class EpiduralInsertion(models.EpisodeSubrecord):
_is_singleton = True
insertion_date_time = fields.DateTimeField(
null=True,
# default=timezone.now, (causes an Opal APIerror if uncommented)
help_text="Date and time of the epidural insertion or epidural insertion attempt",
)
#needs to be the current user
performed_by = fields.TextField(
null=True,
blank=True,
)
#pick from list of anaesthetist users
supervised_by = fields.TextField(
null=True,
blank=True,
)
procedure = ForeignKeyOrFreeText(
ProcedureType,
help_text="Free text clinical record of the intervention"
)
# TODO should ideally be SNOMEDized
indication = ForeignKeyOrFreeText(
Indication,
help_text="Description of the indication",
)
class LabTest(EpisodeSubrecord):
_sort = 'date_ordered'
_icon = 'fa fa-crosshairs'
_advanced_searchable = False
test = models.CharField(max_length=255)
date_ordered = models.DateField(null=True, blank=True)
details = models.CharField(max_length=255, blank=True)
result = models.CharField(max_length=255, blank=True)
significant_organism = models.NullBooleanField(default=False)
organism_details = ForeignKeyOrFreeText(Organism_details)
antimicrobials_susceptible = ForeignKeyOrFreeText(
Antimicrobial_susceptability, related_name='susceptible')
antimicrobials_intermediate = ForeignKeyOrFreeText(
Antimicrobial_susceptability, related_name='intermediate')
antimicrobials_resistant = ForeignKeyOrFreeText(
Antimicrobial_susceptability, related_name='resistant')
retrieved = models.NullBooleanField(default=False)
date_retrieved = models.DateField(null=True, blank=True)
sweep_biobanked = models.NullBooleanField(default=False)
organism_biobanked = models.NullBooleanField(default=False)
freezer_box_number = models.CharField(max_length=200,
blank=True,
null=True)
esbl = models.NullBooleanField(default=False)
carbapenemase = models.NullBooleanField(default=False)
class DischargeStep(models.EpisodeSubrecord):
_angular_service = 'RequestReceive'
discharge_type = ForeignKeyOrFreeText(DischargeType)
requested_timestamp = fields.DateTimeField(null=True, blank=True)
received_timestamp = fields.DateTimeField(null=True, blank=True)
requested = fields.NullBooleanField()
transport_type = ForeignKeyOrFreeText(TransportType)
destination_type = ForeignKeyOrFreeText(DestinationType)
reviewed = fields.NullBooleanField()
reviewed_timestamp = fields.DateTimeField(null=True, blank=True)
class Management(omodels.EpisodeSubrecord):
_is_singleton = True
_icon = 'fa fa-list-ol'
follow_up = ForeignKeyOrFreeText(Management_follow_up)
follow_up_clinic = ForeignKeyOrFreeText(Management_clinics)
date_of_appointment = models.DateField(null=True, blank=True)
advice = models.CharField(max_length=255, blank=True, null=True)
results_actioned = models.CharField(max_length=255, blank=True, null=True)
def __unicode__(self):
return u'Management: {0}'.format(self.id)
class Travel(EpisodeSubrecord):
_icon = 'fa fa-plane'
destination = ForeignKeyOrFreeText(omodels.Destination)
dates = models.CharField(max_length=255, blank=True)
reason_for_travel = ForeignKeyOrFreeText(omodels.Travel_reason)
did_not_travel = models.NullBooleanField(default=False)
specific_exposures = models.CharField(max_length=255, blank=True)
malaria_prophylaxis = models.NullBooleanField(default=False)
malaria_drug = ForeignKeyOrFreeText(omodels.Antimicrobial)
malaria_compliance = models.CharField(max_length=200,
blank=True,
null=True)
class Treatment(EpisodeSubrecord):
_sort = 'start_date'
_icon = 'fa fa-flask'
_modal = 'lg'
drug = ForeignKeyOrFreeText(Drug)
dose = models.CharField(max_length=255, blank=True)
route = ForeignKeyOrFreeText(Drugroute)
start_date = models.DateField(null=True, blank=True)
end_date = models.DateField(null=True, blank=True)
frequency = ForeignKeyOrFreeText(Drugfreq)
class Meta:
abstract = True
class Imaging(EpisodeSubrecord):
_icon = 'fa fa-eye'
date = models.DateField(blank=True, null=True)
imaging_type = ForeignKeyOrFreeText(ImagingTypes)
site = models.CharField(max_length=200, blank=True, null=True)
details = models.TextField(blank=True, null=True)
class PatientConsultation(EpisodeSubrecord):
_sort = 'when'
_icon = 'fa fa-comments'
_list_limit = 3
_angular_service = 'PatientConsultationRecord'
class Meta:
abstract = True
verbose_name = "Patient Consultation"
when = models.DateTimeField(null=True, blank=True)
initials = models.CharField(
max_length=255, blank=True,
help_text="The initials of the user who gave the consult."
)
reason_for_interaction = ForeignKeyOrFreeText(
PatientConsultationReasonForInteraction
)
discussion = models.TextField(blank=True)
def set_when(self, incoming_value, user, *args, **kwargs):
if incoming_value:
self.when = serialization.deserialize_datetime(incoming_value)
else:
self.when = timezone.make_aware(datetime.datetime.now())
class SpecialistReview(models.EpisodeSubrecord):
_angular_service = 'RequestReceive'
specialist_type = ForeignKeyOrFreeText(SpecialistType)
requested_timestamp = fields.DateTimeField(null=True, blank=True)
received_timestamp = fields.DateTimeField(null=True, blank=True)
requested = fields.NullBooleanField()
received = fields.NullBooleanField()
class PresentingComplaint(EpisodeSubrecord):
_title = 'Presenting Complaint'
_icon = 'fa fa-stethoscope'
symptom = ForeignKeyOrFreeText(omodels.Symptom)
symptoms = models.ManyToManyField(omodels.Symptom,
related_name="presenting_complaints")
duration = models.CharField(max_length=255, blank=True, null=True)
details = models.TextField(blank=True, null=True)
def set_symptom(self, *args, **kwargs):
# ignore symptom for the time being
pass
def to_dict(self, user):
field_names = self.__class__._get_fieldnames_to_serialize()
result = {
i: getattr(self, i)
for i in field_names if not i == "symptoms"
}
result["symptoms"] = list(self.symptoms.values_list("name", flat=True))
return result
@classmethod
def _get_fieldnames_to_serialize(cls):
field_names = super(PresentingComplaint,
cls)._get_fieldnames_to_serialize()
removed_fields = {u'symptom_fk_id', 'symptom_ft', 'symptom'}
field_names = [i for i in field_names if i not in removed_fields]
return field_names
class EmergencyDepartmentTriage(models.EpisodeSubrecord):
_is_singleton = True
reason = fields.TextField(blank=True,
null=True,
verbose_name="Reason For Attendance")
mts_score = ForeignKeyOrFreeText(ManchesterTriageScore,
verbose_name="Manchester Triage Score")
class Demographics(PatientSubrecord):
_is_singleton = True
_icon = 'fa fa-user'
hospital_number = models.CharField(
max_length=255, blank=True,
help_text="The unique identifier for this patient at the hospital."
)
nhs_number = models.CharField(
max_length=255, blank=True, null=True, verbose_name="NHS Number"
)
surname = models.CharField(max_length=255, blank=True)
first_name = models.CharField(max_length=255, blank=True)
middle_name = models.CharField(max_length=255, blank=True, null=True)
title = ForeignKeyOrFreeText(Title)
date_of_birth = models.DateField(
null=True, blank=True, verbose_name="Date of Birth"
)
marital_status = ForeignKeyOrFreeText(MaritalStatus)
religion = models.CharField(max_length=255, blank=True, null=True)
date_of_death = models.DateField(
null=True, blank=True, verbose_name="Date of Death"
)
post_code = models.CharField(max_length=20, blank=True, null=True)
gp_practice_code = models.CharField(
max_length=20, blank=True, null=True,
verbose_name="GP Practice Code"
)
birth_place = ForeignKeyOrFreeText(Destination,
verbose_name="Country of Birth")
ethnicity = ForeignKeyOrFreeText(Ethnicity)
death_indicator = models.BooleanField(
default=False,
help_text="This field will be True if the patient is deceased."
)
sex = ForeignKeyOrFreeText(Gender)
@property
def name(self):
return '{0} {1}'.format(self.first_name, self.surname)
class Meta:
abstract = True
verbose_name_plural = "Demographics"
class Imaging(models.EpisodeSubrecord):
_angular_service = 'RequestReceive'
_icon = "fa fa-picture-o"
test_type = ForeignKeyOrFreeText(ImagingTestType)
requested_timestamp = fields.DateTimeField(null=True, blank=True)
reviewed_timestamp = fields.DateTimeField(null=True, blank=True)
requested = fields.NullBooleanField()
reviewed = fields.NullBooleanField()
class Line(EpisodeSubrecord):
_sort = 'insertion_datetime'
_icon = 'fa fa-bolt'
line_type = ForeignKeyOrFreeText(omodels.Line_type)
site = ForeignKeyOrFreeText(omodels.Line_site)
insertion_datetime = models.DateTimeField(blank=True, null=True)
inserted_by = models.CharField(max_length=255, blank=True, null=True)
external_length = models.CharField(max_length=255, blank=True, null=True)
removal_datetime = models.DateTimeField(blank=True, null=True)
complications = ForeignKeyOrFreeText(omodels.Line_complication)
removal_reason = ForeignKeyOrFreeText(omodels.Line_removal_reason)
special_instructions = models.TextField()
button_hole = models.NullBooleanField()
tunnelled_or_temp = models.CharField(max_length=200, blank=True, null=True)
fistula = models.NullBooleanField(blank=True, null=True)
graft = models.NullBooleanField(blank=True, null=True)
class Demographics(PatientSubrecord, ExternallySourcedModel):
_is_singleton = True
_icon = 'fa fa-user'
hospital_number = models.CharField(max_length=255, blank=True)
nhs_number = models.CharField(max_length=255, blank=True, null=True)
surname = models.CharField(max_length=255, blank=True)
first_name = models.CharField(max_length=255, blank=True)
middle_name = models.CharField(max_length=255, blank=True, null=True)
title = ForeignKeyOrFreeText(omodels.Title)
date_of_birth = models.DateField(null=True, blank=True)
marital_status = ForeignKeyOrFreeText(omodels.MaritalStatus)
religion = models.CharField(max_length=255, blank=True, null=True)
date_of_death = models.DateField(null=True, blank=True)
post_code = models.CharField(max_length=20, blank=True, null=True)
gp_practice_code = models.CharField(max_length=20, blank=True, null=True)
birth_place = ForeignKeyOrFreeText(omodels.Destination)
ethnicity = ForeignKeyOrFreeText(omodels.Ethnicity)
death_indicator = models.BooleanField(default=False)
# not strictly correct, but it will be updated when opal core models
# are updated
sex = ForeignKeyOrFreeText(omodels.Gender)
pid_fields = (
'hospital_number',
'nhs_number',
'surname',
'first_name',
'middle_name',
'post_code',
)
class Meta:
verbose_name_plural = "Demographics"
@classmethod
def get_form_template(cls, patient_list=None, episode_type=None):
if settings.GLOSS_ENABLED:
return super(Demographics,
cls).get_form_template(patient_list=None,
episode_type=None)
else:
return "forms/demographics_form_pre_gloss.html"
class MicrobiologyTest(EpisodeSubrecord):
_title = 'Investigations'
_sort = 'date_ordered'
_icon = 'fa fa-crosshairs'
_modal = 'lg'
test = models.CharField(max_length=255)
alert_investigation = models.BooleanField(default=False)
date_ordered = models.DateField(null=True, blank=True)
details = models.CharField(max_length=255, blank=True)
microscopy = models.CharField(max_length=255, blank=True)
organism = models.CharField(max_length=255, blank=True)
sensitive_antibiotics = models.CharField(max_length=255, blank=True)
resistant_antibiotics = models.CharField(max_length=255, blank=True)
result = models.CharField(max_length=255, blank=True)
igm = models.CharField(max_length=20, blank=True)
igg = models.CharField(max_length=20, blank=True)
vca_igm = models.CharField(max_length=20, blank=True)
vca_igg = models.CharField(max_length=20, blank=True)
ebna_igg = models.CharField(max_length=20, blank=True)
hbsag = models.CharField(max_length=20, blank=True)
anti_hbs = models.CharField(max_length=20, blank=True)
anti_hbcore_igm = models.CharField(max_length=20, blank=True)
anti_hbcore_igg = models.CharField(max_length=20, blank=True)
rpr = models.CharField(max_length=20, blank=True)
tppa = models.CharField(max_length=20, blank=True)
viral_load = models.CharField(max_length=20, blank=True)
parasitaemia = models.CharField(max_length=20, blank=True)
hsv = models.CharField(max_length=20, blank=True)
vzv = models.CharField(max_length=20, blank=True)
syphilis = models.CharField(max_length=20, blank=True)
c_difficile_antigen = models.CharField(max_length=20, blank=True)
c_difficile_toxin = models.CharField(max_length=20, blank=True)
species = models.CharField(max_length=20, blank=True)
hsv_1 = models.CharField(max_length=20, blank=True)
hsv_2 = models.CharField(max_length=20, blank=True)
enterovirus = models.CharField(max_length=20, blank=True)
cmv = models.CharField(max_length=20, blank=True)
ebv = models.CharField(max_length=20, blank=True)
influenza_a = models.CharField(max_length=20, blank=True)
influenza_b = models.CharField(max_length=20, blank=True)
parainfluenza = models.CharField(max_length=20, blank=True)
metapneumovirus = models.CharField(max_length=20, blank=True)
rsv = models.CharField(max_length=20, blank=True)
adenovirus = models.CharField(max_length=20, blank=True)
norovirus = models.CharField(max_length=20, blank=True)
rotavirus = models.CharField(max_length=20, blank=True)
giardia = models.CharField(max_length=20, blank=True)
entamoeba_histolytica = models.CharField(max_length=20, blank=True)
cryptosporidium = models.CharField(max_length=20, blank=True)
hiv_declined = ForeignKeyOrFreeText(Hiv_no)
spotted_fever_igm = models.CharField(max_length=20, blank=True)
spotted_fever_igg = models.CharField(max_length=20, blank=True)
typhus_group_igm = models.CharField(max_length=20, blank=True)
typhus_group_igg = models.CharField(max_length=20, blank=True)
scrub_typhus_igm = models.CharField(max_length=20, blank=True)
scrub_typhus_igg = models.CharField(max_length=20, blank=True)
class LabTest(models.EpisodeSubrecord):
_angular_service = 'RequestReceive'
_title = "Investigation"
_icon = "fa fa-flask"
test_type = ForeignKeyOrFreeText(LabTestType)
requested_timestamp = fields.DateTimeField(null=True, blank=True)
reviewed_timestamp = fields.DateTimeField(null=True, blank=True)
requested = fields.NullBooleanField()
reviewed = fields.NullBooleanField()
class Allergies(PatientSubrecord):
_icon = 'fa fa-warning'
drug = ForeignKeyOrFreeText(Drug)
provisional = models.BooleanField(default=False)
details = models.CharField(max_length=255, blank=True)
class Meta:
abstract = True
class Location(EpisodeSubrecord):
_is_singleton = True
_icon = 'fa fa-map-marker'
category = ForeignKeyOrFreeText(LocationCategory)
provenance = ForeignKeyOrFreeText(Provenance)
hospital = ForeignKeyOrFreeText(omodels.Hospital)
ward = ForeignKeyOrFreeText(omodels.Ward)
bed = models.CharField(max_length=255, blank=True)
def __unicode__(self):
try:
demographics = self.episode.patient.demographics_set.get()
return u'Location for {0}({1}) {2} {3} {4} {5}'.format(
demographics.name, demographics.hospital_number, self.category,
self.hospital, self.ward, self.bed)
except:
return 'demographics'
class SecondaryDiagnosis(EpisodeSubrecord):
"""
This is a confirmed diagnosis at discharge time.
"""
_title = 'Secondary Diagnosis'
condition = ForeignKeyOrFreeText(omodels.Condition)
co_primary = models.NullBooleanField(default=False)
class Meta:
verbose_name_plural = "Secondary diagnoses"
class HaemInformation(PatientSubrecord):
_icon = 'fa fa-info-circle'
_title = 'Haematology Background Information'
patient_type = ForeignKeyOrFreeText(HaemInformationType,
verbose_name="Type")
date_of_transplant = models.DateField(blank=True, null=True)
neutropenia_onset = models.DateField(blank=True, null=True)
type_of_transplant = ForeignKeyOrFreeText(HaemTransplantType,
verbose_name="Transplant Type")
type_of_chemotherapy = ForeignKeyOrFreeText(
HaemChemotherapyType, verbose_name="Chemotherapy Type")
date_of_chemotherapy = models.DateField(blank=True, null=True)
count_recovery = models.DateField(blank=True, null=True)
details = models.TextField(blank=True, null=True)
@property
def icon(self):
return self._icon
class ClinicalFindings(omodels.EpisodeSubrecord):
_title = 'Clinical Findings'
_icon = 'fa fa-stethoscope'
lymphadenopathy = models.CharField(max_length=20, blank=True, null=True)
lymphadenopathy_details = models.CharField(max_length=255, blank=True, null=True)
jaundice = models.CharField(max_length=20, blank=True)
dehydrated = models.CharField(max_length=20, blank=True)
rash = models.CharField(max_length=20, blank=True)
rash_type = ForeignKeyOrFreeText(Findings_rash_type)
rash_distribution = ForeignKeyOrFreeText(Findings_rash_distribution)
cardiovascular = models.CharField(max_length=255, blank=True, null=True)
respiratory = models.CharField(max_length=255, blank=True, null=True)
abdominal = models.CharField(max_length=255, blank=True, null=True)
oropharnyx = models.CharField(max_length=255, blank=True, null=True)
neurological = models.CharField(max_length=255, blank=True, null=True)
other_findings = models.CharField(max_length=255, blank=True, null=True)
class Treatment(EpisodeSubrecord):
_sort = 'start_date'
_icon = 'fa fa-flask'
HELP_START = "The date on which the patient began receiving this \
treatment."
drug = ForeignKeyOrFreeText(Drug)
dose = models.CharField(max_length=255, blank=True)
route = ForeignKeyOrFreeText(Drugroute)
start_date = models.DateField(
null=True, blank=True,
help_text=HELP_START
)
end_date = models.DateField(null=True, blank=True)
frequency = ForeignKeyOrFreeText(Drugfreq)
class Meta:
abstract = True
class PastMedicalHistory(EpisodeSubrecord):
_title = 'PMH'
_sort = 'year'
_icon = 'fa fa-history'
condition = ForeignKeyOrFreeText(omodels.Condition)
year = models.CharField(max_length=200, blank=True)
details = models.CharField(max_length=255, blank=True)
class Meta:
verbose_name_plural = "Past medical histories"
class PastMedicalHistory(EpisodeSubrecord):
_title = 'PMH'
_sort = 'year'
_icon = 'fa fa-history'
condition = ForeignKeyOrFreeText(Condition)
year = models.CharField(max_length=4, blank=True)
details = models.CharField(max_length=255, blank=True)
class Meta:
abstract = True
class OPATReview(EpisodeSubrecord):
_sort = 'datetime'
_title = 'OPAT Review'
_icon = 'fa fa-comments'
_list_limit = 1
_modal = 'lg'
_angular_service = 'OPATReview'
datetime = models.DateTimeField(null=True, blank=True)
initials = models.CharField(max_length=255, blank=True)
rv_type = ForeignKeyOrFreeText(Opat_rvt)
discussion = models.TextField(blank=True, null=True)
opat_plan = models.TextField(blank=True)
next_review = models.DateField(blank=True, null=True)
dressing_changed = models.NullBooleanField(default=False)
bung_changed = models.NullBooleanField(default=False)
medication_administered = models.TextField(blank=True, null=True)
adverse_events = ForeignKeyOrFreeText(omodels.Antimicrobial_adverse_event)
class Meta:
verbose_name = "OPAT review"
class LabSpecimin(EpisodeSubrecord):
_advanced_searchable = False
class Meta:
verbose_name = "Lab specimen appearance"
_title = 'Lab Specimen'
_sort = 'date_collected'
_icon = 'fa fa-flask'
specimin_type = ForeignKeyOrFreeText(Specimin)
date_collected = models.DateField(blank=True, null=True)
volume = models.CharField(max_length=200, blank=True, null=True)
appearance = ForeignKeyOrFreeText(Specimin_appearance)
epithelial_cell = models.CharField(max_length=200, blank=True, null=True)
white_blood_cells = models.CharField(max_length=200, blank=True, null=True)
date_tested = models.DateField(blank=True, null=True)
external_id = models.CharField(max_length=200, blank=True, null=True)
biobanking = models.NullBooleanField(default=False)
biobanking_box = models.CharField(max_length=200, blank=True, null=True)
date_biobanked = models.DateField(blank=True, null=True)
volume_biobanked = models.CharField(max_length=200, blank=True, null=True)
class PrimaryDiagnosis(EpisodeSubrecord):
"""
This is the confirmed primary diagnosisa
"""
_is_singleton = True
_title = 'Primary Diagnosis'
_icon = 'fa fa-eye'
condition = ForeignKeyOrFreeText(PrimaryDiagnosisCondition)
confirmed = models.BooleanField(default=False)
class Meta:
verbose_name_plural = "Primary diagnoses"
class NeuraxialDrugs(models.EpisodeSubrecord):
_is_singleton = True
spinal_opiate = ForeignKeyOrFreeText(
SpinalOpiate,
)
spinal_opiate_dose = fields.PositiveIntegerField(
null=True,
blank=True,
)
local_anaesthetic_spinal = ForeignKeyOrFreeText(
SpinalLocal,
)
spinal_local_anaesthetic_volume = fields.PositiveIntegerField(
null=True,
blank=True,
)
epidural_opiate = ForeignKeyOrFreeText(
EpiduralOpiate,
)
epidural_opiate_dose = fields.PositiveIntegerField(
null=True,
blank=True,
)
local_anaesthetic_epidural = ForeignKeyOrFreeText(
EpiduralLocal,
)
epidural_local_anaesthetic_volume = fields.PositiveIntegerField(
null=True,
blank=True,
)
class ReferralRoute(EpisodeSubrecord):
_icon = 'fa fa-level-up'
_is_singleton = True
class Meta:
abstract = True
verbose_name = 'Referral Route'
internal = models.NullBooleanField()
# e.g. GP, the title or institution of the person who referred the patient
referral_organisation = ForeignKeyOrFreeText(ReferralOrganisation)
# the name of the person who referred the patient, e.g. the GPs name
referral_name = models.CharField(max_length=255, blank=True)
# date_of_referral
date_of_referral = models.DateField(null=True, blank=True)
# an individual can be from multiple teams
referral_team = ForeignKeyOrFreeText(Speciality)
referral_type = ForeignKeyOrFreeText(ReferralType)
def test_get_default_when_callable(self):
field = ForeignKeyOrFreeText(test_models.Demographics, default=lambda: 'Nope')
self.assertEqual('Nope', field.get_default())
def test_get_raises(self):
field = ForeignKeyOrFreeText(test_models.Hat)
result = field.__get__(self, ForeignKeyOrFreeText)
self.assertEqual(result, 'Unknown Lookuplist Entry')