public async Task <Result <string> > Handle(SynchronizeClientsCommand request, CancellationToken cancellationToken)
{
string afyaMobileId = String.Empty;
using (_htsUnitOfWork)
using (_unitOfWork)
{
try
{
var facilityId = request.MESSAGE_HEADER.SENDING_FACILITY;
RegisterPersonService registerPersonService = new RegisterPersonService(_unitOfWork);
EncounterTestingService encounterTestingService = new EncounterTestingService(_unitOfWork, _htsUnitOfWork);
for (int i = 0; i < request.CLIENTS.Count; i++)
{
string firstName = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.FIRST_NAME;
string middleName = string.IsNullOrWhiteSpace(request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.MIDDLE_NAME)?"": request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.MIDDLE_NAME;
string lastName = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.LAST_NAME;
int sex = request.CLIENTS[i].PATIENT_IDENTIFICATION.SEX;
DateTime dateOfBirth = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH, "yyyyMMdd", null);
DateTime dateEnrollment = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.REGISTRATION_DATE, "yyyyMMdd", null);
int maritalStatusId = request.CLIENTS[i].PATIENT_IDENTIFICATION.MARITAL_STATUS;
string landmark = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS
.LANDMARK;
string physicalAddress = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.POSTAL_ADDRESS;
string mobileNumber = request.CLIENTS[i].PATIENT_IDENTIFICATION.PHONE_NUMBER;
string enrollmentNo = string.Empty;
int userId = request.CLIENTS[i].PATIENT_IDENTIFICATION.USER_ID;
for (int j = 0; j < request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID.Count; j++)
{
if (request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY ==
"HTS" && request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j]
.IDENTIFIER_TYPE == "HTS_SERIAL")
{
enrollmentNo = request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ID;
}
if (request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].IDENTIFIER_TYPE ==
"AFYA_MOBILE_ID" &&
request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY ==
"AFYAMOBILE")
{
afyaMobileId = request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ID;
}
}
//check if person already exists
var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);
if (identifiers.Count > 0)
{
var registeredPerson = await registerPersonService.GetPerson(identifiers[0].PersonId);
var updatedPerson = await registerPersonService.UpdatePerson(identifiers[0].PersonId, firstName, middleName, lastName, sex, dateOfBirth);
var patient = await registerPersonService.GetPatientByPersonId(identifiers[0].PersonId);
var updatedPatient = await registerPersonService.UpdatePatient(patient.Id, dateOfBirth, facilityId);
var updatedPersonPopulations = await registerPersonService.UpdatePersonPopulation(identifiers[0].PersonId,
request.CLIENTS[i].PATIENT_IDENTIFICATION.KEY_POP, userId);
if (!string.IsNullOrWhiteSpace(landmark))
{
var updatedLocation = await registerPersonService.UpdatePersonLocation(identifiers[0].PersonId, landmark);
}
if (!string.IsNullOrWhiteSpace(mobileNumber) || !string.IsNullOrWhiteSpace(physicalAddress))
{
//add Person Contact
var personContact =
await registerPersonService.UpdatePersonContact(identifiers[0].PersonId,
physicalAddress, mobileNumber);
}
/**
* Encounter
*
*/
if (request.CLIENTS[i].ENCOUNTER != null)
{
if (request.CLIENTS[i].ENCOUNTER.PRE_TEST != null)
{
DateTime encounterDate = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_DATE, "yyyyMMdd", null);
var emrEncounterTypes = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "EncounterType" && x.ItemName == "Hts-encounter")
.FirstOrDefaultAsync();
int encounterTypeId = emrEncounterTypes.ItemId;
//Get consent to testing
int consentValue = request.CLIENTS[i].ENCOUNTER.PRE_TEST.CONSENT;
var consentType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToBeTested").FirstOrDefaultAsync();
int consentTypeId = consentType != null ? consentType.ItemId : 0;
//Get TBStatus masterId
var screeningType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "TbScreening").FirstOrDefaultAsync();
int screeningTypeId = screeningType != null ? screeningType.MasterId : 0;
int tbStatus = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TB_SCREENING;
//Get Consent to screen partners itemId
var consentPartnerType = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToListPartners")
.FirstOrDefaultAsync();
int consentListPartnersTypeId = consentPartnerType != null ? consentPartnerType.ItemId : 0;
string htsEncounterRemarks = request.CLIENTS[i].ENCOUNTER.PRE_TEST.REMARKS;
int clientEverTested = request.CLIENTS[i].ENCOUNTER.PRE_TEST.EVER_TESTED;
int clientEverSelfTested = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SELF_TEST_12_MONTHS;
int testEntryPoint = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SERVICE_POINT;
int htsencounterType = request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_TYPE;
int testingStrategy = request.CLIENTS[i].ENCOUNTER.PRE_TEST.STRATEGY;
int clientTestedAs = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TESTED_AS;
int monthsSinceLastTest = request.CLIENTS[i].ENCOUNTER.PRE_TEST.MONTHS_SINCE_LAST_TEST;
List <int> clientDisabilities = request.CLIENTS[i].ENCOUNTER.PRE_TEST.DISABILITIES;
int providerId = request.CLIENTS[i].ENCOUNTER.PLACER_DETAIL.PROVIDER_ID;
string encounterNumber = request.CLIENTS[i].ENCOUNTER.PLACER_DETAIL.ENCOUNTER_NUMBER;
var resultPlacerGet = await registerPersonService.GetInteropPlacerValue(7, 4, encounterNumber);
if (resultPlacerGet.Count > 0)
{
var getHtsEncounter = await encounterTestingService.GetHtsEncounter(resultPlacerGet[0].EntityId);
var getPatientEncounter = await encounterTestingService.GetPatientEncounterById(getHtsEncounter.PatientEncounterID);
getHtsEncounter.EverTested = clientEverTested;
getHtsEncounter.MonthsSinceLastTest = monthsSinceLastTest;
getHtsEncounter.MonthSinceSelfTest = null;
getHtsEncounter.TestedAs = clientTestedAs;
getHtsEncounter.TestingStrategy = testingStrategy;
getHtsEncounter.EncounterRemarks = htsEncounterRemarks;
//getHtsEncounter.FinalResultGiven = ;
//getHtsEncounter.CoupleDiscordant = 1;
getHtsEncounter.TestEntryPoint = testEntryPoint;
getHtsEncounter.EverSelfTested = clientEverSelfTested;
getHtsEncounter.EncounterType = htsencounterType;
await encounterTestingService.UpdateHtsEncounter(getHtsEncounter);
var getPatientScreenings = await encounterTestingService.GetPatientScreening(patient.Id, getPatientEncounter.PatientMasterVisitId, screeningTypeId, null);
if (getPatientScreenings.Count > 0)
{
getPatientScreenings[0].ScreeningValueId = tbStatus;
await encounterTestingService.UpdatePatientScreening(getPatientScreenings[0]);
}
else
{
//add patient screening
var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
getPatientEncounter.PatientMasterVisitId, screeningTypeId, encounterDate, tbStatus, providerId);
}
await encounterTestingService.UpdateClientDisabilities(identifiers[0].PersonId, clientDisabilities, getPatientEncounter.Id, providerId);
//check for hiv tests
if (request.CLIENTS[i].ENCOUNTER.HIV_TESTS != null)
{
int pnsAccepted = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_ACCEPTED;
int pnsDeclineReason = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_DECLINE_REASON;
List <NewTests> screeningTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SCREENING;
List <NewTests> confirmatoryTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.CONFIRMATORY;
int coupleDiscordant = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.COUPLE_DISCORDANT;
int finalResultGiven = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT_GIVEN;
int roundOneTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.SCREENING_RESULT;
int? roundTwoTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.CONFIRMATORY_RESULT;
int? finalResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT;
var getPatientConsents = await encounterTestingService.GetPatientConsent(patient.Id, getPatientEncounter.PatientMasterVisitId, 2, consentListPartnersTypeId);
if (getPatientConsents.Count > 0)
{
getPatientConsents[0].ConsentValue = pnsAccepted;
getPatientConsents[0].ConsentDate = encounterDate;
getPatientConsents[0].DeclineReason = pnsDeclineReason;
await encounterTestingService.UpdatePatientConsent(getPatientConsents[0]);
}
else
{
//add consent to list partners
var partnersConsent = await encounterTestingService.addPatientConsent(patient.Id,
getPatientEncounter.PatientMasterVisitId, 2, pnsAccepted, consentListPartnersTypeId, encounterDate, providerId,
pnsDeclineReason);
}
//Screening Tests
var updatedScreeningTests = await encounterTestingService.UpdateTesting(getHtsEncounter.Id, screeningTests, providerId, 1);
//Confirmatory Tests
var updatedConfirmatoryTests = await encounterTestingService.UpdateTesting(getHtsEncounter.Id, confirmatoryTests, providerId, 2);
getHtsEncounter.CoupleDiscordant = coupleDiscordant;
getHtsEncounter.FinalResultGiven = finalResultGiven;
await encounterTestingService.updateHtsEncounter(getHtsEncounter.Id, getHtsEncounter);
var getHtsEncounterResults = await encounterTestingService.GetHtsEncounterResultByEncounterId(getHtsEncounter.Id);
if (getHtsEncounterResults.Count > 0)
{
getHtsEncounterResults[0].RoundOneTestResult = roundOneTestResult;
getHtsEncounterResults[0].RoundTwoTestResult = roundTwoTestResult;
getHtsEncounterResults[0].FinalResult = finalResult;
var updatedHtsEncounterResult = await encounterTestingService.UpdateHtsEncounterResult(getHtsEncounterResults[0]);
}
else
{
var htsEncounterResult = await encounterTestingService.addHtsEncounterResult(getHtsEncounter.Id, roundOneTestResult, roundTwoTestResult, finalResult);
}
//Tracing
var enrollmentTracing = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "TracingType" && x.ItemName == "Enrolment").FirstOrDefaultAsync();
int tracingType = enrollmentTracing.ItemId;
string tracingRemarks = String.Empty;
for (int j = 0; request.CLIENTS[i].ENCOUNTER.TRACING != null && j < request.CLIENTS[i].ENCOUNTER.TRACING.Count; j++)
{
DateTime tracingDate = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_DATE, "yyyyMMdd", null);
int mode = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_MODE;
int outcome = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_OUTCOME;
//add Client Tracing
var clientTracing = await encounterTestingService.addTracing(identifiers[0].PersonId, tracingType, tracingDate, mode, outcome,
providerId, tracingRemarks, null, null, null);
}
//check for linkage
if (request.CLIENTS[i].ENCOUNTER.LINKAGE != null)
{
DateTime dateLinkageEnrolled = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.LINKAGE.DATE_ENROLLED, "yyyyMMdd", null);
string linkageCCCNumber = request.CLIENTS[i].ENCOUNTER.LINKAGE.CCC_NUMBER;
string linkageFacility = request.CLIENTS[i].ENCOUNTER.LINKAGE.FACILITY;
string healthWorker = request.CLIENTS[i].ENCOUNTER.LINKAGE.HEALTH_WORKER;
string carde = request.CLIENTS[i].ENCOUNTER.LINKAGE.CARDE;
//add Client Linkage
var clientLinkage = await encounterTestingService.addLinkage(identifiers[0].PersonId, dateLinkageEnrolled,
linkageCCCNumber, linkageFacility, providerId, healthWorker, carde);
}
}
}
else
{
//add patient master visit
var patientMasterVisit = await encounterTestingService.AddPatientMasterVisit(patient.Id, 2, encounterDate, providerId);
//add patient encounter
var patientEncounter = await encounterTestingService.AddPatientEncounter(patient.Id,
encounterTypeId, patientMasterVisit.Id, encounterDate, 2, providerId);
//add patient consent
var consent = await encounterTestingService.addPatientConsent(patient.Id, patientMasterVisit.Id,
2, consentValue, consentTypeId, encounterDate, providerId, null);
//add patient screening
var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
patientMasterVisit.Id, screeningTypeId, encounterDate, tbStatus, providerId);
//add patient encounter
var htsEncounter = await encounterTestingService.addHtsEncounter(htsEncounterRemarks,
clientEverSelfTested, clientEverTested, null,
patientEncounter.Id, identifiers[0].PersonId, providerId, testEntryPoint, htsencounterType,
testingStrategy, clientTestedAs, monthsSinceLastTest, null);
//add disabilities
var disabilities = await encounterTestingService.addDisabilities(clientDisabilities,
patientEncounter.Id, identifiers[0].PersonId, providerId);
//add afya mobile placer value
var addplacerHtsPlacer = await registerPersonService.AddInteropPlacerValue(htsEncounter.Id, 4, 7, encounterNumber);
//check for hiv tests
if (request.CLIENTS[i].ENCOUNTER.HIV_TESTS != null)
{
int pnsAccepted = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_ACCEPTED;
int pnsDeclineReason = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_DECLINE_REASON;
List <NewTests> screeningTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SCREENING;
List <NewTests> confirmatoryTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.CONFIRMATORY;
int coupleDiscordant = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.COUPLE_DISCORDANT;
int finalResultGiven = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT_GIVEN;
int roundOneTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.SCREENING_RESULT;
int? roundTwoTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.CONFIRMATORY_RESULT;
int? finalResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT;
//add consent to list partners
var partnersConsent = await encounterTestingService.addPatientConsent(patient.Id,
patientMasterVisit.Id, 2, pnsAccepted, consentListPartnersTypeId, encounterDate, providerId,
pnsDeclineReason);
//add screening tests for client
var clientScreeningTesting =
await encounterTestingService.addTesting(screeningTests, htsEncounter.Id, providerId);
//add confirmatory tests for client
var clientConfirmatoryTesting = await encounterTestingService.addTesting(confirmatoryTests, htsEncounter.Id, providerId);
//update testing for client
htsEncounter.CoupleDiscordant = coupleDiscordant;
htsEncounter.FinalResultGiven = finalResultGiven;
await encounterTestingService.updateHtsEncounter(htsEncounter.Id, htsEncounter);
var htsEncounterResult = await encounterTestingService.addHtsEncounterResult(htsEncounter.Id, roundOneTestResult, roundTwoTestResult, finalResult);
}
//Tracing
var enrollmentTracing = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "TracingType" && x.ItemName == "Enrolment").FirstOrDefaultAsync();
int tracingType = enrollmentTracing.ItemId;
string tracingRemarks = String.Empty;
for (int j = 0; request.CLIENTS[i].ENCOUNTER.TRACING != null && j < request.CLIENTS[i].ENCOUNTER.TRACING.Count; j++)
{
DateTime tracingDate = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_DATE, "yyyyMMdd", null);
int mode = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_MODE;
int outcome = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_OUTCOME;
//add Client Tracing
var clientTracing = await encounterTestingService.addTracing(identifiers[0].PersonId, tracingType, tracingDate, mode, outcome,
providerId, tracingRemarks, null, null, null);
}
//check for linkage
if (request.CLIENTS[i].ENCOUNTER.LINKAGE != null)
{
DateTime dateLinkageEnrolled = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.LINKAGE.DATE_ENROLLED, "yyyyMMdd", null);
string linkageCCCNumber = request.CLIENTS[i].ENCOUNTER.LINKAGE.CCC_NUMBER;
string linkageFacility = request.CLIENTS[i].ENCOUNTER.LINKAGE.FACILITY;
string healthWorker = request.CLIENTS[i].ENCOUNTER.LINKAGE.HEALTH_WORKER;
string carde = request.CLIENTS[i].ENCOUNTER.LINKAGE.CARDE;
//add Client Linkage
var clientLinkage = await encounterTestingService.addLinkage(identifiers[0].PersonId, dateLinkageEnrolled,
linkageCCCNumber, linkageFacility, providerId, healthWorker, carde);
}
//add referral
/*await encounterTestingService.addReferral(person.Id, fromFacilityId: 1, serviceAreaId: 1,
* referralReason: 1, referredTo: 1, userId: 1, dateToBeEnrolled: DateTime.Now);*/
}
}
}
}
else
{
// Add Person
var person = await registerPersonService.RegisterPerson(firstName, middleName, lastName, sex,
dateOfBirth, userId);
// Add Patient
var patient = await registerPersonService.AddPatient(person.Id, userId, facilityId);
// Enroll patient
var patientIdentifier = await registerPersonService.EnrollPatient(enrollmentNo, patient.Id, 2, userId, dateEnrollment);
//Add PersonIdentifiers
var personIdentifier = await registerPersonService.addPersonIdentifiers(person.Id, 10, afyaMobileId, userId);
// Add Marital Status
var maritalStatus = await registerPersonService.AddMaritalStatus(person.Id, maritalStatusId, userId);
// Add Person Key pop
var population = await registerPersonService.addPersonPopulation(person.Id,
request.CLIENTS[i].PATIENT_IDENTIFICATION.KEY_POP, userId);
// Add Person Location
if (!string.IsNullOrWhiteSpace(landmark))
{
var personLocation = await registerPersonService.addPersonLocation(person.Id, 0, 0, 0, "", landmark, userId);
}
if (!string.IsNullOrWhiteSpace(mobileNumber) || !string.IsNullOrWhiteSpace(physicalAddress))
{
//add Person Contact
var personContact = await registerPersonService.addPersonContact(person.Id, physicalAddress,
mobileNumber, string.Empty, string.Empty, userId);
}
/***
* Encounter
*/
if (request.CLIENTS[i].ENCOUNTER != null)
{
if (request.CLIENTS[i].ENCOUNTER.PRE_TEST != null)
{
DateTime encounterDate = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_DATE, "yyyyMMdd", null);
var emrEncounterTypes = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "EncounterType" && x.ItemName == "Hts-encounter")
.FirstOrDefaultAsync();
int encounterTypeId = emrEncounterTypes.ItemId;
//Get consent to testing
int consentValue = request.CLIENTS[i].ENCOUNTER.PRE_TEST.CONSENT;
var consentType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToBeTested").FirstOrDefaultAsync();
int consentTypeId = consentType != null ? consentType.ItemId : 0;
//Get TBStatus masterId
var screeningType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "TbScreening").FirstOrDefaultAsync();
int screeningTypeId = screeningType != null ? screeningType.MasterId : 0;
int tbStatus = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TB_SCREENING;
//Get Consent to screen partners itemId
var consentPartnerType = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToListPartners")
.FirstOrDefaultAsync();
int consentListPartnersTypeId = consentPartnerType != null ? consentPartnerType.ItemId : 0;
string htsEncounterRemarks = request.CLIENTS[i].ENCOUNTER.PRE_TEST.REMARKS;
int clientEverTested = request.CLIENTS[i].ENCOUNTER.PRE_TEST.EVER_TESTED;
int clientEverSelfTested = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SELF_TEST_12_MONTHS;
int testEntryPoint = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SERVICE_POINT;
int htsencounterType = request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_TYPE;
int testingStrategy = request.CLIENTS[i].ENCOUNTER.PRE_TEST.STRATEGY;
int clientTestedAs = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TESTED_AS;
int monthsSinceLastTest = request.CLIENTS[i].ENCOUNTER.PRE_TEST.MONTHS_SINCE_LAST_TEST;
List <int> clientDisabilities = request.CLIENTS[i].ENCOUNTER.PRE_TEST.DISABILITIES;
int providerId = request.CLIENTS[i].ENCOUNTER.PLACER_DETAIL.PROVIDER_ID;
string encounterNumber = request.CLIENTS[i].ENCOUNTER.PLACER_DETAIL.ENCOUNTER_NUMBER;
//add patient master visit
var patientMasterVisit = await encounterTestingService.AddPatientMasterVisit(patient.Id, 2, encounterDate, providerId);
//add patient encounter
var patientEncounter = await encounterTestingService.AddPatientEncounter(patient.Id,
encounterTypeId, patientMasterVisit.Id, encounterDate, 2, providerId);
//add patient consent
var consent = await encounterTestingService.addPatientConsent(patient.Id, patientMasterVisit.Id,
2, consentValue, consentTypeId, encounterDate, providerId, null);
//add patient screening
var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
patientMasterVisit.Id, screeningTypeId, encounterDate, tbStatus, providerId);
//add patient encounter
var htsEncounter = await encounterTestingService.addHtsEncounter(htsEncounterRemarks,
clientEverSelfTested, clientEverTested, null,
patientEncounter.Id, person.Id, providerId, testEntryPoint, htsencounterType,
testingStrategy, clientTestedAs, monthsSinceLastTest, null);
//add disabilities
var disabilities = await encounterTestingService.addDisabilities(clientDisabilities,
patientEncounter.Id, person.Id, providerId);
//add afya mobile placer value
var addplacerHtsPlacer = await registerPersonService.AddInteropPlacerValue(htsEncounter.Id, 4, 7, encounterNumber);
//check for hiv tests
if (request.CLIENTS[i].ENCOUNTER.HIV_TESTS != null)
{
int pnsAccepted = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_ACCEPTED;
int pnsDeclineReason = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_DECLINE_REASON;
List <NewTests> screeningTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SCREENING;
List <NewTests> confirmatoryTests = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.CONFIRMATORY;
int coupleDiscordant = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.COUPLE_DISCORDANT;
int finalResultGiven = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT_GIVEN;
int roundOneTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.SCREENING_RESULT;
int? roundTwoTestResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.CONFIRMATORY_RESULT;
int? finalResult = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT;
//add consent to list partners
var partnersConsent = await encounterTestingService.addPatientConsent(patient.Id,
patientMasterVisit.Id, 2, pnsAccepted, consentListPartnersTypeId, encounterDate, providerId,
pnsDeclineReason);
//add screening tests for client
var clientScreeningTesting =
await encounterTestingService.addTesting(screeningTests, htsEncounter.Id, providerId);
//add confirmatory tests for client
var clientConfirmatoryTesting = await encounterTestingService.addTesting(confirmatoryTests, htsEncounter.Id, providerId);
//update testing for client
htsEncounter.CoupleDiscordant = coupleDiscordant;
htsEncounter.FinalResultGiven = finalResultGiven;
await encounterTestingService.updateHtsEncounter(htsEncounter.Id, htsEncounter);
var htsEncounterResult = await encounterTestingService.addHtsEncounterResult(htsEncounter.Id, roundOneTestResult, roundTwoTestResult, finalResult);
}
//Tracing
var enrollmentTracing = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "TracingType" && x.ItemName == "Enrolment").FirstOrDefaultAsync();
int tracingType = enrollmentTracing.ItemId;
string tracingRemarks = String.Empty;
for (int j = 0; request.CLIENTS[i].ENCOUNTER.TRACING != null && j < request.CLIENTS[i].ENCOUNTER.TRACING.Count; j++)
{
DateTime tracingDate = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_DATE, "yyyyMMdd", null);
int mode = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_MODE;
int outcome = request.CLIENTS[i].ENCOUNTER.TRACING[j].TRACING_OUTCOME;
//add Client Tracing
var clientTracing = await encounterTestingService.addTracing(person.Id, tracingType, tracingDate, mode, outcome,
providerId, tracingRemarks, null, null, null);
}
//check for linkage
if (request.CLIENTS[i].ENCOUNTER.LINKAGE != null)
{
DateTime dateLinkageEnrolled = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.LINKAGE.DATE_ENROLLED, "yyyyMMdd", null);
string linkageCCCNumber = request.CLIENTS[i].ENCOUNTER.LINKAGE.CCC_NUMBER;
string linkageFacility = request.CLIENTS[i].ENCOUNTER.LINKAGE.FACILITY;
string healthWorker = request.CLIENTS[i].ENCOUNTER.LINKAGE.HEALTH_WORKER;
string carde = request.CLIENTS[i].ENCOUNTER.LINKAGE.CARDE;
//add Client Linkage
var clientLinkage = await encounterTestingService.addLinkage(person.Id, dateLinkageEnrolled,
linkageCCCNumber, linkageFacility, providerId, healthWorker, carde);
}
//add referral
/*await encounterTestingService.addReferral(person.Id, fromFacilityId: 1, serviceAreaId: 1,
* referralReason: 1, referredTo: 1, userId: 1, dateToBeEnrolled: DateTime.Now);*/
}
}
}
}
return(Result <string> .Valid(afyaMobileId));
}
catch (Exception e)
{
Log.Error(e.Message);
return(Result <string> .Invalid(e.Message));
}
}
}
public async Task <Result <string> > Handle(AfyaMobileSynchronizeHtsTestsCommand request, CancellationToken cancellationToken)
{
string afyaMobileId = String.Empty;
using (var trans = _htsUnitOfWork.Context.Database.BeginTransaction())
{
RegisterPersonService registerPersonService = new RegisterPersonService(_unitOfWork);
EncounterTestingService encounterTestingService = new EncounterTestingService(_unitOfWork, _htsUnitOfWork);
try
{
//Person Identifier
for (int j = 0; j < request.INTERNAL_PATIENT_ID.Count; j++)
{
if (request.INTERNAL_PATIENT_ID[j].IDENTIFIER_TYPE == "AFYA_MOBILE_ID" && request.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY == "AFYAMOBILE")
{
afyaMobileId = request.INTERNAL_PATIENT_ID[j].ID;
}
}
var afyaMobileMessage = await registerPersonService.AddAfyaMobileInbox(DateTime.Now, request.MESSAGE_HEADER.MESSAGE_TYPE, afyaMobileId, JsonConvert.SerializeObject(request), false);
//check if person already exists
var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);
if (identifiers.Count > 0)
{
var person = await registerPersonService.GetPerson(identifiers[0].PersonId);
var patient = await registerPersonService.GetPatientByPersonId(identifiers[0].PersonId);
int pnsAccepted = request.HIV_TESTS.SUMMARY.PNS_ACCEPTED;
int pnsDeclineReason = request.HIV_TESTS.SUMMARY.PNS_DECLINE_REASON;
List <NewTests> screeningTests = request.HIV_TESTS.SCREENING;
List <NewTests> confirmatoryTests = request.HIV_TESTS.CONFIRMATORY;
int coupleDiscordant = request.HIV_TESTS.SUMMARY.COUPLE_DISCORDANT;
int finalResultGiven = request.HIV_TESTS.SUMMARY.FINAL_RESULT_GIVEN;
int roundOneTestResult = request.HIV_TESTS.SUMMARY.SCREENING_RESULT;
int? roundTwoTestResult = request.HIV_TESTS.SUMMARY.CONFIRMATORY_RESULT;
int? finalResult = request.HIV_TESTS.SUMMARY.FINAL_RESULT;
var encounterNumber = request.PLACER_DETAIL.ENCOUNTER_NUMBER;
int providerId = request.PLACER_DETAIL.PROVIDER_ID;
//Get Consent to screen partners itemId
var consentPartnerType = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToListPartners")
.FirstOrDefaultAsync();
int consentListPartnersTypeId = consentPartnerType != null ? consentPartnerType.ItemId : 0;
var resultPlacerGet = await registerPersonService.GetInteropPlacerValue(7, 4, encounterNumber);
if (resultPlacerGet.Count > 0)
{
var getHtsEncounter = await encounterTestingService.GetHtsEncounter(resultPlacerGet[0].EntityId);
var getPatientEncounter = await encounterTestingService.GetPatientEncounterById(getHtsEncounter.PatientEncounterID);
var getPatientConsents = await encounterTestingService.GetPatientConsent(patient.Id, getPatientEncounter.PatientMasterVisitId, 2, consentListPartnersTypeId);
if (getPatientConsents.Count > 0)
{
getPatientConsents[0].ConsentValue = pnsAccepted;
getPatientConsents[0].ConsentDate = getPatientEncounter.EncounterStartTime;
getPatientConsents[0].DeclineReason = pnsDeclineReason;
await encounterTestingService.UpdatePatientConsent(getPatientConsents[0]);
var hasConsentedToListPartners = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.ItemId == pnsAccepted && x.MasterName == "YesNoNA").ToListAsync();
if (hasConsentedToListPartners.Count > 0)
{
if (hasConsentedToListPartners[0].ItemName == "Yes")
{
var listPartners = await registerPersonService.AddAppStateStore(person.Id, patient.Id, 3,
getPatientEncounter.PatientMasterVisitId, getPatientEncounter.Id, null);
}
}
}
else
{
//add consent to list partners
var partnersConsent = await encounterTestingService.addPatientConsent(patient.Id,
getPatientEncounter.PatientMasterVisitId, 2, pnsAccepted, consentListPartnersTypeId, getPatientEncounter.EncounterStartTime, providerId,
pnsDeclineReason);
var hasConsentedToListPartners = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.ItemId == pnsAccepted && x.MasterName == "YesNoNA").ToListAsync();
if (hasConsentedToListPartners.Count > 0)
{
if (hasConsentedToListPartners[0].ItemName == "Yes")
{
var listPartners = await registerPersonService.AddAppStateStore(person.Id, patient.Id, 3,
getPatientEncounter.PatientMasterVisitId, getPatientEncounter.Id, null);
}
}
}
//Screening Tests
var updatedScreeningTests = await encounterTestingService.UpdateTesting(getHtsEncounter.Id, screeningTests, providerId, 1);
//Confirmatory Tests
var updatedConfirmatoryTests = await encounterTestingService.UpdateTesting(getHtsEncounter.Id, confirmatoryTests, providerId, 2);
getHtsEncounter.CoupleDiscordant = coupleDiscordant;
getHtsEncounter.FinalResultGiven = finalResultGiven;
await encounterTestingService.updateHtsEncounter(getHtsEncounter.Id, getHtsEncounter);
var getHtsEncounterResults = await encounterTestingService.GetHtsEncounterResultByEncounterId(getHtsEncounter.Id);
if (getHtsEncounterResults.Count > 0)
{
getHtsEncounterResults[0].RoundOneTestResult = roundOneTestResult;
getHtsEncounterResults[0].RoundTwoTestResult = roundTwoTestResult;
getHtsEncounterResults[0].FinalResult = finalResult;
var updatedHtsEncounterResult = await encounterTestingService.UpdateHtsEncounterResult(getHtsEncounterResults[0]);
// add state for positive person
var clientFinalResultsList = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.ItemId == finalResult && x.MasterName == "HIVFinalResults").ToListAsync();
if (clientFinalResultsList.Count > 0 &&
clientFinalResultsList[0].ItemName == "Positive")
{
var isClientPositiveState = await registerPersonService.AddAppStateStore(person.Id, patient.Id, 4,
getPatientEncounter.PatientMasterVisitId, getPatientEncounter.Id, null);
}
}
else
{
var htsEncounterResult = await encounterTestingService.addHtsEncounterResult(getHtsEncounter.Id, roundOneTestResult, roundTwoTestResult, finalResult);
// add state for positive person
var clientFinalResultsList = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.ItemId == finalResult && x.MasterName == "HIVFinalResults").ToListAsync();
if (clientFinalResultsList.Count > 0 &&
clientFinalResultsList[0].ItemName == "Positive")
{
var isClientPositiveState = await registerPersonService.AddAppStateStore(person.Id, patient.Id, 4,
getPatientEncounter.PatientMasterVisitId, getPatientEncounter.Id, null);
}
}
}
else
{
//update message has been processed
await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"HTS PRE-TEST with encounter number: {encounterNumber} could not be found", false);
Result <string> .Invalid($"HTS PRE-TEST with encounter number: {encounterNumber} could not be found");
}
}
else
{
//update message has been processed
await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Person with afyaMobileId: {afyaMobileId} could not be found", false);
return(Result <string> .Invalid($"Person with afyaMobileId: {afyaMobileId} could not be found"));
}
//update message has been processed
await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Successfully synchronized HTS tests for afyamobileid: {afyaMobileId}", true);
trans.Commit();
return(Result <string> .Valid($"Successfully synchronized HTS tests for afyamobileid: {afyaMobileId}"));
}
catch (Exception ex)
{
trans.Rollback();
Log.Error($"Failed to synchronize Hts tests for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException);
return(Result <string> .Invalid($"Failed to synchronize Hts tests for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException));
}
}
}
public async Task <Result <string> > Handle(AfyaMobileSynchronizeEncounterCommand request, CancellationToken cancellationToken)
{
string afyaMobileId = String.Empty;
using (var trans = _htsUnitOfWork.Context.Database.BeginTransaction())
{
RegisterPersonService registerPersonService = new RegisterPersonService(_unitOfWork);
EncounterTestingService encounterTestingService = new EncounterTestingService(_unitOfWork, _htsUnitOfWork);
//Person Identifier
for (int j = 0; j < request.INTERNAL_PATIENT_ID.Count; j++)
{
if (request.INTERNAL_PATIENT_ID[j].IDENTIFIER_TYPE == "AFYA_MOBILE_ID" && request.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY == "AFYAMOBILE")
{
afyaMobileId = request.INTERNAL_PATIENT_ID[j].ID;
}
}
var afyaMobileMessage = await registerPersonService.AddAfyaMobileInbox(DateTime.Now, request.MESSAGE_HEADER.MESSAGE_TYPE, afyaMobileId, JsonConvert.SerializeObject(request), false);
try
{
//check if person already exists
var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);
//Encounter
DateTime encounterDate = DateTime.Now;
try
{
encounterDate = DateTime.ParseExact(request.PRE_TEST.ENCOUNTER_DATE, "yyyyMMdd", null);
}
catch (Exception e)
{
Log.Error($"Could not parse HTS_EncounterDate: {request.PRE_TEST.ENCOUNTER_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
throw new Exception($"Could not parse HTS_EncounterDate: {request.PRE_TEST.ENCOUNTER_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
}
string htsEncounterRemarks = request.PRE_TEST.REMARKS;
int clientEverTested = request.PRE_TEST.EVER_TESTED;
int clientEverSelfTested = request.PRE_TEST.SELF_TEST_12_MONTHS;
int testEntryPoint = request.PRE_TEST.SERVICE_POINT;
int htsencounterType = request.PRE_TEST.ENCOUNTER_TYPE;
int testingStrategy = request.PRE_TEST.STRATEGY;
int clientTestedAs = request.PRE_TEST.TESTED_AS;
int monthsSinceLastTest = request.PRE_TEST.MONTHS_SINCE_LAST_TEST;
List <int> clientDisabilities = request.PRE_TEST.DISABILITIES;
int providerId = request.PLACER_DETAIL.PROVIDER_ID;
var encounterNumber = request.PLACER_DETAIL.ENCOUNTER_NUMBER;
//HTS Encounter types
var emrEncounterTypes = await _unitOfWork.Repository <LookupItemView>()
.Get(x => x.MasterName == "EncounterType" && x.ItemName == "Hts-encounter")
.FirstOrDefaultAsync();
int encounterTypeId = emrEncounterTypes.ItemId;
//Get consent to testing
int consentValue = request.PRE_TEST.CONSENT;
var consentType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToBeTested").FirstOrDefaultAsync();
int consentTypeId = consentType != null ? consentType.ItemId : 0;
//Get TBStatus masterId
var screeningType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "TbScreening").FirstOrDefaultAsync();
int screeningTypeId = screeningType != null ? screeningType.MasterId : 0;
int tbStatus = request.PRE_TEST.TB_SCREENING;
if (identifiers.Count > 0)
{
var person = await registerPersonService.GetPerson(identifiers[0].PersonId);
var patient = await registerPersonService.GetPatientByPersonId(identifiers[0].PersonId);
var resultPlacerGet = await registerPersonService.GetInteropPlacerValue(7, 4, encounterNumber);
if (resultPlacerGet.Count > 0)
{
var getHtsEncounter = await encounterTestingService.GetHtsEncounter(resultPlacerGet[0].EntityId);
var getPatientEncounter = await encounterTestingService.GetPatientEncounterById(getHtsEncounter.PatientEncounterID);
getHtsEncounter.EverTested = clientEverTested;
getHtsEncounter.MonthsSinceLastTest = monthsSinceLastTest;
getHtsEncounter.MonthSinceSelfTest = null;
getHtsEncounter.TestedAs = clientTestedAs;
getHtsEncounter.TestingStrategy = testingStrategy;
getHtsEncounter.EncounterRemarks = htsEncounterRemarks;
//getHtsEncounter.FinalResultGiven = ;
//getHtsEncounter.CoupleDiscordant = 1;
getHtsEncounter.TestEntryPoint = testEntryPoint;
getHtsEncounter.EverSelfTested = clientEverSelfTested;
getHtsEncounter.EncounterType = htsencounterType;
await encounterTestingService.UpdateHtsEncounter(getHtsEncounter);
var getPatientScreenings = await encounterTestingService.GetPatientScreening(patient.Id, getPatientEncounter.PatientMasterVisitId, screeningTypeId, null);
if (getPatientScreenings.Count > 0)
{
getPatientScreenings[0].ScreeningValueId = tbStatus;
await encounterTestingService.UpdatePatientScreening(getPatientScreenings[0]);
}
else
{
//add patient screening
var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
getPatientEncounter.PatientMasterVisitId, screeningTypeId, encounterDate, tbStatus, providerId);
}
await encounterTestingService.UpdateClientDisabilities(identifiers[0].PersonId, clientDisabilities, getPatientEncounter.Id, providerId);
}
else
{
//add patient master visit
var patientMasterVisit = await encounterTestingService.AddPatientMasterVisit(patient.Id, 2, encounterDate, providerId);
//add patient encounter
var patientEncounter = await encounterTestingService.AddPatientEncounter(patient.Id,
encounterTypeId, patientMasterVisit.Id, encounterDate, 2, providerId);
//add patient HTS encounter
var htsEncounter = await encounterTestingService.addHtsEncounter(htsEncounterRemarks,
clientEverSelfTested, clientEverTested,
patientEncounter.Id, person.Id, providerId, testEntryPoint, htsencounterType,
testingStrategy, clientTestedAs, monthsSinceLastTest, null);
//add afya mobile placer value
var addplacerHtsPlacer = await registerPersonService.AddInteropPlacerValue(htsEncounter.Id, 4, 7, encounterNumber);
//add patient consent
var consent = await encounterTestingService.addPatientConsent(patient.Id, patientMasterVisit.Id,
2, consentValue, consentTypeId, encounterDate, providerId, null);
//add patient screening
var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
patientMasterVisit.Id, screeningTypeId, encounterDate, tbStatus, providerId);
//add disabilities
var disabilities = await encounterTestingService.addDisabilities(clientDisabilities,
patientEncounter.Id, identifiers[0].PersonId, providerId);
}
}
else
{
//update message has been processed
await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Person with afyaMobileId: {afyaMobileId} could not be found", false);
return(Result <string> .Invalid($"Person with afyaMobileId: {afyaMobileId} could not be found"));
}
//update message has been processed
await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Successfully synchronized HTS encounter for afyamobileid: {afyaMobileId}", true);
trans.Commit();
return(Result <string> .Valid($"Successfully synchronized HTS encounter for afyamobileid: {afyaMobileId}"));
}
catch (Exception ex)
{
trans.Rollback();
Log.Error($"Failed to synchronize encounter for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException);
return(Result <string> .Invalid($"Failed to synchronize encounter for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException));
}
}
}