/// <summary>
/// Formats the interval.
/// </summary>
/// <param name="cdaInterval">Interval</param>
/// <returns>Narrative text.</returns>
public static string Format(CdaInterval cdaInterval)
{
if (cdaInterval == null)
{
return(null);
}
if (cdaInterval.ShowOngoingInNarrative.HasValue && cdaInterval.ShowOngoingInNarrative.Value)
{
return("(ongoing)");
}
if (cdaInterval.Type == IntervalType.Low || cdaInterval.Type == IntervalType.Value)
{
// Low
return(cdaInterval.Low.NarrativeText());
}
if (cdaInterval.Type == IntervalType.Width)
{
// Width
return(Format(cdaInterval.IntervalWidth));
}
if (cdaInterval.Type == IntervalType.LowWidth)
{
// Low/Width
return(Format(cdaInterval.IntervalWidth) + " after " + cdaInterval.Low.NarrativeText());
}
if (cdaInterval.Type == IntervalType.LowHigh)
{
// Low/High
return(cdaInterval.Low.NarrativeText() + " -> " + cdaInterval.High.NarrativeText());
}
if (cdaInterval.Type == IntervalType.Center)
{
// Center
return(cdaInterval.Center.NarrativeText());
}
if (cdaInterval.Type == IntervalType.CenterWidth)
{
// Center/Width
return(cdaInterval.Center.NarrativeText() + " " + Format(cdaInterval.IntervalWidth) + "");
}
if (cdaInterval.Type == IntervalType.High)
{
// High
return(cdaInterval.High.NarrativeText());
}
if (cdaInterval.Type == IntervalType.HighWidth)
{
// High/Width
return(Format(cdaInterval.IntervalWidth) + " before " + cdaInterval.High.NarrativeText());
}
return(null);
}
/// <summary>
/// Creates and Hydrates the reviewed medical history section for the Shared Health Summary
///
/// Note: the data used within this method is intended as a guide and should be replaced.
/// </summary>
/// <returns>A Hydrated ReviewedMedicalHistory object</returns>
private static IMedicalHistory CreateMedicalHistory(Boolean mandatorySectionsOnly)
{
var medicalHistory = BaseCDAModel.CreateMedicalHistory();
if (!mandatorySectionsOnly)
{
// NOTE: This section demonstrates the different combinations of Procedure's, Medical History Item's & diagnosis
var procedureList = new List <Procedure>();
var medicalHistoryItems = new List <IMedicalHistoryItem>();
var diagnosisList = new List <IProblemDiagnosis>();
// Procedures
var procedure1 = BaseCDAModel.CreateProcedure();
procedure1.Comment = "L Procedure Comment";
procedure1.ProcedureName = BaseCDAModel.CreateCodableText("301040004", CodingSystem.SNOMED, "Primary closed wire fixation of fracture");
procedure1.ProcedureDateTime = CdaInterval.CreateLowHigh(new ISO8601DateTime(DateTime.Now.AddDays(-402), ISO8601DateTime.Precision.Day),
new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
procedure1.ShowOngoingInNarrative = true;
procedureList.Add(procedure1);
var prodcedure2 = BaseCDAModel.CreateProcedure();
prodcedure2.Comment = "Comment";
prodcedure2.ProcedureName = BaseCDAModel.CreateCodableText("388544006", CodingSystem.SNOMED, "Crab RAST");
prodcedure2.ProcedureDateTime = CdaInterval.CreateLow(new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
procedureList.Add(prodcedure2);
// Uncategorised Medical History Items
var medicalHistoryItem = BaseCDAModel.CreateMedicalHistoryItem();
medicalHistoryItem.DateTimeInterval = CdaInterval.CreateLow(new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
medicalHistoryItem.ShowOngoingInNarrative = true;
medicalHistoryItem.ItemDescription = "Uncategorised Medical History item description";
medicalHistoryItem.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem);
var medicalHistoryItem1 = BaseCDAModel.CreateMedicalHistoryItem();
medicalHistoryItem1.ShowOngoingInNarrative = true;
medicalHistoryItem1.ItemDescription = "Uncategorised Medical History item description here";
medicalHistoryItem1.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem1);
var medicalHistoryItem2 = BaseCDAModel.CreateMedicalHistoryItem();
var ongoingInterval2 = CdaInterval.CreateLowHigh(
new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day),
new ISO8601DateTime(DateTime.Now.AddDays(0), ISO8601DateTime.Precision.Day));
medicalHistoryItem2.DateTimeInterval = ongoingInterval2;
medicalHistoryItem2.ItemDescription = "Uncategorised Medical History item description here";
medicalHistoryItem2.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem2);
var medicalHistoryItem3 = BaseCDAModel.CreateMedicalHistoryItem();
var ongoingInterval3 = CdaInterval.CreateHigh(new ISO8601DateTime(DateTime.Now.AddDays(200), ISO8601DateTime.Precision.Day));
medicalHistoryItem3.DateTimeInterval = ongoingInterval3;
medicalHistoryItem3.ItemDescription = "Uncategorised Medical History item description here";
medicalHistoryItem3.ItemComment = "Item Comment 4";
medicalHistoryItems.Add(medicalHistoryItem3);
// Problem Diagnosis
var diagnosis = BaseCDAModel.CreateProblemDiagnosis();
// This fails Schematron - Ignore
//diagnosis.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("57883007", CodingSystem.SNOMED, "Renin test diet",
//"Renin test diet [Left, Right]", // NOTE: Qualifier codes must be provided as [value,value] in the codes original text for the narrative
//new List<QualifierCode>
//{
// // Qualifier Code
// BaseCDAModel.CreateQualifierCode(
// // Name
// BaseCDAModel.CreateCodableText("272741003", CodingSystem.SNOMED, "Laterality"),
// // Value
// BaseCDAModel.CreateCodableText("7771000", CodingSystem.SNOMED, "Left")
// ),
// // Qualifier Code
// BaseCDAModel.CreateQualifierCode(
// // Name
// BaseCDAModel.CreateCodableText("272741003", CodingSystem.SNOMED, "Laterality"),
// // Value
// BaseCDAModel.CreateCodableText("24028007", CodingSystem.SNOMED, "Right")
// )
//});
diagnosis.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("57883007", CodingSystem.SNOMED, "Renin test diet", "Renin test diet [Left, Right]");
diagnosis.DateOfOnset = new ISO8601DateTime(DateTime.Now.AddYears(-2), ISO8601DateTime.Precision.Day);
diagnosis.DateOfResolutionRemission = new ISO8601DateTime(DateTime.Now.AddYears(-1), ISO8601DateTime.Precision.Day);
diagnosis.Comment = "Comment";
diagnosis.ShowOngoingDateInNarrative = true;
diagnosisList.Add(diagnosis);
var diagnosis1 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis1.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("72940007", CodingSystem.SNOMED, "Acute abscess of areola");
diagnosisList.Add(diagnosis1);
var diagnosis2 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis2.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("36083008", CodingSystem.SNOMED, "Sick sinus syndrome");
diagnosisList.Add(diagnosis2);
var diagnosis3 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis3.Comment = "Diuretic induced";
diagnosis3.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("162311003", CodingSystem.SNOMED, "Heavy head");
diagnosisList.Add(diagnosis3);
var diagnosis4 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis4.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("258245003", CodingSystem.SNOMED, "G4 grade");
diagnosis4.DateOfResolutionRemission = new ISO8601DateTime(DateTime.Parse("27 Feb 2007"), ISO8601DateTime.Precision.Day);
diagnosisList.Add(diagnosis4);
var diagnosis5 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis5.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("396275006", CodingSystem.SNOMED, "Osteoarthritis");
diagnosis5.DateOfOnset = new ISO8601DateTime(DateTime.Parse("01 Jan 2000"), ISO8601DateTime.Precision.Day);
diagnosis5.ShowOngoingDateInNarrative = true;
diagnosisList.Add(diagnosis5);
var diagnosis6 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis6.Comment = "Cementless";
diagnosis6.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("43408002", CodingSystem.SNOMED, "Red reflex");
diagnosis6.DateOfOnset = new ISO8601DateTime(DateTime.Parse("27 Feb 2007"), ISO8601DateTime.Precision.Day);
diagnosis6.ShowOngoingDateInNarrative = true;
diagnosisList.Add(diagnosis6);
var diagnosis7 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis7.Comment = "T-score less than -3";
diagnosis7.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("286114007", CodingSystem.SNOMED, "Does not do dusting");
diagnosis7.DateOfOnset = new ISO8601DateTime(DateTime.Parse("01 Jan 2007"), ISO8601DateTime.Precision.Day);
diagnosis7.ShowOngoingDateInNarrative = true;
diagnosisList.Add(diagnosis7);
var diagnosis8 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis8.Comment = "Comment";
diagnosis8.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("248515009", CodingSystem.SNOMED, "Lump in lid margin");
diagnosis8.DateOfOnset = new ISO8601DateTime(DateTime.Parse("01 Aug 2010"), ISO8601DateTime.Precision.Day);
diagnosis8.DateOfResolutionRemission = new ISO8601DateTime(DateTime.Parse("01 Sep 2010"), ISO8601DateTime.Precision.Day);
diagnosisList.Add(diagnosis8);
var diagnosis9 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis9.Comment = "Diagnosis Comment";
diagnosis9.ShowOngoingDateInNarrative = true;
diagnosis9.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("200608005", CodingSystem.SNOMED, "Boil of back");
diagnosis9.DateOfOnset = new ISO8601DateTime(DateTime.Parse("01 Aug 2010"), ISO8601DateTime.Precision.Day);
diagnosis9.DateOfResolutionRemission = new ISO8601DateTime(DateTime.Parse("01 Sep 2010"), ISO8601DateTime.Precision.Day);
diagnosisList.Add(diagnosis9);
var diagnosis10 = SharedHealthSummary.CreateProblemDiagnosis();
diagnosis10.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("267032009", CodingSystem.SNOMED, "Tired all the time");
diagnosis10.DateOfOnset = new ISO8601DateTime(DateTime.Parse("01 Aug 2010"), ISO8601DateTime.Precision.Day);
diagnosis10.ShowOngoingDateInNarrative = true;
diagnosisList.Add(diagnosis10);
medicalHistory.MedicalHistoryItems = medicalHistoryItems;
medicalHistory.Procedures = procedureList;
medicalHistory.ProblemDiagnosis = diagnosisList;
}
else
{
// NOTE : NotAsked is not a valid entry in context of a Shared Health Summary
medicalHistory.ProblemDiagnosisExclusionStatement = BaseCDAModel.CreateStatement();
medicalHistory.ProblemDiagnosisExclusionStatement.Value = NCTISGlobalStatementValues.NoneSupplied;
medicalHistory.ProceduresExclusionStatement = BaseCDAModel.CreateStatement();
medicalHistory.ProceduresExclusionStatement.Value = NCTISGlobalStatementValues.NoneSupplied;
}
return(medicalHistory);
}
/// <summary>
/// Creates and Hydrates the Diagnoses Intervention section for the Event Summary
///
/// Note: the data used within this method is intended as a guide and should be replaced.
/// </summary>
/// <returns>A Hydrated DiagnosesIntervention object</returns>
private static DiagnosesIntervention CreateDiagnosesIntervention(Boolean mandatorySectionsOnly)
{
var diagnosesInterventions = EventSummary.CreateDiagnosesInterventions();
if (!mandatorySectionsOnly)
{
// NOTE: This section demonstrates the different combinations of Procedure's, Medical History Item's & diagnosis
var procedureList = new List <Procedure>();
var medicalHistoryItems = new List <IMedicalHistoryItem>();
var diagnosisList = new List <IProblemDiagnosisEventSummary>();
// Procedures
var procedure = EventSummary.CreateProcedure();
procedure.Comment = "Procedure Comment";
procedure.ProcedureName = BaseCDAModel.CreateCodableText("301040004", CodingSystem.SNOMED, "Primary closed wire fixation of fracture");
procedure.ProcedureDateTime = CdaInterval.CreateLowHigh(new ISO8601DateTime(DateTime.Now.AddDays(-402), ISO8601DateTime.Precision.Day), new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
procedureList.Add(procedure);
var prodcedure2 = EventSummary.CreateProcedure();
prodcedure2.Comment = "Comment";
prodcedure2.ProcedureName = BaseCDAModel.CreateCodableText("388544006", CodingSystem.SNOMED, "Crab RAST");
prodcedure2.ProcedureDateTime = CdaInterval.CreateLow(new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
procedureList.Add(prodcedure2);
var prodcedure3 = EventSummary.CreateProcedure();
prodcedure3.Comment = "Comment";
prodcedure3.ProcedureName = BaseCDAModel.CreateCodableText("388544006", CodingSystem.SNOMED, "Crab RAST");
prodcedure3.ProcedureDateTime = CdaInterval.CreateHigh(new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
prodcedure3.ShowOngoingInNarrative = true;
procedureList.Add(prodcedure3);
// Medical History Items
var medicalHistoryItem = EventSummary.CreateMedicalHistoryItem();
medicalHistoryItem.DateTimeInterval = CdaInterval.CreateLow(new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day));
medicalHistoryItem.ShowOngoingInNarrative = true;
medicalHistoryItem.ItemDescription = "Medical history item description";
medicalHistoryItem.ItemComment = "Medical History Item Comment";
medicalHistoryItems.Add(medicalHistoryItem);
var medicalHistoryItem1 = EventSummary.CreateMedicalHistoryItem();
medicalHistoryItem1.ShowOngoingInNarrative = true;
medicalHistoryItem1.ItemDescription = "Medical history item description here";
medicalHistoryItem1.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem1);
var medicalHistoryItem2 = EventSummary.CreateMedicalHistoryItem();
var ongoingInterval2 = CdaInterval.CreateLowHigh(
new ISO8601DateTime(DateTime.Now.AddDays(-400), ISO8601DateTime.Precision.Day),
new ISO8601DateTime(DateTime.Now.AddDays(200), ISO8601DateTime.Precision.Day));
medicalHistoryItem2.DateTimeInterval = ongoingInterval2;
medicalHistoryItem2.ItemDescription = "Medical history item description here";
medicalHistoryItem2.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem2);
var medicalHistoryItem3 = EventSummary.CreateMedicalHistoryItem();
var ongoingInterval3 = CdaInterval.CreateHigh(
new ISO8601DateTime(DateTime.Now.AddDays(200), ISO8601DateTime.Precision.Day));
medicalHistoryItem3.DateTimeInterval = ongoingInterval3;
medicalHistoryItem3.ItemDescription = "Medical history item description here";
medicalHistoryItem3.ItemComment = "Item Comment";
medicalHistoryItems.Add(medicalHistoryItem3);
// Problem Diagnosis for Event Summary
var diagnosis = EventSummary.CreateProblemDiagnosis();
diagnosis.ProblemDiagnosisIdentification = BaseCDAModel.CreateCodableText("282859003", CodingSystem.SNOMED, "Able to maintain a sitting position", "Able to maintain a sitting position");
diagnosis.DateOfOnset = new ISO8601DateTime(DateTime.Now.AddYears(-2), ISO8601DateTime.Precision.Day);
diagnosis.Comment = "Solved this";
diagnosisList.Add(diagnosis);
diagnosesInterventions.UncategorisedMedicalHistoryItem = medicalHistoryItems;
diagnosesInterventions.Procedures = procedureList;
diagnosesInterventions.ProblemDiagnosis = diagnosisList;
}
return(diagnosesInterventions);
}
/// <summary>
/// This is used for sorting purposes only in the narrative
/// </summary>
/// <param name="cdaInterval">Interval</param>
/// <param name="showOngoingInNarrative">A Boolean of Show Ongoing In Narrative is set</param>
/// <returns>Narrative text.</returns>
public static DateTime GetFirstDateTimeOfDurrationForNarrativeSorting(CdaInterval cdaInterval, Boolean?showOngoingInNarrative)
{
if (showOngoingInNarrative.HasValue && showOngoingInNarrative.Value)
{
if (cdaInterval != null && cdaInterval.Low != null && cdaInterval.High == null)
{
return(cdaInterval.Low.DateTime);
}
// NOTE: Add -1 day to nest the ongoing items correctly in the sorting order
return(DateTime.MaxValue.AddDays(-1));
}
if (cdaInterval != null)
{
if (cdaInterval.Type == IntervalType.Low)
{
// Low
return(cdaInterval.Low.DateTime);
}
if (cdaInterval.Type == IntervalType.LowWidth)
{
// Low/Width
return(cdaInterval.Low.DateTime);
}
if (cdaInterval.Type == IntervalType.LowHigh)
{
if (cdaInterval.Low != null)
{
return(cdaInterval.Low.DateTime);
}
if (cdaInterval.High != null)
{
return(cdaInterval.High.DateTime);
}
}
if (cdaInterval.Type == IntervalType.Center)
{
// Center
return(cdaInterval.Center.DateTime);
}
if (cdaInterval.Type == IntervalType.CenterWidth)
{
// Center/Width
return(cdaInterval.Center.DateTime);
}
if (cdaInterval.Type == IntervalType.High)
{
// High
return(cdaInterval.High.DateTime);
}
if (cdaInterval.Type == IntervalType.HighWidth)
{
// High/Width
return(cdaInterval.High.DateTime);
}
}
return(DateTime.MaxValue);
}
