Beispiel #1
0
        public async Task <Result <GetPersonDetailsResponse> > Handle(GetPersonDetailsCommand request, CancellationToken cancellationToken)
        {
            try
            {
                RegisterPersonService rs = new RegisterPersonService(_unitOfWork);
                int id = request.PersonId;
                if (request.PersonId > 0)
                {
                    persondetail = await rs.GetPerson(id);

                    personEducation = await rs.GetCurrentPersonEducation(id);

                    personocc = await rs.GetCurrentOccupation(id);

                    personmarital = await rs.GetFirstPatientMaritalStatus(id);

                    personlocation = await rs.GetCurrentPersonLocation(id);

                    personcontact = await rs.GetCurrentPersonContact(id);

                    personemerg = await rs.GetCurrentPersonEmergency(id);

                    pid = await rs.GetCurrentPersonIdentifier(id);

                    pt = await rs.GetPatientByPersonId(id);
                }


                _unitOfWork.Dispose();


                return(Result <GetPersonDetailsResponse> .Valid(new GetPersonDetailsResponse()
                {
                    personDetail = persondetail,
                    personEducation = personEducation,
                    personOccupation = personocc,
                    personMaritalStatus = personmarital,
                    personLocation = personlocation,
                    personContact = personcontact,
                    PersonEmergencyView = personemerg,
                    personIdentifier = pid,
                    patient = pt
                }));
            }
            catch (Exception ex)
            {
                return(Result <GetPersonDetailsResponse> .Invalid(ex.Message));
            }
        }
        public async Task <Result <AddPatientResponse> > Handle(AddPatientCommand request, CancellationToken cancellationToken)
        {
            try
            {
                using (_unitOfWork)
                {
                    RegisterPersonService registerPersonService = new RegisterPersonService(_unitOfWork);

                    var registeredPerson = await registerPersonService.GetPerson(request.PersonId);

                    var gender = await _unitOfWork.Repository <LookupItemView>().Get(x => x.ItemId == registeredPerson.Sex && x.MasterName == "Gender")
                                 .ToListAsync();

                    var maritalStatus = await registerPersonService.GetPersonMaritalStatus(request.PersonId);

                    var maritalStatusName = "Single";
                    if (maritalStatus.Count > 0)
                    {
                        var matList = await _unitOfWork.Repository <LookupItemView>()
                                      .Get(x => x.ItemId == maritalStatus[0].MaritalStatusId && x.MasterName == "MaritalStatus").ToListAsync();

                        if (matList.Count > 0)
                        {
                            maritalStatusName = matList[0].ItemName;
                        }
                    }

                    var mstResult = await registerPersonService.InsertIntoBlueCard(registeredPerson.FirstName, registeredPerson.LastName,
                                                                                   registeredPerson.LastName, request.EnrollmentDate, maritalStatusName, "", "", gender[0].ItemName, "EXACT", registeredPerson.DateOfBirth, request.UserId, request.PosId);

                    var patient = await registerPersonService.AddPatient(request.PersonId, request.UserId, mstResult[0].Ptn_Pk);


                    return(Result <AddPatientResponse> .Valid(new AddPatientResponse()
                    {
                        PatientId = patient.Id
                    }));
                }
            }
            catch (Exception e)
            {
                return(Result <AddPatientResponse> .Invalid(e.Message));
            }
        }
Beispiel #3
0
        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));
                }
            }
        }
Beispiel #4
0
        public async Task <Result <string> > Handle(AfyaMobileSynchronizeClientsCommand request, CancellationToken cancellationToken)
        {
            string afyaMobileId = String.Empty;

            using (var trans = _unitOfWork.Context.Database.BeginTransaction())
            {
                RegisterPersonService   registerPersonService = new RegisterPersonService(_unitOfWork);
                LookupLogic             lookupLogic           = new LookupLogic(_unitOfWork);
                PersonOccupationService pocc = new PersonOccupationService(_unitOfWork);
                EducationLevelService   educationLevelService = new EducationLevelService(_unitOfWork);

                for (int i = 0; i < request.CLIENTS.Count; i++)
                {
                    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].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;
                        }
                    }
                }
                var afyaMobileMessage = await registerPersonService.AddAfyaMobileInbox(DateTime.Now, request.MESSAGE_HEADER.MESSAGE_TYPE, afyaMobileId, JsonConvert.SerializeObject(request), false);

                try
                {
                    var facilityId = request.MESSAGE_HEADER.SENDING_FACILITY;

                    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;
                        string nickName   = (request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.NICK_NAME == null) ? "" : request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.NICK_NAME.ToString();
                        int    sex        = request.CLIENTS[i].PATIENT_IDENTIFICATION.SEX;

                        //Try to parse dateOfBirth
                        DateTime dateOfBirth = DateTime.Now;
                        try
                        {
                            dateOfBirth = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH, "yyyyMMdd", null);
                        }
                        catch (Exception e)
                        {
                            Log.Error($"Could not parse DateOfBirth: {request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH} as a valid date. Incorrect format, date should be in the following format yyyyMMdd");
                            throw new Exception($"Could not parse DateOfBirth: {request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH} as a valid date. Incorrect format, date should be in the following format yyyyMMdd");
                        }
                        string dobPrecision = request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH_PRECISION;

                        //Try to parse DateOfEnrollment
                        DateTime dateEnrollment = DateTime.Now;
                        try
                        {
                            dateEnrollment = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.REGISTRATION_DATE, "yyyyMMdd", null);
                        }
                        catch (Exception e)
                        {
                            Log.Error($"Could not parse DateOfEnrollment: {request.CLIENTS[i].PATIENT_IDENTIFICATION.REGISTRATION_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                            throw new Exception($"Could not parse DateOfEnrollment: {request.CLIENTS[i].PATIENT_IDENTIFICATION.REGISTRATION_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                        }

                        int    maritalStatusId = request.CLIENTS[i].PATIENT_IDENTIFICATION.MARITAL_STATUS;
                        string landmark        = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS
                                                 .LANDMARK;

                        int ward      = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS.WARD;
                        int county    = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS.COUNTY;
                        int subcounty = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS.SUB_COUNTY;

                        string educationlevel   = (request.CLIENTS[i].PATIENT_IDENTIFICATION.EDUCATIONLEVEL == null) ? "" : request.CLIENTS[i].PATIENT_IDENTIFICATION.EDUCATIONLEVEL.ToString();
                        string educationoutcome = (request.CLIENTS[i].PATIENT_IDENTIFICATION.EDUCATIONOUTCOME == null) ? "" : request.CLIENTS[i].PATIENT_IDENTIFICATION.EDUCATIONOUTCOME.ToString();
                        string occupation       = (request.CLIENTS[i].PATIENT_IDENTIFICATION.OCCUPATION == null) ? "" : request.CLIENTS[i].PATIENT_IDENTIFICATION.OCCUPATION.ToString();
                        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;

                        string maritalStatusName = String.Empty;
                        string gender            = String.Empty;

                        var maritalStatusList = await lookupLogic.GetLookupNameByGroupNameItemId(maritalStatusId, "HTSMaritalStatus");

                        var genderList = await lookupLogic.GetLookupNameByGroupNameItemId(sex, "Gender");

                        if (maritalStatusList.Count > 0)
                        {
                            maritalStatusName = maritalStatusList[0].ItemName;
                        }
                        if (genderList.Count > 0)
                        {
                            gender = genderList[0].ItemName;
                        }

                        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;
                            }
                        }

                        Facility clientFacility = await _unitOfWork.Repository <Facility>().Get(x => x.PosID == facilityId).FirstOrDefaultAsync();

                        if (clientFacility == null)
                        {
                            clientFacility = await _unitOfWork.Repository <Facility>().Get(x => x.DeleteFlag == 0).FirstOrDefaultAsync();
                        }

                        //check if person already exists
                        var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);

                        if (identifiers.Count > 0)
                        {
                            var registeredPerson = await registerPersonService.GetPerson(identifiers[0].PersonId);

                            if (registeredPerson != null)
                            {
                                var updatedPerson = await registerPersonService.UpdatePerson(identifiers[0].PersonId,
                                                                                             firstName, middleName, lastName, sex, dateOfBirth, clientFacility.FacilityID, registrationDate : dateEnrollment, NickName : nickName);
                            }
                            else
                            {
                                var person = await registerPersonService.RegisterPerson(firstName, middleName, lastName,
                                                                                        sex, userId, clientFacility.FacilityID, dateOfBirth, nickName : nickName);
                            }

                            var patient = await registerPersonService.GetPatientByPersonId(identifiers[0].PersonId);

                            if (patient != null)
                            {
                                var updatedPatient = await registerPersonService.UpdatePatient(patient.Id, dateOfBirth, facilityId);
                            }
                            else
                            {
                                //Add Person to mst_patient
                                var mstResult = await registerPersonService.InsertIntoBlueCard(firstName, lastName,
                                                                                               middleName, dateEnrollment, " ", 283, maritalStatusName, physicalAddress, mobileNumber, gender, dobPrecision, dateOfBirth, userId, facilityId);

                                if (mstResult.Count > 0)
                                {
                                    patient = await registerPersonService.AddPatient(identifiers[0].PersonId, userId, facilityId);

                                    // Person is enrolled state
                                    var enrollmentAppState = await registerPersonService.AddAppStateStore(identifiers[0].PersonId, patient.Id, 7, null, null);

                                    // Enroll patient
                                    var patientIdentifier = await registerPersonService.EnrollPatient(enrollmentNo, patient.Id, 2, userId, dateEnrollment);

                                    //Add PersonIdentifiers
                                    var personIdentifier = await registerPersonService.addPersonIdentifiers(identifiers[0].PersonId, 10, afyaMobileId, userId);
                                }
                            }

                            var updatedPersonPopulations = await registerPersonService.UpdatePersonPopulation(identifiers[0].PersonId,
                                                                                                              request.CLIENTS[i].PATIENT_IDENTIFICATION.KEY_POP, userId);

                            //Location
                            if (!string.IsNullOrWhiteSpace(landmark) || (county > 0) || (subcounty > 0) || (ward > 0))
                            {
                                var updatedLocation = await registerPersonService.UpdatePersonLocation(identifiers[0].PersonId, landmark, ward, county, subcounty, userId);
                            }

                            if (!string.IsNullOrWhiteSpace(educationlevel))
                            {
                                var personeducation = await educationLevelService.UpdatePersonEducation(identifiers[0].PersonId, educationlevel, educationoutcome, userId);
                            }
                            if (!string.IsNullOrWhiteSpace(occupation))
                            {
                                var personoccupation = await pocc.Update(identifiers[0].PersonId, occupation, userId);
                            }

                            if (!string.IsNullOrWhiteSpace(mobileNumber) || !string.IsNullOrWhiteSpace(physicalAddress))
                            {
                                //add Person Contact
                                var personContact =
                                    await registerPersonService.UpdatePersonContact(identifiers[0].PersonId,
                                                                                    physicalAddress, mobileNumber);
                            }

                            // update message as processed
                            await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, "success", true);
                        }
                        else
                        {
                            // Add Person
                            var person = await registerPersonService.RegisterPerson(firstName, middleName, lastName, sex,
                                                                                    userId, clientFacility.FacilityID, dateOfBirth, nickName : nickName);

                            //Add Person to mst_patient
                            var mstResult = await registerPersonService.InsertIntoBlueCard(firstName, lastName, middleName, dateEnrollment, " ", 283, maritalStatusName, physicalAddress, mobileNumber, gender, dobPrecision, dateOfBirth, userId, facilityId);

                            if (mstResult.Count > 0)
                            {
                                //Add PersonIdentifiers
                                var personIdentifier = await registerPersonService.addPersonIdentifiers(person.Id, 10, afyaMobileId, userId);

                                // Add Patient
                                var patient = await registerPersonService.AddPatient(person.Id, userId, mstResult[0].Ptn_Pk, facilityId);

                                // Person is enrolled state
                                var enrollmentAppState = await registerPersonService.AddAppStateStore(person.Id, patient.Id, 7, null, null);

                                // Enroll patient
                                var patientIdentifier = await registerPersonService.EnrollPatient(enrollmentNo, patient.Id, 2, userId, dateEnrollment);

                                // 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) || (county > 0) || (subcounty > 0) || (ward > 0))
                                {
                                    var personLocation = await registerPersonService.UpdatePersonLocation(person.Id, landmark, ward, county, subcounty, userId);
                                }

                                if (!string.IsNullOrWhiteSpace(educationlevel))
                                {
                                    var personeducation = await educationLevelService.UpdatePersonEducation(person.Id, educationlevel, educationoutcome, userId);
                                }
                                if (!string.IsNullOrWhiteSpace(occupation))
                                {
                                    var personoccupation = await pocc.Update(person.Id, occupation, 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);
                                }

                                //update message has been processed
                                await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Successfully synchronized demographics for afyamobileid: {afyaMobileId}", true);
                            }
                        }
                    }

                    //update message has been processed
                    await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Successfully synchronized demographics for afyamobileid: {afyaMobileId}", true);

                    trans.Commit();
                    return(Result <string> .Valid($"Successfully synchronized demographics for afyamobileid: {afyaMobileId}"));
                }
                catch (Exception ex)
                {
                    trans.Rollback();
                    Log.Error($"Error syncronizing afyamobileid: {afyaMobileId}. Exception Message: {ex.Message},  Inner Exception {ex.InnerException}");
                    return(Result <string> .Invalid($"Failed to synchronize clientId: {afyaMobileId} " + ex.Message + " " + ex.InnerException));
                }
            }
        }
Beispiel #5
0
        public async Task <Result <string> > Handle(AfyaMobileSynchronizeTracingCommand 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);

                    //Tracing
                    var enrollmentTracing = await _unitOfWork.Repository <LookupItemView>()
                                            .Get(x => x.MasterName == "TracingType" && x.ItemName == "Enrolment").FirstOrDefaultAsync();

                    int    tracingType    = enrollmentTracing.ItemId;
                    int    providerId     = request.PLACER_DETAIL.PROVIDER_ID;
                    string tracingRemarks = String.Empty;

                    //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);

                        //check for client tracing
                        for (int j = 0; (request.TRACING != null && j < request.TRACING.Count); j++)
                        {
                            DateTime tracingDate = DateTime.Now;
                            try
                            {
                                tracingDate = DateTime.ParseExact(request.TRACING[j].TRACING_DATE, "yyyyMMdd", null);
                            }
                            catch (Exception e)
                            {
                                Log.Error($"Could not parse tracing TRACING_DATE: {request.TRACING[j].TRACING_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                                throw new Exception($"Could not parse tracing TRACING_DATE: {request.TRACING[j].TRACING_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                            }
                            int    mode                    = request.TRACING[j].TRACING_MODE;
                            int    outcome                 = request.TRACING[j].TRACING_OUTCOME;
                            int?   reasonnotcontacted      = request.TRACING[j].REASONNOTCONTACTED;
                            string reasonnotcontactedother = request.TRACING[j].REASONNOTCONTACTEDOTHER;

                            //add Client Tracing
                            var clientTracing = await encounterTestingService.addTracing(person.Id, tracingType,
                                                                                         tracingDate, mode, outcome,
                                                                                         providerId, tracingRemarks, null, null, null, reasonnotcontacted, reasonnotcontactedother);
                        }
                    }
                    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 Tracing for afyamobileid: {afyaMobileId}", true);

                    trans.Commit();
                    return(Result <string> .Valid($"Successfully synchronized HTS Tracing for afyamobileid: {afyaMobileId}"));
                }
                catch (Exception ex)
                {
                    trans.Rollback();
                    Log.Error($"Failed to synchronize Hts Tracing for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException);
                    return(Result <string> .Invalid($"Failed to synchronize Hts Tracing for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException));
                }
            }
        }
        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(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));
                }
            }
        }