medicafe 0.250812.5__tar.gz → 0.250813.0__tar.gz
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot.bat +9 -10
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Crosswalk_Library.py +2 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Crosswalk_Utils.py +6 -4
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Preprocessor_lib.py +5 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/update_medicafe.py +36 -13
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/api_core.py +39 -12
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/submission_index.py +44 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_837p_cob_library.py +8 -1
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_837p_encoder.py +6 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_837p_encoder_library.py +38 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_DataMgmt.py +74 -43
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Decoder.py +38 -9
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Down.py +104 -12
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Parser.py +80 -1
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_UI.py +2 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_main.py +69 -0
- {medicafe-0.250812.5/medicafe.egg-info → medicafe-0.250813.0}/PKG-INFO +1 -1
- {medicafe-0.250812.5 → medicafe-0.250813.0/medicafe.egg-info}/PKG-INFO +1 -1
- {medicafe-0.250812.5 → medicafe-0.250813.0}/setup.py +1 -1
- {medicafe-0.250812.5 → medicafe-0.250813.0}/LICENSE +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MANIFEST.in +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Charges.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Post.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_Preprocessor.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_UI.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_dataformat_library.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_docx_decoder.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/MediBot_smart_import.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/__init__.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/get_medicafe_version.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediBot/update_json.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/MediLink_ConfigLoader.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/__init__.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/__main__.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/api_core_backup.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/api_factory.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/api_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/core_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/graphql_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/logging_config.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/logging_demo.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/migration_helpers.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediCafe/smart_import.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/InsuranceTypeService.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_837p_utilities.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_API_Generator.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Azure.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_ClaimStatus.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Deductible.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Deductible_Validator.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Display_Utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Gmail.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Mailer.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_PatientProcessor.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Scan.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Scheduler.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_Up.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_insurance_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/MediLink_smart_import.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/Soumit_api.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/__init__.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/gmail_http_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/gmail_oauth_utils.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/insurance_type_integration_test.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/openssl.cnf +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/test.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/test_cob_library.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/test_timing.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/test_validation.py +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/MediLink/webapp.html +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/README.md +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/SOURCES.txt +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/dependency_links.txt +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/entry_points.txt +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/not-zip-safe +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/requires.txt +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/medicafe.egg-info/top_level.txt +0 -0
- {medicafe-0.250812.5 → medicafe-0.250813.0}/setup.cfg +0 -0
@@ -405,8 +405,6 @@ echo 6. Run MediBot
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echo.
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echo 7. Troubleshooting
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echo.
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echo 9. Toggle Performance Logging (session)
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echo.
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echo 8. Exit
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echo.
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set /p choice=Enter your choice:
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@@ -420,7 +418,6 @@ if "!choice!"=="4" goto united_claims_status
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if "!choice!"=="3" goto medilink_flow
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if "!choice!"=="2" goto download_emails
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if "!choice!"=="1" goto check_updates
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if "!choice!"=="9" goto toggle_perf_logging
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if "!choice!"=="0" goto end_script
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echo Invalid choice. Please try again.
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echo.
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echo Launching updater and closing this window...
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start "MediCafe Update" "%_UPD_RUNNER%"
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exit
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exit 0
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:: Download Carol's Emails
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:download_emails
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echo.
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echo Note: This affects current session only. To persist, set in config.json.
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pause
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goto
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goto troubleshooting_menu
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:: United Claims Status
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:united_claims_status
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echo.
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echo 1. Open Latest Log File
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echo 2. Clear Python Cache
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echo 3.
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echo 4.
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echo 3. Toggle Performance Logging ^(session^)
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echo 4. Forced MediCafe version rollback
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echo 5. Back to Main Menu
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echo.
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set /p tchoice=Enter your choice:
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if "%tchoice%"=="1" goto open_latest_log
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if "%tchoice%"=="2" goto clear_cache_menu
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if "%tchoice%"=="3" goto
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if "%tchoice%"=="4" goto
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if "%tchoice%"=="4" goto forced_version_rollback
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if "%tchoice%"=="5" goto main_menu
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echo Invalid choice. Please try again.
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pause
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:: End Script
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:end_script
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exit 0
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:: Full Debug Mode moved to external script full_debug_suite.bat
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'medisoft_medicare_id': [] # PERFORMANCE FIX: Use list instead of set to avoid conversions
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}
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MediLink_ConfigLoader.log("Initialized payer ID {} in crosswalk with endpoint '{}'.".format(payer_id, selected_endpoint), config, level="DEBUG")
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# TODO (MEDICARE ENDPOINTS): If payer_id is Medicare (e.g., in config['MediLink_Config']['cob_settings']['medicare_payer_ids']),
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# set endpoint to 'MEDICARE_PRIMARY' and optionally store 'crossover_endpoint' for later automation.
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# Add the insurance ID to the payer ID entry (PERFORMANCE FIX: Use list operations)
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insurance_id_str = str(insurance_id) # Ensure ID is string
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crosswalk['payer_id'][payer_id]['endpoint'] = select_endpoint(config) # Use the helper function to set the endpoint
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MediLink_ConfigLoader.log("Initialized 'endpoint' for payer ID {}.".format(payer_id), config, level="DEBUG")
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# Initialize medisoft_id and medisoft_medicare_id as empty lists if they do not exist
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crosswalk['payer_id'][payer_id].setdefault('medisoft_id', [])
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crosswalk['payer_id'][payer_id].setdefault('medisoft_medicare_id', []) # does this work in 3.4.4?
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MediLink_ConfigLoader.log("Ensured 'medisoft_id' and 'medisoft_medicare_id' for payer ID {} are initialized.".format(payer_id), config, level="DEBUG")
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# TODO (CROSSWALK VALIDATION): Enforce distinctness between 'medisoft_id' and 'medisoft_medicare_id' and support optional
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# 'crossover_endpoint' per payer. Use config['MediLink_Config']['cob_settings']['medicare_payer_ids'] to detect Medicare payers.
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# Convert sets to sorted lists for JSON serialization
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for payer_id, details in crosswalk.get('payer_id', {}).items():
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# Assign the resolved insurance ID to the row
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row['Ins1 Insurance ID'] = insurance_id
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# TODO (SECONDARY QUEUE): When building a secondary-claims queue after Medicare crossover,
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# set claim_type='secondary' and attach prior payer fields here from the Medicare primary outcome:
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# - row['prior_payer_name'] = 'MEDICARE'
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# - row['prior_payer_id'] = best Medicare ID from config/crosswalk
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# - optionally row['primary_paid_amount'], row['cas_adjustments'] extracted from 835
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# LOGGING STRATEGY: Remove success logging - DEBUG is typically silent anyway
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# if processed_count <= 10 or processed_count % 100 == 0: # Log first 10 and every 100th
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#update_medicafe.py
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import subprocess, sys, time, platform, os, shutil, random
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# Safe import for pkg_resources with fallback
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return None
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def check_internet_connection():
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requests.get("http://www.google.com", timeout=5)
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v2_parts = list(map(int, version2.split(".")))
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return (v1_parts > v2_parts) - (v1_parts < v2_parts)
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def upgrade_package(package, retries=
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def upgrade_package(package, retries=4, delay=2, target_version=None): # Updated retries to 4
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"""
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Attempts to upgrade the package multiple times with delays in between.
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"""
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print_status("No internet connection detected. Please check your internet connection and try again.", "ERROR")
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# Light verbosity: show pinned target once
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for attempt in range(1, retries + 1):
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print("Attempt {}/{} to upgrade {}...".format(attempt, retries, package))
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# Use a more compatible approach for Python 3.4
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# Try with --no-deps first to avoid dependency resolution issues
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if target_version:
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pkg_spec = "{}=={}".format(package, target_version)
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sys.executable, '-m', 'pip', 'install', '--upgrade',
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'--no-deps', '--no-cache-dir', '--disable-pip-version-check', '-q', pkg_spec
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if expected_version and compare_versions(new_version, expected_version) >= 0: # Compare versions
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print_status("Upgrade succeeded!", "SUCCESS")
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# If --no-deps failed, try with --force-reinstall to bypass dependency issues
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print("
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if target_version:
|
351
|
+
pkg_spec = "{}=={}".format(package, target_version)
|
352
|
+
|
334
353
|
cmd = [
|
335
354
|
sys.executable, '-m', 'pip', 'install', '--upgrade',
|
336
|
-
'--force-reinstall', '--no-cache-dir', '--disable-pip-version-check', '-q',
|
355
|
+
'--force-reinstall', '--no-cache-dir', '--disable-pip-version-check', '-q', pkg_spec
|
337
356
|
]
|
338
357
|
|
339
358
|
process = subprocess.Popen(cmd, stdout=subprocess.PIPE, stderr=subprocess.PIPE)
|
@@ -342,19 +361,23 @@ def upgrade_package(package, retries=3, delay=2): # Updated retries to 3
|
|
342
361
|
if process.returncode == 0:
|
343
362
|
print(stdout.decode().strip())
|
344
363
|
new_version = get_installed_version(package)
|
345
|
-
|
364
|
+
expected_version = target_version or get_latest_version(package)
|
365
|
+
if expected_version and compare_versions(new_version, expected_version) >= 0:
|
346
366
|
print_status("Attempt {}: Upgrade succeeded with --force-reinstall!".format(attempt), "SUCCESS")
|
347
367
|
time.sleep(delay)
|
348
368
|
return True
|
349
369
|
else:
|
350
|
-
print_status("Upgrade
|
370
|
+
print_status("Upgrade incomplete. Current version: {} Expected at least: {}".format(new_version, expected_version), "WARNING")
|
351
371
|
else:
|
352
372
|
print(stderr.decode().strip())
|
353
373
|
print_status("Attempt {}: Upgrade failed with --force-reinstall.".format(attempt), "WARNING")
|
354
374
|
|
355
375
|
if attempt < retries:
|
356
376
|
print("Retrying in {} seconds...".format(delay))
|
357
|
-
|
377
|
+
try:
|
378
|
+
time.sleep(delay + (random.random() * 0.5))
|
379
|
+
except Exception:
|
380
|
+
time.sleep(delay)
|
358
381
|
|
359
382
|
print_status("All upgrade attempts failed.", "ERROR")
|
360
383
|
return False
|
@@ -566,7 +589,7 @@ def main():
|
|
566
589
|
print("Current version: {}".format(current_version))
|
567
590
|
print("Target version: {}".format(latest_version))
|
568
591
|
|
569
|
-
if upgrade_package(package):
|
592
|
+
if upgrade_package(package, target_version=latest_version):
|
570
593
|
# STEP 8: Verify upgrade
|
571
594
|
debug_step(8, "Upgrade Verification")
|
572
595
|
new_version = get_installed_version(package)
|
@@ -983,18 +983,18 @@ def is_test_mode(client, body, endpoint_type):
|
|
983
983
|
def submit_uhc_claim(client, x12_request_data):
|
984
984
|
"""
|
985
985
|
Submits a UHC claim and retrieves the claim acknowledgement details.
|
986
|
-
|
986
|
+
|
987
987
|
This function first submits the claim using the provided x12 837p data. If the client is in Test Mode,
|
988
988
|
it returns a simulated response. If Test Mode is not enabled, it submits the claim and then retrieves
|
989
989
|
the claim acknowledgement details using the transaction ID from the initial response.
|
990
|
-
|
990
|
+
|
991
991
|
NOTE: This function uses endpoints that may not be available in the new swagger version:
|
992
992
|
- /Claims/api/claim-submission/v1 (claim submission)
|
993
993
|
- /Claims/api/claim-details/v1 (claim acknowledgement)
|
994
994
|
|
995
995
|
If these endpoints are deprecated in the new swagger, this function will need to be updated
|
996
996
|
to use the new available endpoints.
|
997
|
-
|
997
|
+
|
998
998
|
:param client: An instance of APIClient
|
999
999
|
:param x12_request_data: The x12 837p data as a string
|
1000
1000
|
:return: The final response containing the claim acknowledgement details or a dummy response if in Test Mode
|
@@ -1014,24 +1014,24 @@ def submit_uhc_claim(client, x12_request_data):
|
|
1014
1014
|
endpoints = medi.get('endpoints', {})
|
1015
1015
|
claim_submission_url = endpoints.get(endpoint_name, {}).get('additional_endpoints', {}).get('claim_submission', '')
|
1016
1016
|
claim_details_url = endpoints.get(endpoint_name, {}).get('additional_endpoints', {}).get('claim_details', '')
|
1017
|
-
|
1017
|
+
|
1018
1018
|
MediLink_ConfigLoader.log("Claim Submission URL: {}".format(claim_submission_url), level="INFO")
|
1019
1019
|
MediLink_ConfigLoader.log("Claim Details URL: {}".format(claim_details_url), level="INFO")
|
1020
|
-
|
1020
|
+
|
1021
1021
|
# Headers for the request
|
1022
1022
|
headers = {'Content-Type': 'application/json'}
|
1023
|
-
|
1023
|
+
|
1024
1024
|
# Request body for claim submission
|
1025
1025
|
claim_body = {'x12RequestData': x12_request_data}
|
1026
|
-
|
1026
|
+
|
1027
1027
|
MediLink_ConfigLoader.log("Claim Body Keys: {}".format(list(claim_body.keys())), level="INFO")
|
1028
1028
|
MediLink_ConfigLoader.log("Headers: {}".format(json.dumps(headers, indent=2)), level="INFO")
|
1029
|
-
|
1029
|
+
|
1030
1030
|
# Check if Test Mode is enabled and return simulated response if so
|
1031
1031
|
test_mode_response = is_test_mode(client, claim_body, 'claim_submission')
|
1032
1032
|
if test_mode_response:
|
1033
1033
|
return test_mode_response
|
1034
|
-
|
1034
|
+
|
1035
1035
|
# Make the API call to submit the claim
|
1036
1036
|
try:
|
1037
1037
|
MediLink_ConfigLoader.log("Making claim submission API call...", level="INFO")
|
@@ -1047,16 +1047,43 @@ def submit_uhc_claim(client, x12_request_data):
|
|
1047
1047
|
|
1048
1048
|
# Prepare the request body for the claim acknowledgement retrieval
|
1049
1049
|
acknowledgement_body = {'transactionId': transaction_id}
|
1050
|
-
|
1050
|
+
|
1051
1051
|
# Check if Test Mode is enabled and return simulated response if so
|
1052
1052
|
test_mode_response = is_test_mode(client, acknowledgement_body, 'claim_details')
|
1053
1053
|
if test_mode_response:
|
1054
1054
|
return test_mode_response
|
1055
|
-
|
1055
|
+
|
1056
1056
|
# Make the API call to retrieve the claim acknowledgement details
|
1057
1057
|
acknowledgement_response = client.make_api_call(endpoint_name, 'POST', claim_details_url, data=acknowledgement_body, headers=headers)
|
1058
|
+
|
1059
|
+
# Persist as unified ack event (best-effort)
|
1060
|
+
try:
|
1061
|
+
from MediCafe.submission_index import append_ack_event, ensure_submission_index
|
1062
|
+
cfg, _ = MediLink_ConfigLoader.load_configuration()
|
1063
|
+
receipts_root = extract_medilink_config(cfg).get('local_claims_path', None)
|
1064
|
+
if receipts_root:
|
1065
|
+
ensure_submission_index(receipts_root)
|
1066
|
+
status_text = ''
|
1067
|
+
try:
|
1068
|
+
# Attempt to pull a readable status from the response
|
1069
|
+
status_text = acknowledgement_response.get('status') or acknowledgement_response.get('message') or ''
|
1070
|
+
except Exception:
|
1071
|
+
status_text = ''
|
1072
|
+
append_ack_event(
|
1073
|
+
receipts_root,
|
1074
|
+
'', # claim_key unknown here
|
1075
|
+
status_text,
|
1076
|
+
'API-277',
|
1077
|
+
'uhcapi',
|
1078
|
+
{'transactionId': transaction_id},
|
1079
|
+
'api_ack',
|
1080
|
+
int(time.time())
|
1081
|
+
)
|
1082
|
+
except Exception:
|
1083
|
+
pass
|
1084
|
+
|
1058
1085
|
return acknowledgement_response
|
1059
|
-
|
1086
|
+
|
1060
1087
|
except Exception as e:
|
1061
1088
|
print("Error during claim processing: {}".format(e))
|
1062
1089
|
raise
|
@@ -22,6 +22,9 @@ META_FILENAME = 'submission_index_meta.json'
|
|
22
22
|
INDEX_FILENAME = 'submission_index.jsonl'
|
23
23
|
LOCK_FILENAME = 'submission_index.lock'
|
24
24
|
|
25
|
+
# New: ack field keys for richer timeline entries
|
26
|
+
ACK_FIELDS = ['ack_type', 'ack_timestamp', 'control_ids', 'source', 'file_name']
|
27
|
+
|
25
28
|
|
26
29
|
def build_initial_index(receipts_root, lookback_days=200):
|
27
30
|
"""
|
@@ -123,6 +126,47 @@ def compute_claim_key(patient_id, payer_id, primary_insurance, date_of_service,
|
|
123
126
|
])
|
124
127
|
|
125
128
|
|
129
|
+
def append_ack_event(receipts_root, claim_key, status_text, ack_type, file_name, control_ids, source, ack_timestamp=None):
|
130
|
+
"""
|
131
|
+
Append a lightweight ack/timeline event to the index. XP/Py3.4/ASCII-safe.
|
132
|
+
- claim_key may be empty if unknown. Caller should pass when available.
|
133
|
+
- control_ids is a dict with optional ISA/GS/ST/TRN or transactionId.
|
134
|
+
"""
|
135
|
+
try:
|
136
|
+
_ensure_files_exist(receipts_root)
|
137
|
+
event = {
|
138
|
+
'claim_key': claim_key or '',
|
139
|
+
'patient_id': '',
|
140
|
+
'payer_id': '',
|
141
|
+
'primary_insurance': '',
|
142
|
+
'dos': '',
|
143
|
+
'endpoint': source or 'download_ack',
|
144
|
+
'submitted_at': '',
|
145
|
+
'receipt_file': file_name or '',
|
146
|
+
'status': status_text or '',
|
147
|
+
'notes': 'ack event',
|
148
|
+
}
|
149
|
+
# Attach ack fields with basic validation
|
150
|
+
try:
|
151
|
+
event['ack_type'] = ack_type or ''
|
152
|
+
event['ack_timestamp'] = ack_timestamp or int(time.time())
|
153
|
+
event['control_ids'] = control_ids or {}
|
154
|
+
event['source'] = source or ''
|
155
|
+
event['file_name'] = file_name or ''
|
156
|
+
except Exception:
|
157
|
+
pass
|
158
|
+
path = _index_path(receipts_root)
|
159
|
+
line = json.dumps(event)
|
160
|
+
f = open(path, 'a')
|
161
|
+
try:
|
162
|
+
f.write(line)
|
163
|
+
f.write("\n")
|
164
|
+
finally:
|
165
|
+
f.close()
|
166
|
+
except Exception:
|
167
|
+
pass
|
168
|
+
|
169
|
+
|
126
170
|
# ------------------------- ASCII-safe meta/lock helpers -----------------------
|
127
171
|
|
128
172
|
def _meta_path(root_dir):
|
@@ -101,6 +101,10 @@ def create_2320_other_subscriber_segments(patient_data, config, crosswalk):
|
|
101
101
|
is_secondary = patient_data.get('claim_type', 'primary') == 'secondary'
|
102
102
|
|
103
103
|
if is_secondary:
|
104
|
+
# TODO (DATA CONTRACT): If 835-derived fields are present on patient_data, prefer them:
|
105
|
+
# - total_paid -> AMT*D
|
106
|
+
# - cas_adjustments -> CAS
|
107
|
+
# Otherwise accept 'primary_paid_amount' and 'cas_adjustments' provided by upstream workflow.
|
104
108
|
# SBR segment for secondary payer
|
105
109
|
responsibility_code = "S" # Secondary
|
106
110
|
insurance_type = determine_medicare_payer_type(patient_data, config)
|
@@ -111,7 +115,9 @@ def create_2320_other_subscriber_segments(patient_data, config, crosswalk):
|
|
111
115
|
segments.append(sbr_segment)
|
112
116
|
|
113
117
|
# AMT*D segment for total amount paid by primary
|
114
|
-
|
118
|
+
# TODO (STRICT MODE): When config['MediLink_Config']['cob_settings']['validation_level'] >= 2,
|
119
|
+
# require presence of a numeric total (from 'total_paid' or 'primary_paid_amount').
|
120
|
+
total_paid = patient_data.get('total_paid', patient_data.get('primary_paid_amount', '0.00'))
|
115
121
|
amt_segment = "AMT*D*{}~".format(total_paid)
|
116
122
|
segments.append(amt_segment)
|
117
123
|
|
@@ -152,6 +158,7 @@ def create_2330B_prior_payer_segments(patient_data, config, crosswalk):
|
|
152
158
|
segments = []
|
153
159
|
|
154
160
|
# Get prior payer information
|
161
|
+
# TODO (CONFIG): Resolve Medicare payer ID from config['MediLink_Config']['cob_settings']['medicare_payer_ids'] if prior_payer_id not provided.
|
155
162
|
prior_payer_name = patient_data.get('prior_payer_name', 'MEDICARE')
|
156
163
|
prior_payer_id = patient_data.get('prior_payer_id', '00850')
|
157
164
|
|
@@ -613,6 +613,12 @@ def process_claim(config, endpoint, patient_data_list, crosswalk, client, suffix
|
|
613
613
|
document_segments = []
|
614
614
|
|
615
615
|
for patient_data in patient_data_list:
|
616
|
+
# TODO (SECONDARY PREP): Upstream should mark secondary claims and provide Medicare prior payer info when applicable.
|
617
|
+
# Expected minimal keys for Medicare-secondary:
|
618
|
+
# - claim_type='secondary'
|
619
|
+
# - prior_payer_name='MEDICARE'
|
620
|
+
# - prior_payer_id from config cob_settings.medicare_payer_ids (default '00850')
|
621
|
+
# - optional: primary_paid_amount, cas_adjustments
|
616
622
|
# Validate each patient's data before processing
|
617
623
|
is_valid, validation_errors = validate_claim_data(patient_data, medi)
|
618
624
|
if is_valid:
|
@@ -980,6 +980,43 @@ def create_clm_and_related_segments(parsed_data, config, crosswalk):
|
|
980
980
|
# - create_2330B_prior_payer_segments() for Medicare prior payer
|
981
981
|
# - create_2430_service_line_cob_segments() for service-level adjudication
|
982
982
|
# - create_2330C_other_subscriber_name_segments() when patient != subscriber
|
983
|
+
#
|
984
|
+
# Minimal, safe integration (guarded by feature flag):
|
985
|
+
if COB is not None:
|
986
|
+
cob_enabled = False
|
987
|
+
try:
|
988
|
+
# Read feature flag from configuration (expects medi['cob_settings']['enabled'])
|
989
|
+
from MediCafe.core_utils import extract_medilink_config
|
990
|
+
medi_cfg = extract_medilink_config(config)
|
991
|
+
cob_enabled = bool(medi_cfg.get('cob_settings', {}).get('enabled', False))
|
992
|
+
except Exception:
|
993
|
+
cob_enabled = False
|
994
|
+
|
995
|
+
# Only add COB loops when explicitly enabled and claim is secondary
|
996
|
+
# TODO (COB VALIDATION): When COB is enabled and claim is secondary, validate required fields:
|
997
|
+
# - prior_payer_id/prior_payer_name present
|
998
|
+
# - primary_paid_amount present when sending AMT*D (or skip AMT if not available)
|
999
|
+
# - cas_adjustments schema if provided (list of {group, reason, amount})
|
1000
|
+
# If critical fields are missing, log and proceed with best-effort unless config enforces strict mode.
|
1001
|
+
if cob_enabled and validated_data.get('claim_type') == 'secondary':
|
1002
|
+
try:
|
1003
|
+
# 2320 - Other Subscriber Information (OI, AMT, CAS, etc.)
|
1004
|
+
segments.extend(COB.create_2320_other_subscriber_segments(validated_data, config, crosswalk))
|
1005
|
+
except Exception as _e1:
|
1006
|
+
try:
|
1007
|
+
MediLink_ConfigLoader.log("COB 2320 insertion failed: {}".format(str(_e1)), config, level="WARNING")
|
1008
|
+
except Exception:
|
1009
|
+
pass
|
1010
|
+
|
1011
|
+
try:
|
1012
|
+
# 2330B - Prior Payer (Medicare prior payer info, e.g., 00850)
|
1013
|
+
segments.extend(COB.create_2330B_prior_payer_segments(validated_data, config, crosswalk))
|
1014
|
+
except Exception as _e2:
|
1015
|
+
try:
|
1016
|
+
MediLink_ConfigLoader.log("COB 2330B insertion failed: {}".format(str(_e2)), config, level="WARNING")
|
1017
|
+
except Exception:
|
1018
|
+
pass
|
1019
|
+
|
983
1020
|
# TODO (COB ENHANCEMENT): Optional attachment references (PWK) for non-electronic EOB handling
|
984
1021
|
# See MediLink_837p_cob_library.create_pwk_attachment_segment() for implementation
|
985
1022
|
# Example: PWK*EB*FX*123456~ for attachment control number
|
@@ -1002,6 +1039,7 @@ def create_clm_and_related_segments(parsed_data, config, crosswalk):
|
|
1002
1039
|
segments.append("DTP*472*D8*{}~".format(convert_date_format(validated_data['DATE'])))
|
1003
1040
|
|
1004
1041
|
# Is there REF - Line Item Control Number missing here? Private insurance doesn't need it, but Medicare does?
|
1042
|
+
# TODO (MEDICARE REF): Add conditional REF*6R (line item control number) when payer is Medicare or when crosswalk/config requires it.
|
1005
1043
|
# segments.append("REF*6R*1~") # REF01, Reference Identification Qualifier; REF02, Line Item Control Number.
|
1006
1044
|
# 6R - Provider Control Number (Number assigned by information provider company for tracking and billing purposes)
|
1007
1045
|
# 1 - Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
|
@@ -330,7 +330,12 @@ def operate_winscp(operation_type, files, endpoint_config, local_storage_path, c
|
|
330
330
|
local_storage_path = validate_local_storage_path(local_storage_path, config)
|
331
331
|
|
332
332
|
remote_directory = get_remote_directory(endpoint_config, operation_type)
|
333
|
-
|
333
|
+
if operation_type == "download":
|
334
|
+
# Prefer explicit ack-focused mask if not provided by endpoint
|
335
|
+
filemask = endpoint_config.get('filemask') or ['era', '277', '277ibr', '277ebr', '999']
|
336
|
+
else:
|
337
|
+
filemask = None
|
338
|
+
command = build_command(winscp_path, winscp_log_path, endpoint_config, remote_directory, operation_type, files, local_storage_path, newer_than=None, filemask=filemask)
|
334
339
|
|
335
340
|
if config.get("TestMode", True):
|
336
341
|
MediLink_ConfigLoader.log("Test mode is enabled. Simulating operation.")
|
@@ -470,6 +475,48 @@ def get_remote_directory(endpoint_config, operation_type):
|
|
470
475
|
MediLink_ConfigLoader.log("Critical Error: Endpoint config is missing key: {}".format(e))
|
471
476
|
raise RuntimeError("Configuration error: Missing required remote directory in endpoint configuration.")
|
472
477
|
|
478
|
+
def normalize_filemask(filemask):
|
479
|
+
"""
|
480
|
+
Normalize various filemask inputs into WinSCP-compatible string.
|
481
|
+
Supports list of extensions, comma-separated string, or dict with 'extensions' and other filters.
|
482
|
+
Falls back to '*' when input is invalid.
|
483
|
+
"""
|
484
|
+
try:
|
485
|
+
if not filemask:
|
486
|
+
return '*'
|
487
|
+
if isinstance(filemask, list):
|
488
|
+
parts = []
|
489
|
+
for ext in filemask:
|
490
|
+
s = str(ext).strip().lstrip('*.').lstrip('.')
|
491
|
+
if s:
|
492
|
+
parts.append('*.{}'.format(s))
|
493
|
+
return '|'.join(parts) if parts else '*'
|
494
|
+
if isinstance(filemask, dict):
|
495
|
+
exts = filemask.get('extensions', [])
|
496
|
+
other = []
|
497
|
+
for k, v in filemask.items():
|
498
|
+
if k == 'extensions':
|
499
|
+
continue
|
500
|
+
other.append(str(v))
|
501
|
+
ext_part = normalize_filemask(exts)
|
502
|
+
other_part = ';'.join(other)
|
503
|
+
if ext_part and other_part:
|
504
|
+
return '{};{}'.format(ext_part, other_part)
|
505
|
+
return ext_part or other_part or '*'
|
506
|
+
if isinstance(filemask, str):
|
507
|
+
# Support comma-separated or pipe-separated lists of extensions
|
508
|
+
raw = filemask.replace(' ', '')
|
509
|
+
if any(sep in raw for sep in [',', '|']):
|
510
|
+
tokens = raw.replace('|', ',').split(',')
|
511
|
+
return normalize_filemask([t for t in tokens if t])
|
512
|
+
# If looks like an extension, prefix
|
513
|
+
s = raw.lstrip('*.').lstrip('.')
|
514
|
+
if s and all(ch.isalnum() for ch in s):
|
515
|
+
return '*.{}'.format(s)
|
516
|
+
return raw or '*'
|
517
|
+
except Exception:
|
518
|
+
return '*'
|
519
|
+
|
473
520
|
def build_command(winscp_path, winscp_log_path, endpoint_config, remote_directory, operation_type, files, local_storage_path, newer_than=None, filemask=None):
|
474
521
|
# Log the operation type
|
475
522
|
MediLink_ConfigLoader.log("[Build Command] Building WinSCP command for operation type: {}".format(operation_type))
|
@@ -581,14 +628,7 @@ def build_command(winscp_path, winscp_log_path, endpoint_config, remote_director
|
|
581
628
|
# 5. Add validation for WinSCP-compatible patterns
|
582
629
|
# 6. Add logging for debugging filemask translations
|
583
630
|
# 7. XP QUIRK: Prefer simple masks (e.g., *.csv|*.txt) and avoid complex AND/OR until verified on XP.
|
584
|
-
|
585
|
-
filemask_str = '|'.join(['*.' + ext for ext in filemask])
|
586
|
-
elif isinstance(filemask, dict):
|
587
|
-
filemask_str = '|'.join(['*.' + ext for ext in filemask.keys()])
|
588
|
-
elif isinstance(filemask, str):
|
589
|
-
filemask_str = filemask # Assume it's already in the correct format
|
590
|
-
else:
|
591
|
-
filemask_str = '*' # Default to all files if filemask is None or unsupported type
|
631
|
+
filemask_str = normalize_filemask(filemask)
|
592
632
|
else:
|
593
633
|
filemask_str = '*' # Default to all files if filemask is None
|
594
634
|
|
@@ -659,38 +699,25 @@ def execute_winscp_command(command, operation_type, files, local_storage_path):
|
|
659
699
|
MediLink_ConfigLoader.log("WinSCP {} operation completed successfully.".format(operation_type))
|
660
700
|
|
661
701
|
if operation_type == 'download':
|
662
|
-
|
663
|
-
|
664
|
-
|
665
|
-
|
666
|
-
|
667
|
-
|
668
|
-
|
669
|
-
|
670
|
-
|
671
|
-
|
672
|
-
|
673
|
-
|
674
|
-
|
675
|
-
|
676
|
-
|
677
|
-
|
678
|
-
|
679
|
-
|
680
|
-
|
681
|
-
# - Update the lcd_command generation in execute_winscp_command()
|
682
|
-
# - Ensure local_storage_path is properly escaped for WinSCP
|
683
|
-
# Option B: Update list_downloaded_files() to check actual WinSCP location
|
684
|
-
# - Add function get_actual_winscp_download_path() that parses logs
|
685
|
-
# - Call list_downloaded_files(get_actual_winscp_download_path())
|
686
|
-
# Option C: Add configuration parameter for WinSCP-specific download path
|
687
|
-
# - Add 'winscp_download_path' to config
|
688
|
-
# - Default to local_storage_path if not specified
|
689
|
-
#
|
690
|
-
# RECOMMENDED: Option A (fix root cause) + Option C (explicit config)
|
691
|
-
# FILES TO MODIFY: This file (execute_winscp_command, list_downloaded_files functions)
|
692
|
-
# TESTING: Verify downloads work correctly after fix with various file types
|
693
|
-
MediLink_ConfigLoader.log("Files currently located in local_storage_path: {}".format(downloaded_files), level="DEBUG")
|
702
|
+
# Prefer configured override if present
|
703
|
+
winscp_download_path = None
|
704
|
+
try:
|
705
|
+
from MediCafe.core_utils import extract_medilink_config
|
706
|
+
config, _ = MediLink_ConfigLoader.load_configuration()
|
707
|
+
medi = extract_medilink_config(config)
|
708
|
+
winscp_download_path = medi.get('winscp_download_path')
|
709
|
+
except Exception:
|
710
|
+
winscp_download_path = None
|
711
|
+
|
712
|
+
target_dir = winscp_download_path or local_storage_path
|
713
|
+
downloaded_files = list_downloaded_files(target_dir)
|
714
|
+
MediLink_ConfigLoader.log("Files currently located in target directory ({}): {}".format(target_dir, downloaded_files), level="DEBUG")
|
715
|
+
|
716
|
+
if not downloaded_files and winscp_download_path and winscp_download_path != local_storage_path:
|
717
|
+
# Fallback to original path if override empty
|
718
|
+
fallback_files = list_downloaded_files(local_storage_path)
|
719
|
+
MediLink_ConfigLoader.log("Fallback to local_storage_path yielded: {}".format(fallback_files), level="DEBUG")
|
720
|
+
downloaded_files = fallback_files
|
694
721
|
|
695
722
|
if not downloaded_files:
|
696
723
|
MediLink_ConfigLoader.log("No files were downloaded or an error occurred during the listing process.", level="WARNING")
|
@@ -727,8 +754,12 @@ def list_downloaded_files(local_storage_path):
|
|
727
754
|
except Exception as e:
|
728
755
|
MediLink_ConfigLoader.log("Error occurred while listing files in {}: {}".format(local_storage_path, e), level="ERROR")
|
729
756
|
|
730
|
-
#
|
731
|
-
|
757
|
+
# Normalize to basenames so downstream move logic in MediLink_Down works cross-platform
|
758
|
+
try:
|
759
|
+
basenames = [os.path.basename(p) for p in downloaded_files]
|
760
|
+
return basenames
|
761
|
+
except Exception:
|
762
|
+
return downloaded_files
|
732
763
|
|
733
764
|
def detect_new_files(directory_path, file_extension='.DAT'):
|
734
765
|
"""
|