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# -*- coding: utf-8 -*-
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import logging
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import os
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from datetime import datetime, date
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from dateutil.relativedelta import relativedelta
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from cPickle import loads, dumps
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from django.conf import settings
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from django.db import models
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from django.db.models import Min, Max, Q
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from django.contrib.auth.models import User
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from django.core.validators import MinValueValidator
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import reversion
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from calebasse.choices import TYPE_OF_CONTRACT_CHOICES, DEFICIENCY_CHOICES
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from calebasse.models import PhoneNumberField, ZipCodeField
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from calebasse.personnes.models import People
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from calebasse.ressources.models import (ServiceLinkedAbstractModel,
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NamedAbstractModel)
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from calebasse.actes.models import Act
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DEFAULT_ACT_NUMBER_DIAGNOSTIC = 6
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DEFAULT_ACT_NUMBER_TREATMENT = 30
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DEFAULT_ACT_NUMBER_PROLONGATION = 10
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VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS = 0
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VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS = 0
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VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS = 1
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logger = logging.getLogger('calebasse.dossiers')
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class TransportPrescriptionLog(models.Model):
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patient = models.ForeignKey('dossiers.PatientRecord',
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verbose_name=u'Dossier patient')
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created = models.DateTimeField(u'Création', auto_now_add=True)
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choices = models.CharField(max_length = 4096, null=True, blank=True)
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def get_choices(self):
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if not self.choices:
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return dict()
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return loads(str(self.choices), protocol = 1)
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def set_choices(self, choices=None):
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if choices and isinstance(choices, dict):
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self.choices = dumps(choices, protocol = 1)
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class HealthCare(models.Model):
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class Meta:
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app_label = 'dossiers'
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start_date = models.DateField(verbose_name=u"Date de début")
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request_date = models.DateField(verbose_name=u"Date de demande",
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blank=True, null=True)
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agree_date = models.DateField(verbose_name=u"Date d'accord",
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blank=True, null=True)
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insist_date = models.DateField(verbose_name=u"Date de relance",
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blank=True, null=True)
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patient = models.ForeignKey('dossiers.PatientRecord',
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verbose_name=u'Dossier patient')
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created = models.DateTimeField(u'Création', auto_now_add=True)
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author = \
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models.ForeignKey(User,
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verbose_name=u'Auteur', blank=True, null=True)
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comment = models.TextField(max_length=3000, blank=True, null=True, verbose_name=u"Commentaire")
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def get_nb_acts_cared(self):
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return len(self.act_set.all())
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class CmppHealthCareDiagnostic(HealthCare):
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class Meta:
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app_label = 'dossiers'
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act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_DIAGNOSTIC, verbose_name=u"Nombre d'actes couverts")
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end_date = models.DateField(verbose_name=u"Date de fin",
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blank=True, null=True)
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def get_act_number(self):
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return self.act_number
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def set_act_number(self, value):
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if value < self.get_nb_acts_cared():
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raise Exception("La valeur doit être supérieur au "
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"nombre d'actes déjà pris en charge")
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self.act_number = value
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self.save()
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def save(self, **kwargs):
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self.start_date = \
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datetime(self.start_date.year, self.start_date.month,
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self.start_date.day)
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super(CmppHealthCareDiagnostic, self).save(**kwargs)
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class CmppHealthCareTreatment(HealthCare):
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class Meta:
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app_label = 'dossiers'
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act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_TREATMENT,
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verbose_name=u"Nombre d'actes couverts")
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end_date = models.DateField(verbose_name=u"Date de fin",
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blank=True, null=True)
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prolongation = models.IntegerField(default=0,
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verbose_name=u'Prolongation')
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prolongation_date = models.DateField(verbose_name=u"Date de prolongation",
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blank=True, null=True)
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def get_act_number(self):
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if self.is_extended():
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return self.act_number + self.prolongation
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return self.act_number
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def set_act_number(self, value):
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if value < self.get_nb_acts_cared():
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raise Exception("La valeur doit être supérieur au "
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"nombre d'actes déjà pris en charge")
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self.act_number = value
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self.save()
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def is_extended(self):
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if self.prolongation > 0:
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return True
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return False
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def add_prolongation(self, value=None):
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if not value:
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value = DEFAULT_ACT_NUMBER_PROLONGATION
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if self.is_extended():
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raise Exception(u'Prise en charge déja prolongée')
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self.prolongation = value
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self.save()
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def del_prolongation(self):
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pass
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def save(self, **kwargs):
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self.start_date = \
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datetime(self.start_date.year, self.start_date.month,
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self.start_date.day)
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if not self.end_date:
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self.end_date = self.start_date + \
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relativedelta(years=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS) + \
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relativedelta(months=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS) + \
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relativedelta(days=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS-1)
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super(CmppHealthCareTreatment, self).save(**kwargs)
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class SessadHealthCareNotification(HealthCare):
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class Meta:
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app_label = 'dossiers'
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end_date = models.DateField(verbose_name=u"Date de fin",
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blank=True, null=True)
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def save(self, **kwargs):
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self.start_date = \
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datetime(self.start_date.year, self.start_date.month,
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self.start_date.day)
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if self.end_date:
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self.end_date = \
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datetime(self.end_date.year, self.end_date.month,
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self.end_date.day)
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super(SessadHealthCareNotification, self).save(**kwargs)
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reversion.register(CmppHealthCareDiagnostic, follow=['healthcare_ptr'])
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reversion.register(CmppHealthCareTreatment, follow=['healthcare_ptr'])
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reversion.register(SessadHealthCareNotification, follow=['healthcare_ptr'])
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class ProtectionStatus(NamedAbstractModel):
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class Meta:
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app_label = 'dossiers'
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verbose_name = u"Statut d'une mesure de protection"
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verbose_name_plural = u"Statuts d'une mesure de protection"
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class ProtectionState(models.Model):
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class Meta:
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app_label = 'dossiers'
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verbose_name = u'Mesure de protection du dossier patient'
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verbose_name_plural = u'Mesure de protections du dossier patient'
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ordering = ['-start_date']
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patient = models.ForeignKey('dossiers.PatientRecord',
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verbose_name=u'Dossier patient')
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status = models.ForeignKey('dossiers.ProtectionStatus', verbose_name=u'Statut de protection')
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created = models.DateTimeField(u'Création', auto_now_add=True)
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start_date = models.DateTimeField()
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end_date = models.DateTimeField(blank=True, null=True)
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comment = models.TextField(max_length=3000, blank=True, null=True)
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def __unicode__(self):
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return self.status.name + ' ' + str(self.start_date)
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class Status(NamedAbstractModel):
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class Meta:
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app_label = 'dossiers'
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verbose_name = u"Statut d'un état"
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verbose_name_plural = u"Statuts d'un état"
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type = models.CharField(max_length=80)
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services = models.ManyToManyField('ressources.Service')
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class FileState(models.Model):
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class Meta:
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app_label = 'dossiers'
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verbose_name = u'Etat du dossier patient'
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verbose_name_plural = u'Etats du dossier patient'
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patient = models.ForeignKey('dossiers.PatientRecord',
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verbose_name=u'Dossier patient')
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status = models.ForeignKey('dossiers.Status', verbose_name=u'Statut')
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created = models.DateTimeField(u'Création', auto_now_add=True)
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date_selected = models.DateTimeField()
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author = \
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models.ForeignKey(User,
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verbose_name=u'Auteur')
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comment = models.TextField(max_length=3000, blank=True, null=True)
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previous_state = models.ForeignKey('FileState',
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on_delete=models.SET_NULL,
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verbose_name=u'Etat précédent',
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blank=True, null=True)
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def get_next_state(self):
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try:
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return FileState.objects.get(previous_state=self)
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except:
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return None
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def save(self, **kwargs):
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self.date_selected = \
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datetime(self.date_selected.year,
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self.date_selected.month, self.date_selected.day)
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super(FileState, self).save(**kwargs)
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def __unicode__(self):
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return self.status.name + ' ' + str(self.date_selected)
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def delete(self, *args, **kwargs):
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next_state = self.get_next_state()
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if next_state and self.previous_state:
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next_state.previous_state = self.previous_state
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next_state.save()
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if self.patient.last_state == self:
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self.patient.last_state = self.previous_state
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self.patient.save()
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super(FileState, self).delete(*args, **kwargs)
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class PatientAddress(models.Model):
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display_name = models.CharField(max_length=276,
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verbose_name=u'Adresse complète', editable=False)
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phone = PhoneNumberField(verbose_name=u"Téléphone", blank=True, null=True)
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fax = PhoneNumberField(verbose_name=u"Fax", blank=True, null=True)
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place_of_life = models.BooleanField(verbose_name=u"Lieu de vie")
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number = models.CharField(max_length=12,
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verbose_name=u"Numéro", blank=True, null=True)
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recipient = models.CharField(max_length=100,
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verbose_name=u"Destinataire", blank=True, null=True)
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street = models.CharField(max_length=100,
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verbose_name=u"Rue", blank=True, null=True)
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address_complement = models.CharField(max_length=100,
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blank=True, null=True,
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verbose_name=u"Complément d'adresse")
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zip_code = ZipCodeField(verbose_name=u"Code postal", blank=True, null=True)
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city = models.CharField(max_length=60,
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verbose_name=u"Ville", blank=True, null=True)
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comment = models.TextField(verbose_name=u"Commentaire",
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null=True, blank=True)
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def __unicode__(self):
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return self.display_name or u"Non renseigné"
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def save(self, **kwargs):
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self.display_name = ''
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if self.recipient:
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self.display_name += self.recipient + ' '
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if self.number:
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self.display_name += self.number + ' '
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if self.street:
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self.display_name += self.street + ' '
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if self.address_complement:
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self.display_name += self.address_complement + ' '
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if self.zip_code:
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self.display_name += self.zip_code + ' '
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if self.city:
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self.display_name += self.city + ' '
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super(PatientAddress, self).save(**kwargs)
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class PatientContact(People):
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class Meta:
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verbose_name = u'Contact patient'
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verbose_name_plural = u'Contacts patient'
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mobile = PhoneNumberField(verbose_name=u"Téléphone mobile", blank=True, null=True)
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# carte vitale
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social_security_id = models.CharField(max_length=13, verbose_name=u"NIR",
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null=True, blank=True)
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birthdate = models.DateField(verbose_name=u"Date de naissance",
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null=True, blank=True)
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birthplace = models.CharField(max_length=100, verbose_name=u"Lieu de naissance",
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null=True, blank=True)
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twinning_rank = models.IntegerField(verbose_name=u"Rang (gémellité)", default=1,
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validators=[MinValueValidator(1)])
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thirdparty_payer = models.BooleanField(verbose_name=u'Tiers-payant',
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default=False)
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begin_rights = models.DateField(verbose_name=u"Début de droits",
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null=True, blank=True)
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end_rights = models.DateField(verbose_name=u"Fin de droits",
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null=True, blank=True)
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health_center = models.ForeignKey('ressources.HealthCenter',
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verbose_name=u"Centre d'assurance maladie",
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null=True, blank=True)
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other_health_center = models.CharField(verbose_name=u"Centre spécifique",
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max_length=4,
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null=True, blank=True)
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type_of_contract = models.CharField(max_length=2,
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verbose_name=u"Type de contrat spécifique",
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choices=TYPE_OF_CONTRACT_CHOICES,
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null=True, blank=True)
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management_code = models.ForeignKey('ressources.ManagementCode',
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verbose_name=u"Code de gestion",
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null=True, blank=True)
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job = models.ForeignKey('ressources.Job',
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related_name="job",
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verbose_name=u"Profession",
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null=True, blank=True, default=None)
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parente = models.ForeignKey('ressources.PatientRelatedLink',
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verbose_name=u"Lien avec le patient (Parenté)",
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null=True, blank=True, default=None)
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ame = models.BooleanField(verbose_name=u"AME", default=False)
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344
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addresses = models.ManyToManyField('PatientAddress', verbose_name=u"Adresses")
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contact_comment = models.TextField(verbose_name=u"Commentaire",
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null=True, blank=True)
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348
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349
|
old_contact_id = models.CharField(max_length=256,
|
|
350
|
verbose_name=u'Ancien ID du contact', blank=True, null=True)
|
|
351
|
|
|
352
|
def get_control_key(self):
|
|
353
|
if self.social_security_id:
|
|
354
|
nir = self.social_security_id
|
|
355
|
try:
|
|
356
|
# Corse dpt 2A et 2B
|
|
357
|
minus = 0
|
|
358
|
if nir[6] in ('A', 'a'):
|
|
359
|
nir = [c for c in nir]
|
|
360
|
nir[6] = '0'
|
|
361
|
nir = ''.join(nir)
|
|
362
|
minus = 1000000
|
|
363
|
elif nir[6] in ('B', 'b'):
|
|
364
|
nir = [c for c in nir]
|
|
365
|
nir[6] = '0'
|
|
366
|
nir = ''.join(nir)
|
|
367
|
minus = 2000000
|
|
368
|
nir = int(nir) - minus
|
|
369
|
return (97 - (nir % 97))
|
|
370
|
except Exception, e:
|
|
371
|
logger.warning("%s" % str(e))
|
|
372
|
return None
|
|
373
|
return None
|
|
374
|
|
|
375
|
|
|
376
|
class PatientRecordManager(models.Manager):
|
|
377
|
def for_service(self, service):
|
|
378
|
return self.filter(service=service)
|
|
379
|
|
|
380
|
class PatientRecord(ServiceLinkedAbstractModel, PatientContact):
|
|
381
|
objects = PatientRecordManager()
|
|
382
|
|
|
383
|
class Meta:
|
|
384
|
verbose_name = u'Dossier'
|
|
385
|
verbose_name_plural = u'Dossiers'
|
|
386
|
|
|
387
|
created = models.DateTimeField(u'création', auto_now_add=True)
|
|
388
|
creator = \
|
|
389
|
models.ForeignKey(User,
|
|
390
|
verbose_name=u'Créateur dossier patient',
|
|
391
|
editable=True)
|
|
392
|
policyholder = models.ForeignKey('PatientContact',
|
|
393
|
null=True, blank=True,
|
|
394
|
verbose_name="Assuré", related_name="+",
|
|
395
|
on_delete=models.SET_NULL)
|
|
396
|
contacts = models.ManyToManyField('PatientContact',
|
|
397
|
related_name='contact_of')
|
|
398
|
nationality = models.CharField(verbose_name=u"Nationalité",
|
|
399
|
max_length=70, null=True, blank=True)
|
|
400
|
paper_id = models.CharField(max_length=6,
|
|
401
|
verbose_name=u"N° dossier papier",
|
|
402
|
null=True, blank=True)
|
|
403
|
last_state = models.ForeignKey(FileState, related_name='+',
|
|
404
|
null=True, on_delete=models.SET_NULL)
|
|
405
|
comment = models.TextField(verbose_name=u"Commentaire",
|
|
406
|
null=True, blank=True, default=None)
|
|
407
|
pause = models.BooleanField(verbose_name=u"Pause facturation",
|
|
408
|
default=False)
|
|
409
|
pause_comment = models.TextField(verbose_name=u"Commentaire sur la pause facturation",
|
|
410
|
null=True, blank=True, default=None)
|
|
411
|
confidential = models.BooleanField(verbose_name=u"Confidentiel",
|
|
412
|
default=False)
|
|
413
|
socialisation_durations = models.ManyToManyField('ressources.SocialisationDuration',
|
|
414
|
related_name='socialisation_duration_of')
|
|
415
|
mdph_requests = models.ManyToManyField('ressources.MDPHRequest',
|
|
416
|
related_name='mdph_requests_of')
|
|
417
|
mdph_responses = models.ManyToManyField('ressources.MDPHResponse',
|
|
418
|
related_name='mdph_responses_of')
|
|
419
|
|
|
420
|
# Physiology and health data
|
|
421
|
size = models.DecimalField(verbose_name=u"Taille (cm)", max_digits=5, decimal_places=1,
|
|
422
|
null=True, blank=True, default=None)
|
|
423
|
weight = models.IntegerField(verbose_name=u"Poids (g)",
|
|
424
|
null=True, blank=True, default=None)
|
|
425
|
pregnancy_term = models.IntegerField(verbose_name=u"Terme en semaines",
|
|
426
|
null=True, blank=True, default=None)
|
|
427
|
cranium_perimeter = models.DecimalField(verbose_name=u"Périmètre cranien", max_digits=5, decimal_places=2,
|
|
428
|
null=True, blank=True, default=None)
|
|
429
|
chest_perimeter = models.DecimalField(verbose_name=u"Périmètre thoracique", max_digits=5, decimal_places=2,
|
|
430
|
null=True, blank=True, default=None)
|
|
431
|
apgar_score_one = models.IntegerField(verbose_name=u"Test d'Apgar (1)",
|
|
432
|
null=True, blank=True, default=None)
|
|
433
|
apgar_score_two = models.IntegerField(verbose_name=u"Test d'Apgar (5)",
|
|
434
|
null=True, blank=True, default=None)
|
|
435
|
mises_1 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises1",
|
|
436
|
verbose_name=u"Axe I : catégories cliniques",
|
|
437
|
null=True, blank=True, default=None)
|
|
438
|
mises_2 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises2",
|
|
439
|
verbose_name=u"Axe II : facteurs organiques",
|
|
440
|
null=True, blank=True, default=None)
|
|
441
|
mises_3 = models.ManyToManyField('ressources.CodeCFTMEA', related_name="mises3",
|
|
442
|
verbose_name=u"Axe II : facteurs environnementaux",
|
|
443
|
null=True, blank=True, default=None)
|
|
444
|
deficiency_intellectual = models.IntegerField(max_length=1,
|
|
445
|
verbose_name=u"Déficiences intellectuelles",
|
|
446
|
choices=DEFICIENCY_CHOICES,
|
|
447
|
default=0)
|
|
448
|
deficiency_autism_and_other_ted = models.IntegerField(max_length=1,
|
|
449
|
verbose_name=u"Autisme et autres TED",
|
|
450
|
choices=DEFICIENCY_CHOICES,
|
|
451
|
default=0)
|
|
452
|
deficiency_mental_disorder = models.IntegerField(max_length=1,
|
|
453
|
verbose_name=u"Troubles psychiques",
|
|
454
|
choices=DEFICIENCY_CHOICES,
|
|
455
|
default=0)
|
|
456
|
deficiency_learning_disorder = models.IntegerField(max_length=1,
|
|
457
|
verbose_name=u"Troubles du langage et des apprentissages",
|
|
458
|
choices=DEFICIENCY_CHOICES,
|
|
459
|
default=0)
|
|
460
|
deficiency_auditory = models.IntegerField(max_length=1,
|
|
461
|
verbose_name=u"Déficiences auditives",
|
|
462
|
choices=DEFICIENCY_CHOICES,
|
|
463
|
default=0)
|
|
464
|
deficiency_visual = models.IntegerField(max_length=1,
|
|
465
|
verbose_name=u"Déficiences visuelles",
|
|
466
|
choices=DEFICIENCY_CHOICES,
|
|
467
|
default=0)
|
|
468
|
deficiency_motor = models.IntegerField(max_length=1,
|
|
469
|
verbose_name=u"Déficiences motrices",
|
|
470
|
choices=DEFICIENCY_CHOICES,
|
|
471
|
default=0)
|
|
472
|
deficiency_metabolic_disorder = models.IntegerField(max_length=1,
|
|
473
|
verbose_name=u"Déficiences métaboliques",
|
|
474
|
choices=DEFICIENCY_CHOICES,
|
|
475
|
default=0)
|
|
476
|
deficiency_brain_damage = models.IntegerField(max_length=1,
|
|
477
|
verbose_name=u"Cérébro-lésions",
|
|
478
|
choices=DEFICIENCY_CHOICES,
|
|
479
|
default=0)
|
|
480
|
deficiency_polyhandicap = models.BooleanField(verbose_name=u'Polyhandicap',
|
|
481
|
default=False)
|
|
482
|
deficiency_behavioral_disorder = models.IntegerField(max_length=1,
|
|
483
|
verbose_name=u"Troubles du comportement et de la communication",
|
|
484
|
choices=DEFICIENCY_CHOICES,
|
|
485
|
default=0)
|
|
486
|
deficiency_in_diagnostic = models.BooleanField(verbose_name=u'En diagnostic',
|
|
487
|
default=False)
|
|
488
|
deficiency_other_disorder = models.IntegerField(max_length=1,
|
|
489
|
verbose_name=u"Autres types de déficience",
|
|
490
|
choices=DEFICIENCY_CHOICES,
|
|
491
|
default=0)
|
|
492
|
|
|
493
|
# Inscription motive
|
|
494
|
analysemotive = models.ForeignKey('ressources.AnalyseMotive',
|
|
495
|
verbose_name=u"Motif (analysé)",
|
|
496
|
null=True, blank=True, default=None)
|
|
497
|
familymotive = models.ForeignKey('ressources.FamilyMotive',
|
|
498
|
verbose_name=u"Motif (famille)",
|
|
499
|
null=True, blank=True, default=None)
|
|
500
|
provenance = models.ForeignKey('ressources.Provenance',
|
|
501
|
verbose_name=u"Conseilleur",
|
|
502
|
null=True, blank=True, default=None)
|
|
503
|
advicegiver = models.ForeignKey('ressources.AdviceGiver',
|
|
504
|
verbose_name=u"Demandeur",
|
|
505
|
null=True, blank=True, default=None)
|
|
506
|
provenanceplace = models.ForeignKey('ressources.ProvenancePlace',
|
|
507
|
verbose_name=u"Lieu de provenance",
|
|
508
|
null=True, blank=True, default=None)
|
|
509
|
|
|
510
|
# Out motive
|
|
511
|
outmotive = models.ForeignKey('ressources.OutMotive',
|
|
512
|
verbose_name=u"Motif de sortie",
|
|
513
|
null=True, blank=True, default=None)
|
|
514
|
outto = models.ForeignKey('ressources.OutTo',
|
|
515
|
verbose_name=u"Orientation",
|
|
516
|
null=True, blank=True, default=None)
|
|
517
|
|
|
518
|
# Family
|
|
519
|
sibship_place = models.IntegerField(verbose_name=u"Place dans la fratrie",
|
|
520
|
null=True, blank=True, default=None)
|
|
521
|
nb_children_family = models.IntegerField(verbose_name=u"Nombre d'enfants dans la fratrie",
|
|
522
|
null=True, blank=True, default=None)
|
|
523
|
parental_authority = models.ForeignKey('ressources.ParentalAuthorityType',
|
|
524
|
verbose_name=u"Autorité parentale",
|
|
525
|
null=True, blank=True, default=None)
|
|
526
|
family_situation = models.ForeignKey('ressources.FamilySituationType',
|
|
527
|
verbose_name=u"Situation familiale",
|
|
528
|
null=True, blank=True, default=None)
|
|
529
|
child_custody = models.ForeignKey('ressources.ParentalCustodyType',
|
|
530
|
verbose_name=u"Garde parentale",
|
|
531
|
null=True, blank=True, default=None)
|
|
532
|
job_mother = models.ForeignKey('ressources.Job',
|
|
533
|
related_name="job_mother",
|
|
534
|
verbose_name=u"Profession de la mère",
|
|
535
|
null=True, blank=True, default=None)
|
|
536
|
job_father = models.ForeignKey('ressources.Job',
|
|
537
|
related_name="job_father",
|
|
538
|
verbose_name=u"Profession du père",
|
|
539
|
null=True, blank=True, default=None)
|
|
540
|
rm_mother = models.ForeignKey('ressources.MaritalStatusType',
|
|
541
|
related_name="rm_mother",
|
|
542
|
verbose_name=u"Régime matrimonial de la mère",
|
|
543
|
null=True, blank=True, default=None)
|
|
544
|
rm_father = models.ForeignKey('ressources.MaritalStatusType',
|
|
545
|
related_name="rm_father",
|
|
546
|
verbose_name=u"Régime matrimonial du père",
|
|
547
|
null=True, blank=True, default=None)
|
|
548
|
family_comment = models.TextField(verbose_name=u"Commentaire",
|
|
549
|
null=True, blank=True, default=None)
|
|
550
|
|
|
551
|
# Transport
|
|
552
|
transporttype = models.ForeignKey('ressources.TransportType',
|
|
553
|
verbose_name=u"Type de transport",
|
|
554
|
null=True, blank=True, default=None)
|
|
555
|
transportcompany = models.ForeignKey('ressources.TransportCompany',
|
|
556
|
verbose_name=u"Compagnie de transport",
|
|
557
|
null=True, blank=True, default=None)
|
|
558
|
|
|
559
|
# FollowUp
|
|
560
|
coordinators = models.ManyToManyField('personnes.Worker',
|
|
561
|
verbose_name=u"Coordinateurs",
|
|
562
|
null=True, blank=True, default=None)
|
|
563
|
externaldoctor = models.ForeignKey('personnes.ExternalTherapist',
|
|
564
|
verbose_name=u"Médecin extérieur",
|
|
565
|
null=True, blank=True, default=None)
|
|
566
|
externalintervener = models.ForeignKey('personnes.ExternalWorker',
|
|
567
|
verbose_name=u"Intervenant extérieur",
|
|
568
|
null=True, blank=True, default=None)
|
|
569
|
|
|
570
|
old_id = models.CharField(max_length=256,
|
|
571
|
verbose_name=u'Ancien ID', blank=True, null=True)
|
|
572
|
old_old_id = models.CharField(max_length=256,
|
|
573
|
verbose_name=u'Ancien ancien ID', blank=True, null=True)
|
|
574
|
|
|
575
|
def save(self, *args, **kwargs):
|
|
576
|
if not getattr(self, 'service', None):
|
|
577
|
raise Exception('The field service is mandatory.')
|
|
578
|
super(PatientRecord, self).save(*args, **kwargs)
|
|
579
|
|
|
580
|
def get_state(self):
|
|
581
|
return self.last_state
|
|
582
|
|
|
583
|
def get_initial_state(self):
|
|
584
|
return self.filestate_set.order_by('date_selected')[0]
|
|
585
|
|
|
586
|
def get_current_state(self):
|
|
587
|
today = date.today()
|
|
588
|
return self.get_state_at_day(today)
|
|
589
|
|
|
590
|
def get_state_at_day(self, date):
|
|
591
|
state = self.get_state()
|
|
592
|
while(state):
|
|
593
|
if datetime(state.date_selected.year,
|
|
594
|
state.date_selected.month, state.date_selected.day) <= \
|
|
595
|
datetime(date.year, date.month, date.day):
|
|
596
|
return state
|
|
597
|
state = state.previous_state
|
|
598
|
return None
|
|
599
|
|
|
600
|
def was_in_state_at_day(self, date, status_type):
|
|
601
|
state_at_day = self.get_state_at_day(date)
|
|
602
|
if state_at_day and state_at_day.status.type == status_type:
|
|
603
|
return True
|
|
604
|
return False
|
|
605
|
|
|
606
|
def get_states_history(self):
|
|
607
|
return self.filestate_set.order_by('date_selected')
|
|
608
|
|
|
609
|
def get_states_history_with_duration(self):
|
|
610
|
'''
|
|
611
|
Return the state history with for each state its duration.
|
|
612
|
If the last state is in the past, the duration is counted until today.
|
|
613
|
If the last state is in the future, the duration is not set.
|
|
614
|
'''
|
|
615
|
history = self.get_states_history()
|
|
616
|
history_with_duration = list()
|
|
617
|
today = datetime.today()
|
|
618
|
i = 0
|
|
619
|
for state in history:
|
|
620
|
history_with_duration.append([state, None])
|
|
621
|
if i != 0:
|
|
622
|
history_with_duration[i-1][1] = state.date_selected - history_with_duration[i-1][0].date_selected
|
|
623
|
if i == len(history)-1 and state.date_selected <= today:
|
|
624
|
history_with_duration[i][1] = today - history_with_duration[i][0].date_selected
|
|
625
|
i += 1
|
|
626
|
return history_with_duration
|
|
627
|
|
|
628
|
def can_be_deleted(self):
|
|
629
|
for act in self.act_set.all():
|
|
630
|
if act.is_state('VALIDE'):
|
|
631
|
return False
|
|
632
|
return True
|
|
633
|
|
|
634
|
def delete(self, *args, **kwargs):
|
|
635
|
if self.can_be_deleted():
|
|
636
|
super(PatientRecord, self).delete(*args, **kwargs)
|
|
637
|
|
|
638
|
def get_ondisk_directory(self, service):
|
|
639
|
if not settings.PATIENT_FILES_BASE_DIRECTORY:
|
|
640
|
return None
|
|
641
|
|
|
642
|
dirnames = []
|
|
643
|
dirname = self.last_name.upper()
|
|
644
|
dirnames.append(dirname)
|
|
645
|
if self.first_name:
|
|
646
|
dirname = '%s %s' % (dirname, self.first_name)
|
|
647
|
dirnames.append(dirname)
|
|
648
|
if self.paper_id:
|
|
649
|
dirname = '%s %s' % (dirname, self.paper_id)
|
|
650
|
dirnames.append(dirname)
|
|
651
|
|
|
652
|
for i, dirname in enumerate(dirnames):
|
|
653
|
fullpath = os.path.join(settings.PATIENT_FILES_BASE_DIRECTORY, service, dirname)
|
|
654
|
try:
|
|
655
|
next_fullpath = os.path.join(settings.PATIENT_FILES_BASE_DIRECTORY, service, dirnames[i+1])
|
|
656
|
except IndexError:
|
|
657
|
pass
|
|
658
|
else:
|
|
659
|
if os.path.exists(fullpath) and not os.path.exists(next_fullpath):
|
|
660
|
os.rename(fullpath, next_fullpath)
|
|
661
|
continue
|
|
662
|
if not os.path.exists(fullpath):
|
|
663
|
os.makedirs(fullpath)
|
|
664
|
for subdir in settings.PATIENT_SUBDIRECTORIES:
|
|
665
|
subdir_fullpath = os.path.join(fullpath, subdir)
|
|
666
|
if not os.path.exists(subdir_fullpath):
|
|
667
|
os.makedirs(subdir_fullpath)
|
|
668
|
return fullpath
|
|
669
|
|
|
670
|
def get_client_side_directory(self, service):
|
|
671
|
directory = self.get_ondisk_directory(service)
|
|
672
|
if not directory:
|
|
673
|
return None
|
|
674
|
if not settings.CLIENT_SIDE_PATIENT_FILES_BASE_DIRECTORY:
|
|
675
|
return None
|
|
676
|
return os.path.join(settings.CLIENT_SIDE_PATIENT_FILES_BASE_DIRECTORY,
|
|
677
|
directory[len(settings.PATIENT_FILES_BASE_DIRECTORY)+1:])
|
|
678
|
|
|
679
|
def set_state(self, status, author, date_selected=None, comment=None):
|
|
680
|
if not author:
|
|
681
|
raise Exception('Missing author to set state')
|
|
682
|
if not date_selected:
|
|
683
|
date_selected = datetime.now()
|
|
684
|
current_state = self.get_state()
|
|
685
|
if not current_state:
|
|
686
|
raise Exception('Invalid patient record. '
|
|
687
|
'Missing current state.')
|
|
688
|
if isinstance(date_selected, date):
|
|
689
|
date_selected = datetime(year=date_selected.year,
|
|
690
|
month=date_selected.month, day=date_selected.day)
|
|
691
|
if date_selected < current_state.date_selected:
|
|
692
|
raise Exception('You cannot set a state starting the %s that '
|
|
693
|
'is before the previous state starting at day %s.' % \
|
|
694
|
(str(date_selected), str(current_state.date_selected)))
|
|
695
|
filestate = FileState.objects.create(patient=self, status=status,
|
|
696
|
date_selected=date_selected, author=author, comment=comment,
|
|
697
|
previous_state=current_state)
|
|
698
|
self.last_state = filestate
|
|
699
|
self.save()
|
|
700
|
|
|
701
|
def change_day_selected_of_state(self, state, new_date):
|
|
702
|
if state.previous_state:
|
|
703
|
if new_date < state.previous_state.date_selected:
|
|
704
|
raise Exception('You cannot set a state starting the %s '
|
|
705
|
'before the previous state starting at day %s.' % \
|
|
706
|
(str(new_date), str(state.previous_state.date_selected)))
|
|
707
|
next_state = state.get_next_state()
|
|
708
|
if next_state:
|
|
709
|
if new_date > next_state.date_selected:
|
|
710
|
raise Exception('You cannot set a state starting the %s '
|
|
711
|
'after the following state starting at day %s.' % \
|
|
712
|
(str(new_date), str(next_state.date_selected)))
|
|
713
|
state.date_selected = new_date
|
|
714
|
state.save()
|
|
715
|
|
|
716
|
def remove_state(self, state):
|
|
717
|
if state.patient.id != self.id:
|
|
718
|
raise Exception('The state given is not about this patient '
|
|
719
|
'record but about %s' % state.patient)
|
|
720
|
next_state = state.get_next_state()
|
|
721
|
if not next_state:
|
|
722
|
self.remove_last_state()
|
|
723
|
else:
|
|
724
|
next_state.previous_state = state.previous_state
|
|
725
|
next_state.save()
|
|
726
|
state.delete()
|
|
727
|
|
|
728
|
def remove_last_state(self):
|
|
729
|
try:
|
|
730
|
self.get_state().delete()
|
|
731
|
except:
|
|
732
|
pass
|
|
733
|
|
|
734
|
def get_protection_state_at_date(self, date):
|
|
735
|
try:
|
|
736
|
return self.protectionstate_set.exclude(end_date__lt=date). \
|
|
737
|
exclude(start_date__gt=date).latest('start_date')
|
|
738
|
except:
|
|
739
|
return None
|
|
740
|
|
|
741
|
# START Specific to sessad healthcare
|
|
742
|
def get_last_notification(self):
|
|
743
|
return SessadHealthCareNotification.objects.filter(patient=self, ).\
|
|
744
|
latest('end_date')
|
|
745
|
|
|
746
|
def days_before_notification_expiration(self):
|
|
747
|
today = datetime.today()
|
|
748
|
notification = self.get_last_notification(self)
|
|
749
|
if not notification:
|
|
750
|
return 0
|
|
751
|
if notification.end_date < today:
|
|
752
|
return 0
|
|
753
|
else:
|
|
754
|
return notification.end_date - today
|
|
755
|
# END Specific to sessad healthcare
|
|
756
|
|
|
757
|
# START Specific to cmpp healthcare
|
|
758
|
def create_diag_healthcare(self, modifier):
|
|
759
|
"""
|
|
760
|
Gestion de l'inscription automatique.
|
|
761
|
|
|
762
|
Si un premier acte est validé alors une prise en charge
|
|
763
|
diagnostique est ajoutée. Cela fera basculer le dossier dans l'état
|
|
764
|
en diagnostic.
|
|
765
|
|
|
766
|
A voir si auto ou manuel :
|
|
767
|
Si ce n'est pas le premier acte validé mais que l'acte précédement
|
|
768
|
facturé a plus d'un an, on peut créer une prise en charge
|
|
769
|
diagnostique. Même s'il y a une prise en charge de traitement
|
|
770
|
expirée depuis moins d'un an donc renouvelable.
|
|
771
|
|
|
772
|
"""
|
|
773
|
acts = Act.objects.filter(validation_locked=False,
|
|
774
|
patient__service=self.service)
|
|
775
|
days_not_locked = sorted(set(acts.values_list('date', flat=True)))
|
|
776
|
acts = self.act_set.filter(validation_locked=True,
|
|
777
|
valide=True, is_lost=False, is_billed=False)
|
|
778
|
acts = acts.exclude(date__in=days_not_locked)
|
|
779
|
acts = acts.order_by('date')
|
|
780
|
pause_query = Q(pause=True)
|
|
781
|
billable_query = Q(act_type__billable=True, switch_billable=False) | \
|
|
782
|
Q(act_type__billable=False, switch_billable=True)
|
|
783
|
billable_acts = acts.filter(~pause_query & billable_query)
|
|
784
|
|
|
785
|
if not CmppHealthCareDiagnostic.objects.filter(patient=self).exists() \
|
|
786
|
and billable_acts:
|
|
787
|
# Pas de prise en charge, on recherche l'acte facturable le plus
|
|
788
|
# ancien, on crée une pc diag à la même date.
|
|
789
|
CmppHealthCareDiagnostic(patient=self, author=modifier,
|
|
790
|
start_date=billable_acts[0].date).save()
|
|
791
|
else:
|
|
792
|
# On recherche l'acte facturable non facturé le plus ancien après
|
|
793
|
# le dernier acte facturé et on regarde s'il a plus d'un an
|
|
794
|
try:
|
|
795
|
last_billed_act = self.act_set.filter(is_billed=True).\
|
|
796
|
latest('date')
|
|
797
|
if last_billed_act and billable_acts:
|
|
798
|
billable_acts = billable_acts.filter(date__gte=last_billed_act.date)
|
|
799
|
if billable_acts and (billable_acts[0].date - last_billed_act.date).days >= 365:
|
|
800
|
return True
|
|
801
|
return False
|
|
802
|
except:
|
|
803
|
pass
|
|
804
|
return False
|
|
805
|
|
|
806
|
def automated_switch_state(self, modifier):
|
|
807
|
def state_switcher(diag, act):
|
|
808
|
if diag and (self.last_state.status.type == "ACCUEIL" or
|
|
809
|
self.last_state.status.type == "TRAITEMENT"):
|
|
810
|
status = Status.objects.get(type="DIAGNOSTIC",
|
|
811
|
services__name='CMPP')
|
|
812
|
try:
|
|
813
|
self.set_state(status, modifier, date_selected=act.date)
|
|
814
|
except:
|
|
815
|
pass
|
|
816
|
elif not diag and (self.last_state.status.type == "ACCUEIL" or
|
|
817
|
self.last_state.status.type == "DIAGNOSTIC"):
|
|
818
|
status = Status.objects.get(type="TRAITEMENT",
|
|
819
|
services__name='CMPP')
|
|
820
|
try:
|
|
821
|
self.set_state(status, modifier, date_selected=act.date)
|
|
822
|
except:
|
|
823
|
pass
|
|
824
|
# Only for CMPP and open files
|
|
825
|
if not self.service.name == 'CMPP' or \
|
|
826
|
self.last_state.status.type == "CLOS":
|
|
827
|
return
|
|
828
|
# Nothing to do if no act after the last state date
|
|
829
|
last_acts = self.act_set.filter(date__gt=self.last_state.date_selected)
|
|
830
|
if not last_acts:
|
|
831
|
return
|
|
832
|
# If the last act is billed, look at the healthcare type
|
|
833
|
last_act = last_acts.latest('date')
|
|
834
|
if last_act.is_billed:
|
|
835
|
if not last_act.healthcare:
|
|
836
|
# Billed but no healthcare, coming from imported billed acts
|
|
837
|
return
|
|
838
|
diag = False
|
|
839
|
if hasattr(last_act.healthcare, 'cmpphealthcarediagnostic'):
|
|
840
|
diag = True
|
|
841
|
return state_switcher(diag, last_act)
|
|
842
|
# Last act not billed, let's look if it is billable
|
|
843
|
from calebasse.facturation import list_acts
|
|
844
|
(acts_not_locked, days_not_locked, acts_not_valide,
|
|
845
|
acts_not_billable, acts_pause, acts_per_hc, acts_losts) = \
|
|
846
|
list_acts.list_acts_for_billing_CMPP_per_patient(self,
|
|
847
|
datetime.today(), self.service)
|
|
848
|
last_hc = None
|
|
849
|
last_act_hc = None
|
|
850
|
for hc, acts in acts_per_hc.iteritems():
|
|
851
|
if len(acts) and (not last_act_hc or
|
|
852
|
acts[-1].date > last_act_hc.date):
|
|
853
|
last_hc = hc
|
|
854
|
last_act_hc = acts[-1]
|
|
855
|
# There is a billable act after the last state so either it is diag
|
|
856
|
# or it is treament
|
|
857
|
if last_act_hc and last_hc and \
|
|
858
|
last_act_hc.date > self.last_state.date_selected.date():
|
|
859
|
if hasattr(last_hc, 'cmpphealthcarediagnostic'):
|
|
860
|
state_switcher(True, last_act_hc)
|
|
861
|
else:
|
|
862
|
state_switcher(False, last_act_hc)
|
|
863
|
|
|
864
|
def get_healthcare_status(self):
|
|
865
|
today = date.today()
|
|
866
|
current_hc_trait = None
|
|
867
|
try:
|
|
868
|
current_hc_trait = CmppHealthCareTreatment.objects.filter(
|
|
869
|
patient=self, start_date__lte=today, end_date__gte=today
|
|
870
|
).latest('start_date')
|
|
871
|
except:
|
|
872
|
pass
|
|
873
|
if not current_hc_trait:
|
|
874
|
current_hc_diag = None
|
|
875
|
try:
|
|
876
|
current_hc_diag = CmppHealthCareDiagnostic.objects.filter(patient=self, start_date__lte=today).latest('start_date')
|
|
877
|
except:
|
|
878
|
pass
|
|
879
|
if current_hc_diag and current_hc_diag.get_act_number() > len(current_hc_diag.act_set.all()):
|
|
880
|
|
|
881
|
#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
|
|
882
|
# Non parce que je peux ajouter une pc de traitement alors que je veux encore facturer sur la diag precedente.
|
|
883
|
# Donc si j'ai un acte facturer en traitement alors la diag ne fonctionne plus.
|
|
884
|
# 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.
|
|
885
|
lasts_billed = Act.objects.filter(patient=self, is_billed = True, healthcare__isnull=False).order_by('-date')
|
|
886
|
last_hc_date = None
|
|
887
|
if lasts_billed:
|
|
888
|
last_hc_date = lasts_billed[0].healthcare.start_date
|
|
889
|
if not last_hc_date or last_hc_date <= current_hc_diag.start_date:
|
|
890
|
# Prise en charge disponible
|
|
891
|
return (0, len(current_hc_diag.act_set.all()), current_hc_diag.get_act_number())
|
|
892
|
last_hc_trait = None
|
|
893
|
try:
|
|
894
|
last_hc_trait = CmppHealthCareTreatment.objects.filter(patient=self).latest('start_date')
|
|
895
|
except:
|
|
896
|
pass
|
|
897
|
if not last_hc_trait:
|
|
898
|
if not current_hc_diag:
|
|
899
|
# Aucune PC
|
|
900
|
return (1, None)
|
|
901
|
else:
|
|
902
|
# PC diag full, demander PC trait
|
|
903
|
return (2, current_hc_diag.get_act_number())
|
|
904
|
if last_hc_trait.end_date < today:
|
|
905
|
# Expirée
|
|
906
|
#Test if rediagable
|
|
907
|
return (3, last_hc_trait.end_date)
|
|
908
|
if last_hc_trait.start_date > today:
|
|
909
|
# N'a pas encore pris effet
|
|
910
|
return (4, last_hc_trait.start_date)
|
|
911
|
return (-1,)
|
|
912
|
if current_hc_trait.get_act_number() > len(current_hc_trait.act_set.all()):
|
|
913
|
# Pris en charge disponible
|
|
914
|
return (5, len(current_hc_trait.act_set.all()), current_hc_trait.get_act_number())
|
|
915
|
# Prise en charge au quota
|
|
916
|
if not current_hc_trait.is_extended():
|
|
917
|
# Peut être prolongée
|
|
918
|
return (6, current_hc_trait.get_act_number())
|
|
919
|
# Prise en charge saturée
|
|
920
|
return (7, current_hc_trait.get_act_number(), current_hc_trait.end_date)
|
|
921
|
# END Specific to cmpp healthcare
|
|
922
|
|
|
923
|
|
|
924
|
@property
|
|
925
|
def entry_date(self):
|
|
926
|
d = self.filestate_set.filter(
|
|
927
|
Q(status__type='DIAGNOSTIC') |
|
|
928
|
Q(status__type='TRAITEMENT') |
|
|
929
|
Q(status__type='SUIVI')). \
|
|
930
|
aggregate(Min('date_selected'))['date_selected__min']
|
|
931
|
return d and d.date()
|
|
932
|
|
|
933
|
|
|
934
|
@property
|
|
935
|
def exit_date(self):
|
|
936
|
if self.last_state.status.type != 'CLOS':
|
|
937
|
return None
|
|
938
|
d = self.filestate_set.filter(status__type='CLOS'). \
|
|
939
|
aggregate(Max('date_selected'))['date_selected__max']
|
|
940
|
return d and d.date()
|
|
941
|
|
|
942
|
@property
|
|
943
|
def care_duration(self):
|
|
944
|
# Duration between the first act present and the closing date.
|
|
945
|
# If no closing date, end_date is the date of tha last act
|
|
946
|
first_act_date = None
|
|
947
|
try:
|
|
948
|
first_act_date = self.act_set.filter(valide=True).order_by('date')[0].date
|
|
949
|
except:
|
|
950
|
return 0
|
|
951
|
exit_date = self.exit_date
|
|
952
|
if not exit_date:
|
|
953
|
exit_date = self.act_set.filter(valide=True).order_by('-date')[0].date
|
|
954
|
return (exit_date - first_act_date).days
|
|
955
|
|
|
956
|
@property
|
|
957
|
def care_duration_since_last_contact_or_first_act(self):
|
|
958
|
# Duration between the first act present and the closing date.
|
|
959
|
# If no closing date, end_date is the date of the last act
|
|
960
|
contacts = FileState.objects.filter(patient=self, status__type='ACCUEIL').order_by('date_selected')
|
|
961
|
last_contact = None
|
|
962
|
first_act_after_last_contact = None
|
|
963
|
if len(contacts) == 1:
|
|
964
|
last_contact = contacts[0]
|
|
965
|
elif len(contacts) > 1:
|
|
966
|
last_contact = contacts[len(contacts)-1]
|
|
967
|
if last_contact:
|
|
968
|
# inscription act
|
|
969
|
first_acts_after_last_contact = Act.objects.filter(patient=self, date__gte=last_contact.date_selected, valide=True).order_by('date')
|
|
970
|
if first_acts_after_last_contact:
|
|
971
|
first_act_after_last_contact = first_acts_after_last_contact[0]
|
|
972
|
if not contacts:
|
|
973
|
return self.care_duration
|
|
974
|
if not first_act_after_last_contact:
|
|
975
|
return 0
|
|
976
|
exit_date = self.exit_date
|
|
977
|
if not exit_date or exit_date < first_act_after_last_contact.date:
|
|
978
|
exit_date = self.act_set.filter(valide=True).order_by('-date')[0].date
|
|
979
|
return (exit_date - first_act_after_last_contact.date).days
|
|
980
|
|
|
981
|
reversion.register(PatientRecord, follow=['people_ptr'])
|
|
982
|
|
|
983
|
|
|
984
|
def create_patient(first_name, last_name, service, creator,
|
|
985
|
date_selected=None):
|
|
986
|
logger.debug('create_patient: creation for patient %s %s in service %s '
|
|
987
|
'by %s' % (first_name, last_name, service, creator))
|
|
988
|
if not (first_name and last_name and service and creator):
|
|
989
|
raise Exception('Missing parameter to create a patient record.')
|
|
990
|
status = Status.objects.filter(type="ACCUEIL").filter(services=service)
|
|
991
|
if not status:
|
|
992
|
raise Exception('%s has no ACCEUIL status' % service.name)
|
|
993
|
patient = PatientRecord.objects.create(first_name=first_name,
|
|
994
|
last_name=last_name, service=service,
|
|
995
|
creator=creator)
|
|
996
|
fs = FileState(status=status[0], author=creator, previous_state=None)
|
|
997
|
if not date_selected:
|
|
998
|
date_selected = patient.created
|
|
999
|
fs.patient = patient
|
|
1000
|
fs.date_selected = date_selected
|
|
1001
|
fs.save()
|
|
1002
|
patient.last_state = fs
|
|
1003
|
patient.save()
|
|
1004
|
patient.policyholder = patient.patientcontact
|
|
1005
|
patient.save()
|
|
1006
|
return patient
|