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Sentinel transitions

When sentinel detects a document has changed it runs transitions against the doc. These transitions can be used to generate a short form patient id or assign a report to a facility.

Configuration

By default all transitions are disabled. They can be enabled by configuring the transitions property to have a key with the transitions name and a truthy value, eg:

{
  "transitions": {
    "a": { },
    "b": true,
    "c": { "disable": false },
    "d": { "disable": true }
  }
}

In this example the d transition will not be applied, but the other three will be.

Available transitions

The following transitions are available and executed in order.

Key Description
maintain_info_document Records metadata about the document such as when it was replicated. Enabled by default.
update_clinics Adds a contact's info to a new data record. This is used to attribute an incoming SMS message or report to the appropriate contact. The rc_code value on the contact is used to match to the value of the form field set as the facility_reference in the JSON form definition. This matching is useful when reports are sent on behalf of a facility by unknown or various phone numbers. If facility_reference is not set for a form, the contact match is attempted using the sender's phone number.
registration For registering a patient to a schedule. Performs some validation and creates the patient document if the patient does not already exist. Can create places (as of 3.8.x).
accept_patient_reports Validates reports about a patient and silences relevant reminders.
accept_case_reports Validates reports about a case, assigns the associated place_uuid, and silences relevant reminders. Available since 3.9.0
generate_shortcode_on_contacts Automatically generates the patient_id on all person documents and the place_id on all place documents. Available since 3.8.x.
generate_patient_id_on_people Deprecated in 3.8.x Automatically generates the patient_id on all person documents. As of 3.8.x, also generates the place_id on all place documents and is an alias for generate_shortcode_on_contacts.
default_responses Responds to the message with a confirmation or validation error.
update_sent_by Sets the sent_by field of the report based on the sender's phone number.
update_sent_forms Deprecated in 3.7.x Update sent_forms property on facilities so we can setup reminders for specific forms. As of 3.7.x, reminders no longer require this transition
death_reporting Updates the deceased status of patients.
conditional_alerts Executes the configured condition and sends an alert if the condition is met.
multi_report_alerts Similar to conditional_alerts, with more flexible configuration, including using different form types for the same alert.
update_notifications Deprecated in 3.2.x Mutes or unmutes scheduled messages based on configuration.
update_scheduled_reports If a report has a month/week/week_number, year and clinic then look for duplicates and update those instead.
resolve_pending Sets the state of pending messages to sent. It is useful during builds where we don't want any outgoing messages queued for sending.
muting Implements muting/unmuting actions of people and places. Available since 3.2.x.
mark_for_outbound Enables outbound pushes. Available since 3.5.x
self_report Maps patient to sender. Available since 3.9.x

Transition Configuration Guide

Guides for how to setup specific transitions.

multi_report_alerts

Send alert messages by SMS when specific conditions are received through reports. More flexible than simple Alerts.

Example: send SMS to the district manager when 2 CHWs within the same district report cholera or diarrhea symptoms within the last week.

Understanding the different types of reports used in the configuration:

             previous suspected_cholera alert was sent
             |
             |           latest_report comes in, suspected_cholera alert is sent
             |           |
             v           v
---[---*-o---*--*--o-o---*]------->    time
                1        0

[] : time window

* and o : reports : any report that came in to the server.

* : counted_reports : reports that came in that passed the is_report_counted filter function.

0, 1 : new_reports : counted_reports that came in since the previous alert was sent. They haven't been messaged about yet.

Configuration

"multi_report_alerts" : [
  {
    "name": "suspected_cholera",
    "is_report_counted": "function(report, latest_report) {  return latest_report.contact.parent.parent._id === report.contact.parent.parent._id; }",
    "num_reports_threshold": 2,
    "message": "{{num_counted_reports}} patients with {{alert_name}} in {{time_window_in_days}} days reported at {{new_reports.0.contact.parent.name}}. New reports from: {{new_reports.0.contact.name}}, {{new_reports.1.contact.name}}, {{new_reports.2.contact.name}}.",
    "recipients": [
      "+123456",
      "new_report.contact.phone", // sender of each report in new_reports
      "new_report.contact.parent.parent.contact.phone", // contact person for the parent place of the sender of each report in new_reports.
      // If it's the same for several reports, only one message will be sent (recipient phone numbers are deduplicated before generating messages).
    ],
    "time_window_in_days": 7,
    "forms": ["C", "D"] // Only Cholera and Diarrhea forms.
  }
]

Note that we are using Mustache templates for our message templates (anything with {{}}), and they use a . notation to access items in an array (e.g. new_reports.1) rather than a [] notation as in conventional javascript (new_reports[1]).

For performance reasons the num_reports_threshold cannot exceed 100.

death_reporting

Updates patient documents with a date_of_death field which updates how the patient is displayed in the UI.

Configuration

Configuration is stored in the death_reporting field of the settings.

Property Description
mark_deceased_forms An array of form codes which will cause patients to be recorded as deceased.
undo_deceased_forms An array of form codes which will remove the deceased date from the patient. Optional.
date_field The path to the field in the report document which has the date the patient died. Optional: if not configured it defaults to the reported_date of the report.
Example
"death_reporting": {
  "mark_deceased_forms": [ "death" ],
  "undo_deceased_forms": [ "undo-death" ],
  "date_field": "fields.death_date"
}

Registration

Configuration is held at app_settings.registrations, as a list of objects connecting forms to validations, events and messages.

Events

Lists different events.

on_create

This is the only supported event.

Triggers

add_patient

Sets the patient_id on the root of the registration document and creates the person doc if required. Can be configured to either use a provided ID or generate a new unique one.

External Patient ID

If you are providing the patient id instead of having Sentinel generate you one, name the field in a patient_id_field key in "params":

{
    "name": "on_create",
    "trigger": "add_patient",
    "params": "{\"patient_id_field\": \"external_id\"}",
    "bool_expr": ""
}

In this example the provided id would be in fields.external_id on the registration document.

NB: this field must not be called patient_id. NB: the JSON passed in "params" should still be a string. Support for raw JSON as shown below exists, but is in beta and may not always work correctly in all situations, because kanso.json does not support it:

{
    "params": {"patient_id_field": "external_id"},
}
Alternative Name Location

To provide an alternative location for the patient name, either provide a patient_name_field in "params" or provide it directly into the "params" field as a String:

{
    "params": "{\"patient_name_field\": \"full_name\"}",
}
{
    "params": "full_name",
}

The first format is required if you wish to also provide other params:

Contact Type

If you have changed from the default contact hierarchy you will need to specify which type of contact the registration should create.

{
    "params": "{ \"contact_type\": \"patient\" }"
}
Specific Parent as of 3.8.0

By default, the newly created person will have the same parent as the report submitter. A different parent may be selected by providing a location for the parent id. This field should contain the place_id of the place in question. If the selected parent is invalid - does not exist or does not respect the configured hierarchy

  • the report is rejected as invalid and the person document is not created. As such , report_accepted event should check if the report has a patient property (or similar).
 {
     "params": "{ \"parent_id\": \"parent_id\" }"
 }
Events
  • parent_field_not_provided - triggered when the report does not have the required parent_id field
  • parent_invalid - triggered when selected parent is invalid (parent document is found and either does not have a configured type or its type is not configured to be a parent to the person type to be created)
  • parent_not_found - triggered when selected parent is not found

The selected parent (if found) can be accessed by using the parent path in error messages: Cannot create a person type "patient" under parent {{parent.place_id}}({{parent.contact_type}})

add_patient_id

Deprecated in favour of add_patient. Previously this only added a patient_id to the root of the registration form. This functionality has been merged into add_patient. Now, using this event will result in the same functionality as described in add_patient above.

add_expected_date
add_birth_date
assign_schedule
clear_schedule
add_place as of 3.8.0

Sets the place_id on the root of the registration document and creates the place doc with the provided type.

By default, the created place would have the same parent as the submitter. If such a combination is invalid - for example a contact under a "clinic" attempts to create a new "health_center" - the report will be rejected as errored and the place document will not be created. As such, report_accepted event should check if the report has a place property (or similar).

The created place does not have a primary contact. The created place can be accessed by the place path in messages: Place {{place.name}}({{place.place_id}}) added to {{place.parent.name}}({{place.parent.place_id}})

Contact Type

Specifying the contact type is required, even if not using configurable hierarchies. The selected contact type must be a configured place type.

{
    "params": "{ \"contact_type\": \"clinic\" }"
}
Specific Parent

By default, the newly created place will have the same parent as the report submitter. A different parent may be selected by providing a location for the parent id. This field should contain the place_id of the place in question. If the selected parent is invalid - does not exist or is not an acceptable parent to the selected type in the configured hierarchy - the report will be rejected as errored.

 {
     "params": "{ \"parent_id\": \"parent_id\" }"
 }
Events
  • parent_field_not_provided - triggered when the report does not have the required parent_id field
  • parent_invalid - triggered when selected parent is invalid (parent document is found and either does not have a configured type or its type is not configured to be a parent to the place type to be created)
  • parent_not_found - triggered when selected parent is not found

The selected parent (if found) can be accessed by using the parent path in error messages: 'Cannot create a place type "health_center" under parent {{parent.place_id}}({{parent.contact_type}})'

Alternative Name Location

The created place's name is provided in the place_name field by default. To provide an alternative location for the place name, provide a place_name_field in "params":

{
    "params": "{\"place_name_field\": \"clinic_name\"}",
}
add_case as of 3.9.0

Sets the case_id on the root of the registration document.

Generate Shortcode on Contacts

No custom configuration for generate_shortcode_on_contacts.

Generate Patient ID On People

Deprecated since 3.8.x in favor of generate_shortcode_on_contacts

No custom configuration for generate_patient_id_on_people.

update_notifications

Deprecated in favor of Muting

Configuration

"notifications": {
    "off_form": "OFF",
    "on_form": "ON",
    "validations": {
      "join_responses": true,
      "list": []
    },
    "messages": [
      {
        "translation_key": "",
        "event_type": "on_mute",
        "recipient": "reporting_unit"
      },
      {
       "translation_key": "",
        "event_type": "on_unmute",
        "recipient": "reporting_unit"
      },
      {
        "translation_key": "",
        "event_type": "patient_not_found",
        "recipient": "reporting_unit"
      }
    ]
  }

Muting

Implements muting/unmuting of persons and places. Supports multiple forms for each action, for webapp and sms workflows.

Muting action:

  • updates target contact and all its descendants[1], setting the muted property equal to the current date in ISO format[2]
  • adds a muting_history entry to Sentinel info docs for every updated contact[7]
  • updates all connected registrations[3], changing the state of all unsent[4] scheduled_tasks to muted

Unmuting action:

  • updates target contact's topmost muted ancestor[1][5] and all its descendants, removing the muted property
  • adds a muting_history entry to Sentinel info docs for every updated contact[7]
  • updates all connected registrations[3], changing the state of all present/future[6] muted scheduled_tasks to scheduled

[1] Contacts that are already in the correct state are skipped. This applies to updates to the contact itself, updates to the Sentinel muting_history and to the connected registrations (registrations of a contact that is already in the correct state will not be updated). [2] The date represents the moment Sentinel has processed the muting action [3] target contact and descendants' registrations [4] scheduled_tasks being in either scheduled or pending state [5] Because the muted state is inherited, unmuting cascades upwards to the highest level muted ancestor. If none of the ancestors is muted, unmuting cascades downwards only. [6] scheduled_tasks which are due today or in the future. All scheduled_tasks with a due date in the past will remain unchanged.

[7] Muting history

Each time the muted state of a contact changes, an entry is added to a muting_history list saved in Sentinel info docs (stored as an array property with the same name). Entries in muting_history contain the following information:

Property Description
muted Boolean representing the muted state
date Date in ISO Format
report_id An _id reference to the report that triggered the action

Configuration

Configuration is stored in the muting field of app_settings.json.

Property Description
mute_forms An array of form codes which will trigger muting. Required
unmute_forms An array of form codes which will trigger unmuting. Optional.
validations List of form fields validations. All mute & unmute forms will be subjected to these validation rules. Invalid forms will not trigger muting/unmuting actions. Optional.
messages List of tasks/errors that will be created, determined by event_type. Optional.

Supported events_types are:

Event Type Trigger
mute On successful mute action
unmute On successful unmute action
already_muted On mute action, when target contact is already muted
already_unmuted On unmute action, when target contact is already unmuted
contact_not_found Either mute or unmute actions when target contact is not found
Example
"muting": {
    "mute_forms": ["mute_person", "mute_clinic"],
    "unmute_forms": ["unmute_person", "unmute_clinic"],
    "validations": {
      "join_responses": true,
      "list": []
    },
    "messages": [
      {
        "translation_key": "",
        "event_type": "mute",
        "recipient": "reporting_unit"
      },
      {
        "translation_key": "",
        "event_type": "unmute",
        "recipient": "reporting_unit"
      },
      {
        "translation_key": "",
        "event_type": "already_muted",
        "recipient": "reporting_unit"
      },
      {
        "translation_key": "",
        "event_type": "already_unmuted",
        "recipient": "reporting_unit"
      },
      {
        "translation_key": "",
        "event_type": "contact_not_found",
        "recipient": "reporting_unit"
      }
    ]
  }

self_report

Updates a data_record to set its patient to its sender. The resulting doc will have fields.patient_uuid and fields.patient_id filled with the sender's information. Provides hydrated patient information to subsequent transitions. The sender is the contact associated with the phone number that sent the original SMS.
If a doc already contains a patient field, does not have a sender or its form is not configured to be enabled for this transition, it will be ignored.

Configuration

Configuration is stored in the self_report field of app_settings.json as a list of objects connecting forms to messages. Every object should have this structure:

Property Description
form Form code. Required
messages List of tasks/errors that will be created, determined by event_type. Optional.

Supported events_types are:

Event Type Trigger
report_accepted On successful sender updating
sender_not_found Sender not found
Example
"self_report": [
  {
    "form": "FORM",
    "messages": [
      {
        "event_type": "report_accepted",
        "recipient": "reporting_unit",
        "translation_key": "messages.form.report_accepted"
      },
      {
        "event_type": "sender_not_found",
        "recipient": "reporting_unit",
        "translation_key": "messages.form.sender_not_found"
      }
    ]
  },
  {
    "form": "OTHER",
    "messages": [
      {
        "event_type": "report_accepted",
        "recipient": "reporting_unit",
        "translation_key": "messages.other.report_accepted"
      },
      {
        "event_type": "sender_not_found",
        "recipient": "reporting_unit",
        "translation_key": "messages.other.sender_not_found"
      }
    ]
  }
]

Accept case reports

Allow reporting about case centric workflows by

  • validating the report (configuration documentation),
  • assigning the relevant place to the report if a registration with the given case_id exists,
  • clearing messages on the registration, and
  • generating response messages on the report.

Example

"registrations": [{
  "form": "8"
}],
"accept_case_reports": [{
  "form": "SIGNOFF",
  "validations": {},
  "messages": [{
    "event_type": "report_accepted",
    "bool_expr": "some expression",
    "message": "some message",
    "recipient": "some recipients"
  }]
}]