internal string ConvertTimeToUtc(string effectiveTime)
{
if (!string.IsNullOrEmpty(effectiveTime))
{
try
{
return(XdsMetadataHelper.GetUtcTime(effectiveTime));
}
catch (Exception ex)
{
throw new Exception("Error parsing effective time in CDA document: " + ex.Message);
}
}
else
{
return("");
}
}
public XdsMetadata(
XmlDocument cdaDocument,
string repositoryId,
// FormatCodes formatCode,
string formatCode,
string formatCodeName,
HealthcareFacilityTypeCodes healthcareFacilityTypeCode,
PracticeSettingTypes practiceSetting,
int?size,
string hash,
bool isUpdateMetadata,
string uuidOfDocumentToReplace)
{
this.formatCode = formatCode;
this.formatCodeName = formatCodeName;
this.healthcareFacilityTypeCode = healthcareFacilityTypeCode;
this.practiceSetting = practiceSetting;
this.isUpdateMetadata = isUpdateMetadata;
this.uuidOfDocumentToReplace = uuidOfDocumentToReplace;
if (isUpdateMetadata)
{
this.repositoryId = repositoryId;
this.size = size.Value;
this.hash = hash;
}
var xnm = new XmlNamespaceManager(cdaDocument.NameTable);
xnm.AddNamespace("cda", "urn:hl7-org:v3");
xnm.AddNamespace("ext", "http://ns.electronichealth.net.au/Ci/Cda/Extensions/3.0");
// Document Type
documentTypeCode = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:code/@code", xnm));
var classCode = GetClassCodeEnum(documentTypeCode);
documentTypeCodeSystemName = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:code/@codeSystemName", xnm));
documentTypeDisplayName = classCode.GetAttributeValue <CodedValueAttribute, string>(a => a.AlternateName);
// 14/10 Updated Spec says we should use the AlternateName for both Type and Class Code
documentClassCodeDisplayName = classCode.GetAttributeValue <CodedValueAttribute, string>(a => a.AlternateName);
documentTypeCode_cl07 = documentTypeCode;
documentTypeDisplayName_cl07 = documentTypeDisplayName;
documentTypeCodeSystemName_cl07 = documentTypeCodeSystemName;
// The exception is for Advance Care Information = which has Advance Care Planning Document/Goals of Care Document subtypes
if (documentTypeCode == "100.16975")
{
// Get document desc and code from the body
documentTypeCode_cl07 = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section/cda:entry/cda:act/cda:reference/cda:externalDocument/cda:code/@code", xnm));
documentTypeDisplayName_cl07 = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section/cda:entry/cda:act/cda:reference/cda:externalDocument/cda:code/@displayName", xnm));
if (documentTypeCode_cl07 == "" || documentTypeDisplayName_cl07 == "")
{
throw new ArgumentException("The Advance Care Information does not reference an externalDocument.");
}
}
// Get time stuff
effectiveTime = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:effectiveTime/@value", xnm));
effectiveTime = ConvertTimeToUtc(effectiveTime);
// Set service start and stop time
if (documentTypeCode == "51852-2")
{
// If document is Specialist Letter
serviceStartTime = effectiveTime;
serviceStopTime = effectiveTime;
}
else if (documentTypeCode == "100.16764")
{
// If document is PCEHR Prescription Record
var authorTime = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:author/cda:time/@value", xnm));
serviceStartTime = ConvertTimeToUtc(authorTime);
serviceStopTime = serviceStartTime;
}
else if (documentTypeCode == "100.16765")
{
// If document is PCEHR Dispense Record
var supplyTime = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:component/cda:structuredBody/" +
"cda:component/cda:section[cda:code/@code='102.16210' and cda:code/@codeSystem='1.2.36.1.2001.1001.101']/cda:entry/" +
"cda:substanceAdministration/cda:entryRelationship/cda:supply/cda:effectiveTime/@value", xnm));
serviceStartTime = ConvertTimeToUtc(supplyTime);
serviceStopTime = serviceStartTime;
}
else if (documentTypeCode == "100.32001")
{
// R5: If document is Pathology Report - Could contain multiple records
// Need to get LATEST Date - if multiple returned
XmlNodeList nList = cdaDocument.SelectNodes("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component" +
"/cda:section[cda:code/@code='101.20018']/cda:component" +
"/cda:section[cda:code/@code='102.16144']/cda:entry/cda:observation" +
"/cda:entryRelationship/cda:observation[cda:code/@code='102.16156']" +
"/cda:effectiveTime/@value", xnm);
var firstCollectionDateTime = "";
var lastCollectionDateTime = "";
if (nList.Count == 1)
{
firstCollectionDateTime = nList[0].Value;
lastCollectionDateTime = nList[0].Value;
}
else if (nList.Count > 1)
{
string[] sDates = new string[nList.Count];
for (int i = 0; i < nList.Count; i++)
{
sDates[i] = nList[i].Value;
}
Array.Sort(sDates);
//Get last entry
firstCollectionDateTime = sDates[0];
lastCollectionDateTime = sDates[nList.Count - 1];
}
serviceStartTime = ConvertTimeToUtc(firstCollectionDateTime);
serviceStopTime = ConvertTimeToUtc(lastCollectionDateTime);
}
else if (documentTypeCode == "100.16957")
{
// R5: If document is Diagnostic Imaging - Could contain multiple records
// Need to get LATEST Date - if multiple returned
XmlNodeList nList = cdaDocument.SelectNodes("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component" +
"/cda:section/cda:component/cda:section/cda:entry/cda:observation" +
"/cda:entryRelationship/cda:act[cda:code/@code='102.16511']/cda:entryRelationship" +
"/cda:observation/cda:effectiveTime/@value", xnm);
var firstImagingDateTime = "";
var lastImagingDateTime = "";
if (nList.Count == 1)
{
firstImagingDateTime = nList[0].Value;
lastImagingDateTime = nList[0].Value;
}
else if (nList.Count > 1)
{
string[] sDates = new string[nList.Count];
for (int i = 0; i < nList.Count; i++)
{
sDates[i] = nList[i].Value;
}
Array.Sort(sDates);
//Get last entry
firstImagingDateTime = sDates[0];
lastImagingDateTime = sDates[nList.Count - 1];
}
serviceStartTime = ConvertTimeToUtc(firstImagingDateTime);
serviceStopTime = ConvertTimeToUtc(lastImagingDateTime);
}
else if (documentTypeCode == "100.16975")
{
// Advance Care Planning Document
var authorTime = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section[cda:code/@code='101.16973']/cda:entry/cda:act/cda:author/cda:time/@value", xnm));
serviceStartTime = ConvertTimeToUtc(authorTime);
serviceStopTime = serviceStartTime;
}
else
{
// For other document types set service start and stop time to encompassingEncounter/effectiveTime if available
string startTime1 = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:componentOf/cda:encompassingEncounter/cda:effectiveTime/@value", xnm));
string startTime2 = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:componentOf/cda:encompassingEncounter/cda:effectiveTime/cda:low/@value", xnm));
string stopTime = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:componentOf/cda:encompassingEncounter/cda:effectiveTime/cda:high/@value", xnm));
serviceStartTime = !string.IsNullOrEmpty(startTime1)
? startTime1
: !string.IsNullOrEmpty(startTime2)
? startTime2
: effectiveTime;
serviceStartTime = ConvertTimeToUtc(serviceStartTime);
serviceStopTime = !string.IsNullOrEmpty(stopTime)
? stopTime
: !string.IsNullOrEmpty(startTime1)
? startTime1
: effectiveTime;
serviceStopTime = ConvertTimeToUtc(serviceStopTime);
}
// As per DEXS-T123, serviceStartTime and serviceStopTime must be at least 8 chars long eg UTC formats: YYYYMMDD, YYYYMMDDhhmm, and YYYYMMDDhhmmss
if (serviceStartTime.Length < 8)
{
throw new ArgumentException("The serviceStartTime retrieved from the CDA document must be at least 8 digits long.");
}
if (serviceStopTime.Length < 8)
{
throw new ArgumentException("The serviceStopTime retrieved from the CDA document must be at least 8 digits long.");
}
// Get Data
languageCode = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:languageCode/@code", xnm));
//Added as some documents do not include it. (4/2/15)
if (String.IsNullOrEmpty(languageCode))
{
languageCode = "en-AU";
}
cdaTitle = CheckNullText(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:title", xnm));
documentTitle = !string.IsNullOrEmpty(cdaTitle) ? cdaTitle : documentTypeDisplayName;
// Process document ID
XdsMetadataHelper.IdType?idType;
documentId = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:id/@root", xnm));
documentIdExtension = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:id/@extension", xnm));
cdaDocumentIdOid = XdsMetadataHelper.UuidToOid(documentId, out idType);
if (idType == null)
{
throw new ArgumentException("The CDA document must contain an ID which is either a UUID or an OID.");
}
else if (idType == XdsMetadataHelper.IdType.Oid && !string.IsNullOrEmpty(documentIdExtension))
{
cdaDocumentIdOid = cdaDocumentIdOid + "^" + documentIdExtension;
}
XmlNode authorNode = null;
if (cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:author/cda:assignedAuthor/cda:assignedPerson", xnm) != null)
{
authorNode = cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:author/cda:assignedAuthor", xnm);
}
// If document author doesn't exist, and document is pathology
if (authorNode == null && documentTypeCode == "100.32001")
{
authorNode = cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section[cda:code/@code='101.20018']/cda:author/cda:assignedAuthor", xnm);
}
bool authorDevice = false;
if (cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:author/cda:assignedAuthor/cda:assignedAuthoringDevice", xnm) != null)
{
authorNode = authorNode = cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:author/cda:assignedAuthor", xnm);
authorDevice = true;
}
if (authorNode == null && authorDevice == false)
{
throw new ArgumentException("Unable to determine document author from CDA document");
}
// Current Author format
string authorOrgIdCurr = CheckNullValue(authorNode.SelectSingleNode("cda:assignedPerson/ext:asEmployment/ext:employerOrganization/cda:asOrganizationPartOf/cda:wholeOrganization/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='HPI-O']/@root", xnm));
string authorOrgNameCurr = CheckNullText(authorNode.SelectSingleNode("cda:assignedPerson/ext:asEmployment/ext:employerOrganization/cda:asOrganizationPartOf/cda:wholeOrganization/cda:name", xnm));
// Check Custodian if Author has no Org [Dont need code - as it would fail PCEHR validation for the NCAP 5 documents]
string authorOrgIdCust = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='HPI-O']/@root", xnm));
string authorOrgNameCust = CheckNullText(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:name", xnm));
// Check Health Care Facility in Component Of if Author has no Org
string authorOrgIdHCF = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:componentOf/cda:encompassingEncounter/cda:location/cda:healthCareFacility/cda:serviceProviderOrganization/cda:asOrganizationPartOf/cda:wholeOrganization/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='HPI-O']/@root", xnm));
string authorOrgNameHCF = CheckNullText(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:componentOf/cda:encompassingEncounter/cda:location/cda:healthCareFacility/cda:serviceProviderOrganization/cda:asOrganizationPartOf/cda:wholeOrganization/cda:name", xnm));
authorQualifiedOrgId = (authorOrgIdCurr != "" ? authorOrgIdCurr : (authorOrgIdCust != "" ? authorOrgIdCust : authorOrgIdHCF));
if (String.IsNullOrEmpty(authorOrgName))
{
authorOrgName = (authorOrgNameCurr != "" ? authorOrgNameCurr : (authorOrgNameCust != "" ? authorOrgNameCust : authorOrgNameHCF));
}
// AUTHOR
authorQualifiedId = CheckNullValue(authorNode.SelectSingleNode("cda:assignedPerson/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='HPI-I']/@root", xnm));
if (string.IsNullOrEmpty(authorQualifiedId))
{
authorQualifiedId = CheckNullValue(authorNode.SelectSingleNode("cda:assignedAuthoringDevice/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='PAI-D']/@root", xnm));
}
if (string.IsNullOrEmpty(authorQualifiedId))
{
authorQualifiedId = CheckNullValue(cdaDocument.SelectSingleNode("cda:assignedPerson/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='PAI-D']/@root", xnm));
}
if (string.IsNullOrEmpty(authorQualifiedId))
{
authorQualifiedId = CheckNullValue(authorNode.SelectSingleNode("cda:assignedPerson/ext:asEntityIdentifier[@classCode='IDENT']/ext:id/@root", xnm));
authorQualifiedIdExtension = CheckNullValue(authorNode.SelectSingleNode("cda:assignedPerson/ext:asEntityIdentifier[@classCode='IDENT']/ext:id/@extension", xnm));
}
if (string.IsNullOrEmpty(authorQualifiedId))
{
throw new ArgumentException("The CDA document must contain an author identifier.");
}
if (string.IsNullOrEmpty(authorFamily))
{
authorFamily = CheckNullText(authorNode.SelectSingleNode("cda:assignedPerson/cda:name/cda:family", xnm));
}
authorGiven = CheckNullText(authorNode.SelectSingleNode("cda:assignedPerson/cda:name/cda:given", xnm));
authorPrefix = CheckNullText(authorNode.SelectSingleNode("cda:assignedPerson/cda:name/cda:prefix", xnm));
authorSuffix = CheckNullText(authorNode.SelectSingleNode("cda:assignedPerson/cda:name/cda:suffix", xnm));
// Author specialty
authorSpecialty = CheckNullValue(authorNode.SelectSingleNode("cda:code/@displayName", xnm));
// HI numbers (for header)
hpioNumber = authorQualifiedOrgId.Replace("1.2.36.1.2001.1003.0.", "");
ihiNumber = CheckNullValue(cdaDocument.SelectSingleNode("/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/ext:asEntityIdentifier[@classCode='IDENT']/ext:id[@assigningAuthorityName='IHI']/@root", xnm)).Replace("1.2.36.1.2001.1003.0.", "");
// Formatted Ids
cxFormattedPatientId = ihiNumber + "^^^&1.2.36.1.2001.1003.0&ISO";
// Correct format (3 hats before HPII)
if (string.IsNullOrEmpty(authorQualifiedIdExtension))
{
xcnFormattedAuthor = string.Format("^{0}^{1}^^^{2}^^^&{3}&ISO", authorFamily, authorGiven, authorPrefix, authorQualifiedId);
}
else
{
xcnFormattedAuthor = string.Format("^{0}^{1}^^^{2}^^^{3}&{4}&ISO", authorFamily, authorGiven, authorPrefix, authorQualifiedId, authorQualifiedIdExtension);
}
xonFormattedOrganisation = string.Format("{0}^^^^^^^^^{1}", authorOrgName, authorQualifiedOrgId);
}