package LIMS::Model::HMRN; use Moose; with ( 'LIMS::Model::HMRN::Data', 'LIMS::Model::Roles::Query', # get_sql_with_constraint(), sql_lib() 'LIMS::Model::Roles::DBIxSimple', 'LIMS::Model::HMRN::PrognosticIndicator', ); extends 'LIMS::Model::Base'; use namespace::clean -except => 'meta'; has _patient_id => (is => 'rw', isa => 'Int'); # set in get_all_hmrn_data() has actions => ( is => 'ro', isa => 'ArrayRef[Str]', traits => ['Array'], default => sub { [] }, lazy => 1, handles => { add_to_actions => 'push', unique_actions => 'uniq', # skip duplicates all_actions => 'elements', }, ); __PACKAGE__->meta->make_immutable; use LIMS::Local::Utils; use Data::Dumper; # for Roles (HMRN::Data & HMRN::PrognosticIndicator): sub patient_id { return shift->_patient_id } # ------------------------------------------------------------------------------ sub has_data { my ($self, $patient_id) = @_; # warn $patient_id; my $dbix = $self->lims_dbix; # minimum data set for hmrn is mdt or chronology: for ( qw/event mdt_dates/ ) { my $tbl = 'hmrn.patient_' . $_; return 1 if $dbix->select($tbl, 1, { patient_id => $patient_id })->list; } return 0; } # ------------------------------------------------------------------------------ sub get_all_hmrn_data { my $self = shift; my $args = shift; my $vars = $args->{vars}; # supplied if tx_details required $self->_patient_id($args->{patient_id}); my $data = { # initialise following keys: maps => {}, # options for drop-down menus params => { # data params from categories: myeloid => {}, lymphoid => {}, plasmacell => {}, precursor => {}, indices => {}, # calculated prognostic indicators (IPI, FLIPI, etc) comment => {}, # free-text comment }, imaging => {}, # CT & PET scan data event_dates => {}, # event dates antecedent => {}, # antecedent events treatments => [], # list of treatment episodes all_diagnoses => [], # all (ICDO3+) diagnoses for this patient category_has_data => {}, # which dataset(s) we have eg myeloid => nn }; { # get all this patients diagnoses (with an ICDO3 designation): my $icdo3_diagnoses = $self->_get_all_icdo3_diagnoses(); # arrayref $data->{all_diagnoses} = $icdo3_diagnoses; } # dates of MDT meetings: $self->mdt_dates($data); # event (diagnosed, first appointment, etc) dates: $self->event_dates($data); # antecedent events & previous radio & chemotherapy: $self->antecedent_events($data); # treatment history: $self->treatment($data); # laboratory, physiological, etc parameters: $self->data_params($data); # which dataset(s) do we have: $self->dataset_type($data); # imaging data (CT & PET scan - nodal & extranodal site involvements): $self->imaging_data($data); # comments: $self->comments($data); { # get select option maps (pass vars in case tx_details req'd): my $select_option_data = $self->_get_select_option_data($vars); $data->{maps} = $select_option_data; } # calculated prognostic indices (IPI, Ann Arbor, etc): $self->calculated_indices($data); return $data; } #------------------------------------------------------------------------------- sub get_mdt_data { my ($self, $id) = @_; my $dbix = $self->lims_dbix; my $data = $dbix->query('select * from hmrn.patient_mdt_dates where id = ?', $id)->hash; # inflate 'date' val to DT object: $self->inflate_mysql_dates_to_datetime($data, ['date']); return $data; } #------------------------------------------------------------------------------- sub get_categories { my $self = shift; my $dbix = $self->lims_dbix; my $categories = $dbix->query('select category from hmrn.categories')->flat; return $categories; } #------------------------------------------------------------------------------- sub get_active_params_for_category { my ($self, $category) = @_; my $dbix = $self->lims_dbix; my $sql = $self->sql_lib->retr('hmrn_category_params'); my $category_params = $dbix->query($sql, $category)->map; my $all_params = $dbix->query('select param_name, id from hmrn.parameters')->map; my %map = map { $_ => { id => $all_params->{$_}, selected => $category_params->{$_} ? 1 : 0, }, } keys %$all_params; # warn Dumper \%map; return \%map; } #------------------------------------------------------------------------------- sub update_category_parameter { my $self = shift; my $args = shift; my $param_ids = $args->{param_ids}; my $category = $args->{category}; my $dbix = $self->lims_dbix; my $tbl = 'hmrn.category_parameter'; my $sql = 'select id from hmrn.categories where category = ?'; $dbix->query($sql, $category)->into(my $category_id ); my $update = sub { # clear exsiting params for this category: $dbix->delete($tbl, { category_id => $category_id }); $dbix->insert($tbl, { category_id => $category_id, parameter_id => $_ }) for @$param_ids; }; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_category_parameter() error - ' . $db->error; } #------------------------------------------------------------------------------- sub get_imaging_data { my ($self, $event_id) = @_; my $dbix = $self->lims_dbix; my %h = ( imaging_event_id => $event_id ); my %data; { # patient_imaging options: my $map = $dbix->select('hmrn.patient_imaging_option', ['imaging_option_id', 1], \%h )->map; $data{options_map} = $map; # warn Dumper $map; } { # patient_imaging_other.details: my $tbl = 'hmrn.patient_imaging_other'; $dbix->select($tbl, ['details'], \%h)->into(my $details); $data{details} = $details; # warn Dumper $details; } { # scan date: my @fields = qw(id scan_type dataset stage date); my $ref = $dbix->select('hmrn.patient_imaging_event', \@fields, { id => $event_id })->hash; $self->inflate_mysql_dates_to_datetime($ref, ['date']); $data{$_} = $ref->{$_} for @fields; } { # SUV & deauville data - only exists for pet scan: my @cols = qw(param result); my $map = $dbix->select('hmrn.patient_pet_score', \@cols, \%h)->map; $data{pet_scan_scores} = $map; # warn Dumper $map; } return \%data; } #------------------------------------------------------------------------------- sub get_treatment_data { my ($self, $id) = @_; my $dbix = $self->lims_dbix; my $tbl = 'hmrn.patient_treatment'; my $meta = $self->get_meta($tbl); # warn Dumper $meta; my @cols = keys %$meta; # warn Dumper \@cols; my $data = $dbix->select($tbl, \@cols, { id => $id })->hash; # inflate dates: $self->inflate_mysql_dates_to_datetime($data, [ qw(start_date end_date) ]); { # get select option maps (don't need antecedent data, but all rest req'd): my %h = ( tx_type_id => $data->{tx_type_id} ); # supply tx_type_id for select menu: my $select_option_data = $self->_get_select_option_data(\%h); $data->{maps} = $select_option_data; } # warn Dumper $data; return $data; } #------------------------------------------------------------------------------- sub get_imaging_options { my $self = shift; my $dbix = $self->lims_dbix; my $map = $dbix->select('hmrn.imaging_options', ['description', 'id'])->map; return $map; } #------------------------------------------------------------------------------- sub get_treatment_options { my $self = shift; my $dbix = $self->lims_dbix; my %opts = (); { my $tx_types = $self->get_tx_type_map; $opts{tx_types} = $tx_types; } { # unique tx_type_ids from treatment_details table: my $sql = q!select distinct(type_id) from hmrn.treatment_details!; my $unique_tx_type_ids = $dbix->query($sql)->flat; $opts{tx_type_ids} = $unique_tx_type_ids; } # warn Dumper \%opts; return \%opts; } #------------------------------------------------------------------------------- sub get_defaults_and_ranges { my ($self, $param) = @_; my $dbix = $self->lims_dbix; my $sql = $self->sql_lib->retr('hmrn_defaults_and_ranges'); my $data = $dbix->query($sql, $param)->hash; return $data; } #------------------------------------------------------------------------------- sub get_parameter_constraints { my $self = shift; my $dbix = $self->lims_dbix; my $sql = $self->sql_lib->retr('hmrn_parameter_constraints'); my $constraints = $dbix->query($sql)->map_hashes('param_name'); return $constraints; } #------------------------------------------------------------------------------- sub update_params { my $self = shift; my $args = shift; # warn Dumper $args; my $patient_id = $args->{patient_id}; my $form_data = $args->{data}; # warn Dumper $form_data; my $data_type = $args->{data_type}; my $dbix = $self->lims_dbix; my $params_map; { # get param_names for data type: my $sql = $self->sql_lib->retr('hmrn_category_params'); $params_map = $dbix->query($sql, $data_type)->map; # warn Dumper $params_map; } # get existing data: my $sql = $self->sql_lib->retr('hmrn_category_patient_params'); my $data = $dbix->query($sql, $patient_id, $data_type)->map; # warn Dumper $data; my $table = 'hmrn.patient_params'; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $tx = sub { if (%$data) { # update of existing: no warnings 'uninitialized'; PARAM: while ( my ($param_name, $param_id) = each %$params_map ) { my $new = $form_data->{$param_name}; # warn Dumper $new; my $old = $data->{$param_name}; # warn Dumper $old; next PARAM if $new eq $old; # both same or both null my %params = ( patient_id => $patient_id, param_id => $param_id, ); # need to test for defined values to handle zeros: if (defined $new && ! defined $old) { # add new param: $dbix->insert($table, { %params, result => $new }); $self->add_to_actions("added new $param_name value"); } elsif (defined $old && ! defined $new) { # delete record: $dbix->delete($table, \%params); $self->add_to_actions("deleted $param_name value"); } else { # $new ne $old, so update result: $dbix->update($table, { result => $new }, \%params ); $self->add_to_actions( "updated $param_name value [$old -> $new]" ); } } } else { # new data: PARAM: while ( my ($param_name, $param_id) = each %$params_map ) { defined $form_data->{$param_name} || next PARAM; # maybe '0' my %data = ( patient_id => $patient_id, param_id => $param_id, result => $form_data->{$param_name}, ); # warn Dumper \%data; $dbix->insert($table, \%data); } $self->add_to_actions("added new $data_type data set"); } $self->do_history($patient_id); }; my $ok = $db->do_transaction($tx); # don't need return value unless error: return $ok ? 0 : 'update_params_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub new_imaging_data { my $self = shift; my $args = shift; # warn Dumper $args; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $to_mysql_date = sub { # for imaging_event LIMS::Local::Utils::to_datetime_using_datecalc(@_)->ymd; }; my $new = sub { my $event_id; # set below: { # imaging event: my $tbl = 'hmrn.patient_imaging_event'; my %h = map +($_ => $args->{$_}), qw(patient_id dataset scan_type); # warn Dumper \%h; $h{stage} = $args->{scan_stage}; $h{date} = &$to_mysql_date($args->{scan_date}); $dbix->insert($tbl, \%h); $event_id = $dbix->dbh->last_insert_id( undef, undef, $tbl, 'id' ); } if ( $args->{option_id} ) { # patient_imaging options: # option_id MUST be arrayref (single val passed as scalar): my $option_id = ref $args->{option_id} eq 'ARRAY' ? $args->{option_id} : [ $args->{option_id} ]; for (@$option_id) { my %h = (imaging_event_id => $event_id, imaging_option_id => $_); $dbix->insert('hmrn.patient_imaging_option', \%h); } } if ( my $details = $args->{details} ) { # patient_imaging_other: my %h = ( imaging_event_id => $event_id, details => $details ); $dbix->insert('hmrn.patient_imaging_other', \%h); } PARAM: for my $p( qw/suv_max deauville/ ) { # pet scan opts my $result = $args->{$p} or next PARAM; my %h = ( imaging_event_id => $event_id, param => $p, result => $result, ); $dbix->insert('hmrn.patient_pet_score', \%h); } my $str = sprintf 'added new %s scan dataset', uc $args->{scan_type}; $self->add_to_actions($str); $self->do_history($args->{patient_id}); # die 'rollover beethoven'; }; my $ok = $db->do_transaction($new); # don't need return value unless error: return $ok ? 0 : 'new_imaging_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub new_treatment_data { my $self = shift; my $args = shift; # warn Dumper $args; my $tbl = 'hmrn.patient_treatment'; my $meta = $self->get_meta($tbl); # warn Dumper $meta; my @cols = grep { $_ !~ /\A(id|timestamp)\Z/ } keys %$meta; # warn Dumper \@cols; my @date_cols = grep { $meta->{$_}->{type} eq 'date' } keys %$meta; # warn Dumper \@date_cols; my %data = map { $_ => $args->{$_}; } grep $args->{$_}, @cols; map { # transform EU dates to MySQL format: $data{$_} = LIMS::Local::Utils::date_to_mysql($data{$_}) } @date_cols; # warn Dumper \%data; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $new = sub { $dbix->insert($tbl, \%data); $self->add_to_actions('added new treatment dataset'); $self->do_history($args->{patient_id}); # same as $data{patient_id} }; my $ok = $db->do_transaction($new); # don't need return value unless error: return $ok ? 0 : 'new_treatment_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub get_tx_type_map { my $self = shift; my $dbix = $self->lims_dbix; my $map = $dbix->query('select description, id from hmrn.treatment_types')->map; return $map; } #------------------------------------------------------------------------------- sub get_history { my ($self, $id) = @_; my $dbix = $self->lims_dbix; my $sql = q!select * from hmrn.history h join users u on h.user_id = u.id where patient_id = ? order by time!; my $data = $dbix->query($sql, $id)->hashes; $self->inflate_mysql_timestamp_to_datetime($_, ['time']) for @$data; return $data; } #------------------------------------------------------------------------------- sub update_tx_options { my ($self, $vars) = @_; my $new_tx_detail = $vars->{new_tx_detail}; my $new_tx_type = $vars->{new_tx_type}; my $tx_type_id = $vars->{tx_type_id}; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; # possibilities are: new tx_type, new tx_detail (requires tx_type_id), or both: my $update = sub { if ( $new_tx_type ) { my $sql = 'select 1 from hmrn.treatment_types where description = ?'; unless ( $dbix->query($sql, $new_tx_type)->list ) { # check not exists $dbix->insert('hmrn.treatment_types', { description => $new_tx_type }); # need to get last_insert_id if also have new_tx_detail: if ($new_tx_detail) { $tx_type_id = $dbix->dbh->last_insert_id( undef, undef, 'hmrn.treatment_types', 'id' ); } } } if ( $new_tx_detail && $tx_type_id ) { # need tx_type_id to add new: my %data = ( description => $new_tx_detail, type_id => $tx_type_id, ); my $sql = q!select 1 from hmrn.treatment_details where description = ? and type_id = ?!; # check combination doesn't already exist: unless ( $dbix->query($sql, $new_tx_detail, $tx_type_id)->list ) { $dbix->insert('hmrn.treatment_details', \%data); } } }; my $ok = $db->do_transaction( $update ); # don't need return value unless error: return $ok ? 0 : 'update_tx_options() error - ' . $db->error; } #------------------------------------------------------------------------------- sub update_imaging_data { my $self = shift; my $args = shift; # warn Dumper $args; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $scan_stage = $args->{scan_stage}; # required my $option_id = $args->{option_id}; # scalar || arrayref (optional) my $scan_type = $args->{scan_type}; # required my $scan_date = $args->{scan_date}; # required my $event_id = $args->{event_id}; # required my $dataset = $args->{dataset}; # required my $details = $args->{details}; # optional # option_id MUST be arrayref (single val passed as scalar): $option_id = [ $option_id ] if ref $option_id ne 'ARRAY'; # common fields for update & delete: my %h = (imaging_event_id => $event_id); # warn Dumper \%h; my $to_mysql_date = sub { # for stage_date LIMS::Local::Utils::to_datetime_using_datecalc(@_)->ymd; }; my $action = sprintf 'updated %s scan dataset #%s', uc $scan_type, $dataset; my $update = sub { { # update patient_imaging entries: my $tbl = 'hmrn.patient_imaging_option'; my $entries = $dbix->select($tbl, 'imaging_option_id', \%h)->flat; # warn Dumper $entries; my $diff = LIMS::Local::Utils::get_array_diff($entries, $option_id); if ($diff) { # warn $diff; # will be integer equal to number of diffs $dbix->delete($tbl, \%h); # delete existing if (@$option_id) { # insert new ones (if supplied): my %c = %h; # clone to preserve original for (@$option_id) { $c{imaging_option_id} = $_; $dbix->insert($tbl, \%c); } } $self->add_to_actions($action); } } { # update patient_imaging_other.details: my $tbl = 'hmrn.patient_imaging_other'; my $d = $dbix->select($tbl, 'details', \%h)->list; if ($d && not $details) { # delete entry: $dbix->delete($tbl, \%h); $self->add_to_actions($action); } elsif ($details && not $d) { # insert new entry: my %c = %h; # clone to preserve original $c{details} = $details; $dbix->insert($tbl, \%c); $self->add_to_actions($action); } elsif ($d && $details && $d ne $details) { # update: $dbix->update( $tbl, { details => $details }, \%h ); $self->add_to_actions($action); } } { # scan stage & date: my $tbl = 'hmrn.patient_imaging_event'; my $data = $dbix->select($tbl, ['patient_id', 'stage', 'date'], { id => $event_id })->hash; my $date = &$to_mysql_date($scan_date); # warn $date; # add patient_id to $args for do_history(): $args->{patient_id} = $data->{patient_id}; my %h; unless ( $date eq $data->{date} ) { $h{date} = $date; } unless ( $scan_stage eq $data->{stage} ) { $h{stage} = $scan_stage; }; if (%h){ $dbix->update($tbl, \%h, { id => $event_id } ); $self->add_to_actions($action); } } { # pet suv_max & deauville score: my $tbl = 'hmrn.patient_pet_score'; for my $param( qw/suv_max deauville/ ) { my %h = ( param => $param, imaging_event_id => $event_id ); my $result = $dbix->select($tbl, 'result', \%h )->hash; if ($args->{$param} && $result && $args->{$param} ne $result) { # update: $dbix->update($tbl, { $param => $result }, \%h); $self->add_to_actions($action); } elsif ($args->{$param} && ! $result) { # insert: my %c = %h; # clone to preserve original $c{result} = $args->{$param}; $dbix->insert($tbl, \%c); $self->add_to_actions($action); } elsif ($result && ! $args->{$param}) { # delete: my %c = %h; # clone to preserve original $c{result} = $result; $dbix->delete($tbl, \%c); $self->add_to_actions($action); } } } $self->do_history($args->{patient_id}); # die 'rollover beethoven'; }; my $ok = $db->do_transaction( $update ); # don't need return value unless error: return $ok ? 0 : 'update_imaging_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub update_treatment_data { my $self = shift; my $args = shift; # warn Dumper $args; my $tbl = 'hmrn.patient_treatment'; my $meta = $self->get_meta($tbl); # warn Dumper $meta; # get patient_treatment data cols (ie not PK, timestamp, patient_id): my @cols = grep { $_ !~ /\A(id|patient_id|timestamp)\Z/ } keys %$meta; # warn Dumper \@cols; # date cols: my @date_cols = grep $meta->{$_}->{type} eq 'date', keys %$meta; # warn Dumper \@date_cols; $args->{$_} = LIMS::Local::Utils::to_datetime_using_datecalc($args->{$_}) for grep $args->{$_}, @date_cols; # warn Dumper $args; my $dbix = $self->lims_dbix; my $data = $dbix->query("select * from $tbl where id = ?", $args->{id})->hash; $self->inflate_mysql_dates_to_datetime($data, \@date_cols); # inflate $data dates my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $update = sub { my @updates = (); # non-date cols: COL: for my $col(@cols) { next COL if $meta->{$col}->{type} eq 'date'; # skip date cols - done later my $new = $args->{$col}; my $old = $data->{$col}; if ($new && $old && $new ne $old) { # changed push @updates, ( $col => $new ); $self->add_to_actions("updated treatment $col [id = $args->{id}]"); } elsif ($new && ! $old) { push @updates, ( $col => $new ); $self->add_to_actions("added new treatment $col [id = $args->{id}]"); } elsif ($old && ! $new) { push @updates, ( $col => undef ); $self->add_to_actions("deleted treatment $col [id = $args->{id}]"); } else { next COL } # both same or null so skip } # date cols: COL: for my $col(@date_cols) { my $new = $args->{$col}; # warn $new->datetime my $old = $data->{$col}; # warn $old->datetime if ($new && $old) { next COL unless DateTime->compare($old, $new); # true if different push @updates, ( $col => $new->ymd ); $self->add_to_actions("updated treatment $col [id = $args->{id}]"); } elsif ($new && ! $old) { push @updates, ( $col => $new->ymd ); $self->add_to_actions("added new treatment $col [id = $args->{id}]"); } elsif ($old && ! $new) { push @updates, ( $col => undef ); $self->add_to_actions("deleted treatment $col [id = $args->{id}]"); } else { next COL } # both null so skip } if (@updates) { # warn Dumper \@updates; warn Dumper [$self->all_actions]; $dbix->update($tbl, { @updates }, { id => $args->{id} }); $self->do_history($data->{patient_id}); } }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_treatment_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub update_mdt_date { my $self = shift; my $args = shift; # warn Dumper $args; my $date = LIMS::Local::Utils::to_datetime_using_datecalc($args->{date}); my $tbl = 'hmrn.patient_mdt_dates'; my $dbix = $self->lims_dbix; my $patient_id = $dbix->query("select patient_id from $tbl where id = ?", $args->{id})->list; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $update = sub { $dbix->update('hmrn.patient_mdt_dates', { date => $date->ymd }, { id => $args->{id} } ); $self->add_to_actions("updated mdt date [id = $args->{id}]"); $self->do_history($patient_id); }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_mdt_date() error - ' . $db->error; } #------------------------------------------------------------------------------- sub delete_mdt_date { my ($self, $id) = @_; my $dbix = $self->lims_dbix; my $tbl = 'hmrn.patient_mdt_dates'; my $patient_id = $dbix->query("select patient_id from $tbl where id = ?", $id)->list; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $delete = sub { $dbix->delete($tbl, { id => $id }); $self->add_to_actions('deleted mdt date'); $self->do_history($patient_id); }; my $ok = $db->do_transaction($delete); # don't need return value unless error: return $ok ? 0 : 'delete_mdt_date() error - ' . $db->error; } #------------------------------------------------------------------------------- sub delete_treatment_data { my ($self, $id) = @_; my $dbix = $self->lims_dbix; my $tbl = 'hmrn.patient_treatment'; my $patient_id = $dbix->query("select patient_id from $tbl where id = ?", $id)->list; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $delete = sub { $dbix->delete($tbl, { id => $id }); $self->add_to_actions('deleted treatment data'); $self->do_history($patient_id); }; my $ok = $db->do_transaction($delete); # don't need return value unless error: return $ok ? 0 : 'delete_treatment_data() error - ' . $db->error; } #------------------------------------------------------------------------------- sub get_new_diagnoses { my $self = shift; my $args = shift; # get HMRN parent organisation ids: my $o = LIMS::DB::LocalNetworkLocation::Manager->get_local_network_locations; my @parent_organisation_ids = map { $_->parent_id } @$o; # get referral_type.id for practices (saves multi_many_ok flag in query): my $ref_type = LIMS::DB::ReferralType->new(description => 'practice')->load; my @query = ( 'request_history.action' => 'authorised', or => [ # any network hospital or GP practice: 'parent_organisations.id' => \@parent_organisation_ids, 'parent_organisations.referral_type_id' => $ref_type->id, # GP's ], or => [ # ICDO3 or MGUS diagnoses: 'request_report.diagnosis.icdo3' => { like => '%3' }, 'request_report.diagnosis.icdo3' => '9765/1', # MGUS ], ); { # calculate requested duration (previous_week, days, date_range, etc): my $constraints = $self->_get_hmrn_new_diagnoses_constraints($args); push @query, @$constraints; } my @tables = qw( patients diagnostic_categories parent_organisations request_history referrers ); my $relationships = $self->get_relationships(\@tables); my @params = ( query => \@query, require_objects => $relationships, multi_many_ok => 1, # required if using diagnostic_categories rel. ); my $cases = LIMS::DB::Request::Manager->get_requests(@params); return $cases; } # ------------------------------------------------------------------------------ # get all diagnoses with ICD03 entry (NB includes /1, /3, /6): sub get_previous_icdo3_diagnoses { my ($self, $req) = @_; my $patient_id = $req->patient_case->patient_id; # warn $patient_id; my $curr_reg_date = $req->created_at; # warn $curr_reg_date->ymd; $self->_patient_id($patient_id); # for Roles::HMRN my $previous = $self->all_icdo3_diagnoses(); # warn Dumper $previous; # only want to collect ICDO3 xxxx/3 & MGUS diagnoses PREDATING current case: my @diagnoses = (); DIAGNOSIS: for my $d ( @$previous ) { # warn Dumper $d->as_tree; my $icdo3 = $d->request_report->diagnosis->icdo3; # warn Dumper $icdo3; # skip if case registered after current case: next DIAGNOSIS if $d->created_at >= $curr_reg_date; # skip case if ICDO3 ends in /1 or /6, and is not MGUS (9765/1): if ( $icdo3 =~ /[16]\Z/ ) { next DIAGNOSIS unless $icdo3 eq '9765/1'; # 9769/1 = Primary amyloidosis +/- MGUS } push @diagnoses, { diagnosis => $d->request_report->diagnosis->name, icdo3 => $d->request_report->diagnosis->icdo3, # date => $d->created_at, # need to handle attr in C::HMRN::new_diagnoses() }; } # warn Dumper \@diagnoses; return \@diagnoses; } # ------------------------------------------------------------------------------ sub get_total_request_counts { my ($self, $patient_ids) = @_; # warn Dumper $patient_ids; my $dbix = $self->lims_dbix; my $sql = $self->sql_lib->retr('hmrn_total_request_counts'); my $counts = $dbix->query($sql, @$patient_ids)->map; # warn Dumper $counts; return $counts; } # ------------------------------------------------------------------------------ sub get_patient_demographics { my ($self, $patient_id) = @_; my $data = LIMS::DB::PatientDemographic->new(patient_id => $patient_id) ->load( with => [ 'referrer', 'practice' ], speculative => 1 ); return $data; } # ------------------------------------------------------------------------------ sub get_post_code_at_diagnosis { my ($self, $patient_id) = @_; my $dbix = $self->lims_dbix; my $sql = 'select post_code from hmrn.patient_post_code where patient_id = ?'; my $data = $dbix->query( $sql, $patient_id )->list; return $data; } # ------------------------------------------------------------------------------ sub update_post_code_at_diagnosis { my ($self, $data) = @_; # warn Dumper $data; my $patient_id = $data->{patient_id}; # warn Dumper $patient_id; my $post_code = $data->{post_code}; # warn Dumper $post_code; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $tbl = 'hmrn.patient_post_code'; my $update = sub { my $sql = "select 1 from $tbl where patient_id = ?"; if ( $dbix->query($sql, $patient_id)->list ) { # warn 'here'; $dbix->update( $tbl, { post_code => $post_code}, { patient_id => $patient_id } ); $self->add_to_actions('updated post-code at diagnosis'); } else { # warn 'here'; $dbix->insert( $tbl, { patient_id => $patient_id, post_code => $post_code, }); $self->add_to_actions('new post-code at diagnosis') unless $data->{address}; # don't log if part of original demographics entry } $self->do_history($patient_id); }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_post_code_at_diagnosis() error - ' . $db->error; } # ------------------------------------------------------------------------------ sub update_comment { my ($self, $data) = @_; # warn Dumper $data; my $patient_id = $data->{patient_id}; # warn Dumper $patient_id; my $form_param = $data->{comment}; # warn Dumper $form_param; my $dbix = $self->lims_dbix; my $table = 'hmrn.patient_comments'; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $update = sub { my $sql = "select comment from $table where patient_id = ?"; if ( my $comment = $dbix->query($sql, $patient_id)->list ) { # warn Dumper $comment; return 0 if $form_param && $form_param eq $comment; # skip if no change if ($form_param) { # have both & they're different so do update: $dbix->update($table, { comment => $form_param }, { patient_id => $patient_id } ); $self->add_to_actions('updated comment'); } else { # no form_param so delete: $dbix->delete($table, { patient_id => $patient_id }); $self->add_to_actions('deleted comment'); } } elsif ($form_param) { # if have new data: $dbix->insert($table, { patient_id => $patient_id, comment => $form_param } ); $self->add_to_actions('added comment'); } $self->do_history($patient_id); }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_comment() error - ' . $db->error; } # ------------------------------------------------------------------------------ sub update_antecedent_events { my ($self, $args) = @_; # warn Dumper $args; my $patient_id = $args->{patient_id}; my $dbix = $self->lims_dbix; my $antecedent_tbl = 'hmrn.patient_antecedent'; my $prior_tx_tbl = 'hmrn.patient_prior_therapies'; my $therapy_opts = $self->get_enum_opts($prior_tx_tbl, 'therapy'); # ie Rx, Cx my %w = ( patient_id => $patient_id ); # common 'where' statement my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $update = sub { { # antecedent event: my $event_id = $args->{event_id}; # required field if ( $dbix->select($antecedent_tbl, 'event_id', \%w)->into(my $id) ) { # warn Dumper $data; if ( $event_id != $id ) { $dbix->update($antecedent_tbl, {event_id => $event_id}, \%w); $self->add_to_actions('updated antecedent event'); } } else { my %data = ( patient_id => $patient_id, event_id => $event_id, ); $dbix->insert($antecedent_tbl, \%data); $self->add_to_actions('added new antecedent event'); } } { # prior therapies: my $list = $dbix->select($prior_tx_tbl, 'therapy', \%w)->flat; # warn Dumper $data; if (@$list) { my %old = map { $_ => 1 } @$list; # create hash for comp. with $args foreach my $tx(@$therapy_opts) { # warn Dumper $tx; my %data = ( patient_id => $patient_id, therapy => $tx, ); my $have_new = $args->{$tx}; # will be 1 or 0 my $have_old = $old{$tx}; # will be 1 or 0 if ( $have_new && ! $have_old ) { # warn 'have new & not old'; $dbix->insert($prior_tx_tbl, \%data); $self->add_to_actions("added new prior Tx $tx"); } elsif ( $have_old && ! $have_new ) { # warn 'have old & not new'; $dbix->delete($prior_tx_tbl, \%data ); $self->add_to_actions("deleted prior Tx $tx entry"); } else { } # old & new both same value or null, so skip } } else { foreach my $tx(@$therapy_opts) { next unless $args->{$tx}; my %data = ( patient_id => $patient_id, therapy => $tx, ); $dbix->insert($prior_tx_tbl, \%data); $self->add_to_actions("added new prior Tx $tx"); } } } $self->do_history($patient_id); }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_antecedent_events() error - ' . $db->error; } # ------------------------------------------------------------------------------ sub update_patient_events { my ($self, $args) = @_; # warn Dumper $args; # patient_id + dates my $patient_id = $args->{patient_id}; my $dbix = $self->lims_dbix; my $db = $self->lims_db; # ie LIMS::DB->new_or_cached; my $tbl = 'hmrn.patient_event'; my $o = do { # get existing events data: my $sql = qq!select t2.description, t1.date from $tbl t1 join hmrn.events t2 on t1.event_id = t2.id where t1.patient_id = ?!; $dbix->query($sql, $patient_id)->hashes; }; my %data = map +( $_->{description} => $_->{date} ), @$o; my $events = $dbix->select('hmrn.events', ['description', 'id'] )->map; my $to_mysql_date = sub { LIMS::Local::Utils::date_to_mysql(@_) }; my $to_datetime = sub { LIMS::Local::Utils::to_datetime_using_datecalc(@_) }; my $update = sub { if (%data) { # update existing: EVENT: while ( my ($event, $id) = each %$events ) { my $new = $args->{$event}; # in EU format my $old = $data{$event}; # in MySQL format if ( $new && $old ) { # convert new to DT object: my $dt1 = &$to_datetime($new); my $dt2 = $self->inflate_mysql_date_to_datetime($old); next EVENT unless DateTime->compare($dt1, $dt2); # true if different $dbix->update($tbl, { date => $dt1->ymd }, { patient_id => $patient_id, event_id => $id } ); $self->add_to_actions("updated date $event"); } elsif ( $old && ! $new ) { $dbix->delete($tbl, { patient_id => $patient_id, event_id => $id } ); $self->add_to_actions("deleted date $event"); } elsif ( $new && ! $old ) { my %h = ( patient_id => $patient_id, event_id => $id, date => &$to_datetime($new), ); $dbix->insert($tbl, \%h); $self->add_to_actions("added new date $event"); } else { next EVENT } # ignore if no new or old } } else { # add new dataset: EVENT: while ( my ($event, $id) = each %$events ) { my $date = $args->{$event} || next EVENT; my %h = ( patient_id => $patient_id, event_id => $id, date => &$to_mysql_date($date), ); $dbix->insert($tbl, \%h); } $self->add_to_actions("added new event data"); } # mdt_date always new (not edited): if ( my $mdt_date = $args->{mdt_date} ) { my $date = &$to_mysql_date($mdt_date); my %data = ( patient_id => $patient_id, date => $date, ); # warn Dumper \%data; $dbix->insert('hmrn.patient_mdt_dates', \%data); $self->add_to_actions("added new mdt meeting date"); } =begin # synchronise hilis4.patient_demographics.dod field: TODO if ( $args->{deceased} ) { # warn $args->{deceased}; my $dod = &$to_datetime($args->{deceased})->ymd; my $sql = 'select * from patient_demographics where patient_id = ?'; my $h = $dbix->query($sql, $patient_id)->hash; # warn Dumper $h; no warnings 'uninitialized'; # %$h vals possibly unless ($h->{dod} eq $dod) { $dbix->update('patient_demographics', { dod => $dod }, { patient_id => $patient_id } ); } unless ($h->{status} eq 'dead') { $dbix->update('patient_demographics', { status => 'dead' }, { patient_id => $patient_id } ); } } =cut $self->do_history($patient_id); # die 'rollover beethoven'; }; my $ok = $db->do_transaction($update); # don't need return value unless error: return $ok ? 0 : 'update_patient_events() error - ' . $db->error; } sub do_history { my ($self, $patient_id) = @_; my @actions = $self->unique_actions; # update_imaging_data can duplicate my $dbix = $self->lims_dbix; my $user_id = $self->user_profile->{id}; for my $action(@actions) { my %data = ( patient_id => $patient_id, user_id => $user_id, action => $action, ); # warn Dumper \%data; $dbix->insert('hmrn.history', \%data); } } # ------------------------------------------------------------------------------ sub is_in_outreach { my ($self, $patient_id) = @_; my $dbix = $self->lims_dbix; my $sql = 'select 1 from outreach.patient_dispatch_detail where patient_id = ?'; return $dbix->query( $sql, $patient_id )->list; } # ------------------------------------------------------------------------------ sub get_tx_details_for_tx_type { my ($self, $type_id) = @_; my $dbix = $self->lims_dbix; my $sql = q!select id, description from hmrn.treatment_details where type_id = ? order by description!; return $dbix->query( $sql, $type_id )->hashes; # array(ref) of hashes } # ----------------------- private methods -------------------------------------- sub _get_hmrn_new_diagnoses_constraints { my ($self, $args) = @_; # if request for single lab number: if ( my $lab_number = $args->{lab_number} ) { my ($request_number, $year) = LIMS::Local::Utils::split_labno($lab_number); return [ request_number => $request_number, year => $year ]; } # if request for particulat request id: elsif ( my $request_id = $args->{request_id} ) { return [ id => $request_id ]; } # if date range requested: elsif ($args->{date_from}) { # date_from is minimun required to trigger date range my $start_date = LIMS::Local::Utils::to_datetime_using_datecalc($args->{date_from}); my $end_date = $args->{date_to} # date_to is optional ? LIMS::Local::Utils::to_datetime_using_datecalc($args->{date_to}) : DateTime->today->ymd; # make it today if not supplied # warn Dumper [$start_date, $end_date]; return [ 'request_history.time' => { gt => $start_date }, 'request_history.time' => { le => $end_date }, ]; } else { my $days = $args->{duration} || 7; # value for 'previous_week' param & default my $days_ago = $self->time_now->subtract( days => $days )->truncate( to => 'day' ); return [ 'request_history.time' => { gt => $days_ago } ]; } } sub _get_all_icdo3_diagnoses { my $self = shift; my $diagnoses = $self->all_icdo3_diagnoses(); # arrayref # get unique diagnosis list: my %unique; for (@$diagnoses) { my $diagnosis = $_->{request_report}->{diagnosis}->{name}; $unique{$diagnosis}++; } return [ keys %unique ]; } sub _get_select_option_data { my $self = shift; my $args = shift || {}; # optional - supplied only if tx_details required my $dbix = $self->lims_dbix; my %maps = (); { # locations: my $locations = $dbix->select('hmrn.locations', ['location' ,'id'])->map; $maps{location} = $locations; } { # antecedent events: my $antecedent = $dbix->select( 'hmrn.antecedent_events', ['event','id'] )->map; $maps{antecedent} = $antecedent; } { # treatment types: my $tx_types = $dbix->select('hmrn.treatment_types', ['description', 'id'])->map; $maps{tx_type} = $tx_types; } { # unique tx_type_ids from treatment_details table: my $field = 'distinct(type_id)'; my $ids = $dbix->select('hmrn.treatment_details', $field)->flat; $maps{tx_type_ids} = $ids; # warn Dumper $ids; } { # treatment responses: my $opts = $dbix->select('hmrn.response_options', ['description', 'id'])->map; $maps{response} = $opts; # warn Dumper $opts; } { # parameter validation data: my $sql = q!select * from hmrn.parameters!; my $data = $dbix->query($sql)->map_hashes('param_name'); # HoH with keys = param_name $maps{parameters} = $data; # warn Dumper $data; } { # menu options: my $sql = $self->sql_lib->retr('hmrn_menu_options'); my $data = $dbix->query($sql)->map; # HoH with keys = param_name $maps{menu_options} = $data; # warn Dumper $data; } # treatment details for treatment_type (if submitted): if ( my $tx_type_id = $args->{tx_type_id} ) { my $tx_details = $dbix->select( 'hmrn.treatment_details', [ qw(id description) ], { type_id => $tx_type_id } )->map; # tx_details is ajax function in original form, so not loaded in _get_select_option_data() $maps{tx_details} = $tx_details; } { # imaging_options - need 2 maps: id => { description & option_type } & description => id: my $opts = do { my @cols = qw( id description option_type ); $dbix->select('hmrn.imaging_options', \@cols)->map_hashes('id'); }; $maps{imaging_options}{map} = $opts; # warn Dumper $data; { # also need description => id: my %h = map { $opts->{$_}->{description} => $_ } keys %$opts; # HoH with keys = description $maps{imaging_options}{description} = \%h; # warn Dumper \%h; } } return \%maps; } 1;