1392 lines
62 KiB
PHP
1392 lines
62 KiB
PHP
<?php
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namespace App\Controllers\Api\v1;
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use App\Controllers\BaseController;
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use App\Models\BedAssignmentHistoryModel;
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use App\Models\BedMasterModel;
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use App\Models\IpdNursingEntryModel;
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use App\Models\NurseModel;
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use App\Models\NursingStationModel;
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class NursingApi extends BaseController
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{
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protected BedMasterModel $bedMasterModel;
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protected BedAssignmentHistoryModel $bedAssignmentModel;
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protected IpdNursingEntryModel $ipdNursingEntryModel;
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protected NursingStationModel $nursingStationModel;
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protected NurseModel $nurseModel;
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public function __construct()
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{
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$this->bedMasterModel = new BedMasterModel();
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$this->bedAssignmentModel = new BedAssignmentHistoryModel();
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$this->ipdNursingEntryModel = new IpdNursingEntryModel();
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$this->nursingStationModel = new NursingStationModel();
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$this->nurseModel = new NurseModel();
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}
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/**
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* Serves the central Mobile Apps Hub entry point at /app
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*/
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public function hubIndex()
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{
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$hubPath = FCPATH . 'App/index.html';
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if (file_exists($hubPath)) {
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return $this->response->setBody(file_get_contents($hubPath));
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}
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return redirect()->to(base_url('app/nursing'));
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}
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/**
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* Serves the React PWA app entry point at /app/nursing
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*/
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public function pwaIndex()
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{
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$pwaPath = FCPATH . 'App/Nursing/index.html';
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if (file_exists($pwaPath)) {
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return $this->response->setBody(file_get_contents($pwaPath));
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}
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return $this->response->setJSON([
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'app_name' => 'Nursing Care PWA App Gateway',
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'status' => 'ready',
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'api_base_url' => base_url('api/v1/nursing/'),
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'message' => 'React PWA build target directory /App/Nursing is active. API endpoints are ready for integration.',
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'endpoints' => [
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'beds' => base_url('api/v1/nursing/beds'),
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'workspace' => base_url('api/v1/nursing/workspace/{ipdId}'),
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'save_entry' => base_url('api/v1/nursing/entry/save/{ipdId}'),
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'nurses' => base_url('api/v1/nursing/nurses'),
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]
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]);
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}
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/**
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* GET api/v1/nursing/beds
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*/
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public function beds()
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{
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$db = db_connect();
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$sql = "SELECT b.id, b.bed_number, b.bed_code, b.bed_category_id, b.ward_id, b.current_ipd_id,
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b.status, coalesce(b.bed_status, 'available') as bed_status,
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w.ward_name, c.category_name,
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i.id as ipd_id, i.ipd_code, i.p_id, i.r_doc_id, i.r_doc_name,
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p.p_fname as patient_name, p.p_code as uhid, p.mphone1, p.gender, p.age, p.dob,
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coalesce(ipd_doc_list.doc_name, concat('Dr. ', i.r_doc_name)) as doctor_name
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FROM bed_master b
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LEFT JOIN ward_master w ON b.ward_id = w.id
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LEFT JOIN bed_category_master c ON b.bed_category_id = c.id
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LEFT JOIN ipd_master i ON ((b.current_ipd_id = i.id OR (b.bed_number = i.bed_no AND i.bed_no != '')) AND i.ipd_status = 0)
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LEFT JOIN patient_master p ON i.p_id = p.id
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LEFT JOIN (
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select i.ipd_id, group_concat(distinct concat_ws(' ', 'Dr.', d.p_fname, d.p_mname, d.p_lname)) as doc_name
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from ipd_master_doc_list i
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join doctor_master d on i.doc_id = d.id
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group by i.ipd_id
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) ipd_doc_list ON i.id = ipd_doc_list.ipd_id
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ORDER BY w.ward_name ASC, b.bed_number ASC";
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$records = $db->query($sql)->getResultArray();
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foreach ($records as &$r) {
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$r['status'] = (!empty($r['patient_name']) || !empty($r['ipd_id'])) ? 'occupied' : 'available';
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}
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$nursingStations = $this->nursingStationModel->getActiveStations();
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return $this->response->setJSON([
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'status' => 1,
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'data' => [
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'beds' => $records,
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'nursing_stations' => $nursingStations,
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]
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]);
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}
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/**
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* GET api/v1/nursing/nurses
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*/
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public function nurses()
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{
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return $this->response->setJSON([
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'status' => 1,
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'data' => $this->nurseModel->getActiveNurses()
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]);
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}
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/**
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* POST api/v1/nursing/auth/verify-pin
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*/
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public function verifyPin()
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{
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$post = $this->request->getPost() ?: ($this->request->getJSON(true) ?? []);
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$nurseId = (int) ($post['nurse_id'] ?? 0);
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$nurseCode = trim((string) ($post['nurse_code'] ?? ''));
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$pin = trim((string) ($post['pin'] ?? ''));
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if ($nurseId <= 0 && $nurseCode !== '') {
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$nurseRow = db_connect()->table('nurse_master')->where('nurse_code', $nurseCode)->get()->getRowArray();
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} else {
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$nurseRow = $this->nurseModel->getNurseById($nurseId);
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}
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if (! $nurseRow) {
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return $this->response->setStatusCode(404)->setJSON(['status' => 0, 'message' => 'Nurse profile not found']);
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}
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$hashedPin = (string) ($nurseRow['app_pin'] ?? '');
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if ($hashedPin === '') {
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return $this->response->setJSON([
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'status' => 2,
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'message' => 'PIN not set yet. Please set a 4-6 digit PIN.',
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'nurse' => [
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'id' => (int) $nurseRow['id'],
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'nurse_code' => $nurseRow['nurse_code'],
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'name' => $nurseRow['name'],
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'designation' => $nurseRow['designation'] ?? 'Staff Nurse',
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],
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]);
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}
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$clientIp = (string) $this->request->getIPAddress();
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$rateKey = 'nurse_pin_' . md5($clientIp . '_' . ($nurseRow['id'] ?? 0));
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$cache = service('cache');
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$failedAttempts = (int) ($cache->get($rateKey) ?? 0);
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if ($failedAttempts >= 5) {
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return $this->response->setStatusCode(429)->setJSON([
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'status' => 0,
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'message' => 'Too many failed PIN attempts. Account temporarily locked for 10 minutes.',
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]);
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}
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$isValid = password_verify($pin, $hashedPin) || ($pin === $hashedPin);
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if (! $isValid) {
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$cache->save($rateKey, $failedAttempts + 1, 600);
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return $this->response->setStatusCode(401)->setJSON(['status' => 0, 'message' => 'Incorrect Security PIN']);
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}
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$cache->delete($rateKey);
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if (session_status() === PHP_SESSION_ACTIVE || ! session_id()) {
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session()->set('pwa_auth_nurse_id', (int) $nurseRow['id']);
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}
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return $this->response->setJSON([
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'status' => 1,
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'message' => 'Authentication successful',
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'nurse' => [
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'id' => (int) $nurseRow['id'],
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'nurse_code' => $nurseRow['nurse_code'],
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'name' => $nurseRow['name'],
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'designation' => $nurseRow['designation'] ?? 'Staff Nurse',
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],
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]);
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}
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/**
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* POST api/v1/nursing/auth/set-pin
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*/
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public function setPin()
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{
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$post = $this->request->getPost() ?: ($this->request->getJSON(true) ?? []);
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$nurseId = (int) ($post['nurse_id'] ?? 0);
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$newPin = trim((string) ($post['new_pin'] ?? ''));
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$oldPin = trim((string) ($post['old_pin'] ?? ''));
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if ($nurseId <= 0 || strlen($newPin) < 4) {
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return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Valid Nurse ID and 4-6 digit PIN are required']);
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}
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$nurseRow = $this->nurseModel->getNurseById($nurseId);
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if (! $nurseRow) {
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return $this->response->setStatusCode(404)->setJSON(['status' => 0, 'message' => 'Nurse profile not found']);
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}
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$hashedPin = (string) ($nurseRow['app_pin'] ?? '');
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if ($hashedPin !== '' && $oldPin !== '') {
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$isValid = password_verify($oldPin, $hashedPin) || ($oldPin === $hashedPin);
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if (! $isValid) {
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return $this->response->setStatusCode(401)->setJSON(['status' => 0, 'message' => 'Current PIN is incorrect']);
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}
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}
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$this->nurseModel->updateNurse($nurseId, [
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'app_pin' => password_hash($newPin, PASSWORD_DEFAULT),
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]);
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return $this->response->setJSON([
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'status' => 1,
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'message' => 'Security PIN updated successfully',
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]);
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}
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/**
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* GET api/v1/nursing/workspace/(:num)
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*/
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public function workspace(int $ipdId)
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{
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$entries = $this->ipdNursingEntryModel->getByIpd($ipdId);
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return $this->response->setJSON([
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'status' => 1,
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'ipd_id' => $ipdId,
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'entries' => $entries,
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]);
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}
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/**
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* POST api/v1/nursing/entry/save/(:num)
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*/
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public function saveEntry(int $ipdId)
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{
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$post = $this->request->getPost();
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if (empty($post)) {
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try {
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$post = $this->request->getJSON(true) ?? [];
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} catch (\Throwable $e) {
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$raw = $this->request->getBody();
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$post = is_string($raw) ? (json_decode($raw, true) ?? []) : [];
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}
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}
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$entryType = (string) ($post['entry_type'] ?? '');
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if (! in_array($entryType, ['vitals', 'fluid', 'treatment', 'admission'], true)) {
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return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Invalid nursing entry type']);
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}
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$recordedAtInput = (string) ($post['recorded_at'] ?? '');
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$recordedAt = $recordedAtInput !== ''
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? str_replace('T', ' ', $recordedAtInput) . (strlen($recordedAtInput) === 16 ? ':00' : '')
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: date('Y-m-d H:i:s');
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$data = [
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'ipd_id' => $ipdId,
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'entry_type' => $entryType,
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'recorded_at' => $recordedAt,
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'shift_name' => '',
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'temperature_c' => isset($post['temperature_f']) && $post['temperature_f'] !== '' ? (((float)$post['temperature_f'] - 32) * 5 / 9) : null,
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'pulse_rate' => isset($post['pulse_rate']) && $post['pulse_rate'] !== '' ? (int) $post['pulse_rate'] : null,
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'resp_rate' => isset($post['resp_rate']) && $post['resp_rate'] !== '' ? (int) $post['resp_rate'] : null,
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'bp_systolic' => isset($post['bp_systolic']) && $post['bp_systolic'] !== '' ? (int) $post['bp_systolic'] : null,
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'bp_diastolic' => isset($post['bp_diastolic']) && $post['bp_diastolic'] !== '' ? (int) $post['bp_diastolic'] : null,
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'spo2' => isset($post['spo2']) && $post['spo2'] !== '' ? (int) $post['spo2'] : null,
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'weight_kg' => isset($post['weight_kg']) && $post['weight_kg'] !== '' ? (float) $post['weight_kg'] : null,
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'fluid_direction' => (string) ($post['fluid_direction'] ?? ''),
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'fluid_route' => (string) ($post['fluid_route'] ?? ''),
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'fluid_amount_ml' => isset($post['fluid_amount_ml']) && $post['fluid_amount_ml'] !== '' ? (int) $post['fluid_amount_ml'] : null,
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'treatment_text' => (string) ($post['treatment_text'] ?? ''),
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'general_note' => (string) ($post['general_note'] ?? ''),
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'recorded_by' => (string) ($post['recorded_by'] ?? 'Staff'),
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'recorded_by_id' => isset($post['recorded_by_id']) ? (int) $post['recorded_by_id'] : null,
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'created_at' => date('Y-m-d H:i:s'),
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'updated_at' => date('Y-m-d H:i:s'),
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];
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$entryId = (int) ($post['entry_id'] ?? 0);
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if ($entryId > 0) {
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unset($data['created_at']);
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$this->ipdNursingEntryModel->update($entryId, $data);
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$msg = 'Nursing entry updated';
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} else {
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$this->ipdNursingEntryModel->insert($data);
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$msg = 'Nursing entry saved';
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}
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return $this->response->setJSON([
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'status' => 1,
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'message' => $msg,
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]);
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}
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/**
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* GET api/v1/nursing/opd/list
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*/
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public function opdList()
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{
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$db = db_connect();
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helper('common');
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$dateMode = $this->request->getGet('date_mode') ?? 'today';
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$docId = (int) ($this->request->getGet('doctor_id') ?? 0);
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$vitalsFilter = $this->request->getGet('vitals_status') ?? 'all'; // 'all', 'pending', 'done'
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$whereClause = "WHERE 1=1";
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if ($dateMode === 'today') {
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$whereClause .= " AND (DATE(o.apointment_date) = CURDATE() OR (o.apointment_date IS NULL AND DATE(o.opd_book_date) = CURDATE()))";
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}
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if ($docId > 0) {
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$whereClause .= " AND o.doc_id = " . $docId;
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}
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$sql = "SELECT o.opd_id, o.opd_code, o.opd_no, o.p_id, o.doc_id, o.apointment_date, o.opd_book_date, o.opd_status, coalesce(o.opd_fee_type, 'Cash') as opd_type,
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p.p_fname as fname, p.p_rname as rname, p.p_code as uhid, p.mphone1, p.gender, p.age, p.age_in_month, p.estimate_dob, p.dob,
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concat('Dr. ', d.p_fname, ' ', coalesce(d.p_lname, '')) as doctor_name,
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pr.temp, pr.pulse, pr.bp, pr.diastolic, pr.spo2, pr.weight, pr.height, pr.rr_min
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FROM opd_master o
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JOIN patient_master p ON o.p_id = p.id
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LEFT JOIN doctor_master d ON o.doc_id = d.id
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LEFT JOIN opd_prescription pr ON o.opd_id = pr.opd_id
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{$whereClause}
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ORDER BY o.opd_id DESC";
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$query = $db->query($sql);
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$records = $query->getResultArray();
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$docWhere = $docId > 0 ? " AND doc_id = " . $docId : "";
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$todayTotalCount = (int) $db->query("SELECT count(*) as c FROM opd_master WHERE (DATE(apointment_date) = CURDATE() OR (apointment_date IS NULL AND DATE(opd_book_date) = CURDATE()))" . $docWhere)->getRow()->c;
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$allTotalCount = (int) $db->query("SELECT count(*) as c FROM opd_master WHERE 1=1" . $docWhere)->getRow()->c;
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$counts = [
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'all' => 0, 'waiting' => 0, 'visited' => 0, 'booked' => 0, 'cancelled' => 0,
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'today_total' => $todayTotalCount, 'all_total' => $allTotalCount,
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'pending_vitals' => 0, 'done_vitals' => 0
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];
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$appointments = [];
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foreach ($records as $r) {
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$statusKey = 'waiting';
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$statusLabel = 'Waiting';
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$st = (int) ($r['opd_status'] ?? 0);
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if ($st === 2) {
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$statusKey = 'visited';
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$statusLabel = 'Visited';
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} elseif ($st === 3) {
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$statusKey = 'cancelled';
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$statusLabel = 'Cancelled';
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} elseif ($st === 1) {
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$statusKey = 'booked';
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$statusLabel = 'Booked';
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}
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$hasVitals = !empty($r['temp']) || !empty($r['pulse']) || !empty($r['bp']) || !empty($r['spo2']) || !empty($r['weight']);
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if ($hasVitals) {
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$counts['done_vitals']++;
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} else {
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$counts['pending_vitals']++;
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}
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if ($vitalsFilter === 'pending' && $hasVitals) {
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continue;
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}
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if ($vitalsFilter === 'done' && !$hasVitals) {
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continue;
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}
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$counts['all']++;
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if (isset($counts[$statusKey])) {
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$counts[$statusKey]++;
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}
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$ageDisplay = 'N/A';
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if (function_exists('get_age_1')) {
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$ageDisplay = get_age_1($r['dob'] ?? null, $r['age'] ?? '', $r['age_in_month'] ?? '', $r['estimate_dob'] ?? '');
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} elseif (! empty($r['age'])) {
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$ageDisplay = $r['age'] . ' Year';
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} elseif (! empty($r['dob']) && $r['dob'] !== '0000-00-00') {
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try {
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$ageDisplay = date_diff(date_create($r['dob']), date_create('today'))->y . ' Year';
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} catch (\Throwable $e) {}
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}
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$r['status_key'] = $statusKey;
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$r['status_label'] = $statusLabel;
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$r['age_display'] = $ageDisplay;
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$r['gender_label'] = ((int)($r['gender'] ?? 1) === 1) ? 'Male' : 'Female';
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$r['patient_display_name'] = $r['fname'] ?? 'Patient';
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$r['has_vitals'] = $hasVitals;
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$appointments[] = $r;
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}
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return $this->response->setJSON([
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'status' => 1,
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'counts' => $counts,
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'date_mode' => $dateMode,
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'appointments' => $appointments,
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]);
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}
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/**
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* POST api/v1/nursing/opd/vitals/save/(:num)
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*/
|
|
public function saveOpdVitals(int $opdId)
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{
|
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$db = db_connect();
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$json = $this->request->getJSON(true);
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$post = $this->request->getPost() ?: [];
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$dataInput = ! empty($json) ? $json : $post;
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$opdRow = $db->table('opd_master')->where('opd_id', $opdId)->get()->getRowArray();
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if (! $opdRow) {
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return $this->response->setStatusCode(404)->setJSON(['status' => 0, 'message' => 'OPD record not found']);
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}
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$vitalsData = [
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'opd_id' => $opdId,
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'doc_id' => (int) ($opdRow['doc_id'] ?? 0),
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'p_id' => (int) ($opdRow['p_id'] ?? 0),
|
|
'date_opd_visit' => date('Y-m-d'),
|
|
'temp' => trim((string) ($dataInput['temp'] ?? '')),
|
|
'pulse' => trim((string) ($dataInput['pulse'] ?? '')),
|
|
'bp' => trim((string) ($dataInput['bp_systolic'] ?? '')),
|
|
'diastolic' => trim((string) ($dataInput['bp_diastolic'] ?? '')),
|
|
'spo2' => trim((string) ($dataInput['spo2'] ?? '')),
|
|
'weight' => trim((string) ($dataInput['weight'] ?? '')),
|
|
'height' => trim((string) ($dataInput['height'] ?? '')),
|
|
'rr_min' => trim((string) ($dataInput['rr_min'] ?? '')),
|
|
];
|
|
|
|
$existing = $db->table('opd_prescription')->where('opd_id', $opdId)->get()->getRowArray();
|
|
if ($existing) {
|
|
$db->table('opd_prescription')->where('opd_id', $opdId)->update($vitalsData);
|
|
} else {
|
|
$db->table('opd_prescription')->insert($vitalsData);
|
|
}
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'message' => 'Patient Vitals saved successfully by Nursing Staff',
|
|
]);
|
|
}
|
|
|
|
/**
|
|
* POST api/v1/nursing/opd/scan/save/(:num)
|
|
*/
|
|
public function saveOpdScan(int $opdId)
|
|
{
|
|
$db = db_connect();
|
|
$json = $this->request->getJSON(true);
|
|
$post = $this->request->getPost() ?: [];
|
|
$dataInput = ! empty($json) ? $json : $post;
|
|
|
|
$imageBase64 = $dataInput['image_base64'] ?? null;
|
|
if (empty($imageBase64)) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Scan photo required']);
|
|
}
|
|
|
|
$docType = trim((string) ($dataInput['document_type'] ?? 'Paper Document'));
|
|
$nurseName = trim((string) ($dataInput['nurse_name'] ?? 'Nursing Staff'));
|
|
|
|
$imgData = $imageBase64;
|
|
$ext = 'jpg';
|
|
if (preg_match('/^data:image\/(\w+);base64,/', $imageBase64, $type)) {
|
|
$imgData = substr($imageBase64, strpos($imageBase64, ',') + 1);
|
|
$ext = strtolower($type[1]);
|
|
if ($ext === 'jpeg') $ext = 'jpg';
|
|
}
|
|
$imgData = str_replace(' ', '+', $imgData);
|
|
$binary = base64_decode($imgData);
|
|
|
|
if ($binary === false || strlen($binary) === 0) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Failed to process document image']);
|
|
}
|
|
|
|
$uploadDir = FCPATH . 'uploads/nursing_scans/';
|
|
if (! is_dir($uploadDir)) {
|
|
@mkdir($uploadDir, 0777, true);
|
|
}
|
|
$filename = 'nursing_opd_doc_' . $opdId . '_' . time() . '_' . rand(100, 999) . '.' . $ext;
|
|
file_put_contents($uploadDir . $filename, $binary);
|
|
$imageUrl = '/uploads/nursing_scans/' . $filename;
|
|
|
|
// Append attachment to OPD prescription advice/investigation
|
|
$opdRow = $db->table('opd_master')->where('opd_id', $opdId)->get()->getRowArray();
|
|
$pId = (int) ($opdRow['p_id'] ?? 0);
|
|
|
|
$existing = $db->table('opd_prescription')->where('opd_id', $opdId)->get()->getRowArray();
|
|
$attachmentText = '[Nursing Scan: ' . $docType . ' by ' . $nurseName . '] [IMAGE_ATTACHMENT:' . $imageUrl . ']';
|
|
|
|
if ($existing) {
|
|
$newAdvice = trim(($existing['advice'] ?? '') . "\n" . $attachmentText);
|
|
$db->table('opd_prescription')->where('opd_id', $opdId)->update(['advice' => $newAdvice]);
|
|
} else {
|
|
$db->table('opd_prescription')->insert([
|
|
'opd_id' => $opdId,
|
|
'doc_id' => (int) ($opdRow['doc_id'] ?? 0),
|
|
'p_id' => $pId,
|
|
'date_opd_visit' => date('Y-m-d'),
|
|
'advice' => $attachmentText,
|
|
]);
|
|
}
|
|
|
|
// Register in file_upload_data for HMS Scan Doc List popup
|
|
$this->registerFileUploadData([
|
|
'filename' => $filename,
|
|
'public_path' => $imageUrl,
|
|
'opd_id' => $opdId,
|
|
'p_id' => $pId,
|
|
'upload_by' => $nurseName,
|
|
'doc_type' => $docType,
|
|
'file_size_kb' => round(strlen($binary) / 1024, 2),
|
|
]);
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'message' => 'OPD Scanned Document saved successfully',
|
|
'image_url' => $imageUrl,
|
|
]);
|
|
}
|
|
|
|
/**
|
|
* POST api/v1/nursing/ipd/scan/save/(:num)
|
|
*/
|
|
public function saveIpdScan(int $ipdId)
|
|
{
|
|
$db = db_connect();
|
|
$json = $this->request->getJSON(true);
|
|
$post = $this->request->getPost() ?: [];
|
|
$dataInput = ! empty($json) ? $json : $post;
|
|
|
|
$imageBase64 = $dataInput['image_base64'] ?? null;
|
|
if (empty($imageBase64)) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Scan photo required']);
|
|
}
|
|
|
|
$docType = trim((string) ($dataInput['document_type'] ?? 'Paper Document'));
|
|
$nurseId = (int) ($dataInput['nurse_id'] ?? 0);
|
|
$nurseName = trim((string) ($dataInput['nurse_name'] ?? 'Nursing Staff'));
|
|
|
|
$imgData = $imageBase64;
|
|
$ext = 'jpg';
|
|
if (preg_match('/^data:image\/(\w+);base64,/', $imageBase64, $type)) {
|
|
$imgData = substr($imageBase64, strpos($imageBase64, ',') + 1);
|
|
$ext = strtolower($type[1]);
|
|
if ($ext === 'jpeg') $ext = 'jpg';
|
|
}
|
|
$imgData = str_replace(' ', '+', $imgData);
|
|
$binary = base64_decode($imgData);
|
|
|
|
if ($binary === false || strlen($binary) === 0) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Failed to process document image']);
|
|
}
|
|
|
|
$uploadDir = FCPATH . 'uploads/nursing_scans/';
|
|
if (! is_dir($uploadDir)) {
|
|
@mkdir($uploadDir, 0777, true);
|
|
}
|
|
$filename = 'nursing_ipd_doc_' . $ipdId . '_' . time() . '_' . rand(100, 999) . '.' . $ext;
|
|
file_put_contents($uploadDir . $filename, $binary);
|
|
$imageUrl = '/uploads/nursing_scans/' . $filename;
|
|
|
|
$fullNoteText = '[Nursing Scanned Document: ' . $docType . '] [IMAGE_ATTACHMENT:' . $imageUrl . ']';
|
|
|
|
$ipdRow = $db->table('ipd_master')->where('id', $ipdId)->get()->getRowArray();
|
|
$pId = (int) ($ipdRow['p_id'] ?? 0);
|
|
|
|
$data = [
|
|
'ipd_id' => $ipdId,
|
|
'entry_type' => 'treatment',
|
|
'recorded_at' => date('Y-m-d H:i:s'),
|
|
'treatment_text' => $fullNoteText,
|
|
'general_note' => 'Scanned Document: ' . $docType . ' (' . $imageUrl . ')',
|
|
'recorded_by' => '[Nurse] ' . $nurseName,
|
|
'recorded_by_id' => $nurseId,
|
|
'created_at' => date('Y-m-d H:i:s'),
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
];
|
|
|
|
$this->ipdNursingEntryModel->insert($data);
|
|
|
|
// Register in file_upload_data for HMS Scan Doc List popup
|
|
$this->registerFileUploadData([
|
|
'filename' => $filename,
|
|
'public_path' => $imageUrl,
|
|
'ipd_id' => $ipdId,
|
|
'p_id' => $pId,
|
|
'upload_by' => $nurseName,
|
|
'doc_type' => $docType,
|
|
'file_size_kb' => round(strlen($binary) / 1024, 2),
|
|
]);
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'message' => 'IPD Scanned Document uploaded successfully to Patient Chart',
|
|
'image_url' => $imageUrl,
|
|
]);
|
|
}
|
|
|
|
protected function registerFileUploadData(array $info)
|
|
{
|
|
$db = db_connect();
|
|
if (! $db->tableExists('file_upload_data')) {
|
|
return;
|
|
}
|
|
|
|
$filename = $info['filename'];
|
|
$publicPath = $info['public_path'];
|
|
$fullPath = FCPATH . ltrim($publicPath, '/');
|
|
$opdId = (int) ($info['opd_id'] ?? 0);
|
|
$ipdId = (int) ($info['ipd_id'] ?? 0);
|
|
$pId = (int) ($info['p_id'] ?? 0);
|
|
$uploadBy = $info['upload_by'] ?? 'App User';
|
|
$docCategory = $info['doc_type'] ?? 'Scanned Document';
|
|
$binarySizeKb = (float) ($info['file_size_kb'] ?? 0);
|
|
$ext = pathinfo($filename, PATHINFO_EXTENSION);
|
|
|
|
$db->table('file_upload_data')->insert([
|
|
'file_name' => $filename,
|
|
'file_type' => 'image/' . ($ext === 'jpg' ? 'jpeg' : $ext),
|
|
'file_path' => str_replace('\\', '/', dirname($fullPath)) . '/',
|
|
'full_path' => str_replace('\\', '/', $fullPath),
|
|
'raw_name' => pathinfo($filename, PATHINFO_FILENAME),
|
|
'orig_name' => $filename,
|
|
'client_name' => $filename,
|
|
'file_ext' => '.' . $ext,
|
|
'file_size' => $binarySizeKb,
|
|
'is_image' => 1,
|
|
'image_type' => $ext,
|
|
'insert_date' => date('Y-m-d H:i:s'),
|
|
'insert_time' => date('Y-m-d H:i:s'),
|
|
'pid' => $pId,
|
|
'opd_id' => $opdId,
|
|
'ipd_id' => $ipdId,
|
|
'upload_by' => $uploadBy,
|
|
'show_type' => 0,
|
|
'isdelete' => 0,
|
|
'document_type' => $docCategory,
|
|
'content_description' => 'Scanned via Mobile PWA App (' . $docCategory . ')',
|
|
'ai_status' => 'pending',
|
|
'ai_alert_flag' => 0,
|
|
]);
|
|
|
|
return (int) $db->insertID();
|
|
}
|
|
|
|
/**
|
|
* Search patient by Barcode, QR Code payload, UHID, ABHA ID/Address, Mobile, or Name
|
|
* GET api/v1/nursing/patient/search?q=...
|
|
*/
|
|
public function searchPatient()
|
|
{
|
|
$db = db_connect();
|
|
$q = trim((string) $this->request->getGet('q'));
|
|
if ($q === '') {
|
|
return $this->response->setJSON(['status' => 1, 'data' => []]);
|
|
}
|
|
|
|
// Check if $q is a JSON payload from ABHA QR or Hospital QR
|
|
$abhaHidn = null;
|
|
$abhaAddress = null;
|
|
$abhaMobile = null;
|
|
$abhaName = null;
|
|
|
|
if (str_starts_with($q, '{') && str_ends_with($q, '}')) {
|
|
$jsonParsed = json_decode($q, true);
|
|
if (is_array($jsonParsed)) {
|
|
$abhaHidn = $jsonParsed['hidn'] ?? $jsonParsed['abha_number'] ?? $jsonParsed['hid_number'] ?? null;
|
|
$abhaAddress = $jsonParsed['hid'] ?? $jsonParsed['abha_address'] ?? null;
|
|
$abhaMobile = $jsonParsed['mobile'] ?? $jsonParsed['phone'] ?? null;
|
|
$abhaName = $jsonParsed['name'] ?? null;
|
|
$uhidFromJson = $jsonParsed['uhid'] ?? $jsonParsed['p_code'] ?? null;
|
|
if ($uhidFromJson) {
|
|
$q = $uhidFromJson;
|
|
}
|
|
}
|
|
}
|
|
|
|
// Clean query (e.g. remove hyphens if looks like ABHA number)
|
|
$cleanAbha = str_replace('-', '', $q);
|
|
|
|
$builder = $db->table('patient_master p');
|
|
$builder->select('p.id, p.p_code, p.p_fname, p.title, p.gender, p.dob, p.age, p.mphone1, p.mphone2, p.email1, p.city, p.district, p.state, p.abha_id, p.abha_address, p.abha_verified_status, p.abha_kyc_verified, p.abha_mobile_verified, p.abha_profile_photo_base64');
|
|
|
|
$builder->groupStart();
|
|
$builder->where('p.p_code', $q);
|
|
$builder->orWhere('p.old_uhid', $q);
|
|
$builder->orWhere('p.mphone1', $q);
|
|
$builder->orWhere('p.mphone2', $q);
|
|
$builder->orWhere('p.abha_id', $q);
|
|
$builder->orWhere('p.abha_id', $cleanAbha);
|
|
$builder->orWhere('p.abha_address', $q);
|
|
|
|
if ($abhaHidn) {
|
|
$builder->orWhere('p.abha_id', $abhaHidn);
|
|
$builder->orWhere('p.abha_id', str_replace('-', '', $abhaHidn));
|
|
}
|
|
if ($abhaAddress) {
|
|
$builder->orWhere('p.abha_address', $abhaAddress);
|
|
}
|
|
if ($abhaMobile) {
|
|
$builder->orWhere('p.mphone1', $abhaMobile);
|
|
$builder->orWhere('p.mphone2', $abhaMobile);
|
|
}
|
|
|
|
if (strlen($q) >= 2) {
|
|
$builder->orLike('p.p_fname', $q);
|
|
$builder->orLike('p.mphone1', $q);
|
|
$builder->orLike('p.p_code', $q);
|
|
}
|
|
$builder->groupEnd();
|
|
|
|
$patients = $builder->limit(15)->get()->getResultArray();
|
|
|
|
// Enrich with current IPD bed admission and today's OPD appointment status
|
|
$today = date('Y-m-d');
|
|
foreach ($patients as &$pat) {
|
|
$pId = (int) $pat['id'];
|
|
$pat['fullName'] = trim(($pat['title'] ? $pat['title'] . ' ' : '') . $pat['p_fname']);
|
|
|
|
// Check IPD admission
|
|
$ipdRow = $db->table('ipd_master i')
|
|
->select('i.id as ipd_id, i.ipd_code, i.bed_no, i.register_date, i.r_doc_name, b.bed_number, w.ward_name')
|
|
->join('bed_master b', 'b.id = i.bed_no OR b.bed_number = i.bed_no', 'left')
|
|
->join('ward_master w', 'w.id = b.ward_id', 'left')
|
|
->where('i.p_id', $pId)
|
|
->groupStart()
|
|
->where('i.discharge_date IS NULL')
|
|
->orWhere('i.discharge_date', '0000-00-00')
|
|
->groupEnd()
|
|
->orderBy('i.id', 'DESC')
|
|
->limit(1)
|
|
->get()
|
|
->getRowArray();
|
|
|
|
$pat['ipd_admission'] = $ipdRow ?: null;
|
|
|
|
// Check Today OPD appointment
|
|
$opdRow = $db->table('opd_master o')
|
|
->select('o.opd_id, o.opd_code, o.opd_no as token_no, o.doc_id, o.doc_name as doctor_name, o.apointment_date, o.opd_book_date, pr.temp, pr.pulse, pr.bp, pr.diastolic, pr.spo2, pr.weight, pr.height, pr.rr_min, pr.glucose, pr.waist')
|
|
->join('opd_prescription pr', 'pr.opd_id = o.opd_id', 'left')
|
|
->where('o.p_id', $pId)
|
|
->groupStart()
|
|
->where('DATE(o.apointment_date)', $today)
|
|
->orGroupStart()
|
|
->where('o.apointment_date IS NULL')
|
|
->where('DATE(o.opd_book_date)', $today)
|
|
->groupEnd()
|
|
->groupEnd()
|
|
->orderBy('o.opd_id', 'DESC')
|
|
->limit(1)
|
|
->get()
|
|
->getRowArray();
|
|
|
|
$pat['opd_today'] = $opdRow ?: null;
|
|
}
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'data' => $patients,
|
|
'count' => count($patients),
|
|
]);
|
|
}
|
|
|
|
/**
|
|
* Save ABDM M2 Wellness Vitals for any registered patient
|
|
* POST api/v1/nursing/patient/wellness/save
|
|
*/
|
|
public function savePatientWellness()
|
|
{
|
|
$db = db_connect();
|
|
$post = $this->request->getPost();
|
|
if (empty($post)) {
|
|
try {
|
|
$post = $this->request->getJSON(true) ?? [];
|
|
} catch (\Throwable $e) {
|
|
$raw = $this->request->getBody();
|
|
$post = is_string($raw) ? (json_decode($raw, true) ?? []) : [];
|
|
}
|
|
}
|
|
|
|
$patientId = (int) ($post['patient_id'] ?? 0);
|
|
if ($patientId <= 0) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Patient ID is required']);
|
|
}
|
|
|
|
$patient = $db->table('patient_master')->where('id', $patientId)->get()->getRowArray();
|
|
if (! $patient) {
|
|
return $this->response->setStatusCode(404)->setJSON(['status' => 0, 'message' => 'Patient record not found']);
|
|
}
|
|
|
|
$recordedAtInput = (string) ($post['recorded_at'] ?? '');
|
|
$recordedAt = $recordedAtInput !== ''
|
|
? str_replace('T', ' ', $recordedAtInput) . (strlen($recordedAtInput) === 16 ? ':00' : '')
|
|
: date('Y-m-d H:i:s');
|
|
|
|
$tempF = isset($post['temperature_f']) && $post['temperature_f'] !== '' ? (float) $post['temperature_f'] : null;
|
|
$tempC = $tempF !== null ? (($tempF - 32) * 5 / 9) : null;
|
|
$heightCm = isset($post['height_cm']) && $post['height_cm'] !== '' ? (float) $post['height_cm'] : null;
|
|
$weightKg = isset($post['weight_kg']) && $post['weight_kg'] !== '' ? (float) $post['weight_kg'] : null;
|
|
$bmi = null;
|
|
if ($heightCm && $heightCm > 0 && $weightKg && $weightKg > 0) {
|
|
$heightM = $heightCm / 100;
|
|
$bmi = round($weightKg / ($heightM * $heightM), 2);
|
|
}
|
|
|
|
// Anthropometry & Body Measurements
|
|
$waistCm = isset($post['waist_circumference_cm']) && $post['waist_circumference_cm'] !== '' ? (float) $post['waist_circumference_cm'] : null;
|
|
$hipCm = isset($post['hip_circumference_cm']) && $post['hip_circumference_cm'] !== '' ? (float) $post['hip_circumference_cm'] : null;
|
|
$waistHipRatio = null;
|
|
if ($waistCm && $waistCm > 0 && $hipCm && $hipCm > 0) {
|
|
$waistHipRatio = round($waistCm / $hipCm, 2);
|
|
} elseif (isset($post['waist_hip_ratio']) && $post['waist_hip_ratio'] !== '') {
|
|
$waistHipRatio = (float) $post['waist_hip_ratio'];
|
|
}
|
|
|
|
// Blood Glucose & POC Lab tests
|
|
$sugarRandom = isset($post['sugar_random']) && $post['sugar_random'] !== '' ? (float) $post['sugar_random'] : null;
|
|
$sugarFasting = isset($post['sugar_fasting']) && $post['sugar_fasting'] !== '' ? (float) $post['sugar_fasting'] : null;
|
|
$sugarPp = isset($post['sugar_pp']) && $post['sugar_pp'] !== '' ? (float) $post['sugar_pp'] : null;
|
|
$hba1c = isset($post['hba1c']) && $post['hba1c'] !== '' ? (float) $post['hba1c'] : null;
|
|
$hemoglobin = isset($post['hemoglobin']) && $post['hemoglobin'] !== '' ? (float) $post['hemoglobin'] : null;
|
|
|
|
// Pain score & Physical Activity
|
|
$painScore = isset($post['pain_score']) && $post['pain_score'] !== '' ? (int) $post['pain_score'] : null;
|
|
$dailySteps = isset($post['daily_steps']) && $post['daily_steps'] !== '' ? (int) $post['daily_steps'] : null;
|
|
$sleepHours = isset($post['sleep_hours']) && $post['sleep_hours'] !== '' ? (float) $post['sleep_hours'] : null;
|
|
$exerciseMin = isset($post['exercise_min_per_day']) && $post['exercise_min_per_day'] !== '' ? (int) $post['exercise_min_per_day'] : null;
|
|
|
|
// Lifestyle & Social History
|
|
$dietType = ! empty($post['diet_type']) ? trim((string) $post['diet_type']) : null;
|
|
$tobaccoStatus = ! empty($post['tobacco_status']) ? trim((string) $post['tobacco_status']) : null;
|
|
$alcoholStatus = ! empty($post['alcohol_status']) ? trim((string) $post['alcohol_status']) : null;
|
|
|
|
// Women's Health
|
|
$womenLmp = ! empty($post['women_lmp']) ? trim((string) $post['women_lmp']) : null;
|
|
$womenPregnancy = ! empty($post['women_pregnancy_status']) ? trim((string) $post['women_pregnancy_status']) : null;
|
|
|
|
$wellnessData = [
|
|
'patient_id' => $patientId,
|
|
'uhid' => $patient['p_code'] ?? '',
|
|
'abha_id' => $patient['abha_id'] ?? null,
|
|
'abha_address' => $patient['abha_address'] ?? null,
|
|
'recorded_at' => $recordedAt,
|
|
'temperature_f' => $tempF,
|
|
'temperature_c' => $tempC !== null ? round($tempC, 2) : null,
|
|
'pulse_rate' => isset($post['pulse_rate']) && $post['pulse_rate'] !== '' ? (int) $post['pulse_rate'] : null,
|
|
'resp_rate' => isset($post['resp_rate']) && $post['resp_rate'] !== '' ? (int) $post['resp_rate'] : null,
|
|
'bp_systolic' => isset($post['bp_systolic']) && $post['bp_systolic'] !== '' ? (int) $post['bp_systolic'] : null,
|
|
'bp_diastolic' => isset($post['bp_diastolic']) && $post['bp_diastolic'] !== '' ? (int) $post['bp_diastolic'] : null,
|
|
'spo2' => isset($post['spo2']) && $post['spo2'] !== '' ? (int) $post['spo2'] : null,
|
|
'weight_kg' => $weightKg,
|
|
'height_cm' => $heightCm,
|
|
'bmi' => $bmi,
|
|
'sugar_random' => $sugarRandom,
|
|
'sugar_fasting' => $sugarFasting,
|
|
'sugar_pp' => $sugarPp,
|
|
'hba1c' => $hba1c,
|
|
'hemoglobin' => $hemoglobin,
|
|
'waist_circumference_cm' => $waistCm,
|
|
'hip_circumference_cm' => $hipCm,
|
|
'waist_hip_ratio' => $waistHipRatio,
|
|
'daily_steps' => $dailySteps,
|
|
'sleep_hours' => $sleepHours,
|
|
'exercise_min_per_day' => $exerciseMin,
|
|
'diet_type' => $dietType,
|
|
'tobacco_status' => $tobaccoStatus,
|
|
'alcohol_status' => $alcoholStatus,
|
|
'women_lmp' => $womenLmp,
|
|
'women_pregnancy_status' => $womenPregnancy,
|
|
'pain_score' => $painScore,
|
|
'general_advice' => (string) ($post['general_advice'] ?? ''),
|
|
'diet_lifestyle_note' => (string) ($post['diet_lifestyle_note'] ?? ''),
|
|
'recorded_by' => (string) ($post['recorded_by'] ?? 'Staff Nurse'),
|
|
'recorded_by_id' => isset($post['recorded_by_id']) ? (int) $post['recorded_by_id'] : null,
|
|
'abdm_status' => 'ready',
|
|
'created_at' => date('Y-m-d H:i:s'),
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
];
|
|
|
|
if (! $db->tableExists('patient_wellness_records')) {
|
|
$db->query("CREATE TABLE IF NOT EXISTS `patient_wellness_records` (
|
|
`id` bigint unsigned NOT NULL AUTO_INCREMENT,
|
|
`patient_id` int unsigned NOT NULL,
|
|
`uhid` varchar(50) DEFAULT NULL,
|
|
`abha_id` varchar(30) DEFAULT NULL,
|
|
`abha_address` varchar(120) DEFAULT NULL,
|
|
`recorded_at` datetime NOT NULL,
|
|
`temperature_f` decimal(5,2) DEFAULT NULL,
|
|
`temperature_c` decimal(5,2) DEFAULT NULL,
|
|
`pulse_rate` int DEFAULT NULL,
|
|
`resp_rate` int DEFAULT NULL,
|
|
`bp_systolic` int DEFAULT NULL,
|
|
`bp_diastolic` int DEFAULT NULL,
|
|
`spo2` int DEFAULT NULL,
|
|
`weight_kg` decimal(5,2) DEFAULT NULL,
|
|
`height_cm` decimal(5,2) DEFAULT NULL,
|
|
`bmi` decimal(5,2) DEFAULT NULL,
|
|
`sugar_random` decimal(6,2) DEFAULT NULL,
|
|
`sugar_fasting` decimal(6,2) DEFAULT NULL,
|
|
`sugar_pp` decimal(6,2) DEFAULT NULL,
|
|
`hba1c` decimal(4,2) DEFAULT NULL,
|
|
`hemoglobin` decimal(4,2) DEFAULT NULL,
|
|
`waist_circumference_cm` decimal(5,2) DEFAULT NULL,
|
|
`hip_circumference_cm` decimal(5,2) DEFAULT NULL,
|
|
`waist_hip_ratio` decimal(4,2) DEFAULT NULL,
|
|
`daily_steps` int DEFAULT NULL,
|
|
`sleep_hours` decimal(4,2) DEFAULT NULL,
|
|
`exercise_min_per_day` int DEFAULT NULL,
|
|
`diet_type` varchar(100) DEFAULT NULL,
|
|
`tobacco_status` varchar(100) DEFAULT NULL,
|
|
`alcohol_status` varchar(100) DEFAULT NULL,
|
|
`women_lmp` date DEFAULT NULL,
|
|
`women_pregnancy_status` varchar(100) DEFAULT NULL,
|
|
`pain_score` tinyint DEFAULT NULL,
|
|
`general_advice` text,
|
|
`diet_lifestyle_note` text,
|
|
`recorded_by` varchar(120) DEFAULT 'Staff Nurse',
|
|
`recorded_by_id` int DEFAULT NULL,
|
|
`fhir_bundle_json` longtext,
|
|
`abdm_status` varchar(30) DEFAULT 'ready',
|
|
`created_at` datetime DEFAULT CURRENT_TIMESTAMP,
|
|
`updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
|
|
PRIMARY KEY (`id`),
|
|
KEY `idx_patient_id` (`patient_id`),
|
|
KEY `idx_uhid` (`uhid`),
|
|
KEY `idx_recorded_at` (`recorded_at`)
|
|
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4");
|
|
} else {
|
|
// Defensive check for newly added Option B columns
|
|
if (! $db->fieldExists('sugar_random', 'patient_wellness_records')) {
|
|
@$db->query("ALTER TABLE `patient_wellness_records`
|
|
ADD COLUMN `sugar_random` decimal(6,2) DEFAULT NULL AFTER `bmi`,
|
|
ADD COLUMN `sugar_fasting` decimal(6,2) DEFAULT NULL AFTER `sugar_random`,
|
|
ADD COLUMN `sugar_pp` decimal(6,2) DEFAULT NULL AFTER `sugar_fasting`,
|
|
ADD COLUMN `hba1c` decimal(4,2) DEFAULT NULL AFTER `sugar_pp`,
|
|
ADD COLUMN `hemoglobin` decimal(4,2) DEFAULT NULL AFTER `hba1c`,
|
|
ADD COLUMN `waist_circumference_cm` decimal(5,2) DEFAULT NULL AFTER `hemoglobin`,
|
|
ADD COLUMN `hip_circumference_cm` decimal(5,2) DEFAULT NULL AFTER `waist_circumference_cm`,
|
|
ADD COLUMN `waist_hip_ratio` decimal(4,2) DEFAULT NULL AFTER `hip_circumference_cm`,
|
|
ADD COLUMN `daily_steps` int DEFAULT NULL AFTER `waist_hip_ratio`,
|
|
ADD COLUMN `sleep_hours` decimal(4,2) DEFAULT NULL AFTER `daily_steps`,
|
|
ADD COLUMN `exercise_min_per_day` int DEFAULT NULL AFTER `sleep_hours`,
|
|
ADD COLUMN `diet_type` varchar(100) DEFAULT NULL AFTER `exercise_min_per_day`,
|
|
ADD COLUMN `tobacco_status` varchar(100) DEFAULT NULL AFTER `diet_type`,
|
|
ADD COLUMN `alcohol_status` varchar(100) DEFAULT NULL AFTER `tobacco_status`,
|
|
ADD COLUMN `women_lmp` date DEFAULT NULL AFTER `alcohol_status`,
|
|
ADD COLUMN `women_pregnancy_status` varchar(100) DEFAULT NULL AFTER `women_lmp`,
|
|
ADD COLUMN `pain_score` tinyint DEFAULT NULL AFTER `women_pregnancy_status`");
|
|
}
|
|
}
|
|
|
|
$db->table('patient_wellness_records')->insert($wellnessData);
|
|
$wellnessId = $db->insertID();
|
|
|
|
// Build compliant ABDM NRCES FHIR R4 WellnessRecord Document Bundle
|
|
$cleanDate = date('Ymd', strtotime($recordedAt));
|
|
$careContextRef = 'WELLNESS-' . $patientId . '-W' . $wellnessId . '-' . $cleanDate;
|
|
$careContextDisplay = 'Wellness Record - ' . date('d M Y', strtotime($recordedAt));
|
|
$fhirBundleJson = null;
|
|
|
|
try {
|
|
$sourceVitals = [];
|
|
$addVital = static function (string $code, string $display, mixed $val, string $unit, string $ucum) use (&$sourceVitals): void {
|
|
if ($val !== null && trim((string) $val) !== '') {
|
|
$sourceVitals[] = [
|
|
'loinc_code' => $code,
|
|
'code' => $code,
|
|
'display' => $display,
|
|
'value' => (float) $val,
|
|
'unit' => $unit,
|
|
'ucum_code' => $ucum,
|
|
];
|
|
}
|
|
};
|
|
|
|
// Standard Vital Signs
|
|
$addVital('8480-6', 'Systolic blood pressure', $wellnessData['bp_systolic'], 'mmHg', 'mm[Hg]');
|
|
$addVital('8462-4', 'Diastolic blood pressure', $wellnessData['bp_diastolic'], 'mmHg', 'mm[Hg]');
|
|
$addVital('8867-4', 'Heart rate', $wellnessData['pulse_rate'], '/min', '/min');
|
|
$addVital('8302-2', 'Body height', $wellnessData['height_cm'], 'cm', 'cm');
|
|
$addVital('29463-7', 'Body weight', $wellnessData['weight_kg'], 'kg', 'kg');
|
|
$addVital('39156-5', 'Body Mass Index', $wellnessData['bmi'], 'kg/m2', 'kg/m2');
|
|
$addVital('8310-5', 'Body temperature', $wellnessData['temperature_c'] ?? $wellnessData['temperature_f'], 'Cel', 'Cel');
|
|
$addVital('9279-1', 'Respiratory rate', $wellnessData['resp_rate'], '/min', '/min');
|
|
$addVital('59408-5', 'Oxygen saturation in Arterial blood by Pulse oximetry', $wellnessData['spo2'], '%', '%');
|
|
$addVital('72514-3', 'Pain severity - 0-10 verbal numeric rating', $wellnessData['pain_score'], '{score}', '{score}');
|
|
|
|
// Body Measurements / Anthropometry
|
|
$addVital('56115-9', 'Waist circumference', $wellnessData['waist_circumference_cm'], 'cm', 'cm');
|
|
$addVital('56114-2', 'Hip circumference', $wellnessData['hip_circumference_cm'], 'cm', 'cm');
|
|
$addVital('8280-0', 'Waist to hip ratio', $wellnessData['waist_hip_ratio'], 'ratio', '{ratio}');
|
|
|
|
// Blood Sugar & POC Laboratory Measurements
|
|
$addVital('2339-0', 'Glucose [Mass/volume] in Blood', $wellnessData['sugar_random'], 'mg/dL', 'mg/dL');
|
|
$addVital('1558-6', 'Fasting glucose [Mass/volume] in Blood', $wellnessData['sugar_fasting'], 'mg/dL', 'mg/dL');
|
|
$addVital('1521-4', 'Glucose [Mass/volume] in Blood 2 hours post meal', $wellnessData['sugar_pp'], 'mg/dL', 'mg/dL');
|
|
$addVital('4548-4', 'Hemoglobin A1c/Hemoglobin.total in Blood', $wellnessData['hba1c'], '%', '%');
|
|
$addVital('718-7', 'Hemoglobin [Mass/volume] in Blood', $wellnessData['hemoglobin'], 'g/dL', 'g/dL');
|
|
|
|
// Physical Activity & Sleep
|
|
$addVital('55423-8', 'Number of steps in 24 hour Measured', $wellnessData['daily_steps'], '{steps}', '{steps}');
|
|
$addVital('93832-4', 'Sleep duration', $wellnessData['sleep_hours'], 'h', 'h');
|
|
$addVital('55411-3', 'Exercise duration', $wellnessData['exercise_min_per_day'], 'min/d', 'min/d');
|
|
|
|
$lifestyle = [];
|
|
if (! empty($wellnessData['diet_type'])) {
|
|
$lifestyle[] = [
|
|
'code' => '81663-7',
|
|
'display' => 'Diet Type',
|
|
'value' => $wellnessData['diet_type'],
|
|
];
|
|
}
|
|
if (! empty($wellnessData['tobacco_status'])) {
|
|
$lifestyle[] = [
|
|
'code' => '365981007',
|
|
'display' => 'Tobacco Smoking Status',
|
|
'value' => $wellnessData['tobacco_status'],
|
|
];
|
|
}
|
|
if (! empty($wellnessData['alcohol_status'])) {
|
|
$lifestyle[] = [
|
|
'code' => '228273003',
|
|
'display' => 'Alcohol Consumption Status',
|
|
'value' => $wellnessData['alcohol_status'],
|
|
];
|
|
}
|
|
if (! empty($wellnessData['diet_lifestyle_note'])) {
|
|
$lifestyle[] = [
|
|
'code' => 'diet-lifestyle',
|
|
'display' => 'Diet & Lifestyle Guidance',
|
|
'value' => $wellnessData['diet_lifestyle_note'],
|
|
];
|
|
}
|
|
if (! empty($wellnessData['general_advice'])) {
|
|
$lifestyle[] = [
|
|
'code' => 'general-nursing',
|
|
'display' => 'General Nursing Observations',
|
|
'value' => $wellnessData['general_advice'],
|
|
];
|
|
}
|
|
|
|
$womenWellness = [];
|
|
if (! empty($wellnessData['women_lmp'])) {
|
|
$womenWellness['lmp'] = $wellnessData['women_lmp'];
|
|
}
|
|
if (! empty($wellnessData['women_pregnancy_status'])) {
|
|
$womenWellness['pregnancy_status'] = $wellnessData['women_pregnancy_status'];
|
|
}
|
|
|
|
$source = [
|
|
'record_id' => (string) $wellnessId,
|
|
'visit_date' => date('Y-m-d', strtotime($recordedAt)),
|
|
'completed_at' => date(DATE_ATOM, strtotime($recordedAt)),
|
|
'hfr_id' => 'IN0510000828',
|
|
'patient' => [
|
|
'id' => $patientId,
|
|
'name' => trim(($patient['p_fname'] ?? '') . (($patient['p_lname'] ?? '') !== '' && ($patient['p_lname'] ?? '') !== '0' && strcasecmp((string)($patient['p_lname'] ?? ''), 'NA') !== 0 ? ' ' . $patient['p_lname'] : '')),
|
|
'gender' => match (strtolower(trim((string) ($patient['gender'] ?? '')))) {
|
|
'2', 'f', 'female' => 'female',
|
|
'1', 'm', 'male' => 'male',
|
|
'3', 'o', 'other' => 'other',
|
|
default => 'female',
|
|
},
|
|
'dob' => ! empty($patient['dob']) ? date('Y-m-d', strtotime((string) $patient['dob'])) : null,
|
|
'mobile' => (string) ($patient['mphone1'] ?? ''),
|
|
'abha_id' => (string) ($patient['abha_id'] ?? ''),
|
|
'abha_address' => (string) ($patient['abha_address'] ?? ''),
|
|
'p_code' => (string) ($patient['p_code'] ?? ''),
|
|
],
|
|
'practitioner' => [
|
|
'id' => (string) ($wellnessData['recorded_by_id'] ?? '1'),
|
|
'name' => (string) ($wellnessData['recorded_by'] ?? 'Staff Nurse'),
|
|
],
|
|
'vitals' => $sourceVitals,
|
|
'women_wellness' => $womenWellness,
|
|
'lifestyle' => $lifestyle,
|
|
];
|
|
|
|
$generator = new \App\Libraries\Abdm\Fhir\Generators\WellnessFhirGenerator();
|
|
$genResult = $generator->generate($source);
|
|
$fhirBundle = $genResult['fhir_bundle'] ?? [];
|
|
if (! empty($fhirBundle)) {
|
|
$fhirBundleJson = json_encode($fhirBundle, JSON_UNESCAPED_SLASHES | JSON_UNESCAPED_UNICODE);
|
|
$db->table('patient_wellness_records')->where('id', $wellnessId)->update([
|
|
'fhir_bundle_json' => $fhirBundleJson,
|
|
'care_context_reference' => $careContextRef,
|
|
]);
|
|
}
|
|
} catch (\Throwable $e) {
|
|
log_message('warning', '[savePatientWellness] FHIR generation error: ' . $e->getMessage());
|
|
}
|
|
|
|
// Register in health_records for ABDM discovery & push
|
|
$healthRecordId = 0;
|
|
if ($db->tableExists('health_records')) {
|
|
$effectiveAbha = trim((string) ($patient['abha_address'] ?? $patient['abha_id'] ?? ''));
|
|
$db->table('health_records')->insert([
|
|
'patient_id' => $patientId,
|
|
'abha_id' => $effectiveAbha !== '' ? $effectiveAbha : null,
|
|
'hi_type' => 'WellnessRecord',
|
|
'entity_type' => 'wellness',
|
|
'entity_id' => (string) $wellnessId,
|
|
'push_status' => 'local_discovery_ready',
|
|
'care_context_reference' => $careContextRef,
|
|
'record_data' => $fhirBundleJson ?? json_encode($wellnessData),
|
|
'created_by_name' => (string) ($post['recorded_by'] ?? 'Staff Nurse'),
|
|
'created_at' => date('Y-m-d H:i:s'),
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
]);
|
|
$healthRecordId = (int) $db->insertID();
|
|
}
|
|
|
|
// Proactive push to ABDM Bridge when patient has ABHA ID or Address
|
|
$pushStatus = 'local_discovery_ready';
|
|
$bridgeRecordId = null;
|
|
$queueId = null;
|
|
$pushMsg = '';
|
|
$effectiveAbha = trim((string) ($patient['abha_address'] ?? $patient['abha_id'] ?? ''));
|
|
|
|
if ($effectiveAbha !== '') {
|
|
try {
|
|
$rawGender = strtolower(trim((string) ($patient['gender'] ?? '')));
|
|
$genderCode = match ($rawGender) {
|
|
'2', 'f', 'female' => 'F',
|
|
'1', 'm', 'male' => 'M',
|
|
'3', 'o', 'other' => 'O',
|
|
default => 'F',
|
|
};
|
|
$pFname = trim((string) ($patient['p_fname'] ?? ''));
|
|
$pLname = trim((string) ($patient['p_lname'] ?? ''));
|
|
$cleanPatientName = trim($pFname . ($pLname !== '' && $pLname !== '0' && strcasecmp($pLname, 'NA') !== 0 ? ' ' . $pLname : ''));
|
|
|
|
$connector = \App\Libraries\Abdm\AbdmConnectorFactory::make();
|
|
$pushPayload = [
|
|
'patient_id' => (string) $patientId,
|
|
'patient_ref' => (string) ($patient['p_code'] ?? ('P' . $patientId)),
|
|
'local_patient_id' => (string) ($patient['p_code'] ?? ('P' . $patientId)),
|
|
'patient_name' => $cleanPatientName !== '' ? $cleanPatientName : 'Patient',
|
|
'gender' => $genderCode,
|
|
'abha_id' => (string) ($patient['abha_id'] ?? ''),
|
|
'abha_address' => (string) ($patient['abha_address'] ?? ''),
|
|
'year_of_birth' => ! empty($patient['dob']) ? date('Y', strtotime((string) $patient['dob'])) : null,
|
|
'hi_type' => 'WellnessRecord',
|
|
'record_type' => 'WellnessRecord',
|
|
'visit_date' => date('Y-m-d', strtotime($recordedAt)),
|
|
'care_context_reference' => $careContextRef,
|
|
'care_context_display' => 'Wellness Record - ' . date('d M Y', strtotime($recordedAt)),
|
|
'notes' => 'Wellness and Vitals Record',
|
|
'queue_id' => $careContextRef,
|
|
'record_data' => ! empty($fhirBundle) ? $fhirBundle : json_decode((string) ($fhirBundleJson ?? '{}'), true),
|
|
];
|
|
$pushRes = $connector->pushRecord($pushPayload);
|
|
$pushOk = (int) ($pushRes['ok'] ?? 0);
|
|
$httpCode = (int) ($pushRes['http_code'] ?? 0);
|
|
$statusVal = strtolower((string) ($pushRes['status'] ?? ''));
|
|
|
|
if ($pushOk === 1 || in_array($httpCode, [200, 201, 202, 409], true) || in_array($statusVal, ['queued', 'pushed', 'linked'], true)) {
|
|
$pushStatus = 'queued';
|
|
$bridgeRecordId = (int) ($pushRes['record_id'] ?? 0);
|
|
$queueId = (string) ($pushRes['queue_id'] ?? '');
|
|
$pushMsg = ' & pushed to ABDM Bridge' . ($bridgeRecordId > 0 ? " (Record #{$bridgeRecordId})" : '');
|
|
} else {
|
|
$pushStatus = 'failed';
|
|
$pushMsg = ' (ABDM Bridge push pending: ' . ($pushRes['error_text'] ?? 'Connection error') . ')';
|
|
}
|
|
} catch (\Throwable $pe) {
|
|
log_message('warning', '[savePatientWellness] Bridge push error: ' . $pe->getMessage());
|
|
$pushStatus = 'failed';
|
|
}
|
|
}
|
|
|
|
// Update patient_wellness_records with push status & references
|
|
$db->table('patient_wellness_records')->where('id', $wellnessId)->update([
|
|
'care_context_reference' => $careContextRef,
|
|
'bridge_record_id' => $bridgeRecordId > 0 ? $bridgeRecordId : null,
|
|
'queue_id' => $queueId !== '' ? $queueId : null,
|
|
'abdm_status' => $pushStatus,
|
|
]);
|
|
|
|
// Update health_records
|
|
if ($healthRecordId > 0) {
|
|
$db->table('health_records')->where('id', $healthRecordId)->update([
|
|
'push_status' => $pushStatus,
|
|
'bridge_record_id' => $bridgeRecordId > 0 ? $bridgeRecordId : null,
|
|
'abdm_txn_id' => $queueId !== '' ? $queueId : null,
|
|
'push_at' => $pushStatus === 'queued' ? date('Y-m-d H:i:s') : null,
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
]);
|
|
}
|
|
|
|
// Create or refresh task in abdm_work_tasks
|
|
if ($db->tableExists('abdm_work_tasks')) {
|
|
try {
|
|
$taskService = new \App\Libraries\AbdmWorkTaskService();
|
|
$tId = $taskService->createOrRefreshTask(
|
|
'wellness_record_publish',
|
|
'patient_wellness_records',
|
|
'wellness',
|
|
(string) $wellnessId,
|
|
$patientId,
|
|
trim(($patient['p_fname'] ?? '') . ' ' . ($patient['p_lname'] ?? '')),
|
|
$effectiveAbha,
|
|
'submit',
|
|
[
|
|
'wellness_id' => $wellnessId,
|
|
'care_context_reference' => $careContextRef,
|
|
'bridge_record_id' => $bridgeRecordId,
|
|
'clinical_timestamp' => $recordedAt,
|
|
'trigger' => 'nursing.wellness_saved',
|
|
]
|
|
);
|
|
if ($pushStatus === 'queued' && $tId > 0) {
|
|
$db->table('abdm_work_tasks')->where('id', $tId)->update([
|
|
'status' => 'completed',
|
|
'last_action_result' => 'Pushed to ABDM Bridge (ID #' . $bridgeRecordId . ', Queue: ' . $queueId . ')',
|
|
'completed_at' => date('Y-m-d H:i:s'),
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
]);
|
|
}
|
|
} catch (\Throwable $te) {
|
|
log_message('warning', '[savePatientWellness] Task create error: ' . $te->getMessage());
|
|
}
|
|
}
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'message' => 'ABDM M2 Wellness & Vitals recorded' . $pushMsg,
|
|
'wellness_id' => $wellnessId,
|
|
'care_context_reference' => $careContextRef,
|
|
'abdm_push_status' => $pushStatus,
|
|
'bridge_record_id' => $bridgeRecordId,
|
|
'bmi' => $bmi,
|
|
]);
|
|
}
|
|
|
|
/**
|
|
* Get patient wellness & vitals history
|
|
* GET api/v1/nursing/patient/wellness/history/(:num)
|
|
*/
|
|
public function getPatientWellnessHistory(int $patientId)
|
|
{
|
|
$db = db_connect();
|
|
$records = $db->table('patient_wellness_records')
|
|
->where('patient_id', $patientId)
|
|
->orderBy('recorded_at', 'DESC')
|
|
->limit(30)
|
|
->get()
|
|
->getResultArray();
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'patient_id' => $patientId,
|
|
'records' => $records,
|
|
]);
|
|
}
|
|
|
|
/**
|
|
* Save ABDM M2 Health Document from scan/camera for any registered patient
|
|
* POST api/v1/nursing/patient/document/save
|
|
*/
|
|
public function savePatientDocument()
|
|
{
|
|
$db = db_connect();
|
|
$post = $this->request->getPost();
|
|
if (empty($post)) {
|
|
try {
|
|
$post = $this->request->getJSON(true) ?? [];
|
|
} catch (\Throwable $e) {
|
|
$raw = $this->request->getBody();
|
|
$post = is_string($raw) ? (json_decode($raw, true) ?? []) : [];
|
|
}
|
|
}
|
|
|
|
$patientId = (int) ($post['patient_id'] ?? 0);
|
|
if ($patientId <= 0) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Patient ID required']);
|
|
}
|
|
|
|
$patient = $db->table('patient_master')->where('id', $patientId)->get()->getRowArray();
|
|
if (! $patient) {
|
|
return $this->response->setStatusCode(404)->setJSON(['status' => 0, 'message' => 'Patient record not found']);
|
|
}
|
|
|
|
$imageBase64 = $post['image_base64'] ?? null;
|
|
if (empty($imageBase64)) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Scanned document image required']);
|
|
}
|
|
|
|
$docCategory = trim((string) ($post['document_type'] ?? 'Health Document'));
|
|
$nurseName = trim((string) ($post['nurse_name'] ?? 'Staff Nurse'));
|
|
$nurseId = (int) ($post['nurse_id'] ?? 0);
|
|
$docDate = trim((string) ($post['document_date'] ?? date('Y-m-d')));
|
|
$remarks = trim((string) ($post['remarks'] ?? ''));
|
|
|
|
$imgData = $imageBase64;
|
|
$ext = 'jpg';
|
|
if (preg_match('/^data:image\/(\w+);base64,/', $imageBase64, $type)) {
|
|
$imgData = substr($imageBase64, strpos($imageBase64, ',') + 1);
|
|
$ext = strtolower($type[1]);
|
|
if ($ext === 'jpeg') $ext = 'jpg';
|
|
}
|
|
$imgData = str_replace(' ', '+', $imgData);
|
|
$binary = base64_decode($imgData);
|
|
|
|
if ($binary === false || strlen($binary) === 0) {
|
|
return $this->response->setStatusCode(422)->setJSON(['status' => 0, 'message' => 'Failed to process document image']);
|
|
}
|
|
|
|
$uploadDir = FCPATH . 'uploads/health_documents/';
|
|
if (! is_dir($uploadDir)) {
|
|
@mkdir($uploadDir, 0777, true);
|
|
}
|
|
$filename = 'abdm_m2_doc_p' . $patientId . '_' . time() . '_' . rand(100, 999) . '.' . $ext;
|
|
file_put_contents($uploadDir . $filename, $binary);
|
|
$imageUrl = '/uploads/health_documents/' . $filename;
|
|
|
|
// Map to ABDM HI Type
|
|
$hiType = 'HealthDocumentRecord';
|
|
$catLower = strtolower($docCategory);
|
|
if (str_contains($catLower, 'presc')) {
|
|
$hiType = 'PrescriptionRecord';
|
|
} elseif (str_contains($catLower, 'diag') || str_contains($catLower, 'lab') || str_contains($catLower, 'report')) {
|
|
$hiType = 'DiagnosticReport';
|
|
} elseif (str_contains($catLower, 'discharg')) {
|
|
$hiType = 'DischargeSummary';
|
|
} elseif (str_contains($catLower, 'immun')) {
|
|
$hiType = 'ImmunizationRecord';
|
|
}
|
|
|
|
// Register in file_upload_data for HMS Scan Doc List popup first
|
|
$fileUploadId = $this->registerFileUploadData([
|
|
'filename' => $filename,
|
|
'public_path' => $imageUrl,
|
|
'p_id' => $patientId,
|
|
'upload_by' => $nurseName,
|
|
'doc_type' => $docCategory,
|
|
'file_size_kb' => round(strlen($binary) / 1024, 2),
|
|
]);
|
|
|
|
$cleanDate = date('Ymd', strtotime($docDate));
|
|
$careContextRef = 'DOC-file-' . ($fileUploadId > 0 ? $fileUploadId : time()) . '-' . $cleanDate;
|
|
|
|
$healthRecordId = null;
|
|
if ($db->tableExists('health_records')) {
|
|
$db->table('health_records')->insert([
|
|
'patient_id' => $patientId,
|
|
'abha_id' => $patient['abha_id'] ?? null,
|
|
'hi_type' => $hiType,
|
|
'entity_type' => 'patient_document',
|
|
'entity_id' => (string) ($fileUploadId > 0 ? $fileUploadId : time()),
|
|
'attachment_path' => $imageUrl,
|
|
'push_status' => 'pending',
|
|
'care_context_reference' => $careContextRef,
|
|
'record_data' => json_encode([
|
|
'category' => $docCategory,
|
|
'document_date' => $docDate,
|
|
'remarks' => $remarks,
|
|
'uploaded_by' => $nurseName,
|
|
'image_url' => $imageUrl,
|
|
'file_upload_id' => $fileUploadId,
|
|
]),
|
|
'created_by_name' => $nurseName,
|
|
'created_at' => date('Y-m-d H:i:s'),
|
|
'updated_at' => date('Y-m-d H:i:s'),
|
|
]);
|
|
$healthRecordId = $db->insertID();
|
|
}
|
|
|
|
return $this->response->setJSON([
|
|
'status' => 1,
|
|
'message' => 'ABDM M2 Health Document uploaded successfully',
|
|
'image_url' => $imageUrl,
|
|
'health_record_id' => $healthRecordId,
|
|
'hi_type' => $hiType,
|
|
'care_context_reference' => $careContextRef,
|
|
]);
|
|
}
|
|
}
|
|
|
|
|