/// <summary>
/// Creates the problem.
/// </summary>
/// <param name="clinicalCase">The clinical case.</param>
/// <param name="problemCodeCodedConcept">The problem code coded concept.</param>
/// <returns>A Problem.</returns>
public Problem CreateProblem(
ClinicalCase clinicalCase,
CodedConcept problemCodeCodedConcept)
{
var problem = new Problem ( clinicalCase, problemCodeCodedConcept);
_problemRepository.MakePersistent ( problem );
return problem;
}
/// <summary>
/// Gets the HL7 message.
/// </summary>
/// <param name="keyValues">The key values.</param>
/// <returns>A <see cref="System.String"/></returns>
public string GetHl7Message( Dictionary<string, long> keyValues )
{
var problemKey = keyValues[HttpHandlerQueryStrings.ProblemKey];
var session = _sessionProvider.GetSession ();
_messageLocalDateTime = DateTime.Now;
_problem = session.Get<Problem> ( keyValues[HttpHandlerQueryStrings.ProblemKey] );
Check.IsNotNull ( _problem, string.Format ( "Problem not found for key {0}.", problemKey ) );
// Derive a visit appointment date for a problem associated with multiple visits.
// Return the first minimum Appointment.ScheduledStartDateTime and Visit.Key where the Problem.Key is found.
var queryResult = session.CreateQuery (
@"select min(v.AppointmentDateTimeRange.StartDateTime) as AppointmentStartDateTime, vp.Visit.Key as VisitKey
from VisitProblem as vp
join vp.Visit as v
where vp.Problem.Key = :problemKey
group by vp.Visit.Key" )
.SetParameter ( "problemKey", problemKey )
.List ();
_minimumVisitScheduledStartDateTime = ( DateTime )( ( object[] )queryResult[0] )[0];
_minimumVisitKey = ( long )( ( object[] )queryResult[0] )[1];
VerifyDerivedVisit ();
_clinicalCase = _problem.ClinicalCase;
_patient = _problem.ClinicalCase.Patient;
var dto = new SyndromicSurveillanceDto
{
MshDto = GetMshDto (),
PidDto = GetPidDto (),
EVNDto = GetEvnDto (),
PV1Dto = GetPv1Dto (),
Observations = GetObservations (),
PresentedProblems = GetPresentedProblems ()
};
var helper = IoC.CurrentContainer.Resolve<IMessageHelper<ADT_A01, SyndromicSurveillanceDto>> ();
var factory = IoC.CurrentContainer.Resolve<MessageFactoryBase<ADT_A01, SyndromicSurveillanceDto>>();
AbstractMessage message;
if ( helper != null && factory != null )
{
message = factory.CreateMessage ( dto );
}
else
{
throw new ArgumentException ( "HL7 message helper or factory instances were not created." );
}
return ( new PipeParser () ).Encode ( message );
}
/// <summary>
/// Destroys the problem.
/// </summary>
/// <param name="problem">The problem.</param>
public void DestroyProblem( Problem problem )
{
_problemRepository.MakeTransient ( problem );
}
private Visit BuildScheduledVisit( Staff staff, DateTimeRange appointmentDateTimeRange, ClinicalCase clinicalCase, Problem problem = null )
{
var visitTemplate = new VisitTemplate ( SafeHarborAgency, "Initial Behavioral Health - Adult", "99204" );
Session.SaveOrUpdate ( visitTemplate );
var visit = new Visit ( staff, appointmentDateTimeRange, clinicalCase, ScheduledVisitStatus, SafeHarborLocation, visitTemplate.Name, visitTemplate.CptCode );
if ( problem != null )
{
visit.AddProblem ( problem );
}
Session.SaveOrUpdate ( visit );
return visit;
}
/// <summary>
/// Initializes a new instance of the <see cref="VisitProblem"/> class.
/// </summary>
/// <param name="visit">The visit.</param>
/// <param name="problem">The problem.</param>
protected internal VisitProblem( Visit visit, Problem problem )
: base(visit)
{
Check.IsNotNull ( problem, "Problem is required." );
_problem = problem;
}
private Problem BuildProblem( ClinicalCase clinicalCase, CodedConcept problemCode )
{
var problem = new Problem ( clinicalCase, problemCode );
Session.SaveOrUpdate ( problem );
return problem;
}
private Visit BuildCheckedInVisit( Staff staff, DateTimeRange appointmentDateTimeRange, ClinicalCase clinicalCase, Problem problem = null )
{
Visit visit = BuildScheduledVisit ( staff, appointmentDateTimeRange, clinicalCase, problem );
visit.CheckIn ( new DateTime ( 2002, 3, 28, 9, 0, 0 ) );
Session.SaveOrUpdate ( visit );
return visit;
}
/// <summary>
/// Disassociates the problem.
/// </summary>
/// <param name="problem">The problem.</param>
public virtual void DisassociateProblem(Problem problem)
{
var visitProblem = _problems.SingleOrDefault ( p => p.Problem.Key == problem.Key );
if ( visitProblem != null )
{
_problems.Delete(visitProblem);
NotifyItemRemoved ( () => Problems, visitProblem );
}
}
/// <summary>
/// Adds the problem.
/// </summary>
/// <param name="problem">The problem.</param>
/// <returns>A VisitProblem.</returns>
public virtual VisitProblem AddProblem( Problem problem )
{
var visitProblem = new VisitProblem ( this, problem );
_problems.Add ( visitProblem );
NotifyItemAdded ( () => Problems, visitProblem );
return visitProblem;
}
private void AddProblem( C32Dto dto, Problem problem, DateTime? diagnosisDate )
{
var conditionDto = new ConditionDto ();
conditionDto.DiagnosisPriority = 1;
if ( diagnosisDate.HasValue )
{
// TODO: The problem date should be the DiagnosisDate
//conditionDto.ProblemDate = new OperatorDateTimeDto { Date = diagnosisDate.Value.ToString ( "yyyyMMdd" ) };
}
else
{
if ( problem.OnsetDateRange != null && ( problem.OnsetDateRange.StartDate != null || problem.OnsetDateRange.EndDate != null ) )
{
// TODO: The problem date should be the DiagnosisDate
// conditionDto.ProblemDate = new OperatorDateTimeDto ();
// if ( problem.OnsetDateRange.StartDate != null )
// {
// conditionDto.ProblemDate.StartDate = new ValueDataTransferObject
// {
// Value = problem.OnsetDateRange.StartDate.Value.ToString ( "yyyyMMdd" )
// };
// }
// if ( problem.OnsetDateRange.EndDate != null )
// {
// conditionDto.ProblemDate.EndDate = new ValueDataTransferObject
// {
// Value = problem.OnsetDateRange.EndDate.Value.ToString ( "yyyyMMdd" )
// };
// }
}
}
if ( problem.ProblemType != null )
{
conditionDto.ProblemType = new OriginalTextCodedConceptDto
{
Code = problem.ProblemType.CodedConceptCode,
DisplayName = problem.ProblemType.Name,
CodeSystem = problem.ProblemType.CodeSystemIdentifier,
CodeSystemName = problem.ProblemType.CodeSystemName
};
}
if ( problem.ProblemCodeCodedConcept != null )
{
conditionDto.ProblemName = problem.ProblemCodeCodedConcept.DisplayName;
conditionDto.ProblemCode = new OriginalTextCodedConceptDto
{
Code = problem.ProblemCodeCodedConcept.CodedConceptCode,
CodeSystem = problem.ProblemCodeCodedConcept.CodeSystemIdentifier,
DisplayName = problem.ProblemCodeCodedConcept.DisplayName,
CodeSystemName = problem.ProblemCodeCodedConcept.CodeSystemName
};
}
//TODO: Provider problem.ClinicalCase.PerformedByStaff
//conditionDto.Provider = new ProviderDto() { ProviderId = new IIDataTransferObject() { Root = "npi", Extension = "npi-extension" } };
//TODO: We don't have Age At Onset
//conditionDto.AgeAtOnset = 100;
//conditionDto.CauseOfDeath = new CauseOfDeathDto()
//{
// ProblemCode = new CodedConceptDataTransferObject() { Code = "195967001", CodeSystem = "2.16.840.1.113883.6.96", DisplayName = "Asthma", CodeSystemName = "SNOMED-CT" },
// TimeOfDeath = new ValueDataTransferObject() { Value = "20101010" },
// AgeAtDeath = 100
//};
if ( problem.ProblemStatus != null )
{
conditionDto.ProblemStatus = new OriginalTextCodedConceptDto
{
Code = problem.ProblemStatus.CodedConceptCode,
CodeSystem = problem.ProblemStatus.CodeSystemIdentifier,
CodeSystemName = problem.ProblemStatus.CodeSystemName,
DisplayName = problem.ProblemStatus.Name
};
}
if ( dto.Body.Conditions == null )
{
dto.Body.Conditions = new List<ConditionDto> ();
}
dto.Body.Conditions.Add ( conditionDto );
}
