mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-11 10:41:32 +00:00
255 lines
11 KiB
PHP
255 lines
11 KiB
PHP
<?php
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namespace Modules\Patients\Http\Controllers;
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use Illuminate\Http\Request;
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use Streamline\Models\TriageNutrition;
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class NutritionController extends Controller {
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public function get_nutrition_status(Request $request): string {
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$age_diff_months = round($request->age_diff_months);
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$weight = $request->weight;
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$height = $request->height * 100;
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$bmi = $request->bmi;
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$gender = $request->gender;
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$patient_id = $request->patient_id;
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$episode_id = $request->episode_id;
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$muac = $request->muac;
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$oedema = $request->oedema;
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$reference_age = NULL;
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$reference_bmi = NULL;
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$reference_height = NULL;
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$reference_weight = NULL;
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$texts_array = ["Normal" => 1, "Risk of overweight" => 2, "MAM" => 3,
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"SAM without oedema" => 4, "SAM with oedema" => 5];
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if (!is_null($request->weight) && !is_null($request->height) && !is_null($request->bmi)) {
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if ($age_diff_months > 5 && $age_diff_months < 60) {
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if ($gender == 2){
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$data = file(base_path('public/uploads/nutrition_csv_lookup/female_6_60.csv'));
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} else {
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$data = file(base_path('public/uploads/nutrition_csv_lookup/male_6_60.csv'));
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}
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$formatted_data = [];
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$lengths = [];
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foreach($data as $item) {
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$split_item = explode(',', $item);
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$lengths[] = intval($split_item[0]);
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$formatted_data[intval($split_item[0])] = [intval($split_item[1]), intval($split_item[2]), intval($split_item[3]), intval($split_item[4]), intval(str_replace(["\r", "\n"], "", $split_item[5]))];
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}
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// check if height is out of bounds
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if ($height < $lengths[0] || $height > $lengths[count($lengths) - 1]) {
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$text = "Nutrition Status Not Available";
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$reason = "Height is out of range";
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$text_color = "red";
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return $text . "&&&&" . $reason . "&&&&" . $text_color;
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}
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$reference_height = get_closest_element_in_array($lengths, $height);
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$reference_weight = get_closest_element_in_array($formatted_data[$reference_height], $weight);
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$weight_key = array_search($reference_weight, $formatted_data[$reference_height]);
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if ($weight_key == 0) {
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$text = "SAM without oedema";
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$reason = "Weight for height < -3 SD";
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$text_color = "red";
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} elseif ($weight_key == 1) {
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$text = "MAM";
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$reason = "Weight for height between -3 SD and -2 SD";
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$text_color = "darkorange";
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} elseif ($weight_key == 2 || $weight_key == 3) {
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$text = "Normal";
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$reason = "Weight for height between -2 SD and 2 SD";
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$text_color = "black";
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} else {
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$text = "Risk of overweight";
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$reason = "Weight for height > 2 SD";
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$text_color = "black";
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}
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} elseif ($age_diff_months > 59 && $age_diff_months < 228) {
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if ($age_diff_months < 120) {
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if ($gender == 2){
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$data = file(base_path('public/uploads/nutrition_csv_lookup/female_60_120.csv'));
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} else {
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$data = file(base_path('public/uploads/nutrition_csv_lookup/male_60_120.csv'));
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}
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} else {
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if ($gender == 2){
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$data = file(base_path('public/uploads/nutrition_csv_lookup/female_120_228.csv'));
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} else {
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$data = file(base_path('public/uploads/nutrition_csv_lookup/male_120_228.csv'));
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}
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}
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$formatted_data = [];
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$ages_in_months = [];
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foreach($data as $item) {
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$split_item = explode(',', $item);
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$ages_in_months[] = intval($split_item[0]);
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$formatted_data[intval($split_item[0])] = [intval($split_item[1]), intval($split_item[2]), intval($split_item[3]), intval($split_item[4]), intval(str_replace(["\r", "\n"], "", $split_item[5]))];
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}
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$reference_age = get_closest_element_in_array($ages_in_months, $age_diff_months);
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$reference_bmi = get_closest_element_in_array($formatted_data[$reference_age], $bmi);
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$bmi_key = array_search($reference_bmi, $formatted_data[$reference_age]);
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if ($bmi_key == 0) {
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$text = "SAM without oedema";
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$reason = "BMI < -3 SD";
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$text_color = "red";
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} elseif ($bmi_key == 1) {
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$text = "MAM";
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$reason = "BMI between -3 SD and -2 SD";
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$text_color = "darkorange";
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} elseif ($bmi_key == 2 || $bmi_key == 3) {
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$text = "Normal";
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$reason = "BMI between -2 SD and 1 SD";
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$text_color = "black";
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} else {
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$text = "Risk of overweight";
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$reason = "BMI > 1 SD";
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$text_color = "black";
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}
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} elseif ($age_diff_months > 227 && $age_diff_months < 1200) {
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if ($bmi < 16) {
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$text = "SAM without oedema";
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$reason = "BMI < 16";
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$text_color = "red";
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} elseif ($bmi > 15.9 && $bmi < 17) {
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$text = "MAM";
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$reason = "BMI between 16 and 17";
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$text_color = "darkorange";
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} elseif ($bmi > 16.9 && $bmi < 25) {
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$text = "Normal";
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$reason = "BMI between 17 and 25";
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$text_color = "black";
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} else {
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$text = "Risk of overweight";
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$reason = "BMI ≥ 25";
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$text_color = "black";
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}
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} else {
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return "0";
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}
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} else {
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$text = "Normal";
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$reason = "Normal";
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$text_color = 'black';
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}
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// check for oedema status
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if ($oedema == 1) {
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$oedema = "Yes";
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$oedema_text = "SAM with oedema";
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$oedema_reason = "Oedema of both feet";
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$oedema_text_color = "red";
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} else {
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$oedema = "No";
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$oedema_text = "Normal";
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$oedema_reason = "";
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$oedema_text_color = "black";
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}
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// check if oedema has a higher category
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if (($texts_array[$oedema_text] > $texts_array[$text])) {
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$text = $oedema_text;
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$reason = $oedema_reason;
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$text_color = $oedema_text_color;
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}
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if ($age_diff_months < 1.59 && $muac < 11.0) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 11.0";
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$muac_text_color = 'red';
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} else if(between($age_diff_months, 1.6, 5) && $muac < 11.5) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 11.5";
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$muac_text_color = 'red';
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} else if(between($age_diff_months, 6, 59) && between($muac, 11.5, 12.4)) {
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$muac_text = "MAM";
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$muac_reason = "MUAC between 11.5 and 12.4";
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$muac_text_color = 'darkorange';
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} else if(between($age_diff_months, 6, 59) && $muac < 11.5) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 11.5";
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$muac_text_color = 'red';
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} else if(between($age_diff_months, 60, 119) && between($muac, 13.5, 14.4)) {
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$muac_text = "MAM";
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$muac_reason = "MUAC between 13.5 and 14.4";
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$muac_text_color = 'darkorange';
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} else if(between($age_diff_months, 60, 119) && $muac < 13.5) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 13.5";
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$muac_text_color = 'red';
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} else if(between($age_diff_months, 120, 179) && between($muac, 16.0, 18.4)) {
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$muac_text = "MAM";
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$muac_reason = "MUAC between 16.0 and 18.4";
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$muac_text_color = 'darkorange';
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} else if(between($age_diff_months, 120, 179) && $muac < 16.0) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 16.0";
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$muac_text_color = 'red';
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} else if(between($age_diff_months, 180, 215) && between($muac, 18.5, 20.9)) {
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$muac_text = "MAM";
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$muac_reason = "MUAC between 18.5 and 21.0";
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$muac_text_color = 'darkorange';
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} else if(between($age_diff_months, 180, 215) && $muac < 18.5) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 18.5";
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$muac_text_color = 'red';
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} else if($age_diff_months > 215 && between($muac, 19.0, 21.9)) {
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$muac_text = "MAM";
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$muac_reason = "MUAC between 19.0 and 21.9";
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$muac_text_color = 'darkorange';
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} else if($age_diff_months > 215 && $muac < 19.0) {
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$muac_text = "SAM without oedema";
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$muac_reason = "MUAC below 19.0";
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$muac_text_color = 'red';
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} else {
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$muac_text = "Normal";
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$muac_reason = "Normal";
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$muac_text_color = 'black';
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}
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if (($texts_array[$muac_text] > $texts_array[$text])) {
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$text = $muac_text;
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$reason = $muac_reason;
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$text_color = $muac_text_color;
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}
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// save data to the nutrition table
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$nutrition = TriageNutrition::where(['patient_id' => $patient_id, 'episode_id' => $episode_id])->first();
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if (!$nutrition) {
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$nutrition = new TriageNutrition();
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}
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$nutrition->patient_id = $patient_id;
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$nutrition->episode_id = $episode_id;
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$nutrition->age_diff_months = $age_diff_months;
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$nutrition->weight = $weight;
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$nutrition->height = $height;
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$nutrition->bmi = $bmi;
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$nutrition->muac = $muac;
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$nutrition->oedema = $oedema;
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$nutrition->gender = $gender;
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$nutrition->reference_height = $reference_height;
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$nutrition->reference_weight = $reference_weight;
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$nutrition->text = $text;
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$nutrition->reason = $reason;
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$nutrition->reference_age = $reference_age;
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$nutrition->reference_bmi = $reference_bmi;
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$nutrition->updated_at = now();
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$nutrition->save();
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return $text . "&&&&" . $reason . "&&&&" . $text_color;
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}
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}
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