Source code for camcops_server.tasks.mast

#!/usr/bin/env python

"""
camcops_server/tasks/mast.py

===============================================================================

    Copyright (C) 2012-2019 Rudolf Cardinal (rudolf@pobox.com).

    This file is part of CamCOPS.

    CamCOPS is free software: you can redistribute it and/or modify
    it under the terms of the GNU General Public License as published by
    the Free Software Foundation, either version 3 of the License, or
    (at your option) any later version.

    CamCOPS is distributed in the hope that it will be useful,
    but WITHOUT ANY WARRANTY; without even the implied warranty of
    MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
    GNU General Public License for more details.

    You should have received a copy of the GNU General Public License
    along with CamCOPS. If not, see <http://www.gnu.org/licenses/>.

===============================================================================

"""

from typing import Any, Dict, List, Tuple, Type

from cardinal_pythonlib.stringfunc import strseq
from sqlalchemy.ext.declarative import DeclarativeMeta
from sqlalchemy.sql.sqltypes import Boolean, Integer

from camcops_server.cc_modules.cc_constants import CssClass
from camcops_server.cc_modules.cc_ctvinfo import CTV_INCOMPLETE, CtvInfo
from camcops_server.cc_modules.cc_db import add_multiple_columns
from camcops_server.cc_modules.cc_html import answer, get_yes_no, tr, tr_qa
from camcops_server.cc_modules.cc_request import CamcopsRequest
from camcops_server.cc_modules.cc_snomed import SnomedExpression, SnomedLookup
from camcops_server.cc_modules.cc_sqla_coltypes import CharColType
from camcops_server.cc_modules.cc_summaryelement import SummaryElement
from camcops_server.cc_modules.cc_task import (
    get_from_dict,
    Task,
    TaskHasPatientMixin,
)
from camcops_server.cc_modules.cc_text import SS
from camcops_server.cc_modules.cc_trackerhelpers import (
    LabelAlignment,
    TrackerInfo,
    TrackerLabel,
)


# =============================================================================
# MAST
# =============================================================================

class MastMetaclass(DeclarativeMeta):
    # noinspection PyInitNewSignature
    def __init__(cls: Type['Mast'],
                 name: str,
                 bases: Tuple[Type, ...],
                 classdict: Dict[str, Any]) -> None:
        add_multiple_columns(
            cls, "q", 1, cls.NQUESTIONS, CharColType,
            pv=['Y', 'N'],
            comment_fmt="Q{n}: {s} (Y or N)",
            comment_strings=[
                "feel you are a normal drinker",
                "couldn't remember evening before",
                "relative worries/complains",
                "stop drinking after 1-2 drinks",
                "feel guilty",
                "friends/relatives think you are a normal drinker",
                "can stop drinking when you want",
                "attended Alcoholics Anonymous",
                "physical fights",
                "drinking caused problems with relatives",
                "family have sought help",
                "lost friends",
                "trouble at work/school",
                "lost job",
                "neglected obligations for >=2 days",
                "drink before noon often",
                "liver trouble",
                "delirium tremens",
                "sought help",
                "hospitalized",
                "psychiatry admission",
                "clinic visit or professional help",
                "arrested for drink-driving",
                "arrested for other drunk behaviour",
            ]
        )
        super().__init__(name, bases, classdict)


[docs]class Mast(TaskHasPatientMixin, Task, metaclass=MastMetaclass): """ Server implementation of the MAST task. """ __tablename__ = "mast" shortname = "MAST" provides_trackers = True NQUESTIONS = 24 TASK_FIELDS = strseq("q", 1, NQUESTIONS) MAX_SCORE = 53 ROSS_THRESHOLD = 13
[docs] @staticmethod def longname(req: "CamcopsRequest") -> str: _ = req.gettext return _("Michigan Alcohol Screening Test")
[docs] def get_trackers(self, req: CamcopsRequest) -> List[TrackerInfo]: return [TrackerInfo( value=self.total_score(), plot_label="MAST total score", axis_label=f"Total score (out of {self.MAX_SCORE})", axis_min=-0.5, axis_max=self.MAX_SCORE + 0.5, horizontal_lines=[self.ROSS_THRESHOLD - 0.5], horizontal_labels=[ TrackerLabel(self.ROSS_THRESHOLD, "Ross threshold", LabelAlignment.bottom) ] )]
[docs] def get_clinical_text(self, req: CamcopsRequest) -> List[CtvInfo]: if not self.is_complete(): return CTV_INCOMPLETE return [CtvInfo( content=f"MAST total score {self.total_score()}/{self.MAX_SCORE}" )]
[docs] def get_summaries(self, req: CamcopsRequest) -> List[SummaryElement]: return self.standard_task_summary_fields() + [ SummaryElement( name="total", coltype=Integer(), value=self.total_score(), comment=f"Total score (/{self.MAX_SCORE})"), SummaryElement( name="exceeds_threshold", coltype=Boolean(), value=self.exceeds_ross_threshold(), comment=f"Exceeds Ross threshold " f"(total score >= {self.ROSS_THRESHOLD})"), ]
[docs] def is_complete(self) -> bool: return ( self.all_fields_not_none(self.TASK_FIELDS) and self.field_contents_valid() )
def get_score(self, q: int) -> int: yes = "Y" value = getattr(self, "q" + str(q)) if value is None: return 0 if q == 1 or q == 4 or q == 6 or q == 7: presence = 0 if value == yes else 1 else: presence = 1 if value == yes else 0 if q == 3 or q == 5 or q == 9 or q == 16: points = 1 elif q == 8 or q == 19 or q == 20: points = 5 else: points = 2 return points * presence def total_score(self) -> int: total = 0 for q in range(1, self.NQUESTIONS + 1): total += self.get_score(q) return total def exceeds_ross_threshold(self) -> bool: score = self.total_score() return score >= self.ROSS_THRESHOLD
[docs] def get_task_html(self, req: CamcopsRequest) -> str: score = self.total_score() exceeds_threshold = self.exceeds_ross_threshold() main_dict = { None: None, "Y": req.sstring(SS.YES), "N": req.sstring(SS.NO) } q_a = "" for q in range(1, self.NQUESTIONS + 1): q_a += tr( self.wxstring(req, "q" + str(q)), ( answer(get_from_dict(main_dict, getattr(self, "q" + str(q)))) + answer(" — " + str(self.get_score(q))) ) ) return f""" <div class="{CssClass.SUMMARY}"> <table class="{CssClass.SUMMARY}"> {self.get_is_complete_tr(req)} {tr(req.sstring(SS.TOTAL_SCORE), answer(score) + " / {}".format(self.MAX_SCORE))} {tr_qa(self.wxstring(req, "exceeds_threshold"), get_yes_no(req, exceeds_threshold))} </table> </div> <table class="{CssClass.TASKDETAIL}"> <tr> <th width="80%">Question</th> <th width="20%">Answer</th> </tr> {q_a} </table> """
[docs] def get_snomed_codes(self, req: CamcopsRequest) -> List[SnomedExpression]: codes = [SnomedExpression(req.snomed(SnomedLookup.MAST_PROCEDURE_ASSESSMENT))] # noqa if self.is_complete(): codes.append(SnomedExpression( req.snomed(SnomedLookup.MAST_SCALE), { req.snomed(SnomedLookup.MAST_SCORE): self.total_score(), } )) return codes