|
1
|
# -*- coding: utf-8 -*-
|
|
2
|
from datetime import datetime, timedelta
|
|
3
|
|
|
4
|
from calebasse.actes.validation import (are_all_acts_of_the_day_locked,
|
|
5
|
get_days_with_acts_not_locked)
|
|
6
|
from calebasse.dossiers.models import (CmppHealthCareDiagnostic,
|
|
7
|
CmppHealthCareTreatment)
|
|
8
|
|
|
9
|
|
|
10
|
def list_acts_for_billing_first_round(end_day, service, start_day=None, acts=None):
|
|
11
|
"""Used to sort acts and extract acts billable before specific service
|
|
12
|
requirements.
|
|
13
|
|
|
14
|
At first, all acts not billed are listed per patient.
|
|
15
|
Then acts are sorted.
|
|
16
|
Each sorting split the acts in two sets, one set for rejected acts,
|
|
17
|
on set for selected sets.
|
|
18
|
First sort rejects acts days where all acts are not locked:
|
|
19
|
acts_not_locked
|
|
20
|
Second sort rejects acts not in state 'VALIDE':
|
|
21
|
acts_not_valide
|
|
22
|
Third sort rejects acts not billable:
|
|
23
|
acts_not_billable
|
|
24
|
Acts billable in :
|
|
25
|
acts_billable
|
|
26
|
|
|
27
|
acts = acts_not_locked + \
|
|
28
|
acts_not_valide + \
|
|
29
|
acts_not_billable + \
|
|
30
|
acts_billable
|
|
31
|
|
|
32
|
:param end_day: formatted date that gives the last day when acts are taken
|
|
33
|
in account.
|
|
34
|
:type end_day: datetime
|
|
35
|
:param service: service in which acts are dealt with.
|
|
36
|
:type service: calebasse.ressources.Service
|
|
37
|
|
|
38
|
:returns: a list of dictionnaries where patients are the keys and values
|
|
39
|
are lists of acts. The second element of this list in not a dict but
|
|
40
|
a list of the days where are all days are not locked.
|
|
41
|
:rtype: list
|
|
42
|
"""
|
|
43
|
|
|
44
|
from calebasse.actes.models import Act
|
|
45
|
if isinstance(end_day, datetime):
|
|
46
|
end_day = end_day.date()
|
|
47
|
if start_day and isinstance(start_day, datetime):
|
|
48
|
start_day = start_day.date()
|
|
49
|
|
|
50
|
#if acts is None:
|
|
51
|
acts = Act.objects.filter(validation_locked=False,
|
|
52
|
patient__service=service, date__lte=end_day)
|
|
53
|
if start_day:
|
|
54
|
acts = acts.filter(date__gte=start_day)
|
|
55
|
days_not_locked = sorted(set(acts.values_list('date', flat=True)))
|
|
56
|
|
|
57
|
acts = Act.objects.filter(validation_locked=True,
|
|
58
|
is_billed=False, valide=True, is_lost=False,
|
|
59
|
patient__service=service, date__lte=end_day)
|
|
60
|
if start_day:
|
|
61
|
acts = acts.filter(date__gte=start_day)
|
|
62
|
acts = acts.exclude(date__in=days_not_locked)
|
|
63
|
acts = acts.order_by('date')
|
|
64
|
|
|
65
|
# deprecated
|
|
66
|
acts_not_locked = {}
|
|
67
|
acts_not_valide = {}
|
|
68
|
|
|
69
|
acts_pause = {}
|
|
70
|
acts_not_billable = {}
|
|
71
|
acts_billable = {}
|
|
72
|
for act in acts:
|
|
73
|
if act.pause:
|
|
74
|
acts_pause.setdefault(act.patient, []).append(act)
|
|
75
|
elif not act.is_billable():
|
|
76
|
acts_not_billable.setdefault(act.patient, []).append(act)
|
|
77
|
else:
|
|
78
|
acts_billable.setdefault(act.patient, []).append(act)
|
|
79
|
return (acts_not_locked, days_not_locked, acts_not_valide,
|
|
80
|
acts_not_billable, acts_pause, acts_billable)
|
|
81
|
|
|
82
|
|
|
83
|
def list_acts_for_billing_CAMSP(start_day, end_day, service, acts=None):
|
|
84
|
"""Used to sort acts billable by specific service requirements.
|
|
85
|
|
|
86
|
For the CAMSP, only the state of the patient record 'CAMSP_STATE_SUIVI'
|
|
87
|
at the date of the act determine if the acte is billable.
|
|
88
|
|
|
89
|
acts = acts_not_locked + \
|
|
90
|
acts_not_valide + \
|
|
91
|
acts_not_billable + \
|
|
92
|
acts_bad_state + \
|
|
93
|
acts_accepted
|
|
94
|
|
|
95
|
:param end_day: formatted date that gives the last day when acts are taken
|
|
96
|
in account.
|
|
97
|
:type end_day: datetime
|
|
98
|
:param service: service in which acts are dealt with.
|
|
99
|
:type service: calebasse.ressources.Service
|
|
100
|
|
|
101
|
:returns: a list of dictionnaries where patients are the keys and values
|
|
102
|
are lists of acts. The second element of this list in not a dict but
|
|
103
|
a list of the days where are all days are not locked.
|
|
104
|
:rtype: list
|
|
105
|
"""
|
|
106
|
|
|
107
|
acts_not_locked, days_not_locked, acts_not_valide, \
|
|
108
|
acts_not_billable, acts_pause, acts_billable = \
|
|
109
|
list_acts_for_billing_first_round(end_day, service,
|
|
110
|
start_day, acts=acts)
|
|
111
|
acts_bad_state = {}
|
|
112
|
acts_accepted = {}
|
|
113
|
for patient, acts in acts_billable.items():
|
|
114
|
for act in acts:
|
|
115
|
if patient.was_in_state_at_day(act.date, 'SUIVI'):
|
|
116
|
if act.patient in acts_accepted:
|
|
117
|
acts_accepted[act.patient].append(act)
|
|
118
|
else:
|
|
119
|
acts_accepted[act.patient] = [act]
|
|
120
|
else:
|
|
121
|
if act.patient in acts_bad_state:
|
|
122
|
acts_bad_state[act.patient]. \
|
|
123
|
append((act, 'NOT_ACCOUNTABLE_STATE'))
|
|
124
|
else:
|
|
125
|
acts_bad_state[act.patient] = \
|
|
126
|
[(act, 'NOT_ACCOUNTABLE_STATE')]
|
|
127
|
return (acts_not_locked, days_not_locked, acts_not_valide,
|
|
128
|
acts_not_billable, acts_pause, acts_bad_state,
|
|
129
|
acts_accepted)
|
|
130
|
|
|
131
|
|
|
132
|
def list_acts_for_billing_SESSAD(start_day, end_day, service, acts=None):
|
|
133
|
"""Used to sort acts billable by specific service requirements.
|
|
134
|
|
|
135
|
For the SESSAD, acts are billable if the state of the patient record at
|
|
136
|
the date of the act is 'SESSAD_STATE_TRAITEMENT' and there was also a
|
|
137
|
valid notification at that date.
|
|
138
|
|
|
139
|
acts = acts_not_locked + \
|
|
140
|
acts_not_valide + \
|
|
141
|
acts_not_billable + \
|
|
142
|
acts_bad_state + \
|
|
143
|
acts_missing_valid_notification + \
|
|
144
|
acts_accepted
|
|
145
|
|
|
146
|
:param end_day: formatted date that gives the last day when acts are taken
|
|
147
|
in account.
|
|
148
|
:type end_day: datetime
|
|
149
|
:param service: service in which acts are dealt with.
|
|
150
|
:type service: calebasse.ressources.Service
|
|
151
|
|
|
152
|
:returns: a list of dictionnaries where patients are the keys and values
|
|
153
|
are lists of acts. The second element of this list in not a dict but
|
|
154
|
a list of the days where are all days are not locked.
|
|
155
|
:rtype: list
|
|
156
|
"""
|
|
157
|
|
|
158
|
acts_not_locked, days_not_locked, acts_not_valide, \
|
|
159
|
acts_not_billable, acts_pause, acts_billable = \
|
|
160
|
list_acts_for_billing_first_round(end_day, service,
|
|
161
|
start_day=start_day, acts=acts)
|
|
162
|
acts_bad_state = {}
|
|
163
|
acts_missing_valid_notification = {}
|
|
164
|
acts_accepted = {}
|
|
165
|
for patient, acts in acts_billable.items():
|
|
166
|
for act in acts:
|
|
167
|
if patient.was_in_state_at_day(act.date,
|
|
168
|
'TRAITEMENT'):
|
|
169
|
if not act.was_covered_by_notification():
|
|
170
|
if act.patient in acts_missing_valid_notification:
|
|
171
|
acts_missing_valid_notification[act.patient]. \
|
|
172
|
append(act)
|
|
173
|
else:
|
|
174
|
acts_missing_valid_notification[act.patient] = [act]
|
|
175
|
else:
|
|
176
|
if act.patient in acts_accepted:
|
|
177
|
acts_accepted[act.patient].append(act)
|
|
178
|
else:
|
|
179
|
acts_accepted[act.patient] = [act]
|
|
180
|
else:
|
|
181
|
if act.patient in acts_bad_state:
|
|
182
|
acts_bad_state[act.patient]. \
|
|
183
|
append((act, 'NOT_ACCOUNTABLE_STATE'))
|
|
184
|
else:
|
|
185
|
acts_bad_state[act.patient] = \
|
|
186
|
[(act, 'NOT_ACCOUNTABLE_STATE')]
|
|
187
|
return (acts_not_locked, days_not_locked, acts_not_valide,
|
|
188
|
acts_not_billable, acts_pause, acts_bad_state,
|
|
189
|
acts_missing_valid_notification, acts_accepted)
|
|
190
|
|
|
191
|
|
|
192
|
def list_acts_for_billing_CMPP(end_day, service, acts=None):
|
|
193
|
"""Used to sort acts billable by specific service requirements.
|
|
194
|
|
|
195
|
For the CMPP, acts are billable if
|
|
196
|
|
|
197
|
acts = acts_not_locked + \
|
|
198
|
acts_not_valide + \
|
|
199
|
acts_not_billable + \
|
|
200
|
acts_diagnostic + \
|
|
201
|
acts_treatment + \
|
|
202
|
acts_losts
|
|
203
|
|
|
204
|
:param end_day: formatted date that gives the last day when acts are taken
|
|
205
|
in account.
|
|
206
|
:type end_day: datetime
|
|
207
|
:param service: service in which acts are dealt with.
|
|
208
|
:type service: calebasse.ressources.Service
|
|
209
|
|
|
210
|
:returns: a list of dictionnaries where patients are the keys and values
|
|
211
|
are lists of acts. The second element of this list in not a dict but
|
|
212
|
a list of the days where are all days are not locked.
|
|
213
|
:rtype: list
|
|
214
|
"""
|
|
215
|
|
|
216
|
acts_not_locked, days_not_locked, acts_not_valide, \
|
|
217
|
acts_not_billable, acts_pause, acts_billable = \
|
|
218
|
list_acts_for_billing_first_round(end_day, service, acts=acts)
|
|
219
|
acts_diagnostic = {}
|
|
220
|
acts_treatment = {}
|
|
221
|
acts_losts = {}
|
|
222
|
for patient, acts in acts_billable.items():
|
|
223
|
for act in acts:
|
|
224
|
cared, hc = act.is_act_covered_by_diagnostic_healthcare()
|
|
225
|
if cared:
|
|
226
|
if act.patient in acts_diagnostic:
|
|
227
|
acts_diagnostic[act.patient]. \
|
|
228
|
append((act, hc))
|
|
229
|
else:
|
|
230
|
acts_diagnostic[act.patient] = [(act, hc)]
|
|
231
|
else:
|
|
232
|
cared, hc = act.is_act_covered_by_treatment_healthcare()
|
|
233
|
if cared:
|
|
234
|
if act.patient in acts_treatment:
|
|
235
|
acts_treatment[act.patient]. \
|
|
236
|
append((act, hc))
|
|
237
|
else:
|
|
238
|
acts_treatment[act.patient] = [(act, hc)]
|
|
239
|
else:
|
|
240
|
if act.patient in acts_losts:
|
|
241
|
acts_losts[act.patient]. \
|
|
242
|
append(act)
|
|
243
|
else:
|
|
244
|
acts_losts[act.patient] = [act]
|
|
245
|
return (acts_not_locked, days_not_locked, acts_not_valide,
|
|
246
|
acts_not_billable, acts_pause, acts_diagnostic,
|
|
247
|
acts_treatment, acts_losts)
|
|
248
|
|
|
249
|
def list_acts_for_billing_CMPP_2(end_day, service, acts=None):
|
|
250
|
"""Used to sort acts billable by specific service requirements.
|
|
251
|
|
|
252
|
For the CMPP, acts are billable if
|
|
253
|
|
|
254
|
acts = acts_not_locked + \
|
|
255
|
acts_not_valide + \
|
|
256
|
acts_not_billable + \
|
|
257
|
acts_diagnostic + \
|
|
258
|
acts_treatment + \
|
|
259
|
acts_losts
|
|
260
|
|
|
261
|
:param end_day: formatted date that gives the last day when acts are taken
|
|
262
|
in account.
|
|
263
|
:type end_day: datetime
|
|
264
|
:param service: service in which acts are dealt with.
|
|
265
|
:type service: calebasse.ressources.Service
|
|
266
|
|
|
267
|
:returns: a list of dictionnaries where patients are the keys and values
|
|
268
|
are lists of acts. The second element of this list in not a dict but
|
|
269
|
a list of the days where are all days are not locked.
|
|
270
|
:rtype: list
|
|
271
|
"""
|
|
272
|
|
|
273
|
acts_not_locked, days_not_locked, acts_not_valide, \
|
|
274
|
acts_not_billable, acts_pause, acts_billable = \
|
|
275
|
list_acts_for_billing_first_round(end_day, service, acts=acts)
|
|
276
|
|
|
277
|
acts_diagnostic = {}
|
|
278
|
acts_treatment = {}
|
|
279
|
acts_losts = {}
|
|
280
|
for patient, acts in acts_billable.items():
|
|
281
|
hcd = None
|
|
282
|
len_acts_cared_diag = 0
|
|
283
|
try:
|
|
284
|
hcd = CmppHealthCareDiagnostic.objects.\
|
|
285
|
filter(patient=patient).latest('start_date')
|
|
286
|
# actes prise en charge par ce hc
|
|
287
|
len_acts_cared_diag = len(hcd.act_set.all())
|
|
288
|
except:
|
|
289
|
pass
|
|
290
|
'''
|
|
291
|
We take in account the two last treatment healthcare
|
|
292
|
'''
|
|
293
|
hcts = None
|
|
294
|
len_acts_cared_trait = 0
|
|
295
|
try:
|
|
296
|
hcts = CmppHealthCareTreatment.objects.\
|
|
297
|
filter(patient=patient).order_by('-start_date')
|
|
298
|
except:
|
|
299
|
pass
|
|
300
|
# acts are all billable and chronologically ordered
|
|
301
|
count_hcd = 0
|
|
302
|
count_hct_1 = 0
|
|
303
|
count_hct_2 = 0
|
|
304
|
for act in acts:
|
|
305
|
cared = False
|
|
306
|
if hcd and hcd.start_date <= act.date:
|
|
307
|
# Ce qui seraient prise en charge
|
|
308
|
nb_acts_cared = len_acts_cared_diag + count_hcd
|
|
309
|
# Ne doit pas dépasser la limite de prise en charge du hc
|
|
310
|
if nb_acts_cared < hcd.get_act_number() :
|
|
311
|
if nb_acts_cared < hcd.get_act_number():
|
|
312
|
if act.patient in acts_diagnostic:
|
|
313
|
acts_diagnostic[act.patient]. \
|
|
314
|
append((act, hcd))
|
|
315
|
else:
|
|
316
|
acts_diagnostic[act.patient] = [(act, hcd)]
|
|
317
|
count_hcd = count_hcd + 1
|
|
318
|
cared = True
|
|
319
|
# The one before the last may be not full.
|
|
320
|
if not cared and len(hcts) > 1 and hcts[1] and hcts[1].start_date <= act.date and hcts[1].end_date >= act.date:
|
|
321
|
# Ce qui seraient prise en charge
|
|
322
|
# ne doit pas dépasser la limite de prise en charge du hc
|
|
323
|
if count_hct_1 < hcts[1].get_act_number() - hcts[1].get_nb_acts_cared():
|
|
324
|
if act.patient in acts_treatment:
|
|
325
|
acts_treatment[act.patient]. \
|
|
326
|
append((act, hcts[1]))
|
|
327
|
else:
|
|
328
|
acts_treatment[act.patient] = [(act, hcts[1])]
|
|
329
|
count_hct_1 = count_hct_1 + 1
|
|
330
|
cared = True
|
|
331
|
if not cared and len(hcts) > 0 and hcts[0] and hcts[0].start_date <= act.date and hcts[0].end_date >= act.date:
|
|
332
|
if count_hct_2 < hcts[0].get_act_number() - hcts[0].get_nb_acts_cared():
|
|
333
|
if act.patient in acts_treatment:
|
|
334
|
acts_treatment[act.patient]. \
|
|
335
|
append((act, hcts[0]))
|
|
336
|
else:
|
|
337
|
acts_treatment[act.patient] = [(act, hcts[0])]
|
|
338
|
count_hct_2 = count_hct_2 + 1
|
|
339
|
cared = True
|
|
340
|
if not cared:
|
|
341
|
if act.patient in acts_losts:
|
|
342
|
acts_losts[act.patient]. \
|
|
343
|
append(act)
|
|
344
|
else:
|
|
345
|
# TODO: give details about rejection
|
|
346
|
acts_losts[act.patient] = [act]
|
|
347
|
return (acts_not_locked, days_not_locked, acts_not_valide,
|
|
348
|
acts_not_billable, acts_pause, acts_diagnostic,
|
|
349
|
acts_treatment, acts_losts)
|