ALP (Alkaline Phosphatase) reference ranges

[VeronicaMuthee]

The CSV contains alkaline phosphatase reference ranges, with gender-specific ranges for adolescents and adults, and pregnancy-specific ranges for women.

[dkayiwa]

@VeronicaMuthee

1. In which category is one who is exactly 2 weeks?
2. When checking for gender male, use M instead of Male
3. When checking for gender female use F instead of Female
4. In which category is a female of exactly 15 years?
5. Which concept do you use to tell whether a woman is pregnant or not?

[VeronicaMuthee]

@dkayiwa

1. In which category is one who is exactly 2 weeks? ✅
2. When checking for gender male, use M instead of Male ✅
3. When checking for gender female use F instead of Female ✅
4. In which category is a female of exactly 15 years? ✅
5. Which concept do you use to tell whether a woman is pregnant or not?

• Urine pregnancy test: 45AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA = Positive
• Serum pregnancy test: 1945AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA = Positive

[dkayiwa]

For pregnancy, is it both Urine and Serum? Or any of the two?

[VeronicaMuthee]

@dkayiwa it's either of the test and not both.

[dkayiwa]

For the Urine pregnancy test, use:
$fn.isObsValueCodedAnswer("CIEL:45", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA")

For the Serum pregnancy test, use:
$fn.isObsValueCodedAnswer("CIEL:1945", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA")

For combining them with Urine or Serum pregnancy test, you can use:
($fn.isObsValueCodedAnswer("CIEL:45", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:1945", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"))

[VeronicaMuthee]

@dkayiwa, based on the HB reference range conversation, this applies here as well. So ....the Pregnancy status (Is the patient pregnant Y/N - 5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA) is better to use over individual pregnancy tests because it offers more comprehensive coverage. Beyond just test results, pregnancy status can be established through clinical assessment, known pregnancy from previous encounters, or even patient self-reporting.

[dkayiwa]

@VeronicaMuthee in that case, the pregnancy expression becomes:
($fn.isObsValueCodedAnswer("CIEL:45", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:1945", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:5272", $patient, "CIEL:1065"))

[VeronicaMuthee]

@dkayiwa thanks, i have made the changes

[ibacher]

Suggested change

f072fe91-dccc-4fa9-b4c6-c49cefb80202,785AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA,ALP Pregnant Women,0,40,60,250,350,,"$patient.getGender() == ""F"" ($fn.isObsValueCodedAnswer("CIEL:45", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:1945", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:5272", $patient, "CIEL:1065")) == true"

f072fe91-dccc-4fa9-b4c6-c49cefb80202,785AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA,ALP Pregnant Women,0,40,60,250,350,,"$patient.getGender() == ""F"" && (($fn.isObsValueCodedAnswer(""CIEL:45"", $patient, ""703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"") || $fn.isObsValueCodedAnswer(""CIEL:1945"", $patient, ""703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"") || $fn.isObsValueCodedAnswer(""CIEL:5272"", $patient, ""CIEL:1065"")) == true)"

[ibacher]

Suggested change

	93395ab8-deb2-4d28-aea5-1be73dc2554b,785AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA,"ALP Adult (Non-Pregnant Women, > 18 years) ",0,25,35,147,200,,"$patient.getAge() > 18 && $patient.getGender() == ""F"" && $patient.isPregnant() == false"
	93395ab8-deb2-4d28-aea5-1be73dc2554b,785AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA,"ALP Adult (Non-Pregnant Women, > 18 years)",0,25,35,147,200,,"$patient.getAge() > 18 && $patient.getGender() == ""F"" && $patient.isPregnant() == false"

[dkayiwa]

@VeronicaMuthee can you also replace $patient.isPregnant() == false? with:
!($fn.isObsValueCodedAnswer("CIEL:45", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:1945", $patient, "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA") || $fn.isObsValueCodedAnswer("CIEL:5272", $patient, "CIEL:1065"))

[dkayiwa]

@VeronicaMuthee for ALP Children (1 - 9 years) you have used $patient.getAge() <= 10. Did you intentionally include the 10yrs?

[dkayiwa]

@VeronicaMuthee if the above was a typo, you will create a followup pull request.

[VeronicaMuthee]

Thanks @dkayiwa i have made corrections on the age overlaps in this new PR

[denniskigen]

Is there a gap at age 1 @dkayiwa @VeronicaMuthee? For a child aged 13-23 months:

• getAgeInMonths() returns 13-23
• getAge() returns 1
• Infants criteria: getAgeInWeeks() > 2 && getAgeInMonths() <= 12 → FALSE (13 > 12)
• Children criteria: getAge() > 1 && getAge() <= 9 → FALSE (1 is NOT > 1)

This leaves 13-23 month old children without any matching reference range.

Should we change:

$patient.getAge() > 1 && $patient.getAge() <= 9

To:

$patient.getAge() >= 1 && $patient.getAge() <= 9