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PX360 Development Environment Setup Guide

Overview

This guide explains how to set up a complete development environment for PX360 using the setup_dev_environment management command.

What Gets Created

1. Organization Structure

  • Organization: Al Hammadi Healthcare Group (DEV)
  • 3 Hospitals: NUZHA-DEV, OLAYA-DEV, SUWAIDI-DEV
  • Departments: Emergency, OPD, Inpatient, ICU, Pharmacy, Laboratory, Radiology, Administration

2. User Roles & Permissions

  • PX Admin (Full system access)
  • Hospital Admin (Hospital-level access)
  • Department Manager (Department-level access)
  • PX Coordinator (PX actions & complaints)
  • Physician (View feedback)
  • Nurse (View department feedback)
  • Staff (Basic access)
  • Viewer (Read-only)
  • PX Source User (External source users)

3. Survey Templates (4 types)

  1. Inpatient Post-Discharge Survey

    • Nursing care
    • Doctor's care
    • Room cleanliness
    • Food quality
    • Treatment information
    • NPS question
    • Comments

  2. OPD Patient Experience Survey

    • Registration process
    • Waiting time
    • Doctor consultation
    • Pharmacy service
    • NPS question
    • Comments

  3. EMS Emergency Services Survey

    • Ambulance response time
    • Paramedic care
    • Emergency department care
    • Communication
    • NPS question
    • Comments

  4. Day Case Patient Survey

    • Pre-procedure preparation
    • Procedure quality
    • Post-procedure care
    • Discharge process
    • NPS question
    • Comments

4. Complaint System Configuration

  • Complaint Categories: Clinical Care, Management, Relationships, Facility, Communication, Access, Billing, Other
  • PX Sources: Patient, Family Member, Staff, Survey, MOH, CCHI
  • SLA Configurations (per hospital):
    • MOH: 24 hours (reminders at 12h/18h)
    • CCHI: 48 hours (reminders at 24h/36h)
    • Internal: 72 hours (reminders at 24h/48h)
  • Escalation Rules (per hospital):
    • Default: Department Manager (immediate)
    • Critical: Hospital Admin (4h overdue)
    • Final: PX Admin (24h overdue)
  • Thresholds: Resolution survey < 50% → Create PX Action
  • Explanation SLA: 48 hours response time

5. Journey Templates

OPD Journey Stages:

  1. Registration (trigger: REGISTRATION)
  2. Waiting (trigger: WAITING)
  3. MD Consultation (trigger: Consultation)
  4. MD Visit (trigger: Doctor Visited)
  5. Clinical Assessment (trigger: Clinical Condition)
  6. Patient Assessment (trigger: ChiefComplaint)
  7. Pharmacy (trigger: Prescribed Drugs)
  8. Discharge (trigger: DISCHARGED)

Other Journey Types:

  • Inpatient Journey
  • EMS Journey
  • Day Case Journey

6. Survey Mappings

  • Patient Type 1 (Inpatient) → Inpatient Survey
  • Patient Type 2 (Outpatient) → OPD Survey
  • Patient Type 3 (Emergency) → EMS Survey
  • Patient Type 4 (Day Case) → Day Case Survey

7. Observation Categories (15)

  1. Patient Safety
  2. Clinical Quality
  3. Infection Control
  4. Medication Safety
  5. Equipment & Devices
  6. Facility & Environment
  7. Staff Behavior
  8. Communication
  9. Documentation
  10. Process & Workflow
  11. Security
  12. IT & Systems
  13. Housekeeping
  14. Food Services
  15. Other

8. Notification Templates

  • Onboarding Invitation
  • Onboarding Reminder
  • Onboarding Completion
  • Survey Invitation
  • Survey Reminder
  • Complaint Acknowledgment
  • Complaint Update
  • Action Assignment
  • SLA Reminder
  • SLA Breach

9. Standards Setup

Standard Sources:

  • CBAHI (Saudi Central Board for Accreditation)
  • JCI (Joint Commission International)
  • ISO (International Organization for Standardization)

Standard Categories:

  • Patient Safety
  • Quality Management
  • Infection Control
  • Medication Safety
  • Environment of Care
  • Leadership
  • Information Management

10. HIS Integration

  • API URL: From .env (HIS_API_URL)
  • Username: From .env (HIS_API_USERNAME)
  • Password: From .env (HIS_API_PASSWORD)
  • Event Mappings configured for OPD workflow

Usage

Basic Setup (All Components)

python manage.py setup_dev_environment

Dry Run (Preview Only)

python manage.py setup_dev_environment --dry-run

Setup Specific Hospital

python manage.py setup_dev_environment --hospital-code NUZHA-DEV

Skip Specific Components

# Skip surveys
python manage.py setup_dev_environment --skip-surveys

# Skip complaints
python manage.py setup_dev_environment --skip-complaints

# Skip journeys
python manage.py setup_dev_environment --skip-journeys

# Skip HIS integration
python manage.py setup_dev_environment --skip-integration

# Combine multiple skips
python manage.py setup_dev_environment --skip-surveys --skip-integration

Environment Variables Required

Add these to your .env file:

# HIS Integration
HIS_API_URL=https://his.alhammadi.med.sa:54380/SSRCE/API/FetchPatientVisitTimeStamps
HIS_API_USERNAME=AlhhSUNZHippo
HIS_API_PASSWORD=*#$@PAlhh^2106

# Database
DATABASE_URL=sqlite:///db.sqlite3

# Redis/Celery
CELERY_BROKER_URL=redis://localhost:6379/0
CELERY_RESULT_BACKEND=redis://localhost:6379/0

# SMS Gateway
SMS_API_URL=http://localhost:8000/api/simulator/send-sms/
SMS_API_KEY=simulator-test-key
SMS_ENABLED=True
SMS_PROVIDER=console

# Email Gateway
EMAIL_API_URL=http://localhost:8000/api/simulator/send-email/
EMAIL_API_KEY=simulator-test-key
EMAIL_ENABLED=True
EMAIL_PROVIDER=console

# AI Configuration
OPENROUTER_API_KEY=your-api-key-here
AI_MODEL=stepfun/step-3.5-flash:free
AI_TEMPERATURE=0.3
AI_MAX_TOKENS=500

Post-Setup Steps

1. Create Admin Users

After running the setup, create admin users for each hospital:

python manage.py createsuperuser

Then assign them to hospitals via the admin interface or:

from apps.accounts.models import HospitalUser
from apps.organizations.models import Hospital
from django.contrib.auth import get_user

User = get_user_model()
hospital = Hospital.objects.get(code='NUZHA-DEV')
user = User.objects.get(email='admin@example.com')

HospitalUser.objects.create(
    user=user,
    hospital=hospital,
    role='hospital_admin'
)

2. Start Celery Workers

# Start Celery worker
celery -A config worker -l info

# Start Celery beat (for scheduled tasks)
celery -A config beat -l info

3. Verify Setup

# Check organization
python manage.py shell
>>> from apps.organizations.models import Organization
>>> Organization.objects.count()
1

# Check hospitals
>>> from apps.organizations.models import Hospital
>>> Hospital.objects.count()
3

# Check survey templates
>>> from apps.surveys.models import SurveyTemplate
>>> SurveyTemplate.objects.count()
12  # 4 templates × 3 hospitals

4. Test HIS Integration

python manage.py test_his_connection

5. Run Initial HIS Sync

python manage.py fetch_his_surveys

Idempotent Operation

The command is idempotent - it can be run multiple times safely:

  • Uses get_or_create() for all models
  • Won't create duplicates
  • Updates existing records if needed
  • Safe to re-run after errors

Troubleshooting

Issue: "No module named 'django'"

Solution: Activate virtual environment

source .venv/bin/activate

Issue: "Command not found"

Solution: Run from project root

cd /path/to/HH
python manage.py setup_dev_environment

Issue: Database locked

Solution: Stop all running processes and try again

pkill -f celery
pkill -f python
python manage.py setup_dev_environment

Issue: Permission denied

Solution: Check file permissions

chmod +x manage.py

Next Steps After Setup

  1. Configure SMS Gateway (for production)
  2. Configure Email Gateway (for production)
  3. Load SHCT Taxonomy (detailed complaint categories)
  4. Import Staff Data (via CSV import commands)
  5. Set Up Department Managers (via admin interface)
  6. Configure HIS Integration (fine-tune event mappings)
  7. Create Additional Survey Templates (as needed)
  8. Set Up Standards (add CBAHI/JCI standards)
  9. Configure Notification Templates (add SMS/email content)
  10. Test Complete Workflow (create test complaint → resolve → survey)

Related Management Commands

# Load SHCT complaint taxonomy
python manage.py load_shct_taxonomy

# Seed departments
python manage.py seed_departments

# Import staff from CSV
python manage.py import_staff_csv path/to/staff.csv

# Create notification templates
python manage.py init_notification_templates

# Create appreciation category
python manage.py create_patient_feedback_category

# Seed observation categories
python manage.py seed_observation_categories

# Seed acknowledgement categories
python manage.py seed_acknowledgements

Support

For issues or questions:

  1. Check logs: tail -f logs/debug.log
  2. Check Celery logs
  3. Review environment variables
  4. Check database integrity
  5. Contact: support@px360.sa