private static string GetDataSubType(POCD_MT000040SubstanceAdministration medicationEntry, Code productCode,
List <AllergyAdverseEvent> allergyAdverseEvents, CqmSolutionDateRange dischargeDateRange, out bool notPresent)
{
notPresent = false;
if (medicationEntry == null)
{
return(string.Empty);
}
notPresent = medicationEntry.negationInd;
//TODO: is this correct? if so, should we compare the whole code, not just the value?
if (!string.IsNullOrWhiteSpace(productCode?.Value))
{
//if patient has an allergy or adverse event for the same product, return the appropriate dataSubType
var allergyAdverseEvent =
allergyAdverseEvents.FirstOrDefault(a => !a.NotPresent && a.Cause?.Value == productCode.Value);
if (allergyAdverseEvent != null)
{
return(allergyAdverseEvent.DataSubType);
}
}
//TODO: Are these the correct logic and codes for Discharge/Discharge Not Done?
if (dischargeDateRange?.DateHigh?.DateTime.HasValue == true)
{
return("DSC");
}
//
if (dischargeDateRange?.DateLow?.DateTime.HasValue == true)
{
return("DSCND");
}
//
var statusName = GetStatus(medicationEntry);
switch (medicationEntry.moodCode)
{
case x_DocumentSubstanceMood.EVN: //administered
return(statusName.Equals("completed", StringComparison.InvariantCultureIgnoreCase) ? (notPresent ? "ADMND" : "ADM") : "ACT");
//TODO: is this logic correct, and are these ^-------^
//the right codes for Administered and Administered Not Done?
case x_DocumentSubstanceMood.INT: //to be administered
return(statusName.Equals("active", StringComparison.InvariantCultureIgnoreCase) ? "ACT" : "DISP");
//TODO: is this logic correct, and is this --^
//the right code for Dispensed?
//Also, shouldn't there be a subtype for "No Longer Active?"
case x_DocumentSubstanceMood.RQO: //ordered
return(notPresent ? "ORDND" : "ORD");
//TODO: Handle notPresent in all cases?
default:
return(string.Empty); //TODO: default to what?
}
}
public static Medication GetMedicationFromMedicationEntry(this POCD_MT000040SubstanceAdministration medicationEntry, Client client,
List <AllergyAdverseEvent> allergyAdverseEvents, CqmSolutionDateRange dischargeDateRange)
{
var productNode = (medicationEntry?.consumable?.manufacturedProduct?.Item as POCD_MT000040Material)?.code;
var productCode = productNode?.GetCode();
var dataSubType = GetDataSubType(medicationEntry, productCode, allergyAdverseEvents, dischargeDateRange, out var notPresent);
var medication = new Medication(client, dataSubType)
{
Product = productCode,
Generic = productNode?.translation?.FirstOrDefault()?.GetCode(), //TODO: handle multiple translation nodes?
AdministeredDateRange = medicationEntry?.effectiveTime?.GetDateRangeFromArray(), //TODO: verify this date parsing logic
Refills = (medicationEntry?.entryRelationship?.FirstOrDefault(r => r.Item is POCD_MT000040Supply)?.Item as POCD_MT000040Supply)?.repeatNumber?.value,
NotPresent = notPresent,
//TODO: NegationRationale = notPresent ? medicationEntry.SelectSingleNode(@"entryrelationship/observation/value")?.GetCode() : null //TODO: is this correct?
};
return(medication);
}
public static Medication GetMedicationFromMedicationEntry(this HtmlNode medicationEntry, Client client,
List <AllergyAdverseEvent> allergyAdverseEvents, CqmSolutionDateRange dischargeDateRange)
{
var productNode = medicationEntry.SelectSingleNode(@"consumable/manufacturedproduct[@classcode='MANU']/manufacturedmaterial/code");
var productCode = productNode?.GetCode();
var dataSubType = GetDataSubType(medicationEntry, productCode, allergyAdverseEvents, dischargeDateRange, out var notPresent);
var medication = new Medication(client, dataSubType)
{
Product = productCode,
Generic = productNode?.SelectSingleNode("translation")?.GetCode(), //TODO: handle multiple translation nodes?
AdministeredDateRange = medicationEntry.GetDateRange(),
Refills = medicationEntry.SelectSingleNode(@"entryrelationship/supply/repeatnumber")
?.Attributes["value"]?.Value,
NotPresent = notPresent,
NegationRationale = notPresent ? medicationEntry.SelectSingleNode(@"entryrelationship/observation/value")?.GetCode() : null //TODO: is this correct?
};
return(medication);
}
public static List <Medication> GetMedicationsFromComponentSection(this POCD_MT000040Section componentSection, Client client,
List <AllergyAdverseEvent> allergyAdverseEvents, CqmSolutionDateRange dischargeDateRange)
{
var medications = new List <Medication>();
var medicationEntries = componentSection?.entry?.Where(e => e.Item is POCD_MT000040SubstanceAdministration);
if (medicationEntries != null)
{
foreach (var medicationEntry in medicationEntries)
{
medications.Add(GetMedicationFromMedicationEntry(
medicationEntry.Item as POCD_MT000040SubstanceAdministration,
client, allergyAdverseEvents, dischargeDateRange));
}
}
return(medications);
}
public static List <Medication> GetMedicationsFromComponentSection(this HtmlNode componentSection, Client client,
List <AllergyAdverseEvent> allergyAdverseEvents, CqmSolutionDateRange dischargeDateRange)
{
var medications = new List <Medication>();
var medicationEntries = componentSection.SelectNodes(@"entry/substanceadministration[@classcode='SBADM']");
foreach (var medicationEntry in medicationEntries)
{
medications.Add(GetMedicationFromMedicationEntry(medicationEntry, client, allergyAdverseEvents, dischargeDateRange));
}
return(medications);
}