HIV-912: Update inh/ipt reminders with both 3 and 6 months tb prophyl…

…axis drugs (AMPATH#1139)
jecihjoy · Apr 11, 2022 · 752b26c · 752b26c
1 parent 7e4f02f
commit 752b26c
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Showing 3 changed files with 54 additions and 20 deletions.
diff --git a/app/reporting-framework/json-reports/clinical-reminder-report.json b/app/reporting-framework/json-reports/clinical-reminder-report.json
@@ -150,7 +150,7 @@
       "alias": "qualifies_differenciated_care",
       "expressionType": "simple_expression",
       "expressionOptions": {
-        "expression": "case when vl_1 < 401 and (timestampdiff(year,birthdate, date('{referenceDate}')) >= 20) and (timestampdiff(month,ipt_start_date,if(ipt_completion_date,ipt_completion_date,'{referenceDate}')) >= 6 ) and (timestampdiff(month,vl_1_date,now()) <= 11 ) and (timestampdiff(month,arv_start_date, '{referenceDate}') >= 12) AND p.program_id IS NULL and t10.program_id is null and DATE(t1.prev_rtc_date) = DATE(t1.encounter_datetime) then 1 else 0 end"
+        "expression": "case when vl_1 < 401 and (timestampdiff(year,birthdate, date('{referenceDate}')) >= 20) and ((timestampdiff(month,ipt_start_date,if(ipt_completion_date is not null and (tb_prophylaxis_duration = 6 or tb_prophylaxis_duration is null),ipt_completion_date,'{referenceDate}')) >= 6) or (timestampdiff(month,ipt_start_date,if(ipt_completion_date is not null and tb_prophylaxis_duration = 3,ipt_completion_date,'{referenceDate}')) >= 3)) and (timestampdiff(month,vl_1_date,now()) <= 11 ) and (timestampdiff(month,arv_start_date, '{referenceDate}') >= 12) AND p.program_id IS NULL and t10.program_id is null and DATE(t1.prev_rtc_date) = DATE(t1.encounter_datetime) then 1 else 0 end"
       }
     },
     {
@@ -233,7 +233,7 @@
       "alias": "ipt_completion_date",
       "expressionType": "simple_expression",
       "expressionOptions": {
-        "expression": "DATE_ADD(t1.ipt_start_date, INTERVAL 180 DAY)"
+        "expression": "case when t1.tb_prophylaxis_duration = 3 then DATE_ADD(t1.ipt_start_date, INTERVAL 90 DAY) else DATE_ADD(t1.ipt_start_date, INTERVAL 180 DAY) end"
       }
     },
     {
@@ -246,7 +246,7 @@
       "alias": "inh_treatment_days_remaining",
       "expressionType": "simple_expression",
       "expressionOptions": {
-        "expression": "DATEDIFF(DATE_ADD(t1.ipt_start_date, INTERVAL 180 DAY), now())"
+        "expression": "case when t1.tb_prophylaxis_duration = 3 then DATEDIFF(DATE_ADD(t1.ipt_start_date, INTERVAL 90 DAY), now()) else DATEDIFF(DATE_ADD(t1.ipt_start_date, INTERVAL 180 DAY), now()) end"
       }
     },
     {
@@ -307,12 +307,17 @@
     },
     {
       "type": "derived_column",
-      "alias": "not_completed_ipt",
+      "alias": "needs_ipt_completion",
       "expressionType": "simple_expression",
       "expressionOptions": {
-        "expression": "case when (timestampdiff(day,t1.ipt_start_date,curdate()) > 180) and t1.ipt_completion_date is null and t1.ipt_stop_date is null then 1 else 0 end"
+        "expression": "case when ((t1.tb_prophylaxis_duration = 3 and TIMESTAMPDIFF(DAY,t1.ipt_start_date,CURDATE()) > 90) or (TIMESTAMPDIFF(DAY,t1.ipt_start_date,CURDATE()) > 180)) and t1.ipt_completion_date is null and t1.ipt_stop_date is null then 1 else 0 end"
       }
     },
+    {
+      "type": "simple_column",
+      "alias": "tb_prophylaxis_duration",
+      "column": "t1.tb_prophylaxis_duration"
+    },
     {
       "type": "simple_column",
       "alias": "transfer_out_date",
@@ -395,7 +400,7 @@
     "conditions": [
       {
         "filterType": "tableColumns",
-        "conditionExpression": "t1.uuid = ?",
+        "conditionExpression": "t1.uuid = ? and t1.is_clinical_encounter = 1",
         "parameterName": "patientUuid"
       },
       {

diff --git a/reports/clinical-reminder-report.json b/reports/clinical-reminder-report.json
@@ -84,8 +84,8 @@
         "sql": "$expression"
       },
       {
-        "label": "not_completed_ipt",
-        "expression": "not_completed_ipt",
+        "label": "needs_ipt_completion",
+        "expression": "needs_ipt_completion",
         "sql": "$expression"
       }
     ],

diff --git a/service/patient-reminder.service.js b/service/patient-reminder.service.js
@@ -188,15 +188,34 @@ function qualifiesDifferenciatedReminders(data) {
 
 function inhReminders(data) {
   let reminders = [];
+  let months = 6;
+  let showReminder = false;
+  if (data.tb_prophylaxis_duration == 3) {
+    months = 3;
+  }
+  if (
+    data.tb_prophylaxis_duration == 3 &&
+    data.is_on_inh_treatment &&
+    data.inh_treatment_days_remaining > 0 &&
+    data.inh_treatment_days_remaining < 60
+  ) {
+    showReminder = true;
+  } else if (
+    data.tb_prophylaxis_duration != 3 &&
+    data.is_on_inh_treatment &&
+    data.inh_treatment_days_remaining > 30 &&
+    data.inh_treatment_days_remaining < 150
+  ) {
+    showReminder = true;
+  }
+  // INH Treatment Reminder - last month
   try {
-    if (
-      data.is_on_inh_treatment &&
-      data.inh_treatment_days_remaining > 30 &&
-      data.inh_treatment_days_remaining < 150
-    ) {
+    if (showReminder) {
       reminders.push({
         message:
-          'Patient started INH treatment on (' +
+          'Patient started ' +
+          months +
+          ' months INH treatment on (' +
           Moment(data.ipt_start_date).format('DD-MM-YYYY') +
           '). ' +
           'Expected to end on (' +
@@ -215,15 +234,19 @@ function inhReminders(data) {
   } catch (e) {
     console.log(e);
   }
-  // INH Treatment Reminder - last mont
+  // INH Treatment Reminder - last month
   if (
     data.is_on_inh_treatment &&
     data.inh_treatment_days_remaining <= 30 &&
     data.inh_treatment_days_remaining > 0
   ) {
     reminders.push({
       message:
-        'Patient has been on INH treatment for the last 5 months. Expected to end on (' +
+        'Patient has been on ' +
+        months +
+        ' month INH treatment since (' +
+        Moment(data.ipt_start_date).format('DD-MM-YYYY') +
+        '). Expected to end on (' +
         Moment(data.ipt_completion_date).format('DD-MM-YYYY') +
         ') ',
       title: 'INH Treatment Reminder',
@@ -489,16 +512,22 @@ function geneXpertReminders(data) {
 
 function getIptCompletionReminder(data) {
   let reminders = [];
+  let months = 6;
+  if (data.tb_prophylaxis_duration == 3) {
+    months = 3;
+  }
 
-  if (data.not_completed_ipt) {
+  if (data.needs_ipt_completion) {
     reminders.push({
       message:
-        'Patient started IPT on ' +
+        'Patient started ' +
+        months +
+        ' month IPT on ' +
         Moment(data.ipt_start_date).format('DD-MM-YYYY') +
         ' and was supposed to be completed on ' +
-        Moment(data.ipt_start_date).add(6, 'months').format('DD-MM-YYYY'),
+        Moment(data.ipt_start_date).add(months, 'months').format('DD-MM-YYYY'),
       title: 'IPT Completion Reminder',
-      type: 'warning',
+      type: 'danger',
       display: {
         banner: true,
         toast: true