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devsofttech_hms_ci4/app/Controllers/Ipd_discharge.php

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<?php
namespace App\Controllers;
use App\Controllers\BaseController;
use App\Models\IpdBillingModel;
use Mpdf\Mpdf;
use Mpdf\Output\Destination;
class Ipd_discharge extends BaseController
{
protected IpdBillingModel $ipdBillingModel;
public function __construct()
{
$this->ipdBillingModel = new IpdBillingModel();
helper(['form', 'age']);
}
private function dischargeTabUrl(int $ipdId): string
{
return site_url('billing/ipd/panel/' . $ipdId . '/tab/discharge-process');
}
private function requireAnyPermission(array $permissions)
{
if (! function_exists('auth')) {
return null;
}
$user = auth()->user();
if (! $user || ! method_exists($user, 'can')) {
return $this->response->setStatusCode(403)->setBody('Access denied');
}
foreach ($permissions as $permission) {
if ($user->can($permission)) {
return null;
}
}
return $this->response->setStatusCode(403)->setBody('Access denied');
}
private function getDischargeContent(int $ipdId): string
{
if (! $this->db->tableExists('ipd_discharge')) {
return '';
}
$row = $this->db->table('ipd_discharge')
->where('ipd_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
return (string) ($row['content'] ?? '');
}
private function ensureDischargeTemplateTable(): void
{
if ($this->db->tableExists('ipd_discharge_templates')) {
return;
}
$sql = "CREATE TABLE IF NOT EXISTS ipd_discharge_templates (
id INT NOT NULL AUTO_INCREMENT,
template_name VARCHAR(120) NOT NULL,
template_html LONGTEXT NOT NULL,
is_default TINYINT(1) NOT NULL DEFAULT 0,
status TINYINT(1) NOT NULL DEFAULT 1,
created_at DATETIME DEFAULT CURRENT_TIMESTAMP,
updated_at DATETIME DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
PRIMARY KEY (id)
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4";
$this->db->query($sql);
}
private function defaultDischargeTemplateHtml(): string
{
return '<h3 style="margin:0 0 8px 0;">Discharge Summary</h3>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">'
. '<tr>'
. '<td><b>Patient</b>: {{PATIENT_NAME}}</td>'
. '<td><b>UHID</b>: {{UHID}}</td>'
. '<td><b>IPD</b>: {{IPD_CODE}}</td>'
. '</tr>'
. '<tr>'
. '<td><b>Age/Gender</b>: {{AGE_GENDER}}</td>'
. '<td><b>Admit Date</b>: {{ADMIT_DATE}}</td>'
. '<td><b>Discharge Date</b>: {{DISCHARGE_DATE}}</td>'
. '</tr>'
. '</table>'
. '<div>{{CONTENT}}</div>';
}
private function nabhDischargeTemplateHtml(): string
{
return '<h2 style="margin:0 0 10px 0;text-align:center;">DISCHARGE SUMMARY</h2>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">'
. '<tr>'
. '<td><b>Patient Name</b>: {{PATIENT_NAME}}</td>'
. '<td><b>UHID</b>: {{UHID}}</td>'
. '<td><b>IPD No.</b>: {{IPD_CODE}}</td>'
. '</tr>'
. '<tr>'
. '<td><b>Age/Gender</b>: {{AGE_GENDER}}</td>'
. '<td><b>Date of Admission</b>: {{ADMIT_DATE}}</td>'
. '<td><b>Date of Discharge</b>: {{DISCHARGE_DATE}}</td>'
. '</tr>'
. '<tr>'
. '<td colspan="3"><b>Prepared On</b>: {{CURRENT_DATE}}</td>'
. '</tr>'
. '</table>'
. '<div style="font-size:11px;color:#334155;margin-bottom:10px;">'
. 'NABH guidance note: Ensure diagnosis, procedures, clinical course, condition at discharge, medication with dose/duration, follow-up advice, red-flag signs, and emergency contact are documented.'
. '</div>'
. '<div style="margin-bottom:10px;">{{CONTENT}}</div>'
. '<h4 style="margin:12px 0 6px 0;">Counselling & Handover Confirmation</h4>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">'
. '<tr><td style="width:32%;">Medication explained to patient/attendant</td><td style="width:8%;"></td><td style="width:60%;">Remarks:</td></tr>'
. '<tr><td>Follow-up date and department explained</td><td></td><td>Next Visit: __________________</td></tr>'
. '<tr><td>Red-flag symptoms explained</td><td></td><td>Emergency Contact: __________________</td></tr>'
. '<tr><td>Diet and activity instructions explained</td><td></td><td></td></tr>'
. '</table>'
. '<table style="width:100%;border-collapse:collapse;margin-top:20px;" border="1" cellpadding="10">'
. '<tr>'
. '<td style="width:33%;vertical-align:bottom;">____________________<br>Consultant Name/Signature</td>'
. '<td style="width:33%;vertical-align:bottom;">____________________<br>Medical Officer Signature</td>'
. '<td style="width:34%;vertical-align:bottom;">____________________<br>Patient/Attendant Signature & Date</td>'
. '</tr>'
. '</table>';
}
private function ensureDefaultDischargeTemplateSeeded(): void
{
$this->ensureDischargeTemplateTable();
if (! $this->db->tableExists('ipd_discharge_templates')) {
return;
}
$table = $this->db->table('ipd_discharge_templates');
$count = (int) ($table->countAllResults() ?? 0);
if ($count === 0) {
$table->insert([
'template_name' => 'Default Discharge Template',
'template_html' => $this->defaultDischargeTemplateHtml(),
'is_default' => 1,
'status' => 1,
]);
}
$nabhExists = $this->db->table('ipd_discharge_templates')
->where('template_name', 'NABH Compliant Discharge Summary')
->get(1)
->getRowArray();
if (empty($nabhExists)) {
$table->insert([
'template_name' => 'NABH Compliant Discharge Summary',
'template_html' => $this->nabhDischargeTemplateHtml(),
'is_default' => 0,
'status' => 1,
]);
}
}
private function getDischargeTemplateRows(): array
{
$this->ensureDefaultDischargeTemplateSeeded();
if (! $this->db->tableExists('ipd_discharge_templates')) {
return [];
}
return $this->db->table('ipd_discharge_templates')
->select('id,template_name,template_html,is_default,status')
->where('status', 1)
->orderBy('is_default', 'DESC')
->orderBy('id', 'ASC')
->get()
->getResultArray();
}
private function applyDischargeTemplate(string $content, array $panelData, ?int $requestedTemplateId = null): array
{
$templates = $this->getDischargeTemplateRows();
$selectedTemplate = null;
if ($requestedTemplateId !== null && $requestedTemplateId > 0) {
foreach ($templates as $row) {
if ((int) ($row['id'] ?? 0) === $requestedTemplateId) {
$selectedTemplate = $row;
break;
}
}
}
if ($selectedTemplate === null) {
foreach ($templates as $row) {
if ((int) ($row['is_default'] ?? 0) === 1) {
$selectedTemplate = $row;
break;
}
}
}
if ($selectedTemplate === null && ! empty($templates)) {
$selectedTemplate = $templates[0];
}
$templateHtml = (string) ($selectedTemplate['template_html'] ?? '{{CONTENT}}');
if (trim($templateHtml) === '') {
$templateHtml = '{{CONTENT}}';
}
if (strpos($templateHtml, '{{CONTENT}}') === false) {
$templateHtml .= "\n{{CONTENT}}";
}
$ipd = $panelData['ipd_info'] ?? null;
$person = $panelData['person_info'] ?? null;
$patientName = trim((string) ($person->p_fname ?? ''));
$patientCode = trim((string) (
$person->uhid
?? $person->UHID
?? $person->patient_code
?? $person->p_code
?? $person->reg_no
?? ''
));
$age = get_age_1($person->dob ?? null, $person->age ?? '', $person->age_in_month ?? '', $person->estimate_dob ?? '');
$ageGender = trim($age . ' / ' . ((string) ($person->xgender ?? '')));
$replacements = [
'{{CONTENT}}' => $content,
'{{PATIENT_NAME}}' => esc($patientName),
'{{UHID}}' => esc($patientCode),
'{{IPD_CODE}}' => esc((string) ($ipd->ipd_code ?? '')),
'{{AGE_GENDER}}' => esc($ageGender),
'{{ADMIT_DATE}}' => esc((string) ($ipd->str_register_date ?? '')),
'{{DISCHARGE_DATE}}' => esc((string) ($ipd->str_discharge_date ?? '')),
'{{CURRENT_DATE}}' => esc(date('d-m-Y')),
];
$rendered = strtr($templateHtml, $replacements);
return [
'rendered_html' => $rendered,
'templates' => $templates,
'selected_template_id' => (int) ($selectedTemplate['id'] ?? 0),
'selected_template_name' => (string) ($selectedTemplate['template_name'] ?? ''),
];
}
private function currentUserLabel(): string
{
if (! function_exists('auth')) {
return 'system';
}
$user = auth()->user();
if (! $user) {
return 'system';
}
$name = (string) ($user->username ?? $user->email ?? '');
if ($name !== '') {
return $name;
}
return 'user-' . (string) ($user->id ?? 0);
}
private function saveDischargeContent(int $ipdId, string $content): bool
{
try {
if ($this->db->tableExists('ipd_master') && $this->db->fieldExists('ipd_create', 'ipd_master')) {
$this->db->table('ipd_master')
->where('id', $ipdId)
->update(['ipd_create' => 1]);
}
if (! $this->db->tableExists('ipd_discharge') || ! $this->db->fieldExists('content', 'ipd_discharge')) {
return false;
}
$builder = $this->db->table('ipd_discharge');
$existing = $builder
->where('ipd_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
if (! empty($existing['id'])) {
return (bool) $builder
->where('id', (int) $existing['id'])
->update(['content' => $content]);
}
$insert = [
'ipd_id' => $ipdId,
'content' => $content,
];
// Legacy schema has NOT NULL columns without defaults.
$userLabel = substr($this->currentUserLabel(), 0, 50);
if ($this->db->fieldExists('created_by', 'ipd_discharge')) {
$insert['created_by'] = $userLabel;
}
if ($this->db->fieldExists('checked_by', 'ipd_discharge')) {
$insert['checked_by'] = $userLabel;
}
if ($this->db->fieldExists('created_datetime', 'ipd_discharge')) {
$insert['created_datetime'] = date('Y-m-d H:i:s');
}
if ($this->db->fieldExists('ipd_discharge_print', 'ipd_discharge')) {
$insert['ipd_discharge_print'] = 0;
}
return (bool) $builder->insert($insert);
} catch (\Throwable $e) {
log_message('error', 'Discharge content save failed for IPD {ipd}: {msg}', [
'ipd' => $ipdId,
'msg' => $e->getMessage(),
]);
return false;
}
}
private function tableHasColumns(string $table, array $columns): bool
{
if (! $this->db->tableExists($table)) {
return false;
}
foreach ($columns as $column) {
if (! $this->db->fieldExists($column, $table)) {
return false;
}
}
return true;
}
private function getCurrentUserId(): int
{
if (! function_exists('auth')) {
return 0;
}
$user = auth()->user();
if (! $user) {
return 0;
}
return max(0, (int) ($user->id ?? 0));
}
private function isNarrativeTemplateSectionAllowed(string $section): bool
{
return in_array($section, ['diagnosis_remark', 'course_remark'], true);
}
private function narrativeSectionTable(string $section): ?string
{
$map = [
'diagnosis_remark' => 'ipd_discharge_diagnosis_remark',
'course_remark' => 'ipd_discharge_course_remark',
];
return $map[$section] ?? null;
}
private function ensureDischargeNarrativeTemplateTable(): bool
{
if ($this->db->tableExists('ipd_discharge_narrative_templates')) {
return true;
}
try {
$sql = "CREATE TABLE IF NOT EXISTS ipd_discharge_narrative_templates (
id INT AUTO_INCREMENT PRIMARY KEY,
doc_id INT NOT NULL DEFAULT 0,
section_key VARCHAR(80) NOT NULL,
template_name VARCHAR(120) NOT NULL,
template_text LONGTEXT NOT NULL,
is_active TINYINT(1) NOT NULL DEFAULT 1,
created_at DATETIME NULL,
updated_at DATETIME NULL,
UNIQUE KEY uniq_doc_section_name (doc_id, section_key, template_name),
INDEX idx_section_doc (section_key, doc_id)
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4";
$this->db->query($sql);
} catch (\Throwable $e) {
return false;
}
return $this->db->tableExists('ipd_discharge_narrative_templates');
}
private function getPatientIdFromIpd(int $ipdId): int
{
if ($ipdId <= 0 || ! $this->tableHasColumns('ipd_master', ['id', 'p_id'])) {
return 0;
}
$row = $this->db->table('ipd_master')
->select('p_id')
->where('id', $ipdId)
->get(1)
->getRowArray();
return max(0, (int) ($row['p_id'] ?? 0));
}
public function section_past_data()
{
$section = trim((string) $this->request->getGet('section'));
$ipdId = (int) $this->request->getGet('ipd_id');
if ($ipdId <= 0 || ! $this->isNarrativeTemplateSectionAllowed($section)) {
return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Past data not found']);
}
$table = $this->narrativeSectionTable($section);
if ($table === null || ! $this->tableHasColumns($table, ['ipd_id', 'comp_remark'])) {
return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Past data column missing']);
}
$patientId = $this->getPatientIdFromIpd($ipdId);
if ($patientId <= 0) {
return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Patient not found']);
}
$row = $this->db->table($table . ' r')
->select('r.comp_remark as section_text,r.ipd_id')
->join('ipd_master m', 'm.id = r.ipd_id', 'inner')
->where('m.p_id', $patientId)
->where('r.ipd_id !=', $ipdId)
->where('r.comp_remark IS NOT NULL', null, false)
->where('r.comp_remark !=', '')
->orderBy('r.id', 'DESC')
->get(1)
->getRowArray();
if (empty($row)) {
return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'No past data found']);
}
return $this->response->setJSON([
'update' => 1,
'past_text' => (string) ($row['section_text'] ?? ''),
'past_ipd_id' => (int) ($row['ipd_id'] ?? 0),
'error_text' => 'Past data loaded',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
public function section_template_save()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
$section = trim((string) $this->request->getPost('section'));
$templateName = trim((string) $this->request->getPost('template_name'));
$templateText = trim((string) $this->request->getPost('template_text'));
$templateScope = strtolower(trim((string) $this->request->getPost('template_scope')));
if ($templateName === '' || $templateText === '') {
return $this->response->setJSON(['update' => 0, 'error_text' => 'Template name and text are required']);
}
if (! $this->isNarrativeTemplateSectionAllowed($section)) {
return $this->response->setJSON(['update' => 0, 'error_text' => 'Unsupported section']);
}
if (! $this->ensureDischargeNarrativeTemplateTable()) {
return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to access template storage']);
}
$docId = $templateScope === 'master' ? 0 : $this->getCurrentUserId();
$table = $this->db->table('ipd_discharge_narrative_templates');
$existing = $table
->where('doc_id', $docId)
->where('section_key', $section)
->where('template_name', $templateName)
->where('is_active', 1)
->get(1)
->getRowArray();
$now = date('Y-m-d H:i:s');
if (! empty($existing)) {
$table->where('id', (int) ($existing['id'] ?? 0))->update([
'template_text' => $templateText,
'updated_at' => $now,
]);
} else {
$table->insert([
'doc_id' => $docId,
'section_key' => $section,
'template_name' => $templateName,
'template_text' => $templateText,
'is_active' => 1,
'created_at' => $now,
'updated_at' => $now,
]);
}
return $this->response->setJSON([
'update' => 1,
'error_text' => $docId === 0 ? 'Master template saved' : 'My template saved',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
public function section_template_list()
{
$section = trim((string) $this->request->getGet('section'));
if (! $this->isNarrativeTemplateSectionAllowed($section)) {
return $this->response->setJSON(['rows' => []]);
}
if (! $this->ensureDischargeNarrativeTemplateTable()) {
return $this->response->setJSON(['rows' => []]);
}
$docId = $this->getCurrentUserId();
$rows = $this->db->table('ipd_discharge_narrative_templates')
->select('id,template_name,template_text,doc_id,section_key')
->where('section_key', $section)
->where('is_active', 1)
->groupStart()
->where('doc_id', $docId)
->orWhere('doc_id', 0)
->groupEnd()
->orderBy('doc_id', 'DESC')
->orderBy('template_name', 'ASC')
->limit(100)
->get()
->getResultArray();
return $this->response->setJSON(['rows' => $rows]);
}
private function byIpdRows(string $table, array $columns = ['*'], string $orderBy = 'id ASC', int $ipdId = 0): array
{
if ($ipdId <= 0 || ! $this->tableHasColumns($table, ['ipd_id'])) {
return [];
}
$builder = $this->db->table($table)->where('ipd_id', $ipdId);
if ($columns !== ['*']) {
$builder->select(implode(',', $columns));
}
if ($orderBy !== '') {
$parts = explode(' ', trim($orderBy));
$field = $parts[0] ?? 'id';
$dir = strtoupper($parts[1] ?? 'ASC');
$builder->orderBy($field, $dir === 'DESC' ? 'DESC' : 'ASC');
}
return $builder->get()->getResultArray();
}
private function safeDate(?string $dateValue): string
{
$value = trim((string) $dateValue);
if ($value === '' || $value === '0000-00-00' || $value === '1901-01-01') {
return '';
}
$ts = strtotime($value);
if ($ts === false) {
return '';
}
return date('d-m-Y', $ts);
}
private function normalizeRichText(string $raw): string
{
$value = trim($raw);
if ($value === '') {
return '';
}
$value = preg_replace('/<\s*br\s*\/?\s*>/i', "\n", $value) ?? $value;
$value = preg_replace('/<\s*\/\s*p\s*>/i', "\n", $value) ?? $value;
$value = preg_replace('/<\s*p\b[^>]*>/i', '', $value) ?? $value;
$value = html_entity_decode(strip_tags($value), ENT_QUOTES | ENT_HTML5, 'UTF-8');
$value = preg_replace('/\r\n?|\n/', "\n", $value) ?? $value;
$value = preg_replace('/\n{3,}/', "\n\n", $value) ?? $value;
return trim($value);
}
private function addListSection(array &$sections, string $title, array $rows): void
{
if (empty($rows)) {
return;
}
$html = '<h4 style="margin:16px 0 8px 0;">' . esc($title) . '</h4><ul style="margin:0 0 10px 20px;">';
foreach ($rows as $row) {
$report = trim((string) ($row['comp_report'] ?? ''));
$remark = trim((string) ($row['comp_remark'] ?? ''));
if ($report === '' && $remark === '') {
continue;
}
$line = esc($report);
if ($remark !== '') {
$line .= ' <span style="color:#475569;">(' . esc($remark) . ')</span>';
}
$html .= '<li>' . $line . '</li>';
}
$html .= '</ul>';
$sections[] = $html;
}
private function buildAutoDischargeContent(int $ipdId, array $panelData): string
{
$ipd = $panelData['ipd_info'] ?? null;
$person = $panelData['person_info'] ?? null;
$patientName = trim((string) ($person->p_fname ?? ''));
$patientCode = trim((string) (
$person->uhid
?? $person->UHID
?? $person->patient_code
?? $person->p_code
?? $person->reg_no
?? ''
));
$patientId = (int) ($person->id ?? 0);
$opdHistory = $this->getLatestOpdHistorySnapshot($patientId);
$instructionRowForMeta = $this->firstRowByIpd('ipd_discharge_instructions', $ipdId);
$instructionMetaForPreview = $this->parseInstructionMetaPayload((string) ($instructionRowForMeta['comp_report'] ?? ''));
if (empty($instructionMetaForPreview['food_ids'])
&& $this->tableHasColumns('ipd_discharge_drug_food_interaction', ['ipd_id', 'food_id_list'])) {
$legacyFoodRow = $this->firstRowByIpd('ipd_discharge_drug_food_interaction', $ipdId);
$instructionMetaForPreview['food_ids'] = $this->parseFoodIdCsv((string) ($legacyFoodRow['food_id_list'] ?? ''));
}
$instructionNabh = is_array($instructionMetaForPreview['nabh'] ?? null) ? ($instructionMetaForPreview['nabh'] ?? []) : [];
foreach (['drug_allergy_status', 'drug_allergy_details', 'adr_history', 'current_medications', 'co_morbidities', 'hpi_note', 'women_lmp', 'women_last_baby', 'women_pregnancy_related', 'women_related_problems'] as $field) {
if (trim((string) ($opdHistory[$field] ?? '')) === '' && trim((string) ($instructionNabh[$field] ?? '')) !== '') {
$opdHistory[$field] = trim((string) ($instructionNabh[$field] ?? ''));
}
}
$sections = [];
$complaints = $this->byIpdRows('ipd_discharge_complaint', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$this->addListSection($sections, 'Presenting Complaints and Reason for Admission', $complaints);
$complaintRemark = $this->firstRowByIpd('ipd_discharge_complaint_remark', $ipdId);
$complaintRemarkText = $this->normalizeRichText((string) ($complaintRemark['comp_remark'] ?? ''));
if ($complaintRemarkText !== '') {
$sections[] = '<div>' . nl2br(esc($complaintRemarkText)) . '</div>';
}
$complaintMeta = $this->parseComplaintMetaPayload((string) ($complaintRemark['comp_report'] ?? ''));
$painValue = (string) ($complaintMeta['pain_value'] ?? '');
$painLabel = $this->painScaleLabel($painValue);
if ($painLabel !== '') {
$sections[] = '<div><b>Pain Measurement Scale:</b> ' . esc($painLabel) . ' (' . esc($painValue) . ')</div>';
} elseif ((string) ($opdHistory['pain_label'] ?? '') !== '') {
$opdPainLabel = (string) ($opdHistory['pain_label'] ?? '');
$opdPainValue = (string) ($opdHistory['pain_value'] ?? '');
$sections[] = '<div><b>Pain Measurement Scale:</b> ' . esc($opdPainLabel)
. ($opdPainValue !== '' ? ' (' . esc($opdPainValue) . ')' : '')
. '</div>';
}
$physicalExamRows = $this->getPhysicalExamRows($ipdId);
$generalRowsRaw = $physicalExamRows['general_all'] ?? [];
$generalRows = [];
foreach ($generalRowsRaw as $row) {
$value = trim((string) ($row['value'] ?? ''));
if ($value === '') {
continue;
}
$generalRows[] = $row;
}
if (! empty($generalRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">General Examination on Admission</h4>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">';
$col = 0;
$perRow = 4;
foreach ($generalRows as $row) {
if ($col % $perRow === 0) {
$html .= '<tr>';
}
$label = (string) ($row['label'] ?? '');
$value = trim((string) ($row['value'] ?? ''));
$unit = trim((string) ($row['unit'] ?? ''));
$html .= '<td><b>' . esc($label) . ':</b> ' . esc($value);
if ($unit !== '') {
$html .= ' ' . esc($unit);
}
$html .= '</td>';
if ($col % $perRow === $perRow - 1) {
$html .= '</tr>';
}
$col++;
}
while ($col % $perRow !== 0) {
$html .= '<td>&nbsp;</td>';
if ($col % $perRow === $perRow - 1) {
$html .= '</tr>';
}
$col++;
}
$html .= '</table>';
$sections[] = $html;
}
$sysRows = $physicalExamRows['systemic'] ?? [];
$sysHtml = '';
foreach ($sysRows as $row) {
$value = $this->normalizeRichText((string) ($row['value'] ?? ''));
if ($value === '') {
continue;
}
$sysHtml .= '<div style="margin-bottom:6px;">' . nl2br(esc($value)) . '</div>';
}
if ($sysHtml !== '') {
$sections[] = '<h4 style="margin:16px 0 8px 0;">Other / Systemic Examinations</h4>' . $sysHtml;
}
$personalHistory = [];
if ($patientId > 0 && $this->db->tableExists('patient_master')) {
$patientRow = $this->db->table('patient_master')->where('id', $patientId)->get(1)->getRowArray() ?? [];
$historyMap = [
'is_smoking' => 'Smoking',
'is_alcohol' => 'Alcohol',
'is_drug_abuse' => 'Drug abuse',
'is_tobacoo' => 'Tobacco',
'is_hypertesion' => 'Hypertension',
'is_niddm' => 'Type 2 diabetes mellitus (DM)',
'is_hbsag' => 'HBsAg',
'is_hcv' => 'HCV',
'is_hiv_I_II' => 'HIV I & II',
'Others' => 'Others',
];
foreach ($historyMap as $field => $label) {
if ((int) ($patientRow[$field] ?? 0) === 1) {
$personalHistory[] = $label;
}
}
}
if (! empty($personalHistory)) {
$sections[] = '<h4 style="margin:16px 0 8px 0;">Personal History</h4><div>' . esc(implode(', ', $personalHistory)) . '</div>';
}
$allergyLines = [];
if ((string) ($opdHistory['drug_allergy_status'] ?? '') !== '') {
$allergyLines[] = '<div><b>Drug Allergy Status:</b> ' . esc((string) ($opdHistory['drug_allergy_status'] ?? '')) . '</div>';
}
if ((string) ($opdHistory['drug_allergy_details'] ?? '') !== '') {
$allergyLines[] = '<div><b>Drug Allergy Details:</b> ' . esc((string) ($opdHistory['drug_allergy_details'] ?? '')) . '</div>';
}
if ((string) ($opdHistory['adr_history'] ?? '') !== '') {
$allergyLines[] = '<div><b>ADR History:</b> ' . esc((string) ($opdHistory['adr_history'] ?? '')) . '</div>';
}
if ((string) ($opdHistory['current_medications'] ?? '') !== '') {
$allergyLines[] = '<div><b>Current Medications:</b> ' . esc((string) ($opdHistory['current_medications'] ?? '')) . '</div>';
}
if (! empty($allergyLines)) {
$sections[] = '<h4 style="margin:16px 0 8px 0;">Drug Allergy / ADR</h4>' . implode('', $allergyLines);
}
$coMorbText = trim((string) ($opdHistory['co_morbidities'] ?? ''));
if ($coMorbText !== '') {
$sections[] = '<h4 style="margin:16px 0 8px 0;">Co-Morbidities</h4><div>' . esc($coMorbText) . '</div>';
}
$admitDate = $this->normalizeDateValue((string) ($ipd->register_date ?? '')) ?? '';
$dischargeDate = $this->normalizeDateValue((string) ($ipd->discharge_date ?? '')) ?? date('Y-m-d');
$savedClinicalDates = $this->getSavedClinicalLabDates($ipdId);
$clinicalLabRows = $this->getClinicalInvestigationLabRows($patientId, $admitDate, $dischargeDate, $savedClinicalDates);
$effectiveClinicalDates = $savedClinicalDates;
if (empty($effectiveClinicalDates)) {
foreach ($clinicalLabRows as $row) {
$dt = $this->normalizeDateValue((string) ($row['inv_date'] ?? ''));
if ($dt !== null) {
$effectiveClinicalDates[$dt] = $dt;
}
}
$effectiveClinicalDates = array_values($effectiveClinicalDates);
}
$pathologyMatrix = $this->getClinicalPathologyMatrixRows($patientId, $effectiveClinicalDates);
$selectedLabRows = [];
foreach ($clinicalLabRows as $row) {
if (! empty($savedClinicalDates)) {
if (! empty($row['checked'])) {
$selectedLabRows[] = $row;
}
continue;
}
// No saved selection yet: include all available pathology dates as fallback.
$selectedLabRows[] = $row;
}
$otherExamRow = [];
if ($this->tableHasColumns('ipd_discharge_2', ['ipd_d_id'])) {
$otherExamRow = $this->db->table('ipd_discharge_2')
->where('ipd_d_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray() ?? [];
}
$otherExamParsed = $this->parseClinicalOtherExamPayload((string) ($otherExamRow['rdata'] ?? ''));
$nonPathRows = $this->getClinicalNonPathReportRows($patientId, $admitDate, $dischargeDate, $otherExamParsed['non_path_ids'] ?? []);
$selectedNonPathRows = [];
foreach ($nonPathRows as $row) {
if (! empty($row['checked'])) {
$selectedNonPathRows[] = $row;
}
}
if (! empty($pathologyMatrix['rows']) || ! empty($selectedLabRows) || ! empty($selectedNonPathRows) || trim((string) ($otherExamParsed['text'] ?? '')) !== '') {
$html = '<h4 style="margin:16px 0 8px 0;">Clinical Investigation Reports</h4>';
if (! empty($pathologyMatrix['rows'])) {
$html .= '<div><b>In-Hospital Lab:</b></div>'
. '<table style="width:100%;border-collapse:collapse;margin:4px 0 8px 0;" border="1" cellpadding="6">'
. '<tr>'
. '<th style="text-align:left;">Test</th>'
. '<th style="text-align:left;">Fixed Normals</th>';
foreach (($pathologyMatrix['dates'] ?? []) as $dt) {
$html .= '<th style="text-align:left;">' . esc((string) ($pathologyMatrix['date_labels'][$dt] ?? $dt)) . '</th>';
}
$html .= '</tr>';
foreach (($pathologyMatrix['rows'] ?? []) as $row) {
$html .= '<tr>'
. '<td>' . esc((string) ($row['test_name'] ?? '')) . '</td>'
. '<td>' . esc((string) ($row['fixed_normals'] ?? '')) . '</td>';
foreach (($pathologyMatrix['dates'] ?? []) as $dt) {
$html .= '<td>' . esc((string) ($row['values'][$dt] ?? '')) . '</td>';
}
$html .= '</tr>';
}
$html .= '</table>';
} elseif (! empty($selectedLabRows)) {
// Fallback when value-matrix cannot be built from current schema/data.
$html .= '<div><b>In-Hospital Lab:</b></div><ul style="margin:4px 0 8px 20px;">';
foreach ($selectedLabRows as $row) {
$html .= '<li>[' . esc((string) ($row['inv_date_label'] ?? '')) . '] ' . esc((string) ($row['test_list'] ?? '')) . '</li>';
}
$html .= '</ul>';
}
if (! empty($selectedNonPathRows)) {
$html .= '<div><b>X-Ray / ECG / Sonography / CT / MRI:</b></div><ul style="margin:4px 0 8px 20px;">';
foreach ($selectedNonPathRows as $row) {
$html .= '<li>[' . esc((string) ($row['report_date_label'] ?? '')) . '] '
. esc((string) ($row['modality'] ?? ''))
. ' - ' . esc((string) ($row['report_name'] ?? ''));
$impression = trim((string) ($row['impression'] ?? ''));
if ($impression !== '') {
$html .= '<br><span style="color:#475569;">Impression: ' . nl2br(esc($impression)) . '</span>';
}
$html .= '</li>';
}
$html .= '</ul>';
}
$otherExamText = $this->normalizeRichText((string) ($otherExamParsed['text'] ?? ''));
if ($otherExamText !== '') {
$html .= '<div><b>Other Examinations / Provisional Diagnosis:</b><br>' . nl2br(esc($otherExamText)) . '</div>';
}
$sections[] = $html;
}
$diagnosis = $this->byIpdRows('ipd_discharge_diagnosis', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$this->addListSection($sections, 'Final Diagnosis', $diagnosis);
$diagnosisRemark = $this->firstRowByIpd('ipd_discharge_diagnosis_remark', $ipdId);
$diagnosisRemarkText = $this->normalizeRichText((string) ($diagnosisRemark['comp_remark'] ?? ''));
if ($diagnosisRemarkText !== '') {
$sections[] = '<div>' . nl2br(esc($diagnosisRemarkText)) . '</div>';
}
$inhosRow = $this->firstRowByIpd('ipd_discharge_investigtions_inhos', $ipdId);
$inhosRemark = $this->normalizeRichText((string) ($inhosRow['comp_remark'] ?? ''));
if ($inhosRemark !== '') {
$sections[] = '<h4 style="margin:16px 0 8px 0;">Summary of key investigations during Hospitalization</h4><div>'
. nl2br(esc($inhosRemark))
. '</div>';
}
$course = $this->byIpdRows('ipd_discharge_course', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$this->addListSection($sections, 'Course in the Hospital', $course);
$courseRemark = $this->firstRowByIpd('ipd_discharge_course_remark', $ipdId);
$courseRemarkText = $this->normalizeRichText((string) ($courseRemark['comp_remark'] ?? ''));
if ($courseRemarkText !== '') {
$sections[] = '<div>' . nl2br(esc($courseRemarkText)) . '</div>';
}
$nursingTrendSection = $this->buildNursingTrendSection($ipdId);
if ($nursingTrendSection !== '') {
$sections[] = $nursingTrendSection;
}
$dischargeExamRowsRaw = $this->getMappedColRows('ipd_discharge_general_exam_col', 'ipd_discharge_1_b_final', $ipdId, 'Discharge Condition', null);
$dischargeExamRows = [];
foreach ($dischargeExamRowsRaw as $row) {
$value = trim((string) ($row['value'] ?? ''));
if ($value === '') {
continue;
}
$dischargeExamRows[] = $row;
}
if (! empty($dischargeExamRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">Examination on Discharge</h4>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">';
$col = 0;
$perRow = 4;
foreach ($dischargeExamRows as $row) {
if ($col % $perRow === 0) {
$html .= '<tr>';
}
$label = (string) ($row['label'] ?? '');
$value = trim((string) ($row['value'] ?? ''));
$unit = trim((string) ($row['unit'] ?? ''));
$html .= '<td><b>' . esc($label) . ':</b> ' . esc($value);
if ($unit !== '') {
$html .= ' ' . esc($unit);
}
$html .= '</td>';
if ($col % $perRow === $perRow - 1) {
$html .= '</tr>';
}
$col++;
}
while ($col % $perRow !== 0) {
$html .= '<td>&nbsp;</td>';
if ($col % $perRow === $perRow - 1) {
$html .= '</tr>';
}
$col++;
}
$html .= '</table>';
$sections[] = $html;
}
$surgeryRows = $this->byIpdRows('ipd_discharge_surgery', ['surgery_name', 'surgery_date'], 'id ASC', $ipdId);
if (! empty($surgeryRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">Surgery</h4><ul style="margin:0 0 10px 20px;">';
foreach ($surgeryRows as $row) {
$name = trim((string) ($row['surgery_name'] ?? ''));
if ($name === '') {
continue;
}
$dateText = $this->safeDate((string) ($row['surgery_date'] ?? ''));
$html .= '<li>' . esc($name);
if ($dateText !== '') {
$html .= ' <span style="color:#475569;">(' . esc($dateText) . ')</span>';
}
$html .= '</li>';
}
$html .= '</ul>';
$sections[] = $html;
}
$procedureRows = $this->byIpdRows('ipd_discharge_procedure', ['procedure_name', 'procedure_date'], 'id ASC', $ipdId);
if (! empty($procedureRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">Procedure</h4><ul style="margin:0 0 10px 20px;">';
foreach ($procedureRows as $row) {
$name = trim((string) ($row['procedure_name'] ?? ''));
if ($name === '') {
continue;
}
$dateText = $this->safeDate((string) ($row['procedure_date'] ?? ''));
$html .= '<li>' . esc($name);
if ($dateText !== '') {
$html .= ' <span style="color:#475569;">(' . esc($dateText) . ')</span>';
}
$html .= '</li>';
}
$html .= '</ul>';
$sections[] = $html;
}
$drugRows = $this->byIpdRows('ipd_discharge_drug', ['drug_name', 'drug_dose', 'drug_day'], 'id ASC', $ipdId);
if (! empty($drugRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">Discharge Medications</h4><ol style="margin:0 0 10px 20px;">';
foreach ($drugRows as $row) {
$drugName = trim((string) ($row['drug_name'] ?? ''));
if ($drugName === '') {
continue;
}
$line = esc($drugName);
$dose = trim((string) ($row['drug_dose'] ?? ''));
$days = trim((string) ($row['drug_day'] ?? ''));
if ($dose !== '') {
$line .= ' <span style="color:#475569;">' . esc($dose) . '</span>';
}
if ($days !== '') {
$line .= ' <span style="color:#475569;">[' . esc($days) . ' days]</span>';
}
$html .= '<li>' . $line . '</li>';
}
$html .= '</ol>';
$sections[] = $html;
} else {
$medRows = $this->byIpdRows('ipd_discharge_prescrption_prescribed', ['med_name', 'med_type', 'qty', 'no_of_days', 'remark'], 'id ASC', $ipdId);
if (! empty($medRows)) {
$html = '<h4 style="margin:16px 0 8px 0;">Discharge Medications</h4>'
. '<table style="width:100%;border-collapse:collapse;margin-bottom:10px;" border="1" cellpadding="6">'
. '<tr><th style="width:40px;">#</th><th>Medicine</th><th style="width:90px;">Qty</th><th style="width:100px;">Days</th><th>Notes</th></tr>';
$sr = 1;
foreach ($medRows as $row) {
$medName = trim((string) ($row['med_name'] ?? ''));
if ($medName === '') {
continue;
}
$medType = trim((string) ($row['med_type'] ?? ''));
$label = trim($medType . ' ' . $medName);
$html .= '<tr>'
. '<td>' . $sr . '</td>'
. '<td>' . esc($label) . '</td>'
. '<td>' . esc((string) ($row['qty'] ?? '')) . '</td>'
. '<td>' . esc((string) ($row['no_of_days'] ?? '')) . '</td>'
. '<td>' . esc((string) ($row['remark'] ?? '')) . '</td>'
. '</tr>';
$sr++;
}
$html .= '</table>';
$sections[] = $html;
}
}
$instructions = $this->byIpdRows('ipd_discharge_instructions', ['comp_report', 'comp_remark', 'review_after', 'footer_text'], 'id DESC', $ipdId);
if (! empty($instructions)) {
$first = $instructions[0];
$html = '<h4 style="margin:16px 0 8px 0;">Discharge Advice/Instructions/Summary</h4>';
$instructionMeta = $this->parseInstructionMetaPayload((string) ($first['comp_report'] ?? ''));
$foodIds = is_array($instructionMeta['food_ids'] ?? null) ? ($instructionMeta['food_ids'] ?? []) : [];
if (empty($foodIds)
&& $this->tableHasColumns('ipd_discharge_drug_food_interaction', ['ipd_id', 'food_id_list'])) {
$legacyFoodRow = $this->firstRowByIpd('ipd_discharge_drug_food_interaction', $ipdId);
$foodIds = $this->parseFoodIdCsv((string) ($legacyFoodRow['food_id_list'] ?? ''));
}
$foodMap = [];
if (! empty($foodIds) && $this->tableHasColumns('ipd_discharge_master_food', ['id', 'food_short', 'food_desc'])) {
$rows = $this->db->table('ipd_discharge_master_food')
->select('id,food_short,food_desc,food_desc_lang')
->whereIn('id', array_map('intval', $foodIds))
->get()
->getResultArray();
foreach ($rows as $row) {
$foodMap[(int) ($row['id'] ?? 0)] = $row;
}
}
if (! empty($foodIds)) {
$html .= '<div style="margin-bottom:8px;"><strong>Dietary Advice:</strong></div>';
$html .= '<ol style="margin:0 0 10px 20px;">';
foreach ($foodIds as $foodId) {
$id = (int) $foodId;
$row = $foodMap[$id] ?? null;
if (! is_array($row)) {
continue;
}
$heading = trim((string) ($row['food_short'] ?? ''));
$line = trim((string) ($row['food_desc_lang'] ?? ''));
if ($line === '') {
$line = trim((string) ($row['food_desc'] ?? ''));
}
if ($line === '' && $heading === '') {
continue;
}
$entry = '';
if ($heading !== '') {
$entry .= '<strong>' . esc($heading) . ':</strong> ';
}
$entry .= esc($line !== '' ? $line : $heading);
$html .= '<li>' . $entry . '</li>';
}
$html .= '</ol>';
}
$otherText = trim((string) ($instructionMeta['other_text'] ?? ''));
if ($otherText !== '') {
$html .= '<div style="margin-bottom:8px;"><strong>Other Advice:</strong> ' . nl2br(esc($otherText)) . '</div>';
}
$remark = trim((string) ($first['comp_remark'] ?? ''));
if ($remark !== '') {
$html .= '<div>' . nl2br(esc($remark)) . '</div>';
}
$reviewAfter = trim((string) ($first['review_after'] ?? ''));
if ($reviewAfter !== '') {
$html .= '<div style="margin-top:6px;">Review after ' . esc($reviewAfter) . ' days / as and when required.</div>';
}
$footerText = trim((string) ($first['footer_text'] ?? ''));
if ($footerText !== '') {
$html .= '<div style="margin-top:6px;">' . nl2br(esc($footerText)) . '</div>';
}
$sections[] = $html;
}
$sections[] = '<table style="width:100%;border-collapse:collapse;margin-top:24px;" border="1" cellpadding="10">'
. '<tr>'
. '<td style="width:33%;vertical-align:bottom;">____________________<br>Signature of Consultant</td>'
. '<td style="width:33%;vertical-align:bottom;">____________________<br>Signature of Medical Officer</td>'
. '<td style="width:34%;vertical-align:bottom;">____________________<br>Signature of Receiver / Date</td>'
. '</tr>'
. '</table>';
return trim(implode("\n", $sections));
}
private function buildNursingTrendSection(int $ipdId): string
{
if ($ipdId <= 0 || ! $this->db->tableExists('ipd_nursing_entries')) {
return '';
}
foreach (['ipd_id', 'entry_type', 'recorded_at'] as $field) {
if (! $this->db->fieldExists($field, 'ipd_nursing_entries')) {
return '';
}
}
$rows = $this->db->table('ipd_nursing_entries')
->select('entry_type,recorded_at,temperature_c,pulse_rate,resp_rate,bp_systolic,bp_diastolic,spo2,weight_kg,fluid_direction,fluid_amount_ml,treatment_text,general_note')
->where('ipd_id', $ipdId)
->orderBy('recorded_at', 'ASC')
->orderBy('id', 'ASC')
->get()
->getResultArray();
if (empty($rows)) {
return '';
}
$sinceTs = strtotime('-24 hours');
$since = $sinceTs === false ? date('Y-m-d H:i:s') : date('Y-m-d H:i:s', $sinceTs);
$vitalsCount = 0;
$fluidIn = 0;
$fluidOut = 0;
$treatments = [];
$scannedCount = 0;
$latestVitalsLine = '';
foreach ($rows as $row) {
$recordedAt = trim((string) ($row['recorded_at'] ?? ''));
if ($recordedAt === '' || $recordedAt < $since) {
continue;
}
$entryType = strtolower(trim((string) ($row['entry_type'] ?? '')));
$note = trim((string) ($row['general_note'] ?? ''));
if (stripos($note, 'Source: Scanned Paper') !== false) {
$scannedCount++;
}
if ($entryType === 'vitals' || $entryType === 'admission') {
$vitalsCount++;
$parts = [];
if ($row['temperature_c'] !== null && $row['temperature_c'] !== '') {
$tempF = (((float) $row['temperature_c']) * 9 / 5) + 32;
$parts[] = 'Temp ' . rtrim(rtrim(number_format($tempF, 1, '.', ''), '0'), '.') . ' F';
}
if ($row['pulse_rate'] !== null && $row['pulse_rate'] !== '') {
$parts[] = 'Pulse ' . (string) $row['pulse_rate'];
}
if ($row['resp_rate'] !== null && $row['resp_rate'] !== '') {
$parts[] = 'Resp ' . (string) $row['resp_rate'];
}
if ($row['bp_systolic'] !== null && $row['bp_systolic'] !== '') {
$parts[] = 'BP ' . (string) $row['bp_systolic'] . '/' . (string) ($row['bp_diastolic'] ?? '');
}
if ($row['spo2'] !== null && $row['spo2'] !== '') {
$parts[] = 'SpO2 ' . (string) $row['spo2'] . '%';
}
if ($row['weight_kg'] !== null && $row['weight_kg'] !== '') {
$parts[] = 'Wt ' . (string) $row['weight_kg'] . ' kg';
}
if (! empty($parts)) {
$latestVitalsLine = '[' . $recordedAt . '] ' . implode(', ', $parts);
}
}
if ($entryType === 'fluid') {
$amount = (int) ($row['fluid_amount_ml'] ?? 0);
$dir = strtolower(trim((string) ($row['fluid_direction'] ?? '')));
if ($dir === 'output') {
$fluidOut += max(0, $amount);
} else {
$fluidIn += max(0, $amount);
}
}
if ($entryType === 'treatment') {
$text = trim((string) ($row['treatment_text'] ?? ''));
if ($text !== '') {
$treatments[] = '[' . $recordedAt . '] ' . $text;
}
}
}
if ($vitalsCount === 0 && $fluidIn === 0 && $fluidOut === 0 && empty($treatments) && $scannedCount === 0) {
return '';
}
$html = '<h4 style="margin:16px 0 8px 0;">Nursing Trend Summary (Last 24 Hours)</h4>';
$html .= '<ul style="margin:0 0 10px 20px;">';
if ($vitalsCount > 0) {
$html .= '<li>Vitals charted entries: ' . esc((string) $vitalsCount) . '</li>';
if ($latestVitalsLine !== '') {
$html .= '<li>Latest vitals: ' . esc($latestVitalsLine) . '</li>';
}
}
if ($fluidIn > 0 || $fluidOut > 0) {
$html .= '<li>Fluid balance (approx): Intake ' . esc((string) $fluidIn) . ' ml, Output ' . esc((string) $fluidOut) . ' ml, Net ' . esc((string) ($fluidIn - $fluidOut)) . ' ml</li>';
}
if (! empty($treatments)) {
$html .= '<li>Key nursing treatments:</li><li style="list-style:none;">';
$html .= '<ul style="margin:4px 0 0 18px;">';
foreach (array_slice($treatments, -5) as $line) {
$html .= '<li>' . esc($line) . '</li>';
}
$html .= '</ul></li>';
}
if ($scannedCount > 0) {
$html .= '<li>Scanned paper-derived entries reviewed and saved: ' . esc((string) $scannedCount) . '</li>';
}
$html .= '</ul>';
return $html;
}
private function hasAnyNonEmptyValue(array $rows, array $fields): bool
{
foreach ($rows as $row) {
if (! is_array($row)) {
continue;
}
foreach ($fields as $field) {
$value = trim((string) ($row[$field] ?? ''));
if ($value !== '') {
return true;
}
}
}
return false;
}
private function findFirstExistingTable(array $candidates): ?string
{
foreach ($candidates as $table) {
if ($this->db->tableExists($table)) {
return $table;
}
}
return null;
}
private function buildNabhAuditChecklist(int $ipdId, array $panelData): array
{
$person = $panelData['person_info'] ?? null;
$patientId = (int) ($person->id ?? 0);
$complaintRows = $this->byIpdRows('ipd_discharge_complaint', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$complaintRemark = $this->firstRowByIpd('ipd_discharge_complaint_remark', $ipdId);
$diagnosisRows = $this->byIpdRows('ipd_discharge_diagnosis', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$diagnosisRemark = $this->firstRowByIpd('ipd_discharge_diagnosis_remark', $ipdId);
$courseRows = $this->byIpdRows('ipd_discharge_course', ['comp_report', 'comp_remark'], 'id ASC', $ipdId);
$courseRemark = $this->firstRowByIpd('ipd_discharge_course_remark', $ipdId);
$surgeryRows = $this->byIpdRows('ipd_discharge_surgery', ['surgery_name', 'surgery_remark'], 'id ASC', $ipdId);
$procedureRows = $this->byIpdRows('ipd_discharge_procedure', ['procedure_name', 'procedure_remark'], 'id ASC', $ipdId);
$conditionRows = $this->getMappedColRows('ipd_discharge_general_exam_col', 'ipd_discharge_1_b_final', $ipdId, 'Discharge Condition', null);
$drugRows = $this->byIpdRows('ipd_discharge_drug', ['drug_name', 'drug_dose', 'drug_day'], 'id ASC', $ipdId);
$legacyMedRows = $this->byIpdRows('ipd_discharge_prescrption_prescribed', ['med_name', 'med_type', 'qty', 'no_of_days', 'remark'], 'id ASC', $ipdId);
$instructionRow = $this->firstRowByIpd('ipd_discharge_instructions', $ipdId);
$opdSnapshot = $this->getLatestOpdHistorySnapshot($patientId);
$instructionText = trim((string) ($instructionRow['comp_remark'] ?? ''));
$reviewAfter = trim((string) ($instructionRow['review_after'] ?? ''));
$instructionLower = strtolower($instructionText);
$hasAdmissionReason = $this->hasAnyNonEmptyValue($complaintRows, ['comp_report', 'comp_remark'])
|| trim((string) ($complaintRemark['comp_remark'] ?? '')) !== '';
$hasDiagnosis = $this->hasAnyNonEmptyValue($diagnosisRows, ['comp_report', 'comp_remark'])
|| trim((string) ($diagnosisRemark['comp_remark'] ?? '')) !== '';
$hasCourse = $this->hasAnyNonEmptyValue($courseRows, ['comp_report', 'comp_remark'])
|| trim((string) ($courseRemark['comp_remark'] ?? '')) !== '';
$hasProcedure = $this->hasAnyNonEmptyValue($surgeryRows, ['surgery_name', 'surgery_remark'])
|| $this->hasAnyNonEmptyValue($procedureRows, ['procedure_name', 'procedure_remark']);
$hasCondition = $this->hasAnyNonEmptyValue($conditionRows, ['value']);
$hasMedication = $this->hasAnyNonEmptyValue($drugRows, ['drug_name'])
|| $this->hasAnyNonEmptyValue($legacyMedRows, ['med_name']);
$hasFollowUp = $reviewAfter !== '' || $instructionText !== '';
$hasAllergyAdr = trim((string) ($opdSnapshot['drug_allergy_status'] ?? '')) !== ''
|| trim((string) ($opdSnapshot['drug_allergy_details'] ?? '')) !== ''
|| trim((string) ($opdSnapshot['adr_history'] ?? '')) !== '';
$hasRedFlags = strpos($instructionLower, 'emergency') !== false
|| strpos($instructionLower, 'warning') !== false
|| strpos($instructionLower, 'red flag') !== false
|| strpos($instructionLower, 'immediately') !== false
|| strpos($instructionLower, 'return if') !== false;
$items = [
[
'key' => 'admission_reason',
'label' => 'Reason for admission / presenting complaints',
'ok' => $hasAdmissionReason,
'critical' => true,
],
[
'key' => 'final_diagnosis',
'label' => 'Final diagnosis documented',
'ok' => $hasDiagnosis,
'critical' => true,
],
[
'key' => 'hospital_course',
'label' => 'Course / treatment in hospital documented',
'ok' => $hasCourse,
'critical' => true,
],
[
'key' => 'procedure_documentation',
'label' => 'Surgery/procedure documented (if applicable)',
'ok' => $hasProcedure,
'critical' => false,
],
[
'key' => 'condition_at_discharge',
'label' => 'Condition at discharge documented',
'ok' => $hasCondition,
'critical' => true,
],
[
'key' => 'discharge_medication',
'label' => 'Discharge medication documented',
'ok' => $hasMedication,
'critical' => true,
],
[
'key' => 'follow_up_plan',
'label' => 'Follow-up instructions / review plan documented',
'ok' => $hasFollowUp,
'critical' => true,
],
[
'key' => 'allergy_adr',
'label' => 'Drug allergy / ADR history documented',
'ok' => $hasAllergyAdr,
'critical' => false,
],
[
'key' => 'red_flags',
'label' => 'Red-flag / emergency return advice documented',
'ok' => $hasRedFlags,
'critical' => false,
],
];
$criticalMissing = [];
$okCount = 0;
foreach ($items as $item) {
if (! empty($item['ok'])) {
$okCount++;
continue;
}
if (! empty($item['critical'])) {
$criticalMissing[] = (string) ($item['label'] ?? '');
}
}
return [
'items' => $items,
'ok_count' => $okCount,
'total_count' => count($items),
'critical_missing' => $criticalMissing,
'critical_missing_count' => count($criticalMissing),
];
}
private function firstRowByIpd(string $table, int $ipdId): array
{
if ($ipdId <= 0 || ! $this->tableHasColumns($table, ['ipd_id'])) {
return [];
}
$row = $this->db->table($table)
->where('ipd_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
return is_array($row) ? $row : [];
}
private function upsertByIpd(string $table, int $ipdId, array $data): bool
{
if ($ipdId <= 0 || ! $this->tableHasColumns($table, ['ipd_id'])) {
return false;
}
try {
$builder = $this->db->table($table);
$existing = $this->firstRowByIpd($table, $ipdId);
if (! empty($existing['id'])) {
return (bool) $builder->where('id', (int) $existing['id'])->update($data);
}
$insert = array_merge(['ipd_id' => $ipdId], $data);
return (bool) $builder->insert($insert);
} catch (\Throwable $e) {
log_message('error', 'Discharge upsert failed in {table} for IPD {ipd}: {msg}', [
'table' => $table,
'ipd' => $ipdId,
'msg' => $e->getMessage(),
]);
return false;
}
}
private function upsertByIpdField(string $table, string $ipdField, int $ipdId, array $data): bool
{
if ($ipdId <= 0 || ! $this->tableHasColumns($table, [$ipdField])) {
return false;
}
try {
$builder = $this->db->table($table);
$existing = $builder
->where($ipdField, $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
if (! empty($existing['id'])) {
return (bool) $builder->where('id', (int) $existing['id'])->update($data);
}
$insert = array_merge([$ipdField => $ipdId], $data);
return (bool) $builder->insert($insert);
} catch (\Throwable $e) {
log_message('error', 'Discharge upsertByIpdField failed in {table}: {msg}', [
'table' => $table,
'msg' => $e->getMessage(),
]);
return false;
}
}
private function toDbDate(string $input): ?string
{
$value = trim($input);
if ($value === '') {
return null;
}
$ts = strtotime($value);
if ($ts === false) {
return null;
}
return date('Y-m-d', $ts);
}
private function ensureDischargeSurgeryMasterTable(): bool
{
if ($this->db->tableExists('ipd_discharge_surgery_master')) {
return true;
}
try {
$sql = "CREATE TABLE IF NOT EXISTS ipd_discharge_surgery_master (
id INT AUTO_INCREMENT PRIMARY KEY,
term_type VARCHAR(20) NOT NULL DEFAULT 'surgery',
term_name VARCHAR(255) NOT NULL,
term_code VARCHAR(60) DEFAULT NULL,
icd_code VARCHAR(60) DEFAULT NULL,
is_active TINYINT(1) NOT NULL DEFAULT 1,
created_at DATETIME NULL,
updated_at DATETIME NULL,
UNIQUE KEY uniq_term_type_name (term_type, term_name),
INDEX idx_type_active_name (term_type, is_active, term_name)
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4";
$this->db->query($sql);
} catch (\Throwable $e) {
return false;
}
return $this->db->tableExists('ipd_discharge_surgery_master');
}
private function ensureDischargeIcdMasterTable(): bool
{
if ($this->db->tableExists('ipd_discharge_icd_master')) {
return true;
}
try {
$sql = "CREATE TABLE IF NOT EXISTS ipd_discharge_icd_master (
id INT AUTO_INCREMENT PRIMARY KEY,
icd_code VARCHAR(30) NOT NULL,
diagnosis_text VARCHAR(255) NOT NULL,
is_active TINYINT(1) NOT NULL DEFAULT 1,
created_at DATETIME NULL,
updated_at DATETIME NULL,
UNIQUE KEY uniq_icd_code_text (icd_code, diagnosis_text),
INDEX idx_icd_active_code (is_active, icd_code),
INDEX idx_icd_active_text (is_active, diagnosis_text)
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4";
$this->db->query($sql);
} catch (\Throwable $e) {
return false;
}
return $this->db->tableExists('ipd_discharge_icd_master');
}
private function ensureDischargeFoodMasterTable(): bool
{
if ($this->db->tableExists('ipd_discharge_master_food')) {
return true;
}
try {
$sql = "CREATE TABLE IF NOT EXISTS ipd_discharge_master_food (
id INT AUTO_INCREMENT PRIMARY KEY,
food_short VARCHAR(255) NOT NULL,
food_desc TEXT NULL,
food_desc_lang TEXT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4";
$this->db->query($sql);
} catch (\Throwable $e) {
return false;
}
return $this->db->tableExists('ipd_discharge_master_food');
}
public function dietary_master_list()
{
$q = trim((string) $this->request->getGet('q'));
if (! $this->ensureDischargeFoodMasterTable()) {
return $this->response->setJSON(['rows' => []]);
}
$builder = $this->db->table('ipd_discharge_master_food')
->select('id,food_short,food_desc,food_desc_lang');
if ($q !== '') {
$builder->groupStart()
->like('food_short', $q)
->orLike('food_desc', $q)
->orLike('food_desc_lang', $q)
->groupEnd();
}
$rows = $builder
->orderBy('id', 'ASC')
->limit(500)
->get()
->getResultArray();
return $this->response->setJSON(['rows' => $rows]);
}
public function dietary_master_save()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
if (! $this->ensureDischargeFoodMasterTable()) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to access dietary master table',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$id = (int) $this->request->getPost('id');
$short = trim((string) $this->request->getPost('food_short'));
$desc = trim((string) $this->request->getPost('food_desc'));
$lang = trim((string) $this->request->getPost('food_desc_lang'));
if ($short === '') {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Short text is required',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$payload = [
'food_short' => $short,
'food_desc' => $desc !== '' ? $desc : $short,
'food_desc_lang' => $lang !== '' ? $lang : null,
];
try {
$table = $this->db->table('ipd_discharge_master_food');
if ($id > 0) {
$ok = (bool) $table->where('id', $id)->update($payload);
} else {
$ok = (bool) $table->insert($payload);
$id = (int) ($this->db->insertID() ?: 0);
}
return $this->response->setJSON([
'update' => $ok ? 1 : 0,
'id' => $id,
'error_text' => $ok ? 'Dietary master saved' : 'Unable to save dietary master',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
} catch (\Throwable $e) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Save failed: ' . $e->getMessage(),
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
}
public function dietary_master_delete()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
if (! $this->ensureDischargeFoodMasterTable()) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to access dietary master table',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$id = (int) $this->request->getPost('id');
if ($id <= 0) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Invalid record id',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$ok = (bool) $this->db->table('ipd_discharge_master_food')->where('id', $id)->delete();
return $this->response->setJSON([
'update' => $ok ? 1 : 0,
'error_text' => $ok ? 'Record deleted' : 'Unable to delete record',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
private function normalizeSurgeryTermType(string $type): string
{
$clean = strtolower(trim($type));
return in_array($clean, ['procedure', 'surgery'], true) ? $clean : 'surgery';
}
public function surgery_master_lookup()
{
$type = $this->normalizeSurgeryTermType((string) $this->request->getGet('type'));
$q = trim((string) $this->request->getGet('q'));
if (! $this->ensureDischargeSurgeryMasterTable()) {
return $this->response->setJSON(['rows' => []]);
}
$builder = $this->db->table('ipd_discharge_surgery_master')
->select('id,term_type,term_name,term_code,icd_code')
->where('is_active', 1)
->where('term_type', $type);
if ($q !== '') {
$builder->groupStart()
->like('term_name', $q)
->orLike('term_code', $q)
->orLike('icd_code', $q)
->groupEnd();
}
$rows = $builder
->orderBy('term_name', 'ASC')
->limit(25)
->get()
->getResultArray();
return $this->response->setJSON(['rows' => $rows]);
}
public function surgery_master_list()
{
$type = $this->normalizeSurgeryTermType((string) $this->request->getGet('type'));
$q = trim((string) $this->request->getGet('q'));
if (! $this->ensureDischargeSurgeryMasterTable()) {
return $this->response->setJSON(['rows' => []]);
}
$builder = $this->db->table('ipd_discharge_surgery_master')
->select('id,term_type,term_name,term_code,icd_code,is_active,updated_at')
->where('term_type', $type);
if ($q !== '') {
$builder->groupStart()
->like('term_name', $q)
->orLike('term_code', $q)
->orLike('icd_code', $q)
->groupEnd();
}
$rows = $builder
->orderBy('is_active', 'DESC')
->orderBy('term_name', 'ASC')
->limit(250)
->get()
->getResultArray();
return $this->response->setJSON(['rows' => $rows]);
}
public function surgery_master_save()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
if (! $this->ensureDischargeSurgeryMasterTable()) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to access surgery master table',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$id = (int) $this->request->getPost('id');
$type = $this->normalizeSurgeryTermType((string) $this->request->getPost('type'));
$name = trim((string) $this->request->getPost('name'));
$code = trim((string) $this->request->getPost('code'));
$icdCode = trim((string) $this->request->getPost('icd_code'));
$isActive = (int) $this->request->getPost('is_active') === 0 ? 0 : 1;
if ($name === '') {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Name is required',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$now = date('Y-m-d H:i:s');
$payload = [
'term_type' => $type,
'term_name' => $name,
'term_code' => $code !== '' ? $code : null,
'icd_code' => $icdCode !== '' ? $icdCode : null,
'is_active' => $isActive,
'updated_at' => $now,
];
try {
$table = $this->db->table('ipd_discharge_surgery_master');
if ($id > 0) {
$ok = (bool) $table->where('id', $id)->update($payload);
} else {
$payload['created_at'] = $now;
$ok = (bool) $table->insert($payload);
$id = (int) ($this->db->insertID() ?: 0);
}
if (! $ok) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to save record',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
return $this->response->setJSON([
'update' => 1,
'id' => $id,
'error_text' => 'Master record saved',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
} catch (\Throwable $e) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Save failed: ' . $e->getMessage(),
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
}
public function surgery_master_delete()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
if (! $this->ensureDischargeSurgeryMasterTable()) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to access surgery master table',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$id = (int) $this->request->getPost('id');
if ($id <= 0) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Invalid record id',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$ok = (bool) $this->db->table('ipd_discharge_surgery_master')
->where('id', $id)
->delete();
return $this->response->setJSON([
'update' => $ok ? 1 : 0,
'error_text' => $ok ? 'Record deleted' : 'Unable to delete record',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
public function diagnosis_icd_lookup()
{
$q = trim((string) $this->request->getGet('q'));
$rows = [];
if ($q !== '') {
if ($this->ensureDischargeIcdMasterTable()) {
$icdRows = $this->db->table('ipd_discharge_icd_master')
->select('id,icd_code,diagnosis_text')
->where('is_active', 1)
->groupStart()
->like('icd_code', $q)
->orLike('diagnosis_text', $q)
->groupEnd()
->orderBy('icd_code', 'ASC')
->limit(20)
->get()
->getResultArray();
foreach ($icdRows as $row) {
$rows[] = [
'id' => (int) ($row['id'] ?? 0),
'name' => (string) ($row['diagnosis_text'] ?? ''),
'icd_code' => (string) ($row['icd_code'] ?? ''),
'source' => 'icd_master',
];
}
}
if (count($rows) < 25 && $this->db->tableExists('complaints_master')) {
$fallbackRows = $this->db->table('complaints_master')
->select('Code as id, Name as name, name_hinglish')
->groupStart()
->like('Name', $q)
->orLike('name_hinglish', $q)
->groupEnd()
->orderBy('Name', 'ASC')
->limit(25 - count($rows))
->get()
->getResultArray();
foreach ($fallbackRows as $row) {
$rows[] = [
'id' => (int) ($row['id'] ?? 0),
'name' => (string) ($row['name'] ?? ''),
'icd_code' => '',
'source' => 'complaints_master',
'name_hinglish' => (string) ($row['name_hinglish'] ?? ''),
];
}
}
}
return $this->response->setJSON(['rows' => $rows]);
}
public function diagnosis_icd_seed_starter()
{
if (! $this->request->isAJAX()) {
return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
}
if (! $this->ensureDischargeIcdMasterTable()) {
return $this->response->setJSON([
'update' => 0,
'error_text' => 'Unable to access ICD master table',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
$seedRows = [
['icd_code' => 'I10', 'diagnosis_text' => 'Primary hypertension'],
['icd_code' => 'E11.9', 'diagnosis_text' => 'Type 2 diabetes mellitus without complications'],
['icd_code' => 'J45.909', 'diagnosis_text' => 'Asthma, unspecified, uncomplicated'],
['icd_code' => 'K21.9', 'diagnosis_text' => 'Gastro-esophageal reflux disease without esophagitis'],
['icd_code' => 'N39.0', 'diagnosis_text' => 'Urinary tract infection, site not specified'],
['icd_code' => 'J18.9', 'diagnosis_text' => 'Pneumonia, unspecified organism'],
['icd_code' => 'A09', 'diagnosis_text' => 'Infectious gastroenteritis and colitis, unspecified'],
['icd_code' => 'D64.9', 'diagnosis_text' => 'Anemia, unspecified'],
['icd_code' => 'M54.5', 'diagnosis_text' => 'Low back pain'],
['icd_code' => 'R50.9', 'diagnosis_text' => 'Fever, unspecified'],
['icd_code' => 'R07.9', 'diagnosis_text' => 'Chest pain, unspecified'],
['icd_code' => 'R51.9', 'diagnosis_text' => 'Headache, unspecified'],
['icd_code' => 'K59.0', 'diagnosis_text' => 'Constipation'],
['icd_code' => 'K52.9', 'diagnosis_text' => 'Noninfective gastroenteritis and colitis, unspecified'],
['icd_code' => 'J06.9', 'diagnosis_text' => 'Acute upper respiratory infection, unspecified'],
];
// Add historical ICD-tagged diagnoses already used in this installation.
if ($this->tableHasColumns('ipd_discharge_diagnosis', ['comp_report'])) {
$historic = $this->db->table('ipd_discharge_diagnosis')
->select('comp_report')
->where('comp_report IS NOT NULL', null, false)
->where('comp_report !=', '')
->orderBy('id', 'DESC')
->limit(1000)
->get()
->getResultArray();
foreach ($historic as $row) {
$report = trim((string) ($row['comp_report'] ?? ''));
if ($report === '') {
continue;
}
if (preg_match('/\[\s*ICD\s*:\s*([^\]]+)\]/i', $report, $matches) !== 1) {
continue;
}
$icdCode = strtoupper(trim((string) ($matches[1] ?? '')));
$diagnosis = trim((string) preg_replace('/\[\s*ICD\s*:[^\]]+\]/i', '', $report));
if ($icdCode === '' || $diagnosis === '') {
continue;
}
$seedRows[] = [
'icd_code' => $icdCode,
'diagnosis_text' => $diagnosis,
];
}
}
$seen = [];
$inserted = 0;
$skipped = 0;
$table = $this->db->table('ipd_discharge_icd_master');
$now = date('Y-m-d H:i:s');
foreach ($seedRows as $row) {
$icdCode = strtoupper(trim((string) ($row['icd_code'] ?? '')));
$diagnosis = trim((string) ($row['diagnosis_text'] ?? ''));
if ($icdCode === '' || $diagnosis === '') {
$skipped++;
continue;
}
$key = $icdCode . '|' . strtoupper($diagnosis);
if (isset($seen[$key])) {
$skipped++;
continue;
}
$seen[$key] = true;
$exists = $table
->select('id')
->where('icd_code', $icdCode)
->where('diagnosis_text', $diagnosis)
->get(1)
->getRowArray();
if (! empty($exists['id'])) {
$skipped++;
continue;
}
$ok = (bool) $table->insert([
'icd_code' => $icdCode,
'diagnosis_text' => $diagnosis,
'is_active' => 1,
'created_at' => $now,
'updated_at' => $now,
]);
if ($ok) {
$inserted++;
} else {
$skipped++;
}
}
return $this->response->setJSON([
'update' => 1,
'inserted' => $inserted,
'skipped' => $skipped,
'error_text' => $inserted > 0
? ('ICD starter loaded. Added ' . $inserted . ' rows.')
: 'ICD starter already present. No new rows added.',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
private function upsertByComposite(
string $table,
string $ipdField,
int $ipdId,
string $keyField,
int $keyValue,
array $data
): bool {
if ($ipdId <= 0 || $keyValue <= 0 || ! $this->tableHasColumns($table, [$ipdField, $keyField])) {
return false;
}
try {
$builder = $this->db->table($table);
$existing = $builder
->where($ipdField, $ipdId)
->where($keyField, $keyValue)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
if (! empty($existing['id'])) {
return (bool) $builder->where('id', (int) $existing['id'])->update($data);
}
$insert = array_merge($data, [
$ipdField => $ipdId,
$keyField => $keyValue,
]);
return (bool) $builder->insert($insert);
} catch (\Throwable $e) {
log_message('error', 'Discharge composite upsert failed in {table}: {msg}', [
'table' => $table,
'msg' => $e->getMessage(),
]);
return false;
}
}
private function getPhysicalExamRows(int $ipdId): array
{
$group1 = [];
$group2 = [];
$generalAll = [];
$sysRows = [];
if ($this->tableHasColumns('ipd_discharge_general_exam_col', ['id', 'col_description'])) {
$generalBuilder = $this->db->table('ipd_discharge_general_exam_col')
->select('id,col_description,col_name,col_pre_value,cat_group')
->orderBy('id', 'ASC');
if ($this->db->fieldExists('col_unit', 'ipd_discharge_general_exam_col')) {
$generalBuilder->select('col_unit');
}
$generalCols = $generalBuilder->get()->getResultArray();
$rdataMap = [];
if ($this->tableHasColumns('ipd_discharge_1_b', ['ipd_d_id', 'col_id', 'rdata'])) {
$rRows = $this->db->table('ipd_discharge_1_b')
->select('col_id,rdata')
->where('ipd_d_id', $ipdId)
->get()
->getResultArray();
foreach ($rRows as $r) {
$rdataMap[(int) ($r['col_id'] ?? 0)] = (string) ($r['rdata'] ?? '');
}
}
foreach ($generalCols as $row) {
$colId = (int) ($row['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$item = [
'id' => $colId,
'label' => (string) ($row['col_description'] ?? $row['col_name'] ?? ('Exam ' . $colId)),
'value' => (string) ($rdataMap[$colId] ?? (string) ($row['col_pre_value'] ?? '')),
'unit' => trim((string) ($row['col_unit'] ?? '')),
];
$generalAll[] = $item;
if ((int) ($row['cat_group'] ?? 1) === 2) {
$group2[] = $item;
} else {
$group1[] = $item;
}
}
}
if ($this->tableHasColumns('ipd_discharge_sys_exam', ['id', 'sys_exam_name'])) {
$sysMaster = $this->db->table('ipd_discharge_sys_exam')
->select('id,sys_exam_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
$sysValueMap = [];
if ($this->tableHasColumns('ipd_discharge_1_a', ['ipd_d_id', 'head_id', 'rdata'])) {
$sysSaved = $this->db->table('ipd_discharge_1_a')
->select('head_id,rdata')
->where('ipd_d_id', $ipdId)
->get()
->getResultArray();
foreach ($sysSaved as $row) {
$sysValueMap[(int) ($row['head_id'] ?? 0)] = (string) ($row['rdata'] ?? '');
}
}
foreach ($sysMaster as $row) {
$sid = (int) ($row['id'] ?? 0);
if ($sid <= 0) {
continue;
}
$sysRows[] = [
'id' => $sid,
'name' => (string) ($row['sys_exam_name'] ?? ('Systemic Exam ' . $sid)),
'value' => (string) ($sysValueMap[$sid] ?? ''),
];
}
}
$nursingAdmission = $this->getNursingAdmissionSnapshot($ipdId);
if (! empty($nursingAdmission)) {
$group1 = $this->applyAdmissionVitalsToGeneralRows($group1, $nursingAdmission);
$group2 = $this->applyAdmissionVitalsToGeneralRows($group2, $nursingAdmission);
$generalAll = $this->applyAdmissionVitalsToGeneralRows($generalAll, $nursingAdmission);
}
return [
'general_group_1' => $group1,
'general_group_2' => $group2,
'general_all' => $generalAll,
'systemic' => $sysRows,
];
}
private function getNursingAdmissionSnapshot(int $ipdId): array
{
if ($ipdId <= 0 || ! $this->db->tableExists('ipd_nursing_entries')) {
return [];
}
$required = ['ipd_id', 'entry_type', 'recorded_at'];
foreach ($required as $field) {
if (! $this->db->fieldExists($field, 'ipd_nursing_entries')) {
return [];
}
}
$builder = $this->db->table('ipd_nursing_entries')
->where('ipd_id', $ipdId)
->whereIn('entry_type', ['admission', 'vitals'])
->orderBy('entry_type', 'DESC')
->orderBy('recorded_at', 'ASC')
->orderBy('id', 'ASC');
$row = $builder->get(1)->getRowArray();
return is_array($row) ? $row : [];
}
private function celsiusToFahrenheit(?float $value): string
{
if ($value === null) {
return '';
}
$f = ($value * 9 / 5) + 32;
return rtrim(rtrim(number_format($f, 1, '.', ''), '0'), '.');
}
private function applyAdmissionVitalsToGeneralRows(array $rows, array $snapshot): array
{
if (empty($rows) || empty($snapshot)) {
return $rows;
}
$pulse = trim((string) ($snapshot['pulse_rate'] ?? ''));
$resp = trim((string) ($snapshot['resp_rate'] ?? ''));
$spo2 = trim((string) ($snapshot['spo2'] ?? ''));
$weight = trim((string) ($snapshot['weight_kg'] ?? ''));
$sbp = trim((string) ($snapshot['bp_systolic'] ?? ''));
$dbp = trim((string) ($snapshot['bp_diastolic'] ?? ''));
$bp = $sbp !== '' || $dbp !== '' ? trim($sbp . ($dbp !== '' ? '/' . $dbp : '')) : '';
$tempC = $snapshot['temperature_c'] ?? null;
$temp = '';
if ($tempC !== null && $tempC !== '') {
$temp = $this->celsiusToFahrenheit((float) $tempC);
}
foreach ($rows as &$row) {
$current = trim((string) ($row['value'] ?? ''));
if ($current !== '') {
continue;
}
$label = strtolower(trim((string) ($row['label'] ?? '')));
if ($label === '') {
continue;
}
if (strpos($label, 'pulse') !== false && $pulse !== '') {
$row['value'] = $pulse;
continue;
}
if ((strpos($label, 'resp') !== false || strpos($label, 'rr') !== false) && $resp !== '') {
$row['value'] = $resp;
continue;
}
if ((strpos($label, 'spo2') !== false || strpos($label, 'spo 2') !== false) && $spo2 !== '') {
$row['value'] = $spo2;
continue;
}
if ((strpos($label, 'temp') !== false || strpos($label, 'temperature') !== false) && $temp !== '') {
$row['value'] = $temp;
continue;
}
if (strpos($label, 'weight') !== false && $weight !== '') {
$row['value'] = $weight;
continue;
}
if ((strpos($label, 'bp') !== false || strpos($label, 'blood pressure') !== false) && $bp !== '') {
if (strpos($label, 'diastolic') !== false && $dbp !== '') {
$row['value'] = $dbp;
} elseif ((strpos($label, 'systolic') !== false || strpos($label, 'sys') !== false) && $sbp !== '') {
$row['value'] = $sbp;
} else {
$row['value'] = $bp;
}
}
}
unset($row);
return $rows;
}
private function getMappedColRows(
string $masterTable,
string $valueTable,
int $ipdId,
string $prefix,
?int $catGroup = null
): array {
if (! $this->tableHasColumns($masterTable, ['id', 'col_description'])) {
return [];
}
$builder = $this->db->table($masterTable)
->select('id,col_name,col_description,col_pre_value');
if ($this->db->fieldExists('col_unit', $masterTable)) {
$builder->select('col_unit');
}
if ($catGroup !== null && $this->db->fieldExists('cat_group', $masterTable)) {
$builder->where('cat_group', $catGroup);
}
$masterRows = $builder->orderBy('id', 'ASC')->get()->getResultArray();
$valueMap = [];
if ($this->tableHasColumns($valueTable, ['ipd_d_id', 'col_id', 'rdata'])) {
$savedRows = $this->db->table($valueTable)
->select('col_id,rdata')
->where('ipd_d_id', $ipdId)
->get()
->getResultArray();
foreach ($savedRows as $row) {
$valueMap[(int) ($row['col_id'] ?? 0)] = (string) ($row['rdata'] ?? '');
}
}
$rows = [];
foreach ($masterRows as $row) {
$colId = (int) ($row['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$rows[] = [
'id' => $colId,
'name' => (string) ($row['col_name'] ?? ''),
'label' => (string) ($row['col_description'] ?? $row['col_name'] ?? ($prefix . ' ' . $colId)),
'value' => (string) ($valueMap[$colId] ?? (string) ($row['col_pre_value'] ?? '')),
'unit' => trim((string) ($row['col_unit'] ?? '')),
];
}
return $rows;
}
private function normalizeDateValue(string $raw): ?string
{
$raw = trim($raw);
if ($raw === '') {
return null;
}
$raw = trim($raw, "'\"");
if ($raw === '') {
return null;
}
$ts = strtotime($raw);
if ($ts === false) {
return null;
}
return date('Y-m-d', $ts);
}
private function normalizeCsvDateList(string $raw): array
{
$out = [];
foreach (explode(',', $raw) as $part) {
$dt = $this->normalizeDateValue($part);
if ($dt !== null) {
$out[$dt] = $dt;
}
}
return array_values($out);
}
private function normalizeCsvIdList(string $raw): array
{
$out = [];
foreach (explode(',', $raw) as $part) {
$id = (int) trim((string) $part);
if ($id > 0) {
$out[$id] = $id;
}
}
return array_values($out);
}
private function parseClinicalOtherExamPayload(string $raw): array
{
$raw = (string) $raw;
$metaIds = [];
if (preg_match('/\[\[CLINICAL_META\]\](.*?)\[\[\/CLINICAL_META\]\]\s*$/s', $raw, $m)) {
$json = trim((string) ($m[1] ?? ''));
$decoded = json_decode($json, true);
if (is_array($decoded) && isset($decoded['non_path_ids']) && is_array($decoded['non_path_ids'])) {
foreach ($decoded['non_path_ids'] as $id) {
$id = (int) $id;
if ($id > 0) {
$metaIds[$id] = $id;
}
}
}
$raw = preg_replace('/\s*\[\[CLINICAL_META\]\].*?\[\[\/CLINICAL_META\]\]\s*$/s', '', $raw) ?? $raw;
}
return [
'text' => trim($raw),
'non_path_ids' => array_values($metaIds),
];
}
private function buildClinicalOtherExamPayload(string $text, array $nonPathIds): string
{
$text = trim($text);
$normIds = [];
foreach ($nonPathIds as $id) {
$id = (int) $id;
if ($id > 0) {
$normIds[$id] = $id;
}
}
if (empty($normIds)) {
return $text;
}
$metaJson = json_encode([
'non_path_ids' => array_values($normIds),
], JSON_UNESCAPED_SLASHES);
if (! is_string($metaJson) || $metaJson === '') {
return $text;
}
return trim($text . "\n\n[[CLINICAL_META]]" . $metaJson . '[[/CLINICAL_META]]');
}
private function plainTextFromHtml(string $raw): string
{
$raw = trim($raw);
if ($raw === '') {
return '';
}
// Preserve basic line breaks from common block/line tags before stripping HTML.
$raw = preg_replace('/<\s*br\s*\/?\s*>/i', "\n", $raw) ?? $raw;
$raw = preg_replace('/<\s*\/\s*(p|div|li|h[1-6]|tr)\s*>/i', "\n", $raw) ?? $raw;
$text = strip_tags($raw);
$text = html_entity_decode($text, ENT_QUOTES | ENT_HTML5, 'UTF-8');
$text = preg_replace('/[ \t]+/', ' ', $text) ?? $text;
$text = preg_replace('/\n{2,}/', "\n", $text) ?? $text;
return trim($text);
}
private function getSavedClinicalLabDates(int $ipdId): array
{
if (! $this->tableHasColumns('ipd_discharge_2', ['ipd_d_id', 'lab_investigation_list'])) {
return [];
}
$row = $this->db->table('ipd_discharge_2')
->select('lab_investigation_list')
->where('ipd_d_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
$raw = (string) ($row['lab_investigation_list'] ?? '');
return $this->normalizeCsvDateList($raw);
}
private function getClinicalInvestigationLabRows(int $patientId, string $admitDate, string $dischargeDate, array $selectedDates): array
{
if ($patientId <= 0) {
return [];
}
if (! $this->tableHasColumns('invoice_master', ['id', 'attach_id', 'inv_date'])
|| ! $this->tableHasColumns('lab_request', ['id', 'charge_id'])
|| ! $this->tableHasColumns('lab_request_item', ['lab_request_id', 'lab_test_id'])
|| ! $this->tableHasColumns('lab_tests', ['mstTestKey', 'Test', 'TestID'])
|| ! $this->tableHasColumns('ipd_discharge_investigation_template', ['test_code'])) {
return [];
}
$builder = $this->db->table('invoice_master m')
->select('DATE(m.inv_date) AS inv_date', false)
->select("DATE_FORMAT(m.inv_date,'%d-%m-%Y') AS inv_date_label", false)
->select('GROUP_CONCAT(DISTINCT t.Test ORDER BY t.Test SEPARATOR ",") AS test_list', false)
->join('lab_request l', 'm.id = l.charge_id', 'inner')
->join('lab_request_item i', 'l.id = i.lab_request_id', 'inner')
->join('lab_tests t', 'i.lab_test_id = t.mstTestKey', 'inner')
->join('ipd_discharge_investigation_template d', 't.TestID = d.test_code', 'inner')
->where('m.attach_id', $patientId)
->groupBy('DATE(m.inv_date)', false)
->orderBy('DATE(m.inv_date)', 'ASC', false);
if ($admitDate !== '' && $dischargeDate !== '') {
$builder->where('DATE(m.inv_date) >=', $admitDate)
->where('DATE(m.inv_date) <=', $dischargeDate);
}
$rows = $builder->get()->getResultArray();
$selectedMap = [];
foreach ($selectedDates as $dt) {
$selectedMap[$dt] = true;
}
foreach ($rows as &$row) {
$dateValue = (string) ($row['inv_date'] ?? '');
$row['inv_date'] = $dateValue;
$row['inv_date_label'] = (string) ($row['inv_date_label'] ?? $dateValue);
$row['test_list'] = (string) ($row['test_list'] ?? '');
$row['checked'] = isset($selectedMap[$dateValue]);
}
unset($row);
return $rows;
}
private function getClinicalPathologyMatrixRows(int $patientId, array $selectedDates): array
{
if ($patientId <= 0 || empty($selectedDates)) {
return [
'dates' => [],
'date_labels' => [],
'rows' => [],
];
}
if (! $this->tableHasColumns('invoice_master', ['id', 'attach_id', 'inv_date'])
|| ! $this->tableHasColumns('lab_request', ['id', 'charge_id'])
|| ! $this->tableHasColumns('lab_request_item', ['lab_request_id', 'lab_test_id', 'lab_test_value'])
|| ! $this->tableHasColumns('lab_tests', ['mstTestKey', 'Test', 'TestID'])
|| ! $this->tableHasColumns('ipd_discharge_investigation_template', ['test_code'])) {
return [
'dates' => [],
'date_labels' => [],
'rows' => [],
];
}
$dateMap = [];
foreach ($selectedDates as $dt) {
$norm = $this->normalizeDateValue((string) $dt);
if ($norm !== null) {
$dateMap[$norm] = $norm;
}
}
$dates = array_values($dateMap);
sort($dates);
if (empty($dates)) {
return [
'dates' => [],
'date_labels' => [],
'rows' => [],
];
}
$builder = $this->db->table('invoice_master m')
->select('DATE(m.inv_date) AS inv_date', false)
->select('t.TestID AS test_id, t.Test AS test_name, t.mstTestKey AS test_sort', false)
->select('i.lab_test_value', false)
->join('lab_request l', 'm.id = l.charge_id', 'inner')
->join('lab_request_item i', 'l.id = i.lab_request_id', 'inner')
->join('lab_tests t', 'i.lab_test_id = t.mstTestKey', 'inner')
->join('ipd_discharge_investigation_template d', 't.TestID = d.test_code', 'inner')
->where('m.attach_id', $patientId)
->orderBy('DATE(m.inv_date)', 'ASC', false)
->orderBy('t.mstTestKey', 'ASC');
if ($this->db->fieldExists('FixedNormals', 'lab_tests')) {
$builder->select('t.FixedNormals AS fixed_normals', false);
} else {
$builder->select("'' AS fixed_normals", false);
}
if ($this->tableHasColumns('ipd_discharge_investigation_template', ['group_test'])
&& $this->tableHasColumns('lab_rgroups', ['mstRGrpKey', 'sort_order'])) {
$builder->join('lab_rgroups g', 'd.group_test = g.mstRGrpKey', 'left')
->select('COALESCE(g.sort_order, 9999) AS grp_sort', false)
->orderBy('grp_sort', 'ASC', false);
} else {
$builder->select('9999 AS grp_sort', false);
}
$escapedDates = [];
foreach ($dates as $dt) {
$escapedDates[] = $this->db->escape($dt);
}
$builder->where('DATE(m.inv_date) IN (' . implode(',', $escapedDates) . ')', null, false);
$rawRows = $builder->get()->getResultArray();
$rowsByTest = [];
$orderByTest = [];
foreach ($rawRows as $row) {
$testId = trim((string) ($row['test_id'] ?? ''));
if ($testId === '') {
continue;
}
$date = (string) ($row['inv_date'] ?? '');
if ($date === '') {
continue;
}
if (! isset($rowsByTest[$testId])) {
$rowsByTest[$testId] = [
'test_name' => (string) ($row['test_name'] ?? ''),
'fixed_normals' => (string) ($row['fixed_normals'] ?? ''),
'values' => [],
];
$orderByTest[$testId] = [
'grp_sort' => (int) ($row['grp_sort'] ?? 9999),
'test_sort' => (int) ($row['test_sort'] ?? 0),
'test_name' => (string) ($row['test_name'] ?? ''),
];
}
$value = trim((string) ($row['lab_test_value'] ?? ''));
if (! isset($rowsByTest[$testId]['values'][$date])) {
$rowsByTest[$testId]['values'][$date] = [];
}
if ($value !== '' && ! in_array($value, $rowsByTest[$testId]['values'][$date], true)) {
$rowsByTest[$testId]['values'][$date][] = $value;
}
}
$orderedTestIds = array_keys($rowsByTest);
usort($orderedTestIds, function ($a, $b) use ($orderByTest) {
$oa = $orderByTest[$a] ?? ['grp_sort' => 9999, 'test_sort' => 0, 'test_name' => ''];
$ob = $orderByTest[$b] ?? ['grp_sort' => 9999, 'test_sort' => 0, 'test_name' => ''];
if ((int) $oa['grp_sort'] !== (int) $ob['grp_sort']) {
return (int) $oa['grp_sort'] <=> (int) $ob['grp_sort'];
}
if ((int) $oa['test_sort'] !== (int) $ob['test_sort']) {
return (int) $oa['test_sort'] <=> (int) $ob['test_sort'];
}
return strcmp((string) $oa['test_name'], (string) $ob['test_name']);
});
$matrixRows = [];
foreach ($orderedTestIds as $testId) {
$testRow = $rowsByTest[$testId];
$values = [];
foreach ($dates as $dt) {
$vals = $testRow['values'][$dt] ?? [];
$values[$dt] = empty($vals) ? '' : implode(', ', $vals);
}
$matrixRows[] = [
'test_id' => $testId,
'test_name' => (string) ($testRow['test_name'] ?? ''),
'fixed_normals' => (string) ($testRow['fixed_normals'] ?? ''),
'values' => $values,
];
}
$dateLabels = [];
foreach ($dates as $dt) {
$ts = strtotime($dt);
$dateLabels[$dt] = $ts === false ? $dt : date('d-m-Y', $ts);
}
return [
'dates' => $dates,
'date_labels' => $dateLabels,
'rows' => $matrixRows,
];
}
private function resolveClinicalNonPathModality(int $labType, string $reportName, string $impression): ?string
{
$byType = [
1 => 'Sonography',
2 => 'MRI',
3 => 'X-Ray',
4 => 'CT-Scan',
6 => 'ECG',
];
if (isset($byType[$labType])) {
return $byType[$labType];
}
$haystack = strtolower($reportName . ' ' . $impression);
if (strpos($haystack, 'x-ray') !== false || strpos($haystack, 'xray') !== false || strpos($haystack, 'radiology') !== false) {
return 'X-Ray';
}
if (strpos($haystack, 'ecg') !== false || strpos($haystack, 'ekg') !== false || strpos($haystack, 'echo') !== false) {
return 'ECG';
}
if (strpos($haystack, 'sonography') !== false || strpos($haystack, 'ultrasound') !== false || strpos($haystack, 'usg') !== false) {
return 'Sonography';
}
if (strpos($haystack, 'ct') !== false || strpos($haystack, 'ct scan') !== false || strpos($haystack, 'ct-scan') !== false) {
return 'CT-Scan';
}
if (strpos($haystack, 'mri') !== false) {
return 'MRI';
}
return null;
}
private function getClinicalNonPathReportRows(int $patientId, string $admitDate, string $dischargeDate, array $selectedIds): array
{
if ($patientId <= 0) {
return [];
}
if (! $this->tableHasColumns('invoice_master', ['id', 'attach_id', 'inv_date'])
|| ! $this->tableHasColumns('lab_request', ['id', 'charge_id', 'lab_type', 'Request_Date', 'report_name', 'report_data_Impression'])) {
return [];
}
$rows = $this->db->table('invoice_master m')
->select('l.id AS lab_request_id, l.lab_type, l.report_name, l.report_data_Impression, l.Request_Date, m.inv_date', false)
->join('lab_request l', 'm.id = l.charge_id', 'inner')
->where('m.attach_id', $patientId)
->where('l.report_data_Impression IS NOT NULL', null, false)
->where('TRIM(l.report_data_Impression) <>', '')
->orderBy('m.inv_date', 'ASC')
->orderBy('l.id', 'ASC')
->get()
->getResultArray();
$selectedMap = [];
foreach ($selectedIds as $id) {
$id = (int) $id;
if ($id > 0) {
$selectedMap[$id] = true;
}
}
$result = [];
$seen = [];
foreach ($rows as $row) {
$requestId = (int) ($row['lab_request_id'] ?? 0);
if ($requestId <= 0 || isset($seen[$requestId])) {
continue;
}
$impression = $this->plainTextFromHtml((string) ($row['report_data_Impression'] ?? ''));
if ($impression === '') {
continue;
}
$requestDate = $this->normalizeDateValue((string) ($row['Request_Date'] ?? ''))
?? $this->normalizeDateValue((string) ($row['inv_date'] ?? ''));
if ($requestDate === null) {
continue;
}
if ($admitDate !== '' && strcmp($requestDate, $admitDate) < 0) {
continue;
}
if ($dischargeDate !== '' && strcmp($requestDate, $dischargeDate) > 0) {
continue;
}
$reportName = $this->plainTextFromHtml((string) ($row['report_name'] ?? ''));
$modality = $this->resolveClinicalNonPathModality((int) ($row['lab_type'] ?? 0), $reportName, $impression);
if ($modality === null) {
continue;
}
if ($reportName === '') {
$reportName = $modality . ' Report';
}
$result[] = [
'lab_request_id' => $requestId,
'report_date' => $requestDate,
'report_date_label' => date('d-m-Y', strtotime($requestDate)),
'modality' => $modality,
'report_name' => $reportName,
'impression' => $impression,
'checked' => isset($selectedMap[$requestId]),
];
$seen[$requestId] = true;
}
return $result;
}
private function parseInputDateToDb(string $rawDate): ?string
{
$rawDate = trim($rawDate);
if ($rawDate === '') {
return null;
}
$formats = ['Y-m-d', 'd/m/Y', 'd-m-Y'];
foreach ($formats as $format) {
$dt = \DateTime::createFromFormat($format, $rawDate);
if ($dt instanceof \DateTime) {
return $dt->format('Y-m-d');
}
}
$ts = strtotime($rawDate);
return $ts === false ? null : date('Y-m-d', $ts);
}
private function painScaleLabel(string $value): string
{
$map = [
'0' => 'No Pain',
'1' => 'Mild Pain',
'2' => 'Moderate',
'3' => 'Intense',
'4' => 'Worst Pain Possible',
];
return $map[$value] ?? '';
}
private function buildComplaintMetaPayload(array $meta): string
{
$painValue = trim((string) ($meta['pain_value'] ?? ''));
if (! in_array($painValue, ['0', '1', '2', '3', '4'], true)) {
return '';
}
return json_encode(['pain_value' => $painValue], JSON_UNESCAPED_UNICODE) ?: '';
}
private function parseComplaintMetaPayload(string $raw): array
{
$raw = trim($raw);
if ($raw === '') {
return [];
}
$decoded = json_decode($raw, true);
if (! is_array($decoded)) {
return [];
}
$painValue = trim((string) ($decoded['pain_value'] ?? ''));
if (! in_array($painValue, ['0', '1', '2', '3', '4'], true)) {
$painValue = '';
}
return ['pain_value' => $painValue];
}
private function buildInstructionMetaPayload(array $meta): string
{
$ids = $meta['food_ids'] ?? [];
if (! is_array($ids)) {
$ids = [];
}
$cleanIds = [];
foreach ($ids as $id) {
$intId = (int) $id;
if ($intId > 0) {
$cleanIds[$intId] = $intId;
}
}
$otherText = trim((string) ($meta['other_text'] ?? ''));
if (empty($cleanIds) && $otherText === '') {
return '';
}
$nabh = $meta['nabh'] ?? [];
if (! is_array($nabh)) {
$nabh = [];
}
$nabhPayload = [
'drug_allergy_status' => trim((string) ($nabh['drug_allergy_status'] ?? '')),
'drug_allergy_details' => trim((string) ($nabh['drug_allergy_details'] ?? '')),
'adr_history' => trim((string) ($nabh['adr_history'] ?? '')),
'current_medications' => trim((string) ($nabh['current_medications'] ?? '')),
'co_morbidities' => trim((string) ($nabh['co_morbidities'] ?? '')),
'hpi_note' => trim((string) ($nabh['hpi_note'] ?? '')),
'women_lmp' => trim((string) ($nabh['women_lmp'] ?? '')),
'women_last_baby' => trim((string) ($nabh['women_last_baby'] ?? '')),
'women_pregnancy_related' => trim((string) ($nabh['women_pregnancy_related'] ?? '')),
'women_related_problems' => trim((string) ($nabh['women_related_problems'] ?? '')),
];
$payload = [
'food_ids' => array_values($cleanIds),
'other_text' => $otherText,
'nabh' => $nabhPayload,
];
return json_encode($payload, JSON_UNESCAPED_UNICODE) ?: '';
}
private function parseInstructionMetaPayload(string $raw): array
{
$raw = trim($raw);
if ($raw === '') {
return ['food_ids' => [], 'other_text' => '', 'nabh' => []];
}
$decoded = json_decode($raw, true);
if (! is_array($decoded)) {
return ['food_ids' => [], 'other_text' => '', 'nabh' => []];
}
$ids = $decoded['food_ids'] ?? [];
if (! is_array($ids)) {
$ids = [];
}
$cleanIds = [];
foreach ($ids as $id) {
$intId = (int) $id;
if ($intId > 0) {
$cleanIds[$intId] = $intId;
}
}
$nabh = $decoded['nabh'] ?? [];
if (! is_array($nabh)) {
$nabh = [];
}
return [
'food_ids' => array_values($cleanIds),
'other_text' => trim((string) ($decoded['other_text'] ?? '')),
'nabh' => [
'drug_allergy_status' => trim((string) ($nabh['drug_allergy_status'] ?? '')),
'drug_allergy_details' => trim((string) ($nabh['drug_allergy_details'] ?? '')),
'adr_history' => trim((string) ($nabh['adr_history'] ?? '')),
'current_medications' => trim((string) ($nabh['current_medications'] ?? '')),
'co_morbidities' => trim((string) ($nabh['co_morbidities'] ?? '')),
'hpi_note' => trim((string) ($nabh['hpi_note'] ?? '')),
'women_lmp' => trim((string) ($nabh['women_lmp'] ?? '')),
'women_last_baby' => trim((string) ($nabh['women_last_baby'] ?? '')),
'women_pregnancy_related' => trim((string) ($nabh['women_pregnancy_related'] ?? '')),
'women_related_problems' => trim((string) ($nabh['women_related_problems'] ?? '')),
],
];
}
private function parseFoodIdCsv(string $raw): array
{
$raw = trim($raw);
if ($raw === '') {
return [];
}
$ids = [];
foreach (explode(',', $raw) as $part) {
$id = (int) trim((string) $part);
if ($id > 0) {
$ids[$id] = $id;
}
}
return array_values($ids);
}
private function readInstructionFoodIdsFromRequest(): array
{
$posted = $this->request->getPost('instruction_food_ids');
if (! is_array($posted)) {
$posted = $this->request->getPost('instruction_food_ids[]');
}
if (! is_array($posted)) {
$posted = [];
}
$clean = [];
foreach ($posted as $id) {
$intId = (int) $id;
if ($intId > 0) {
$clean[$intId] = $intId;
}
}
return array_values($clean);
}
private function extractNabhFieldsFromRemarks(string $remarks): array
{
$extract = static function (string $pattern, string $source): string {
if (preg_match($pattern, $source, $m) !== 1) {
return '';
}
return trim((string) ($m[1] ?? ''));
};
return [
'drug_allergy_status' => $extract('/^\s*Drug\s*Allergy\s*Status\s*:\s*(.+)$/im', $remarks),
'drug_allergy_details' => $extract('/^\s*Drug\s*Allergy\s*Details\s*:\s*(.+)$/im', $remarks),
'adr_history' => $extract('/^\s*ADR\s*History\s*:\s*(.+)$/im', $remarks),
'current_medications' => $extract('/^\s*Current\s*Medications\s*:\s*(.+)$/im', $remarks),
'co_morbidities' => $extract('/^\s*Co-Morbidities\s*:\s*(.+)$/im', $remarks),
'women_lmp' => $extract('/^\s*Women\s*Related\s*LMP\s*:\s*(.+)$/im', $remarks),
'women_last_baby' => $extract('/^\s*Women\s*Related\s*Last\s*Baby\s*:\s*(.+)$/im', $remarks),
'women_pregnancy_related' => $extract('/^\s*Women\s*Related\s*Pregnancy\s*Related\s*:\s*(.+)$/im', $remarks),
'women_related_problems' => $extract('/^\s*Women\s*Related\s*Problems\s*:\s*(.+)$/im', $remarks),
'hpi_note' => $extract('/^\s*HPI\s*Note\s*:\s*(.+)$/im', $remarks),
];
}
private function hydrateNabhFieldsFromOpdRow(array $row): array
{
$pick = static function (array $candidates) use ($row): string {
foreach ($candidates as $field) {
$value = trim((string) ($row[$field] ?? ''));
if ($value !== '') {
return $value;
}
}
return '';
};
$remarks = trim((string) ($row['Prescriber_Remarks'] ?? ''));
$parsed = $this->extractNabhFieldsFromRemarks($remarks);
$result = [
'drug_allergy_status' => $pick(['drug_allergy_status', 'allergy_status', 'drug_allergy']),
'drug_allergy_details' => $pick(['drug_allergy_details', 'allergy_details', 'drug_allergy_note', 'allergy_note']),
'adr_history' => $pick(['adr_history', 'adverse_drug_reaction', 'adr_details', 'adverse_reaction_history']),
'current_medications' => $pick(['current_medications', 'current_medication', 'current_medication_history', 'ongoing_medications']),
'co_morbidities' => (string) ($parsed['co_morbidities'] ?? ''),
'women_lmp' => $pick(['women_lmp']),
'women_last_baby' => $pick(['women_last_baby']),
'women_pregnancy_related' => $pick(['women_pregnancy_related']),
'women_related_problems' => $pick(['women_related_problems']),
'hpi_note' => (string) ($parsed['hpi_note'] ?? ''),
'pain_value' => trim((string) ($row['pain_value'] ?? '')),
];
foreach (['drug_allergy_status', 'drug_allergy_details', 'adr_history', 'current_medications', 'women_lmp', 'women_last_baby', 'women_pregnancy_related', 'women_related_problems'] as $key) {
if ($result[$key] === '' && ! empty($parsed[$key])) {
$result[$key] = (string) $parsed[$key];
}
}
if (! in_array($result['pain_value'], ['0', '1', '2', '3', '4'], true)) {
$result['pain_value'] = '';
}
return $result;
}
private function getLatestOpdHistorySnapshot(int $patientId): array
{
$empty = [
'drug_allergy_status' => '',
'drug_allergy_details' => '',
'adr_history' => '',
'current_medications' => '',
'co_morbidities' => '',
'women_lmp' => '',
'women_last_baby' => '',
'women_pregnancy_related' => '',
'women_related_problems' => '',
'hpi_note' => '',
'pain_value' => '',
'pain_label' => '',
];
if ($patientId <= 0 || ! $this->db->tableExists('opd_prescription')) {
return $empty;
}
$row = $this->db->table('opd_prescription')
->where('p_id', $patientId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray() ?? [];
if (empty($row)) {
return $empty;
}
$hydrated = $this->hydrateNabhFieldsFromOpdRow($row);
return [
'drug_allergy_status' => (string) ($hydrated['drug_allergy_status'] ?? ''),
'drug_allergy_details' => (string) ($hydrated['drug_allergy_details'] ?? ''),
'adr_history' => (string) ($hydrated['adr_history'] ?? ''),
'current_medications' => (string) ($hydrated['current_medications'] ?? ''),
'co_morbidities' => (string) ($hydrated['co_morbidities'] ?? ''),
'women_lmp' => (string) ($hydrated['women_lmp'] ?? ''),
'women_last_baby' => (string) ($hydrated['women_last_baby'] ?? ''),
'women_pregnancy_related' => (string) ($hydrated['women_pregnancy_related'] ?? ''),
'women_related_problems' => (string) ($hydrated['women_related_problems'] ?? ''),
'hpi_note' => (string) ($hydrated['hpi_note'] ?? ''),
'pain_value' => (string) ($hydrated['pain_value'] ?? ''),
'pain_label' => $this->painScaleLabel((string) ($hydrated['pain_value'] ?? '')),
];
}
private function upsertLabeledLineInRemarks(string $remarks, string $label, string $value): string
{
$remarks = trim($remarks);
$pattern = '/^\s*' . preg_quote($label, '/') . '\s*:\s*.*$/im';
$remarks = preg_replace($pattern, '', $remarks) ?? $remarks;
$lines = array_filter(array_map(static function (string $line): string {
return trim($line);
}, preg_split('/\R/', $remarks) ?: []), static function (string $line): bool {
return $line !== '';
});
$value = trim($value);
if ($value !== '') {
$lines[] = $label . ': ' . $value;
}
return trim(implode(PHP_EOL, $lines));
}
private function saveNabhHistoryFromDischarge(int $patientId, array $payload): bool
{
if ($patientId <= 0 || ! $this->db->tableExists('opd_prescription')) {
return false;
}
$fields = $this->db->getFieldNames('opd_prescription') ?? [];
if (! in_array('p_id', $fields, true) || ! in_array('id', $fields, true)) {
return false;
}
$latest = $this->db->table('opd_prescription')
->select('id,Prescriber_Remarks')
->where('p_id', $patientId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray();
if (! is_array($latest) || empty($latest['id'])) {
return false;
}
$update = [];
foreach (['drug_allergy_status', 'drug_allergy_details', 'adr_history', 'current_medications', 'women_lmp', 'women_last_baby', 'women_pregnancy_related', 'women_related_problems'] as $field) {
if (in_array($field, $fields, true)) {
$update[$field] = trim((string) ($payload[$field] ?? ''));
}
}
if (in_array('Prescriber_Remarks', $fields, true)) {
$remarks = (string) ($latest['Prescriber_Remarks'] ?? '');
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Drug Allergy Status', (string) ($payload['drug_allergy_status'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Drug Allergy Details', (string) ($payload['drug_allergy_details'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'ADR History', (string) ($payload['adr_history'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Current Medications', (string) ($payload['current_medications'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Co-Morbidities', (string) ($payload['co_morbidities'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Women Related LMP', (string) ($payload['women_lmp'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Women Related Last Baby', (string) ($payload['women_last_baby'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Women Related Pregnancy Related', (string) ($payload['women_pregnancy_related'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'Women Related Problems', (string) ($payload['women_related_problems'] ?? ''));
$remarks = $this->upsertLabeledLineInRemarks($remarks, 'HPI Note', (string) ($payload['hpi_note'] ?? ''));
$update['Prescriber_Remarks'] = $remarks;
}
if ($update === []) {
return false;
}
return (bool) $this->db->table('opd_prescription')
->where('id', (int) $latest['id'])
->update($update);
}
public function ipd_select(int $ipdId, int $reCreate = 0)
{
$permission = $this->requireAnyPermission([
'billing.access',
'billing.ipd.invoice',
'billing.ipd.current-admission',
]);
if ($permission) {
return $permission;
}
if ($ipdId <= 0) {
throw \CodeIgniter\Exceptions\PageNotFoundException::forPageNotFound('Invalid IPD id');
}
$panelData = $this->ipdBillingModel->getIpdPanelInfo($ipdId);
if (empty($panelData)) {
return $this->response->setStatusCode(404)->setBody('IPD not found');
}
$ipdMasterRow = $this->db->table('ipd_master')->where('id', $ipdId)->get(1)->getRowArray() ?? [];
$patientId = (int) ($ipdMasterRow['p_id'] ?? ($panelData['person_info']->id ?? 0));
$notice = '';
$noticeType = 'success';
$userLabel = substr($this->currentUserLabel(), 0, 50);
if (strtolower($this->request->getMethod()) === 'post') {
$action = (string) ($this->request->getPost('action') ?? 'save_main');
$savedAny = false;
if ((int) ($this->request->getPost('dietary_autosave') ?? 0) === 1) {
$instructionFoodIds = $this->readInstructionFoodIdsFromRequest();
$instructionRow = $this->firstRowByIpd('ipd_discharge_instructions', $ipdId);
$existingMeta = $this->parseInstructionMetaPayload((string) ($instructionRow['comp_report'] ?? ''));
$instructionOtherPosted = $this->request->getPost('instruction_other');
$instructionOther = is_string($instructionOtherPosted)
? trim($instructionOtherPosted)
: trim((string) ($existingMeta['other_text'] ?? ''));
$instructionMeta = $this->buildInstructionMetaPayload([
'food_ids' => $instructionFoodIds,
'other_text' => $instructionOther,
'nabh' => is_array($existingMeta['nabh'] ?? null) ? ($existingMeta['nabh'] ?? []) : [],
]);
if ($this->tableHasColumns('ipd_discharge_instructions', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_instructions', $ipdId, [
'comp_report' => $instructionMeta,
'comp_remark' => (string) ($instructionRow['comp_remark'] ?? ''),
'review_after' => (string) ($instructionRow['review_after'] ?? ''),
'footer_text' => (string) ($instructionRow['footer_text'] ?? ''),
'footer_banner' => (string) ($instructionRow['footer_banner'] ?? '0'),
'update_by' => $userLabel,
]) || $savedAny;
}
if ($this->tableHasColumns('ipd_discharge_drug_food_interaction', ['ipd_id', 'food_id_list'])) {
$foodIds = [];
foreach ($instructionFoodIds as $foodId) {
$id = (int) $foodId;
if ($id > 0) {
$foodIds[$id] = $id;
}
}
$legacyData = [
'food_id_list' => implode(',', array_values($foodIds)),
];
if ($this->db->fieldExists('food_text', 'ipd_discharge_drug_food_interaction')) {
$legacyData['food_text'] = (string) ($instructionRow['comp_remark'] ?? '');
}
$savedAny = $this->upsertByIpd('ipd_discharge_drug_food_interaction', $ipdId, $legacyData) || $savedAny;
}
return $this->response->setJSON([
'update' => $savedAny ? 1 : 0,
'error_text' => $savedAny ? 'Dietary advice saved.' : 'Unable to save dietary advice.',
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
if ($action === 'add_complaint') {
$complaintName = trim((string) ($this->request->getPost('new_complaint_name') ?? ''));
$complaintRemarkRow = trim((string) ($this->request->getPost('new_complaint_remark') ?? ''));
$complaintRemarkText = trim((string) ($this->request->getPost('complaint_remark') ?? ''));
$painValue = trim((string) ($this->request->getPost('pain_value') ?? ''));
if (! in_array($painValue, ['0', '1', '2', '3', '4'], true)) {
$painValue = '';
}
if ($complaintName !== '' && $this->tableHasColumns('ipd_discharge_complaint', ['ipd_id'])) {
$insert = [
'ipd_id' => $ipdId,
'comp_code' => 0,
'comp_report' => $complaintName,
'comp_remark' => $complaintRemarkRow,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', 'ipd_discharge_complaint')) {
$insert['order_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_complaint')->insert($insert);
$notice = $savedAny ? 'Complaint row added.' : 'Unable to add complaint row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_complaint_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_complaint_remark', $ipdId, [
'comp_report' => $this->buildComplaintMetaPayload(['pain_value' => $painValue]),
'comp_remark' => $complaintRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
} else {
$notice = 'Enter complaint name before adding.';
$noticeType = 'warning';
}
} elseif ($action === 'remove_complaint') {
$removeId = (int) ($this->request->getPost('complaint_remove_id') ?? 0);
$complaintRemarkText = trim((string) ($this->request->getPost('complaint_remark') ?? ''));
$painValue = trim((string) ($this->request->getPost('pain_value') ?? ''));
if (! in_array($painValue, ['0', '1', '2', '3', '4'], true)) {
$painValue = '';
}
if ($removeId > 0 && $this->tableHasColumns('ipd_discharge_complaint', ['id', 'ipd_id'])) {
$savedAny = (bool) $this->db->table('ipd_discharge_complaint')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
$notice = $savedAny ? 'Complaint row removed.' : 'Unable to remove complaint row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_complaint_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_complaint_remark', $ipdId, [
'comp_report' => $this->buildComplaintMetaPayload(['pain_value' => $painValue]),
'comp_remark' => $complaintRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
}
} elseif ($action === 'add_surgery') {
$name = trim((string) ($this->request->getPost('new_surgery_name') ?? ''));
$date = $this->parseInputDateToDb((string) ($this->request->getPost('new_surgery_date') ?? ''));
$remark = trim((string) ($this->request->getPost('new_surgery_remark') ?? ''));
$masterId = max(0, (int) ($this->request->getPost('new_surgery_master_id') ?? 0));
if ($name !== '' && $this->tableHasColumns('ipd_discharge_surgery', ['ipd_id', 'surgery_name'])) {
$insert = [
'ipd_id' => $ipdId,
'surgery_name' => $name,
'surgery_remark' => $remark,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('surgery_date', 'ipd_discharge_surgery')) {
$insert['surgery_date'] = $date;
}
if ($this->db->fieldExists('surgery_id', 'ipd_discharge_surgery')) {
$insert['surgery_id'] = $masterId;
}
if ($this->db->fieldExists('surgery_by_doc_id', 'ipd_discharge_surgery')) {
$insert['surgery_by_doc_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_surgery')->insert($insert);
$notice = $savedAny ? 'Surgery row added.' : 'Unable to add surgery row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = $name === ''
? 'Enter surgery name before adding.'
: 'Surgery table/columns are missing in database.';
$noticeType = 'warning';
}
} elseif ($action === 'remove_surgery') {
$removeId = (int) ($this->request->getPost('surgery_remove_id') ?? 0);
if ($removeId > 0 && $this->tableHasColumns('ipd_discharge_surgery', ['id', 'ipd_id'])) {
$savedAny = (bool) $this->db->table('ipd_discharge_surgery')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
$notice = $savedAny ? 'Surgery row removed.' : 'Unable to remove surgery row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = 'Select a valid surgery row to remove.';
$noticeType = 'warning';
}
} elseif ($action === 'add_procedure') {
$name = trim((string) ($this->request->getPost('new_procedure_name') ?? ''));
$date = $this->parseInputDateToDb((string) ($this->request->getPost('new_procedure_date') ?? ''));
$remark = trim((string) ($this->request->getPost('new_procedure_remark') ?? ''));
$masterId = max(0, (int) ($this->request->getPost('new_procedure_master_id') ?? 0));
if ($name !== '' && $this->tableHasColumns('ipd_discharge_procedure', ['ipd_id', 'procedure_name'])) {
$insert = [
'ipd_id' => $ipdId,
'procedure_name' => $name,
'procedure_remark' => $remark,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('procedure_date', 'ipd_discharge_procedure')) {
$insert['procedure_date'] = $date;
}
if ($this->db->fieldExists('procedure_id', 'ipd_discharge_procedure')) {
$insert['procedure_id'] = $masterId;
}
if ($this->db->fieldExists('procedure_by_doc_id', 'ipd_discharge_procedure')) {
$insert['procedure_by_doc_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_procedure')->insert($insert);
$notice = $savedAny ? 'Procedure row added.' : 'Unable to add procedure row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = $name === ''
? 'Enter procedure name before adding.'
: 'Procedure table/columns are missing in database.';
$noticeType = 'warning';
}
} elseif ($action === 'remove_procedure') {
$removeId = (int) ($this->request->getPost('procedure_remove_id') ?? 0);
if ($removeId > 0 && $this->tableHasColumns('ipd_discharge_procedure', ['id', 'ipd_id'])) {
$savedAny = (bool) $this->db->table('ipd_discharge_procedure')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
$notice = $savedAny ? 'Procedure row removed.' : 'Unable to remove procedure row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = 'Select a valid procedure row to remove.';
$noticeType = 'warning';
}
} elseif ($action === 'add_diagnosis') {
$name = trim((string) ($this->request->getPost('new_diagnosis_name') ?? ''));
$remark = trim((string) ($this->request->getPost('new_diagnosis_remark') ?? ''));
$diagnosisRemarkText = trim((string) ($this->request->getPost('diagnosis_remark') ?? ''));
if ($name !== '' && $this->tableHasColumns('ipd_discharge_diagnosis', ['ipd_id', 'comp_report'])) {
$insert = [
'ipd_id' => $ipdId,
'comp_code' => 0,
'comp_report' => $name,
'comp_remark' => $remark,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', 'ipd_discharge_diagnosis')) {
$insert['order_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_diagnosis')->insert($insert);
$notice = $savedAny ? 'Diagnosis row added.' : 'Unable to add diagnosis row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_diagnosis_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_diagnosis_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $diagnosisRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
} else {
$notice = $name === ''
? 'Enter diagnosis before adding.'
: 'Diagnosis table/columns are missing in database.';
$noticeType = 'warning';
}
} elseif ($action === 'remove_diagnosis') {
$removeId = (int) ($this->request->getPost('diagnosis_remove_id') ?? 0);
$diagnosisRemarkText = trim((string) ($this->request->getPost('diagnosis_remark') ?? ''));
if ($removeId > 0 && $this->tableHasColumns('ipd_discharge_diagnosis', ['id', 'ipd_id'])) {
$savedAny = (bool) $this->db->table('ipd_discharge_diagnosis')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
$notice = $savedAny ? 'Diagnosis row removed.' : 'Unable to remove diagnosis row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_diagnosis_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_diagnosis_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $diagnosisRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
} else {
$notice = 'Select a valid diagnosis row to remove.';
$noticeType = 'warning';
}
} elseif ($action === 'add_course') {
$name = trim((string) ($this->request->getPost('new_course_name') ?? ''));
$remark = trim((string) ($this->request->getPost('new_course_remark') ?? ''));
$courseRemarkText = trim((string) ($this->request->getPost('course_remark') ?? ''));
if ($name !== '' && $this->tableHasColumns('ipd_discharge_course', ['ipd_id', 'comp_report'])) {
$insert = [
'ipd_id' => $ipdId,
'comp_code' => 0,
'comp_report' => $name,
'comp_remark' => $remark,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', 'ipd_discharge_course')) {
$insert['order_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_course')->insert($insert);
$notice = $savedAny ? 'Course row added.' : 'Unable to add course row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_course_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_course_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $courseRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
} else {
$notice = $name === ''
? 'Enter course/treatment text before adding.'
: 'Course table/columns are missing in database.';
$noticeType = 'warning';
}
} elseif ($action === 'remove_course') {
$removeId = (int) ($this->request->getPost('course_remove_id') ?? 0);
$courseRemarkText = trim((string) ($this->request->getPost('course_remark') ?? ''));
if ($removeId > 0 && $this->tableHasColumns('ipd_discharge_course', ['id', 'ipd_id'])) {
$savedAny = (bool) $this->db->table('ipd_discharge_course')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
$notice = $savedAny ? 'Course row removed.' : 'Unable to remove course row.';
$noticeType = $savedAny ? 'success' : 'warning';
if ($this->tableHasColumns('ipd_discharge_course_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_course_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $courseRemarkText,
'update_by' => $userLabel,
]) || $savedAny;
}
} else {
$notice = 'Select a valid course row to remove.';
$noticeType = 'warning';
}
} elseif ($action === 'add_drug') {
$name = trim((string) ($this->request->getPost('new_drug_name') ?? ''));
$type = trim((string) ($this->request->getPost('new_drug_type') ?? ''));
$dose = trim((string) ($this->request->getPost('new_drug_dose') ?? ''));
$when = trim((string) ($this->request->getPost('new_drug_when') ?? ''));
$freq = trim((string) ($this->request->getPost('new_drug_freq') ?? ''));
$day = trim((string) ($this->request->getPost('new_drug_day') ?? ''));
$qty = trim((string) ($this->request->getPost('new_drug_qty') ?? ''));
$remark = trim((string) ($this->request->getPost('new_drug_remark') ?? ''));
$legacyDrugTable = $this->findFirstExistingTable(['ipd_discharge_prescrption_prescribed', 'ipd_discharge_prescription_prescribed']);
if ($name !== '' && $legacyDrugTable !== null && $this->tableHasColumns($legacyDrugTable, ['ipd_id', 'med_name'])) {
$insert = [
'ipd_id' => $ipdId,
'med_id' => 0,
'med_name' => $name,
'med_type' => $type,
'dosage' => $dose,
'dosage_when' => $when,
'dosage_freq' => $freq,
'no_of_days' => $day,
'qty' => $qty,
'remark' => $remark,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', $legacyDrugTable)) {
$insert['order_id'] = 0;
}
$allowed = [];
foreach ($insert as $field => $value) {
if ($this->db->fieldExists($field, $legacyDrugTable)) {
$allowed[$field] = $value;
}
}
$savedAny = ! empty($allowed)
? (bool) $this->db->table($legacyDrugTable)->insert($allowed)
: false;
$notice = $savedAny ? 'Medicine row added.' : 'Unable to add medicine row.';
$noticeType = $savedAny ? 'success' : 'warning';
} elseif ($name !== '' && $this->tableHasColumns('ipd_discharge_drug', ['ipd_id', 'drug_name'])) {
$doseText = trim(implode(' ', array_filter([$type, $dose, $when, $freq], static fn ($v) => trim((string) $v) !== '')));
$dayText = trim(implode(' ', array_filter([$day, $qty !== '' ? ('Qty:' . $qty) : '', $remark], static fn ($v) => trim((string) $v) !== '')));
$insert = [
'ipd_id' => $ipdId,
'drug_code' => 0,
'drug_name' => $name,
'drug_dose' => $doseText,
'drug_day' => $dayText,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', 'ipd_discharge_drug')) {
$insert['order_id'] = 0;
}
$savedAny = (bool) $this->db->table('ipd_discharge_drug')->insert($insert);
$notice = $savedAny ? 'Drug row added.' : 'Unable to add drug row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = $name === ''
? 'Enter drug name before adding.'
: 'Drug table/columns are missing in database.';
$noticeType = 'warning';
}
} elseif ($action === 'apply_rx_group') {
$rxGroupId = (int) ($this->request->getPost('selected_rx_group_id') ?? 0);
$templateTable = $this->findFirstExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
$legacyDrugTable = $this->findFirstExistingTable(['ipd_discharge_prescrption_prescribed', 'ipd_discharge_prescription_prescribed']);
$fallbackDrugTable = $this->tableHasColumns('ipd_discharge_drug', ['ipd_id', 'drug_name']) ? 'ipd_discharge_drug' : null;
if ($rxGroupId <= 0) {
$notice = 'Select an Rx Group first.';
$noticeType = 'warning';
} elseif ($templateTable === null) {
$notice = 'Rx Group medicine template table not found.';
$noticeType = 'warning';
} elseif ($legacyDrugTable === null && $fallbackDrugTable === null) {
$notice = 'No discharge medicine table found.';
$noticeType = 'warning';
} else {
$templateRows = $this->db->table($templateTable)
->where('rx_group_id', $rxGroupId)
->orderBy('id', 'ASC')
->get()
->getResultArray();
if (empty($templateRows)) {
$notice = 'No medicines found in selected Rx Group.';
$noticeType = 'warning';
} else {
$inserted = 0;
foreach ($templateRows as $row) {
$medName = trim((string) ($row['med_name'] ?? ''));
if ($medName === '') {
continue;
}
if ($legacyDrugTable !== null && $this->tableHasColumns($legacyDrugTable, ['ipd_id', 'med_name'])) {
$insert = [
'ipd_id' => $ipdId,
'med_id' => (int) ($row['med_id'] ?? 0),
'med_name' => $medName,
'med_type' => trim((string) ($row['med_type'] ?? '')),
'dosage' => trim((string) ($row['dosage'] ?? '')),
'dosage_when' => trim((string) ($row['dosage_when'] ?? '')),
'dosage_freq' => trim((string) ($row['dosage_freq'] ?? '')),
'dosage_where' => trim((string) ($row['dosage_where'] ?? '')),
'no_of_days' => trim((string) ($row['no_of_days'] ?? '')),
'qty' => trim((string) ($row['qty'] ?? '')),
'remark' => trim((string) ($row['remark'] ?? '')),
'genericname' => trim((string) ($row['genericname'] ?? '')),
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', $legacyDrugTable)) {
$insert['order_id'] = 0;
}
$allowed = [];
foreach ($insert as $field => $value) {
if ($this->db->fieldExists($field, $legacyDrugTable)) {
$allowed[$field] = $value;
}
}
if (! empty($allowed) && $this->db->table($legacyDrugTable)->insert($allowed)) {
$inserted++;
}
continue;
}
if ($fallbackDrugTable !== null) {
$doseText = trim(implode(' ', array_filter([
trim((string) ($row['med_type'] ?? '')),
trim((string) ($row['dosage'] ?? '')),
trim((string) ($row['dosage_when'] ?? '')),
trim((string) ($row['dosage_freq'] ?? '')),
], static fn ($v) => trim((string) $v) !== '')));
$dayText = trim(implode(' ', array_filter([
trim((string) ($row['no_of_days'] ?? '')),
trim((string) ($row['qty'] ?? '')) !== '' ? ('Qty:' . trim((string) ($row['qty'] ?? ''))) : '',
trim((string) ($row['remark'] ?? '')),
], static fn ($v) => trim((string) $v) !== '')));
$insert = [
'ipd_id' => $ipdId,
'drug_code' => (int) ($row['med_id'] ?? 0),
'drug_name' => $medName,
'drug_dose' => $doseText,
'drug_day' => $dayText,
'update_by' => $userLabel,
];
if ($this->db->fieldExists('order_id', $fallbackDrugTable)) {
$insert['order_id'] = 0;
}
if ($this->db->table($fallbackDrugTable)->insert($insert)) {
$inserted++;
}
}
}
$savedAny = $inserted > 0;
$notice = $savedAny
? ($inserted . ' medicine(s) added from Rx Group.')
: 'No medicines could be added from selected Rx Group.';
$noticeType = $savedAny ? 'success' : 'warning';
}
}
} elseif ($action === 'remove_drug') {
$removeId = (int) ($this->request->getPost('drug_remove_id') ?? 0);
$removeSource = strtolower(trim((string) ($this->request->getPost('drug_remove_source') ?? 'legacy')));
if ($removeId > 0) {
$deleted = false;
if ($removeSource === 'legacy') {
$legacyDrugTable = $this->findFirstExistingTable(['ipd_discharge_prescrption_prescribed', 'ipd_discharge_prescription_prescribed']);
if ($legacyDrugTable !== null && $this->tableHasColumns($legacyDrugTable, ['id', 'ipd_id'])) {
$deleted = (bool) $this->db->table($legacyDrugTable)
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
}
}
if (! $deleted && $this->tableHasColumns('ipd_discharge_drug', ['id', 'ipd_id'])) {
$deleted = (bool) $this->db->table('ipd_discharge_drug')
->where('id', $removeId)
->where('ipd_id', $ipdId)
->delete();
}
$savedAny = $deleted;
$notice = $savedAny ? 'Drug row removed.' : 'Unable to remove drug row.';
$noticeType = $savedAny ? 'success' : 'warning';
} else {
$notice = 'Select a valid drug row to remove.';
$noticeType = 'warning';
}
} else {
if ($this->db->tableExists('ipd_master')) {
$masterUpdate = [];
if ($this->db->fieldExists('discarge_patient_status', 'ipd_master')) {
$masterUpdate['discarge_patient_status'] = (int) ($this->request->getPost('discarge_patient_status') ?? 0);
}
if ($this->db->fieldExists('discharge_date', 'ipd_master')) {
$masterUpdate['discharge_date'] = $this->toDbDate((string) ($this->request->getPost('discharge_date') ?? ''));
}
if ($this->db->fieldExists('discharge_time', 'ipd_master')) {
$masterUpdate['discharge_time'] = (string) ($this->request->getPost('discharge_time') ?? '');
}
if ($this->db->fieldExists('dept_id', 'ipd_master')) {
$masterUpdate['dept_id'] = (int) ($this->request->getPost('dept_id') ?? 0);
}
if (! empty($masterUpdate)) {
$savedAny = (bool) $this->db->table('ipd_master')->where('id', $ipdId)->update($masterUpdate) || $savedAny;
}
}
$complaintRemark = trim((string) ($this->request->getPost('complaint_remark') ?? ''));
$painValue = trim((string) ($this->request->getPost('pain_value') ?? ''));
if (! in_array($painValue, ['0', '1', '2', '3', '4'], true)) {
$painValue = '';
}
$diagnosisRemark = trim((string) ($this->request->getPost('diagnosis_remark') ?? ''));
$courseRemark = trim((string) ($this->request->getPost('course_remark') ?? ''));
$instructionRemark = trim((string) ($this->request->getPost('instruction_remark') ?? ''));
$reviewAfter = trim((string) ($this->request->getPost('review_after') ?? ''));
$instructionOther = trim((string) ($this->request->getPost('instruction_other') ?? ''));
$instructionFoodIds = $this->readInstructionFoodIdsFromRequest();
$instructionMeta = $this->buildInstructionMetaPayload([
'food_ids' => $instructionFoodIds,
'other_text' => $instructionOther,
'nabh' => [
'drug_allergy_status' => trim((string) ($this->request->getPost('drug_allergy_status') ?? '')),
'drug_allergy_details' => trim((string) ($this->request->getPost('drug_allergy_details') ?? '')),
'adr_history' => trim((string) ($this->request->getPost('adr_history') ?? '')),
'current_medications' => trim((string) ($this->request->getPost('current_medications') ?? '')),
'co_morbidities' => trim((string) ($this->request->getPost('co_morbidities') ?? '')),
'hpi_note' => trim((string) ($this->request->getPost('hpi_note') ?? '')),
'women_lmp' => trim((string) ($this->request->getPost('women_lmp') ?? '')),
'women_last_baby' => trim((string) ($this->request->getPost('women_last_baby') ?? '')),
'women_pregnancy_related' => trim((string) ($this->request->getPost('women_pregnancy_related') ?? '')),
'women_related_problems' => trim((string) ($this->request->getPost('women_related_problems') ?? '')),
],
]);
if ($complaintRemark !== '' || $this->tableHasColumns('ipd_discharge_complaint_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_complaint_remark', $ipdId, [
'comp_report' => $this->buildComplaintMetaPayload(['pain_value' => $painValue]),
'comp_remark' => $complaintRemark,
'update_by' => $userLabel,
]) || $savedAny;
}
if ($diagnosisRemark !== '' || $this->tableHasColumns('ipd_discharge_diagnosis_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_diagnosis_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $diagnosisRemark,
'update_by' => $userLabel,
]) || $savedAny;
}
if ($courseRemark !== '' || $this->tableHasColumns('ipd_discharge_course_remark', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_course_remark', $ipdId, [
'comp_report' => '',
'comp_remark' => $courseRemark,
'update_by' => $userLabel,
]) || $savedAny;
}
if ($instructionRemark !== '' || $reviewAfter !== '' || $instructionMeta !== '' || $this->tableHasColumns('ipd_discharge_instructions', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_instructions', $ipdId, [
'comp_report' => $instructionMeta,
'comp_remark' => $instructionRemark,
'review_after' => $reviewAfter,
'footer_text' => '',
'footer_banner' => '0',
'update_by' => $userLabel,
]) || $savedAny;
}
if ($this->tableHasColumns('ipd_discharge_drug_food_interaction', ['ipd_id', 'food_id_list'])) {
$foodIds = [];
foreach ($instructionFoodIds as $foodId) {
$id = (int) $foodId;
if ($id > 0) {
$foodIds[$id] = $id;
}
}
$legacyData = [
'food_id_list' => implode(',', array_values($foodIds)),
];
if ($this->db->fieldExists('food_text', 'ipd_discharge_drug_food_interaction')) {
$legacyData['food_text'] = $instructionRemark;
}
$savedAny = $this->upsertByIpd('ipd_discharge_drug_food_interaction', $ipdId, $legacyData) || $savedAny;
}
// Examination on Admission (General Examination values).
if ($this->tableHasColumns('ipd_discharge_general_exam_col', ['id', 'col_name'])
&& $this->tableHasColumns('ipd_discharge_1_b', ['ipd_d_id', 'col_id', 'short_head', 'rdata'])) {
$generalCols = $this->db->table('ipd_discharge_general_exam_col')
->select('id,col_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
foreach ($generalCols as $col) {
$colId = (int) ($col['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$posted = $this->request->getPost('gen_exam_' . $colId);
if ($posted === null) {
continue;
}
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_b',
'ipd_d_id',
$ipdId,
'col_id',
$colId,
[
'short_head' => (string) ($col['col_name'] ?? ('Exam ' . $colId)),
'rdata' => trim((string) $posted),
]
) || $savedAny;
}
}
// Other/Systemic Examinations.
if ($this->tableHasColumns('ipd_discharge_sys_exam', ['id', 'sys_exam_name'])
&& $this->tableHasColumns('ipd_discharge_1_a', ['ipd_d_id', 'head_id', 'short_head', 'rdata'])) {
$sysMaster = $this->db->table('ipd_discharge_sys_exam')
->select('id,sys_exam_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
$singleSystemicTextRaw = $this->request->getPost('systemic_exam_text');
if ($singleSystemicTextRaw !== null) {
$singleSystemicText = trim((string) $singleSystemicTextRaw);
$primarySysId = (int) ($sysMaster[0]['id'] ?? 0);
foreach ($sysMaster as $sys) {
$sid = (int) ($sys['id'] ?? 0);
if ($sid <= 0) {
continue;
}
$rowText = $sid === $primarySysId ? $singleSystemicText : '';
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_a',
'ipd_d_id',
$ipdId,
'head_id',
$sid,
[
'short_head' => (string) ($sys['sys_exam_name'] ?? ('Systemic Exam ' . $sid)),
'rdata' => $rowText,
]
) || $savedAny;
}
} else {
foreach ($sysMaster as $sys) {
$sid = (int) ($sys['id'] ?? 0);
if ($sid <= 0) {
continue;
}
$posted = $this->request->getPost('sys_exam_' . $sid);
if ($posted === null) {
continue;
}
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_a',
'ipd_d_id',
$ipdId,
'head_id',
$sid,
[
'short_head' => (string) ($sys['sys_exam_name'] ?? ('Systemic Exam ' . $sid)),
'rdata' => trim((string) $posted),
]
) || $savedAny;
}
}
}
// Investigation done during admit (manual entry): ipd_discharge_1_d
if ($this->tableHasColumns('ipd_discharge_investigation_during_admit', ['id', 'col_name'])
&& $this->tableHasColumns('ipd_discharge_1_d', ['ipd_d_id', 'col_id', 'short_head', 'rdata'])) {
$manualCols = $this->db->table('ipd_discharge_investigation_during_admit')
->select('id,col_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
foreach ($manualCols as $col) {
$colId = (int) ($col['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$posted = $this->request->getPost('manual_exam_' . $colId);
if ($posted === null) {
continue;
}
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_d',
'ipd_d_id',
$ipdId,
'col_id',
$colId,
[
'short_head' => (string) ($col['col_name'] ?? ('Investigation ' . $colId)),
'rdata' => trim((string) $posted),
]
) || $savedAny;
}
}
// Special/manual radiology investigation: ipd_discharge_1_e
if ($this->tableHasColumns('ipd_discharge_special_investigation', ['id', 'col_name'])
&& $this->tableHasColumns('ipd_discharge_1_e', ['ipd_d_id', 'col_id', 'short_head', 'rdata'])) {
$specialCols = $this->db->table('ipd_discharge_special_investigation')
->select('id,col_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
foreach ($specialCols as $col) {
$colId = (int) ($col['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$posted = $this->request->getPost('special_exam_' . $colId);
if ($posted === null) {
continue;
}
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_e',
'ipd_d_id',
$ipdId,
'col_id',
$colId,
[
'short_head' => (string) ($col['col_name'] ?? ('Special Investigation ' . $colId)),
'rdata' => trim((string) $posted),
]
) || $savedAny;
}
}
// Condition at discharge values: ipd_discharge_1_b_final
if ($this->tableHasColumns('ipd_discharge_general_exam_col', ['id', 'col_name'])
&& $this->tableHasColumns('ipd_discharge_1_b_final', ['ipd_d_id', 'col_id', 'short_head', 'rdata'])) {
$disCols = $this->db->table('ipd_discharge_general_exam_col')
->select('id,col_name')
->orderBy('id', 'ASC')
->get()
->getResultArray();
foreach ($disCols as $col) {
$colId = (int) ($col['id'] ?? 0);
if ($colId <= 0) {
continue;
}
$posted = $this->request->getPost('dis_exam_' . $colId);
if ($posted === null) {
continue;
}
$savedAny = $this->upsertByComposite(
'ipd_discharge_1_b_final',
'ipd_d_id',
$ipdId,
'col_id',
$colId,
[
'short_head' => (string) ($col['col_name'] ?? ('Discharge Exam ' . $colId)),
'rdata' => trim((string) $posted),
]
) || $savedAny;
}
}
// Summary of key investigations during hospitalization.
$inhosRemark = trim((string) ($this->request->getPost('inhos_remark') ?? ''));
if ($inhosRemark !== '' || $this->tableHasColumns('ipd_discharge_investigtions_inhos', ['ipd_id'])) {
$savedAny = $this->upsertByIpd('ipd_discharge_investigtions_inhos', $ipdId, [
'comp_report' => '',
'comp_remark' => $inhosRemark,
'update_by' => $userLabel,
]) || $savedAny;
}
// Other examinations narrative (legacy ipd_discharge_2.rdata).
$otherExamText = trim((string) ($this->request->getPost('other_exam_text') ?? ''));
$postedClinicalDates = $this->request->getPost('lab_investigation_dates');
$postedNonPathIds = $this->request->getPost('non_path_investigation_ids');
$normalizedClinicalDates = [];
$normalizedNonPathIds = [];
if (is_array($postedClinicalDates)) {
foreach ($postedClinicalDates as $dt) {
$parsed = $this->normalizeDateValue((string) $dt);
if ($parsed !== null) {
$normalizedClinicalDates[$parsed] = $parsed;
}
}
} else {
$listFromText = (string) ($this->request->getPost('lab_investigation_list') ?? '');
foreach ($this->normalizeCsvDateList($listFromText) as $dt) {
$normalizedClinicalDates[$dt] = $dt;
}
}
if (is_array($postedNonPathIds)) {
foreach ($postedNonPathIds as $id) {
$id = (int) $id;
if ($id > 0) {
$normalizedNonPathIds[$id] = $id;
}
}
} else {
$nonPathFromText = (string) ($this->request->getPost('non_path_investigation_list') ?? '');
foreach ($this->normalizeCsvIdList($nonPathFromText) as $id) {
$normalizedNonPathIds[$id] = $id;
}
}
$labInvestigationList = implode(',', array_values($normalizedClinicalDates));
$nonPathIds = array_values($normalizedNonPathIds);
$otherExamPayload = $this->buildClinicalOtherExamPayload($otherExamText, $nonPathIds);
if ($otherExamText !== '' || $this->tableHasColumns('ipd_discharge_2', ['ipd_d_id'])) {
$savedAny = $this->upsertByIpdField(
'ipd_discharge_2',
'ipd_d_id',
$ipdId,
[
'lab_investigation_list' => $labInvestigationList,
'short_head' => 'Other Examination',
'rdata' => $otherExamPayload,
]
) || $savedAny;
}
// Legacy first-tab personal history checkboxes are stored in patient_master.
if ($patientId > 0 && $this->db->tableExists('patient_master')) {
$patientUpdate = [];
$historyFields = [
'is_smoking',
'is_alcohol',
'is_drug_abuse',
'is_tobacoo',
'is_hypertesion',
'is_niddm',
'is_hbsag',
'is_hcv',
'is_hiv_I_II',
'Others',
];
foreach ($historyFields as $field) {
if ($this->db->fieldExists($field, 'patient_master')) {
$patientUpdate[$field] = $this->request->getPost($field) ? 1 : 0;
}
}
if (! empty($patientUpdate)) {
$savedAny = (bool) $this->db->table('patient_master')->where('id', $patientId)->update($patientUpdate) || $savedAny;
}
}
// Save editable NABH history fields back to latest OPD history row for this patient.
$nabhHistoryPayload = [
'drug_allergy_status' => trim((string) ($this->request->getPost('drug_allergy_status') ?? '')),
'drug_allergy_details' => trim((string) ($this->request->getPost('drug_allergy_details') ?? '')),
'adr_history' => trim((string) ($this->request->getPost('adr_history') ?? '')),
'current_medications' => trim((string) ($this->request->getPost('current_medications') ?? '')),
'co_morbidities' => trim((string) ($this->request->getPost('co_morbidities') ?? '')),
'women_lmp' => trim((string) ($this->request->getPost('women_lmp') ?? '')),
'women_last_baby' => trim((string) ($this->request->getPost('women_last_baby') ?? '')),
'women_pregnancy_related' => trim((string) ($this->request->getPost('women_pregnancy_related') ?? '')),
'women_related_problems' => trim((string) ($this->request->getPost('women_related_problems') ?? '')),
'hpi_note' => trim((string) ($this->request->getPost('hpi_note') ?? '')),
];
$savedAny = $this->saveNabhHistoryFromDischarge($patientId, $nabhHistoryPayload) || $savedAny;
if ($savedAny) {
$notice = 'Discharge form data saved. You can now preview or regenerate summary.';
} else {
$notice = 'No data could be saved. Please verify discharge tables exist in this database.';
$noticeType = 'warning';
}
}
if ($action !== 'save_main' && $notice === '') {
$notice = 'Requested action could not be completed. Please verify database table/columns for this section.';
$noticeType = 'warning';
}
$ajaxMode = strtolower(trim((string) ($this->request->getPost('ajax_mode') ?? '')));
if ($ajaxMode === 'json') {
return $this->response->setJSON([
'update' => $savedAny ? 1 : 0,
'error_text' => $notice,
'notice_type' => $noticeType,
'csrfName' => csrf_token(),
'csrfHash' => csrf_hash(),
]);
}
}
if ($reCreate > 0) {
return redirect()->to(site_url('Ipd_discharge/preview_discharge_report/' . $ipdId . '?regen=1'));
}
$ipdMasterRow = $this->db->table('ipd_master')->where('id', $ipdId)->get(1)->getRowArray() ?? [];
$statusRows = $this->db->tableExists('ipd_discharg_status')
? $this->db->table('ipd_discharg_status')->orderBy('id', 'ASC')->get()->getResultArray()
: [];
$departmentRows = $this->db->tableExists('hc_department')
? $this->db->table('hc_department')->orderBy('vName', 'ASC')->get()->getResultArray()
: [];
$complaintRemarkRow = $this->firstRowByIpd('ipd_discharge_complaint_remark', $ipdId);
$complaintMeta = $this->parseComplaintMetaPayload((string) ($complaintRemarkRow['comp_report'] ?? ''));
$complaintRows = $this->byIpdRows('ipd_discharge_complaint', ['id', 'comp_report', 'comp_remark'], 'id ASC', $ipdId);
$surgeryRows = $this->byIpdRows('ipd_discharge_surgery', ['id', 'surgery_name', 'surgery_date', 'surgery_remark'], 'id ASC', $ipdId);
$procedureRows = $this->byIpdRows('ipd_discharge_procedure', ['id', 'procedure_name', 'procedure_date', 'procedure_remark'], 'id ASC', $ipdId);
$diagnosisRows = $this->byIpdRows('ipd_discharge_diagnosis', ['id', 'comp_report', 'comp_remark'], 'id ASC', $ipdId);
$courseRows = $this->byIpdRows('ipd_discharge_course', ['id', 'comp_report', 'comp_remark'], 'id ASC', $ipdId);
$drugRows = $this->byIpdRows('ipd_discharge_drug', ['id', 'drug_name', 'drug_dose', 'drug_day'], 'id ASC', $ipdId);
$legacyDrugRows = $this->byIpdRows('ipd_discharge_prescrption_prescribed', ['id', 'med_name', 'med_type', 'dosage', 'dosage_when', 'dosage_freq', 'no_of_days', 'qty', 'remark'], 'id ASC', $ipdId);
if (empty($legacyDrugRows)) {
$legacyDrugRows = $this->byIpdRows('ipd_discharge_prescription_prescribed', ['id', 'med_name', 'med_type', 'dosage', 'dosage_when', 'dosage_freq', 'no_of_days', 'qty', 'remark'], 'id ASC', $ipdId);
}
$diagnosisRemarkRow = $this->firstRowByIpd('ipd_discharge_diagnosis_remark', $ipdId);
$courseRemarkRow = $this->firstRowByIpd('ipd_discharge_course_remark', $ipdId);
$instructionRow = $this->firstRowByIpd('ipd_discharge_instructions', $ipdId);
$instructionMeta = $this->parseInstructionMetaPayload((string) ($instructionRow['comp_report'] ?? ''));
if (empty($instructionMeta['food_ids'])
&& $this->tableHasColumns('ipd_discharge_drug_food_interaction', ['ipd_id', 'food_id_list'])) {
$legacyFoodRow = $this->firstRowByIpd('ipd_discharge_drug_food_interaction', $ipdId);
$instructionMeta['food_ids'] = $this->parseFoodIdCsv((string) ($legacyFoodRow['food_id_list'] ?? ''));
if (trim((string) ($instructionMeta['other_text'] ?? '')) === '' && $this->db->fieldExists('food_text', 'ipd_discharge_drug_food_interaction')) {
$instructionMeta['other_text'] = trim((string) ($legacyFoodRow['food_text'] ?? ''));
}
}
$instructionNabh = is_array($instructionMeta['nabh'] ?? null) ? ($instructionMeta['nabh'] ?? []) : [];
foreach (['drug_allergy_status', 'drug_allergy_details', 'adr_history', 'current_medications', 'co_morbidities', 'hpi_note', 'women_lmp', 'women_last_baby', 'women_pregnancy_related', 'women_related_problems'] as $field) {
if (trim((string) ($opdHistorySnapshot[$field] ?? '')) === '' && trim((string) ($instructionNabh[$field] ?? '')) !== '') {
$opdHistorySnapshot[$field] = trim((string) ($instructionNabh[$field] ?? ''));
}
}
$instructionFoodRows = [];
if ($this->tableHasColumns('ipd_discharge_master_food', ['id', 'food_short', 'food_desc'])) {
$builder = $this->db->table('ipd_discharge_master_food')
->select('id,food_short,food_desc,food_desc_lang')
->orderBy('id', 'ASC');
$instructionFoodRows = $builder->get()->getResultArray();
}
$inhosRow = $this->firstRowByIpd('ipd_discharge_investigtions_inhos', $ipdId);
$otherExamRow = [];
if ($this->tableHasColumns('ipd_discharge_2', ['ipd_d_id'])) {
$otherExamRow = $this->db->table('ipd_discharge_2')
->where('ipd_d_id', $ipdId)
->orderBy('id', 'DESC')
->get(1)
->getRowArray() ?? [];
}
$otherExamParsed = $this->parseClinicalOtherExamPayload((string) ($otherExamRow['rdata'] ?? ''));
$savedNonPathIds = $otherExamParsed['non_path_ids'] ?? [];
$patientHistoryRow = $patientId > 0 && $this->db->tableExists('patient_master')
? ($this->db->table('patient_master')->where('id', $patientId)->get(1)->getRowArray() ?? [])
: [];
$opdHistorySnapshot = $this->getLatestOpdHistorySnapshot($patientId);
$nursingAdmissionSnapshot = $this->getNursingAdmissionSnapshot($ipdId);
$physicalExamRows = $this->getPhysicalExamRows($ipdId);
$manualInvestRows = $this->getMappedColRows('ipd_discharge_investigation_during_admit', 'ipd_discharge_1_d', $ipdId, 'Manual Exam', 1);
$specialInvestRows = $this->getMappedColRows('ipd_discharge_special_investigation', 'ipd_discharge_1_e', $ipdId, 'Special Exam', 1);
$dischargeConditionRows = $this->getMappedColRows('ipd_discharge_general_exam_col', 'ipd_discharge_1_b_final', $ipdId, 'Discharge Condition', null);
$ipdInfo = $panelData['ipd_info'] ?? null;
$admitDate = $this->normalizeDateValue((string) ($ipdInfo->register_date ?? '')) ?? '';
$dischargeDate = $this->normalizeDateValue((string) ($ipdInfo->discharge_date ?? ''))
?? $this->normalizeDateValue((string) ($ipdMasterRow['discharge_date'] ?? ''))
?? date('Y-m-d');
$savedClinicalDates = $this->getSavedClinicalLabDates($ipdId);
$clinicalLabRows = $this->getClinicalInvestigationLabRows($patientId, $admitDate, $dischargeDate, $savedClinicalDates);
$clinicalNonPathRows = $this->getClinicalNonPathReportRows($patientId, $admitDate, $dischargeDate, $savedNonPathIds);
$labInvestigationList = implode(',', $savedClinicalDates);
$nonPathInvestigationList = implode(',', $savedNonPathIds);
$complaintRemarkText = (string) ($complaintRemarkRow['comp_remark'] ?? '');
if (trim($complaintRemarkText) === '' && ! empty($nursingAdmissionSnapshot)) {
$parts = [];
$nursingComplaint = trim((string) ($nursingAdmissionSnapshot['treatment_text'] ?? ''));
$nursingNote = trim((string) ($nursingAdmissionSnapshot['general_note'] ?? ''));
if ($nursingComplaint !== '') {
$parts[] = $nursingComplaint;
}
if ($nursingNote !== '') {
$parts[] = $nursingNote;
}
if (! empty($parts)) {
$complaintRemarkText = implode(PHP_EOL, $parts);
}
}
if (trim($complaintRemarkText) === '') {
$hpiFallback = trim((string) ($opdHistorySnapshot['hpi_note'] ?? ''));
if ($hpiFallback !== '') {
$complaintRemarkText = $hpiFallback;
}
}
return view('billing/ipd/discharge_create', [
'ipd_id' => $ipdId,
'ipd_info' => $panelData['ipd_info'] ?? null,
'person_info' => $panelData['person_info'] ?? null,
'notice' => $notice,
'notice_type' => $noticeType,
'status_rows' => $statusRows,
'department_rows' => $departmentRows,
'ipd_master_row' => $ipdMasterRow,
'complaint_rows' => $complaintRows,
'surgery_rows' => $surgeryRows,
'procedure_rows' => $procedureRows,
'diagnosis_rows' => $diagnosisRows,
'course_rows' => $courseRows,
'drug_rows' => $drugRows,
'legacy_drug_rows' => $legacyDrugRows,
'patient_history_row' => $patientHistoryRow,
'physical_exam_rows' => $physicalExamRows,
'manual_invest_rows' => $manualInvestRows,
'special_invest_rows' => $specialInvestRows,
'clinical_lab_rows' => $clinicalLabRows,
'clinical_non_path_rows' => $clinicalNonPathRows,
'lab_investigation_list' => $labInvestigationList,
'non_path_investigation_list' => $nonPathInvestigationList,
'discharge_condition_rows' => $dischargeConditionRows,
'complaint_remark' => $complaintRemarkText,
'pain_value' => (string) ($complaintMeta['pain_value'] ?? ''),
'opd_history_snapshot' => $opdHistorySnapshot,
'nursing_admission_snapshot' => $nursingAdmissionSnapshot,
'diagnosis_remark' => (string) ($diagnosisRemarkRow['comp_remark'] ?? ''),
'course_remark' => (string) ($courseRemarkRow['comp_remark'] ?? ''),
'instruction_remark' => (string) ($instructionRow['comp_remark'] ?? ''),
'review_after' => (string) ($instructionRow['review_after'] ?? ''),
'instruction_food_rows' => $instructionFoodRows,
'instruction_food_ids' => $instructionMeta['food_ids'] ?? [],
'instruction_other' => (string) ($instructionMeta['other_text'] ?? ''),
'inhos_remark' => (string) ($inhosRow['comp_remark'] ?? ''),
'other_exam_text' => (string) ($otherExamParsed['text'] ?? ''),
]);
}
public function preview_discharge_report(int $ipdId)
{
$permission = $this->requireAnyPermission([
'billing.access',
'billing.ipd.invoice',
'billing.ipd.current-admission',
]);
if ($permission) {
return $permission;
}
if ($ipdId <= 0) {
throw \CodeIgniter\Exceptions\PageNotFoundException::forPageNotFound('Invalid IPD id');
}
$panelData = $this->ipdBillingModel->getIpdPanelInfo($ipdId);
if (empty($panelData)) {
return $this->response->setStatusCode(404)->setBody('IPD not found');
}
$notice = '';
$noticeType = 'success';
$content = $this->getDischargeContent($ipdId);
$shouldRegenerate = (int) ($this->request->getGet('regen') ?? 0) === 1;
$requestedTemplateId = (int) ($this->request->getGet('tpl') ?? 0);
if ($shouldRegenerate || trim(strip_tags($content)) === '') {
$generated = $this->buildAutoDischargeContent($ipdId, $panelData);
if (trim(strip_tags($generated)) !== '') {
$content = $generated;
if ($this->saveDischargeContent($ipdId, $content)) {
$notice = 'Discharge summary auto-generated from IPD discharge data.';
$noticeType = 'success';
} else {
$notice = 'Discharge summary generated in editor, but database save failed. Please click Save again after checking DB schema.';
$noticeType = 'warning';
}
}
}
$templatePack = $this->applyDischargeTemplate($content, $panelData, $requestedTemplateId > 0 ? $requestedTemplateId : null);
$nabhAudit = $this->buildNabhAuditChecklist($ipdId, $panelData);
return view('billing/ipd/discharge_preview', [
'ipd_id' => $ipdId,
'ipd_info' => $panelData['ipd_info'] ?? null,
'person_info' => $panelData['person_info'] ?? null,
'content' => $content,
'rendered_content' => (string) ($templatePack['rendered_html'] ?? $content),
'template_rows' => $templatePack['templates'] ?? [],
'selected_template_id' => (int) ($templatePack['selected_template_id'] ?? 0),
'selected_template_name' => (string) ($templatePack['selected_template_name'] ?? ''),
'nabh_audit' => $nabhAudit,
'notice' => $notice,
'notice_type' => $noticeType,
]);
}
public function show_discharge(int $ipdId, int $printType = 1)
{
$permission = $this->requireAnyPermission([
'billing.access',
'billing.ipd.invoice',
'billing.ipd.current-admission',
]);
if ($permission) {
return $permission;
}
if ($ipdId <= 0) {
throw \CodeIgniter\Exceptions\PageNotFoundException::forPageNotFound('Invalid IPD id');
}
$panelData = $this->ipdBillingModel->getIpdPanelInfo($ipdId);
if (empty($panelData)) {
return $this->response->setStatusCode(404)->setBody('IPD not found');
}
$content = $this->getDischargeContent($ipdId);
if (trim(strip_tags($content)) === '') {
$content = $this->buildAutoDischargeContent($ipdId, $panelData);
if (trim(strip_tags($content)) !== '') {
$this->saveDischargeContent($ipdId, $content);
}
}
$requestedTemplateId = (int) ($this->request->getGet('tpl') ?? 0);
$templatePack = $this->applyDischargeTemplate($content, $panelData, $requestedTemplateId > 0 ? $requestedTemplateId : null);
$withHeader = $printType !== 0;
$renderedHtml = (string) ($templatePack['rendered_html'] ?? $content);
$templateName = (string) ($templatePack['selected_template_name'] ?? 'Discharge Template');
try {
$patient = $panelData['person_info'] ?? null;
$ipd = $panelData['ipd_info'] ?? null;
$patientName = trim((string) ($patient->p_fname ?? 'Patient'));
$ipdCode = trim((string) ($ipd->ipd_code ?? $ipdId));
$fileName = 'discharge_' . preg_replace('/[^A-Za-z0-9_-]+/', '_', $ipdCode !== '' ? $ipdCode : (string) $ipdId) . '.pdf';
$pdfHtml = $this->buildDischargePdfHtml($panelData, $renderedHtml, $withHeader, $templateName);
$mpdf = new Mpdf([
'mode' => 'utf-8',
'format' => 'A4',
'margin_left' => 10,
'margin_right' => 10,
'margin_top' => $withHeader ? 28 : 12,
'margin_bottom' => 12,
'margin_header' => 8,
'margin_footer' => 8,
'default_font' => 'freeserif',
'tempDir' => WRITEPATH . 'cache',
]);
$mpdf->autoScriptToLang = true;
$mpdf->autoLangToFont = true;
$mpdf->SetTitle('Discharge Summary - ' . ($patientName !== '' ? $patientName : ('IPD ' . $ipdId)));
$mpdf->SetAuthor('Atria HMS');
if ($withHeader) {
$headerHtml = '<div style="font-family:freeserif,serif;font-size:11pt;border-bottom:1px solid #d1d5db;padding-bottom:6px;">'
. '<div style="font-size:14pt;font-weight:700;">Discharge Summary</div>'
. '<div style="font-size:9pt;color:#374151;">IPD: ' . esc($ipdCode) . ' | Template: ' . esc($templateName) . '</div>'
. '</div>';
$mpdf->SetHTMLHeader($headerHtml);
}
$mpdf->SetHTMLFooter('<div style="font-family:freeserif,serif;font-size:9pt;color:#6b7280;text-align:right;">Page {PAGENO}/{nbpg}</div>');
$mpdf->WriteHTML($pdfHtml);
$pdfBinary = $mpdf->Output($fileName, Destination::STRING_RETURN);
return $this->response
->setHeader('Content-Type', 'application/pdf')
->setHeader('Content-Disposition', 'inline; filename="' . $fileName . '"')
->setBody($pdfBinary);
} catch (\Throwable $e) {
log_message('error', 'PDF generation failed for IPD {ipd}: {msg}', [
'ipd' => $ipdId,
'msg' => $e->getMessage(),
]);
}
return view('billing/ipd/discharge_print', [
'ipd_id' => $ipdId,
'ipd_info' => $panelData['ipd_info'] ?? null,
'person_info' => $panelData['person_info'] ?? null,
'content' => $renderedHtml,
'selected_template_name' => (string) ($templatePack['selected_template_name'] ?? ''),
'selected_template_id' => (int) ($templatePack['selected_template_id'] ?? 0),
'print_type' => $printType,
'print_mode' => 'standard',
]);
}
private function buildDischargePdfHtml(array $panelData, string $renderedContent, bool $withHeader, string $templateName): string
{
$ipd = $panelData['ipd_info'] ?? null;
$person = $panelData['person_info'] ?? null;
$patientName = trim((string) ($person->p_fname ?? ''));
$patientCode = trim((string) (
$person->uhid
?? $person->UHID
?? $person->patient_code
?? $person->p_code
?? $person->reg_no
?? ''
));
$ipdCode = trim((string) ($ipd->ipd_code ?? ''));
$gender = trim((string) ($person->xgender ?? ''));
$age = get_age_1($person->dob ?? null, $person->age ?? '', $person->age_in_month ?? '', $person->estimate_dob ?? '');
$admitDate = trim((string) ($ipd->str_register_date ?? ''));
$dischargeDate = trim((string) ($ipd->str_discharge_date ?? ''));
$headerBlock = '';
if ($withHeader) {
$headerBlock = '<div class="pdf-header">'
. '<div class="pdf-header-title">Discharge Summary</div>'
. '<div class="pdf-header-sub">Template: ' . esc($templateName) . '</div>'
. '</div>';
}
return '<!doctype html>'
. '<html><head><meta charset="utf-8">'
. '<style>'
. 'body{font-family:freeserif,serif;font-size:11pt;color:#111827;line-height:1.4;}'
. '.pdf-header{margin-bottom:10px;border-bottom:1px solid #d1d5db;padding-bottom:6px;}'
. '.pdf-header-title{font-size:18pt;font-weight:700;}'
. '.pdf-header-sub{font-size:9pt;color:#4b5563;}'
. '.meta{border:1px solid #cbd5e1;padding:8px;margin-bottom:10px;}'
. '.meta-table{width:100%;border-collapse:collapse;font-size:10pt;}'
. '.meta-table td{padding:2px 6px;border-right:1px solid #e5e7eb;vertical-align:top;}'
. '.meta-table td:last-child{border-right:none;}'
. '.content{border:1px solid #d1d5db;padding:10px;}'
. '.content h2,.content h3,.content h4{margin:12px 0 6px 0;color:#0f172a;}'
. '.content table{width:100%;border-collapse:collapse;margin:6px 0 10px 0;font-size:10pt;}'
. '.content th,.content td{border:1px solid #d1d5db;padding:5px;vertical-align:top;}'
. '.content ul,.content ol{margin:4px 0 10px 18px;padding:0;}'
. '</style></head><body>'
. $headerBlock
. '<div class="meta"><table class="meta-table"><tr>'
. '<td><strong>Patient:</strong> ' . esc($patientName) . '</td>'
. '<td><strong>UHID:</strong> ' . esc($patientCode) . '</td>'
. '<td><strong>IPD:</strong> ' . esc($ipdCode) . '</td>'
. '</tr><tr>'
. '<td><strong>Age/Gender:</strong> ' . esc(trim($age . ' / ' . $gender)) . '</td>'
. '<td><strong>Admit Date:</strong> ' . esc($admitDate) . '</td>'
. '<td><strong>Discharge Date:</strong> ' . esc($dischargeDate) . '</td>'
. '</tr></table></div>'
. '<div class="content">' . $renderedContent . '</div>'
. '</body></html>';
}
public function show_file3(int $ipdId)
{
return $this->show_discharge($ipdId, 3);
}
}
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