Produits Entr'ouvert » Calebasse

# -*- coding: utf-8 -*-

import logging

from datetime import datetime, date

from dateutil.relativedelta import relativedelta

from django import forms

from django.db import models

from django.contrib.auth.models import User

import reversion

from calebasse.choices import LARGE_REGIME_CHOICES

from calebasse.models import PhoneNumberField, ZipCodeField

from calebasse.personnes.models import People

from calebasse.ressources.models import (ServiceLinkedAbstractModel,

        NamedAbstractModel, Service)

from calebasse.actes.validation import are_all_acts_of_the_day_locked

DEFAULT_ACT_NUMBER_DIAGNOSTIC = 6

DEFAULT_ACT_NUMBER_TREATMENT = 30

DEFAULT_ACT_NUMBER_PROLONGATION = 10

VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS = 0

VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS = 0

VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS = 1

logger = logging.getLogger('calebasse.dossiers')

class HealthCare(models.Model):

    class Meta:

        app_label = 'dossiers'

    start_date = models.DateField(verbose_name=u"Date de début")

    patient = models.ForeignKey('dossiers.PatientRecord',

        verbose_name=u'Dossier patient')

    created = models.DateTimeField(u'Création', auto_now_add=True)

    author = \

        models.ForeignKey(User,

        verbose_name=u'Auteur')

    comment = models.TextField(max_length=3000, blank=True, null=True, verbose_name=u"Commentaire")

    def get_nb_acts_cared(self):

        return len(self.act_set.all())

class CmppHealthCareDiagnostic(HealthCare):

    class Meta:

        app_label = 'dossiers'

    act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_DIAGNOSTIC, verbose_name=u"Nombre d'actes couverts")

    def get_act_number(self):

        return self.act_number

    def set_act_number(self, value):

        if value < self.get_nb_acts_cared():

            raise Exception("La valeur doit être supérieur au "

                "nombre d'actes déjà pris en charge")

        self.act_number = value

        self.save()

    def save(self, **kwargs):

        self.start_date = \

            datetime(self.start_date.year, self.start_date.month,

                self.start_date.day)

        super(CmppHealthCareDiagnostic, self).save(**kwargs)

class CmppHealthCareTreatment(HealthCare):

    class Meta:

        app_label = 'dossiers'

    act_number = models.IntegerField(default=DEFAULT_ACT_NUMBER_TREATMENT,

            verbose_name=u"Nombre d'actes couverts")

    end_date = models.DateField(verbose_name=u"Date de fin")

    prolongation = models.IntegerField(default=0,

            verbose_name=u'Prolongation')

    def get_act_number(self):

        if self.is_extended():

            return self.act_number + self.prolongation

        return self.act_number

    def set_act_number(self, value):

        if value < self.get_nb_acts_cared():

            raise Exception("La valeur doit être supérieur au "

                "nombre d'actes déjà pris en charge")

        self.act_number = value

        self.save()

    def is_extended(self):

        if self.prolongation > 0:

            return True

        return False

    def add_prolongation(self, value=None):

        if not value:

            value = DEFAULT_ACT_NUMBER_PROLONGATION

        if self.is_extended():

            raise Exception(u'Prise en charge déja prolongée')

        self.prolongation = value

        self.save()

    def save(self, **kwargs):

        self.start_date = \

            datetime(self.start_date.year, self.start_date.month,

                self.start_date.day)

        self.end_date = self.start_date + \

            relativedelta(years=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_YEARS) + \

            relativedelta(months=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_MONTHS) + \

            relativedelta(days=VALIDITY_PERIOD_TREATMENT_HEALTHCARE_DAYS)

        super(CmppHealthCareTreatment, self).save(**kwargs)

class SessadHealthCareNotification(HealthCare):

    class Meta:

        app_label = 'dossiers'

    end_date = models.DateField()

    def save(self, **kwargs):

        self.start_date = \

            datetime(self.start_date.year, self.start_date.month,

                self.start_date.day)

        self.end_date = \

            datetime(self.end_date.year, self.end_date.month,

                self.end_date.day)

        super(SessadHealthCareNotification, self).save(**kwargs)

reversion.register(CmppHealthCareDiagnostic, follow=['healthcare_ptr'])

reversion.register(CmppHealthCareTreatment, follow=['healthcare_ptr'])

reversion.register(SessadHealthCareNotification, follow=['healthcare_ptr'])

class Status(NamedAbstractModel):

    class Meta:

        app_label = 'dossiers'

        verbose_name = u"Statut d'un état"

        verbose_name_plural = u"Statuts d'un état"

    type = models.CharField(max_length=80)

    services = models.ManyToManyField('ressources.Service')

class FileState(models.Model):

    class Meta:

        app_label = 'dossiers'

        verbose_name = u'Etat du dossier patient'

        verbose_name_plural = u'Etats du dossier patient'

    patient = models.ForeignKey('dossiers.PatientRecord',

        verbose_name=u'Dossier patient')

    status = models.ForeignKey('dossiers.Status')

    created = models.DateTimeField(u'Création', auto_now_add=True)

    date_selected = models.DateTimeField()

    author = \

        models.ForeignKey(User,

        verbose_name=u'Auteur')

    comment = models.TextField(max_length=3000, blank=True, null=True)

    previous_state = models.ForeignKey('FileState',

        verbose_name=u'Etat précédent', blank=True, null=True)

    def get_next_state(self):

        try:

            return FileState.objects.get(previous_state=self)

        except:

            return None

    def save(self, **kwargs):

        self.date_selected = \

                datetime(self.date_selected.year,

                        self.date_selected.month, self.date_selected.day)

        super(FileState, self).save(**kwargs)

    def __unicode__(self):

        return self.status.name + ' ' + str(self.date_selected)

class PatientAddress(models.Model):

    display_name = models.CharField(max_length=276,

            verbose_name=u'Adresse complète', editable=False)

    phone = PhoneNumberField(verbose_name=u"Téléphone", blank=True, null=True)

    fax = PhoneNumberField(verbose_name=u"Fax", blank=True, null=True)

    place_of_life = models.BooleanField(verbose_name=u"Lieu de vie")

    number = models.CharField(max_length=12,

            verbose_name=u"Numéro", blank=True, null=True)

    street = models.CharField(max_length=100,

            verbose_name=u"Rue", blank=True, null=True)

    address_complement = models.CharField(max_length=100,

            blank=True, null=True,

            verbose_name=u"Complément d'adresse")

    zip_code = ZipCodeField(verbose_name=u"Code postal", blank=True, null=True)

    city = models.CharField(max_length=60,

            verbose_name=u"Ville", blank=True, null=True)

    comment = models.TextField(verbose_name=u"Commentaire",

            null=True, blank=True)

    def __unicode__(self):

        return self.display_name

    def save(self, **kwargs):

        self.display_name = "%s %s, %s %s" % (self.number, self.street,  self.zip_code, self.city)

        super(PatientAddress, self).save(**kwargs)

class PatientContact(People):

    class Meta:

        verbose_name = u'Contact patient'

        verbose_name_plural = u'Contacts patient'

    mobile = PhoneNumberField(verbose_name=u"Téléphone mobile", blank=True, null=True)

    # carte vitale

    social_security_id = models.CharField(max_length=13, verbose_name=u"NIR",

            null=True, blank=True)

    birthdate = models.DateField(verbose_name=u"Date de naissance",

            null=True, blank=True)

    twinning_rank = models.IntegerField(verbose_name=u"Rang (gémellité)",

            null=True, blank=True)

    thirdparty_payer = models.BooleanField(verbose_name=u'Tiers-payant',

            default=False)

    begin_rights = models.DateField(verbose_name=u"Début de droits",

            null=True, blank=True)

    end_rights = models.DateField(verbose_name=u"Fin de droits",

            null=True, blank=True)

    health_center = models.ForeignKey('ressources.HealthCenter',

            verbose_name=u"Centre d'assurance maladie",

            null=True, blank=True)

    addresses = models.ManyToManyField('PatientAddress', verbose_name=u"Adresses")

    contact_comment = models.TextField(verbose_name=u"Commentaire",

            null=True, blank=True)

    def get_control_key(self):

        if self.social_security_id:

            return (97 - (int(self.social_security_id) % 97))

        return None

class PatientRecordManager(models.Manager):

    def for_service(self, service):

        return self.filter(service=service)

class PatientRecord(ServiceLinkedAbstractModel, PatientContact):

    objects = PatientRecordManager()

    class Meta:

        verbose_name = u'Dossier'

        verbose_name_plural = u'Dossiers'

    created = models.DateTimeField(u'création', auto_now_add=True)

    creator = \

        models.ForeignKey(User,

        verbose_name=u'Créateur dossier patient',

        editable=True)

    policyholder = models.ForeignKey('PatientContact',

            null=True, blank=True,

            verbose_name="Assuré", related_name="+")

    contacts = models.ManyToManyField('PatientContact',

            related_name='contact_of')

    nationality = models.CharField(verbose_name=u"Nationalité",

            max_length=70, null=True, blank=True)

    paper_id = models.CharField(max_length=6,

            verbose_name=u"N° dossier papier",

            null=True, blank=True)

    last_state = models.ForeignKey(FileState, related_name='+',

            null=True)

    school = models.ForeignKey('ressources.School',

            null=True, blank=True, default=None)

    comment = models.TextField(verbose_name=u"Commentaire",

            null=True, blank=True, default=None)

    pause = models.BooleanField(verbose_name=u"Pause facturation",

            default=False)

    # Physiology

    size = models.IntegerField(verbose_name=u"Taille (cm)",

            null=True, blank=True, default=None)

    weight = models.IntegerField(verbose_name=u"Poids (kg)",

            null=True, blank=True, default=None)

    pregnancy_term = models.IntegerField(verbose_name=u"Terme en semaines",

            null=True, blank=True, default=None)

    # Inscription motive

    analysemotive = models.ForeignKey('ressources.AnalyseMotive',

            verbose_name=u"Motif (analysé)",

            null=True, blank=True, default=None)

    familymotive = models.ForeignKey('ressources.FamilyMotive',

            verbose_name=u"Motif (famille)",

            null=True, blank=True, default=None)

    advicegiver = models.ForeignKey('ressources.AdviceGiver',

            verbose_name=u"Conseilleur",

            null=True, blank=True, default=None)

    # Family

    sibship_place = models.IntegerField(verbose_name=u"Place dans la fratrie",

            null=True, blank=True, default=None)

    nb_children_family = models.IntegerField(verbose_name=u"Nombre d'enfants dans la fratrie",

            null=True, blank=True, default=None)

    parental_authority = models.ForeignKey('ressources.ParentalAuthorityType',

            verbose_name=u"Autorité parentale",

            null=True, blank=True, default=None)

    family_situation = models.ForeignKey('ressources.FamilySituationType',

            verbose_name=u"Situation familiale",

            null=True, blank=True, default=None)

    child_custody = models.ForeignKey('ressources.ParentalCustodyType',

            verbose_name=u"Garde parentale",

            null=True, blank=True, default=None)

    # Transport

    transporttype = models.ForeignKey('ressources.TransportType',

            verbose_name=u"Type de transport",

            null=True, blank=True, default=None)

    transportcompany = models.ForeignKey('ressources.TransportCompany',

            verbose_name=u"Compagnie de transport",

            null=True, blank=True, default=None)

    # FollowUp

    coordinators = models.ManyToManyField('personnes.Worker',

            verbose_name=u"Coordinateurs",

            null=True, blank=True, default=None)

    externaldoctor = models.ForeignKey('personnes.ExternalDoctor',

            verbose_name=u"Médecin extérieur",

            null=True, blank=True, default=None)

    externalintervener = models.ForeignKey('personnes.ExternalIntervener',

            verbose_name=u"Intervenant extérieur",

            null=True, blank=True, default=None)

    def __init__(self, *args, **kwargs):

        super(PatientRecord, self).__init__(*args, **kwargs)

        if not hasattr(self, 'service'):

            raise Exception('The field service is mandatory.')

    def get_state(self):

        return self.last_state

    def get_initial_state(self):

        return self.filestate_set.order_by('date_selected')[0]

    def get_current_state(self):

        today = date.today()

        return self.get_state_at_day(today)

    def get_state_at_day(self, date):

        state = self.get_state()

        while(state):

            if datetime(state.date_selected.year,

                    state.date_selected.month, state.date_selected.day) <= \

                    datetime(date.year, date.month, date.day):

                return state

            state = state.previous_state

        return self.get_state()

    def was_in_state_at_day(self, date, status_type):

        state_at_day = self.get_state_at_day(date)

        if state_at_day and state_at_day.status.type == status_type:

            return True

        return False

    def get_states_history(self):

        return self.filestate_set.order_by('date_selected')

    def can_be_deleted(self):

        for act in self.act_set.all():

            if act.is_state('VALIDE'):

                return False

        return True

    def set_state(self, status, author, date_selected=None, comment=None):

        if not author:

            raise Exception('Missing author to set state')

        if not date_selected:

            date_selected = datetime.now()

        current_state = self.get_state()

        if not current_state:

            raise Exception('Invalid patient record. '

                'Missing current state.')

        if date_selected < current_state.date_selected:

            raise Exception('You cannot set a state starting the %s that '

                'is before the previous state starting at day %s.' % \

                (str(date_selected), str(current_state.date_selected)))

        filestate = FileState.objects.create(patient=self, status=status,

            date_selected=date_selected, author=author, comment=comment,

            previous_state=current_state)

        self.last_state = filestate

        self.save()

    def change_day_selected_of_state(self, state, new_date):

        if state.previous_state:

            if new_date < state.previous_state.date_selected:

                raise Exception('You cannot set a state starting the %s '

                    'before the previous state starting at day %s.' % \

                    (str(new_date), str(state.previous_state.date_selected)))

        next_state = state.get_next_state()

        if next_state:

            if new_date > next_state.date_selected:

                raise Exception('You cannot set a state starting the %s '

                    'after the following state starting at day %s.' % \

                    (str(new_date), str(next_state.date_selected)))

        state.date_selected = new_date

        state.save()

    def remove_state(self, state):

        if state.patient.id != self.id:

            raise Exception('The state given is not about this patient '

                'record but about %s' % state.patient)

        next_state = state.get_next_state()

        if not next_state:

            self.remove_last_state()

        else:

            next_state.previous_state = state.previous_state

            next_state.save()

            state.delete()

    def remove_last_state(self):

        try:

            self.get_state().delete()

        except:

            pass

    # START Specific to sessad healthcare

    def get_last_notification(self):

        return SessadHealthCareNotification.objects.filter(patient=self, ).\

            latest('end_date')

    def days_before_notification_expiration(self):

        today = datetime.today()

        notification = self.get_last_notification(self)

        if not notification:

            return 0

        if notification.end_date < today:

            return 0

        else:

            return notification.end_date - today

    # END Specific to sessad healthcare

    # START Specific to cmpp healthcare

    def create_diag_healthcare(self, modifier):

        """

            Gestion de l'inscription automatique.

            Si un premier acte est validé alors une prise en charge

            diagnostique est ajoutée. Cela fera basculer le dossier dans l'état

            en diagnostic.

            A voir si auto ou manuel :

            Si ce n'est pas le premier acte validé mais que l'acte précédement

            facturé a plus d'un an, on peut créer une prise en charge

            diagnostique. Même s'il y a une prise en charge de traitement

            expirée depuis moins d'un an donc renouvelable.

        """

        acts = self.act_set.order_by('date')

        hcds = CmppHealthCareDiagnostic.objects.filter(patient=self).order_by('-start_date')

        if not hcds:

            # Pas de prise en charge, on recherche l'acte facturable le plus

            # ancien, on crée une pc diag à la même date.

            for act in acts:

                if act.is_state('VALIDE') and act.is_billable():

                    CmppHealthCareDiagnostic(patient=self, author=modifier,

                        start_date=act.date).save()

                    break

        else:

            # On recherche l'acte facturable non facturé le plus ancien et

            # l'on regarde s'il a plus d'un an

            try:

                last_billed_act = self.act_set.filter(is_billed=True).\

                    latest('date')

                if last_billed_act:

                    for act in acts:

                        if act.is_state('VALIDE') and \

                                act.is_billable() and \

                                (act.date - last_billed_act.date).days >= 365:

                            return True

            except:

                pass

        return False

    def automated_switch_state(self, modifier):

        # Quel est le dernier acte facturable.

        acts = self.act_set.order_by('-date')

        # Si cet acte peut-être pris en charge en diagnostic c'est un acte de

        # diagnostic, sinon c'est un acte de traitement.

        last_state_services = self.last_state.status.\

                services.values_list('name', flat=True)

        cmpp = Service.objects.get(name='CMPP')

        for act in acts:

            if act.is_state('VALIDE') and act.is_billable() and \

                    act.date >= self.get_state().date_selected and \

                    are_all_acts_of_the_day_locked(act.date):

                cared, hc = act.is_act_covered_by_diagnostic_healthcare()

                if hc:

                    if (self.last_state.status.type == "ACCUEIL" \

                            or self.last_state.status.type == "TRAITEMENT") \

                            and "CMPP" in last_state_services:

                        status = Status.objects.filter(type="DIAGNOSTIC").\

                                filter(services__name='CMPP')[0]

                        try:

                            self.set_state(status, modifier,

                                date_selected=act.date)

                        except:

                            pass

                # Sinon, si le dossier est en diag, s'il ne peut être couvert

                # en diag, il est en traitement.

                elif self.last_state.status.type == "DIAGNOSTIC" and \

                        "CMPP" in last_state_services:

                    status = Status.objects.filter(type="TRAITEMENT").\

                            filter(services__name='CMPP')[0]

                    try:

                        self.set_state(status, modifier,

                                date_selected=act.date)

                    except:

                        pass

                break

    # END Specific to cmpp healthcare

reversion.register(PatientRecord, follow=['people_ptr'])

def create_patient(first_name, last_name, service, creator,

        date_selected=None):

    logger.debug('create_patient: creation for patient %s %s in service %s '

        'by %s' % (first_name, last_name, service, creator))

    if not (first_name and last_name and service and creator):

        raise Exception('Missing parameter to create a patient record.')

    status = Status.objects.filter(type="ACCUEIL").filter(services=service)

    if not status:

        raise Exception('%s has no ACCEUIL status' % service.name)

    patient = PatientRecord.objects.create(first_name=first_name,

            last_name=last_name, service=service,

            creator=creator)

    fs = FileState(status=status[0], author=creator, previous_state=None)

    if not date_selected:

        date_selected = patient.created

    fs.patient = patient

    fs.date_selected = date_selected

    fs.save()

    patient.last_state = fs

    patient.save()

    return patient