Prescriptions and MAR: Disallow users to perform edits on discharged …

…encounters (#2133)

Prescriptions and MAR: Disallow users to perform edits on discharged encounters (#2133)

---------

Co-authored-by: Vignesh Hari <[email protected]>

care/facility/api/serializers/prescription.py

@@ -57,6 +57,13 @@ def validate(self, attrs):
 
         return super().validate(attrs)
 
+    def create(self, validated_data):
+        if validated_data["prescription"].consultation.discharge_date:
+            raise serializers.ValidationError(
+                {"consultation": "Not allowed for discharged consultations"}
+            )
+        return super().create(validated_data)
+
     class Meta:
         model = MedicineAdministration
         exclude = ("deleted",)
@@ -149,4 +156,10 @@ def validate(self, attrs):
                 attrs.pop("target_dosage", None)
 
         return super().validate(attrs)
-        # TODO: Ensure that this medicine is not already prescribed to the same patient and is currently active.
+
+    def create(self, validated_data):
+        if validated_data["consultation"].discharge_date:
+            raise serializers.ValidationError(
+                {"consultation": "Not allowed for discharged consultations"}
+            )
+        return super().create(validated_data)

care/facility/api/viewsets/prescription.py

@@ -8,6 +8,7 @@
 from rest_framework.decorators import action
 from rest_framework.permissions import IsAuthenticated
 from rest_framework.response import Response
+from rest_framework.serializers import ValidationError
 from rest_framework.viewsets import GenericViewSet, ViewSet
 
 from care.facility.api.serializers.prescription import (
@@ -78,6 +79,10 @@ def get_queryset(self):
     @extend_schema(tags=["prescription_administration"])
     @action(methods=["POST"], detail=True)
     def archive(self, request, *args, **kwargs):
+        if self.get_consultation_obj().discharge_date:
+            raise ValidationError(
+                {"consultation": "Not allowed for discharged consultations"}
+            )
         instance = self.get_object()
         if instance.archived_on:
             return Response(
@@ -137,12 +142,16 @@ def perform_create(self, serializer):
         detail=True,
     )
     def discontinue(self, request, *args, **kwargs):
+        consultation_obj = self.get_consultation_obj()
+        if consultation_obj.discharge_date:
+            raise ValidationError(
+                {"consultation": "Not allowed for discharged consultations"}
+            )
         prescription_obj = self.get_object()
         prescription_obj.discontinued = True
         prescription_obj.discontinued_reason = request.data.get(
             "discontinued_reason", None
         )
-        consultation_obj = self.get_consultation_obj()
         NotificationGenerator(
             event=Notification.Event.PATIENT_PRESCRIPTION_UPDATED,
             caused_by=self.request.user,

care/facility/tests/test_medicine_administrations_api.py

@@ -0,0 +1,189 @@
+from django.utils import timezone
+from rest_framework import status
+from rest_framework.test import APITestCase
+
+from care.facility.models import (
+    MedibaseMedicine,
+    MedicineAdministration,
+    Prescription,
+    PrescriptionDosageType,
+)
+from care.utils.tests.test_utils import TestUtils
+
+
+class MedicineAdministrationsApiTestCase(TestUtils, APITestCase):
+    @classmethod
+    def setUpTestData(cls) -> None:
+        cls.state = cls.create_state()
+        cls.district = cls.create_district(cls.state)
+        cls.local_body = cls.create_local_body(cls.district)
+        cls.super_user = cls.create_super_user("su", cls.district)
+        cls.facility = cls.create_facility(cls.super_user, cls.district, cls.local_body)
+        cls.user = cls.create_user("nurse1", cls.district, home_facility=cls.facility)
+        cls.patient = cls.create_patient(
+            cls.district, cls.facility, local_body=cls.local_body
+        )
+        cls.remote_facility = cls.create_facility(
+            cls.super_user, cls.district, cls.local_body
+        )
+        cls.remote_user = cls.create_user(
+            "remote-nurse", cls.district, home_facility=cls.remote_facility
+        )
+        cls.discharged_patient = cls.create_patient(
+            cls.district, cls.facility, local_body=cls.local_body
+        )
+        cls.discharged_consultation = cls.create_consultation(
+            cls.discharged_patient, cls.facility, discharge_date="2024-01-04T00:00:00Z"
+        )
+
+    def setUp(self) -> None:
+        super().setUp()
+        self.normal_prescription = self.create_prescription()
+        self.discharged_prescription = self.create_prescription(
+            consultation=self.discharged_consultation
+        )
+        self.discharged_administration = self.create_medicine_administration(
+            prescription=self.discharged_prescription
+        )
+
+    def create_prescription(self, **kwargs):
+        patient = kwargs.pop("patient", self.patient)
+        consultation = kwargs.pop(
+            "consultation", self.create_consultation(patient, self.facility)
+        )
+        data = {
+            "consultation": consultation,
+            "medicine": MedibaseMedicine.objects.first(),
+            "prescription_type": "REGULAR",
+            "base_dosage": "1 mg",
+            "frequency": "OD",
+            "dosage_type": kwargs.get(
+                "dosage_type", PrescriptionDosageType.REGULAR.value
+            ),
+        }
+        return Prescription.objects.create(
+            **{**data, **kwargs, "prescribed_by": self.user}
+        )
+
+    def create_medicine_administration(self, prescription, **kwargs):
+        return MedicineAdministration.objects.create(
+            prescription=prescription, administered_by=self.user, **kwargs
+        )
+
+    def test_administer_for_discharged_consultations(self):
+        prescription = self.discharged_prescription
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_archive_for_discharged_consultations(self):
+        res = self.client.post(
+            f"/api/v1/consultation/{self.discharged_prescription.consultation.external_id}/prescription_administration/{self.discharged_administration.external_id}/archive/"
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_administer_non_home_facility(self):
+        self.client.force_authenticate(self.remote_user)
+        prescription = self.discharged_prescription
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+        )
+        self.assertEqual(res.status_code, status.HTTP_404_NOT_FOUND)
+
+    def test_archive_non_home_facility(self):
+        self.client.force_authenticate(self.remote_user)
+        res = self.client.post(
+            f"/api/v1/consultation/{self.discharged_prescription.consultation.external_id}/prescription_administration/{self.discharged_administration.external_id}/archive/"
+        )
+        self.assertEqual(res.status_code, status.HTTP_404_NOT_FOUND)
+
+    def test_administer_and_archive(self):
+        # test administer
+        prescription = self.normal_prescription
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes"},
+        )
+        self.assertEqual(res.status_code, status.HTTP_201_CREATED)
+
+        administration_id = res.data["id"]
+
+        # test archive
+        archive_path = f"/api/v1/consultation/{prescription.consultation.external_id}/prescription_administration/{administration_id}/archive/"
+        res = self.client.post(archive_path, {})
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+
+        # test archive again
+        res = self.client.post(archive_path, {})
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+        # test list administrations
+        res = self.client.get(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescription_administration/"
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+        self.assertTrue(
+            any([administration_id == x["id"] for x in res.data["results"]])
+        )
+
+        # test archived list administrations
+        res = self.client.get(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescription_administration/?archived=true"
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+        self.assertTrue(
+            any([administration_id == x["id"] for x in res.data["results"]])
+        )
+
+        # test archived list administrations
+        res = self.client.get(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescription_administration/?archived=false"
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+        self.assertFalse(
+            any([administration_id == x["id"] for x in res.data["results"]])
+        )
+
+    def test_administer_in_future(self):
+        prescription = self.normal_prescription
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes", "administered_date": "2300-09-01T16:34"},
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_administer_in_past(self):
+        prescription = self.normal_prescription
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes", "administered_date": "2019-09-01T16:34"},
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_administer_discontinued(self):
+        prescription = self.create_prescription(
+            discontinued=True, discontinued_date=timezone.now()
+        )
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes"},
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_administer_titrated_dosage(self):
+        prescription = self.create_prescription(
+            dosage_type=PrescriptionDosageType.TITRATED.value, target_dosage="10 mg"
+        )
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes"},
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+        res = self.client.post(
+            f"/api/v1/consultation/{prescription.consultation.external_id}/prescriptions/{prescription.external_id}/administer/",
+            {"notes": "Test Notes", "dosage": "1 mg"},
+        )
+
+        self.assertEqual(res.status_code, status.HTTP_201_CREATED)