Add new medical history options

care/facility/api/serializers/patient.py

@@ -33,6 +33,7 @@
 from care.facility.models.patient import PatientNotesEdit
 from care.facility.models.patient_base import (
     BLOOD_GROUP_CHOICES,
+    CANCER_TYPE,
     DISEASE_STATUS_CHOICES,
     DiseaseStatusEnum,
     NewDischargeReasonEnum,
@@ -158,6 +159,9 @@
     class MedicalHistorySerializer(serializers.Serializer):
         disease = ChoiceField(choices=DISEASE_CHOICES)
         details = serializers.CharField(required=False, allow_blank=True)
+        status = serializers.CharField(required=False, allow_null=True)
+        duration = serializers.CharField(required=False, allow_null=True)
+        type = serializers.CharField(required=False, allow_null=True)
 
     facility = ExternalIdSerializerField(
         queryset=Facility.objects.all(), required=False
@@ -272,6 +276,46 @@
             if validated.get("vaccine_name") is None:
                 raise serializers.ValidationError("Vaccine name cannot be null")
 
+        if medical_history := validated.get("medical_history"):
+
+            for disease in medical_history:
+                disease_id = disease.get("disease")
+                if disease_id == 1:
+                    continue
+
+                # Handle cancer cases
+                if disease_id == 7:
+                    cancer_type = disease.get("type")
+                    if cancer_type:
+                        gender = validated.get("gender")
+                        if cancer_type not in CANCER_TYPE:
+                            raise serializers.ValidationError("Invalid cancer type")
+
+                        if (gender == 1 and CANCER_TYPE[cancer_type] in {"1", "5"}) or (
+                            gender == 2 and CANCER_TYPE[cancer_type] == "8"
+                        ):
+                            raise serializers.ValidationError(
+                                "Invalid cancer type for specified gender"
+                            )
+
+                # Handle TB cases
+                elif disease_id == 14:
+                    status = disease.get("status")
+                    if status and status not in {"Active", "Old"}:
+                        raise serializers.ValidationError("Invalid TB status")
+
+                    if duration := disease.get("duration"):
+                        try:
+                            duration = float(duration)
+                            if duration < 0:
+                                raise serializers.ValidationError(
+                                    "TB duration cannot be negative"
+                                )
+                        except ValueError:
+                            raise serializers.ValidationError(
+                                "Duration must be a number"
+                            )
+
         return validated
 
     def check_external_entry(self, srf_id):

care/facility/migrations/0450_disease_duration_disease_status_disease_type_and_more.py

@@ -0,0 +1,51 @@
+# Generated by Django 4.2.10 on 2024-08-23 07:19
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ("facility", "0449_merge_20240822_1343"),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name="disease",
+            name="duration",
+            field=models.IntegerField(blank=True, null=True),
+        ),
+        migrations.AddField(
+            model_name="disease",
+            name="status",
+            field=models.TextField(blank=True, null=True),
+        ),
+        migrations.AddField(
+            model_name="disease",
+            name="type",
+            field=models.TextField(blank=True, null=True),
+        ),
+        migrations.AlterField(
+            model_name="disease",
+            name="disease",
+            field=models.IntegerField(
+                choices=[
+                    (1, "NO"),
+                    (2, "Diabetes"),
+                    (3, "Heart Disease"),
+                    (4, "HyperTension"),
+                    (5, "Chronic Renal Disease"),
+                    (6, "Other Chronic Lung Diseases"),
+                    (7, "Cancer"),
+                    (8, "OTHER"),
+                    (9, "COPD"),
+                    (10, "Bronchitis"),
+                    (11, "Chronic Neurological Or Neuromuscular Disease"),
+                    (12, "Immunocompromised Condition"),
+                    (13, "Liver Disease"),
+                    (14, "TB"),
+                    (15, "Asthma"),
+                ]
+            ),
+        ),
+    ]

care/facility/models/patient.py

@@ -686,6 +686,9 @@ class Disease(models.Model):
     )
     disease = models.IntegerField(choices=DISEASE_CHOICES)
     details = models.TextField(blank=True, null=True)
+    status = models.TextField(blank=True, null=True)
+    duration = models.IntegerField(blank=True, null=True)
+    type = models.TextField(blank=True, null=True)
     deleted = models.BooleanField(default=False)
 
     objects = BaseManager()

care/facility/models/patient_base.py

@@ -48,16 +48,41 @@ def reverse_choices(choices):
     (34, "NEW LOSS OF SMELL"),
 ]
 
+CANCER_TYPE = {
+    "Breast": "1",
+    "Lung": "2",
+    "Skin": "3",
+    "Colorectal": "4",
+    "Uterus": "5",
+    "Leukaemia": "6",
+    "Bladder": "7",
+    "Prostate": "8",
+    "Melanoma": "9",
+    "Lymphoma": "10",
+    "Brain": "11",
+    "Liver": "12",
+    "Thyroid": "13",
+    "Others": "14",
+}
+
 DISEASE_CHOICES_MAP = {
     "NO": 1,
     "Diabetes": 2,
     "Heart Disease": 3,
     "HyperTension": 4,
-    "Kidney Diseases": 5,
-    "Lung Diseases/Asthma": 6,
+    "Chronic Renal Disease": 5,
+    "Other Chronic Lung Diseases": 6,
     "Cancer": 7,
     "OTHER": 8,
+    "COPD": 9,
+    "Bronchitis": 10,
+    "Chronic Neurological Or Neuromuscular Disease": 11,
+    "Immunocompromised Condition": 12,
+    "Liver Disease": 13,
+    "TB": 14,
+    "Asthma": 15,
 }
+
 DISEASE_CHOICES = [(v, k) for k, v in DISEASE_CHOICES_MAP.items()]
 
 COVID_CATEGORY_CHOICES = [

care/facility/models/tests/test_patient.py

@@ -65,3 +65,123 @@ def test_year_of_birth_validation(self):
         response = self.client.post("/api/v1/patient/", sample_data, format="json")
         self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
         self.assertIn("year_of_birth", response.data)
+
+    def test_cancer_type_is_invalid(self):
+        dist_admin = self.create_user("dist_admin", self.district, user_type=30)
+        sample_data = {
+            "facility": self.facility.external_id,
+            "blood_group": "AB+",
+            "gender": 1,
+            "date_of_birth": None,
+            "year_of_birth": now().year - 2,
+            "disease_status": "NEGATIVE",
+            "emergency_phone_number": "+919000000666",
+            "is_vaccinated": "false",
+            "number_of_doses": 0,
+            "phone_number": "+919000044343",
+            "medical_history": {
+                "disease": "Cancer",
+                "details": "",
+                "type": "not_cancer",
+            },
+        }
+        self.client.force_authenticate(user=dist_admin)
+        response = self.client.post("/api/v1/patient/", sample_data, format="json")
+        self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertIn("medical_history", response.data)
+
+    def test_cancer_type_wrong_for_gender(self):
+        dist_admin = self.create_user("dist_admin", self.district, user_type=30)
+        sample_data = {
+            "facility": self.facility.external_id,
+            "blood_group": "AB+",
+            "gender": 1,
+            "date_of_birth": None,
+            "year_of_birth": now().year - 2,
+            "disease_status": "NEGATIVE",
+            "emergency_phone_number": "+919000000666",
+            "is_vaccinated": "false",
+            "number_of_doses": 0,
+            "phone_number": "+919000044343",
+            "medical_history": {
+                "disease": "Cancer",
+                "details": "",
+                "type": "Breast",
+            },
+        }
+        self.client.force_authenticate(user=dist_admin)
+        response = self.client.post("/api/v1/patient/", sample_data, format="json")
+        self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertIn("medical_history", response.data)
+
+    def test_tb_type_invalid(self):
+        dist_admin = self.create_user("dist_admin", self.district, user_type=30)
+        sample_data = {
+            "facility": self.facility.external_id,
+            "blood_group": "AB+",
+            "gender": 1,
+            "date_of_birth": None,
+            "year_of_birth": now().year - 2,
+            "disease_status": "NEGATIVE",
+            "emergency_phone_number": "+919000000666",
+            "is_vaccinated": "false",
+            "number_of_doses": 0,
+            "phone_number": "+919000044343",
+            "medical_history": {
+                "disease": "TB",
+                "details": "",
+                "status": "not_tb",
+            },
+        }
+        self.client.force_authenticate(user=dist_admin)
+        response = self.client.post("/api/v1/patient/", sample_data, format="json")
+        self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertIn("medical_history", response.data)
+
+    def test_tb_duration_not_numeric(self):
+        dist_admin = self.create_user("dist_admin", self.district, user_type=30)
+        sample_data = {
+            "facility": self.facility.external_id,
+            "blood_group": "AB+",
+            "gender": 1,
+            "date_of_birth": None,
+            "year_of_birth": now().year - 2,
+            "disease_status": "NEGATIVE",
+            "emergency_phone_number": "+919000000666",
+            "is_vaccinated": "false",
+            "number_of_doses": 0,
+            "phone_number": "+919000044343",
+            "medical_history": {
+                "disease": "TB",
+                "details": "",
+                "duration": "not_numeric",
+            },
+        }
+        self.client.force_authenticate(user=dist_admin)
+        response = self.client.post("/api/v1/patient/", sample_data, format="json")
+        self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertIn("medical_history", response.data)
+
+    def test_tb_duration_not_negative(self):
+        dist_admin = self.create_user("dist_admin", self.district, user_type=30)
+        sample_data = {
+            "facility": self.facility.external_id,
+            "blood_group": "AB+",
+            "gender": 1,
+            "date_of_birth": None,
+            "year_of_birth": now().year - 2,
+            "disease_status": "NEGATIVE",
+            "emergency_phone_number": "+919000000666",
+            "is_vaccinated": "false",
+            "number_of_doses": 0,
+            "phone_number": "+919000044343",
+            "medical_history": {
+                "disease": "TB",
+                "details": "",
+                "duration": -1,
+            },
+        }
+        self.client.force_authenticate(user=dist_admin)
+        response = self.client.post("/api/v1/patient/", sample_data, format="json")
+        self.assertEqual(response.status_code, status.HTTP_400_BAD_REQUEST)
+        self.assertIn("medical_history", response.data)

care/templates/reports/patient_discharge_summary_pdf.html

@@ -414,10 +414,24 @@ <h4 class="mt-6 font-medium text-gray-500">
           {% for disease in medical_history %}
           <tr class="bg-white border-b">
             <td class="p-1 whitespace-no-wrap text-sm">
-              {{disease.get_disease_display}}
+              {% if disease.get_disease_display == "Cancer" and disease.type %}
+                {{ disease.get_disease_display }} [ {{ disease.type }} ]
+              {% elif disease.get_disease_display == "TB" %}
+                {% if disease.status and disease.duration %}
+                  {{ disease.get_disease_display }} [ {{ disease.status }} - {{ disease.duration }} ]
+                {% elif disease.duration %}
+                  {{ disease.get_disease_display }} [ {{ disease.duration }} Day(s) ]
+                {% elif disease.status %}
+                  {{ disease.get_disease_display }} [ {{ disease.status }} ]
+                {% else %}
+                  {{ disease.get_disease_display }}
+                {% endif %}
+              {% else %}
+                {{ disease.get_disease_display }}
+              {% endif %}
             </td>
             <td class="p-1 whitespace-normal text-sm">
-              {{disease.details}}
+              {{ disease.details }}
             </td>
           </tr>
           {% endfor %}