/// <summary>
/// Maps the specified act to an adverse event
/// </summary>
protected override AdverseEvent MapToFhir(Act model, WebOperationContext webOperationContext)
{
var retVal = DataTypeConverter.CreateResource <AdverseEvent>(model);
retVal.Identifier = DataTypeConverter.ToFhirIdentifier <Act>(model.Identifiers.FirstOrDefault());
retVal.Category = AdverseEventCategory.AdverseEvent;
retVal.Type = DataTypeConverter.ToFhirCodeableConcept(model.LoadProperty <Concept>("TypeConcept"));
var recordTarget = model.LoadCollection <ActParticipation>("Participations").FirstOrDefault(o => o.ParticipationRoleKey == ActParticipationKey.RecordTarget);
if (recordTarget != null)
{
retVal.Subject = DataTypeConverter.CreateReference <Patient>(recordTarget.LoadProperty <Entity>("PlayerEntity"), webOperationContext);
}
// Main topic of the concern
var subject = model.LoadCollection <ActRelationship>("Relationships").FirstOrDefault(o => o.RelationshipTypeKey == ActRelationshipTypeKeys.HasSubject)?.LoadProperty <Act>("TargetAct");
if (subject == null)
{
throw new InvalidOperationException("This act does not appear to be an adverse event");
}
retVal.Date = subject.ActTime.DateTime;
// Reactions = HasManifestation
var reactions = subject.LoadCollection <ActRelationship>("Relationships").Where(o => o.RelationshipTypeKey == ActRelationshipTypeKeys.HasManifestation);
retVal.Reaction = reactions.Select(o => DataTypeConverter.CreateReference <Condition>(o.LoadProperty <Act>("TargetAct"), webOperationContext)).ToList();
var location = model.LoadCollection <ActParticipation>("Participations").FirstOrDefault(o => o.ParticipationRoleKey == ActParticipationKey.Location);
if (location != null)
{
retVal.Location = DataTypeConverter.CreateReference <Location>(location.LoadProperty <Entity>("PlayerEntity"), webOperationContext);
}
// Severity
var severity = subject.LoadCollection <ActRelationship>("Relationships").First(o => o.RelationshipTypeKey == ActRelationshipTypeKeys.HasComponent && o.LoadProperty <Act>("TargetAct").TypeConceptKey == ObservationTypeKeys.Severity);
if (severity != null)
{
retVal.Seriousness = DataTypeConverter.ToFhirCodeableConcept(severity.LoadProperty <CodedObservation>("TargetAct").Value, "http://hl7.org/fhir/adverse-event-seriousness");
}
// Did the patient die?
var causeOfDeath = model.LoadCollection <ActRelationship>("Relationships").FirstOrDefault(o => o.RelationshipTypeKey == ActRelationshipTypeKeys.IsCauseOf && o.LoadProperty <Act>("TargetAct").TypeConceptKey == ObservationTypeKeys.ClinicalState && (o.TargetAct as CodedObservation)?.ValueKey == Guid.Parse("6df3720b-857f-4ba2-826f-b7f1d3c3adbb"));
if (causeOfDeath != null)
{
retVal.Outcome = new MARC.HI.EHRS.SVC.Messaging.FHIR.DataTypes.FhirCodeableConcept(new Uri("http://hl7.org/fhir/adverse-event-outcome"), "fatal");
}
else if (model.StatusConceptKey == StatusKeys.Active)
{
retVal.Outcome = new MARC.HI.EHRS.SVC.Messaging.FHIR.DataTypes.FhirCodeableConcept(new Uri("http://hl7.org/fhir/adverse-event-outcome"), "ongoing");
}
else if (model.StatusConceptKey == StatusKeys.Completed)
{
retVal.Outcome = new MARC.HI.EHRS.SVC.Messaging.FHIR.DataTypes.FhirCodeableConcept(new Uri("http://hl7.org/fhir/adverse-event-outcome"), "resolved");
}
var author = model.LoadCollection <ActParticipation>("Participations").FirstOrDefault(o => o.ParticipationRoleKey == ActParticipationKey.Authororiginator);
if (author != null)
{
retVal.Recorder = DataTypeConverter.CreatePlainReference <Practitioner>(author.LoadProperty <Entity>("PlayerEntity"), webOperationContext);
}
// Suspect entities
var refersTo = model.LoadCollection <ActRelationship>("Relationships").Where(o => o.RelationshipTypeKey == ActRelationshipTypeKeys.RefersTo);
if (refersTo.Count() > 0)
{
retVal.SuspectEntity = refersTo.Select(o => o.LoadProperty <Act>("TargetAct")).OfType <SubstanceAdministration>().Select(o =>
{
var consumable = o.LoadCollection <ActParticipation>("Participations").FirstOrDefault(x => x.ParticipationRoleKey == ActParticipationKey.Consumable)?.LoadProperty <ManufacturedMaterial>("PlayerEntity");
if (consumable == null)
{
var product = o.LoadCollection <ActParticipation>("Participations").FirstOrDefault(x => x.ParticipationRoleKey == ActParticipationKey.Product)?.LoadProperty <Material>("PlayerEntity");
return(new AdverseEventSuspectEntity()
{
Instance = DataTypeConverter.CreatePlainReference <Substance>(product, webOperationContext)
});
}
else
{
return new AdverseEventSuspectEntity()
{
Instance = DataTypeConverter.CreatePlainReference <Medication>(consumable, webOperationContext)
}
};
}).ToList();
}
return(retVal);
}
/// <summary>
/// Map to FHIR
/// </summary>
protected override Condition MapToFhir(CodedObservation model, WebOperationContext webOperationContext)
{
var retVal = DataTypeConverter.CreateResource <Condition>(model);
retVal.Identifier = model.LoadCollection <ActIdentifier>("Identifiers").Select(o => DataTypeConverter.ToFhirIdentifier <Act>(o)).ToList();
// Clinical status of the condition
if (model.StatusConceptKey == StatusKeys.Active)
{
retVal.ClinicalStatus = ConditionClinicalStatus.Active;
}
else if (model.StatusConceptKey == StatusKeys.Completed)
{
retVal.ClinicalStatus = ConditionClinicalStatus.Resolved;
}
else if (model.StatusConceptKey == StatusKeys.Nullified)
{
retVal.VerificationStatus = ConditionVerificationStatus.EnteredInError;
}
else if (model.StatusConceptKey == StatusKeys.Obsolete)
{
retVal.ClinicalStatus = ConditionClinicalStatus.Inactive;
}
// Category
retVal.Category.Add(new MARC.HI.EHRS.SVC.Messaging.FHIR.DataTypes.FhirCodeableConcept(new Uri("http://hl7.org/fhir/condition-category"), "encounter-diagnosis"));
// Severity?
var actRelationshipService = ApplicationContext.Current.GetService <IDataPersistenceService <ActRelationship> >();
var severity = actRelationshipService.Query(o => o.SourceEntityKey == model.Key && o.RelationshipTypeKey == ActRelationshipTypeKeys.HasComponent && o.TargetAct.TypeConceptKey == ObservationTypeKeys.Severity, AuthenticationContext.Current.Principal);
if (severity == null) // Perhaps we should get from neighbor if this is in an encounter
{
var contextAct = actRelationshipService.Query(o => o.TargetActKey == model.Key, AuthenticationContext.Current.Principal).FirstOrDefault();
if (contextAct != null)
{
severity = actRelationshipService.Query(o => o.SourceEntityKey == contextAct.SourceEntityKey && o.RelationshipTypeKey == ActRelationshipTypeKeys.HasComponent && o.TargetAct.TypeConceptKey == ObservationTypeKeys.Severity, AuthenticationContext.Current.Principal);
}
}
// Severity
if (severity != null)
{
retVal.Severity = DataTypeConverter.ToFhirCodeableConcept((severity as CodedObservation).LoadProperty <Concept>("Value"));
}
retVal.Code = DataTypeConverter.ToFhirCodeableConcept(model.LoadProperty <Concept>("Value"));
// body sites?
var sites = actRelationshipService.Query(o => o.SourceEntityKey == model.Key && o.RelationshipTypeKey == ActRelationshipTypeKeys.HasComponent && o.TargetAct.TypeConceptKey == ObservationTypeKeys.FindingSite, AuthenticationContext.Current.Principal);
retVal.BodySite = sites.Select(o => DataTypeConverter.ToFhirCodeableConcept(o.LoadProperty <CodedObservation>("TargetAct").LoadProperty <Concept>("Value"))).ToList();
// Subject
var recordTarget = model.LoadCollection <ActParticipation>("Participations").FirstOrDefault(o => o.ParticipationRoleKey == ActParticipationKey.RecordTarget);
if (recordTarget != null)
{
this.traceSource.TraceInformation("RCT: {0}", recordTarget.PlayerEntityKey);
retVal.Subject = DataTypeConverter.CreateReference <Patient>(recordTarget.LoadProperty <Entity>("PlayerEntity"), webOperationContext);
}
// Onset
if (model.StartTime.HasValue || model.StopTime.HasValue)
{
retVal.Onset = new FhirPeriod()
{
Start = model.StartTime?.DateTime,
Stop = model.StopTime?.DateTime
}
}
;
else
{
retVal.Onset = new FhirDateTime(model.ActTime.DateTime);
}
retVal.AssertionDate = model.CreationTime.LocalDateTime;
var author = model.LoadCollection <ActParticipation>("Participations").FirstOrDefault(o => o.ParticipationRoleKey == ActParticipationKey.Authororiginator);
if (author != null)
{
retVal.Asserter = DataTypeConverter.CreatePlainReference <Practitioner>(author.LoadProperty <Entity>("PlayerEntity"), webOperationContext);
}
return(retVal);
}