public void setRelative(Person relative)
{
if (relative != null)
{
name.Text = relative.name;
relationship.Text = relative.relationship;
bloodline.Text = relative.bloodline;
if (string.IsNullOrEmpty(bloodline.Text))
{
bloodline.Visible = false;
bloodlineHeader.Visible = false;
}
else
{
bloodline.Visible = true;
bloodlineHeader.Visible = true;
}
age.Text = relative.age;
}
else
{
name.Text = "";
relationship.Text = "";
bloodline.Text = "";
bloodline.Visible = false;
bloodlineHeader.Visible = false;
age.Text = "";
}
}
public void setRelative(Person relative)
{
if (relative != null)
{
name.Text = string.IsNullOrEmpty(relative.name)?"[Name not provided]":relative.name;
relationship.Text = relative.relationship;
}
else
{
name.Text = "";
relationship.Text = "";
}
}
/**************************************************************************************************/
public FamilyHistoryRelativeRow(Person person)
{
InitializeComponent();
relative = person;
comboBox2.Items.Add("");
comboBox6.Items.Add("");
comboBox8.Items.Add("");
//foreach (DiseaseObject o in SessionManager.Instance.MetaData.Diseases)
//{
// if (o.groupingName == "Breast/Ovarian")
// {
// comboBox2.Items.Add(o);
// comboBox6.Items.Add(o);
// comboBox8.Items.Add(o);
// }
//}
SetDeleteButton();
}
/**************************************************************************************************/
public void SetActivePatient(string unitnum, int apptid)
{
if (activePatient != null)
{
activePatient.ReleaseListeners(this);
activePatient.Tasks.ReleaseListeners(this);
}
activePatient = new Patient(unitnum);
activePatient.apptid = apptid;
selectedRelative = (Person)activePatient;
if (HttpContext.Current == null) // Silicus: LoadObject has Async calls.
activePatient.LoadObject();
if (NewActivePatient != null)
NewActivePatient(this, new NewActivePatientEventArgs(activePatient, securityContext));
RelativeSelectedEventArgs args = new RelativeSelectedEventArgs(selectedRelative, securityContext);
if (RelativeSelected != null)
RelativeSelected(args);
}
/**************************************************************************************************/
public void SetActivePatientNoCallback(string unitnum, int apptid)
{
activePatient = new Patient(unitnum);
activePatient.apptid = apptid;
selectedRelative = (Person)activePatient;
if (activePatient.HraState != HraObject.States.Ready)
{
activePatient.BackgroundLoadWork();
activePatient.HraState = HraObject.States.Ready;
}
}
public void EditSurvey(RiskApps3.Model.PatientRecord.Patient proband, ViewModels.FamilyHistoryRelative obj)
{
RiskApps3.Model.PatientRecord.PastMedicalHistory pmh = new RiskApps3.Model.PatientRecord.PastMedicalHistory(proband);
Person per = proband.FHx.Relatives.Where(p => p.relativeID == obj.RelativeId).FirstOrDefault();
per.vitalStatus = obj.VitalStatus;
per.relationship = obj.Relationship;
per.age = obj.RelativeAge;
HraModelChangedEventArgs args = new HraModelChangedEventArgs(null);
args.updatedMembers.Add(per.GetMemberByName("vitalStatus"));
//args.updatedMembers.Add(per.GetMemberByName("relationship"));
args.updatedMembers.Add(per.GetMemberByName("age"));
per.BackgroundPersistWork(args);
relative = per;
relative.PMH.BackgroundLoadWork();
pmh = relative.PMH;
SessionManager.Instance.MetaData.Diseases.BackgroundListLoad();
relative.PMH.BackgroundLoadWork();
for (int i = 0; i < 3; i++)
{
ClincalObservation co = new ClincalObservation();
if (i < pmh.Observations.Count)
{
co = (ClincalObservation)pmh.Observations[i];
}
switch (i)
{
case 0:
if (co.instanceID != 0)
{
co.disease = obj.FirstDx;
co.ageDiagnosis = obj.FirstAgeOnset;
co.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co.GetMemberByName("disease"));
args1.updatedMembers.Add(co.GetMemberByName("ageDiagnosis"));
co.BackgroundPersistWork(args1);
}
else
{
ClincalObservation co1 = new ClincalObservation(pmh);
co1.disease = obj.FirstDx;
co1.ageDiagnosis = obj.FirstAgeOnset;
co1.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co1.GetMemberByName("disease"));
args1.updatedMembers.Add(co1.GetMemberByName("ageDiagnosis"));
co1.BackgroundPersistWork(args1);
pmh.Observations.AddToList(co1, args1);
}
break;
case 1:
if (co.instanceID != 0)
{
co.disease = obj.SecondDx;
co.ageDiagnosis = obj.SecondAgeOnset;
co.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co.GetMemberByName("disease"));
args1.updatedMembers.Add(co.GetMemberByName("ageDiagnosis"));
co.BackgroundPersistWork(args1);
}
else
{
ClincalObservation co1 = new ClincalObservation(pmh);
co1.disease = obj.SecondDx;
co1.ageDiagnosis = obj.SecondAgeOnset;
co1.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co1.GetMemberByName("disease"));
args1.updatedMembers.Add(co1.GetMemberByName("ageDiagnosis"));
co1.BackgroundPersistWork(args1);
pmh.Observations.AddToList(co1, args1);
}
break;
case 2:
if (co.instanceID != 0)
{
co.disease = obj.ThirdDx;
co.ageDiagnosis = obj.ThirdAgeOnset;
co.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co.GetMemberByName("disease"));
args1.updatedMembers.Add(co.GetMemberByName("ageDiagnosis"));
co.BackgroundPersistWork(args1);
}
else
{
ClincalObservation co1 = new ClincalObservation(pmh);
co1.disease = obj.ThirdDx;
co1.ageDiagnosis = obj.ThirdAgeOnset;
co1.SetDiseaseDetails();
HraModelChangedEventArgs args1 = new HraModelChangedEventArgs(null);
args1.updatedMembers.Add(co1.GetMemberByName("disease"));
args1.updatedMembers.Add(co1.GetMemberByName("ageDiagnosis"));
co1.BackgroundPersistWork(args1);
pmh.Observations.AddToList(co1, args1);
}
break;
default:
break;
}
}
}
/**************************************************************************************************/
private void InitSelectedRelative()
{
// get selected relative object from session manager
selectedRelative = SessionManager.Instance.GetSelectedRelative();
if (selectedRelative != null)
{
selectedRelative.AddHandlersWithLoad(activeRelativeChanged, activeRelativeLoaded, null);
FillControls();
}
}
/// <summary>
/// Traverse the owningFHx to see if this person is a parent. jdg 11/30/15
/// </summary>
/// <param name="p">Person object</param>
/// <returns>true if there are children, false otherwise</returns>
private bool relativeHasChildren(Person p)
{
foreach (Person pp in p.owningFHx)
{
if((pp.fatherID == p.relativeID) || (pp.motherID == p.relativeID))
{
return true;
}
}
return false;
}
/**************************************************************************************************/
public void SetSelection(Person person)
{
if (model != null)
{
model.Selected.Clear();
foreach (PedigreeIndividual pi in model.individuals)
{
if (pi.HraPerson == person)
{
pi.Selected = true;
if (model.Selected.Contains(pi) == false)
model.Selected.Add(pi);
}
else
{
pi.Selected = false;
}
}
}
}
/**************************************************************************************************/
private void InitSelectedRelative()
{
flowLayoutPanel1.Controls.Clear();
selectedRelative = SessionManager.Instance.GetSelectedRelative();
if (selectedRelative != null)
{
this.newTestButton.Enabled = true;
selectedRelative.AddHandlersWithLoad(selectedRelativeChanged, selectedRelativeLoaded, null);
}
else
{
this.newTestButton.Enabled = false;
relativeHeader1.setRelative(null);
}
}
/**********************************************************************/
public static void AddUnitnumToCommand(Person p, SqlCommand c)
{
c.Parameters.Add("@patientUnitnum", SqlDbType.NVarChar);
if (p.relativeID != 1)
c.Parameters["@patientUnitnum"].Value = p.owningFHx.proband.unitnum;
else
{
Patient patient = (Patient)p;
c.Parameters["@patientUnitnum"].Value = patient.unitnum;
}
}
public EthnicBackground(Person owner)
{
person = owner;
constructor_args = new object[] {this};
}
public RiskProfile(Person owner)
{
OwningPerson = owner;
if (owner is Patient)
{
BracproCancerRisk = new BracproCancerRiskList((Patient)owner);
MmrproCancerRiskList = new MmrproCancerRiskList((Patient)owner);
GailModel = new Gail((Patient)owner);
ClausModel = new Claus((Patient)owner);
TyrerCuzickModel = new TyrerCuzick((Patient)owner);
TyrerCuzickModel_v7 = new TyrerCuzick_v7((Patient)owner);
CCRATModel = new CCRAT((Patient)owner);
NCCNGuideline = new NCCN((Patient)owner);
}
}
public void AddRelative(RiskApps3.Model.PatientRecord.Patient proband, ViewModels.FamilyHistoryRelative obj)
{
/*==============================*/
RiskApps3.Model.PatientRecord.FHx.FamilyHistory FHX = new RiskApps3.Model.PatientRecord.FHx.FamilyHistory(proband);
proband.FHx.BackgroundListLoad();
string relationship = "";
string bloodline = "";
int count = 1;
switch (obj.Relationship)
{
case "Son":
case "Daughter":
case "Brother":
case "Sister":
case "Cousin":
case "Cousin (Male)":
case "Cousin (Female)":
case "Niece":
case "Nephew":
case "Other":
case "Other (Male)":
case "Other (Female)":
relationship = obj.Relationship;
break;
case "Aunt - Maternal":
relationship = "Aunt";
bloodline = "Maternal";
break;
case "Aunt - Paternal":
relationship = "Aunt";
bloodline = "Paternal";
break;
case "Uncle - Maternal":
relationship = "Uncle";
bloodline = "Maternal";
break;
case "Uncle - Paternal":
relationship = "Uncle";
bloodline = "Paternal";
break;
}
if (relationship.Length > 0)
{
string new_rel_type;
List<Person> retval = new List<Person>();
RelationshipEnum re = Relationship.Parse(relationship);
GenderEnum ge = Relationship.getGenderFromRelationshipType(re);
if (Relationship.isOffspring(re))
{
Person newSpouse = null;
foreach (Person q in proband.FHx)
{
if (q.relationshipOther == "Spouse of Self")
{
newSpouse = q;
break;
}
}
if (newSpouse == null)
{
newSpouse = proband.FHx.CreateSpouse(proband);
HraModelChangedEventArgs args = new HraModelChangedEventArgs(null);
args.updatedMembers.Add(newSpouse.GetMemberByName("relativeID")); // Edit And save
args.updatedMembers.Add(newSpouse.GetMemberByName("relationship"));
args.updatedMembers.Add(newSpouse.GetMemberByName("relationshipOther"));
//args.updatedMembers.Add(newSpouse.GetMemberByName("bloodline"));
args.updatedMembers.Add(newSpouse.GetMemberByName("motherID"));
args.updatedMembers.Add(newSpouse.GetMemberByName("fatherID"));
args.updatedMembers.Add(newSpouse.GetMemberByName("gender"));
//args.updatedMembers.Add(newSpouse.GetMemberByName("vitalStatus"));
args.updatedMembers.Add(newSpouse.GetMemberByName("twinID"));
args.updatedMembers.Add(newSpouse.GetMemberByName("x_position"));
args.updatedMembers.Add(newSpouse.GetMemberByName("y_position"));
args.updatedMembers.Add(newSpouse.GetMemberByName("x_norm"));
args.updatedMembers.Add(newSpouse.GetMemberByName("y_norm"));
args.updatedMembers.Add(newSpouse.GetMemberByName("pedigreeGroup"));
args.updatedMembers.Add(newSpouse.GetMemberByName("consanguineousSpouseID"));
newSpouse.BackgroundPersistWork(args);
// newSpouse.BackgroundPersistWork();
//this.AddToList(newSpouse, new HraModelChangedEventArgs(null));
}
for (int i = 0; i < count; i++)
{
proband.FHx.BackgroundListLoad();
int nextID = proband.FHx.GetNewRelativeID();
Person newRel = new Person(proband.FHx);
newRel.HraState = RiskApps3.Model.HraObject.States.Ready;
newRel.relativeID = nextID;
newRel.motherID = 0;
newRel.fatherID = 0;
newRel.owningFHx = proband.FHx;
newRel.vitalStatus = "Alive";
newRel.gender = Gender.toString(ge);
newRel.relationship = relationship;
newRel.bloodline = bloodline;
if (proband.gender == "Female")
{
newRel.motherID = proband.relativeID;
newRel.fatherID = newSpouse.relativeID;
}
else
{
newRel.motherID = newSpouse.relativeID;
newRel.fatherID = proband.relativeID;
}
HraModelChangedEventArgs args = new HraModelChangedEventArgs(null);
args.updatedMembers.Add(newRel.GetMemberByName("relativeID")); // Edit And save
args.updatedMembers.Add(newRel.GetMemberByName("relationship"));
args.updatedMembers.Add(newRel.GetMemberByName("bloodline"));
args.updatedMembers.Add(newRel.GetMemberByName("motherID"));
args.updatedMembers.Add(newRel.GetMemberByName("fatherID"));
args.updatedMembers.Add(newRel.GetMemberByName("gender"));
args.updatedMembers.Add(newRel.GetMemberByName("vitalStatus"));
args.updatedMembers.Add(newRel.GetMemberByName("twinID"));
args.updatedMembers.Add(newRel.GetMemberByName("x_position"));
args.updatedMembers.Add(newRel.GetMemberByName("y_position"));
args.updatedMembers.Add(newRel.GetMemberByName("x_norm"));
args.updatedMembers.Add(newRel.GetMemberByName("y_norm"));
args.updatedMembers.Add(newRel.GetMemberByName("pedigreeGroup"));
args.updatedMembers.Add(newRel.GetMemberByName("consanguineousSpouseID"));
newRel.BackgroundPersistWork(args);
//this.AddToList(newRel, new HraModelChangedEventArgs(null));
retval.Add(newRel);
}
//AddChild(proband, false, count, ge);
//List<Person> newFolks = AddChild(proband, false, count, ge);
//foreach (Person np in newFolks)
//{
// retval.Add(np);
// //np.SignalModelChanged(new HraModelChangedEventArgs(null));
//}
}
else
{
for (int i = 0; i < count; i++)
{
int nextID = proband.FHx.GetNewRelativeID();
Person newRel = new Person(proband.FHx);
newRel.HraState = RiskApps3.Model.HraObject.States.Ready;
newRel.relativeID = nextID;
newRel.motherID = 0;
newRel.fatherID = 0;
newRel.owningFHx = proband.FHx;
newRel.vitalStatus = "Alive";
newRel.gender = Gender.toString(ge);
newRel.relationship = relationship;
newRel.bloodline = bloodline;
proband.FHx.SetIDsFromRelationship(ref newRel);
HraModelChangedEventArgs args = new HraModelChangedEventArgs(null);
args.updatedMembers.Add(newRel.GetMemberByName("relativeID")); // Edit And save
args.updatedMembers.Add(newRel.GetMemberByName("relationship"));
args.updatedMembers.Add(newRel.GetMemberByName("bloodline"));
args.updatedMembers.Add(newRel.GetMemberByName("motherID"));
args.updatedMembers.Add(newRel.GetMemberByName("fatherID"));
args.updatedMembers.Add(newRel.GetMemberByName("gender"));
args.updatedMembers.Add(newRel.GetMemberByName("vitalStatus"));
args.updatedMembers.Add(newRel.GetMemberByName("twinID"));
args.updatedMembers.Add(newRel.GetMemberByName("x_position"));
args.updatedMembers.Add(newRel.GetMemberByName("y_position"));
args.updatedMembers.Add(newRel.GetMemberByName("x_norm"));
args.updatedMembers.Add(newRel.GetMemberByName("y_norm"));
args.updatedMembers.Add(newRel.GetMemberByName("pedigreeGroup"));
args.updatedMembers.Add(newRel.GetMemberByName("consanguineousSpouseID"));
newRel.BackgroundPersistWork(args);
/*
proband.FHx.AddToList(newRel, new HraModelChangedEventArgs(null));
*/
retval.Add(newRel);
}
}
}
}
public List<ViewModels.FamilyHistoryRelative> GetFamilyHistoryRelative(string unitnum, int apptid)
{
string assignedBy = "";
if (SessionManager.Instance.ActiveUser != null)
{
if (string.IsNullOrEmpty(SessionManager.Instance.ActiveUser.ToString()) == false)
{
assignedBy = SessionManager.Instance.ActiveUser.ToString();
}
}
string _userlogin = SessionManager.Instance.ActiveUser.userLogin;
SessionManager.Instance.SetActivePatient(unitnum, apptid);
SessionManager.Instance.GetActivePatient().BackgroundLoadWork();
RiskApps3.Model.PatientRecord.Patient proband = SessionManager.Instance.GetActivePatient();
RiskApps3.Model.PatientRecord.PastMedicalHistory pmh = new RiskApps3.Model.PatientRecord.PastMedicalHistory(proband);
RiskApps3.Model.PatientRecord.FHx.FamilyHistory FHX = new RiskApps3.Model.PatientRecord.FHx.FamilyHistory(proband) ;
proband.FHx.BackgroundListLoad();
/*
RiskApps3.Model.PatientRecord.Person relative1 = new RiskApps3.Model.PatientRecord.Person(proband.FHx);
relative1.BackgroundLoadWork();
*/
//RiskApps3.Model.PatientRecord.FHx.FamilyHistory proband = SessionManager.Instance.GetActivePatient().FHx;
List<ViewModels.FamilyHistoryRelative> lst = new List<VM.FamilyHistoryRelative>();
//foreach (Person p in proband.FHx.Relatives)
//foreach (Person p in FHX.Relatives)
foreach (Person p in proband.FHx.Relatives)
{
ViewModels.FamilyHistoryRelative obj = new ViewModels.FamilyHistoryRelative();
//Person relative = p;
relative = p;
obj.Relationship = "";
// pmh = relative.PMH;
if (string.IsNullOrEmpty(relative.bloodline) || relative.relationship.ToLower() == "mother" || relative.relationship.ToLower() == "father")
{
if (relative.relationship.ToLower() != "other")
obj.Relationship = relative.relationship;
}
else
{
if (relative.bloodline.ToLower() != "unknown" && relative.bloodline.ToLower() != "both")
obj.Relationship = relative.bloodline + " " + relative.relationship;
else
obj.Relationship = relative.relationship;
}
if (obj.Relationship.Length == 0)
{
if (!string.IsNullOrEmpty(relative.relationshipOther))
{
obj.Relationship = relative.relationshipOther;
}
}
obj.RelativeAge = relative.age;
obj.VitalStatus = relative.vitalStatus;
obj.RelativeId = relative.relativeID;
relative.PMH.BackgroundLoadWork();
pmh = relative.PMH;
obj.DeleteFlag = SetDeleteButtonFlag(relative);
for (int i = 0; i < pmh.Observations.Count; i++)
{
ClincalObservation co = (ClincalObservation)pmh.Observations[i];
switch (i)
{
case 0:
obj.FirstDx = co.disease;
obj.FirstAgeOnset= co.ageDiagnosis;
break;
case 1:
obj.SecondDx = co.disease;
obj.SecondAgeOnset= co.ageDiagnosis;
break;
case 2:
obj.ThirdDx = co.disease;
obj.ThirdAgeOnset= co.ageDiagnosis;
break;
default:
break;
}
}
/**/
lst.Add(obj);
}
return lst;
}
public List<VM.Tasks> GetTasks(int InstitutionId, string unitnum)
{
if (InstitutionId != null)
{
_institutionId = InstitutionId;
//SetUserSession();
Patient p = new Patient();
p.unitnum = unitnum;
var list = new TaskList(p);
list.BackgroundListLoad();
return list.FromRATaskList();
}
return new List<VM.Tasks>();
}
/// <summary>
/// for loading Test patient page
/// </summary>
/// <returns></returns>
public VM.TestPatient LoadCreateTestPatients()
{
VM.TestPatient tp = new VM.TestPatient();
TestPatientManager Tpm = new TestPatientManager();
tp.Surveys = Tpm.GetSurveys();
tp.Clinics = GetClinicList();
tp.InitateTestPatients = Tpm.InitiateTestPatients();
return tp;
}
/// <summary>
/// To Show Risk Score on Click of Run Risk Models Button. It calculates Risk Score
/// </summary>
/// <param name="apptid">Appointment Id</param>
/// <param name="MRN">MRN Number</param>
/// <returns></returns>
public VM.RiskScore RiskCalculateAndRunAutomation(int apptid, string MRN)
{
Patient proband = CalculateRiskAndRunAutomation(apptid, MRN);
proband.RP.LoadFullObject();
VM.RiskScore RS = RiskScoreMapper.ToRiskScore(proband.RP);
RS.ApptId = apptid;
RS.MRN = MRN;
return RS;
}
/// <summary>
///To show Risk Score on Click of Risk Calculation
/// </summary>
/// <param name="apptid">Appointment Id</param>
/// <param name="MRN">MRN Number</param>
/// <returns>Risk Score Model</returns>
public VM.RiskScore RiskScore(int apptid, string MRN)
{
SessionManager.Instance.SetActivePatient(MRN, apptid);
Patient proband = SessionManager.Instance.GetActivePatient();
proband.RP.LoadFullObject();
VM.RiskScore RS = RiskScoreMapper.ToRiskScore(proband.RP);
RS.ApptId = apptid;
RS.MRN = MRN;
return RS;
}
/// <summary>
/// To do process of Run Automation Documents
/// </summary>
/// <param name="InstitutionId">Institution Id</param>
/// <param name="apptid">Appointment Id</param>
/// <param name="MRN">MRN Number</param>
/// <returns></returns>
public FileInfo RunAutomationDocuments(int InstitutionId, int apptid, string MRN)
{
Patient proband = CalculateRiskAndRunAutomation(apptid, MRN);
return proband.file;
}
/// <summary>
/// To Save Appointments
/// </summary>
/// <param name="Appt">Appointment Object to Save</param>
/// <param name="InstitutionId">Institution Id</param>
public void SaveAppointments(VM.Appointment Appt, int InstitutionId)
{
SaveAppointments(Appt);
UpdateMarkAsComplete(Appt, InstitutionId);
}
public string SaveImage(string base64, int _institutionId, string _userlogin, int apptid, string PedigreeImageSavePath)
{
string _ImagePath = string.Empty;
using (System.IO.MemoryStream ms = new System.IO.MemoryStream(Convert.FromBase64String(base64)))
{
using (Bitmap bm2 = new Bitmap(ms))
{
// PedigreeImagePath = System.Web.Serv
string _ImageName = _institutionId.ToString() + "_" + _userlogin + "_" + apptid.ToString() + ".png";
bm2.Save(PedigreeImageSavePath + _ImageName);
_ImagePath = _ImageName;
}
}
return _ImagePath;
}
public void SaveSurvey(string unitnum, int apptid, ViewModels.FamilyHistoryRelative obj , int type )
{
SessionManager.Instance.SetActivePatient(unitnum, apptid);
SessionManager.Instance.GetActivePatient().BackgroundLoadWork();
RiskApps3.Model.PatientRecord.Patient proband = SessionManager.Instance.GetActivePatient();
proband.FHx.BackgroundListLoad();
if (type == 0)
{
AddRelative(proband, obj);
}
else if (type == 1)
{
EditSurvey(proband, obj);
}
else
{
DeleteSurvey(proband, obj);
}
}
public bool SetDeleteButtonFlag(Person relative)
{
bool retval = true;
if (relative == null)
return false ;
if (relative.relativeID < 8)
{
retval = false;
}
else
{
foreach (Person p in relative.owningFHx)
{
if (p.motherID == relative.relativeID || p.fatherID == relative.relativeID)
{
retval = false;
break;
}
}
}
return retval;
}
public string ShowPedigreeImage(int _institutionId, string unitnum, int apptid, string PedigreeImageSavePath)
{
int Width = 625;
int Height = 625;
string _ImagePath = string.Empty;
string assignedBy = "";
if (SessionManager.Instance.ActiveUser != null)
{
if (string.IsNullOrEmpty(SessionManager.Instance.ActiveUser.ToString()) == false)
{
assignedBy = SessionManager.Instance.ActiveUser.ToString();
}
}
string _userlogin = SessionManager.Instance.ActiveUser.userLogin;
SessionManager.Instance.SetActivePatient(unitnum, apptid);
RiskApps3.Model.PatientRecord.Patient proband = SessionManager.Instance.GetActivePatient(); // TODO: Check this!!
PedigreeGenerator pg = new PedigreeGenerator(Width, Height, proband);
Bitmap bmp;
if (proband != null)
{
bmp = pg.GeneratePedigreeImage(proband);
}
else
{
bmp = pg.GeneratePedigreeImage();
}
System.IO.MemoryStream stream = new System.IO.MemoryStream();
bmp.Save(stream, System.Drawing.Imaging.ImageFormat.Png);
var base64Data = Convert.ToBase64String(stream.ToArray());
/*
_ImagePath = SaveImage(base64Data, _institutionId, _userlogin, apptid, PedigreeImageSavePath);
return _ImagePath;
*/
return base64Data;
}
public AppointmentService(Person person)
{
relative = person;
}
/**************************************************************************************************/
public void SetActiveRelative(HraView sender, Person person)
{
//Console.Out.WriteLine(DateTime.Now.ToLongTimeString() + "\tNew Active Relative " + person.relativeID.ToString() + " set by " + sender.ToString());
selectedRelative = person;
if (RelativeSelected != null)
{
RelativeSelectedEventArgs args = new RelativeSelectedEventArgs(selectedRelative, securityContext);
args.sendingView = sender;
RelativeSelected(args);
}
}
public static Patient processHL7Import(int apptid, string hl7, string riskMeaningsXml, string HL7Relationships)
{
Patient targetPatient = null;
StringReader sr = new StringReader(hl7);
XmlTextReader tx = new XmlTextReader(sr);
XPathDocument docNav = new XPathDocument(tx);
XPathNavigator nav = docNav.CreateNavigator();
XPathNavigator patientNode = nav.SelectSingleNode("//patient");
StringReader riskMean_sr = new StringReader(riskMeaningsXml);
XmlTextReader riskMean_tx = new XmlTextReader(riskMean_sr);
XPathDocument riskMean_docNav = new XPathDocument(riskMean_tx);
XPathNavigator riskMean_nav = riskMean_docNav.CreateNavigator();
XPathNavigator riskMean_rootNode = riskMean_nav.SelectSingleNode("//root");
StringReader relations_sr = new StringReader(HL7Relationships);
XmlTextReader relations_tx = new XmlTextReader(relations_sr);
XPathDocument relations_docNav = new XPathDocument(relations_tx);
XPathNavigator relations_nav = relations_docNav.CreateNavigator();
XPathNavigator relations_rootNode = relations_nav.SelectSingleNode("//root");
////////////////////////////////////////////////
// Patient Node
////////////////////////////////////////////////
if (patientNode != null)
{
//grab the unitnum and create new patient object
//next line edited by PRB 2015.04.14; must include patientPerson at start to be looking at correct id
string newMRN = patientNode.Evaluate("string(patientPerson/id/@extension)").ToString();
if (string.IsNullOrEmpty(newMRN) == false)
{
targetPatient = new Patient(newMRN);
targetPatient.apptid = apptid;
}
else
return targetPatient;
XPathNavigator patientPerson = patientNode.SelectSingleNode("patientPerson");
if (patientPerson != null)
{
int nextRelIdIfNeeded = 1;
Person p = targetPatient;
ProcessPersonNode(patientNode, riskMean_rootNode, ref p, true, ref nextRelIdIfNeeded);
targetPatient.FHx.Add(p);
XPathNodeIterator relativesIter = patientPerson.Select("relative");
foreach (XPathNavigator relativeNode in relativesIter)
{
p = new Person(targetPatient.FHx);
string hl7relCode = relativeNode.Evaluate("string(code/@code)").ToString();
string hraRelCode = relations_rootNode.Evaluate("string(Relationship[HL7Code/.='" + hl7relCode + "']/Mgh/.)").ToString();
string hraBloodlineCode = relations_rootNode.Evaluate("string(Relationship[HL7Code/.='" + hl7relCode + "']/MghBloodline/.)").ToString();
p.relationship = hraRelCode;
p.bloodline = hraBloodlineCode;
ProcessPersonNode(relativeNode, riskMean_rootNode, ref p, false, ref nextRelIdIfNeeded);
targetPatient.FHx.Add(p);
}
Dictionary<int, int> idMap = new Dictionary<int, int>();
int new_rel_id = 8;
foreach(Person rel in targetPatient.FHx)
{
switch(rel.relationship)
{
case "Self":
idMap.Add(rel.relativeID, 1);
break;
case "Mother":
idMap.Add(rel.relativeID, 2);
break;
case "Father":
idMap.Add(rel.relativeID, 3);
break;
case "Grandmother":
if (string.Compare(rel.bloodline, "maternal", true) == 0)
{
idMap.Add(rel.relativeID, 4);
}
else if (string.Compare(rel.bloodline, "paternal", true) == 0)
{
idMap.Add(rel.relativeID, 6);
}
break;
case "Grandfather":
if (string.Compare(rel.bloodline, "maternal", true) == 0)
{
idMap.Add(rel.relativeID, 5);
}
else if (string.Compare(rel.bloodline, "paternal", true) == 0)
{
idMap.Add(rel.relativeID, 7);
}
break;
default:
idMap.Add(rel.relativeID, new_rel_id);
new_rel_id++;
break;
}
}
foreach (Person rel in targetPatient.FHx)
{
rel.relativeID = idMap[rel.relativeID];
if (rel.motherID > 0)
rel.motherID = idMap[rel.motherID];
if (rel.fatherID > 0)
rel.fatherID = idMap[rel.fatherID];
}
targetPatient.FHx.AddCoreRelatives();
}
}
return targetPatient;
}
/**************************************************************************************************/
internal void ClearActivePatient()
{
activePatient = null;
selectedRelative = null;
if (NewActivePatient != null)
NewActivePatient(this, new NewActivePatientEventArgs(activePatient,securityContext));
}
private static void ProcessPersonNode(XPathNavigator personNode, XPathNavigator riskMean_rootNode, ref Person targetPerson, bool isProband, ref int nextRelIdIfNeeded)
{
string dataroot;
if (isProband)
dataroot = "patientPerson";
else
dataroot = "relationshipHolder";
XPathNavigator dataRootNode = personNode.SelectSingleNode(dataroot);
/////////////////////////
//Age
/////////////////////////
string age_val = personNode.Evaluate("string(subjectOf1/livingEstimatedAge/value/@value)").ToString();
if (string.IsNullOrEmpty(age_val) == false)
{
targetPerson.age = age_val;
}
else
{
age_val = personNode.Evaluate("string(subjectOf1/deceasedEstimatedAge/value/@value)").ToString();
if (string.IsNullOrEmpty(age_val) == false)
{
targetPerson.age = age_val;
}
}
if (String.IsNullOrEmpty(age_val))
{
//try to get age from the birthdate
string birthDateRaw = personNode.Evaluate("string(patientPerson/birthTime/@value)").ToString();
if (!string.IsNullOrEmpty(birthDateRaw))
{
//convert the raw birthdate in YYYYMMDD format to the current age
string[] format = { "yyyyMMdd" }; //official HL7 date format
DateTime birthDate;
if (DateTime.TryParseExact(birthDateRaw,
format,
System.Globalization.CultureInfo.InvariantCulture,
System.Globalization.DateTimeStyles.None,
out birthDate))
{
DateTime today = DateTime.Today;
int age = today.Year - birthDate.Year;
if (birthDate > today.AddYears(-age)) age--;
targetPerson.age = age.ToString();
}
}
}
//////////////////////////
// other basics
//////////////////////////
//old way fails when relative Id isn't integer in source xml/hl7
//targetPerson.relativeID = Convert.ToInt32(dataRootNode.Evaluate("string(id/@extension)").ToString());
int number;
bool resultRelId = Int32.TryParse(dataRootNode.Evaluate("string(id/@extension)").ToString(), out number);
if (resultRelId)
{
targetPerson.relativeID = number;
}
else
{
targetPerson.relativeID = nextRelIdIfNeeded++;
}
targetPerson.name = dataRootNode.Evaluate("string(name/@formatted)").ToString();
targetPerson.firstName = dataRootNode.Evaluate("string(name/@first)").ToString();
targetPerson.lastName = dataRootNode.Evaluate("string(name/@last)").ToString();
targetPerson.homephone = dataRootNode.Evaluate("string(telecom[@use='H']/@value)").ToString();
targetPerson.workphone = dataRootNode.Evaluate("string(telecom[@use='WP']/@value)").ToString();
targetPerson.gender = HL7FormatTranslator.GenderFromHL7(dataRootNode.Evaluate("string(administrativeGenderCode/@code)").ToString());
targetPerson.dob = HL7FormatTranslator.DateFromHL7(dataRootNode.Evaluate("string(birthTime/@value)").ToString()); ;
targetPerson.vitalStatus = HL7FormatTranslator.VitalStatusFromHL7(dataRootNode.Evaluate("string(deceasedInd/@value)").ToString());
int temp_mom_id;
int temp_dad_id;
if (int.TryParse(dataRootNode.Evaluate("string(relative[code/@code='NMTH']/relationshipHolder/id/@extension)").ToString(), out temp_mom_id))
{
targetPerson.motherID = temp_mom_id;
}
if (int.TryParse(dataRootNode.Evaluate("string(relative[code/@code='NFTH']/relationshipHolder/id/@extension)").ToString(), out temp_dad_id))
{
targetPerson.fatherID = temp_dad_id;
}
//////////////////////////
// ethnicity
//////////////////////////
XPathNodeIterator raceIter = dataRootNode.Select("raceCode");
foreach (XPathNavigator raceNode in raceIter)
{
string code = raceNode.Evaluate("string(@code)").ToString();
string displayName = raceNode.Evaluate("string(@displayName)").ToString();
string hraRaceText = HL7FormatTranslator.RaceFromHL7(code, displayName);
if (hraRaceText == "Ashkenazi")
{
targetPerson.isAshkenazi = "Yes";
}
else if (hraRaceText == "Hispanic")
{
targetPerson.isHispanic = "Yes";
}
else
{
Race r = new Race();
r.race = hraRaceText;
targetPerson.Ethnicity.Add(r);
}
}
//SG encodes above in ethnicGroupCode rather than raceCode, so we check these too
XPathNodeIterator ethnicIter = dataRootNode.Select("ethnicGroupCode");
foreach (XPathNavigator ethnicNode in ethnicIter)
{
string code = ethnicNode.Evaluate("string(@code)").ToString();
string displayName = ethnicNode.Evaluate("string(@displayName)").ToString();
string hraEthnicityText = HL7FormatTranslator.EthnicityFromHL7(code, displayName);
if (hraEthnicityText == "Ashkenazi")
{
targetPerson.isAshkenazi = "Yes";
}
else if (hraEthnicityText == "Hispanic or Latino")
{
targetPerson.isHispanic = "Yes";
}
else if (hraEthnicityText == "not Hispanic or Latino")
{
targetPerson.isHispanic = "No";
}
else
{
Race r = new Race();
r.race = hraEthnicityText;
targetPerson.Ethnicity.Add(r);
}
}
//////////////////////////
// Clinical Observations
//////////////////////////
//PRB modified XPath in next to *not* include COs that are for cause of death, which SG duplicates from another CO with that same disease
XPathNodeIterator coIter = personNode.Select(@"subjectOf2/clinicalObservation[not(sourceOf/@typeCode='CAUS')]");
foreach (XPathNavigator coNode in coIter)
{
string coText = coNode.Evaluate("string(code/@displayName)").ToString();
string coCode = coNode.Evaluate("string(code/@code)").ToString();
string coCodeSystem = coNode.Evaluate("string(code/@codeSystemName)").ToString();
string ageLowText = coNode.Evaluate("string(subject/dataEstimatedAge/value/low/@value)").ToString();
string ageHighText = coNode.Evaluate("string(subject/dataEstimatedAge/value/high/@value)").ToString();
string statusCode = coNode.Evaluate("string(statusCode/@code)").ToString();
string coValue = coNode.Evaluate("string(code/qualifier/value/@code)").ToString();
string coAgeDx = HL7FormatTranslator.GetIntFromHL7HighLow(ageLowText, ageHighText);
string hra_tag = riskMean_rootNode.Evaluate("string(row[codeSystem/.='" + coCodeSystem + "'][code/.='" + coCode + "']/Mgh/.)").ToString();
if (string.IsNullOrEmpty(hra_tag) == false)
{
if (string.Compare(hra_tag, "Identical twin", true) == 0)
{
int temp;
if (int.TryParse(coValue, out temp))
{
targetPerson.twinID = temp;
}
}
else
{
if (targetPerson is Patient)
{
Patient p = (Patient)targetPerson;
bool result = processAsRiskFactorClinicalObservation(hra_tag, ref p, coAgeDx, statusCode, coValue);
if (!result)
{
ClincalObservation co = new ClincalObservation(targetPerson.PMH);
co.ClinicalObservation_disease = hra_tag;
co.ClinicalObservation_ageDiagnosis = coAgeDx;
targetPerson.PMH.Observations.Add(co);
}
}
else
{
ClincalObservation co = new ClincalObservation(targetPerson.PMH);
co.ClinicalObservation_disease = hra_tag;
co.ClinicalObservation_ageDiagnosis = coAgeDx;
targetPerson.PMH.Observations.Add(co);
}
}
}
else
{
ClincalObservation co = new ClincalObservation(targetPerson.PMH);
co.ClinicalObservation_disease = coText;
co.ClinicalObservation_ageDiagnosis = coAgeDx;
targetPerson.PMH.Observations.Add(co);
}
}
//////////////////////////
// Cause of Death
//////////////////////////
XPathNavigator cdNav = personNode.SelectSingleNode(@"subjectOf2/clinicalObservation[sourceOf[@typeCode='CAUS']/clinicalObservation/code[(@displayName='death') or (@code='419620001')]]/code[1]");
if (cdNav != null) {
string cdText = cdNav.Evaluate("string(@displayName)").ToString();
string cdCode = cdNav.Evaluate("string(@code)").ToString();
string cdCodeSystem = cdNav.Evaluate("string(@codeSystemName)").ToString();
string cd_hra_tag = riskMean_rootNode.Evaluate("string(row[codeSystem/.='" + cdCodeSystem + "'][code/.='" + cdCode + "']/Mgh/.)").ToString();
if (string.IsNullOrEmpty(cd_hra_tag) == false)
{
targetPerson.causeOfDeath = cd_hra_tag;
}
else
{
targetPerson.causeOfDeath = cdText;
}
}
//////////////////////////
// Genetic Testing
//////////////////////////
//Panels first
XPathNodeIterator gtIter = personNode.Select("subjectOf2/geneticLocus");
List<GeneticTest> panels = new List<GeneticTest>();
List<string> panelNames = new List<string>();
foreach (XPathNavigator gtNode in gtIter)
{
string locusText = gtNode.Evaluate("string(text/.)").ToString();
if (string.IsNullOrEmpty(locusText) == false)
{
if (panelNames.Contains(locusText) == false)
{
GeneticTest new_panel = new GeneticTest(targetPerson.PMH);
new_panel.comments = locusText;
new_panel.GeneticTest_panelID = 34;
panels.Add(new_panel);
panelNames.Add(locusText);
}
}
}
//then results
foreach(GeneticTest panel in panels)
{
XPathNodeIterator resultIter = personNode.Select("subjectOf2/geneticLocus[text/.='" + panel.comments + "']");
foreach (XPathNavigator resultNode in resultIter)
{
string geneName = resultNode.Evaluate("string(value/@displayName)").ToString();
if (string.IsNullOrEmpty(geneName) == false)
{
GeneticTestResult result = new GeneticTestResult(panel);
result.geneName = geneName;
string significance = resultNode.Evaluate("string(component3/sequenceVariation/interpretationCode/@code)").ToString();
result.resultSignificance = significance;
panel.GeneticTestResults.Add(result);
}
}
targetPerson.PMH.GeneticTests.Add(panel);
}
}
/**************************************************************************************************/
private void InitSelectedRelative()
{
// get selected relative object from session manager
if (selectedRelative != null)
selectedRelative.ReleaseListeners(this);
selectedRelative = SessionManager.Instance.GetSelectedRelative();
ClearUI();
if (selectedRelative != null)
{
selectedRelative.AddHandlersWithLoad(selectedRelativeChanged, selectedrelativeLoaded, null);
selectedRelative.Ethnicity.AddHandlersWithLoad(EthnicityListChanged,
EthnicityListLoaded,
null);
selectedRelative.Nationality.AddHandlersWithLoad(NationalityChanged,
NationalityLoaded,
null);
}
else
{
this.Enabled = false;
}
}
public NationalityList(Person owner)
{
person = owner;
constructor_args = new object[] {this};
}
internal void SetPersonPosition(Person person)
{
foreach (PedigreeIndividual pi in model.individuals)
{
if (pi.HraPerson == person)
{
SetPersonFromHraValues(pi, model);
}
}
}
/**************************************************************************************************/
private void SelectedIndividual(Person individual)
{
SessionManager.Instance.SetActiveRelative(this,individual);
}
public RelativeSelectedEventArgs(Person p_selectedRelative, SecurityContext p_securityContext)
: base(null)
{
selectedRelative = p_selectedRelative;
}
public PastMedicalHistory(Person owner)
{
RelativeOwningPMH = owner;
Observations = new ClinicalObservationList(this);
GeneticTests = new GeneticTestList(this);
}
