malawi_hiv_program_reports 1.0.1 → 1.0.3

data/app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_additions.rb

@@ -0,0 +1,208 @@
+# frozen_string_literal: true
+
+module MalawiHivProgramReports
+  module Moh
+    # This class is used to add additional cohort disaggregated data
+    # rubocop:disable Metrics/ClassLength
+    class CohortDisaggregatedAdditions
+      COHORT_REGIMENS = %w[
+        0P 2P 4PP 4PA 9PP 9PA 11PP 11PA 12PP 12PA 14PP 14PA 15PP 15PA 16P 17PP 17PA
+        4A 5A 6A 7A 8A 9A 10A 11A 12A 13A 14A 15A 16A 17A
+      ].freeze
+
+      def initialize(start_date:, end_date:, gender:, age_group:)
+        @start_date = start_date
+        @end_date = end_date
+        @gender = gender
+        @age_group = age_group
+      end
+
+      def screened_for_tb
+        return screened_for_tb_female_client('FP') if @gender == 'pregnant'
+        return screened_for_tb_female_client('FNP') if @gender == 'fnp'
+        return screened_for_tb_female_client('FBf') if @gender == 'breastfeeding'
+
+        gender = @gender.first.upcase
+        results = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT
+            e.patient_id, disaggregated_age_group(e.birthdate, DATE('#{@end_date}')) age_group
+          FROM temp_earliest_start_date e
+          INNER JOIN temp_patient_outcomes USING(patient_id)
+          WHERE cum_outcome = 'On antiretrovirals' AND LEFT(gender,1) = '#{gender}'
+          GROUP BY e.patient_id HAVING  age_group = '#{@age_group}';
+        SQL
+
+        patient_ids = []
+        (results || []).each do |r|
+          patient_ids << r['patient_id'].to_i
+        end
+
+        tb_screened(patient_ids)
+      end
+
+      def clients_given_ipt
+        return female_clients_given_ipt('FP') if @gender == 'pregnant'
+        return female_clients_given_ipt('FNP') if @gender == 'fnp'
+        return female_clients_given_ipt('FBf') if @gender == 'breastfeeding'
+
+        gender = @gender.first.upcase
+
+        patient_ids = []
+        results = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT
+            e.patient_id, disaggregated_age_group(e.birthdate, DATE('#{@end_date}')) age_group
+          FROM temp_earliest_start_date e
+          INNER JOIN temp_patient_outcomes USING(patient_id)
+          WHERE cum_outcome = 'On antiretrovirals' AND LEFT(gender,1) = '#{gender}'
+          GROUP BY e.patient_id HAVING  age_group = '#{@age_group}';
+        SQL
+
+        (results || []).each do |row|
+          patient_ids << row['patient_id'].to_i
+        end
+
+        return [] if patient_ids.blank?
+
+        given_ipt(patient_ids)
+      end
+
+      def disaggregated_regimen_distribution
+        additional_sql = ''
+        additional_for_women_sql = ''
+        gender = @gender.first.upcase
+
+        if @age_group == 'All'
+          case @gender.upcase
+          when 'FP'
+            additional_for_women_sql = 'INNER JOIN temp_disaggregated t ON t.patient_id = e.patient_id'
+            additional_for_women_sql += " AND t.maternal_status = 'FP' "
+          when 'FBF'
+            additional_for_women_sql = 'INNER JOIN temp_disaggregated t ON t.patient_id = e.patient_id'
+            additional_for_women_sql += " AND t.maternal_status = 'Fbf' "
+          when 'FNP'
+            additional_for_women_sql = 'INNER JOIN temp_disaggregated t ON t.patient_id = e.patient_id'
+            additional_for_women_sql += " AND t.maternal_status = 'FNP' "
+          end
+        else
+          additional_sql = "HAVING age_group = '#{@age_group}'"
+        end
+
+        patients = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT
+            e.patient_id,  disaggregated_age_group(e.birthdate, DATE("#{@end_date.to_date}")) age_group
+          FROM temp_earliest_start_date e
+          INNER JOIN temp_patient_outcomes o ON  o.patient_id = e.patient_id
+          #{additional_for_women_sql}
+          WHERE LEFT(gender,1) = '#{gender}' AND o.cum_outcome = 'On antiretrovirals'
+          AND DATE(date_enrolled) <= '#{@end_date.to_date}'
+          GROUP BY e.patient_id #{additional_sql};
+        SQL
+
+        return {} if patients.blank?
+
+        patient_ids = patients.map { |p| p['patient_id'].to_i }
+        data = {}
+
+        patient_ids.each do |patient_id|
+          regimen_data = ActiveRecord::Base.connection.select_one <<~SQL
+            SELECT patient_current_regimen(#{patient_id}, DATE('#{@end_date.to_date}')) regimen;
+          SQL
+
+          regimen = (COHORT_REGIMENS.include? regimen_data['regimen']) ? regimen_data['regimen'] : 'N/A'
+          data[regimen] = [] if data[regimen].blank?
+          data[regimen] << patient_id
+        end
+
+        data
+      end
+
+      private
+
+      def given_ipt(patient_ids)
+        return [] if patient_ids.blank?
+
+        isoniazid_concept_id = ::ConceptName.find_by(name: 'Isoniazid').concept_id
+        isoniazid_rifapentine_concept_id = ::ConceptName.find_by(name: 'Isoniazid/Rifapentine').concept_id
+        pyridoxine_concept_id = ::ConceptName.find_by(name: 'Pyridoxine').concept_id
+
+        results = ActiveRecord::Base.connection.select_all(
+          "SELECT ods.patient_id FROM orders ods
+          INNER JOIN drug_order dos ON ods.order_id = dos.order_id AND ods.voided = 0
+          WHERE ods.concept_id IN (#{isoniazid_concept_id}, #{pyridoxine_concept_id}, #{isoniazid_rifapentine_concept_id})
+          AND dos.quantity IS NOT NULL
+          AND ods.patient_id in (#{patient_ids.join(',')})
+          AND ods.start_date BETWEEN '#{@start_date.to_date.strftime('%Y-%m-%d 00:00:00')}'
+          AND '#{@end_date.to_date.strftime('%Y-%m-%d 23:59:59')}'
+          AND DATE(ods.start_date) = (SELECT MAX(DATE(o.start_date)) FROM orders o
+                                      INNER JOIN drug_order d ON o.order_id = d.order_id AND o.voided = 0
+                                      WHERE o.concept_id IN (#{isoniazid_concept_id}, #{pyridoxine_concept_id}, #{isoniazid_rifapentine_concept_id})
+                                      AND o.patient_id = ods.patient_id
+                                      AND d.quantity IS NOT NULL
+                                      AND o.start_date BETWEEN '#{@start_date.to_date.strftime('%Y-%m-%d 00:00:00')}'
+                                      AND '#{@end_date.to_date.strftime('%Y-%m-%d 23:59:59')}')
+          GROUP BY ods.patient_id;"
+        )
+
+        results_patients = []
+
+        (results || []).each do |row|
+          results_patients << row['patient_id'].to_i
+        end
+
+        results_patients
+      end
+
+      def tb_screened(patient_ids)
+        return [] if patient_ids.blank?
+
+        results = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT e.*, tb_status FROM temp_earliest_start_date e
+            INNER JOIN temp_patient_tb_status s ON s.patient_id = e.patient_id
+            INNER JOIN temp_patient_outcomes o ON o.patient_id = e.patient_id
+            WHERE o.cum_outcome = 'On antiretrovirals' AND e.patient_id IN(#{patient_ids.join(',')})
+            AND DATE(e.date_enrolled) <= '#{@end_date.to_date}';
+        SQL
+
+        patient_ids = []
+        (results || []).each do |r|
+          patient_ids << r['patient_id'].to_i unless r['tb_status'].blank?
+        end
+
+        patient_ids
+      end
+
+      def screened_for_tb_female_client(group)
+        results = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT f.patient_id FROM temp_disaggregated f
+          INNER JOIN temp_patient_outcomes o ON o.patient_id = f.patient_id
+          WHERE maternal_status = "#{group}"
+          AND o.cum_outcome = 'On antiretrovirals' GROUP BY f.patient_id;
+        SQL
+
+        patient_ids = []
+        (results || []).each do |r|
+          patient_ids << r['patient_id'].to_i
+        end
+
+        tb_screened(patient_ids)
+      end
+
+      def female_clients_given_ipt(group)
+        results = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT f.patient_id FROM temp_disaggregated f
+          INNER JOIN temp_patient_outcomes o ON o.patient_id = f.patient_id
+          WHERE maternal_status = "#{group}"
+          AND o.cum_outcome = 'On antiretrovirals' GROUP BY f.patient_id;
+        SQL
+
+        patient_ids = []
+        (results || []).each do |r|
+          patient_ids << r['patient_id'].to_i
+        end
+
+        given_ipt(patient_ids)
+      end
+    end
+    # rubocop:enable Metrics/ClassLength
+  end
+end