From 2ae58cdcc01244a4475d43c58ee52de5940ad901 Mon Sep 17 00:00:00 2001
From: sonzsara <sonasara02@gmail.com>
Date: Mon, 25 May 2026 11:23:33 +0530
Subject: [PATCH] Add IP/OP/Emergency Encounter Count documentation for SSMM

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 .../ip_op_emer_encounter_count_ssmm.md        | 91 +++++++++++++++++++
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 create mode 100644 Care/Encounter/ip_op_emer_encounter_count_ssmm.md

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+
+# IP / OP / Emergency Encounter Count - SSMM
+
+> Daily counts of occupied inpatient beds, ambulatory (OP) encounters and emergency encounters for the current month-to-date (up to yesterday)
+
+## Purpose
+
+Operational dashboard query giving a one-row-per-day view of patient volume at SSMM for the current month:
+
+- **IP load** — number of beds occupied that day (one per patient, latest assignment).
+- **OP load** — distinct ambulatory (`amb`) encounters created that day.
+- **Emergency load** — distinct emergency (`emer`) encounters created that day.
+
+
+## Parameters
+
+*No parameters — the window is always `month-to-date − 1 day`.*
+
+---
+
+## Query
+
+```sql
+WITH dates AS (
+    SELECT generate_series(
+        DATE_TRUNC('month', CURRENT_DATE - INTERVAL '1 day'),
+        CURRENT_DATE - INTERVAL '1 day',
+        '1 day'::interval
+    )::date AS report_date
+),
+
+daily_occupied_beds AS (
+    SELECT
+        d.report_date AS bed_date,
+        COUNT(DISTINCT bed_id) AS occupied_bed_count
+    FROM dates d
+    CROSS JOIN LATERAL (
+        SELECT DISTINCT ON (e.patient_id)
+            fl.id AS bed_id
+        FROM emr_facilitylocationencounter fle
+        INNER JOIN emr_facilitylocation fl ON fle.location_id = fl.id
+        INNER JOIN emr_encounter e ON fle.encounter_id = e.id
+        WHERE fl.deleted = FALSE
+          AND fl.status = 'active'
+          AND fl.form = 'bd'
+          AND fl.root_location_id != 300
+          AND fl.parent_id NOT IN (19, 44)
+          AND fle.deleted = FALSE
+          AND fle.start_datetime::date <= d.report_date
+          AND (fle.end_datetime IS NULL OR fle.end_datetime::date > d.report_date)
+        ORDER BY e.patient_id, fle.start_datetime DESC
+    ) occupied
+    GROUP BY d.report_date
+),
+
+encounters AS (
+    SELECT
+        created_date::date AS encounter_date,
+        COUNT(DISTINCT patient_id) FILTER (WHERE encounter_class = 'amb') AS ambulatory_count,
+        COUNT(DISTINCT patient_id) FILTER (WHERE encounter_class = 'emer') AS emergency_count
+    FROM emr_encounter
+    WHERE deleted = FALSE
+      AND created_date >= DATE_TRUNC('month', CURRENT_DATE - INTERVAL '1 day')
+      AND created_date::date <= CURRENT_DATE - INTERVAL '1 day'
+    GROUP BY created_date::date
+)
+
+SELECT
+    d.report_date AS encounter_date,
+    TO_CHAR(d.report_date, 'DD, Dy') AS date_label,
+    COALESCE(dob.occupied_bed_count, 0) AS occupied_bed_count,
+    COALESCE(e.ambulatory_count, 0) AS ambulatory_count,
+    COALESCE(e.emergency_count, 0) AS emergency_count
+FROM dates d
+LEFT JOIN daily_occupied_beds dob ON d.report_date = dob.bed_date
+LEFT JOIN encounters e ON d.report_date = e.encounter_date
+ORDER BY d.report_date;
+```
+
+## Notes
+
+- **Date window** — `dates` CTE generates one row per day from the **start of the current month** through **yesterday** (`CURRENT_DATE - INTERVAL '1 day'`). Today is intentionally excluded so the report only shows completed days.
+- **Hardcoded values:**
+  - `fl.root_location_id != 300` — excludes the fake beds root. Update if the fake-beds root ID changes.
+  - `fl.parent_id NOT IN (19, 44)` — excludes specific parent locations. Update if the excluded wards change.
+  - `fl.form = 'bd'` and `fl.status = 'active'` — only currently active bed-type locations count.
+
+*Last updated: 2026-05-25*
+
+
+`````