public PatientCondition GetConditionForGroupAndDate(Condition group, DateTime date)
{
if (PatientConditions.Count == 0)
{
return(null);
}
else
{
return(PatientConditions.Where(pc => pc.Archived == false && pc.DateStart <= date && pc.TerminologyMedDra.ConditionMedDras.Any(cm => cm.Condition.Id == group.Id)).OrderByDescending(pc => pc.DateStart).FirstOrDefault());
}
}
public bool HasClinicalData()
{
var hasData = false;
if (PatientClinicalEvents.Count() > 0 || PatientConditions.Count() > 0 || PatientLabTests.Count() > 0 || PatientMedications.Count() > 0 || Encounters.Count() > 0)
{
hasData = true;
}
;
return(hasData);
}
public PatientCondition GetConditionForGroupAndDate(string condition, DateTime date)
{
if (PatientConditions.Count == 0)
{
return(null);
}
else
{
return(PatientConditions.Where(pc => pc.Archived == false && pc.TerminologyMedDra != null)
.Where(pc => pc.OnsetDate <= date &&
pc.TerminologyMedDra.ConditionMedDras.Any(cm => cm.Condition.Description == condition))
.OrderByDescending(pc => pc.OnsetDate)
.FirstOrDefault());
}
}
public PatientCondition AddOrUpdatePatientCondition(long id,
TerminologyMedDra sourceTerm,
DateTime onsetDate,
DateTime?outComeDate,
Outcome outcome,
TreatmentOutcome treatmentOutcome,
string caseNumber,
string comments,
string conditionSource,
PatientStatus deceasedStatus)
{
PatientCondition patientCondition = null;
if (id == 0)
{
patientCondition = new PatientCondition
{
ConditionSource = conditionSource,
TerminologyMedDra = sourceTerm,
OnsetDate = onsetDate,
OutcomeDate = outComeDate,
Outcome = outcome,
TreatmentOutcome = treatmentOutcome,
CaseNumber = caseNumber,
Comments = comments
};
PatientConditions.Add(patientCondition);
}
// Has person died
if (outcome?.Description == "Fatal" && GetCurrentStatus()?.PatientStatus.Description != "Died")
{
// set patient status to deceased in patient history
PatientStatusHistories.Add(new PatientStatusHistory()
{
EffectiveDate = outComeDate ?? DateTime.Now, //set effective date to outcome date have set it to use todays day if null but this will not happen as autosetToDeceased will only become true when an end date is supplied first
Comments = $"Marked as deceased through Patient Condition ({sourceTerm.DisplayName})",
PatientStatus = deceasedStatus
});
}
return(patientCondition);
}
private Boolean CheckConditionStartDateWithNoEndDateBeforeStart(int sourceTerminologyMedDraId, DateTime startDate, long patientConditionId)
{
if (patientConditionId > 0)
{
return(PatientConditions
.OrderBy(pc => pc.OnsetDate)
.Where(pc => pc.Id != patientConditionId &&
pc.TerminologyMedDra.Id == sourceTerminologyMedDraId &&
startDate < pc.OnsetDate &&
pc.Archived == false)
.Any());
}
else
{
return(PatientConditions
.OrderBy(pc => pc.OnsetDate)
.Where(pc => pc.TerminologyMedDra.Id == sourceTerminologyMedDraId &&
startDate < pc.OnsetDate &&
pc.Archived == false)
.Any());
}
}
private Boolean CheckConditionEndDateWithinRange(int sourceTerminologyMedDraId, DateTime outcomeDate, long patientConditionId)
{
if (patientConditionId > 0)
{
return(PatientConditions
.OrderBy(pc => pc.OnsetDate)
.Where(pc => pc.Id != patientConditionId &&
pc.TerminologyMedDra.Id == sourceTerminologyMedDraId &&
outcomeDate >= pc.OnsetDate &&
outcomeDate <= pc.OutcomeDate &&
pc.Archived == false)
.Any());
}
else
{
return(PatientConditions
.OrderBy(pc => pc.OnsetDate)
.Where(pc => pc.TerminologyMedDra.Id == sourceTerminologyMedDraId &&
outcomeDate >= pc.OnsetDate &&
outcomeDate <= pc.OutcomeDate &&
pc.Archived == false)
.Any());
}
}
public void ChangeConditionDetails(int patientConditionId, int sourceTerminologyMedDraId, DateTime startDate, DateTime?outcomeDate, Outcome outcome, TreatmentOutcome treatmentOutcome, string caseNumber, string comments)
{
var patientCondition = PatientConditions.SingleOrDefault(t => t.Id == patientConditionId);
if (patientCondition == null)
{
throw new KeyNotFoundException($"Unable to locate condition {patientConditionId} on patient {Id}");
}
if (startDate < DateOfBirth)
{
throw new DomainException("Start Date should be after Date Of Birth");
}
if (outcomeDate.HasValue)
{
if (outcomeDate < DateOfBirth)
{
throw new DomainException("Outcome Date should be after Date Of Birth");
}
}
if (CheckConditionStartDateAgainstStartDateWithNoEndDate(sourceTerminologyMedDraId, startDate, patientConditionId))
{
throw new DomainException("Duplication of condition. Please check condition start and outcome dates");
}
else
{
if (CheckConditionStartDateWithinRange(sourceTerminologyMedDraId, startDate, patientConditionId))
{
throw new DomainException("Duplication of condition. Please check condition start and outcome dates");
}
else
{
if (outcomeDate.HasValue)
{
if (CheckConditionStartDateWithNoEndDateBeforeStart(sourceTerminologyMedDraId, startDate, patientConditionId))
{
throw new DomainException("Duplication of condition. Please check condition start and outcome dates");
}
}
}
}
if (outcomeDate.HasValue)
{
if (CheckConditionEndDateAgainstStartDateWithNoEndDate(sourceTerminologyMedDraId, outcomeDate.Value, patientConditionId))
{
throw new DomainException("Duplication of condition. Please check condition start and outcome dates");
}
else
{
if (CheckConditionEndDateWithinRange(sourceTerminologyMedDraId, outcomeDate.Value, patientConditionId))
{
throw new DomainException("Duplication of condition. Please check condition start and outcome dates");
}
}
}
patientCondition.ChangeConditionDetails(startDate, outcomeDate, outcome, treatmentOutcome, caseNumber, comments);
}
