/**
* @see
* PatientDataEvaluator#evaluate(org.openmrs.module.reporting.data.patient.definition.PatientDataDefinition,
* org.openmrs.module.reporting.evaluation.EvaluationContext)
*/
public EvaluatedPatientData evaluate(PatientDataDefinition definition, EvaluationContext context)
throws EvaluationException {
CalculationDataDefinition def = (CalculationDataDefinition) definition;
EvaluatedPatientData c = new EvaluatedPatientData(def, context);
// return right away if there is nothing to evaluate
if (context.getBaseCohort() != null && context.getBaseCohort().isEmpty()) {
return c;
}
// evaluate the calculation
PatientCalculationService service = Context.getService(PatientCalculationService.class);
CalculationResultMap resultMap =
service.evaluate(
context.getBaseCohort().getMemberIds(),
def.getCalculation(),
def.getCalculationParameters(),
context);
// move data into return object
for (Map.Entry<Integer, CalculationResult> entry : resultMap.entrySet()) {
c.addData(entry.getKey(), entry.getValue());
}
return c;
}
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort, Map<String, Object> map, PatientCalculationContext context) {
CalculationResultMap ret = new CalculationResultMap();
PersonService personService = Context.getPersonService();
PersonAttributeType personAttributeType =
personService.getPersonAttributeTypeByUuid(
CommonMetadata._PersonAttributeType.TELEPHONE_CONTACT);
PersonAttributeCohortDefinition cd = new PersonAttributeCohortDefinition();
cd.setAttributeType(personAttributeType);
EvaluatedCohort peopleWithPhoneNumbersCohort =
CalculationUtils.evaluateWithReporting(cd, cohort, null, context);
PersonAttributeDataDefinition personAttributeDataDefinition =
new PersonAttributeDataDefinition();
personAttributeDataDefinition.setPersonAttributeType(personAttributeType);
CalculationResultMap data =
CalculationUtils.evaluateWithReporting(
personAttributeDataDefinition, cohort, map, null, context);
for (Integer ptId : cohort) {
String phoneNumber = null;
if (peopleWithPhoneNumbersCohort.contains(ptId)) {
phoneNumber = data.get(ptId).toString();
}
ret.put(ptId, new SimpleResult(phoneNumber, this));
}
return ret;
}
@Test
public void evaluate_shouldReturnHivPatientsNotScreenedForTb() throws Exception {
// Get HIV Program and TB screening encounter type
Program hivProgram = MetadataUtils.getProgram(Metadata.HIV_PROGRAM);
EncounterType screeningEncType =
MetadataUtils.getEncounterType(Metadata.TB_SCREENING_ENCOUNTER_TYPE);
// Enroll patients #6 and #7
PatientService ps = Context.getPatientService();
TestUtils.enrollInProgram(ps.getPatient(6), hivProgram, TestUtils.date(2011, 1, 1));
TestUtils.enrollInProgram(ps.getPatient(7), hivProgram, TestUtils.date(2011, 1, 1));
// Screen patient #6 for TB a year later
TestUtils.saveEncounter(ps.getPatient(6), screeningEncType, TestUtils.date(2012, 1, 1));
Context.flushSession();
List<Integer> cohort = Arrays.asList(6, 7, 8);
CalculationResultMap resultMap =
Context.getService(PatientCalculationService.class)
.evaluate(cohort, new NeverScreenedForTbCalculation());
Assert.assertFalse((Boolean) resultMap.get(6).getValue());
Assert.assertTrue((Boolean) resultMap.get(7).getValue());
Assert.assertNull(resultMap.get(8)); // not in HIV program
}
/**
* @see org.openmrs.calculation.patient.PatientCalculation#evaluate(java.util.Collection,
* java.util.Map, org.openmrs.calculation.patient.PatientCalculationContext)
*/
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort,
Map<String, Object> parameterValues,
PatientCalculationContext context) {
Program mchcsProgram = MetadataUtils.getProgram(MchMetadata._Program.MCHCS);
// Get all patients who are alive and in MCH-CS program
Set<Integer> alive = Filters.alive(cohort, context);
Set<Integer> inMchcsProgram = Filters.inProgram(mchcsProgram, alive, context);
// get wheather the child is HIV Exposed
CalculationResultMap lastChildHivStatus =
Calculations.lastObs(
Dictionary.getConcept(Dictionary.CHILDS_CURRENT_HIV_STATUS), inMchcsProgram, context);
CalculationResultMap medOrdersObss =
Calculations.allObs(Dictionary.getConcept(Dictionary.MEDICATION_ORDERS), cohort, context);
// Get concepts for medication prophylaxis
Concept nvp = Dictionary.getConcept(Dictionary.NEVIRAPINE);
Concept nvpazt3tc = Dictionary.getConcept(Dictionary.LAMIVUDINE_NEVIRAPINE_ZIDOVUDINE);
Concept hivExposed = Dictionary.getConcept(Dictionary.EXPOSURE_TO_HIV);
CalculationResultMap ret = new CalculationResultMap();
for (Integer ptId : cohort) {
boolean notOnPcp = false;
// checking wheather the infant is in mchcs program, alive and HEI
Obs hivStatusObs = EmrCalculationUtils.obsResultForPatient(lastChildHivStatus, ptId);
if (inMchcsProgram.contains(ptId)
&& lastChildHivStatus != null
&& hivStatusObs != null
&& (hivStatusObs.getValueCoded().equals(hivExposed))) {
notOnPcp = true;
ListResult patientMedOrders = (ListResult) medOrdersObss.get(ptId);
if (patientMedOrders != null) {
// Look through list of medication order obs for any CTX
List<Obs> medOrderObsList = CalculationUtils.extractResultValues(patientMedOrders);
for (Obs medOrderObs : medOrderObsList) {
if (medOrderObs.getValueCoded().equals(nvp)
|| medOrderObs.getValueCoded().equals(nvpazt3tc)) {
notOnPcp = false;
break;
}
}
}
}
ret.put(ptId, new BooleanResult(notOnPcp, this, context));
}
return ret;
}
/**
* @see
* org.openmrs.module.kenyaemr.calculation.library.hiv.MissedAppointmentsOrDefaultedCalculation#evaluate(java.util.Collection,
* java.util.Map, org.openmrs.calculation.patient.PatientCalculationContext)
* @verifies determine whether patients have a Missed appointments or defaulted
*/
@Test
public void evaluate_shouldDetermineWhetherPatientsWhoMissedAppointmentsOrDefaulted()
throws Exception {
// Get HIV Program
Program hivProgram = MetadataUtils.getProgram(Metadata.HIV_PROGRAM);
// Enroll patients #6, #7, #8 in the HIV Program
PatientService ps = Context.getPatientService();
for (int i = 6; i <= 8; ++i) {
TestUtils.enrollInProgram(ps.getPatient(i), hivProgram, TestUtils.date(2011, 1, 1));
}
// Give patient #7 a return visit obs of 10 days ago
Concept returnVisit = Context.getConceptService().getConcept(5096);
Calendar calendar = Calendar.getInstance();
calendar.add(Calendar.DATE, -10);
TestUtils.saveObs(
Context.getPatientService().getPatient(7),
returnVisit,
calendar.getTime(),
calendar.getTime());
// Give patient #8 a return visit obs of 10 days in the future
calendar = Calendar.getInstance();
calendar.add(Calendar.DATE, 10);
TestUtils.saveObs(
Context.getPatientService().getPatient(8),
returnVisit,
calendar.getTime(),
calendar.getTime());
Context.flushSession();
List<Integer> ptIds = Arrays.asList(6, 7, 8, 9);
CalculationResultMap resultMap =
new MissedAppointmentsOrDefaultedCalculation()
.evaluate(
ptIds,
null,
Context.getService(PatientCalculationService.class).createCalculationContext());
Assert.assertFalse(
(Boolean) resultMap.get(6).getValue()); // patient in HIV program but no return visit obs
Assert.assertTrue((Boolean) resultMap.get(7).getValue()); // patient has missed visit
Assert.assertFalse(
(Boolean) resultMap.get(8).getValue()); // patient has future return visit date
Assert.assertFalse((Boolean) resultMap.get(9).getValue()); // patient not in HIV Program
}
/**
* @see VisitsOnDayCalculation#evaluate(java.util.Collection, java.util.Map,
* org.openmrs.calculation.patient.PatientCalculationContext)
*/
@Test
public void evaluate_shouldDefaultToToday() throws Exception {
List<Integer> ptIds = Arrays.asList(7, 8);
Map<String, Object> paramValues = new HashMap<String, Object>();
CalculationResultMap resultMap =
new VisitsOnDayCalculation()
.evaluate(
ptIds,
paramValues,
Context.getService(PatientCalculationService.class).createCalculationContext());
Assert.assertThat(resultMap.get(7).isEmpty(), is(true)); // No visits on that day
Assert.assertThat(resultMap.get(8).isEmpty(), is(true)); // No visits on that day
}
/**
* Evaluates the calculation
*
* @should calculate false for deceased patients
* @should calculate false for patients not in HIV program
* @should calculate false for patients with an encounter in last LOST_TO_FOLLOW_UP_THRESHOLD_DAYS
* days days since appointment date
* @should calculate true for patient with no encounter in last LOST_TO_FOLLOW_UP_THRESHOLD_DAYS
* days days since appointment date
*/
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort, Map<String, Object> arg1, PatientCalculationContext context) {
Program hivProgram = MetadataUtils.existing(Program.class, HivMetadata._Program.HIV);
Concept reasonForDiscontinuation =
Dictionary.getConcept(Dictionary.REASON_FOR_PROGRAM_DISCONTINUATION);
Concept transferout = Dictionary.getConcept(Dictionary.TRANSFERRED_OUT);
Set<Integer> alive = Filters.alive(cohort, context);
Set<Integer> inHivProgram = Filters.inProgram(hivProgram, alive, context);
// CalculationResultMap lastEncounters = Calculations.lastEncounter(null, inHivProgram,
// context);
CalculationResultMap lastReturnDateObss =
Calculations.lastObs(
Dictionary.getConcept(Dictionary.RETURN_VISIT_DATE), inHivProgram, context);
CalculationResultMap lastProgramDiscontinuation =
Calculations.lastObs(reasonForDiscontinuation, cohort, context);
CalculationResultMap ret = new CalculationResultMap();
for (Integer ptId : cohort) {
boolean lost = false;
// Is patient alive and in the HIV program
if (alive.contains(ptId)) {
// Patient is lost if no encounters in last X days
// Encounter lastEncounter = EmrCalculationUtils.encounterResultForPatient(lastEncounters,
// ptId);
Date lastScheduledReturnDate =
EmrCalculationUtils.datetimeObsResultForPatient(lastReturnDateObss, ptId);
Obs discontuation =
EmrCalculationUtils.obsResultForPatient(lastProgramDiscontinuation, ptId);
if (lastScheduledReturnDate != null) {
if (daysSince(lastScheduledReturnDate, context)
> HivConstants.LOST_TO_FOLLOW_UP_THRESHOLD_DAYS) {
lost = true;
}
if (discontuation != null && discontuation.getValueCoded().equals(transferout)) {
lost = false;
}
}
}
ret.put(ptId, new SimpleResult(lost, this, context));
}
return ret;
}
@Test
public void evaluate_shouldReturnTrueForAllAlivePatients() {
// Mark patient #8 as deceased on 1st Jan 2012
TestUtils.getPatient(8).setDead(true);
TestUtils.getPatient(8).setDeathDate(TestUtils.date(2012, 1, 1));
List<Integer> ptIds = Arrays.asList(2, 6, 7, 8);
CalculationResultMap resultMap =
Context.getService(PatientCalculationService.class)
.evaluate(ptIds, new EligibleForTbProgramCalculation());
Assert.assertTrue((Boolean) resultMap.get(2).getValue());
Assert.assertTrue((Boolean) resultMap.get(6).getValue());
Assert.assertTrue((Boolean) resultMap.get(7).getValue());
Assert.assertFalse((Boolean) resultMap.get(8).getValue()); // Deceased
}
/**
* @see VisitsOnDayCalculation#evaluate(java.util.Collection, java.util.Map,
* org.openmrs.calculation.patient.PatientCalculationContext)
*/
@Test
public void evaluate_shouldFetchAllPatientVisitsOnDate() throws Exception {
List<Integer> ptIds = Arrays.asList(7, 8);
Map<String, Object> paramValues = new HashMap<String, Object>();
paramValues.put("date", TestUtils.date(2012, 1, 1));
CalculationResultMap resultMap =
new VisitsOnDayCalculation()
.evaluate(
ptIds,
paramValues,
Context.getService(PatientCalculationService.class).createCalculationContext());
Assert.assertThat(((ListResult) resultMap.get(7)).getValues().size(), is(2)); // Has two visit
Assert.assertThat(resultMap.get(8).isEmpty(), is(true)); // No visits on that day
}
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort,
Map<String, Object> parameterValues,
PatientCalculationContext context) {
// Date date = (Date) parameterValues.get("date");
// if (date == null) {
// date = new Date();
// }
if (parameterValues != null) {
logger.info("Parameter Values is NOT null");
logger.info(parameterValues.toString());
} else {
logger.info("Parameter Values is null");
}
Date date = new Date();
Date startOfDay = DateUtil.getStartOfDay(date);
Date endOfDay = DateUtil.getEndOfDay(date);
Concept returnVisitDate = Dictionary.getConcept(Dictionary.RETURN_VISIT_DATE);
// EncounterType tbFollowup = MetadataUtils.existing(EncounterType.class,
// TbMetadata._EncounterType.TB_CONSULTATION);
DateObsCohortDefinition cd = new DateObsCohortDefinition();
cd.setTimeModifier(TimeModifier.ANY);
cd.setQuestion(returnVisitDate);
cd.setOperator1(RangeComparator.GREATER_EQUAL);
cd.setValue1(startOfDay);
cd.setOperator2(RangeComparator.LESS_EQUAL);
cd.setValue2(endOfDay);
// cd.setEncounterTypeList(Collections.singletonList(tbFollowup));
EvaluatedCohort withScheduledVisit =
CalculationUtils.evaluateWithReporting(cd, cohort, null, context);
CalculationResultMap ret = new CalculationResultMap();
for (Integer ptId : cohort) {
ret.put(ptId, new BooleanResult(withScheduledVisit.contains(ptId), this));
}
return ret;
}
/**
* @see org.openmrs.calculation.patient.PatientCalculation#evaluate(java.util.Collection,
* java.util.Map, org.openmrs.calculation.patient.PatientCalculationContext)
* @param cohort
* @param parameterValues
* @param context
* @return true for deceased patients
* @return False for non deceased patients
*/
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort,
Map<String, Object> parameterValues,
PatientCalculationContext context) {
Program hivProgram = MetadataUtils.existing(Program.class, HivMetadata._Program.HIV);
Set<Integer> inHivProgram = Filters.inProgram(hivProgram, cohort, context);
Set<Integer> alive = Filters.alive(cohort, context);
CalculationResultMap ret = new CalculationResultMap();
for (Integer ptId : cohort) {
boolean dead = false;
if (inHivProgram.contains(ptId) && !(alive.contains(ptId))) {
dead = true;
}
ret.put(ptId, new SimpleResult(dead, this, context));
}
return ret;
}
/**
* @see
* org.openmrs.module.kenyaemr.calculation.cd4.NeedsCD4Calculation#evaluate(java.util.Collection,
* java.util.Map, org.openmrs.calculation.patient.PatientCalculationContext)
* @verifies calculate last CD4 percentage for all patients
*/
@Test
public void evaluate_shouldCalculateLastCD4() throws Exception {
PatientService ps = Context.getPatientService();
Concept cd4Percent =
Context.getConceptService().getConceptByUuid(MetadataConstants.CD4_PERCENT_CONCEPT_UUID);
// Give patient #6 some CD4 obs
TestUtils.saveObs(ps.getPatient(6), cd4Percent, 20d, TestUtils.date(2012, 12, 1));
TestUtils.saveObs(ps.getPatient(6), cd4Percent, 30d, TestUtils.date(2010, 11, 1));
Context.flushSession();
List<Integer> ptIds = Arrays.asList(6, 999);
CalculationResultMap resultMap =
Context.getService(PatientCalculationService.class)
.evaluate(ptIds, new LastCD4PercentageCalculation());
Assert.assertEquals(new Double(20d), ((Obs) resultMap.get(6).getValue()).getValueNumeric());
Assert.assertNull(resultMap.get(999)); // has no recorded CD4 percent
}
/**
* @see DecliningCd4Calculation#evaluate(java.util.Collection, java.util.Map,
* org.openmrs.calculation.patient.PatientCalculationContext)
* @verifies determine whether patients have a decline in CD4
*/
@Test
public void evaluate_shouldDetermineWhetherPatientsHasDeclinedCD4() throws Exception {
// Get HIV Program
Program hivProgram = Metadata.getProgram(Metadata.HIV_PROGRAM);
// Enroll patients #6, #7 and #8 in the HIV Program
PatientService ps = Context.getPatientService();
for (int i = 6; i <= 8; ++i) {
TestUtils.enrollInProgram(ps.getPatient(i), hivProgram, new Date());
}
// Give patients #7 and #8 a CD4 count 180 days ago
Concept cd4 = Dictionary.getConcept(Dictionary.CD4_COUNT);
Calendar calendar = Calendar.getInstance();
calendar.add(Calendar.DATE, -180);
TestUtils.saveObs(ps.getPatient(7), cd4, 123d, calendar.getTime());
TestUtils.saveObs(ps.getPatient(8), cd4, 123d, calendar.getTime());
// Give patient #7 a lower CD4 count today
TestUtils.saveObs(ps.getPatient(7), cd4, 120d, new Date());
// Give patient #8 a higher CD4 count today
TestUtils.saveObs(ps.getPatient(8), cd4, 126d, new Date());
Context.flushSession();
List<Integer> ptIds = Arrays.asList(6, 7, 8, 999);
CalculationResultMap resultMap =
Context.getService(PatientCalculationService.class)
.evaluate(ptIds, new DecliningCd4Calculation());
Assert.assertFalse(
(Boolean) resultMap.get(6).getValue()); // in Hiv program but without cd4 i.e needs cd4
Assert.assertTrue((Boolean) resultMap.get(7).getValue()); // has decline in CD4
Assert.assertFalse((Boolean) resultMap.get(8).getValue()); // has increase in CD4
Assert.assertFalse((Boolean) resultMap.get(999).getValue()); // not in HIV Program
}
/**
* Extracts patients from a calculation result map with date results in the given range
*
* @param results the calculation result map
* @param minDateInclusive the minimum date (inclusive)
* @param maxDateInclusive the maximum date (inclusive)
* @return the extracted patient ids
*/
protected static Set<Integer> datesWithinRange(
CalculationResultMap results, Date minDateInclusive, Date maxDateInclusive) {
Set<Integer> ret = new HashSet<Integer>();
for (Map.Entry<Integer, CalculationResult> e : results.entrySet()) {
Date result = null;
try {
result = e.getValue().asType(Date.class);
} catch (Exception ex) {
// pass
}
if (result != null) {
if (OpenmrsUtil.compareWithNullAsEarliest(result, minDateInclusive) >= 0
&& OpenmrsUtil.compareWithNullAsLatest(result, maxDateInclusive) <= 0) {
ret.add(e.getKey());
}
}
}
return ret;
}
/**
* @see EligibleForArtTriggerCalculation#evaluate(java.util.Collection, java.util.Map,
* org.openmrs.calculation.patient.PatientCalculationContext)
* @verifies calculate the obs which triggered a patient to become eligible for ART
* @verifies return null for patients who have never been eligible for ART
*/
@Test
public void evaluate_shouldCalculateEligibilityTrigger() throws Exception {
PatientService ps = Context.getPatientService();
// Confirm patient #6 HIV+ when they're 1 year old and give them very low CD4 soon after
TestUtils.saveObs(
ps.getPatient(6),
Dictionary.getConcept(Dictionary.DATE_OF_HIV_DIAGNOSIS),
TestUtils.date(2008, 05, 27),
TestUtils.date(2010, 1, 1));
TestUtils.saveObs(
ps.getPatient(6),
Dictionary.getConcept(Dictionary.CD4_COUNT),
300.0,
TestUtils.date(2009, 1, 1));
// Give patient #7 low CD4 when they're 3 years old and very low CD4 after
TestUtils.saveObs(
ps.getPatient(7),
Dictionary.getConcept(Dictionary.CD4_COUNT),
900.0,
TestUtils.date(1979, 8, 25));
TestUtils.saveObs(
ps.getPatient(7),
Dictionary.getConcept(Dictionary.CD4_COUNT),
300.0,
TestUtils.date(2009, 1, 1));
// Give patient #8 WHO stage of 3
TestUtils.saveObs(
ps.getPatient(8),
Dictionary.getConcept(Dictionary.CURRENT_WHO_STAGE),
Dictionary.getConcept(Dictionary.WHO_STAGE_3_PEDS),
TestUtils.date(2009, 1, 1));
Context.flushSession();
List<Integer> cohort = Arrays.asList(6, 7, 8, 999);
CalculationResultMap resultMap =
new EligibleForArtTriggerCalculation()
.evaluate(
cohort,
null,
Context.getService(PatientCalculationService.class).createCalculationContext());
Obs patient6Trigger = (Obs) resultMap.get(6).getValue(); // Eligible through HIV confirmation
Assert.assertEquals(Dictionary.DATE_OF_HIV_DIAGNOSIS, patient6Trigger.getConcept().getUuid());
Assert.assertEquals(TestUtils.date(2008, 05, 27), patient6Trigger.getValueDate());
Obs patient7Trigger = (Obs) resultMap.get(7).getValue(); // Eligible through CD4 count
Assert.assertEquals(Dictionary.CD4_COUNT, patient7Trigger.getConcept().getUuid());
Assert.assertEquals(TestUtils.date(1979, 8, 25), patient7Trigger.getObsDatetime());
Obs patient8Trigger = (Obs) resultMap.get(8).getValue(); // Eligible through WHO stage
Assert.assertEquals(Dictionary.CURRENT_WHO_STAGE, patient8Trigger.getConcept().getUuid());
Assert.assertEquals(TestUtils.date(2009, 1, 1), patient8Trigger.getObsDatetime());
Assert.assertNull(resultMap.get(999)); // Was never eligible for ART
}
@Override
public CalculationResultMap evaluate(
Collection<Integer> cohort,
Map<String, Object> parameterValues,
PatientCalculationContext context) {
Program hivProgram = MetadataUtils.existing(Program.class, HivMetadata._Program.HIV);
Set<Integer> alive = Filters.alive(cohort, context);
Set<Integer> inHivProgram = Filters.inProgram(hivProgram, alive, context);
Set<Integer> aliveAndFemale = Filters.female(Filters.alive(cohort, context), context);
CalculationResultMap ret = new CalculationResultMap();
// need to exclude those on ART already
Set<Integer> onArt =
CalculationUtils.patientsThatPass(calculate(new OnArtCalculation(), cohort, context));
// find the observation for viral load recorded
CalculationResultMap viralLoad =
Calculations.lastObs(Dictionary.getConcept(Dictionary.HIV_VIRAL_LOAD), cohort, context);
// get a list of all the viral load
CalculationResultMap viralLoadList =
Calculations.allObs(Dictionary.getConcept(Dictionary.HIV_VIRAL_LOAD), cohort, context);
// check for non detectables
CalculationResultMap ldlViralLoad =
Calculations.allObs(
Dictionary.getConcept(Dictionary.HIV_VIRAL_LOAD_QUALITATIVE), cohort, context);
// check for test orders
CalculationResultMap testOrders =
Calculations.allObs(Dictionary.getConcept(Dictionary.TESTS_ORDERED), cohort, context);
// check for last ldl
CalculationResultMap ldlLast =
Calculations.lastObs(
Dictionary.getConcept(Dictionary.HIV_VIRAL_LOAD_QUALITATIVE), cohort, context);
// find for prgnant females
CalculationResultMap pregStatusObss =
Calculations.lastObs(
Dictionary.getConcept(Dictionary.PREGNANCY_STATUS), aliveAndFemale, context);
// get the initial art start date
CalculationResultMap artStartDate =
calculate(new InitialArtStartDateCalculation(), cohort, context);
for (Integer ptId : cohort) {
boolean needsViralLoadTest = false;
Obs viralLoadObs = EmrCalculationUtils.obsResultForPatient(viralLoad, ptId);
Date dateInitiated = EmrCalculationUtils.datetimeResultForPatient(artStartDate, ptId);
ListResult listResult = (ListResult) viralLoadList.get(ptId);
ListResult testOrdersList = (ListResult) testOrders.get(ptId);
List<Obs> testObsList = CalculationUtils.extractResultValues(testOrdersList);
List<Obs> listObsViralLoads = CalculationUtils.extractResultValues(listResult);
ListResult ldlList = (ListResult) ldlViralLoad.get(ptId);
List<List> listLdl = CalculationUtils.extractResultValues(ldlList);
Obs lastLdlObs = EmrCalculationUtils.obsResultForPatient(ldlLast, ptId);
// find pregnancy obs
Obs pregnantEdd = EmrCalculationUtils.obsResultForPatient(pregStatusObss, ptId);
// Find latest viral load test order
Obs lastVlTestOrder = getLatestVlOrder(testObsList);
if (inHivProgram.contains(ptId) && onArt.contains(ptId)) {
if (listObsViralLoads.size() == 0
&& listLdl.size() == 0
&& dateInitiated != null
&& (daysSince(dateInitiated, context) >= 180)) {
needsViralLoadTest = true;
}
// need to check here if patient has had any viral load
/*if(dateInitiated != null && (daysSince(dateInitiated, context) >= 360)) {
needsViralLoadTest = true;
}*/
// those continuing should receive one VL every year
// pick the date of the last viral load numeric values
if (viralLoadObs != null && (daysSince(viralLoadObs.getObsDatetime(), context) >= 360)) {
needsViralLoadTest = true;
}
// pick the date of the ldl
if (lastLdlObs != null && (daysSince(lastLdlObs.getObsDatetime(), context) >= 360)) {
needsViralLoadTest = true;
}
// if vl more than
if (viralLoadObs != null
&& viralLoadObs.getValueNumeric() > 1000
&& (daysSince(viralLoadObs.getObsDatetime(), context) > 90)) {
needsViralLoadTest = true;
if (lastLdlObs != null && (daysSince(lastLdlObs.getObsDatetime(), context) < 360)) {
needsViralLoadTest = false;
}
}
// check for pregnancy
if (pregnantEdd != null
&& pregnantEdd.getValueCoded().equals(Dictionary.getConcept(Dictionary.YES))
&& dateInitiated != null) {
Date whenVLWillBeDue =
DateUtil.adjustDate(
DateUtil.adjustDate(dateInitiated, 6, DurationUnit.MONTHS),
-1,
DurationUnit.DAYS);
// if last vl is 6 months older then the patient is due for vl
if (viralLoadObs == null && lastLdlObs == null) {
needsViralLoadTest = true;
}
if (viralLoadObs == null
&& lastLdlObs == null
&& (context.getNow().after(whenVLWillBeDue))) {
needsViralLoadTest = true;
}
if (viralLoadObs != null
&& viralLoadObs.getValueNumeric() > 1000
&& (monthsBetween(viralLoadObs.getObsDatetime(), context.getNow()) >= 3)) {
needsViralLoadTest = true;
if (lastLdlObs != null && (daysSince(lastLdlObs.getObsDatetime(), context) < 360)) {
needsViralLoadTest = false;
}
}
if (viralLoadObs != null && daysSince(viralLoadObs.getObsDatetime(), context) >= 180) {
needsViralLoadTest = true;
}
if (lastLdlObs != null && daysSince(lastLdlObs.getObsDatetime(), context) >= 180) {
needsViralLoadTest = true;
}
}
// check if has vl test order within 6 months
if (lastVlTestOrder != null
&& daysSince(lastVlTestOrder.getObsDatetime(), context) >= 180) {
needsViralLoadTest = true;
}
if (lastVlTestOrder != null && daysSince(lastVlTestOrder.getObsDatetime(), context) < 180) {
needsViralLoadTest = false;
}
}
ret.put(ptId, new BooleanResult(needsViralLoadTest, this));
}
return ret;
}
