private VitalSignDto GetVitalSignFromC32Dto(C32Dto c32Dto)
{
if (c32Dto == null || c32Dto.Body == null || c32Dto.Body.VitalSignsDto == null || c32Dto.Body.VitalSignsDto.VitalSignResults == null || c32Dto.Body.VitalSignsDto.VitalSignResults.Count <= 0)
{
return(null);
}
var vitalSignResults = c32Dto.Body.VitalSignsDto.VitalSignResults;
var vitalSignDto = new VitalSignDto();
var activityStartDate = DateTime.MinValue;
vitalSignDto.WeightLbsMeasure = GetWeightLbs(vitalSignResults, ref activityStartDate);
vitalSignDto.BloodPressures = GetBloodPressures(vitalSignResults, ref activityStartDate);
vitalSignDto.HeartRates = GetHeartRates(vitalSignResults, ref activityStartDate);
CalculateHeight(vitalSignDto, vitalSignResults, ref activityStartDate);
//if (c32Dto.Body.PlanOfCare != null && c32Dto.Body.PlanOfCare.PlannedEvents != null)
//{
// SetDietaryConsultationOrderIndicator ( vitalSignDto, c32Dto.Body.PlanOfCare.PlannedEvents );
// SetBmiFollowUpPlanIndicator ( vitalSignDto, c32Dto.Body.PlanOfCare.PlannedEvents );
//}
if (activityStartDate != DateTime.MinValue)
{
vitalSignDto.ActivityStartDateTime = vitalSignDto.ActivityEndDateTime = activityStartDate;
}
else
{
vitalSignDto.ActivityStartDateTime = vitalSignDto.ActivityEndDateTime = DateTime.Now;
}
return(vitalSignDto);
}
private LabSpecimenDto GetLabSpecimenFromC32Dto(C32Dto c32Dto)
{
if (c32Dto == null || c32Dto.Body == null || c32Dto.Body.Results == null || c32Dto.Body.Results.Count <= 0)
{
return(null);
}
var labSpecimenDto = CreateEmptyLabSpecimenDto();
foreach (var result in c32Dto.Body.Results)
{
if (!labSpecimenDto.LabTestDate.HasValue)
{
labSpecimenDto.LabTestDate = GetLabTestDate(result);
}
var labResultDto = CreateLabResultDto(result);
if (labResultDto != null)
{
labSpecimenDto.LabResults.Add(labResultDto);
}
}
if (labSpecimenDto.LabTestDate.HasValue)
{
labSpecimenDto.ActivityStartDateTime
= labSpecimenDto.ActivityEndDateTime
= labSpecimenDto.LabTestDate.Value;
}
return(labSpecimenDto);
}
private void GetProvenanceFromC32Dto(C32Dto c32Dto, ref ProvenanceDto provenance)
{
if (c32Dto != null && c32Dto.Header != null)
{
var header = c32Dto.Header;
if (header.DocumentId != null)
{
var documentId = header.DocumentId;
provenance.AssigningAuthority = documentId.AssigningAuthority;
provenance.Extension = documentId.Extension;
}
if (header.DocumentTimestamp != null && !string.IsNullOrEmpty(header.DocumentTimestamp.Value))
{
var signedTimestamp = DateTimeOffset.MinValue;
DateTimeOffset.TryParseExact(
header.DocumentTimestamp.Value,
LongDateFormat,
CultureInfo.InvariantCulture,
DateTimeStyles.AssumeUniversal,
out signedTimestamp);
provenance.SignedTimestamp = signedTimestamp;
}
if (header.InformationSource.Author != null && header.InformationSource.Author.AuthorName != null)
{
var authorName = header.InformationSource.Author.AuthorName;
provenance.PrefixName = authorName.Prefix;
provenance.FirstName = authorName.Given;
provenance.LastName = authorName.Family;
}
if (header.InformationSource != null && header.InformationSource.InformationSourceName != null)
{
var sourceName = header.InformationSource.InformationSourceName;
if (sourceName.OrganizationName != null)
{
provenance.OrganizationName = sourceName.OrganizationName.TextValue;
}
if (sourceName.OrganizationId != null)
{
var organizationId = sourceName.OrganizationId;
provenance.OrganizationAssigningAuthority = organizationId.AssigningAuthority;
provenance.OrganizationExtension = organizationId.Extension;
}
if (sourceName.OrganizationTelecom != null)
{
provenance.PhoneNumber = sourceName.OrganizationTelecom.Value;
}
}
}
}
private List <PatientDashboard.ImmunizationDto> GetImmunizationsFromC32Dto(C32Dto c32Dto)
{
var immunizations = new List <PatientDashboard.ImmunizationDto> ();
if (c32Dto != null && c32Dto.Body != null && c32Dto.Body.ImmunizationsDto != null && c32Dto.Body.ImmunizationsDto.Immunizations != null)
{
foreach (var i in c32Dto.Body.ImmunizationsDto.Immunizations)
{
var immunization = GetImmunizationDto(i);
immunizations.Add(immunization);
}
}
return(immunizations);
}
private List <ProblemDto> GetProblemsFromC32Dto(C32Dto c32Dto)
{
var problems = new List <ProblemDto> ();
if (c32Dto != null && c32Dto.Body.Conditions != null)
{
foreach (var c in c32Dto.Body.Conditions)
{
var problem = GetProblemDto(c);
problems.Add(problem);
}
}
return(problems);
}
private List <PatientEditor.AllergyDto> GetAllergiesFromC32Dto(C32Dto c32Dto)
{
var allergies = new List <PatientEditor.AllergyDto> ();
if (c32Dto != null && c32Dto.Body.Allergies != null)
{
foreach (var a in c32Dto.Body.Allergies)
{
var allergy = GetAllergyDto(a);
allergies.Add(allergy);
}
}
return(allergies);
}
private List <PatientDashboard.MedicationDto> GetMedicationsFromC32Dto(C32Dto c32Dto)
{
var medications = new List <PatientDashboard.MedicationDto> ();
if (c32Dto == null || c32Dto.Body == null || c32Dto.Body.Medications == null)
{
return(medications);
}
foreach (MedicationDto dto in c32Dto.Body.Medications)
{
var medication = CreateMedication(dto);
medications.Add(medication);
}
return(medications);
}
private void AddProcedureForBriefIntervention(
C32Dto dto, Visit visit, BriefIntervention briefIntervention, string procedureFreeTextType, OriginalTextCodedConceptDto procedureType )
{
var procedureDto = new ProcedureDto ();
//procedureDto.BodySite = new OriginalTextCodedConceptDto()
//{
// Code = "43789009",
// CodeSystem = "2.16.840.1.113883.6.96",
// DisplayName = "CBC WO DIFFERENTIAL",
// OriginalText = "Extract blood for CBC test"
//};
procedureDto.ProcedureDateTime = new OperatorDateTimeDto { Date = visit.AppointmentDateTimeRange.StartDateTime.ToString ( "yyyyMMdd" ) };
procedureDto.ProcedureFreeTextType = procedureFreeTextType;
procedureDto.ProcedureIds = new List<IIDataTransferObject> ();
procedureDto.ProcedureIds = new List<IIDataTransferObject> { new IIDataTransferObject { Root = briefIntervention.Key.ToString () } };
if ( visit.Staff != null )
{
var providerInformationDto = new ProviderInformationDto ();
providerInformationDto.ProviderId = new IIDataTransferObject { Root = visit.Staff.Key.ToString () };
providerInformationDto.ProviderName = new PersonNameDto
{
Family = visit.Staff.StaffProfile.StaffName.Last,
Given = visit.Staff.StaffProfile.StaffName.First,
Prefix = visit.Staff.StaffProfile.StaffName.Prefix,
Suffix = visit.Staff.StaffProfile.StaffName.Suffix
};
if ( visit.Staff.Agency != null )
{
providerInformationDto.ProviderOrganizationName = new TextNullFlavorDataTransferObject
{
TextValue = visit.Staff.Agency.AgencyProfile.AgencyName.LegalName
};
}
if ( procedureDto.ProcedureProviders == null )
{
procedureDto.ProcedureProviders = new List<ProviderInformationDto> ();
}
procedureDto.ProcedureProviders.Add ( providerInformationDto );
}
procedureDto.ProcedureType = procedureType;
//QualifierDto qualifierDto = new QualifierDto();
//qualifierDto.Name = new CodedConceptDataTransferObject() { Code = "272741003", DisplayName = "Laterality" };
//qualifierDto.Value = new CodedConceptDataTransferObject() { Code = "7771000", DisplayName = "Left" };
//procedureDto.ProcedureType.Qualifiers = new List<QualifierDto>() {qualifierDto};
if ( dto.Body.ProceduresDto == null )
{
dto.Body.ProceduresDto = new ProceduresDto ();
}
if ( dto.Body.ProceduresDto.Procedures == null )
{
dto.Body.ProceduresDto.Procedures = new List<ProcedureDto> ();
}
dto.Body.ProceduresDto.Procedures.Add ( procedureDto );
}
/// <summary>
/// Creates the C32 dto.
/// </summary>
/// <param name="patientKey">The patient key.</param>
/// <returns>A <see cref="C32Gen.DataTransferObject.C32Dto"/></returns>
public C32Dto CreateC32Dto( long patientKey )
{
var patient = GetPatientForC32DtoGeneration ( patientKey );
var dto = new C32Dto ();
dto.Body = new C32BodyDto ();
dto.Header = new C32HeaderDto ();
var guid = new Guid ();
var timestampInIso8601Format = DateTime.Now.ToString ( "yyyyMMddHHmm" );
#region Header creation
dto.Header.DocumentId = new AssigningAuthorityIdDto { Root = guid.ToString (), Extension = "1", AssigningAuthority = "FEI Systems Inc."};
dto.Header.Title = string.Format (
"{0} Continuity of Care Document for {1}", patient.Agency.AgencyProfile.AgencyName.LegalName, patient.Name.Complete );
dto.Header.Version = new VersionDto { Number = 1, SetId = new IIDataTransferObject { Root = guid.ToString () } };
//TODO: Lookup table for Confidentiality Code
dto.Header.Confidentiality = new CodedConceptDataTransferObject { CodeSystem = Hl7Codes.Hl7ConfidentialityCode, Code = "N" };
dto.Header.DocumentTimestamp = new ValueDataTransferObject { Value = timestampInIso8601Format };
var personalInfoDto = new PersonalInfoDto ();
personalInfoDto.PatientInfo = new PatientInfoDto ();
personalInfoDto.PatientInfo.PersonId = new IIDataTransferObject { Extension = patient.Key.ToString (), Root = guid.ToString () };
personalInfoDto.PatientInfo.PersonAddress = new AddressDto ();
var patientHomeAddress =
patient.Addresses.Where (
p => p.PatientAddressType.WellKnownName == PatientAddressType.Home ).FirstOrDefault ();
if ( patientHomeAddress != null )
{
if ( !string.IsNullOrWhiteSpace ( patientHomeAddress.Address.FirstStreetAddress )
|| !string.IsNullOrWhiteSpace ( patientHomeAddress.Address.SecondStreetAddress ) )
{
personalInfoDto.PatientInfo.PersonAddress.StreetAddressLines = new List<string> ();
if ( !string.IsNullOrWhiteSpace ( patientHomeAddress.Address.FirstStreetAddress ) )
{
personalInfoDto.PatientInfo.PersonAddress.StreetAddressLines.Add ( patientHomeAddress.Address.FirstStreetAddress );
}
if ( !string.IsNullOrWhiteSpace ( patientHomeAddress.Address.SecondStreetAddress ) )
{
personalInfoDto.PatientInfo.PersonAddress.StreetAddressLines.Add ( patientHomeAddress.Address.SecondStreetAddress );
}
}
personalInfoDto.PatientInfo.PersonAddress.City = patientHomeAddress.Address.CityName;
personalInfoDto.PatientInfo.PersonAddress.State = patientHomeAddress.Address.StateProvince.Name;
personalInfoDto.PatientInfo.PersonAddress.PostalCode = patientHomeAddress.Address.PostalCode.Code;
}
personalInfoDto.PatientInfo.PersonPhone = new ValueDataTransferObject ();
var patientHomePhone =
patient.PhoneNumbers.Where (
p => p.PatientPhoneType.WellKnownName == PatientPhoneType.Home ).FirstOrDefault ();
if ( patientHomePhone != null )
{
personalInfoDto.PatientInfo.PersonPhone.Value = patientHomePhone.PhoneNumber;
}
personalInfoDto.PatientInfo.PersonInfo = new PersonInfoDto
{
PersonName = new PersonNameDto { Given = patient.Name.First, Family = patient.Name.Last, Suffix = patient.Name.Suffix },
PersonDateOfBirth =
new ValueDataTransferObject
{
Value = patient.Profile.BirthDate == null ? string.Empty : patient.Profile.BirthDate.Value.ToString ( "yyyyMMdd" )
}
};
if ( patient.BirthInfo != null )
{
personalInfoDto.PatientInfo.PersonInfo.BirthPlace = new NameDataTransferObject
{
Name =
string.Format (
"{0}, {1}, {2}",
patient.BirthInfo.BirthCityName,
patient.BirthInfo.BirthCountyArea,
patient.BirthInfo.BirthStateProvince )
};
}
if ( patient.Profile.PatientGender != null )
{
personalInfoDto.PatientInfo.PersonInfo.Gender = new CodedConceptDataTransferObject
{
Code = patient.Profile.PatientGender.AdministrativeGender.CodedConceptCode,
DisplayName = patient.Profile.PatientGender.AdministrativeGender.Name,
CodeSystem = patient.Profile.PatientGender.AdministrativeGender.CodeSystemIdentifier,
CodeSystemName = patient.Profile.PatientGender.AdministrativeGender.CodeSystemName
};
}
//if (patient.MaritalStatus != null)
//{
// personalInfoDto.PatientInfo.PersonInfo.MaritalStatus = new CodedConceptDataTransferObject()
// {
// Code = "S",
// DisplayName = patient.MaritalStatus.Name,
// CodeSystem = "2.16.840.1.113883.5.2",
// CodeSystemName = "HL7 Marital status"
// };
//}
//if (patient.ReligiousAffiliation != null)
//{
// personalInfoDto.PatientInfo.PersonInfo.ReligiousAffiliation = new CodedConceptDataTransferObject
// {
// Code = "1022",
// DisplayName = patient.ReligiousAffiliation.Name,
// CodeSystem = "2.16.840.1.113883.5.1076",
// CodeSystemName = "ReligiousAffiliation"
// };
//}
//var primaryRace =
// patient.Races.Where(p => (p.PrimaryIndicator != null && p.PrimaryIndicator.Value == true)).
// FirstOrDefault();
////TODO: Race CodedConceptLookupBase
//if (primaryRace != null)
//{
// personalInfoDto.PatientInfo.PersonInfo.Race = new CodedConceptDataTransferObject
// {
// Code = "2178-2",
// DisplayName = primaryRace.Race.Name,
// CodeSystem = "2.16.840.1.113883.6.238",
// CodeSystemName = "CDC Race and Ethnicity"
// };
// //TODO: Enthnicity? DetailedEnthnicity? Which one to use?
// var primaryRaceEthnicity = primaryRace.Race.RaceDetailedEthnicities.FirstOrDefault();
// if (primaryRaceEthnicity != null)
// {
// personalInfoDto.PatientInfo.PersonInfo.Ethnicity = new CodedConceptDataTransferObject
// {
// Code = "2178-2",
// DisplayName =
// primaryRaceEthnicity.DetailedEthnicity.
// Name,
// CodeSystem = "2.16.840.1.113883.6.238",
// CodeSystemName = "CDC Race and Ethnicity"
// };
// }
//}
dto.Header.PersonalInfo = personalInfoDto;
//TODO: Our language on patient doesn't have these information
var languageSpokenDto = new LanguageSpokenDto ();
languageSpokenDto.LanguageCode = new CodeDto { Code = "en-US" };
languageSpokenDto.ModeCode = new OriginalTextCodedConceptDto
{
Code = "RWR", DisplayName = "Receive Written", CodeSystem = "2.16.840.1.113883.5.60", CodeSystemName = "LanguageAbilityMode"
};
languageSpokenDto.PreferenceInd = new ValueDataTransferObject { Value = "false" };
if ( dto.Header.Languages == null )
{
dto.Header.Languages = new List<LanguageSpokenDto> ();
}
dto.Header.Languages.Add ( languageSpokenDto );
var supportDto = new SupportDto ();
//supportDto.Date = new OperatorDateTimeDto();
var guardianPatientContact =
patient.Contacts.FirstOrDefault (
patientContact =>
patientContact.ContactTypes.Any (
patientContactContactType =>
patientContactContactType.PatientContactType.WellKnownName ==
PatientContactType.Guardian ) );
if ( guardianPatientContact != null )
{
supportDto.Guardian = new GuardianDto
{
ContactAddress =
new AddressDto
{
StreetAddressLines =
new List<string> { guardianPatientContact.FirstStreetAddress, guardianPatientContact.SecondStreetAddress },
City = guardianPatientContact.CityName,
PostalCode = guardianPatientContact.PostalCode
},
ContactName = new PersonNameDto { Given = guardianPatientContact.FirstName, Family = guardianPatientContact.LastName }
};
if ( guardianPatientContact.StateProvince != null )
{
supportDto.Guardian.ContactAddress.State = guardianPatientContact.StateProvince.Name;
}
var patientContactHomePhone =
guardianPatientContact.PhoneNumbers.Where (
p => p.PatientContactPhoneType.WellKnownName == PatientPhoneType.Home ).FirstOrDefault ();
if ( patientContactHomePhone != null )
{
supportDto.Guardian.ContactTelecom = new ValueDataTransferObject { Value = patientContactHomePhone.PhoneNumber };
}
}
if ( dto.Header.Supports == null )
{
dto.Header.Supports = new List<SupportDto> ();
}
dto.Header.Supports.Add ( supportDto );
var agency = patient.Agency;
if ( agency != null )
{
var custodianDto = new CustodianDto
{
CustodianId = new IIDataTransferObject { Root = guid.ToString (), Extension = patient.Agency.Key.ToString () },
CustodianName = agency.AgencyProfile.AgencyName.LegalName
};
dto.Header.Custodian = custodianDto;
}
////TODO: Should HealthCareProviders be a collection?
//var clinicalCase = patient.ClinicalCases.FirstOrDefault();
//if (clinicalCase != null)
//{
// var healthcareProvider = clinicalCase.PerformedByStaff;
// if (healthcareProvider != null)
// {
// var healthCareProvidersDto = new HealthCareProvidersDto()
// {
// HealthcareProvider = new HealthcareProviderDto()
// {
// Role = new OriginalTextCodedConceptDto()
// {
// Code = "PCP",
// CodeSystem = "2.16.840.1.113883.5.88",
// OriginalText = "Primary Care Physician"
// },
// DateRange = new DateDateRangeDto() { StartDate = new ValueDataTransferObject() { Value = "19320924" }, EndDate = new ValueDataTransferObject() { Value = "20000407" } },
// ProviderEntity = new ProviderEntityDto()
// {
// ProviderId = new IIDataTransferObject() { Root = "20cf14fb-b65c-4c8c-a54d-b0cca834c18c" },
// ProviderName = new PersonNameDto() { Prefix = healthcareProvider.PrefixName, Given = healthcareProvider.FirstName , Family = healthcareProvider.LastName }
// }
// }
// };
// var healthProviderAgency = healthcareProvider.Agency;
// if (healthProviderAgency != null)
// {
// healthCareProvidersDto.HealthcareProvider.ProviderEntity.ProviderOrganizationName = healthProviderAgency.LegalName;
// }
// dto.Header.HealthCareProviders = healthCareProvidersDto;
// }
//}
// TODO: Author? Creating Machine or Person
var informationSourceDto = new InformationSourceDto ();
informationSourceDto.Author = new AuthorDto
{
AuthorTime = new ValueDataTransferObject { Value = "20000407130000+0500" },
AuthorName = new PersonNameDto { Prefix = "prefix", Given = "given", Family = "family", Suffix = "suffix" },
Reference = new ReferenceDto
{
ReferenceDocumentId = new IIDataTransferObject { Root = "root6", Extension = "extension6" },
ReferenceDocumentUrl = new ValueDto { Value = "http://www.feiinfo.com" }
}
};
//informationSourceDto.InformationSourceName = new InformationSourceNameDto
//{
// PersonName = new PersonNameDto { Prefix = "prefix", Given = "given", Family = "family", Suffix = "suffix" },
//};
dto.Header.InformationSource = informationSourceDto;
#endregion Header creation
#region Body creation
foreach (var clinicalCase in patient.ClinicalCases)
{
foreach ( var visit in clinicalCase.Visits.Where ( p => p.VisitStatus.WellKnownName == VisitStatus.CheckedIn ) )
{
#region Encounters
AddEncounterDto ( dto, visit );
#endregion Encounters
var visitActivities = visit.Activities.ToList ();
#region Encounters of BriefIntervention
foreach (
var briefIntervention in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.BriefIntervention ) )
{
if ( ( briefIntervention as BriefIntervention ).TobaccoCessationCounselingIndicator.HasValue
&& ( briefIntervention as BriefIntervention ).TobaccoCessationCounselingIndicator.Value )
{
var tobaccoCessationCounselingEncounter = AddEncounterDto ( dto, visit );
tobaccoCessationCounselingEncounter.EncounterType = new OriginalTextCodedConceptDto
{
Code = "99406",
CodeSystem = "2.16.840.1.113883.6.12",
CodeSystemName = "CPT",
DisplayName = "Tobacco Use Cessation Counseling"
};
}
}
#endregion
#region Problem List (aka Conditions, Diagnoses ), from Visit Problem
var visitProblems = visit.Problems;
foreach ( var visitProblem in visitProblems )
{
var problem = visitProblem.Problem;
AddProblem ( dto, problem, visit.AppointmentDateTimeRange.StartDateTime );
}
#endregion Problem List (aka Conditions, Diagnoses), from Visit Problem
#region Diagnostic Results (aka Labs)
foreach ( var labSpeciment in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.LabSpecimen ) )
{
foreach ( var labTest in ( labSpeciment as LabSpecimen ).LabTests )
{
foreach ( var labResult in labTest.LabResults )
{
var resultDto = new ResultDto ();
resultDto.ResultId = new IIDataTransferObject { Root = guid.ToString (), Extension = labResult.Key.ToString () };
if ( labTest.LabTestInfo.TestReportDate != null )
{
resultDto.ResultDateTime = new OperatorDateTimeDto
{
Date = labTest.LabTestInfo.TestReportDate.Value.ToString ( "yyyyMMdd" )
};
}
resultDto.ProcedureCode = new OriginalTextCodedConceptDto
{
Code = labResult.LabTestResultNameCodedConcept.CodedConceptCode,
CodeSystem = labResult.LabTestResultNameCodedConcept.CodeSystemIdentifier,
CodeSystemName = labResult.LabTestResultNameCodedConcept.CodeSystemName,
DisplayName = labResult.LabTestResultNameCodedConcept.DisplayName,
OriginalText = labResult.LabTestResultNameCodedConcept.OriginalDescription
};
if ( labTest.LabTestInfo.LabTestTypeCodedConcept != null )
{
resultDto.ResultType = new OriginalTextCodedConceptDto
{
Code = labTest.LabTestInfo.LabTestTypeCodedConcept.CodedConceptCode,
CodeSystem = labTest.LabTestInfo.LabTestTypeCodedConcept.CodeSystemIdentifier,
CodeSystemName = labTest.LabTestInfo.LabTestTypeCodedConcept.CodeSystemName,
DisplayName = labTest.LabTestInfo.LabTestTypeCodedConcept.DisplayName,
};
}
else
{
resultDto.ResultType = new OriginalTextCodedConceptDto
{
Code = "30313-1",
CodeSystem = "2.16.840.1.113883.6.1",
CodeSystemName = "LOINC",
DisplayName = "HGB",
};
}
resultDto.ResultStatus = labTest.LabTestInfo.LabResultStatusCodedConcept != null
? new CodeDto { Code = labTest.LabTestInfo.LabResultStatusCodedConcept.CodedConceptCode }
: new CodeDto { Code = "completed" };
if ( labResult.Value != null )
{
resultDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject
{
Value = labResult.Value.Value.ToString ( "F1" ),
Unit = labResult.UnitOfMeasureCode
}
};
}
if ( labTest.LabTestInfo.InterpretationCodeCodedConcept != null )
{
resultDto.ResultInterpretation = new OriginalTextCodedConceptDto
{
Code = labTest.LabTestInfo.InterpretationCodeCodedConcept.CodedConceptCode,
CodeSystem = labTest.LabTestInfo.InterpretationCodeCodedConcept.CodeSystemIdentifier,
CodeSystemName = labTest.LabTestInfo.InterpretationCodeCodedConcept.CodeSystemName,
DisplayName = labTest.LabTestInfo.InterpretationCodeCodedConcept.DisplayName,
};
}
resultDto.ResultReferenceRange = labTest.LabTestInfo.NormalRangeDescription;
if ( dto.Body.Results == null )
{
dto.Body.Results = new List<ResultDto> ();
}
dto.Body.Results.Add ( resultDto );
}
}
}
#endregion
foreach ( var vitalSignActivity in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.VitalSign ) )
{
#region Vital Signs
var vitalSign = vitalSignActivity as VitalSign;
// Body Height
if ( vitalSign.Height != null && ( vitalSign.Height.FeetMeasure != null || vitalSign.Height.InchesMeasure != null ) )
{
var vitalSignBodyHeightDto = GetVitalSignResultDto ( visit, vitalSign );
var heightCmMeasure = ( ( vitalSign.Height.FeetMeasure == null
? 0
: vitalSign.Height.FeetMeasure.Value ) * 12.0 ) +
( ( ( vitalSign.Height.InchesMeasure == null
? 0
: vitalSign.Height.InchesMeasure.Value ) ) * 2.54 );
vitalSignBodyHeightDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "50373000",
DisplayName = "Body Height"
};
vitalSignBodyHeightDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignBodyHeightDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject { Value = Math.Round ( heightCmMeasure ).ToString (), Unit = "cm" }
};
AddVitalSignResultDto ( dto, vitalSignBodyHeightDto );
}
// Body Weight
if ( vitalSign.WeightLbsMeasure != null )
{
var vitalSignBodyWeightDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignBodyWeightDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "27113001",
DisplayName = "Body Weight"
};
vitalSignBodyWeightDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignBodyWeightDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject { Value = vitalSign.WeightLbsMeasure.Value.ToString ( "0.00" ), Unit = "lbs" }
};
AddVitalSignResultDto ( dto, vitalSignBodyWeightDto );
}
// BMI
var bmi = vitalSign.CalculateBmi ();
if ( bmi != null )
{
var vitalSignBmiDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignBmiDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "225171007",
DisplayName = "Body mass index"
};
vitalSignBmiDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignBmiDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject { Value = Math.Round ( bmi.Value ).ToString (), Unit = "kg/m2" }
};
AddVitalSignResultDto ( dto, vitalSignBmiDto );
var vitalSignBmiPercentileDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignBmiPercentileDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "162860001",
DisplayName = "BMI percentile"
};
vitalSignBmiPercentileDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignBmiPercentileDto.ResultValue = new ResultValueDto
{
PhysicalQuantity = new ValueUnitDataTransferObject ()
//{ Value = Math.Round(bmi.Value).ToString(), Unit = "kg/m2" }
};
AddVitalSignResultDto ( dto, vitalSignBmiPercentileDto );
}
// Blood Pressures
foreach ( var bloodPressure in vitalSign.BloodPressures )
{
var vitalSignSystollicBpDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignSystollicBpDto.ResultId = new IIDataTransferObject { Root = bloodPressure.Key.ToString () };
vitalSignSystollicBpDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "12929001",
DisplayName = "Systolic BP"
};
vitalSignSystollicBpDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignSystollicBpDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject { Value = bloodPressure.SystollicMeasure.ToString (), Unit = "mm[Hg]" }
};
AddVitalSignResultDto ( dto, vitalSignSystollicBpDto );
var vitalSignDiastolicBpDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignDiastolicBpDto.ResultId = new IIDataTransferObject { Root = bloodPressure.Key.ToString () };
vitalSignDiastolicBpDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED",
Code = "163031004",
DisplayName = "Diastolic BP"
};
vitalSignDiastolicBpDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignDiastolicBpDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject { Value = bloodPressure.DiastollicMeasure.ToString (), Unit = "mm[Hg]" }
};
AddVitalSignResultDto ( dto, vitalSignDiastolicBpDto );
}
// Heart Rates
foreach ( var hearRate in vitalSign.HeartRates )
{
var vitalSignSystollicBpDto = GetVitalSignResultDto ( visit, vitalSign );
vitalSignSystollicBpDto.ResultId = new IIDataTransferObject { Root = hearRate.Key.ToString () };
vitalSignSystollicBpDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED",
Code = "364075005",
DisplayName = "Heart rate"
};
vitalSignSystollicBpDto.ResultStatus = new CodeDto { Code = "completed" };
vitalSignSystollicBpDto.ResultValue = new ResultValueDto
{
PhysicalQuantity =
new ValueUnitDataTransferObject
{
Value = hearRate.BeatsPerMinuteMeasure.ToString (),
Unit = "beats per minute"
}
};
AddVitalSignResultDto ( dto, vitalSignSystollicBpDto );
}
#endregion Vital Signs
#region Plan of Care
// The Dietary Consultation Order maps to the C32 using a SNOMED code.
if ( vitalSign.DietaryConsultationOrderIndicator != null && vitalSign.DietaryConsultationOrderIndicator.Value )
{
var plannedObservationPlannedEventDto = new PlannedEventDto
{
PlanFreeText = "dietary consultation order",
PlanId = new IIDataTransferObject { Root = vitalSign.Key.ToString () },
PlannedTime =
new OperatorDateTimeDto
{ Date = visit.AppointmentDateTimeRange.StartDateTime.AddDays ( 10 ).ToString ( "yyyyMMdd" ) },
PlanType = new OriginalTextCodedConceptDto
{
Code = "103699006",
DisplayName = "dietary consultation order",
CodeSystem = "2.16.840.1.113883.6.96"
}
};
//TODO: Hard coded 10 days after the visit for the planned event
AddPlannedEvent ( dto, plannedObservationPlannedEventDto );
}
// The Follow-up Management Plan for BMI Management maps to the c32 using a HCPCS code.
if ( vitalSign.BmiFollowUpPlanIndicator != null && vitalSign.BmiFollowUpPlanIndicator.Value )
{
var plannedObservationPlannedEventDto = new PlannedEventDto
{
PlanFreeText = "BMI Management",
PlanId = new IIDataTransferObject { Root = vitalSign.Key.ToString () },
PlannedTime =
new OperatorDateTimeDto
{ Date = visit.AppointmentDateTimeRange.StartDateTime.AddDays ( 10 ).ToString ( "yyyyMMdd" ) },
PlanType = new OriginalTextCodedConceptDto
{
Code = "169411000",
DisplayName = "BMI Management",
CodeSystem = "2.16.840.1.113883.6.96"
}
};
//TODO: Hard coded 10 days after the visit for the planned event
AddPlannedEvent ( dto, plannedObservationPlannedEventDto );
}
#endregion Plan of Care
}
foreach (
var socialHistoryActivity in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.SocialHistory ) )
{
var socialHistory = socialHistoryActivity as SocialHistory;
#region Vital Signs and SocialHistory for Tobacco User
if ( socialHistory.SocialHistorySmoking != null && socialHistory.SocialHistorySmoking.SmokingStatus != null )
{
if ( socialHistory.SocialHistorySmoking.SmokingStatus.WellKnownName == SmokingStatus.EverydaySmoker ||
socialHistory.SocialHistorySmoking.SmokingStatus.WellKnownName == SmokingStatus.SomedaySmoker )
{
var vitalSignTobaccoUserpDto = new ResultDto ();
vitalSignTobaccoUserpDto.ResultId = new IIDataTransferObject { Root = socialHistory.Key.ToString () };
vitalSignTobaccoUserpDto.ResultDateTime = new OperatorDateTimeDto
{
Date = visit.AppointmentDateTimeRange.StartDateTime.ToString ( "yyyyMMdd" )
};
vitalSignTobaccoUserpDto.ResultType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED",
Code = "160603005",
DisplayName = "Tobacco User"
};
vitalSignTobaccoUserpDto.ResultStatus = new CodeDto { Code = "completed" };
AddVitalSignResultDto ( dto, vitalSignTobaccoUserpDto );
var socialHistoryTypeDto = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.96",
CodeSystemName = "SNOMED CT",
Code = "160603005"
};
AddSocialHistory ( dto, visit, socialHistory, socialHistoryTypeDto );
}
}
#endregion Vital Signs and SocialHistory for Tobacco User
}
#region Immunization and Influenza Immunization Procedures
foreach (
var immunizationActivity in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.Immunization ) )
{
var immunization = immunizationActivity as Immunization;
var immunizationDto = new C32Gen.DataTransferObject.ImmunizationDto ();
//TODO: Which value to put here?
immunizationDto.AdministeredDate = new ValueDataTransferObject { Value = "199911" };
if ( immunization.ImmunizationVaccineInfo != null && immunization.ImmunizationVaccineInfo.VaccineCodedConcept != null )
{
immunizationDto.MedicationInformations = new List<MedicationInformationDto> ();
var medicationInformationDto = new MedicationInformationDto ();
immunizationDto.MedicationInformations.Add ( medicationInformationDto );
medicationInformationDto.CodedProductName = new OriginalTextCodedConceptDto
{
Code = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodedConceptCode,
DisplayName = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.DisplayName,
CodeSystem = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodeSystemIdentifier,
CodeSystemName = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodeSystemName
};
//medicationInformationDto.CodedBrandName = new CodedConceptDataTransferObject() { Code = "code41", DisplayName = "displayName39", CodeSystem = "codeSystem39", CodeSystemName = "codeSystemName39" };
//medicationInformationDto.FreeTextProductName = "Influenza virus vaccine";
//medicationInformationDto.FreeTextBrandName = "freeTextBrandName0";
if ( immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer != null
&&
( immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerCode != null
|| immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerName != null ) )
{
medicationInformationDto.DrugManufacturer = new OrganizationDto ();
if ( immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerCode != null )
{
medicationInformationDto.DrugManufacturer.OrganizationId = new IIDataTransferObject
{
Root = immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerCode
};
}
//medicationInformationDto.DrugManufacturer.OrganizationAddress = new AddressDto() { StreetAddress = "Street Address", City = "city", State = "state", PostalCode = "postalcode"};
if ( immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerName != null )
{
medicationInformationDto.DrugManufacturer.OrganizationName = new TextNullFlavorDataTransferObject
{
TextValue = immunization.ImmunizationVaccineInfo.ImmunizationVaccineManufacturer.VaccineManufacturerName
};
}
//medicationInformationDto.DrugManufacturer.OrganizationTelecom = new ValueDataTransferObject(){Value = "1-999-999-9999"};
}
}
//immunizationDto.MedicationSeriesNumber = new ValueDataTransferObject() { Value = "123456789" };
//immunizationDto.Provider = new OrganizationDto
// {
// OrganizationId = new IIDataTransferObject() { Root = "root11", Extension = "extension11" },
// OrganizationAddress = new AddressDto() { StreetAddress = "Street Address", City = "city", State = "state", PostalCode = "postalcode" },
// OrganizationName = new TextNullFlavorDataTransferObject() { Value = "drug manufacturer" },
// OrganizationTelecom = new ValueDataTransferObject() { Value = "1-999-999-9999" }
// };
//immunizationDto.Reactions = new List<OriginalTextCodedConceptDto>()
// {
// new OriginalTextCodedConceptDto()
// {
// Code = "43789009",
// CodeSystem = "2.16.840.1.113883.6.96",
// DisplayName = "CBC WO DIFFERENTIAL",
// OriginalText = "Extract blood for CBC test"
// }
// };
//TODO:
if ( immunization.ImmunizationNotGivenReason != null )
{
//immunizationDto.RefusalInd = "Refusal Ind";
immunizationDto.RefusalReason = new OriginalTextCodedConceptDto
{
CodeSystem = immunization.ImmunizationNotGivenReason.CodeSystemIdentifier,
CodeSystemName = immunization.ImmunizationNotGivenReason.CodeSystemName,
Code = immunization.ImmunizationNotGivenReason.CodedConceptCode,
DisplayName = immunization.ImmunizationNotGivenReason.Name
};
}
if ( dto.Body.ImmunizationsDto == null )
{
dto.Body.ImmunizationsDto = new ImmunizationsDto ();
}
if ( dto.Body.ImmunizationsDto.Immunizations == null )
{
dto.Body.ImmunizationsDto.Immunizations = new List<C32Gen.DataTransferObject.ImmunizationDto> ();
}
dto.Body.ImmunizationsDto.Immunizations.Add ( immunizationDto );
#region Procedure of Immunization
var procedureDto = new ProcedureDto ();
procedureDto.ProcedureDateTime = new OperatorDateTimeDto
{
Date = visit.AppointmentDateTimeRange.StartDateTime.ToString ( "yyyyMMdd" )
};
procedureDto.ProcedureFreeTextType = "Influenza Vaccination";
procedureDto.ProcedureIds = new List<IIDataTransferObject> ();
procedureDto.ProcedureIds = new List<IIDataTransferObject>
{
new IIDataTransferObject { Root = immunization.Key.ToString () }
};
if ( visit != null && visit.Staff != null )
{
var providerInformationDto = new ProviderInformationDto
{
ProviderId = new IIDataTransferObject { Root = visit.Staff.Key.ToString () },
ProviderName = new PersonNameDto
{
Family = visit.Staff.StaffProfile.StaffName.Last,
Given = visit.Staff.StaffProfile.StaffName.First,
Prefix = visit.Staff.StaffProfile.StaffName.Prefix,
Suffix = visit.Staff.StaffProfile.StaffName.Suffix
}
};
if ( visit.Staff.Agency != null )
{
providerInformationDto.ProviderOrganizationName = new TextNullFlavorDataTransferObject
{
TextValue = visit.Staff.Agency.AgencyProfile.AgencyName.LegalName
};
}
if ( procedureDto.ProcedureProviders == null )
{
procedureDto.ProcedureProviders = new List<ProviderInformationDto> ();
}
procedureDto.ProcedureProviders.Add ( providerInformationDto );
}
if ( immunization.ImmunizationVaccineInfo != null )
{
procedureDto.ProcedureType = new OriginalTextCodedConceptDto
{
CodeSystem = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodeSystemIdentifier,
CodeSystemName = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodeSystemName,
Code = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.CodedConceptCode,
DisplayName = immunization.ImmunizationVaccineInfo.VaccineCodedConcept.DisplayName
};
}
if ( dto.Body.ProceduresDto == null )
{
dto.Body.ProceduresDto = new ProceduresDto ();
}
if ( dto.Body.ProceduresDto.Procedures == null )
{
dto.Body.ProceduresDto.Procedures = new List<ProcedureDto> ();
}
dto.Body.ProceduresDto.Procedures.Add ( procedureDto );
#endregion Procedure of Immunization
}
#endregion Immunization and Influenza Immunization Procedures
#region Procedures of BriefIntervention
foreach (
var briefIntervention in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.BriefIntervention ) )
{
if ( ( briefIntervention as BriefIntervention ).TobaccoCessationCounselingIndicator.HasValue
&& ( briefIntervention as BriefIntervention ).TobaccoCessationCounselingIndicator.Value )
{
var procedureFreeTextType = "Tobacco Use Cessation Counseling";
var procedureType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.12",
CodeSystemName = "CPT",
Code = "99406",
DisplayName = "Tobacco Use Cessation Counseling"
};
AddProcedureForBriefIntervention (
dto, visit, briefIntervention as BriefIntervention, procedureFreeTextType, procedureType );
}
if ( ( briefIntervention as BriefIntervention ).NutritionCounselingIndicator.HasValue
&& ( briefIntervention as BriefIntervention ).NutritionCounselingIndicator.Value )
{
var procedureFreeTextType = "nutrition counseling";
var procedureType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.12",
CodeSystemName = "CPT",
Code = "97802",
DisplayName = "nutrition counseling"
};
AddProcedureForBriefIntervention (
dto, visit, briefIntervention as BriefIntervention, procedureFreeTextType, procedureType );
}
if ( ( briefIntervention as BriefIntervention ).PhysicalActivityCounselingIndicator.HasValue
&& ( briefIntervention as BriefIntervention ).PhysicalActivityCounselingIndicator.Value )
{
var procedureFreeTextType = "physical activity counseling";
var procedureType = new OriginalTextCodedConceptDto
{
CodeSystem = "2.16.840.1.113883.6.14",
CodeSystemName = "HCPCS",
Code = "S9451",
DisplayName = "physical activity counseling"
};
AddProcedureForBriefIntervention (
dto, visit, briefIntervention as BriefIntervention, procedureFreeTextType, procedureType );
}
}
#endregion Procedures
//#region Social History (Smoking Status)
//foreach ( Activity procedureActivity in visitActivities.Where ( p => p.ActivityType.WellKnownName == ActivityType.SocialHistory ) )
//{
//}
//#endregion Social History (Smoking Status)
}
}
#region Problem List (aka Conditions, Diagnoses )
foreach ( var clinicalCaseForProblems in patient.ClinicalCases )
{
var problems = clinicalCaseForProblems.Problems;
foreach ( var problem in problems )
{
AddProblem ( dto, problem, null );
}
}
#endregion Problem List (aka Conditions, Diagnoses )
#region Allergies and Reactions
var allergies = patient.Allergies;
foreach ( var allergy in allergies )
{
var allergyDto = new AllergyDto ();
if ( allergy.AllergyType != null )
{
allergyDto.AdverseEventType = new OriginalTextCodedConceptDto
{
Code = allergy.AllergyType.CodedConceptCode,
CodeSystem = allergy.AllergyType.CodeSystemIdentifier,
DisplayName = allergy.AllergyType.Name,
CodeSystemName = allergy.AllergyType.CodeSystemName
};
}
allergyDto.AdverseEventDate = new OperatorDateTimeDto ();
if ( allergy.OnsetDateRange != null && ( allergy.OnsetDateRange.StartDate != null || allergy.OnsetDateRange.EndDate != null ) )
{
if ( allergy.OnsetDateRange.StartDate != null )
{
allergyDto.AdverseEventDate.StartDate = new ValueDataTransferObject
{
Value = allergy.OnsetDateRange.StartDate.Value.ToString ( "yyyyMMdd" )
};
}
if ( allergy.OnsetDateRange.EndDate != null )
{
allergyDto.AdverseEventDate.EndDate = new ValueDataTransferObject
{
Value = allergy.OnsetDateRange.EndDate.Value.ToString ( "yyyyMMdd" )
};
}
}
if ( allergy.AllergenCodedConcept != null )
{
allergyDto.Product = new OriginalTextCodedConceptDto
{
CodeSystem = allergy.AllergenCodedConcept.CodeSystemIdentifier,
DisplayName = allergy.AllergenCodedConcept.DisplayName,
Code = allergy.AllergenCodedConcept.CodedConceptCode,
CodeSystemName = allergy.AllergenCodedConcept.CodeSystemName
};
}
var allergyDtoReactions = new List<OriginalTextCodedConceptDto> ();
foreach ( var allergyReaction in allergy.AllergyReactions )
{
allergyDtoReactions.Add (
new OriginalTextCodedConceptDto
{
CodeSystem = allergyReaction.Reaction.CodeSystemIdentifier,
DisplayName = allergyReaction.Reaction.Name,
Code = allergyReaction.Reaction.CodedConceptCode,
CodeSystemName = allergyReaction.Reaction.CodeSystemName
} );
}
allergyDto.Reactions = allergyDtoReactions;
if ( allergy.AllergySeverityType != null )
{
allergyDto.Severity = new OriginalTextCodedConceptDto
{
CodeSystem = allergy.AllergySeverityType.CodeSystemIdentifier,
DisplayName = allergy.AllergySeverityType.Name,
Code = allergy.AllergySeverityType.CodedConceptCode,
CodeSystemName = allergy.AllergySeverityType.CodeSystemName
};
}
if ( allergy.AllergyStatus != null )
{
allergyDto.AllergyStatus = new OriginalTextCodedConceptDto
{
Code = allergy.AllergyStatus.CodedConceptCode,
CodeSystem = allergy.AllergyStatus.CodeSystemIdentifier,
DisplayName = allergy.AllergyStatus.Name,
CodeSystemName = allergy.AllergyStatus.CodeSystemName
};
}
if ( dto.Body.Allergies == null )
{
dto.Body.Allergies = new List<AllergyDto> ();
}
dto.Body.Allergies.Add ( allergyDto );
}
#endregion Allergies and Reactions
#region Medications
var medications = patient.Medications;
foreach ( var medication in medications )
{
var medicationDto = new C32Gen.DataTransferObject.MedicationDto ();
//medicationDto.IndicateMedicationStopped = new ValueDataTransferObject() { Value = "20101010" };
if ( medication.UsageDateRange != null && ( medication.UsageDateRange.StartDate != null || medication.UsageDateRange.EndDate != null ) )
{
medicationDto.MedicationDateRange = new OperatorDateTimeDto ();
if ( medication.UsageDateRange.StartDate != null )
{
medicationDto.MedicationDateRange.StartDate = new ValueDataTransferObject
{
Value = medication.UsageDateRange.StartDate.Value.ToString ( "yyyyMMdd" )
};
}
if ( medication.UsageDateRange.EndDate != null )
{
medicationDto.MedicationDateRange.EndDate = new ValueDataTransferObject
{
Value = medication.UsageDateRange.EndDate.Value.ToString ( "yyyyMMdd" )
};
}
}
////TODO: AdmissionTiming
//medicationDto.AdmissionTiming = new AdmissionTimingDto() { InstitutionSpecified = false, Period = new ValueDataTransferObject() { Value = "6", Unit = "h" } };
if ( medication.MedicationRoute != null )
{
medicationDto.Route = new OriginalTextCodedConceptDto
{
CodeSystem = medication.MedicationRoute.CodeSystemIdentifier,
Code = medication.MedicationRoute.CodedConceptCode,
DisplayName = medication.MedicationRoute.Name,
CodeSystemName = medication.MedicationRoute.CodeSystemName
};
}
if ( medication.MedicationDoseValue != null )
{
medicationDto.Dose = new ValueUnitDataTransferObject
{
Value = medication.MedicationDoseValue.ToString (), Unit = medication.MedicationDoseUnit.ShortName
};
}
if ( medication.MedicationDoseUnit != null )
{
medicationDto.Dose.Unit = medication.MedicationDoseUnit.Name;
}
////TODO: Site, DoseRestriction?
//medicationDto.Site = new CodedConceptDataTransferObject() { Code = "code31", DisplayName = "displayName29", CodeSystem = "codeSystem29", CodeSystemName = "codeSystemName29" };
//medicationDto.DoseRestriction = new DoseRestrictionDto() { Numerator = new ValueDataTransferObject() { Value = "value63", Unit = "unit18" }, Denominator = new ValueDataTransferObject() { Value = "value64", Unit = "unit19" } };
// ProductForm
//medicationDto.ProductForm = new OriginalTextCodedConceptDto { CodeSystem = "2.16.840.1.113883.3.26.1.1", DisplayName = "Puff", Code = "415215001" };
//TODO: DeliveryMethod?
//medicationDto.DeliveryMethod = new CodedConceptDataTransferObject() { Code = "code37", DisplayName = "displayName35", CodeSystem = "codeSystem29", CodeSystemName = "codeSystemName35" };
if ( medication.MedicationCodeCodedConcept != null )
{
medicationDto.MedicationInformation = new MedicationInformationDto
{
CodedProductName =
new OriginalTextCodedConceptDto
{
CodeSystem = medication.MedicationCodeCodedConcept.CodeSystemIdentifier,
DisplayName = medication.MedicationCodeCodedConcept.DisplayName,
Code = medication.MedicationCodeCodedConcept.CodedConceptCode,
CodeSystemName = medication.MedicationCodeCodedConcept.CodeSystemName
},
////TODO: The following information?
//CodedBrandName = new CodedConceptDataTransferObject() { Code = "code41", DisplayName = "displayName39", CodeSystem = "codeSystem39", CodeSystemName = "codeSystemName39" },
FreeTextProductName = medication.MedicationCodeCodedConcept.DisplayName,
//FreeTextBrandName = "freeTextBrandName0",
//DrugManufacturer = new OrganizationDto()
//{
// OrganizationId = new IIDataTransferObject() { Root = "root11", Extension = "extension11" },
// OrganizationAddress = new AddressDto() { StreetAddress = "Street Address", City = "city", State = "state", PostalCode = "postalcode" },
// OrganizationName = new TextNullFlavorDataTransferObject() { Value = "drug manufacturer" },
// OrganizationTelecom = new ValueDataTransferObject() { Value = "1-999-999-9999" }
//}
};
}
// TODO: Hard Coded
medicationDto.TypeOfMedication = new OriginalTextCodedConceptDto
{
Code = "329505003", CodeSystem = "2.16.840.1.113883.6.96", CodeSystemName = "SNOMED CT"
};
if ( medication.MedicationStatus != null )
{
medicationDto.StatusOfMedication = new StatusCodedConceptDataTransferObject
{
ValueType = "CE",
Status = medication.MedicationStatus.Name,
Code = medication.MedicationStatus.CodedConceptCode,
DisplayName = medication.MedicationStatus.Name,
CodeSystem = medication.MedicationStatus.CodeSystemIdentifier,
CodeSystemName = medication.MedicationStatus.CodeSystemName
};
}
//TODO:
//medicationDto.Indication = new StatusCodedConceptDataTransferObject() { Status = "normal", FreeTextRef = "freeTextRef0", Code = "code46", DisplayName = "displayName44", CodeSystem = "codeSystem44", CodeSystemName = "codeSystemName44" };
medicationDto.Frequency = medication.FrequencyDescription;
medicationDto.PatientInstructions = medication.InstructionsNote;
////TODO:
//medicationDto.Reaction = new CodedConceptDataTransferObject() { Code = "code47", DisplayName = "displayName45", CodeSystem = "codeSystem45", CodeSystemName = "codeSystemName45" };
//medicationDto.Vehicle = new NameDataTransferObject() { Name = "name1", Code = "code48", DisplayName = "displayName45", CodeSystem = "codeSystem45", CodeSystemName = "codeSystemName45" };
//medicationDto.DoseIndicator = "dose";
//medicationDto.OrderInformation = new OrderInformationDto()
//{
// OrderNumber = new IIDataTransferObject() { Root = "root10", Extension = "extension10" },
// Fills = new ValueDataTransferObject() { Value = "value65" },
// QuantityOrdered = new ValueDataTransferObject() { Value = "value66", Unit = "unit20" },
// OrderExpirationDateTime = new ValueDataTransferObject() { Value = "value67" },
// OperatorDateTime = new OperatorDateTimeDto() { StartDate = new ValueDataTransferObject() { Value = "20101010" }, Operator = "operator0" }
//};
//medicationDto.FulfillmentInstructions = "fullfillmentinstructions";
//medicationDto.FulfillmentHistory = new FullfillmentHistoryDto()
//{
// PrescriptionNumber = new IIDataTransferObject() { Root = "root11", Extension = "extension11" },
// Provider = new OrganizationDto()
// {
// OrganizationId = new IIDataTransferObject() { Root = "root11", Extension = "extension11" },
// OrganizationAddress = new AddressDto() { StreetAddress = "Street Address", City = "city", State = "state", PostalCode = "postalcode" },
// OrganizationName = new TextNullFlavorDataTransferObject() { Value = "provider" },
// OrganizationTelecom = new ValueDataTransferObject() { Value = "1-999-999-9999" }
// },
// DispensingPharmacyLocation = new TextNullFlavorDataTransferObject(),
// DispenseDate = new OperatorDateTimeDto() { StartDate = new ValueDataTransferObject() { Value = "20101010" }, EndDate = new ValueDataTransferObject() { Value = "20101010" }, Operator = "operator1" },
// QuantityDispensed = new ValueDataTransferObject() { Value = "value87", Unit = "unit23" },
// FillNumber = new ValueDataTransferObject() { Value = "value28" },
// FillStatus = new ValueDataTransferObject() { Value = "normal" }
//};
if ( dto.Body.Medications == null )
{
dto.Body.Medications = new List<C32Gen.DataTransferObject.MedicationDto> ();
}
dto.Body.Medications.Add ( medicationDto );
#endregion Medications
}
#endregion
return dto;
}
private void AddProblem( C32Dto dto, Problem problem, DateTime? diagnosisDate )
{
var conditionDto = new ConditionDto ();
conditionDto.DiagnosisPriority = 1;
if ( diagnosisDate.HasValue )
{
// TODO: The problem date should be the DiagnosisDate
//conditionDto.ProblemDate = new OperatorDateTimeDto { Date = diagnosisDate.Value.ToString ( "yyyyMMdd" ) };
}
else
{
if ( problem.OnsetDateRange != null && ( problem.OnsetDateRange.StartDate != null || problem.OnsetDateRange.EndDate != null ) )
{
// TODO: The problem date should be the DiagnosisDate
// conditionDto.ProblemDate = new OperatorDateTimeDto ();
// if ( problem.OnsetDateRange.StartDate != null )
// {
// conditionDto.ProblemDate.StartDate = new ValueDataTransferObject
// {
// Value = problem.OnsetDateRange.StartDate.Value.ToString ( "yyyyMMdd" )
// };
// }
// if ( problem.OnsetDateRange.EndDate != null )
// {
// conditionDto.ProblemDate.EndDate = new ValueDataTransferObject
// {
// Value = problem.OnsetDateRange.EndDate.Value.ToString ( "yyyyMMdd" )
// };
// }
}
}
if ( problem.ProblemType != null )
{
conditionDto.ProblemType = new OriginalTextCodedConceptDto
{
Code = problem.ProblemType.CodedConceptCode,
DisplayName = problem.ProblemType.Name,
CodeSystem = problem.ProblemType.CodeSystemIdentifier,
CodeSystemName = problem.ProblemType.CodeSystemName
};
}
if ( problem.ProblemCodeCodedConcept != null )
{
conditionDto.ProblemName = problem.ProblemCodeCodedConcept.DisplayName;
conditionDto.ProblemCode = new OriginalTextCodedConceptDto
{
Code = problem.ProblemCodeCodedConcept.CodedConceptCode,
CodeSystem = problem.ProblemCodeCodedConcept.CodeSystemIdentifier,
DisplayName = problem.ProblemCodeCodedConcept.DisplayName,
CodeSystemName = problem.ProblemCodeCodedConcept.CodeSystemName
};
}
//TODO: Provider problem.ClinicalCase.PerformedByStaff
//conditionDto.Provider = new ProviderDto() { ProviderId = new IIDataTransferObject() { Root = "npi", Extension = "npi-extension" } };
//TODO: We don't have Age At Onset
//conditionDto.AgeAtOnset = 100;
//conditionDto.CauseOfDeath = new CauseOfDeathDto()
//{
// ProblemCode = new CodedConceptDataTransferObject() { Code = "195967001", CodeSystem = "2.16.840.1.113883.6.96", DisplayName = "Asthma", CodeSystemName = "SNOMED-CT" },
// TimeOfDeath = new ValueDataTransferObject() { Value = "20101010" },
// AgeAtDeath = 100
//};
if ( problem.ProblemStatus != null )
{
conditionDto.ProblemStatus = new OriginalTextCodedConceptDto
{
Code = problem.ProblemStatus.CodedConceptCode,
CodeSystem = problem.ProblemStatus.CodeSystemIdentifier,
CodeSystemName = problem.ProblemStatus.CodeSystemName,
DisplayName = problem.ProblemStatus.Name
};
}
if ( dto.Body.Conditions == null )
{
dto.Body.Conditions = new List<ConditionDto> ();
}
dto.Body.Conditions.Add ( conditionDto );
}
private void AddPlannedEvent( C32Dto dto, PlannedEventDto plannedObservationPlannedEventDto )
{
if ( dto.Body.PlanOfCare == null )
{
dto.Body.PlanOfCare = new PlanOfCareDto ();
}
if ( dto.Body.PlanOfCare.PlannedEvents == null )
{
dto.Body.PlanOfCare.PlannedEvents = new List<PlannedEventDto> ();
}
if ( dto.Body.PlanOfCare.ElementNamesForPlannedEvents == null )
{
dto.Body.PlanOfCare.ElementNamesForPlannedEvents = new List<PlanOfCareDto.PlannedEventsElementNameChoiceType> ();
}
dto.Body.PlanOfCare.PlannedEvents.Add ( plannedObservationPlannedEventDto );
dto.Body.PlanOfCare.ElementNamesForPlannedEvents.Add (
PlanOfCareDto.PlannedEventsElementNameChoiceType.plannedObservation );
}
private static void AddVitalSignResultDto( C32Dto dto, ResultDto vitalSignResultDto )
{
if ( dto.Body.VitalSignsDto == null )
{
dto.Body.VitalSignsDto = new VitalSignsDto ();
}
if ( dto.Body.VitalSignsDto.VitalSignResults == null )
{
dto.Body.VitalSignsDto.VitalSignResults = new List<ResultDto> ();
}
dto.Body.VitalSignsDto.VitalSignResults.Add ( vitalSignResultDto );
}
private static void AddSocialHistory(
C32Dto dto, Visit visit, SocialHistory socialHistory, OriginalTextCodedConceptDto socialHistoryTypeDto )
{
var socialHistoryEntryDto = new SocialHistoryEntryDto ();
socialHistoryEntryDto.SocialHistoryId = new IIDataTransferObject { Root = socialHistory.Key.ToString () };
socialHistoryEntryDto.SocialHistoryTime = new OperatorDateTimeDto
{
Date = visit.AppointmentDateTimeRange.StartDateTime.ToString ( "yyyyMMdd" )
};
socialHistoryEntryDto.SocialHistoryType = socialHistoryTypeDto;
if ( dto.Body.SocialHistory == null )
{
dto.Body.SocialHistory = new C32Gen.DataTransferObject.SocialHistoryDto ();
}
if ( dto.Body.SocialHistory.SocialHistoryEntries == null )
{
dto.Body.SocialHistory.SocialHistoryEntries = new List<SocialHistoryEntryDto> ();
}
dto.Body.SocialHistory.SocialHistoryEntries.Add ( socialHistoryEntryDto );
}
private static EncounterDto AddEncounterDto( C32Dto dto, Visit visit )
{
var encounterDto = new EncounterDto ();
//encounterDto.AdmissionType = new OriginalTextCodedConceptDto
//{
// Code = "43789009",
// CodeSystem = "2.16.840.1.113883.6.96",
// DisplayName = "AdmissionType",
// OriginalText = "AdmissionType"
//};
//encounterDto.DischargeDisposition = "DischargeDisposition";
encounterDto.EncounterDateTime = new ValueDataTransferObject
{
Value = visit.AppointmentDateTimeRange.StartDateTime.ToString ( "yyyyMMdd" )
};
encounterDto.EncounterIds = new List<IIDataTransferObject> { new IIDataTransferObject { Root = visit.Key.ToString () } };
if ( visit.Staff != null )
{
var providerInformationDto = new ProviderInformationDto ();
providerInformationDto.ProviderId = new IIDataTransferObject { Root = visit.Staff.Key.ToString () };
providerInformationDto.ProviderName = new PersonNameDto
{
Family = visit.Staff.StaffProfile.StaffName.Last,
Given = visit.Staff.StaffProfile.StaffName.First,
Prefix = visit.Staff.StaffProfile.StaffName.Prefix,
Suffix = visit.Staff.StaffProfile.StaffName.Suffix
};
if ( visit.Staff.Agency != null )
{
providerInformationDto.ProviderOrganizationName = new TextNullFlavorDataTransferObject
{
TextValue = visit.Staff.Agency.AgencyProfile.AgencyName.LegalName
};
}
if ( encounterDto.EncounterProviders == null )
{
encounterDto.EncounterProviders = new List<ProviderInformationDto> ();
}
encounterDto.EncounterProviders.Add ( providerInformationDto );
}
if ( visit.CptCode != null )
{
encounterDto.EncounterType = new OriginalTextCodedConceptDto
{
Code = visit.CptCode,
CodeSystem = "2.16.840.1.113883.6.12",
CodeSystemName = "CPT"
};
}
//encounterDto.FacilityLocation = new FacilityLocationDto()
//{
// LocationDuration =
// new ValueDataTransferObject() { Value = "LocationDuration" }
//};
//encounterDto.ReasonForVisit = new ReasonForVisitDto()
//{
// Reason = new OriginalTextCodedConceptDto
// {
// Code = "43789009",
// CodeSystem = "2.16.840.1.113883.6.96",
// DisplayName = "EncounterType",
// OriginalText = "EncounterType"
// }
//};
if ( dto.Body.EncountersDto == null )
{
dto.Body.EncountersDto = new EncountersDto ();
}
if ( dto.Body.EncountersDto.Encounters == null )
{
dto.Body.EncountersDto.Encounters = new List<EncounterDto> ();
}
dto.Body.EncountersDto.Encounters.Add ( encounterDto );
return encounterDto;
}