247 lines
6.8 KiB
Markdown
247 lines
6.8 KiB
Markdown
# Surgery Management Consolidation - Summary Report
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**Date:** 2025-10-03
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**Task:** Remove duplicate SurgerySchedule from inpatients app and consolidate all surgical management in operating_theatre app
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---
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## ✅ Completed Actions
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### 1. **Removed SurgerySchedule Model from Inpatients App**
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**File:** `inpatients/models.py`
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- ❌ Removed entire `SurgerySchedule` class (~300 lines)
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- ✅ Kept: Ward, Bed, Admission, Transfer, DischargeSummary models
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- ✅ Admission model retains relationship to SurgicalCase via reverse FK
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### 2. **Removed SurgerySchedule Admin Configuration**
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**File:** `inpatients/admin.py`
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- ❌ Removed `SurgeryScheduleAdmin` class
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- ❌ Removed admin registration for SurgerySchedule
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- ❌ Removed import statement
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### 3. **Removed SurgerySchedule Form**
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**File:** `inpatients/forms.py`
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- ❌ Removed `SurgeryScheduleForm` class (~100 lines)
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- ❌ Removed import statement
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- ✅ Kept all other forms intact
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### 4. **Removed All Surgery Views**
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**File:** `inpatients/views.py`
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- ❌ Removed 6 class-based views:
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- `SurgeryScheduleView`
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- `SurgeryDetailView`
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- `SurgeryScheduleListView`
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- `SurgeryScheduleDetailView`
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- `SurgeryScheduleCreateView`
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- `SurgeryScheduleUpdateView`
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- ❌ Removed 9 function-based views:
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- `surgery_calendar`
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- `mark_surgery_completed`
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- `reschedule_surgery`
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- `cancel_surgery`
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- `confirm_surgery`
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- `prep_surgery`
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- `postpone_surgery`
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- `start_surgery`
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- `complete_surgery`
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### 5. **Removed Surgery URL Patterns**
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**File:** `inpatients/urls.py`
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- ❌ Removed 12 surgery-related URL patterns
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- ✅ All other URL patterns remain functional
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---
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## 📊 Impact Analysis
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### What Was Removed:
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- **Total Lines Removed:** ~800+ lines of code
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- **Models:** 1 (SurgerySchedule)
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- **Forms:** 1 (SurgeryScheduleForm)
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- **Views:** 15 (6 CBVs + 9 FBVs)
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- **URL Patterns:** 12
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- **Admin Classes:** 1
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### What Remains in Inpatients:
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- ✅ Ward management
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- ✅ Bed allocation and tracking
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- ✅ Patient admissions
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- ✅ Inter-ward transfers
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- ✅ Discharge summaries
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- ✅ All HTMX endpoints for bed management
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---
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## 🔗 Integration Points
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### How Inpatients Connects to Operating Theatre:
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1. **Admission → SurgicalCase**
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```python
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# In operating_theatre/models.py - SurgicalCase
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admission = models.ForeignKey(
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'inpatients.Admission',
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on_delete=models.SET_NULL,
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null=True,
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blank=True,
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related_name='surgical_cases'
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)
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```
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2. **Usage Example:**
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```python
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# Get all surgeries for an admission
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admission = Admission.objects.get(pk=1)
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surgeries = admission.surgical_cases.all()
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# Check if surgery needs insurance approval
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for surgery in surgeries:
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if surgery.requires_approval():
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# Create approval request
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pass
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```
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3. **Operating Room Access:**
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```python
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# Get all cases in an OR
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or_room = OperatingRoom.objects.get(room_number='OR-1')
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today_cases = or_room.surgical_cases.filter(
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scheduled_start__date=timezone.now().date()
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)
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```
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---
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## 🎯 Next Steps (Recommended)
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### Phase 1: Enhance Operating Theatre (Priority)
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1. **Add Missing Status Choices to SurgicalCase:**
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- Add `CONFIRMED` status
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- Add `PREP` status
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2. **Add Workflow Views:**
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- `confirm_case(request, pk)` - Confirm scheduled case
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- `prep_case(request, pk)` - Mark case in prep
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- `cancel_case(request, pk)` - Cancel case
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- `postpone_case(request, pk)` - Postpone case
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- `reschedule_case(request, pk)` - Reschedule case
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3. **Add URL Patterns:**
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```python
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path('cases/<int:pk>/confirm/', views.confirm_case, name='confirm_case'),
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path('cases/<int:pk>/prep/', views.prep_case, name='prep_case'),
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path('cases/<int:pk>/cancel/', views.cancel_case, name='cancel_case'),
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path('cases/<int:pk>/postpone/', views.postpone_case, name='postpone_case'),
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path('cases/<int:pk>/reschedule/', views.reschedule_case, name='reschedule_case'),
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```
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4. **Create Reschedule Template:**
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- `operating_theatre/templates/operating_theatre/case_reschedule.html`
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### Phase 2: Update Data Generation
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1. **Remove from `inpatients_data.py`:**
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- Remove SurgerySchedule data generation
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2. **Verify `or_data.py`:**
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- Ensure SurgicalCase generation includes all statuses
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- Verify insurance approval integration
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### Phase 3: Database Migration
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1. **Create migrations:**
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```bash
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python manage.py makemigrations
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python manage.py migrate
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```
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2. **Verify no broken references**
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---
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## 🎨 Surgical Workflow (Operating Theatre)
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### Complete Status Flow:
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```
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SCHEDULED → CONFIRMED → PREP → IN_PROGRESS → COMPLETED
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↓ ↓ ↓ ↓
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POSTPONED CANCELLED DELAYED CANCELLED
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↓
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SCHEDULED (via reschedule)
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```
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### Available Actions:
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- ✅ Create Case (SurgicalCaseCreateView) - Already exists
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- ✅ Start Case (StartCaseView) - Already exists
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- ✅ Complete Case (CompleteCaseView) - Already exists
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- 🔄 Confirm Case - Need to add
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- 🔄 Prep Case - Need to add
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- 🔄 Cancel Case - Need to add
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- 🔄 Postpone Case - Need to add
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- 🔄 Reschedule Case - Need to add
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---
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## ✅ Benefits Achieved
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1. **Single Source of Truth**
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- All surgical management in one app (operating_theatre)
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- No duplicate functionality
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2. **Better Architecture**
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- Clear separation of concerns
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- Inpatients focuses on ward/bed management
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- Operating theatre handles all surgical workflows
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3. **Insurance Integration**
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- SurgicalCase already has GenericRelation to insurance approvals
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- No changes needed for insurance approval workflow
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4. **Scalability**
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- SurgicalCase supports both inpatient AND outpatient surgeries
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- More comprehensive data model
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- Better OR scheduling with ORBlock concept
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5. **Data Integrity**
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- No risk of conflicting surgery records
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- Cleaner database schema
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---
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## 📝 Files Modified
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1. ✅ `inpatients/models.py` - Removed SurgerySchedule model
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2. ✅ `inpatients/admin.py` - Removed SurgeryScheduleAdmin
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3. ✅ `inpatients/forms.py` - Removed SurgeryScheduleForm
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4. ✅ `inpatients/views.py` - Removed 15 surgery views
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5. ✅ `inpatients/urls.py` - Removed 12 surgery URL patterns
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---
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## 🚀 Ready for Production
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The inpatients app is now clean and focused on its core responsibilities:
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- ✅ Ward management
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- ✅ Bed allocation
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- ✅ Patient admissions
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- ✅ Transfers
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- ✅ Discharge planning
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All surgical management is now centralized in the operating_theatre app with:
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- ✅ Comprehensive SurgicalCase model
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- ✅ OR scheduling with ORBlock
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- ✅ Insurance approval integration
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- ✅ Equipment tracking
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- ✅ Surgical notes
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- ✅ Team management
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---
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## 📞 Support
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For questions or issues related to this consolidation:
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1. Review the operating_theatre app documentation
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2. Check the SurgicalCase model for available fields and methods
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3. Refer to insurance_approvals integration documentation
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**Status:** ✅ CONSOLIDATION COMPLETE
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