dde_mahis 0.1.4

data/app/services/dde_service.rb

@@ -0,0 +1,643 @@
+# frozen_string_literal: true
+
+class DdeService
+  require_relative './matcher'
+
+  class DdeMahisError < StandardError; end
+
+  DdeMahis_CONFIG_PATH = Rails.root.join('config', 'dde.yml')
+  LOGGER = Rails.logger
+
+  # Limit all find queries for local patients to this
+  PATIENT_SEARCH_RESULTS_LIMIT = 10
+
+  attr_accessor :visit_type
+
+  include ModelUtils
+
+  def initialize(visit_type:)
+    raise InvalidParameterError, 'VisitType (visit_type_id) is required' unless visit_type
+
+    @visit_type = visit_type
+  end
+
+  def self.dde_enabled?
+    property = GlobalProperty.find_by_property('dde_enabled')&.property_value
+    return false unless property
+
+    case property
+    when /true/i then true
+    when /false/i then false
+    else raise "Invalid value for property dde_enabled: #{property.property_value}"
+    end
+  end
+
+  def test_connection
+    response = { connection_available:  false, message: 'No connection to DdeMahis', status: 500 }
+    begin
+      result, status = dde_client
+      response[:connection_available] = status == 200
+      response[:message] = result
+    rescue StandardError => exception
+      LOGGER.error "Failed to connect to DdeMahis: #{exception.message}"
+      response[:message] = exception.message
+    end
+    response
+  end
+
+  # Registers local OpenMRS patient in DdeMahis
+  #
+  # On success patient get two identifiers under the types
+  # 'DdeMahis person document ID' and 'National id'. The
+  # 'DdeMahis person document ID' is the patient's record ID in the local
+  # DdeMahis instance and the 'National ID' is the national unique identifier
+  # for the patient.
+  def create_patient(patient)
+    push_local_patient_to_dde(patient)
+  end
+
+  def remaining_npids
+    response, status = dde_client.get("/location_npid_status?location_id=#{Location.current_location.id}")
+    raise DdeMahisError, "Failed to fetch remaining npids: #{status} - #{response}" unless status == 200
+
+    response
+  end
+
+  def void_patient(patient, reason)
+    raise ArgumentError, "Can't request a DdeMahis void for a non-voided patient" unless patient.voided?
+    raise ArgumentError, 'void_reason is required' if reason.blank?
+
+    doc_id = PatientIdentifier.unscoped
+                              .where(identifier_type: dde_doc_id_type, patient: patient)
+                              .order(:date_voided)
+                              .last
+                              &.identifier
+    return patient unless doc_id
+
+    response, status = dde_client.delete("void_person/#{doc_id}?void_reason=#{reason}")
+    raise DdeMahisError, "Failed to void person in DdeMahis: #{status} - #{response}" unless status == 200
+
+    patient
+  end
+
+  # Updates patient demographics in DdeMahis.
+  #
+  # Local patient is not affected in anyway by the update
+  def update_patient(patient)
+    dde_patient = openmrs_to_dde_patient(patient)
+    response, status = dde_client.post('update_person', dde_patient)
+
+    raise DdeMahisError, "Failed to update person in DdeMahis: #{response}" unless status == 200
+
+    patient
+  end
+
+  ##
+  # Pushes a footprint for patient in current visit_type to DdeMahis
+  def create_patient_footprint(patient, date = nil, creator_id = nil)
+    LOGGER.debug("Pushing footprint to DdeMahis for patient ##{patient.patient_id}")
+    doc_id = find_patient_doc_id(patient)
+    unless doc_id
+      LOGGER.debug("Patient ##{patient.patient_id} is not a DdeMahis patient")
+      return
+    end
+
+    response, status = dde_client.post('update_footprint', person_uuid: doc_id,
+                                                           location_id: Location.current_location_health_center.location_id,
+                                                           visit_type_id: visit_type.id,
+                                                           encounter_datetime: date || Date.tody,
+                                                           user_id: creator_id || User.current.user_id)
+
+    LOGGER.warn("Failed to push patient footprint to DdeMahis: #{status} - #{response}") unless status == 200
+  end
+
+  ##
+  # Updates local patient with demographics currently in DdeMahis.
+  def update_local_patient(patient, update_npid: false)
+    doc_id = patient_doc_id(patient)
+    unless doc_id
+      Rails.logger.warn("No DdeMahis doc_id found for patient ##{patient.patient_id}")
+      push_local_patient_to_dde(patient)
+      return patient
+    end
+
+    dde_patient = find_remote_patients_by_doc_id(doc_id).first
+    unless dde_patient
+      Rails.logger.warn("Couldn't find patient ##{patient.patient_id} in DdeMahis by doc_id ##{doc_id}")
+      push_local_patient_to_dde(patient)
+      return patient
+    end
+
+    if update_npid
+      merging_service.link_local_to_remote_patient(patient, dde_patient)
+      return patient
+    end
+
+    person_service.update_person(patient.person, dde_patient_to_local_person(dde_patient))
+    patient
+  end
+
+  # Import patients from DdeMahis using doc id
+  def import_patients_by_doc_id(doc_id)
+    doc_id_type = patient_identifier_type('DdeMahis person document id')
+    locals = patient_service.find_patients_by_identifier(doc_id, doc_id_type).limit(PATIENT_SEARCH_RESULTS_LIMIT)
+    remotes = find_remote_patients_by_doc_id(doc_id)
+
+    import_remote_patient(locals, remotes)
+  end
+
+  # Imports patients from DdeMahis to the local database
+  def import_patients_by_npid(npid)
+    doc_id_type = patient_identifier_type('National id')
+    locals = patient_service.find_patients_by_identifier(npid, doc_id_type).limit(PATIENT_SEARCH_RESULTS_LIMIT)
+    remotes = find_remote_patients_by_npid(npid)
+
+    import_remote_patient(locals, remotes)
+  end
+
+  # Similar to import_patients_by_npid but uses name and gender instead of npid
+  def import_patients_by_name_and_gender(given_name, family_name, gender)
+    locals = patient_service.find_patients_by_name_and_gender(given_name, family_name, gender).limit(PATIENT_SEARCH_RESULTS_LIMIT)
+
+    remotes = begin
+      find_remote_patients_by_name_and_gender(given_name, family_name, gender)
+    rescue StandardError
+      []
+    end
+
+    import_remote_patient(locals, remotes)
+  end
+
+  def find_patients_by_npid(npid)
+    locals = patient_service.find_patients_by_npid(npid).limit(PATIENT_SEARCH_RESULTS_LIMIT)
+    remotes = find_remote_patients_by_npid(npid)
+
+    package_patients(locals, remotes, auto_push_singular_local: true)
+  end
+
+  def find_patients_by_name_and_gender(given_name, family_name, gender)
+    locals = []
+    begin
+      locals = patient_service.find_patients_by_name_and_gender(given_name, family_name, gender).limit(PATIENT_SEARCH_RESULTS_LIMIT)
+      remotes = find_remote_patients_by_name_and_gender(given_name, family_name, gender)
+
+      package_patients(locals, remotes)
+    rescue StandardError => e
+      Rails.logger.warn("Error packaging patients: #{e.message}")
+      package_patients(locals, [])
+    end
+  end
+
+  def find_patient_updates(local_patient_id)
+    dde_doc_id_type = PatientIdentifierType.where(name: 'DdeMahis Person Document ID')
+    doc_id = PatientIdentifier.find_by(patient_id: local_patient_id, identifier_type: dde_doc_id_type)
+                              &.identifier
+    return nil unless doc_id
+
+    remote_patient = find_remote_patients_by_doc_id(doc_id).first
+    return nil unless remote_patient
+
+    Matcher.find_differences(Person.find(local_patient_id), remote_patient)
+  rescue DdeMahisError => e
+    Rails.logger.warn("Check for DdeMahis patient updates failed: #{e.message}")
+    nil
+  end
+
+  # Matches patients using a bunch of demographics
+  def match_patients_by_demographics(family_name:, given_name:, birthdate:,
+                                     gender:, home_district:, home_traditional_authority:,
+                                     home_village:, birthdate_estimated: 0)
+    response, status = dde_client.post(
+      'search/people', family_name: family_name,
+                       given_name: given_name,
+                       gender: gender,
+                       birthdate: birthdate,
+                       birthdate_estimated: !birthdate_estimated.zero?,
+                       attributes: {
+                         home_district: home_district,
+                         home_traditional_authority: home_traditional_authority,
+                         home_village: home_village
+                       }
+    )
+
+    raise DdeMahisError, "DdeMahis patient search failed: #{status} - #{response}" unless status == 200
+
+    response.collect do |match|
+      doc_id = match['person']['id']
+      patient = patient_service.find_patients_by_identifier(
+        doc_id, patient_identifier_type('DdeMahis person document id')
+      ).first
+      match['person']['patient_id'] = patient&.id
+      match
+    end
+  end
+
+  # Trigger a merge of patients in DdeMahis
+  def merge_patients(primary_patients_ids, secondary_patient_ids)
+    merging_service.merge_patients(primary_patients_ids, secondary_patient_ids)
+  end
+
+  def reassign_patient_npid(patient_ids)
+    patient_id = patient_ids['patient_id']
+    doc_id = patient_ids['doc_id']
+
+    raise InvalidParameterError, 'patient_id and/or doc_id required' if patient_id.blank? && doc_id.blank?
+
+    if doc_id.blank?
+      # Only have patient id thus we have patient locally only
+      return push_local_patient_to_dde(Patient.find(patient_ids['patient_id']))
+    end
+
+    # NOTE: Fail patient retrieval as early as possible before making any
+    # changes to DdeMahis (ie if patient_id does not exist)
+    patient = patient_id.blank? ? nil : Patient.find(patient_id)
+
+    # We have a doc_id thus we can re-assign npid in DdeMahis
+    # Check if person if available in DdeMahis if not add person using doc_id
+    response, status = dde_client.post('search_by_doc_id', doc_id: doc_id)
+    if !response.blank? && status.to_i == 200
+      response, status = dde_client.post('reassign_npid', doc_id: doc_id)
+    elsif response.blank? && status.to_i == 200
+      return push_local_patient_to_dde(Patient.find(patient_ids['patient_id']))
+    end
+
+    unless status == 200 && !response.empty?
+      # The DdeMahis's reassign_npid end point responds with a 200 - OK but returns
+      # an empty object when patient with given doc_id is not found.
+      raise DdeMahisError, "Failed to reassign npid: DdeMahis Response => #{status} - #{response}"
+    end
+
+    return save_remote_patient(response) unless patient
+
+    merging_service.link_local_to_remote_patient(patient, response)
+  end
+
+  # Convert a DdeMahis person to an openmrs person.
+  #
+  # NOTE: This creates a person on the database.
+  def save_remote_patient(remote_patient)
+    LOGGER.debug "Converting DdeMahis person to openmrs: #{remote_patient}"
+    params = dde_patient_to_local_person(remote_patient)
+
+    Person.transaction do
+      person = person_service.create_person(params)
+
+      patient = Patient.create(patient_id: person.id)
+      merging_service.link_local_to_remote_patient(patient, remote_patient)
+    end
+  end
+
+  ##
+  # Converts a dde_patient object into an object that can be passed to the person_service
+  # to create or update a person.
+  def dde_patient_to_local_person(dde_patient)
+    attributes = dde_patient.fetch('attributes')
+
+    # ActiveSupport::HashWithIndifferentAccess.new(
+    #   birthdate: dde_patient.fetch('birthdate'),
+    #   birthdate_estimated: dde_patient.fetch('birthdate_estimated'),
+    #   gender: dde_patient.fetch('gender'),
+    #   given_name: dde_patient.fetch('given_name'),
+    #   family_name: dde_patient.fetch('family_name'),
+    #   middle_name: dde_patient.fetch('middle_name'),
+    #   home_village: attributes.fetch('home_village'),
+    #   home_traditional_authority: attributes.fetch('home_traditional_authority'),
+    #   home_district: attributes.fetch('home_district'),
+    #   current_village: attributes.fetch('current_village'),
+    #   current_traditional_authority: attributes.fetch('current_traditional_authority'),
+    #   current_district: attributes.fetch('current_district')
+    #   # cell_phone_number: attributes.fetch('cellphone_number'),
+    #   # occupation: attributes.fetch('occupation')
+    #   )
+        {
+          birthdate: dde_patient.fetch('birthdate'),
+          birthdate_estimated: dde_patient.fetch('birthdate_estimated'),
+          gender: dde_patient.fetch('gender'),
+          names: [
+            {
+              given_name: dde_patient.fetch('given_name'),
+            family_name: dde_patient.fetch('family_name'),
+            middle_name: dde_patient.fetch('middle_name')
+            }
+          ],
+          addresses: [
+            {
+              address1: attributes.fetch('home_district'),
+              address3: attributes.fetch('current_district'),
+              county_district: attributes.fetch('home_traditional_authority'),
+              state_province: attributes.fetch('current_traditional_authority'),
+              address2: attributes.fetch('home_village'),
+              city_village: attributes.fetch('current_village')
+            }
+          ]
+        }
+  end
+
+  private
+
+  def find_remote_patients_by_npid(npid)
+    response, _status = dde_client.post('search_by_npid', npid: npid)
+    raise DdeMahisError, "Patient search by npid failed: DdeMahis Response => #{response}" unless response.instance_of?(Array)
+
+    response
+  end
+
+  def find_remote_patients_by_name_and_gender(given_name, family_name, gender)
+    response = nil
+    begin
+      response, _status = dde_client.post('search_by_name_and_gender', given_name: given_name,
+                                                                     family_name: family_name,
+                                                                     gender: gender)
+      unless response.instance_of?(Array)
+        print "Patient search by name and gender failed: DdeMahis Response => #{response}"
+        return []
+      end
+    rescue StandardError => e
+      print "Patient search by name and gender failed: DdeMahis Response => #{e}"
+      return []
+    end
+
+    response
+  end
+
+  def find_remote_patients_by_doc_id(doc_id)
+    Rails.logger.info("Searching for DdeMahis patient by doc_id ##{doc_id}")
+    response, _status = dde_client.post('search_by_doc_id', doc_id: doc_id)
+    raise DdeMahisError, "Patient search by doc_id failed: DdeMahis Response => #{response}" unless response.instance_of?(Array)
+
+    response
+  end
+
+  def find_patient_doc_id(patient)
+    patient.patient_identifiers.where(identifier_type: dde_doc_id_type).first
+  end
+
+  # Resolves local and remote patients and post processes the remote
+  # patients to take on a structure similar to that of local
+  # patients.
+  def package_patients(local_patients, remote_patients, auto_push_singular_local: false)
+    patients = resolve_patients(local_patients: local_patients,
+                                remote_patients: remote_patients,
+                                auto_push_singular_local: auto_push_singular_local)
+
+    # In some cases we may have remote patients that were previously imported but
+    # whose NPID has changed, we need to find and resolve these local patients.
+    unresolved_patients = find_patients_by_doc_id(patients[:remotes].collect { |remote_patient| remote_patient['doc_id'] })
+    if unresolved_patients.empty?
+      return { locals: patients[:locals], remotes: patients[:remotes].collect { |patient| localise_remote_patient(patient) } }
+    end
+
+    additional_patients = resolve_patients(local_patients: unresolved_patients, remote_patients: patients[:remotes])
+
+    {
+      locals: patients[:locals] + additional_patients[:locals],
+      remotes: additional_patients[:remotes].collect { |patient| localise_remote_patient(patient) }
+    }
+  end
+
+  # Locally saves the first unresolved remote patient.
+  #
+  # Method internally calls resolve_patients on the passed arguments then
+  # attempts to save the first unresolved patient in the local database.
+  #
+  # Returns: The imported patient (or nil if no local and remote patients are
+  #          present).
+  def import_remote_patient(local_patients, remote_patients)
+    patients = resolve_patients(local_patients: local_patients, remote_patients: remote_patients)
+
+    return patients[:locals].first if patients[:remotes].empty?
+
+    save_remote_patient(patients[:remotes].first)
+  end
+
+  # Filters out @{param remote_patients} that exist in @{param local_patients}.
+  #
+  # Returns a hash with all resolved and unresolved remote patients:
+  #
+  #   { resolved: [..,], locals: [...], remotes: [...] }
+  #
+  # NOTE: All resolved patients are available in the local database
+  def resolve_patients(local_patients:, remote_patients:, auto_push_singular_local: false)
+    remote_patients = remote_patients.dup # Will be modifying this copy
+
+    # Match all locals to remotes, popping out the matching patients from
+    # the list of remotes. The remaining remotes are considered unresolved
+    # remotes.
+    resolved_patients = local_patients.each_with_object([]) do |local_patient, resolved_patients|
+      # Local patient present on remote?
+      remote_patient = remote_patients.detect do |patient|
+        same_patient?(local_patient: local_patient, remote_patient: patient)
+      end
+
+      remote_patients.delete(remote_patient) if remote_patient
+
+      resolved_patients << local_patient
+    end
+    
+    if resolved_patients.empty? && (local_patients.size.zero? && remote_patients.size == 1)
+      # HACK: Frontenders requested that if only a single patient exists
+      # remotely and locally none exists, the remote patient should be
+      # imported.
+      local_patient = find_patients_by_doc_id(remote_patients[0]['doc_id']).first
+      resolved_patients = [local_patient || save_remote_patient(remote_patients[0])]
+      remote_patients = []
+    elsif auto_push_singular_local && resolved_patients.size == 1\
+         && remote_patients.empty? && local_only_patient?(resolved_patients.first)
+      # ANOTHER HACK: Push local only patient to DdeMahis
+      resolved_patients = [push_local_patient_to_dde(resolved_patients[0])]
+    else
+      resolved_patients = local_patients
+    end
+
+    { locals: resolved_patients, remotes: remote_patients }
+  end
+
+  # Checks if patient only exists on local database
+  def local_only_patient?(patient)
+    !(patient.patient_identifiers.where(identifier_type: patient_identifier_type('National id')).exists?\
+      && patient.patient_identifiers.where(identifier_type: patient_identifier_type('DdeMahis person document id')).exists?)
+  end
+
+  # Matches local and remote patient
+  def same_patient?(local_patient:, remote_patient:)
+    PatientIdentifier.where(patient: local_patient, identifier_type: dde_doc_id_type).any? do |doc_id|
+      doc_id.identifier == remote_patient['doc_id']
+    end
+  end
+
+  # Saves local patient to DdeMahis and links the two using the IDs
+  # generated by DdeMahis.
+  def push_local_patient_to_dde(patient)
+    Rails.logger.info("Pushing local patient ##{patient.patient_id} to DdeMahis")
+    response, status = dde_client.post('add_person', openmrs_to_dde_patient(patient))
+
+    if status == 422
+      error = UnprocessableEntityError.new("Failed to create patient in DdeMahis: #{response.to_json}")
+      error.add_entity(patient)
+      raise error
+    end
+
+    raise response.to_json if status != 200
+
+    merging_service.link_local_to_remote_patient(patient, response)
+  end
+
+  # Converts a remote patient coming from DdeMahis into a structure similar
+  # to that of a local patient
+  def localise_remote_patient(patient)
+    Patient.new(
+      patient_identifiers: localise_remote_patient_identifiers(patient),
+      person: Person.new(
+        names: localise_remote_patient_names(patient),
+        addresses: localise_remote_patient_addresses(patient),
+        birthdate: patient['birthdate'],
+        birthdate_estimated: patient['birthdate_estimated'],
+        gender: patient['gender']
+      )
+    )
+  end
+
+  def localise_remote_patient_identifiers(remote_patient)
+    [PatientIdentifier.new(identifier: remote_patient['npid'],
+                           identifier_type: patient_identifier_type('National ID')),
+     PatientIdentifier.new(identifier: remote_patient['doc_id'],
+                           identifier_type: patient_identifier_type('DdeMahis Person Document ID'))]
+  end
+
+  def localise_remote_patient_names(remote_patient)
+    [PersonName.new(given_name: remote_patient['given_name'],
+                    family_name: remote_patient['family_name'],
+                    middle_name: remote_patient['middle_name'])]
+  end
+
+  def localise_remote_patient_addresses(remote_patient)
+    address = PersonAddress.new
+    address.city_village = remote_patient['attributes']['home_village']
+    address.home_traditional_authority = remote_patient['attributes']['home_traditional_authority']
+    address.home_district = remote_patient['attributes']['home_district']
+    address.current_village = remote_patient['attributes']['current_village']
+    address.current_traditional_authority = remote_patient['attributes']['current_traditional_authority']
+    address.current_district = remote_patient['attributes']['current_district']
+    [address]
+  end
+
+  def dde_client
+    client = DdeClient.new
+
+    connection = dde_connections[visit_type.id]
+
+    @dde_connections[visit_type.id] = if connection && %i[url username password].all? { |key| connection&.key?(key) }
+                                        client.restore_connection(connection)
+                                      else
+                                        client.connect(url: dde_config[:url],
+                                                       username: dde_config[:username],
+                                                       password: dde_config[:password])
+                                      end
+
+    client
+  end
+
+  # Loads a dde client into the dde_clients_cache for the
+  def dde_config
+    main_config = YAML.load_file(DdeMahis_CONFIG_PATH)['config']
+    raise 'No configuration for DdeMahis found' unless main_config
+
+    visit_type_config = main_config[visit_type.name.downcase]
+    raise "No DdeMahis config for visit_type #{visit_type.name.downcase} found" unless visit_type_config
+
+    {
+      url: main_config['url'],
+      username: visit_type_config['username'],
+      password: visit_type_config['password']
+    }
+  end
+
+  # Converts an openmrs patient structure to a DdeMahis person structure
+  def openmrs_to_dde_patient(patient)
+    LOGGER.debug "Converting OpenMRS person to dde_patient: #{patient}"
+    person = patient.person
+
+    person_name = person.names[0]
+    person_address = person.addresses[0]
+    person_attributes = filter_person_attributes(person.person_attributes)
+
+    dde_patient = HashWithIndifferentAccess.new(
+      given_name: person_name.given_name,
+      family_name: person_name.family_name,
+      gender: person.gender&.first,
+      birthdate: person.birthdate,
+      birthdate_estimated: person.birthdate_estimated ? 1 : 0,
+      attributes: {
+        current_district: person_address ? person_address.address3 : nil,
+        current_traditional_authority: person_address ? person_address.state_province : nil,
+        current_village: person_address ? person_address.city_village : nil,
+        home_district: person_address ? person_address.address1 : nil,
+        home_village: person_address ? person_address.city_village : nil,
+        home_traditional_authority: person_address ? person_address.county_district : nil,
+        occupation: person_attributes ? person_attributes[:occupation] : nil
+      }
+    )
+
+    doc_id = patient.patient_identifiers.where(identifier_type: patient_identifier_type('DdeMahis person document id')).first
+    dde_patient[:doc_id] = doc_id.identifier if doc_id
+
+    LOGGER.debug "Converted openmrs person to dde_patient: #{dde_patient}"
+    dde_patient
+  end
+
+  def filter_person_attributes(person_attributes)
+    return nil unless person_attributes
+
+    person_attributes.each_with_object({}) do |attr, filtered|
+      case attr.person_attribute_type.name.downcase.gsub(/\s+/, '_')
+      when 'cell_phone_number'
+        filtered[:cell_phone_number] = attr.value
+      when 'occupation'
+        filtered[:occupation] = attr.value
+      when 'birthplace'
+        filtered[:home_district] = attr.value
+      when 'home_village'
+        filtered[:home_village] = attr.value
+      when 'ancestral_traditional_authority'
+        filtered[:home_traditional_authority] = attr.value
+      end
+    end
+  end
+
+  def patient_doc_id(patient)
+    PatientIdentifier
+      .joins(:identifier_type)
+      .merge(PatientIdentifierType.where(name: 'DdeMahis person document id'))
+      .where(patient: patient)
+      .first
+      &.identifier
+  end
+
+  def dde_doc_id_type
+    PatientIdentifierType.find_by_name('DdeMahis Person document ID')
+  end
+
+  def find_patients_by_doc_id(doc_ids)
+    identifiers = PatientIdentifier.joins(:identifier_type)
+                                   .merge(PatientIdentifierType.where(name: 'DdeMahis Person Document ID'))
+                                   .where(identifier: doc_ids)
+    Patient.joins(:identifiers).merge(identifiers).distinct
+  end
+
+  def person_service
+    PersonService.new
+  end
+
+  def patient_service
+    PatientService.new
+  end
+
+  def merging_service
+    MergingService.new(self, -> { dde_client })
+  end
+
+  # A cache for all connections to dde (indexed by visit_type id)
+  def dde_connections
+    @dde_connections ||= {}
+  end
+end