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Store critical care daily round changes in events (#2170)
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Co-authored-by: rithviknishad <[email protected]>
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@sainak @rithviknishad
sainak and rithviknishad authored May 16, 2024
1 parent a2052f2 commit 653c079
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Showing 5 changed files with 146 additions and 115 deletions.
12 changes: 11 additions & 1 deletion care/facility/api/serializers/daily_round.py
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Original file line number Diff line number Diff line change
Expand Up @@ -139,7 +139,17 @@ def update(self, instance, validated_data):
facility=instance.consultation.patient.facility,
).generate()

return super().update(instance, validated_data)
instance = super().update(instance, validated_data)

create_consultation_events(
instance.consultation_id,
instance,
instance.created_by_id,
instance.created_date,
fields_to_store=set(validated_data.keys()),
)

return instance

def update_last_daily_round(self, daily_round_obj):
consultation = daily_round_obj.consultation
Expand Down
2 changes: 1 addition & 1 deletion care/facility/api/viewsets/events.py
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Original file line number Diff line number Diff line change
Expand Up @@ -20,7 +20,7 @@

class EventTypeViewSet(ReadOnlyModelViewSet):
serializer_class = EventTypeSerializer
queryset = EventType.objects.all()
queryset = EventType.objects.filter(is_active=True)
permission_classes = (IsAuthenticated,)

def get_serializer_class(self) -> type[BaseSerializer]:
Expand Down
64 changes: 33 additions & 31 deletions care/facility/events/handler.py
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Original file line number Diff line number Diff line change
@@ -1,60 +1,52 @@
from datetime import datetime

from celery import shared_task
from django.core import serializers
from django.db import models, transaction
from django.db.models import Model
from django.db import transaction
from django.db.models import Field, Model
from django.db.models.query import QuerySet
from django.utils.timezone import now

from care.facility.models.events import ChangeType, EventType, PatientConsultationEvent
from care.utils.event_utils import get_changed_fields
from care.utils.event_utils import get_changed_fields, serialize_field


def transform(object_instance: Model, old_instance: Model):
fields = []
def transform(
object_instance: Model,
old_instance: Model,
fields_to_store: set[str] | None = None,
) -> dict[str, any]:
fields: set[Field] = set()
if old_instance:
changed_fields = get_changed_fields(old_instance, object_instance)
fields = [
fields = {
field
for field in object_instance._meta.fields
if field.name in changed_fields
]
}
else:
fields = object_instance._meta.fields
fields = set(object_instance._meta.fields)

data = {}
for field in fields:
value = getattr(object_instance, field.name)
if isinstance(value, models.Model):
data[field.name] = serializers.serialize("python", [value])[0]["fields"]
elif issubclass(field.__class__, models.Field) and field.choices:
# serialize choice fields with display value
data[field.name] = getattr(
object_instance, f"get_{field.name}_display", lambda: value
)()
else:
data[field.name] = value
return data
if fields_to_store:
fields = {field for field in fields if field.name in fields_to_store}

return {field.name: serialize_field(object_instance, field) for field in fields}


@shared_task
def create_consultation_event_entry(
consultation_id: int,
object_instance: Model,
caused_by: int,
created_date: datetime,
old_instance: Model = None,
old_instance: Model | None = None,
fields_to_store: set[str] | None = None,
):
change_type = ChangeType.UPDATED if old_instance else ChangeType.CREATED

data = transform(object_instance, old_instance)

fields_to_store = set(data.keys())
data = transform(object_instance, old_instance, fields_to_store)
fields_to_store = fields_to_store or set(data.keys())

batch = []
groups = EventType.objects.filter(
model=object_instance.__class__.__name__, fields__len__gt=0
model=object_instance.__class__.__name__, fields__len__gt=0, is_active=True
).values_list("id", "fields")
for group_id, group_fields in groups:
if set(group_fields) & fields_to_store:
Expand Down Expand Up @@ -103,6 +95,7 @@ def create_consultation_events(
caused_by: int,
created_date: datetime = None,
old: Model | None = None,
fields_to_store: list[str] | set[str] | None = None,
):
if created_date is None:
created_date = now()
Expand All @@ -115,9 +108,18 @@ def create_consultation_events(
)
for obj in objects:
create_consultation_event_entry(
consultation_id, obj, caused_by, created_date
consultation_id,
obj,
caused_by,
created_date,
fields_to_store=set(fields_to_store) if fields_to_store else None,
)
else:
create_consultation_event_entry(
consultation_id, objects, caused_by, created_date, old
consultation_id,
objects,
caused_by,
created_date,
old,
fields_to_store=set(fields_to_store) if fields_to_store else None,
)
164 changes: 86 additions & 78 deletions care/facility/management/commands/load_event_types.py
View file
Original file line number Diff line number Diff line change
Expand Up @@ -94,86 +94,39 @@ class Command(BaseCommand):
"model": "DailyRound",
"children": (
{
"name": "HEALTH",
"name": "DAILY_ROUND_DETAILS",
"fields": (
"taken_at",
"round_type",
"other_details",
"action",
"review_after",
),
"children": (
{
"name": "ROUND_SYMPTOMS", # todo resolve clash with consultation symptoms
"fields": ("additional_symptoms", "other_symptoms"),
"fields": ("additional_symptoms",),
},
{
"name": "PHYSICAL_EXAMINATION",
"fields": ("physical_examination_info",),
},
{"name": "PATIENT_CATEGORY", "fields": ("patient_category",)},
{
"name": "PATIENT_CATEGORY",
"fields": ("patient_category",),
},
),
},
{
"name": "VITALS",
"children": (
{
"name": "TEMPERATURE",
"fields": (
"temperature",
"temperature_measured_at", # todo remove field
),
},
{"name": "TEMPERATURE", "fields": ("temperature",)},
{"name": "SPO2", "fields": ("spo2",)},
{"name": "PULSE", "fields": ("pulse",)},
{"name": "BLOOD_PRESSURE", "fields": ("bp",)},
{"name": "RESPIRATORY_RATE", "fields": ("resp",)},
{"name": "RHYTHM", "fields": ("rhythm", "rhythm_details")},
),
},
{
"name": "RESPIRATORY",
"children": (
{
"name": "BILATERAL_AIR_ENTRY",
"fields": ("bilateral_air_entry",),
},
),
},
{
"name": "INTAKE_OUTPUT",
"children": (
{"name": "INFUSIONS", "fields": ("infusions",)},
{"name": "IV_FLUIDS", "fields": ("iv_fluids",)},
{"name": "FEEDS", "fields": ("feeds",)},
{
"name": "TOTAL_INTAKE",
"fields": ("total_intake_calculated",),
},
{"name": "OUTPUT", "fields": ("output",)},
{
"name": "TOTAL_OUTPUT",
"fields": ("total_output_calculated",),
},
),
},
{
"name": "VENTILATOR_MODES",
"fields": (
"ventilator_interface",
"ventilator_mode",
"ventilator_peep",
"ventilator_pip",
"ventilator_mean_airway_pressure",
"ventilator_resp_rate",
"ventilator_pressure_support",
"ventilator_tidal_volume",
"ventilator_oxygen_modality",
"ventilator_oxygen_modality_oxygen_rate",
"ventilator_oxygen_modality_flow_rate",
"ventilator_fi02",
"ventilator_spo2",
),
},
{
"name": "DIALYSIS",
"fields": (
"pressure_sore",
"dialysis_fluid_balance",
"dialysis_net_balance",
{"name": "PAIN_SCALE", "fields": ("pain_scale_enhanced",)},
),
},
{
Expand All @@ -191,40 +144,84 @@ class Command(BaseCommand):
"glasgow_verbal_response",
"glasgow_motor_response",
"glasgow_total_calculated",
"limb_response_upper_extremity_right",
"limb_response_upper_extremity_left",
"limb_response_upper_extremity_right",
"limb_response_lower_extremity_left",
"limb_response_lower_extremity_right",
"consciousness_level",
"consciousness_level_detail",
"in_prone_position",
),
},
{
"name": "BLOOD_GLUCOSE",
"fields": ("blood_sugar_level",),
"name": "RESPIRATORY_SUPPORT",
"fields": (
"bilateral_air_entry",
"etco2",
"ventilator_fi02",
"ventilator_interface",
"ventilator_mean_airway_pressure",
"ventilator_mode",
"ventilator_oxygen_modality",
"ventilator_oxygen_modality_flow_rate",
"ventilator_oxygen_modality_oxygen_rate",
"ventilator_peep",
"ventilator_pip",
"ventilator_pressure_support",
"ventilator_resp_rate",
"ventilator_spo2",
"ventilator_tidal_volume",
),
},
{
"name": "DAILY_ROUND_DETAILS",
"name": "ARTERIAL_BLOOD_GAS_ANALYSIS",
"fields": (
"other_details",
"medication_given",
"in_prone_position",
"etco2",
"pain",
"pain_scale_enhanced",
"ph",
"pco2",
"po2",
"hco3",
"base_excess",
"hco3",
"lactate",
"sodium",
"pco2",
"ph",
"po2",
"potassium",
"sodium",
),
},
{
"name": "BLOOD_GLUCOSE",
"fields": (
"blood_sugar_level",
"insulin_intake_dose",
"insulin_intake_frequency",
"nursing",
),
},
{
"name": "IO_BALANCE",
"children": (
{"name": "INFUSIONS", "fields": ("infusions",)},
{"name": "IV_FLUIDS", "fields": ("iv_fluids",)},
{"name": "FEEDS", "fields": ("feeds",)},
{"name": "OUTPUT", "fields": ("output",)},
{
"name": "TOTAL_INTAKE",
"fields": ("total_intake_calculated",),
},
{
"name": "TOTAL_OUTPUT",
"fields": ("total_output_calculated",),
},
),
},
{
"name": "DIALYSIS",
"fields": (
"dialysis_fluid_balance",
"dialysis_net_balance",
),
"children": (
{"name": "PRESSURE_SORE", "fields": ("pressure_sore",)},
),
},
{"name": "NURSING", "fields": ("nursing",)},
),
},
{
Expand All @@ -239,6 +236,12 @@ class Command(BaseCommand):
},
)

inactive_event_types: Tuple[str, ...] = (
"RESPIRATORY",
"INTAKE_OUTPUT",
"VENTILATOR_MODES",
)

def create_objects(
self, types: Tuple[EventType, ...], model: str = None, parent: EventType = None
):
Expand All @@ -250,6 +253,7 @@ def create_objects(
"parent": parent,
"model": model,
"fields": event_type.get("fields", []),
"is_active": True,
},
)
if children := event_type.get("children"):
Expand All @@ -258,6 +262,10 @@ def create_objects(
def handle(self, *args, **options):
self.stdout.write("Loading Event Types... ", ending="")

EventType.objects.filter(name__in=self.inactive_event_types).update(
is_active=False
)

self.create_objects(self.consultation_event_types)

self.stdout.write(self.style.SUCCESS("OK"))
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