コード例 #1
0
        public string UpdatePatientEnrollment(string enrollmentNo, string enrollmentDate, string serviceName)
        {
            ExMessage message = new ExMessage();

            try
            {
                var patientPK                 = Convert.ToInt32(Session["PatientPK"]);
                var patientEnrollment         = new PatientEnrollmentManager();
                var patientIdentifier         = new PatientIdentifierManager();
                var patientMasterVisitManager = new PatientMasterVisitManager();
                var patientManager            = new PatientLookupManager();

                var lookupLogic        = new LookupLogic();
                var patientIdentifiers = lookupLogic.GetItemIdByGroupAndDisplayName("PatientIdentifier", serviceName);
                var identifierId       = 0;
                if (patientIdentifiers.Count > 0)
                {
                    identifierId = patientIdentifiers[0].ItemId;
                }

                var patient = patientManager.GetPatientDetailSummary(patientPK);
                if (DateTime.Parse(enrollmentDate) < DateTime.Parse(patient.DateOfBirth.ToString()))
                {
                    var DOBexception = new SoapException("Enrollment Date: " + enrollmentDate + " should not be before the date of birth " + DateTime.Parse(patient.DateOfBirth.ToString()).ToString("dd-MM-yyyy"), SoapException.ClientFaultCode);
                    throw DOBexception;
                }

                var enrollmentIdentifiers = lookupLogic.GetItemIdByGroupAndDisplayName("VisitType", "Enrollment");
                var itemId = 0;
                if (enrollmentIdentifiers.Count > 0)
                {
                    itemId = enrollmentIdentifiers[0].ItemId;
                }

                List <PatientMasterVisit> visitsNonEnrollments = patientMasterVisitManager.GetNonEnrollmentVisits(patientPK, itemId);

                var identifierTypesCheck = patientIdentifier.CheckIfIdentifierNumberIsUsed(enrollmentNo, identifierId);

                if (identifierTypesCheck.Count > 0)
                {
                    if (patientPK != identifierTypesCheck[0].PatientId)
                    {
                        var exception = new SoapException("No: " + enrollmentNo + " already exists", SoapException.ClientFaultCode);
                        throw exception;
                    }
                }

                if (visitsNonEnrollments.Count > 0)
                {
                    foreach (var items in visitsNonEnrollments)
                    {
                        if (DateTime.Parse(enrollmentDate) > items.VisitDate)
                        {
                            var newexception = new SoapException("Enrollment Date: " + enrollmentDate + " is after encounters in the system", SoapException.ClientFaultCode);
                            throw newexception;
                        }
                    }
                }

                List <PatientEntityEnrollment> entityEnrollments = new List <PatientEntityEnrollment>();

                if (patientPK > 0)
                {
                    entityEnrollments = patientEnrollment.GetPatientEnrollmentByPatientId(patientPK);

                    if (entityEnrollments.Count > 0)
                    {
                        var identifiers = patientIdentifier.GetPatientEntityIdentifiers(patientPK, entityEnrollments[0].Id, identifierId);

                        if (identifiers.Count > 0)
                        {
                            var identifiersAuditData = AuditDataUtility.Serializer(identifiers);
                            identifiers[0].IdentifierValue = enrollmentNo;
                            identifiers[0].AuditData       = identifiersAuditData;


                            patientIdentifier.UpdatePatientIdentifier(identifiers[0], patient.FacilityId);
                        }

                        var enrollmentAuditData = AuditDataUtility.Serializer(entityEnrollments);

                        entityEnrollments[0].EnrollmentDate = DateTime.Parse(enrollmentDate);
                        entityEnrollments[0].AuditData      = enrollmentAuditData;

                        patientEnrollment.updatePatientEnrollment(entityEnrollments[0]);

                        message.errorcode = 0;
                        message.msg      += "<p>Successfully edited patient enrollment.</p>";
                    }
                }
            }
            catch (SoapException ex)
            {
                message.errorcode = 1;
                message.msg       = ex.Message;
            }

            return(Msg = new JavaScriptSerializer().Serialize(message));
        }
コード例 #2
0
        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));
            }
        }
コード例 #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));
        }