diff --git a/Pipfile b/Pipfile
index b7e6136903..6beddc1590 100644
--- a/Pipfile
+++ b/Pipfile
@@ -12,7 +12,6 @@ django = "==4.2.15"
django-environ = "==0.11.2"
django-cors-headers = "==4.3.1"
django-filter = "==24.2"
-django-hardcopy = "==0.1.4"
django-maintenance-mode = "==0.21.1"
django-model-utils = "==4.5.1"
django-multiselectfield = "==0.1.12"
diff --git a/Pipfile.lock b/Pipfile.lock
index 51069ba3bd..6cfb4f13d5 100644
--- a/Pipfile.lock
+++ b/Pipfile.lock
@@ -1,7 +1,7 @@
{
"_meta": {
"hash": {
- "sha256": "17b769e6a740f13f82e44bce08575af72844ffab86d295d27ba7fca2e06f6a72"
+ "sha256": "0f478643ec74971469522c09c3e635a7ca9346c16a687ae7c14c7f638335cb1e"
},
"pipfile-spec": 6,
"requires": {
@@ -509,14 +509,6 @@
"markers": "python_version >= '3.8'",
"version": "==24.2"
},
- "django-hardcopy": {
- "hashes": [
- "sha256:1ceda5fb262c9787fbd2554b4b92db9c8feebdd6da4ef6c1746e1aa8c8e55377",
- "sha256:8bf962245d95918bd5c4b4e1b809a3d029b19d4f331e1c7c5f65768fb8366ed8"
- ],
- "index": "pypi",
- "version": "==0.1.4"
- },
"django-maintenance-mode": {
"hashes": [
"sha256:b79afddb671c59972ae542e4fafbc99117d2d37991843eaaa837e328eed12b1b",
diff --git a/care/facility/api/viewsets/patient_consultation.py b/care/facility/api/viewsets/patient_consultation.py
index 95aa138331..b166971dc9 100644
--- a/care/facility/api/viewsets/patient_consultation.py
+++ b/care/facility/api/viewsets/patient_consultation.py
@@ -1,7 +1,11 @@
+import tempfile
+
from django.db import transaction
from django.db.models import Prefetch
from django.db.models.query_utils import Q
-from django.shortcuts import get_object_or_404, render
+from django.http import HttpResponse
+from django.shortcuts import get_object_or_404
+from django.utils import timezone
from django_filters import rest_framework as filters
from drf_spectacular.utils import extend_schema
from dry_rest_permissions.generics import DRYPermissions
@@ -296,7 +300,18 @@ def dev_preview_discharge_summary(request, consultation_id):
if not consultation:
raise NotFound({"detail": "Consultation not found"})
data = discharge_summary.get_discharge_summary_data(consultation)
- return render(request, "reports/patient_discharge_summary_pdf.html", data)
+ data["date"] = timezone.now()
+
+ with tempfile.NamedTemporaryFile(delete=False, suffix=".pdf") as tmp_file:
+ discharge_summary.generate_discharge_summary_pdf(data, tmp_file)
+
+ with open(tmp_file.name, "rb") as pdf_file:
+ pdf_content = pdf_file.read()
+
+ response = HttpResponse(pdf_content, content_type="application/pdf")
+ response["Content-Disposition"] = 'inline; filename="discharge_summary.pdf"'
+
+ return response
class PatientConsentViewSet(
diff --git a/care/facility/models/patient.py b/care/facility/models/patient.py
index b3d42bef01..8a5aeb6e4c 100644
--- a/care/facility/models/patient.py
+++ b/care/facility/models/patient.py
@@ -1,4 +1,5 @@
import enum
+from datetime import date
from dateutil.relativedelta import relativedelta
from django.contrib.postgres.aggregates import ArrayAgg
@@ -6,6 +7,7 @@
from django.db import models
from django.db.models import Case, F, Func, JSONField, Value, When
from django.db.models.functions import Coalesce, Now
+from django.template.defaultfilters import pluralize
from django.utils import timezone
from django.utils.translation import gettext_lazy as _
from simple_history.models import HistoricalRecords
@@ -481,10 +483,29 @@ def save(self, *args, **kwargs) -> None:
self._alias_recovery_to_recovered()
super().save(*args, **kwargs)
- def get_age(self) -> int:
- start = self.date_of_birth or timezone.datetime(self.year_of_birth, 1, 1).date()
+ def get_age(self) -> str:
+ start = self.date_of_birth or date(self.year_of_birth, 1, 1)
end = (self.death_datetime or timezone.now()).date()
- return relativedelta(end, start).years
+
+ delta = relativedelta(end, start)
+
+ if delta.years > 0:
+ year_str = f"{delta.years} year{pluralize(delta.years)}"
+ return f"{year_str}"
+
+ elif delta.months > 0:
+ month_str = f"{delta.months} month{pluralize(delta.months)}"
+ day_str = (
+ f" {delta.days} day{pluralize(delta.days)}" if delta.days > 0 else ""
+ )
+ return f"{month_str}{day_str}"
+
+ elif delta.days > 0:
+ day_str = f"{delta.days} day{pluralize(delta.days)}"
+ return day_str
+
+ else:
+ return "0 days"
def annotate_diagnosis_ids(*args, **kwargs):
return ArrayAgg(
diff --git a/care/facility/templatetags/data_formatting_tags.py b/care/facility/templatetags/data_formatting_tags.py
new file mode 100644
index 0000000000..18cc43c545
--- /dev/null
+++ b/care/facility/templatetags/data_formatting_tags.py
@@ -0,0 +1,35 @@
+from django import template
+
+register = template.Library()
+
+
+@register.filter(name="format_empty_data")
+def format_empty_data(data):
+ if data is None or data == "" or data == 0.0 or data == []:
+ return "N/A"
+
+ return data
+
+
+@register.filter(name="format_to_sentence_case")
+def format_to_sentence_case(data):
+ if data is None:
+ return
+
+ def convert_to_sentence_case(s):
+ if s == "ICU":
+ return "ICU"
+ s = s.lower()
+ s = s.replace("_", " ")
+ return s.capitalize()
+
+ if isinstance(data, str):
+ items = data.split(", ")
+ converted_items = [convert_to_sentence_case(item) for item in items]
+ return ", ".join(converted_items)
+
+ elif isinstance(data, (list, tuple)):
+ converted_items = [convert_to_sentence_case(item) for item in data]
+ return ", ".join(converted_items)
+
+ return data
diff --git a/care/facility/templatetags/prescription_tags.py b/care/facility/templatetags/prescription_tags.py
new file mode 100644
index 0000000000..2f1b2ecee8
--- /dev/null
+++ b/care/facility/templatetags/prescription_tags.py
@@ -0,0 +1,13 @@
+from django import template
+
+register = template.Library()
+
+
+@register.filter(name="format_prescription")
+def format_prescription(prescription):
+ if prescription.dosage_type == "TITRATED":
+ return f"{prescription.medicine_name}, titration from {prescription.base_dosage} to {prescription.target_dosage}, {prescription.route}, {prescription.frequency} for {prescription.days} days."
+ if prescription.dosage_type == "PRN":
+ return f"{prescription.medicine_name}, {prescription.base_dosage}, {prescription.route}"
+ else:
+ return f"{prescription.medicine_name}, {prescription.base_dosage}, {prescription.route}, {prescription.frequency} for {prescription.days} days."
diff --git a/care/facility/tests/sample_reports/sample1.png b/care/facility/tests/sample_reports/sample1.png
new file mode 100644
index 0000000000..7cb6ce14b9
Binary files /dev/null and b/care/facility/tests/sample_reports/sample1.png differ
diff --git a/care/facility/tests/sample_reports/sample2.png b/care/facility/tests/sample_reports/sample2.png
new file mode 100644
index 0000000000..e46ee40001
Binary files /dev/null and b/care/facility/tests/sample_reports/sample2.png differ
diff --git a/care/facility/tests/test_pdf_generation.py b/care/facility/tests/test_pdf_generation.py
new file mode 100644
index 0000000000..6754c0c43a
--- /dev/null
+++ b/care/facility/tests/test_pdf_generation.py
@@ -0,0 +1,230 @@
+import os
+import subprocess
+import tempfile
+from datetime import date
+from pathlib import Path
+
+from django.conf import settings
+from django.template.loader import render_to_string
+from django.test import TestCase
+from PIL import Image
+from rest_framework.test import APIClient
+
+from care.facility.models import (
+ ConditionVerificationStatus,
+ ICD11Diagnosis,
+ PrescriptionDosageType,
+ PrescriptionType,
+)
+from care.facility.utils.reports import discharge_summary
+from care.facility.utils.reports.discharge_summary import compile_typ
+from care.utils.tests.test_utils import TestUtils
+
+
+def compare_pngs(png_path1, png_path2):
+ with Image.open(png_path1) as img1, Image.open(png_path2) as img2:
+ if img1.mode != img2.mode:
+ return False
+
+ if img1.size != img2.size:
+ return False
+
+ img1_data = list(img1.getdata())
+ img2_data = list(img2.getdata())
+
+ if img1_data == img2_data:
+ return True
+ else:
+ return False
+
+
+def test_compile_typ(data):
+ sample_file_path = os.path.join(
+ os.getcwd(), "care", "facility", "tests", "sample_reports", "sample{n}.png"
+ )
+ test_output_file_path = os.path.join(
+ os.getcwd(), "care", "facility", "tests", "sample_reports", "test_output{n}.png"
+ )
+ try:
+ logo_path = (
+ Path(settings.BASE_DIR)
+ / "staticfiles"
+ / "images"
+ / "logos"
+ / "black-logo.svg"
+ )
+ data["logo_path"] = str(logo_path)
+ content = render_to_string(
+ "reports/patient_discharge_summary_pdf_template.typ", context=data
+ )
+ subprocess.run(
+ ["typst", "compile", "-", test_output_file_path, "--format", "png"],
+ input=content.encode("utf-8"),
+ capture_output=True,
+ check=True,
+ cwd="/",
+ )
+
+ number_of_pngs_generated = 2
+ # To be updated only if the number of sample png increase in future
+
+ for i in range(1, number_of_pngs_generated + 1):
+ current_sample_file_path = sample_file_path
+ current_sample_file_path = str(current_sample_file_path).replace(
+ "{n}", str(i)
+ )
+
+ current_test_output_file_path = test_output_file_path
+ current_test_output_file_path = str(current_test_output_file_path).replace(
+ "{n}", str(i)
+ )
+
+ if not compare_pngs(
+ Path(current_sample_file_path), Path(current_test_output_file_path)
+ ):
+ return False
+ return True
+ except Exception:
+ return False
+ finally:
+ count = 1
+ while True:
+ current_test_output_file_path = test_output_file_path
+ current_test_output_file_path = current_test_output_file_path.replace(
+ "{n}", str(count)
+ )
+ if Path(current_test_output_file_path).exists():
+ os.remove(Path(current_test_output_file_path))
+ else:
+ break
+ count += 1
+
+
+class TestTypstInstallation(TestCase):
+ def test_typst_installed(self):
+ try:
+ subprocess.run(["typst", "--version"], check=True)
+ typst_installed = True
+ except subprocess.CalledProcessError:
+ typst_installed = False
+
+ self.assertTrue(typst_installed, "Typst is not installed or not accessible")
+
+
+class TestGenerateDischargeSummaryPDF(TestCase, TestUtils):
+ @classmethod
+ def setUpTestData(cls) -> None:
+ cls.state = cls.create_state(name="sample_state")
+ cls.district = cls.create_district(cls.state, name="sample_district")
+ cls.local_body = cls.create_local_body(cls.district, name="sample_local_body")
+ cls.super_user = cls.create_super_user("su", cls.district)
+ cls.facility = cls.create_facility(
+ cls.super_user, cls.district, cls.local_body, name="_Sample_Facility"
+ )
+ cls.user = cls.create_user("staff1", cls.district, home_facility=cls.facility)
+ cls.treating_physician = cls.create_user(
+ "test Doctor",
+ cls.district,
+ home_facility=cls.facility,
+ first_name="Doctor",
+ last_name="Tester",
+ user_type=15,
+ )
+ cls.patient = cls.create_patient(
+ cls.district, cls.facility, local_body=cls.local_body
+ )
+ cls.consultation = cls.create_consultation(
+ cls.patient,
+ cls.facility,
+ patient_no="123456",
+ doctor=cls.treating_physician,
+ height=178,
+ weight=80,
+ suggestion="A",
+ )
+ cls.create_patient_sample(cls.patient, cls.consultation, cls.facility, cls.user)
+ cls.create_policy(patient=cls.patient, user=cls.user)
+ cls.create_encounter_symptom(cls.consultation, cls.user)
+ cls.patient_investigation_group = cls.create_patient_investigation_group()
+ cls.patient_investigation = cls.create_patient_investigation(
+ cls.patient_investigation_group
+ )
+ cls.patient_investigation_session = cls.create_patient_investigation_session(
+ cls.user
+ )
+ cls.create_investigation_value(
+ cls.patient_investigation,
+ cls.consultation,
+ cls.patient_investigation_session,
+ cls.patient_investigation_group,
+ )
+ cls.create_disease(cls.patient)
+ cls.create_prescription(cls.consultation, cls.user)
+ cls.create_prescription(
+ cls.consultation, cls.user, dosage_type=PrescriptionDosageType.TITRATED
+ )
+ cls.create_prescription(
+ cls.consultation, cls.user, dosage_type=PrescriptionDosageType.PRN
+ )
+ cls.create_prescription(
+ cls.consultation, cls.user, prescription_type=PrescriptionType.DISCHARGE
+ )
+ cls.create_prescription(
+ cls.consultation,
+ cls.user,
+ prescription_type=PrescriptionType.DISCHARGE,
+ dosage_type=PrescriptionDosageType.TITRATED,
+ )
+ cls.create_prescription(
+ cls.consultation,
+ cls.user,
+ prescription_type=PrescriptionType.DISCHARGE,
+ dosage_type=PrescriptionDosageType.PRN,
+ )
+ cls.create_consultation_diagnosis(
+ cls.consultation,
+ ICD11Diagnosis.objects.filter(
+ label="SG31 Conception vessel pattern (TM1)"
+ ).first(),
+ verification_status=ConditionVerificationStatus.CONFIRMED,
+ )
+ cls.create_consultation_diagnosis(
+ cls.consultation,
+ ICD11Diagnosis.objects.filter(
+ label="SG2B Liver meridian pattern (TM1)"
+ ).first(),
+ verification_status=ConditionVerificationStatus.DIFFERENTIAL,
+ )
+ cls.create_consultation_diagnosis(
+ cls.consultation,
+ ICD11Diagnosis.objects.filter(
+ label="SG29 Triple energizer meridian pattern (TM1)"
+ ).first(),
+ verification_status=ConditionVerificationStatus.PROVISIONAL,
+ )
+ cls.create_consultation_diagnosis(
+ cls.consultation,
+ ICD11Diagnosis.objects.filter(
+ label="SG60 Early yang stage pattern (TM1)"
+ ).first(),
+ verification_status=ConditionVerificationStatus.UNCONFIRMED,
+ )
+
+ def setUp(self) -> None:
+ self.client = APIClient()
+
+ def test_pdf_generation_success(self):
+ test_data = {"consultation": self.consultation}
+
+ with tempfile.NamedTemporaryFile(suffix=".pdf", delete=False) as file:
+ compile_typ(file.name, test_data)
+
+ self.assertTrue(os.path.exists(file.name))
+ self.assertGreater(os.path.getsize(file.name), 0)
+
+ def test_pdf_generation(self):
+ data = discharge_summary.get_discharge_summary_data(self.consultation)
+ data["date"] = date(2020, 1, 1)
+
+ # This sorting is test's specific and done in order to keep the values in order
+ self.assertTrue(test_compile_typ(data))
diff --git a/care/facility/utils/reports/discharge_summary.py b/care/facility/utils/reports/discharge_summary.py
index acec25ea20..b9fb47d077 100644
--- a/care/facility/utils/reports/discharge_summary.py
+++ b/care/facility/utils/reports/discharge_summary.py
@@ -1,18 +1,20 @@
import logging
+import subprocess
import tempfile
from collections.abc import Iterable
+from pathlib import Path
from uuid import uuid4
from django.conf import settings
from django.core.cache import cache
from django.core.mail import EmailMessage
-from django.db.models import Q
+from django.db.models import Case, IntegerField, Q, Value, When
from django.template.loader import render_to_string
from django.utils import timezone
-from hardcopy import bytestring_to_pdf
from care.facility.models import (
- DailyRound,
+ BedType,
+ ConsultationBed,
Disease,
EncounterSymptom,
InvestigationValue,
@@ -28,7 +30,7 @@
ACTIVE_CONDITION_VERIFICATION_STATUSES,
ConditionVerificationStatus,
)
-from care.facility.static_data.icd11 import get_icd11_diagnoses_objects_by_ids
+from care.facility.static_data.icd11 import get_icd11_diagnosis_object_by_id
from care.hcx.models.policy import Policy
logger = logging.getLogger(__name__)
@@ -65,13 +67,19 @@ def get_diagnoses_data(consultation: PatientConsultation):
)
)
- # retrieve diagnosis objects from in-memory table
- diagnoses = get_icd11_diagnoses_objects_by_ids([entry[0] for entry in entries])
-
+ # retrieve diagnosis objects
+ diagnoses = []
+ for entry in entries:
+ diagnose = get_icd11_diagnosis_object_by_id(entry[0])
+ if diagnose:
+ diagnoses.append(diagnose)
principal, unconfirmed, provisional, differential, confirmed = [], [], [], [], []
for diagnosis, record in zip(diagnoses, entries):
_, verification_status, is_principal = record
+
+ diagnosis.verification_status = verification_status
+
if is_principal:
principal.append(diagnosis)
if verification_status == ConditionVerificationStatus.UNCONFIRMED:
@@ -92,40 +100,61 @@ def get_diagnoses_data(consultation: PatientConsultation):
}
+def format_duration(duration):
+ if not duration:
+ return ""
+
+ days = duration.days
+ if days > 0:
+ return f"{days} days"
+ hours, remainder = divmod(duration.seconds, 3600)
+ minutes, _ = divmod(remainder, 60)
+ return f"{hours:02}:{minutes:02}"
+
+
def get_discharge_summary_data(consultation: PatientConsultation):
logger.info(f"fetching discharge summary data for {consultation.external_id}")
samples = PatientSample.objects.filter(
patient=consultation.patient, consultation=consultation
)
hcx = Policy.objects.filter(patient=consultation.patient)
- daily_rounds = DailyRound.objects.filter(consultation=consultation)
- symptoms = EncounterSymptom.objects.filter(consultation=consultation).exclude(
- clinical_impression_status=ClinicalImpressionStatus.ENTERED_IN_ERROR
- )
+ symptoms = EncounterSymptom.objects.filter(
+ consultation=consultation, onset_date__lt=consultation.encounter_date
+ ).exclude(clinical_impression_status=ClinicalImpressionStatus.ENTERED_IN_ERROR)
diagnoses = get_diagnoses_data(consultation)
investigations = InvestigationValue.objects.filter(
Q(consultation=consultation.id)
& (Q(value__isnull=False) | Q(notes__isnull=False))
)
medical_history = Disease.objects.filter(patient=consultation.patient)
- prescriptions = Prescription.objects.filter(
- consultation=consultation,
- prescription_type=PrescriptionType.REGULAR.value,
- ).exclude(dosage_type=PrescriptionDosageType.PRN.value)
- prn_prescriptions = Prescription.objects.filter(
- consultation=consultation,
- prescription_type=PrescriptionType.REGULAR.value,
- dosage_type=PrescriptionDosageType.PRN.value,
+ prescriptions = (
+ Prescription.objects.filter(
+ consultation=consultation, prescription_type=PrescriptionType.REGULAR.value
+ )
+ .annotate(
+ order_priority=Case(
+ When(dosage_type=PrescriptionDosageType.PRN.value, then=Value(2)),
+ When(dosage_type=PrescriptionDosageType.TITRATED.value, then=Value(1)),
+ default=Value(0),
+ output_field=IntegerField(),
+ )
+ )
+ .order_by("order_priority", "id")
)
- discharge_prescriptions = Prescription.objects.filter(
- consultation=consultation,
- prescription_type=PrescriptionType.DISCHARGE.value,
- ).exclude(dosage_type=PrescriptionDosageType.PRN.value)
-
- discharge_prn_prescriptions = Prescription.objects.filter(
- consultation=consultation,
- prescription_type=PrescriptionType.DISCHARGE.value,
- dosage_type=PrescriptionDosageType.PRN.value,
+ discharge_prescriptions = (
+ Prescription.objects.filter(
+ consultation=consultation,
+ prescription_type=PrescriptionType.DISCHARGE.value,
+ )
+ .annotate(
+ order_priority=Case(
+ When(dosage_type=PrescriptionDosageType.PRN.value, then=Value(2)),
+ When(dosage_type=PrescriptionDosageType.TITRATED.value, then=Value(1)),
+ default=Value(0),
+ output_field=IntegerField(),
+ )
+ )
+ .order_by("order_priority", "id")
)
files = FileUpload.objects.filter(
associating_id=consultation.id,
@@ -133,47 +162,91 @@ def get_discharge_summary_data(consultation: PatientConsultation):
upload_completed=True,
is_archived=False,
)
+ admitted_to = set()
+ if ConsultationBed.objects.filter(consultation=consultation).exists():
+ for bed in ConsultationBed.objects.filter(consultation=consultation).order_by(
+ "-created_date"
+ ):
+ admitted_to.add(BedType(bed.bed.bed_type).name)
+ admitted_to = list(admitted_to)
+ if not admitted_to:
+ admitted_to = None
+
+ admission_duration = (
+ format_duration(consultation.discharge_date - consultation.encounter_date)
+ if consultation.discharge_date
+ else None
+ )
return {
"patient": consultation.patient,
"samples": samples,
"hcx": hcx,
"symptoms": symptoms,
- "principal_diagnoses": diagnoses["principal"],
- "unconfirmed_diagnoses": diagnoses["unconfirmed"],
- "provisional_diagnoses": diagnoses["provisional"],
- "differential_diagnoses": diagnoses["differential"],
- "confirmed_diagnoses": diagnoses["confirmed"],
+ "admitted_to": admitted_to,
+ "admission_duration": admission_duration,
+ "diagnoses": diagnoses["confirmed"]
+ + diagnoses["provisional"]
+ + diagnoses["unconfirmed"]
+ + diagnoses["differential"],
+ "primary_diagnoses": diagnoses["principal"],
"consultation": consultation,
"prescriptions": prescriptions,
- "prn_prescriptions": prn_prescriptions,
"discharge_prescriptions": discharge_prescriptions,
- "discharge_prn_prescriptions": discharge_prn_prescriptions,
- "dailyrounds": daily_rounds,
"medical_history": medical_history,
"investigations": investigations,
"files": files,
}
-def generate_discharge_summary_pdf(data, file):
- logger.info(
- f"Generating Discharge Summary html for {data['consultation'].external_id}"
- )
- html_string = render_to_string("reports/patient_discharge_summary_pdf.html", data)
+def compile_typ(output_file, data):
+ try:
+ logo_path = (
+ Path(settings.BASE_DIR)
+ / "staticfiles"
+ / "images"
+ / "logos"
+ / "black-logo.svg"
+ )
+
+ data["logo_path"] = str(logo_path)
+
+ content = render_to_string(
+ "reports/patient_discharge_summary_pdf_template.typ", context=data
+ )
+
+ subprocess.run(
+ [
+ "typst",
+ "compile",
+ "-",
+ str(output_file),
+ ],
+ input=content.encode("utf-8"),
+ capture_output=True,
+ check=True,
+ cwd="/",
+ )
+ logging.info(
+ f"Successfully Compiled Summary pdf for {data['consultation'].external_id}"
+ )
+ return True
+
+ except subprocess.CalledProcessError as e:
+ logging.error(
+ f"Error compiling summary pdf for {data['consultation'].external_id}: {e.stderr.decode('utf-8')}"
+ )
+ return False
+
+
+def generate_discharge_summary_pdf(data, file):
logger.info(
f"Generating Discharge Summary pdf for {data['consultation'].external_id}"
)
- bytestring_to_pdf(
- html_string.encode(),
- file,
- **{
- "no-margins": None,
- "disable-gpu": None,
- "disable-dev-shm-usage": False,
- "window-size": "2480,3508",
- },
+ compile_typ(output_file=file.name, data=data)
+ logger.info(
+ f"Successfully Generated Discharge Summary pdf for {data['consultation'].external_id}"
)
diff --git a/care/templates/reports/patient_discharge_summary_pdf.html b/care/templates/reports/patient_discharge_summary_pdf.html
deleted file mode 100644
index 2a2125c788..0000000000
--- a/care/templates/reports/patient_discharge_summary_pdf.html
+++ /dev/null
@@ -1,1065 +0,0 @@
-{% load filters static %}
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- {{patient.facility.name}}
-
-
-
-
- Patient Discharge Summary
-
-
- Created on {{date}}
-
-
-
-
-
-
- Full name: {{patient.name}}
-
-
- Gender: {{patient.get_gender_display}}
-
-
- Age: {{patient.get_age}}
-
- {% if patient.date_of_birth %}
-
- Date of Birth: {{patient.date_of_birth}}
-
- {% else %}
-
- Year of Birth: {{patient.year_of_birth}}
-
- {% endif %}
-
- Blood Group: {{patient.blood_group}}
-
-
- Phone Number: {{patient.phone_number}}
-
-
- Address: {{patient.address}}
-
-
- Ration Card Category: {{patient.get_ration_card_category_display}}
-
-
-
-
- Admission Details
-
-
-
-
-
- Route to Facility:
- {{consultation.get_route_to_facility_display|field_name_to_label}}
-
-
- Decision after consultation:
- {{consultation.get_suggestion_display|field_name_to_label}}
-
- {% if consultation.icu_admission_date %}
-
- ICU Admission Date & Time:
- {{consultation.icu_admission_date}}
-
- {% endif %}
- {% if consultation.suggestion == 'A' %}
-
- Date of addmission:
- {{consultation.encounter_date}}
-
- {% elif consultation.suggestion == 'R' %}
-
- Referred to:
- {{consultation.referred_to.name}}
-
- {% elif consultation.suggestion == 'DD' %}
-
- Cause of death:
- {{consultation.discharge_notes}}
-
-
- Date and time of death:
- {{consultation.death_datetime}}
-
-
- Death Confirmed by:
- {{consultation.death_confirmed_by}}
-
- {% endif %}
-
-
-
- {% if consultation.suggestion == 'A' %}
- IP No:
- {% else %}
- OP No:
- {% endif %}
- {{consultation.patient_no}}
-
-
- Weight:
- {{consultation.weight}} kg
-
-
- Height:
- {{consultation.height}} cm
-
-
-
-
- {% if hcx %}
-
- Health insurance details:
-
-
-
-
-
-
- |
- Insurer Name
- |
-
- Issuer ID
- |
-
- Member ID
- |
-
- Policy ID
- |
-
-
-
- {% for policy in hcx %}
-
- |
- {{policy.insurer_name}}
- |
-
- {{policy.insurer_id}}
- |
-
- {{policy.subscriber_id}}
- |
-
- {{policy.policy_id}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if symptoms %}
-
- Symptoms:
-
-
-
-
-
- |
- Name
- |
-
- Onset Date
- |
-
- Cure Date
- |
-
-
-
- {% for symptom in symptoms %}
-
- |
- {% if symptom.symptom == 9 %}
- {{symptom.other_symptom}}
- {% else %}
- {{symptom.get_symptom_display}}
- {% endif %}
- |
-
- {{symptom.onset_date.date}}
- |
-
- {{symptom.cure_date.date}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if principal_diagnosis %}
-
- Principal Diagnosis (as per ICD-11 recommended by WHO):
-
-
-
-
-
- |
- ID
- |
-
- Name
- |
-
-
-
- {% for disease in principal_diagnosis %}
-
- |
- {{disease.id}}
- |
-
- {{disease.label}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if unconfirmed_diagnoses %}
-
- Unconfirmed Diagnoses (as per ICD-11 recommended by WHO):
-
-
-
-
-
- |
- ID
- |
-
- Name
- |
-
-
-
- {% for disease in unconfirmed_diagnoses %}
-
- |
- {{disease.id}}
- |
-
- {{disease.label}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if provisional_diagnoses %}
-
- Provisional Diagnosis (as per ICD-11 recommended by WHO):
-
-
-
-
-
- |
- ID
- |
-
- Name
- |
-
-
-
- {% for disease in provisional_diagnoses %}
-
- |
- {{disease.id}}
- |
-
- {{disease.label}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if differential_diagnoses %}
-
- Differential Diagnoses (as per ICD-11 recommended by WHO):
-
-
-
-
-
- |
- ID
- |
-
- Name
- |
-
-
-
- {% for disease in differential_diagnoses %}
-
- |
- {{disease.id}}
- |
-
- {{disease.label}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if confirmed_diagnoses %}
-
- Confirmed Diagnoses (as per ICD-11 recommended by WHO):
-
-
-
-
-
- |
- ID
- |
-
- Name
- |
-
-
-
- {% for disease in confirmed_diagnoses %}
-
- |
- {{disease.id}}
- |
-
- {{disease.label}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
-
- {% if medical_history %}
-
- Medication History:
-
-
-
-
-
- |
- Comorbidity
- |
-
- Details
- |
-
-
-
- {% for disease in medical_history %}
-
- |
- {{disease.get_disease_display}}
- |
-
- {{disease.details}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
-
-
- Health status at admission:
-
-
- Present health condition:
- {{patient.present_health}}
-
-
- Ongoing Medication:
- {{patient.ongoing_medication}}
-
- {% if consultation.route_to_facility %}
-
- History of present illness:
- {{consultation.history_of_present_illness}}
-
- {% endif %}
-
- Examination details and Clinical conditions:
- {{consultation.examination_details}}
-
-
- Allergies:
- {{patient.allergies}}
-
-
-
-
- Treatment Summary
-
-
-
- {% if patient.disease_status == 2 %}
-
-
- COVID Disease Status:
- Positive
-
- {% if patient.date_of_result %}
-
- Test Result Date:
- {{patient.date_of_result.date}}
-
- {% endif %}
-
- Vaccinated against COVID:
- {% if patient.is_vaccinated %}
- Yes
- {% else %}
- No
- {% endif %}
-
-
- {% endif %}
-
- {% if prescriptions %}
-
- Prescription Medication:
-
-
-
-
-
- |
- Medicine
- |
-
- Dosage
- |
-
- Route
- |
-
- Frequency
- |
-
- Days
- |
-
- Notes
- |
-
-
-
- {% for prescription in prescriptions %}
-
- |
- {{ prescription.medicine_name }}
- |
-
- {{ prescription.base_dosage }}
- {% if prescription.dosage_type == 'TITRATED' %}
- to {{ prescription.target_dosage }}
- Instruction on titration: {{ prescription.instruction_on_titration }}
- {% endif %}
- |
-
- {{ prescription.route }}
- |
-
- {{ prescription.frequency }}
- |
-
- {{ prescription.days }}
- |
-
- {{ prescription.notes }}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if prn_prescriptions %}
-
- PRN Prescription:
-
-
-
-
-
- |
- Medicine
- |
-
- Dosage
- |
-
- Max Dosage
- |
-
- Min Time btwn. 2 doses
- |
-
- Route
- |
-
- Indicator
- |
-
-
-
- {% for prescription in prn_prescriptions %}
-
- |
- {{ prescription.medicine_name }}
- |
-
- {{ prescription.base_dosage }}
- |
-
- {{ prescription.max_dosage }}
- |
-
- {{ prescription.min_hours_between_doses }} Hrs.
- |
-
- {{ prescription.route }}
- |
-
- {{ prescription.indicator }}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if consultation.investigation %}
-
- Investigations Suggestions:
-
-
-
-
-
- |
- Type
- |
-
- Time
- |
-
- Notes
- |
-
-
-
- {% for investigation in consultation.investigation %}
-
- |
- {{investigation.type|join:", "}}
- |
-
- {% if investigation.repetitive %}
- every {{investigation.frequency}}
- {% else %}
- {{investigation.time|parse_datetime}}
- {% endif %}
- |
-
- {{investigation.notes}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if consultation.procedure %}
-
- Procedures:
-
-
-
-
-
- |
- Procedure
- |
-
- Time
- |
-
- Notes
- |
-
-
-
- {% for procedure in consultation.procedure %}
-
- |
- {{procedure.procedure}}
- |
-
- {% if procedure.repetitive %}
- every {{procedure.frequency}}
- {% else %}
- {{procedure.time|parse_datetime}}
- {% endif %}
- |
-
- {{procedure.notes}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if consultation.treatment_plan %}
-
- Prescribed medication:
-
-
- {{ consultation.treatment_plan }}
-
- {% endif %}
-
- {% if consultation.consultation_notes %}
-
- General Instructions (Advice):
-
-
- {{consultation.consultation_notes}}
-
- {% endif %}
-
- {% if consultation.special_instruction %}
-
- Special Instructions:
-
-
- {{consultation.special_instruction}}
-
- {% endif %}
-
-
- {% if samples %}
-
- Lab Reports:
-
-
-
-
-
- |
- Requested on
- |
-
- Sample type
- |
-
- Label
- |
-
- Result
- |
-
-
-
- {% for sample in samples %}
-
- |
- {{sample.created_date}}
- |
-
- {{sample.get_sample_type_display}}
- |
-
- {{sample.icmr_label}}
- |
-
- {{sample.get_result_display}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if dailyrounds %}
-
- Daily Rounds:
-
- {% for daily_round in dailyrounds %}
-
-
-
- {{daily_round.created_date}}
-
-
-
-
-
- Category
-
-
- {{daily_round.get_patient_category_display}}
-
-
-
-
-
- Physical Examination Details
-
-
- {{daily_round.physical_examination_info}}
-
-
-
-
- Other Details
-
-
- {{daily_round.other_details}}
-
-
-
-
-
- {% endfor %}
- {% endif %}
-
- {% if investigations %}
-
-
- Investigation History
-
-
-
-
-
-
- |
- Group
- |
-
- Name
- |
-
- Result
- |
-
- Range
- |
-
- Date
- |
-
-
-
- {% for investigation in investigations %}
-
- |
- {{investigation.investigation.groups.first}}
- |
-
- {{investigation.investigation.name}}
- |
-
- {% if investigation.value%}
- {{investigation.value}}
- {% else %}
- {{investigation.notes}}
- {% endif %}
- |
-
- {% if investigation.investigation.min_value and investigation.investigation.max_value%}
- {{investigation.investigation.min_value}} - {{investigation.investigation.max_value}}
- {% else %}
- -
- {% endif %}
- {% if investigation.investigation.unit %}
- {{investigation.investigation.unit}}
- {% endif %}
- |
-
- {{investigation.created_date}}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
-
- Discharge Summary
-
-
-
-
-
- Discharge Date: {{consultation.discharge_date}}
-
-
- Discharge Reason: {{consultation.get_discharge_reason_display}}
-
-
- {% if consultation.new_discharge_reason == 1 %}
- {% if discharge_prescriptions %}
-
- Discharge Prescription Medication:
-
-
-
-
-
- |
- Medicine
- |
-
- Dosage
- |
-
- Route
- |
-
- Frequency
- |
-
- Days
- |
-
- Notes
- |
-
-
-
- {% for prescription in discharge_prescriptions %}
-
- |
- {{ prescription.medicine_name }}
- |
-
- {{ prescription.base_dosage }}
- |
-
- {{ prescription.route }}
- |
-
- {{ prescription.frequency }}
- |
-
- {{ prescription.days }}
- |
-
- {{ prescription.notes }}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
-
- {% if discharge_prn_prescriptions %}
-
- Discharge PRN Prescription:
-
-
-
-
-
- |
- Medicine
- |
-
- Dosage
- |
-
- Max Dosage
- |
-
- Min Time btwn. 2 doses
- |
-
- Route
- |
-
- Indicator
- |
-
-
-
- {% for prescription in discharge_prn_prescriptions %}
-
- |
- {{ prescription.medicine_name }}
- |
-
- {{ prescription.base_dosage }}
- |
-
- {{ prescription.max_dosage }}
- |
-
- {{ prescription.min_hours_between_doses }} Hrs.
- |
-
- {{ prescription.route }}
- |
-
- {{ prescription.indicator }}
- |
-
- {% endfor %}
-
-
-
- {% endif %}
- {% elif consultation.new_discharge_reason == 2 %}
- {% elif consultation.new_discharge_reason == 3 %}
- {% elif consultation.new_discharge_reason == 4 %}
- {% endif %}
-
-
- Discharge Notes: {{consultation.discharge_notes}}
-
-
-
- Annexes
-
-
-
-
- Uploaded Files:
-
-
-
-
-
- |
- Uploaded at
- |
-
- Name
- |
-
-
-
- {% for file in files %}
-
- |
- {{file.modified_date}}
- |
-
- {{file.name}}
- |
-
- {% endfor %}
-
-
-
-
-
- Treating Physician
-
-
- {% if consultation.treating_physician %}
- {{ consultation.treating_physician.first_name }} {{ consultation.treating_physician.last_name }}
- {% else %}
- -
- {% endif %}
-
-