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# ==================================================================== #
# TITLE #
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# Antimicrobial Resistance (AMR) Data Analysis for R #
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# #
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# SOURCE #
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# https://github.com/msberends/AMR #
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# #
# LICENCE #
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# (c) 2018-2022 Berends MS, Luz CF et al. #
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# Developed at the University of Groningen, the Netherlands, in #
# collaboration with non-profit organisations Certe Medical #
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# Diagnostics & Advice, and University Medical Center Groningen. #
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# #
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# This R package is free software; you can freely use and distribute #
# it for both personal and commercial purposes under the terms of the #
# GNU General Public License version 2.0 (GNU GPL-2), as published by #
# the Free Software Foundation. #
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# We created this package for both routine data analysis and academic #
# research and it was publicly released in the hope that it will be #
# useful, but it comes WITHOUT ANY WARRANTY OR LIABILITY. #
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# #
# Visit our website for the full manual and a complete tutorial about #
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# how to conduct AMR data analysis: https://msberends.github.io/AMR/ #
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# ==================================================================== #
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#' AMR Plots with `ggplot2`
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#'
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#' Use these functions to create bar plots for AMR data analysis. All functions rely on [ggplot2][ggplot2::ggplot()] functions.
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#' @param data a [data.frame] with column(s) of class [`rsi`] (see [as.rsi()])
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#' @param position position adjustment of bars, either `"fill"`, `"stack"` or `"dodge"`
#' @param x variable to show on x axis, either `"antibiotic"` (default) or `"interpretation"` or a grouping variable
#' @param fill variable to categorise using the plots legend, either `"antibiotic"` (default) or `"interpretation"` or a grouping variable
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#' @param breaks a [numeric] vector of positions
#' @param limits a [numeric] vector of length two providing limits of the scale, use `NA` to refer to the existing minimum or maximum
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#' @param facet variable to split plots by, either `"interpretation"` (default) or `"antibiotic"` or a grouping variable
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#' @inheritParams proportion
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#' @param nrow (when using `facet`) number of rows
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#' @param colours a named vactor with colour to be used for filling. The default colours are colour-blind friendly.
#' @param aesthetics aesthetics to apply the colours to, defaults to "fill" but can also be (a combination of) "alpha", "colour", "fill", "linetype", "shape" or "size"
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#' @param datalabels show datalabels using [labels_rsi_count()]
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#' @param datalabels.size size of the datalabels
#' @param datalabels.colour colour of the datalabels
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#' @param title text to show as title of the plot
#' @param subtitle text to show as subtitle of the plot
#' @param caption text to show as caption of the plot
#' @param x.title text to show as x axis description
#' @param y.title text to show as y axis description
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#' @param ... other arguments passed on to [geom_rsi()] or, in case of [scale_rsi_colours()], named values to set colours. The default colours are colour-blind friendly, while maintaining the convention that e.g. 'susceptible' should be green and 'resistant' should be red. See *Examples*.
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#' @details At default, the names of antibiotics will be shown on the plots using [ab_name()]. This can be set with the `translate_ab` argument. See [count_df()].
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#'
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#' ## The Functions
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#' [geom_rsi()] will take any variable from the data that has an [`rsi`] class (created with [as.rsi()]) using [rsi_df()] and will plot bars with the percentage R, I and S. The default behaviour is to have the bars stacked and to have the different antibiotics on the x axis.
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#'
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#' [facet_rsi()] creates 2d plots (at default based on S/I/R) using [ggplot2::facet_wrap()].
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#'
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#' [scale_y_percent()] transforms the y axis to a 0 to 100% range using [ggplot2::scale_y_continuous()].
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#'
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#' [scale_rsi_colours()] sets colours to the bars (green for S, yellow for I, and red for R). with multilingual support. The default colours are colour-blind friendly, while maintaining the convention that e.g. 'susceptible' should be green and 'resistant' should be red.
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#'
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#' [theme_rsi()] is a [ggplot2 theme][[ggplot2::theme()] with minimal distraction.
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#'
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#' [labels_rsi_count()] print datalabels on the bars with percentage and amount of isolates using [ggplot2::geom_text()].
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#'
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#' [ggplot_rsi()] is a wrapper around all above functions that uses data as first input. This makes it possible to use this function after a pipe (`%>%`). See *Examples*.
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#' @rdname ggplot_rsi
#' @export
#' @examples
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#' \donttest{
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#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # get antimicrobial results for drugs against a UTI:
#' ggplot(example_isolates %>% select(AMX, NIT, FOS, TMP, CIP)) +
#' geom_rsi()
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # prettify the plot using some additional functions:
#' df <- example_isolates %>% select(AMX, NIT, FOS, TMP, CIP)
#' ggplot(df) +
#' geom_rsi() +
#' scale_y_percent() +
#' scale_rsi_colours() +
#' labels_rsi_count() +
#' theme_rsi()
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # or better yet, simplify this using the wrapper function - a single command:
#' example_isolates %>%
#' select(AMX, NIT, FOS, TMP, CIP) %>%
#' ggplot_rsi()
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # get only proportions and no counts:
#' example_isolates %>%
#' select(AMX, NIT, FOS, TMP, CIP) %>%
#' ggplot_rsi(datalabels = FALSE)
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # add other ggplot2 arguments as you like:
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#' example_isolates %>%
#' select(AMX, NIT, FOS, TMP, CIP) %>%
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#' ggplot_rsi(
#' width = 0.5,
#' colour = "black",
#' size = 1,
#' linetype = 2,
#' alpha = 0.25
#' )
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
#' # you can alter the colours with colour names:
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#' example_isolates %>%
#' select(AMX) %>%
#' ggplot_rsi(colours = c(SI = "yellow"))
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
#' # but you can also use the built-in colour-blind friendly colours for
#' # your plots, where "S" is green, "I" is yellow and "R" is red:
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#' data.frame(
#' x = c("Value1", "Value2", "Value3"),
#' y = c(1, 2, 3),
#' z = c("Value4", "Value5", "Value6")
#' ) %>%
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#' ggplot() +
#' geom_col(aes(x = x, y = y, fill = z)) +
#' scale_rsi_colours(Value4 = "S", Value5 = "I", Value6 = "R")
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # resistance of ciprofloxacine per age group
#' example_isolates %>%
#' mutate(first_isolate = first_isolate()) %>%
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#' filter(
#' first_isolate == TRUE,
#' mo == as.mo("Escherichia coli")
#' ) %>%
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#' # age_groups() is also a function in this AMR package:
#' group_by(age_group = age_groups(age)) %>%
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#' select(age_group, CIP) %>%
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#' ggplot_rsi(x = "age_group")
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # a shorter version which also adjusts data label colours:
#' example_isolates %>%
#' select(AMX, NIT, FOS, TMP, CIP) %>%
#' ggplot_rsi(colours = FALSE)
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#' }
#' if (require("ggplot2") && require("dplyr")) {
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#'
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#' # it also supports groups (don't forget to use the group var on `x` or `facet`):
#' example_isolates %>%
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#' filter(mo_is_gram_negative(), ward != "Outpatient") %>%
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#' # select only UTI-specific drugs
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#' select(ward, AMX, NIT, FOS, TMP, CIP) %>%
#' group_by(ward) %>%
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#' ggplot_rsi(
#' x = "ward",
#' facet = "antibiotic",
#' nrow = 1,
#' title = "AMR of Anti-UTI Drugs Per Ward",
#' x.title = "Ward",
#' datalabels = FALSE
#' )
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#' }
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#' }
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ggplot_rsi <- function ( data ,
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position = NULL ,
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x = " antibiotic" ,
fill = " interpretation" ,
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# params = list(),
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facet = NULL ,
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breaks = seq ( 0 , 1 , 0.1 ) ,
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limits = NULL ,
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translate_ab = " name" ,
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combine_SI = TRUE ,
combine_IR = FALSE ,
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minimum = 30 ,
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language = get_AMR_locale ( ) ,
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nrow = NULL ,
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colours = c (
S = " #3CAEA3" ,
SI = " #3CAEA3" ,
I = " #F6D55C" ,
IR = " #ED553B" ,
R = " #ED553B"
) ,
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datalabels = TRUE ,
datalabels.size = 2.5 ,
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datalabels.colour = " grey15" ,
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title = NULL ,
subtitle = NULL ,
caption = NULL ,
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x.title = " Antimicrobial" ,
y.title = " Proportion" ,
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... ) {
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stop_ifnot_installed ( " ggplot2" )
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meet_criteria ( data , allow_class = " data.frame" , contains_column_class = " rsi" )
meet_criteria ( position , allow_class = " character" , has_length = 1 , is_in = c ( " fill" , " stack" , " dodge" ) , allow_NULL = TRUE )
meet_criteria ( x , allow_class = " character" , has_length = 1 )
meet_criteria ( fill , allow_class = " character" , has_length = 1 )
meet_criteria ( facet , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
meet_criteria ( breaks , allow_class = c ( " numeric" , " integer" ) )
meet_criteria ( limits , allow_class = c ( " numeric" , " integer" ) , has_length = 2 , allow_NULL = TRUE , allow_NA = TRUE )
meet_criteria ( translate_ab , allow_class = c ( " character" , " logical" ) , has_length = 1 , allow_NA = TRUE )
meet_criteria ( combine_SI , allow_class = " logical" , has_length = 1 )
meet_criteria ( combine_IR , allow_class = " logical" , has_length = 1 )
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meet_criteria ( minimum , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , is_finite = TRUE )
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meet_criteria ( language , has_length = 1 , is_in = c ( LANGUAGES_SUPPORTED , " " ) , allow_NULL = TRUE , allow_NA = TRUE )
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meet_criteria ( nrow , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , allow_NULL = TRUE , is_positive = TRUE , is_finite = TRUE )
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meet_criteria ( colours , allow_class = c ( " character" , " logical" ) )
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meet_criteria ( datalabels , allow_class = " logical" , has_length = 1 )
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meet_criteria ( datalabels.size , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , is_positive = TRUE , is_finite = TRUE )
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meet_criteria ( datalabels.colour , allow_class = " character" , has_length = 1 )
meet_criteria ( title , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
meet_criteria ( subtitle , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
meet_criteria ( caption , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
meet_criteria ( x.title , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
meet_criteria ( y.title , allow_class = " character" , has_length = 1 , allow_NULL = TRUE )
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# we work with aes_string later on
x_deparse <- deparse ( substitute ( x ) )
if ( x_deparse != " x" ) {
x <- x_deparse
}
if ( x %like% ' ".*"' ) {
x <- substr ( x , 2 , nchar ( x ) - 1 )
}
facet_deparse <- deparse ( substitute ( facet ) )
if ( facet_deparse != " facet" ) {
facet <- facet_deparse
}
if ( facet %like% ' ".*"' ) {
facet <- substr ( facet , 2 , nchar ( facet ) - 1 )
}
if ( facet %in% c ( " NULL" , " " ) ) {
facet <- NULL
}
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if ( is.null ( position ) ) {
position <- " fill"
}
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p <- ggplot2 :: ggplot ( data = data ) +
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geom_rsi (
position = position , x = x , fill = fill , translate_ab = translate_ab ,
minimum = minimum , language = language ,
combine_SI = combine_SI , combine_IR = combine_IR , ...
) +
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theme_rsi ( )
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if ( fill == " interpretation" ) {
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p <- p + scale_rsi_colours ( colours = colours )
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}
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if ( identical ( position , " fill" ) ) {
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# proportions, so use y scale with percentage
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p <- p + scale_y_percent ( breaks = breaks , limits = limits )
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}
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if ( datalabels == TRUE ) {
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p <- p + labels_rsi_count (
position = position ,
x = x ,
translate_ab = translate_ab ,
minimum = minimum ,
language = language ,
combine_SI = combine_SI ,
combine_IR = combine_IR ,
datalabels.size = datalabels.size ,
datalabels.colour = datalabels.colour
)
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}
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if ( ! is.null ( facet ) ) {
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p <- p + facet_rsi ( facet = facet , nrow = nrow )
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}
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p <- p + ggplot2 :: labs (
title = title ,
subtitle = subtitle ,
caption = caption ,
x = x.title ,
y = y.title
)
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p
}
#' @rdname ggplot_rsi
#' @export
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geom_rsi <- function ( position = NULL ,
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x = c ( " antibiotic" , " interpretation" ) ,
fill = " interpretation" ,
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translate_ab = " name" ,
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minimum = 30 ,
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language = get_AMR_locale ( ) ,
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combine_SI = TRUE ,
combine_IR = FALSE ,
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... ) {
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x <- x [1 ]
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stop_ifnot_installed ( " ggplot2" )
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stop_if ( is.data.frame ( position ) , " `position` is invalid. Did you accidentally use '%>%' instead of '+'?" )
meet_criteria ( position , allow_class = " character" , has_length = 1 , is_in = c ( " fill" , " stack" , " dodge" ) , allow_NULL = TRUE )
meet_criteria ( x , allow_class = " character" , has_length = 1 )
meet_criteria ( fill , allow_class = " character" , has_length = 1 )
meet_criteria ( translate_ab , allow_class = c ( " character" , " logical" ) , has_length = 1 , allow_NA = TRUE )
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meet_criteria ( minimum , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , is_finite = TRUE )
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meet_criteria ( language , has_length = 1 , is_in = c ( LANGUAGES_SUPPORTED , " " ) , allow_NULL = TRUE , allow_NA = TRUE )
meet_criteria ( combine_SI , allow_class = " logical" , has_length = 1 )
meet_criteria ( combine_IR , allow_class = " logical" , has_length = 1 )
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y <- " value"
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if ( missing ( position ) | is.null ( position ) ) {
position <- " fill"
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}
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if ( identical ( position , " fill" ) ) {
position <- ggplot2 :: position_fill ( vjust = 0.5 , reverse = TRUE )
}
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# we work with aes_string later on
x_deparse <- deparse ( substitute ( x ) )
if ( x_deparse != " x" ) {
x <- x_deparse
}
if ( x %like% ' ".*"' ) {
x <- substr ( x , 2 , nchar ( x ) - 1 )
}
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if ( tolower ( x ) %in% tolower ( c ( " ab" , " abx" , " antibiotics" ) ) ) {
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x <- " antibiotic"
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} else if ( tolower ( x ) %in% tolower ( c ( " SIR" , " RSI" , " interpretations" , " result" ) ) ) {
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x <- " interpretation"
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}
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ggplot2 :: geom_col (
data = function ( x ) {
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rsi_df (
data = x ,
translate_ab = translate_ab ,
language = language ,
minimum = minimum ,
combine_SI = combine_SI ,
combine_IR = combine_IR
)
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} ,
mapping = ggplot2 :: aes_string ( x = x , y = y , fill = fill ) ,
position = position ,
...
)
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}
#' @rdname ggplot_rsi
#' @export
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facet_rsi <- function ( facet = c ( " interpretation" , " antibiotic" ) , nrow = NULL ) {
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facet <- facet [1 ]
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stop_ifnot_installed ( " ggplot2" )
meet_criteria ( facet , allow_class = " character" , has_length = 1 )
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meet_criteria ( nrow , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , allow_NULL = TRUE , is_positive = TRUE , is_finite = TRUE )
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# we work with aes_string later on
facet_deparse <- deparse ( substitute ( facet ) )
if ( facet_deparse != " facet" ) {
facet <- facet_deparse
}
if ( facet %like% ' ".*"' ) {
facet <- substr ( facet , 2 , nchar ( facet ) - 1 )
}
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if ( tolower ( facet ) %in% tolower ( c ( " SIR" , " RSI" , " interpretations" , " result" ) ) ) {
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facet <- " interpretation"
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} else if ( tolower ( facet ) %in% tolower ( c ( " ab" , " abx" , " antibiotics" ) ) ) {
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facet <- " antibiotic"
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}
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ggplot2 :: facet_wrap ( facets = facet , scales = " free_x" , nrow = nrow )
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}
#' @rdname ggplot_rsi
#' @export
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scale_y_percent <- function ( breaks = seq ( 0 , 1 , 0.1 ) , limits = NULL ) {
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stop_ifnot_installed ( " ggplot2" )
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meet_criteria ( breaks , allow_class = c ( " numeric" , " integer" ) )
meet_criteria ( limits , allow_class = c ( " numeric" , " integer" ) , has_length = 2 , allow_NULL = TRUE , allow_NA = TRUE )
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if ( all ( breaks [breaks != 0 ] > 1 ) ) {
breaks <- breaks / 100
}
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ggplot2 :: scale_y_continuous (
breaks = breaks ,
labels = percentage ( breaks ) ,
limits = limits
)
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}
#' @rdname ggplot_rsi
#' @export
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scale_rsi_colours <- function ( ... ,
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aesthetics = " fill" ) {
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stop_ifnot_installed ( " ggplot2" )
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meet_criteria ( aesthetics , allow_class = " character" , is_in = c ( " alpha" , " colour" , " color" , " fill" , " linetype" , " shape" , " size" ) )
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# behaviour until AMR pkg v1.5.0 and also when coming from ggplot_rsi()
if ( " colours" %in% names ( list ( ... ) ) ) {
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original_cols <- c (
S = " #3CAEA3" ,
SI = " #3CAEA3" ,
I = " #F6D55C" ,
IR = " #ED553B" ,
R = " #ED553B"
)
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colours <- replace ( original_cols , names ( list ( ... ) $ colours ) , list ( ... ) $ colours )
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# limits = force is needed in ggplot2 3.3.4 and 3.3.5, see here;
# https://github.com/tidyverse/ggplot2/issues/4511#issuecomment-866185530
return ( ggplot2 :: scale_fill_manual ( values = colours , limits = force ) )
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}
if ( identical ( unlist ( list ( ... ) ) , FALSE ) ) {
return ( invisible ( ) )
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}
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names_susceptible <- c (
" S" , " SI" , " IS" , " S+I" , " I+S" , " susceptible" , " Susceptible" ,
unique ( TRANSLATIONS [which ( TRANSLATIONS $ pattern == " Susceptible" ) ,
" replacement" ,
drop = TRUE
] )
)
names_incr_exposure <- c (
" I" , " intermediate" , " increased exposure" , " incr. exposure" ,
" Increased exposure" , " Incr. exposure" , " Susceptible, incr. exp." ,
unique ( TRANSLATIONS [which ( TRANSLATIONS $ pattern == " Intermediate" ) ,
" replacement" ,
drop = TRUE
] ) ,
unique ( TRANSLATIONS [which ( TRANSLATIONS $ pattern == " Susceptible, incr. exp." ) ,
" replacement" ,
drop = TRUE
] )
)
names_resistant <- c (
" R" , " IR" , " RI" , " R+I" , " I+R" , " resistant" , " Resistant" ,
unique ( TRANSLATIONS [which ( TRANSLATIONS $ pattern == " Resistant" ) ,
" replacement" ,
drop = TRUE
] )
)
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susceptible <- rep ( " #3CAEA3" , length ( names_susceptible ) )
names ( susceptible ) <- names_susceptible
incr_exposure <- rep ( " #F6D55C" , length ( names_incr_exposure ) )
names ( incr_exposure ) <- names_incr_exposure
resistant <- rep ( " #ED553B" , length ( names_resistant ) )
names ( resistant ) <- names_resistant
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original_cols <- c ( susceptible , incr_exposure , resistant )
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dots <- c ( ... )
# replace S, I, R as colours: scale_rsi_colours(mydatavalue = "S")
dots [dots == " S" ] <- " #3CAEA3"
dots [dots == " I" ] <- " #F6D55C"
dots [dots == " R" ] <- " #ED553B"
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cols <- replace ( original_cols , names ( dots ) , dots )
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# limits = force is needed in ggplot2 3.3.4 and 3.3.5, see here;
# https://github.com/tidyverse/ggplot2/issues/4511#issuecomment-866185530
ggplot2 :: scale_discrete_manual ( aesthetics = aesthetics , values = cols , limits = force )
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}
#' @rdname ggplot_rsi
#' @export
theme_rsi <- function ( ) {
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stop_ifnot_installed ( " ggplot2" )
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ggplot2 :: theme_minimal ( base_size = 10 ) +
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ggplot2 :: theme (
panel.grid.major.x = ggplot2 :: element_blank ( ) ,
panel.grid.minor = ggplot2 :: element_blank ( ) ,
panel.grid.major.y = ggplot2 :: element_line ( colour = " grey75" ) ,
# center title and subtitle
plot.title = ggplot2 :: element_text ( hjust = 0.5 ) ,
plot.subtitle = ggplot2 :: element_text ( hjust = 0.5 )
)
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}
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#' @rdname ggplot_rsi
#' @export
labels_rsi_count <- function ( position = NULL ,
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x = " antibiotic" ,
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translate_ab = " name" ,
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minimum = 30 ,
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language = get_AMR_locale ( ) ,
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combine_SI = TRUE ,
combine_IR = FALSE ,
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datalabels.size = 3 ,
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datalabels.colour = " grey15" ) {
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stop_ifnot_installed ( " ggplot2" )
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meet_criteria ( position , allow_class = " character" , has_length = 1 , is_in = c ( " fill" , " stack" , " dodge" ) , allow_NULL = TRUE )
meet_criteria ( x , allow_class = " character" , has_length = 1 )
meet_criteria ( translate_ab , allow_class = c ( " character" , " logical" ) , has_length = 1 , allow_NA = TRUE )
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meet_criteria ( minimum , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , is_finite = TRUE )
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meet_criteria ( language , has_length = 1 , is_in = c ( LANGUAGES_SUPPORTED , " " ) , allow_NULL = TRUE , allow_NA = TRUE )
meet_criteria ( combine_SI , allow_class = " logical" , has_length = 1 )
meet_criteria ( combine_IR , allow_class = " logical" , has_length = 1 )
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meet_criteria ( datalabels.size , allow_class = c ( " numeric" , " integer" ) , has_length = 1 , is_positive = TRUE , is_finite = TRUE )
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meet_criteria ( datalabels.colour , allow_class = " character" , has_length = 1 )
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if ( is.null ( position ) ) {
position <- " fill"
}
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if ( identical ( position , " fill" ) ) {
position <- ggplot2 :: position_fill ( vjust = 0.5 , reverse = TRUE )
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}
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x_name <- x
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ggplot2 :: geom_text (
mapping = ggplot2 :: aes_string (
label = " lbl" ,
x = x ,
y = " value"
) ,
position = position ,
inherit.aes = FALSE ,
size = datalabels.size ,
colour = datalabels.colour ,
lineheight = 0.75 ,
data = function ( x ) {
transformed <- rsi_df (
data = x ,
translate_ab = translate_ab ,
combine_SI = combine_SI ,
combine_IR = combine_IR ,
minimum = minimum ,
language = language
)
transformed $ gr <- transformed [ , x_name , drop = TRUE ]
transformed %pm>%
pm_group_by ( gr ) %pm>%
pm_mutate ( lbl = paste0 ( " n=" , isolates ) ) %pm>%
pm_ungroup ( ) %pm>%
pm_select ( - gr )
}
)
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}