/**
* 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);
}
}
