///<summary>Inserts the new medication and returns it.</summary>
public static Medication CreateMedication(string medName = "", string rxCui = "")
{
Medication medication = new Medication();
medication.MedName = medName;
if (medication.MedName == "")
{
medication.MedName = "Med_" + MiscUtils.CreateRandomAlphaNumericString(8);
}
medication.RxCui = PIn.Long(rxCui, false);
if (medication.RxCui != 0 && RxNorms.GetByRxCUI(rxCui) == null)
{
RxNorm rxNorm = new RxNorm();
rxNorm.RxCui = rxCui;
rxNorm.Description = medication.MedName;
RxNorms.Insert(rxNorm);
}
Medications.Insert(medication);
return(medication);
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Category", 80);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code", 100);
gridMain.Columns.Add(col);
col = new ODGridColumn("CodeSystem", 120);
gridMain.Columns.Add(col);
//col=new ODGridColumn("Op+Value",80);//Example: >=150
//gridMain.Columns.Add(col);
col = new ODGridColumn("Description", 250); //Also includes values for labloinc and demographics and vitals. Example: ">150, BP Systolic"
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
//EhrTriggerCur.ProblemDefNumList-----------------------------------------------------------------------------------------------------------------------
string[] arrayString = EhrTriggerCur.ProblemDefNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Problem Def");
row.Cells.Add(DiseaseDefs.GetItem(PIn.Long(arrayString[i])).DiseaseName);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemIcd9List---------------------------------------------------------------------------------------------------------------------------
arrayString = EhrTriggerCur.ProblemIcd9List.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("ICD9 CM");
row.Cells.Add(ICD9s.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemIcd10List;
arrayString = EhrTriggerCur.ProblemIcd10List.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("ICD10 CM");
row.Cells.Add(Icd10s.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemSnomedList;
arrayString = EhrTriggerCur.ProblemSnomedList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("SNOMED CT");
row.Cells.Add(Snomeds.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.MedicationNumList
arrayString = EhrTriggerCur.MedicationNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Medication Def");
row.Cells.Add(Medications.GetDescription(PIn.Long(arrayString[i])));
gridMain.Rows.Add(row);
}
//EhrTriggerCur.RxCuiList
arrayString = EhrTriggerCur.RxCuiList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("RxCui");
row.Cells.Add(RxNorms.GetByRxCUI(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.CvxList
arrayString = EhrTriggerCur.CvxList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Cvx");
row.Cells.Add(Cvxs.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.AllergyDefNumList
arrayString = EhrTriggerCur.AllergyDefNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Allergy");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Allergy Def");
row.Cells.Add(AllergyDefs.GetOne(PIn.Long(arrayString[i])).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.DemographicsList
arrayString = EhrTriggerCur.DemographicsList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
string[] arrayStringElements = arrayString[i].Split(new string[] { "," }, StringSplitOptions.RemoveEmptyEntries);
switch (arrayStringElements[0])
{
case "age":
row.Cells.Add("Demographic");
row.Cells.Add("30525-0");
row.Cells.Add("LOINC");
row.Cells.Add("Age" + arrayStringElements[1]); //Example "Age>55"
gridMain.Rows.Add(row);
break;
case "gender":
row.Cells.Add("Demographic");
row.Cells.Add("46098-0");
row.Cells.Add("LOINC");
row.Cells.Add("Gender:" + arrayString[i].Replace("gender,", "")); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
default:
//should never happen
continue; //next trigger
}
}
//EhrTriggerCur.LabLoincList
arrayString = EhrTriggerCur.LabLoincList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
Loinc _loincTemp = Loincs.GetByCode(arrayString[i]); //.Split(new string[] { ";" },StringSplitOptions.None)[0]);
if (_loincTemp == null)
{
continue;
}
row.Cells.Add("Laboratory");
row.Cells.Add(_loincTemp.LoincCode);
row.Cells.Add("LOINC");
row.Cells.Add(_loincTemp.NameShort);
//switch(arrayString[i].Split(new string[] { ";" },StringSplitOptions.RemoveEmptyEntries).Length) {
// case 1://loinc only comparison
// row.Cells.Add(_loincTemp.NameShort);
// break;
// case 2://microbiology or unitless lab.
// Snomed _snomedTemp=Snomeds.GetByCode(arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]);
// row.Cells.Add(_loincTemp.NameShort+", "
// +(_snomedTemp==null?arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]:_snomedTemp.Description));//Example: Bacteria Identified, Campylobacter jenuni
// break;
// case 3://"traditional lab results"
// row.Cells.Add(_loincTemp.NameShort+" "
// +arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]+" "//example: >150 or a snomed code if microbiology
// +arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[2] //example: mg/dL or blank
// );
// break;
// default://should never happen. Will display blank.
// row.Cells.Add("");
// break;
//}
gridMain.Rows.Add(row);
}
//EhrTriggerCur.VitalLoincList
arrayString = EhrTriggerCur.VitalLoincList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
string[] arrayStringElements = arrayString[i].Split(new string[] { "," }, StringSplitOptions.RemoveEmptyEntries);
switch (arrayStringElements[0])
{
case "height":
row.Cells.Add("Vitals");
row.Cells.Add("8302-2");
row.Cells.Add("LOINC");
row.Cells.Add("Height" + arrayString[i].Replace("height,", "") + " in."); //Example "Age>55"
gridMain.Rows.Add(row);
break;
case "weight":
row.Cells.Add("Vitals");
row.Cells.Add("29463-7");
row.Cells.Add("LOINC");
row.Cells.Add("Weight:" + arrayString[i].Replace("weight,", "")); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
case "bp???":
row.Cells.Add("Vitals");
row.Cells.Add("???There are two.");
row.Cells.Add("LOINC");
row.Cells.Add("???"); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
case "BMI":
row.Cells.Add("Vitals");
row.Cells.Add("39156-5");
row.Cells.Add("LOINC");
row.Cells.Add("BMI" + arrayString[i].Replace("BMI,", "").Replace("%", "") + "%"); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
default:
//should never happen
continue; //next trigger
}
}
//End trigger fields.
gridMain.EndUpdate();
}
private void FillGridInterventions()
{
gridInterventions.BeginUpdate();
gridInterventions.Columns.Clear();
gridInterventions.Columns.Add(new ODGridColumn("Date", 70));
gridInterventions.Columns.Add(new ODGridColumn("Type", 150));
gridInterventions.Columns.Add(new ODGridColumn("Description", 160));
gridInterventions.Columns.Add(new ODGridColumn("Declined", 60)
{
TextAlign = HorizontalAlignment.Center
});
gridInterventions.Columns.Add(new ODGridColumn("Documentation", 140));
gridInterventions.Rows.Clear();
//build list of rows of CessationInterventions and CessationMedications so we can order the list by date and type before filling the grid
List <ODGridRow> listRows = new List <ODGridRow>();
ODGridRow row;
#region CessationInterventions
List <Intervention> listInterventions = Interventions.Refresh(PatCur.PatNum, InterventionCodeSet.TobaccoCessation);
foreach (Intervention iCur in listInterventions)
{
row = new ODGridRow();
row.Cells.Add(iCur.DateEntry.ToShortDateString());
string type = InterventionCodeSet.TobaccoCessation.ToString() + " Counseling";
string descript = "";
switch (iCur.CodeSystem)
{
case "CPT":
Cpt cptCur = Cpts.GetByCode(iCur.CodeValue);
descript = cptCur != null?cptCur.Description:"";
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(iCur.CodeValue);
descript = sCur != null?sCur.Description:"";
break;
case "RXNORM":
//if the user checks the "Patient Declined" checkbox, we enter the tobacco cessation medication as an intervention that was declined
type = InterventionCodeSet.TobaccoCessation.ToString() + " Medication";
RxNorm rCur = RxNorms.GetByRxCUI(iCur.CodeValue);
descript = rCur != null?rCur.Description:"";
break;
}
row.Cells.Add(type);
row.Cells.Add(descript);
row.Cells.Add(iCur.IsPatDeclined?"X":"");
row.Cells.Add(iCur.Note);
row.Tag = iCur;
listRows.Add(row);
}
#endregion
#region CessationMedications
//Tobacco Use Cessation Pharmacotherapy Value Set
string[] arrayRxCuiStrings = EhrCodes.GetForValueSetOIDs(new List <string> {
"2.16.840.1.113883.3.526.3.1190"
}, true)
.Select(x => x.CodeValue).ToArray();
//arrayRxCuiStrings will contain 41 RxCui strings for tobacco cessation medications if those exist in the rxnorm table
List <MedicationPat> listMedPats = MedicationPats.Refresh(PatCur.PatNum, true).FindAll(x => arrayRxCuiStrings.Contains(x.RxCui.ToString()));
foreach (MedicationPat medPatCur in listMedPats)
{
row = new ODGridRow();
List <string> listMedDates = new List <string>();
if (medPatCur.DateStart.Year > 1880)
{
listMedDates.Add(medPatCur.DateStart.ToShortDateString());
}
if (medPatCur.DateStop.Year > 1880)
{
listMedDates.Add(medPatCur.DateStop.ToShortDateString());
}
if (listMedDates.Count == 0)
{
listMedDates.Add(medPatCur.DateTStamp.ToShortDateString());
}
row.Cells.Add(string.Join(" - ", listMedDates));
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
row.Cells.Add(RxNorms.GetDescByRxCui(medPatCur.RxCui.ToString()));
row.Cells.Add(medPatCur.PatNote);
row.Tag = medPatCur;
listRows.Add(row);
}
#endregion
listRows.OrderBy(x => PIn.Date(x.Cells[0].Text)) //rows ordered by date, oldest first
.ThenBy(x => x.Cells[3].Text != "")
//interventions at the top, declined med interventions below normal interventions
.ThenBy(x => x.Tag.GetType().Name != "Intervention" || ((Intervention)x.Tag).CodeSystem == "RXNORM").ToList()
.ForEach(x => gridInterventions.Rows.Add(x)); //then add rows to gridInterventions
gridInterventions.EndUpdate();
}