public async Task <Result <AddEnrollPatientResponse> > Handle(EnrollPatientCommand request, CancellationToken cancellationToken)
        {
            try
            {
                String               sDate     = DateTime.Now.ToString();
                DateTime             datevalue = Convert.ToDateTime(sDate);
                var                  patientMasterVisitManager = new PatientMasterVisitManager();
                var                  patientEnrollmentManager  = new PatientEnrollmentManager();
                var                  personLookUp               = new PersonLookUpManager();
                var                  patientEntryPointManager   = new PatientEntryPointManager();
                var                  patientLookUpManager       = new PatientLookupManager();
                var                  patientManager             = new PatientManager();
                var                  patientIdentifierManager   = new PatientIdentifierManager();
                var                  personContactLookUpManager = new PersonContactLookupManager();
                var                  lookupLogic        = new LookupLogic();
                var                  personContacts     = new List <PersonContactLookUp>();
                var                  identifiersObjects = request.identifiersList;
                List <PatientLookup> isPersonEnrolled   = await Task.Run(() => patientLookUpManager.GetPatientByPersonId(request.PersonId));

                string dobPrecision = String.IsNullOrEmpty(request.DobPrecision) ? "false" : "true";
                foreach (var item in identifiersObjects)
                {
                    var identifiers = await Task.Run(() => patientIdentifierManager.CheckIfIdentifierNumberIsUsed(item.Value, Convert.ToInt32(item.Key)));

                    if (identifiers.Count > 0)
                    {
                        foreach (var items in identifiers)
                        {
                            if (isPersonEnrolled.Count > 0)
                            {
                                if (items.PatientId == isPersonEnrolled[0].Id)
                                {
                                }
                                else
                                {
                                    var exception = new Exception("No: " + item.Value + " already exists");
                                    msg = exception.Message.ToString();
                                    throw exception;
                                }
                            }
                            else
                            {
                                var exception = new Exception("No: " + item.Value + " already exists");
                                msg = exception.Message.ToString();
                                throw exception;
                            }
                        }
                    }
                }

                if (isPersonEnrolled.Count == 0)
                {
                    List <PatientRegistrationLookup> patientsByPersonId = await Task.Run(() => patientManager.GetPatientIdByPersonId(request.PersonId));

                    var           patientIndex = datevalue.Year.ToString() + '-' + request.PersonId;
                    PatientEntity patient      = new PatientEntity();
                    if (patientsByPersonId.Count > 0)
                    {
                        patient.FacilityId  = request.facilityId;
                        patient.DateOfBirth = DateTime.Parse(request.DateofBirth);
                        patient.NationalId  = request.nationalId;
                        patient.ptn_pk      = patientsByPersonId[0].ptn_pk > 0 ? patientsByPersonId[0].ptn_pk : 0;

                        patientManager.UpdatePatient(patient, patientsByPersonId[0].Id);
                        patientId = patientsByPersonId[0].Id;
                    }
                    else
                    {
                        patient.PersonId     = request.PersonId;
                        patient.ptn_pk       = 0;
                        patient.FacilityId   = request.facilityId;
                        patient.PatientType  = request.PatientType;
                        patient.PatientIndex = patientIndex;
                        patient.DateOfBirth  = DateTime.Parse(request.DateofBirth);
                        patient.NationalId   = (request.nationalId);
                        patient.Active       = true;
                        patient.CreatedBy    = request.UserId;
                        patient.CreateDate   = DateTime.Now;
                        patient.DeleteFlag   = false;
                        patient.DobPrecision = bool.Parse(dobPrecision);

                        patientId = patientManager.AddPatient(patient);
                    }
                    if (patientId > 0)
                    {
                        var visitTypes = await Task.Run(() => lookupLogic.GetItemIdByGroupAndItemName("VisitType", "Enrollment"));

                        var visitType = 0;
                        if (visitTypes.Count > 0)
                        {
                            visitType = visitTypes[0].ItemId;
                        }

                        //Add enrollment visit
                        patientMasterVisitId =
                            patientMasterVisitManager.AddPatientMasterVisit(patientId, request.UserId, visitType);
                        //Enroll Patient to service
                        patientEnrollmentId = patientEnrollmentManager.addPatientEnrollment(patientId, request.EnrollmentDate, request.UserId);
                        //Add enrollment entry point
                        patientEntryPointId = patientEntryPointManager.addPatientEntryPoint(patientId, request.EntryPointId, request.UserId);



                        if (patientMasterVisitId > 0)
                        {
                            foreach (var item in identifiersObjects)
                            {
                                patientIdentifierId = await Task.Run(() => patientIdentifierManager.addPatientIdentifier(patientId,
                                                                                                                         patientEnrollmentId, Convert.ToInt32(item.Key), item.Value, request.facilityId));

                                //Get User Details to be used in BLUE CARD
                            }

                            msg = "Succefully enrolled patient.";
                        }
                    }

                    {
                        var patientLookManager           = new PatientLookupManager();
                        List <PatientLookup> patientlook = await Task.Run(() => patientLookManager.GetPatientByPersonId(request.PersonId));

                        if (patientlook.Count > 0)
                        {
                            int ptn_pk = patientlook[0].Id;

                            List <PatientEntity> listPatient = new List <PatientEntity>();
                            var entity = await Task.Run(() => patientlook.ConvertAll(x => new PatientEntity {
                                Id = x.Id, Active = x.Active, DateOfBirth = x.DateOfBirth, ptn_pk = x.ptn_pk, PatientType = x.PatientType, PatientIndex = x.PatientIndex, NationalId = x.NationalId, FacilityId = x.FacilityId
                            }));

                            var patientAuditData = await Task.Run(() => AuditDataUtility.Serializer(entity));

                            PatientEntity updatePatient = new PatientEntity();
                            updatePatient.ptn_pk      = patientlook[0].ptn_pk;
                            updatePatient.DateOfBirth = patientlook[0].DateOfBirth;
                            updatePatient.NationalId  = request.nationalId;
                            updatePatient.FacilityId  = patientlook[0].FacilityId;


                            //listPatient.Add(entity);
                            updatePatient.AuditData = patientAuditData;
                            //var enrollmentAuditData = AuditDataUtility.Serializer(patient);

                            await Task.Run(() => patientManager.UpdatePatient(updatePatient, patientlook[0].Id));

                            int patientMasterVisitId = await Task.Run(() => patientMasterVisitManager.PatientMasterVisitCheckin(patientlook[0].Id, request.UserId));

                            int PatientMasterVisitId = patientMasterVisitId;

                            List <PatientEntryPoint> entryPoints = await Task.Run(() => patientEntryPointManager.GetPatientEntryPoints(patientlook[0].Id));

                            if (entryPoints.Count > 0)
                            {
                                var entryPointAuditData = await Task.Run(() => AuditDataUtility.Serializer(entryPoints));

                                entryPoints[0].EntryPointId = request.EntryPointId;
                                entryPoints[0].AuditData    = entryPointAuditData;

                                await Task.Run(() => patientEntryPointManager.UpdatePatientEntryPoint(entryPoints[0]));
                            }
                            foreach (var item in identifiersObjects)
                            {
                                var identifiersByPatientId = await Task.Run(() => patientIdentifierManager
                                                                            .GetPatientEntityIdentifiersByPatientId(patientlook[0].Id, Convert.ToInt32(item.Key)));

                                if (identifiersByPatientId.Count > 0)
                                {
                                    foreach (var entityIdentifier in identifiersByPatientId)
                                    {
                                        int enrollmentId = entityIdentifier.PatientEnrollmentId;

                                        PatientEntityEnrollment entityEnrollment =
                                            await Task.Run(() => patientEnrollmentManager.GetPatientEntityEnrollment(enrollmentId));

                                        List <PatientEntityEnrollment> listEnrollment = new List <PatientEntityEnrollment>();
                                        await Task.Run(() => listEnrollment.Add(entityEnrollment));

                                        var enrollmentAuditData = await Task.Run(() => AuditDataUtility.Serializer(listEnrollment));

                                        entityEnrollment.EnrollmentDate = DateTime.Parse(request.EnrollmentDate);
                                        entityEnrollment.AuditData      = enrollmentAuditData;

                                        patientEnrollmentManager.updatePatientEnrollment(entityEnrollment);

                                        var entityIdentifierAuditData = AuditDataUtility.Serializer(identifiersByPatientId);
                                        entityIdentifier.IdentifierValue = item.Value;
                                        entityIdentifier.AuditData       = entityIdentifierAuditData;
                                        patientIdentifierManager.UpdatePatientIdentifier(entityIdentifier, request.facilityId);
                                    }
                                }
                                else
                                {
                                    patientEnrollmentId = await Task.Run(() => patientEnrollmentManager.addPatientEnrollment(patientlook[0].Id, request.EnrollmentDate, request.UserId));

                                    patientEntryPointId = await Task.Run(() => patientEntryPointManager.addPatientEntryPoint(patientlook[0].Id, request.EntryPointId, request.UserId));

                                    patientIdentifierId = await Task.Run(() => patientIdentifierManager.addPatientIdentifier(patientlook[0].Id,
                                                                                                                             patientEnrollmentId, Convert.ToInt32(item.Key), item.Value, request.facilityId));
                                }
                            }
                        }
                    }
                }


                return(Result <AddEnrollPatientResponse> .Valid(new AddEnrollPatientResponse()
                {
                    IdentifierValue = Convert.ToString(patientEnrollmentId),
                    IdentifierId = patientIdentifierId,
                    PatientId = patientId,
                    Message = msg
                }

                                                                ));
            }
            catch (Exception ex)
            {
                return(Result <AddEnrollPatientResponse> .Invalid(ex.Message));
            }
        }
        public static string Update(string firstName, string middleName, string lastName, int personSex, int personId, int patientId, int?ptn_pk, DateTime dateOfBirth, bool DOB_Precision, string nationalId, int facilityId,
                                    int entryPointId, DateTime enrollmentDate, string cccNumber, PatientLookup patient, string godsNumber, int matStatusId,
                                    string village, int wardId, int subCountyId, int countyId, string nearestLandMark, string postalAdress, string phoneNumber, DateTime?deathDate,
                                    List <NEXTOFKIN> nextofkin, int userId)
        {
            try
            {
                //todo: fetch assigning facility from the message
                string        assigning_Facility       = "";
                PersonManager personManager            = new PersonManager();
                var           patientManager           = new PatientManager();
                var           patientEntryPointManager = new PatientEntryPointManager();
                var           patientIdentifierManager = new PatientIdentifierManager();
                var           patientEnrollmentManager = new PatientEnrollmentManager();
                var           personIdentifierManager  = new PersonIdentifierManager();
                PersonMaritalStatusManager personMaritalStatusManager = new PersonMaritalStatusManager();
                PersonLocationManager      locationManager            = new PersonLocationManager();
                PersonContactManager       contactManager             = new PersonContactManager();
                var personContactLookUp           = new PersonContactLookUpManager();
                var patientTreatmentlookupManager = new PatientTreatmentSupporterLookupManager();
                var treatmentSupporterManager     = new PatientTreatmentSupporterManager();

                personManager.UpdatePerson(firstName, middleName, lastName, personSex, userId, patient.PersonId, dateOfBirth, DOB_Precision);

                if (!string.IsNullOrWhiteSpace(godsNumber))
                {
                    IdentifierManager identifierManager = new IdentifierManager();
                    Identifier        identifier        = identifierManager.GetIdentifierByCode("GODS_NUMBER");
                    var personIdentifiers = personIdentifierManager.GetPersonIdentifiers(personId, identifier.Id);
                    if (personIdentifiers.Count == 0)
                    {
                        personIdentifierManager.AddPersonIdentifier(personId, identifier.Id, godsNumber, userId, assigning_Facility);
                    }
                }
                if (matStatusId > 0)
                {
                    var currentMaritalStatus = personMaritalStatusManager.GetCurrentPatientMaritalStatus(personId);
                    if (currentMaritalStatus != null)
                    {
                        currentMaritalStatus.MaritalStatusId = matStatusId;
                        personMaritalStatusManager.UpdatePatientMaritalStatus(currentMaritalStatus);
                    }
                    else
                    {
                        personMaritalStatusManager.AddPatientMaritalStatus(personId, matStatusId, userId);
                    }
                }

                if (wardId > 0 && subCountyId > 0 && countyId > 0)
                {
                    var currentLocation = locationManager.GetCurrentPersonLocation(personId);
                    if (currentLocation.Count > 0)
                    {
                        currentLocation[0].DeleteFlag = true;
                        locationManager.UpdatePersonLocation(currentLocation[0]);
                    }
                    locationManager.AddPersonLocation(personId, countyId, subCountyId, wardId, village, "", "", nearestLandMark, nearestLandMark, userId);
                }

                if (postalAdress != null || phoneNumber != null)
                {
                    var contacts = personContactLookUp.GetPersonContactByPersonId(personId);
                    if (contacts.Count > 0)
                    {
                        PersonContact perContact = new PersonContact();
                        perContact.Id                = contacts[0].Id;
                        perContact.PersonId          = contacts[0].PersonId;
                        perContact.PhysicalAddress   = (postalAdress);
                        perContact.MobileNumber      = (phoneNumber);
                        perContact.AlternativeNumber = "";
                        perContact.EmailAddress      = "";

                        contactManager.UpdatePatientContact(perContact);
                    }
                    else
                    {
                        contactManager.AddPersonContact(personId, postalAdress, phoneNumber, "", "", userId);
                    }
                }

                if (nextofkin.Count > 0)
                {
                    foreach (var kin in nextofkin)
                    {
                        if (kin.CONTACT_ROLE == "T")
                        {
                            //Get Gender
                            string gender = kin.SEX == "F" ? "Female" : "Male";
                            //IQCare Sex
                            LookupLogic lookupLogic = new LookupLogic();
                            int         sex         = lookupLogic.GetItemIdByGroupAndItemName("Gender", gender)[0].ItemId;

                            var listPatientTreatmentSupporter = patientTreatmentlookupManager.GetAllPatientTreatmentSupporter(personId);
                            if (listPatientTreatmentSupporter.Count > 0)
                            {
                                personManager.UpdatePerson(kin.NOK_NAME.FIRST_NAME, kin.NOK_NAME.MIDDLE_NAME, kin.NOK_NAME.LAST_NAME, sex, userId, listPatientTreatmentSupporter[0].SupporterId);
                                if (listPatientTreatmentSupporter[0].SupporterId > 0)
                                {
                                    var treatmentSupporter = patientTreatmentlookupManager.GetAllPatientTreatmentSupporter(personId);
                                    if (treatmentSupporter.Count > 0)
                                    {
                                        PatientTreatmentSupporter supporter = new PatientTreatmentSupporter()
                                        {
                                            Id            = treatmentSupporter[0].Id,
                                            PersonId      = personId,
                                            SupporterId   = listPatientTreatmentSupporter[0].SupporterId,
                                            MobileContact = kin.PHONE_NUMBER,
                                            CreatedBy     = treatmentSupporter[0].CreatedBy,
                                            DeleteFlag    = treatmentSupporter[0].DeleteFlag
                                        };

                                        treatmentSupporterManager.UpdatePatientTreatmentSupporter(supporter);
                                    }
                                }
                            }
                            else
                            {
                                int supporterId = personManager.AddPersonTreatmentSupporterUiLogic(kin.NOK_NAME.FIRST_NAME, kin.NOK_NAME.MIDDLE_NAME, kin.NOK_NAME.LAST_NAME, sex, userId);

                                if (supporterId > 0)
                                {
                                    treatmentSupporterManager.AddPatientTreatmentSupporter(personId, supporterId, kin.PHONE_NUMBER, userId);
                                }
                            }
                        }
                    }
                }

                List <PatientLookup> patientLookups = new List <PatientLookup>();
                patientLookups.Add(patient);
                var entity = patientLookups.ConvertAll(x => new PatientEntity {
                    Id = x.Id, Active = x.Active, DateOfBirth = x.DateOfBirth, ptn_pk = x.ptn_pk, PatientType = x.PatientType, PatientIndex = x.PatientIndex, NationalId = x.NationalId, FacilityId = x.FacilityId
                });
                var patientAuditData = AuditDataUtility.AuditDataUtility.Serializer(entity);

                PatientEntity updatePatient = new PatientEntity();
                updatePatient.ptn_pk       = ptn_pk;
                updatePatient.DateOfBirth  = dateOfBirth;
                updatePatient.DobPrecision = DOB_Precision;
                updatePatient.NationalId   = nationalId;
                updatePatient.FacilityId   = facilityId;
                updatePatient.AuditData    = patientAuditData;

                patientManager.UpdatePatient(updatePatient, patientId);

                List <PatientEntryPoint> entryPoints = patientEntryPointManager.GetPatientEntryPoints(patient.Id, 1);
                if (entryPoints.Count > 0)
                {
                    string entryPointAuditData = null;
                    entryPointAuditData = AuditDataUtility.AuditDataUtility.Serializer(entryPoints);

                    entryPoints[0].EntryPointId = entryPointId;
                    entryPoints[0].AuditData    = entryPointAuditData;
                    patientEntryPointManager.UpdatePatientEntryPoint(entryPoints[0]);
                }
                else
                {
                    patientEntryPointManager.addPatientEntryPoint(patientId, entryPointId, userId);
                }

                var identifiersByPatientId = patientIdentifierManager.GetPatientEntityIdentifiersByPatientId(patientId, 1);

                if (identifiersByPatientId.Count > 0)
                {
                    foreach (var entityIdentifier in identifiersByPatientId)
                    {
                        int enrollmentId = entityIdentifier.PatientEnrollmentId;

                        PatientEntityEnrollment        entityEnrollment = patientEnrollmentManager.GetPatientEntityEnrollment(enrollmentId);
                        List <PatientEntityEnrollment> listEnrollment   = new List <PatientEntityEnrollment>();
                        listEnrollment.Add(entityEnrollment);
                        var enrollmentAuditData = AuditDataUtility.AuditDataUtility.Serializer(listEnrollment);

                        entityEnrollment.EnrollmentDate = enrollmentDate;
                        entityEnrollment.AuditData      = enrollmentAuditData;

                        patientEnrollmentManager.updatePatientEnrollment(entityEnrollment);

                        var entityIdentifierAuditData = AuditDataUtility.AuditDataUtility.Serializer(identifiersByPatientId);
                        entityIdentifier.IdentifierValue = cccNumber;
                        entityIdentifier.AuditData       = entityIdentifierAuditData;
                        patientIdentifierManager.UpdatePatientIdentifier(entityIdentifier, facilityId, false);

                        if (deathDate.HasValue)
                        {
                            PatientMasterVisitManager masterVisitManager = new PatientMasterVisitManager();
                            PatientCareEndingManager  careEndingManager  = new PatientCareEndingManager();
                            LookupLogic lookupLogic          = new LookupLogic();
                            int         itemId               = lookupLogic.GetItemIdByGroupAndItemName("CareEnded", "Death")[0].ItemId;
                            int         patientMasterVisitId = masterVisitManager.GetLastPatientVisit(patientId).Id;
                            careEndingManager.AddPatientCareEndingDeath(patientId, patientMasterVisitId, enrollmentId, itemId, deathDate.Value, deathDate.Value, "", null, null);

                            PatientEntityEnrollment entityEnrollmentCareEnded = patientEnrollmentManager.GetPatientEntityEnrollment(enrollmentId);
                            entityEnrollmentCareEnded.CareEnded = true;
                            patientEnrollmentManager.updatePatientEnrollment(entityEnrollmentCareEnded);
                        }
                    }
                }
                else
                {
                    var assigningFacility   = cccNumber.Substring(0, 5);
                    int patientEnrollmentId = patientEnrollmentManager.addPatientEnrollment(patientId, enrollmentDate.ToString(), userId);
                    int patientEntryPointId = patientEntryPointManager.addPatientEntryPoint(patientId, entryPointId, userId);
                    int patientIdentifierId = patientIdentifierManager.addPatientIdentifier(patientId, patientEnrollmentId, 1, cccNumber, facilityId, assigningFacility, false);

                    if (deathDate.HasValue)
                    {
                        PatientMasterVisitManager masterVisitManager = new PatientMasterVisitManager();
                        PatientCareEndingManager  careEndingManager  = new PatientCareEndingManager();
                        LookupLogic lookupLogic          = new LookupLogic();
                        int         itemId               = lookupLogic.GetItemIdByGroupAndItemName("CareEnded", "Death")[0].ItemId;
                        int         patientMasterVisitId = masterVisitManager.GetLastPatientVisit(patientId).Id;
                        careEndingManager.AddPatientCareEndingDeath(patientId, patientMasterVisitId, patientEnrollmentId, itemId, deathDate.Value, deathDate.Value, "", null, null);

                        PatientEntityEnrollment entityEnrollmentCareEnded = patientEnrollmentManager.GetPatientEntityEnrollment(patientEnrollmentId);
                        entityEnrollmentCareEnded.CareEnded = true;
                        patientEnrollmentManager.updatePatientEnrollment(entityEnrollmentCareEnded);
                    }
                }

                return("Successfully updated patient");
            }
            catch (Exception e)
            {
                throw new Exception(e.Message);
            }
        }
Exemple #3
0
        public string AddPatient(int facilityId, int entryPointId, string enrollmentDate, string personDateOfBirth, string nationalId, int patientType, string dobPrecision, string identifiersList)
        {
            ExMessage message = new ExMessage();

            try
            {
                PersonId = int.Parse(Session["PersonId"].ToString());
                int userId = Convert.ToInt32(Session["AppUserId"]);

                var patientManager             = new PatientManager();
                var patientMasterVisitManager  = new PatientMasterVisitManager();
                var patientEnrollmentManager   = new PatientEnrollmentManager();
                var patientIdentifierManager   = new PatientIdentifierManager();
                var patientEntryPointManager   = new PatientEntryPointManager();
                var patientLookUpManager       = new PatientLookupManager();
                var mstPatientLogic            = new MstPatientLogic();
                var personContactLookUpManager = new PersonContactLookUpManager();
                var personContacts             = new List <PersonContactLookUp>();
                var personLookUp = new PersonLookUpManager();
                var lookupLogic  = new LookupLogic();

                //var identifiersObjects = JsonConvert.DeserializeObject<Dictionary<int, string>>(identifiersList);
                var           identifiersObjects = new JavaScriptSerializer().Deserialize <Dictionary <string, string> >(identifiersList);
                String        sDate            = DateTime.Now.ToString();
                DateTime      datevalue        = Convert.ToDateTime(sDate);
                PatientLookup isPersonEnrolled = patientLookUpManager.GetPatientByPersonId(PersonId);
                dobPrecision = String.IsNullOrWhiteSpace(dobPrecision) ? "false" : "true";

                foreach (var item in identifiersObjects)
                {
                    var identifiers = patientIdentifierManager.CheckIfIdentifierNumberIsUsed(item.Value, Convert.ToInt32(item.Key));
                    if (identifiers.Count > 0)
                    {
                        foreach (var items in identifiers)
                        {
                            if (isPersonEnrolled != null)
                            {
                                if (items.PatientId == isPersonEnrolled.Id)
                                {
                                }
                                else
                                {
                                    var exception = new SoapException("No: " + item.Value + " already exists", SoapException.ClientFaultCode);
                                    throw exception;
                                }
                            }
                            else
                            {
                                var exception = new SoapException("No: " + item.Value + " already exists", SoapException.ClientFaultCode);
                                throw exception;
                            }
                        }
                    }
                }

                if (isPersonEnrolled != null)
                {
                    List <PatientRegistrationLookup> patientsByPersonId = patientManager.GetPatientIdByPersonId(PersonId);
                    var           patientIndex = datevalue.Year.ToString() + '-' + PersonId;
                    PatientEntity patient      = new PatientEntity();
                    if (patientsByPersonId.Count > 0)
                    {
                        patient.FacilityId  = facilityId;
                        patient.DateOfBirth = DateTime.Parse(personDateOfBirth);
                        patient.NationalId  = nationalId;
                        patient.ptn_pk      = patientsByPersonId[0].ptn_pk > 0 ? patientsByPersonId[0].ptn_pk : 0;

                        patientManager.UpdatePatient(patient, patientsByPersonId[0].Id);
                        patientId = patientsByPersonId[0].Id;
                    }
                    else
                    {
                        patient.PersonId     = PersonId;
                        patient.ptn_pk       = 0;
                        patient.FacilityId   = facilityId;
                        patient.PatientType  = patientType;
                        patient.PatientIndex = patientIndex;
                        patient.DateOfBirth  = DateTime.Parse(personDateOfBirth);
                        patient.NationalId   = (nationalId);
                        patient.Active       = true;
                        patient.CreatedBy    = userId;
                        patient.CreateDate   = DateTime.Now;
                        patient.DeleteFlag   = false;
                        patient.DobPrecision = bool.Parse(dobPrecision);

                        patientId = patientManager.AddPatient(patient);
                    }
                    Session["PatientPK"] = patientId;

                    if (patientId > 0)
                    {
                        var visitTypes = lookupLogic.GetItemIdByGroupAndItemName("VisitType", "Enrollment");
                        var visitType  = 0;
                        if (visitTypes.Count > 0)
                        {
                            visitType = visitTypes[0].ItemId;
                        }

                        //Add enrollment visit
                        patientMasterVisitId =
                            patientMasterVisitManager.AddPatientMasterVisit(patientId, userId, visitType);
                        //Enroll Patient to service
                        patientEnrollmentId = patientEnrollmentManager.addPatientEnrollment(patientId, enrollmentDate, userId);
                        //Add enrollment entry point
                        patientEntryPointId = patientEntryPointManager.addPatientEntryPoint(patientId, entryPointId, userId);

                        //Get User Details to be used in BLUE CARD
                        var patient_person_details = personLookUp.GetPersonById(PersonId);
                        var greencardlookup        = new PersonGreenCardLookupManager();
                        var greencardptnpk         = greencardlookup.GetPtnPkByPersonId(PersonId);

                        if (patient_person_details != null)
                        {
                            var maritalStatus =
                                new PersonMaritalStatusManager().GetCurrentPatientMaritalStatus(PersonId);
                            personContacts = personContactLookUpManager.GetPersonContactByPersonId(PersonId);
                            var address  = "";
                            var phone    = "";
                            var facility = lookupLogic.GetFacility();

                            if (personContacts.Count > 0)
                            {
                                address = personContacts[0].PhysicalAddress;
                                phone   = personContacts[0].MobileNumber;
                            }

                            var MaritalStatusId = 0;
                            if (maritalStatus != null)
                            {
                                MaritalStatusId = maritalStatus.MaritalStatusId;
                            }

                            var sex = 0;
                            var enrollmentBlueCardId = "";

                            if (LookupLogic.GetLookupNameById(patient_person_details.Sex) == "Male")
                            {
                                sex = 16;
                            }
                            else if (LookupLogic.GetLookupNameById(patient_person_details.Sex) == "Female")
                            {
                                sex = 17;
                            }

                            foreach (var item in identifiersObjects)
                            {
                                if (Convert.ToInt32(item.Key) == 1)
                                {
                                    enrollmentBlueCardId = item.Value;
                                }
                            }


                            if (greencardptnpk.Count == 0)
                            {
                                ptn_Pk = mstPatientLogic.InsertMstPatient(
                                    (patient_person_details.FirstName),
                                    (patient_person_details.LastName),
                                    (patient_person_details.MiddleName),
                                    facility.FacilityID, enrollmentBlueCardId, entryPointId,
                                    DateTime.Parse(enrollmentDate), sex,
                                    DateTime.Parse(personDateOfBirth),
                                    1, MaritalStatusId,
                                    address, phone, userId, Session["AppPosID"].ToString(),
                                    203, DateTime.Parse(enrollmentDate), DateTime.Now);

                                patient.ptn_pk = ptn_Pk;
                                patientManager.UpdatePatient(patient, patientId);
                            }
                            else
                            {
                                ptn_Pk         = greencardptnpk[0].Ptn_Pk;
                                patient.ptn_pk = greencardptnpk[0].Ptn_Pk;
                                patientManager.UpdatePatient(patient, patientId);
                            }
                        }

                        Session["PatientMasterVisitId"] = patientMasterVisitId;

                        if (patientMasterVisitId > 0)
                        {
                            foreach (var item in identifiersObjects)
                            {
                                patientIdentifierId = patientIdentifierManager.addPatientIdentifier(patientId,
                                                                                                    patientEnrollmentId, Convert.ToInt32(item.Key), item.Value, facilityId);

                                var identifierManager = new IdentifierManager();
                                var identifierList    = identifierManager.GetIdentifiersById(Convert.ToInt32(item.Key));
                                var hivtesting        = _hivTestingManager.GetAll().OrderByDescending(y => y.Id).FirstOrDefault(n => n.PersonId == PersonId);
                                if (identifierList.Count > 0)
                                {
                                    if (identifierList[0].Code == "CCCNumber")
                                    {
                                        if (hivtesting != null)
                                        {
                                            hivtesting.ReferredToCare = true;
                                            _hivTestingManager.UpdatePatientHivTesting(hivtesting);

                                            PatientLinkage patLinkage = new PatientLinkage();
                                            patLinkage.LinkageDate = DateTime.Parse(enrollmentDate);
                                            patLinkage.CCCNumber   = item.Value;
                                            patLinkage.PersonId    = PersonId;
                                            patLinkage.CreatedBy   = userId;
                                            patLinkage.Enrolled    = true;
                                            patLinkage.PatientId   = patientId;

                                            linkageManager.AddPatientLinkage(patLinkage);
                                        }
                                    }
                                }
                            }

                            if (greencardptnpk.Count == 0)
                            {
                                mstPatientLogic.AddOrdVisit(ptn_Pk, facilityId, DateTime.Now, 110,
                                                            userId, DateTime.Now, 203);
                            }


                            message.errorcode = 0;
                            message.msg      += "<p>Successfully enrolled patient.</p>";
                        }
                    }
                }
                else
                {
                    var                  patientLookManager = new PatientLookupManager();
                    PatientLookup        patient            = patientLookManager.GetPatientByPersonId(PersonId);
                    List <PatientLookup> pk = new List <PatientLookup>();
                    pk.Add(patient);
                    if (patient != null)
                    {
                        Session["PatientPK"] = patient.Id;

                        List <PatientEntity> listPatient = new List <PatientEntity>();
                        var entity = pk.ConvertAll(x => new PatientEntity {
                            Id         = x.Id, Active = x.Active, DateOfBirth = x.DateOfBirth,
                            ptn_pk     = x.ptn_pk, PatientType = x.PatientType, PatientIndex = x.PatientIndex, NationalId = x.NationalId,
                            FacilityId = x.FacilityId
                        });

                        var patientAuditData = AuditDataUtility.Serializer(entity);

                        PatientEntity updatePatient = new PatientEntity();
                        updatePatient.ptn_pk      = patient.ptn_pk;
                        updatePatient.DateOfBirth = patient.DateOfBirth;
                        updatePatient.NationalId  = nationalId;
                        updatePatient.FacilityId  = patient.FacilityId;


                        //listPatient.Add(entity);
                        updatePatient.AuditData = patientAuditData;
                        //var enrollmentAuditData = AuditDataUtility.Serializer(patient);

                        patientManager.UpdatePatient(updatePatient, patient.Id);

                        int patientMasterVisitId = patientMasterVisitManager.PatientMasterVisitCheckin(patient.Id, userId);
                        Session["PatientMasterVisitId"] = patientMasterVisitId;

                        List <PatientEntryPoint> entryPoints = patientEntryPointManager.GetPatientEntryPoints(patient.Id);

                        if (entryPoints.Count > 0)
                        {
                            var entryPointAuditData = AuditDataUtility.Serializer(entryPoints);

                            entryPoints[0].EntryPointId = entryPointId;
                            entryPoints[0].AuditData    = entryPointAuditData;

                            patientEntryPointManager.UpdatePatientEntryPoint(entryPoints[0]);
                        }
                        foreach (var item in identifiersObjects)
                        {
                            var identifiersByPatientId = patientIdentifierManager
                                                         .GetPatientEntityIdentifiersByPatientId(patient.Id, Convert.ToInt32(item.Key));

                            if (identifiersByPatientId.Count > 0)
                            {
                                foreach (var entityIdentifier in identifiersByPatientId)
                                {
                                    int enrollmentId = entityIdentifier.PatientEnrollmentId;

                                    PatientEntityEnrollment entityEnrollment =
                                        patientEnrollmentManager.GetPatientEntityEnrollment(enrollmentId);
                                    List <PatientEntityEnrollment> listEnrollment = new List <PatientEntityEnrollment>();
                                    listEnrollment.Add(entityEnrollment);
                                    var enrollmentAuditData = AuditDataUtility.Serializer(listEnrollment);

                                    entityEnrollment.EnrollmentDate = DateTime.Parse(enrollmentDate);
                                    entityEnrollment.AuditData      = enrollmentAuditData;

                                    patientEnrollmentManager.updatePatientEnrollment(entityEnrollment);

                                    var entityIdentifierAuditData = AuditDataUtility.Serializer(identifiersByPatientId);
                                    entityIdentifier.IdentifierValue = item.Value;
                                    entityIdentifier.AuditData       = entityIdentifierAuditData;
                                    patientIdentifierManager.UpdatePatientIdentifier(entityIdentifier, facilityId);
                                }
                            }
                            else
                            {
                                patientEnrollmentId = patientEnrollmentManager.addPatientEnrollment(patient.Id, enrollmentDate, userId);
                                patientEntryPointId = patientEntryPointManager.addPatientEntryPoint(patient.Id, entryPointId, userId);
                                patientIdentifierId = patientIdentifierManager.addPatientIdentifier(patient.Id,
                                                                                                    patientEnrollmentId, Convert.ToInt32(item.Key), item.Value, facilityId);
                            }
                        }
                    }
                }
            }
            catch (SoapException ex)
            {
                message.errorcode = 1;
                message.msg       = ex.Message;
            }

            return(Msg = new JavaScriptSerializer().Serialize(message));
        }