private void FillMeds()
{
Medications.Refresh();
MedicationPats.Refresh(PatCur.PatNum);
gridMeds.BeginUpdate();
gridMeds.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableMedications", "Drug Name"), 100);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Generic Name"), 100);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes"), 370);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes for Patient"), 370);
gridMeds.Columns.Add(col);
gridMeds.Rows.Clear();
ODGridRow row;
for (int i = 0; i < MedicationPats.List.Length; i++)
{
row = new ODGridRow();
row.Cells.Add(Medications.GetMedication(MedicationPats.List[i].MedicationNum).MedName);
row.Cells.Add(Medications.GetGeneric(MedicationPats.List[i].MedicationNum).MedName);
row.Cells.Add(Medications.GetGeneric(MedicationPats.List[i].MedicationNum).Notes);
row.Cells.Add(MedicationPats.List[i].PatNote);
gridMeds.Rows.Add(row);
}
gridMeds.EndUpdate();
}
private void FillMeds()
{
Medications.Refresh();
medList = MedicationPats.Refresh(PatCur.PatNum, checkDiscontinued.Checked);
gridMeds.BeginUpdate();
gridMeds.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableMedications", "Medication"), 140);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes for Patient"), 225);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Disc"), 10, HorizontalAlignment.Center); //discontinued
gridMeds.Columns.Add(col);
gridMeds.Rows.Clear();
ODGridRow row;
for (int i = 0; i < medList.Count; i++)
{
row = new ODGridRow();
if (medList[i].MedicationNum == 0)
{
row.Cells.Add(medList[i].MedDescript);
}
else
{
Medication generic = Medications.GetGeneric(medList[i].MedicationNum);
string medName = Medications.GetMedication(medList[i].MedicationNum).MedName;
if (generic.MedicationNum != medList[i].MedicationNum) //not generic
{
medName += " (" + generic.MedName + ")";
}
row.Cells.Add(medName);
}
row.Cells.Add(medList[i].PatNote);
if (MedicationPats.IsMedActive(medList[i]))
{
row.Cells.Add("");
}
else //discontinued
{
row.Cells.Add("X");
}
gridMeds.Rows.Add(row);
}
gridMeds.EndUpdate();
}
private void FillMeds()
{
Medications.Refresh();
medList = MedicationPats.Refresh(PatCur.PatNum, checkDiscontinued.Checked);
gridMeds.BeginUpdate();
gridMeds.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableMedications", "Medication"), 120);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes"), 200);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes for Patient"), 200);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Status"), 60, HorizontalAlignment.Center);
gridMeds.Columns.Add(col);
gridMeds.Rows.Clear();
ODGridRow row;
for (int i = 0; i < medList.Count; i++)
{
row = new ODGridRow();
Medication generic = Medications.GetGeneric(medList[i].MedicationNum);
string medName = Medications.GetMedication(medList[i].MedicationNum).MedName;
if (generic.MedicationNum != medList[i].MedicationNum) //not generic
{
medName += " (" + generic.MedName + ")";
}
row.Cells.Add(medName);
row.Cells.Add(Medications.GetGeneric(medList[i].MedicationNum).Notes);
row.Cells.Add(medList[i].PatNote);
if (medList[i].DateStop.Year > 1880)
{
row.Cells.Add("Inactive");
}
else
{
row.Cells.Add("Active");
}
gridMeds.Rows.Add(row);
}
gridMeds.EndUpdate();
}
private void FillGridInterventions()
{
gridInterventions.BeginUpdate();
gridInterventions.Columns.Clear();
gridInterventions.Columns.Add(new ODGridColumn("Date", 70));
gridInterventions.Columns.Add(new ODGridColumn("Type", 150));
gridInterventions.Columns.Add(new ODGridColumn("Description", 160));
gridInterventions.Columns.Add(new ODGridColumn("Declined", 60)
{
TextAlign = HorizontalAlignment.Center
});
gridInterventions.Columns.Add(new ODGridColumn("Documentation", 140));
gridInterventions.Rows.Clear();
//build list of rows of CessationInterventions and CessationMedications so we can order the list by date and type before filling the grid
List <ODGridRow> listRows = new List <ODGridRow>();
ODGridRow row;
#region CessationInterventions
List <Intervention> listInterventions = Interventions.Refresh(PatCur.PatNum, InterventionCodeSet.TobaccoCessation);
foreach (Intervention iCur in listInterventions)
{
row = new ODGridRow();
row.Cells.Add(iCur.DateEntry.ToShortDateString());
string type = InterventionCodeSet.TobaccoCessation.ToString() + " Counseling";
string descript = "";
switch (iCur.CodeSystem)
{
case "CPT":
Cpt cptCur = Cpts.GetByCode(iCur.CodeValue);
descript = cptCur != null?cptCur.Description:"";
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(iCur.CodeValue);
descript = sCur != null?sCur.Description:"";
break;
case "RXNORM":
//if the user checks the "Patient Declined" checkbox, we enter the tobacco cessation medication as an intervention that was declined
type = InterventionCodeSet.TobaccoCessation.ToString() + " Medication";
RxNorm rCur = RxNorms.GetByRxCUI(iCur.CodeValue);
descript = rCur != null?rCur.Description:"";
break;
}
row.Cells.Add(type);
row.Cells.Add(descript);
row.Cells.Add(iCur.IsPatDeclined?"X":"");
row.Cells.Add(iCur.Note);
row.Tag = iCur;
listRows.Add(row);
}
#endregion
#region CessationMedications
//Tobacco Use Cessation Pharmacotherapy Value Set
string[] arrayRxCuiStrings = EhrCodes.GetForValueSetOIDs(new List <string> {
"2.16.840.1.113883.3.526.3.1190"
}, true)
.Select(x => x.CodeValue).ToArray();
//arrayRxCuiStrings will contain 41 RxCui strings for tobacco cessation medications if those exist in the rxnorm table
List <MedicationPat> listMedPats = MedicationPats.Refresh(PatCur.PatNum, true).FindAll(x => arrayRxCuiStrings.Contains(x.RxCui.ToString()));
foreach (MedicationPat medPatCur in listMedPats)
{
row = new ODGridRow();
List <string> listMedDates = new List <string>();
if (medPatCur.DateStart.Year > 1880)
{
listMedDates.Add(medPatCur.DateStart.ToShortDateString());
}
if (medPatCur.DateStop.Year > 1880)
{
listMedDates.Add(medPatCur.DateStop.ToShortDateString());
}
if (listMedDates.Count == 0)
{
listMedDates.Add(medPatCur.DateTStamp.ToShortDateString());
}
row.Cells.Add(string.Join(" - ", listMedDates));
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
row.Cells.Add(RxNorms.GetDescByRxCui(medPatCur.RxCui.ToString()));
row.Cells.Add(medPatCur.PatNote);
row.Tag = medPatCur;
listRows.Add(row);
}
#endregion
listRows.OrderBy(x => PIn.Date(x.Cells[0].Text)) //rows ordered by date, oldest first
.ThenBy(x => x.Cells[3].Text != "")
//interventions at the top, declined med interventions below normal interventions
.ThenBy(x => x.Tag.GetType().Name != "Intervention" || ((Intervention)x.Tag).CodeSystem == "RXNORM").ToList()
.ForEach(x => gridInterventions.Rows.Add(x)); //then add rows to gridInterventions
gridInterventions.EndUpdate();
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Date", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Type", 170);
gridMain.Columns.Add(col);
col = new ODGridColumn("Description", 170);
gridMain.Columns.Add(col);
col = new ODGridColumn("Documentation", 170);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
List <ODGridRow> listRows = new List <ODGridRow>();
#region AssessedEvents
_ListEvents = EhrMeasureEvents.RefreshByType(PatCur.PatNum, EhrMeasureEventType.TobaccoUseAssessed);
for (int i = 0; i < _ListEvents.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(_ListEvents[i].DateTEvent.ToShortDateString());
Loinc lCur = Loincs.GetByCode(_ListEvents[i].CodeValueEvent); //TobaccoUseAssessed events can be one of three types, all LOINC codes
if (lCur != null)
{
row.Cells.Add(lCur.NameLongCommon);
}
else
{
row.Cells.Add(_ListEvents[i].EventType.ToString());
}
Snomed sCur = Snomeds.GetByCode(_ListEvents[i].CodeValueResult);
if (sCur != null)
{
row.Cells.Add(sCur.Description);
}
else
{
row.Cells.Add("");
}
row.Cells.Add(_ListEvents[i].MoreInfo);
row.Tag = _ListEvents[i];
listRows.Add(row);
}
#endregion
#region CessationInterventions
_ListInterventions = Interventions.Refresh(PatCur.PatNum, InterventionCodeSet.TobaccoCessation);
for (int i = 0; i < _ListInterventions.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(_ListInterventions[i].DateEntry.ToShortDateString());
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Counseling");
string descript = "";
switch (_ListInterventions[i].CodeSystem)
{
case "CPT":
Cpt cptCur = Cpts.GetByCode(_ListInterventions[i].CodeValue);
if (cptCur != null)
{
descript = cptCur.Description;
}
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(_ListInterventions[i].CodeValue);
if (sCur != null)
{
descript = sCur.Description;
}
break;
}
row.Cells.Add(descript);
row.Cells.Add(_ListInterventions[i].Note);
row.Tag = _ListInterventions[i];
listRows.Add(row);
}
#endregion
#region CessationMedications
_ListMedPats = MedicationPats.Refresh(PatCur.PatNum, true);
List <EhrCode> listEhrMeds = EhrCodes.GetForValueSetOIDs(new List <string> {
"2.16.840.1.113883.3.526.3.1190"
}, true); //Tobacco Use Cessation Pharmacotherapy Value Set
//listEhrMeds will contain 41 medications for tobacco cessation if those exist in the rxnorm table
for (int i = _ListMedPats.Count - 1; i > -1; i--)
{
bool found = false;
for (int j = 0; j < listEhrMeds.Count; j++)
{
if (_ListMedPats[i].RxCui.ToString() == listEhrMeds[j].CodeValue)
{
found = true;
break;
}
}
if (!found)
{
_ListMedPats.RemoveAt(i);
}
}
for (int i = 0; i < _ListMedPats.Count; i++)
{
row = new ODGridRow();
string dateRange = "";
if (_ListMedPats[i].DateStart.Year > 1880)
{
dateRange = _ListMedPats[i].DateStart.ToShortDateString();
}
if (_ListMedPats[i].DateStop.Year > 1880)
{
if (dateRange != "")
{
dateRange += " - ";
}
dateRange += _ListMedPats[i].DateStop.ToShortDateString();
}
if (dateRange == "")
{
dateRange = _ListMedPats[i].DateTStamp.ToShortDateString();
}
row.Cells.Add(dateRange);
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
string medDescript = RxNorms.GetDescByRxCui(_ListMedPats[i].RxCui.ToString());
row.Cells.Add(medDescript);
row.Cells.Add(_ListMedPats[i].PatNote);
row.Tag = _ListMedPats[i];
listRows.Add(row);
}
#endregion
listRows.Sort(SortDate);
for (int i = 0; i < listRows.Count; i++)
{
gridMain.Rows.Add(listRows[i]);
}
gridMain.EndUpdate();
}
///<summary>Returns false if user does not wish to continue after seeing alert.</summary>
public static bool DisplayAlerts(long patNum, long rxDefNum)
{
List <RxAlert> alertList = null;
//if(rxDefNum==0){
// alertList=RxAlerts.RefreshByRxCui(rxCui);//for CPOE
//}
//else{
alertList = RxAlerts.Refresh(rxDefNum); //for Rx
//}
List <Disease> diseases = Diseases.Refresh(patNum);
List <Allergy> allergies = Allergies.Refresh(patNum);
List <MedicationPat> medicationPats = MedicationPats.Refresh(patNum, false); //Exclude discontinued, only active meds.
List <string> diseaseMatches = new List <string>();
List <string> allergiesMatches = new List <string>();
List <string> medicationsMatches = new List <string>();
List <string> customMessages = new List <string>();
bool showHighSigOnly = PrefC.GetBool(PrefName.EhrRxAlertHighSeverity);
for (int i = 0; i < alertList.Count; i++)
{
for (int j = 0; j < diseases.Count; j++)
{
//This does not look for matches with icd9s.
if (alertList[i].DiseaseDefNum == diseases[j].DiseaseDefNum && diseases[j].ProbStatus == 0) //ProbStatus is active.
{
if (alertList[i].NotificationMsg == "")
{
diseaseMatches.Add(DiseaseDefs.GetName(diseases[j].DiseaseDefNum));
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < allergies.Count; j++)
{
if (alertList[i].AllergyDefNum == allergies[j].AllergyDefNum && allergies[j].StatusIsActive)
{
if (alertList[i].NotificationMsg == "")
{
allergiesMatches.Add(AllergyDefs.GetOne(alertList[i].AllergyDefNum).Description);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < medicationPats.Count; j++)
{
bool isMedInteraction = false;
Medication medForAlert = Medications.GetMedication(alertList[i].MedicationNum);
if (medForAlert == null)
{
continue; //MedicationNum will be 0 for all other alerts that are not medication alerts.
}
if (medicationPats[j].MedicationNum != 0 && alertList[i].MedicationNum == medicationPats[j].MedicationNum) //Medication from medication list.
{
isMedInteraction = true;
}
else if (medicationPats[j].MedicationNum == 0 && medForAlert.RxCui != 0 && medicationPats[j].RxCui == medForAlert.RxCui) //Medication from NewCrop. Unfortunately, neither of these RxCuis are required.
{
isMedInteraction = true;
}
if (!isMedInteraction)
{
continue; //No known interaction.
}
//Medication interaction.
if (showHighSigOnly && !alertList[i].IsHighSignificance) //if set to only show high significance alerts and this is not a high significance interaction, do not show alert
{
continue; //Low significance alert.
}
if (alertList[i].NotificationMsg == "")
{
Medications.RefreshCache();
medicationsMatches.Add(Medications.GetMedication(alertList[i].MedicationNum).MedName);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
//these matches do not include ones that have custom messages.
if (diseaseMatches.Count > 0 ||
allergiesMatches.Count > 0 ||
medicationsMatches.Count > 0)
{
string alert = "";
for (int i = 0; i < diseaseMatches.Count; i++)
{
if (i == 0)
{
alert += Lan.g("RxAlertL", "This patient has the following medical problems: ");
}
alert += diseaseMatches[i];
if ((i + 1) == diseaseMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < allergiesMatches.Count; i++)
{
if (i == 0 && diseaseMatches.Count > 0)
{
alert += "and the following allergies: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient has the following allergies: ");
}
alert += allergiesMatches[i];
if ((i + 1) == allergiesMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < medicationsMatches.Count; i++)
{
if (i == 0 && (diseaseMatches.Count > 0 || allergiesMatches.Count > 0))
{
alert += "and is taking the following medications: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient is taking the following medications: ");
}
alert += medicationsMatches[i];
if ((i + 1) == medicationsMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
alert += "\r\n" + Lan.g("RxAlertL", "Continue anyway?");
if (MessageBox.Show(alert, "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
for (int i = 0; i < customMessages.Count; i++)
{
if (MessageBox.Show(customMessages[i] + "\r\n" + Lan.g("RxAlertL", "Continue anyway?"), "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
return(true);
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Date", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Prov", 50);
gridMain.Columns.Add(col);
col = new ODGridColumn("Intervention Type", 115);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code System", 85);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code Description", 300);
gridMain.Columns.Add(col);
col = new ODGridColumn("Note", 100);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
#region Interventions
listIntervention = Interventions.Refresh(PatCur.PatNum);
for (int i = 0; i < listIntervention.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(listIntervention[i].DateEntry.ToShortDateString());
row.Cells.Add(Providers.GetAbbr(listIntervention[i].ProvNum));
row.Cells.Add(listIntervention[i].CodeSet.ToString());
row.Cells.Add(listIntervention[i].CodeValue);
row.Cells.Add(listIntervention[i].CodeSystem);
//Description of Intervention---------------------------------------------
//to get description, first determine which table the code is from. Interventions are allowed to be SNOMEDCT, ICD9, ICD10, HCPCS, or CPT.
string descript = "";
switch (listIntervention[i].CodeSystem)
{
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(listIntervention[i].CodeValue);
if (sCur != null)
{
descript = sCur.Description;
}
break;
case "ICD9CM":
ICD9 i9Cur = ICD9s.GetByCode(listIntervention[i].CodeValue);
if (i9Cur != null)
{
descript = i9Cur.Description;
}
break;
case "ICD10CM":
Icd10 i10Cur = Icd10s.GetByCode(listIntervention[i].CodeValue);
if (i10Cur != null)
{
descript = i10Cur.Description;
}
break;
case "HCPCS":
Hcpcs hCur = Hcpcses.GetByCode(listIntervention[i].CodeValue);
if (hCur != null)
{
descript = hCur.DescriptionShort;
}
break;
case "CPT":
Cpt cptCur = Cpts.GetByCode(listIntervention[i].CodeValue);
if (cptCur != null)
{
descript = cptCur.Description;
}
break;
}
row.Cells.Add(descript);
row.Cells.Add(listIntervention[i].Note);
row.Tag = listIntervention[i];
gridMain.Rows.Add(row);
}
#endregion
#region MedicationPats
listMedPats = MedicationPats.Refresh(PatCur.PatNum, true);
if (listMedPats.Count > 0)
{
//The following medications are used as interventions for some measures. Include them in the intervention window if they belong to these value sets.
//Above Normal Medications RxNorm Value Set, Below Normal Medications RxNorm Value Set, Tobacco Use Cessation Pharmacotherapy Value Set
List <string> listVS = new List <string> {
"2.16.840.1.113883.3.600.1.1498", "2.16.840.1.113883.3.600.1.1499", "2.16.840.1.113883.3.526.3.1190"
};
List <EhrCode> listEhrMeds = EhrCodes.GetForValueSetOIDs(listVS, true);
for (int i = listMedPats.Count - 1; i > -1; i--)
{
bool found = false;
for (int j = 0; j < listEhrMeds.Count; j++)
{
if (listMedPats[i].RxCui.ToString() == listEhrMeds[j].CodeValue)
{
found = true;
break;
}
}
if (!found)
{
listMedPats.RemoveAt(i);
}
}
}
for (int i = 0; i < listMedPats.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(listMedPats[i].DateStart.ToShortDateString());
row.Cells.Add(Providers.GetAbbr(listMedPats[i].ProvNum));
if (listMedPats[i].RxCui == 314153 || listMedPats[i].RxCui == 692876)
{
row.Cells.Add(InterventionCodeSet.AboveNormalWeight.ToString() + " Medication");
}
else if (listMedPats[i].RxCui == 577154 || listMedPats[i].RxCui == 860215 || listMedPats[i].RxCui == 860221 || listMedPats[i].RxCui == 860225 || listMedPats[i].RxCui == 860231)
{
row.Cells.Add(InterventionCodeSet.BelowNormalWeight.ToString() + " Medication");
}
else //There are 48 total medications that can be used as interventions. The remaining 41 medications are tobacco cessation medications
{
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
}
row.Cells.Add(listMedPats[i].RxCui.ToString());
row.Cells.Add("RXNORM");
//Medications that are used as interventions are all RxNorm codes, get description from that table
string descript = RxNorms.GetDescByRxCui(listMedPats[i].RxCui.ToString());
row.Cells.Add(descript);
row.Cells.Add(listMedPats[i].PatNote);
row.Tag = listMedPats[i];
gridMain.Rows.Add(row);
}
#endregion
gridMain.EndUpdate();
}