public static NeurologyFormTotals LoadNeurologyFormTotalsFrom(XDocument xmlDocument)
{
var totalsXml = xmlDocument.Root.Element("NeurologyFormTotals");
var neurologyFormTotals = new NeurologyFormTotals
{
LeftPrickContainsNt = bool.Parse(totalsXml.Element("LeftPrickContainsNt").Value),
LeftPrickTotal = GetIntValueFrom(totalsXml.Element("LeftPrickTotal").Value),
LeftPrickTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("LeftPrickTotal").Value),
LeftTouchContainsNt = bool.Parse(totalsXml.Element("LeftTouchContainsNt").Value),
LeftTouchTotal = GetIntValueFrom(totalsXml.Element("LeftTouchTotal").Value),
LeftTouchTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("LeftTouchTotal").Value),
LeftLowerMotorContainsNt = bool.Parse(totalsXml.Element("LeftLowerMotorContainsNt").Value),
LeftLowerMotorTotal = GetIntValueFrom(totalsXml.Element("LeftLowerMotorTotal").Value),
LeftLowerMotorTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("LeftLowerMotorTotal").Value),
LeftUpperMotorContainsNt = bool.Parse(totalsXml.Element("LeftUpperMotorContainsNt").Value),
LeftUpperMotorTotal = GetIntValueFrom(totalsXml.Element("LeftUpperMotorTotal").Value),
LeftUpperMotorTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("LeftUpperMotorTotal").Value),
LowerMotorTotal = GetIntValueFrom(totalsXml.Element("LowerMotorTotal").Value),
PrickTotal = GetIntValueFrom(totalsXml.Element("PrickTotal").Value),
RightLowerMotorContainsNt = bool.Parse(totalsXml.Element("RightLowerMotorContainsNt").Value),
RightLowerMotorTotal = GetIntValueFrom(totalsXml.Element("RightLowerMotorTotal").Value),
RightLowerMotorTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("RightLowerMotorTotal").Value),
RightUpperMotorContainsNt = bool.Parse(totalsXml.Element("RightUpperMotorContainsNt").Value),
RightUpperMotorTotal = GetIntValueFrom(totalsXml.Element("RightUpperMotorTotal").Value),
RightUpperMotorTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("RightUpperMotorTotal").Value),
RightPrickContainsNt = bool.Parse(totalsXml.Element("RightPrickContainsNt").Value),
RightPrickTotal = GetIntValueFrom(totalsXml.Element("RightPrickTotal").Value),
RightPrickTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("RightPrickTotal").Value),
RightTouchContainsNt = bool.Parse(totalsXml.Element("RightTouchContainsNt").Value),
RightTouchTotal = GetIntValueFrom(totalsXml.Element("RightTouchTotal").Value),
RightTouchTotalHasImpairmentNotDueToSci = DoesTotalHaveImpairmentNotDueToSci(totalsXml.Element("RightTouchTotal").Value),
TouchTotal = GetIntValueFrom(totalsXml.Element("TouchTotal").Value),
UpperMotorTotal = GetIntValueFrom(totalsXml.Element("UpperMotorTotal").Value),
};
var levelsDictionary = GetLevelsDictionary();
foreach (var value in totalsXml.Element("RightSensory").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddRightSensoryValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("LeftSensory").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddLeftSensoryValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("RightMotor").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddRightMotorValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("LeftMotor").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddLeftMotorValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("NeurologicalLevelOfInjury").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddNeurologicalLevelOfInjury(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("RightSensoryZpp").Value.Split(',').Select(v => v.Trim()))
if (!string.IsNullOrEmpty(value))
neurologyFormTotals.AddRightSensoryZppValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("LeftSensoryZpp").Value.Split(',').Select(v => v.Trim()))
if (!string.IsNullOrEmpty(value))
neurologyFormTotals.AddLeftSensoryZppValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("RightMotorZpp").Value.Split(',').Select(v => v.Trim()))
if (!string.IsNullOrEmpty(value))
neurologyFormTotals.AddRightMotorZppValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("LeftMotorZpp").Value.Split(',').Select(v => v.Trim()))
if (!string.IsNullOrEmpty(value))
neurologyFormTotals.AddLeftMotorZppValue(levelsDictionary[value.ToUpper()]);
foreach (var value in totalsXml.Element("AsiaImpairmentScale").Value.Split(',').Select(v => v.Trim()))
neurologyFormTotals.AddAsiaImpairmentScaleValue(value.ToUpper());
return neurologyFormTotals;
}
/// <summary>
/// Returns the results produced by the ISNCSCI Algorithm ir a raw values format.
/// </summary>
/// <param name="neurologyForm">Neurology form that has been populated with the values to be used in the algorithm calculations.</param>
/// <returns>
/// Totals in raw values format. The results contain lists with every prossible value for each field.
/// You can use the resulting object to obtained a summarized version, which uses ranges, by passing the result to the method GetTotalsSummaryFor
/// </returns>
public static NeurologyFormTotals GetTotalsFor(NeurologyForm neurologyForm)
{
var totals = new NeurologyFormTotals();
UpdateTotalsWithLevelAt(neurologyForm, totals, neurologyForm.GetLevelWithName("C2"), false, false);
totals.UpperMotorTotal = totals.RightUpperMotorTotal + totals.LeftUpperMotorTotal;
totals.LowerMotorTotal = totals.RightLowerMotorTotal + totals.LeftLowerMotorTotal;
totals.TouchTotal = totals.RightTouchTotal + totals.LeftTouchTotal;
totals.PrickTotal = totals.RightPrickTotal + totals.LeftPrickTotal;
var s4_5 = neurologyForm.GetLevelWithName("S4_5");
var c1 = neurologyForm.GetLevelWithName("C2").Previous;
if (totals.RightSensoryZppHasOnlySoftValues)
totals.AddRightSensoryZppValue(c1);
if (totals.LeftSensoryZppHasOnlySoftValues)
totals.AddLeftSensoryZppValue(c1);
if (totals.RightMotorZppHasOnlySoftValues)
totals.AddRightMotorZppValue(c1);
if (totals.LeftMotorZppHasOnlySoftValues)
totals.AddLeftMotorZppValue(c1);
if (totals.MostRostralRightLevelWithMotorFunction == null)
totals.MostRostralRightLevelWithMotorFunction = c1;
if (totals.MostRostralLeftLevelWithMotorFunction == null)
totals.MostRostralLeftLevelWithMotorFunction = c1;
if (totals.MostCaudalRightLevelWithMotorFunction == null)
totals.MostCaudalRightLevelWithMotorFunction = c1;
if (totals.MostCaudalLeftLevelWithMotorFunction == null)
totals.MostCaudalLeftLevelWithMotorFunction = c1;
// [ASIA learning center 2012-11-14] Sensory incomplete: Sacral sparing of sensory function
var isSensoryIncomplete = neurologyForm.AnalSensation == BinaryObservation.Yes || neurologyForm.AnalSensation == BinaryObservation.NT
|| !"0".Equals(s4_5.RightTouchName) || !"0".Equals(s4_5.LeftTouchName)
|| !"0".Equals(s4_5.RightPrickName) || !"0".Equals(s4_5.LeftPrickName);
var couldNotHaveMotorFunctionMoreThan3LevelsBelowMotorLevel = CouldNotHaveMotorFunctionMoreThan3LevelsBelowMotorLevel(neurologyForm, totals);
var couldNotBeMotorIncomplete = (neurologyForm.AnalContraction == BinaryObservation.No || neurologyForm.AnalContraction == BinaryObservation.NT)
&& isSensoryIncomplete && couldNotHaveMotorFunctionMoreThan3LevelsBelowMotorLevel;
if ((neurologyForm.AnalContraction == BinaryObservation.No || neurologyForm.AnalContraction == BinaryObservation.NT)
&& (neurologyForm.AnalSensation == BinaryObservation.No || neurologyForm.AnalSensation == BinaryObservation.NT)
&& s4_5.RightTouchValue == 0 && !s4_5.RightTouchImpairmentNotDueToSci
&& s4_5.RightPrickValue == 0 && !s4_5.RightPrickImpairmentNotDueToSci
&& s4_5.LeftTouchValue == 0 && !s4_5.LeftTouchImpairmentNotDueToSci
&& s4_5.LeftPrickValue == 0 && !s4_5.LeftPrickImpairmentNotDueToSci)
totals.AddAsiaImpairmentScaleValue("A");
if (couldNotBeMotorIncomplete && totals.MostRostralNeurologicalLevelOfInjury.Name != "S4_5")
totals.AddAsiaImpairmentScaleValue("B");
//// Not an ASIA E only
//// AND not an ASIA A only
if (totals.MostRostralNeurologicalLevelOfInjury.Name != "S4_5"
&& (isSensoryIncomplete || neurologyForm.AnalContraction == BinaryObservation.Yes || neurologyForm.AnalContraction == BinaryObservation.NT))
{
bool couldBeAsiaC;
bool couldBeAsiaD;
CouldBeAsiaCorD(neurologyForm, totals, out couldBeAsiaC, out couldBeAsiaD);
if (couldBeAsiaC)
totals.AddAsiaImpairmentScaleValue("C");
if (couldBeAsiaD)
totals.AddAsiaImpairmentScaleValue("D");
}
if (totals.RightSensoryContains("S4_5") && totals.LeftSensoryContains("S4_5")
&& totals.RightMotorContains("S4_5") && totals.LeftMotorContains("S4_5"))
totals.AddAsiaImpairmentScaleValue("E");
return totals;
}
