211 lines
7.9 KiB
Python
211 lines
7.9 KiB
Python
"""
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Physicians models - Physician ratings and performance tracking
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This module implements physician performance tracking:
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- Monthly rating aggregation from surveys
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- Performance metrics
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- Leaderboards
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- HIS Doctor Rating imports
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"""
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from django.db import models
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from apps.core.models import TimeStampedModel, UUIDModel
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class PhysicianMonthlyRating(UUIDModel, TimeStampedModel):
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"""
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Physician monthly rating - aggregated from survey responses.
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Calculated monthly from all surveys mentioning this physician.
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"""
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staff = models.ForeignKey("organizations.Staff", on_delete=models.CASCADE, related_name="monthly_ratings")
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# Time period
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year = models.IntegerField(db_index=True)
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month = models.IntegerField(db_index=True, help_text="1-12")
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# Ratings
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average_rating = models.DecimalField(max_digits=3, decimal_places=2, help_text="Average rating (1-5)")
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total_surveys = models.IntegerField(help_text="Number of surveys included")
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positive_count = models.IntegerField(default=0)
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neutral_count = models.IntegerField(default=0)
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negative_count = models.IntegerField(default=0)
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# Breakdown by journey stage
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md_consult_rating = models.DecimalField(max_digits=3, decimal_places=2, null=True, blank=True)
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# Ranking
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hospital_rank = models.IntegerField(null=True, blank=True, help_text="Rank within hospital")
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department_rank = models.IntegerField(null=True, blank=True, help_text="Rank within department")
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# Metadata
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metadata = models.JSONField(default=dict, blank=True)
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class Meta:
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ordering = ["-year", "-month", "-average_rating"]
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unique_together = [["staff", "year", "month"]]
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indexes = [
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models.Index(fields=["staff", "-year", "-month"]),
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models.Index(fields=["year", "month", "-average_rating"]),
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]
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def __str__(self):
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return f"{self.staff.get_full_name()} - {self.year}-{self.month:02d}: {self.average_rating}"
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class PhysicianIndividualRating(UUIDModel, TimeStampedModel):
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"""
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Individual physician rating from HIS or manual import.
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Stores each individual patient rating before aggregation.
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Source can be HIS integration, CSV import, or manual entry.
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"""
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class RatingSource(models.TextChoices):
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HIS_API = "his_api", "HIS API"
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CSV_IMPORT = "csv_import", "CSV Import"
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MANUAL = "manual", "Manual Entry"
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class PatientType(models.TextChoices):
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INPATIENT = "IP", "Inpatient"
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OUTPATIENT = "OP", "Outpatient"
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EMERGENCY = "ER", "Emergency"
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DAYCASE = "DC", "Day Case"
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# Links
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staff = models.ForeignKey(
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"organizations.Staff",
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on_delete=models.CASCADE,
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related_name="individual_ratings",
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null=True,
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blank=True,
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help_text="Linked staff record (if matched)",
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)
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hospital = models.ForeignKey("organizations.Hospital", on_delete=models.CASCADE, related_name="physician_ratings")
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# Source tracking
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source = models.CharField(max_length=20, choices=RatingSource.choices, default=RatingSource.MANUAL)
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source_reference = models.CharField(
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max_length=100, blank=True, help_text="Reference ID from source system (e.g., HIS record ID)"
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)
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# Doctor information (as received from source)
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doctor_name_raw = models.CharField(max_length=300, help_text="Doctor name as received (may include ID prefix)")
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doctor_id = models.CharField(
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max_length=50, blank=True, db_index=True, help_text="Doctor ID extracted from source (e.g., '10738')"
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)
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doctor_name = models.CharField(max_length=200, blank=True, help_text="Clean doctor name without ID")
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department_name = models.CharField(max_length=200, blank=True, help_text="Department name from source")
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# Patient information (optional - HIS ratings don't include patient data)
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patient_uhid = models.CharField(
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max_length=100, blank=True, null=True, db_index=True, help_text="Patient UHID/MRN (optional for HIS ratings)"
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)
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patient_name = models.CharField(max_length=300, blank=True, null=True)
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patient_gender = models.CharField(max_length=20, blank=True, default="")
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patient_age = models.CharField(max_length=50, blank=True, default="")
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patient_nationality = models.CharField(max_length=100, blank=True, default="")
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patient_phone = models.CharField(max_length=30, blank=True, default="")
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patient_type = models.CharField(max_length=10, choices=PatientType.choices, blank=True, null=True)
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# Visit dates
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admit_date = models.DateTimeField(null=True, blank=True)
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discharge_date = models.DateTimeField(null=True, blank=True)
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# Rating data
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rating = models.IntegerField(help_text="Rating from 1-5")
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feedback = models.TextField(blank=True)
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rating_date = models.DateTimeField()
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# Aggregation tracking
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is_aggregated = models.BooleanField(
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default=False, help_text="Whether this rating has been included in monthly aggregation"
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)
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aggregated_at = models.DateTimeField(null=True, blank=True)
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# Metadata
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metadata = models.JSONField(default=dict, blank=True, help_text="Additional data from source")
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class Meta:
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ordering = ["-rating_date", "-created_at"]
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indexes = [
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models.Index(fields=["hospital", "-rating_date"]),
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models.Index(fields=["staff", "-rating_date"]),
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models.Index(fields=["doctor_id", "-rating_date"]),
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models.Index(fields=["is_aggregated", "rating_date"]),
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models.Index(fields=["patient_uhid", "-rating_date"]),
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]
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def __str__(self):
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return f"{self.doctor_name or self.doctor_name_raw} - {self.rating}/5 on {self.rating_date.date()}"
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class DoctorRatingImportJob(UUIDModel, TimeStampedModel):
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"""
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Tracks bulk doctor rating import jobs (CSV or API batch).
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"""
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class JobStatus(models.TextChoices):
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PENDING = "pending", "Pending"
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PROCESSING = "processing", "Processing"
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COMPLETED = "completed", "Completed"
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FAILED = "failed", "Failed"
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PARTIAL = "partial", "Partial Success"
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class JobSource(models.TextChoices):
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HIS_API = "his_api", "HIS API"
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CSV_UPLOAD = "csv_upload", "CSV Upload"
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# Job info
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name = models.CharField(max_length=200)
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status = models.CharField(max_length=20, choices=JobStatus.choices, default=JobStatus.PENDING)
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source = models.CharField(max_length=20, choices=JobSource.choices)
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# User & Organization
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created_by = models.ForeignKey(
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"accounts.User", on_delete=models.SET_NULL, null=True, related_name="doctor_rating_jobs"
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)
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hospital = models.ForeignKey("organizations.Hospital", on_delete=models.CASCADE, related_name="doctor_rating_jobs")
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# Progress tracking
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total_records = models.IntegerField(default=0)
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processed_count = models.IntegerField(default=0)
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success_count = models.IntegerField(default=0)
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failed_count = models.IntegerField(default=0)
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skipped_count = models.IntegerField(default=0)
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# Timing
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started_at = models.DateTimeField(null=True, blank=True)
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completed_at = models.DateTimeField(null=True, blank=True)
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# Results
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results = models.JSONField(default=dict, blank=True, help_text="Processing results and errors")
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error_message = models.TextField(blank=True)
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# Raw data storage (for CSV uploads)
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raw_data = models.JSONField(default=list, blank=True, help_text="Stored raw data for processing")
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class Meta:
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ordering = ["-created_at"]
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def __str__(self):
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return f"{self.name} - {self.status}"
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@property
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def progress_percentage(self):
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if self.total_records == 0:
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return 0
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return int((self.processed_count / self.total_records) * 100)
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@property
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def is_complete(self):
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return self.status in [self.JobStatus.COMPLETED, self.JobStatus.FAILED, self.JobStatus.PARTIAL]
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@property
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def duration_seconds(self):
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if self.started_at and self.completed_at:
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return (self.completed_at - self.started_at).total_seconds()
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return None
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