@SuppressWarnings("unused")
public static JSONObject createJsonObservation(Obs obs) {
JSONObject jsonObs = new JSONObject();
jsonObs.put("observation_id", obs.getObsId());
jsonObs.put("concept_name", obs.getConcept().getDisplayString());
Date obsDate = obs.getObsDatetime() == null ? new Date() : obs.getObsDatetime();
SimpleDateFormat formatDateJava = new SimpleDateFormat("dd/MM/yyyy HH:mm:ss");
String dateStr = obsDate.getTime() + "";
jsonObs.put("date", dateStr);
if (obs.getConcept().getDatatype().isNumeric()) { // ADD MORE DATATYPES
ConceptNumeric conceptNumeric =
Context.getConceptService().getConceptNumeric(obs.getConcept().getId());
jsonObs.put("units_of_measurement", conceptNumeric.getUnits());
jsonObs.put("absolute_high", conceptNumeric.getHiAbsolute());
jsonObs.put("absolute_low", conceptNumeric.getLowAbsolute());
jsonObs.put("critical_high", conceptNumeric.getHiCritical());
jsonObs.put("critical_low", conceptNumeric.getLowCritical());
jsonObs.put("normal_high", conceptNumeric.getHiNormal());
jsonObs.put("normal_low", conceptNumeric.getLowNormal());
}
jsonObs.put("value_type", obs.getConcept().getDatatype().getName());
jsonObs.put("value", obs.getValueAsString(Context.getLocale()));
jsonObs.put("location", obs.getLocation().getDisplayString());
jsonObs.put("creator", obs.getCreator().getDisplayString());
Set<EncounterProvider> encounterProviders = obs.getEncounter().getEncounterProviders();
if (encounterProviders != null && encounterProviders.iterator().hasNext()) {
EncounterProvider provider = encounterProviders.iterator().next();
if (provider.getProvider() != null) {
jsonObs.put("provider", provider.getProvider().getName());
}
}
SearchAPI searchAPI = SearchAPI.getInstance();
if (!searchAPI.getSearchPhrase().getPhrase().equals("")
&& !searchAPI.getSearchPhrase().getPhrase().equals("*")) {
for (ChartListItem item : searchAPI.getResults()) {
if (item != null && item instanceof ObsItem && ((ObsItem) item).getObsId() != null) {
if (((ObsItem) item).getObsId() == obs.getObsId()) {
jsonObs.put("chosen", "true");
}
}
}
}
return jsonObs;
}
Obs getLatestVlOrder(List<Obs> lstObs) {
Obs latestObs = null;
for (Obs o : lstObs) {
if (o.getValueCoded() == Dictionary.getConcept(Dictionary.HIV_VIRAL_LOAD)) {
if (latestObs == null) {
latestObs = o;
} else {
if (o.getObsDatetime().after(latestObs.getObsDatetime())) {
latestObs = o;
}
}
}
}
return latestObs;
}
/**
* Builds a coded result from an observation
*
* @param obs
*/
public Result(Obs obs) {
this(
obs.getObsDatetime(),
null,
obs.getValueAsBoolean(),
obs.getValueCoded(),
obs.getValueDatetime(),
obs.getValueNumeric(),
obs.getValueText(),
obs);
Concept concept = obs.getConcept();
ConceptDatatype conceptDatatype = null;
if (concept != null) {
conceptDatatype = concept.getDatatype();
if (conceptDatatype == null) {
return;
}
if (conceptDatatype.isCoded()) {
this.datatype = Datatype.CODED;
} else if (conceptDatatype.isNumeric()) {
this.datatype = Datatype.NUMERIC;
} else if (conceptDatatype.isDate()) {
this.datatype = Datatype.DATETIME;
} else if (conceptDatatype.isText()) {
this.datatype = Datatype.TEXT;
} else if (conceptDatatype.isBoolean()) {
this.datatype = Datatype.BOOLEAN;
}
}
}
/**
* @see
* org.openmrs.module.htmlformentry.element.HtmlGeneratorElement#generateHtml(org.openmrs.module.htmlformentry.FormEntryContext)
*/
@Override
public String generateHtml(FormEntryContext context) {
if (context.getExistingPatient() == null) {
return "";
}
KenyaUiUtils kenyaui = Context.getRegisteredComponents(KenyaUiUtils.class).get(0);
PatientWrapper patient = new PatientWrapper(context.getExistingPatient());
Obs obs = patient.lastObs(MetadataUtils.getConcept(conceptId));
StringBuilder sb = new StringBuilder("<span>");
if (obs != null) {
sb.append(kenyaui.formatObsValue(obs));
if (showDate) {
sb.append(" <small>(" + kenyaui.formatDate(obs.getObsDatetime()) + ")</small>");
}
} else if (noneMessage != null) {
sb.append(noneMessage);
}
sb.append("</span>");
return sb.toString();
}
private void addToObsGroup(Obs obsGroup, Obs member) {
member.setPerson(obsGroup.getPerson());
member.setObsDatetime(obsGroup.getObsDatetime());
member.setLocation(obsGroup.getLocation());
member.setEncounter(obsGroup.getEncounter());
obsGroup.addGroupMember(member);
}
/** @see Encounter#addObs(Obs) */
@Test
@Verifies(
value = "should add encounter attrs to obs if attributes are null",
method = "addObs(Obs)")
public void addObs_shouldAddEncounterAttrsToObsIfAttributesAreNull() throws Exception {
/// an encounter that will hav the date/location/patient on it
Encounter encounter = new Encounter();
Date date = new Date();
encounter.setEncounterDatetime(date);
Location location = new Location(1);
encounter.setLocation(location);
Patient patient = new Patient(1);
encounter.setPatient(patient);
// add an obs that doesn't have date/location/patient set on it.
Obs obs = new Obs(123);
encounter.addObs(obs);
// make sure it was added
assertEquals(1, encounter.getAllObs(true).size());
// check the values of the obs attrs to see if they were added
assertTrue(obs.getObsDatetime().equals(date));
assertTrue(obs.getLocation().equals(location));
assertTrue(obs.getPerson().equals(patient));
}
public ObsBuilder addMember(Concept question, String valueText) {
Obs child = new Obs();
child.setPerson(obs.getPerson());
child.setObsDatetime(obs.getObsDatetime());
child.setConcept(question);
child.setValueText(valueText);
obs.addGroupMember(child);
return this;
}
public QueueItem saveQueueItem(QueueItem queueItem) {
log.debug("saveQueueItem(). Entering");
boolean isNew = false;
Date newDate = queueItem.getEncounter().getEncounterDatetime();
log.debug("Encounter date: " + newDate);
Date originalDate = null;
if (queueItem.getQueueItemId() == null) {
isNew = true;
log.debug("Got a new queue item");
}
// Not new we update some of the Encounter info
if (!isNew) {
log.info("Updating previously queued encounter!");
Encounter encounter = queueItem.getEncounter();
Patient p = encounter.getPatient();
originalDate = encounter.getEncounterDatetime();
if (OpenmrsUtil.compare(originalDate, newDate) != 0) {
// if the obs datetime is the same as the
// original encounter datetime, fix it
if (OpenmrsUtil.compare(queueItem.getDateCreated(), originalDate) == 0) {
encounter.setEncounterDatetime(newDate);
}
}
// if the Person in the encounter doesn't match the Patient in the ,
// fix it
if (!encounter.getPatient().getPersonId().equals(p.getPatientId())) {
encounter.setPatient(p);
}
for (Obs obs : encounter.getAllObs(true)) {
// if the date was changed
if (OpenmrsUtil.compare(originalDate, newDate) != 0) {
// if the obs datetime is the same as the
// original encounter datetime, fix it
if (OpenmrsUtil.compare(obs.getObsDatetime(), originalDate) == 0) {
obs.setObsDatetime(newDate);
}
}
// if the Person in the obs doesn't match the Patient in the
// encounter, fix it
if (!obs.getPerson().getPersonId().equals(p.getPatientId())) {
obs.setPerson(p);
}
}
}
log.debug("Saving queu item.");
dao.saveQueueItem(queueItem);
return queueItem;
}
/** @see Encounter#addObs(Obs) */
@Test
@Verifies(
value = "should add encounter attrs to obs if attributes are null",
method = "addObs(Obs)")
public void addObs_shouldAddEncounterAttrsToObsGroupMembersIfAttributesAreNull()
throws Exception {
/// an encounter that will hav the date/location/patient on it
Encounter encounter = new Encounter();
Date date = new Date();
encounter.setEncounterDatetime(date);
Location location = new Location(1);
encounter.setLocation(location);
Patient patient = new Patient(1);
encounter.setPatient(patient);
// add an obs that doesn't have date/location/patient set on it.
Obs obs = new Obs(123);
Obs childObs = new Obs(456);
obs.addGroupMember(childObs);
// check for infinite recursion
// childObs-->childObs2 and childObs2-->childObs
Obs childObs2 = new Obs(456);
childObs.addGroupMember(childObs2);
childObs2.addGroupMember(childObs);
assertTrue(obs.getGroupMembers() != null && obs.getGroupMembers().size() == 1);
encounter.addObs(obs);
// check the values of the obs attrs to see if they were added
assertTrue(childObs.getObsDatetime().equals(date));
assertTrue(childObs.getLocation().equals(location));
assertTrue(childObs.getPerson().equals(patient));
assertTrue(childObs2.getObsDatetime().equals(date));
assertTrue(childObs2.getLocation().equals(location));
assertTrue(childObs2.getPerson().equals(patient));
}
/**
* Convenience method to obtain the patient's (maximum) age in months.
*
* @return The patient's age in months at the time the given observations were taken.
*/
protected int calculateAgeInMonths(Obs... observations) {
long dateTaken = Long.MIN_VALUE;
if (observations != null) {
for (Obs obs : observations) {
if (obs != null && obs.getObsDatetime() != null) {
// determine the date the observation was taken (take the greater of the two)
dateTaken = Math.max(dateTaken, obs.getObsDatetime().getTime());
}
}
}
if (dateTaken == Long.MIN_VALUE || dateTaken < birthdate.getTime()) {
// unable to calculate patient's age!
return 0;
}
// calculate how old this person was, in months, when the observations were taken
final Period period = new Interval(birthdate.getTime(), dateTaken).toPeriod();
final int ageInMonths = period.getYears() * 12 + period.getMonths();
// return the patient's age in months
return ageInMonths;
}
@Test
public void shouldAddDiagnosesAdObservation() throws Exception {
executeDataSet("baseMetaData.xml");
executeDataSet("diagnosisMetaData.xml");
executeDataSet("shouldAddDiagnosisAsObservation.xml");
String cancerDiagnosisUuid = "d102c80f-1yz9-4da3-bb88-8122ce8868dh";
String encounterDateTime = "2005-01-02T00:00:00.000+0000";
String diagnosisDateTime = "2005-01-02T01:00:00.000+0000";
String postData =
"{"
+ "\"patientUuid\" : \"a76e8d23-0c38-408c-b2a8-ea5540f01b51\", "
+ "\"visitTypeUuid\" : \"b45ca846-c79a-11e2-b0c0-8e397087571c\", "
+ "\"encounterTypeUuid\": \"2b377dba-62c3-4e53-91ef-b51c68899891\", "
+ "\"encounterDateTime\" : \""
+ encounterDateTime
+ "\", "
+ "\"diagnoses\":["
+ "{\"order\":\"PRIMARY\", \"certainty\": \"CONFIRMED\", \"codedAnswer\": { \"uuid\": \""
+ cancerDiagnosisUuid
+ "\"}, \"diagnosisDateTime\": \""
+ diagnosisDateTime
+ "\" }"
+ "]"
+ "}";
EncounterTransaction response =
deserialize(
handle(newPostRequest("/rest/emrapi/encounter", postData)), EncounterTransaction.class);
Visit visit = visitService.getVisitByUuid(response.getVisitUuid());
Encounter encounter = visit.getEncounters().iterator().next();
Set<Obs> obsAtTopLevel = encounter.getObsAtTopLevel(false);
assertEquals(1, obsAtTopLevel.size());
Obs parentObservation = obsAtTopLevel.iterator().next();
assertTrue(parentObservation.isObsGrouping());
assertEquals(
DateUtils.parseDate(diagnosisDateTime, dateTimeFormat), parentObservation.getObsDatetime());
Set<Obs> diagnosisObservationGroupMembers = parentObservation.getGroupMembers();
assertEquals(3, diagnosisObservationGroupMembers.size());
ArrayList<String> valueCodedNames = getValuCodedNames(diagnosisObservationGroupMembers);
assertTrue(valueCodedNames.contains("Confirmed"));
assertTrue(valueCodedNames.contains("Primary"));
assertTrue(valueCodedNames.contains("Cancer"));
}
@Test
public void shouldUseVisitStartTimeAsEncounterDateTimeForPreviousVisits() throws Exception {
Date visitStartDate = getDateFromString("2010-09-22 00:00:00");
List<Document> documents = new ArrayList<>();
documents.add(
new Document(
"/radiology/foo-lalala.jpg",
null,
"3f596de5-5caa-11e3-a4c0-0800271c1b75",
null,
null,
false));
VisitDocumentRequest visitDocumentRequest =
new VisitDocumentRequest(
patientUUID,
firstVisitUuid,
visitTypeUUID,
null,
null,
firstEncounterTypeUUID,
null,
documents,
secondProviderUuid,
null,
null);
executeDataSet("visitDocumentData.xml");
// Date currentDate = new Date(System.currentTimeMillis() - 1000);
visitDocumentService.upload(visitDocumentRequest);
Context.flushSession();
Context.clearSession();
Visit visit = visitService.getVisit(1);
Set<Encounter> encounters = visit.getEncounters();
Encounter encounter = getEncounterByTypeUuid(encounters, firstEncounterTypeUUID);
boolean condition = encounter.getEncounterDatetime().compareTo(visitStartDate) >= 0;
assertTrue(condition);
Set<Obs> allObs = encounter.getAllObs();
Obs savedDocument = getSavedDocument(allObs, "3f596de5-5caa-11e3-a4c0-0800271c1b75");
assertTrue(savedDocument.getObsDatetime().compareTo(visitStartDate) == 0);
}
/** @see java.util.Iterator#next() */
public Map<String, Object> next() {
Locale locale = Context.getLocale();
Obs obs = iter.next();
Map<String, Object> ret = new HashMap<String, Object>();
ret.put("patientId", obs.getPersonId());
ret.put("question", obs.getConcept().getName(locale, false));
ret.put("questionConceptId", obs.getConcept().getConceptId());
ret.put("answer", obs.getValueAsString(locale));
if (obs.getValueCoded() != null) {
ret.put("answerConceptId", obs.getValueCoded());
}
ret.put("obsDatetime", obs.getObsDatetime());
if (obs.getEncounter() != null) {
ret.put("encounterId", obs.getEncounter().getEncounterId());
}
if (obs.getObsGroup() != null) {
ret.put("obsGroupId", obs.getObsGroup().getObsId());
}
return ret;
}
/**
* This is an equivalent to a copy constructor. Creates a new copy of the given <code>obsToCopy
* </code> with a null obs id
*
* @param obsToCopy The Obs that is going to be copied
* @return a new Obs object with all the same attributes as the given obs
*/
public static Obs newInstance(Obs obsToCopy) {
Obs newObs =
new Obs(
obsToCopy.getPerson(),
obsToCopy.getConcept(),
obsToCopy.getObsDatetime(),
obsToCopy.getLocation());
newObs.setObsGroup(obsToCopy.getObsGroup());
newObs.setAccessionNumber(obsToCopy.getAccessionNumber());
newObs.setValueCoded(obsToCopy.getValueCoded());
newObs.setValueDrug(obsToCopy.getValueDrug());
newObs.setValueGroupId(obsToCopy.getValueGroupId());
newObs.setValueDatetime(obsToCopy.getValueDatetime());
newObs.setValueNumeric(obsToCopy.getValueNumeric());
newObs.setValueModifier(obsToCopy.getValueModifier());
newObs.setValueText(obsToCopy.getValueText());
newObs.setComment(obsToCopy.getComment());
newObs.setOrder(obsToCopy.getOrder());
newObs.setEncounter(obsToCopy.getEncounter());
newObs.setDateStarted(obsToCopy.getDateStarted());
newObs.setDateStopped(obsToCopy.getDateStopped());
newObs.setCreator(obsToCopy.getCreator());
newObs.setDateCreated(obsToCopy.getDateCreated());
newObs.setVoided(obsToCopy.getVoided());
newObs.setVoidedBy(obsToCopy.getVoidedBy());
newObs.setDateVoided(obsToCopy.getDateVoided());
newObs.setVoidReason(obsToCopy.getVoidReason());
newObs.setValueComplex(obsToCopy.getValueComplex());
newObs.setComplexData(obsToCopy.getComplexData());
if (obsToCopy.getGroupMembers() != null)
for (Obs member : obsToCopy.getGroupMembers()) {
// if the obs hasn't been saved yet, no need to duplicate it
if (member.getObsId() == null) newObs.addGroupMember(member);
else newObs.addGroupMember(Obs.newInstance(member));
}
return newObs;
}
@Test
public void shouldAddNewObservationGroup() throws Exception {
executeDataSet("shouldAddNewObservation.xml");
String encounterDateTime = "2005-01-02T00:00:00.000+0000";
String observationTime = "2005-01-02T12:00:00.000+0000";
String json =
"{ \"patientUuid\" : \"a76e8d23-0c38-408c-b2a8-ea5540f01b51\", "
+ "\"visitTypeUuid\" : \"b45ca846-c79a-11e2-b0c0-8e397087571c\", "
+ "\"encounterTypeUuid\": \"2b377dba-62c3-4e53-91ef-b51c68899890\", "
+ "\"encounterDateTime\" : \""
+ encounterDateTime
+ "\", "
+ "\"observations\":["
+ "{\"concept\":{\"uuid\": \"e102c80f-1yz9-4da3-bb88-8122ce8868dd\"}, "
+ " \"groupMembers\" : [{\"concept\":{\"uuid\": \"d102c80f-1yz9-4da3-bb88-8122ce8868dd\"}, \"value\":20, \"comment\":\"overweight\", \"observationDateTime\": \""
+ observationTime
+ "\"}] }"
+ "]}";
EncounterTransaction response =
deserialize(
handle(newPostRequest("/rest/emrapi/encounter", json)), EncounterTransaction.class);
Visit visit = visitService.getVisitByUuid(response.getVisitUuid());
Encounter encounter = (Encounter) visit.getEncounters().toArray()[0];
assertEquals(1, encounter.getObs().size());
Obs obs = (Obs) encounter.getAllObs().toArray()[0];
assertEquals("e102c80f-1yz9-4da3-bb88-8122ce8868dd", obs.getConcept().getUuid());
assertEquals(1, obs.getGroupMembers().size());
Obs member = obs.getGroupMembers().iterator().next();
assertEquals("d102c80f-1yz9-4da3-bb88-8122ce8868dd", member.getConcept().getUuid());
assertEquals(new Double(20.0), member.getValueNumeric());
assertEquals("a76e8d23-0c38-408c-b2a8-ea5540f01b51", member.getPerson().getUuid());
assertEquals("f13d6fae-baa9-4553-955d-920098bec08f", member.getEncounter().getUuid());
assertEquals("overweight", member.getComment());
assertEquals(
new SimpleDateFormat(dateTimeFormat).parse(observationTime), member.getObsDatetime());
}
/**
* Convenience method to obtain the patient's (maximum) age in days.
*
* @return The patient's age in weeks at the time the given observations were taken.
*/
protected int calculateAgeInDays(Obs... observations) {
long dateTaken = Long.MIN_VALUE;
if (observations != null) {
for (Obs obs : observations) {
// determine the date the observation was taken (take the greater of the two)
dateTaken = Math.max(dateTaken, obs.getObsDatetime().getTime());
}
}
if (dateTaken == Long.MIN_VALUE || dateTaken < birthdate.getTime()) {
// unable to calculate patient's age!
return 0;
}
// calculate how old this person was, in months, when the observations were taken
final Duration duration = new Interval(birthdate.getTime(), dateTaken).toDuration();
final int ageInDays = (int) (duration.getStandardDays());
// return the patient's age in weeks
return ageInDays;
}
@Test
public void shouldUseNewDateAsEncounterDateTimeForActiveVisits() throws Exception {
Date visitStartDate = getDateFromString("2014-06-22 00:00:00");
Date encounterDate = getDateFromString("2014-06-23 00:00:00");
Date obsDate = getDateFromString("2014-06-24 00:10:00");
List<Document> documents = new ArrayList<>();
documents.add(new Document("/radiology/fooo-bar.jpg", null, conceptUuid, null, obsDate, false));
visitDocumentRequest =
new VisitDocumentRequest(
patientUUID,
secondVisitUuid,
visitTypeUUID,
visitStartDate,
null,
secondEncounterTypeUUID,
encounterDate,
documents,
firstProviderUuid,
null,
null);
Date currentDate = new Date(System.currentTimeMillis() - 1000);
visitDocumentService.upload(visitDocumentRequest);
Context.flushSession();
Context.clearSession();
Visit visit = visitService.getVisit(2);
Set<Encounter> encounters = visit.getEncounters();
Encounter encounter = getEncounterByTypeUuid(encounters, secondEncounterTypeUUID);
boolean condition = encounter.getEncounterDatetime().compareTo(currentDate) >= 0;
assertTrue(condition);
Set<Obs> allObs = encounter.getAllObs();
Obs savedDocument = getSavedDocument(allObs, conceptUuid);
assertTrue(savedDocument.getObsDatetime().compareTo(currentDate) >= 0);
}
@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;
}
public PatientDataResult calculateResult(
List<PatientDataResult> results, EvaluationContext context) {
PatientAttributeResult alert = new PatientAttributeResult(null, null);
ProgramWorkflowState state = (ProgramWorkflowState) context.getParameterValue("state");
StringBuffer alerts = new StringBuffer();
double height = 0;
double weight = 0;
for (PatientDataResult result : results) {
if (result.getName().equals("CD4Test")) {
AllObservationValuesResult cd4 = (AllObservationValuesResult) result;
if (cd4.getValue() != null) {
int decline = calculateDecline(cd4.getValue());
if (decline > 50
&& (state.toString().contains("GROUP") || state.toString().contains("FOLLOWING"))) {
alerts.append("CD4 decline(");
alerts.append(decline);
alerts.append(").\n");
}
Obs lastCd4 = null;
if (cd4.getValue().size() > 0) {
lastCd4 = cd4.getValue().get(cd4.getValue().size() - 1);
}
if (lastCd4 == null) {
alerts.append("No CD4 recorded.\n");
} else {
Date dateCd4 = lastCd4.getObsDatetime();
Date date = Calendar.getInstance().getTime();
int diff = calculateMonthsDifference(date, dateCd4);
if (diff > 12) {
alerts.append("Very late CD4(" + diff + " months ago).\n");
} else if ((diff > 6) && state.toString().contains("FOLLOWING")) {
alerts.append("Late CD4(" + diff + " months ago).\n");
}
if (state.toString().contains("FOLLOWING")
&& lastCd4.getValueNumeric() != null
&& lastCd4.getValueNumeric() < 500) {
alerts.append("Eligible for Treatment.\n");
}
}
}
}
if (result.getName().equals("viralLoadTest")) {
AllObservationValuesResult viraload = (AllObservationValuesResult) result;
if (viraload.getValue() != null) {
Obs lastviraload = null;
if (viraload.getValue().size() > 0) {
lastviraload = viraload.getValue().get(viraload.getValue().size() - 1);
}
if (state.toString().contains("GROUP") && (lastviraload == null)) {
alerts.append("No VL recorded.\n");
} else {
try {
Date dateVl = lastviraload.getObsDatetime();
Date date = Calendar.getInstance().getTime();
int diff = calculateMonthsDifference(date, dateVl);
if (state.toString().contains("GROUP")) {
if (diff > 12) {
alerts.append("Late VL(" + diff + " months ago).\n");
}
if (lastviraload.getValueNumeric() != null
&& lastviraload.getValueNumeric() > 1000) {
alerts.append("VL Failure " + lastviraload.getValueNumeric() + ".\n");
}
}
} catch (Exception e) {
}
}
}
}
if (result.getName().equals("weightObs")) {
AllObservationValuesResult wt = (AllObservationValuesResult) result;
if (wt.getValue() != null) {
int decline = calculatePercentageDecline(wt.getValue());
if (decline > 5) {
alerts.append("WT decline(");
alerts.append(decline);
alerts.append("%, ");
int kilosLost = calculateDecline(wt.getValue());
alerts.append(kilosLost);
alerts.append("kg)\n");
}
if (wt.getValue().size() > 0) {
weight = wt.getValue().get(wt.getValue().size() - 1).getValueNumeric();
}
}
if (wt.getValue() == null || wt.getValue().size() == 0) {
alerts.append("No weight recorded.\n");
}
}
if (result.getName().equals("RecentHeight")) {
ObservationResult heightOb = (ObservationResult) result;
if (heightOb.getValue() == null || heightOb.getValue().trim().length() == 0) {
alerts.append("No height recorded.\n");
} else {
height = Double.parseDouble(heightOb.getValue());
}
}
if (result.getName().equals("lastEncInMonth")) {
DateValueResult encinmonths = (DateValueResult) result;
if (encinmonths.getValue() != null) {
Date dateVl = encinmonths.getDateOfObservation();
Date date = Calendar.getInstance().getTime();
int diff = calculateMonthsDifference(date, dateVl);
if (diff > 12) {
alerts.append("LTFU determine status.\n");
}
}
}
if (result.getName().equals("IO") && result.getValue() != null) {
alerts.append("OI reported last visit: " + result.getValue() + "\n");
}
if (result.getName().equals("SideEffects") && result.getValue() != null) {
alerts.append("Side effects reported last visit: " + result.getValue() + "\n");
}
}
if (height > 0 && weight > 0) {
double bmi = weight / (height / 100 * height / 100);
int decimalPlace = 1;
BigDecimal bd = new BigDecimal(Double.toString(bmi));
bd = bd.setScale(decimalPlace, BigDecimal.ROUND_HALF_UP);
if (bmi < 16) {
alerts.append("Very low BMI (" + bd.doubleValue() + ").\n");
} else if (bmi < 18.5) {
alerts.append("Low BMI (" + bd.doubleValue() + ").\n");
}
}
alert.setValue(alerts.toString().trim());
return alert;
}
/**
* @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
}
/**
* Adds the column headers and column data to the DataSet
*
* @param dataSet
* @param encounters
* @param patientIdentifierTypes
* @param optionalColumns
* @param columnDisplayFormat
* @param maxColumnHeaderWidth
* @param allColumns
* @param fieldMap
* @return
*/
public DataSet addData(
SimpleDataSet dataSet,
List<Encounter> encounters,
List<PatientIdentifierType> patientIdentifierTypes,
List<EncounterAndObsDataSetDefinition.ObsOptionalColumn> optionalColumns,
List<EncounterAndObsDataSetDefinition.ColumnDisplayFormat> columnDisplayFormat,
Integer maxColumnHeaderWidth,
Set<ObsColumnDescriptor> allColumns,
Map<Encounter, Map<ObsColumnDescriptor, Obs>> fieldMap) {
for (Encounter encounter : encounters) {
DataSetRow row = new DataSetRow();
List<String> providerNames = new ArrayList<String>();
for (EncounterProvider ep : encounter.getEncounterProviders()) {
providerNames.add(ep.getProvider().getName());
}
// Add the standard columns for encounters
DataSetColumn c1 =
new DataSetColumn(
ObjectUtil.trimStringIfNeeded("ENCOUNTER_ID", maxColumnHeaderWidth),
ObjectUtil.trimStringIfNeeded("ENCOUNTER_ID", maxColumnHeaderWidth),
Integer.class);
row.addColumnValue(c1, encounter.getEncounterId());
DataSetColumn c2 =
new DataSetColumn(
ObjectUtil.trimStringIfNeeded("ENCOUNTER_DATETIME", maxColumnHeaderWidth),
ObjectUtil.trimStringIfNeeded("ENCOUNTER_DATETIME", maxColumnHeaderWidth),
String.class);
row.addColumnValue(c2, encounter.getEncounterDatetime().toString());
DataSetColumn c3 =
new DataSetColumn(
ObjectUtil.trimStringIfNeeded("LOCATION", maxColumnHeaderWidth),
ObjectUtil.trimStringIfNeeded("LOCATION", maxColumnHeaderWidth),
String.class);
row.addColumnValue(
c3, (encounter.getLocation() != null) ? encounter.getLocation().getName() : EMPTY);
DataSetColumn c4 =
new DataSetColumn(
ObjectUtil.trimStringIfNeeded("PROVIDER", maxColumnHeaderWidth),
ObjectUtil.trimStringIfNeeded("PROVIDER", maxColumnHeaderWidth),
String.class);
row.addColumnValue(c4, OpenmrsUtil.join(providerNames, ", "));
DataSetColumn c5 =
new DataSetColumn(
ObjectUtil.trimStringIfNeeded("INTERNAL_PATIENT_ID", maxColumnHeaderWidth),
ObjectUtil.trimStringIfNeeded("INTERNAL_PATIENT_ID", maxColumnHeaderWidth),
Integer.class);
row.addColumnValue(
c5, encounter.getPatient() != null ? encounter.getPatient().getPatientId() : EMPTY);
if (patientIdentifierTypes != null) {
for (PatientIdentifierType pit : patientIdentifierTypes) {
List<PatientIdentifier> patientIdentifiers =
encounter.getPatient().getPatientIdentifiers(pit);
StringBuffer sbPatientIdentifiers = new StringBuffer();
int count = 0;
for (PatientIdentifier patientIdentifier : patientIdentifiers) {
if (count > 0) {
sbPatientIdentifiers.append(", ");
}
sbPatientIdentifiers.append(patientIdentifier.toString());
count++;
}
DataSetColumn c6 =
new DataSetColumn(
pit.getName(),
ObjectUtil.trimStringIfNeeded(pit.getName(), maxColumnHeaderWidth),
String.class);
row.addColumnValue(c6, sbPatientIdentifiers.toString());
}
}
Map<ObsColumnDescriptor, Obs> obsInEncounter = fieldMap.get(encounter);
// Look up all obs for a given encounter based on column headers for all encounters
for (ObsColumnDescriptor columnKey : allColumns) {
Obs obs = obsInEncounter.get(columnKey);
String columnName = columnKey.format(columnDisplayFormat, maxColumnHeaderWidth);
DataSetColumn obsDsc = new DataSetColumn(columnName, columnName, String.class);
StringBuffer columnValue = new StringBuffer();
if (obs != null && obs.getValueCoded() != null) {
if (columnDisplayFormat.contains(
EncounterAndObsDataSetDefinition.ColumnDisplayFormat.ID)) {
columnValue.append(obs.getValueCoded());
}
if (columnDisplayFormat.contains(EncounterAndObsDataSetDefinition.ColumnDisplayFormat.ID)
&& columnDisplayFormat.contains(
EncounterAndObsDataSetDefinition.ColumnDisplayFormat.BEST_SHORT_NAME)) {
columnValue.append("_");
}
if (columnDisplayFormat.contains(
EncounterAndObsDataSetDefinition.ColumnDisplayFormat.BEST_SHORT_NAME)) {
String conceptName = obs.getValueAsString(Context.getLocale());
columnValue.append(
maxColumnHeaderWidth != null
&& conceptName.length() > maxColumnHeaderWidth - columnValue.length()
? conceptName.substring(0, maxColumnHeaderWidth - columnValue.length() - 1)
: conceptName);
}
row.addColumnValue(obsDsc, (obs != null) ? columnValue.toString() : EMPTY);
} else {
row.addColumnValue(
obsDsc, (obs != null) ? obs.getValueAsString(Context.getLocale()) : EMPTY);
}
String dateColumnName =
columnKey.format(
columnDisplayFormat,
maxColumnHeaderWidth != null ? maxColumnHeaderWidth - 5 : null);
DataSetColumn obsDscDate =
new DataSetColumn(dateColumnName + "_DATE", dateColumnName + "_DATE", String.class);
row.addColumnValue(obsDscDate, (obs != null) ? obs.getObsDatetime().toString() : EMPTY);
String parentColumnName =
columnKey.format(
columnDisplayFormat,
maxColumnHeaderWidth != null ? maxColumnHeaderWidth - 7 : null);
DataSetColumn obsDscParent =
new DataSetColumn(
parentColumnName + "_PARENT", parentColumnName + "_PARENT", String.class);
row.addColumnValue(
obsDscParent,
(obs != null && obs.getObsGroup() != null) ? obs.getObsGroup().getId() : EMPTY);
if (optionalColumns != null) {
if (optionalColumns.contains(
EncounterAndObsDataSetDefinition.ObsOptionalColumn.VALUE_MODIFIER)) {
String valModColumnName =
columnKey.format(
columnDisplayFormat,
maxColumnHeaderWidth != null ? maxColumnHeaderWidth - 10 : null);
DataSetColumn obsDscValueModifier =
new DataSetColumn(
valModColumnName + "_VALUE_MOD", valModColumnName + "_VALUE_MOD", String.class);
row.addColumnValue(obsDscValueModifier, (obs != null) ? obs.getValueModifier() : EMPTY);
}
if (optionalColumns.contains(
EncounterAndObsDataSetDefinition.ObsOptionalColumn.ACCESSION_NUMBER)) {
String accessionNumColumnName =
columnKey.format(
columnDisplayFormat,
maxColumnHeaderWidth != null ? maxColumnHeaderWidth - 14 : null);
DataSetColumn obsDscAccessionNumber =
new DataSetColumn(
accessionNumColumnName + "_ACCESSION_NUM",
accessionNumColumnName + "_ACCESSION_NUM",
String.class);
row.addColumnValue(
obsDscAccessionNumber, (obs != null) ? obs.getAccessionNumber() : EMPTY);
}
if (optionalColumns.contains(
EncounterAndObsDataSetDefinition.ObsOptionalColumn.COMMENT)) {
String commentColumnName =
columnKey.format(
columnDisplayFormat,
maxColumnHeaderWidth != null ? maxColumnHeaderWidth - 8 : null);
DataSetColumn obsDscComment =
new DataSetColumn(
commentColumnName + "_COMMENT", commentColumnName + "_COMMENT", String.class);
row.addColumnValue(obsDscComment, (obs != null) ? obs.getComment() : EMPTY);
}
}
}
dataSet.addRow(row);
}
return dataSet;
}
/** @see org.openmrs.api.EncounterService#saveEncounter(org.openmrs.Encounter) */
public Encounter saveEncounter(Encounter encounter) throws APIException {
// if authenticated user is not supposed to edit encounter of certain type
if (!canEditEncounter(encounter, null)) {
throw new APIException(
"Encounter.error.privilege.required.edit",
new Object[] {encounter.getEncounterType().getEditPrivilege()});
}
// If new encounter, try to assign a visit using the registered visit assignment handler.
if (encounter.getEncounterId() == null) {
// Am using Context.getEncounterService().getActiveEncounterVisitHandler() instead of just
// getActiveEncounterVisitHandler() for modules which may want to AOP around this call.
EncounterVisitHandler encounterVisitHandler =
Context.getEncounterService().getActiveEncounterVisitHandler();
if (encounterVisitHandler != null) {
encounterVisitHandler.beforeCreateEncounter(encounter);
// If we have been assigned a new visit, persist it.
if (encounter.getVisit() != null && encounter.getVisit().getVisitId() == null) {
Context.getVisitService().saveVisit(encounter.getVisit());
}
}
}
boolean isNewEncounter = false;
Date newDate = encounter.getEncounterDatetime();
Date originalDate = null;
Location newLocation = encounter.getLocation();
Location originalLocation = null;
// check permissions
if (encounter.getEncounterId() == null) {
isNewEncounter = true;
Context.requirePrivilege(PrivilegeConstants.ADD_ENCOUNTERS);
} else {
Context.requirePrivilege(PrivilegeConstants.EDIT_ENCOUNTERS);
}
// This must be done after setting dateCreated etc on the obs because
// of the way the ORM tools flush things and check for nullity
// This also must be done before the save encounter so we can use the
// orig date
// after the save
Patient p = encounter.getPatient();
if (!isNewEncounter) {
// fetch the datetime from the database prior to saving for this
// encounter
// to see if it has changed and change all obs after saving if so
originalDate = dao.getSavedEncounterDatetime(encounter);
if (encounter.getLocation() != null) {
originalLocation = dao.getSavedEncounterLocation(encounter);
}
// Our data model duplicates the patient column to allow for
// observations to
// not have to look up the parent Encounter to find the patient
// Therefore, encounter.patient must always equal
// encounter.observations[0-n].patient
// If we are changing encounter.encounterDatetime, then we need to
// also apply that
// to Obs that inherited their obsDatetime from the encounter in the
// first place
for (Obs obs : encounter.getAllObs(true)) {
// if the date was changed
if (OpenmrsUtil.compare(originalDate, newDate) != 0
&& OpenmrsUtil.compare(obs.getObsDatetime(), originalDate) == 0) {
// if the obs datetime is the same as the
// original encounter datetime, fix it
obs.setObsDatetime(newDate);
}
if (!OpenmrsUtil.nullSafeEquals(newLocation, originalLocation)
&& obs.getLocation().equals(originalLocation)) {
obs.setLocation(newLocation);
}
// if the Person in the obs doesn't match the Patient in the
// encounter, fix it
if (!obs.getPerson().getPersonId().equals(p.getPatientId())) {
obs.setPerson(p);
}
}
}
// same goes for Orders
for (Order o : encounter.getOrders()) {
if (!p.equals(o.getPatient())) {
o.setPatient(p);
}
}
// do the actual saving to the database
dao.saveEncounter(encounter);
// save the new orders
for (Order o : encounter.getOrders()) {
if (o.getOrderId() == null) {
Context.getOrderService().saveOrder(o, null);
}
}
return encounter;
}
/**
* This method produces a model containing the following mappings:
*
* <pre>
* (always)
* (java.util.Date) now
* (String) size
* (Locale) locale
* (String) portletUUID // unique for each instance of any portlet
* (other parameters)
* (if there's currently an authenticated user)
* (User) authenticatedUser
* (if the request has a patientId attribute)
* (Integer) patientId
* (Patient) patient
* (List<Obs>) patientObs
* (List<Encounter>) patientEncounters
* (List<DrugOrder>) patientDrugOrders
* (List<DrugOrder>) currentDrugOrders
* (List<DrugOrder>) completedDrugOrders
* (Obs) patientWeight // most recent weight obs
* (Obs) patientHeight // most recent height obs
* (Double) patientBmi // BMI derived from most recent weight and most recent height
* (String) patientBmiAsString // BMI rounded to one decimal place, or "?" if unknown
* (Integer) personId
* (if the patient has any obs for the concept in the global property 'concept.reasonExitedCare')
* (Obs) patientReasonForExit
* (if the request has a personId or patientId attribute)
* (Person) person
* (List<Relationship>) personRelationships
* (Map<RelationshipType, List<Relationship>>) personRelationshipsByType
* (if the request has an encounterId attribute)
* (Integer) encounterId
* (Encounter) encounter
* (Set<Obs>) encounterObs
* (if the request has a userId attribute)
* (Integer) userId
* (User) user
* (if the request has a patientIds attribute, which should be a (String) comma-separated list of patientIds)
* (PatientSet) patientSet
* (String) patientIds
* (if the request has a conceptIds attribute, which should be a (String) commas-separated list of conceptIds)
* (Map<Integer, Concept>) conceptMap
* (Map<String, Concept>) conceptMapByStringIds
* </pre>
*
* @should calculate bmi into patientBmiAsString
* @should not fail with empty height and weight properties
*/
@SuppressWarnings("unchecked")
public ModelAndView handleRequest(HttpServletRequest request, HttpServletResponse response)
throws ServletException, IOException {
AdministrationService as = Context.getAdministrationService();
ConceptService cs = Context.getConceptService();
// find the portlet that was identified in the openmrs:portlet taglib
Object uri = request.getAttribute("javax.servlet.include.servlet_path");
String portletPath = "";
Map<String, Object> model = null;
{
HttpSession session = request.getSession();
String uniqueRequestId = (String) request.getAttribute(WebConstants.INIT_REQ_UNIQUE_ID);
String lastRequestId =
(String) session.getAttribute(WebConstants.OPENMRS_PORTLET_LAST_REQ_ID);
if (uniqueRequestId.equals(lastRequestId)) {
model =
(Map<String, Object>) session.getAttribute(WebConstants.OPENMRS_PORTLET_CACHED_MODEL);
// remove cached parameters
List<String> parameterKeys = (List<String>) model.get("parameterKeys");
for (String key : parameterKeys) {
model.remove(key);
}
}
if (model == null) {
log.debug("creating new portlet model");
model = new HashMap<String, Object>();
session.setAttribute(WebConstants.OPENMRS_PORTLET_LAST_REQ_ID, uniqueRequestId);
session.setAttribute(WebConstants.OPENMRS_PORTLET_CACHED_MODEL, model);
}
}
if (uri != null) {
long timeAtStart = System.currentTimeMillis();
portletPath = uri.toString();
// Allowable extensions are '' (no extension) and '.portlet'
if (portletPath.endsWith("portlet")) portletPath = portletPath.replace(".portlet", "");
else if (portletPath.endsWith("jsp"))
throw new ServletException(
"Illegal extension used for portlet: '.jsp'. Allowable extensions are '' (no extension) and '.portlet'");
log.debug("Loading portlet: " + portletPath);
String id = (String) request.getAttribute("org.openmrs.portlet.id");
String size = (String) request.getAttribute("org.openmrs.portlet.size");
Map<String, Object> params =
(Map<String, Object>) request.getAttribute("org.openmrs.portlet.parameters");
Map<String, Object> moreParams =
(Map<String, Object>) request.getAttribute("org.openmrs.portlet.parameterMap");
model.put("now", new Date());
model.put("id", id);
model.put("size", size);
model.put("locale", Context.getLocale());
model.put("portletUUID", UUID.randomUUID().toString().replace("-", ""));
List<String> parameterKeys = new ArrayList<String>(params.keySet());
model.putAll(params);
if (moreParams != null) {
model.putAll(moreParams);
parameterKeys.addAll(moreParams.keySet());
}
model.put("parameterKeys", parameterKeys); // so we can clean these up in the next request
// if there's an authenticated user, put them, and their patient set, in the model
if (Context.getAuthenticatedUser() != null) {
model.put("authenticatedUser", Context.getAuthenticatedUser());
}
Integer personId = null;
// if a patient id is available, put patient data documented above in the model
Object o = request.getAttribute("org.openmrs.portlet.patientId");
if (o != null) {
String patientVariation = "";
Integer patientId = (Integer) o;
if (!model.containsKey("patient")) {
// we can't continue if the user can't view patients
if (Context.hasPrivilege(PrivilegeConstants.VIEW_PATIENTS)) {
Patient p = Context.getPatientService().getPatient(patientId);
model.put("patient", p);
// add encounters if this user can view them
if (Context.hasPrivilege(PrivilegeConstants.VIEW_ENCOUNTERS))
model.put(
"patientEncounters", Context.getEncounterService().getEncountersByPatient(p));
if (Context.hasPrivilege(PrivilegeConstants.VIEW_OBS)) {
List<Obs> patientObs = Context.getObsService().getObservationsByPerson(p);
model.put("patientObs", patientObs);
Obs latestWeight = null;
Obs latestHeight = null;
String bmiAsString = "?";
try {
String weightString = as.getGlobalProperty("concept.weight");
ConceptNumeric weightConcept = null;
if (StringUtils.hasLength(weightString))
weightConcept =
cs.getConceptNumeric(
cs.getConcept(Integer.valueOf(weightString)).getConceptId());
String heightString = as.getGlobalProperty("concept.height");
ConceptNumeric heightConcept = null;
if (StringUtils.hasLength(heightString))
heightConcept =
cs.getConceptNumeric(
cs.getConcept(Integer.valueOf(heightString)).getConceptId());
for (Obs obs : patientObs) {
if (obs.getConcept().equals(weightConcept)) {
if (latestWeight == null
|| obs.getObsDatetime().compareTo(latestWeight.getObsDatetime()) > 0)
latestWeight = obs;
} else if (obs.getConcept().equals(heightConcept)) {
if (latestHeight == null
|| obs.getObsDatetime().compareTo(latestHeight.getObsDatetime()) > 0)
latestHeight = obs;
}
}
if (latestWeight != null) model.put("patientWeight", latestWeight);
if (latestHeight != null) model.put("patientHeight", latestHeight);
if (latestWeight != null && latestHeight != null) {
double weightInKg;
double heightInM;
if (weightConcept.getUnits().equals("kg"))
weightInKg = latestWeight.getValueNumeric();
else if (weightConcept.getUnits().equals("lb"))
weightInKg = latestWeight.getValueNumeric() * 0.45359237;
else
throw new IllegalArgumentException(
"Can't handle units of weight concept: " + weightConcept.getUnits());
if (heightConcept.getUnits().equals("cm"))
heightInM = latestHeight.getValueNumeric() / 100;
else if (heightConcept.getUnits().equals("m"))
heightInM = latestHeight.getValueNumeric();
else if (heightConcept.getUnits().equals("in"))
heightInM = latestHeight.getValueNumeric() * 0.0254;
else
throw new IllegalArgumentException(
"Can't handle units of height concept: " + heightConcept.getUnits());
double bmi = weightInKg / (heightInM * heightInM);
model.put("patientBmi", bmi);
String temp = "" + bmi;
bmiAsString = temp.substring(0, temp.indexOf('.') + 2);
}
} catch (Exception ex) {
if (latestWeight != null && latestHeight != null)
log.error(
"Failed to calculate BMI even though a weight and height were found", ex);
}
model.put("patientBmiAsString", bmiAsString);
} else {
model.put("patientObs", new HashSet<Obs>());
}
// information about whether or not the patient has exited care
Obs reasonForExitObs = null;
String reasonForExitConceptString = as.getGlobalProperty("concept.reasonExitedCare");
if (StringUtils.hasLength(reasonForExitConceptString)) {
Concept reasonForExitConcept = cs.getConcept(reasonForExitConceptString);
if (reasonForExitConcept != null) {
List<Obs> patientExitObs =
Context.getObsService()
.getObservationsByPersonAndConcept(p, reasonForExitConcept);
if (patientExitObs != null) {
log.debug("Exit obs is size " + patientExitObs.size());
if (patientExitObs.size() == 1) {
reasonForExitObs = patientExitObs.iterator().next();
Concept exitReason = reasonForExitObs.getValueCoded();
Date exitDate = reasonForExitObs.getObsDatetime();
if (exitReason != null && exitDate != null) {
patientVariation = "Exited";
}
} else {
if (patientExitObs.size() == 0) {
log.debug("Patient has no reason for exit");
} else {
log.error("Too many reasons for exit - not putting data into model");
}
}
}
}
}
model.put("patientReasonForExit", reasonForExitObs);
if (Context.hasPrivilege(PrivilegeConstants.VIEW_ORDERS)) {
List<DrugOrder> drugOrderList = Context.getOrderService().getDrugOrdersByPatient(p);
model.put("patientDrugOrders", drugOrderList);
List<DrugOrder> currentDrugOrders = new ArrayList<DrugOrder>();
List<DrugOrder> discontinuedDrugOrders = new ArrayList<DrugOrder>();
Date rightNow = new Date();
for (Iterator<DrugOrder> iter = drugOrderList.iterator(); iter.hasNext(); ) {
DrugOrder next = iter.next();
if (next.isCurrent() || next.isFuture()) currentDrugOrders.add(next);
if (next.isDiscontinued(rightNow)) discontinuedDrugOrders.add(next);
}
model.put("currentDrugOrders", currentDrugOrders);
model.put("completedDrugOrders", discontinuedDrugOrders);
List<RegimenSuggestion> standardRegimens =
Context.getOrderService().getStandardRegimens();
if (standardRegimens != null) model.put("standardRegimens", standardRegimens);
}
if (Context.hasPrivilege(PrivilegeConstants.VIEW_PROGRAMS)
&& Context.hasPrivilege(PrivilegeConstants.VIEW_PATIENT_PROGRAMS)) {
model.put(
"patientPrograms",
Context.getProgramWorkflowService()
.getPatientPrograms(p, null, null, null, null, null, false));
model.put(
"patientCurrentPrograms",
Context.getProgramWorkflowService()
.getPatientPrograms(p, null, null, new Date(), new Date(), null, false));
}
model.put("patientId", patientId);
if (p != null) {
personId = p.getPatientId();
model.put("personId", personId);
}
model.put("patientVariation", patientVariation);
}
}
}
// if a person id is available, put person and relationships in the model
if (personId == null) {
o = request.getAttribute("org.openmrs.portlet.personId");
if (o != null) {
personId = (Integer) o;
model.put("personId", personId);
}
}
if (personId != null) {
if (!model.containsKey("person")) {
Person p = (Person) model.get("patient");
if (p == null) p = Context.getPersonService().getPerson(personId);
model.put("person", p);
if (Context.hasPrivilege(PrivilegeConstants.VIEW_RELATIONSHIPS)) {
List<Relationship> relationships = new ArrayList<Relationship>();
relationships.addAll(Context.getPersonService().getRelationshipsByPerson(p));
Map<RelationshipType, List<Relationship>> relationshipsByType =
new HashMap<RelationshipType, List<Relationship>>();
for (Relationship rel : relationships) {
List<Relationship> list = relationshipsByType.get(rel.getRelationshipType());
if (list == null) {
list = new ArrayList<Relationship>();
relationshipsByType.put(rel.getRelationshipType(), list);
}
list.add(rel);
}
model.put("personRelationships", relationships);
model.put("personRelationshipsByType", relationshipsByType);
}
}
}
// if an encounter id is available, put "encounter" and "encounterObs" in the model
o = request.getAttribute("org.openmrs.portlet.encounterId");
if (o != null && !model.containsKey("encounterId")) {
if (!model.containsKey("encounter")) {
if (Context.hasPrivilege(PrivilegeConstants.VIEW_ENCOUNTERS)) {
Encounter e = Context.getEncounterService().getEncounter((Integer) o);
model.put("encounter", e);
if (Context.hasPrivilege(PrivilegeConstants.VIEW_OBS))
model.put("encounterObs", e.getObs());
}
model.put("encounterId", (Integer) o);
}
}
// if a user id is available, put "user" in the model
o = request.getAttribute("org.openmrs.portlet.userId");
if (o != null) {
if (!model.containsKey("user")) {
if (Context.hasPrivilege(PrivilegeConstants.VIEW_USERS)) {
User u = Context.getUserService().getUser((Integer) o);
model.put("user", u);
}
model.put("userId", (Integer) o);
}
}
// if a list of patient ids is available, make a patientset out of it
o = request.getAttribute("org.openmrs.portlet.patientIds");
if (o != null && !"".equals(o) && !model.containsKey("patientIds")) {
if (!model.containsKey("patientSet")) {
Cohort ps = new Cohort((String) o);
model.put("patientSet", ps);
model.put("patientIds", (String) o);
}
}
o = model.get("conceptIds");
if (o != null && !"".equals(o)) {
if (!model.containsKey("conceptMap")) {
log.debug("Found conceptIds parameter: " + o);
Map<Integer, Concept> concepts = new HashMap<Integer, Concept>();
Map<String, Concept> conceptsByStringIds = new HashMap<String, Concept>();
String conceptIds = (String) o;
String[] ids = conceptIds.split(",");
for (String cId : ids) {
try {
Integer i = Integer.valueOf(cId);
Concept c = cs.getConcept(i);
concepts.put(i, c);
conceptsByStringIds.put(i.toString(), c);
} catch (Exception ex) {
}
}
model.put("conceptMap", concepts);
model.put("conceptMapByStringIds", conceptsByStringIds);
}
}
populateModel(request, model);
log.debug(portletPath + " took " + (System.currentTimeMillis() - timeAtStart) + " ms");
}
return new ModelAndView(portletPath, "model", model);
}
public DataSetRow renderRow(
Patient p,
PatientIdentifierType patientIdentifierType,
Location location,
Date startDate,
Date endDate) {
PatientDataHelper pdh = new PatientDataHelper();
ProgramHelper ph = new ProgramHelper();
HivMetadata hivMetadata = new HivMetadata();
DataSetRow row = new DataSetRow();
pdh.addCol(row, "#", p.getPatientId());
pdh.addCol(row, "KS ID", pdh.preferredIdentifierAtLocation(p, patientIdentifierType, location));
pdh.addCol(
row,
"ART ID",
pdh.preferredIdentifierAtLocation(p, lookupPatientIdentifierType("ARV Number"), location));
pdh.addCol(row, "Birthdate", pdh.getBirthdate(p));
pdh.addCol(row, "Gender", pdh.getGender(p));
pdh.addCol(row, "VHW", pdh.vhwName(p, false));
pdh.addCol(row, "Village", pdh.getVillage(p));
PatientProgram latestKsProgram =
ph.getMostRecentProgramEnrollmentAtLocation(
p, lookupProgram("Kaposis sarcoma program"), location);
Date latestKsProgramDate = null;
if (latestKsProgram != null) {
latestKsProgramDate = latestKsProgram.getDateEnrolled();
pdh.addCol(row, "KS Program Enrollment Date", pdh.formatYmd(latestKsProgramDate));
for (PatientState ps : ph.getActiveStatesOnDate(p, latestKsProgramDate)) {
String programName = ps.getPatientProgram().getProgram().getName();
pdh.addCol(row, programName + " Status at Enrollment", pdh.formatStateName(ps));
pdh.addCol(row, programName + " Status Date at Enrollment", pdh.formatStateStartDate(ps));
}
}
Obs mostRecentDxDate = pdh.getLatestObs(p, "DATE OF HIV DIAGNOSIS", null, endDate);
pdh.addCol(row, "Date HIV Diagnosis", pdh.formatValueDatetime(mostRecentDxDate));
Program hivProgram = hivMetadata.getHivProgram();
ProgramWorkflowState onArvState = hivMetadata.getOnArvsState();
PatientState earliestOnArvsState = ph.getFirstTimeInState(p, hivProgram, onArvState, endDate);
Date arvStartDate = (earliestOnArvsState == null ? null : earliestOnArvsState.getStartDate());
if (latestKsProgramDate != null) {
pdh.addCol(
row,
"On ART at KS Enrollment",
arvStartDate != null && arvStartDate.compareTo(latestKsProgramDate) <= 0);
}
Map<String, String> reasonsForStartingArvs = pdh.getReasonStartingArvs(p, endDate);
for (String reasonKey : reasonsForStartingArvs.keySet()) {
pdh.addCol(row, "ARV Reason " + reasonKey, reasonsForStartingArvs.get(reasonKey));
}
if (arvStartDate != null) {
pdh.addCol(row, "Start Date for ART", pdh.formatStateStartDate(earliestOnArvsState));
if (latestKsProgramDate != null) {
pdh.addCol(
row,
"Months on ART at KS Enrollment",
DateUtil.monthsBetween(arvStartDate, latestKsProgramDate));
}
}
if (latestKsProgramDate != null) {
Obs artRegimen =
pdh.getLatestObs(p, "Malawi Antiretroviral drugs received", null, latestKsProgramDate);
pdh.addCol(row, "ART Regimen Obs at Enrollment", pdh.formatValue(artRegimen));
Set<Concept> drugOrdersAtEnrollment = pdh.getDrugsTakingOnDate(p, latestKsProgramDate);
pdh.addCol(
row, "Drugs Taking at Enrollment", pdh.formatConcepts(drugOrdersAtEnrollment, "+"));
Obs cd4 = pdh.getLatestObs(p, "CD4 count", null, latestKsProgramDate);
pdh.addCol(row, "CD4 at enrollment", pdh.formatValue(cd4));
pdh.addCol(row, "CD4 at enrollment date", pdh.formatObsDatetime(cd4));
}
Obs height = pdh.getLatestObs(p, "Height (cm)", null, endDate);
pdh.addCol(row, "Latest Height", pdh.formatValue(height));
pdh.addCol(row, "Latest Height Date", pdh.formatObsDatetime(height));
Obs firstTaxolObs = pdh.getEarliestObs(p, "Paclitaxel (taxol) dose received", null, endDate);
pdh.addCol(row, "First Taxol Dose Received Date", pdh.formatObsDatetime(firstTaxolObs));
DrugOrder firstTaxolOrder = pdh.getEarliestDrugOrder(p, "Paclitaxel", endDate);
pdh.addCol(row, "First Taxol Drug Order Date", pdh.formatOrderStartDate(firstTaxolOrder));
Date firstTaxolDate = null;
if (firstTaxolObs != null) {
firstTaxolDate = firstTaxolObs.getObsDatetime();
}
if (firstTaxolOrder != null) {
if (firstTaxolDate == null || firstTaxolOrder.getStartDate().before(firstTaxolDate)) {
firstTaxolDate = firstTaxolOrder.getStartDate();
}
}
pdh.addCol(row, "First Taxol Date", pdh.formatYmd(firstTaxolDate));
if (firstTaxolDate != null) {
Obs cd4AtTaxol = pdh.getLatestObs(p, "CD4 count", null, firstTaxolDate);
pdh.addCol(row, "Most recent CD4 at First Taxol", pdh.formatValue(cd4AtTaxol));
pdh.addCol(row, "Most recent CD4 at First Taxol Date", pdh.formatObsDatetime(cd4AtTaxol));
}
for (PatientState ps : ph.getActiveStatesOnDate(p, endDate)) {
String ed = pdh.formatYmd(endDate);
String programName = ps.getPatientProgram().getProgram().getName();
pdh.addCol(row, programName + " Status on " + ed, pdh.formatStateName(ps));
pdh.addCol(row, programName + " Status Date on " + ed, pdh.formatStateStartDate(ps));
}
pdh.addCol(row, "Death Date", pdh.formatYmd(p.getDeathDate()));
return row;
}