Use mandatory SNOMED discharge composition and section codings, model completed investigations as DiagnosticReportLab resources, and restore local M3 attachment/value-string rendering.
Confirmed empirically: the SAME clinical document (identical FHIR Bundle.id) gets re-delivered by the bridge under a DIFFERENT transaction_id/consent_ref every time it is re-fetched (e.g. via the by-ABHA-address historical fetch, which returns every past consent session for the patient). The old dedup hash included transaction_id+consent_ref, so every re-fetch created a brand-new duplicate row instead of updating the existing one -- observed as literal duplicate rows in the OPD ABDM Fetched Data list (same date/title appearing 2-3x). bundle_id is set once by the HIP and is stable across re-fetches/consents, so pair it with care_context_reference to uniquely identify a document instead.
- M3HiuDocumentRepository::persistFromDataFetch no longer includes the
per-call request_id in the document dedup hash. request_id is unique
every time data_fetch runs, so it was causing a brand-new duplicate
row to be inserted on every re-fetch of the exact same ABDM document.
Now dedup key is transaction_id + consent_ref + care_context_reference
+ bundle_id, which stays stable across repeated fetches -> re-fetches
UPDATE the existing row instead of duplicating it.
- Added Patient::abdm_content_fetch_only() + route
billing/patient/abdm_content_fetch_only/(id): a lightweight action for
when consent is already GRANTED/COMPLETED. It calls data_fetch directly
using the saved consent reference, skipping consent_request + reconcile
polling entirely, avoiding unnecessary bridge calls/noise.
- Patient_Profile_Opd_V.php: added a 'Fetch Records' button that only
appears once consent phase is GRANTED or COMPLETED, wired to the new
endpoint; on success it refreshes the document list in place. The
original 'Fetch ABDM Records' button still owns the full consent
request -> reconcile -> fetch flow and already stops/re-enables
correctly on DENIED/FAILED (verified, no change needed there).
- One-time cleanup: deduped existing abdm_hiu_documents rows in dev DB
(13 -> 3) and recomputed doc_hash with the new stable key.
