/**
* Calculates the postpartum end date as 6 months past the delivery date.
*
* <p>NOTE: In the absence of a delivery date, the EDC is used.
*
* @return The end date of the postpartum stage
*/
public Date getPostpartumStageEndDate() {
Date deliveryDate = null;
if (Functions.observation(mcProgramObs.getObs(), MCDeliveryReportConcepts.DELIVERY_REPORT)
!= null) {
final Obs deliveryDateObs =
mcProgramObs.getDeliveryReport().getMember(MCDeliveryReportConcepts.DELIVERY_DATE);
if (deliveryDateObs != null) {
deliveryDate = deliveryDateObs.getValueDatetime();
}
}
if (deliveryDate == null) {
// use EDC
deliveryDate = mcProgramObs.getEstimatedDateOfConfinement();
}
if (deliveryDate != null) {
final Calendar sixMonthsAfterDeliveryDate = Calendar.getInstance();
sixMonthsAfterDeliveryDate.setTime(DateUtil.stripTime(deliveryDate));
sixMonthsAfterDeliveryDate.add(Calendar.MONTH, 6);
// return the calculated postpartum stage end date
return sixMonthsAfterDeliveryDate.getTime();
}
// postpartum stage end date is not available
return null;
}
/**
* 1.4.4 Returning to ACTIVE status: If coming from an ADMITTED status, the status of the Delivery
* Record is checked. If it has not yet been updated (no delivery date is entered), the form is
* displayed (refer to Section 2.1.1)
*
* @return
*/
public boolean isDeliveryReportNeeded() {
if (isProgramConcluded()) {
// program already concluded, no need for delivery report
return false;
}
final List<PatientConsultStatus> statuses = mcProgramObs.getAllPatientConsultStatus();
if (statuses.size() > 1) {
final PatientConsultStatus previous = statuses.get(statuses.size() - 2);
final PatientConsultStatus current = statuses.get(statuses.size() - 1);
// check if status was 'active' and coming from 'admitted'
if (current.getStatus() == MaternalCareProgramStates.ACTIVE //
&& previous.getStatus() == MaternalCareProgramStates.ADMITTED) {
// if no delivery report has been created yet, then we need to ask the user to create one
if (Functions.observation(mcProgramObs.getObs(), MCDeliveryReportConcepts.DELIVERY_REPORT)
== null) {
// no delivery report created yet: we need to pop-up the delivery report dialog
return true;
}
}
}
// delivery report doesn't need to be displayed
return false;
}
/**
* Checks if any of the 'E' risk factors are present in the group obs.
*
* @param grp
* @return
*/
private boolean anyRiskFactorsTypeE(GroupObs grp) {
final Concept yes = Functions.trueConcept();
// check if any of the 'E' risk factors are present
for (CachedConceptId rfEConceptId :
new CachedConceptId[] {
MCMedicalHistoryConcepts.TUBERCULOSIS, //
MCMedicalHistoryConcepts.HEART_DISEASE, //
MCMedicalHistoryConcepts.DIABETES, //
MCMedicalHistoryConcepts.ASTHMA, //
MCMedicalHistoryConcepts.THYROID
}) {
final Obs conditionObs = grp.getMember(rfEConceptId);
if (conditionObs != null && yes.equals(conditionObs.getValueCoded())) {
// risk factor 'E' is present
return true;
}
}
// risk factor 'E' not found in this group observation
return false;
}
/**
* Calculates the risk factors based on the maternal care observation in the form.
*
* @return A comma-delimited list of risk factors (from A to E)
*/
public String getRiskFactors() {
// store risk factors in a list
final List<String> riskFactors = new ArrayList<String>();
if (getPatient() != null && mcProgramObs != null) {
// check for risk factor 'a' using age at LMP
final Obs lmpObs =
mcProgramObs
.getObstetricHistory()
.getMember(MCObstetricHistoryConcepts.LAST_MENSTRUAL_PERIOD);
if (lmpObs != null
&& lmpObs.getValueDatetime() != null
&& getPatient().getBirthdate() != null) {
final int age =
DateUtil.yearsBetween(getPatient().getBirthdate(), lmpObs.getValueDatetime());
if (age < 18 || age > 35) {
riskFactors.add("A");
}
}
// check for risk factor 'b' using patient's height
final Obs heightObs = Functions.observation(getPatient(), VisitConcepts.HEIGHT_CM);
if (heightObs != null && heightObs.getValueNumeric() != null) {
if (heightObs.getValueNumeric() < 145) {
riskFactors.add("B");
}
}
// check for risk factor 'c' using patient obstetric history
final ObstetricHistory obHistory = mcProgramObs.getObstetricHistory();
final Obs gravidaObs =
obHistory.getMember(MCObstetricHistoryConcepts.OBSTETRIC_SCORE_GRAVIDA);
if (gravidaObs != null && gravidaObs.getValueNumeric() != null) {
if (gravidaObs.getValueNumeric() >= 4) {
riskFactors.add("C");
}
}
// check for risk factors 'd' using registration data
final Concept yes = Functions.trueConcept();
if (yes.equals(
obHistory.getMember(MCObstetricHistoryConcepts.HISTORY_PREV_CSECTION).getValueCoded())
|| yes.equals(
obHistory
.getMember(MCObstetricHistoryConcepts.HISTORY_3OR_MORE_MISCARRIAGES)
.getValueCoded())
|| yes.equals(
obHistory
.getMember(MCObstetricHistoryConcepts.HISTORY_OF_POSTPARTUM_HEMORRHAGE)
.getValueCoded())) {
riskFactors.add("D");
}
if (anyRiskFactorsTypeE(mcProgramObs.getPatientMedicalHistory())) {
// check 'past' medical history
riskFactors.add("E");
} else {
// check medical history observed during this pregnancy
for (PrenatalVisitRecord visit : mcProgramObs.getPrenatalVisits()) {
if (anyRiskFactorsTypeE(visit.getNewMedicalConditions())) {
riskFactors.add("E");
break;
}
}
}
}
if (riskFactors.isEmpty()) {
return "none";
} else {
final String riskFactorsText = riskFactors.toString();
return riskFactorsText.substring(1, riskFactorsText.length() - 1);
}
}