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# GNUmed
#===========================================================
__author__ = "R.Terry <rterry@gnumed.net>, I.Haywood <i.haywood@ugrad.unimelb.edu.au>, K.Hilbert <Karsten.Hilbert@gmx.net>"
__license__ = "GPL v2 or later"
import sys
import os.path
import datetime as pyDT
import logging
import decimal
import wx
from Gnumed.pycommon import gmGuiBroker
from Gnumed.pycommon import gmDispatcher
from Gnumed.pycommon import gmTools
from Gnumed.pycommon import gmCfg
from Gnumed.pycommon import gmCfg2
from Gnumed.pycommon import gmDateTime
from Gnumed.pycommon import gmI18N
from Gnumed.pycommon import gmExceptions
from Gnumed.business import gmPerson
from Gnumed.business import gmEMRStructItems
from Gnumed.business import gmAllergy
from Gnumed.business import gmLOINC
from Gnumed.business import gmClinicalCalculator
from Gnumed.business import gmPathLab
from Gnumed.business import gmPraxis
from Gnumed.wxpython import gmGuiHelpers
from Gnumed.wxpython import gmDemographicsWidgets
from Gnumed.wxpython import gmAllergyWidgets
from Gnumed.wxpython import gmPatSearchWidgets
from Gnumed.wxpython import gmEMRStructWidgets
from Gnumed.wxpython import gmPatPicWidgets
_log = logging.getLogger('gm.ui')
#===========================================================
from Gnumed.wxGladeWidgets import wxgTopPnl
class cTopPnl(wxgTopPnl.wxgTopPnl):
def __init__(self, *args, **kwargs):
wxgTopPnl.wxgTopPnl.__init__(self, *args, **kwargs)
self.__gb = gmGuiBroker.GuiBroker()
self.curr_pat = gmPerson.gmCurrentPatient()
self.__init_ui()
self.__register_interests()
#-------------------------------------------------------
def __init_ui(self):
cfg = gmCfg2.gmCfgData()
if cfg.get(option = 'slave'):
self._TCTRL_patient_selector.SetEditable(0)
self._TCTRL_patient_selector.SetToolTip(None)
if sys.platform == 'darwin':
_log.debug('adjusting font size on Mac for top panel parts')
for ctrl in [self._TCTRL_patient_selector, self._LBL_age, self._LBL_allergies, self._TCTRL_allergies]:
curr_font = ctrl.GetFont()
mac_font = wx.Font(curr_font.GetNativeFontInfo())
mac_font.SetPointSize(pointSize = int(curr_font.GetPointSize() / 0.8))
ctrl.SetFont(mac_font)
self.__lab_panel = self.__get_lab_panel()
#-------------------------------------------------------
def __register_interests(self):
# events
self._TCTRL_allergies.Bind(wx.EVT_LEFT_DCLICK, self._on_allergies_dclicked)
# client internal signals
gmDispatcher.connect(signal = 'post_patient_selection', receiver = self._on_post_patient_selection)
gmDispatcher.connect(signal = 'focus_patient_search', receiver = self._on_focus_patient_search)
gmDispatcher.connect(signal = 'gm_table_mod', receiver = self._on_database_signal)
#----------------------------------------------
# event handling
#----------------------------------------------
def _on_allergies_dclicked(self, evt):
if not self.curr_pat.connected:
gmDispatcher.send('statustext', msg = _('Cannot activate Allergy Manager. No active patient.'))
return
dlg = gmAllergyWidgets.cAllergyManagerDlg(parent=self, id=-1)
dlg.ShowModal()
return
#----------------------------------------------
def _on_database_signal(self, **kwds):
if kwds['table'] not in ['dem.identity', 'dem.names', 'dem.identity_tag', 'clin.allergy', 'clin.allergy_state', 'clin.test_result', 'clin.patient']:
return True
if self.curr_pat.connected:
# signal is not about our patient: ignore signal
if kwds['pk_identity'] != self.curr_pat.ID:
return True
if kwds['table'] == 'dem.identity':
# we don't care about newly INSERTed or DELETEd patients
if kwds['operation'] != 'UPDATE':
return True
self.__update_age_label()
return True
if kwds['table'] == 'dem.names':
self.__update_age_label()
return True
if kwds['table'] == 'dem.identity_tag':
self.__update_tags()
return True
if kwds['table'] in ['clin.allergy', 'clin.allergy_state']:
self.__update_allergies()
return True
if kwds['table'] in ['clin.test_result', 'clin.patient']:
self.__update_lab()
return True
return True
#----------------------------------------------
def _on_post_patient_selection(self, **kwargs):
wx.CallAfter(self.__on_post_patient_selection)
#-------------------------------------------------------
def __on_post_patient_selection(self):
self.__update_age_label()
self.__update_allergies()
self.__update_tags()
self.__update_lab()
self.Layout()
#-------------------------------------------------------
def _on_focus_patient_search(self, **kwargs):
wx.CallAfter(self._TCTRL_patient_selector.SetFocus)
#-------------------------------------------------------
# internal API
#-------------------------------------------------------
def __get_lab_panel(self):
# get panel to use
dbcfg = gmCfg.cCfgSQL()
pk_panel = dbcfg.get2 (
option = u'horstspace.top_panel.lab_panel',
workplace = gmPraxis.gmCurrentPraxisBranch().active_workplace,
bias = 'user'
)
if pk_panel is None:
return None
try:
panel = gmPathLab.cTestPanel(aPK_obj = pk_panel)
except gmExceptions.ConstructorError:
_log.exception('cannot load configured test panel')
panel = None
if panel is not None:
return panel
_log.error('Cannot load test panel [#%s] configured for patient pane (horstspace.top_panel.lab_panel).', pk_panel)
gmGuiHelpers.gm_show_error (
title = _('GNUmed startup'),
error = _(
'Cannot load test panel [#%s] configured\n'
'for the top pane with option\n'
'\n'
' <horstspace.top_panel.lab_panel>\n'
'\n'
'Please reconfigure.'
) % pk_panel
)
return None
#-------------------------------------------------------
def __update_tags(self):
self._PNL_tags.refresh(patient = self.curr_pat)
#-------------------------------------------------------
def __update_lab(self):
if not self.curr_pat.connected:
self._LBL_lab.SetLabel('')
return
tests2show = []
rrs = self.curr_pat.emr.get_most_recent_results_in_loinc_group(loincs = gmLOINC.LOINC_rr_quantity, max_no_of_results = 1)
if len(rrs) == 0:
tests2show.append(_('RR ?'))
else:
tests2show.append(rrs[0]['unified_val'])
hrs = self.curr_pat.emr.get_most_recent_results_in_loinc_group(loincs = gmLOINC.LOINC_heart_rate_quantity, max_no_of_results = 1)
if len(hrs) > 0:
tests2show.append('%s %s' % (hrs[0]['abbrev_tt'], hrs[0]['unified_val']))
bmi = self.curr_pat.emr.bmi
if bmi.numeric_value is not None:
tests2show.append(_('BMI %s') % bmi.numeric_value.quantize(decimal.Decimal('1.')))
else:
weights = self.curr_pat.emr.get_most_recent_results_in_loinc_group(loincs = gmLOINC.LOINC_weight, max_no_of_results = 1)
if len(weights) == 0:
tests2show.append(_('BMI ?'))
else:
tests2show.append('%s%s' % (weights[0]['unified_val'], weights[0]['val_unit']))
gfr_or_crea = self.curr_pat.emr.best_gfr_or_crea
if gfr_or_crea is None:
tests2show.append(_('GFR ?'))
else:
try:
tests2show.append(_('GFR %s') % gfr_or_crea.numeric_value.quantize(decimal.Decimal('1.')))
except AttributeError:
tests2show.append('%s %s' % (gfr_or_crea['abbrev_tt'], gfr_or_crea['unified_val']))
edc = self.curr_pat.emr.EDC
if edc is not None:
if self.curr_pat.emr.EDC_is_fishy:
tests2show.append(_('?EDC %s') % gmDateTime.pydt_strftime(edc, '%Y-%b-%d', accuracy = gmDateTime.acc_days))
else:
tests2show.append(_('EDC %s') % gmDateTime.pydt_strftime(edc, '%Y-%b-%d', accuracy = gmDateTime.acc_days))
inrs = self.curr_pat.emr.get_most_recent_results_in_loinc_group(loincs = gmLOINC.LOINC_inr_quantity, max_no_of_results = 1)
if len(inrs) > 0:
tests2show.append('%s %s' % (inrs[0]['abbrev_tt'], inrs[0]['unified_val']))
# include panel if configured, only show if exist
if self.__lab_panel is not None:
for result in self.__lab_panel.get_most_recent_results(pk_patient = self.curr_pat.ID, order_by = 'unified_abbrev', group_by_meta_type = True):
tests2show.append('%s %s' % (result['abbrev_tt'], result['unified_val']))
self._LBL_lab.SetLabel('; '.join(tests2show))
#-------------------------------------------------------
def __update_age_label(self):
# no patient
if not self.curr_pat.connected:
self._LBL_age.SetLabel(_('<Age>'))
self._LBL_age.SetToolTip(_('no patient selected'))
return
# gender is always known
tt = _('Gender: %s (%s) - %s\n') % (
self.curr_pat.gender_symbol,
gmTools.coalesce(self.curr_pat['gender'], '?'),
self.curr_pat.gender_string
)
# dob is not known
if self.curr_pat['dob'] is None:
age = '%s %s' % (
self.curr_pat.gender_symbol,
self.curr_pat.get_formatted_dob()
)
self._LBL_age.SetLabel(age)
self._LBL_age.SetToolTip(tt)
return
tt += _('Born: %s\n') % self.curr_pat.get_formatted_dob(format = '%d %b %Y')
# patient is dead
if self.curr_pat['deceased'] is not None:
tt += _('Died: %s\n') % gmDateTime.pydt_strftime(self.curr_pat['deceased'], '%d %b %Y')
tt += _('At age: %s\n') % self.curr_pat['medical_age']
age = '%s %s - %s (%s)' % (
self.curr_pat.gender_symbol,
self.curr_pat.get_formatted_dob(format = '%d %b %Y'),
gmDateTime.pydt_strftime(self.curr_pat['deceased'], '%d %b %Y'),
self.curr_pat['medical_age']
)
if self.curr_pat['dob_is_estimated']:
tt += _(' (date of birth and age are estimated)\n')
self._LBL_age.SetLabel(age)
self._LBL_age.SetToolTip(tt)
return
# patient alive
now = gmDateTime.pydt_now_here()
# patient birthday ?
if self.curr_pat.get_formatted_dob(format = '%m-%d', honor_estimation = False) == now.strftime('%m-%d'):
template = _('%(sex)s %(dob)s (%(age)s today !)')
tt += _("\nToday is the patient's birthday !\n\n")
tt += _('Age: %s\n') % self.curr_pat['medical_age']
else:
tt += _('Age: %s, birthday:\n') % self.curr_pat['medical_age']
if self.curr_pat.current_birthday_passed is True:
template = '%(sex)s %(dob)s%(l_arr)s (%(age)s)'
tt += ' ' + _('last: %s ago (this year)') % gmDateTime.format_apparent_age_medically (
age = gmDateTime.calculate_apparent_age(start = self.curr_pat.birthday_this_year, end = now)
) + '\n'
tt += ' ' + _('next: in %s (next year)') % gmDateTime.format_apparent_age_medically (
age = gmDateTime.calculate_apparent_age(start = now, end = self.curr_pat.birthday_next_year)
) + '\n'
elif self.curr_pat.current_birthday_passed is False:
template = '%(sex)s %(r_arr)s%(dob)s (%(age)s)'
tt += ' ' + _('next: in %s (this year)') % gmDateTime.format_apparent_age_medically (
age = gmDateTime.calculate_apparent_age(start = now, end = self.curr_pat.birthday_this_year)
) + '\n'
tt += ' ' + _('last: %s ago (last year)') % gmDateTime.format_apparent_age_medically (
age = gmDateTime.calculate_apparent_age(start = self.curr_pat.birthday_last_year, end = now)
) + '\n'
else: # None, unknown
template = '%(sex)s %(dob)s (%(age)s)'
# FIXME: if the age is below, say, 2 hours we should fire
# a timer here that updates the age in increments of 1 minute ... :-)
age = template % {
'sex': self.curr_pat.gender_symbol,
'dob': self.curr_pat.get_formatted_dob(format = '%d %b %Y'),
'age': self.curr_pat['medical_age'],
'r_arr': gmTools.u_arrow2right,
'l_arr': gmTools.u_left_arrow
}
# Easter Egg ;-)
if self.curr_pat['lastnames'] == 'Leibner':
if self.curr_pat['firstnames'] == 'Steffi':
if self.curr_pat['preferred'] == 'Wildfang':
age = '%s %s' % (gmTools.u_black_heart, age)
if self.curr_pat['dob_is_estimated']:
tt += _(' (date of birth and age are estimated)\n')
self._LBL_age.SetLabel(age)
self._LBL_age.SetToolTip(tt)
#-------------------------------------------------------
def __update_allergies(self, **kwargs):
if not self.curr_pat.connected:
self._LBL_allergies.SetForegroundColour(wx.SystemSettings.GetColour(wx.SYS_COLOUR_WINDOWTEXT))
self._TCTRL_allergies.SetForegroundColour(wx.SystemSettings.GetColour(wx.SYS_COLOUR_WINDOWTEXT))
self._TCTRL_allergies.SetValue('')
self._TCTRL_allergies.SetToolTip('')
return
show_red = True
emr = self.curr_pat.emr
state = emr.allergy_state
# state in tooltip
if state['last_confirmed'] is None:
confirmed = _('never')
else:
confirmed = gmDateTime.pydt_strftime(state['last_confirmed'], '%Y %b %d')
tt = (state.state_string + (90 * ' '))[:90] + '\n'
tt += _('last confirmed %s\n') % confirmed
tt += gmTools.coalesce(state['comment'], '', _('Comment (%s): %%s') % state['modified_by'])
tt += '\n'
# allergies
display = []
for allergy in emr.get_allergies():
# in field: "true" allergies only, not intolerances
if allergy['type'] == 'allergy':
display.append(allergy['descriptor'][:10].strip() + gmTools.u_ellipsis)
# in tooltip
if allergy['definite']:
certainty = _('definite')
else:
certainty = _('suspected')
reaction = gmTools.coalesce(allergy['reaction'], _('reaction not recorded'))
if len(reaction) > 50:
reaction = reaction[:50] + gmTools.u_ellipsis
tt += '%s (%s, %s): %s\n' % (
allergy['descriptor'],
allergy['l10n_type'],
certainty,
reaction
)
if len(display) == 0:
display = state.state_symbol
if display == gmTools.u_diameter:
show_red = False
else:
display = ','.join(display)
if state['last_confirmed'] is not None:
display += gmDateTime.pydt_strftime(state['last_confirmed'], ' (%Y %b)')
if show_red:
self._LBL_allergies.SetForegroundColour('red')
self._TCTRL_allergies.SetForegroundColour('red')
else:
self._LBL_allergies.SetForegroundColour(wx.SystemSettings.GetColour(wx.SYS_COLOUR_WINDOWTEXT))
self._TCTRL_allergies.SetForegroundColour(wx.SystemSettings.GetColour(wx.SYS_COLOUR_WINDOWTEXT))
self._TCTRL_allergies.SetValue(display)
self._TCTRL_allergies.SetToolTip(tt)
#===========================================================
if __name__ == "__main__":
app = wxPyWidgetTester(size = (400, 200))
app.SetWidget(cMainTopPanel, -1)
app.SetWidget(cTopPanel, -1)
app.MainLoop()
#===========================================================
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