Coverage for tasks/honos.py: 51%
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1"""
2camcops_server/tasks/honos.py
4===============================================================================
6 Copyright (C) 2012, University of Cambridge, Department of Psychiatry.
7 Created by Rudolf Cardinal (rnc1001@cam.ac.uk).
9 This file is part of CamCOPS.
11 CamCOPS is free software: you can redistribute it and/or modify
12 it under the terms of the GNU General Public License as published by
13 the Free Software Foundation, either version 3 of the License, or
14 (at your option) any later version.
16 CamCOPS is distributed in the hope that it will be useful,
17 but WITHOUT ANY WARRANTY; without even the implied warranty of
18 MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
19 GNU General Public License for more details.
21 You should have received a copy of the GNU General Public License
22 along with CamCOPS. If not, see <https://www.gnu.org/licenses/>.
24===============================================================================
26"""
28from typing import Any, List, Optional, Type
30from cardinal_pythonlib.stringfunc import strseq
31from sqlalchemy.orm import Mapped, mapped_column
32from sqlalchemy.sql.sqltypes import Integer, UnicodeText
34from camcops_server.cc_modules.cc_constants import CssClass
35from camcops_server.cc_modules.cc_ctvinfo import CTV_INCOMPLETE, CtvInfo
36from camcops_server.cc_modules.cc_db import add_multiple_columns
37from camcops_server.cc_modules.cc_html import (
38 answer,
39 subheading_spanning_two_columns,
40 tr,
41 tr_qa,
42)
43from camcops_server.cc_modules.cc_request import CamcopsRequest
44from camcops_server.cc_modules.cc_snomed import SnomedExpression, SnomedLookup
45from camcops_server.cc_modules.cc_sqla_coltypes import (
46 mapped_camcops_column,
47 CharColType,
48 PermittedValueChecker,
49)
50from camcops_server.cc_modules.cc_summaryelement import SummaryElement
51from camcops_server.cc_modules.cc_task import (
52 get_from_dict,
53 Task,
54 TaskHasClinicianMixin,
55 TaskHasPatientMixin,
56)
57from camcops_server.cc_modules.cc_text import SS
58from camcops_server.cc_modules.cc_trackerhelpers import TrackerInfo
61PV_MAIN = [0, 1, 2, 3, 4, 9]
62PV_PROBLEMTYPE = ["A", "B", "C", "D", "E", "F", "G", "H", "I", "J"]
64FOOTNOTE_SCORING = """
65 [1] 0 = no problem;
66 1 = minor problem requiring no action;
67 2 = mild problem but definitely present;
68 3 = moderately severe problem;
69 4 = severe to very severe problem;
70 9 = not known.
71"""
74# =============================================================================
75# HoNOS abstract base class
76# =============================================================================
79# noinspection PyAbstractClass
80class HonosBase(TaskHasPatientMixin, TaskHasClinicianMixin, Task): # type: ignore[misc] # noqa: E501
81 __abstract__ = True
82 provides_trackers = True
84 period_rated: Mapped[Optional[str]] = mapped_column(
85 UnicodeText, comment="Period being rated"
86 )
88 COPYRIGHT_DIV = f"""
89 <div class="{CssClass.COPYRIGHT}">
90 Health of the Nation Outcome Scales:
91 Copyright © Royal College of Psychiatrists.
92 Used here with permission.
93 </div>
94 """
96 QFIELDS = None # type: List[str] # must be overridden
97 MAX_SCORE = None # type: int # must be overridden
99 def get_trackers(self, req: CamcopsRequest) -> List[TrackerInfo]:
100 return [
101 TrackerInfo(
102 value=self.total_score(),
103 plot_label=f"{self.shortname} total score",
104 axis_label=f"Total score (out of {self.MAX_SCORE})",
105 axis_min=-0.5,
106 axis_max=self.MAX_SCORE + 0.5,
107 )
108 ]
110 def get_clinical_text(self, req: CamcopsRequest) -> List[CtvInfo]:
111 if not self.is_complete():
112 return CTV_INCOMPLETE
113 return [
114 CtvInfo(
115 content=(
116 f"{self.shortname} total score "
117 f"{self.total_score()}/{self.MAX_SCORE}"
118 )
119 )
120 ]
122 def get_summaries(self, req: CamcopsRequest) -> List[SummaryElement]:
123 return self.standard_task_summary_fields() + [
124 SummaryElement(
125 name="total",
126 coltype=Integer(),
127 value=self.total_score(),
128 comment=f"Total score (/{self.MAX_SCORE})",
129 )
130 ]
132 def _total_score_for_fields(self, fieldnames: List[str]) -> int:
133 total = 0
134 for qname in fieldnames:
135 value = getattr(self, qname)
136 if value is not None and 0 <= value <= 4:
137 # i.e. ignore null values and 9 (= not known)
138 total += value
139 return total
141 def total_score(self) -> int:
142 return self._total_score_for_fields(self.QFIELDS)
144 def get_q(self, req: CamcopsRequest, q: int) -> str:
145 return self.wxstring(req, "q" + str(q) + "_s")
147 def get_answer(self, req: CamcopsRequest, q: int, a: int) -> Optional[str]:
148 if a == 9:
149 return self.wxstring(req, "option9")
150 if a is None or a < 0 or a > 4:
151 return None
152 return self.wxstring(req, "q" + str(q) + "_option" + str(a))
155# =============================================================================
156# HoNOS
157# =============================================================================
160class Honos(
161 HonosBase,
162):
163 """
164 Server implementation of the HoNOS task.
165 """
167 __tablename__ = "honos"
168 shortname = "HoNOS"
169 info_filename_stem = "honos"
171 @classmethod
172 def extend_columns(cls: Type["Honos"], **kwargs: Any) -> None:
173 add_multiple_columns(
174 cls,
175 "q",
176 1,
177 cls.NQUESTIONS,
178 pv=PV_MAIN,
179 comment_fmt="Q{n}, {s} (0-4, higher worse)",
180 comment_strings=[
181 "overactive/aggressive/disruptive/agitated",
182 "deliberate self-harm",
183 "problem-drinking/drug-taking",
184 "cognitive problems",
185 "physical illness/disability",
186 "hallucinations/delusions",
187 "depressed mood",
188 "other mental/behavioural problem",
189 "relationship problems",
190 "activities of daily living",
191 "problems with living conditions",
192 "occupation/activities",
193 ],
194 )
196 q8problemtype: Mapped[Optional[str]] = mapped_camcops_column(
197 CharColType,
198 permitted_value_checker=PermittedValueChecker(
199 permitted_values=PV_PROBLEMTYPE
200 ),
201 comment="Q8: type of problem (A phobic; B anxiety; "
202 "C obsessive-compulsive; D mental strain/tension; "
203 "E dissociative; F somatoform; G eating; H sleep; "
204 "I sexual; J other, specify)",
205 )
206 q8otherproblem: Mapped[Optional[str]] = mapped_column(
207 UnicodeText, comment="Q8: other problem: specify"
208 )
210 NQUESTIONS = 12
211 QFIELDS = strseq("q", 1, NQUESTIONS)
212 MAX_SCORE = 48
214 @staticmethod
215 def longname(req: "CamcopsRequest") -> str:
216 _ = req.gettext
217 return _("Health of the Nation Outcome Scales, working age adults")
219 # noinspection PyUnresolvedReferences
220 def is_complete(self) -> bool:
221 if self.any_fields_none(self.QFIELDS):
222 return False
223 if not self.field_contents_valid():
224 return False
225 if self.q8 != 0 and self.q8 != 9 and self.q8problemtype is None: # type: ignore[attr-defined] # noqa: E501
226 return False
227 if (
228 self.q8 != 0 # type: ignore[attr-defined]
229 and self.q8 != 9 # type: ignore[attr-defined]
230 and self.q8problemtype == "J"
231 and self.q8otherproblem is None
232 ):
233 return False
234 return self.period_rated is not None
236 def get_task_html(self, req: CamcopsRequest) -> str:
237 q8_problem_type_dict = {
238 None: None,
239 "A": self.wxstring(req, "q8problemtype_option_a"),
240 "B": self.wxstring(req, "q8problemtype_option_b"),
241 "C": self.wxstring(req, "q8problemtype_option_c"),
242 "D": self.wxstring(req, "q8problemtype_option_d"),
243 "E": self.wxstring(req, "q8problemtype_option_e"),
244 "F": self.wxstring(req, "q8problemtype_option_f"),
245 "G": self.wxstring(req, "q8problemtype_option_g"),
246 "H": self.wxstring(req, "q8problemtype_option_h"),
247 "I": self.wxstring(req, "q8problemtype_option_i"),
248 "J": self.wxstring(req, "q8problemtype_option_j"),
249 }
250 one_to_eight = ""
251 for i in range(1, 8 + 1):
252 one_to_eight += tr_qa(
253 self.get_q(req, i),
254 self.get_answer(req, i, getattr(self, "q" + str(i))),
255 )
256 nine_onwards = ""
257 for i in range(9, self.NQUESTIONS + 1):
258 nine_onwards += tr_qa(
259 self.get_q(req, i),
260 self.get_answer(req, i, getattr(self, "q" + str(i))),
261 )
263 h = """
264 <div class="{CssClass.SUMMARY}">
265 <table class="{CssClass.SUMMARY}">
266 {tr_is_complete}
267 {total_score}
268 </table>
269 </div>
270 <table class="{CssClass.TASKDETAIL}">
271 <tr>
272 <th width="50%">Question</th>
273 <th width="50%">Answer <sup>[1]</sup></th>
274 </tr>
275 {period_rated}
276 {one_to_eight}
277 {q8problemtype}
278 {q8otherproblem}
279 {nine_onwards}
280 </table>
281 <div class="{CssClass.FOOTNOTES}">
282 {FOOTNOTE_SCORING}
283 </div>
284 {copyright_div}
285 """.format(
286 CssClass=CssClass,
287 tr_is_complete=self.get_is_complete_tr(req),
288 total_score=tr(
289 req.sstring(SS.TOTAL_SCORE),
290 answer(self.total_score()) + f" / {self.MAX_SCORE}",
291 ),
292 period_rated=tr_qa(
293 self.wxstring(req, "period_rated"), self.period_rated
294 ),
295 one_to_eight=one_to_eight,
296 q8problemtype=tr_qa(
297 self.wxstring(req, "q8problemtype_s"),
298 get_from_dict(q8_problem_type_dict, self.q8problemtype),
299 ),
300 q8otherproblem=tr_qa(
301 self.wxstring(req, "q8otherproblem_s"), self.q8otherproblem
302 ),
303 nine_onwards=nine_onwards,
304 FOOTNOTE_SCORING=FOOTNOTE_SCORING,
305 copyright_div=self.COPYRIGHT_DIV,
306 )
307 return h
309 # noinspection PyUnresolvedReferences
310 def get_snomed_codes(self, req: CamcopsRequest) -> List[SnomedExpression]:
311 codes = [
312 SnomedExpression(
313 req.snomed(SnomedLookup.HONOSWA_PROCEDURE_ASSESSMENT)
314 )
315 ]
316 if self.is_complete():
317 codes.append(
318 SnomedExpression(
319 req.snomed(SnomedLookup.HONOSWA_SCALE),
320 {
321 req.snomed(
322 SnomedLookup.HONOSWA_SCORE
323 ): self.total_score(),
324 req.snomed(
325 SnomedLookup.HONOSWA_1_OVERACTIVE_SCORE
326 ): self.q1, # type: ignore[attr-defined]
327 req.snomed(
328 SnomedLookup.HONOSWA_2_SELFINJURY_SCORE
329 ): self.q2, # type: ignore[attr-defined]
330 req.snomed(
331 SnomedLookup.HONOSWA_3_SUBSTANCE_SCORE
332 ): self.q3, # type: ignore[attr-defined]
333 req.snomed(
334 SnomedLookup.HONOSWA_4_COGNITIVE_SCORE
335 ): self.q4, # type: ignore[attr-defined]
336 req.snomed(
337 SnomedLookup.HONOSWA_5_PHYSICAL_SCORE
338 ): self.q5, # type: ignore[attr-defined]
339 req.snomed(
340 SnomedLookup.HONOSWA_6_PSYCHOSIS_SCORE
341 ): self.q6, # type: ignore[attr-defined]
342 req.snomed(
343 SnomedLookup.HONOSWA_7_DEPRESSION_SCORE
344 ): self.q7, # type: ignore[attr-defined]
345 req.snomed(
346 SnomedLookup.HONOSWA_8_OTHERMENTAL_SCORE
347 ): self.q8, # type: ignore[attr-defined]
348 req.snomed(
349 SnomedLookup.HONOSWA_9_RELATIONSHIPS_SCORE
350 ): self.q9, # type: ignore[attr-defined]
351 req.snomed(
352 SnomedLookup.HONOSWA_10_ADL_SCORE
353 ): self.q10, # type: ignore[attr-defined]
354 req.snomed(
355 SnomedLookup.HONOSWA_11_LIVINGCONDITIONS_SCORE
356 ): self.q11, # type: ignore[attr-defined]
357 req.snomed(
358 SnomedLookup.HONOSWA_12_OCCUPATION_SCORE
359 ): self.q12, # type: ignore[attr-defined]
360 },
361 )
362 )
363 return codes
366# =============================================================================
367# HoNOS 65+
368# =============================================================================
371class Honos65(
372 HonosBase,
373):
374 """
375 Server implementation of the HoNOS 65+ task.
376 """
378 __tablename__ = "honos65"
379 shortname = "HoNOS 65+"
380 info_filename_stem = "honos"
382 @classmethod
383 def extend_columns(cls: Type["Honos65"], **kwargs: Any) -> None:
384 add_multiple_columns(
385 cls,
386 "q",
387 1,
388 cls.NQUESTIONS,
389 pv=PV_MAIN,
390 comment_fmt="Q{n}, {s} (0-4, higher worse)",
391 comment_strings=[ # not exactly identical to HoNOS
392 "behavioural disturbance",
393 "deliberate self-harm",
394 "problem drinking/drug-taking",
395 "cognitive problems",
396 "physical illness/disability",
397 "hallucinations/delusions",
398 "depressive symptoms",
399 "other mental/behavioural problem",
400 "relationship problems",
401 "activities of daily living",
402 "living conditions",
403 "occupation/activities",
404 ],
405 )
407 q8problemtype: Mapped[Optional[str]] = mapped_camcops_column(
408 CharColType,
409 permitted_value_checker=PermittedValueChecker(
410 permitted_values=PV_PROBLEMTYPE
411 ),
412 comment="Q8: type of problem (A phobic; B anxiety; "
413 "C obsessive-compulsive; D stress; " # NB slight difference: D
414 "E dissociative; F somatoform; G eating; H sleep; "
415 "I sexual; J other, specify)",
416 )
417 q8otherproblem: Mapped[Optional[str]] = mapped_column(
418 UnicodeText, comment="Q8: other problem: specify"
419 )
421 NQUESTIONS = 12
422 QFIELDS = strseq("q", 1, NQUESTIONS)
423 MAX_SCORE = 48
425 @staticmethod
426 def longname(req: "CamcopsRequest") -> str:
427 _ = req.gettext
428 return _("Health of the Nation Outcome Scales, older adults")
430 # noinspection PyUnresolvedReferences
431 def is_complete(self) -> bool:
432 if self.any_fields_none(self.QFIELDS):
433 return False
434 if not self.field_contents_valid():
435 return False
436 if self.q8 != 0 and self.q8 != 9 and self.q8problemtype is None: # type: ignore[attr-defined] # noqa: E501
437 return False
438 if (
439 self.q8 != 0 # type: ignore[attr-defined]
440 and self.q8 != 9 # type: ignore[attr-defined]
441 and self.q8problemtype == "J"
442 and self.q8otherproblem is None
443 ):
444 return False
445 return self.period_rated is not None
447 def get_task_html(self, req: CamcopsRequest) -> str:
448 q8_problem_type_dict = {
449 None: None,
450 "A": self.wxstring(req, "q8problemtype_option_a"),
451 "B": self.wxstring(req, "q8problemtype_option_b"),
452 "C": self.wxstring(req, "q8problemtype_option_c"),
453 "D": self.wxstring(req, "q8problemtype_option_d"),
454 "E": self.wxstring(req, "q8problemtype_option_e"),
455 "F": self.wxstring(req, "q8problemtype_option_f"),
456 "G": self.wxstring(req, "q8problemtype_option_g"),
457 "H": self.wxstring(req, "q8problemtype_option_h"),
458 "I": self.wxstring(req, "q8problemtype_option_i"),
459 "J": self.wxstring(req, "q8problemtype_option_j"),
460 }
461 one_to_eight = ""
462 for i in range(1, 8 + 1):
463 one_to_eight += tr_qa(
464 self.get_q(req, i),
465 self.get_answer(req, i, getattr(self, "q" + str(i))),
466 )
467 nine_onwards = ""
468 for i in range(9, Honos.NQUESTIONS + 1):
469 nine_onwards += tr_qa(
470 self.get_q(req, i),
471 self.get_answer(req, i, getattr(self, "q" + str(i))),
472 )
474 h = """
475 <div class="{CssClass.SUMMARY}">
476 <table class="{CssClass.SUMMARY}">
477 {tr_is_complete}
478 {total_score}
479 </table>
480 </div>
481 <table class="{CssClass.TASKDETAIL}">
482 <tr>
483 <th width="50%">Question</th>
484 <th width="50%">Answer <sup>[1]</sup></th>
485 </tr>
486 {period_rated}
487 {one_to_eight}
488 {q8problemtype}
489 {q8otherproblem}
490 {nine_onwards}
491 </table>
492 <div class="{CssClass.FOOTNOTES}">
493 {FOOTNOTE_SCORING}
494 </div>
495 {copyright_div}
496 """.format(
497 CssClass=CssClass,
498 tr_is_complete=self.get_is_complete_tr(req),
499 total_score=tr(
500 req.sstring(SS.TOTAL_SCORE),
501 answer(self.total_score()) + f" / {self.MAX_SCORE}",
502 ),
503 period_rated=tr_qa(
504 self.wxstring(req, "period_rated"), self.period_rated
505 ),
506 one_to_eight=one_to_eight,
507 q8problemtype=tr_qa(
508 self.wxstring(req, "q8problemtype_s"),
509 get_from_dict(q8_problem_type_dict, self.q8problemtype),
510 ),
511 q8otherproblem=tr_qa(
512 self.wxstring(req, "q8otherproblem_s"), self.q8otherproblem
513 ),
514 nine_onwards=nine_onwards,
515 FOOTNOTE_SCORING=FOOTNOTE_SCORING,
516 copyright_div=self.COPYRIGHT_DIV,
517 )
518 return h
520 def get_snomed_codes(self, req: CamcopsRequest) -> List[SnomedExpression]:
521 codes = [
522 SnomedExpression(
523 req.snomed(SnomedLookup.HONOS65_PROCEDURE_ASSESSMENT)
524 )
525 ]
526 if self.is_complete():
527 codes.append(
528 SnomedExpression(
529 req.snomed(SnomedLookup.HONOS65_SCALE),
530 {
531 req.snomed(
532 SnomedLookup.HONOS65_SCORE
533 ): self.total_score()
534 },
535 )
536 )
537 return codes
540# =============================================================================
541# HoNOSCA
542# =============================================================================
545class Honosca(
546 HonosBase,
547):
548 """
549 Server implementation of the HoNOSCA task.
550 """
552 __tablename__ = "honosca"
553 shortname = "HoNOSCA"
554 info_filename_stem = "honos"
556 NQUESTIONS = 15
558 @classmethod
559 def extend_columns(cls: Type["Honosca"], **kwargs: Any) -> None:
560 add_multiple_columns(
561 cls,
562 "q",
563 1,
564 cls.NQUESTIONS,
565 pv=PV_MAIN,
566 comment_fmt="Q{n}, {s} (0-4, higher worse)",
567 comment_strings=[
568 "disruptive/antisocial/aggressive",
569 "overactive/inattentive",
570 "self-harm",
571 "alcohol/drug misuse",
572 "scholastic/language problems",
573 "physical illness/disability",
574 "delusions/hallucinations",
575 "non-organic somatic symptoms",
576 "emotional symptoms",
577 "peer relationships",
578 "self-care and independence",
579 "family life/relationships",
580 "school attendance",
581 "problems with knowledge/understanding of child's problems",
582 "lack of information about services",
583 ],
584 )
586 QFIELDS = strseq("q", 1, NQUESTIONS)
587 LAST_SECTION_A_Q = 13
588 FIRST_SECTION_B_Q = 14
589 SECTION_A_QFIELDS = strseq("q", 1, LAST_SECTION_A_Q)
590 SECTION_B_QFIELDS = strseq("q", FIRST_SECTION_B_Q, NQUESTIONS)
591 MAX_SCORE = 60
592 MAX_SECTION_A = 4 * len(SECTION_A_QFIELDS)
593 MAX_SECTION_B = 4 * len(SECTION_B_QFIELDS)
594 TASK_FIELDS = QFIELDS + ["period_rated"]
596 @staticmethod
597 def longname(req: "CamcopsRequest") -> str:
598 _ = req.gettext
599 return _(
600 "Health of the Nation Outcome Scales, Children and Adolescents"
601 )
603 def is_complete(self) -> bool:
604 return (
605 self.all_fields_not_none(self.TASK_FIELDS)
606 and self.field_contents_valid()
607 )
609 def section_a_score(self) -> int:
610 return self._total_score_for_fields(self.SECTION_A_QFIELDS)
612 def section_b_score(self) -> int:
613 return self._total_score_for_fields(self.SECTION_B_QFIELDS)
615 def get_task_html(self, req: CamcopsRequest) -> str:
616 section_a = ""
617 for i in range(1, 13 + 1):
618 section_a += tr_qa(
619 self.get_q(req, i),
620 self.get_answer(req, i, getattr(self, "q" + str(i))),
621 )
622 section_b = ""
623 for i in range(14, self.NQUESTIONS + 1):
624 section_b += tr_qa(
625 self.get_q(req, i),
626 self.get_answer(req, i, getattr(self, "q" + str(i))),
627 )
629 h = """
630 <div class="{CssClass.SUMMARY}">
631 <table class="{CssClass.SUMMARY}">
632 {tr_is_complete}
633 {total_score}
634 {section_a_total}
635 {section_b_total}
636 </table>
637 </div>
638 <table class="{CssClass.TASKDETAIL}">
639 <tr>
640 <th width="50%">Question</th>
641 <th width="50%">Answer <sup>[1]</sup></th>
642 </tr>
643 {period_rated}
644 {section_a_subhead}
645 {section_a}
646 {section_b_subhead}
647 {section_b}
648 </table>
649 <div class="{CssClass.FOOTNOTES}">
650 {FOOTNOTE_SCORING}
651 </div>
652 {copyright_div}
653 """.format(
654 CssClass=CssClass,
655 tr_is_complete=self.get_is_complete_tr(req),
656 total_score=tr(
657 req.sstring(SS.TOTAL_SCORE),
658 answer(self.total_score()) + f" / {self.MAX_SCORE}",
659 ),
660 section_a_total=tr(
661 self.wxstring(req, "section_a_total"),
662 answer(self.section_a_score()) + f" / {self.MAX_SECTION_A}",
663 ),
664 section_b_total=tr(
665 self.wxstring(req, "section_b_total"),
666 answer(self.section_b_score()) + f" / {self.MAX_SECTION_B}",
667 ),
668 period_rated=tr_qa(
669 self.wxstring(req, "period_rated"), self.period_rated
670 ),
671 section_a_subhead=subheading_spanning_two_columns(
672 self.wxstring(req, "section_a_title")
673 ),
674 section_a=section_a,
675 section_b_subhead=subheading_spanning_two_columns(
676 self.wxstring(req, "section_b_title")
677 ),
678 section_b=section_b,
679 FOOTNOTE_SCORING=FOOTNOTE_SCORING,
680 copyright_div=self.COPYRIGHT_DIV,
681 )
682 return h
684 def get_snomed_codes(self, req: CamcopsRequest) -> List[SnomedExpression]:
685 codes = [
686 SnomedExpression(
687 req.snomed(SnomedLookup.HONOSCA_PROCEDURE_ASSESSMENT)
688 )
689 ]
690 if self.is_complete():
691 a = self.section_a_score()
692 b = self.section_b_score()
693 total = a + b
694 codes.append(
695 SnomedExpression(
696 req.snomed(SnomedLookup.HONOSCA_SCALE),
697 {
698 req.snomed(SnomedLookup.HONOSCA_SCORE): total,
699 req.snomed(SnomedLookup.HONOSCA_SECTION_A_SCORE): a,
700 req.snomed(SnomedLookup.HONOSCA_SECTION_B_SCORE): b,
701 req.snomed(
702 SnomedLookup.HONOSCA_SECTION_A_PLUS_B_SCORE
703 ): total,
704 },
705 )
706 )
707 return codes