mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-13 03:31:31 +00:00
updated streamline-setup v2
This commit is contained in:
+207
-98
@@ -25,6 +25,11 @@ use Streamline\Models\CardioEchoResult;
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use Barryvdh\Snappy\Facades\SnappyPdf;
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use Streamline\Models\Investigation;
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use Streamline\Models\Outcome;
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use Streamline\Models\PrioritySign;
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use Streamline\Models\EmergencySign;
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use Streamline\Models\WardInpatientDetailedNote;
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use Streamline\Models\MessageBoard;
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use Illuminate\Database\QueryException;
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class ConsultationController extends Controller
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{
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@@ -49,7 +54,8 @@ class ConsultationController extends Controller
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if (!session()->has('patient_id') || !session()->has('episode_id')) :
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flash('Patient is not selected')->error();
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return view('home');
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$messages = MessageBoard::orderBy('created_at', 'desc')->paginate(3);
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return view('home', compact('messages'));
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endif;
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$clinics = Clinic::orderBy('name')->pluck("name", "id")->toArray();
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@@ -285,7 +291,8 @@ class ConsultationController extends Controller
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if (!session()->has('patient_id') || !session()->has('episode_id')) :
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flash('Patient is not selected')->error();
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return view('home');
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$messages = MessageBoard::orderBy('created_at', 'desc')->paginate(3);
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return view('home', compact('messages'));
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endif;
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$consultation = new Consultation;
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@@ -493,7 +500,17 @@ class ConsultationController extends Controller
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}
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$episode = PatientEpisode::find($episode_id);
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if(!empty($request->investigation_and_management_plan_comments) || !empty($request->clinic_examination_comments) || !empty($request->history_comments)){
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$notes = new WardInpatientDetailedNote;
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$notes->patient_id = $patient_id;
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$notes->episode_id = $episode_id;
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$notes->ward_id = 0;
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$notes->investigation_and_management_plan_comments = $request->investigation_and_management_plan_comments?? null;
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$notes->clinic_examination_comments = $request->clinic_examination_comments?? null;
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$notes->history_comments = $request->history_comments;
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$notes->created_by = Auth::user()->id;
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$notes->save();
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}
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// Handle the buttons on the consultation page
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switch ($request->get('submit-btn')):
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@@ -595,8 +612,9 @@ class ConsultationController extends Controller
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if (session()->get('consultation_with_notes') == 1) {
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$consultation_with_notes = true;
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$consultation_notes = WardInpatientDetailedNote::where(['patient_id' => $patient->id, 'episode_id' => $episode->id, 'ward_id' => 0])->latest()->get();
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} else {
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$consultation_with_notes = false;
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$consultation_with_notes = false; $consultation_notes = '';
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}
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$is_mental_health_clinic = false;
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@@ -657,7 +675,7 @@ class ConsultationController extends Controller
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/* ========end of varibales added to cater for review episodes ========*/
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$cardio_echo = CardioEchoResult::where('episode_id', $consultation->episode_id)->first();
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$users = DB::table('users')->pluck(DB::raw("CONCAT(first_name,' ',last_name) AS name"), 'id');
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return view('patients::consultations.show', compact(
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'consultation',
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'patient',
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@@ -688,7 +706,9 @@ class ConsultationController extends Controller
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'parent_episode_ordered_sundries',
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'parent_episode_ordered_investigations',
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'parent_episode_investigation_results',
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'cardio_echo'
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'cardio_echo',
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'consultation_notes',
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'users'
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));
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}
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@@ -705,7 +725,7 @@ class ConsultationController extends Controller
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$clinics = Clinic::orderBy('name')->pluck("name", "id")->toArray();
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$clinics = ['0' => "Don't assign clinic"] + $clinics;
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$users = User::orderBy('first_name')->select("id", "first_name", "last_name")->get();
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$users = User::pluck(DB::raw("CONCAT(first_name,' ',last_name) AS name"), 'id');
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//Patient, Triage and Episode
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$patient = Patient::where('id', $consultation->patient_id)->first();
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@@ -714,10 +734,13 @@ class ConsultationController extends Controller
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if (session()->get('consultation_with_notes') == 1) {
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$consultation_with_notes = true;
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$all_notes = WardInpatientDetailedNote::where(['patient_id' => $patient->id, 'episode_id' => $episode->id, 'ward_id' => 0])->latest()->get();
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$consultation_notes = $all_notes->take(5);
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$notes = $all_notes->skip(5);
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$view_notes = $notes->all();
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} else {
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$consultation_with_notes = false;
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}
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$consultation_with_notes = false; $consultation_notes = $view_notes ='';
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}
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$is_mental_health_clinic = false;
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// fetch the clinic id and determine if this is a mental health consultation
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$clinic_slug = get_name($episode->clinic_id, "id", "slug", "clinics");
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@@ -918,7 +941,9 @@ class ConsultationController extends Controller
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'users_array',
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'is_mental_health_clinic',
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'hmis_categories',
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'cardio_echo'
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'cardio_echo',
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'consultation_notes',
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'view_notes'
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));
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}
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@@ -927,7 +952,8 @@ class ConsultationController extends Controller
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if (!session()->has('patient_id') || !session()->has('episode_id')) :
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flash('Patient is not selected')->error();
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return view('home');
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$messages = MessageBoard::orderBy('created_at', 'desc')->paginate(3);
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return view('home', compact('messages'));
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endif;
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$consultation = Consultation::find($id);
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@@ -1131,6 +1157,26 @@ class ConsultationController extends Controller
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$mental_health_consultation->update();
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}
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if(!empty($request->investigation_and_management_plan_comments) || !empty($request->clinic_examination_comments) || !empty($request->history_comments)){
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$notes = new WardInpatientDetailedNote;
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$notes->patient_id = $patient_id;
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$notes->episode_id = $episode_id;
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$notes->ward_id = 0;
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$notes->investigation_and_management_plan_comments = $request->investigation_and_management_plan_comments?? null;
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$notes->clinic_examination_comments = $request->clinic_examination_comments?? null;
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$notes->history_comments = $request->history_comments?? null;
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$notes->created_by = Auth::user()->id;
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$notes->save();
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}
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if(!empty($request->deleted_notes)){
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foreach($request->deleted_notes as $note){
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if(!empty($note)) {
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$notes = WardInpatientDetailedNote::find($note);
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$notes->delete();
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}
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}
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}
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switch ($request->get('submit-btn')):
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case 'investigation':
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$consultation->save();
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@@ -1292,10 +1338,8 @@ class ConsultationController extends Controller
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$diagnosis->save();
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return $diagnosis->id;
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} catch (QueryException $e) {
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$errorCode = $e->errorInfo[1];
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if ($errorCode == 1062) { //error code for duplicate entry to a unique field
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return response()->json(['error' => $e]);
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}
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flash("An error occurred")->error();
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return back()->withInput();
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}
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}
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@@ -1319,20 +1363,20 @@ class ConsultationController extends Controller
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$hospitalInfo = DB::table('hospital_information')->find(1);
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$consultation = Consultation::where(['patient_id' => $patient_id, 'episode_id' => $episode_id])->orderBy('created_at', 'desc')->first();
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$triage = Triage::where(['patient_id' => $patient_id, 'episode_id' => $episode_id])->first();
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$patient_discount = \Streamline\Models\PatientDiscount::where(['patient_category' => $patient->category_id])->select("discount", "pay_later")->first();
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if (!is_null($patient_discount)) {
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$patient_discount->toArray();
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}
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$treatments = Treatment::where(['patient_id' => $patient_id, 'episode_id' => $episode_id])->get();
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$all_diagnoses = DB::table('diagnoses')->pluck("name", "id");
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/* ====== start work on investigations */
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// prep the inpatient investigation arrays and counters
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$opd_investigations = [];
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$opd_investigations_position = [];
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$opd_investigations_date = [];
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$ward_investigations = [];
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$ward_investigations_position = [];
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$ward_investigations_date = [];
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// get all investigations ordered in this episode
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@@ -1342,22 +1386,6 @@ class ConsultationController extends Controller
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$investigation_results_order_ids = InvestigationResults::pluck('order_id', 'id')->toArray();
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foreach ($ordered_investigations as $investigation) {
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if (isset($ward_investigations['id'])) {
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$ward_investigations_position[] = count($ward_investigations['id']);
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} else {
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$ward_investigations_position[] = 0;
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}
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if (isset($opd_investigations['id'])) {
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$opd_investigations_position[] = count($opd_investigations['id']);
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} else {
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$opd_investigations_position[] = 0;
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}
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$ward_investigations_date[] = "Ordered on " . streamline_date_time($investigation->created_at) . " by " .
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get_full_name($investigation->created_by, 'id', 'first_name', 'last_name', 'users');
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$opd_investigations_date[] = streamline_date_time($investigation->created_at);
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$investigation_ids = explode(",", $investigation->investigation_id);
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$inpatient_status = explode(",", $investigation->for_inpatient);
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@@ -1377,61 +1405,81 @@ class ConsultationController extends Controller
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if ($results->all_authenticated == 1) {
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for ($i = 0; $i < count($inpatient_status); $i++) {
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if (isset($inpatient_status[$i]) && $inpatient_status[$i] == 0) {
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$result = Investigation::withTrashed()->find($investigation_ids[$i]);
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$opd_investigations['id'][] = $result->id;
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['type'][] = $result->type;
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$opd_investigations['slug'][] = $result->slug;
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$opd_investigations['value'][] = $investigation_results[$i];
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$opd_investigations['comment'][] = $investigation_comments[$i];
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if ($inpatient_status[$i] == 0) {
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['value'][] = $investigation_results[$i];
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$opd_investigations['comment'][] = $investigation_comments[$i];
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if($result->range_type == 1) {
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$opd_investigations['normal_ranges'][] = get_dynamic_normal_range($result->id, get_patient_age_group($patient_id), get_name($patient_id, 'id', 'gender', 'patients'));
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} else {
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$opd_investigations['normal_ranges'][] = $result->normal_ranges;
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}
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$opd_investigations['type'][] = $result->type;
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}
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} else {
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$result = Investigation::withTrashed()->find($investigation_ids[$i]);
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$ward_investigations['id'][] = $result->id;
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$ward_investigations['name'][] = $result->name;
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$ward_investigations['type'][] = $result->type;
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$ward_investigations['slug'][] = $result->slug;
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$ward_investigations['value'][] = isset($investigation_results[$i]) ? $investigation_results[$i] : "";
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$ward_investigations['comment'][] = isset($investigation_comments[$i]) ? $investigation_comments[$i] : "";
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$ward_investigations['name'][] = $result->name;
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$ward_investigations['value'][] = $investigation_results[$i];
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$ward_investigations['comment'][] = $investigation_comments[$i];
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$ward_investigations['type'][] = $result->type;
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}
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}
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}
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} else {
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for ($i = 0; $i < count($inpatient_status); $i++) {
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$investigation = \Streamline\Models\Investigation::withTrashed()->find($investigation_ids[$i]);
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if (isset($investigation_per_valid[$i]) && $investigation_per_valid[$i] == 1) {
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if ($investigation_per_valid[$i] == 1) {
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// this investigation is authenticated
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if (isset($inpatient_status[$i]) && $inpatient_status[$i] == 0) {
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$opd_investigations['id'][] = $investigation->id;
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$opd_investigations['name'][] = $investigation->name;
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$opd_investigations['type'][] = $investigation->type;
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$opd_investigations['slug'][] = $investigation->slug;
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$opd_investigations['value'][] = $investigation_results[$i];
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$opd_investigations['comment'][] = $investigation_comments[$i];
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if ($inpatient_status[$i] == 0) {
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['value'][] = $investigation_results[$i];
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if($result->range_type == 1) {
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$opd_investigations['normal_ranges'][] = get_dynamic_normal_range($result->id, get_patient_age_group($patient_id), get_name($patient_id, 'id', 'gender', 'patients'));
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} else {
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$opd_investigations['normal_ranges'][] = $result->normal_ranges;
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}
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$opd_investigations['comment'][] = $investigation_comments[$i];
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$opd_investigations['type'][] = $result->type;
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}
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} else {
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$ward_investigations['id'][] = $investigation->id;
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$ward_investigations['name'][] = $investigation->name;
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$ward_investigations['type'][] = $investigation->type;
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$ward_investigations['slug'][] = $investigation->slug;
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$ward_investigations['value'][] = $investigation_results[$i];
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$ward_investigations['comment'][] = $investigation_comments[$i];
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$ward_investigations['name'][] = $result->name;
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$ward_investigations['value'][] = $investigation_results[$i];
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$ward_investigations['comment'][] = $investigation_comments[$i];
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$ward_investigations['type'][] = $result->type;
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}
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}
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} else {
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if (isset($investigation_per_valid[$i]) && $inpatient_status[$i] == 0) {
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$opd_investigations['id'][] = $investigation->id;
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$opd_investigations['name'][] = $investigation->name;
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$opd_investigations['type'][] = $investigation->type;
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$opd_investigations['slug'][] = $investigation->slug;
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$opd_investigations['value'][] = "Pending";
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$opd_investigations['comment'][] = "Pending";
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if ($inpatient_status[$i] == 0) {
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['value'][] = "Pending";
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if($result->range_type == 1) {
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$opd_investigations['normal_ranges'][] = get_dynamic_normal_range($result->id, get_patient_age_group($patient_id), get_name($patient_id, 'id', 'gender', 'patients'));
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} else {
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$opd_investigations['normal_ranges'][] = $result->normal_ranges;
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}
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$opd_investigations['comment'][] = "Pending";
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}
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} else {
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$ward_investigations['id'][] = $investigation->id;
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$ward_investigations['name'][] = $investigation->name;
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$ward_investigations['type'][] = $investigation->type;
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$ward_investigations['slug'][] = $investigation->slug;
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$ward_investigations['value'][] = "Pending";
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$ward_investigations['comment'][] = "Pending";
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$ward_investigations['name'][] = $result->name;
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$ward_investigations['value'][] = "Pending";
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$ward_investigations['comment'][] = "Pending";
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}
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}
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}
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}
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@@ -1439,27 +1487,58 @@ class ConsultationController extends Controller
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}
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} else {
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for ($i = 0; $i < count($inpatient_status); $i++) {
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if (isset($inpatient_status[$i]) && $inpatient_status[$i] == 0) {
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$result = Investigation::withTrashed()->find($investigation_ids[$i]);
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$opd_investigations['id'][] = $result->id;
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['type'][] = $result->type;
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$opd_investigations['slug'][] = $result->slug;
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$opd_investigations['value'][] = "Pending";
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$opd_investigations['comment'][] = "Pending";
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if ($inpatient_status[$i] == 0) {
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if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
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$result = Investigation::where('id', $investigation_ids[$i])->first();
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$opd_investigations['name'][] = $result->name;
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$opd_investigations['value'][] = "Pending";
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if($result->range_type == 1) {
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$opd_investigations['normal_ranges'][] = get_dynamic_normal_range($result->id, get_patient_age_group($patient_id), get_name($patient_id, 'id', 'gender', 'patients'));
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} else {
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$opd_investigations['normal_ranges'][] = $result->normal_ranges;
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}
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$opd_investigations['comment'][] = "Pending";
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}
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} else {
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$result = Investigation::withTrashed()->find($investigation_ids[$i]);
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$ward_investigations['id'][] = $result->id;
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$ward_investigations['name'][] = $result->name;
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$ward_investigations['type'][] = $result->type;
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$ward_investigations['slug'][] = $result->slug;
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$ward_investigations['value'][] = "Pending";
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$ward_investigations['comment'][] = "Pending";
|
||||
if (isset($investigation_ids[$i]) && $investigation_ids[$i] != "") {
|
||||
$result = Investigation::where('id', $investigation_ids[$i])->first();
|
||||
$ward_investigations['name'][] = $result->name;
|
||||
$ward_investigations['value'][] = "Pending";
|
||||
$ward_investigations['comment'][] = "Pending";
|
||||
}
|
||||
}
|
||||
}
|
||||
}
|
||||
}
|
||||
/* ====== end work on investigations */
|
||||
$ordered_procedures = OrderedProcedure::where(['patient_id' => $patient_id, 'episode_id' => $episode_id])->get();
|
||||
$procedures = DB::table('procedures')->where('available', 1)->pluck("name", "id");
|
||||
$cons_notes = WardInpatientDetailedNote::where(['patient_id' => $patient_id, 'episode_id' => $episode_id, 'ward_id' => 0])->latest()->get(['investigation_and_management_plan_comments', 'clinic_examination_comments', 'history_comments', 'created_by']);
|
||||
$priority_signs = $emergent_signs =[];
|
||||
$dateBorn = Carbon::parse($patient->date_of_birth);
|
||||
$years = $dateBorn->diffInYears();
|
||||
if(between($years, 0, 12) && !empty($triage)) {
|
||||
$priority_signs_records = PrioritySign::where('triage_id', $triage->id)->first();
|
||||
|
||||
if ($priority_signs_records) {
|
||||
$priority_signs = unserialize($priority_signs_records->signs);
|
||||
}
|
||||
|
||||
$emergency_signs = EmergencySign::where('triage_id', $triage->id)->first();
|
||||
|
||||
if (!empty($emergency_signs)) {
|
||||
$airway = unserialize($emergency_signs->airway);
|
||||
$circulation = unserialize($emergency_signs->circulation);
|
||||
$neurological = unserialize($emergency_signs->neurological);
|
||||
$dehydration = unserialize($emergency_signs->dehydration);
|
||||
$emergencySigns= array_merge($airway,$circulation, $dehydration,$neurological);
|
||||
foreach($emergencySigns as $key => $sign) if($sign == 'Yes') $emergent_signs[] = $key;
|
||||
}
|
||||
}
|
||||
// get all symptoms
|
||||
$symptoms = DB::table('symptoms')->where('available', 1)->pluck("name", "id");
|
||||
|
||||
$data = [
|
||||
'patient' => $patient,
|
||||
@@ -1469,12 +1548,20 @@ class ConsultationController extends Controller
|
||||
'patient_discount' => $patient_discount,
|
||||
'ward_investigations' => $ward_investigations,
|
||||
'opd_investigations' => $opd_investigations,
|
||||
'opd_investigations_position' => $opd_investigations_position,
|
||||
'ward_investigations_position' => $ward_investigations_position,
|
||||
'ordered_procedures' => $ordered_procedures,
|
||||
'procedures' => $procedures,
|
||||
'treatments' => $treatments,
|
||||
'all_diagnoses' => $all_diagnoses,
|
||||
'cons_notes' => $cons_notes,
|
||||
'triage' => $triage,
|
||||
'years' => $years,
|
||||
'symptoms' => $symptoms,
|
||||
'priority_signs' => $priority_signs,
|
||||
'emergent_signs' => $emergent_signs,
|
||||
'opd_investigations_date' => $opd_investigations_date,
|
||||
'ward_investigations_date' => $ward_investigations_date
|
||||
];
|
||||
|
||||
// return view('patients::consultations/referral_notes_print', $data);
|
||||
$pdf = SnappyPDF::loadView('patients::consultations/referral_notes_print', $data)
|
||||
->setOrientation('portrait')
|
||||
->setOption('margin-bottom', 7)
|
||||
@@ -1493,4 +1580,26 @@ class ConsultationController extends Controller
|
||||
|
||||
return "";
|
||||
}
|
||||
|
||||
public function delete_consultation_clinical_notes($id)
|
||||
{
|
||||
$ward_doctor_notes = WardInpatientDetailedNote::find($id);
|
||||
$ward_doctor_notes->delete();
|
||||
|
||||
flash('Notes have been deleted')->success();
|
||||
return redirect('in_patient_sheet');
|
||||
}
|
||||
|
||||
public function update_consultation_clinical_notes(Request $request)
|
||||
{
|
||||
$consultation_clinical_notes = WardInpatientDetailedNote::find($request->id);
|
||||
$consultation_clinical_notes->history_comments = $request->history_comments?? null;
|
||||
$consultation_clinical_notes->investigation_and_management_plan_comments = $request->investigation_and_management_plan_comments?? null;
|
||||
$consultation_clinical_notes->clinic_examination_comments = $request->clinic_examination_comments?? null;
|
||||
$consultation_clinical_notes->updated_by = Auth::user()->id;
|
||||
|
||||
if($consultation_clinical_notes->save()) return $consultation_clinical_notes->id;
|
||||
else return 0;
|
||||
}
|
||||
|
||||
}
|
||||
|
||||
Reference in New Issue
Block a user