blob: 7c80bdb73ce7a612a14d07723d4522b0dee04f27 [file] [log] [blame]
# -*- coding: utf-8 -*-
# Copyright (c) 2018, earthians and contributors
# For license information, please see license.txt
from __future__ import unicode_literals
import math
import frappe
import json
from frappe import _
from frappe.utils.formatters import format_value
from frappe.utils import time_diff_in_hours, rounded, cstr
from erpnext.healthcare.doctype.healthcare_settings.healthcare_settings import get_income_account
from erpnext.healthcare.doctype.fee_validity.fee_validity import create_fee_validity
from erpnext.healthcare.doctype.lab_test.lab_test import create_multiple
@frappe.whitelist()
def get_healthcare_services_to_invoice(patient, company):
patient = frappe.get_doc('Patient', patient)
items_to_invoice = []
if patient:
validate_customer_created(patient)
# Customer validated, build a list of billable services
items_to_invoice += get_appointments_to_invoice(patient, company)
items_to_invoice += get_encounters_to_invoice(patient, company)
items_to_invoice += get_lab_tests_to_invoice(patient, company)
items_to_invoice += get_clinical_procedures_to_invoice(patient, company)
items_to_invoice += get_inpatient_services_to_invoice(patient, company)
items_to_invoice += get_therapy_plans_to_invoice(patient, company)
items_to_invoice += get_therapy_sessions_to_invoice(patient, company)
return items_to_invoice
def validate_customer_created(patient):
if not frappe.db.get_value('Patient', patient.name, 'customer'):
msg = _("Please set a Customer linked to the Patient")
msg += " <b><a href='/app/Form/Patient/{0}'>{0}</a></b>".format(patient.name)
frappe.throw(msg, title=_('Customer Not Found'))
def get_appointments_to_invoice(patient, company):
appointments_to_invoice = []
patient_appointments = frappe.get_list(
'Patient Appointment',
fields = '*',
filters = {'patient': patient.name, 'company': company, 'invoiced': 0, 'status': ['not in', 'Cancelled']},
order_by = 'appointment_date'
)
for appointment in patient_appointments:
# Procedure Appointments
if appointment.procedure_template:
if frappe.db.get_value('Clinical Procedure Template', appointment.procedure_template, 'is_billable'):
appointments_to_invoice.append({
'reference_type': 'Patient Appointment',
'reference_name': appointment.name,
'service': appointment.procedure_template
})
# Consultation Appointments, should check fee validity
else:
if frappe.db.get_single_value('Healthcare Settings', 'enable_free_follow_ups') and \
frappe.db.exists('Fee Validity Reference', {'appointment': appointment.name}):
continue # Skip invoicing, fee validty present
practitioner_charge = 0
income_account = None
service_item = None
if appointment.practitioner:
details = get_service_item_and_practitioner_charge(appointment)
service_item = details.get('service_item')
practitioner_charge = details.get('practitioner_charge')
income_account = get_income_account(appointment.practitioner, appointment.company)
appointments_to_invoice.append({
'reference_type': 'Patient Appointment',
'reference_name': appointment.name,
'service': service_item,
'rate': practitioner_charge,
'income_account': income_account
})
return appointments_to_invoice
def get_encounters_to_invoice(patient, company):
if not isinstance(patient, str):
patient = patient.name
encounters_to_invoice = []
encounters = frappe.get_list(
'Patient Encounter',
fields=['*'],
filters={'patient': patient, 'company': company, 'invoiced': False, 'docstatus': 1}
)
if encounters:
for encounter in encounters:
if not encounter.appointment:
practitioner_charge = 0
income_account = None
service_item = None
if encounter.practitioner:
if encounter.inpatient_record and \
frappe.db.get_single_value('Healthcare Settings', 'do_not_bill_inpatient_encounters'):
continue
details = get_service_item_and_practitioner_charge(encounter)
service_item = details.get('service_item')
practitioner_charge = details.get('practitioner_charge')
income_account = get_income_account(encounter.practitioner, encounter.company)
encounters_to_invoice.append({
'reference_type': 'Patient Encounter',
'reference_name': encounter.name,
'service': service_item,
'rate': practitioner_charge,
'income_account': income_account
})
return encounters_to_invoice
def get_lab_tests_to_invoice(patient, company):
lab_tests_to_invoice = []
lab_tests = frappe.get_list(
'Lab Test',
fields=['name', 'template'],
filters={'patient': patient.name, 'company': company, 'invoiced': False, 'docstatus': 1}
)
for lab_test in lab_tests:
item, is_billable = frappe.get_cached_value('Lab Test Template', lab_test.template, ['item', 'is_billable'])
if is_billable:
lab_tests_to_invoice.append({
'reference_type': 'Lab Test',
'reference_name': lab_test.name,
'service': item
})
lab_prescriptions = frappe.db.sql(
'''
SELECT
lp.name, lp.lab_test_code
FROM
`tabPatient Encounter` et, `tabLab Prescription` lp
WHERE
et.patient=%s
and lp.parent=et.name
and lp.lab_test_created=0
and lp.invoiced=0
''', (patient.name), as_dict=1)
for prescription in lab_prescriptions:
item, is_billable = frappe.get_cached_value('Lab Test Template', prescription.lab_test_code, ['item', 'is_billable'])
if prescription.lab_test_code and is_billable:
lab_tests_to_invoice.append({
'reference_type': 'Lab Prescription',
'reference_name': prescription.name,
'service': item
})
return lab_tests_to_invoice
def get_clinical_procedures_to_invoice(patient, company):
clinical_procedures_to_invoice = []
procedures = frappe.get_list(
'Clinical Procedure',
fields='*',
filters={'patient': patient.name, 'company': company, 'invoiced': False}
)
for procedure in procedures:
if not procedure.appointment:
item, is_billable = frappe.get_cached_value('Clinical Procedure Template', procedure.procedure_template, ['item', 'is_billable'])
if procedure.procedure_template and is_billable:
clinical_procedures_to_invoice.append({
'reference_type': 'Clinical Procedure',
'reference_name': procedure.name,
'service': item
})
# consumables
if procedure.invoice_separately_as_consumables and procedure.consume_stock \
and procedure.status == 'Completed' and not procedure.consumption_invoiced:
service_item = frappe.db.get_single_value('Healthcare Settings', 'clinical_procedure_consumable_item')
if not service_item:
frappe.throw(_('Please configure Clinical Procedure Consumable Item in {0}').format(
frappe.utils.get_link_to_form('Healthcare Settings', 'Healthcare Settings')),
title=_('Missing Configuration'))
clinical_procedures_to_invoice.append({
'reference_type': 'Clinical Procedure',
'reference_name': procedure.name,
'service': service_item,
'rate': procedure.consumable_total_amount,
'description': procedure.consumption_details
})
procedure_prescriptions = frappe.db.sql(
'''
SELECT
pp.name, pp.procedure
FROM
`tabPatient Encounter` et, `tabProcedure Prescription` pp
WHERE
et.patient=%s
and pp.parent=et.name
and pp.procedure_created=0
and pp.invoiced=0
and pp.appointment_booked=0
''', (patient.name), as_dict=1)
for prescription in procedure_prescriptions:
item, is_billable = frappe.get_cached_value('Clinical Procedure Template', prescription.procedure, ['item', 'is_billable'])
if is_billable:
clinical_procedures_to_invoice.append({
'reference_type': 'Procedure Prescription',
'reference_name': prescription.name,
'service': item
})
return clinical_procedures_to_invoice
def get_inpatient_services_to_invoice(patient, company):
services_to_invoice = []
inpatient_services = frappe.db.sql(
'''
SELECT
io.*
FROM
`tabInpatient Record` ip, `tabInpatient Occupancy` io
WHERE
ip.patient=%s
and ip.company=%s
and io.parent=ip.name
and io.left=1
and io.invoiced=0
''', (patient.name, company), as_dict=1)
for inpatient_occupancy in inpatient_services:
service_unit_type = frappe.db.get_value('Healthcare Service Unit', inpatient_occupancy.service_unit, 'service_unit_type')
service_unit_type = frappe.get_cached_doc('Healthcare Service Unit Type', service_unit_type)
if service_unit_type and service_unit_type.is_billable:
hours_occupied = time_diff_in_hours(inpatient_occupancy.check_out, inpatient_occupancy.check_in)
qty = 0.5
if hours_occupied > 0:
actual_qty = hours_occupied / service_unit_type.no_of_hours
floor = math.floor(actual_qty)
decimal_part = actual_qty - floor
if decimal_part > 0.5:
qty = rounded(floor + 1, 1)
elif decimal_part < 0.5 and decimal_part > 0:
qty = rounded(floor + 0.5, 1)
if qty <= 0:
qty = 0.5
services_to_invoice.append({
'reference_type': 'Inpatient Occupancy',
'reference_name': inpatient_occupancy.name,
'service': service_unit_type.item, 'qty': qty
})
return services_to_invoice
def get_therapy_plans_to_invoice(patient, company):
therapy_plans_to_invoice = []
therapy_plans = frappe.get_list(
'Therapy Plan',
fields=['therapy_plan_template', 'name'],
filters={
'patient': patient.name,
'invoiced': 0,
'company': company,
'therapy_plan_template': ('!=', '')
}
)
for plan in therapy_plans:
therapy_plans_to_invoice.append({
'reference_type': 'Therapy Plan',
'reference_name': plan.name,
'service': frappe.db.get_value('Therapy Plan Template', plan.therapy_plan_template, 'linked_item')
})
return therapy_plans_to_invoice
def get_therapy_sessions_to_invoice(patient, company):
therapy_sessions_to_invoice = []
therapy_plans = frappe.db.get_all('Therapy Plan', {'therapy_plan_template': ('!=', '')})
therapy_plans_created_from_template = []
for entry in therapy_plans:
therapy_plans_created_from_template.append(entry.name)
therapy_sessions = frappe.get_list(
'Therapy Session',
fields='*',
filters={
'patient': patient.name,
'invoiced': 0,
'company': company,
'therapy_plan': ('not in', therapy_plans_created_from_template)
}
)
for therapy in therapy_sessions:
if not therapy.appointment:
if therapy.therapy_type and frappe.db.get_value('Therapy Type', therapy.therapy_type, 'is_billable'):
therapy_sessions_to_invoice.append({
'reference_type': 'Therapy Session',
'reference_name': therapy.name,
'service': frappe.db.get_value('Therapy Type', therapy.therapy_type, 'item')
})
return therapy_sessions_to_invoice
@frappe.whitelist()
def get_service_item_and_practitioner_charge(doc):
if isinstance(doc, str):
doc = json.loads(doc)
doc = frappe.get_doc(doc)
service_item = None
practitioner_charge = None
department = doc.medical_department if doc.doctype == 'Patient Encounter' else doc.department
is_inpatient = doc.inpatient_record
if doc.get('appointment_type'):
service_item, practitioner_charge = get_appointment_type_service_item(doc.appointment_type, department, is_inpatient)
if not service_item and not practitioner_charge:
service_item, practitioner_charge = get_practitioner_service_item(doc.practitioner, is_inpatient)
if not service_item:
service_item = get_healthcare_service_item(is_inpatient)
if not service_item:
throw_config_service_item(is_inpatient)
if not practitioner_charge:
throw_config_practitioner_charge(is_inpatient, doc.practitioner)
return {'service_item': service_item, 'practitioner_charge': practitioner_charge}
def get_appointment_type_service_item(appointment_type, department, is_inpatient):
from erpnext.healthcare.doctype.appointment_type.appointment_type import get_service_item_based_on_department
item_list = get_service_item_based_on_department(appointment_type, department)
service_item = None
practitioner_charge = None
if item_list:
if is_inpatient:
service_item = item_list.get('inpatient_visit_charge_item')
practitioner_charge = item_list.get('inpatient_visit_charge')
else:
service_item = item_list.get('op_consulting_charge_item')
practitioner_charge = item_list.get('op_consulting_charge')
return service_item, practitioner_charge
def throw_config_service_item(is_inpatient):
service_item_label = _('Out Patient Consulting Charge Item')
if is_inpatient:
service_item_label = _('Inpatient Visit Charge Item')
msg = _(('Please Configure {0} in ').format(service_item_label) \
+ '''<b><a href='/app/Form/Healthcare Settings'>Healthcare Settings</a></b>''')
frappe.throw(msg, title=_('Missing Configuration'))
def throw_config_practitioner_charge(is_inpatient, practitioner):
charge_name = _('OP Consulting Charge')
if is_inpatient:
charge_name = _('Inpatient Visit Charge')
msg = _(('Please Configure {0} for Healthcare Practitioner').format(charge_name) \
+ ''' <b><a href='/app/Form/Healthcare Practitioner/{0}'>{0}</a></b>'''.format(practitioner))
frappe.throw(msg, title=_('Missing Configuration'))
def get_practitioner_service_item(practitioner, is_inpatient):
service_item = None
practitioner_charge = None
if is_inpatient:
service_item, practitioner_charge = frappe.db.get_value('Healthcare Practitioner', practitioner, ['inpatient_visit_charge_item', 'inpatient_visit_charge'])
else:
service_item, practitioner_charge = frappe.db.get_value('Healthcare Practitioner', practitioner, ['op_consulting_charge_item', 'op_consulting_charge'])
return service_item, practitioner_charge
def get_healthcare_service_item(is_inpatient):
service_item = None
if is_inpatient:
service_item = frappe.db.get_single_value('Healthcare Settings', 'inpatient_visit_charge_item')
else:
service_item = frappe.db.get_single_value('Healthcare Settings', 'op_consulting_charge_item')
return service_item
def get_practitioner_charge(practitioner, is_inpatient):
if is_inpatient:
practitioner_charge = frappe.db.get_value('Healthcare Practitioner', practitioner, 'inpatient_visit_charge')
else:
practitioner_charge = frappe.db.get_value('Healthcare Practitioner', practitioner, 'op_consulting_charge')
if practitioner_charge:
return practitioner_charge
return False
def manage_invoice_submit_cancel(doc, method):
if doc.items:
for item in doc.items:
if item.get('reference_dt') and item.get('reference_dn'):
if frappe.get_meta(item.reference_dt).has_field('invoiced'):
set_invoiced(item, method, doc.name)
if method=='on_submit' and frappe.db.get_single_value('Healthcare Settings', 'create_lab_test_on_si_submit'):
create_multiple('Sales Invoice', doc.name)
def set_invoiced(item, method, ref_invoice=None):
invoiced = False
if method=='on_submit':
validate_invoiced_on_submit(item)
invoiced = True
if item.reference_dt == 'Clinical Procedure':
service_item = frappe.db.get_single_value('Healthcare Settings', 'clinical_procedure_consumable_item')
if service_item == item.item_code:
frappe.db.set_value(item.reference_dt, item.reference_dn, 'consumption_invoiced', invoiced)
else:
frappe.db.set_value(item.reference_dt, item.reference_dn, 'invoiced', invoiced)
else:
frappe.db.set_value(item.reference_dt, item.reference_dn, 'invoiced', invoiced)
if item.reference_dt == 'Patient Appointment':
if frappe.db.get_value('Patient Appointment', item.reference_dn, 'procedure_template'):
dt_from_appointment = 'Clinical Procedure'
else:
dt_from_appointment = 'Patient Encounter'
manage_doc_for_appointment(dt_from_appointment, item.reference_dn, invoiced)
elif item.reference_dt == 'Lab Prescription':
manage_prescriptions(invoiced, item.reference_dt, item.reference_dn, 'Lab Test', 'lab_test_created')
elif item.reference_dt == 'Procedure Prescription':
manage_prescriptions(invoiced, item.reference_dt, item.reference_dn, 'Clinical Procedure', 'procedure_created')
def validate_invoiced_on_submit(item):
if item.reference_dt == 'Clinical Procedure' and \
frappe.db.get_single_value('Healthcare Settings', 'clinical_procedure_consumable_item') == item.item_code:
is_invoiced = frappe.db.get_value(item.reference_dt, item.reference_dn, 'consumption_invoiced')
else:
is_invoiced = frappe.db.get_value(item.reference_dt, item.reference_dn, 'invoiced')
if is_invoiced:
frappe.throw(_('The item referenced by {0} - {1} is already invoiced').format(
item.reference_dt, item.reference_dn))
def manage_prescriptions(invoiced, ref_dt, ref_dn, dt, created_check_field):
created = frappe.db.get_value(ref_dt, ref_dn, created_check_field)
if created:
# Fetch the doc created for the prescription
doc_created = frappe.db.get_value(dt, {'prescription': ref_dn})
frappe.db.set_value(dt, doc_created, 'invoiced', invoiced)
def check_fee_validity(appointment):
if not frappe.db.get_single_value('Healthcare Settings', 'enable_free_follow_ups'):
return
validity = frappe.db.exists('Fee Validity', {
'practitioner': appointment.practitioner,
'patient': appointment.patient,
'valid_till': ('>=', appointment.appointment_date)
})
if not validity:
return
validity = frappe.get_doc('Fee Validity', validity)
return validity
def manage_fee_validity(appointment):
fee_validity = check_fee_validity(appointment)
if fee_validity:
if appointment.status == 'Cancelled' and fee_validity.visited > 0:
fee_validity.visited -= 1
frappe.db.delete('Fee Validity Reference', {'appointment': appointment.name})
elif fee_validity.status == 'Completed':
return
else:
fee_validity.visited += 1
fee_validity.append('ref_appointments', {
'appointment': appointment.name
})
fee_validity.save(ignore_permissions=True)
else:
fee_validity = create_fee_validity(appointment)
return fee_validity
def manage_doc_for_appointment(dt_from_appointment, appointment, invoiced):
dn_from_appointment = frappe.db.get_value(
dt_from_appointment,
filters={'appointment': appointment}
)
if dn_from_appointment:
frappe.db.set_value(dt_from_appointment, dn_from_appointment, 'invoiced', invoiced)
@frappe.whitelist()
def get_drugs_to_invoice(encounter):
encounter = frappe.get_doc('Patient Encounter', encounter)
if encounter:
patient = frappe.get_doc('Patient', encounter.patient)
if patient:
if patient.customer:
items_to_invoice = []
for drug_line in encounter.drug_prescription:
if drug_line.drug_code:
qty = 1
if frappe.db.get_value('Item', drug_line.drug_code, 'stock_uom') == 'Nos':
qty = drug_line.get_quantity()
description = ''
if drug_line.dosage and drug_line.period:
description = _('{0} for {1}').format(drug_line.dosage, drug_line.period)
items_to_invoice.append({
'drug_code': drug_line.drug_code,
'quantity': qty,
'description': description
})
return items_to_invoice
else:
validate_customer_created(patient)
@frappe.whitelist()
def get_children(doctype, parent=None, company=None, is_root=False):
parent_fieldname = 'parent_' + doctype.lower().replace(' ', '_')
fields = [
'name as value',
'is_group as expandable',
'lft',
'rgt'
]
filters = [["ifnull(`{0}`,'')".format(parent_fieldname),
'=', '' if is_root else parent]]
if is_root:
fields += ['service_unit_type'] if doctype == 'Healthcare Service Unit' else []
filters.append(['company', '=', company])
else:
fields += ['service_unit_type', 'allow_appointments', 'inpatient_occupancy',
'occupancy_status'] if doctype == 'Healthcare Service Unit' else []
fields += [parent_fieldname + ' as parent']
service_units = frappe.get_list(doctype, fields=fields, filters=filters)
for each in service_units:
if each['expandable'] == 1: # group node
available_count = frappe.db.count('Healthcare Service Unit', filters={
'parent_healthcare_service_unit': each['value'],
'inpatient_occupancy': 1})
if available_count > 0:
occupied_count = frappe.db.count('Healthcare Service Unit', {
'parent_healthcare_service_unit': each['value'],
'inpatient_occupancy': 1,
'occupancy_status': 'Occupied'})
# set occupancy status of group node
each['occupied_of_available'] = str(
occupied_count) + ' Occupied of ' + str(available_count)
return service_units
@frappe.whitelist()
def get_patient_vitals(patient, from_date=None, to_date=None):
if not patient: return
vitals = frappe.db.get_all('Vital Signs', filters={
'docstatus': 1,
'patient': patient
}, order_by='signs_date, signs_time', fields=['*'])
if len(vitals):
return vitals
return False
@frappe.whitelist()
def render_docs_as_html(docs):
# docs key value pair {doctype: docname}
docs_html = "<div class='col-md-12 col-sm-12 text-muted'>"
for doc in docs:
docs_html += render_doc_as_html(doc['doctype'], doc['docname'])['html'] + '<br/>'
return {'html': docs_html}
@frappe.whitelist()
def render_doc_as_html(doctype, docname, exclude_fields = []):
"""
Render document as HTML
"""
doc = frappe.get_doc(doctype, docname)
meta = frappe.get_meta(doctype)
doc_html = section_html = section_label = html = ""
sec_on = has_data = False
col_on = 0
for df in meta.fields:
# on section break append previous section and html to doc html
if df.fieldtype == "Section Break":
if has_data and col_on and sec_on:
doc_html += section_html + html + "</div>"
elif has_data and not col_on and sec_on:
doc_html += """
<br>
<div class='row'>
<div class='col-md-12 col-sm-12'>
<b>{0}</b>
</div>
</div>
<div class='row'>
<div class='col-md-12 col-sm-12'>
{1} {2}
</div>
</div>
""".format(section_label, section_html, html)
# close divs for columns
while col_on:
doc_html += "</div>"
col_on -= 1
sec_on = True
has_data = False
col_on = 0
section_html = html = ""
if df.label:
section_label = df.label
continue
# on column break append html to section html or doc html
if df.fieldtype == "Column Break":
if sec_on and not col_on and has_data:
section_html += """
<br>
<div class='row'>
<div class='col-md-12 col-sm-12'>
<b>{0}</b>
</div>
</div>
<div class='row'>
<div class='col-md-4 col-sm-4'>
{1}
</div>
""".format(section_label, html)
elif col_on == 1 and has_data:
section_html += "<div class='col-md-4 col-sm-4'>" + html + "</div>"
elif col_on > 1 and has_data:
doc_html += "<div class='col-md-4 col-sm-4'>" + html + "</div>"
else:
doc_html += """
<div class='row'>
<div class='col-md-12 col-sm-12'>
{0}
</div>
</div>
""".format(html)
html = ""
col_on += 1
if df.label:
html += "<br>" + df.label
continue
# on table iterate through items and create table
# based on the in_list_view property
# append to section html or doc html
if df.fieldtype == "Table":
items = doc.get(df.fieldname)
if not items:
continue
child_meta = frappe.get_meta(df.options)
if not has_data:
has_data = True
table_head = table_row = ""
create_head = True
for item in items:
table_row += "<tr>"
for cdf in child_meta.fields:
if cdf.in_list_view:
if create_head:
table_head += "<th class='text-muted'>" + cdf.label + "</th>"
if item.get(cdf.fieldname):
table_row += "<td>" + cstr(item.get(cdf.fieldname)) + "</td>"
else:
table_row += "<td></td>"
create_head = False
table_row += "</tr>"
if sec_on:
section_html += """
<table class='table table-condensed bordered'>
{0} {1}
</table>
""".format(table_head, table_row)
else:
html += """
<table class='table table-condensed table-bordered'>
{0} {1}
</table>
""".format(table_head, table_row)
continue
# on any other field type add label and value to html
if not df.hidden and not df.print_hide and doc.get(df.fieldname) and df.fieldname not in exclude_fields:
formatted_value = format_value(doc.get(df.fieldname), meta.get_field(df.fieldname), doc)
html += "<br>{0} : {1}".format(df.label or df.fieldname, formatted_value)
if not has_data : has_data = True
if sec_on and col_on and has_data:
doc_html += section_html + html + "</div></div>"
elif sec_on and not col_on and has_data:
doc_html += """
<div class='col-md-12 col-sm-12'>
<div class='col-md-12 col-sm-12'>
{0} {1}
</div>
</div>
""".format(section_html, html)
return {"html": doc_html}
def update_address_links(address, method):
'''
Hook validate Address
If Patient is linked in Address, also link the associated Customer
'''
if 'Healthcare' not in frappe.get_active_domains():
return
patient_links = list(filter(lambda link: link.get('link_doctype') == 'Patient', address.links))
for link in patient_links:
customer = frappe.db.get_value('Patient', link.get('link_name'), 'customer')
if customer and not address.has_link('Customer', customer):
address.append('links', dict(link_doctype = 'Customer', link_name = customer))
def update_patient_email_and_phone_numbers(contact, method):
'''
Hook validate Contact
Update linked Patients' primary mobile and phone numbers
'''
if 'Healthcare' not in frappe.get_active_domains():
return
if contact.is_primary_contact and (contact.email_id or contact.mobile_no or contact.phone):
patient_links = list(filter(lambda link: link.get('link_doctype') == 'Patient', contact.links))
for link in patient_links:
contact_details = frappe.db.get_value('Patient', link.get('link_name'), ['email', 'mobile', 'phone'], as_dict=1)
if contact.email_id and contact.email_id != contact_details.get('email'):
frappe.db.set_value('Patient', link.get('link_name'), 'email', contact.email_id)
if contact.mobile_no and contact.mobile_no != contact_details.get('mobile'):
frappe.db.set_value('Patient', link.get('link_name'), 'mobile', contact.mobile_no)
if contact.phone and contact.phone != contact_details.get('phone'):
frappe.db.set_value('Patient', link.get('link_name'), 'phone', contact.phone)