Class: MalawiHivProgramReports::Moh::CohortDisaggregatedBuilder

Inherits:
CohortBuilder
  • Object
show all
Defined in:
app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb

Overview

This class is used to add additional cohort disaggregated data

Constant Summary

Constants inherited from CohortBuilder

MalawiHivProgramReports::Moh::CohortBuilder::QUARTER_LENGTH, MalawiHivProgramReports::Moh::CohortBuilder::STATE_DIED, MalawiHivProgramReports::Moh::CohortBuilder::STATE_ON_TREATMENT

Instance Method Summary collapse

Methods inherited from CohortBuilder

#create_art_start_date, #create_temp_cohort_members_table, #create_temp_order_details, #create_temp_other_patient_types, #create_temp_register_start_date_table, #create_tmp_patient_table, #drop_art_start_date, #drop_temp_order_details, #drop_temp_other_patient_types, #drop_temp_register_start_date_table, #drug_refills_and_external_consultation_list, #get_disaggregated_cohort, #init_temporary_tables, #load_art_start_date, #load_data_into_temp_cohort_members_table, #load_data_into_temp_earliest_start_date, #on_art_patients_with_no_arvs_dispensations, #patient_with_missing_start_reasons, #patients_with_pre_art_or_unknown_outcome, #remove_drug_refills_and_external_consultation, #update_cum_outcome, #update_patient_side_effects, #update_tb_status

Methods included from Adapters::Moh::Custom

#cast_manager, #current_partition, #exe_create_drill_down_table, #exe_temp_cohort_members_table, #exe_temp_order_details_table, #exe_temp_other_patient_types, #exe_temp_register_start_date_table, #exe_tmp_patient_table, #function_manager, #group_by_columns, #in_manager, #interval_manager, #min_filt, #site_manager, #timestampdiff_manager

Methods included from Utils::CommonSqlQueryUtils

#current_occupation_query, #external_client_query, #occupation_filter, #partition_by_site, #process_occupation

Methods included from Utils::ModelUtils

#concept, #concept_id_to_name, #concept_name, #concept_name_to_id, #drug, #encounter_type, #global_property, #order_type, #patient_identifier_type, #program, #report_type, #user_property

Constructor Details

#initialize(outcomes_definition: 'moh', **kwargs) ⇒ CohortDisaggregatedBuilder

Returns a new instance of CohortDisaggregatedBuilder.



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 7

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

Instance Method Details

#build(_cohort_struct, start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 17

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

#build_disaggregated_report(cohort, start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 108

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

#cohort(_cohort_struct, start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 24

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

#get_alive_on_art(yrs_months, age_from, age_to, gender, _start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 361

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

#get_data(cohort, start_date, end_date, gender, age_group) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 145

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

#get_fbf(start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 448

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

#get_fnp(start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 208

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

#get_fp(start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 392

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

#get_screened_for_tb(yrs_months, age_from, age_to, gender, start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 298

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

#get_started_on_art(yrs_months, age_from, age_to, gender, start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 380

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

#get_started_on_ipt(yrs_months, age_from, age_to, gender, _start_date, end_date) ⇒ Object 



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# File 'app/services/malawi_hiv_program_reports/moh/cohort_disaggregated_builder.rb', line 332

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