1422 lines
53 KiB
Python
1422 lines
53 KiB
Python
# Generated by Django 5.2.7 on 2025-10-06 21:15
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import django.core.validators
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import django.db.models.deletion
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import django.utils.timezone
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import uuid
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from decimal import Decimal
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from django.conf import settings
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from django.db import migrations, models
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class Migration(migrations.Migration):
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initial = True
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dependencies = [
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("core", "0001_initial"),
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("emr", "0001_initial"),
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("inventory", "0001_initial"),
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("patients", "0001_initial"),
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migrations.swappable_dependency(settings.AUTH_USER_MODEL),
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]
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operations = [
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migrations.CreateModel(
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name="Medication",
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fields=[
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(
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"id",
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models.BigAutoField(
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auto_created=True,
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primary_key=True,
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serialize=False,
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verbose_name="ID",
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),
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),
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(
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"medication_id",
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models.UUIDField(
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default=uuid.uuid4,
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editable=False,
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help_text="Unique medication identifier",
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unique=True,
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),
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),
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(
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"generic_name",
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models.CharField(help_text="Generic drug name", max_length=200),
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),
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(
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"brand_name",
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models.CharField(
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blank=True,
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help_text="Brand/trade name",
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max_length=200,
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null=True,
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),
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),
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(
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"ndc_number",
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models.CharField(
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blank=True,
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help_text="National Drug Code (NDC) number",
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max_length=20,
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null=True,
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validators=[
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django.core.validators.RegexValidator(
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"^\\d{4,5}-\\d{3,4}-\\d{1,2}$"
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)
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],
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),
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),
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(
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"rxcui",
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models.CharField(
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blank=True,
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help_text="RxNorm Concept Unique Identifier",
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max_length=20,
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null=True,
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),
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),
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(
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"drug_class",
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models.CharField(
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help_text="Therapeutic drug class", max_length=100
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),
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),
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(
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"controlled_substance_schedule",
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models.CharField(
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choices=[
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("CI", "Schedule I"),
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("CII", "Schedule II"),
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("CIII", "Schedule III"),
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("CIV", "Schedule IV"),
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("CV", "Schedule V"),
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("NON", "Non-Controlled"),
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],
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default="NON",
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help_text="DEA controlled substance schedule",
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max_length=5,
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),
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),
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(
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"dosage_form",
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models.CharField(
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choices=[
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("TABLET", "Tablet"),
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("CAPSULE", "Capsule"),
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("LIQUID", "Liquid"),
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("INJECTION", "Injection"),
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("TOPICAL", "Topical"),
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("INHALER", "Inhaler"),
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("PATCH", "Patch"),
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("SUPPOSITORY", "Suppository"),
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("CREAM", "Cream"),
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("OINTMENT", "Ointment"),
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("DROPS", "Drops"),
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("SPRAY", "Spray"),
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("OTHER", "Other"),
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],
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help_text="Dosage form",
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max_length=50,
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),
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),
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(
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"strength",
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models.CharField(
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help_text="Drug strength (e.g., 500mg, 10mg/ml)", max_length=50
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),
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),
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(
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"unit_of_measure",
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models.CharField(
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choices=[
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("MG", "Milligrams"),
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("G", "Grams"),
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("MCG", "Micrograms"),
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("ML", "Milliliters"),
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("L", "Liters"),
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("UNITS", "Units"),
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("IU", "International Units"),
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("MEQ", "Milliequivalents"),
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("PERCENT", "Percent"),
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("OTHER", "Other"),
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],
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help_text="Unit of measure",
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max_length=20,
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),
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),
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("indications", models.TextField(help_text="Clinical indications")),
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(
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"contraindications",
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models.TextField(
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blank=True, help_text="Contraindications", null=True
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),
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),
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(
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"side_effects",
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models.TextField(
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blank=True, help_text="Common side effects", null=True
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),
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),
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(
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"warnings",
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models.TextField(
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blank=True, help_text="Warnings and precautions", null=True
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),
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),
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(
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"adult_dose_range",
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models.CharField(
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blank=True,
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help_text="Adult dosing range",
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max_length=100,
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null=True,
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),
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),
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(
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"pediatric_dose_range",
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models.CharField(
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blank=True,
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help_text="Pediatric dosing range",
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max_length=100,
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null=True,
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),
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),
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(
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"max_daily_dose",
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models.CharField(
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blank=True,
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help_text="Maximum daily dose",
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max_length=50,
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null=True,
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),
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),
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(
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"routes_of_administration",
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models.JSONField(
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default=list, help_text="Routes of administration"
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),
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),
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(
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"administration_instructions",
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models.TextField(
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blank=True, help_text="Administration instructions", null=True
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),
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),
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(
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"storage_requirements",
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models.CharField(
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blank=True,
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help_text="Storage requirements",
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max_length=100,
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null=True,
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),
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),
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(
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"special_handling",
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models.TextField(
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blank=True, help_text="Special handling requirements", null=True
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),
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),
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(
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"formulary_status",
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models.CharField(
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choices=[
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("PREFERRED", "Preferred"),
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("NON_PREFERRED", "Non-Preferred"),
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("RESTRICTED", "Restricted"),
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("NOT_COVERED", "Not Covered"),
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("PRIOR_AUTH", "Prior Authorization Required"),
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],
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default="PREFERRED",
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help_text="Formulary status",
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max_length=20,
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),
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),
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(
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"is_active",
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models.BooleanField(
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default=True, help_text="Medication is active and available"
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),
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),
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(
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"is_available",
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models.BooleanField(
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default=True, help_text="Currently available in inventory"
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),
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),
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(
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"unit_cost",
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models.DecimalField(
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blank=True,
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decimal_places=2,
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help_text="Cost per unit",
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max_digits=10,
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null=True,
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),
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),
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(
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"awp",
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models.DecimalField(
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blank=True,
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decimal_places=2,
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help_text="Average Wholesale Price",
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max_digits=10,
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null=True,
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),
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),
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(
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"manufacturer",
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models.CharField(
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blank=True,
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help_text="Manufacturer name",
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max_length=100,
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null=True,
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),
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),
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(
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"manufacturer_ndc",
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models.CharField(
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blank=True,
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help_text="Manufacturer NDC",
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max_length=20,
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null=True,
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),
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),
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("created_at", models.DateTimeField(auto_now_add=True)),
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("updated_at", models.DateTimeField(auto_now=True)),
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(
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"created_by",
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models.ForeignKey(
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blank=True,
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help_text="User who created the medication record",
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null=True,
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on_delete=django.db.models.deletion.SET_NULL,
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related_name="created_medications",
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to=settings.AUTH_USER_MODEL,
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),
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),
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(
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"tenant",
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models.ForeignKey(
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help_text="Organization tenant",
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on_delete=django.db.models.deletion.CASCADE,
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related_name="medications",
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to="core.tenant",
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),
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),
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],
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options={
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"verbose_name": "Medication",
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"verbose_name_plural": "Medications",
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"db_table": "pharmacy_medication",
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"ordering": ["generic_name"],
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},
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),
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migrations.CreateModel(
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name="DrugInteraction",
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fields=[
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(
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"id",
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models.BigAutoField(
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auto_created=True,
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primary_key=True,
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serialize=False,
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verbose_name="ID",
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),
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),
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(
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"interaction_id",
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models.UUIDField(
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default=uuid.uuid4,
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editable=False,
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help_text="Unique interaction identifier",
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unique=True,
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),
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),
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(
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"severity",
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models.CharField(
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choices=[
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("MINOR", "Minor"),
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("MODERATE", "Moderate"),
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("MAJOR", "Major"),
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("CONTRAINDICATED", "Contraindicated"),
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],
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help_text="Interaction severity",
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max_length=20,
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),
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),
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(
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"interaction_type",
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models.CharField(
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choices=[
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("PHARMACOKINETIC", "Pharmacokinetic"),
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("PHARMACODYNAMIC", "Pharmacodynamic"),
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("ADDITIVE", "Additive"),
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("SYNERGISTIC", "Synergistic"),
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("ANTAGONISTIC", "Antagonistic"),
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("OTHER", "Other"),
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],
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help_text="Type of interaction",
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max_length=30,
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),
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),
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("mechanism", models.TextField(help_text="Mechanism of interaction")),
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(
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"clinical_effect",
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models.TextField(help_text="Clinical effect of interaction"),
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),
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(
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"management_recommendations",
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models.TextField(help_text="Management recommendations"),
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),
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(
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"monitoring_parameters",
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models.TextField(
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blank=True, help_text="Parameters to monitor", null=True
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),
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),
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(
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"evidence_level",
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models.CharField(
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choices=[
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("ESTABLISHED", "Established"),
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("PROBABLE", "Probable"),
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("SUSPECTED", "Suspected"),
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("POSSIBLE", "Possible"),
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("UNLIKELY", "Unlikely"),
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],
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help_text="Level of evidence",
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max_length=20,
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),
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),
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(
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"references",
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models.TextField(
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blank=True, help_text="Literature references", null=True
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),
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),
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(
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"is_active",
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models.BooleanField(
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default=True, help_text="Interaction is active"
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),
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),
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("created_at", models.DateTimeField(auto_now_add=True)),
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("updated_at", models.DateTimeField(auto_now=True)),
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(
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"created_by",
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models.ForeignKey(
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blank=True,
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help_text="User who created the interaction record",
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null=True,
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on_delete=django.db.models.deletion.SET_NULL,
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related_name="created_drug_interactions",
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to=settings.AUTH_USER_MODEL,
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),
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),
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(
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"tenant",
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models.ForeignKey(
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help_text="Organization tenant",
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on_delete=django.db.models.deletion.CASCADE,
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related_name="drug_interactions",
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to="core.tenant",
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),
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),
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(
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"medication_1",
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models.ForeignKey(
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help_text="First medication",
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on_delete=django.db.models.deletion.CASCADE,
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related_name="interactions_as_drug1",
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to="pharmacy.medication",
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),
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),
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(
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"medication_2",
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models.ForeignKey(
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help_text="Second medication",
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on_delete=django.db.models.deletion.CASCADE,
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related_name="interactions_as_drug2",
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to="pharmacy.medication",
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),
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),
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],
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options={
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"verbose_name": "Drug Interaction",
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"verbose_name_plural": "Drug Interactions",
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"db_table": "pharmacy_drug_interaction",
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"ordering": ["-severity", "medication_1__generic_name"],
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},
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),
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migrations.CreateModel(
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name="MedicationInventoryItem",
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fields=[
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(
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"id",
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models.BigAutoField(
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auto_created=True,
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primary_key=True,
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serialize=False,
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verbose_name="ID",
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),
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),
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(
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"medication_inventory_id",
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models.UUIDField(
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default=uuid.uuid4,
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editable=False,
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help_text="Unique medication inventory identifier",
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unique=True,
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),
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),
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(
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"formulary_tier",
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models.CharField(
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blank=True,
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help_text="Formulary tier for this medication",
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max_length=20,
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null=True,
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),
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),
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(
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"therapeutic_equivalent",
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models.BooleanField(
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default=False, help_text="Therapeutic equivalent available"
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),
|
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),
|
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(
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"auto_substitution_allowed",
|
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models.BooleanField(
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default=True, help_text="Automatic substitution allowed"
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),
|
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),
|
|
(
|
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"pharmacy_notes",
|
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models.TextField(
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blank=True, help_text="Pharmacy-specific notes", null=True
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),
|
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),
|
|
(
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"max_dispense_quantity",
|
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models.PositiveIntegerField(
|
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blank=True,
|
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help_text="Maximum quantity that can be dispensed at once",
|
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null=True,
|
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),
|
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),
|
|
(
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"requires_counseling",
|
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models.BooleanField(
|
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default=False, help_text="Requires patient counseling"
|
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),
|
|
),
|
|
(
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"requires_id_verification",
|
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models.BooleanField(
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default=False, help_text="Requires ID verification for pickup"
|
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),
|
|
),
|
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("created_at", models.DateTimeField(auto_now_add=True)),
|
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("updated_at", models.DateTimeField(auto_now=True)),
|
|
(
|
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"created_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="User who created the medication inventory item",
|
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null=True,
|
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on_delete=django.db.models.deletion.SET_NULL,
|
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related_name="created_medication_inventory_items",
|
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to=settings.AUTH_USER_MODEL,
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),
|
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),
|
|
(
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"inventory_item",
|
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models.ForeignKey(
|
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help_text="Centralized inventory item",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
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related_name="medication_inventory_items",
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to="inventory.inventoryitem",
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),
|
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),
|
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(
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"medication",
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models.ForeignKey(
|
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help_text="Related medication",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="medication_inventory_items",
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to="pharmacy.medication",
|
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),
|
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),
|
|
(
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"tenant",
|
|
models.ForeignKey(
|
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help_text="Organization tenant",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="medication_inventory_items",
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to="core.tenant",
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),
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),
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],
|
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options={
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"verbose_name": "Medication Inventory Item",
|
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"verbose_name_plural": "Medication Inventory Items",
|
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"db_table": "pharmacy_medication_inventory_item",
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"ordering": ["medication__generic_name"],
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},
|
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),
|
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migrations.CreateModel(
|
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name="Prescription",
|
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fields=[
|
|
(
|
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"id",
|
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models.BigAutoField(
|
|
auto_created=True,
|
|
primary_key=True,
|
|
serialize=False,
|
|
verbose_name="ID",
|
|
),
|
|
),
|
|
(
|
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"prescription_id",
|
|
models.UUIDField(
|
|
default=uuid.uuid4,
|
|
editable=False,
|
|
help_text="Unique prescription identifier",
|
|
unique=True,
|
|
),
|
|
),
|
|
(
|
|
"prescription_number",
|
|
models.CharField(
|
|
help_text="Prescription number", max_length=20, unique=True
|
|
),
|
|
),
|
|
(
|
|
"quantity_prescribed",
|
|
models.PositiveIntegerField(help_text="Quantity prescribed"),
|
|
),
|
|
(
|
|
"quantity_unit",
|
|
models.CharField(
|
|
choices=[
|
|
("TABLETS", "Tablets"),
|
|
("CAPSULES", "Capsules"),
|
|
("ML", "Milliliters"),
|
|
("GRAMS", "Grams"),
|
|
("UNITS", "Units"),
|
|
("PATCHES", "Patches"),
|
|
("INHALERS", "Inhalers"),
|
|
("BOTTLES", "Bottles"),
|
|
("TUBES", "Tubes"),
|
|
("VIALS", "Vials"),
|
|
("OTHER", "Other"),
|
|
],
|
|
help_text="Unit of quantity",
|
|
max_length=20,
|
|
),
|
|
),
|
|
(
|
|
"dosage_instructions",
|
|
models.TextField(help_text="Dosing instructions (SIG)"),
|
|
),
|
|
(
|
|
"frequency",
|
|
models.CharField(
|
|
help_text="Frequency of administration", max_length=50
|
|
),
|
|
),
|
|
(
|
|
"duration",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Duration of therapy",
|
|
max_length=50,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"refills_authorized",
|
|
models.PositiveIntegerField(
|
|
default=0, help_text="Number of refills authorized"
|
|
),
|
|
),
|
|
(
|
|
"refills_remaining",
|
|
models.PositiveIntegerField(
|
|
default=0, help_text="Number of refills remaining"
|
|
),
|
|
),
|
|
(
|
|
"date_prescribed",
|
|
models.DateTimeField(
|
|
default=django.utils.timezone.now,
|
|
help_text="Date and time prescribed",
|
|
),
|
|
),
|
|
(
|
|
"date_written",
|
|
models.DateField(help_text="Date written on prescription"),
|
|
),
|
|
(
|
|
"expiration_date",
|
|
models.DateField(
|
|
blank=True, help_text="Prescription expiration date", null=True
|
|
),
|
|
),
|
|
(
|
|
"status",
|
|
models.CharField(
|
|
choices=[
|
|
("PENDING", "Pending"),
|
|
("ACTIVE", "Active"),
|
|
("DISPENSED", "Dispensed"),
|
|
("PARTIALLY_DISPENSED", "Partially Dispensed"),
|
|
("COMPLETED", "Completed"),
|
|
("CANCELLED", "Cancelled"),
|
|
("EXPIRED", "Expired"),
|
|
("ON_HOLD", "On Hold"),
|
|
("TRANSFERRED", "Transferred"),
|
|
("DRAFT", "Draft"),
|
|
],
|
|
default="PENDING",
|
|
help_text="Prescription status",
|
|
max_length=20,
|
|
),
|
|
),
|
|
(
|
|
"indication",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Indication for prescription",
|
|
max_length=200,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"diagnosis_code",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="ICD-10 diagnosis code",
|
|
max_length=20,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"pharmacy_notes",
|
|
models.TextField(
|
|
blank=True, help_text="Notes for pharmacy", null=True
|
|
),
|
|
),
|
|
(
|
|
"patient_instructions",
|
|
models.TextField(
|
|
blank=True, help_text="Patient instructions", null=True
|
|
),
|
|
),
|
|
(
|
|
"prior_authorization_required",
|
|
models.BooleanField(
|
|
default=False, help_text="Prior authorization required"
|
|
),
|
|
),
|
|
(
|
|
"prior_authorization_number",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Prior authorization number",
|
|
max_length=50,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"prior_authorization_expiry",
|
|
models.DateField(
|
|
blank=True,
|
|
help_text="Prior authorization expiry date",
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"generic_substitution_allowed",
|
|
models.BooleanField(
|
|
default=True, help_text="Generic substitution allowed"
|
|
),
|
|
),
|
|
(
|
|
"dispense_as_written",
|
|
models.BooleanField(
|
|
default=False, help_text="Dispense as written (DAW)"
|
|
),
|
|
),
|
|
(
|
|
"electronic_prescription",
|
|
models.BooleanField(
|
|
default=True, help_text="Electronic prescription"
|
|
),
|
|
),
|
|
(
|
|
"e_prescription_id",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Electronic prescription ID",
|
|
max_length=50,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"verified",
|
|
models.BooleanField(
|
|
default=False, help_text="Prescription has been verified"
|
|
),
|
|
),
|
|
(
|
|
"verified_datetime",
|
|
models.DateTimeField(
|
|
blank=True, help_text="Date and time of verification", null=True
|
|
),
|
|
),
|
|
("created_at", models.DateTimeField(auto_now_add=True)),
|
|
("updated_at", models.DateTimeField(auto_now=True)),
|
|
(
|
|
"encounter",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Related encounter",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="prescriptions",
|
|
to="emr.encounter",
|
|
),
|
|
),
|
|
(
|
|
"medication",
|
|
models.ForeignKey(
|
|
help_text="Prescribed medication",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="prescriptions",
|
|
to="pharmacy.medication",
|
|
),
|
|
),
|
|
(
|
|
"patient",
|
|
models.ForeignKey(
|
|
help_text="Patient",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="prescriptions",
|
|
to="patients.patientprofile",
|
|
),
|
|
),
|
|
(
|
|
"prescriber",
|
|
models.ForeignKey(
|
|
help_text="Prescribing provider",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="prescribed_medications",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"tenant",
|
|
models.ForeignKey(
|
|
help_text="Organization tenant",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="prescriptions",
|
|
to="core.tenant",
|
|
),
|
|
),
|
|
(
|
|
"verified_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Pharmacist who verified prescription",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="verified_prescriptions",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
],
|
|
options={
|
|
"verbose_name": "Prescription",
|
|
"verbose_name_plural": "Prescriptions",
|
|
"db_table": "pharmacy_prescription",
|
|
"ordering": ["-date_prescribed"],
|
|
},
|
|
),
|
|
migrations.CreateModel(
|
|
name="MedicationAdministration",
|
|
fields=[
|
|
(
|
|
"id",
|
|
models.BigAutoField(
|
|
auto_created=True,
|
|
primary_key=True,
|
|
serialize=False,
|
|
verbose_name="ID",
|
|
),
|
|
),
|
|
(
|
|
"administration_id",
|
|
models.UUIDField(
|
|
default=uuid.uuid4,
|
|
editable=False,
|
|
help_text="Unique administration identifier",
|
|
unique=True,
|
|
),
|
|
),
|
|
(
|
|
"scheduled_datetime",
|
|
models.DateTimeField(help_text="Scheduled administration time"),
|
|
),
|
|
(
|
|
"actual_datetime",
|
|
models.DateTimeField(
|
|
blank=True, help_text="Actual administration time", null=True
|
|
),
|
|
),
|
|
("dose_given", models.CharField(help_text="Dose given", max_length=50)),
|
|
(
|
|
"route_given",
|
|
models.CharField(
|
|
choices=[
|
|
("PO", "Oral"),
|
|
("IV", "Intravenous"),
|
|
("IM", "Intramuscular"),
|
|
("SC", "Subcutaneous"),
|
|
("SL", "Sublingual"),
|
|
("TOP", "Topical"),
|
|
("INH", "Inhalation"),
|
|
("PR", "Rectal"),
|
|
("PV", "Vaginal"),
|
|
("NASAL", "Nasal"),
|
|
("OPTH", "Ophthalmic"),
|
|
("OTIC", "Otic"),
|
|
("OTHER", "Other"),
|
|
],
|
|
help_text="Route of administration",
|
|
max_length=30,
|
|
),
|
|
),
|
|
(
|
|
"status",
|
|
models.CharField(
|
|
choices=[
|
|
("SCHEDULED", "Scheduled"),
|
|
("GIVEN", "Given"),
|
|
("NOT_GIVEN", "Not Given"),
|
|
("HELD", "Held"),
|
|
("REFUSED", "Refused"),
|
|
("OMITTED", "Omitted"),
|
|
],
|
|
default="SCHEDULED",
|
|
help_text="Administration status",
|
|
max_length=20,
|
|
),
|
|
),
|
|
(
|
|
"reason_not_given",
|
|
models.CharField(
|
|
blank=True,
|
|
choices=[
|
|
("PATIENT_REFUSED", "Patient Refused"),
|
|
("PATIENT_UNAVAILABLE", "Patient Unavailable"),
|
|
("MEDICATION_UNAVAILABLE", "Medication Unavailable"),
|
|
("HELD_BY_PROVIDER", "Held by Provider"),
|
|
("PATIENT_NPO", "Patient NPO"),
|
|
("PATIENT_ASLEEP", "Patient Asleep"),
|
|
("ADVERSE_REACTION", "Adverse Reaction"),
|
|
("OTHER", "Other"),
|
|
],
|
|
help_text="Reason medication was not given",
|
|
max_length=100,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"reason_notes",
|
|
models.TextField(
|
|
blank=True, help_text="Additional notes about reason", null=True
|
|
),
|
|
),
|
|
(
|
|
"patient_response",
|
|
models.TextField(
|
|
blank=True,
|
|
help_text="Patient response to medication",
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"side_effects_observed",
|
|
models.TextField(
|
|
blank=True, help_text="Side effects observed", null=True
|
|
),
|
|
),
|
|
(
|
|
"injection_site",
|
|
models.CharField(
|
|
blank=True, help_text="Injection site", max_length=50, null=True
|
|
),
|
|
),
|
|
(
|
|
"site_condition",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Condition of injection site",
|
|
max_length=100,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"double_checked",
|
|
models.BooleanField(
|
|
default=False, help_text="Medication was double-checked"
|
|
),
|
|
),
|
|
("created_at", models.DateTimeField(auto_now_add=True)),
|
|
("updated_at", models.DateTimeField(auto_now=True)),
|
|
(
|
|
"administered_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Nurse who administered medication",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="administered_medications",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"double_checked_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Second nurse who verified medication",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="double_checked_administrations",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"encounter",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Related encounter",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="medication_administrations",
|
|
to="emr.encounter",
|
|
),
|
|
),
|
|
(
|
|
"patient",
|
|
models.ForeignKey(
|
|
help_text="Patient",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="medication_administrations",
|
|
to="patients.patientprofile",
|
|
),
|
|
),
|
|
(
|
|
"witnessed_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Witness (for controlled substances)",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="witnessed_administrations",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"prescription",
|
|
models.ForeignKey(
|
|
help_text="Related prescription",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="administration_records",
|
|
to="pharmacy.prescription",
|
|
),
|
|
),
|
|
],
|
|
options={
|
|
"verbose_name": "Medication Administration",
|
|
"verbose_name_plural": "Medication Administrations",
|
|
"db_table": "pharmacy_medication_administration",
|
|
"ordering": ["-scheduled_datetime"],
|
|
},
|
|
),
|
|
migrations.CreateModel(
|
|
name="DispenseRecord",
|
|
fields=[
|
|
(
|
|
"id",
|
|
models.BigAutoField(
|
|
auto_created=True,
|
|
primary_key=True,
|
|
serialize=False,
|
|
verbose_name="ID",
|
|
),
|
|
),
|
|
(
|
|
"dispense_id",
|
|
models.UUIDField(
|
|
default=uuid.uuid4,
|
|
editable=False,
|
|
help_text="Unique dispense identifier",
|
|
unique=True,
|
|
),
|
|
),
|
|
(
|
|
"quantity_dispensed",
|
|
models.PositiveIntegerField(help_text="Quantity dispensed"),
|
|
),
|
|
(
|
|
"quantity_remaining",
|
|
models.PositiveIntegerField(
|
|
help_text="Quantity remaining on prescription"
|
|
),
|
|
),
|
|
(
|
|
"date_dispensed",
|
|
models.DateTimeField(
|
|
default=django.utils.timezone.now,
|
|
help_text="Date and time dispensed",
|
|
),
|
|
),
|
|
(
|
|
"unit_price",
|
|
models.DecimalField(
|
|
decimal_places=2, help_text="Price per unit", max_digits=10
|
|
),
|
|
),
|
|
(
|
|
"total_price",
|
|
models.DecimalField(
|
|
decimal_places=2, help_text="Total price", max_digits=10
|
|
),
|
|
),
|
|
(
|
|
"copay_amount",
|
|
models.DecimalField(
|
|
decimal_places=2,
|
|
default=Decimal("0.00"),
|
|
help_text="Patient copay amount",
|
|
max_digits=8,
|
|
),
|
|
),
|
|
(
|
|
"insurance_amount",
|
|
models.DecimalField(
|
|
decimal_places=2,
|
|
default=Decimal("0.00"),
|
|
help_text="Insurance payment amount",
|
|
max_digits=10,
|
|
),
|
|
),
|
|
(
|
|
"patient_counseled",
|
|
models.BooleanField(
|
|
default=False, help_text="Patient was counseled"
|
|
),
|
|
),
|
|
(
|
|
"counseling_notes",
|
|
models.TextField(
|
|
blank=True, help_text="Counseling notes", null=True
|
|
),
|
|
),
|
|
(
|
|
"is_refill",
|
|
models.BooleanField(default=False, help_text="This is a refill"),
|
|
),
|
|
(
|
|
"refill_number",
|
|
models.PositiveIntegerField(default=0, help_text="Refill number"),
|
|
),
|
|
(
|
|
"status",
|
|
models.CharField(
|
|
choices=[
|
|
("DISPENSED", "Dispensed"),
|
|
("PICKED_UP", "Picked Up"),
|
|
("RETURNED", "Returned"),
|
|
("CANCELLED", "Cancelled"),
|
|
],
|
|
default="DISPENSED",
|
|
help_text="Dispense status",
|
|
max_length=20,
|
|
),
|
|
),
|
|
(
|
|
"picked_up_by",
|
|
models.CharField(
|
|
blank=True,
|
|
help_text="Person who picked up medication",
|
|
max_length=100,
|
|
null=True,
|
|
),
|
|
),
|
|
(
|
|
"pickup_datetime",
|
|
models.DateTimeField(
|
|
blank=True, help_text="Date and time of pickup", null=True
|
|
),
|
|
),
|
|
(
|
|
"identification_verified",
|
|
models.BooleanField(
|
|
default=False, help_text="Identification was verified"
|
|
),
|
|
),
|
|
(
|
|
"quality_check_performed",
|
|
models.BooleanField(
|
|
default=False, help_text="Quality check performed"
|
|
),
|
|
),
|
|
(
|
|
"quality_notes",
|
|
models.TextField(
|
|
blank=True, help_text="Quality control notes", null=True
|
|
),
|
|
),
|
|
("created_at", models.DateTimeField(auto_now_add=True)),
|
|
("updated_at", models.DateTimeField(auto_now=True)),
|
|
(
|
|
"dispensed_by",
|
|
models.ForeignKey(
|
|
help_text="Pharmacist who dispensed medication",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="dispensed_medications",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"inventory_stock",
|
|
models.ForeignKey(
|
|
help_text="Inventory stock dispensed from",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="dispense_records",
|
|
to="inventory.inventorystock",
|
|
),
|
|
),
|
|
(
|
|
"verified_by",
|
|
models.ForeignKey(
|
|
blank=True,
|
|
help_text="Pharmacist who verified dispense",
|
|
null=True,
|
|
on_delete=django.db.models.deletion.SET_NULL,
|
|
related_name="verified_dispenses",
|
|
to=settings.AUTH_USER_MODEL,
|
|
),
|
|
),
|
|
(
|
|
"prescription",
|
|
models.ForeignKey(
|
|
help_text="Related prescription",
|
|
on_delete=django.db.models.deletion.CASCADE,
|
|
related_name="dispense_records",
|
|
to="pharmacy.prescription",
|
|
),
|
|
),
|
|
],
|
|
options={
|
|
"verbose_name": "Dispense Record",
|
|
"verbose_name_plural": "Dispense Records",
|
|
"db_table": "pharmacy_dispense_record",
|
|
"ordering": ["-date_dispensed"],
|
|
},
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["tenant", "is_active"], name="pharmacy_me_tenant__08e3c1_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["generic_name"], name="pharmacy_me_generic_3b0dc0_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["brand_name"], name="pharmacy_me_brand_n_3f2779_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["ndc_number"], name="pharmacy_me_ndc_num_343d8b_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["drug_class"], name="pharmacy_me_drug_cl_7c76ce_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medication",
|
|
index=models.Index(
|
|
fields=["controlled_substance_schedule"],
|
|
name="pharmacy_me_control_c65611_idx",
|
|
),
|
|
),
|
|
migrations.AlterUniqueTogether(
|
|
name="medication",
|
|
unique_together={("tenant", "ndc_number")},
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="druginteraction",
|
|
index=models.Index(
|
|
fields=["tenant", "is_active"], name="pharmacy_dr_tenant__cb2d7c_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="druginteraction",
|
|
index=models.Index(
|
|
fields=["medication_1"], name="pharmacy_dr_medicat_86d0e2_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="druginteraction",
|
|
index=models.Index(
|
|
fields=["medication_2"], name="pharmacy_dr_medicat_3f8756_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="druginteraction",
|
|
index=models.Index(
|
|
fields=["severity"], name="pharmacy_dr_severit_d33361_idx"
|
|
),
|
|
),
|
|
migrations.AlterUniqueTogether(
|
|
name="druginteraction",
|
|
unique_together={("tenant", "medication_1", "medication_2")},
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationinventoryitem",
|
|
index=models.Index(
|
|
fields=["tenant", "medication"], name="pharmacy_me_tenant__4d95be_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationinventoryitem",
|
|
index=models.Index(
|
|
fields=["inventory_item"], name="pharmacy_me_invento_018c3e_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationinventoryitem",
|
|
index=models.Index(
|
|
fields=["medication"], name="pharmacy_me_medicat_89bb51_idx"
|
|
),
|
|
),
|
|
migrations.AlterUniqueTogether(
|
|
name="medicationinventoryitem",
|
|
unique_together={("tenant", "medication", "inventory_item")},
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["tenant", "status"], name="pharmacy_pr_tenant__f16ec5_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["patient", "status"], name="pharmacy_pr_patient_903ab2_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["prescriber"], name="pharmacy_pr_prescri_2939ae_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["medication"], name="pharmacy_pr_medicat_581fe2_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["date_prescribed"], name="pharmacy_pr_date_pr_76ae06_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="prescription",
|
|
index=models.Index(
|
|
fields=["prescription_number"], name="pharmacy_pr_prescri_2aaaee_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationadministration",
|
|
index=models.Index(
|
|
fields=["patient", "scheduled_datetime"],
|
|
name="pharmacy_me_patient_371cb8_idx",
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationadministration",
|
|
index=models.Index(
|
|
fields=["prescription"], name="pharmacy_me_prescri_0695c7_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationadministration",
|
|
index=models.Index(
|
|
fields=["encounter"], name="pharmacy_me_encount_17463a_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationadministration",
|
|
index=models.Index(fields=["status"], name="pharmacy_me_status_4ebdaa_idx"),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="medicationadministration",
|
|
index=models.Index(
|
|
fields=["administered_by"], name="pharmacy_me_adminis_838104_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="dispenserecord",
|
|
index=models.Index(
|
|
fields=["prescription"], name="pharmacy_di_prescri_ba15b2_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="dispenserecord",
|
|
index=models.Index(
|
|
fields=["inventory_stock"], name="pharmacy_di_invento_c41a34_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="dispenserecord",
|
|
index=models.Index(
|
|
fields=["date_dispensed"], name="pharmacy_di_date_di_c7bf71_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="dispenserecord",
|
|
index=models.Index(
|
|
fields=["dispensed_by"], name="pharmacy_di_dispens_626f46_idx"
|
|
),
|
|
),
|
|
migrations.AddIndex(
|
|
model_name="dispenserecord",
|
|
index=models.Index(fields=["status"], name="pharmacy_di_status_9fe994_idx"),
|
|
),
|
|
]
|