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Store critical care daily round changes in events #2170

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merged 9 commits into from
May 16, 2024
Merged

Store critical care daily round changes in events #2170

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c978925
add fields_to_store parameter event handler
sainak May 15, 2024
1856d92
add event trigger for daily round patch requests
sainak May 15, 2024
4a3d4a7
fix
sainak May 15, 2024
268e5cf
update event groups for daily rounds
sainak May 15, 2024
adc2188
fix
sainak May 15, 2024
bbf8615
mark removed event groups as inactive
sainak May 15, 2024
d791b6d
fix events not getting create when fields_to_store is present
sainak May 15, 2024
172a35b
fix
sainak May 15, 2024
afd97a4
adds missing pain scale event
rithviknishad May 16, 2024
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8 changes: 8 additions & 0 deletions care/facility/api/serializers/daily_round.py
View file
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Original file line number Diff line number Diff line change
Expand Up @@ -139,6 +139,14 @@ def update(self, instance, validated_data):
facility=instance.consultation.patient.facility,
).generate()

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

return super().update(instance, validated_data)

def update_last_daily_round(self, daily_round_obj):
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
59 changes: 31 additions & 28 deletions care/facility/events/handler.py
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Original file line number Diff line number Diff line change
@@ -1,60 +1,53 @@
from datetime import datetime

from celery import shared_task
from django.core import serializers
from django.db import models, transaction
from django.db import transaction
from django.db.models import 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 | None = None,
) -> dict:
fields = 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 &= 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,
fields_to_store: set | None = None,
):
change_type = ChangeType.UPDATED if old_instance else ChangeType.CREATED

data = transform(object_instance, old_instance)
data = transform(object_instance, old_instance, fields_to_store)

fields_to_store = set(data.keys())
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 +96,7 @@ def create_consultation_events(
caused_by: int,
created_date: datetime = None,
old: Model | None = None,
fields_to_store: list | set | None = None,
):
if created_date is None:
created_date = now()
Expand All @@ -115,9 +109,18 @@ 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,
)
163 changes: 85 additions & 78 deletions care/facility/management/commands/load_event_types.py
View file
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Original file line number Diff line number Diff line change
Expand Up @@ -94,88 +94,40 @@ 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": "NEUROLOGICAL",
"fields": (
Expand All @@ -191,40 +143,84 @@ 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 +235,12 @@ 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 +252,7 @@ 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 +261,10 @@ 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"))
14 changes: 13 additions & 1 deletion care/utils/event_utils.py
View file
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Original file line number Diff line number Diff line change
Expand Up @@ -2,7 +2,8 @@
from json import JSONEncoder
from logging import getLogger

from django.db.models import Model
from django.core.serializers import serialize
from django.db.models import Field, Model
from multiselectfield.db.fields import MSFList, MultiSelectField

logger = getLogger(__name__)
Expand All @@ -27,6 +28,17 @@ def get_changed_fields(old: Model, new: Model) -> set[str]:
return changed_fields


def serialize_field(object: Model, field: Field):
value = getattr(object, field.name)
if isinstance(value, Model):
# serialize the fields of the related model
return serialize("python", [value])[0]["fields"]
if issubclass(field.__class__, Field) and field.choices:
# serialize choice fields with display value
return getattr(object, f"get_{field.name}_display", lambda: value)()
return value


def model_diff(old, new):
diff = {}
for field in new._meta.fields:
Expand Down
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