protected override Resource ExecuteCore(EnrichedOperationContext context)
{
var resultBundle = new Bundle()
{
Type = Bundle.BundleType.Collection, Entry = new List <Bundle.BundleEntryComponent>()
};
if (context.OperationContext.OperationParameters.Parameter.Count(p =>
p.Name.Equals(MedicationDispenseParameterName)) != 1)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо указать один MedicationDispense");
}
var parameters = new OperationParameters(context.OperationContext.OperationParameters);
if (parameters.MedicationDispense == null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо указать MedicationDispense");
}
if (parameters.MedicationDispense.AuthorizingPrescription == null || parameters.MedicationDispense.AuthorizingPrescription.Count != 1)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо в MedicationDispense указать ссылку на один MedicationPrescription");
}
if (parameters.MedicationDispense.Status != MedicationDispense.MedicationDispenseStatus.Completed)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "У MedicationDispense статус должен быть Completed");
}
if (parameters.MedicationDispense.Contained == null ||
parameters.MedicationDispense.Contained.Count(e => e.ResourceType == ResourceType.Location) != 1)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо в MedicationDispense указать один ресурс Location");
}
var medicationPrescription = GetAndValidateMedicationPrescription(parameters.MedicationDispense);
if (medicationPrescription.Status != MedicationPrescription.MedicationPrescriptionStatus.Active)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "У MedicationPrescription статус должен быть Active");
}
GetAndValidatePatient(medicationPrescription);
var medicationPrescriptionFactor = medicationPrescription.Extension.FirstOrDefault(e => e.Url.Equals(MedicalPrescriptionFactorUrl))?.Value as FhirDecimal;
if (medicationPrescriptionFactor?.Value != null && medicationPrescriptionFactor.Value >= 0 &&
medicationPrescriptionFactor.Value < 1)
{
if (context.OperationContext.OperationParameters.Parameter.Count(p =>
p.Name.Equals(ClaimParameterName)) != 1)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Для льготных рецептов должен указываться один ресурс Claim");
}
if (parameters.Claim.Item == null || parameters.Claim.Item.Count > 1 || parameters.Claim.Item.Any() == false)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Для льготных рецептов должен указываться один ресурс в секции Товары и услуги (Claim.Item)");
}
var claimItem = parameters.Claim.Item.First();
if (claimItem.Factor == null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо указать Коэфициент для определения суммы оплаты");
}
if (claimItem.Factor == null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Необходимо указать Коэфициент для определения суммы оплаты");
}
if (claimItem.Factor + medicationPrescriptionFactor?.Value != 1)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Процент оплаты организации не соответствует информации из электронного рецепта");
}
}
//Рецепт не льготный Claim быть не должно
if ((medicationPrescriptionFactor?.Value == null || medicationPrescriptionFactor.Value == 1) && parameters.Claim != null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Для рецептов, не являющихся льготными, ресурс Claim не нужен");
}
//MedicationDispense embedded resource Location установить ссылку на организацию (аптечную сеть), полученную с помощью ОКПО
(parameters.MedicationDispense.Contained.FirstOrDefault(e => e.ResourceType == ResourceType.Location) as Location).ManagingOrganization = context.OrganizationReference;
var createdMedicationDispense = FhirBase.Create(parameters.MedicationDispense).GetResult <MedicationDispense>();
resultBundle.Entry.Add(new Bundle.BundleEntryComponent()
{
Resource = createdMedicationDispense
});
if (parameters.Claim != null)
{
//Claim установить ссылку на организацию (аптечную сеть), полученную с помощью ОКПО
parameters.Claim.Payee = new Claim.PayeeComponent()
{
Organization = context.OrganizationReference
};
parameters.Claim.SetExtension(ClaimMedicalDispanceUrl,
new ResourceReference()
{
Reference = $"{createdMedicationDispense.TypeName}/{createdMedicationDispense.Id}"
});
var createdClaim = FhirBase.Create(parameters.Claim).GetResult <Claim>();
resultBundle.Entry.Add(new Bundle.BundleEntryComponent()
{
Resource = createdClaim
});
}
var medicationDispenseFinal = parameters.MedicationDispense.Extension.FirstOrDefault(e => e.Url.Equals(MedicationDispanceFinalDispanceUrl))?.Value as FhirBoolean;
if (parameters.MedicationDispense.Status == MedicationDispense.MedicationDispenseStatus.Completed &&
medicationDispenseFinal != null && medicationDispenseFinal.Value == true)
{
medicationPrescription.Status = MedicationPrescription.MedicationPrescriptionStatus.Completed;
FhirBase.Update(medicationPrescription).GetResult <MedicationPrescription>();
}
return(resultBundle);
}
public virtual void ConfigureServices(IServiceCollection services)
{
services.AddCors();
Configuration.GetSection("Toggles").Bind(_toggles);
var mvcCoreBuilder = services.AddMvcCore(opt =>
{
opt.RespectBrowserAcceptHeader = true; // false by default
opt.InputFormatters.Clear();
opt.InputFormatters.Add(new FhirJsonMediaTypeInputFormatter());
opt.InputFormatters.Add(new FhirXmlMediaTypeInputFormatter());
opt.OutputFormatters.Clear();
opt.OutputFormatters.Add(new FhirJsonMediaTypeOutputFormatter());
opt.OutputFormatters.Add(new FhirXmlMediaTypeOutputFormatter());
}
)
.AddFormatterMappings(map =>
{
map.SetMediaTypeMappingForFormat(ContentType.FORMAT_PARAM_XML, ContentType.XML_CONTENT_HEADER);
map.SetMediaTypeMappingForFormat(ContentType.FORMAT_PARAM_JSON, ContentType.JSON_CONTENT_HEADER);
})
;
//if (_toggles.Authentication)
//{
// mvcCoreBuilder.AddScopeRequirementPolicy("EHR");
// services.Configure<Endpoints>(Configuration.GetSection("Endpoints"));
//}
services.Scan(scan => scan
.FromAssembliesOf(typeof(Startup))
.AddClasses(filter => filter.AssignableTo <IValidator>())
.AsImplementedInterfaces());
services.Scan(scan => scan
.FromAssembliesOf(typeof(Startup))
.AddClasses(filter => filter.AssignableTo <IInputFormatter>())
.AsImplementedInterfaces());
services.Scan(scan => scan
.FromAssembliesOf(typeof(Startup))
.AddClasses(filter => filter.AssignableTo <IOutputFormatter>())
.AsImplementedInterfaces());
services.AddTransient <OperationEngine, OperationEngine>();
services.Scan(scan => scan
.FromAssembliesOf(typeof(Startup))
.AddClasses(filter => filter.AssignableTo <IOperationHandler>())
.AsImplementedInterfaces());
services.AddMediatR(typeof(Startup).GetTypeInfo().Assembly);
services
.Decorate(typeof(IRequestHandler <,>), typeof(FluentValidationRequestHandler <,>));
var connectionString = Configuration.GetConnectionString("prescription_db");
services.UseMediaTypeHeaderEnricher();
services.AddTransient <Func <NpgsqlConnection> >(provider => () => new NpgsqlConnection(connectionString));
services.AddScoped <IFhirDataBaseProvider, FhirDataBaseProvider>();
services.AddTransient <IFhirBase, FhirBase>();
services.AddSingleton(provider =>
{
using (var fhirDataProvider = new FhirDataBaseProvider(() => new NpgsqlConnection(connectionString)))
{
var fhirBase = new FhirBase(fhirDataProvider);
return((Conformance)fhirBase.Conformance("UIIP", "1.2.0", "0.5.0", false));
}
});
services.AddSingleton <IHttpContextAccessor, HttpContextAccessor>();
}
protected override Resource ExecuteCore(EnrichedOperationContext context)
{
var medicalDispanceIdentifier = context.OperationContext.ResourceId;
var medicalDispance = FhirBase.Read(ResourceType.MedicationDispense.ToString(), medicalDispanceIdentifier) as MedicationDispense;
if (medicalDispance == null)
{
throw new FhirHttpResponseException(HttpStatusCode.NotFound, "MedicationDispense не найден");
}
if (medicalDispance.Status != MedicationDispense.MedicationDispenseStatus.Completed && medicalDispance.Status != MedicationDispense.MedicationDispenseStatus.InProgress)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "У MedicationDispense должен быть статус complete или in-progress");
}
var medicationPrescription = GetAndValidateMedicationPrescription(medicalDispance);
if (medicationPrescription.Status != MedicationPrescription.MedicationPrescriptionStatus.Active && medicationPrescription.Status != MedicationPrescription.MedicationPrescriptionStatus.Completed)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "У MedicationPrescription статус должен быть Active или Completed");
}
var medicalDispanceLocation =
medicalDispance.Contained?.FirstOrDefault(e => e.ResourceType == ResourceType.Location) as Location;
if (medicalDispanceLocation == null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "У в MedicationDispense не указан один ресурс Location");
}
if (medicalDispanceLocation.ManagingOrganization.ExtractId() != context.OrganizationId)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest, "Аптека может отменять только MedicationDispense, которые были созданы только её аптечной сетью.");
}
GetAndValidatePatient(medicationPrescription);
//Обновляеться статус для MedicationDispense
medicalDispance.Status = MedicationDispense.MedicationDispenseStatus.EnteredInError;
FhirBase.Update(medicalDispance).GetResult <MedicationDispense>();
//Удаляеться Claim
var ballClaims = GetAllClaimsForPrescriptions(new[] { medicationPrescription });
var claim = ballClaims.FirstOrDefault(e => e.GetExtensionValue <ResourceReference>(ClaimMedicalDispanceUrl)?.ExtractId() == medicalDispance.Id);
if (claim != null)
{
FhirBase.Delete(ResourceType.Claim.ToString(), claim.Id);
}
//Устанавливаеться MedicationPrescription статус Active
if (medicationPrescription.Status != MedicationPrescription.MedicationPrescriptionStatus.Active)
{
medicationPrescription.Status = MedicationPrescription.MedicationPrescriptionStatus.Active;
FhirBase.Update(medicationPrescription).GetResult <MedicationPrescription>();
}
// Устанавливаеться MedicationDispense.finalDispence = false для всех MedicationDispense
var alledicationDispance = GetAllMedicationDIspanceForPrescriptions(new [] { medicationPrescription });
foreach (var medicationDispance in alledicationDispance.Where(m => m.Id != context.OperationContext.ResourceId)
.Where(m => m.GetExtensionValue <FhirBoolean>(MedicationDispanceFinalDispanceUrl)?
.Value == true))
{
medicationDispance.SetExtension(MedicationDispanceFinalDispanceUrl,
new FhirBoolean(false));
FhirBase.Update(medicationDispance).GetResult <MedicationDispense>();
}
return(new OperationOutcome()
{
Issue = { new OperationOutcome.OperationOutcomeIssueComponent()
{
Details = "Операция успешно выполнена", Severity = OperationOutcome.IssueSeverity.Information, Code = new CodeableConcept("http://hl7.org/fhir/http-code", HttpStatusCode.OK.ToString())
} }
});
}
protected override Resource ExecuteCore(EnrichedOperationContext context)
{
var patientIdentifier = context.OperationContext.OperationParameters?.Get(PatientIdentifierParameterName).FirstOrDefault()?.Value as FhirString;
var medicationPrescriptionStatus = context.OperationContext.OperationParameters?.Get(MedicalPrescriptionStatusParameterName).FirstOrDefault()?.Value as FhirString;
if (patientIdentifier == null)
{
throw new FhirHttpResponseException(HttpStatusCode.BadRequest,
"Необходимо указать параметр patientIdentifier");
}
var patient = FhirBase
.Search(ResourceType.Patient.ToString(), $"identifier={patientIdentifier.Value}")
.GetResult <Bundle>().Entry.Select(e => e.Resource).OfType <Patient>().FirstOrDefault();
if (patient == null || patient.Active == false)
{
throw new FhirHttpResponseException(HttpStatusCode.NotFound, "Пациент с указанным идентификатором не найден");
}
//Получаються все MedicationPrescriptions без учета даты
//Потомучто при создании SearchParameter with xpatx f:MedicationPrescription/f:dispense/f:validityPeriod когда в MedicationPrescriptions указан не валидный переод
//получаеться ошибка - "22000: range lower bound must be less than or equal to range upper bound"
//При попытки создания SearchParameter with xpatx f:MedicationPrescription/f:dispense/f:validityPeriod/f:end
//запрос select * from fhir.search_sql('MedicationPrescription', 'end=>2010-06-17')
//SELECT ... WHERE((fhirbase_date_idx.index_as_date(medicationprescription.content, '{dispense,validityPeriod,end}'::text[], NULL::text) && '["2010-06-17 00:00:00+03",)'))
//а должно быть SELECT ... WHERE((fhirbase_date_idx.index_as_date(medicationprescription.content, '{dispense,validityPeriod,end}'::text[], 'date') && '["2010-06-17 00:00:00+03",)'))
//нечто похожее уже обсуждали https://groups.google.com/forum/#!topic/fhirbase/fiuPApM7P9g
//Поэтому отсеивание по датам происходит дальше в коде после получения из бд
var medicationPrescriptions = FhirBase.Search(ResourceType.MedicationPrescription.ToString(),
$"patient:Patient.identifier={patientIdentifier.Value}" +
$"&status={ (string.IsNullOrEmpty(medicationPrescriptionStatus?.Value)? "active": medicationPrescriptionStatus.Value)}" +
$"&_count={int.MaxValue}")
.GetResult <Bundle>().Entry.Select(e => e.Resource).OfType <MedicationPrescription>().Where(m =>
{
DateTime.TryParse(m.Dispense?.ValidityPeriod?.End, out var parsedEndDate);
return(parsedEndDate >= DateTime.Today);
}
).ToList();
if (medicationPrescriptions.Any() == false)
{
return new Bundle()
{
Type = Bundle.BundleType.Searchset
}
}
;
var allMedicationDispense = GetAllMedicationDIspanceForPrescriptions(medicationPrescriptions).ToList();
var allClaims = GetAllClaimsForPrescriptions(medicationPrescriptions).ToList();
var result = new Bundle()
{
Entry = new List <Bundle.BundleEntryComponent>()
};
result.Entry.Add(new Bundle.BundleEntryComponent()
{
Resource = new Patient()
{
Name = patient.Name, Active = patient.Active, BirthDate = patient.BirthDate, Gender = patient.Gender, Identifier = patient.Identifier.Where(i => i.System.Equals(MedicalCardIdentifierSystem)).ToList()
}
});
foreach (var prescription in medicationPrescriptions)
{
var entry = new List <Bundle.BundleEntryComponent>()
{
new Bundle.BundleEntryComponent()
{
Search = new Bundle.BundleEntrySearchComponent()
{
Mode = Bundle.SearchEntryMode.Match
},
Resource = prescription
}
};
entry.AddRange(allMedicationDispense.Where(m => m.AuthorizingPrescription.Any(p => p.ExtractId() == prescription.Id)).Select(m => new Bundle.BundleEntryComponent()
{
Resource = m, Search = new Bundle.BundleEntrySearchComponent()
{
Mode = Bundle.SearchEntryMode.Include
}
}));
entry.AddRange(allClaims.Where(m => m.OriginalPrescription.ExtractId() == prescription.Id).Select(m => new Bundle.BundleEntryComponent()
{
Resource = m, Search = new Bundle.BundleEntrySearchComponent()
{
Mode = Bundle.SearchEntryMode.Include
}
}));
result.Entry.Add(new Bundle.BundleEntryComponent()
{
Resource = new Bundle()
{
Entry = entry
}
});
}
return(result);
}
}
