930 lines
30 KiB
Python
930 lines
30 KiB
Python
# """
|
|
# 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
|
|
#
|