public List <Encounters> FillEncounters(IEntryCollection entryCollection, string name)
{
List <Encounters> encounters = new List <Encounters>();
foreach (IEntry entryitem in entryCollection)
{
Encounters ptEncounters = new Encounters();
IEncounter entryEncounter = entryitem.AsEncounter;
IEntryRelationship entryRelationItem = entryEncounter.EntryRelationship.FirstOrDefault();
if (entryRelationItem != null)
{
IObservation observation = entryRelationItem.AsObservation;
IIVL_TS efftime = observation.EffectiveTime;
if (efftime == null)
{
throw new InvalidOperationException();
}
IANY observationvalue = observation.Value.FirstOrDefault();
ICD str = (ICD)observationvalue;
string location = observation.Participant.Count > 0 ? observation.Participant[0].ParticipantRole.AsPlayingEntity.Name[0].Text : null;
ptEncounters.Code = str.Code;
ptEncounters.EncounterDescription = str.DisplayName;
ptEncounters.PerformerName = name;
//ptEncounters.EncounterDate = efftime != null ? efftime.Low != null ? efftime.Low.Value != null ? new DateTime?(Convert.ToDateTime(efftime.Low.AsDateTime)) : null : null : efftime.Value != null ? new DateTime?(Convert.ToDateTime(efftime.AsDateTime)) : null;
}
encounters.Add(ptEncounters);
}
return(encounters);
}
public List <PatientProblemes> FillProblems(IEntryCollection entryCollection)
{
List <PatientProblemes> Problemes = new List <PatientProblemes>();
foreach (IEntry singleentry in entryCollection)
{
IObservation probObservation = singleentry.AsAct.EntryRelationship.FirstOrDefault().AsObservation;
IIVL_TS effectivetime = probObservation.EffectiveTime;
IANY probValue = probObservation.Value[0];
ICD itemVlues = (ICD)probValue;
PatientProblemes ptproblem = new PatientProblemes();
ptproblem.ProblemCode = itemVlues.Code != null ? itemVlues.Code : null;
IEntryRelationship ObserentryRelation = probObservation.EntryRelationship.Where(e => e.AsObservation.Code.Code.ToString() == "33999-4").FirstOrDefault();
if (ObserentryRelation != null)
{
IANY probStatusVal = ObserentryRelation.AsObservation.Value.FirstOrDefault();
ICD StatusVlues = (ICD)probStatusVal;
ptproblem.Status = StatusVlues.DisplayName;
}
else
{
ptproblem.Status = null;
}
ptproblem.DateDiagnosed = effectivetime.Low != null ? effectivetime.Low.Value != null?effectivetime.Low.AsDateTime.ToString() : null : null;
ptproblem.Description = itemVlues.DisplayName != null ? itemVlues.DisplayName : null;
Problemes.Add(ptproblem);
}
return(Problemes);
}
public void GenerateProblemEntryEmpty(string refId, III hl7III, Factory hl7Factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
IIVXB_TS TS = hl7Factory.CreateIVXB_TS();
hl7III = entry.AsAct.Id.Append();
hl7III.Init(Convert.ToString(Guid.NewGuid()));
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.3");
entry.AsAct.Code.Code = "CONC";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.5.6";
entry.AsAct.Code.CodeSystemName = "HL7ActClass";
entry.AsAct.Code.DisplayName = "Concern";
entry.AsAct.StatusCode.Init("completed");
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
entryRel.AsObservation.NegationInd = true;
entryRel.AsObservation.NegationIndSpecified = true;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.4";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = Guid.NewGuid().ToString();
entryRel.AsObservation.Code.Code = "55607006";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.96";
entryRel.AsObservation.Code.DisplayName = "Problem";
entryRel.AsObservation.Code.CodeSystemName = "SNOMED CT";
IED ED = hl7Factory.CreateED();
ED.Reference.Value = refId;
entryRel.AsObservation.Text = ED;
ICS CS = hl7Factory.CreateCS();
CS.Init("completed");
entryRel.AsObservation.StatusCode = CS;
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS(), high: new IVXB_TS());
ICD CD = hl7Factory.CreateCD();
CD.Code = "55607006";
CD.CodeSystem = "2.16.840.1.113883.6.96";
CD.CodeSystemName = "SNOMED CT";
CD.DisplayName = Convert.ToString("Problem");
entryRel.AsObservation.Value.Add(CD);
}
public void CreateEncounterEmptyEntry(III hl7III, Factory hl7factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
hl7III = entry.AsAct.Id.Append();
hl7III.NullFlavor = "UNK";
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.30");
entry.AsAct.Code.Code = "48765-2";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.6.1";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.Code.DisplayName = "Allergies, adverse reactions, alerts";
entry.AsAct.StatusCode.Code = "completed";
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS(), high: new IVXB_TS());
// If Status Complete
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.7";
entryRel.AsObservation.StatusCode.Code = "completed";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = "1.3.6.1.4.1.22812.11.0.100610.4.10.2";
hl7III.Extension = "41700060";
entryRel.AsObservation.Code.Code = "ASSERTION";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
CD obsValueAsCD = new CD();
obsValueAsCD.NullFlavor = "UNK";
entryRel.AsObservation.Value.Add(obsValueAsCD);
PN pn = new PN();
pn.Text = "N/A";
IParticipant2 parti = hl7factory.CreateParticipant2();
parti.TypeCode = "CSM";
parti.ParticipantRole.ClassCode = "MANU";
parti.ParticipantRole.AsPlayingEntity.ClassCode = "MMAT";
parti.ParticipantRole.AsPlayingEntity.Code.NullFlavor = "UNK";
parti.ParticipantRole.AsPlayingEntity.Name.Add(pn);
entryRel.AsObservation.Participant.Add(parti);
}
public List <PatientMedication> FillMedication(IEntryCollection entryCollection)
{
List <PatientMedication> Medication = new List <PatientMedication>();
foreach (IEntry entryitem in entryCollection)
{
ISubstanceAdministration entrySubstanceAdministration = entryitem.AsSubstanceAdministration;
foreach (var timeitem in entrySubstanceAdministration.EffectiveTime)
{
var obj = timeitem.GetType();
string objname = obj.Name;
switch (objname)
{
case "IVL_TS":
datetime = (IIVL_TS)timeitem;
break;
case "PIVL_TS":
timeduration = (IPIVL_TS)timeitem;
break;
}
}
IIVL_PQ doseQuantity = entrySubstanceAdministration.DoseQuantity;
IIVL_PQ rateQuantity = entrySubstanceAdministration.RateQuantity;
ICE meterialCode = entrySubstanceAdministration.Consumable.ManufacturedProduct.AsMaterial.Code;
IEntryRelationship entryRelationShip = entrySubstanceAdministration.EntryRelationship.Where(e => e.TypeCode.ToString() == "RSON").FirstOrDefault();
if (entryRelationShip != null)
{
IANY entryvalue = entryRelationShip.AsObservation.Value.FirstOrDefault();
ICE valueCollection = (ICE)entryvalue;
}
PatientMedication ptMedication = new PatientMedication();
ptMedication.Medication = meterialCode.Translation.FirstOrDefault() != null?meterialCode.Translation.FirstOrDefault().DisplayName : meterialCode.DisplayName != null ? meterialCode.DisplayName : null;
ptMedication.RxNorm = meterialCode.Code != null ? meterialCode.Code : null;
ptMedication.Frequency = timeduration != null ? timeduration.Value != null?timeduration.Value.ToString() : null : null;
ptMedication.doseUnit = doseQuantity.Value.ToString() + " " + doseQuantity.Unit != null?doseQuantity.Unit.ToString() : "";
ptMedication.StartDate = datetime.Low != null ? datetime.Low.Value != null ? new DateTime?(datetime.Low.AsDateTime) : null : null;
ptMedication.EndDate = datetime.High != null ? datetime.High.Value != null ? new DateTime?(datetime.High.AsDateTime) : null : null;
Medication.Add(ptMedication);
}
return(Medication);
}
public List <PatientAllergies> FillAllergies(IEntryCollection entryCollection)
{
List <PatientAllergies> alleryies = new List <PatientAllergies>();
foreach (IEntry entryitem in entryCollection)
{
IAct entryact = entryitem.AsAct;
IEntryRelationship entryRelationship = entryact.EntryRelationship[0];
IObservation entryobservation = entryRelationship.AsObservation;
IIVL_TS effectivetime = entryact.EffectiveTime;
IParticipant2 allergyParticipant = entryobservation.Participant[0];
IParticipantRole participantRole = allergyParticipant.ParticipantRole;
IPlayingEntity playingEntity = participantRole.AsPlayingEntity;
ICE code = playingEntity.Code;
IPNCollection name = playingEntity.Name;
string substance = name != null && name.Count() > 0 ? name[0].Text : code.DisplayName;
PatientAllergies ptallergies = new PatientAllergies();
ptallergies.substance = substance;
IEntryRelationship entryRelationshipMFST = entryobservation.EntryRelationship.Where(r => r.TypeCode.ToString() == "MFST").FirstOrDefault();
if (entryRelationshipMFST != null && entryRelationshipMFST.AsObservation.Value != null)
{
IANY Reactionvaluecollection = entryRelationshipMFST.AsObservation.Value.FirstOrDefault();
CD valuesReaction = (CD)Reactionvaluecollection;
ptallergies.reaction = valuesReaction.DisplayName;
}
ptallergies.rxNorm = code.Code;
IEntryRelationship entryRelationshipSUBJ = entryobservation.EntryRelationship.Where(r => r.TypeCode.ToString() == "SUBJ").FirstOrDefault();
if (entryRelationshipSUBJ != null && entryRelationshipSUBJ.AsObservation.Value != null)
{
IANY Statusvaluecollection = entryRelationshipSUBJ.AsObservation.Value.FirstOrDefault();
ICE values = (ICE)Statusvaluecollection;
ptallergies.status = values.DisplayName;
}
if (effectivetime != null && effectivetime.Value != null)
{
ptallergies.allergyDate = effectivetime.AsDateTime.ToString();
}
alleryies.Add(ptallergies);
}
return(alleryies);
}
public void GenerateProblemEntry(PatientProblemes patientProblem, string refId, DateTime dateofbirth, III hl7III, Factory hl7Factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
IIVXB_TS TS = hl7Factory.CreateIVXB_TS();
hl7III = entry.AsAct.Id.Append();
hl7III.Init(Convert.ToString(patientProblem.PatientGuid));
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.3");
entry.AsAct.Code.Code = "CONC";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.5.6";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.StatusCode.Init((Convert.ToString(patientProblem.Status) == "Active" ? "active" : "completed"));
if (patientProblem.DateDiagnosed != null)
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entry.AsAct.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entry.AsAct.EffectiveTime = new IVL_TS().Init(Value:null, low:new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)),high:null,width:null,center:null);*/
// Setting the DateTime.
}
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.4";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = Guid.NewGuid().ToString();
entryRel.AsObservation.Code.Code = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "404684003" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "282291009" : "409586006";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.96";
entryRel.AsObservation.Code.DisplayName = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "Finding" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "Diagnosis" : "Complaint";
IED ED = hl7Factory.CreateED();
ED.Reference.Value = refId;
entryRel.AsObservation.Text = ED;
ICS CS = hl7Factory.CreateCS();
CS.Init("completed");
entryRel.AsObservation.StatusCode = CS;
if (Convert.ToString(patientProblem.Status) == "Resolved")
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entry.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entry.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entryRel.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* // Because Allergy Start Date is Missing.
*
* entryRel.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
else
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
}
else
{
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entryRel.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* entryRel.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
ICD CD = hl7Factory.CreateCD();
string snomedCode = GetSNOMED(Convert.ToString(patientProblem.Description));
if (string.IsNullOrEmpty(snomedCode))
{
CD.NullFlavor = "UNK";
}
else
{
CD.Code = snomedCode;
CD.CodeSystem = "2.16.840.1.113883.6.96";
CD.CodeSystemName = "SNOMED CT";
CD.DisplayName = Convert.ToString(patientProblem.Description);
}
entryRel.AsObservation.Value.Add(CD);
///''''''''''''Problem Observation''''''''''''''''''
IEntryRelationship entryProblemObs = entryRel.AsObservation.EntryRelationship.Append();
entryProblemObs.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryProblemObs.AsObservation.ClassCode = "OBS";
entryProblemObs.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
TempId = entryProblemObs.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.4";
hl7III = entryProblemObs.AsObservation.Id.Append();
hl7III.Root = Guid.NewGuid().ToString();
entryProblemObs.AsObservation.Code.Code = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "404684003" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "282291009" : "409586006";
entryProblemObs.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.96";
entryProblemObs.AsObservation.Code.DisplayName = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "Finding" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "Diagnosis" : "Complaint";
ED = hl7Factory.CreateED();
ED.Reference.Value = refId;
entryProblemObs.AsObservation.Text = ED;
CS = hl7Factory.CreateCS();
CS.Init("completed");
entryProblemObs.AsObservation.StatusCode = CS;
if (Convert.ToString(patientProblem.Status) == "Resolved")
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryProblemObs.AsObservation.EffectiveTime.NullFlavor = "UNK";
}
else
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
/* Not Compiled
* entryProblemObs.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* // Because Allergy Start Date is Missing.
* entryProblemObs.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
else
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
/* Not Compiled
* entryProblemObs.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* entryProblemObs.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
CD = hl7Factory.CreateCD();
snomedCode = GetSNOMED(Convert.ToString(patientProblem.Description));
if (string.IsNullOrEmpty(snomedCode))
{
CD.NullFlavor = "UNK";
}
else
{
CD.Code = snomedCode;
CD.CodeSystem = "2.16.840.1.113883.6.96";
CD.DisplayName = Convert.ToString(patientProblem.Description);
}
entryProblemObs.AsObservation.Value.Add(CD);
///'''''''''''' Age Observation''''''''''''''''''
if ((!object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value)))
{
IEntryRelationship age_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
age_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
age_EntryRel.InversionInd = true;
age_EntryRel.InversionIndSpecified = true;
age_EntryRel.AsObservation.ClassCode = "OBS";
age_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = age_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.31");
CD = hl7Factory.CreateCD();
CD.Init("445518008", "2.16.840.1.113883.6.96", "", "Age");
age_EntryRel.AsObservation.Code = CD;
age_EntryRel.AsObservation.StatusCode.Init("completed");
IPQ PQ = hl7Factory.CreatePQ();
PQ.Value = calcYear(Convert.ToDateTime(patientProblem.DateDiagnosed), dateofbirth);
PQ.Unit = "a";
age_EntryRel.AsObservation.Value.Add(PQ);
}
///'''''''''''' Problem Status Observation'''''''''''''
IEntryRelationship problemStatus_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
problemStatus_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.REFR;
problemStatus_EntryRel.InversionInd = true;
problemStatus_EntryRel.InversionIndSpecified = true;
problemStatus_EntryRel.AsObservation.ClassCode = "OBS";
problemStatus_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = problemStatus_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.6");
CD = hl7Factory.CreateCD();
CD.Init("33999-4", "2.16.840.1.113883.6.1", "LOINC", "Status");
problemStatus_EntryRel.AsObservation.Code = CD;
problemStatus_EntryRel.AsObservation.StatusCode.Init("completed");
//55561003-Active, 73425007-Inactive, 413322009- Resolved
CD = hl7Factory.CreateCD();
CD.Init((Convert.ToString(patientProblem.Status) == "Active" ? "55561003" : (Convert.ToString(patientProblem.Status) == "Inactive" ? "73425007" : "413322009")), "2.16.840.1.113883.6.96", "SNOMED CT", Convert.ToString(patientProblem.Status));
problemStatus_EntryRel.AsObservation.Value.Add(CD);
}
public void GenerateAllergyEntry(PatientAllergies patientAllergies, III hl7III, Factory hl7factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
hl7III = entry.AsAct.Id.Append();
hl7III.Init("36e3e930-7b14-11db-9fe1-0800200c9a66");
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.30");
entry.AsAct.Code.Code = "48765-2";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.6.1";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.Code.DisplayName = "Allergies, adverse reactions, alerts";
entry.AsAct.StatusCode.Code = Convert.ToString(patientAllergies.status).ToLower();
if (Convert.ToString(patientAllergies.status) == "Active")
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
// If Status Active
}
else
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(high: new IVXB_TS());
// If Status is Not Active
}
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.7";
entryRel.AsObservation.StatusCode.Code = "completed";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = "4adc1020-7b14-11db-9fe1-0800200c9a66";
entryRel.AsObservation.Code.Code = "ASSERTION";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
ICS CS = hl7factory.CreateCS();
CS.Init("completed");
entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
// Because Allergy Start Date is Missing.
CD obsValueAsCD = new CD();
CE obsValueAsCE = new CE();
//obsValueAsCD.Code = patientAllergies.AllergyType == "Medication" ? "416098002" : patientAllergies.AllergyType == "Food" ? "414285001" : patientAllergies.AllergyType == "Environmental" ? "419199007" : "420134006";//(patientAllergies.AllergyType == "Medication" ? "416098002" : (patientAllergies.AllergyType == "Food" ? "414285001" : (patientAllergies.AllergyType == "Environmental" ? "426232007" : "106190000")));
//// Allergy Type SNOMED Code(Environmental Alergy:426232007, Food Allergy: 414285001, Medication Allergy: 416098002, Other Allergy: 106190000)
//obsValueAsCD.DisplayName = (patientAllergies.AllergyType == "Medication" ? "Drug allergy" : (patientAllergies.AllergyType == "Food" ? "Food allergy" : (patientAllergies.AllergyType == "Environmental" ? "Environmental allergy" : "Other allergy")));
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.CodeSystemName = "SNOMED CT";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
// "#reaction1" ' Dynamic Value
entryRel.AsObservation.Value.Add(obsValueAsCD);
PN pn = new PN();
pn.Text = patientAllergies.substance;
IParticipant2 parti = hl7factory.CreateParticipant2();
parti.TypeCode = "CSM";
parti.ParticipantRole.ClassCode = "MANU";
parti.ParticipantRole.AsPlayingEntity.ClassCode = "MMAT";
parti.ParticipantRole.AsPlayingEntity.Code.Code = Convert.ToString(patientAllergies.rxNorm);
//"314422" ' Dynamic Value
parti.ParticipantRole.AsPlayingEntity.Code.DisplayName = patientAllergies.substance;
//"ALLERGENIC EXTRACT, PENICILLIN" ' Dynamic Value
parti.ParticipantRole.AsPlayingEntity.Code.CodeSystem = "2.16.840.1.113883.6.88";
parti.ParticipantRole.AsPlayingEntity.Code.CodeSystemName = "RxNorm";
parti.ParticipantRole.AsPlayingEntity.Code.OriginalText.Reference.Value = "";
//"#" & Convert.ToString(dtRow("ReactionID"))
parti.ParticipantRole.AsPlayingEntity.Name.Add(pn);
entryRel.AsObservation.Participant.Add(parti);
///'' Allergy Status Observation '''''''''''
IEntryRelationship obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Root = "2.16.840.1.113883.10.20.22.4.28";
obs_EntryRel.AsObservation.Code.Code = "33999-4";
obs_EntryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.1";
obs_EntryRel.AsObservation.Code.CodeSystemName = "LOINC";
obs_EntryRel.AsObservation.Code.DisplayName = "Status";
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obsValueAsCE = new CE();
obsValueAsCE.Code = Convert.ToString(patientAllergies.status) == "Active" ? "55561003" : patientAllergies.status == "Inactive" ? "73425007" : "413322009";
obsValueAsCE.DisplayName = Convert.ToString(patientAllergies.status);
obsValueAsCE.CodeSystem = "2.16.840.1.113883.6.96";
obs_EntryRel.AsObservation.Value.Add(obsValueAsCE);
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
///' Allergy Reaction Observation
if (!string.IsNullOrEmpty(patientAllergies.reaction))
{
obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.MFST;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.9");
hl7III = obs_EntryRel.AsObservation.Id.Append();
hl7III.Init("4adc1020-7b14-11db-9fe1-0800200c9a64");
obs_EntryRel.AsObservation.Code.NullFlavor = "UNK";
//obs_EntryRel.AsObservation.Text.Reference.Value = "#" & Convert.ToString(dtRow("ReactionID")) '"#reaction1"
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obs_EntryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS(), high: new IVXB_TS());
obsValueAsCD = new CD();
if (!string.IsNullOrEmpty(GetSNOMED(patientAllergies.reaction)))
{
obsValueAsCD.Code = GetSNOMED(patientAllergies.reaction);
// Dynamic Value ''
}
obsValueAsCD.DisplayName = patientAllergies.reaction;
//"Hives"
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
obs_EntryRel.AsObservation.Value.Add(obsValueAsCD);
}
///' Allergy Severity Observation
if (!string.IsNullOrEmpty(patientAllergies.reaction))
{
obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.8");
obs_EntryRel.AsObservation.Code.Code = "SEV";
obs_EntryRel.AsObservation.Code.DisplayName = "Severity Observation";
obs_EntryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
obs_EntryRel.AsObservation.Code.CodeSystemName = "ActCode";
//obs_EntryRel.AsObservation.Text.Reference.Value = "#severity1"
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obsValueAsCD = new CD();
obsValueAsCD.Code = (Convert.ToString(patientAllergies.reaction) == "Mild" ? "255604002" : (Convert.ToString(patientAllergies.reaction) == "Moderate" ? "6736007" : "24484000"));
obsValueAsCD.DisplayName = patientAllergies.reaction;
// Moderate or Mild or severe"
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.CodeSystemName = "SNOMED CT";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
obs_EntryRel.AsObservation.Value.Add(obsValueAsCD);
}
}