class DmInitialReview(InitialReviewModelMixin, GlucoseModelMixin,
CrfModelMixin, edc_models.BaseUuidModel):
# TODO: change to m2m 10 JULY 2020
# remove "alone" ... allow select all that apply
managed_by = models.CharField(
verbose_name="How is the patient's diabetes managed?",
max_length=25,
choices=DM_MANAGEMENT,
default=NOT_APPLICABLE,
)
med_start_ago = edc_models.DurationYMDField(
verbose_name=("If the patient is taking medicines for diabetes, "
"how long have they been taking these?"),
null=True,
blank=True,
)
med_start_estimated_date = models.DateField(
verbose_name="Estimated medication start date",
null=True,
editable=False,
)
med_start_date_estimated = models.CharField(
verbose_name="Was the medication start date estimated?",
max_length=15,
choices=YES_NO,
default=YES,
editable=False,
)
glucose_performed = models.CharField(
verbose_name=
"Has the patient had their glucose measured in the last few months?",
max_length=15,
choices=YES_NO,
)
def save(self, *args, **kwargs):
if self.med_start_ago:
self.med_start_estimated_date = edc_models.duration_to_date(
self.med_start_ago, self.report_datetime)
super().save(*args, **kwargs)
class Meta(CrfModelMixin.Meta, edc_models.BaseUuidModel.Meta):
verbose_name = "Diabetes Initial Review"
verbose_name_plural = "Diabetes Initial Reviews"
class ClinicalReviewBaselineHivModelMixin(models.Model):
hiv_test = models.CharField(
verbose_name="Has the patient ever tested for HIV infection?",
max_length=15,
choices=YES_NO,
)
hiv_test_ago = edc_models.DurationYMDField(
verbose_name="How long ago was the patient's most recent HIV test?",
null=True,
blank=True,
help_text="If positive, most recent HIV(+) test",
)
hiv_test_estimated_datetime = models.DateTimeField(
null=True,
blank=True,
editable=False,
help_text="calculated by the EDC using `hiv_test_ago`",
)
hiv_test_date = models.DateField(
verbose_name="Date of patient's most recent HIV test?",
validators=[date_not_future],
null=True,
blank=True,
)
hiv_dx = models.CharField(
verbose_name=mark_safe(
"Has the patient ever tested <U>positive</U> for HIV infection?"),
max_length=15,
choices=YES_NO_NA,
default=NOT_APPLICABLE,
help_text="If yes, complete form `HIV Initial Review`",
)
def save(self, *args, **kwargs):
if self.hiv_test_ago:
self.hiv_test_estimated_datetime = edc_models.duration_to_date(
self.hiv_test_ago, self.report_datetime)
super().save(*args, **kwargs)
class Meta:
abstract = True
class ClinicalReviewBaselineHtnModelMixin(models.Model):
htn_test = models.CharField(
verbose_name="Has the patient ever tested for Hypertension?",
max_length=15,
choices=YES_NO,
)
htn_test_ago = edc_models.DurationYMDField(
verbose_name=
"If Yes, how long ago was the patient tested for Hypertension?",
null=True,
blank=True,
)
htn_test_estimated_datetime = models.DateTimeField(
null=True,
blank=True,
help_text="calculated by the EDC using `htn_test_ago`",
)
htn_test_date = models.DateField(
verbose_name="Date of patient's most recent Hypertension test?",
validators=[date_not_future],
null=True,
blank=True,
)
htn_dx = models.CharField(
verbose_name=mark_safe(
"Has the patient ever been diagnosed with Hypertension"),
max_length=15,
choices=YES_NO_NA,
default=NOT_APPLICABLE,
help_text="If yes, complete form `Hypertension Initial Review`",
)
def save(self, *args, **kwargs):
if self.htn_test_ago:
self.htn_test_estimated_datetime = edc_models.duration_to_date(
self.htn_test_ago, self.report_datetime)
super().save(*args, **kwargs)
class Meta:
abstract = True
class HtnInitialReview(InitialReviewModelMixin, CrfModelMixin,
edc_models.BaseUuidModel):
managed_by = models.CharField(
verbose_name="How is the patient's hypertension managed?",
max_length=15,
choices=HTN_MANAGEMENT,
default=NOT_APPLICABLE,
)
med_start_ago = edc_models.DurationYMDField(
verbose_name=("If the patient is taking medicines for hypertension, "
"how long have they been taking these?"),
null=True,
blank=True,
)
med_start_estimated_date = models.DateField(
verbose_name="Estimated medication start date",
null=True,
editable=False,
)
med_start_date_estimated = models.CharField(
verbose_name="Was the medication start date estimated?",
max_length=15,
choices=YES_NO,
default=YES,
editable=False,
)
def save(self, *args, **kwargs):
if self.med_start_ago:
self.med_start_estimated_date = edc_models.duration_to_date(
self.med_start_ago, self.report_datetime)
super().save(*args, **kwargs)
class Meta(CrfModelMixin.Meta, edc_models.BaseUuidModel.Meta):
verbose_name = "Hypertension Initial Review"
verbose_name_plural = "Hypertension Initial Reviews"
class HivInitialReview(InitialReviewModelMixin, CrfModelMixin,
edc_models.BaseUuidModel):
receives_care = models.CharField(
verbose_name="Is the patient receiving care for HIV?",
max_length=15,
choices=YES_NO,
)
clinic = models.CharField(
verbose_name="Where does the patient receive care for HIV",
max_length=15,
choices=CARE_ACCESS,
default=NOT_APPLICABLE,
)
clinic_other = models.CharField(
verbose_name=mark_safe(
"If <u>not</u> attending here, where does the patient attend?"),
max_length=50,
null=True,
blank=True,
)
arv_initiated = models.CharField(
verbose_name="Has the patient started antiretroviral therapy (ART)?",
max_length=15,
choices=YES_NO,
default=YES,
)
arv_initiation_ago = edc_models.DurationYMDField(
verbose_name="How long ago did the patient start ART?",
null=True,
blank=True,
help_text=
"If possible, provide the exact date below instead of estimating here.",
)
arv_initiation_actual_date = models.DateField(
verbose_name="Date started antiretroviral therapy (ART)",
validators=[edc_models.date_not_future],
null=True,
help_text=
"If possible, provide the exact date here instead of estimating above.",
)
arv_initiation_estimated_date = models.DateField(
verbose_name="Estimated Date started antiretroviral therapy (ART)",
validators=[edc_models.date_not_future],
null=True,
editable=False,
help_text="Calculated based on response to `arv_initiation_ago`",
)
arv_initiation_date_estimated = models.CharField(
verbose_name="Was the ART start date estimated?",
max_length=15,
choices=YES_NO,
default=YES,
editable=False,
)
# Viral Load
has_vl = models.CharField(
verbose_name=
"Is the patient's most recent viral load result available?",
max_length=25,
choices=YES_NO_PENDING_NA,
default=NOT_APPLICABLE,
)
vl = models.IntegerField(
verbose_name="Most recent viral load",
validators=[MinValueValidator(0),
MaxValueValidator(9999999)],
null=True,
blank=True,
help_text=COPIES_PER_MILLILITER,
)
vl_quantifier = models.CharField(
max_length=10,
choices=VL_QUANTIFIER_NA,
null=True,
blank=True,
)
vl_date = models.DateField(
verbose_name="Date of most recent viral load",
validators=[edc_models.date_not_future],
null=True,
blank=True,
)
# CD4
has_cd4 = models.CharField(
verbose_name="Is the patient's most recent CD4 result available?",
max_length=25,
choices=YES_NO_NA,
default=NOT_APPLICABLE,
)
cd4 = models.IntegerField(
verbose_name="Most recent CD4",
validators=[MinValueValidator(0),
MaxValueValidator(3000)],
null=True,
blank=True,
help_text=CELLS_PER_MILLIMETER_CUBED_DISPLAY,
)
cd4_date = models.DateField(
verbose_name="Date of most recent CD4",
validators=[edc_models.date_not_future],
null=True,
blank=True,
)
def save(self, *args, **kwargs):
if self.dx_ago:
self.dx_estimated_date = edc_models.duration_to_date(
self.dx_ago, self.report_datetime)
if self.arv_initiation_ago:
self.arv_initiation_estimated_date = edc_models.duration_to_date(
self.arv_initiation_ago, self.report_datetime)
super().save(*args, **kwargs)
@property
def best_art_initiation_date(self):
return self.arv_initiation_actual_date or self.arv_initiation_estimated_date
class Meta(CrfModelMixin.Meta, edc_models.BaseUuidModel.Meta):
verbose_name = "HIV Initial Review"
verbose_name_plural = "HIV Initial Reviews"
class ComplicationsBaseline(CrfModelMixin, edc_models.BaseUuidModel):
# stroke
stroke = models.CharField(
verbose_name="Stroke",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
stroke_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
stroke_estimated_date = models.DateField(
verbose_name="Estimated date of stroke",
null=True,
blank=True,
editable=False,
)
# heart_attack
heart_attack = models.CharField(
verbose_name="Heart attack / heart failure",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
heart_attack_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
heart_attack_estimated_date = models.DateField(
verbose_name="Estimated date of heart attack / heart failure",
null=True,
blank=True,
editable=False,
)
# renal
renal_disease = models.CharField(
verbose_name="Renal (kidney) disease",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
renal_disease_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
renal_disease_estimated_date = models.DateField(
verbose_name="Estimated date of renal_disease",
null=True,
blank=True,
editable=False,
)
# vision
vision = models.CharField(
verbose_name="Vision problems (e.g. blurred vision)",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
vision_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
vision_estimated_date = models.DateField(
verbose_name="Estimated date of vision problems",
null=True,
blank=True,
editable=False,
)
# numbness
numbness = models.CharField(
verbose_name="Numbness / burning sensation",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
numbness_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
numbness_estimated_date = models.DateField(
verbose_name="Estimated date of numbness",
null=True,
blank=True,
editable=False,
)
# foot ulcers
foot_ulcers = models.CharField(
verbose_name="Foot ulcers",
max_length=25,
choices=YES_NO,
null=True,
blank=False,
)
foot_ulcers_ago = edc_models.DurationYMDField(
verbose_name="If yes, how long ago",
null=True,
blank=True,
)
foot_ulcers_estimated_date = models.DateField(
verbose_name="Estimated date of foot ulcers",
null=True,
blank=True,
editable=False,
)
complications = models.CharField(
verbose_name="Are there any other major complications to report?",
max_length=25,
choices=YES_NO,
default=NO,
)
complications_other = models.TextField(
null=True,
blank=True,
help_text="Please include dates",
)
def save(self, *args, **kwargs):
complications = [
"stroke",
"heart_attack",
"renal_disease",
"vision",
"numbness",
"foot_ulcers",
]
for complication in complications:
if getattr(self, f"{complication}_ago", None):
duration = edc_models.duration_to_date(
getattr(self, f"{complication}_ago", None),
self.report_datetime)
setattr(self, f"{complication}_estimated_date", duration)
super().save(*args, **kwargs)
class Meta(CrfModelMixin.Meta, edc_models.BaseUuidModel.Meta):
verbose_name = "Complications: Baseline"
verbose_name_plural = "Complications: Baseline"
class OtherBaselineData(CrfModelMixin, edc_models.BaseUuidModel):
employment_status = models.CharField(
verbose_name="What is the patient's employment status?",
max_length=25,
choices=EMPLOYMENT_STATUS,
)
employment_status_other = edc_models.OtherCharField()
education = models.CharField(
verbose_name="How much formal education does the patient have?",
max_length=25,
choices=EDUCATION,
)
marital_status = models.CharField(
verbose_name="Personal status?",
max_length=25,
choices=MARITAL_STATUS,
)
smoking_status = models.CharField(
verbose_name="Which of these options describes you",
max_length=15,
choices=SMOKER_STATUS_SIMPLE,
)
smoker_quit_ago = edc_models.DurationYMDField(
verbose_name=
"If you used to smoke but stopped, how long ago did you stop",
null=True,
blank=True,
)
smoker_quit_estimated_date = models.DateField(
verbose_name="Estimated date smoker quit?",
null=True,
editable=False,
)
alcohol = models.CharField(
verbose_name="Do you drink alcohol?",
max_length=15,
choices=YES_NO,
)
alcohol_consumption = models.CharField(
verbose_name="If yes, how often do you drink alcohol?",
max_length=25,
choices=ALCOHOL_CONSUMPTION,
default=NOT_APPLICABLE,
)
def save(self, *args, **kwargs):
if self.smoker_quit_ago:
self.smoker_quit_estimated_date = edc_models.duration_to_date(
self.smoker_quit_ago, self.report_datetime)
super().save(*args, **kwargs)
class Meta(CrfModelMixin.Meta, edc_models.BaseUuidModel.Meta):
verbose_name = "Other Baseline Data"
verbose_name_plural = "Other Baseline Data"