primary_caegiver

// primary caregiver
            if($patient->dirty('primary_contact_email') || $patient->dirty('primary_contact_phone1')) {
                if ($new_caregiver_id1) {
                    // Found Existing user
                    // send notification
                    // create mapper Entity
                    if($caregiver1) {
                        $caregiver1->caregiver_patient_id = $new_caregiver_id1;
                        $this->Patients->Caregivers->save($caregiver1);
                    } else {
                        $caregiver1 = $this->Patients->Caregivers->newEntity();
                        $caregiver1->patient_id = $patient->id;
                        $caregiver1->caregiver_patient_id = $new_caregiver_id1;
                        $caregiver1->caregiver_type = 0;
                        //$caregiver1->active = 0;
                        // saving caregiver association.
                        $this->Patients->Caregivers->save($caregiver1);
                    }
                } else {
                    if ($this->emailFound($this->request->data['primary_contact_email'])) {
                        // Found Existing user
                        //send notification
                        // create mapper Entity
                    } else {
                        //add new user/caregiver
                        // create mapper Entity
                    }
                }
            }