Show statin nudge alert when statins can be prescribed (#5074)

Co-authored-by: Siddharth Agarwal <sagarwal@rtsl.org> Co-authored-by: Sasikanth Miriyampalli <hello@sasikanth.dev>
simpledotorg · Sep 10, 2024 · 73c1ea6 · 73c1ea6
1 parent d7e6744
commit 73c1ea6
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Showing 15 changed files with 348 additions and 16 deletions.
diff --git a/CHANGELOG.md b/CHANGELOG.md
@@ -23,6 +23,7 @@
 - Bump AndroidX ViewModel to v2.8.5
 - Bump AndroidX Lifecycle to v2.8.5
 - Check statin nudge status in patient summary screen
+- Show statin nudge alert when statins can be prescribed 
 
 ## 2024-08-05-9175
 

diff --git a/app/src/main/java/org/simple/clinic/summary/PatientSummaryModel.kt b/app/src/main/java/org/simple/clinic/summary/PatientSummaryModel.kt
@@ -27,7 +27,7 @@ data class PatientSummaryModel(
     val hasPrescribedDrugsChangedToday: Boolean?,
     val scheduledAppointment: ParcelableOptional<Appointment>?,
     val hasShownDiagnosisWarningDialog: Boolean,
-    val canPrescribeStatin: Boolean,
+    val statin: StatinModel?,
 ) : Parcelable, PatientSummaryChildModel {
 
   companion object {
@@ -46,7 +46,7 @@ data class PatientSummaryModel(
           hasPrescribedDrugsChangedToday = null,
           scheduledAppointment = null,
           hasShownDiagnosisWarningDialog = false,
-          canPrescribeStatin = false,
+          statin = null,
       )
     }
   }
@@ -81,6 +81,9 @@ data class PatientSummaryModel(
   val hasScheduledAppointment: Boolean
     get() = scheduledAppointment != null && scheduledAppointment.isPresent()
 
+  val hasStatinInfoLoaded: Boolean
+    get() = statin != null
+
   override fun readyToRender(): Boolean {
     return hasLoadedPatientSummaryProfile && hasLoadedCurrentFacility && hasPatientRegistrationData != null
   }
@@ -125,7 +128,7 @@ data class PatientSummaryModel(
     return copy(scheduledAppointment = appointment.toOptional().parcelable())
   }
 
-  fun updateStatinPrescriptionStatus(canPrescribeStatin: Boolean): PatientSummaryModel {
-    return copy(canPrescribeStatin = canPrescribeStatin)
+  fun updateStatinInfo(statin: StatinModel): PatientSummaryModel {
+    return copy(statin = statin)
   }
 }
diff --git a/app/src/main/java/org/simple/clinic/summary/PatientSummaryScreen.kt b/app/src/main/java/org/simple/clinic/summary/PatientSummaryScreen.kt
@@ -168,6 +168,12 @@ class PatientSummaryScreen :
   private val clinicalDecisionSupportAlertView
     get() = binding.clinicalDecisionSupportBpHighAlert.rootView
 
+  private val statinAlertView
+    get() = binding.statinAlert.rootView
+
+  private val statinAlertDescription
+    get() = binding.statinAlert.statinAlertSubtitle
+
   @Inject
   lateinit var router: Router
 
@@ -792,6 +798,42 @@ class PatientSummaryScreen :
     clinicalDecisionSupportAlertView.visibility = GONE
   }
 
+  override fun showStatinAlert(statin: StatinModel) {
+    statinAlertDescription.text = buildString {
+      append("${getString(R.string.statin_alert_patient)} ")
+
+      if (statin.hasDiabetes) {
+        append(String.format(getString(R.string.statin_alert_has_diabetes), statin.age.toString()))
+
+        if (statin.hasHadHeartAttack.xor(statin.hasHadStroke)) {
+          append(" ${getString(R.string.statin_alert_and_seperator)} ")
+        }
+      }
+
+      when {
+        statin.hasHadHeartAttack && statin.hasHadStroke -> append(getCVDString(statin.hasDiabetes))
+        statin.hasHadHeartAttack -> append(getString(R.string.statin_alert_heart_attack))
+        statin.hasHadStroke -> append(getString(R.string.statin_alert_stroke))
+      }
+
+      append(".")
+    }
+
+    statinAlertView.visibility = VISIBLE
+  }
+
+  private fun getCVDString(hasDiabetes: Boolean): String {
+    return if (hasDiabetes) {
+      getString(R.string.statin_alert_cvd_with_diabetes)
+    } else {
+      getString(R.string.statin_alert_cvd)
+    }
+  }
+
+  override fun hideStatinAlert() {
+    statinAlertView.visibility = GONE
+  }
+
   override fun showReassignPatientWarningSheet(
       patientUuid: UUID,
       currentFacility: Facility,

diff --git a/app/src/main/java/org/simple/clinic/summary/PatientSummaryScreenUi.kt b/app/src/main/java/org/simple/clinic/summary/PatientSummaryScreenUi.kt
@@ -18,4 +18,6 @@ interface PatientSummaryScreenUi {
   fun showClinicalDecisionSupportAlert()
   fun hideClinicalDecisionSupportAlert()
   fun hideClinicalDecisionSupportAlertWithoutAnimation()
+  fun showStatinAlert(statin: StatinModel)
+  fun hideStatinAlert()
 }
diff --git a/app/src/main/java/org/simple/clinic/summary/PatientSummaryUpdate.kt b/app/src/main/java/org/simple/clinic/summary/PatientSummaryUpdate.kt
@@ -102,21 +102,27 @@ class PatientSummaryUpdate(
       model: PatientSummaryModel
   ): Next<PatientSummaryModel, PatientSummaryEffect> {
     val minAgeForStatin = 40
-    val hasCVD = with(event.medicalHistory) {
-      hasHadStroke == Yes || hasHadHeartAttack == Yes
-    }
-    val isPatientEligibleForStatin = (event.age >= minAgeForStatin &&
-        event.medicalHistory.diagnosedWithDiabetes == Yes) ||
-        hasCVD
+    val hasHadStroke = event.medicalHistory.hasHadStroke == Yes
+    val hasHadHeartAttack = event.medicalHistory.hasHadHeartAttack == Yes
+    val hasDiabetes = event.medicalHistory.diagnosedWithDiabetes == Yes
+
+    val hasCVD = hasHadStroke || hasHadHeartAttack
+    val isPatientEligibleForStatin = (event.age >= minAgeForStatin && hasDiabetes) || hasCVD
     val hasStatinsPrescribedAlready = event.prescriptions.any { it.name.contains("statin", ignoreCase = true) }
     val canPrescribeStatin = event.isPatientDead.not() &&
         event.assignedFacility?.facilityType.equals("UHC", ignoreCase = true) &&
         event.hasBPRecordedToday &&
         hasStatinsPrescribedAlready.not() &&
         isPatientEligibleForStatin
 
-    val updatedModel = model.updateStatinPrescriptionStatus(
-        canPrescribeStatin = canPrescribeStatin
+    val updatedModel = model.updateStatinInfo(
+        StatinModel(
+            canPrescribeStatin = canPrescribeStatin,
+            age = event.age,
+            hasDiabetes = hasDiabetes,
+            hasHadStroke = hasHadStroke,
+            hasHadHeartAttack = hasHadHeartAttack,
+        )
     )
     return next(updatedModel)
   }

diff --git a/app/src/main/java/org/simple/clinic/summary/PatientSummaryViewRenderer.kt b/app/src/main/java/org/simple/clinic/summary/PatientSummaryViewRenderer.kt
@@ -19,7 +19,7 @@ class PatientSummaryViewRenderer(
   private val today = LocalDate.now(userClock)
 
   override fun render(model: PatientSummaryModel) {
-    modelUpdateCallback?.invoke(model)
+    modelUpdateCallback.invoke(model)
 
     with(ui) {
       if (model.hasLoadedPatientSummaryProfile) {
@@ -42,10 +42,15 @@ class PatientSummaryViewRenderer(
       } else {
         ui.hideClinicalDecisionSupportAlertWithoutAnimation()
       }
+
+      renderStatinAlert(model)
     }
   }
 
   private fun renderClinicalDecisionBasedOnAppointment(model: PatientSummaryModel) {
+    if (model.statin?.canPrescribeStatin == true)
+      return
+
     if (model.hasScheduledAppointment) {
       renderClinicalDecisionBasedOnAppointmentOverdue(model)
     } else {
@@ -145,4 +150,15 @@ class PatientSummaryViewRenderer(
       ui.hideDiabetesView()
     }
   }
+
+  private fun renderStatinAlert(model: PatientSummaryModel) {
+    if (model.hasStatinInfoLoaded.not()) return
+
+    if (model.statin!!.canPrescribeStatin) {
+      ui.showStatinAlert(model.statin)
+      ui.hideClinicalDecisionSupportAlertWithoutAnimation()
+    } else {
+      ui.hideStatinAlert()
+    }
+  }
 }
diff --git a/app/src/main/java/org/simple/clinic/summary/StatinModel.kt b/app/src/main/java/org/simple/clinic/summary/StatinModel.kt
@@ -0,0 +1,13 @@
+package org.simple.clinic.summary
+
+import android.os.Parcelable
+import kotlinx.parcelize.Parcelize
+
+@Parcelize
+data class StatinModel(
+    val canPrescribeStatin: Boolean,
+    val age: Int,
+    val hasDiabetes: Boolean,
+    val hasHadStroke: Boolean,
+    val hasHadHeartAttack: Boolean,
+) : Parcelable
diff --git a/app/src/main/res/drawable/background_statin_alert.xml b/app/src/main/res/drawable/background_statin_alert.xml
@@ -0,0 +1,12 @@
+<?xml version="1.0" encoding="utf-8"?>
+<shape xmlns:android="http://schemas.android.com/apk/res/android"
+  android:shape="rectangle">
+
+  <solid android:color="@color/simple_yellow_100" />
+
+  <stroke
+    android:width="@dimen/spacing_1"
+    android:color="@color/simple_yellow_550_alpha_40" />
+
+  <corners android:radius="@dimen/spacing_4" />
+</shape>
diff --git a/app/src/main/res/drawable/ic_statin_alert.xml b/app/src/main/res/drawable/ic_statin_alert.xml
@@ -0,0 +1,27 @@
+<vector xmlns:android="http://schemas.android.com/apk/res/android"
+    android:width="40dp"
+    android:height="40dp"
+    android:viewportWidth="40"
+    android:viewportHeight="40">
+  <group>
+    <clip-path
+        android:pathData="M20,20m-20,0a20,20 0,1 1,40 0a20,20 0,1 1,-40 0"/>
+    <path
+        android:pathData="M20,20m-20,0a20,20 0,1 1,40 0a20,20 0,1 1,-40 0"
+        android:fillColor="#E0B000"/>
+    <path
+        android:pathData="M21.154,7.309L21.154,7.309A3.077,3.077 0,0 1,24.231 10.386L24.231,22.693A3.077,3.077 0,0 1,21.154 25.77L21.154,25.77A3.077,3.077 0,0 1,18.077 22.693L18.077,10.386A3.077,3.077 0,0 1,21.154 7.309z"
+        android:fillColor="#2F363D"
+        android:fillAlpha="0.32"/>
+    <path
+        android:pathData="M21.154,31.538m-3.077,0a3.077,3.077 0,1 1,6.154 0a3.077,3.077 0,1 1,-6.154 0"
+        android:fillColor="#2F363D"
+        android:fillAlpha="0.32"/>
+    <path
+        android:pathData="M20.192,6.153L20.192,6.153A2.885,2.885 0,0 1,23.077 9.038L23.077,21.73A2.885,2.885 0,0 1,20.192 24.615L20.192,24.615A2.885,2.885 0,0 1,17.308 21.73L17.308,9.038A2.885,2.885 0,0 1,20.192 6.153z"
+        android:fillColor="#ffffff"/>
+    <path
+        android:pathData="M20.192,30.576m-2.885,0a2.885,2.885 0,1 1,5.769 0a2.885,2.885 0,1 1,-5.769 0"
+        android:fillColor="#ffffff"/>
+  </group>
+</vector>
diff --git a/app/src/main/res/layout/screen_patient_summary.xml b/app/src/main/res/layout/screen_patient_summary.xml
@@ -158,6 +158,10 @@
         android:id="@+id/clinicalDecisionSupportBpHighAlert"
         layout="@layout/view_clinical_decision_support_bp_high" />
 
+      <include
+        android:id="@+id/statinAlert"
+        layout="@layout/view_statin_alert" />
+
       <org.simple.clinic.widgets.PatientStatusView
         android:id="@+id/patientDiedStatusView"
         android:layout_width="match_parent"

diff --git a/app/src/main/res/layout/view_statin_alert.xml b/app/src/main/res/layout/view_statin_alert.xml
@@ -0,0 +1,56 @@
+<?xml version="1.0" encoding="utf-8"?>
+<androidx.constraintlayout.widget.ConstraintLayout xmlns:android="http://schemas.android.com/apk/res/android"
+  xmlns:app="http://schemas.android.com/apk/res-auto"
+  xmlns:tools="http://schemas.android.com/tools"
+  android:id="@+id/rootView"
+  android:layout_width="match_parent"
+  android:layout_height="wrap_content"
+  android:layout_marginHorizontal="@dimen/spacing_8"
+  android:layout_marginTop="@dimen/spacing_8"
+  android:layout_marginBottom="@dimen/spacing_0"
+  android:background="@drawable/background_statin_alert"
+  android:elevation="@dimen/spacing_4"
+  android:paddingHorizontal="@dimen/spacing_8"
+  android:paddingVertical="@dimen/spacing_12"
+  android:visibility="gone"
+  tools:visibility="visible">
+
+  <ImageView
+    android:id="@+id/statinAlertIcon"
+    android:layout_width="@dimen/spacing_56"
+    android:layout_height="@dimen/spacing_56"
+    android:contentDescription="@null"
+    android:scaleType="center"
+    app:layout_constraintBottom_toBottomOf="parent"
+    app:layout_constraintStart_toStartOf="parent"
+    app:layout_constraintTop_toTopOf="parent"
+    app:srcCompat="@drawable/ic_statin_alert" />
+
+  <com.google.android.material.textview.MaterialTextView
+    android:id="@+id/statinAlertTitle"
+    android:layout_width="@dimen/spacing_0"
+    android:layout_height="wrap_content"
+    android:layout_marginStart="@dimen/spacing_8"
+    android:text="@string/statin_alert_title"
+    android:textAppearance="?attr/textAppearanceSubtitle1Medium"
+    android:textColor="@color/simple_brown_600"
+    app:layout_constraintBottom_toTopOf="@id/statinAlertSubtitle"
+    app:layout_constraintEnd_toEndOf="parent"
+    app:layout_constraintStart_toEndOf="@id/statinAlertIcon"
+    app:layout_constraintTop_toTopOf="@id/statinAlertIcon"
+    app:layout_constraintVertical_chainStyle="packed" />
+
+  <com.google.android.material.textview.MaterialTextView
+    android:id="@+id/statinAlertSubtitle"
+    android:layout_width="@dimen/spacing_0"
+    android:layout_height="wrap_content"
+    android:layout_marginStart="@dimen/spacing_8"
+    android:layout_marginTop="@dimen/spacing_2"
+    android:textAppearance="?attr/textAppearanceBody1"
+    android:textColor="@color/simple_brown_600_alpha_80"
+    app:layout_constraintBottom_toBottomOf="@id/statinAlertIcon"
+    app:layout_constraintEnd_toEndOf="parent"
+    app:layout_constraintStart_toEndOf="@id/statinAlertIcon"
+    app:layout_constraintTop_toBottomOf="@id/statinAlertTitle" />
+
+</androidx.constraintlayout.widget.ConstraintLayout>
diff --git a/app/src/main/res/values/strings.xml b/app/src/main/res/values/strings.xml
@@ -1070,7 +1070,7 @@ The Simple app contains private health information of patients (“Data”).\n\n
   <string name="reassign_patient_title">Eligible for refills at CC. Transfer patient?</string>
   <string name="reassign_patient_description">Assign to preferred community clinic for future visits.</string>
   <string name="change_patient_facility">Change</string>
-  
+
   <!-- Diabetes Diagnosis Warning Dialog -->
   <string name="diabetes_warning_dialog_title">Add Diabetes diagnosis?</string>
   <string name="diabetes_warning_dialog_desc">This patient is on diabetes medication.</string>
@@ -1082,4 +1082,15 @@ The Simple app contains private health information of patients (“Data”).\n\n
   <string name="htn_warning_dialog_desc">This patient is on hypertension medication.</string>
   <string name="htn_warning_dialog_positive_button">Yes, has hypertension</string>
   <string name="htn_warning_dialog_negative_button">Not now</string>
+
+  <!-- Statin Alerts -->
+  <string name="statin_alert_title">High risk. Add statin medicine</string>
+  <string name="statin_alert_patient">Patient</string>
+  <string name="statin_alert_has_diabetes">is %s with diabetes</string>
+  <string name="statin_alert_and_seperator">and</string>
+  <string name="statin_alert_cvd_with_diabetes">, has history of heart attack and stroke</string>
+  <string name="statin_alert_cvd">has history of heart attack and stroke</string>
+  <string name="statin_alert_heart_attack">has history of heart attack</string>
+  <string name="statin_alert_stroke">has history of stroke</string>
+
 </resources>
diff --git a/app/src/test/java/org/simple/clinic/summary/PatientSummaryUpdateTest.kt b/app/src/test/java/org/simple/clinic/summary/PatientSummaryUpdateTest.kt
@@ -2108,7 +2108,15 @@ class PatientSummaryUpdateTest {
             ),
         ))
         .then(assertThatNext(
-            hasModel(defaultModel.updateStatinPrescriptionStatus(canPrescribeStatin = true)),
+            hasModel(defaultModel.updateStatinInfo(
+                StatinModel(
+                    canPrescribeStatin = true,
+                    age = 50,
+                    hasDiabetes = true,
+                    hasHadStroke = false,
+                    hasHadHeartAttack = false,
+                )
+            )),
             hasNoEffects()
         ))
   }