brotherton-erpnext/erpnext/healthcare/utils.py
Jamsheer 5073ac4dcb fix: Patient History (Patient Medical Record) (#17972)
* Page - Patient History

* Healthcare Utils - get patient vitals

* Healthcare Utils - render doc as html for patient history page

* Page - Patient History -  prcatitioner image in time line

* Page - Patient History in menu

* fix - page medical history

* fix: page patient_history broken img, minor fixes

* fix: patient_history page, add pagination, show doc if fetched

* fix: Patient Medical Record to Patient History

* fix: patient history page - set route options

* fix: update to code standards

* fix: remove Eidt button form patient history

* fix: css update to code standards

* fix: Remove page medical_record
2019-07-12 12:28:34 +05:30

545 lines
24 KiB
Python

# -*- coding: utf-8 -*-
# Copyright (c) 2018, earthians and contributors
# For license information, please see license.txt
from __future__ import unicode_literals
import frappe
import datetime
from frappe import _
import math
from frappe.utils import time_diff_in_hours, rounded, getdate, add_days
from erpnext.healthcare.doctype.healthcare_settings.healthcare_settings import get_income_account
from erpnext.healthcare.doctype.fee_validity.fee_validity import create_fee_validity, update_fee_validity
from erpnext.healthcare.doctype.lab_test.lab_test import create_multiple
@frappe.whitelist()
def get_healthcare_services_to_invoice(patient):
patient = frappe.get_doc("Patient", patient)
if patient:
if patient.customer:
item_to_invoice = []
patient_appointments = frappe.get_list("Patient Appointment",{'patient': patient.name, 'invoiced': False},
order_by="appointment_date")
if patient_appointments:
fee_validity_details = []
valid_days = frappe.db.get_value("Healthcare Settings", None, "valid_days")
max_visit = frappe.db.get_value("Healthcare Settings", None, "max_visit")
for patient_appointment in patient_appointments:
patient_appointment_obj = frappe.get_doc("Patient Appointment", patient_appointment['name'])
if patient_appointment_obj.procedure_template:
if frappe.db.get_value("Clinical Procedure Template", patient_appointment_obj.procedure_template, "is_billable") == 1:
item_to_invoice.append({'reference_type': 'Patient Appointment', 'reference_name': patient_appointment_obj.name, 'service': patient_appointment_obj.procedure_template})
else:
practitioner_exist_in_list = False
skip_invoice = False
if fee_validity_details:
for validity in fee_validity_details:
if validity['practitioner'] == patient_appointment_obj.practitioner:
practitioner_exist_in_list = True
if validity['valid_till'] >= patient_appointment_obj.appointment_date:
validity['visits'] = validity['visits']+1
if int(max_visit) > validity['visits']:
skip_invoice = True
if not skip_invoice:
validity['visits'] = 1
validity['valid_till'] = patient_appointment_obj.appointment_date + datetime.timedelta(days=int(valid_days))
if not practitioner_exist_in_list:
valid_till = patient_appointment_obj.appointment_date + datetime.timedelta(days=int(valid_days))
visits = 0
validity_exist = validity_exists(patient_appointment_obj.practitioner, patient_appointment_obj.patient)
if validity_exist:
fee_validity = frappe.get_doc("Fee Validity", validity_exist[0][0])
valid_till = fee_validity.valid_till
visits = fee_validity.visited
fee_validity_details.append({'practitioner': patient_appointment_obj.practitioner,
'valid_till': valid_till, 'visits': visits})
if not skip_invoice:
practitioner_charge = 0
income_account = None
service_item = None
if patient_appointment_obj.practitioner:
service_item, practitioner_charge = service_item_and_practitioner_charge(patient_appointment_obj)
income_account = get_income_account(patient_appointment_obj.practitioner, patient_appointment_obj.company)
item_to_invoice.append({'reference_type': 'Patient Appointment', 'reference_name': patient_appointment_obj.name,
'service': service_item, 'rate': practitioner_charge,
'income_account': income_account})
encounters = frappe.get_list("Patient Encounter", {'patient': patient.name, 'invoiced': False, 'docstatus': 1})
if encounters:
for encounter in encounters:
encounter_obj = frappe.get_doc("Patient Encounter", encounter['name'])
if not encounter_obj.appointment:
practitioner_charge = 0
income_account = None
service_item = None
if encounter_obj.practitioner:
service_item, practitioner_charge = service_item_and_practitioner_charge(encounter_obj)
income_account = get_income_account(encounter_obj.practitioner, encounter_obj.company)
item_to_invoice.append({'reference_type': 'Patient Encounter', 'reference_name': encounter_obj.name,
'service': service_item, 'rate': practitioner_charge,
'income_account': income_account})
lab_tests = frappe.get_list("Lab Test", {'patient': patient.name, 'invoiced': False, 'docstatus': 1})
if lab_tests:
for lab_test in lab_tests:
lab_test_obj = frappe.get_doc("Lab Test", lab_test['name'])
if frappe.db.get_value("Lab Test Template", lab_test_obj.template, "is_billable") == 1:
item_to_invoice.append({'reference_type': 'Lab Test', 'reference_name': lab_test_obj.name,
'service': frappe.db.get_value("Lab Test Template", lab_test_obj.template, "item")})
lab_rxs = frappe.db.sql("""select lp.name from `tabPatient Encounter` et, `tabLab Prescription` lp
where et.patient=%s and lp.parent=et.name and lp.lab_test_created=0 and lp.invoiced=0""", (patient.name))
if lab_rxs:
for lab_rx in lab_rxs:
rx_obj = frappe.get_doc("Lab Prescription", lab_rx[0])
if rx_obj.lab_test_code and (frappe.db.get_value("Lab Test Template", rx_obj.lab_test_code, "is_billable") == 1):
item_to_invoice.append({'reference_type': 'Lab Prescription', 'reference_name': rx_obj.name,
'service': frappe.db.get_value("Lab Test Template", rx_obj.lab_test_code, "item")})
procedures = frappe.get_list("Clinical Procedure", {'patient': patient.name, 'invoiced': False})
if procedures:
for procedure in procedures:
procedure_obj = frappe.get_doc("Clinical Procedure", procedure['name'])
if not procedure_obj.appointment:
if procedure_obj.procedure_template and (frappe.db.get_value("Clinical Procedure Template", procedure_obj.procedure_template, "is_billable") == 1):
item_to_invoice.append({'reference_type': 'Clinical Procedure', 'reference_name': procedure_obj.name,
'service': frappe.db.get_value("Clinical Procedure Template", procedure_obj.procedure_template, "item")})
procedure_rxs = frappe.db.sql("""select pp.name from `tabPatient Encounter` et,
`tabProcedure Prescription` pp where et.patient=%s and pp.parent=et.name and
pp.procedure_created=0 and pp.invoiced=0 and pp.appointment_booked=0""", (patient.name))
if procedure_rxs:
for procedure_rx in procedure_rxs:
rx_obj = frappe.get_doc("Procedure Prescription", procedure_rx[0])
if frappe.db.get_value("Clinical Procedure Template", rx_obj.procedure, "is_billable") == 1:
item_to_invoice.append({'reference_type': 'Procedure Prescription', 'reference_name': rx_obj.name,
'service': frappe.db.get_value("Clinical Procedure Template", rx_obj.procedure, "item")})
procedures = frappe.get_list("Clinical Procedure",
{'patient': patient.name, 'invoice_separately_as_consumables': True, 'consumption_invoiced': False,
'consume_stock': True, 'status': 'Completed'})
if procedures:
service_item = get_healthcare_service_item('clinical_procedure_consumable_item')
if not service_item:
msg = _(("Please Configure {0} in ").format("Clinical Procedure Consumable Item") \
+ """<b><a href="#Form/Healthcare Settings">Healthcare Settings</a></b>""")
frappe.throw(msg)
for procedure in procedures:
procedure_obj = frappe.get_doc("Clinical Procedure", procedure['name'])
item_to_invoice.append({'reference_type': 'Clinical Procedure', 'reference_name': procedure_obj.name,
'service': service_item, 'rate': procedure_obj.consumable_total_amount, 'description': procedure_obj.consumption_details})
inpatient_services = frappe.db.sql("""select io.name, io.parent from `tabInpatient Record` ip,
`tabInpatient Occupancy` io where ip.patient=%s and io.parent=ip.name and
io.left=1 and io.invoiced=0""", (patient.name))
if inpatient_services:
for inpatient_service in inpatient_services:
inpatient_occupancy = frappe.get_doc("Inpatient Occupancy", inpatient_service[0])
service_unit_type = frappe.get_doc("Healthcare Service Unit Type", frappe.db.get_value("Healthcare Service Unit", inpatient_occupancy.service_unit, "service_unit_type"))
if service_unit_type and service_unit_type.is_billable == 1:
hours_occupied = time_diff_in_hours(inpatient_occupancy.check_out, inpatient_occupancy.check_in)
qty = 0.5
if hours_occupied > 0:
actual_qty = hours_occupied / service_unit_type.no_of_hours
floor = math.floor(actual_qty)
decimal_part = actual_qty - floor
if decimal_part > 0.5:
qty = rounded(floor + 1, 1)
elif decimal_part < 0.5 and decimal_part > 0:
qty = rounded(floor + 0.5, 1)
if qty <= 0:
qty = 0.5
item_to_invoice.append({'reference_type': 'Inpatient Occupancy', 'reference_name': inpatient_occupancy.name,
'service': service_unit_type.item, 'qty': qty})
return item_to_invoice
else:
frappe.throw(_("The Patient {0} do not have customer refrence to invoice").format(patient.name))
def service_item_and_practitioner_charge(doc):
is_ip = doc_is_ip(doc)
if is_ip:
service_item = get_practitioner_service_item(doc.practitioner, "inpatient_visit_charge_item")
if not service_item:
service_item = get_healthcare_service_item("inpatient_visit_charge_item")
else:
service_item = get_practitioner_service_item(doc.practitioner, "op_consulting_charge_item")
if not service_item:
service_item = get_healthcare_service_item("op_consulting_charge_item")
if not service_item:
throw_config_service_item(is_ip)
practitioner_charge = get_practitioner_charge(doc.practitioner, is_ip)
if not practitioner_charge:
throw_config_practitioner_charge(is_ip, doc.practitioner)
return service_item, practitioner_charge
def throw_config_service_item(is_ip):
service_item_lable = "Out Patient Consulting Charge Item"
if is_ip:
service_item_lable = "Inpatient Visit Charge Item"
msg = _(("Please Configure {0} in ").format(service_item_lable) \
+ """<b><a href="#Form/Healthcare Settings">Healthcare Settings</a></b>""")
frappe.throw(msg)
def throw_config_practitioner_charge(is_ip, practitioner):
charge_name = "OP Consulting Charge"
if is_ip:
charge_name = "Inpatient Visit Charge"
msg = _(("Please Configure {0} for Healthcare Practitioner").format(charge_name) \
+ """ <b><a href="#Form/Healthcare Practitioner/{0}">{0}</a></b>""".format(practitioner))
frappe.throw(msg)
def get_practitioner_service_item(practitioner, service_item_field):
return frappe.db.get_value("Healthcare Practitioner", practitioner, service_item_field)
def get_healthcare_service_item(service_item_field):
return frappe.db.get_value("Healthcare Settings", None, service_item_field)
def doc_is_ip(doc):
is_ip = False
if doc.inpatient_record:
is_ip = True
return is_ip
def get_practitioner_charge(practitioner, is_ip):
if is_ip:
practitioner_charge = frappe.db.get_value("Healthcare Practitioner", practitioner, "inpatient_visit_charge")
else:
practitioner_charge = frappe.db.get_value("Healthcare Practitioner", practitioner, "op_consulting_charge")
if practitioner_charge:
return practitioner_charge
return False
def manage_invoice_submit_cancel(doc, method):
if doc.items:
for item in doc.items:
if item.get("reference_dt") and item.get("reference_dn"):
if frappe.get_meta(item.reference_dt).has_field("invoiced"):
set_invoiced(item, method, doc.name)
if method=="on_submit" and frappe.db.get_value("Healthcare Settings", None, "create_test_on_si_submit") == '1':
create_multiple("Sales Invoice", doc.name)
def set_invoiced(item, method, ref_invoice=None):
invoiced = False
if(method=="on_submit"):
validate_invoiced_on_submit(item)
invoiced = True
if item.reference_dt == 'Clinical Procedure':
if get_healthcare_service_item('clinical_procedure_consumable_item') == item.item_code:
frappe.db.set_value(item.reference_dt, item.reference_dn, "consumption_invoiced", invoiced)
else:
frappe.db.set_value(item.reference_dt, item.reference_dn, "invoiced", invoiced)
else:
frappe.db.set_value(item.reference_dt, item.reference_dn, "invoiced", invoiced)
if item.reference_dt == 'Patient Appointment':
if frappe.db.get_value('Patient Appointment', item.reference_dn, 'procedure_template'):
dt_from_appointment = "Clinical Procedure"
else:
manage_fee_validity(item.reference_dn, method, ref_invoice)
dt_from_appointment = "Patient Encounter"
manage_doc_for_appoitnment(dt_from_appointment, item.reference_dn, invoiced)
elif item.reference_dt == 'Lab Prescription':
manage_prescriptions(invoiced, item.reference_dt, item.reference_dn, "Lab Test", "lab_test_created")
elif item.reference_dt == 'Procedure Prescription':
manage_prescriptions(invoiced, item.reference_dt, item.reference_dn, "Clinical Procedure", "procedure_created")
def validate_invoiced_on_submit(item):
if item.reference_dt == 'Clinical Procedure' and get_healthcare_service_item('clinical_procedure_consumable_item') == item.item_code:
is_invoiced = frappe.db.get_value(item.reference_dt, item.reference_dn, "consumption_invoiced")
else:
is_invoiced = frappe.db.get_value(item.reference_dt, item.reference_dn, "invoiced")
if is_invoiced == 1:
frappe.throw(_("The item referenced by {0} - {1} is already invoiced"\
).format(item.reference_dt, item.reference_dn))
def manage_prescriptions(invoiced, ref_dt, ref_dn, dt, created_check_field):
created = frappe.db.get_value(ref_dt, ref_dn, created_check_field)
if created == 1:
# Fetch the doc created for the prescription
doc_created = frappe.db.get_value(dt, {'prescription': ref_dn})
frappe.db.set_value(dt, doc_created, 'invoiced', invoiced)
def validity_exists(practitioner, patient):
return frappe.db.exists({
"doctype": "Fee Validity",
"practitioner": practitioner,
"patient": patient})
def manage_fee_validity(appointment_name, method, ref_invoice=None):
appointment_doc = frappe.get_doc("Patient Appointment", appointment_name)
validity_exist = validity_exists(appointment_doc.practitioner, appointment_doc.patient)
do_not_update = False
visited = 0
if validity_exist:
fee_validity = frappe.get_doc("Fee Validity", validity_exist[0][0])
# Check if the validity is valid
if (fee_validity.valid_till >= appointment_doc.appointment_date):
if (method == "on_cancel" and appointment_doc.status != "Closed"):
if ref_invoice == fee_validity.ref_invoice:
visited = fee_validity.visited - 1
if visited < 0:
visited = 0
frappe.db.set_value("Fee Validity", fee_validity.name, "visited", visited)
do_not_update = True
elif (method == "on_submit" and fee_validity.visited < fee_validity.max_visit):
visited = fee_validity.visited + 1
frappe.db.set_value("Fee Validity", fee_validity.name, "visited", visited)
do_not_update = True
else:
do_not_update = False
if not do_not_update:
fee_validity = update_fee_validity(fee_validity, appointment_doc.appointment_date, ref_invoice)
visited = fee_validity.visited
else:
fee_validity = create_fee_validity(appointment_doc.practitioner, appointment_doc.patient, appointment_doc.appointment_date, ref_invoice)
visited = fee_validity.visited
# Mark All Patient Appointment invoiced = True in the validity range do not cross the max visit
if (method == "on_cancel"):
invoiced = True
else:
invoiced = False
patient_appointments = appointments_valid_in_fee_validity(appointment_doc, invoiced)
if patient_appointments and fee_validity:
visit = visited
for appointment in patient_appointments:
if (method == "on_cancel" and appointment.status != "Closed"):
if ref_invoice == fee_validity.ref_invoice:
visited = visited - 1
if visited < 0:
visited = 0
frappe.db.set_value("Fee Validity", fee_validity.name, "visited", visited)
frappe.db.set_value("Patient Appointment", appointment.name, "invoiced", False)
manage_doc_for_appoitnment("Patient Encounter", appointment.name, False)
elif method == "on_submit" and int(fee_validity.max_visit) > visit:
if ref_invoice == fee_validity.ref_invoice:
visited = visited + 1
frappe.db.set_value("Fee Validity", fee_validity.name, "visited", visited)
frappe.db.set_value("Patient Appointment", appointment.name, "invoiced", True)
manage_doc_for_appoitnment("Patient Encounter", appointment.name, True)
if ref_invoice == fee_validity.ref_invoice:
visit = visit + 1
if method == "on_cancel":
ref_invoice_in_fee_validity = frappe.db.get_value("Fee Validity", fee_validity.name, 'ref_invoice')
if ref_invoice_in_fee_validity == ref_invoice:
frappe.delete_doc("Fee Validity", fee_validity.name)
def appointments_valid_in_fee_validity(appointment, invoiced):
valid_days = frappe.db.get_value("Healthcare Settings", None, "valid_days")
max_visit = frappe.db.get_value("Healthcare Settings", None, "max_visit")
if int(max_visit) < 1:
max_visit = 1
valid_days_date = add_days(getdate(appointment.appointment_date), int(valid_days))
return frappe.get_list("Patient Appointment",{'patient': appointment.patient, 'invoiced': invoiced,
'appointment_date':("<=", valid_days_date), 'appointment_date':(">=", getdate(appointment.appointment_date)),
'practitioner': appointment.practitioner}, order_by="appointment_date", limit=int(max_visit)-1)
def manage_doc_for_appoitnment(dt_from_appointment, appointment, invoiced):
dn_from_appointment = frappe.db.exists(
dt_from_appointment,
{
"appointment": appointment
}
)
if dn_from_appointment:
frappe.db.set_value(dt_from_appointment, dn_from_appointment, "invoiced", invoiced)
@frappe.whitelist()
def get_drugs_to_invoice(encounter):
encounter = frappe.get_doc("Patient Encounter", encounter)
if encounter:
patient = frappe.get_doc("Patient", encounter.patient)
if patient and patient.customer:
item_to_invoice = []
for drug_line in encounter.drug_prescription:
if drug_line.drug_code:
qty = 1
if frappe.db.get_value("Item", drug_line.drug_code, "stock_uom") == "Nos":
qty = drug_line.get_quantity()
description = False
if drug_line.dosage:
description = drug_line.dosage
if description and drug_line.period:
description += " for "+drug_line.period
if not description:
description = ""
item_to_invoice.append({'drug_code': drug_line.drug_code, 'quantity': qty,
'description': description})
return item_to_invoice
@frappe.whitelist()
def get_children(doctype, parent, company, is_root=False):
parent_fieldname = 'parent_' + doctype.lower().replace(' ', '_')
fields = [
'name as value',
'is_group as expandable',
'lft',
'rgt'
]
# fields = [ 'name', 'is_group', 'lft', 'rgt' ]
filters = [['ifnull(`{0}`,"")'.format(parent_fieldname), '=', '' if is_root else parent]]
if is_root:
fields += ['service_unit_type'] if doctype == 'Healthcare Service Unit' else []
filters.append(['company', '=', company])
else:
fields += ['service_unit_type', 'allow_appointments', 'inpatient_occupancy', 'occupancy_status'] if doctype == 'Healthcare Service Unit' else []
fields += [parent_fieldname + ' as parent']
hc_service_units = frappe.get_list(doctype, fields=fields, filters=filters)
if doctype == 'Healthcare Service Unit':
for each in hc_service_units:
occupancy_msg = ""
if each['expandable'] == 1:
occupied = False
vacant = False
child_list = frappe.db.sql("""
select name, occupancy_status from `tabHealthcare Service Unit`
where inpatient_occupancy = 1 and
lft > %s and rgt < %s""",
(each['lft'], each['rgt']))
for child in child_list:
if not occupied:
occupied = 0
if child[1] == "Occupied":
occupied += 1
if not vacant:
vacant = 0
if child[1] == "Vacant":
vacant += 1
if vacant and occupied:
occupancy_total = vacant+occupied
occupancy_msg = str(occupied) + " Occupied out of " + str(occupancy_total)
each["occupied_out_of_vacant"] = occupancy_msg
return hc_service_units
@frappe.whitelist()
def get_patient_vitals(patient, from_date=None, to_date=None):
if not patient: return
vitals = frappe.db.sql("""select * from `tabVital Signs` where \
docstatus=1 and patient=%s order by signs_date, signs_time""", \
(patient), as_dict=1)
if vitals and vitals[0]:
return vitals
else:
return False
@frappe.whitelist()
def render_docs_as_html(docs):
# docs key value pair {doctype: docname}
docs_html = "<div class='col-md-12 col-sm-12 text-muted'>"
for doc in docs:
docs_html += render_doc_as_html(doc['doctype'], doc['docname'])['html'] + "<br/>"
return {'html': docs_html}
@frappe.whitelist()
def render_doc_as_html(doctype, docname, exclude_fields = []):
#render document as html, three column layout will break
doc = frappe.get_doc(doctype, docname)
meta = frappe.get_meta(doctype)
doc_html = "<div class='col-md-12 col-sm-12'>"
section_html = ""
section_label = ""
html = ""
sec_on = False
col_on = 0
has_data = False
for df in meta.fields:
#on section break append append previous section and html to doc html
if df.fieldtype == "Section Break":
if has_data and col_on and sec_on:
doc_html += section_html + html + "</div>"
elif has_data and not col_on and sec_on:
doc_html += "<div class='col-md-12 col-sm-12'\
><div class='col-md-12 col-sm-12'>" \
+ section_html + html +"</div></div>"
while col_on:
doc_html += "</div>"
col_on -= 1
sec_on = True
has_data= False
col_on = 0
section_html = ""
html = ""
if df.label:
section_label = df.label
continue
#on column break append html to section html or doc html
if df.fieldtype == "Column Break":
if sec_on and has_data:
section_html += "<div class='col-md-12 col-sm-12'\
><div class='col-md-6 col\
-sm-6'><b>" + section_label + "</b>" + html + "</div><div \
class='col-md-6 col-sm-6'>"
elif has_data:
doc_html += "<div class='col-md-12 col-sm-12'><div class='col-m\
d-6 col-sm-6'>" + html + "</div><div class='col-md-6 col-sm-6'>"
elif sec_on and not col_on:
section_html += "<div class='col-md-6 col-sm-6'>"
html = ""
col_on += 1
if df.label:
html += '<br>' + df.label
continue
#on table iterate in items and create table based on in_list_view, append to section html or doc html
if df.fieldtype == "Table":
items = doc.get(df.fieldname)
if not items: continue
child_meta = frappe.get_meta(df.options)
if not has_data : has_data = True
table_head = ""
table_row = ""
create_head = True
for item in items:
table_row += '<tr>'
for cdf in child_meta.fields:
if cdf.in_list_view:
if create_head:
table_head += '<th>' + cdf.label + '</th>'
if item.get(cdf.fieldname):
table_row += '<td>' + str(item.get(cdf.fieldname)) \
+ '</td>'
else:
table_row += '<td></td>'
create_head = False
table_row += '</tr>'
if sec_on:
section_html += '<table class="table table-condensed \
bordered">' + table_head + table_row + '</table>'
else:
html += '<table class="table table-condensed table-bordered">' \
+ table_head + table_row + '</table>'
continue
#on other field types add label and value to html
if not df.hidden and not df.print_hide and doc.get(df.fieldname) and df.fieldname not in exclude_fields:
html += "<br>{0} : {1}".format(df.label or df.fieldname, \
doc.get(df.fieldname))
if not has_data : has_data = True
if sec_on and col_on and has_data:
doc_html += section_html + html + "</div></div>"
elif sec_on and not col_on and has_data:
doc_html += "<div class='col-md-12 col-sm-12'\
><div class='col-md-12 col-sm-12'>" \
+ section_html + html +"</div></div>"
if doc_html:
doc_html = "<div class='small'><div class='col-md-12 text-right'><a class='btn btn-default btn-xs' href='#Form/%s/%s'></a></div>" %(doctype, docname) + doc_html + "</div>"
return {'html': doc_html}