private void SaveTestResults(KynHealthAssessmentEditModel model, long uploadedby)
{
TestResultRepository testResultRepository;
var customerId = model.CustomerId;
var eventId = model.EventId;
var isNewResultFlow = _eventRepository.IsEventHasNewResultFlow(eventId);
var service = new Service.TestResultService();
var eventCustomerResultId = SaveEventCustomerResult(eventId, customerId, uploadedby);
//basic biometric
var eventCustomer = _eventCustomerRepository.Get(eventId, customerId);
var basicBiometric = _basicBiometricRepository.Get(eventId, customerId);
basicBiometric = _kynHealthAssessmentFactory.GetBasicTestResultBiometricDomain(model, basicBiometric, uploadedby);
if (basicBiometric != null)
{
basicBiometric.Id = eventCustomer.Id;
((IRepository <BasicBiometric>)_basicBiometricRepository).Save(basicBiometric);
}
long[] kynTestIds = { (long)TestType.Kyn, (long)TestType.HKYN, (long)TestType.MyBioCheckAssessment };
var eventTests = _eventTestRepository.GetByEventAndTestIds(eventId, kynTestIds);
//Kyn Test Result
var isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.Kyn);
var isKynPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.HKYN);
var isMyBioCheckPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.MyBioCheckAssessment);
if (isPurchased)
{
var kynTest = eventTests.First(x => x.TestId == (int)TestType.Kyn).Test;
SaveKynLabResult(model, uploadedby, customerId, eventId, eventCustomerResultId, (int)TestType.Kyn, kynTest.IsRecordable, isNewResultFlow);
}
else if (isKynPurchased)
{
var hKynTest = eventTests.First(x => x.TestId == (int)TestType.HKYN).Test;
SaveKynLabResult(model, uploadedby, customerId, eventId, eventCustomerResultId, (int)TestType.HKYN, hKynTest.IsRecordable, isNewResultFlow);
}
else if (isMyBioCheckPurchased)
{
var mybioCheckAssessment = eventTests.First(x => x.TestId == (int)TestType.MyBioCheckAssessment).Test;
SaveKynLabResult(model, uploadedby, customerId, eventId, eventCustomerResultId, (int)TestType.MyBioCheckAssessment, mybioCheckAssessment.IsRecordable, isNewResultFlow);
}
//lipidTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.Lipid);
if (isPurchased)
{
testResultRepository = new LipidTestRepository(ReadingSource.Manual);
var lipidTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
lipidTestresult = _kynHealthAssessmentFactory.GetLipidTestResultDomain(model, lipidTestresult as LipidTestResult, uploadedby, isNewResultFlow);
if (lipidTestresult != null)
{
testResultRepository.SaveTestResults(lipidTestresult, customerId, eventId, uploadedby);
}
}
//AwvLipidTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.AwvLipid);
if (isPurchased)
{
testResultRepository = new AwvLipidTestRepository(ReadingSource.Manual);
var awvLipidTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
awvLipidTestresult = _kynHealthAssessmentFactory.GetAwvLipidTestResultDomain(model, awvLipidTestresult as AwvLipidTestResult, uploadedby, isNewResultFlow);
if (awvLipidTestresult != null)
{
testResultRepository.SaveTestResults(awvLipidTestresult, customerId, eventId, uploadedby);
}
}
//AwvGlucoseTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.AwvGlucose);
if (isPurchased)
{
testResultRepository = new AwvGlucoseTestRepository(ReadingSource.Manual);
var awvGlucoseTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
awvGlucoseTestresult = _kynHealthAssessmentFactory.GetAwvGlucoseTestResultDomain(model, awvGlucoseTestresult as AwvGlucoseTestResult, uploadedby, isNewResultFlow);
if (awvGlucoseTestresult != null)
{
testResultRepository.SaveTestResults(awvGlucoseTestresult, customerId, eventId, uploadedby);
}
}
//AwvLipidTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.Cholesterol);
if (isPurchased)
{
testResultRepository = new CholesterolTestRepository(ReadingSource.Manual);
var cholesterolTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
cholesterolTestresult = _kynHealthAssessmentFactory.GetCholesterolTestResultDomain(model, cholesterolTestresult as CholesterolTestResult, uploadedby, isNewResultFlow);
if (cholesterolTestresult != null)
{
testResultRepository.SaveTestResults(cholesterolTestresult, customerId, eventId, uploadedby);
}
}
//AwvGlucoseTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.Diabetes);
if (isPurchased)
{
testResultRepository = new DiabetesTestRepository(ReadingSource.Manual);
var diabetesTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
diabetesTestresult = _kynHealthAssessmentFactory.GetDiabetesTestResultDomain(model, diabetesTestresult as DiabetesTestResult, uploadedby, isNewResultFlow);
if (diabetesTestresult != null)
{
testResultRepository.SaveTestResults(diabetesTestresult, customerId, eventId, uploadedby);
}
}
//Hypertension Test Result
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.Hypertension);
if (isPurchased)
{
testResultRepository = new HypertensionTestRepository(ReadingSource.Manual);
var hypertensionTestresult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
hypertensionTestresult = _kynHealthAssessmentFactory.GetHypertensionTestResultDomain(model, hypertensionTestresult as HypertensionTestResult, uploadedby, isNewResultFlow);
if (hypertensionTestresult != null)
{
testResultRepository.SaveTestResults(hypertensionTestresult, customerId, eventId, uploadedby);
}
}
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.A1C);
if (isPurchased)
{
testResultRepository = new HemaglobinTestRepository(ReadingSource.Manual);
var hemaglobinTestResult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
hemaglobinTestResult = _kynHealthAssessmentFactory.GetHemaglobinA1CTestResultDomain(model, hemaglobinTestResult as HemaglobinA1CTestResult, uploadedby, isNewResultFlow);
if (hemaglobinTestResult != null)
{
testResultRepository.SaveTestResults(hemaglobinTestResult, customerId, eventId, uploadedby);
}
}
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.AwvHBA1C);
if (isPurchased)
{
testResultRepository = new AwvHemaglobinTestRepository(ReadingSource.Manual);
var awvHemaglobinTestResult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
awvHemaglobinTestResult = _kynHealthAssessmentFactory.GetAwvHemaglobinTestResultDomain(model, awvHemaglobinTestResult as AwvHemaglobinTestResult, uploadedby, isNewResultFlow);
if (awvHemaglobinTestResult != null)
{
testResultRepository.SaveTestResults(awvHemaglobinTestResult, customerId, eventId, uploadedby);
}
}
//MyBioCheckTestresult
isPurchased = service.IsTestPurchasedByCustomer(eventId, customerId, (long)TestType.MyBioCheckAssessment);
if (isPurchased)
{
testResultRepository = new MyBioAssessmentTestRepository(ReadingSource.Manual);
var myBioAssessmentTestResult = testResultRepository.GetTestResults(customerId, eventId, isNewResultFlow);
myBioAssessmentTestResult = _kynHealthAssessmentFactory.GetMyBioCheckAssessmentTestResultDomain(model, myBioAssessmentTestResult as MyBioAssessmentTestResult, uploadedby, isNewResultFlow);
if (myBioAssessmentTestResult != null)
{
testResultRepository.SaveTestResults(myBioAssessmentTestResult, customerId, eventId, uploadedby);
}
}
}
private List <Observation> LipidObservations(Customer customer, Event theEventData)
{
ITestResultRepository testResultRepository = new AwvLipidTestRepository();
var isNewResultFlow = theEventData.EventDate >= _settings.ResultFlowChangeDate;
var awvLipidTestResult = (AwvLipidTestResult)testResultRepository.GetTestResults(customer.CustomerId, theEventData.Id, isNewResultFlow);
var observation = new List <Observation>();
if (awvLipidTestResult != null && (awvLipidTestResult.TestNotPerformed == null || awvLipidTestResult.TestNotPerformed.TestNotPerformedReasonId <= 0) && (awvLipidTestResult.UnableScreenReason == null || awvLipidTestResult.UnableScreenReason.Count == 0))
{
if (awvLipidTestResult.TriGlycerides != null)
{
var triGlyceride = string.Empty;
var refRang = string.Empty;
if (awvLipidTestResult.TriGlycerides.Reading != null)
{
triGlyceride = awvLipidTestResult.TriGlycerides.Reading;
}
if (awvLipidTestResult.TriGlycerides.Finding != null)
{
refRang = awvLipidTestResult.TriGlycerides.Finding.Label;
}
var trig = new Observation
{
Id = ClinicalDocumentHelper.ClinicalRoots.First(cr => cr.FirstValue == ClinicalRootType.LipidProfile).SecondValue,
TemplateId = GetLipidObseravationTemplates(),
Code = ClinicalDocumentHelper.LoincCodes.First(x => x.FirstValue == LoincCode.LipidTriglycerides).SecondValue,
Reference = " <referenceRange><observationRange><text>" + refRang + "</text></observationRange></referenceRange>",
StatusCode = new StatusCode {
Code = "completed"
},
ObservationValue = new ObservationValue {
Value = triGlyceride, Unit = ""
}
};
observation.Add(trig);
}
//LDL
if (awvLipidTestResult.LDL != null)
{
var ldlReading = string.Empty;
var refRang = string.Empty;
if (awvLipidTestResult.LDL.Reading != null)
{
ldlReading = Reading(awvLipidTestResult.LDL);
}
if (awvLipidTestResult.LDL.Finding != null)
{
refRang = awvLipidTestResult.LDL.Finding.Label;
}
var ldl = new Observation
{
Id = ClinicalDocumentHelper.ClinicalRoots.First(cr => cr.FirstValue == ClinicalRootType.LipidProfile).SecondValue,
TemplateId = GetLipidObseravationTemplates(),
Code = ClinicalDocumentHelper.LoincCodes.First(x => x.FirstValue == LoincCode.LipidLdlcholesterol).SecondValue,
Reference = " <referenceRange><observationRange><text>" + refRang + "</text></observationRange></referenceRange>",
StatusCode = new StatusCode {
Code = "completed"
},
ObservationValue = new ObservationValue {
Value = ldlReading, Unit = ""
}
};
observation.Add(ldl);
}
if (awvLipidTestResult.HDL != null)
{
//hdl
var hdlReading = string.Empty;
var refRang = string.Empty;
if (awvLipidTestResult.HDL.Reading != null)
{
hdlReading = awvLipidTestResult.HDL.Reading;
}
if (awvLipidTestResult.HDL.Finding != null)
{
refRang = awvLipidTestResult.HDL.Finding.Label;
}
var hdl = new Observation
{
Id = ClinicalDocumentHelper.ClinicalRoots.First(cr => cr.FirstValue == ClinicalRootType.LipidProfile).SecondValue,
TemplateId = GetLipidObseravationTemplates(),
Code = ClinicalDocumentHelper.LoincCodes.First(x => x.FirstValue == LoincCode.LipidLdlcholesterol).SecondValue,
Reference = " <referenceRange><observationRange><text>" + refRang + "</text></observationRange></referenceRange>",
StatusCode = new StatusCode {
Code = "completed"
},
ObservationValue = new ObservationValue {
Value = hdlReading, Unit = ""
}
};
observation.Add(hdl);
}
//
if (awvLipidTestResult.TotalCholestrol != null)
{
var totalCholesterolReading = string.Empty;
var refRang = string.Empty;
if (awvLipidTestResult.TotalCholestrol.Reading != null)
{
totalCholesterolReading = awvLipidTestResult.TotalCholestrol.Reading;
}
if (awvLipidTestResult.TotalCholestrol.Finding != null)
{
refRang = awvLipidTestResult.TotalCholestrol.Finding.Label;
}
var totalChole = new Observation
{
Id = ClinicalDocumentHelper.ClinicalRoots.First(cr => cr.FirstValue == ClinicalRootType.LipidProfile).SecondValue,
TemplateId = GetLipidObseravationTemplates(),
Code = ClinicalDocumentHelper.LoincCodes.First(x => x.FirstValue == LoincCode.LipidHdlcholesterol).SecondValue,
Reference = " <referenceRange><observationRange><text>" + refRang + "</text></observationRange></referenceRange>",
StatusCode = new StatusCode {
Code = "completed"
},
ObservationValue = new ObservationValue {
Value = totalCholesterolReading, Unit = ""
}
};
observation.Add(totalChole);
}
}
return(observation);
}
/// <summary>
/// This can be rerun any time. The service updates the last run time and will continue
/// </summary>
public void Sync()
{
try
{
if (!_settings.SyncWithHra)
{
_logger.Info("Syncing with HRA is off ");
return;
}
//get all tags for IsHealthPlan is true
var tags = _organizationRepository.GetMedicareSites().Where(x => x.ShowHraQuestionnaire);
if (tags != null && tags.Any())
{
foreach (var tag in tags)
{
var newLastTransactionDate = DateTime.Now; // use the time when exporting for this tag starts, as start date for next day.
_logger.Info("Medicare CustomerResult Sync for tag : " + tag.Alias);
var path = _medicareSyncCustomSettingsPath + "MedicareCustomerResultSync" + tag.Alias + ".xml";
var customSettings = _customSettingManager.Deserialize(path);
if (customSettings == null || !customSettings.LastTransactionDate.HasValue)
{
customSettings = new CustomSettings {
LastTransactionDate = DateTime.Now.AddHours(-2)
};
}
if (customSettings.LastTransactionDate != null)
{
var exportFromTime = customSettings.LastTransactionDate.Value;
var customerIds = _customerRepository.GetRecentResultUpdatedForMedicareSync(exportFromTime, tag.Alias).ToArray();
if (customerIds.Any())
{
var events = customerIds.Select(x => x.EventId).Distinct().ToArray();
var eventIdsWithMammogramTest = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.Mammogram).ToArray();
var eventIdsWithEchocardiogram = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvEcho).ToArray();
var eventIdsWithAwvLipid = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvLipid).ToArray();
var eventIdsWithAwvSpiro = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvSpiro).ToArray();
var eventIdsWithDiabeticRetinopathy = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.DiabeticRetinopathy).ToArray();
var eventIdsWithUrineMicroalbumin = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.UrineMicroalbumin).ToArray();
var eventIdsWithAwvEkg = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvEkg).ToArray();
var eventIdsWithAwvHba1C = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvHBA1C).ToArray();
var eventIdsWithAwvAaa = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvAAA).ToArray();
var eventIdsWithAwvAbi = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.AwvABI).ToArray();
var eventIdsWithQuantaFloAbi = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.QuantaFloABI).ToArray();
var eventIdsWithLead = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.Lead).ToArray();
var eventIdsWithBp = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.Hypertension).ToArray();
var eventList = _eventRepository.GetEvents(events).ToArray();
//var eventIdsWithMonoFilament = _customerRepository.GetEventWithTest(events, tag.Alias, (long)TestType.Monofilament).ToArray();
const int pageSize = 25;
var totalPages = Math.Ceiling((double)(customerIds.Count()) / pageSize);
for (int i = 0; i < totalPages; i++)
{
var currentList = customerIds.Skip(i * pageSize).Take(pageSize).ToArray();
try
{
foreach (var medicareResultEditModel in currentList)
{
var eventData = eventList.First(e => e.Id == medicareResultEditModel.EventId);
var isNewResultFlow = eventData.EventDate >= _settings.ResultFlowChangeDate;
var evaluatingPhysicians = _physicianEvaluationRepsoitory.GetPhysicianEvaluation(medicareResultEditModel.EventCustomerId);
if (evaluatingPhysicians != null)
{
var primaryEvalRecord = evaluatingPhysicians != null?evaluatingPhysicians.Where(p => p.IsPrimaryEvaluator).OrderByDescending(p => p.EvaluationEndTime ?? p.EvaluationStartTime).FirstOrDefault() : null;
var primaryPhysicianId = primaryEvalRecord != null ? primaryEvalRecord.PhysicianId : 0;
var overreadPhysicianId = primaryEvalRecord != null?evaluatingPhysicians.Where(p => !p.IsPrimaryEvaluator && p.EvaluationStartTime > primaryEvalRecord.EvaluationStartTime).OrderByDescending(
p => p.EvaluationEndTime ?? p.EvaluationStartTime).Select(p => p.PhysicianId).FirstOrDefault() : 0;
medicareResultEditModel.PhysicianOruId = overreadPhysicianId > 0 ? overreadPhysicianId : primaryPhysicianId;
}
if (eventIdsWithBp.Contains(medicareResultEditModel.EventId)) //1
{
// Blood Pressure Evaluation Test or Hypertension
var testResultRepository = new HypertensionTestRepository();
var aaaTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var aaaTest = ((Core.Medical.Domain.HypertensionTestResult)aaaTestResult);
if (aaaTest != null && aaaTest.TestNotPerformed == null &&
aaaTest.UnableScreenReason == null)
{
medicareResultEditModel.BpReading = new MedicareResultEditModel.Bp();
medicareResultEditModel.BpReading.Systolic = aaaTest.Systolic != null ? aaaTest.Systolic.Reading : null;
medicareResultEditModel.BpReading.Diastolic = aaaTest.Diastolic != null ? aaaTest.Diastolic.Reading : null;
}
}
if (eventIdsWithAwvAaa.Contains(medicareResultEditModel.EventId)) //1
{
// Update the AAA result
var testResultRepository = new AwvAaaTestRepository();
var aaaTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var aaaTest = ((Core.Medical.Domain.AwvAaaTestResult)aaaTestResult);
if (aaaTest != null && aaaTest.Finding != null && aaaTest.TestNotPerformed == null &&
aaaTest.UnableScreenReason == null)
{
medicareResultEditModel.AaaResult = new MedicareResultEditModel.AaaReadings();
medicareResultEditModel.AaaResult.AortaSize = aaaTest.Finding != null ? aaaTest.Finding.Label : null;
medicareResultEditModel.AaaResult.AorticDissection = aaaTest.AorticDissection != null && aaaTest.AorticDissection.Reading;
medicareResultEditModel.AaaResult.Plaque = aaaTest.Plaque != null && aaaTest.Plaque.Reading;
medicareResultEditModel.AaaResult.Thrombus = aaaTest.Thrombus != null && aaaTest.Thrombus.Reading;
if (aaaTest.IncidentalFindings != null)
{
foreach (var standardFinding in aaaTest.IncidentalFindings)
{
if (standardFinding.Label == "Aortic Stenosis")
{
medicareResultEditModel.AaaResult.AorticStenosis = true;
}
}
}
}
}
if (eventIdsWithAwvAbi.Contains(medicareResultEditModel.EventId))//2
{
// AwvAbi
var testResultRepository = new AwvAbiTestRepository();
var padTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var aaaTest = ((Core.Medical.Domain.AwvAbiTestResult)padTestResult);
if (aaaTest != null && aaaTest.Finding != null && aaaTest.TestNotPerformed == null &&
aaaTest.UnableScreenReason == null)
{
medicareResultEditModel.PadReading = new MedicareResultEditModel.PadTestReadings();
medicareResultEditModel.PadReading.Finding = aaaTest.Finding.Label;
}
}
if (eventIdsWithQuantaFloAbi.Contains(medicareResultEditModel.EventId))//3
{
// QuantaFlo Abi
var testResultRepository = new QuantaFloABITestRepository();
var padTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var aaaTest = ((Core.Medical.Domain.QuantaFloABITestResult)padTestResult);
if (aaaTest != null && aaaTest.Finding != null && aaaTest.TestNotPerformed == null &&
aaaTest.UnableScreenReason == null)
{
medicareResultEditModel.QuantaFloReading = new MedicareResultEditModel.QuantaFloReadings();
medicareResultEditModel.QuantaFloReading.Finding = aaaTest.Finding.Label;
}
}
if (eventIdsWithLead.Contains(medicareResultEditModel.EventId))//5
{
// Lead
var testResultRepository = new LeadTestRepository();
var leadTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var leadTest = ((Core.Medical.Domain.LeadTestResult)leadTestResult);
if (leadTest != null && leadTest.TestNotPerformed == null &&
leadTest.UnableScreenReason == null)
{
medicareResultEditModel.LeadReading = new MedicareResultEditModel.LeadReadings();
if (leadTest.LeftResultReadings != null)
{
medicareResultEditModel.LeadReading.LNoVisualPlaque = leadTest.LeftResultReadings.NoVisualPlaque != null && leadTest.LeftResultReadings.NoVisualPlaque.Reading.HasValue && leadTest.LeftResultReadings.NoVisualPlaque.Reading.Value;
medicareResultEditModel.LeadReading.LVisuallyDemonstratedPlaque = leadTest.LeftResultReadings.VisuallyDemonstratedPlaque != null && leadTest.LeftResultReadings.VisuallyDemonstratedPlaque.Reading.HasValue && leadTest.LeftResultReadings.VisuallyDemonstratedPlaque.Reading.Value;
medicareResultEditModel.LeadReading.LModerateStenosis = leadTest.LeftResultReadings.ModerateStenosis != null && leadTest.LeftResultReadings.ModerateStenosis.Reading.HasValue && leadTest.LeftResultReadings.ModerateStenosis.Reading.Value;
medicareResultEditModel.LeadReading.LPossibleOcclusion = leadTest.LeftResultReadings.PossibleOcclusion != null && leadTest.LeftResultReadings.PossibleOcclusion.Reading.HasValue && leadTest.LeftResultReadings.PossibleOcclusion.Reading.Value;
}
if (leadTest.LowVelocityLeft != null)
{
medicareResultEditModel.LeadReading.LowVelocityLeft = true;
}
if (leadTest.RightResultReadings != null)
{
medicareResultEditModel.LeadReading.RNoVisualPlaque = leadTest.RightResultReadings.NoVisualPlaque != null && leadTest.RightResultReadings.NoVisualPlaque.Reading.HasValue && leadTest.RightResultReadings.NoVisualPlaque.Reading.Value;
medicareResultEditModel.LeadReading.RVisuallyDemonstratedPlaque = leadTest.RightResultReadings.VisuallyDemonstratedPlaque != null && leadTest.RightResultReadings.VisuallyDemonstratedPlaque.Reading.HasValue && leadTest.RightResultReadings.VisuallyDemonstratedPlaque.Reading.Value;
medicareResultEditModel.LeadReading.RModerateStenosis = leadTest.RightResultReadings.ModerateStenosis != null && leadTest.RightResultReadings.ModerateStenosis.Reading.HasValue && leadTest.RightResultReadings.ModerateStenosis.Reading.Value;
medicareResultEditModel.LeadReading.RPossibleOcclusion = leadTest.RightResultReadings.PossibleOcclusion != null && leadTest.RightResultReadings.PossibleOcclusion.Reading.HasValue && leadTest.RightResultReadings.PossibleOcclusion.Reading.Value;
}
if (leadTest.LowVelocityRight != null)
{
medicareResultEditModel.LeadReading.LowVelocityRight = true;
}
}
}
if (eventIdsWithMammogramTest.Contains(medicareResultEditModel.EventId))
{
// Update the mammogram result
var testResultRepository = new MammogramTestRepository();
var mammogramTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
var mamoTest = ((Core.Medical.Domain.MammogramTestResult)mammogramTestResult);
if (mamoTest != null && mamoTest.Finding != null && mamoTest.TestNotPerformed == null && mamoTest.UnableScreenReason == null)
{
medicareResultEditModel.MammogramReading = mamoTest.Finding.Label;
}
}
if (eventIdsWithAwvSpiro.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new AwvSpiroTestRepository();
var awvSpiroTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvSpiroTestResult != null && awvSpiroTestResult.TestNotPerformed == null && awvSpiroTestResult.UnableScreenReason == null)
{
if (awvSpiroTestResult.ResultStatus != null)
{
medicareResultEditModel.AwvSpiroStateNumber = (int)awvSpiroTestResult.ResultStatus.StateNumber;
}
var spirotest = ((Core.Medical.Domain.AwvSpiroTestResult)awvSpiroTestResult);
if (spirotest.Finding != null)
{
medicareResultEditModel.AwvSpiroFindingLabel = spirotest.Finding.Label;
}
if (spirotest.Obstructive != null)
{
medicareResultEditModel.AwvSpiroObstructiveLabel = spirotest.Obstructive.Label.ToString();
}
}
}
//if (eventIdsWithMonoFilament.Contains(medicareResultEditModel.EventId))
//{
// var testResultRepository = new MonofilamentTestRepository();
// var monoTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId);
// if (monoTestResult != null && monoTestResult.ResultStatus != null)
// {
// medicareResultEditModel.MonoFilamentStateNumber = (int)monoTestResult.ResultStatus.StateNumber;
// }
//}
if (eventIdsWithEchocardiogram.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new AwvEchocardiogramTestRepository();
var awvEchoTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvEchoTestResult != null && awvEchoTestResult.TestNotPerformed == null && awvEchoTestResult.UnableScreenReason == null)
{
try
{
if (awvEchoTestResult != null && awvEchoTestResult.ResultStatus != null)
{
medicareResultEditModel.AwvEchoStateNumber = (int)awvEchoTestResult.ResultStatus.StateNumber;
}
var echocartest = ((Core.Medical.Domain.AwvEchocardiogramTestResult)awvEchoTestResult);
medicareResultEditModel.AwvEchoFindingLabel = echocartest.EstimatedEjactionFraction != null ? echocartest.EstimatedEjactionFraction.Label : null;
medicareResultEditModel.EchocardiogramReading = new MedicareResultEditModel.EchocardiogramReadings();
if (echocartest.EstimatedEjactionFraction != null)
{
medicareResultEditModel.EchocardiogramReading.EstimatedEjactionFractionMin = echocartest.EstimatedEjactionFraction.MinValue;
medicareResultEditModel.EchocardiogramReading.EstimatedEjactionFractionMax = echocartest.EstimatedEjactionFraction.MaxValue;
}
//Aortic
medicareResultEditModel.EchocardiogramReading.Aortic = echocartest.Aortic != null && echocartest.Aortic.Reading;
if (echocartest.AorticMorphology != null)
{
foreach (var standardFinding in echocartest.AorticMorphology)
{
if (standardFinding.Label == "Stenosis")
{
medicareResultEditModel.EchocardiogramReading.AorticStenosis = true;
}
}
}
var aorticRegurgitation = echocartest.AorticRegurgitation != null ? echocartest.AorticRegurgitation.Label : null;
medicareResultEditModel.EchocardiogramReading.AorticRegurgitation = aorticRegurgitation != null ? (aorticRegurgitation == "Mod" ? "Moderate" : aorticRegurgitation) : null;
//Mitral
medicareResultEditModel.EchocardiogramReading.Mitral = echocartest.Mitral != null && echocartest.Mitral.Reading;
if (echocartest.MitralMorphology != null)
{
foreach (var standardFinding in echocartest.MitralMorphology)
{
if (standardFinding.Label == "Stenosis")
{
medicareResultEditModel.EchocardiogramReading.MitralStenosis = true;
}
if (standardFinding.Label == "Mitral Prolapse")
{
medicareResultEditModel.EchocardiogramReading.MitralProlapse = true;
}
}
}
var mitralRegurgitation = echocartest.MitralRegurgitation != null ? echocartest.MitralRegurgitation.Label : null;
medicareResultEditModel.EchocardiogramReading.MitralRegurgitation = mitralRegurgitation != null ? (mitralRegurgitation == "Mod" ? "Moderate" : mitralRegurgitation) : null;
//Pulmonic
medicareResultEditModel.EchocardiogramReading.Pulmonic = echocartest.Pulmonic != null && echocartest.Pulmonic.Reading;
var pulmonicRegurgitation = echocartest.PulmonicRegurgitation != null ? echocartest.PulmonicRegurgitation.Label : null;
medicareResultEditModel.EchocardiogramReading.PulmonicRegurgitation = pulmonicRegurgitation != null ? (pulmonicRegurgitation == "Mod" ? "Moderate" : pulmonicRegurgitation) : null;
//Tricuspid
medicareResultEditModel.EchocardiogramReading.Tricuspid = echocartest.Tricuspid != null && echocartest.Tricuspid.Reading;
medicareResultEditModel.EchocardiogramReading.HighOrGreater = echocartest.MorphologyTricuspidHighOrGreater != null && echocartest.MorphologyTricuspidHighOrGreater.Reading;
medicareResultEditModel.EchocardiogramReading.TricuspidPap = echocartest.TricuspidPap != null ? echocartest.TricuspidPap.Reading : null;
var tricuspidRegurgitation = echocartest.TricuspidRegurgitation != null ? echocartest.TricuspidRegurgitation.Label : null;
medicareResultEditModel.EchocardiogramReading.TricuspidRegurgitation = tricuspidRegurgitation != null ? (tricuspidRegurgitation == "Mod" ? "Moderate" : tricuspidRegurgitation) : null;
//DiastolicDysfunction
medicareResultEditModel.EchocardiogramReading.DiastolicDysfunction = echocartest.DiastolicDysfunction != null && echocartest.DiastolicDysfunction.Reading;
medicareResultEditModel.EchocardiogramReading.DistolicDysfunctionFinding = echocartest.DistolicDysfunctionFinding != null ? echocartest.DistolicDysfunctionFinding.Label : null;
medicareResultEditModel.EchocardiogramReading.DiastolicDysfunctionEeRatio = echocartest.DiastolicDysfunctionEeRatio != null ? echocartest.DiastolicDysfunctionEeRatio.Reading : null;
medicareResultEditModel.EchocardiogramReading.AorticRoot = echocartest.AorticRoot != null && echocartest.AorticRoot.Reading;
medicareResultEditModel.EchocardiogramReading.Sclerotic = echocartest.Sclerotic != null && echocartest.Sclerotic.Reading;
medicareResultEditModel.EchocardiogramReading.Atherosclerosis = echocartest.Atherosclerosis != null && echocartest.Atherosclerosis.Reading;
medicareResultEditModel.EchocardiogramReading.VentricularHypertrophy = echocartest.VentricularHypertrophy != null && echocartest.VentricularHypertrophy.Reading;
medicareResultEditModel.EchocardiogramReading.Arrythmia = echocartest.Arrythmia != null && echocartest.Arrythmia.Reading;
medicareResultEditModel.EchocardiogramReading.AFib = echocartest.AFib != null && echocartest.AFib.Reading;
medicareResultEditModel.EchocardiogramReading.AFlutter = echocartest.AFlutter != null && echocartest.AFlutter.Reading;
}
catch (Exception ex)
{
_logger.Error(" error EchocardiogramReading Customer : " + medicareResultEditModel.CustomerId + " Message: " + ex.Message + "\n stack Trace: " + ex.StackTrace);
}
}
}
if (eventIdsWithUrineMicroalbumin.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new UrineMicroalbuminTestRepository();
var awvUrinTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvUrinTestResult != null && awvUrinTestResult.ResultStatus != null && awvUrinTestResult.TestNotPerformed == null && awvUrinTestResult.UnableScreenReason == null)
{
medicareResultEditModel.AwvUrinStateNumber = (int)awvUrinTestResult.ResultStatus.StateNumber;
var urintest = ((Core.Medical.Domain.UrineMicroalbuminTestResult)awvUrinTestResult);
if (urintest != null && urintest.Finding != null)
{
medicareResultEditModel.AwvUrinFindingLabel = urintest.Finding.Label;
}
}
}
if (eventIdsWithAwvLipid.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new AwvLipidTestRepository();
var awvLipidTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvLipidTestResult != null && awvLipidTestResult.ResultStatus != null && awvLipidTestResult.TestNotPerformed == null &&
awvLipidTestResult.UnableScreenReason == null)
{
medicareResultEditModel.AwvLipidStateNumber = (int)awvLipidTestResult.ResultStatus.StateNumber;
var awvLipid = ((Core.Medical.Domain.AwvLipidTestResult)awvLipidTestResult);
if (awvLipid != null)
{
medicareResultEditModel.LipidReading = new MedicareResultEditModel.Lipid();
if (awvLipid.TotalCholestrol != null &&
awvLipid.TotalCholestrol.Finding != null)
{
medicareResultEditModel.AwvLipidTotalCholestrol = awvLipid.TotalCholestrol.Reading;
medicareResultEditModel.LipidReading.Tc = awvLipid.TotalCholestrol.Reading;
}
if (awvLipid.HDL != null && awvLipid.HDL.Finding != null)
{
medicareResultEditModel.LipidReading.Hdl = awvLipid.HDL.Reading;
}
if (awvLipid.LDL != null && awvLipid.LDL.Finding != null)
{
medicareResultEditModel.LipidReading.Ldl = awvLipid.LDL.Reading;
}
if (awvLipid.TriGlycerides != null && awvLipid.TriGlycerides.Finding != null)
{
medicareResultEditModel.LipidReading.Trig = awvLipid.TriGlycerides.Reading;
}
}
}
}
if (eventIdsWithDiabeticRetinopathy.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new DiabeticRetinopathyTestRepository();
var awvDrsTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvDrsTestResult != null && awvDrsTestResult.ResultStatus != null && awvDrsTestResult.TestNotPerformed == null && awvDrsTestResult.UnableScreenReason == null)
{
medicareResultEditModel.AwvDrsStateNumber = (int)awvDrsTestResult.ResultStatus.StateNumber;
}
}
if (eventIdsWithAwvEkg.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new AwvEkgTestRepository();
var awvEkgTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvEkgTestResult != null && awvEkgTestResult.ResultStatus != null && awvEkgTestResult.TestNotPerformed == null && awvEkgTestResult.UnableScreenReason == null)
{
medicareResultEditModel.AwvEkgStateNumber = (int)awvEkgTestResult.ResultStatus.StateNumber;
}
}
if (eventIdsWithAwvHba1C.Contains(medicareResultEditModel.EventId))
{
var testResultRepository = new AwvHemaglobinTestRepository();
var awvHba1CTestResult = testResultRepository.GetTestResults(medicareResultEditModel.CustomerId, medicareResultEditModel.EventId, isNewResultFlow);
if (awvHba1CTestResult != null && awvHba1CTestResult.ResultStatus != null && awvHba1CTestResult.TestNotPerformed == null && awvHba1CTestResult.UnableScreenReason == null)
{
medicareResultEditModel.AwvHbA1CStateNumber = (int)awvHba1CTestResult.ResultStatus.StateNumber;
}
}
}
_logger.Info("Medicare Customer Sync Starting for tag: " + tag.Alias + " Page : " + (i + 1));
var phyids = currentList.Where(x => x.PhysicianOruId > 0).Select(x => x.PhysicianOruId).ToArray();
var names = _organizationRoleUserRepository.GetNameIdPairofUsers(phyids);
if (names.Any())
{
foreach (var medicareResultEditModel in currentList.Where(x => x.PhysicianOruId > 0))
{
var n = names.FirstOrDefault(x => x.FirstValue == medicareResultEditModel.PhysicianOruId);
if (n != null)
{
medicareResultEditModel.PhysicianName = n.SecondValue;
}
}
}
var model = new MedicareResultListmodel {
EhrResultEditmodels = currentList.ToList()
};
var result = _medicareApiService.PostAnonymous <bool>(_settings.MedicareApiUrl + MedicareApiUrl.UpdateCustomerResult, model);
if (result)
{
_logger.Info("Medicare Customer Sync for tag: " + tag.Alias + " Page : " + (i + 1));
}
}
catch (Exception exception)
{
_logger.Error(" error occur Medicare Customer Sync for tag: " + tag.Alias + " Customer : " + (i + 1) + " Message: " + exception.Message + "\n stack Trace: " + exception.StackTrace);
}
}
}
var kynCustomerIds = _kyaLabValuesRepository.GetRecentKynLabValuesForMedicareSync(exportFromTime, tag.Alias).ToArray();
if (kynCustomerIds.Any())
{
const int pageSize = 25;
var totalPages = Math.Ceiling((double)(kynCustomerIds.Count()) / pageSize);
for (var i = 0; i < totalPages; i++)
{
var currentList = kynCustomerIds.Skip(i * pageSize).Take(pageSize).ToArray();
try
{
_logger.Info("Medicare Customer Sync Starting for tag: " + tag.Alias + " Page : " + (i + 1));
var model = new MedicareKynResultListmodel()
{
EhrResultEditmodels = currentList.ToList()
};
var result = _medicareApiService.PostAnonymous <bool>(_settings.MedicareApiUrl + MedicareApiUrl.UpdateCustomerKynResult, model);
if (result)
{
_logger.Info("Medicare Customer Sync for tag: " + tag.Alias + " Page : " + (i + 1));
}
}
catch (Exception exception)
{
_logger.Error(" error occur Medicare Customer Sync for tag: " + tag.Alias + " Customer : " + (i + 1) + " Message: " + exception.Message + "\n stack Trace: " + exception.StackTrace);
}
}
}
}
_customSettingManager.SerializeandSave(path, new CustomSettings {
LastTransactionDate = newLastTransactionDate
});
}
}
}
catch (Exception exception)
{
_logger.Error("Error occurred for SyncCustomerResultPollingAgent Message: " + exception.Message + "\n stack Trace: " + exception.StackTrace);
}
}
