1068 lines
44 KiB
Python
1068 lines
44 KiB
Python
# -*- coding: utf-8 -*-
|
|
|
|
import logging
|
|
import os
|
|
|
|
from datetime import datetime, date
|
|
from dateutil.relativedelta import relativedelta
|
|
from cPickle import loads, dumps
|
|
|
|
from django.conf import settings
|
|
from django.db import models
|
|
from django.db.models import Min, Max, Q
|
|
from django.contrib.auth.models import User
|
|
from django.core.validators import MinValueValidator
|
|
|
|
from calebasse.choices import TYPE_OF_CONTRACT_CHOICES, DEFICIENCY_CHOICES
|
|
from calebasse.models import PhoneNumberField, ZipCodeField
|
|
from calebasse.personnes.models import People
|
|
from calebasse.ressources.models import (ServiceLinkedAbstractModel,
|
|
NamedAbstractModel)
|
|
from calebasse.actes.models import Act
|
|
|
|
from ..middleware.request import get_request
|
|
from ..utils import get_service_setting
|
|
|
|
DEFAULT_ACT_NUMBER_DIAGNOSTIC = 6
|
|
DEFAULT_ACT_NUMBER_TREATMENT = 30
|
|
DEFAULT_ACT_NUMBER_PROLONGATION = 10
|
|
VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS = 0
|
|
VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS = 0
|
|
VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS = 1
|
|
|
|
logger = logging.getLogger('calebasse.dossiers')
|
|
|
|
|
|
class TransportPrescriptionLog(models.Model):
|
|
patient = models.ForeignKey('dossiers.PatientRecord',
|
|
verbose_name=u'Dossier patient')
|
|
created = models.DateTimeField(u'Création', auto_now_add=True)
|
|
choices = models.CharField(max_length = 4096, null=True, blank=True)
|
|
|
|
def get_choices(self):
|
|
if not self.choices:
|
|
return dict()
|
|
return loads(str(self.choices), protocol = 1)
|
|
|
|
def set_choices(self, choices=None):
|
|
if choices and isinstance(choices, dict):
|
|
self.choices = dumps(choices, protocol = 1)
|
|
|
|
|
|
class HealthCare(models.Model):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
|
|
start_date = models.DateField(verbose_name=u"Date de début")
|
|
request_date = models.DateField(verbose_name=u"Date de demande",
|
|
blank=True, null=True)
|
|
agree_date = models.DateField(verbose_name=u"Date d'accord",
|
|
blank=True, null=True)
|
|
insist_date = models.DateField(verbose_name=u"Date de relance",
|
|
blank=True, null=True)
|
|
patient = models.ForeignKey('dossiers.PatientRecord',
|
|
verbose_name=u'Dossier patient')
|
|
created = models.DateTimeField(u'Création', auto_now_add=True)
|
|
author = \
|
|
models.ForeignKey(User,
|
|
verbose_name=u'Auteur', blank=True, null=True)
|
|
comment = models.TextField(max_length=3000, blank=True, null=True, verbose_name=u"Commentaire")
|
|
|
|
def get_nb_acts_cared(self):
|
|
return len(self.act_set.all())
|
|
|
|
|
|
class CmppHealthCareDiagnostic(HealthCare):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
|
|
act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_DIAGNOSTIC, verbose_name=u"Nombre d'actes couverts")
|
|
end_date = models.DateField(verbose_name=u"Date de fin",
|
|
blank=True, null=True)
|
|
|
|
def get_act_number(self):
|
|
return self.act_number
|
|
|
|
def set_act_number(self, value):
|
|
if value < self.get_nb_acts_cared():
|
|
raise Exception("La valeur doit être supérieur au "
|
|
"nombre d'actes déjà pris en charge")
|
|
self.act_number = value
|
|
self.save()
|
|
|
|
def save(self, **kwargs):
|
|
self.start_date = \
|
|
datetime(self.start_date.year, self.start_date.month,
|
|
self.start_date.day)
|
|
super(CmppHealthCareDiagnostic, self).save(**kwargs)
|
|
|
|
|
|
class CmppHealthCareTreatment(HealthCare):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
|
|
act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_TREATMENT,
|
|
verbose_name=u"Nombre d'actes couverts")
|
|
end_date = models.DateField(verbose_name=u"Date de fin",
|
|
blank=True, null=True)
|
|
prolongation = models.IntegerField(default=0,
|
|
verbose_name=u'Prolongation')
|
|
prolongation_date = models.DateField(verbose_name=u"Date de prolongation",
|
|
blank=True, null=True)
|
|
|
|
def get_act_number(self):
|
|
if self.is_extended():
|
|
return self.act_number + self.prolongation
|
|
return self.act_number
|
|
|
|
def set_act_number(self, value):
|
|
if value < self.get_nb_acts_cared():
|
|
raise Exception("La valeur doit être supérieur au "
|
|
"nombre d'actes déjà pris en charge")
|
|
self.act_number = value
|
|
self.save()
|
|
|
|
def is_extended(self):
|
|
if self.prolongation > 0:
|
|
return True
|
|
return False
|
|
|
|
def add_prolongation(self, value=None):
|
|
if not value:
|
|
value = DEFAULT_ACT_NUMBER_PROLONGATION
|
|
if self.is_extended():
|
|
raise Exception(u'Prise en charge déja prolongée')
|
|
self.prolongation = value
|
|
self.save()
|
|
|
|
def del_prolongation(self):
|
|
pass
|
|
|
|
def save(self, **kwargs):
|
|
self.start_date = \
|
|
datetime(self.start_date.year, self.start_date.month,
|
|
self.start_date.day)
|
|
if not self.end_date:
|
|
self.end_date = self.start_date + \
|
|
relativedelta(years=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS) + \
|
|
relativedelta(months=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS) + \
|
|
relativedelta(days=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS-1)
|
|
super(CmppHealthCareTreatment, self).save(**kwargs)
|
|
|
|
|
|
class SessadHealthCareNotification(HealthCare):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
|
|
end_date = models.DateField(verbose_name=u"Date de fin",
|
|
blank=True, null=True)
|
|
|
|
def save(self, **kwargs):
|
|
self.start_date = \
|
|
datetime(self.start_date.year, self.start_date.month,
|
|
self.start_date.day)
|
|
if self.end_date:
|
|
self.end_date = \
|
|
datetime(self.end_date.year, self.end_date.month,
|
|
self.end_date.day)
|
|
super(SessadHealthCareNotification, self).save(**kwargs)
|
|
|
|
class ProtectionStatus(NamedAbstractModel):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
verbose_name = u"Statut d'une mesure de protection"
|
|
verbose_name_plural = u"Statuts d'une mesure de protection"
|
|
|
|
class ProtectionState(models.Model):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
verbose_name = u'Mesure de protection du dossier patient'
|
|
verbose_name_plural = u'Mesure de protections du dossier patient'
|
|
ordering = ['-start_date']
|
|
|
|
patient = models.ForeignKey('dossiers.PatientRecord',
|
|
verbose_name=u'Dossier patient')
|
|
status = models.ForeignKey('dossiers.ProtectionStatus', verbose_name=u'Statut de protection')
|
|
created = models.DateTimeField(u'Création', auto_now_add=True)
|
|
start_date = models.DateTimeField()
|
|
end_date = models.DateTimeField(blank=True, null=True)
|
|
comment = models.TextField(max_length=3000, blank=True, null=True)
|
|
|
|
def __unicode__(self):
|
|
return self.status.name + ' ' + str(self.start_date)
|
|
|
|
class Status(NamedAbstractModel):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
verbose_name = u"Statut d'un état"
|
|
verbose_name_plural = u"Statuts d'un état"
|
|
|
|
type = models.CharField(max_length=80)
|
|
services = models.ManyToManyField('ressources.Service')
|
|
|
|
|
|
class FileState(models.Model):
|
|
|
|
class Meta:
|
|
app_label = 'dossiers'
|
|
verbose_name = u'Etat du dossier patient'
|
|
verbose_name_plural = u'Etats du dossier patient'
|
|
|
|
patient = models.ForeignKey('dossiers.PatientRecord',
|
|
verbose_name=u'Dossier patient')
|
|
status = models.ForeignKey('dossiers.Status', verbose_name=u'Statut')
|
|
created = models.DateTimeField(u'Création', auto_now_add=True)
|
|
date_selected = models.DateTimeField()
|
|
author = \
|
|
models.ForeignKey(User,
|
|
verbose_name=u'Auteur')
|
|
comment = models.TextField(max_length=3000, blank=True, null=True)
|
|
previous_state = models.ForeignKey('FileState',
|
|
on_delete=models.SET_NULL,
|
|
verbose_name=u'Etat précédent',
|
|
blank=True, null=True)
|
|
|
|
def get_next_state(self):
|
|
try:
|
|
return FileState.objects.get(previous_state=self)
|
|
except:
|
|
return None
|
|
|
|
def save(self, **kwargs):
|
|
self.date_selected = \
|
|
datetime(self.date_selected.year,
|
|
self.date_selected.month, self.date_selected.day)
|
|
super(FileState, self).save(**kwargs)
|
|
|
|
def __unicode__(self):
|
|
return self.status.name + ' ' + str(self.date_selected)
|
|
|
|
def delete(self, *args, **kwargs):
|
|
next_state = self.get_next_state()
|
|
if next_state and self.previous_state:
|
|
next_state.previous_state = self.previous_state
|
|
next_state.save()
|
|
if self.patient.last_state == self:
|
|
self.patient.last_state = self.previous_state
|
|
self.patient.save()
|
|
obj_id = self.id
|
|
super(FileState, self).delete(*args, **kwargs)
|
|
|
|
class PatientAddress(models.Model):
|
|
|
|
display_name = models.CharField(max_length=276,
|
|
verbose_name=u'Adresse complète', editable=False)
|
|
phone = PhoneNumberField(verbose_name=u"Téléphone", blank=True, null=True)
|
|
fax = PhoneNumberField(verbose_name=u"Fax", blank=True, null=True)
|
|
place_of_life = models.BooleanField(verbose_name=u"Lieu de vie")
|
|
number = models.CharField(max_length=12,
|
|
verbose_name=u"Numéro", blank=True, null=True)
|
|
recipient = models.CharField(max_length=100,
|
|
verbose_name=u"Destinataire", blank=True, null=True)
|
|
street = models.CharField(max_length=100,
|
|
verbose_name=u"Rue", blank=True, null=True)
|
|
address_complement = models.CharField(max_length=100,
|
|
blank=True, null=True,
|
|
verbose_name=u"Complément d'adresse")
|
|
zip_code = ZipCodeField(verbose_name=u"Code postal", blank=True, null=True)
|
|
city = models.CharField(max_length=60,
|
|
verbose_name=u"Ville", blank=True, null=True)
|
|
comment = models.TextField(verbose_name=u"Commentaire",
|
|
null=True, blank=True)
|
|
|
|
def __unicode__(self):
|
|
return self.display_name or u"Non renseigné"
|
|
|
|
def save(self, **kwargs):
|
|
self.display_name = ''
|
|
if self.recipient:
|
|
self.display_name += self.recipient + ' '
|
|
if self.number:
|
|
self.display_name += self.number + ' '
|
|
if self.street:
|
|
self.display_name += self.street + ' '
|
|
if self.address_complement:
|
|
self.display_name += self.address_complement + ' '
|
|
if self.zip_code:
|
|
self.display_name += self.zip_code + ' '
|
|
if self.city:
|
|
self.display_name += self.city + ' '
|
|
super(PatientAddress, self).save(**kwargs)
|
|
|
|
class PatientContact(People):
|
|
class Meta:
|
|
verbose_name = u'Contact patient'
|
|
verbose_name_plural = u'Contacts patient'
|
|
|
|
mobile = PhoneNumberField(verbose_name=u"Téléphone mobile", blank=True, null=True)
|
|
# carte vitale
|
|
social_security_id = models.CharField(max_length=13, verbose_name=u"NIR",
|
|
null=True, blank=True)
|
|
birthdate = models.DateField(verbose_name=u"Date de naissance",
|
|
null=True, blank=True)
|
|
birthplace = models.CharField(max_length=100, verbose_name=u"Lieu de naissance",
|
|
null=True, blank=True)
|
|
twinning_rank = models.IntegerField(verbose_name=u"Rang (gémellité)", default=1,
|
|
validators=[MinValueValidator(1)])
|
|
thirdparty_payer = models.BooleanField(verbose_name=u'Tiers-payant',
|
|
default=False)
|
|
begin_rights = models.DateField(verbose_name=u"Début de droits",
|
|
null=True, blank=True)
|
|
end_rights = models.DateField(verbose_name=u"Fin de droits",
|
|
null=True, blank=True)
|
|
health_center = models.ForeignKey('ressources.HealthCenter',
|
|
verbose_name=u"Centre d'assurance maladie",
|
|
null=True, blank=True)
|
|
other_health_center = models.CharField(verbose_name=u"Centre spécifique",
|
|
max_length=4,
|
|
null=True, blank=True)
|
|
type_of_contract = models.CharField(max_length=2,
|
|
verbose_name=u"Type de contrat spécifique",
|
|
choices=TYPE_OF_CONTRACT_CHOICES,
|
|
null=True, blank=True)
|
|
management_code = models.ForeignKey('ressources.ManagementCode',
|
|
verbose_name=u"Code de gestion",
|
|
null=True, blank=True)
|
|
job = models.ForeignKey('ressources.Job',
|
|
related_name="job",
|
|
verbose_name=u"Profession",
|
|
null=True, blank=True, default=None)
|
|
parente = models.ForeignKey('ressources.PatientRelatedLink',
|
|
verbose_name=u"Lien avec le patient (Parenté)",
|
|
null=True, blank=True, default=None)
|
|
ame = models.BooleanField(verbose_name=u"AME", default=False)
|
|
|
|
addresses = models.ManyToManyField('PatientAddress', verbose_name=u"Adresses")
|
|
contact_comment = models.TextField(verbose_name=u"Commentaire",
|
|
null=True, blank=True)
|
|
|
|
old_contact_id = models.CharField(max_length=256,
|
|
verbose_name=u'Ancien ID du contact', blank=True, null=True)
|
|
|
|
def get_control_key(self):
|
|
if self.social_security_id:
|
|
nir = self.social_security_id
|
|
try:
|
|
# Corse dpt 2A et 2B
|
|
minus = 0
|
|
if nir[6] in ('A', 'a'):
|
|
nir = [c for c in nir]
|
|
nir[6] = '0'
|
|
nir = ''.join(nir)
|
|
minus = 1000000
|
|
elif nir[6] in ('B', 'b'):
|
|
nir = [c for c in nir]
|
|
nir[6] = '0'
|
|
nir = ''.join(nir)
|
|
minus = 2000000
|
|
nir = int(nir) - minus
|
|
return (97 - (nir % 97))
|
|
except Exception, e:
|
|
logger.warning("%s" % str(e))
|
|
return None
|
|
return None
|
|
|
|
def age(self, age_format=None):
|
|
if not self.birthdate:
|
|
return 'inconnu'
|
|
|
|
if not age_format:
|
|
age_format = get_service_setting('age_format')
|
|
|
|
now = datetime.today().date()
|
|
age = relativedelta(now, self.birthdate)
|
|
|
|
# by default we return the number of months for children < 2 years, but
|
|
# there's a service setting to have it always displayed that way.
|
|
months = age.years * 12 + age.months
|
|
if months == 0:
|
|
components = []
|
|
elif age.years < 2 or age_format == 'months_only':
|
|
components = ['%s mois' % months]
|
|
else:
|
|
components = ['%s ans' % age.years]
|
|
if age.months:
|
|
components.append('%s mois' % age.months)
|
|
|
|
# under three months, we also display the number of days
|
|
if months < 3:
|
|
if age.days == 1:
|
|
components.append("%s jour" % age.days)
|
|
elif age.days > 1:
|
|
components.append('%s jours' % age.days)
|
|
|
|
return ' et '.join(components)
|
|
|
|
|
|
class PatientRecordManager(models.Manager):
|
|
def for_service(self, service):
|
|
return self.filter(service=service)
|
|
|
|
class PatientRecord(ServiceLinkedAbstractModel, PatientContact):
|
|
objects = PatientRecordManager()
|
|
|
|
class Meta:
|
|
verbose_name = u'Dossier'
|
|
verbose_name_plural = u'Dossiers'
|
|
|
|
created = models.DateTimeField(u'création', auto_now_add=True)
|
|
creator = \
|
|
models.ForeignKey(User,
|
|
verbose_name=u'Créateur dossier patient',
|
|
editable=True)
|
|
policyholder = models.ForeignKey('PatientContact',
|
|
null=True, blank=True,
|
|
verbose_name="Assuré", related_name="+",
|
|
on_delete=models.SET_NULL)
|
|
contacts = models.ManyToManyField('PatientContact',
|
|
related_name='contact_of')
|
|
nationality = models.CharField(verbose_name=u"Nationalité",
|
|
max_length=70, null=True, blank=True)
|
|
paper_id = models.CharField(max_length=6,
|
|
verbose_name=u"N° dossier papier",
|
|
null=True, blank=True)
|
|
last_state = models.ForeignKey(FileState, related_name='+',
|
|
null=True, on_delete=models.SET_NULL)
|
|
comment = models.TextField(verbose_name=u"Commentaire",
|
|
null=True, blank=True, default=None)
|
|
pause = models.BooleanField(verbose_name=u"Pause facturation",
|
|
default=False)
|
|
pause_comment = models.TextField(verbose_name=u"Commentaire sur la pause facturation",
|
|
null=True, blank=True, default=None)
|
|
confidential = models.BooleanField(verbose_name=u"Confidentiel",
|
|
default=False)
|
|
socialisation_durations = models.ManyToManyField('ressources.SocialisationDuration',
|
|
related_name='socialisation_duration_of')
|
|
mdph_requests = models.ManyToManyField('ressources.MDPHRequest',
|
|
related_name='mdph_requests_of')
|
|
mdph_responses = models.ManyToManyField('ressources.MDPHResponse',
|
|
related_name='mdph_responses_of')
|
|
addresses_contacts_comment = models.TextField(verbose_name=u"Commentaire sur les adresses et contacts",
|
|
null=True, blank=True, default=None)
|
|
|
|
# Physiology and health data
|
|
size = models.DecimalField(verbose_name=u"Taille (cm)", max_digits=5, decimal_places=1,
|
|
null=True, blank=True, default=None)
|
|
weight = models.IntegerField(verbose_name=u"Poids (g)",
|
|
null=True, blank=True, default=None)
|
|
pregnancy_term = models.IntegerField(verbose_name=u"Terme en semaines",
|
|
null=True, blank=True, default=None)
|
|
cranium_perimeter = models.DecimalField(verbose_name=u"Périmètre cranien", max_digits=5, decimal_places=2,
|
|
null=True, blank=True, default=None)
|
|
chest_perimeter = models.DecimalField(verbose_name=u"Périmètre thoracique", max_digits=5, decimal_places=2,
|
|
null=True, blank=True, default=None)
|
|
apgar_score_one = models.IntegerField(verbose_name=u"Test d'Apgar (1)",
|
|
null=True, blank=True, default=None)
|
|
apgar_score_two = models.IntegerField(verbose_name=u"Test d'Apgar (5)",
|
|
null=True, blank=True, default=None)
|
|
mises_1 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises1",
|
|
verbose_name=u"Axe I : catégories cliniques",
|
|
null=True, blank=True, default=None)
|
|
mises_2 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises2",
|
|
verbose_name=u"Axe II : facteurs organiques",
|
|
null=True, blank=True, default=None)
|
|
mises_3 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises3",
|
|
verbose_name=u"Axe II : facteurs environnementaux",
|
|
null=True, blank=True, default=None)
|
|
deficiency_intellectual = models.IntegerField(max_length=1,
|
|
verbose_name=u"Déficiences intellectuelles",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_autism_and_other_ted = models.IntegerField(max_length=1,
|
|
verbose_name=u"Autisme et autres TED",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_mental_disorder = models.IntegerField(max_length=1,
|
|
verbose_name=u"Troubles psychiques",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_learning_disorder = models.IntegerField(max_length=1,
|
|
verbose_name=u"Troubles du langage et des apprentissages",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_auditory = models.IntegerField(max_length=1,
|
|
verbose_name=u"Déficiences auditives",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_visual = models.IntegerField(max_length=1,
|
|
verbose_name=u"Déficiences visuelles",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_motor = models.IntegerField(max_length=1,
|
|
verbose_name=u"Déficiences motrices",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_metabolic_disorder = models.IntegerField(max_length=1,
|
|
verbose_name=u"Déficiences métaboliques",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_brain_damage = models.IntegerField(max_length=1,
|
|
verbose_name=u"Cérébro-lésions",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_polyhandicap = models.BooleanField(verbose_name=u'Polyhandicap',
|
|
default=False)
|
|
deficiency_behavioral_disorder = models.IntegerField(max_length=1,
|
|
verbose_name=u"Troubles de la conduite et du comportement",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
deficiency_in_diagnostic = models.BooleanField(verbose_name=u'En diagnostic',
|
|
default=False)
|
|
deficiency_other_disorder = models.IntegerField(max_length=1,
|
|
verbose_name=u"Autres types de déficience",
|
|
choices=DEFICIENCY_CHOICES,
|
|
default=0)
|
|
|
|
# Inscription motive
|
|
analysemotive = models.ForeignKey('ressources.AnalyseMotive',
|
|
verbose_name=u"Motif (analysé)",
|
|
null=True, blank=True, default=None)
|
|
familymotive = models.ForeignKey('ressources.FamilyMotive',
|
|
verbose_name=u"Motif (famille)",
|
|
null=True, blank=True, default=None)
|
|
provenance = models.ForeignKey('ressources.Provenance',
|
|
verbose_name=u"Conseilleur",
|
|
null=True, blank=True, default=None)
|
|
advicegiver = models.ForeignKey('ressources.AdviceGiver',
|
|
verbose_name=u"Demandeur",
|
|
null=True, blank=True, default=None)
|
|
provenanceplace = models.ForeignKey('ressources.ProvenancePlace',
|
|
verbose_name=u"Lieu de provenance",
|
|
null=True, blank=True, default=None)
|
|
|
|
# Out motive
|
|
outmotive = models.ForeignKey('ressources.OutMotive',
|
|
verbose_name=u"Motif de sortie",
|
|
null=True, blank=True, default=None)
|
|
outto = models.ForeignKey('ressources.OutTo',
|
|
verbose_name=u"Orientation",
|
|
null=True, blank=True, default=None)
|
|
|
|
# Family
|
|
sibship_place = models.IntegerField(verbose_name=u"Place dans la fratrie",
|
|
null=True, blank=True, default=None)
|
|
nb_children_family = models.IntegerField(verbose_name=u"Nombre d'enfants dans la fratrie",
|
|
null=True, blank=True, default=None)
|
|
parental_authority = models.ForeignKey('ressources.ParentalAuthorityType',
|
|
verbose_name=u"Autorité parentale",
|
|
null=True, blank=True, default=None)
|
|
family_situation = models.ForeignKey('ressources.FamilySituationType',
|
|
verbose_name=u"Situation familiale",
|
|
null=True, blank=True, default=None)
|
|
child_custody = models.ForeignKey('ressources.ParentalCustodyType',
|
|
verbose_name=u"Garde parentale",
|
|
null=True, blank=True, default=None)
|
|
job_mother = models.ForeignKey('ressources.Job',
|
|
related_name="job_mother",
|
|
verbose_name=u"Profession de la mère",
|
|
null=True, blank=True, default=None)
|
|
job_father = models.ForeignKey('ressources.Job',
|
|
related_name="job_father",
|
|
verbose_name=u"Profession du père",
|
|
null=True, blank=True, default=None)
|
|
rm_mother = models.ForeignKey('ressources.MaritalStatusType',
|
|
related_name="rm_mother",
|
|
verbose_name=u"Régime matrimonial de la mère",
|
|
null=True, blank=True, default=None)
|
|
rm_father = models.ForeignKey('ressources.MaritalStatusType',
|
|
related_name="rm_father",
|
|
verbose_name=u"Régime matrimonial du père",
|
|
null=True, blank=True, default=None)
|
|
family_comment = models.TextField(verbose_name=u"Commentaire",
|
|
null=True, blank=True, default=None)
|
|
|
|
# Transport
|
|
transporttype = models.ForeignKey('ressources.TransportType',
|
|
verbose_name=u"Type de transport",
|
|
null=True, blank=True, default=None)
|
|
transportcompany = models.ForeignKey('ressources.TransportCompany',
|
|
verbose_name=u"Compagnie de transport",
|
|
null=True, blank=True, default=None)
|
|
simple_appointment_transport = models.BooleanField(u'Afficher par défaut le transport sur les rendez-vous simples',
|
|
default=False)
|
|
periodic_appointment_transport = models.BooleanField(u'Afficher par défaut le transport sur les rendez-vous réguliers',
|
|
default=False)
|
|
|
|
# FollowUp
|
|
coordinators = models.ManyToManyField('personnes.Worker',
|
|
verbose_name=u"Coordinateurs",
|
|
null=True, blank=True, default=None)
|
|
externaldoctor = models.ForeignKey('personnes.ExternalTherapist',
|
|
verbose_name=u"Médecin extérieur",
|
|
null=True, blank=True, default=None)
|
|
externalintervener = models.ForeignKey('personnes.ExternalWorker',
|
|
verbose_name=u"Intervenant extérieur",
|
|
null=True, blank=True, default=None)
|
|
|
|
old_id = models.CharField(max_length=256,
|
|
verbose_name=u'Ancien ID', blank=True, null=True)
|
|
old_old_id = models.CharField(max_length=256,
|
|
verbose_name=u'Ancien ancien ID', blank=True, null=True)
|
|
|
|
def save(self, *args, **kwargs):
|
|
if not getattr(self, 'service', None):
|
|
raise Exception('The field service is mandatory.')
|
|
super(PatientRecord, self).save(*args, **kwargs)
|
|
|
|
def get_state(self):
|
|
return self.last_state
|
|
|
|
def get_initial_state(self):
|
|
return self.filestate_set.order_by('date_selected')[0]
|
|
|
|
def get_current_state(self):
|
|
today = date.today()
|
|
return self.get_state_at_day(today)
|
|
|
|
def get_state_at_day(self, date):
|
|
state = self.get_state()
|
|
while(state):
|
|
if datetime(state.date_selected.year,
|
|
state.date_selected.month, state.date_selected.day) <= \
|
|
datetime(date.year, date.month, date.day):
|
|
return state
|
|
state = state.previous_state
|
|
return None
|
|
|
|
def was_in_state_at_day(self, date, status_type):
|
|
state_at_day = self.get_state_at_day(date)
|
|
if state_at_day and state_at_day.status.type == status_type:
|
|
return True
|
|
return False
|
|
|
|
def get_states_history(self):
|
|
return self.filestate_set.order_by('date_selected')
|
|
|
|
def get_states_history_with_duration(self):
|
|
'''
|
|
Return the state history with for each state its duration.
|
|
If the last state is in the past, the duration is counted until today.
|
|
If the last state is in the future, the duration is not set.
|
|
'''
|
|
history = self.get_states_history()
|
|
history_with_duration = list()
|
|
today = datetime.today()
|
|
i = 0
|
|
for state in history:
|
|
history_with_duration.append([state, None])
|
|
if i != 0:
|
|
history_with_duration[i-1][1] = state.date_selected - history_with_duration[i-1][0].date_selected
|
|
if i == len(history)-1 and state.date_selected <= today:
|
|
history_with_duration[i][1] = today - history_with_duration[i][0].date_selected
|
|
i += 1
|
|
return history_with_duration
|
|
|
|
def can_be_deleted(self):
|
|
for act in self.act_set.all():
|
|
if act.is_state('VALIDE'):
|
|
return False
|
|
return True
|
|
|
|
def delete(self, *args, **kwargs):
|
|
if self.can_be_deleted():
|
|
obj_id = self.id
|
|
super(PatientRecord, self).delete(*args, **kwargs)
|
|
|
|
def get_ondisk_directory(self, service):
|
|
if not settings.PATIENT_FILES_BASE_DIRECTORY:
|
|
return None
|
|
|
|
dirnames = []
|
|
dirname = self.last_name.upper()
|
|
dirnames.append(dirname)
|
|
if self.first_name:
|
|
dirname = '%s %s' % (dirname, self.first_name)
|
|
dirnames.append(dirname)
|
|
if self.paper_id:
|
|
dirname = '%s %s' % (dirname, self.paper_id)
|
|
dirnames.append(dirname)
|
|
|
|
for i, dirname in enumerate(dirnames):
|
|
fullpath = os.path.join(settings.PATIENT_FILES_BASE_DIRECTORY, service, dirname)
|
|
try:
|
|
next_fullpath = os.path.join(settings.PATIENT_FILES_BASE_DIRECTORY, service, dirnames[i+1])
|
|
except IndexError:
|
|
pass
|
|
else:
|
|
if os.path.exists(fullpath) and not os.path.exists(next_fullpath):
|
|
os.rename(fullpath, next_fullpath)
|
|
continue
|
|
if not os.path.exists(fullpath):
|
|
os.makedirs(fullpath)
|
|
for subdir in settings.PATIENT_SUBDIRECTORIES:
|
|
subdir_fullpath = os.path.join(fullpath, subdir)
|
|
if not os.path.exists(subdir_fullpath):
|
|
os.makedirs(subdir_fullpath)
|
|
return fullpath
|
|
|
|
def get_client_side_directory(self, service):
|
|
directory = self.get_ondisk_directory(service)
|
|
if not directory:
|
|
return None
|
|
if not settings.CLIENT_SIDE_PATIENT_FILES_BASE_DIRECTORY:
|
|
return None
|
|
return os.path.join(settings.CLIENT_SIDE_PATIENT_FILES_BASE_DIRECTORY,
|
|
directory[len(settings.PATIENT_FILES_BASE_DIRECTORY)+1:])
|
|
|
|
def set_state(self, status, author, date_selected=None, comment=None):
|
|
if not author:
|
|
raise Exception('Missing author to set state')
|
|
if not date_selected:
|
|
date_selected = datetime.now()
|
|
current_state = self.get_state()
|
|
if not current_state:
|
|
raise Exception('Invalid patient record. '
|
|
'Missing current state.')
|
|
if isinstance(date_selected, date):
|
|
date_selected = datetime(year=date_selected.year,
|
|
month=date_selected.month, day=date_selected.day)
|
|
if date_selected < current_state.date_selected:
|
|
raise Exception('You cannot set a state starting the %s that '
|
|
'is before the previous state starting at day %s.' % \
|
|
(str(date_selected), str(current_state.date_selected)))
|
|
filestate = FileState.objects.create(patient=self, status=status,
|
|
date_selected=date_selected, author=author, comment=comment,
|
|
previous_state=current_state)
|
|
self.last_state = filestate
|
|
self.save()
|
|
|
|
def change_day_selected_of_state(self, state, new_date):
|
|
if state.previous_state:
|
|
if new_date < state.previous_state.date_selected:
|
|
raise Exception('You cannot set a state starting the %s '
|
|
'before the previous state starting at day %s.' % \
|
|
(str(new_date), str(state.previous_state.date_selected)))
|
|
next_state = state.get_next_state()
|
|
if next_state:
|
|
if new_date > next_state.date_selected:
|
|
raise Exception('You cannot set a state starting the %s '
|
|
'after the following state starting at day %s.' % \
|
|
(str(new_date), str(next_state.date_selected)))
|
|
state.date_selected = new_date
|
|
state.save()
|
|
|
|
def remove_state(self, state):
|
|
if state.patient.id != self.id:
|
|
raise Exception('The state given is not about this patient '
|
|
'record but about %s' % state.patient)
|
|
next_state = state.get_next_state()
|
|
if not next_state:
|
|
self.remove_last_state()
|
|
else:
|
|
next_state.previous_state = state.previous_state
|
|
next_state.save()
|
|
state.delete()
|
|
|
|
def remove_last_state(self):
|
|
try:
|
|
self.get_state().delete()
|
|
except:
|
|
pass
|
|
|
|
def get_protection_state_at_date(self, date):
|
|
try:
|
|
return self.protectionstate_set.exclude(end_date__lt=date). \
|
|
exclude(start_date__gt=date).latest('start_date')
|
|
except:
|
|
return None
|
|
|
|
def get_next_rdv(self):
|
|
from views_utils import get_next_rdv
|
|
return get_next_rdv(self)
|
|
|
|
# START Specific to sessad healthcare
|
|
def get_last_notification(self):
|
|
return SessadHealthCareNotification.objects.filter(patient=self, ).\
|
|
latest('end_date')
|
|
|
|
def days_before_notification_expiration(self):
|
|
today = datetime.today()
|
|
notification = self.get_last_notification(self)
|
|
if not notification:
|
|
return 0
|
|
if notification.end_date < today:
|
|
return 0
|
|
else:
|
|
return notification.end_date - today
|
|
# END Specific to sessad healthcare
|
|
|
|
# START Specific to cmpp healthcare
|
|
def create_diag_healthcare(self, modifier):
|
|
"""
|
|
Gestion de l'inscription automatique.
|
|
|
|
Si un premier acte est validé alors une prise en charge
|
|
diagnostique est ajoutée. Cela fera basculer le dossier dans l'état
|
|
en diagnostic.
|
|
|
|
A voir si auto ou manuel :
|
|
Si ce n'est pas le premier acte validé mais que l'acte précédement
|
|
facturé a plus d'un an, on peut créer une prise en charge
|
|
diagnostique. Même s'il y a une prise en charge de traitement
|
|
expirée depuis moins d'un an donc renouvelable.
|
|
|
|
"""
|
|
acts = Act.objects.filter(validation_locked=False,
|
|
patient__service=self.service)
|
|
days_not_locked = sorted(set(acts.values_list('date', flat=True)))
|
|
acts = self.act_set.filter(validation_locked=True,
|
|
valide=True, is_lost=False, is_billed=False)
|
|
acts = acts.exclude(date__in=days_not_locked)
|
|
acts = acts.order_by('date')
|
|
pause_query = Q(pause=True)
|
|
billable_query = Q(act_type__billable=True, switch_billable=False) | \
|
|
Q(act_type__billable=False, switch_billable=True)
|
|
billable_acts = acts.filter(~pause_query & billable_query)
|
|
|
|
if not CmppHealthCareDiagnostic.objects.filter(patient=self).exists() \
|
|
and billable_acts:
|
|
# Pas de prise en charge, on recherche l'acte facturable le plus
|
|
# ancien, on crée une pc diag à la même date.
|
|
CmppHealthCareDiagnostic(patient=self, author=modifier,
|
|
start_date=billable_acts[0].date).save()
|
|
else:
|
|
# On recherche l'acte facturable non facturé le plus ancien après
|
|
# le dernier acte facturé et on regarde s'il a plus d'un an
|
|
try:
|
|
last_billed_act = self.act_set.filter(is_billed=True).\
|
|
latest('date')
|
|
if last_billed_act and billable_acts:
|
|
billable_acts = billable_acts.filter(date__gte=last_billed_act.date)
|
|
if billable_acts and (billable_acts[0].date - last_billed_act.date).days >= 365:
|
|
return True
|
|
return False
|
|
except:
|
|
pass
|
|
return False
|
|
|
|
def automated_switch_state(self, modifier):
|
|
def state_switcher(diag, act):
|
|
if diag and (self.last_state.status.type == "ACCUEIL" or
|
|
self.last_state.status.type == "TRAITEMENT"):
|
|
status = Status.objects.get(type="DIAGNOSTIC",
|
|
services__name='CMPP')
|
|
try:
|
|
self.set_state(status, modifier, date_selected=act.date)
|
|
except:
|
|
pass
|
|
elif not diag and (self.last_state.status.type == "ACCUEIL" or
|
|
self.last_state.status.type == "DIAGNOSTIC"):
|
|
status = Status.objects.get(type="TRAITEMENT",
|
|
services__name='CMPP')
|
|
try:
|
|
self.set_state(status, modifier, date_selected=act.date)
|
|
except:
|
|
pass
|
|
# Only for CMPP and open files
|
|
if not self.service.name == 'CMPP' or \
|
|
self.last_state.status.type == "CLOS":
|
|
return
|
|
# Nothing to do if no act after the last state date
|
|
last_acts = self.act_set.filter(date__gt=self.last_state.date_selected)
|
|
if not last_acts:
|
|
return
|
|
# If the last act is billed, look at the healthcare type
|
|
last_act = last_acts.latest('date')
|
|
if last_act.is_billed:
|
|
if not last_act.healthcare:
|
|
# Billed but no healthcare, coming from imported billed acts
|
|
return
|
|
diag = False
|
|
if hasattr(last_act.healthcare, 'cmpphealthcarediagnostic'):
|
|
diag = True
|
|
return state_switcher(diag, last_act)
|
|
# Last act not billed, let's look if it is billable
|
|
from calebasse.facturation import list_acts
|
|
(acts_not_locked, days_not_locked, acts_not_valide,
|
|
acts_not_billable, acts_pause, acts_per_hc, acts_losts) = \
|
|
list_acts.list_acts_for_billing_CMPP_per_patient(self,
|
|
datetime.today(), self.service)
|
|
last_hc = None
|
|
last_act_hc = None
|
|
for hc, acts in acts_per_hc.iteritems():
|
|
if len(acts) and (not last_act_hc or
|
|
acts[-1].date > last_act_hc.date):
|
|
last_hc = hc
|
|
last_act_hc = acts[-1]
|
|
# There is a billable act after the last state so either it is diag
|
|
# or it is treament
|
|
if last_act_hc and last_hc and \
|
|
last_act_hc.date > self.last_state.date_selected.date():
|
|
if hasattr(last_hc, 'cmpphealthcarediagnostic'):
|
|
state_switcher(True, last_act_hc)
|
|
else:
|
|
state_switcher(False, last_act_hc)
|
|
|
|
def get_healthcare_status(self):
|
|
today = date.today()
|
|
current_hc_trait = None
|
|
try:
|
|
current_hc_trait = CmppHealthCareTreatment.objects.filter(
|
|
patient=self, start_date__lte=today, end_date__gte=today
|
|
).latest('start_date')
|
|
except:
|
|
pass
|
|
if not current_hc_trait:
|
|
current_hc_diag = None
|
|
try:
|
|
current_hc_diag = CmppHealthCareDiagnostic.objects.filter(patient=self, start_date__lte=today).latest('start_date')
|
|
except:
|
|
pass
|
|
if current_hc_diag and current_hc_diag.get_act_number() > len(current_hc_diag.act_set.all()):
|
|
|
|
#Plus simple et a changer dans la facturation, s'il y une pc de traitemant avec une start date > a la pc diag alors cette pc de diag est finie
|
|
# Non parce que je peux ajouter une pc de traitement alors que je veux encore facturer sur la diag precedente.
|
|
# Donc si j'ai un acte facturer en traitement alors la diag ne fonctionne plus.
|
|
# Dans le fonctionnement normal, si j'ai encore une diag dispo et que je veux fact duirectement en trait, je reduit le nombre d'acte pris en charge.
|
|
lasts_billed = Act.objects.filter(patient=self, is_billed = True, healthcare__isnull=False).order_by('-date')
|
|
last_hc_date = None
|
|
if lasts_billed:
|
|
last_hc_date = lasts_billed[0].healthcare.start_date
|
|
if not last_hc_date or last_hc_date <= current_hc_diag.start_date:
|
|
# Prise en charge disponible
|
|
return (0, len(current_hc_diag.act_set.all()), current_hc_diag.get_act_number())
|
|
last_hc_trait = None
|
|
try:
|
|
last_hc_trait = CmppHealthCareTreatment.objects.filter(patient=self).latest('start_date')
|
|
except:
|
|
pass
|
|
if not last_hc_trait:
|
|
if not current_hc_diag:
|
|
# Aucune PC
|
|
return (1, None)
|
|
else:
|
|
# PC diag full, demander PC trait
|
|
return (2, current_hc_diag.get_act_number())
|
|
if last_hc_trait.end_date < today:
|
|
# Expirée
|
|
#Test if rediagable
|
|
return (3, last_hc_trait.end_date)
|
|
if last_hc_trait.start_date > today:
|
|
# N'a pas encore pris effet
|
|
return (4, last_hc_trait.start_date)
|
|
return (-1,)
|
|
if current_hc_trait.get_act_number() > len(current_hc_trait.act_set.all()):
|
|
# Pris en charge disponible
|
|
return (5, len(current_hc_trait.act_set.all()), current_hc_trait.get_act_number())
|
|
# Prise en charge au quota
|
|
if not current_hc_trait.is_extended():
|
|
# Peut être prolongée
|
|
return (6, current_hc_trait.get_act_number())
|
|
# Prise en charge saturée
|
|
return (7, current_hc_trait.get_act_number(), current_hc_trait.end_date)
|
|
# END Specific to cmpp healthcare
|
|
|
|
|
|
@property
|
|
def entry_date(self):
|
|
d = self.filestate_set.filter(
|
|
Q(status__type='DIAGNOSTIC') |
|
|
Q(status__type='TRAITEMENT') |
|
|
Q(status__type='SUIVI')). \
|
|
aggregate(Min('date_selected'))['date_selected__min']
|
|
return d and d.date()
|
|
|
|
|
|
@property
|
|
def exit_date(self):
|
|
if self.last_state.status.type != 'CLOS':
|
|
return None
|
|
d = self.filestate_set.filter(status__type='CLOS'). \
|
|
aggregate(Max('date_selected'))['date_selected__max']
|
|
return d and d.date()
|
|
|
|
@property
|
|
def care_duration(self):
|
|
# Duration between the first act present and the closing date.
|
|
# If no closing date, end_date is the date of tha last act
|
|
first_act_date = None
|
|
try:
|
|
first_act_date = self.act_set.filter(valide=True).order_by('date')[0].date
|
|
except:
|
|
return 0
|
|
exit_date = self.exit_date
|
|
if not exit_date:
|
|
exit_date = self.act_set.filter(valide=True).order_by('-date')[0].date
|
|
return (exit_date - first_act_date).days
|
|
|
|
@property
|
|
def care_duration_since_last_contact_or_first_act(self):
|
|
# Duration between the first act present and the closing date.
|
|
# If no closing date, end_date is the date of the last act
|
|
contacts = FileState.objects.filter(patient=self, status__type='ACCUEIL').order_by('date_selected')
|
|
last_contact = None
|
|
first_act_after_last_contact = None
|
|
if len(contacts) == 1:
|
|
last_contact = contacts[0]
|
|
elif len(contacts) > 1:
|
|
last_contact = contacts[len(contacts)-1]
|
|
if last_contact:
|
|
# inscription act
|
|
first_acts_after_last_contact = Act.objects.filter(patient=self, date__gte=last_contact.date_selected, valide=True).order_by('date')
|
|
if first_acts_after_last_contact:
|
|
first_act_after_last_contact = first_acts_after_last_contact[0]
|
|
if not contacts:
|
|
return self.care_duration
|
|
if not first_act_after_last_contact:
|
|
return 0
|
|
exit_date = self.exit_date
|
|
if not exit_date or exit_date < first_act_after_last_contact.date:
|
|
exit_date = self.act_set.filter(valide=True).order_by('-date')[0].date
|
|
return (exit_date - first_act_after_last_contact.date).days
|
|
|
|
def care_duration_before_close_state(self, end_date=None):
|
|
if not end_date:
|
|
end_date = datetime.now()
|
|
last_close = None
|
|
try:
|
|
last_close = FileState.objects.filter(status__type='CLOS',
|
|
patient=self, date_selected__lt=end_date).order_by('-date_selected')[0]
|
|
except:
|
|
pass
|
|
first_act = None
|
|
if last_close:
|
|
try:
|
|
first_act = Act.objects.filter(patient=self, valide=True, date__lte=end_date, date__gt=last_close.date_selected).order_by('date')[0]
|
|
except:
|
|
return 0
|
|
else:
|
|
try:
|
|
first_act = Act.objects.filter(patient=self, valide=True, date__lte=end_date).order_by('date')[0]
|
|
except:
|
|
return 0
|
|
return (end_date.date() - first_act.date).days + 1
|
|
|
|
def create_patient(first_name, last_name, service, creator,
|
|
date_selected=None):
|
|
logger.debug('create_patient: creation for patient %s %s in service %s '
|
|
'by %s' % (first_name, last_name, service, creator))
|
|
if not (first_name and last_name and service and creator):
|
|
raise Exception('Missing parameter to create a patient record.')
|
|
status = Status.objects.filter(type="ACCUEIL").filter(services=service)
|
|
if not status:
|
|
raise Exception('%s has no ACCEUIL status' % service.name)
|
|
patient = PatientRecord.objects.create(first_name=first_name,
|
|
last_name=last_name, service=service,
|
|
creator=creator)
|
|
fs = FileState(status=status[0], author=creator, previous_state=None)
|
|
if not date_selected:
|
|
date_selected = patient.created
|
|
fs.patient = patient
|
|
fs.date_selected = date_selected
|
|
fs.save()
|
|
patient.last_state = fs
|
|
patient.save()
|
|
patient.policyholder = patient.patientcontact
|
|
patient.save()
|
|
return patient
|
|
|
|
PatientRecord.DEFICIENCY_FIELDS = [field for field in PatientRecord._meta.get_all_field_names() if field.startswith('deficiency_')]
|
|
PatientRecord.MISES_FIELDS = [field for field in PatientRecord._meta.get_all_field_names() if field.startswith('mises_')]
|