Integrate Final Diagnosis with canonical disease master data and add reusable My/Master template CRUD for discharge narrative sections, including summary investigations, course, other advice, and discharge summary.
Restore surgery and procedure bindings after SPA updates, validate procedure dates without SQL errors, and prevent medicine autocomplete Enter from submitting while preserving layout and autofill.
Load referral master data into patient registration/edit screens, persist patient referby, expose searchable referral inputs in patient and IPD forms, and make referral title editable as free text in referral master CRUD.
- add facility QR support and OPD queue bridge fixes
- support care-context push warnings for lab, radiology, IPD and remaining HI types
- improve ABHA patient matching and diagnosis autocomplete performance
- clean up webcam streams on page navigation
- Update isIpdDischargedInvoice to check ONLY ipd_status field (remove fallback checks)
- Add IPD status toggle UI in discharge panel (Active/Discharged control)
- Create toggleIpdStatus controller method with permission check
- Add billing.ipd.status.manage permission for controlling bill edit lock
- Allows editing bills when needed by toggling status independently of discharge_date
- Auto-releases bed when setting status to discharged
- Change colspan from 3 to 4 (normal mode) and 4 to 5 (discount mode)
- Ensures Gross Total, Net Amount, Payment Recd., Balance amounts appear in Amount column
- Fixes blank cells in Rate column by properly spanning Description through Rate columns
- Fix dose columns showing IDs instead of labels (OD, BID, TDS, etc.)
- Add Rx-Group functionality with modal, search, and bulk add
- Add substitute medicine suggestions with one-click use
- Improve medicine autocomplete with debouncing and scope=all
- Load dose master maps in controller and pass to view
- Match OPD Consult UI/UX patterns for consistency
ISSUE 2: After clicking 'Save Discharge Advice', CKEditor turns into plain textarea
ROOT CAUSE: initInstructionTools() was not re-initializing CKEditor after AJAX section reload
- When user clicks button with data-reload-section='section-instructions'
- Form submits via AJAX, returns updated HTML
- Section content replaced with new HTML
- initInstructionTools() called but did NOT restore CKEditor
- Fields remain as plain textareas
SOLUTION: Added CKEditor re-initialization to initInstructionTools()
Changes to discharge_create.php initInstructionTools():
1. Check if CKEDITOR is available
2. Destroy existing instances first (instruction_other, instruction_remark)
3. Re-create CKEditor for both fields with same config
4. Prevents duplicate instances and ensures editors work after reload
TESTING:
- Type in instruction_remark or instruction_other
- Click 'Save Discharge Advice'
- After reload, both fields should still be CKEditor (not textarea)
- Can continue editing with toolbar
NOTE: Issue 1 (data mixing between fields) requires separate investigation
User can test with: php check_instruction_data.php to see actual DB values
ISSUE: Medicines were being saved twice - once via Add button AJAX, and again when clicking 'Save Discharge Advice' button.
ROOT CAUSE:
1. Legacy code in save_main handler (lines 5489-5538) read 'discharge_medicine_json' POST field
2. JavaScript serializeDischargeMedicineTable() collected all medicine table rows into JSON
3. On form submit (Save Discharge Advice), JSON was sent and controller re-inserted all medicines
4. Result: duplicate entries in ipd_discharge_prescrption_prescribed table
SOLUTION:
- DISABLED controller code that processes discharge_medicine_json in save_main handler
- DISABLED JavaScript call to serializeDischargeMedicineTable() on form submit
- Medicines now saved ONLY via Add button AJAX (action='add_drug')
- Save Discharge Advice button now only saves dietary advice, instructions, review after, etc.
TESTING:
1. Add medicines via Add button (saves immediately)
2. Click Save Discharge Advice (does NOT save medicines again)
3. No duplicate entries in database
Medicine Save Behavior Change:
- Previously: Medicines added to table locally, saved on 'Save Discharge Advice' click
- Now: AJAX auto-save immediately when '+ADD / Update' button is clicked
- Matches OPD Consult Form workflow (instant save on add)
Implementation:
- Modified btn_discharge_med_add click handler to make AJAX POST
- POST parameters: action='add_drug', ajax_mode='json', new_drug_name, new_drug_type,
new_drug_dose, new_drug_when, new_drug_freq, new_drug_day, new_drug_qty, new_drug_remark
- Controller add_drug action already existed - now returns JSON when ajax_mode='json'
- On success: adds row to table, clears form, shows 'Medicine saved successfully'
- On failure: shows error message from server
- CSRF token updated after each AJAX call
Remove Button Behavior:
- Remove button now shows confirmation dialog
- Warns user: 'This will only remove from current view. Reload to see saved medicines.'
- Note: Remove action is NOT yet AJAX - full page reload shows actual DB state
- Future enhancement: make Remove button also AJAX (action='remove_drug')
Technical Notes:
- Kept discharge_medicine_json serialization as backup (unused now, but harmless)
- Medicine data: med_id=0 marks client-added medicines
- Success check: data.update === 1
- Error handling: network timeout 30s, shows xhr.status on fail
- Form fields cleared after successful save
- Focus returns to medicine name field for next entry
User Benefits:
- Instant feedback - no need to scroll down and click 'Save Discharge Advice'
- Medicines immediately persisted to database
- Can add multiple medicines in quick succession
- Consistent with OPD prescription workflow
- Reduced risk of data loss (saves immediately vs. waiting for form submit)
Medicine Saving Fix (MAJOR):
- Add hidden field 'discharge_medicine_json' to capture medicine table data
- Add serializeDischargeMedicineTable() function to convert DOM table to JSON before form submit
- Hook serialization into form submit event (before syncEditorValues)
- Update controller to process discharge_medicine_json in save_main action
- Insert medicines into ipd_discharge_prescrption_prescribed or ipd_discharge_prescription_prescribed table
- Medicine data now persists on page reload
CKEditor Integration:
- Initialize CKEditor for 'instruction_other' (Other Advice) field
- Initialize CKEditor for 'instruction_remark' (Discharge Summary) field
- Add simplified toolbar: Bold, Italic, Underline, Lists, Undo/Redo
- Properly destroy existing instances before re-initialization
- Height: 120px for Other Advice, 150px for Discharge Summary
Review After Quick Select Buttons:
- Add getNextVisitOptions() method to Ipd_discharge controller (copied from Opd_prescription)
- Add resolveFirstField() helper method
- Pass next_visit_options array to view
- Render quick select buttons: '3 Days (09-06-2026)', '1 Week (13-06-2026)', etc.
- Add JavaScript handler: click button → populate #discharge_review_after input
- Change Review After field from col-md-4 to col-md-6 for better layout
- Add col-md-12 wrapper for button row with flex-wrap gap-2 layout
Technical Details:
- Medicine JSON structure: {med_type, med_name, dosage, dosage_when, dosage_freq, no_of_days, qty, remark}
- JSON processing includes column existence checks for flexibility
- Quick select buttons use data-value attribute for value insertion
- Falls back to hardcoded date options if opd_nextvisit table missing
- Medicine insert uses med_id=0 to mark client-added medicines
User Workflow:
1. Add medicines → shown in table (Type, Medicine, Dose labels, Duration formatted)
2. Click 'Save Discharge Advice' → medicines serialize to JSON → POST to controller
3. Controller parses JSON → inserts to database → medicines persist on reload
4. Other Advice/Discharge Summary now have rich text editing (bold, lists, etc.)
5. Review After: click '1 Week (13-06-2026)' button → auto-fills input
Medicine Table Improvements:
- Swap column order: Type column now appears before Medicine Name
- Display dose labels (text) instead of numeric IDs for Dose, When, Freq
- Auto-format duration: numeric values get 'days' suffix (e.g., '5' -> '5 days')
- Single day shows 'day' (singular), multiple days show 'days' (plural)
- Preserve custom duration formats like '1 month' or '3 doses'
Section Rename:
- Change 'Discharge Instructions / Advice' to 'Discharge Summary'
- Updated in card header, navigation menu, and form label
- Better reflects comprehensive discharge information
Technical:
- Use doseMasterCache to resolve ID->label for Dose/When/Freq/Route
- Regex check for numeric-only duration values before formatting
- Maintain backward compatibility with existing data
- Change from rx_group_medicine_suggest to Opd_prescription/medicine_search endpoint
- Match OPD Consult Form data source and behavior
- Auto-fill Type, Dose, When, Frequency, Route, Days, Qty, and Remark from medicine master
- Add ensureDoseOption helper to handle current values not in dropdown list
- Store medicine rows for auto-fill on selection
- Improved user experience with comprehensive auto-complete
- Replace simple text inputs with advanced prescription form
- Add medicine autocomplete with datalist suggestions
- Add dropdown selects for Dose, When, Frequency, and Route from dose masters
- Integrate with existing Opd_prescription/rx_group_dose_masters endpoint
- Add medicine type auto-fill from medicine database
- Add quick-fill buttons for common values (BF/AF/WF, OD/BD/TDS/HS, 3/5/7 Days)
- Improve UI with two-column layout: medicine list table (left) + add form (right)
- Add real-time medicine suggestions via rx_group_medicine_suggest endpoint
- Support Remove All functionality
- Dynamic table row add/remove with proper event binding
- Better UX matching OPD Consult Form prescription interface
IMPROVEMENT: Increased modal size for better readability
Changed modal-dialog from default to modal-lg
- Provides more space for SNOMED CT and ICD code fields
- Better readability for field labels and help text
- More comfortable data entry experience
- Consistent with other modals in the system
FEATURE: Quick-add functionality for Course/Treatment master terms
NEW COMPONENTS:
1. Course master table: ipd_discharge_course_master
- term_name, term_code, icd_code, is_active
- Auto-creates on first use
2. Controller endpoints in Ipd_discharge.php:
- course_master_lookup() - AJAX autocomplete search
- course_master_list() - Full list with filters
- course_master_save() - Create/update records
- course_master_delete() - Remove records
3. Routes added to Config/Routes.php:
- Ipd_discharge/course_master_lookup (GET)
- Ipd_discharge/course_master_list (GET)
- Ipd_discharge/course_master_save (POST)
- Ipd_discharge/course_master_delete (POST)
VIEW CHANGES (discharge_create.php):
- Course input now uses input-group layout
- Green 'Save in Master' button added
- Custom dropdown for autocomplete with code badges
- Hidden field: new_course_master_id
- JavaScript: initCourseAutocomplete() function
- Integrated with existing quickAddTermModal
QUICK-ADD MODAL ENHANCEMENT:
- Now supports 3 types: surgery, procedure, course
- Dynamic endpoint selection based on type
- Course type uses course_master_save endpoint
- Auto-populates course input and master_id on save
AUTOCOMPLETE FEATURES:
- Type 2+ characters → searches course_master table
- Dropdown shows: Name + SNOMED/ICD code badges
- Arrow key navigation (Up/Down/Enter/Escape)
- Click or Enter to select
- Hover highlighting with visual feedback
- 300ms debounce for performance
WORKFLOW:
1. Type course/treatment name
2. See dropdown with existing terms (if any)
3. Click 'Save in Master' to add new term
4. Modal opens with name pre-filled
5. Enter SNOMED/ICD codes (optional)
6. Save → Auto-populates input + master_id
7. Click '+ADD Row' to add to discharge
BENEFITS:
- Consistent UI across Surgery/Procedure/Course sections
- Fast term entry without leaving form
- Master library builds during workflow
- ABDM compliance with code support
- Reusable terms across discharges
