public List <PatientProblemes> FillProblems(IEntryCollection entryCollection)
{
List <PatientProblemes> Problemes = new List <PatientProblemes>();
foreach (IEntry singleentry in entryCollection)
{
IObservation probObservation = singleentry.AsAct.EntryRelationship.FirstOrDefault().AsObservation;
IIVL_TS effectivetime = probObservation.EffectiveTime;
IANY probValue = probObservation.Value[0];
ICD itemVlues = (ICD)probValue;
PatientProblemes ptproblem = new PatientProblemes();
ptproblem.ProblemCode = itemVlues.Code != null ? itemVlues.Code : null;
IEntryRelationship ObserentryRelation = probObservation.EntryRelationship.Where(e => e.AsObservation.Code.Code.ToString() == "33999-4").FirstOrDefault();
if (ObserentryRelation != null)
{
IANY probStatusVal = ObserentryRelation.AsObservation.Value.FirstOrDefault();
ICD StatusVlues = (ICD)probStatusVal;
ptproblem.Status = StatusVlues.DisplayName;
}
else
{
ptproblem.Status = null;
}
ptproblem.DateDiagnosed = effectivetime.Low != null ? effectivetime.Low.Value != null?effectivetime.Low.AsDateTime.ToString() : null : null;
ptproblem.Description = itemVlues.DisplayName != null ? itemVlues.DisplayName : null;
Problemes.Add(ptproblem);
}
return(Problemes);
}
/// <summary>
/// Get Patient Problems
/// </summary>
/// <param name="dataArr"></param>
/// <returns></returns>
public List <PatientProblemes> GetProblems(Dictionary <string, ArrayList> dataArr)
{
List <PatientProblemes> Problemes = new List <PatientProblemes>();
if (dataArr.Count > 0)
{
for (int i = 0; i < dataArr.Count; i++)
{
PatientProblemes ptproblem = new PatientProblemes();
ArrayList itemproblem = dataArr[i.ToString()];
ptproblem.ProblemCode = itemproblem[1].ToString();
ptproblem.Status = itemproblem[4].ToString();
ptproblem.DateDiagnosed = itemproblem[0].ToString();
ptproblem.Description = itemproblem[2].ToString();
Problemes.Add(ptproblem);
}
}
return(Problemes);
}
public void GenerateProblemEntry(PatientProblemes patientProblem, string refId, DateTime dateofbirth, III hl7III, Factory hl7Factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
IIVXB_TS TS = hl7Factory.CreateIVXB_TS();
hl7III = entry.AsAct.Id.Append();
hl7III.Init(Convert.ToString(patientProblem.PatientGuid));
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.3");
entry.AsAct.Code.Code = "CONC";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.5.6";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.StatusCode.Init((Convert.ToString(patientProblem.Status) == "Active" ? "active" : "completed"));
if (patientProblem.DateDiagnosed != null)
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entry.AsAct.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entry.AsAct.EffectiveTime = new IVL_TS().Init(Value:null, low:new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)),high:null,width:null,center:null);*/
// Setting the DateTime.
}
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.4";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = Guid.NewGuid().ToString();
entryRel.AsObservation.Code.Code = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "404684003" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "282291009" : "409586006";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.96";
entryRel.AsObservation.Code.DisplayName = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "Finding" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "Diagnosis" : "Complaint";
IED ED = hl7Factory.CreateED();
ED.Reference.Value = refId;
entryRel.AsObservation.Text = ED;
ICS CS = hl7Factory.CreateCS();
CS.Init("completed");
entryRel.AsObservation.StatusCode = CS;
if (Convert.ToString(patientProblem.Status) == "Resolved")
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entry.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entry.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entryRel.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* // Because Allergy Start Date is Missing.
*
* entryRel.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
else
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
}
else
{
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
/* Not Compiled
* entryRel.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* entryRel.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
ICD CD = hl7Factory.CreateCD();
string snomedCode = GetSNOMED(Convert.ToString(patientProblem.Description));
if (string.IsNullOrEmpty(snomedCode))
{
CD.NullFlavor = "UNK";
}
else
{
CD.Code = snomedCode;
CD.CodeSystem = "2.16.840.1.113883.6.96";
CD.CodeSystemName = "SNOMED CT";
CD.DisplayName = Convert.ToString(patientProblem.Description);
}
entryRel.AsObservation.Value.Add(CD);
///''''''''''''Problem Observation''''''''''''''''''
IEntryRelationship entryProblemObs = entryRel.AsObservation.EntryRelationship.Append();
entryProblemObs.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryProblemObs.AsObservation.ClassCode = "OBS";
entryProblemObs.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
TempId = entryProblemObs.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.4";
hl7III = entryProblemObs.AsObservation.Id.Append();
hl7III.Root = Guid.NewGuid().ToString();
entryProblemObs.AsObservation.Code.Code = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "404684003" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "282291009" : "409586006";
entryProblemObs.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.96";
entryProblemObs.AsObservation.Code.DisplayName = Convert.ToString(patientProblem.Description).ToLower().Contains("finding") ? "Finding" : Convert.ToString(patientProblem.Description).ToLower().Contains("disease") ? "Diagnosis" : "Complaint";
ED = hl7Factory.CreateED();
ED.Reference.Value = refId;
entryProblemObs.AsObservation.Text = ED;
CS = hl7Factory.CreateCS();
CS.Init("completed");
entryProblemObs.AsObservation.StatusCode = CS;
if (Convert.ToString(patientProblem.Status) == "Resolved")
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
//entryProblemObs.AsObservation.EffectiveTime.NullFlavor = "UNK";
}
else
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
/* Not Compiled
* entryProblemObs.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* // Because Allergy Start Date is Missing.
* entryProblemObs.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
else
{
if (object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value))
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
}
else
{
entryProblemObs.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
/* Not Compiled
* entryProblemObs.AsObservation.EffectiveTime.Init(low: new IVXB_TS().Init(Convert.ToDateTime(patientProblem.DateDiagnosed)), high: new IVXB_TS());
* entryProblemObs.AsObservation.EffectiveTime.High.NullFlavor = "UNK";*/
}
}
CD = hl7Factory.CreateCD();
snomedCode = GetSNOMED(Convert.ToString(patientProblem.Description));
if (string.IsNullOrEmpty(snomedCode))
{
CD.NullFlavor = "UNK";
}
else
{
CD.Code = snomedCode;
CD.CodeSystem = "2.16.840.1.113883.6.96";
CD.DisplayName = Convert.ToString(patientProblem.Description);
}
entryProblemObs.AsObservation.Value.Add(CD);
///'''''''''''' Age Observation''''''''''''''''''
if ((!object.ReferenceEquals(patientProblem.DateDiagnosed, DBNull.Value)))
{
IEntryRelationship age_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
age_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
age_EntryRel.InversionInd = true;
age_EntryRel.InversionIndSpecified = true;
age_EntryRel.AsObservation.ClassCode = "OBS";
age_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = age_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.31");
CD = hl7Factory.CreateCD();
CD.Init("445518008", "2.16.840.1.113883.6.96", "", "Age");
age_EntryRel.AsObservation.Code = CD;
age_EntryRel.AsObservation.StatusCode.Init("completed");
IPQ PQ = hl7Factory.CreatePQ();
PQ.Value = calcYear(Convert.ToDateTime(patientProblem.DateDiagnosed), dateofbirth);
PQ.Unit = "a";
age_EntryRel.AsObservation.Value.Add(PQ);
}
///'''''''''''' Problem Status Observation'''''''''''''
IEntryRelationship problemStatus_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
problemStatus_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.REFR;
problemStatus_EntryRel.InversionInd = true;
problemStatus_EntryRel.InversionIndSpecified = true;
problemStatus_EntryRel.AsObservation.ClassCode = "OBS";
problemStatus_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = problemStatus_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.6");
CD = hl7Factory.CreateCD();
CD.Init("33999-4", "2.16.840.1.113883.6.1", "LOINC", "Status");
problemStatus_EntryRel.AsObservation.Code = CD;
problemStatus_EntryRel.AsObservation.StatusCode.Init("completed");
//55561003-Active, 73425007-Inactive, 413322009- Resolved
CD = hl7Factory.CreateCD();
CD.Init((Convert.ToString(patientProblem.Status) == "Active" ? "55561003" : (Convert.ToString(patientProblem.Status) == "Inactive" ? "73425007" : "413322009")), "2.16.840.1.113883.6.96", "SNOMED CT", Convert.ToString(patientProblem.Status));
problemStatus_EntryRel.AsObservation.Value.Add(CD);
}
