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+# Bedbound Patient Count
+
+> Track the count of patients with bedbound mobility status
+
+## Purpose
+
+Monitor and analyze the number of patients classified as bedbound based on the latest mobility assessment. Helps identify patients with limited mobility requiring specialized care planning.
+
+## Parameters
+
+| Parameter | Type | Description | Example |
+|-----------|------|-------------|---------|
+| `facility_id` | TEXT | Filter by facility external ID (optional) | `6909ac5e-37b5-4ff7-8311-65610685ed44` |
+| `date` | DATE | Filter by assessment date range (optional) | `2025-12-01 TO 2025-12-31` |
+| `staff_name` | TEXT | Filter by staff member who conducted assessment (optional) | `Jane Smith` |
+
+---
+
+## Query
+
+```sql
+WITH mobility_raw AS (
+  SELECT
+    emr_questionnaireresponse.patient_id,
+    emr_questionnaireresponse.created_date,
+    users_user.first_name || ' ' || COALESCE(users_user.last_name, '') AS staff_full_name,
+    (elem -> 'values' -> 0 ->> 'value') AS mobility_value,
+    facility_facility.name AS facility_name
+  FROM
+    emr_questionnaireresponse
+    JOIN users_user ON emr_questionnaireresponse.created_by_id = users_user.id
+    LEFT JOIN emr_encounter ON emr_questionnaireresponse.encounter_id = emr_encounter.id
+    LEFT JOIN facility_facility ON emr_encounter.facility_id = facility_facility.id
+    LEFT JOIN emr_patient ON emr_questionnaireresponse.patient_id = emr_patient.id
+    CROSS JOIN LATERAL jsonb_array_elements(emr_questionnaireresponse.responses) AS elem
+  WHERE
+    elem ->> 'question_id' IN ('a9d443eb-a71c-4288-b285-f4b7310a4f69')
+    AND emr_patient.deceased_datetime IS NULL
+    --   [[AND facility_facility.external_id::text = {{facility_id}}]]
+    --   [[AND {{date}}]]
+    --   [[AND (users_user.first_name || ' ' || users_user.last_name) = {{staff_name}}]]
+),
+latest_mobility AS (
+  SELECT DISTINCT ON (patient_id)
+    patient_id,
+    staff_full_name,
+    facility_name,
+    mobility_value,
+    created_date
+  FROM
+    mobility_raw
+  ORDER BY
+    patient_id,
+    created_date DESC
+)
+SELECT
+  COUNT(*) AS bedbound_patient_count
+FROM
+  latest_mobility
+WHERE
+  mobility_value ILIKE '%Bedbound%';
+```
+
+
+## Notes
+
+- Metabase-specific filters (`[[...]]`) allow dynamic filtering in dashboards.
+- Uses `DISTINCT ON (patient_id)` to select the latest mobility assessment per patient, ordered by `created_date DESC`.
+- Filters out deceased patients using `emr_patient.deceased_datetime IS NULL`.
+- The question_id `a9d443eb-a71c-4288-b285-f4b7310a4f69` identifies mobility assessment responses and is instance-specific.
+- The final WHERE clause filters for bedbound status using ILIKE pattern matching (`'%Bedbound%'`).
+- Facility filter uses `external_id::text` to match facility external identifiers.
+- Ensure all referenced tables and fields exist and are mapped correctly.
+- All filters are optional and applied dynamically by Metabase.
+
+*Last updated: 2025-12-16*