diff --git a/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlArithmeticFunctionsTest.xml b/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlArithmeticFunctionsTest.xml
index e609a4d7e..60724a865 100644
--- a/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlArithmeticFunctionsTest.xml
+++ b/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlArithmeticFunctionsTest.xml
@@ -151,6 +151,10 @@
 			<expression>10.0 'g' / 5</expression>
 			<output>2.0'g'</output>
 		</test>
+		<test name="Divide10Q0I">
+			<expression>10.0 'g' / 0</expression>
+			<output>null</output>
+		</test>
 	</group>
 	<group name="Floor">
 		<test name="FloorNull">
diff --git a/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlComparisonOperatorsTest.xml b/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlComparisonOperatorsTest.xml
index ebc2cd899..7657f7107 100644
--- a/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlComparisonOperatorsTest.xml
+++ b/Src/java/engine-fhir/src/test/resources/org/hl7/fhirpath/cql/CqlComparisonOperatorsTest.xml
@@ -100,6 +100,10 @@
 			<expression>1'cm':2'cm' = 1.1'cm':2'cm'</expression>
 			<output>false</output>
 		</test>
+		<test name="RatioNotEqual2">
+			<expression>1'cm':2'cm' = 2'cm':4'cm'</expression>
+			<output>false</output>
+		</test>
 		<test name="TupleEqJohnJohn">
 			<expression>Tuple { Id : 1, Name : 'John' } = Tuple { Id : 1, Name : 'John' }</expression>
 			<output>true</output>
@@ -722,6 +726,14 @@
 			<expression>1'cm':2'cm' ~ 1'cm':2'cm'</expression>
 			<output>true</output>
 		</test>
+		<test name="RatioEquivalent2">
+			<expression>1'cm':2'cm' ~ 2'cm':4'cm'</expression>
+			<output>true</output>
+		</test>
+		<test name="RatioEquivalent3">
+			<expression>1'cm':0'cm' ~ 2'cm':0'cm'</expression>
+			<output>true</output>
+		</test>
 		<test name="RatioNotEquivalent">
 			<expression>1'cm':2'cm' ~ 1'cm':3'cm'</expression>
 			<output>false</output>
diff --git a/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/elm/executing/DivideEvaluator.java b/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/elm/executing/DivideEvaluator.java
index 8e0e93eb2..dcd9d5090 100644
--- a/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/elm/executing/DivideEvaluator.java
+++ b/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/elm/executing/DivideEvaluator.java
@@ -46,10 +46,16 @@ public static Object divide(Object left, Object right, State state) {
             return divideHelper((BigDecimal) left, (BigDecimal) right, state);
         } else if (left instanceof Quantity && right instanceof Quantity) {
             BigDecimal value = divideHelper(((Quantity) left).getValue(), ((Quantity) right).getValue(), state);
-            return new Quantity().withValue(Value.verifyPrecision(value, null)).withUnit(((Quantity) left).getUnit());
+            if (value == null) {
+                return null;
+            }
+            return new Quantity().withValue(value).withUnit(((Quantity) left).getUnit());
         } else if (left instanceof Quantity && right instanceof BigDecimal) {
             BigDecimal value = divideHelper(((Quantity) left).getValue(), (BigDecimal) right, state);
-            return new Quantity().withValue(Value.verifyPrecision(value, null)).withUnit(((Quantity) left).getUnit());
+            if (value == null) {
+                return null;
+            }
+            return new Quantity().withValue(value).withUnit(((Quantity) left).getUnit());
         } else if (left instanceof Interval && right instanceof Interval) {
             Interval leftInterval = (Interval) left;
             Interval rightInterval = (Interval) right;
diff --git a/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/runtime/Ratio.java b/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/runtime/Ratio.java
index 82ae98602..3495dee5a 100644
--- a/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/runtime/Ratio.java
+++ b/Src/java/engine/src/main/java/org/opencds/cqf/cql/engine/runtime/Ratio.java
@@ -2,6 +2,7 @@
 
 import org.opencds.cqf.cql.engine.elm.executing.EqualEvaluator;
 import org.opencds.cqf.cql.engine.elm.executing.EquivalentEvaluator;
+import org.opencds.cqf.cql.engine.elm.executing.MultiplyEvaluator;
 
 public class Ratio implements CqlType {
 
@@ -26,10 +27,15 @@ public Ratio setDenominator(Quantity denominator) {
         return this;
     }
 
+    /**
+     * For ratios, equivalent means that the numerator and denominator represent the same ratio (e.g. 1:100 ~ 10:1000).
+     */
     @Override
     public Boolean equivalent(Object other) {
-        return EquivalentEvaluator.equivalent(this.getNumerator(), ((Ratio) other).getNumerator())
-                && EquivalentEvaluator.equivalent(this.getDenominator(), ((Ratio) other).getDenominator());
+        var otherRatio = (Ratio) other;
+        return EquivalentEvaluator.equivalent(
+                MultiplyEvaluator.multiply(this.getNumerator(), otherRatio.getDenominator()),
+                MultiplyEvaluator.multiply(otherRatio.getNumerator(), this.getDenominator()));
     }
 
     @Override