public void Execute()
{
try
{
//We get the patient's care team
var getCareTeamRequest = new GetCareTeamRequest()
{
ContactId = _contactId,
ContractNumber = _request.ContractNumber,
UserId = _request.UserId,
Version = _request.Version
};
var careTeamData = _contactEndpointUtil.GetCareTeam(getCareTeamRequest);
if (careTeamData!=null)
{
_careTeam = Mapper.Map<CareTeam>(careTeamData);
// We send a request to the data domain to delete care team by care tam Id
var request = new DeleteCareTeamRequest()
{
ContactId = _careTeam.ContactId,
Id = _careTeam.Id,
ContractNumber = _request.ContractNumber,
UserId = _request.UserId,
Version = _request.Version
};
_contactEndpointUtil.DeleteCareTeam(request);
}
}
catch (Exception ex)
{
throw new Exception("AD: CareTeamCommand Execute::" + ex.Message, ex.InnerException);
}
}
/// <summary>
/// Deserialize JSON into a FHIR CareTeam
/// </summary>
public static void DeserializeJson(this CareTeam current, ref Utf8JsonReader reader, JsonSerializerOptions options)
{
string propertyName;
while (reader.Read())
{
if (reader.TokenType == JsonTokenType.EndObject)
{
return;
}
if (reader.TokenType == JsonTokenType.PropertyName)
{
propertyName = reader.GetString();
if (Hl7.Fhir.Serialization.FhirSerializerOptions.Debug)
{
Console.WriteLine($"CareTeam >>> CareTeam.{propertyName}, depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
reader.Read();
current.DeserializeJsonProperty(ref reader, options, propertyName);
}
}
throw new JsonException($"CareTeam: invalid state! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
public CohortRuleResponse Run(CareTeam careTeam, CohortRuleCheckData data)
{
var response = new CohortRuleResponse();
if (careTeam == null)
{
throw new ArgumentNullException("careTeam");
}
try
{
var activeCorePCM = _cohortRuleUtil.GetCareTeamActiveCorePCM(careTeam);
if (activeCorePCM != null)
{
//We need to add Active Core PCM from the CohortPatientView for the referenced individual
if (!data.UsersContactIds.IsNullOrEmpty())
{
_contactEndpointUtil.AddPCMToCohortPatientView(data.PatientId, activeCorePCM.ContactId, data.Version, data.ContractNumber, data.UserId, data.UsersContactIds.Contains(activeCorePCM.ContactId));
}
}
response.IsSuccessful = true;
}
catch (Exception ex)
{
response.IsSuccessful = false;
response.ErrorCode = "UnAssignedPCMRule.Cohort.Error";
response.Message = ex.Message;
_logger.Log(ex);
}
return(response);
}
public CohortRuleResponse Run(CareTeam careTeam, CohortRuleCheckData data)
{
var response = new CohortRuleResponse();
try
{
if (careTeam == null)
{
throw new ArgumentNullException("careTeam");
}
//Check if any of the members have active core PCM role.
if (!_cohortRuleUtil.CheckIfCareTeamHasActiveCorePCM(careTeam))
{
//Add to UnAssigned PCM.
var isSuccessful = _contactEndpointUtil.RemovePCMCohortPatientView(data.PatientId, data.Version, data.ContractNumber, data.UserId);
response.IsSuccessful = isSuccessful;
}
}
catch (Exception ex)
{
response.IsSuccessful = false;
response.ErrorCode = "UnAssignedPCMRule.Cohort.Error";
response.Message = ex.Message;
_logger.Log(ex);
}
return(response);
}
private void ApplyCohortRules(CohortRuleCheckData cohortRuleCheckData)
{
CareTeam careTeam = null;
var careTeamData = EndpointUtil.GetCareTeam(new GetCareTeamRequest
{
ContactId = cohortRuleCheckData.ContactId,
ContractNumber = cohortRuleCheckData.ContractNumber,
UserId = cohortRuleCheckData.UserId
});
if (careTeamData == null)
{
return;
}
careTeam = Mapper.Map <CareTeam>(careTeamData);
var userList = GetAllUsersIds(cohortRuleCheckData.ContractNumber, cohortRuleCheckData.UserId, cohortRuleCheckData.Version);
cohortRuleCheckData.UsersContactIds = userList;
var rules = CareMemberCohortRuleFactory.GenerateEngageCareMemberCohortRules();
foreach (var rule in rules)
{
rule.Run(careTeam, cohortRuleCheckData);
}
}
public async Task <IHttpActionResult> GetCareTeam(Guid id)
{
CareTeam careTeam = await db.CareTeam.FindAsync(id);
if (careTeam == null)
{
return(NotFound());
}
var roles = await db.Roles.ToDictionaryAsync(r => r.Id);
return(Ok(ToDto.CareTeamToDto(careTeam, roles)));
}
public async Task <IHttpActionResult> DeleteCareTeam(Guid id)
{
CareTeam careTeam = await db.CareTeam.FindAsync(id);
if (careTeam == null)
{
return(NotFound());
}
db.CareTeam.Remove(careTeam);
await db.SaveChangesAsync();
return(Ok(careTeam));
}
public Member GetCareTeamActiveCorePCM(CareTeam team)
{
Member res = null;
if (team.Members.IsNullOrEmpty())
{
return(res);
}
res = team.Members.FirstOrDefault(c =>
c.StatusId == (int)CareTeamMemberStatus.Active && c.Core == true &&
c.RoleId == Constants.PCMRoleId);
return(res);
}
public bool CheckIfCareTeamHasActiveCorePCM(CareTeam team)
{
var hasPCM = false;
if (team.Members.IsNullOrEmpty())
{
return(false);
}
hasPCM = team.Members.Any(c =>
c.StatusId == (int)CareTeamMemberStatus.Active && c.Core == true &&
c.RoleId == Constants.PCMRoleId);
return(hasPCM);
}
public CareTeam GetCareTeam(GetCareTeamRequest request)
{
CareTeam careTeam = null;
if (request == null)
{
throw new ArgumentNullException("request");
}
if (string.IsNullOrEmpty(request.ContactId))
{
throw new ArgumentNullException("request.ContactId");
}
try
{
CareTeamData careTeamData = EndpointUtil.GetCareTeam(request);
if (careTeamData != null)
{
careTeam = Mapper.Map <CareTeam>(careTeamData);
#region Populate Contact object for each care team member.
if (careTeam.Members != null && careTeam.Members.Count > 0)
{
List <string> contactIds = careTeam.Members.Select(a => a.ContactId).ToList();
List <ContactData> contactsData = EndpointUtil.GetContactsByContactIds(contactIds, request.Version, request.ContractNumber, request.UserId);
if (contactsData != null)
{
foreach (var member in careTeam.Members)
{
ContactData data = contactsData.FirstOrDefault(c => c.Id == member.ContactId);
if (data == null)
{
throw new ApplicationException(string.Format("Contact card for a care team member with contact id = {0} was not found", member.ContactId));
}
else
{
member.Contact = Mapper.Map <Contact>(data);
}
}
}
}
#endregion
}
return(careTeam);
}
catch (Exception ex) { throw ex; }
}
public async Task <IHttpActionResult> UpdateTeam(UpdateTeamBindingModel model)
{
CareTeam careTeam = await db.CareTeam.FindAsync(model.TeamId);
if (careTeam == null)
{
return(NotFound());
}
careTeam.Providers.Clear();
foreach (var providerId in model.ProviderIds)
{
var provider = await userManager.FindByIdAsync(providerId);
if (provider == null)
{
return(NotFound());
}
if (!careTeam.Providers.Contains(provider))
{
careTeam.Providers.Add(provider);
}
}
careTeam.Supporters.Clear();
foreach (var supporterId in model.SupporterIds)
{
var supporter = await userManager.FindByIdAsync(supporterId);
if (supporter == null)
{
return(NotFound());
}
if (!careTeam.Supporters.Contains(supporter))
{
careTeam.Supporters.Add(supporter);
}
}
careTeam.Name = model.TeamName;
await db.SaveChangesAsync();
return(Ok());
}
public static CareTeamDto CareTeamToDto(CareTeam careTeam, Dictionary <string, IdentityRole> roles = null)
{
var careTeamDto = new CareTeamDto();
careTeamDto.InjectFrom(careTeam);
careTeamDto.Patient = UserToDto(careTeam.Patient);
careTeamDto.Providers = new List <UserDto>();
careTeamDto.Supporters = new List <UserDto>();
foreach (var provider in careTeam.Providers)
{
careTeamDto.Providers.Add(UserToDto(provider));
}
foreach (var supporter in careTeam.Supporters)
{
careTeamDto.Supporters.Add(UserToDto(supporter));
}
return(careTeamDto);
}
public bool HasMultipleActiveCorePCP(CareTeam careTeam)
{
bool res = false;
if (careTeam == null)
{
return(false);
}
var activeCorePCMs =
careTeam.Members.Where(
c =>
c.RoleId == Constants.PCPRoleId && c.Core == true &&
c.StatusId == (int)CareTeamMemberStatus.Active).ToList();
if (!activeCorePCMs.IsNullOrEmpty() && activeCorePCMs.Count() > 1)
{
res = true;
}
return(res);
}
public bool ActiveCorePcmIsUser(CareTeam team, List <string> usersContactIds)
{
bool res = false;
if (team.Members.IsNullOrEmpty() || usersContactIds == null)
{
return(res);
}
var activeCorePcm = team.Members.FirstOrDefault(c =>
c.StatusId == (int)CareTeamMemberStatus.Active && c.Core == true &&
c.RoleId == Constants.PCMRoleId);
if (activeCorePcm == null)
{
return(res);
}
res = usersContactIds.Contains(activeCorePcm.ContactId);
return(res);
}
public CohortRuleResponse Run(CareTeam careTeam, CohortRuleCheckData data)
{
var response = new CohortRuleResponse();
try
{
if (careTeam == null)
{
throw new ArgumentNullException("careTeam");
}
//For each member in the careteam that is a user, add an ATO cohort for the referenced individual
var contactIdsToAdd = new List <string>();
foreach (var member in careTeam.Members)
{
if (member.StatusId == (int)CareTeamMemberStatus.Active)
{
if (data.UsersContactIds.Contains(member.ContactId))
{
contactIdsToAdd.Add(member.ContactId);
}
}
}
_contactEndpointUtil.AssignContactsToCohortPatientView(data.PatientId, contactIdsToAdd.Distinct().ToList(), data.Version, data.ContractNumber, data.UserId);
response.IsSuccessful = true;
}
catch (Exception ex)
{
response.IsSuccessful = false;
response.ErrorCode = "AssignedToMeRule.Cohort.Error";
response.Message = ex.Message;
_logger.Log(ex);
}
return(response);
}
public AddCareTeamMemberResponse AddCareTeamMember(AddCareTeamMemberRequest request)
{
var response = new AddCareTeamMemberResponse();
if (request == null)
{
throw new ArgumentNullException("request");
}
ValidateCareTeamMemberFields(request.CareTeamMember);
var careTeamData = EndpointUtil.GetCareTeam(new GetCareTeamRequest {
ContactId = request.ContactId, ContractNumber = request.ContractNumber, UserId = request.UserId, Version = request.Version
});
if (careTeamData == null)
{
throw new ApplicationException(string.Format("No care team exists for contact {0}", request.ContactId));
}
var members = careTeamData.Members;
if (!members.IsNullOrEmpty())
{
var mappedMembers = members.Select(Mapper.Map <Member>).ToList();
mappedMembers.Add(request.CareTeamMember);
var careTeam = new CareTeam {
Members = mappedMembers, ContactId = request.ContactId, Id = careTeamData.Id
};
if (CohortRuleUtil.HasMultipleActiveCorePCM(careTeam))
{
throw new ApplicationException("The Care team cannot have multiple Active, Core PCMs");
}
if (CohortRuleUtil.HasMultipleActiveCorePCP(careTeam))
{
throw new ApplicationException("The Care team cannot have multiple Active, Core PCPs");
}
}
var contact = GetContactByContactId(new GetContactByContactIdRequest
{
ContractNumber = request.ContractNumber,
ContactId = request.ContactId,
UserId = request.UserId,
Version = request.Version
});
if (contact == null)
{
throw new ApplicationException(string.Format("Contact with id: {0} does not exist", request.ContactId));
}
var cohortRuleCheckData = new CohortRuleCheckData()
{
ContactId = request.ContactId,
ContractNumber = request.ContractNumber,
UserId = request.UserId,
PatientId = contact.PatientId
};
try
{
var domainResponse = EndpointUtil.AddCareTeamMember(request);
if (domainResponse != null)
{
response.Id = domainResponse.Id;
CohortRules.EnqueueCohorRuleCheck(cohortRuleCheckData);
}
}
catch (Exception ex)
{
throw new Exception("AD:UpdateCareTeamMember()::" + ex.Message, ex.InnerException);
}
return(response);
}
/// <summary>
/// Serialize a FHIR CareTeam into JSON
/// </summary>
public static void SerializeJson(this CareTeam current, Utf8JsonWriter writer, JsonSerializerOptions options, bool includeStartObject = true)
{
if (includeStartObject)
{
writer.WriteStartObject();
}
writer.WriteString("resourceType", "CareTeam");
// Complex: CareTeam, Export: CareTeam, Base: DomainResource (DomainResource)
((Hl7.Fhir.Model.DomainResource)current).SerializeJson(writer, options, false);
if ((current.Identifier != null) && (current.Identifier.Count != 0))
{
writer.WritePropertyName("identifier");
writer.WriteStartArray();
foreach (Identifier val in current.Identifier)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if (current.StatusElement != null)
{
if (current.StatusElement.Value != null)
{
writer.WriteString("status", Hl7.Fhir.Utility.EnumUtility.GetLiteral(current.StatusElement.Value));
}
if (current.StatusElement.HasExtensions() || (!string.IsNullOrEmpty(current.StatusElement.ElementId)))
{
JsonStreamUtilities.SerializeExtensionList(writer, options, "_status", false, current.StatusElement.Extension, current.StatusElement.ElementId);
}
}
if ((current.Category != null) && (current.Category.Count != 0))
{
writer.WritePropertyName("category");
writer.WriteStartArray();
foreach (CodeableConcept val in current.Category)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if (current.NameElement != null)
{
if (!string.IsNullOrEmpty(current.NameElement.Value))
{
writer.WriteString("name", current.NameElement.Value);
}
if (current.NameElement.HasExtensions() || (!string.IsNullOrEmpty(current.NameElement.ElementId)))
{
JsonStreamUtilities.SerializeExtensionList(writer, options, "_name", false, current.NameElement.Extension, current.NameElement.ElementId);
}
}
if (current.Subject != null)
{
writer.WritePropertyName("subject");
current.Subject.SerializeJson(writer, options);
}
if (current.Encounter != null)
{
writer.WritePropertyName("encounter");
current.Encounter.SerializeJson(writer, options);
}
if (current.Period != null)
{
writer.WritePropertyName("period");
current.Period.SerializeJson(writer, options);
}
if ((current.Participant != null) && (current.Participant.Count != 0))
{
writer.WritePropertyName("participant");
writer.WriteStartArray();
foreach (CareTeam.ParticipantComponent val in current.Participant)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if ((current.ReasonCode != null) && (current.ReasonCode.Count != 0))
{
writer.WritePropertyName("reasonCode");
writer.WriteStartArray();
foreach (CodeableConcept val in current.ReasonCode)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if ((current.ReasonReference != null) && (current.ReasonReference.Count != 0))
{
writer.WritePropertyName("reasonReference");
writer.WriteStartArray();
foreach (ResourceReference val in current.ReasonReference)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if ((current.ManagingOrganization != null) && (current.ManagingOrganization.Count != 0))
{
writer.WritePropertyName("managingOrganization");
writer.WriteStartArray();
foreach (ResourceReference val in current.ManagingOrganization)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if ((current.Telecom != null) && (current.Telecom.Count != 0))
{
writer.WritePropertyName("telecom");
writer.WriteStartArray();
foreach (ContactPoint val in current.Telecom)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if ((current.Note != null) && (current.Note.Count != 0))
{
writer.WritePropertyName("note");
writer.WriteStartArray();
foreach (Annotation val in current.Note)
{
val.SerializeJson(writer, options, true);
}
writer.WriteEndArray();
}
if (includeStartObject)
{
writer.WriteEndObject();
}
}
/// <summary>
/// Deserialize JSON into a FHIR CareTeam
/// </summary>
public static void DeserializeJsonProperty(this CareTeam current, ref Utf8JsonReader reader, JsonSerializerOptions options, string propertyName)
{
switch (propertyName)
{
case "identifier":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'identifier' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.Identifier = new List <Identifier>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.Identifier v_Identifier = new Hl7.Fhir.Model.Identifier();
v_Identifier.DeserializeJson(ref reader, options);
current.Identifier.Add(v_Identifier);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'identifier' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.Identifier.Count == 0)
{
current.Identifier = null;
}
break;
case "status":
if (reader.TokenType == JsonTokenType.Null)
{
current.StatusElement = new Code <Hl7.Fhir.Model.CareTeam.CareTeamStatus>();
reader.Skip();
}
else
{
current.StatusElement = new Code <Hl7.Fhir.Model.CareTeam.CareTeamStatus>(Hl7.Fhir.Utility.EnumUtility.ParseLiteral <Hl7.Fhir.Model.CareTeam.CareTeamStatus>(reader.GetString()));
}
break;
case "_status":
if (current.StatusElement == null)
{
current.StatusElement = new Code <Hl7.Fhir.Model.CareTeam.CareTeamStatus>();
}
((Hl7.Fhir.Model.Element)current.StatusElement).DeserializeJson(ref reader, options);
break;
case "category":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'category' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.Category = new List <CodeableConcept>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.CodeableConcept v_Category = new Hl7.Fhir.Model.CodeableConcept();
v_Category.DeserializeJson(ref reader, options);
current.Category.Add(v_Category);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'category' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.Category.Count == 0)
{
current.Category = null;
}
break;
case "name":
if (reader.TokenType == JsonTokenType.Null)
{
current.NameElement = new FhirString();
reader.Skip();
}
else
{
current.NameElement = new FhirString(reader.GetString());
}
break;
case "_name":
if (current.NameElement == null)
{
current.NameElement = new FhirString();
}
((Hl7.Fhir.Model.Element)current.NameElement).DeserializeJson(ref reader, options);
break;
case "subject":
current.Subject = new Hl7.Fhir.Model.ResourceReference();
((Hl7.Fhir.Model.ResourceReference)current.Subject).DeserializeJson(ref reader, options);
break;
case "encounter":
current.Encounter = new Hl7.Fhir.Model.ResourceReference();
((Hl7.Fhir.Model.ResourceReference)current.Encounter).DeserializeJson(ref reader, options);
break;
case "period":
current.Period = new Hl7.Fhir.Model.Period();
((Hl7.Fhir.Model.Period)current.Period).DeserializeJson(ref reader, options);
break;
case "participant":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'participant' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.Participant = new List <CareTeam.ParticipantComponent>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.CareTeam.ParticipantComponent v_Participant = new Hl7.Fhir.Model.CareTeam.ParticipantComponent();
v_Participant.DeserializeJson(ref reader, options);
current.Participant.Add(v_Participant);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'participant' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.Participant.Count == 0)
{
current.Participant = null;
}
break;
case "reasonCode":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'reasonCode' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.ReasonCode = new List <CodeableConcept>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.CodeableConcept v_ReasonCode = new Hl7.Fhir.Model.CodeableConcept();
v_ReasonCode.DeserializeJson(ref reader, options);
current.ReasonCode.Add(v_ReasonCode);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'reasonCode' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.ReasonCode.Count == 0)
{
current.ReasonCode = null;
}
break;
case "reasonReference":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'reasonReference' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.ReasonReference = new List <ResourceReference>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.ResourceReference v_ReasonReference = new Hl7.Fhir.Model.ResourceReference();
v_ReasonReference.DeserializeJson(ref reader, options);
current.ReasonReference.Add(v_ReasonReference);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'reasonReference' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.ReasonReference.Count == 0)
{
current.ReasonReference = null;
}
break;
case "managingOrganization":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'managingOrganization' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.ManagingOrganization = new List <ResourceReference>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.ResourceReference v_ManagingOrganization = new Hl7.Fhir.Model.ResourceReference();
v_ManagingOrganization.DeserializeJson(ref reader, options);
current.ManagingOrganization.Add(v_ManagingOrganization);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'managingOrganization' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.ManagingOrganization.Count == 0)
{
current.ManagingOrganization = null;
}
break;
case "telecom":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'telecom' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.Telecom = new List <ContactPoint>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.ContactPoint v_Telecom = new Hl7.Fhir.Model.ContactPoint();
v_Telecom.DeserializeJson(ref reader, options);
current.Telecom.Add(v_Telecom);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'telecom' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.Telecom.Count == 0)
{
current.Telecom = null;
}
break;
case "note":
if ((reader.TokenType != JsonTokenType.StartArray) || (!reader.Read()))
{
throw new JsonException($"CareTeam error reading 'note' expected StartArray, found {reader.TokenType}! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
current.Note = new List <Annotation>();
while (reader.TokenType != JsonTokenType.EndArray)
{
Hl7.Fhir.Model.Annotation v_Note = new Hl7.Fhir.Model.Annotation();
v_Note.DeserializeJson(ref reader, options);
current.Note.Add(v_Note);
if (!reader.Read())
{
throw new JsonException($"CareTeam error reading 'note' array, read failed! depth: {reader.CurrentDepth}, pos: {reader.BytesConsumed}");
}
if (reader.TokenType == JsonTokenType.EndObject)
{
reader.Read();
}
}
if (current.Note.Count == 0)
{
current.Note = null;
}
break;
// Complex: CareTeam, Export: CareTeam, Base: DomainResource
default:
((Hl7.Fhir.Model.DomainResource)current).DeserializeJsonProperty(ref reader, options, propertyName);
break;
}
}
public static Bundle getBundle(string basePath)
{
Bundle bdl = new Bundle();
bdl.Type = Bundle.BundleType.Document;
// A document must have an identifier with a system and a value () type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl.Identifier = new Identifier()
{
System = "urn:ietf:rfc:3986",
Value = FhirUtil.createUUID()
};
//Composition for Discharge Summary
Composition c = new Composition();
//B.2 患者基本情報
// TODO 退院時サマリー V1.41 B.2 患者基本情報のproviderOrganizationの意図を確認 B.8 受診、入院時情報に入院した
//医療機関の記述が書かれているならば、ここの医療機関はどういう位置づけのもの？ とりあえず、managingOrganizationにいれておくが。
Patient patient = null;
if (true)
{
//Patientリソースを自前で生成する場合
patient = PatientUtil.create();
}
else
{
//Patientリソースをサーバから取ってくる場合
#pragma warning disable 0162
patient = PatientUtil.get();
}
Practitioner practitioner = PractitionerUtil.create();
Organization organization = OrganizationUtil.create();
patient.ManagingOrganization = new ResourceReference()
{
Reference = organization.Id
};
//Compositionの作成
c.Id = FhirUtil.createUUID(); //まだFHIRサーバにあげられていないから，一時的なUUIDを生成してリソースIDとしてセットする
c.Status = CompositionStatus.Preliminary; //最終版は CompositionStatus.Final
c.Type = new CodeableConcept()
{
Text = "Discharge Summary", //[疑問]Codable Concept内のTextと、Coding内のDisplayとの違いは。Lead Term的な表示？
Coding = new List <Coding>()
{
new Coding()
{
Display = "Discharge Summary",
System = "http://loinc.org",
Code = "18842-5",
}
}
};
c.Date = DateTime.Now.ToString("yyyy-MM-ddTHH:mm:sszzzz");
c.Author = new List <ResourceReference>()
{
new ResourceReference()
{
Reference = practitioner.Id
}
};
c.Subject = new ResourceReference()
{
Reference = patient.Id
};
c.Title = "退院時サマリー"; //タイトルはこれでいいのかな。
//B.3 承認者
var attester = new Composition.AttesterComponent();
var code = new Code <Composition.CompositionAttestationMode>();
code.Value = Composition.CompositionAttestationMode.Legal;
attester.ModeElement.Add(code);
attester.Party = new ResourceReference()
{
Reference = practitioner.Id
};
attester.Time = "20140620";
c.Attester.Add(attester);
//B.4 退院時サマリー記載者
var author = new Practitioner();
author.Id = FhirUtil.createUUID();
var authorName = new HumanName().WithGiven("太郎").AndFamily("本日");
authorName.Use = HumanName.NameUse.Official;
authorName.AddExtension("http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation", new FhirString("IDE"));
author.Name.Add(authorName);
c.Author.Add(new ResourceReference()
{
Reference = author.Id
});
//B.5 原本管理者
c.Custodian = new ResourceReference()
{
Reference = organization.Id
};
//B.6 関係者 保険者 何故退院サマリーに保険者の情報を入れているのかな？
//TODO 未実装
//sections
//B.7 主治医
var section_careteam = new Composition.SectionComponent();
section_careteam.Title = "careteam";
var careteam = new CareTeam();
careteam.Id = FhirUtil.createUUID();
var attendingPhysician = new Practitioner();
attendingPhysician.Id = FhirUtil.createUUID();
var attendingPhysicianName = new HumanName().WithGiven("二郎").AndFamily("日本");
attendingPhysicianName.Use = HumanName.NameUse.Official;
attendingPhysicianName.AddExtension("http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation", new FhirString("IDE"));
attendingPhysician.Name.Add(attendingPhysicianName);
//医師の診療科はPracitionerRole/speciality + PracticeSettingCodeValueSetで表現する.
//TODO: 膠原病内科は、Specilityのprefered ValueSetの中にはなかった。日本の診療科に関するValueSetを作る必要がある。
var attendingPractitionerRole = new PractitionerRole();
attendingPractitionerRole.Id = FhirUtil.createUUID();
attendingPractitionerRole.Practitioner = new ResourceReference()
{
Reference = attendingPhysician.Id
};
attendingPractitionerRole.Code.Add(new CodeableConcept("http://hl7.org/fhir/ValueSet/participant-role", "394733009", "Attending physician"));
attendingPractitionerRole.Specialty.Add(new CodeableConcept("http://hl7.org/fhir/ValueSet/c80-practice-codes", "405279007", "Medical specialty--OTHER--NOT LISTED"));
var participant = new CareTeam.ParticipantComponent();
participant.Member = new ResourceReference()
{
Reference = attendingPractitionerRole.Id
};
careteam.Participant.Add(participant);
section_careteam.Entry.Add(new ResourceReference()
{
Reference = careteam.Id
});
c.Section.Add(section_careteam);
//B.8 受診、入院情報
//B.12 本文 (Entry部） 退院時サマリーV1.41の例では入院時診断を本文に書くような形に
//なっているが、FHIRではadmissionDetailセクション中のEncounterで記載するのが自然だろう。
var section_admissionDetail = new Composition.SectionComponent();
section_admissionDetail.Title = "admissionDetail";
var encounter = new Encounter();
encounter.Id = FhirUtil.createUUID();
encounter.Period = new Period()
{
Start = "20140328", End = "20140404"
};
var hospitalization = new Encounter.HospitalizationComponent();
hospitalization.DischargeDisposition = new CodeableConcept("\thttp://hl7.org/fhir/discharge-disposition", "01", "Discharged to home care or self care (routine discharge)");
encounter.Hospitalization = hospitalization;
var locationComponent = new Encounter.LocationComponent();
var location = new Location()
{
Id = FhirUtil.createUUID(),
Name = "○○クリニック",
Type = new CodeableConcept("http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType", "COAG", "Coagulation clinic")
};
locationComponent.Location = new ResourceReference()
{
Reference = location.Id
};
section_admissionDetail.Entry.Add(new ResourceReference()
{
Reference = encounter.Id
});
var diagnosisAtAdmission = new Condition()
{
Code = new CodeableConcept("http://hl7.org/fhir/ValueSet/icd-10", "N801", "右卵巣嚢腫")
};
diagnosisAtAdmission.Id = FhirUtil.createUUID();
var diagnosisComponentAtAdmission = new Encounter.DiagnosisComponent()
{
Condition = new ResourceReference()
{
Reference = diagnosisAtAdmission.Id
},
Role = new CodeableConcept("http://hl7.org/fhir/ValueSet/diagnosis-role", "AD", "Admission diagnosis")
};
var encounterAtAdmission = new Encounter();
encounterAtAdmission.Id = FhirUtil.createUUID();
encounterAtAdmission.Diagnosis.Add(diagnosisComponentAtAdmission);
section_admissionDetail.Entry.Add(new ResourceReference()
{
Reference = encounterAtAdmission.Id
});
c.Section.Add(section_admissionDetail);
//B.9情報提供者
var section_informant = new Composition.SectionComponent();
section_informant.Title = "informant";
var informant = new RelatedPerson();
informant.Id = FhirUtil.createUUID();
var informantName = new HumanName().WithGiven("藤三郎").AndFamily("東京");
informantName.Use = HumanName.NameUse.Official;
informantName.AddExtension("http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation", new FhirString("IDE"));
informant.Name.Add(informantName);
informant.Patient = new ResourceReference()
{
Reference = patient.Id
};
informant.Relationship = new CodeableConcept("http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype", "FTH", "father");
informant.Address.Add(new Address()
{
Line = new string[] { "新宿区神楽坂一丁目50番地" },
State = "東京都",
PostalCode = "01803",
Country = "日本"
});
informant.Telecom.Add(new ContactPoint()
{
System = ContactPoint.ContactPointSystem.Phone,
Use = ContactPoint.ContactPointUse.Work,
Value = "tel:(03)3555-1212"
});
section_informant.Entry.Add(new ResourceReference()
{
Reference = informant.Id
});
c.Section.Add(section_informant);
// B.10 本文
// B.10.1 本文記述
var section_clinicalSummary = new Composition.SectionComponent();
section_clinicalSummary.Title = "来院理由";
section_clinicalSummary.Code = new CodeableConcept("http://loinc.org", "29299-5", "Reason for visit Narrative");
var dischargeSummaryNarrative = new Narrative();
dischargeSummaryNarrative.Status = Narrative.NarrativeStatus.Additional;
dischargeSummaryNarrative.Div = @"
<div xmlns=""http://www.w3.org/1999/xhtml"">\n\n
<p>平成19年喘息と診断を受けた。平成20年7月喘息の急性増悪にて当院呼吸器内科入院。退院後HL7医院にてFollowされていた</p>
<p>平成21年10月20日頃より右足首にじんじん感が出現。左足首、両手指にも認めるようになった。同時に37℃台の熱発出現しWBC28000、Eosi58%と上昇していた</p>
<p>このとき尿路感染症が疑われセフメタゾン投与されるも改善せず。WBC31500、Eosi64%と上昇、しびれ感の増悪認めた。またHb 7.3 Ht 20.0と貧血を認めた</p>
<p>膠原病、特にChuge-stress-syndoromeが疑われ平成21年11月8日当院膠原病内科入院となった</p>
</div>
";
section_clinicalSummary.Text = dischargeSummaryNarrative;
c.Section.Add(section_clinicalSummary);
//B.10.3 観察・検査等
//section-observations
var section_observations = new Composition.SectionComponent();
section_observations.Title = "observations";
var obs = new List <Observation>()
{
FhirUtil.createLOINCObservation(patient, "8302-2", "身長", new Quantity()
{
Value = (decimal)2.004,
Unit = "m"
}),
FhirUtil.createLOINCObservation(patient, "8302-2", "身長", new Quantity()
{
Value = (decimal)2.004,
Unit = "m"
}),
//Component Resultsの例 血圧- 拡張期血圧、収縮期血圧のコンポーネントを含む。
new Observation()
{
Id = FhirUtil.createUUID(),
Subject = new ResourceReference()
{
Reference = patient.Id
},
Status = ObservationStatus.Final,
Code = new CodeableConcept()
{
Text = "血圧",
Coding = new List <Coding>()
{
new Coding()
{
System = "http://loinc.org",
Code = "18684-1",
Display = "血圧"
}
}
},
Component = new List <Observation.ComponentComponent>()
{
new Observation.ComponentComponent()
{
Code = new CodeableConcept()
{
Text = "収縮期血圧血圧",
Coding = new List <Coding>()
{
new Coding()
{
System = "http://loinc.org",
Code = "8480-6",
Display = "収縮期血圧"
}
}
},
Value = new Quantity()
{
Value = (decimal)120,
Unit = "mm[Hg]"
}
},
new Observation.ComponentComponent()
{
Code = new CodeableConcept()
{
Text = "拡張期血圧",
Coding = new List <Coding>()
{
new Coding()
{
System = "http://loinc.org",
Code = "8462-4",
Display = "拡張期血圧"
}
}
},
Value = new Quantity()
{
Value = (decimal)100,
Unit = "mm[Hg]"
}
},
}
}
};
foreach (var res in obs)
{
section_observations.Entry.Add(new ResourceReference()
{
Reference = res.Id
});
}
c.Section.Add(section_observations);
//B.10.4 キー画像
//section-medicalImages
var mediaPath = basePath + "/../../resource/Hydrocephalus_(cropped).jpg";
var media = new Media();
media.Id = FhirUtil.createUUID();
media.Type = Media.DigitalMediaType.Photo;
media.Content = FhirUtil.CreateAttachmentFromFile(mediaPath);
/* R3ではImagingStudyに入れられるのはDICOM画像だけみたい。 R4ではreasonReferenceでMediaも参照できる。
* とりあえずDSTU3ではMediaリソースをmedicalImagesセクションにセットする。
* var imagingStudy = new ImagingStudy();
* imagingStudy.Id = FhirUtil.getUUID(); //まだFHIRサーバにあげられていないから，一時的なUUIDを生成してリソースIDとしてセットする
* imagingStudy.re
*/
var section_medicalImages = new Composition.SectionComponent();
section_medicalImages.Title = "medicalImages";
//TODO: sectionのcodeは？
section_medicalImages.Entry.Add(new ResourceReference()
{
Reference = media.Id
});
c.Section.Add(section_medicalImages);
//Bundleの構築
//Bundleの構成要素
//Bunbdleの一番最初はCompostion Resourceであること。
List <Resource> bdl_entries = new List <Resource> {
c, patient, organization, practitioner, author, careteam, encounter, encounterAtAdmission,
diagnosisAtAdmission, location, informant, media, attendingPhysician, attendingPractitionerRole
};
bdl_entries.AddRange(obs);
foreach (Resource res in bdl_entries)
{
var entry = new Bundle.EntryComponent();
//entry.FullUrl = res.ResourceBase.ToString()+res.ResourceType.ToString() + res.Id;
entry.FullUrl = res.Id;
entry.Resource = res;
bdl.Entry.Add(entry);
}
return(bdl);
}
public async Task <IHttpActionResult> PostCareTeam(CareTeamBindingModel model)
{
if (!ModelState.IsValid)
{
return(BadRequest(ModelState));
}
var patient = await userManager.FindByIdAsync(model.PatientId);
if (patient == null)
{
return(NotFound());
}
List <ApplicationUser> providers = new List <ApplicationUser>();
foreach (string ProviderId in model.ProviderIds)
{
var provider = await userManager.FindByIdAsync(ProviderId);
if (provider == null)
{
return(NotFound());
}
providers.Add(provider);
}
List <ApplicationUser> supporters = new List <ApplicationUser>();
foreach (string SupporterId in model.SupporterIds)
{
var supporter = await userManager.FindByIdAsync(SupporterId);
if (supporter == null)
{
return(NotFound());
}
supporters.Add(supporter);
}
var careTeam = new CareTeam()
{
Id = Guid.NewGuid(),
Name = model.Name,
Active = false,
Providers = providers,
Supporters = supporters,
Patient = patient
};
db.CareTeam.Add(careTeam);
try
{
await db.SaveChangesAsync();
}
catch (DbUpdateException)
{
if (CareTeamExists(careTeam.Id))
{
return(Conflict());
}
else
{
throw;
}
}
return(Created("CareTeams/" + careTeam.Id, ToDto.CareTeamToDto(careTeam)));
}