Fix smoking prevention check from rules

src/main/java/io/github/carlos_emr/carlos/commn/model/Prevention.java

@@ -235,6 +235,23 @@ public String getDeletedRawValue() {
         return String.valueOf(deleted);
     }
 
+    /**
+     * Returns the raw integer value of the {@code refused} field.
+     * <p>
+     * Standard semantics: {@code 0}=active/completed, {@code 1}=refused,
+     * {@code 2}=ineligible, {@code 3}=completed externally.
+     * <p>
+     * For the "Smoking" prevention type, this field is repurposed to encode
+     * smoking history status: {@code 0}=Yes (current smoker), {@code 1}=No (non-smoker),
+     * {@code 2}=Previous (ex-smoker).
+     *
+     * @return int raw refused status value (0, 1, 2, or 3)
+     * @since 2026-03-14
+     */
+    public int getRefusedRawValue() {
+        return refused - '0';
+    }
+
     public List<PreventionExt> getPreventionExts() {
         return this.preventionExts;
     }

src/main/java/io/github/carlos_emr/carlos/prevention/Prevention.java

@@ -302,6 +302,60 @@ public boolean isNotInelligible(String preventionType) {
         return !isInelligible(preventionType);
     }
 
+    /**
+     * Returns the raw refused status value for the most recent prevention record of the given type.
+     * <p>
+     * Standard semantics: {@code 0}=active/completed, {@code 1}=refused,
+     * {@code 2}=ineligible, {@code 3}=completed externally.
+     * <p>
+     * For the "Smoking" prevention type, the refused field is repurposed to encode
+     * smoking history status:
+     * <ul>
+     *   <li>{@code 0} - Currently smoking ("Yes")</li>
+     *   <li>{@code 1} - Not smoking ("No")</li>
+     *   <li>{@code 2} - Previously smoked ("Previous")</li>
+     * </ul>
+     * <p>
+     * <b>Important note on {@code isPreventionNever("Smoking")}:</b> The {@code never}
+     * column in the preventions table is separate from the {@code refused} column and is
+     * always {@code 0} for all three smoking states. Therefore {@code isPreventionNever}
+     * cannot be used to detect non-smokers; use {@code isCurrentlySmoking} instead.
+     *
+     * @param preventionType String the prevention type key (e.g. "Smoking", "LDCT")
+     * @return int the raw refused status value, or {@code -1} if no record exists
+     * @since 2026-03-14
+     */
+    public int getRefusedStatus(String preventionType) {
+        int status = -1;
+        Vector vec = (Vector) preventionTypes.get(preventionType);
+        if (vec != null && !vec.isEmpty()) {
+            PreventionItem p = (PreventionItem) vec.get(vec.size() - 1);
+            status = p.getRefusedStatus();
+        }
+        return status;
+    }
+
+    /**
+     * Returns {@code true} if the most recent prevention record for the given type indicates
+     * a "currently active" or "yes" response (refused status = 0).
+     * <p>
+     * For the "Smoking" prevention type specifically, this returns {@code true} when the
+     * patient is a current smoker. The Smoking assessment stores its answer in the
+     * {@code refused} field: {@code 0}=Yes (current smoker), {@code 1}=No (non-smoker),
+     * {@code 2}=Previous (ex-smoker).
+     * <p>
+     * Use this method instead of {@code !isPreventionNever("Smoking")} for LDCT eligibility
+     * checks. The {@code never} column is always {@code 0} for all smoking states and cannot
+     * distinguish current smokers from non-smokers.
+     *
+     * @param preventionType String the prevention type key (e.g. "Smoking")
+     * @return boolean {@code true} if the most recent record has refused status = 0
+     * @since 2026-03-14
+     */
+    public boolean isCurrentlySmoking(String preventionType) {
+        return getRefusedStatus(preventionType) == 0;
+    }
+
 
     public int getHowManyMonthsSinceLast(String preventionType) {
         int retval = -1;

src/main/java/io/github/carlos_emr/carlos/prevention/PreventionItem.java

@@ -46,6 +46,9 @@ public class PreventionItem {
     Date nextDate = null;
     String never = null;
     boolean refused;
+    // Raw refused status value (0=active, 1=refused, 2=ineligible, 3=completedExternally).
+    // For the "Smoking" type: 0=Yes (current), 1=No (non-smoker), 2=Previous (ex-smoker).
+    private int refusedStatus = 0;
     private boolean inelligible = false;
     private boolean remoteEntry = false;
 
@@ -78,6 +81,7 @@ public PreventionItem(Prevention pp) {
         this.never = ConversionUtils.toBoolString(pp.isNever());
         this.nextDate = pp.getNextDate();
         this.refused = pp.isRefused();
+        this.refusedStatus = pp.getRefusedRawValue();
         this.inelligible = pp.isIneligible();
     }
 
@@ -89,6 +93,23 @@ public boolean getNeverVal() {
         return ret;
     }
 
+    /**
+     * Returns the raw refused status value from the underlying prevention record.
+     * <p>
+     * Standard semantics: {@code 0}=active/completed, {@code 1}=refused,
+     * {@code 2}=ineligible, {@code 3}=completed externally.
+     * <p>
+     * For the "Smoking" prevention type, this field is repurposed to encode
+     * smoking history: {@code 0}=Yes (current smoker), {@code 1}=No (non-smoker),
+     * {@code 2}=Previous (ex-smoker).
+     *
+     * @return int raw refused status value
+     * @since 2026-03-14
+     */
+    public int getRefusedStatus() {
+        return refusedStatus;
+    }
+
     /**
      * Getter for property datePreformed.
      *

src/main/resources/oscar/oscarPrevention/prevention.drl

@@ -51,6 +51,12 @@
 //     Status:    isPreventionNever(String), isNextDateSet(String), isPassedNextDate(String),
 //                isInelligible(String), isLastPreventionWithinRange(String, String, String),
 //                isTodayinDateRange(String, String)
+//     Smoking:   isCurrentlySmoking(String), getRefusedStatus(String)
+//                NOTE: isPreventionNever("Smoking") is INCORRECT for smoking checks — the
+//                "never" column is always 0 for all smoking states (Yes/No/Previous).
+//                The smoking answer is stored in the "refused" column:
+//                  0=Yes (current smoker), 1=No (non-smoker), 2=Previous (ex-smoker).
+//                Use isCurrentlySmoking("Smoking") to check for active smoking status.
 //     Sex:       isMale(), isFemale()
 //
 // Consequence methods:
@@ -1144,13 +1150,20 @@ end
 // LDCT: Low-Dose CT Lung Cancer Screening (2 rules)
 // Canadian guideline (CTFPHC 2016): Annual LDCT for adults aged 55-74 who are
 //   high-risk smokers (30+ pack-years or equivalent significant smoking history)
-// Rule 1: WARNING if no LDCT on record for patients aged 55-74 with positive smoking history
+// Rule 1: WARNING if no LDCT on record for patients aged 55-74 who are current smokers
 // Rule 2: WARNING if LDCT count is 1 or 2 and it is > 12 months old (annual x3 years)
 //         LDCT 2 stops firing after 3rd annual screen (count >= 3).
-// Precondition (heavy smoker detection): Smoking assessment must be on record AND
-//   not marked as "never" (non-smoker). This uses the Prevention module's "Smoking" type.
-//   A Smoking record exists (getNumberOfPreventionType("Smoking") > 0) AND
-//   the record is NOT marked as never-smoked (!isPreventionNever("Smoking")).
+//
+// Smoking status check (LDCT 1):
+//   The Smoking prevention type uses the "refused" column (NOT the "never" column) to
+//   store the patient's smoking answer. The "never" column is always 0 for all smoking
+//   states, so isPreventionNever("Smoking") cannot be used here.
+//   Smoking refused column encoding:
+//     0 = Yes (currently smoking)   <-- LDCT rule should fire
+//     1 = No (not smoking)          <-- LDCT rule should NOT fire
+//     2 = Previous (ex-smoker)      <-- LDCT rule should NOT fire
+//   isCurrentlySmoking("Smoking") returns true only when refused = 0.
+//
 //   Note: Full heavy-smoker detection (pack-years, cigarettes/day) requires measurement
 //   values (NOSK > 23, POSK > 0, SKST = yes, SMK = yes, SmkS > 23) which are stored in
 //   the measurements table and are not accessible from the Prevention DRL fact object.
@@ -1162,7 +1175,7 @@ rule "LDCT 1"
         eval( prev.getAgeInYears() >= 55 )
         eval( prev.getAgeInYears() <= 74 )
         eval( prev.getNumberOfPreventionType("Smoking") > 0 )
-        eval( !prev.isPreventionNever("Smoking") )
+        eval( prev.isCurrentlySmoking("Smoking") )
         eval( prev.getHowManyMonthsSinceLast("LDCT") == -1 )
         eval( !prev.isPreventionNever("LDCT") )
         eval( !prev.isInelligible("LDCT") )