# """ # Viewflow workflows for EMR app. # Provides electronic medical record workflows for clinical documentation, care planning, and patient management. # """ # # from viewflow import Flow, lock # from viewflow.base import this, flow_func # from viewflow.contrib import celery # from viewflow.decorators import flow_view # from viewflow.fields import CharField, ModelField # from viewflow.forms import ModelForm # from viewflow.views import CreateProcessView, UpdateProcessView # from viewflow.models import Process, Task # from django.contrib.auth.models import User # from django.urls import reverse_lazy # from django.utils import timezone # from django.db import transaction # from django.core.mail import send_mail # # from .models import Encounter, ClinicalNote, ProblemList, CarePlan, NoteTemplate # from .views import ( # EncounterInitiationView, PatientAssessmentView, ClinicalDocumentationView, # ProblemIdentificationView, CarePlanDevelopmentView, TreatmentPlanningView, # ProgressMonitoringView, DischargePreparationView, QualityReviewView, # NoteCreationView, NoteReviewView, NoteSigningView # ) # # # class ClinicalEncounterProcess(Process): # """ # Viewflow process model for clinical encounters # """ # encounter = ModelField(Encounter, help_text='Associated clinical encounter') # # # Process status tracking # encounter_initiated = models.BooleanField(default=False) # patient_assessed = models.BooleanField(default=False) # problems_identified = models.BooleanField(default=False) # care_plan_developed = models.BooleanField(default=False) # treatment_planned = models.BooleanField(default=False) # documentation_completed = models.BooleanField(default=False) # quality_reviewed = models.BooleanField(default=False) # encounter_finalized = models.BooleanField(default=False) # # class Meta: # verbose_name = 'Clinical Encounter Process' # verbose_name_plural = 'Clinical Encounter Processes' # # # class ClinicalEncounterFlow(Flow): # """ # Clinical Encounter Workflow # # This flow manages the complete clinical encounter process from # patient assessment through documentation and quality review. # """ # # process_class = ClinicalEncounterProcess # # # Flow definition # start = ( # flow_func(this.start_encounter) # .Next(this.initiate_encounter) # ) # # initiate_encounter = ( # flow_view(EncounterInitiationView) # .Permission('emr.can_initiate_encounters') # .Next(this.assess_patient) # ) # # assess_patient = ( # flow_view(PatientAssessmentView) # .Permission('emr.can_assess_patients') # .Next(this.parallel_clinical_work) # ) # # parallel_clinical_work = ( # flow_func(this.start_parallel_clinical_work) # .Next(this.identify_problems) # .Next(this.develop_care_plan) # .Next(this.plan_treatment) # ) # # identify_problems = ( # flow_view(ProblemIdentificationView) # .Permission('emr.can_identify_problems') # .Next(this.join_clinical_work) # ) # # develop_care_plan = ( # flow_view(CarePlanDevelopmentView) # .Permission('emr.can_develop_care_plans') # .Next(this.join_clinical_work) # ) # # plan_treatment = ( # flow_view(TreatmentPlanningView) # .Permission('emr.can_plan_treatment') # .Next(this.join_clinical_work) # ) # # join_clinical_work = ( # flow_func(this.join_parallel_clinical_work) # .Next(this.complete_documentation) # ) # # complete_documentation = ( # flow_view(ClinicalDocumentationView) # .Permission('emr.can_complete_documentation') # .Next(this.review_quality) # ) # # review_quality = ( # flow_view(QualityReviewView) # .Permission('emr.can_review_quality') # .Next(this.finalize_encounter) # ) # # finalize_encounter = ( # flow_func(this.complete_encounter) # .Next(this.end) # ) # # end = flow_func(this.end_encounter) # # # Flow functions # def start_encounter(self, activation): # """Initialize the clinical encounter process""" # process = activation.process # encounter = process.encounter # # # Update encounter status # encounter.status = 'IN_PROGRESS' # encounter.save() # # # Send notification to clinical staff # self.notify_clinical_staff(encounter) # # # Check for high-priority encounters # if encounter.encounter_type in ['EMERGENCY', 'URGENT_CARE']: # self.notify_priority_encounter(encounter) # # def start_parallel_clinical_work(self, activation): # """Start parallel clinical work tasks""" # process = activation.process # # # Create parallel clinical tasks # self.create_clinical_tasks(process.encounter) # # def join_parallel_clinical_work(self, activation): # """Wait for all clinical work to complete""" # process = activation.process # # # Check if all clinical work is completed # if (process.problems_identified and # process.care_plan_developed and # process.treatment_planned): # # # Proceed to documentation # self.notify_documentation_ready(process.encounter) # # def complete_encounter(self, activation): # """Finalize the clinical encounter process""" # process = activation.process # encounter = process.encounter # # # Update encounter status # encounter.status = 'COMPLETED' # encounter.end_datetime = timezone.now() # encounter.save() # # # Mark process as completed # process.encounter_finalized = True # process.save() # # # Send completion notifications # self.notify_encounter_completion(encounter) # # # Update clinical metrics # self.update_clinical_metrics(encounter) # # # Schedule follow-up if needed # self.schedule_follow_up(encounter) # # def end_encounter(self, activation): # """End the clinical encounter workflow""" # process = activation.process # # # Generate encounter summary report # self.generate_encounter_summary(process.encounter) # # # Helper methods # def notify_clinical_staff(self, encounter): # """Notify clinical staff of new encounter""" # from django.contrib.auth.models import Group # # clinical_staff = User.objects.filter( # groups__name='Clinical Staff' # ) # # for staff in clinical_staff: # send_mail( # subject=f'New Clinical Encounter: {encounter.patient.get_full_name()}', # message=f'New {encounter.get_encounter_type_display()} encounter started.', # from_email='clinical@hospital.com', # recipient_list=[staff.email], # fail_silently=True # ) # # def notify_priority_encounter(self, encounter): # """Notify of priority encounter""" # supervisors = User.objects.filter( # groups__name='Clinical Supervisors' # ) # # for supervisor in supervisors: # send_mail( # subject=f'PRIORITY Encounter: {encounter.patient.get_full_name()}', # message=f'{encounter.get_encounter_type_display()} encounter requires immediate attention.', # from_email='clinical@hospital.com', # recipient_list=[supervisor.email], # fail_silently=True # ) # # def create_clinical_tasks(self, encounter): # """Create clinical work tasks""" # # This would create tasks in a task management system # pass # # def notify_documentation_ready(self, encounter): # """Notify that documentation is ready""" # if encounter.provider and encounter.provider.email: # send_mail( # subject=f'Documentation Ready: {encounter.patient.get_full_name()}', # message=f'Clinical work completed, ready for documentation.', # from_email='clinical@hospital.com', # recipient_list=[encounter.provider.email], # fail_silently=True # ) # # def notify_encounter_completion(self, encounter): # """Notify encounter completion""" # # Notify care team # care_team = encounter.care_team.all() # for member in care_team: # if member.email: # send_mail( # subject=f'Encounter Completed: {encounter.patient.get_full_name()}', # message=f'Clinical encounter has been completed and documented.', # from_email='clinical@hospital.com', # recipient_list=[member.email], # fail_silently=True # ) # # def update_clinical_metrics(self, encounter): # """Update clinical quality metrics""" # # This would update clinical performance metrics # pass # # def schedule_follow_up(self, encounter): # """Schedule follow-up appointments if needed""" # # This would schedule follow-up appointments # pass # # def generate_encounter_summary(self, encounter): # """Generate encounter summary report""" # # This would generate a comprehensive encounter report # pass # # # class ClinicalDocumentationProcess(Process): # """ # Viewflow process model for clinical documentation # """ # clinical_note = ModelField(ClinicalNote, help_text='Associated clinical note') # # # Process status tracking # note_initiated = models.BooleanField(default=False) # content_drafted = models.BooleanField(default=False) # clinical_review_completed = models.BooleanField(default=False) # quality_check_completed = models.BooleanField(default=False) # note_signed = models.BooleanField(default=False) # note_finalized = models.BooleanField(default=False) # # class Meta: # verbose_name = 'Clinical Documentation Process' # verbose_name_plural = 'Clinical Documentation Processes' # # # class ClinicalDocumentationFlow(Flow): # """ # Clinical Documentation Workflow # # This flow manages clinical note creation, review, and finalization # with quality checks and electronic signatures. # """ # # process_class = ClinicalDocumentationProcess # # # Flow definition # start = ( # flow_func(this.start_documentation) # .Next(this.create_note) # ) # # create_note = ( # flow_view(NoteCreationView) # .Permission('emr.can_create_notes') # .Next(this.draft_content) # ) # # draft_content = ( # flow_view(NoteDraftingView) # .Permission('emr.can_draft_notes') # .Next(this.review_note) # ) # # review_note = ( # flow_view(NoteReviewView) # .Permission('emr.can_review_notes') # .Next(this.quality_check) # ) # # quality_check = ( # flow_view(NoteQualityCheckView) # .Permission('emr.can_quality_check_notes') # .Next(this.sign_note) # ) # # sign_note = ( # flow_view(NoteSigningView) # .Permission('emr.can_sign_notes') # .Next(this.finalize_note) # ) # # finalize_note = ( # flow_func(this.complete_documentation) # .Next(this.end) # ) # # end = flow_func(this.end_documentation) # # # Flow functions # def start_documentation(self, activation): # """Initialize the documentation process""" # process = activation.process # note = process.clinical_note # # # Update note status # note.status = 'DRAFT' # note.save() # # # Send notification to documenting provider # self.notify_documentation_required(note) # # def complete_documentation(self, activation): # """Finalize the documentation process""" # process = activation.process # note = process.clinical_note # # # Update note status # note.status = 'FINAL' # note.finalized_datetime = timezone.now() # note.save() # # # Mark process as completed # process.note_finalized = True # process.save() # # # Send completion notifications # self.notify_documentation_completion(note) # # # Update documentation metrics # self.update_documentation_metrics(note) # # def end_documentation(self, activation): # """End the documentation workflow""" # process = activation.process # # # Generate documentation summary # self.generate_documentation_summary(process.clinical_note) # # # Helper methods # def notify_documentation_required(self, note): # """Notify provider that documentation is required""" # if note.author and note.author.email: # send_mail( # subject=f'Documentation Required: {note.patient.get_full_name()}', # message=f'{note.get_note_type_display()} requires completion.', # from_email='documentation@hospital.com', # recipient_list=[note.author.email], # fail_silently=True # ) # # def notify_documentation_completion(self, note): # """Notify documentation completion""" # # Notify care team # if note.encounter: # care_team = note.encounter.care_team.all() # for member in care_team: # if member.email: # send_mail( # subject=f'Documentation Complete: {note.patient.get_full_name()}', # message=f'{note.get_note_type_display()} has been completed and signed.', # from_email='documentation@hospital.com', # recipient_list=[member.email], # fail_silently=True # ) # # def update_documentation_metrics(self, note): # """Update documentation quality metrics""" # # This would update documentation performance metrics # pass # # def generate_documentation_summary(self, note): # """Generate documentation summary""" # # This would generate documentation summary # pass # # # class CarePlanManagementProcess(Process): # """ # Viewflow process model for care plan management # """ # care_plan = ModelField(CarePlan, help_text='Associated care plan') # # # Process status tracking # plan_initiated = models.BooleanField(default=False) # assessment_completed = models.BooleanField(default=False) # goals_established = models.BooleanField(default=False) # interventions_planned = models.BooleanField(default=False) # team_assigned = models.BooleanField(default=False) # plan_approved = models.BooleanField(default=False) # implementation_started = models.BooleanField(default=False) # progress_monitored = models.BooleanField(default=False) # plan_completed = models.BooleanField(default=False) # # class Meta: # verbose_name = 'Care Plan Management Process' # verbose_name_plural = 'Care Plan Management Processes' # # # class CarePlanManagementFlow(Flow): # """ # Care Plan Management Workflow # # This flow manages care plan development, approval, implementation, # and monitoring with multidisciplinary team coordination. # """ # # process_class = CarePlanManagementProcess # # # Flow definition # start = ( # flow_func(this.start_care_planning) # .Next(this.initiate_plan) # ) # # initiate_plan = ( # flow_view(CarePlanInitiationView) # .Permission('emr.can_initiate_care_plans') # .Next(this.complete_assessment) # ) # # complete_assessment = ( # flow_view(CarePlanAssessmentView) # .Permission('emr.can_assess_care_plans') # .Next(this.establish_goals) # ) # # establish_goals = ( # flow_view(GoalEstablishmentView) # .Permission('emr.can_establish_goals') # .Next(this.plan_interventions) # ) # # plan_interventions = ( # flow_view(InterventionPlanningView) # .Permission('emr.can_plan_interventions') # .Next(this.assign_care_team) # ) # # assign_care_team = ( # flow_view(CareTeamAssignmentView) # .Permission('emr.can_assign_care_team') # .Next(this.approve_plan) # ) # # approve_plan = ( # flow_view(CarePlanApprovalView) # .Permission('emr.can_approve_care_plans') # .Next(this.implement_plan) # ) # # implement_plan = ( # flow_func(this.start_implementation) # .Next(this.monitor_progress) # ) # # monitor_progress = ( # flow_view(ProgressMonitoringView) # .Permission('emr.can_monitor_progress') # .Next(this.complete_plan) # ) # # complete_plan = ( # flow_func(this.finalize_care_plan) # .Next(this.end) # ) # # end = flow_func(this.end_care_planning) # # # Flow functions # def start_care_planning(self, activation): # """Initialize the care planning process""" # process = activation.process # plan = process.care_plan # # # Update plan status # plan.status = 'DRAFT' # plan.save() # # # Send notification to care team # self.notify_care_planning_start(plan) # # def start_implementation(self, activation): # """Start care plan implementation""" # process = activation.process # plan = process.care_plan # # # Update plan status # plan.status = 'ACTIVE' # plan.save() # # # Mark implementation started # process.implementation_started = True # process.save() # # # Notify care team of implementation # self.notify_implementation_start(plan) # # # Schedule monitoring activities # self.schedule_monitoring(plan) # # def finalize_care_plan(self, activation): # """Finalize the care plan process""" # process = activation.process # plan = process.care_plan # # # Update plan status based on completion # if plan.completion_percentage >= 100: # plan.status = 'COMPLETED' # else: # plan.status = 'ON_HOLD' # # plan.save() # # # Mark process as completed # process.plan_completed = True # process.save() # # # Send completion notifications # self.notify_care_plan_completion(plan) # # # Generate outcomes report # self.generate_outcomes_report(plan) # # def end_care_planning(self, activation): # """End the care planning workflow""" # process = activation.process # # # Generate care plan summary # self.generate_care_plan_summary(process.care_plan) # # # Helper methods # def notify_care_planning_start(self, plan): # """Notify care team of care planning start""" # care_team = plan.care_team.all() # for member in care_team: # if member.email: # send_mail( # subject=f'Care Plan Development: {plan.patient.get_full_name()}', # message=f'Care plan development has started for {plan.title}.', # from_email='careplanning@hospital.com', # recipient_list=[member.email], # fail_silently=True # ) # # def notify_implementation_start(self, plan): # """Notify care team of implementation start""" # care_team = plan.care_team.all() # for member in care_team: # if member.email: # send_mail( # subject=f'Care Plan Implementation: {plan.patient.get_full_name()}', # message=f'Care plan implementation has started for {plan.title}.', # from_email='careplanning@hospital.com', # recipient_list=[member.email], # fail_silently=True # ) # # def schedule_monitoring(self, plan): # """Schedule monitoring activities""" # # This would schedule monitoring tasks # pass # # def notify_care_plan_completion(self, plan): # """Notify care plan completion""" # # Notify patient if email available # if plan.patient.email: # send_mail( # subject='Care Plan Completed', # message=f'Your care plan "{plan.title}" has been completed.', # from_email='careplanning@hospital.com', # recipient_list=[plan.patient.email], # fail_silently=True # ) # # def generate_outcomes_report(self, plan): # """Generate care plan outcomes report""" # # This would generate outcomes report # pass # # def generate_care_plan_summary(self, plan): # """Generate care plan summary""" # # This would generate care plan summary # pass # # # class ProblemManagementProcess(Process): # """ # Viewflow process model for problem management # """ # problem = ModelField(ProblemList, help_text='Associated problem') # # # Process status tracking # problem_identified = models.BooleanField(default=False) # problem_assessed = models.BooleanField(default=False) # treatment_planned = models.BooleanField(default=False) # interventions_implemented = models.BooleanField(default=False) # progress_monitored = models.BooleanField(default=False) # problem_resolved = models.BooleanField(default=False) # # class Meta: # verbose_name = 'Problem Management Process' # verbose_name_plural = 'Problem Management Processes' # # # class ProblemManagementFlow(Flow): # """ # Problem Management Workflow # # This flow manages clinical problem identification, assessment, # treatment planning, and resolution tracking. # """ # # process_class = ProblemManagementProcess # # # Flow definition # start = ( # flow_func(this.start_problem_management) # .Next(this.identify_problem) # ) # # identify_problem = ( # flow_view(ProblemIdentificationView) # .Permission('emr.can_identify_problems') # .Next(this.assess_problem) # ) # # assess_problem = ( # flow_view(ProblemAssessmentView) # .Permission('emr.can_assess_problems') # .Next(this.plan_treatment) # ) # # plan_treatment = ( # flow_view(TreatmentPlanningView) # .Permission('emr.can_plan_treatment') # .Next(this.implement_interventions) # ) # # implement_interventions = ( # flow_view(InterventionImplementationView) # .Permission('emr.can_implement_interventions') # .Next(this.monitor_progress) # ) # # monitor_progress = ( # flow_view(ProgressMonitoringView) # .Permission('emr.can_monitor_progress') # .Next(this.resolve_problem) # ) # # resolve_problem = ( # flow_func(this.complete_problem_management) # .Next(this.end) # ) # # end = flow_func(this.end_problem_management) # # # Flow functions # def start_problem_management(self, activation): # """Initialize the problem management process""" # process = activation.process # problem = process.problem # # # Update problem status # problem.status = 'ACTIVE' # problem.save() # # # Send notification to care team # self.notify_problem_identified(problem) # # def complete_problem_management(self, activation): # """Finalize the problem management process""" # process = activation.process # problem = process.problem # # # Update problem status # if problem.resolution_date: # problem.status = 'RESOLVED' # else: # problem.status = 'ONGOING' # # problem.save() # # # Mark process as completed # process.problem_resolved = True # process.save() # # # Send completion notifications # self.notify_problem_resolution(problem) # # def end_problem_management(self, activation): # """End the problem management workflow""" # process = activation.process # # # Generate problem summary # self.generate_problem_summary(process.problem) # # # Helper methods # def notify_problem_identified(self, problem): # """Notify care team of problem identification""" # # This would notify the care team # pass # # def notify_problem_resolution(self, problem): # """Notify problem resolution""" # # This would notify relevant parties # pass # # def generate_problem_summary(self, problem): # """Generate problem management summary""" # # This would generate problem summary # pass # # # class QualityAssuranceProcess(Process): # """ # Viewflow process model for clinical quality assurance # """ # encounter_id = CharField(max_length=50, help_text='Encounter identifier') # review_type = CharField(max_length=20, help_text='Type of quality review') # # # Process status tracking # review_initiated = models.BooleanField(default=False) # documentation_reviewed = models.BooleanField(default=False) # clinical_indicators_checked = models.BooleanField(default=False) # compliance_verified = models.BooleanField(default=False) # feedback_provided = models.BooleanField(default=False) # quality_review_completed = models.BooleanField(default=False) # # class Meta: # verbose_name = 'Quality Assurance Process' # verbose_name_plural = 'Quality Assurance Processes' # # # class QualityAssuranceFlow(Flow): # """ # Clinical Quality Assurance Workflow # # This flow manages clinical quality reviews including documentation # quality, clinical indicators, and compliance verification. # """ # # process_class = QualityAssuranceProcess # # # Flow definition # start = ( # flow_func(this.start_quality_review) # .Next(this.review_documentation) # ) # # review_documentation = ( # flow_view(DocumentationReviewView) # .Permission('emr.can_review_documentation') # .Next(this.check_clinical_indicators) # ) # # check_clinical_indicators = ( # flow_view(ClinicalIndicatorCheckView) # .Permission('emr.can_check_clinical_indicators') # .Next(this.verify_compliance) # ) # # verify_compliance = ( # flow_view(ComplianceVerificationView) # .Permission('emr.can_verify_compliance') # .Next(this.provide_feedback) # ) # # provide_feedback = ( # flow_view(QualityFeedbackView) # .Permission('emr.can_provide_quality_feedback') # .Next(this.complete_review) # ) # # complete_review = ( # flow_func(this.finalize_quality_review) # .Next(this.end) # ) # # end = flow_func(this.end_quality_review) # # # Flow functions # def start_quality_review(self, activation): # """Initialize the quality review process""" # process = activation.process # # # Notify quality staff # self.notify_quality_staff(process.encounter_id, process.review_type) # # def finalize_quality_review(self, activation): # """Finalize the quality review process""" # process = activation.process # # # Mark review as completed # process.quality_review_completed = True # process.save() # # # Generate quality report # self.generate_quality_report(process.encounter_id, process.review_type) # # def end_quality_review(self, activation): # """End the quality review workflow""" # process = activation.process # # # Update quality metrics # self.update_quality_metrics(process.encounter_id, process.review_type) # # # Helper methods # def notify_quality_staff(self, encounter_id, review_type): # """Notify quality staff""" # quality_staff = User.objects.filter( # groups__name='Quality Assurance' # ) # # for staff in quality_staff: # send_mail( # subject=f'Quality Review Required: {encounter_id}', # message=f'{review_type} quality review required for encounter {encounter_id}.', # from_email='quality@hospital.com', # recipient_list=[staff.email], # fail_silently=True # ) # # def generate_quality_report(self, encounter_id, review_type): # """Generate quality report""" # # This would generate quality report # pass # # def update_quality_metrics(self, encounter_id, review_type): # """Update quality metrics""" # # This would update quality metrics # pass # # # # Celery tasks for background processing # @celery.job # def auto_generate_care_plans(): # """Background task to automatically generate care plans""" # try: # # This would generate care plans based on problems # return True # except Exception: # return False # # # @celery.job # def monitor_documentation_compliance(): # """Background task to monitor documentation compliance""" # try: # # This would monitor documentation timeliness # return True # except Exception: # return False # # # @celery.job # def generate_clinical_reports(): # """Background task to generate clinical reports""" # try: # # This would generate clinical quality reports # return True # except Exception: # return False # # # @celery.job # def auto_schedule_care_plan_reviews(): # """Background task to schedule care plan reviews""" # try: # # This would schedule care plan reviews # return True # except Exception: # return False # # # @celery.job # def identify_quality_indicators(): # """Background task to identify quality indicators""" # try: # # This would identify quality improvement opportunities # return True # except Exception: # return False #