private ISegment GetOBX(Result result, string nataSiteNumber, int SetId, string SubId = null)
{
if (result is null)
{
throw new ArgumentNullException(nameof(result));
}
var OBX = Creator.Segment("OBX");
OBX.Field(1).AsString = SetId.ToString();
OBX.Field(2).AsString = result.DataType;
if (result.Type.Lonic != null)
{
OBX.Field(3).Component(1).AsString = result.Type.Lonic.Term;
OBX.Field(3).Component(2).AsString = result.Type.Lonic.Description;
OBX.Field(3).Component(3).AsString = "LN";
}
OBX.Field(3).Component(4).AsString = result.Type.Local.Term;
OBX.Field(3).Component(5).AsString = result.Type.Local.Description;
OBX.Field(3).Component(6).AsString = $"NATA{nataSiteNumber}";
if (!string.IsNullOrWhiteSpace(SubId))
{
OBX.Field(4).AsString = SubId;
}
OBX.Element(5).AsStringRaw = result.Value ?? "";
OBX.Field(6).AsString = result.Units ?? "";;
OBX.Field(7).AsString = result.ReferenceRange ?? "";
ResultStatusTypeSupport ResultStatusTypeSupport = new ResultStatusTypeSupport();
if (ResultStatusTypeSupport.TryLookupByEnum(result.Status, out string ResultStatus))
{
OBX.Field(11).AsString = ResultStatus;
}
else
{
throw new ApplicationException($"Unable to convert the {nameof(result.Status)} of {result.Status.ToString()} to a code for the HL7 OBR-25 field.");
}
if (result.ObservationDateTime.HasValue)
{
OBX.Field(14).Convert.DateTime.SetDateTimeOffset(result.ObservationDateTime.Value, true);
}
OBX.Field(15).AsString = "\"\"";
return(OBX);
}
public static ISegment GetOBR(Spia.PathologyReportModel.Model.Request request, Spia.PathologyReportModel.Model.Report report, Spia.PathologyReportModel.Model.Laboratory performingLab)
{
//OBR|1|112233^PathologyOrder^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123456^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|26604007^Complete blood count^SCT^FBE^Full Blood Count^SUPER-LIS|||201504100930+1000||||||Patient has a history of severe gout caused by rhubarb.|201504101100+1000||DFTR^OrderingRankin^Jeff^^^Dr^^^SUPER-LIS~958678^OrderingRankin^Jeff^^^Dr^^^ADHAHOSP~4322581B^OrderingRankin^Jeff^^^Dr^^^AUSHICPR~8003614899999997^OrderingRankin^Jeff^^^Dr^^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||CP=N,DR=4322581B||201504101115+1000||HM|F||^^^201504100800+1000^^RT|2304227F^CopyDoctorRyan^Paul^^^Dr^^^AUSHICPR~0813266H^CopyDoctorArnet^Claire^^^Dr^^^AUSHICPR~4628361B^CopyDoctorTeller^Sally^^^Dr^^^AUSHICPR||||DRPRIM&PathologistThompson&Harry&&&DR&&&SUPER-LIS
if (request is null)
{
throw new ArgumentNullException(nameof(request));
}
if (report is null)
{
throw new ArgumentNullException(nameof(report));
}
ISegment OBR = Creator.Segment("OBR");
OBR.Field(1).AsString = "1";
IField PlacerOrderNumber = Creator.Field();
PlacerOrderNumber.Component(1).AsString = request.OrderNumber ?? "";
PlacerOrderNumber.Component(2).AsString = "PathologyOrder";
PlacerOrderNumber.Component(3).AsString = performingLab.NataSiteNumber;
PlacerOrderNumber.Component(4).AsString = "AUSNATA";
OBR.Element(2).Add(PlacerOrderNumber);
IField FillerOrderNumber = Creator.Field();
FillerOrderNumber.Component(1).AsString = report.ReportId;
FillerOrderNumber.Component(2).AsString = performingLab.FacilityCode;
FillerOrderNumber.Component(3).AsString = performingLab.NataSiteNumber;
FillerOrderNumber.Component(4).AsString = "AUSNATA";
OBR.Element(3).Add(FillerOrderNumber);
//26604007^Complete blood count^SCT^FBE^Full Blood Count^SUPER-LIS
IField UniversalServiceIdentifier = Creator.Field();
UniversalServiceIdentifier.Component(1).AsString = report.ReportType.Snomed?.Term ?? "";
UniversalServiceIdentifier.Component(2).AsString = report.ReportType.Snomed?.Description ?? "";
if (!UniversalServiceIdentifier.Component(1).IsEmpty)
{
UniversalServiceIdentifier.Component(3).AsString = "SCT";
}
UniversalServiceIdentifier.Component(4).AsString = report.ReportType.Local.Term;
UniversalServiceIdentifier.Component(5).AsString = report.ReportType.Local.Description;
UniversalServiceIdentifier.Component(6).AsString = $"NATA{performingLab.NataSiteNumber}";
OBR.Element(4).Add(UniversalServiceIdentifier);
//Observation Date/Time (Collection DateTime)
OBR.Field(7).Convert.DateTime.SetDateTimeOffset(report.CollectionDateTime, true);
//Clinical Note
OBR.Field(13).AsString = request.ClinicalNotes ?? "";
//Specimen received date/time
//Definition: For observations requiring a specimen, the specimen received date/time is the actual login time at the diagnostic service.
//This field must contain a value when the order is accompanied
//by a specimen, or when the observation required a specimen and the message is a report.
OBR.Field(14).Convert.DateTime.SetDateTimeOffset(report.SpecimenReceivedDateTime, true);
//Ordering Doctor
foreach (var Id in request.RequestingProvider.IdentifierList)
{
var IdentiferTypeInfo = HL7v2IdentifierSupport.GetIdentiferCode(Id, $"NATA{performingLab.NataSiteNumber}");
IField Field = Creator.Field();
Field.Component(1).AsString = IdentiferTypeInfo.Value;
Field.Component(2).AsString = request.RequestingProvider.Name.Family;
Field.Component(3).AsString = request.RequestingProvider.Name.Given;
Field.Component(6).AsString = request.RequestingProvider.Name.Title;
Field.Component(9).AsString = IdentiferTypeInfo.AssigingAuthority;
Field.Component(10).AsString = "L";
Field.Component(13).AsString = IdentiferTypeInfo.TypeCode;
OBR.Element(16).Add(Field);
}
if (request.CallBackPhoneNumber is object)
{
IField OrderCallBackNumber = Creator.Field();
OrderCallBackNumber.Component(2).AsString = "WPN";
OrderCallBackNumber.Component(3).AsString = "PH";
OrderCallBackNumber.Component(7).AsString = request.CallBackPhoneNumber;
OBR.Element(17).Add(OrderCallBackNumber);
}
var OrderingDrProviderNumber = request.RequestingProvider.IdentifierList.SingleOrDefault(x => x.Type == PathologyReportModel.Model.IdentifierType.MedicareProviderNumber);
if (OrderingDrProviderNumber is object)
{
//Copy = No, directed at the DR=ProviderNumber
OBR.Field(20).AsString = $"CP=N,DR={OrderingDrProviderNumber.Value}";
}
//Report Status Change DateTime
OBR.Field(22).Convert.DateTime.SetDateTimeOffset(report.ReportReleaseDateTime, true);
//Service Section Id
DiagnosticServiceSectionIdSupport DiagnosticServiceSectionIdSupport = new DiagnosticServiceSectionIdSupport();
if (DiagnosticServiceSectionIdSupport.TryLookupByEnum(report.Department, out string DiagnosticServiceSectionIdCode))
{
OBR.Field(24).AsString = DiagnosticServiceSectionIdCode;
}
else
{
throw new ApplicationException($"Unable to convert the {nameof(report.Department)} of {report.Department.ToString()} to a code for the HL7 OBR-24 field.");
}
//Report Status
ResultStatusTypeSupport ResultStatusTypeSupport = new ResultStatusTypeSupport();
if (ResultStatusTypeSupport.TryLookupByEnum(report.ReportStatus, out string ReportStatus))
{
OBR.Field(25).AsString = ReportStatus;
}
else
{
throw new ApplicationException($"Unable to convert the {nameof(report.ReportStatus)} of {report.ReportStatus.ToString()} to a code for the HL7 OBR-25 field.");
}
//Quantity/Timing (Collection Date Time)
IField QuantityTiming = Creator.Field();
QuantityTiming.Component(4).Convert.DateTime.SetDateTimeOffset(request.RequestedDate, true);
QuantityTiming.Component(6).AsString = "RT";
OBR.Element(27).Add(QuantityTiming);
//Copy Doctors
if (request.CopyToList is object)
{
foreach (var CopyDr in request.CopyToList)
{
var IdenitferToUserForCopyToDoctor = CopyDr.IdentifierList.SingleOrDefault(x => x.Type == PathologyReportModel.Model.IdentifierType.MedicareProviderNumber);
if (IdenitferToUserForCopyToDoctor == null)
{
IdenitferToUserForCopyToDoctor = CopyDr.IdentifierList.SingleOrDefault(x => x.Type == PathologyReportModel.Model.IdentifierType.LocalToLab);
}
if (IdenitferToUserForCopyToDoctor == null)
{
throw new ApplicationException($"All CopyTo doctors must have a Medicare Provider Number (preferred) or a Local Lab ID. The CopyTo entry of {CopyDr.Name.Title ?? ""} {CopyDr.Name.Family} {CopyDr.Name.Given ?? ""} did not have a either.");
}
var IdentiferTypeInfo = HL7v2IdentifierSupport.GetIdentiferCode(IdenitferToUserForCopyToDoctor, $"NATA{performingLab.NataSiteNumber}");
IField Field = Creator.Field();
Field.Component(1).AsString = IdentiferTypeInfo.Value;
Field.Component(2).AsString = CopyDr.Name.Family;
Field.Component(3).AsString = CopyDr.Name.Given ?? "";
Field.Component(6).AsString = CopyDr.Name.Title ?? "";
Field.Component(9).AsString = IdentiferTypeInfo.AssigingAuthority;
Field.Component(10).AsString = "L";
Field.Component(13).AsString = IdentiferTypeInfo.TypeCode;
OBR.Element(28).Add(Field);
}
}
//Principle Result Interpretor
//DRPRIM&PathologistThompson&Harry&&&DR&&&SUPER-LIS
var PrincipleResultInterpretorLocalLabCode = report.ReportingPathologist.IdentifierList.SingleOrDefault(x => x.Type == PathologyReportModel.Model.IdentifierType.LocalToLab);
if (PrincipleResultInterpretorLocalLabCode != null)
{
IField PrincipleResultInterpretor = Creator.Field();
PrincipleResultInterpretor.Component(1).SubComponent(1).AsString = PrincipleResultInterpretorLocalLabCode.Value;
PrincipleResultInterpretor.Component(1).SubComponent(2).AsString = report.ReportingPathologist.Name.Family;
PrincipleResultInterpretor.Component(1).SubComponent(3).AsString = report.ReportingPathologist.Name.Given;
PrincipleResultInterpretor.Component(1).SubComponent(6).AsString = report.ReportingPathologist.Name.Title ?? "";
PrincipleResultInterpretor.Component(1).SubComponent(9).AsString = $"NATA{performingLab.NataSiteNumber}";
OBR.Element(32).Add(PrincipleResultInterpretor);
}
else
{
throw new ApplicationException($"Unable to locate a {PathologyReportModel.Model.IdentifierType.LocalToLab.ToString()} identifier for the Reporting Pathologist");
}
return(OBR);
}