malawi_hiv_program_reports 1.0.1 → 1.0.3

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

@@ -0,0 +1,526 @@
+# frozen_string_literal: true
+
+module MalawiHivProgramReports
+  module Moh
+    # This class is used to add additional cohort disaggregated data
+    class CohortDisaggregatedBuilder < CohortBuilder
+      def initialize(outcomes_definition: 'moh', **kwargs)
+        unless %w[moh pepfar].include?(outcomes_definition.downcase)
+          raise ::ArgumentError, "Invalid outcomes_definition `#{outcomes_definition}` expected moh or pepfar"
+        end
+
+        @location = kwargs[:location]
+        @adapter = ActiveRecord::Base.connection.adapter_name.downcase
+        @outcomes_definition = outcomes_definition
+      end
+
+      def build(_cohort_struct, start_date, end_date)
+        build_disaggregated_report(cohort(nil, start_date, end_date), start_date, end_date)
+      rescue StandardError => e
+        Rails.logger.error "Error Message #{e.message}"
+        raise e
+      end
+
+      def cohort(_cohort_struct, start_date, end_date)
+        time_started = Time.now.strftime('%Y-%m-%d %H:%M:%S')
+
+        @cohort_struct = cohort_struct = CohortStruct.new
+
+        #=end
+        # Get earliest date enrolled
+        @cohort_cum_start_date = cum_start_date = get_cum_start_date
+
+        # Total registered
+        cohort_struct.total_registered = total_registered(start_date, end_date)
+        cohort_struct.cum_total_registered = total_registered(cum_start_date, end_date)
+
+        # Patients initiated on ART first time
+        cohort_struct.initiated_on_art_first_time = initiated_on_art_first_time(start_date, end_date)
+        cohort_struct.cum_initiated_on_art_first_time = initiated_on_art_first_time(cum_start_date, end_date)
+
+        # Patients re-initiated on ART
+        cohort_struct.re_initiated_on_art = re_initiated_on_art(start_date, end_date)
+        cohort_struct.cum_re_initiated_on_art = re_initiated_on_art(cum_start_date, end_date)
+
+        # Patients transferred in on ART
+        cohort_struct.transfer_in = transfer_in(start_date, end_date, cohort_struct.re_initiated_on_art)
+        cohort_struct.cum_transfer_in = transfer_in(cum_start_date, end_date, cohort_struct.cum_re_initiated_on_art)
+
+        # All males
+        cohort_struct.all_males = males(start_date, end_date)
+        cohort_struct.cum_all_males = males(cum_start_date, end_date)
+
+        # Unknown age
+        cohort_struct.unknown_age = unknown_age(start_date, end_date)
+        cohort_struct.cum_unknown_age = unknown_age(cum_start_date, end_date)
+
+        #     No TB
+        #     total_registered - (current_episode - tb_within_the_last_two_years)
+        cohort_struct.no_tb = no_tb(cohort_struct.total_registered, cohort_struct.tb_within_the_last_two_years,
+                                    cohort_struct.current_episode_of_tb)
+        cohort_struct.cum_no_tb = cum_no_tb(cohort_struct.cum_total_registered,
+                                            cohort_struct.cum_tb_within_the_last_two_years, cohort_struct.cum_current_episode_of_tb)
+
+        #  Total Alive and On ART
+        #  Unique PatientProgram entries at the current location for those patients with at least one state
+        #  ON ARVs and earliest start date of the 'ON ARVs' state less than or equal to end date of quarter
+        #  and latest state is ON ARVs  (Excluding defaulters)
+        cohort_struct.total_alive_and_on_art = get_outcome('On antiretrovirals')
+
+        # Pregnant women
+        #
+        # Unique PatientProgram entries at the current location for those patients with at least one state ON ARVs
+        # and earliest start date of the 'ON ARVs' state within the quarter
+        # and having a REASON FOR ELIGIBILITY observation with an answer as PATIENT PREGNANT
+        cohort_struct.total_pregnant_women = total_pregnant_women(cohort_struct.total_alive_and_on_art, cum_start_date,
+                                                                  end_date)
+
+        #  Breastfeeding mothers
+        #
+        #  Unique PatientProgram entries at the current location for those patients with at least one state
+        #  ON ARVs and earliest start date of the 'ON ARVs' state within the quarter
+        #  and having a REASON FOR ELIGIBILITY observation with an answer as BREASTFEEDING
+        cohort_struct.total_breastfeeding_women = total_breastfeeding_women(cohort_struct.total_alive_and_on_art, cohort_struct.total_pregnant_women,
+                                                                            cum_start_date, end_date)
+
+        # Non-pregnant females (all ages)
+
+        # Unique PatientProgram entries at the current location for those patients with at least one state ON ARVs
+        # and earliest start date of the 'ON ARVs' state within the quarter and having gender of
+        # related PERSON entry as F for female and no entries of 'IS PATIENT PREGNANT?' observation answered 'YES'
+        # in related HIV CLINIC CONSULTATION encounters not within 28 days from earliest registration date
+        pregnant_females = []
+        (cohort_struct.total_pregnant_women || []).each do |patient|
+          pregnant_females << patient['person_id'].to_i
+        end
+        cohort_struct.non_pregnant_females = non_pregnant_females(start_date, end_date, pregnant_females)
+        cohort_struct.cum_non_pregnant_females = non_pregnant_females(cum_start_date, end_date, pregnant_females)
+        end_time = Time.now.strftime('%Y-%m-%d %H:%M:%S')
+
+        puts "Started at: #{time_started}. Finished at: #{end_time}. Total time in minutes: #{((end_time.to_time - time_started.to_time) / 60).round(2)} minutes."
+        Rails.logger.info "Started at: #{time_started}. Finished at: #{end_time}. Total time in minutes: #{((end_time.to_time - time_started.to_time) / 60).round(2)} minutes."
+        cohort_struct
+      rescue StandardError => e
+        Rails.logger.error "Error Message #{e}"
+        raise e
+      end
+
+      def build_disaggregated_report(cohort, start_date, end_date)
+        @age_groups = ['0-5 months', '6-11 months', '12-23 months', '2-4 years',
+                       '5-9 years', '10-14 years', '15-17 years', '18-19 years',
+                       '20-24 years', '25-29 years', '30-34 years', '35-39 years',
+                       '40-44 years', '45-49 years', '50+ years', 'All']
+
+        report = {}
+        counter = 1
+
+        %w[Male Female].each do |gender|
+          @age_groups.each do |ag|
+            next if /all/i.match?(ag)
+
+            report[counter] = {} if report[counter].blank?
+            report[counter][gender] = {} if report[counter][gender].blank?
+            report[counter][gender][ag] = get_data(cohort, start_date, end_date, gender, ag)
+            counter += 1
+          end
+        end
+
+        %w[M FP FNP FBf].each do |gender|
+          @age_groups.each do |ag|
+            next unless /all/i.match?(ag)
+
+            report[counter] = {} if report[counter].blank?
+            report[counter][gender] = {} if report[counter][gender].blank?
+            report[counter][gender][ag] = get_data(cohort, start_date, end_date, gender, ag)
+            counter += 1
+          end
+        end
+
+        report
+      rescue StandardError => e
+        Rails.logger.error "Error Message #{e}"
+        raise e
+      end
+
+      def get_data(cohort, start_date, end_date, gender, age_group)
+        @cohort = cohort
+
+        if %w[Male Female].include?(gender)
+          case age_group
+          when '50+ years'
+            yrs_months = 'year'
+            age_to = 1000
+            age_from = 50
+          when /years/i
+            age_from, age_to = age_group.sub(' years', '').split('-')
+            yrs_months = 'year'
+          when /months/i
+            age_from, age_to = age_group.sub(' months', '').split('-')
+            yrs_months = 'month'
+          end
+
+          g = gender.first
+
+          started_on_art = get_started_on_art(yrs_months, age_from, age_to, g, start_date, end_date)
+          alive_on_art = get_alive_on_art(yrs_months, age_from, age_to, g, @cohort_cum_start_date, end_date)
+          started_on_ipt = get_started_on_ipt(yrs_months, age_from, age_to, g, @cohort_cum_start_date, end_date)
+          screened_for_tb = get_screened_for_tb(yrs_months, age_from, age_to, g, @cohort_cum_start_date, end_date)
+
+          return [started_on_art&.length || 0,
+                  alive_on_art&.length || 0,
+                  started_on_ipt&.length || 0,
+                  screened_for_tb&.length || 0]
+        end
+
+        if gender == 'M'
+          age_from = 0
+          age_to = 1000
+          yrs_months = 'year'
+          started_on_art = get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date)
+          alive_on_art = get_alive_on_art(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date)
+          started_on_ipt = get_started_on_ipt(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date)
+          screened_for_tb = get_screened_for_tb(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date)
+
+          return [started_on_art&.length || 0,
+                  alive_on_art&.length || 0,
+                  started_on_ipt&.length || 0,
+                  screened_for_tb&.length || 0]
+        end
+
+        if gender == 'FP'
+          a, b, c, d = get_fp(start_date, end_date)
+          return [a.length, b.length, c.length, d.length]
+        end
+
+        if gender == 'FNP'
+          fnp_a, fnp_b, fnp_c, fnp_d = get_fnp(start_date, end_date)
+          return [fnp_a.length, fnp_b.length, fnp_c.length, fnp_d.length]
+        end
+
+        if gender == 'FBf'
+          a, b, c, d = get_fbf(start_date, end_date)
+          return [a.length, b.length, c.length, d.length]
+        end
+
+        [0, 0, 0, 0]
+      end
+
+      def get_fnp(start_date, end_date)
+        age_from = 0
+        age_to = 1000
+        yrs_months = 'year'
+        gender = 'F'
+
+        females_pregnant = []
+        cum_females_pregnant = []
+        breast_feeding_women = []
+        cum_breast_feeding_women = []
+
+        started_on_art = []
+        alive_on_art = []
+        started_on_ipt = []
+        screened_for_tb = []
+
+        ###############################################################
+        (@cohort.total_breastfeeding_women || []).each do |p|
+          date_enrolled_str = ActiveRecord::Base.connection.select_one(
+            "SELECT date_enrolled FROM temp_earliest_start_date e
+             WHERE patient_id = #{p['person_id']} #{site_manager(operator: 'AND', column: 'e.site_id',
+                                                                 location: @location)}"
+          )
+
+          date_enrolled = date_enrolled_str['date_enrolled'].to_date
+          if (date_enrolled >= start_date.to_date) && (end_date.to_date <= end_date.to_date)
+            breast_feeding_women << p['person_id'].to_i
+            breast_feeding_women = breast_feeding_women.uniq
+          else
+            cum_breast_feeding_women << p['person_id'].to_i
+            cum_breast_feeding_women = cum_breast_feeding_women.uniq
+          end
+        end
+
+        cum_pregnant_women = @cohort.total_pregnant_women
+        (cum_pregnant_women || []).each do |p|
+          next if breast_feeding_women.include?(p['person_id'].to_i)
+
+          date_enrolled_str = ActiveRecord::Base.connection.select_one(
+            "SELECT date_enrolled FROM temp_earliest_start_date e
+             WHERE patient_id = #{p['person_id'].to_i} #{site_manager(operator: 'AND', column: 'e.site_id',
+                                                                      location: @location)}"
+          )
+
+          date_enrolled = date_enrolled_str['date_enrolled'].to_date
+          if (date_enrolled >= start_date.to_date) && (end_date.to_date <= end_date.to_date)
+            females_pregnant << p['person_id'].to_i
+            females_pregnant = females_pregnant.uniq
+          else
+            cum_females_pregnant << p['person_id'].to_i
+            cum_females_pregnant = cum_females_pregnant.uniq
+          end
+        end
+
+        cum_females_pregnant = (cum_females_pregnant + females_pregnant)&.uniq || []
+        cum_breast_feeding_women += breast_feeding_women
+        #####################################################################
+
+        (get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date) || []).each do |fnp|
+          next if females_pregnant.include?(fnp['patient_id'].to_i)
+          next if breast_feeding_women.include?(fnp['patient_id'].to_i)
+
+          started_on_art << { patient_id: fnp['patient_id'].to_i, date_enrolled: fnp['date_enrolled'].to_date }
+        end
+
+        (get_alive_on_art(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |fnp|
+          next if cum_females_pregnant.include?(fnp['patient_id'].to_i)
+          next if cum_breast_feeding_women.include?(fnp['patient_id'].to_i)
+
+          alive_on_art << { patient_id: fnp['patient_id'].to_i }
+        end
+
+        (get_started_on_ipt(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |fnp|
+          next if cum_females_pregnant.include?(fnp['patient_id'].to_i)
+          next if cum_breast_feeding_women.include?(fnp['patient_id'].to_i)
+
+          started_on_ipt << { patient_id: fnp['patient_id'].to_i }
+        end
+
+        (get_screened_for_tb(yrs_months, age_from, age_to, gender, @cohort_cum_start_date,
+                             end_date) || []).each do |fnp|
+          next if cum_females_pregnant.include?(fnp['patient_id'].to_i)
+          next if cum_breast_feeding_women.include?(fnp['patient_id'].to_i)
+
+          screened_for_tb << { patient_id: fnp['patient_id'].to_i }
+        end
+
+        [started_on_art, alive_on_art, started_on_ipt, screened_for_tb]
+      end
+
+      def get_screened_for_tb(yrs_months, age_from, age_to, gender, start_date, end_date)
+        alive_on_art_patient_ids = []
+        start_date = @cohort_cum_start_date
+
+        (@cohort.total_alive_and_on_art || []).each do |data|
+          alive_on_art_patient_ids << data['patient_id'].to_i
+        end
+
+        return [] if alive_on_art_patient_ids.blank?
+
+        tb_treatment = concept_name('TB treatment').concept_id
+        tb_status_id = concept_name('TB status').concept_id
+        clinical_consultation = encounter_type('HIV CLINIC CONSULTATION').id
+
+        ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT t1.patient_id
+          FROM obs t3
+          INNER JOIN temp_earliest_start_date t1 ON t1.patient_id = t3.person_id #{site_manager(operator: 'AND', column: 't1.site_id', location: @location)} AND t1.patient_id IN(#{alive_on_art_patient_ids.join(',')})
+          WHERE t3.concept_id IN(#{tb_treatment},#{tb_status_id}) AND t3.voided = 0
+            AND t3.obs_datetime 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 gender = '#{gender.first}' AND t1.date_enrolled BETWEEN '#{start_date.to_date}' AND '#{end_date.to_date}' #{site_manager(operator: 'AND', column: 't3.site_id', location: @location)}
+            AND #{timestampdiff_manager(date1: 'birthdate', date2: "DATE('#{end_date.to_date}')", interval: yrs_months)} BETWEEN #{age_from} AND #{age_to}
+            AND t3.obs_datetime = (
+              SELECT MAX(obs_datetime)
+              FROM obs t4
+              INNER JOIN encounter e ON e.encounter_id = t4.encounter_id AND e.encounter_type = #{clinical_consultation} AND e.voided = 0 #{site_manager(operator: 'AND', column: 'e.site_id', location: @location)}
+              WHERE t3.person_id = t4.person_id
+              AND t4.voided = 0 #{site_manager(operator: 'AND', column: 't4.site_id', location: @location)}
+              AND t4.obs_datetime 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 t3.person_id
+        SQL
+      end
+
+      def get_started_on_ipt(yrs_months, age_from, age_to, gender, _start_date, end_date)
+        data = ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT patient_id
+          FROM temp_earliest_start_date
+          WHERE gender = '#{gender}' AND earliest_start_date <= '#{end_date.to_date}'
+          AND #{timestampdiff_manager(date1: 'birthdate', date2: "DATE('#{end_date.to_date}')", interval: yrs_months)}
+          BETWEEN #{age_from} AND #{age_to} #{site_manager(operator: 'AND', column: 'site_id', location: @location)}
+        SQL
+
+        return [] if data.blank?
+
+        patient_ids = []
+
+        data.each do |d|
+          patient_ids << d['patient_id'].to_i
+        end
+
+        amount_dispensed = concept_name('Amount dispensed').concept_id
+        ipt_drug_ids = ::Drug.where(concept_id: concept_name('Isoniazid').concept_id).map(&:drug_id)
+
+        ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT obs.person_id patient_id
+          FROM obs
+          WHERE concept_id = #{amount_dispensed} AND obs.voided = 0 #{site_manager(operator: 'AND', column: 'obs.site_id', location: @location)}
+          AND obs.obs_datetime <= '#{end_date.to_date.strftime('%Y-%m-%d 23:59:59')}'
+          AND value_drug IN(#{ipt_drug_ids.join(',')}) AND obs.person_id IN(#{patient_ids.join(',')})
+        SQL
+      end
+
+      def get_alive_on_art(yrs_months, age_from, age_to, gender, _start_date, end_date)
+        alive_on_art_patient_ids = []
+
+        (@cohort.total_alive_and_on_art || []).each do |data|
+          alive_on_art_patient_ids << data['patient_id'].to_i
+        end
+
+        return [] if alive_on_art_patient_ids.blank?
+
+        ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT patient_id
+          FROM temp_earliest_start_date
+          WHERE gender = '#{gender}' AND date_enrolled <= '#{end_date.to_date}' AND
+          patient_id IN(#{alive_on_art_patient_ids.join(',')})
+          AND #{timestampdiff_manager(date1: 'birthdate', date2: "DATE('#{end_date.to_date}')", interval: yrs_months)}
+          BETWEEN #{age_from} AND #{age_to} #{site_manager(operator: 'AND', column: 'site_id', location: @location)}
+        SQL
+      end
+
+      def get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date)
+        ActiveRecord::Base.connection.select_all <<~SQL
+          SELECT patient_id, date_enrolled
+          FROM temp_earliest_start_date
+          WHERE gender = '#{gender}' AND date_enrolled BETWEEN
+          '#{start_date.to_date}' AND '#{end_date.to_date}' AND
+          (DATE(date_enrolled) = DATE(earliest_start_date))
+          AND #{timestampdiff_manager(date1: 'birthdate', date2: 'DATE(earliest_start_date)', interval: yrs_months)}
+          BETWEEN #{age_from} AND #{age_to} #{site_manager(operator: 'AND', column: 'site_id', location: @location)}
+        SQL
+      end
+
+      def get_fp(start_date, end_date)
+        age_from = 0
+        age_to = 1000
+        yrs_months = 'year'
+        gender = 'F'
+        cum_pregnant_women = @cohort.total_pregnant_women
+
+        return [[], [], [], []] if cum_pregnant_women.blank?
+
+        pregnant_women_patient_ids = []
+
+        cum_pregnant_women.each do |p|
+          date_enrolled_str = ActiveRecord::Base.connection.select_one <<~SQL
+            SELECT date_enrolled FROM temp_earliest_start_date e
+            WHERE patient_id = #{p['person_id'].to_i} #{site_manager(operator: 'AND', column: 'e.site_id', location: @location)}
+          SQL
+
+          date_enrolled = date_enrolled_str['date_enrolled'].to_date
+          if (date_enrolled >= @cohort_cum_start_date.to_date) && (end_date.to_date <= end_date.to_date)
+            pregnant_women_patient_ids << p['person_id'].to_i
+          end
+        end
+
+        started_on_art = []
+        alive_on_art = []
+        started_on_ipt = []
+        screened_for_tb = []
+
+        (get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date) || []).each do |p|
+          next unless pregnant_women_patient_ids.include?(p['patient_id'].to_i)
+
+          started_on_art << p
+        end
+
+        (get_alive_on_art(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |p|
+          next unless pregnant_women_patient_ids.include?(p['patient_id'].to_i)
+
+          alive_on_art << { patient_id: p['patient_id'].to_i }
+        end
+
+        (get_started_on_ipt(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |p|
+          next unless pregnant_women_patient_ids.include?(p['patient_id'].to_i)
+
+          started_on_ipt << { patient_id: p['patient_id'].to_i }
+        end
+
+        (get_screened_for_tb(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |p|
+          next unless pregnant_women_patient_ids.include?(p['patient_id'].to_i)
+
+          screened_for_tb << { patient_id: p['patient_id'].to_i }
+        end
+
+        [started_on_art, alive_on_art,
+         started_on_ipt, screened_for_tb]
+      end
+
+      def get_fbf(start_date, end_date)
+        age_from = 0
+        age_to = 1000
+        yrs_months = 'year'
+        gender = 'F'
+        cum_breastfeeding_mothers = @cohort.total_breastfeeding_women
+
+        return [[], [], [], []] if cum_breastfeeding_mothers.blank?
+
+        fbf_women_patient_ids = []
+
+        started_on_art = []
+        alive_on_art = []
+        started_on_ipt = []
+        screened_for_tb = []
+
+        #########################################################################
+        cum_pregnant_women = @cohort.total_pregnant_women
+        pregnant_women_patient_ids = []
+
+        cum_pregnant_women.each do |p|
+          date_enrolled_str = ActiveRecord::Base.connection.select_one(
+            "SELECT date_enrolled FROM temp_earliest_start_date e
+             WHERE patient_id = #{p['person_id'].to_i} #{site_manager(operator: 'AND', column: 'e.site_id',
+                                                                      location: @location)}"
+          )
+
+          date_enrolled = date_enrolled_str['date_enrolled'].to_date
+          if (date_enrolled >= @cohort_cum_start_date.to_date) && (end_date.to_date <= end_date.to_date)
+            pregnant_women_patient_ids << p['person_id'].to_i
+          end
+        end
+        #########################################################################
+
+        cum_breastfeeding_mothers.each do |w|
+          next if pregnant_women_patient_ids.include?(w['person_id'].to_i)
+
+          date_enrolled_str = ActiveRecord::Base.connection.select_one(
+            "SELECT date_enrolled FROM temp_earliest_start_date e
+             WHERE patient_id = #{w['person_id'].to_i} #{site_manager(operator: 'AND', column: 'e.site_id',
+                                                                      location: @location)}"
+          )
+
+          date_enrolled = date_enrolled_str['date_enrolled'].to_date
+          if (date_enrolled >= @cohort_cum_start_date.to_date) && (end_date.to_date <= end_date.to_date)
+            fbf_women_patient_ids << w['person_id'].to_i
+          end
+        end
+
+        (get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date) || []).each do |fbf|
+          next unless fbf_women_patient_ids.include?(fbf['patient_id'].to_i)
+
+          started_on_art << { patient_id: fbf['patient_id'].to_i, date_enrolled: fbf['date_enrolled'].to_date }
+        end
+
+        (get_alive_on_art(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |fbf|
+          next unless fbf_women_patient_ids.include?(fbf['patient_id'].to_i)
+
+          alive_on_art << { patient_id: fbf['patient_id'].to_i }
+        end
+
+        (get_started_on_ipt(yrs_months, age_from, age_to, gender, @cohort_cum_start_date, end_date) || []).each do |fbf|
+          next unless fbf_women_patient_ids.include?(fbf['patient_id'].to_i)
+
+          started_on_ipt << { patient_id: fbf['patient_id'].to_i }
+        end
+
+        (get_screened_for_tb(yrs_months, age_from, age_to, gender, @cohort_cum_start_date,
+                             end_date) || []).each do |fbf|
+          next unless fbf_women_patient_ids.include?(fbf['patient_id'].to_i)
+
+          screened_for_tb << { patient_id: fbf['patient_id'].to_i }
+        end
+
+        [started_on_art, alive_on_art, started_on_ipt, screened_for_tb]
+      end
+    end
+  end
+end