[2025.02.*] Pre-release merge

CHANGELOG.md

@@ -62,10 +62,12 @@
 - Bug fixes in CI workflows
 - Fetch `lab_based_cvd_risk_calculation_sheet` from remote config
 - Add `cholesterol_value` to `MedicalHistory` table
-- Bump AGP to v8.8.1
 - Fix JSON variable name in non-lab based statin calculation sheet
 - Add `LabBasedCVDRiskCalculator` and effect to calculate lab based cvd risk
 - Add `CholesterolEntrySheet`
+- Bump AGP to v8.8.2
+- Calculate lab-based CVD risk score
+- Update copy of statin nudge to support lab-based nudge
 
 ### Fixes
 

app/src/main/java/org/simple/clinic/cvdrisk/CVDRiskLevel.kt

@@ -6,14 +6,16 @@ import org.simple.clinic.R
 enum class CVDRiskLevel(val displayStringResId: Int, val color: Color) {
   LOW_HIGH(R.string.statin_alert_low_high_risk_patient_x, Color(0xFFFF7A00)),
   MEDIUM_HIGH(R.string.statin_alert_medium_high_risk_patient_x, Color(0xFFFF7A00)),
-  HIGH(R.string.statin_alert_high_risk_patient_x, Color(0xFFFF3355));
+  HIGH(R.string.statin_alert_high_risk_patient_x, Color(0xFFFF3355)),
+  VERY_HIGH(R.string.statin_alert_very_high_risk_range, Color(0xFFFF3355));
 
   companion object {
     fun compute(cvdRiskRange: CVDRiskRange): CVDRiskLevel {
       return when {
         cvdRiskRange.min < 5 -> LOW_HIGH
         cvdRiskRange.min < 10 -> MEDIUM_HIGH
-        else -> HIGH
+        cvdRiskRange.min < 20 -> HIGH
+        else -> VERY_HIGH
       }
     }
   }

app/src/main/java/org/simple/clinic/cvdrisk/StatinInfo.kt

@@ -7,16 +7,19 @@ import org.simple.clinic.patientattribute.BMIReading
 
 @Parcelize
 data class StatinInfo(
-    val canPrescribeStatin: Boolean,
+    val canShowStatinNudge: Boolean,
     val cvdRisk: CVDRiskRange? = null,
     val isSmoker: Answer = Answer.Unanswered,
     val bmiReading: BMIReading? = null,
     val hasCVD: Boolean = false,
+    val hasDiabetes: Boolean = false,
+    val age: Int = 0,
+    val cholesterol: Float? = null,
 ) : Parcelable {
   companion object {
     fun default(): StatinInfo {
       return StatinInfo(
-          canPrescribeStatin = false,
+          canShowStatinNudge = false,
       )
     }
   }

app/src/main/java/org/simple/clinic/medicalhistory/MedicalHistory.kt

@@ -12,7 +12,6 @@ import androidx.room.Query
 import androidx.room.RawQuery
 import androidx.sqlite.db.SimpleSQLiteQuery
 import io.reactivex.Flowable
-import io.reactivex.Observable
 import kotlinx.parcelize.Parcelize
 import org.simple.clinic.medicalhistory.Answer.Unanswered
 import org.simple.clinic.medicalhistory.MedicalHistoryQuestion.DiagnosedWithDiabetes
@@ -69,6 +68,14 @@ data class MedicalHistory(
 
     val deletedAt: Instant?
 ) : Parcelable {
+
+  companion object {
+
+    fun convertCholesterolToMmol(cholesterol: Float): Float {
+      return cholesterol / 38.67f
+    }
+  }
+
   val diagnosisRecorded: Boolean
     get() = diagnosedWithHypertension != Unanswered && diagnosedWithDiabetes != Unanswered
 

app/src/main/java/org/simple/clinic/medicalhistory/sync/MedicalHistoryPayload.kt

@@ -46,7 +46,7 @@ data class MedicalHistoryPayload(
     @Json(name = "smoking")
     val isSmoking: Answer,
 
-    @Json(name = "cholesterol_value")
+    @Json(name = "cholesterol")
     val cholesterol: Float?,
 
     @Json(name = "created_at")

app/src/main/java/org/simple/clinic/summary/PatientSummaryEffect.kt

@@ -141,3 +141,5 @@ data class ShowHypertensionDiagnosisWarning(val continueToDiabetesDiagnosisWarni
 data object ShowSmokingStatusDialog : PatientSummaryViewEffect()
 
 data class OpenBMIEntrySheet(val patientUuid: UUID) : PatientSummaryViewEffect()
+
+data class OpenCholesterolEntrySheet(val patientUuid: UUID) : PatientSummaryViewEffect()

app/src/main/java/org/simple/clinic/summary/PatientSummaryEffectHandler.kt

@@ -16,13 +16,13 @@ import org.simple.clinic.cvdrisk.CVDRiskRange
 import org.simple.clinic.cvdrisk.CVDRiskRepository
 import org.simple.clinic.cvdrisk.LabBasedCVDRiskInput
 import org.simple.clinic.cvdrisk.NonLabBasedCVDRiskInput
-import org.simple.clinic.cvdrisk.StatinInfo
 import org.simple.clinic.cvdrisk.calculator.LabBasedCVDRiskCalculator
 import org.simple.clinic.cvdrisk.calculator.NonLabBasedCVDRiskCalculator
 import org.simple.clinic.drugs.DiagnosisWarningPrescriptions
 import org.simple.clinic.drugs.PrescriptionRepository
 import org.simple.clinic.facility.Facility
 import org.simple.clinic.facility.FacilityRepository
+import org.simple.clinic.medicalhistory.MedicalHistory
 import org.simple.clinic.medicalhistory.MedicalHistoryQuestion
 import org.simple.clinic.medicalhistory.MedicalHistoryRepository
 import org.simple.clinic.overdue.AppointmentRepository
@@ -233,7 +233,7 @@ class PatientSummaryEffectHandler @AssistedInject constructor(
                       systolic = bloodPressure.reading.systolic,
                       isSmoker = medicalHistory.isSmoking,
                       diagnosedWithDiabetes = medicalHistory.diagnosedWithDiabetes,
-                      cholesterol = null //Update once the value is available in medical history
+                      cholesterol = medicalHistory.cholesterol?.let { MedicalHistory.convertCholesterolToMmol(it) }
                   )
               )
             }
@@ -279,18 +279,20 @@ class PatientSummaryEffectHandler @AssistedInject constructor(
           .observeOn(schedulersProvider.io())
           .map { effect ->
             val patientUuid = effect.patientUuid
+            val patient = patientRepository.patientImmediate(patientUuid)
             val medicalHistory = medicalHistoryRepository.historyForPatientOrDefaultImmediate(
                 defaultHistoryUuid = uuidGenerator.v4(),
                 patientUuid = patientUuid
             )
-            val bmiReading = patientAttributeRepository.getPatientAttributeImmediate(patientUuid)
-            val cvdRisk = cvdRiskRepository.getCVDRiskImmediate(patientUuid)
-            StatinInfoLoaded(StatinInfo(
-                canPrescribeStatin = cvdRisk?.riskScore?.canPrescribeStatin ?: false,
-                cvdRisk = cvdRisk?.riskScore,
-                isSmoker = medicalHistory.isSmoking,
-                bmiReading = bmiReading?.bmiReading,
-            ))
+            val patientAttribute = patientAttributeRepository.getPatientAttributeImmediate(patientUuid)
+            val riskRange = cvdRiskRepository.getCVDRiskImmediate(patientUuid)?.riskScore
+
+            StatinInfoLoaded(
+                age = patient!!.ageDetails.estimateAge(userClock),
+                medicalHistory = medicalHistory,
+                riskRange = riskRange,
+                bmiReading = patientAttribute?.bmiReading,
+            )
           }
     }
   }

app/src/main/java/org/simple/clinic/summary/PatientSummaryEvent.kt

@@ -2,13 +2,13 @@ package org.simple.clinic.summary
 
 import org.simple.clinic.cvdrisk.CVDRisk
 import org.simple.clinic.cvdrisk.CVDRiskRange
-import org.simple.clinic.cvdrisk.StatinInfo
 import org.simple.clinic.drugs.DiagnosisWarningPrescriptions
 import org.simple.clinic.drugs.PrescribedDrug
 import org.simple.clinic.facility.Facility
 import org.simple.clinic.medicalhistory.Answer
 import org.simple.clinic.medicalhistory.MedicalHistory
 import org.simple.clinic.overdue.Appointment
+import org.simple.clinic.patientattribute.BMIReading
 import org.simple.clinic.patientattribute.PatientAttribute
 import org.simple.clinic.reassignpatient.ReassignPatientSheetClosedFrom
 import org.simple.clinic.reassignpatient.ReassignPatientSheetOpenedFrom
@@ -163,7 +163,10 @@ data class CVDRiskCalculated(
 data object CVDRiskUpdated : PatientSummaryEvent()
 
 data class StatinInfoLoaded(
-    val statinInfo: StatinInfo
+    val age: Int,
+    val medicalHistory: MedicalHistory,
+    val riskRange: CVDRiskRange?,
+    val bmiReading: BMIReading?,
 ) : PatientSummaryEvent()
 
 data object AddSmokingClicked : PatientSummaryEvent()
@@ -175,3 +178,7 @@ data class SmokingStatusAnswered(
 data object BMIReadingAdded : PatientSummaryEvent()
 
 data object AddBMIClicked : PatientSummaryEvent()
+
+data object AddCholesterolClicked: PatientSummaryEvent()
+
+data object CholesterolAdded : PatientSummaryEvent()

app/src/main/java/org/simple/clinic/summary/PatientSummaryScreen.kt

@@ -71,6 +71,7 @@ import org.simple.clinic.reassignpatient.ReassignPatientSheetOpenedFrom
 import org.simple.clinic.remoteconfig.ConfigReader
 import org.simple.clinic.scheduleappointment.ScheduleAppointmentSheet
 import org.simple.clinic.scheduleappointment.facilityselection.FacilitySelectionScreen
+import org.simple.clinic.summary.addcholesterol.CholesterolEntrySheet
 import org.simple.clinic.summary.addphone.AddPhoneNumberDialog
 import org.simple.clinic.summary.compose.StatinNudge
 import org.simple.clinic.summary.linkId.LinkIdWithPatientSheet.LinkIdWithPatientSheetKey
@@ -327,8 +328,11 @@ class PatientSummaryScreen :
           StatinNudge(
               statinInfo = statinInfo,
               modifier = Modifier.padding(start = 8.dp, end = 8.dp, top = 8.dp),
+              isNonLabBasedStatinNudgeEnabled = features.isEnabled(Feature.NonLabBasedStatinNudge),
+              isLabBasedStatinNudgeEnabled = features.isEnabled(Feature.LabBasedStatinNudge),
               addSmokingClick = { additionalEvents.notify(AddSmokingClicked) },
-              addBMIClick = { additionalEvents.notify(AddBMIClicked) }
+              addBMIClick = { additionalEvents.notify(AddBMIClicked) },
+              addCholesterol = { additionalEvents.notify(AddCholesterolClicked) }
           )
         }
       }
@@ -360,6 +364,10 @@ class PatientSummaryScreen :
       is ScreenRequest.BMIEntrySheet -> {
         additionalEvents.notify(BMIReadingAdded)
       }
+
+      is ScreenRequest.CholesterolEntrySheet -> {
+        additionalEvents.notify(CholesterolAdded)
+      }
     }
   }
 
@@ -757,6 +765,10 @@ class PatientSummaryScreen :
         .show()
   }
 
+  override fun openCholesterolEntrySheet(patientUuid: UUID) {
+    router.pushExpectingResult(ScreenRequest.CholesterolEntrySheet, CholesterolEntrySheet.Key(patientUuid))
+  }
+
   override fun openBMIEntrySheet(patientUuid: UUID) {
     router.pushExpectingResult(ScreenRequest.BMIEntrySheet, BMIEntrySheet.Key(patientUuid))
   }
@@ -903,5 +915,8 @@ class PatientSummaryScreen :
 
     @Parcelize
     data object BMIEntrySheet : ScreenRequest()
+
+    @Parcelize
+    data object CholesterolEntrySheet : ScreenRequest()
   }
 }

app/src/main/java/org/simple/clinic/summary/PatientSummaryUiActions.kt

@@ -42,4 +42,5 @@ interface PatientSummaryUiActions {
   fun showHypertensionDiagnosisWarning(continueToDiabetesDiagnosisWarning: Boolean)
   fun showSmokingStatusDialog()
   fun openBMIEntrySheet(patientUuid: UUID)
+  fun openCholesterolEntrySheet(patientUuid: UUID)
 }