private static void AddAdvancedDirectivesComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.21"));
section.Code = new CE<string>(
"42348-3",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"Advance Directives",
null);
section.Title = new ST("ADVANCE DIRECTIVES");
section.Text = new ED();
section.Text = "No advance directives exist for this patient.";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private Ca.Infoway.Messagebuilder.Model.Ccda_r1_1.Consultationnote.Component2 CreateComponent()
{
StructuredBody body = new StructuredBody();
body.Component.Add(CreateReasonForVisit());
body.Component.Add(CreateGeneralStatus());
Ca.Infoway.Messagebuilder.Model.Ccda_r1_1.Consultationnote.Component2 component = new Ca.Infoway.Messagebuilder.Model.Ccda_r1_1.Consultationnote.Component2();
component.Component2Choice = body;
return(component);
}
private static void AddVitalSignsComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.4"));
section.Code = new CE<string>(
"8716-3",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"VITAL SIGNS",
null);
section.Title = new ST("VITAL SIGNS");
section.Text = new ED("Vitals Normal:<list listType=\"ordered\"> <item><content ID=\"vit1\">Height - 70 in</content></item> <item><content ID=\"vit2\">Weight - 220 lb_en</content></item> </list>");
section.Text.MediaType = "text/x-hl7-text+xml";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddSocialHistoryComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.17"));
section.Code = new CE<string>(
"29762-2",
"2.16.840.1.113883.6.1",
null,
null,
"SOCIAL HISTORY",
null);
section.Title = new ST("SOCIAL HISTORY");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"sochist1\">50 pack year smoking history, quit 1997</content></item><item><content ID=\"sochist2\">etoh (alcohol) daily, patient reports varies from 1 to many cocktails per day</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeObservation("SOCIAL HISTORY"));
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddResultsSection(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.3.1"));
section.Code = new CE<string>(
"30954-2",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"RESULTS",
null);
section.Title = new ST("RESULTS");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"result1\">TSH - 6 mIU/L (abnormal, high)</content></item><item><content ID=\"result2\">Hgb a1c - 8% (abnormal, high)</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeOrganizer());
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddReasonForVisitComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.12"));
section.Code = new CE<string>(
"29299-5",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"REASON FOR VISIT",
null);
section.Title = new ST("REASON FOR VISIT");
section.Text = new ED();
section.Text = "<paragraph>Recent falls</paragraph>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddReasonForReferralComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("1.3.6.1.4.1.19376.1.5.3.1.3.1"));
section.Code = new CE<string>(
"42349-1",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"REASON FOR REFERRAL",
null);
section.Title = new ST("REASON FOR REFERRAL");
section.Text = new ED();
section.Text = "<paragraph>Geriatric assessment and management for concerns about dementia and falling</paragraph>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddDischargeInstructionsComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.41"));
section.Code = new CE<string>(
"8653-8",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"HOSPITAL DISCHARGE INSTRUCTIONS",
null);
section.Title = new ST("Hospital Discharge Instructions");
section.Text = new ED();
section.Text = "";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddProblemListComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.5.1"));
section.Code = new CE<string>(
"11450-4",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"PROBLEM LIST",
null);
section.Title = new ST("PROBLEM LIST");
section.Text = new ED();
section.Text = "<content ID=\"problems\"/><list listType=\"ordered\"><item><content ID=\"problem1\">Hypertension</content></item><item><content ID=\"problem2\">Hyperlipidemia</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeAct("PROBLEM LIST"));
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddPlanOfCareComonent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.10"));
section.Code = new CE<string>(
"18776-5",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"Treatment plan",
null);
section.Title = new ST("PLAN OF CARE");
section.Text = new ED();
section.Text = "<paragraph>I have discussed this request for geriatric assessment and management with the patient and his wife who agree with this plan.</paragraph>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddMedicationComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.1.1"));
section.Code = new CE<string>(
"10160-0",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"HISTORY OF MEDICATION USE",
null);
section.Title = new ST("MEDICATIONS");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"medication1\">Lisinopril - 20mg by mouth once daily</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeSubstanceAdministration("MEDICATIONS"));
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddInstructionComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.45"));
section.Id = new II(new Guid());
section.Code = new CE<string>(
"69730-0",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"Instructions",
null);
section.Title = new ST("INSTRUCTIONS");
section.Text = new ED();
section.Text = "<paragraph>Patient is to schedule follow-up appointment with PCP after consultation.</paragraph>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddImmunizationComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.2.1"));
section.Code = new CE<string>(
"11369-6",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"History of immunizations",
null);
section.Title = new ST("IMMUNIZATIONS");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"immunization1\">Influenza, seasonal</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeSubstanceAdministration("IMMUNIZATIONS"));
section.Entry = new List<Entry>();
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddFucntionalAndConginitiveStatusComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.14"));
section.Code = new CE<string>(
"47420-5",
"2.16.840.1.113883.6.1");
section.Title = new ST("FUNCTIONAL STATUS");
section.Text = new ED();
section.Text = "Cognitive impairment. Patient uses cane for walking.";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddFamilyHistoryComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.15"));
section.Code = new CE<string>(
"10157-6",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"Family History",
null);
section.Title = new ST("FAMILY HISTORY");
section.Text = new ED();
section.Text = "<paragraph>Non-contributory</paragraph>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void MakeCCDABody(ClinicalDocument ccda)
{
StructuredBody sb = new StructuredBody();
AddAdvancedDirectivesComponent(sb);
AddDischargeInstructionsComponent(sb);
AddAllergiesComponent(sb);
AddReasonForVisitComponent(sb);
AddFamilyHistoryComponent(sb);
AddFucntionalAndConginitiveStatusComponent(sb);
AddImmunizationComponent(sb);
AddInstructionComponent(sb);
AddMedicationComponent(sb);
AddPlanOfCareComonent(sb);
AddProblemListComponent(sb);
AddProcedureComponent(sb);
AddReasonForReferralComponent(sb);
AddResultsSection(sb);
AddSocialHistoryComponent(sb);
AddVitalSignsComponent(sb);
Component2 comp2 = new Component2(ActRelationshipHasComponent.HasComponent, true);
comp2.SetBodyChoice(sb);
ccda.Component = comp2;
}
private static void AddProcedureComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.7.1"));
section.Code = new CE<string>(
"47519-4",
"2.16.840.1.113883.6.1",
"LOINC",
null,
"HISTORY OF PROCEDURES",
null);
section.Title = new ST("PROCEDURES");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"procedure1\">EKG (2012/10/15)</content></item><item><content ID=\"procedure2\">Cholecystectomy (2006/06/01)</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.SetClinicalStatement(MakeProcedure());
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}
private static void AddAllergiesComponent(StructuredBody sb)
{
Section section = new Section();
section.TemplateId = new LIST<II>();
section.TemplateId.Add(new II("2.16.840.1.113883.10.20.22.2.6.1"));
section.Code = new CE<string>("48765-2", "2.16.840.1.113883.6.1");
section.Title = new ST("ALLERGIES");
section.Text = new ED();
section.Text = "<list listType=\"ordered\"><item><content ID=\"allergy1\">Allergy to Penicillin drugs</content></item><item><content ID=\"allergy2\">Allergy to Bee Pollen</content></item></list>";
section.Text.Representation = EncapsulatedDataRepresentation.XML;
section.Text.MediaType = "text/x-hl7-text+xml";
Entry e = new Entry();
e.TypeCode = new CS<x_ActRelationshipEntry>(x_ActRelationshipEntry.DRIV);
e.SetClinicalStatement(MakeAct("ALLERGIES"));
section.Entry = new List<Entry>();
section.Entry.Add(e);
Component3 comp3 = new Component3(ActRelationshipHasComponent.HasComponent, true);
comp3.Section = section;
sb.Component.Add(comp3);
}