private static bool ProblemComparison(AutomationCondition autoCond, long patNum)
{
List <Disease> problemList = Diseases.Refresh(patNum, true);
switch (autoCond.Comparison) //Find out what operand to use.
{
case AutoCondComparison.Equals:
for (int i = 0; i < problemList.Count; i++) //Includes hidden
{
if (DiseaseDefs.GetName(problemList[i].DiseaseDefNum) == autoCond.CompareString)
{
return(true);
}
}
break;
case AutoCondComparison.Contains:
for (int i = 0; i < problemList.Count; i++)
{
if (DiseaseDefs.GetName(problemList[i].DiseaseDefNum).ToLower().Contains(autoCond.CompareString.ToLower()))
{
return(true);
}
}
break;
}
return(false);
}
private void FillProblems()
{
DiseaseList = Diseases.Refresh(PatCur.PatNum);
gridDiseases.BeginUpdate();
gridDiseases.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableDiseases", "Name"), 140); //total is about 325
gridDiseases.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableDiseases", "Patient Note"), 145);
gridDiseases.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableDisease", "Status"), 40);
gridDiseases.Columns.Add(col);
gridDiseases.Rows.Clear();
ODGridRow row;
for (int i = 0; i < DiseaseList.Count; i++)
{
row = new ODGridRow();
if (DiseaseList[i].DiseaseDefNum != 0)
{
row.Cells.Add(DiseaseDefs.GetName(DiseaseList[i].DiseaseDefNum));
}
else
{
row.Cells.Add(ICD9s.GetDescription(DiseaseList[i].ICD9Num));
}
row.Cells.Add(DiseaseList[i].PatNote);
row.Cells.Add(DiseaseList[i].ProbStatus.ToString());
gridDiseases.Rows.Add(row);
}
gridDiseases.EndUpdate();
}
private void menuItemMedical_Click(object sender, EventArgs e)
{
if (gridMain.GetSelectedIndex() == -1)
{
MsgBox.Show(this, "Please select a terminal first.");
return;
}
TerminalActive terminal = TerminalList[gridMain.GetSelectedIndex()].Copy();
if (terminal.TerminalStatus == TerminalStatusEnum.Standby)
{
MsgBox.Show(this, "Please load a patient onto this terminal first.");
return;
}
//See if the selected patient already has diseases attached
Disease[] DiseaseList = Diseases.Refresh(terminal.PatNum);
if (DiseaseList.Length > 0)
{
MsgBox.Show(this, "This patient already has diseases attached. This function is only intended for new patients. Patient cannot be loaded.");
return;
}
//See if the selected patient already has questions attached
/*if(Questions.PatHasQuest(terminal.PatNum)) {
* MsgBox.Show(this,"This patient already has questions attached. This function is only intended for new patients. Patient cannot be loaded.");
* return;
* }*/
if (!MsgBox.Show(this, true, "A patient is currently using the terminal. If you continue, they will lose the information that is on their screen. Continue anyway?"))
{
return;
}
terminal.TerminalStatus = TerminalStatusEnum.Medical;
TerminalActives.Update(terminal);
FillGrid();
}
private void RxSelected()
{
if (gridMain.GetSelectedIndex() == -1)
{
//this should never happen
return;
}
RxDef RxDefCur = RxDefList[gridMain.GetSelectedIndex()];
//Alert
RxAlert[] alertList = RxAlerts.Refresh(RxDefCur.RxDefNum);
Disease[] diseases = Diseases.Refresh(PatCur.PatNum);
ArrayList matchAL = new ArrayList();
for (int i = 0; i < alertList.Length; i++)
{
for (int j = 0; j < diseases.Length; j++)
{
if (alertList[i].DiseaseDefNum == diseases[j].DiseaseDefNum)
{
matchAL.Add(DiseaseDefs.GetName(diseases[j].DiseaseDefNum));
}
}
}
if (matchAL.Count > 0)
{
string alert = Lan.g(this, "This patient has the following medical conditions or allergies:\r\n");
for (int i = 0; i < matchAL.Count; i++)
{
alert += "\r\n" + matchAL[i];
}
alert += "\r\n\r\n" + Lan.g(this, "Continue anyway?");
if (MessageBox.Show(alert, "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return;
}
}
//User OK with alert
RxPat RxPatCur = new RxPat();
RxPatCur.RxDate = DateTime.Today;
RxPatCur.PatNum = PatCur.PatNum;
RxPatCur.Drug = RxDefCur.Drug;
RxPatCur.Sig = RxDefCur.Sig;
RxPatCur.Disp = RxDefCur.Disp;
RxPatCur.Refills = RxDefCur.Refills;
//Notes not copied: we don't want these kinds of notes cluttering things
FormRxEdit FormE = new FormRxEdit(PatCur, RxPatCur);
FormE.IsNew = true;
FormE.ShowDialog();
if (FormE.DialogResult != DialogResult.OK)
{
return;
}
DialogResult = DialogResult.OK;
}
private void FillDiseases()
{
DiseaseList = Diseases.Refresh(PatCur.PatNum);
gridDiseases.BeginUpdate();
gridDiseases.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableDiseases", "Name"), 180); //total is about 385
gridDiseases.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableDiseases", "Patient Note"), 205);
gridDiseases.Columns.Add(col);
gridDiseases.Rows.Clear();
ODGridRow row;
for (int i = 0; i < DiseaseList.Length; i++)
{
row = new ODGridRow();
row.Cells.Add(DiseaseDefs.GetName(DiseaseList[i].DiseaseDefNum));
row.Cells.Add(DiseaseList[i].PatNote);
gridDiseases.Rows.Add(row);
}
gridDiseases.EndUpdate();
}
private void FillExistingGrid()
{
gridProbExisting.BeginUpdate();
gridProbExisting.ListGridColumns.Clear();
GridColumn col = new GridColumn("Last Modified", 100, HorizontalAlignment.Center);
gridProbExisting.ListGridColumns.Add(col);
col = new GridColumn("Date Start", 100, HorizontalAlignment.Center);
gridProbExisting.ListGridColumns.Add(col);
col = new GridColumn("Problem Name", 200);
gridProbExisting.ListGridColumns.Add(col);
col = new GridColumn("Status", 80, HorizontalAlignment.Center);
gridProbExisting.ListGridColumns.Add(col);
gridProbExisting.ListGridRows.Clear();
_listProblemCur = Diseases.Refresh(_patCur.PatNum, true);
List <long> problemDefNums = new List <long>();
for (int h = 0; h < _listProblemCur.Count; h++)
{
if (_listProblemCur[h].DiseaseDefNum > 0)
{
problemDefNums.Add(_listProblemCur[h].DiseaseDefNum);
}
}
_listProblemDefCur = DiseaseDefs.GetMultDiseaseDefs(problemDefNums);
GridRow row;
DiseaseDef disD;
for (int i = 0; i < _listProblemCur.Count; i++)
{
row = new GridRow();
disD = new DiseaseDef();
disD = DiseaseDefs.GetItem(_listProblemCur[i].DiseaseDefNum);
row.Cells.Add(_listProblemCur[i].DateTStamp.ToShortDateString());
if (_listProblemCur[i].DateStart.Year < 1880)
{
row.Cells.Add("");
}
else
{
row.Cells.Add(_listProblemCur[i].DateStart.ToShortDateString());
}
if (disD.DiseaseName == null)
{
row.Cells.Add("");
}
else
{
row.Cells.Add(disD.DiseaseName);
}
if (_listProblemCur[i].ProbStatus == ProblemStatus.Active)
{
row.Cells.Add("Active");
}
else if (_listProblemCur[i].ProbStatus == ProblemStatus.Resolved)
{
row.Cells.Add("Resolved");
}
else
{
row.Cells.Add("Inactive");
}
gridProbExisting.ListGridRows.Add(row);
}
gridProbExisting.EndUpdate();
}
///<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);
}
///<summary>Returns false if user does not with to continue after seeing alert. If called from FormRxSelect, then rxCui will be 0. If called from CPOE, then rxDefNum will be 0.</summary>
public static bool DisplayAlerts(long patNum, long rxCui, 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 <Medication> medications = Medications.GetMedicationsByPat(patNum);
List <string> diseaseMatches = new List <string>();
List <string> allergiesMatches = new List <string>();
List <string> medicationsMatches = new List <string>();
List <string> customMessages = new List <string>();
for (int i = 0; i < alertList.Count; i++)
{
for (int j = 0; j < diseases.Count; j++)
{
//This does not look for matches with icd9s.
//The only reason we support diseases anyway is for allergies that may have been entered as diseases.
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 < medications.Count; j++)
{
if (alertList[i].MedicationNum == medications[j].MedicationNum)
{
if (alertList[i].NotificationMsg == "")
{
Medications.Refresh();
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);
}
