | ||
| var prostate_cancer = lessThan(measure.prostate_cancer_diagnosis_active, effective_date); | ||
|
|
||
| return prostate_cancer; | ||
| } | ||
|
|
||
| var denominator = function() { | ||
| var prostate_cancer_treatments = selectWithinRange(measure.prostate_cancer_treatment_procedure_performed, | ||
| earliest_encounter, effective_date); | ||
| if (prostate_cancer_treatments.length==0) | ||
| return false; | ||
| var final_treatment = _.max(prostate_cancer_treatments); | ||
| var low_risk_prostate_cancer = actionFollowingSomething( | ||
| measure.ajcc_cancer_stage_low_risk_recurrence_prostate_cancer_procedure_result, | ||
| measure.prostate_cancer_treatment_procedure_performed); | ||
| var MAX_ANTIGEN = 10; | ||
| var antigens = minValueInDateRange(measure.prostate_specific_antigen_test_laboratory_test_result, -Infinity, final_treatment, MAX_ANTIGEN+1); | ||
| var MAX_GLEASON = 6; | ||
| var gleason = minValueInDateRange(measure.gleason_score_laboratory_test_result, -Infinity, final_treatment, MAX_GLEASON+1); | ||
| var gleason_six = inRange(measure.gleason_score_6_laboratory_test_result, -Infinity, final_treatment); | ||
| return low_risk_prostate_cancer && // already checked for treatment above | ||
| (antigens <= MAX_ANTIGEN) && | ||
| (gleason<=MAX_GLEASON || gleason6); | ||
| } | ||
|
|
||
| var numerator = function() { | ||
| var bone_scan = actionFollowingSomething( | ||
| measure.prostate_cancer_diagnosis_active, measure.bone_scan_diagnostic_study_performed); | ||
| return !(bone_scan); | ||
| } | ||
|
|
||
| var exclusion = function() { | ||
| var pain = actionFollowingSomething( | ||
| measure.prostate_cancer_diagnosis_active, measure.pain_related_to_prostate_cancer_diagnosis_active); | ||
| var salvage = actionFollowingSomething( | ||
| measure.prostate_cancer_diagnosis_active, measure.salvage_therapy_procedure_performed); | ||
| // commented out waiting for issue response - would yield 100% result for measure if included | ||
| // var bone_scan = actionFollowingSomething( | ||
| // measure.prostate_cancer_diagnosis_active, measure.bone_scan_diagnostic_study_performed); | ||
| return (pain || salvage /* || bone_scan */); | ||
| } | ||
|
|
||
| map(patient, population, denominator, numerator, exclusion); | ||
| }; |
184 changes: 92 additions & 92 deletions
184
.../0389_NQF_Prostate_Bone_Scan_Overuse.json → ...one_scan/0389_NQF_Prostate_Bone_Scan.json
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -1,92 +1,92 @@ | ||
| { | ||
| "id": "0389", | ||
| "properties": "NQF_Retooled_Measure_0387.xlsx.json", | ||
| "name": "Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients", | ||
| "description": "Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer.", | ||
| "category": "Cancer", | ||
| "steward": "AMA", | ||
| "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": "Diagnosis active", | ||
| "title": "Active prostate cancer" | ||
| } | ||
| ] | ||
| }, | ||
| "denominator": { | ||
| "and": [ | ||
| { | ||
| "category": "Procedure performed", | ||
| "title": "Prostate cancer treatment performed" | ||
| }, | ||
| { | ||
| "category": "Procedure result", | ||
| "title": "AJCC cancer stage low risk recurrence prostate cancer" | ||
| }, | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Prostate-specific antigen test result <= 10mg/dL" | ||
| }, | ||
| { | ||
| "or": [ | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Gleason score result <= 6" | ||
| }, | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Gleason score <= 6" | ||
| } | ||
| ] | ||
| } | ||
| ] | ||
| }, | ||
| "numerator": { | ||
| "and": [ | ||
| { | ||
| "category": "Diagnostic study not performed", | ||
| "title": "Bone scan not performed" | ||
| } | ||
| ] | ||
| }, | ||
| "exclusions": { | ||
| "or": [ | ||
| { | ||
| "category": "Diagnosis active", | ||
| "title": "Active pain related to prostate cancer" | ||
| }, | ||
| { | ||
| "category": "Procedure performed", | ||
| "title": "Salvage therapy performed" | ||
| }, | ||
| { | ||
| "category": "Diagnostic study performed", | ||
| "title": "Bone scan performed" | ||
| } | ||
| ] | ||
| } | ||
| } | ||
| { | ||
| "id": "0389", | ||
| "properties": "NQF_Retooled_Measure_0389.xlsx.json", | ||
| "name": "Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients", | ||
| "description": "Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer.", | ||
| "category": "Cancer", | ||
| "steward": "AMA", | ||
| "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": "Diagnosis active", | ||
| "title": "Prostate cancer" | ||
| } | ||
| ] | ||
| }, | ||
| "denominator": { | ||
| "and": [ | ||
| { | ||
| "category": "Procedure performed", | ||
| "title": "Prostate cancer treatment" | ||
| }, | ||
| { | ||
| "category": "Procedure result", | ||
| "title": "AJCC cancer stage low risk recurrence prostate cancer" | ||
| }, | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Prostate-specific antigen result <= 10mg/dL" | ||
| }, | ||
| { | ||
| "or": [ | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Gleason score, result <= 6" | ||
| }, | ||
| { | ||
| "category": "Laboratory test result", | ||
| "title": "Gleason score <= 6" | ||
| } | ||
| ] | ||
| } | ||
| ] | ||
| }, | ||
| "numerator": { | ||
| "and": [ | ||
| { | ||
| "category": "Diagnostic study", | ||
| "title": "Bone scan not performed" | ||
| } | ||
| ] | ||
| }, | ||
| "exclusions": { | ||
| "or": [ | ||
| { | ||
| "category": "Diagnosis active", | ||
| "title": "Pain related to prostate cancer" | ||
| }, | ||
| { | ||
| "category": "Procedure performed", | ||
| "title": "Salvage therapy" | ||
| }, | ||
| { | ||
| "category": "Diagnostic study performed", | ||
| "title": "Bone scan with reason" | ||
| } | ||
| ] | ||
| } | ||
| } |
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