private void FillAlerts()
{
RxAlertList = RxAlerts.Refresh(RxDefCur.RxDefNum);
listAlerts.Items.Clear();
for (int i = 0; i < RxAlertList.Count; i++)
{
if (RxAlertList[i].DiseaseDefNum > 0)
{
listAlerts.Items.Add(DiseaseDefs.GetName(RxAlertList[i].DiseaseDefNum));
}
if (RxAlertList[i].AllergyDefNum > 0)
{
AllergyDef allergyDef = AllergyDefs.GetOne(RxAlertList[i].AllergyDefNum);
if (allergyDef != null)
{
listAlerts.Items.Add(allergyDef.Description);
}
}
if (RxAlertList[i].MedicationNum > 0)
{
Medications.RefreshCache();
Medication med = Medications.GetMedication(RxAlertList[i].MedicationNum);
if (med != null)
{
listAlerts.Items.Add(med.MedName);
}
}
}
}
private void butIntervention_Click(object sender, EventArgs e)
{
if (comboInterventionCode.SelectedIndex < 0)
{
MsgBox.Show(this, "You must select an intervention code.");
return;
}
EhrCode iCodeCur = _listInterventionCodes[comboInterventionCode.SelectedIndex];
DateTime dateCur = PIn.Date(textDateIntervention.Text);
if (iCodeCur.CodeSystem == "RXNORM" && !checkPatientDeclined.Checked) //if patient declines the medication, enter as a declined intervention
//codeVal will be RxCui of medication, see if it already exists in Medication table
{
Medication medCur = Medications.GetMedicationFromDbByRxCui(PIn.Long(iCodeCur.CodeValue));
if (medCur == null) //no med with this RxCui, create one
{
medCur = new Medication();
Medications.Insert(medCur); //so that we will have the primary key
medCur.GenericNum = medCur.MedicationNum;
medCur.RxCui = PIn.Long(iCodeCur.CodeValue);
medCur.MedName = RxNorms.GetDescByRxCui(iCodeCur.CodeValue);
Medications.Update(medCur);
Medications.RefreshCache(); //refresh cache to include new medication
}
MedicationPat medPatCur = new MedicationPat();
medPatCur.PatNum = PatCur.PatNum;
medPatCur.ProvNum = PatCur.PriProv;
medPatCur.MedicationNum = medCur.MedicationNum;
medPatCur.RxCui = medCur.RxCui;
medPatCur.DateStart = dateCur;
FormMedPat FormMP = new FormMedPat();
FormMP.MedicationPatCur = medPatCur;
FormMP.IsNew = true;
FormMP.ShowDialog();
if (FormMP.DialogResult != DialogResult.OK)
{
return;
}
if (FormMP.MedicationPatCur.DateStart.Date < dateCur.AddMonths(-6).Date || FormMP.MedicationPatCur.DateStart.Date > dateCur.Date)
{
MsgBox.Show(this, "The medication order just entered is not within the 6 months prior to the date of this intervention. You can modify the "
+ "date of the medication order in the patient's medical history section.");
}
}
else
{
Intervention iCur = new Intervention();
iCur.PatNum = PatCur.PatNum;
iCur.ProvNum = PatCur.PriProv;
iCur.DateEntry = dateCur;
iCur.CodeValue = iCodeCur.CodeValue;
iCur.CodeSystem = iCodeCur.CodeSystem;
iCur.CodeSet = InterventionCodeSet.TobaccoCessation;
iCur.IsPatDeclined = checkPatientDeclined.Checked;
Interventions.Insert(iCur);
}
comboInterventionCode.SelectedIndex = -1;
FillGridInterventions();
}
private void FillMeds()
{
Medications.RefreshCache();
medList = MedicationPats.Refresh(PatCur.PatNum, checkDiscontinued.Checked);
gridMeds.BeginUpdate();
gridMeds.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableMedications", "Medication"), 140);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Notes for Patient"), 225);
gridMeds.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableMedications", "Disc"), 10, HorizontalAlignment.Center); //discontinued
gridMeds.Columns.Add(col);
gridMeds.Rows.Clear();
ODGridRow row;
for (int i = 0; i < medList.Count; i++)
{
row = new ODGridRow();
if (medList[i].MedicationNum == 0)
{
row.Cells.Add(medList[i].MedDescript);
}
else
{
Medication generic = Medications.GetGeneric(medList[i].MedicationNum);
string medName = Medications.GetMedication(medList[i].MedicationNum).MedName;
if (generic.MedicationNum != medList[i].MedicationNum) //not generic
{
medName += " (" + generic.MedName + ")";
}
row.Cells.Add(medName);
}
row.Cells.Add(medList[i].PatNote);
if (MedicationPats.IsMedActive(medList[i]))
{
row.Cells.Add("");
}
else //discontinued
{
row.Cells.Add("X");
}
gridMeds.Rows.Add(row);
}
gridMeds.EndUpdate();
}
private void butEdit_Click(object sender, System.EventArgs e)
{
Medications.RefreshCache();
FormMedicationEdit FormME = new FormMedicationEdit();
FormME.MedicationCur = Medications.GetMedication(MedicationPatCur.MedicationNum); //The edit button is not visible if MedicationNum=0.
FormME.ShowDialog();
if (FormME.DialogResult != DialogResult.OK)
{
return;
}
MedicationPatCur.RxCui = FormME.MedicationCur.RxCui;
textMedName.Text = Medications.GetMedication(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textGenericName.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textMedNote.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).Notes; //The edit button is not visible if MedicationNum=0.
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
}
private void butEdit_Click(object sender, System.EventArgs e)
{
Medications.RefreshCache();
FormMedicationEdit FormME = new FormMedicationEdit();
Medication med = Medications.GetMedication(MedicationPatCur.MedicationNum); //The edit button is not visible if MedicationNum=0.
if (med == null) //Possible to delete the medication from a separate WS while medication loaded in memory.
{
MsgBox.Show(this, "An error occurred loading medication.");
return;
}
FormME.ShowDialog();
if (FormME.DialogResult != DialogResult.OK)
{
return;
}
MedicationPatCur.RxCui = FormME.MedicationCur.RxCui;
textMedName.Text = Medications.GetMedication(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textGenericName.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textMedNote.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).Notes; //The edit button is not visible if MedicationNum=0.
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
}
private void butOK_Click(object sender, EventArgs e)
{
//validate--------------------------------------
DateTime date;
if (textDate.Text == "")
{
MsgBox.Show(this, "Please enter a date.");
return;
}
try {
date = DateTime.Parse(textDate.Text);
}
catch {
MsgBox.Show(this, "Please fix date first.");
return;
}
string codeVal = "";
string codeSys = "";
if (gridMain.GetSelectedIndex() == -1) //no intervention code selected
{
MsgBox.Show(this, "You must select a code for this intervention.");
return;
}
else
{
codeVal = listCodes[gridMain.GetSelectedIndex()].CodeValue;
codeSys = listCodes[gridMain.GetSelectedIndex()].CodeSystem;
}
//save--------------------------------------
//Intervention grid may contain medications, have to insert a new med if necessary and load FormMedPat for user to input data
if (codeSys == "RXNORM" && !checkPatientDeclined.Checked)
{
//codeVal will be RxCui of medication, see if it already exists in Medication table
Medication medCur = Medications.GetMedicationFromDbByRxCui(PIn.Long(codeVal));
if (medCur == null) //no med with this RxCui, create one
{
medCur = new Medication();
Medications.Insert(medCur); //so that we will have the primary key
medCur.GenericNum = medCur.MedicationNum;
medCur.RxCui = PIn.Long(codeVal);
medCur.MedName = RxNorms.GetDescByRxCui(codeVal);
Medications.Update(medCur);
Medications.RefreshCache(); //refresh cache to include new medication
}
MedicationPat medPatCur = new MedicationPat();
medPatCur.PatNum = InterventionCur.PatNum;
medPatCur.ProvNum = InterventionCur.ProvNum;
medPatCur.MedicationNum = medCur.MedicationNum;
medPatCur.RxCui = medCur.RxCui;
medPatCur.DateStart = date;
FormMedPat FormMP = new FormMedPat();
FormMP.MedicationPatCur = medPatCur;
FormMP.IsNew = true;
FormMP.ShowDialog();
if (FormMP.DialogResult != DialogResult.OK)
{
return;
}
if (FormMP.MedicationPatCur.DateStart.Date < InterventionCur.DateEntry.AddMonths(-6).Date || FormMP.MedicationPatCur.DateStart.Date > InterventionCur.DateEntry.Date)
{
MsgBox.Show(this, "The medication order just entered is not within the 6 months prior to the date of this intervention. You can modify the date of the medication order in the patient's medical history section.");
}
DialogResult = DialogResult.OK;
return;
}
InterventionCur.DateEntry = date;
InterventionCur.CodeValue = codeVal;
InterventionCur.CodeSystem = codeSys;
InterventionCur.Note = textNote.Text;
InterventionCur.IsPatDeclined = checkPatientDeclined.Checked;
string selectedCodeSet = comboCodeSet.SelectedItem.ToString().Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
if (IsAllTypes) //CodeSet will be set by calling function unless showing all types, in which case we need to determine which InterventionCodeSet to assign
{
if (selectedCodeSet == "All") //All types showing and set to All, have to determine which InterventionCodeSet this code belongs to
{
List <string> listVSFound = new List <string>();
foreach (KeyValuePair <string, string> kvp in dictValueCodeSets)
{
List <EhrCode> listCodes = EhrCodes.GetForValueSetOIDs(new List <string> {
kvp.Value
}, true);
for (int i = 0; i < listCodes.Count; i++)
{
if (listCodes[i].CodeValue == codeVal)
{
listVSFound.Add(kvp.Key);
break;
}
}
}
if (listVSFound.Count > 1) //Selected code found in more than one value set, ask the user which InterventionCodeSet to assign to this intervention
{
InputBox chooseSet = new InputBox(Lan.g(this, "The selected code belongs to more than one intervention code set. Select the code set to assign to this intervention from the list below."), listVSFound);
if (chooseSet.ShowDialog() != DialogResult.OK)
{
return;
}
if (chooseSet.comboSelection.SelectedIndex == -1)
{
MsgBox.Show(this, "You must select an intervention code set for the selected code.");
return;
}
selectedCodeSet = chooseSet.comboSelection.SelectedItem.ToString().Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
}
else //the code must belong to at least one value set, since count in listVSFound is not greater than 1, it must be a code from exactly one set, use that for the InterventionCodeSet
{
selectedCodeSet = listVSFound[0].Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
}
}
InterventionCur.CodeSet = (InterventionCodeSet)Enum.Parse(typeof(InterventionCodeSet), selectedCodeSet);
}
//Nutrition is used for both nutrition and physical activity counseling for children, we have to determine which set this code belongs to
else if (InterventionCur.CodeSet == InterventionCodeSet.Nutrition && selectedCodeSet != "Nutrition") //Nutrition set by calling form, user is showing all or physical activity codes only
{
if (selectedCodeSet == "All") //showing all codes from Nutrition and PhysicalActivity interventions, determine which set it belongs to
//No codes exist in both code sets, so if it is not in the PhysicalActivity code set, we can safely assume this is a Nutrition intervention
{
List <EhrCode> listCodes = EhrCodes.GetForValueSetOIDs(new List <string> {
dictValueCodeSets[InterventionCodeSet.PhysicalActivity.ToString() + " Counseling"]
}, true);
for (int i = 0; i < listCodes.Count; i++)
{
if (listCodes[i].CodeValue == codeVal)
{
InterventionCur.CodeSet = InterventionCodeSet.PhysicalActivity;
break;
}
}
}
else
{
InterventionCur.CodeSet = InterventionCodeSet.PhysicalActivity;
}
}
else
{
//if not all types, and not Nutrition with All or PhysicalActivity selected in combo box, the code set sent in by calling form will remain the code set for this intervention
}
if (InterventionCur.IsNew)
{
Interventions.Insert(InterventionCur);
}
else
{
Interventions.Update(InterventionCur);
}
DialogResult = DialogResult.OK;
}
///<summary>Returns false if user does not wish to continue after seeing alert.</summary>
public static bool DisplayAlerts(long patNum, long rxDefNum)
{
List <RxAlert> alertList = null;
//if(rxDefNum==0){
// alertList=RxAlerts.RefreshByRxCui(rxCui);//for CPOE
//}
//else{
alertList = RxAlerts.Refresh(rxDefNum); //for Rx
//}
List <Disease> diseases = Diseases.Refresh(patNum);
List <Allergy> allergies = Allergies.Refresh(patNum);
List <MedicationPat> medicationPats = MedicationPats.Refresh(patNum, false); //Exclude discontinued, only active meds.
List <string> diseaseMatches = new List <string>();
List <string> allergiesMatches = new List <string>();
List <string> medicationsMatches = new List <string>();
List <string> customMessages = new List <string>();
bool showHighSigOnly = PrefC.GetBool(PrefName.EhrRxAlertHighSeverity);
for (int i = 0; i < alertList.Count; i++)
{
for (int j = 0; j < diseases.Count; j++)
{
//This does not look for matches with icd9s.
if (alertList[i].DiseaseDefNum == diseases[j].DiseaseDefNum && diseases[j].ProbStatus == 0) //ProbStatus is active.
{
if (alertList[i].NotificationMsg == "")
{
diseaseMatches.Add(DiseaseDefs.GetName(diseases[j].DiseaseDefNum));
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < allergies.Count; j++)
{
if (alertList[i].AllergyDefNum == allergies[j].AllergyDefNum && allergies[j].StatusIsActive)
{
if (alertList[i].NotificationMsg == "")
{
allergiesMatches.Add(AllergyDefs.GetOne(alertList[i].AllergyDefNum).Description);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < medicationPats.Count; j++)
{
bool isMedInteraction = false;
Medication medForAlert = Medications.GetMedication(alertList[i].MedicationNum);
if (medForAlert == null)
{
continue; //MedicationNum will be 0 for all other alerts that are not medication alerts.
}
if (medicationPats[j].MedicationNum != 0 && alertList[i].MedicationNum == medicationPats[j].MedicationNum) //Medication from medication list.
{
isMedInteraction = true;
}
else if (medicationPats[j].MedicationNum == 0 && medForAlert.RxCui != 0 && medicationPats[j].RxCui == medForAlert.RxCui) //Medication from NewCrop. Unfortunately, neither of these RxCuis are required.
{
isMedInteraction = true;
}
if (!isMedInteraction)
{
continue; //No known interaction.
}
//Medication interaction.
if (showHighSigOnly && !alertList[i].IsHighSignificance) //if set to only show high significance alerts and this is not a high significance interaction, do not show alert
{
continue; //Low significance alert.
}
if (alertList[i].NotificationMsg == "")
{
Medications.RefreshCache();
medicationsMatches.Add(Medications.GetMedication(alertList[i].MedicationNum).MedName);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
//these matches do not include ones that have custom messages.
if (diseaseMatches.Count > 0 ||
allergiesMatches.Count > 0 ||
medicationsMatches.Count > 0)
{
string alert = "";
for (int i = 0; i < diseaseMatches.Count; i++)
{
if (i == 0)
{
alert += Lan.g("RxAlertL", "This patient has the following medical problems: ");
}
alert += diseaseMatches[i];
if ((i + 1) == diseaseMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < allergiesMatches.Count; i++)
{
if (i == 0 && diseaseMatches.Count > 0)
{
alert += "and the following allergies: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient has the following allergies: ");
}
alert += allergiesMatches[i];
if ((i + 1) == allergiesMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < medicationsMatches.Count; i++)
{
if (i == 0 && (diseaseMatches.Count > 0 || allergiesMatches.Count > 0))
{
alert += "and is taking the following medications: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient is taking the following medications: ");
}
alert += medicationsMatches[i];
if ((i + 1) == medicationsMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
alert += "\r\n" + Lan.g("RxAlertL", "Continue anyway?");
if (MessageBox.Show(alert, "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
for (int i = 0; i < customMessages.Count; i++)
{
if (MessageBox.Show(customMessages[i] + "\r\n" + Lan.g("RxAlertL", "Continue anyway?"), "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
return(true);
}