Exemplo n.º 1
0
        public async Task <Result <SynchronizeClientsResponse> > Handle(SynchronizeClientsCommand request, CancellationToken cancellationToken)
        {
            string afyaMobileId = String.Empty;

            using (_htsUnitOfWork)
                using (_unitOfWork)
                {
                    try
                    {
                        var facilityId = request.MESSAGE_HEADER.SENDING_FACILITY;
                        RegisterPersonService   registerPersonService   = new RegisterPersonService(_unitOfWork);
                        EncounterTestingService encounterTestingService = new EncounterTestingService(_unitOfWork, _htsUnitOfWork);
                        for (int i = 0; i < request.CLIENTS.Count; i++)
                        {
                            string   firstName       = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.FIRST_NAME;
                            string   middleName      = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.MIDDLE_NAME;
                            string   lastName        = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_NAME.LAST_NAME;
                            int      sex             = request.CLIENTS[i].PATIENT_IDENTIFICATION.SEX;
                            DateTime dateOfBirth     = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.DATE_OF_BIRTH, "yyyyMMdd", null);
                            DateTime dateEnrollment  = DateTime.ParseExact(request.CLIENTS[i].PATIENT_IDENTIFICATION.REGISTRATION_DATE, "yyyyMMdd", null);
                            int      maritalStatusId = request.CLIENTS[i].PATIENT_IDENTIFICATION.MARITAL_STATUS;
                            string   landmark        = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.PHYSICAL_ADDRESS
                                                       .LANDMARK;
                            string physicalAddress = request.CLIENTS[i].PATIENT_IDENTIFICATION.PATIENT_ADDRESS.POSTAL_ADDRESS;
                            string mobileNumber    = request.CLIENTS[i].PATIENT_IDENTIFICATION.PHONE_NUMBER;
                            string enrollmentNo    = string.Empty;
                            int    providerId      = request.CLIENTS[i].ENCOUNTER.PLACER_DETAIL.PROVIDER_ID;

                            for (int j = 0; j < request.CLIENTS[j].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID.Count; j++)
                            {
                                if (request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY ==
                                    "HTS" && request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j]
                                    .IDENTIFIER_TYPE == "HTS_SERIAL")
                                {
                                    enrollmentNo = request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ID;
                                }

                                if (request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].IDENTIFIER_TYPE ==
                                    "AFYA_MOBILE_ID" &&
                                    request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY ==
                                    "AFYAMOBILE")
                                {
                                    afyaMobileId = request.CLIENTS[i].PATIENT_IDENTIFICATION.INTERNAL_PATIENT_ID[j].ID;
                                }
                            }

                            //check if person already exists
                            var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);

                            if (identifiers.Count > 0)
                            {
                            }
                            else
                            {
                                // Add Person
                                var person = await registerPersonService.RegisterPerson(firstName, middleName, lastName, sex,
                                                                                        dateOfBirth, providerId);

                                // Add Patient
                                var patient = await registerPersonService.AddPatient(person.Id, dateOfBirth, providerId, facilityId);

                                // Enroll patient
                                var patientIdentifier = await registerPersonService.EnrollPatient(enrollmentNo, patient.Id, 2, providerId, dateEnrollment);

                                //Add PersonIdentifiers
                                var personIdentifier = await registerPersonService.addPersonIdentifiers(person.Id, 10, afyaMobileId, providerId);

                                // Add Marital Status
                                var maritalStatus = await registerPersonService.AddMaritalStatus(person.Id, maritalStatusId, providerId);

                                // Add Person Key pop
                                var population = await registerPersonService.addPersonPopulation(person.Id,
                                                                                                 request.CLIENTS[i].PATIENT_IDENTIFICATION.KEY_POP, providerId);

                                // Add Person Location
                                var personLocation =
                                    await registerPersonService.addPersonLocation(person.Id, 0, 0, 0, "", landmark, providerId);

                                //add Person Contact
                                var personContact = await registerPersonService.addPersonContact(person.Id, physicalAddress,
                                                                                                 mobileNumber, string.Empty, string.Empty, providerId);


                                /***
                                 * Encounter
                                 */

                                DateTime encounterDate     = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_DATE, "yyyyMMdd", null);
                                var      emrEncounterTypes = await _unitOfWork.Repository <LookupItemView>()
                                                             .Get(x => x.MasterName == "EncounterType" && x.ItemName == "Hts-encounter")
                                                             .FirstOrDefaultAsync();

                                int encounterTypeId = emrEncounterTypes.ItemId;

                                //Get consent to testing
                                int consentValue = request.CLIENTS[i].ENCOUNTER.PRE_TEST.CONSENT;
                                var consentType  = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToListPartners").FirstOrDefaultAsync();

                                int consentTypeId = consentType != null ? consentType.ItemId : 0;

                                //Get TBStatus masterId
                                var screeningType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "TbScreening").FirstOrDefaultAsync();

                                int screeningTypeId = screeningType != null ? screeningType.MasterId : 0;
                                int tbStatus        = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TB_SCREENING;

                                //Get Consent to screen partners itemId
                                var consentPartnerType = await _unitOfWork.Repository <LookupItemView>()
                                                         .Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToListPartners")
                                                         .FirstOrDefaultAsync();

                                int consentListPartnersTypeId = consentPartnerType != null ? consentPartnerType.ItemId : 0;

                                string          htsEncounterRemarks  = request.CLIENTS[i].ENCOUNTER.PRE_TEST.REMARKS;
                                int             clientEverTested     = request.CLIENTS[i].ENCOUNTER.PRE_TEST.EVER_TESTED;
                                int             clientEverSelfTested = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SELF_TEST_12_MONTHS;
                                int             testEntryPoint       = request.CLIENTS[i].ENCOUNTER.PRE_TEST.SERVICE_POINT;
                                int             htsencounterType     = request.CLIENTS[i].ENCOUNTER.PRE_TEST.ENCOUNTER_TYPE;
                                int             testingStrategy      = request.CLIENTS[i].ENCOUNTER.PRE_TEST.STRATEGY;
                                int             clientTestedAs       = request.CLIENTS[i].ENCOUNTER.PRE_TEST.TESTED_AS;
                                int             monthsSinceLastTest  = request.CLIENTS[i].ENCOUNTER.PRE_TEST.MONTHS_SINCE_LAST_TEST;
                                List <int>      clientDisabilities   = request.CLIENTS[i].ENCOUNTER.PRE_TEST.DISABILITIES;
                                int             pnsAccepted          = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_ACCEPTED;
                                int             pnsDeclineReason     = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.PNS_DECLINE_REASON;
                                List <NewTests> screeningTests       = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SCREENING;
                                List <NewTests> confirmatoryTests    = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.CONFIRMATORY;
                                int             coupleDiscordant     = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.COUPLE_DISCORDANT;
                                int             finalResultGiven     = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT_GIVEN;
                                int             roundOneTestResult   = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.SCREENING_RESULT;
                                int?            roundTwoTestResult   = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.CONFIRMATORY_RESULT;
                                int?            finalResult          = request.CLIENTS[i].ENCOUNTER.HIV_TESTS.SUMMARY.FINAL_RESULT;
                                DateTime        dateLinkageEnrolled  = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.LINKAGE.DATE_ENROLLED, "yyyyMMdd", null);
                                string          linkageCCCNumber     = request.CLIENTS[i].ENCOUNTER.LINKAGE.CCC_NUMBER;
                                string          linkageFacility      = request.CLIENTS[i].ENCOUNTER.LINKAGE.FACILITY;
                                string          healthWorker         = request.CLIENTS[i].ENCOUNTER.LINKAGE.HEALTH_WORKER;
                                string          carde = request.CLIENTS[i].ENCOUNTER.LINKAGE.CARDE;

                                //Tracing
                                var enrollmentTracing = await _unitOfWork.Repository <LookupItemView>()
                                                        .Get(x => x.MasterName == "TracingType" && x.ItemName == "Enrolment").FirstOrDefaultAsync();

                                int      tracingType    = enrollmentTracing.ItemId;
                                DateTime tracingDate    = DateTime.ParseExact(request.CLIENTS[i].ENCOUNTER.TRACING.TRACING_DATE, "yyyyMMdd", null);
                                int      mode           = request.CLIENTS[i].ENCOUNTER.TRACING.TRACING_MODE;
                                int      outcome        = request.CLIENTS[i].ENCOUNTER.TRACING.TRACING_OUTCOME;
                                string   tracingRemarks = String.Empty;

                                //add patient master visit
                                var patientMasterVisit = await encounterTestingService.AddPatientMasterVisit(patient.Id, 2, encounterDate, providerId);

                                //add patient encounter
                                var patientEncounter = await encounterTestingService.AddPatientEncounter(patient.Id,
                                                                                                         encounterTypeId, patientMasterVisit.Id, encounterDate, 2, providerId);

                                //add patient consent
                                var consent = await encounterTestingService.addPatientConsent(patient.Id, patientMasterVisit.Id,
                                                                                              2, consentValue, consentTypeId, encounterDate, providerId, null);

                                //add patient screening
                                var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
                                                                                                         patientMasterVisit.Id, screeningTypeId, encounterDate, tbStatus, providerId);

                                //add patient encounter
                                var htsEncounter = await encounterTestingService.addHtsEncounter(htsEncounterRemarks,
                                                                                                 clientEverSelfTested, clientEverTested, null,
                                                                                                 patientEncounter.Id, person.Id, providerId, testEntryPoint, htsencounterType,
                                                                                                 testingStrategy, clientTestedAs, monthsSinceLastTest, null);

                                //add disabilities
                                var disabilities = await encounterTestingService.addDisabilities(clientDisabilities,
                                                                                                 patientEncounter.Id, person.Id, providerId);

                                //add consent to list partners
                                var partnersConsent = await encounterTestingService.addPatientConsent(patient.Id,
                                                                                                      patientMasterVisit.Id, 2, pnsAccepted, consentListPartnersTypeId, encounterDate, providerId,
                                                                                                      pnsDeclineReason);

                                //add screening tests for client
                                var clientScreeningTesting =
                                    await encounterTestingService.addTesting(screeningTests, htsEncounter.Id, providerId);

                                //add confirmatory tests for client
                                var clientConfirmatoryTesting =
                                    await encounterTestingService.addTesting(confirmatoryTests, htsEncounter.Id, providerId);

                                //update testing for client
                                htsEncounter.CoupleDiscordant = coupleDiscordant;
                                htsEncounter.FinalResultGiven = finalResultGiven;

                                await encounterTestingService.updateHtsEncounter(htsEncounter.Id, htsEncounter);

                                var htsEncounterResult = await encounterTestingService.addHtsEncounterResult(htsEncounter.Id, roundOneTestResult, roundTwoTestResult, finalResult);

                                //add referral

                                /*await encounterTestingService.addReferral(person.Id, fromFacilityId: 1, serviceAreaId: 1,
                                 *  referralReason: 1, referredTo: 1, userId: 1, dateToBeEnrolled: DateTime.Now);*/

                                //add Client Tracing
                                var clientTracing = await encounterTestingService.addTracing(person.Id, tracingType, tracingDate, mode, outcome,
                                                                                             providerId, tracingRemarks);

                                //add Client Linkage
                                var clientLinkage = await encounterTestingService.addLinkage(person.Id, dateLinkageEnrolled,
                                                                                             linkageCCCNumber, linkageFacility, providerId, healthWorker, carde);
                            }
                        }

                        return(Result <SynchronizeClientsResponse> .Valid(new SynchronizeClientsResponse()
                        {
                            afyaMobileId = afyaMobileId
                        }));
                    }
                    catch (Exception e)
                    {
                        Log.Error(e.Message);
                        return(Result <SynchronizeClientsResponse> .Invalid(e.Message));
                    }
                }
        }
        public async Task <Result <string> > Handle(AfyaMobileSynchronizeEncounterCommand request, CancellationToken cancellationToken)
        {
            string afyaMobileId = String.Empty;

            using (var trans = _htsUnitOfWork.Context.Database.BeginTransaction())
            {
                RegisterPersonService   registerPersonService   = new RegisterPersonService(_unitOfWork);
                EncounterTestingService encounterTestingService = new EncounterTestingService(_unitOfWork, _htsUnitOfWork);

                //Person Identifier
                for (int j = 0; j < request.INTERNAL_PATIENT_ID.Count; j++)
                {
                    if (request.INTERNAL_PATIENT_ID[j].IDENTIFIER_TYPE == "AFYA_MOBILE_ID" && request.INTERNAL_PATIENT_ID[j].ASSIGNING_AUTHORITY == "AFYAMOBILE")
                    {
                        afyaMobileId = request.INTERNAL_PATIENT_ID[j].ID;
                    }
                }
                var afyaMobileMessage = await registerPersonService.AddAfyaMobileInbox(DateTime.Now, request.MESSAGE_HEADER.MESSAGE_TYPE, afyaMobileId, JsonConvert.SerializeObject(request), false);

                try
                {
                    //check if person already exists
                    var identifiers = await registerPersonService.getPersonIdentifiers(afyaMobileId, 10);

                    //Encounter
                    DateTime encounterDate = DateTime.Now;
                    try
                    {
                        encounterDate = DateTime.ParseExact(request.PRE_TEST.ENCOUNTER_DATE, "yyyyMMdd", null);
                    }
                    catch (Exception e)
                    {
                        Log.Error($"Could not parse HTS_EncounterDate: {request.PRE_TEST.ENCOUNTER_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                        throw new Exception($"Could not parse HTS_EncounterDate: {request.PRE_TEST.ENCOUNTER_DATE} as a valid date: Incorrect format, date should be in the following format yyyyMMdd");
                    }
                    string     htsEncounterRemarks  = request.PRE_TEST.REMARKS;
                    int        clientEverTested     = request.PRE_TEST.EVER_TESTED;
                    int        clientEverSelfTested = request.PRE_TEST.SELF_TEST_12_MONTHS;
                    int        testEntryPoint       = request.PRE_TEST.SERVICE_POINT;
                    int        htsencounterType     = request.PRE_TEST.ENCOUNTER_TYPE;
                    int        testingStrategy      = request.PRE_TEST.STRATEGY;
                    int        clientTestedAs       = request.PRE_TEST.TESTED_AS;
                    int        monthsSinceLastTest  = request.PRE_TEST.MONTHS_SINCE_LAST_TEST;
                    List <int> clientDisabilities   = request.PRE_TEST.DISABILITIES;
                    int        providerId           = request.PLACER_DETAIL.PROVIDER_ID;
                    var        encounterNumber      = request.PLACER_DETAIL.ENCOUNTER_NUMBER;

                    //HTS Encounter types
                    var emrEncounterTypes = await _unitOfWork.Repository <LookupItemView>()
                                            .Get(x => x.MasterName == "EncounterType" && x.ItemName == "Hts-encounter")
                                            .FirstOrDefaultAsync();

                    int encounterTypeId = emrEncounterTypes.ItemId;

                    //Get consent to testing
                    int consentValue = request.PRE_TEST.CONSENT;
                    var consentType  = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "ConsentType" && x.ItemName == "ConsentToBeTested").FirstOrDefaultAsync();

                    int consentTypeId = consentType != null ? consentType.ItemId : 0;

                    //Get TBStatus masterId
                    var screeningType = await _unitOfWork.Repository <LookupItemView>().Get(x => x.MasterName == "TbScreening").FirstOrDefaultAsync();

                    int screeningTypeId = screeningType != null ? screeningType.MasterId : 0;
                    int tbStatus        = request.PRE_TEST.TB_SCREENING;

                    if (identifiers.Count > 0)
                    {
                        var person = await registerPersonService.GetPerson(identifiers[0].PersonId);

                        var patient = await registerPersonService.GetPatientByPersonId(identifiers[0].PersonId);

                        var resultPlacerGet = await registerPersonService.GetInteropPlacerValue(7, 4, encounterNumber);

                        if (resultPlacerGet.Count > 0)
                        {
                            var getHtsEncounter = await encounterTestingService.GetHtsEncounter(resultPlacerGet[0].EntityId);

                            var getPatientEncounter = await encounterTestingService.GetPatientEncounterById(getHtsEncounter.PatientEncounterID);

                            getHtsEncounter.EverTested          = clientEverTested;
                            getHtsEncounter.MonthsSinceLastTest = monthsSinceLastTest;
                            getHtsEncounter.MonthSinceSelfTest  = null;
                            getHtsEncounter.TestedAs            = clientTestedAs;
                            getHtsEncounter.TestingStrategy     = testingStrategy;
                            getHtsEncounter.EncounterRemarks    = htsEncounterRemarks;
                            //getHtsEncounter.FinalResultGiven = ;
                            //getHtsEncounter.CoupleDiscordant = 1;
                            getHtsEncounter.TestEntryPoint = testEntryPoint;
                            getHtsEncounter.EverSelfTested = clientEverSelfTested;
                            getHtsEncounter.EncounterType  = htsencounterType;

                            await encounterTestingService.UpdateHtsEncounter(getHtsEncounter);

                            var getPatientScreenings = await encounterTestingService.GetPatientScreening(patient.Id, getPatientEncounter.PatientMasterVisitId, screeningTypeId, null);

                            if (getPatientScreenings.Count > 0)
                            {
                                getPatientScreenings[0].ScreeningValueId = tbStatus;
                                await encounterTestingService.UpdatePatientScreening(getPatientScreenings[0]);
                            }
                            else
                            {
                                //add patient screening
                                var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
                                                                                                         getPatientEncounter.PatientMasterVisitId, screeningTypeId, encounterDate, tbStatus, providerId);
                            }

                            await encounterTestingService.UpdateClientDisabilities(identifiers[0].PersonId, clientDisabilities, getPatientEncounter.Id, providerId);
                        }
                        else
                        {
                            //add patient master visit
                            var patientMasterVisit = await encounterTestingService.AddPatientMasterVisit(patient.Id, 2, encounterDate, providerId);

                            //add patient encounter
                            var patientEncounter = await encounterTestingService.AddPatientEncounter(patient.Id,
                                                                                                     encounterTypeId, patientMasterVisit.Id, encounterDate, 2, providerId);

                            //add patient HTS encounter
                            var htsEncounter = await encounterTestingService.addHtsEncounter(htsEncounterRemarks,
                                                                                             clientEverSelfTested, clientEverTested,
                                                                                             patientEncounter.Id, person.Id, providerId, testEntryPoint, htsencounterType,
                                                                                             testingStrategy, clientTestedAs, monthsSinceLastTest, null);

                            //add afya mobile placer value
                            var addplacerHtsPlacer = await registerPersonService.AddInteropPlacerValue(htsEncounter.Id, 4, 7, encounterNumber);

                            //add patient consent
                            var consent = await encounterTestingService.addPatientConsent(patient.Id, patientMasterVisit.Id,
                                                                                          2, consentValue, consentTypeId, encounterDate, providerId, null);

                            //add patient screening
                            var patientScreening = await encounterTestingService.addPatientScreening(patient.Id,
                                                                                                     patientMasterVisit.Id, screeningTypeId, encounterDate, tbStatus, providerId);

                            //add disabilities
                            var disabilities = await encounterTestingService.addDisabilities(clientDisabilities,
                                                                                             patientEncounter.Id, identifiers[0].PersonId, providerId);
                        }
                    }
                    else
                    {
                        //update message has been processed
                        await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Person with afyaMobileId: {afyaMobileId} could not be found", false);

                        return(Result <string> .Invalid($"Person with afyaMobileId: {afyaMobileId} could not be found"));
                    }

                    //update message has been processed
                    await registerPersonService.UpdateAfyaMobileInbox(afyaMobileMessage.Id, afyaMobileId, true, DateTime.Now, $"Successfully synchronized HTS encounter for afyamobileid: {afyaMobileId}", true);

                    trans.Commit();
                    return(Result <string> .Valid($"Successfully synchronized HTS encounter for afyamobileid: {afyaMobileId}"));
                }
                catch (Exception ex)
                {
                    trans.Rollback();
                    Log.Error($"Failed to synchronize encounter for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException);
                    return(Result <string> .Invalid($"Failed to synchronize encounter for clientid: {afyaMobileId} " + ex.Message + " " + ex.InnerException));
                }
            }
        }