DevSoftTech Server
6e78e6010e
- Add Day Care (<24h) and Emergency (Casualty) admission pathways with prefixes DC- and ER- - Add dedicated physical wards, ESI 5-level triage, MLC tracking, and PADSS day care discharge - Implement audited 'Convert to IPD' workflow with SBAR handover and automated bed transfer - Support unified IPD billing with dedicated group headers for Day Care and Emergency charges - Redesign Hospital Admission Desk with executive card layout and modern triage controls - Add comprehensive user documentation and SVG flowchart in public/help.html - Completely remove legacy patient_master.p_lname column from database and application code
321 lines
13 KiB
PHP
321 lines
13 KiB
PHP
<?php
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namespace App\Database\Migrations;
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use CodeIgniter\Database\Migration;
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class CreateDaycareEmergencyModule extends Migration
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{
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public function up()
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{
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// 1. Extend ipd_master table with Day Care, Emergency, Triage, MLC, and IPD Escalation fields
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if ($this->db->tableExists('ipd_master')) {
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$fields = [];
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if (! $this->db->fieldExists('admission_type', 'ipd_master')) {
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$fields['admission_type'] = [
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'type' => 'ENUM',
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'constraint' => ['ipd', 'daycare', 'emergency'],
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'default' => 'ipd',
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'null' => false,
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'after' => 'ipd_code',
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];
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}
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if (! $this->db->fieldExists('triage_level', 'ipd_master')) {
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$fields['triage_level'] = [
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'type' => 'TINYINT',
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'constraint' => 1,
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'null' => true,
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'comment' => 'ESI Triage 1: Red, 2: Orange, 3: Yellow, 4: Green, 5: Blue',
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'after' => 'admission_type',
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];
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}
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if (! $this->db->fieldExists('triage_time', 'ipd_master')) {
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$fields['triage_time'] = [
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'type' => 'DATETIME',
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'null' => true,
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'after' => 'triage_level',
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];
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}
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if (! $this->db->fieldExists('is_mlc', 'ipd_master')) {
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$fields['is_mlc'] = [
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'type' => 'TINYINT',
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'constraint' => 1,
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'default' => 0,
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'null' => false,
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'after' => 'triage_time',
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];
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}
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if (! $this->db->fieldExists('mlc_number', 'ipd_master')) {
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$fields['mlc_number'] = [
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'type' => 'VARCHAR',
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'constraint' => 60,
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'null' => true,
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'after' => 'is_mlc',
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];
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}
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if (! $this->db->fieldExists('police_station', 'ipd_master')) {
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$fields['police_station'] = [
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'type' => 'VARCHAR',
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'constraint' => 120,
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'null' => true,
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'after' => 'mlc_number',
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];
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}
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if (! $this->db->fieldExists('police_constable_details', 'ipd_master')) {
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$fields['police_constable_details'] = [
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'type' => 'VARCHAR',
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'constraint' => 150,
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'null' => true,
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'after' => 'police_station',
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];
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}
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if (! $this->db->fieldExists('brought_by', 'ipd_master')) {
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$fields['brought_by'] = [
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'type' => 'VARCHAR',
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'constraint' => 120,
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'null' => true,
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'after' => 'police_constable_details',
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];
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}
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if (! $this->db->fieldExists('daycare_procedure_name', 'ipd_master')) {
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$fields['daycare_procedure_name'] = [
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'type' => 'VARCHAR',
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'constraint' => 255,
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'null' => true,
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'after' => 'brought_by',
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];
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}
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if (! $this->db->fieldExists('converted_from_type', 'ipd_master')) {
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$fields['converted_from_type'] = [
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'type' => 'VARCHAR',
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'constraint' => 20,
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'null' => true,
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'after' => 'daycare_procedure_name',
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];
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}
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if (! $this->db->fieldExists('converted_from_code', 'ipd_master')) {
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$fields['converted_from_code'] = [
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'type' => 'VARCHAR',
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'constraint' => 50,
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'null' => true,
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'after' => 'converted_from_type',
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];
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}
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if (! $this->db->fieldExists('converted_at', 'ipd_master')) {
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$fields['converted_at'] = [
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'type' => 'DATETIME',
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'null' => true,
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'after' => 'converted_from_code',
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];
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}
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if (! $this->db->fieldExists('conversion_reason', 'ipd_master')) {
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$fields['conversion_reason'] = [
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'type' => 'TEXT',
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'null' => true,
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'after' => 'converted_at',
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];
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}
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if (! $this->db->fieldExists('converted_by', 'ipd_master')) {
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$fields['converted_by'] = [
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'type' => 'INT',
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'constraint' => 11,
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'null' => true,
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'after' => 'conversion_reason',
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];
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}
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if (! $this->db->fieldExists('sbar_handover', 'ipd_master')) {
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$fields['sbar_handover'] = [
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'type' => 'TEXT',
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'null' => true,
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'after' => 'converted_by',
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];
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}
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if (! $this->db->fieldExists('discharge_score', 'ipd_master')) {
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$fields['discharge_score'] = [
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'type' => 'INT',
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'constraint' => 11,
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'null' => true,
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'comment' => 'PADSS or Modified Aldrete Score',
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'after' => 'sbar_handover',
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];
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}
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if (! empty($fields)) {
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$this->forge->addColumn('ipd_master', $fields);
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}
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}
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// 2. Modify ward_master.ward_type to support 'Day Care'
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if ($this->db->tableExists('ward_master')) {
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$this->db->query("
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ALTER TABLE `ward_master`
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MODIFY COLUMN `ward_type` ENUM(
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'General', 'Private', 'Semi-Private', 'Deluxe',
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'ICU', 'NICU', 'PICU', 'HDU', 'ICCU', 'CCU',
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'Emergency', 'Day Care'
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) NOT NULL DEFAULT 'General'
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");
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// Seed default Emergency and Day Care wards if none exist
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$erWardCount = $this->db->table('ward_master')->where('ward_type', 'Emergency')->countAllResults();
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if ($erWardCount === 0) {
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$this->db->table('ward_master')->insert([
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'ward_code' => 'ER-01',
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'ward_name' => 'Casualty & Emergency Ward',
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'ward_type' => 'Emergency',
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'gender_type' => 'unisex',
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'ward_category' => 'adult',
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'total_capacity' => 6,
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'floor_number' => 0,
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'has_oxygen' => 1,
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'has_suction' => 1,
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'has_monitor' => 1,
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'status' => 'active',
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'remarks' => 'Default Casualty / Emergency triage and observation unit',
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'created_at' => date('Y-m-d H:i:s'),
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]);
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}
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$dcWardCount = $this->db->table('ward_master')->where('ward_type', 'Day Care')->countAllResults();
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if ($dcWardCount === 0) {
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$this->db->table('ward_master')->insert([
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'ward_code' => 'DC-01',
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'ward_name' => 'Day Care Unit',
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'ward_type' => 'Day Care',
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'gender_type' => 'unisex',
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'ward_category' => 'adult',
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'total_capacity' => 6,
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'floor_number' => 1,
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'has_oxygen' => 1,
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'has_suction' => 1,
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'has_monitor' => 1,
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'status' => 'active',
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'remarks' => 'Day Care short stay unit for minor surgeries, dialysis, and chemotherapy',
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'created_at' => date('Y-m-d H:i:s'),
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]);
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}
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}
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// 3. Ensure dedicated item types in ipd_item_type for separate billing headers
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if ($this->db->tableExists('ipd_item_type')) {
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$existingEr = $this->db->table('ipd_item_type')
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->groupStart()
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->like('desc', 'EMERGENCY')
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->orLike('group_desc', 'Emergency')
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->groupEnd()
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->countAllResults();
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if ($existingEr === 0) {
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$this->db->table('ipd_item_type')->insert([
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'desc' => 'EMERGENCY / CASUALTY CHARGES',
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'group_desc' => 'Emergency / Casualty Charges',
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]);
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}
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$existingDc = $this->db->table('ipd_item_type')
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->groupStart()
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->like('desc', 'DAY CARE')
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->orLike('group_desc', 'Day Care')
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->groupEnd()
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->countAllResults();
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if ($existingDc === 0) {
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$this->db->table('ipd_item_type')->insert([
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'desc' => 'DAY CARE CHARGES',
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'group_desc' => 'Day Care Charges',
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]);
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}
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}
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// 4. Seed default Day Care Discharge Summary Template
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if ($this->db->tableExists('ipd_discharge_templates')) {
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$dcTemplateExists = $this->db->table('ipd_discharge_templates')
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->where('template_name', 'Day Care Discharge Summary')
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->countAllResults();
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if ($dcTemplateExists === 0) {
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$dcHtml = '{{DAYCARE_HEADER}}'
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. '<table class="discharge-info-table" border="1" cellpadding="6" style="width:100%; border-collapse:collapse; margin-bottom:12px;">'
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. '<tr>'
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. '<td><b>Patient Name</b>: {{PATIENT_NAME}}</td>'
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. '<td><b>UHID</b>: {{UHID}}</td>'
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. '<td><b>Day Care No.</b>: {{IPD_CODE}}</td>'
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. '</tr>'
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. '<tr>'
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. '<td><b>Age / Gender</b>: {{AGE_GENDER}}</td>'
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. '<td><b>Guardian</b>: {{GUARDIAN_RELATION}}{{GUARDIAN_NAME}}</td>'
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. '<td><b>Phone</b>: {{PATIENT_MOBILE}}</td>'
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. '</tr>'
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. '<tr>'
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. '<td><b>Admission</b>: {{ADMIT_DATE}}</td>'
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. '<td><b>Discharge</b>: {{DISCHARGE_DATE}}</td>'
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. '<td><b>Attending Doctor</b>: {{DOCTOR_NAMES}}</td>'
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. '</tr>'
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. '</table>'
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. '<div>{{PRESENTING_COMPLAINTS}}</div>'
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. '<div>{{FINAL_DIAGNOSIS}}</div>'
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. '<div>{{PROCEDURE}}</div>'
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. '<div>{{SURGERY}}</div>'
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. '<div>{{PADSS_SCORE}}</div>'
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. '<div>{{COURSE_IN_HOSPITAL}}</div>'
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. '<div>{{DISCHARGE_MEDICATIONS}}</div>'
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. '<div>{{RED_FLAGS_WARNINGS}}</div>'
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. '<div>{{DIETARY_ADVICE}}</div>'
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. '<div>{{REVIEW_AFTER}}</div>';
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$this->db->table('ipd_discharge_templates')->insert([
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'template_name' => 'Day Care Discharge Summary',
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'page_size' => 'A4',
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'custom_width_mm' => 210,
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'custom_height_mm' => 297,
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'page_margin_top_cm' => 0.80,
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'page_margin_bottom_cm' => 0.80,
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'page_margin_left_cm' => 0.80,
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'page_margin_right_cm' => 0.80,
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'margin_header_cm' => 0.50,
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'margin_footer_cm' => 0.50,
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'template_html' => $dcHtml,
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'is_default' => 0,
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'status' => 1,
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'created_at' => date('Y-m-d H:i:s'),
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]);
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}
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}
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}
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public function down()
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{
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if ($this->db->tableExists('ipd_master')) {
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$cols = [
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'discharge_score', 'sbar_handover', 'converted_by',
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'conversion_reason', 'converted_at', 'converted_from_code',
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'converted_from_type', 'daycare_procedure_name',
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'brought_by', 'police_constable_details', 'police_station',
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'mlc_number', 'is_mlc', 'triage_time', 'triage_level',
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'admission_type'
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];
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foreach ($cols as $col) {
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if ($this->db->fieldExists($col, 'ipd_master')) {
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$this->forge->dropColumn('ipd_master', $col);
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}
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}
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}
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}
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}
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