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+
+# Active Patient Report with Patient Tags 
+
+> Currently active patients at Arike with zone / place-of-care tags with the most relevant encounter or upcoming appointment date
+
+## Purpose
+
+Identifies the set of **currently active patients** at Arike and their zone and place-of-care , plus a single `date` column that reflects either their most recent encounter (within the last 100 days) or their earliest upcoming appointment (within the next 100 days).
+
+An "active patient" is defined as one who:
+
+- is **not deceased**, and
+- does **not** carry the exclusion tag (`tag_id = 70`), and
+- either has an encounter at facility 2 in the last 100 days, **or** has an upcoming booked / checked-in / in-consultation appointment at facility 2 in the next 100 days.
+
+
+
+## Parameters
+
+| Parameter | Type | Description | Example |
+|-----------|------|-------------|---------|
+| `zone_filter` | TEXT | Filter by resolved zone tag display (exact match) | `'Zone A'` |
+| `place_of_care` | TEXT | Filter by resolved place-of-care tag display (exact match) | `'Home'` |
+
+---
+
+## Query
+
+```sql
+WITH 
+latest_encounters AS (
+    SELECT 
+        ee.patient_id,
+        MAX(ee.created_date) AS last_encounter_date
+    FROM emr_encounter ee
+    WHERE ee.created_date >= CURRENT_DATE - INTERVAL '100 days'
+      AND ee.facility_id = 2
+      AND ee.deleted = FALSE
+    GROUP BY ee.patient_id
+),
+
+
+next_appointments AS (
+    SELECT 
+        tb.patient_id,
+        MIN(ts.start_datetime) AS next_appointment_date
+    FROM emr_tokenbooking tb
+    JOIN emr_tokenslot ts ON tb.token_slot_id = ts.id
+    JOIN emr_schedulableresource sbr ON ts.resource_id = sbr.id
+    WHERE ts.start_datetime >= CURRENT_DATE
+      AND ts.start_datetime < CURRENT_DATE + INTERVAL '100 days'
+      AND sbr.facility_id = 2
+      AND tb.deleted = FALSE
+      AND ts.deleted = FALSE
+      AND tb.status IN ('booked', 'checked_in', 'in_consultation')
+    GROUP BY tb.patient_id
+),
+
+
+active_patients AS (
+    SELECT DISTINCT
+        ep.id AS patient_id,
+        ep.name AS patient_name,
+        ep.gender,
+        ep.phone_number,
+        pi.value AS adm,
+        ep.instance_tags,
+        le.last_encounter_date,
+        na.next_appointment_date,
+        COALESCE(le.last_encounter_date, na.next_appointment_date) AS date
+    FROM emr_patient ep
+    LEFT JOIN emr_patientidentifier pi 
+        ON ep.id = pi.patient_id AND pi.config_id = 2
+    LEFT JOIN latest_encounters le ON ep.id = le.patient_id
+    LEFT JOIN next_appointments na ON ep.id = na.patient_id
+    WHERE LOWER(TRIM(ep.name)) NOT LIKE '%test%'
+      AND ep.deleted = FALSE
+      AND ep.deceased_datetime IS NULL
+      AND NOT (70 = ANY(ep.instance_tags))
+      AND (le.patient_id IS NOT NULL OR na.patient_id IS NOT NULL) 
+),
+
+
+patient_tags AS (
+    SELECT
+        ap.patient_id,
+        COALESCE(MAX(CASE WHEN et.parent_id = 55 THEN et.display END), 'unassigned') AS zone,
+        COALESCE(MAX(CASE WHEN et.parent_id = 71 THEN et.display END), 'unassigned') AS place_of_care
+    FROM active_patients ap
+    LEFT JOIN LATERAL unnest(ap.instance_tags) AS tag_id ON TRUE
+    LEFT JOIN emr_tagconfig et ON et.id = tag_id AND et.deleted = FALSE
+    GROUP BY ap.patient_id
+)
+
+SELECT 
+    ap.patient_name,
+    ap.phone_number,
+    ap.adm,
+    ap.gender,
+    pt.zone,
+    pt.place_of_care,
+    ap.date
+FROM active_patients ap
+LEFT JOIN patient_tags pt ON pt.patient_id = ap.patient_id
+WHERE 1=1
+   --[[AND pt.zone = {{zone_filter}}]]
+    --[[AND pt.place_of_care = {{place_of_care}}]]
+ORDER BY ap.patient_name;
+```
+
+## Notes
+
+- **Active-patient definition:** Encoded in the `active_patients` CTE — not deceased, not carrying tag `70`, and either has a recent encounter (last 100 days) **or** an upcoming appointment (next 100 days) at `facility_id = 2` (Arike).
+- **Hardcoded IDs:**
+  - `facility_id = 2` — Arike facility.
+  - `pi.config_id = 2` — ADM patient identifier configuration.
+  - `70` — exclusion instance tag (patients carrying this tag are omitted).
+  - `parent_id = 55` — parent tag for **zone**.
+  - `parent_id = 71` — parent tag for **place of care**.
+  Update any of these if the underlying configuration changes.
+- **Metabase filters:**
+  - `[[AND pt.zone = {{zone_filter}}]]` and `[[AND pt.place_of_care = {{place_of_care}}]]` — exact-match filters applied on the resolved tag columns.
+- Results are ordered alphabetically by patient name.
+
+*Last updated: 2026-07-07*