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+
+# Doctor with Community Nurse Visit Count by Facility 
+
+> Count of completed doctor visits accompanied by a community nurse, grouped by facility for patients belonging to a given organization
+
+## Purpose
+
+Counts completed responses to the doctor visit questionnaire (`questionnaire_id = 68`)  where the visit type is `'Doctor with Community Nurse'`, per facility, scoped to living patients within a specified organization.
+
+## Parameters
+
+| Parameter | Type | Description | Example |
+|-----------|------|-------------|---------|
+| `organization_id` | TEXT | Organization external ID to scope patients (matched against `emr_organization.external_id`) | `'org-uuid-1234'` |
+| `date` | DATE / range | Metabase date filter (typically bound to `emr_questionnaireresponse.created_date`) | `'2026-07-01'` |
+
+---
+
+## Query
+
+```sql
+WITH org_id AS (
+    SELECT emr_organization.id
+    FROM emr_organization
+    WHERE emr_organization.deleted = FALSE
+      --AND emr_organization.external_id::text = {{organization_id}}
+),
+filtered_patients AS (
+    SELECT emr_patient.id
+    FROM emr_patient
+    INNER JOIN org_id ON TRUE
+    WHERE emr_patient.deceased_datetime IS NULL
+      AND emr_patient.organization_cache && ARRAY[org_id.id]::integer[]
+),
+doctor_visits AS (
+    SELECT DISTINCT
+        emr_questionnaireresponse.id AS response_id,
+        emr_questionnaireresponse.encounter_id,
+        DATE(emr_questionnaireresponse.created_date) AS visit_date
+    FROM emr_questionnaireresponse
+    INNER JOIN filtered_patients
+        ON filtered_patients.id = emr_questionnaireresponse.patient_id
+    CROSS JOIN LATERAL jsonb_array_elements(emr_questionnaireresponse.responses) AS response_element
+    WHERE emr_questionnaireresponse.questionnaire_id = 68
+      AND emr_questionnaireresponse.status = 'completed'
+      AND emr_questionnaireresponse.encounter_id IS NOT NULL
+      AND response_element ->> 'question_id' = '8d5c73c2-b5ba-4b6f-9d0f-295a4c105fec'
+      AND response_element -> 'values' -> 0 ->> 'value' = 'Doctor with Community Nurse'
+      --[[AND {{date}}]]
+)
+SELECT
+    facility_facility.name AS facility_name,
+    COUNT(DISTINCT doctor_visits.response_id) AS visit_count
+FROM doctor_visits
+INNER JOIN emr_encounter
+    ON emr_encounter.id = doctor_visits.encounter_id
+INNER JOIN facility_facility
+    ON facility_facility.id = emr_encounter.facility_id
+   AND facility_facility.deleted = FALSE
+GROUP BY facility_facility.name
+ORDER BY visit_count DESC, facility_facility.name;
+```
+
+## Notes
+
+- **Hardcoded IDs:**
+  - `questionnaire_id = 68` — the doctor visit questionnaire at Karunashraya.
+- **`organization_id` is required** (no `[[...]]` wrapper) — the query will not run without a value.
+- Results are ordered by visit count descending, then alphabetically by facility name for ties.
+
+*Last updated: 2026-07-15*