public void CreateEncounterEmptyEntry(III hl7III, Factory hl7factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
hl7III = entry.AsAct.Id.Append();
hl7III.NullFlavor = "UNK";
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.30");
entry.AsAct.Code.Code = "48765-2";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.6.1";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.Code.DisplayName = "Allergies, adverse reactions, alerts";
entry.AsAct.StatusCode.Code = "completed";
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS(), high: new IVXB_TS());
// If Status Complete
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.7";
entryRel.AsObservation.StatusCode.Code = "completed";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = "1.3.6.1.4.1.22812.11.0.100610.4.10.2";
hl7III.Extension = "41700060";
entryRel.AsObservation.Code.Code = "ASSERTION";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
entryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
CD obsValueAsCD = new CD();
obsValueAsCD.NullFlavor = "UNK";
entryRel.AsObservation.Value.Add(obsValueAsCD);
PN pn = new PN();
pn.Text = "N/A";
IParticipant2 parti = hl7factory.CreateParticipant2();
parti.TypeCode = "CSM";
parti.ParticipantRole.ClassCode = "MANU";
parti.ParticipantRole.AsPlayingEntity.ClassCode = "MMAT";
parti.ParticipantRole.AsPlayingEntity.Code.NullFlavor = "UNK";
parti.ParticipantRole.AsPlayingEntity.Name.Add(pn);
entryRel.AsObservation.Participant.Add(parti);
}
public List <PatientAllergies> FillAllergies(IEntryCollection entryCollection)
{
List <PatientAllergies> alleryies = new List <PatientAllergies>();
foreach (IEntry entryitem in entryCollection)
{
IAct entryact = entryitem.AsAct;
IEntryRelationship entryRelationship = entryact.EntryRelationship[0];
IObservation entryobservation = entryRelationship.AsObservation;
IIVL_TS effectivetime = entryact.EffectiveTime;
IParticipant2 allergyParticipant = entryobservation.Participant[0];
IParticipantRole participantRole = allergyParticipant.ParticipantRole;
IPlayingEntity playingEntity = participantRole.AsPlayingEntity;
ICE code = playingEntity.Code;
IPNCollection name = playingEntity.Name;
string substance = name != null && name.Count() > 0 ? name[0].Text : code.DisplayName;
PatientAllergies ptallergies = new PatientAllergies();
ptallergies.substance = substance;
IEntryRelationship entryRelationshipMFST = entryobservation.EntryRelationship.Where(r => r.TypeCode.ToString() == "MFST").FirstOrDefault();
if (entryRelationshipMFST != null && entryRelationshipMFST.AsObservation.Value != null)
{
IANY Reactionvaluecollection = entryRelationshipMFST.AsObservation.Value.FirstOrDefault();
CD valuesReaction = (CD)Reactionvaluecollection;
ptallergies.reaction = valuesReaction.DisplayName;
}
ptallergies.rxNorm = code.Code;
IEntryRelationship entryRelationshipSUBJ = entryobservation.EntryRelationship.Where(r => r.TypeCode.ToString() == "SUBJ").FirstOrDefault();
if (entryRelationshipSUBJ != null && entryRelationshipSUBJ.AsObservation.Value != null)
{
IANY Statusvaluecollection = entryRelationshipSUBJ.AsObservation.Value.FirstOrDefault();
ICE values = (ICE)Statusvaluecollection;
ptallergies.status = values.DisplayName;
}
if (effectivetime != null && effectivetime.Value != null)
{
ptallergies.allergyDate = effectivetime.AsDateTime.ToString();
}
alleryies.Add(ptallergies);
}
return(alleryies);
}
public void GenerateAllergyEntry(PatientAllergies patientAllergies, III hl7III, Factory hl7factory)
{
IEntry entry = functionalStatus.Section.Entry.Append();
entry.TypeCode = x_ActRelationshipEntry.DRIV;
entry.AsAct.ClassCode = x_ActClassDocumentEntryAct.ACT;
entry.AsAct.MoodCode = x_DocumentActMood.EVN;
hl7III = entry.AsAct.Id.Append();
hl7III.Init("36e3e930-7b14-11db-9fe1-0800200c9a66");
hl7III = entry.AsAct.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.30");
entry.AsAct.Code.Code = "48765-2";
entry.AsAct.Code.CodeSystem = "2.16.840.1.113883.6.1";
entry.AsAct.Code.CodeSystemName = "LOINC";
entry.AsAct.Code.DisplayName = "Allergies, adverse reactions, alerts";
entry.AsAct.StatusCode.Code = Convert.ToString(patientAllergies.status).ToLower();
if (Convert.ToString(patientAllergies.status) == "Active")
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS());
// If Status Active
}
else
{
entry.AsAct.EffectiveTime = new IVL_TS().Init(high: new IVXB_TS());
// If Status is Not Active
}
IEntryRelationship entryRel = entry.AsAct.EntryRelationship.Append();
entryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
entryRel.AsObservation.ClassCode = "OBS";
entryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
III TempId = entryRel.AsObservation.TemplateId.Append();
TempId.Root = "2.16.840.1.113883.10.20.22.4.7";
entryRel.AsObservation.StatusCode.Code = "completed";
hl7III = entryRel.AsObservation.Id.Append();
hl7III.Root = "4adc1020-7b14-11db-9fe1-0800200c9a66";
entryRel.AsObservation.Code.Code = "ASSERTION";
entryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
ICS CS = hl7factory.CreateCS();
CS.Init("completed");
entryRel.AsObservation.EffectiveTime.NullFlavor = "UNK";
// Because Allergy Start Date is Missing.
CD obsValueAsCD = new CD();
CE obsValueAsCE = new CE();
//obsValueAsCD.Code = patientAllergies.AllergyType == "Medication" ? "416098002" : patientAllergies.AllergyType == "Food" ? "414285001" : patientAllergies.AllergyType == "Environmental" ? "419199007" : "420134006";//(patientAllergies.AllergyType == "Medication" ? "416098002" : (patientAllergies.AllergyType == "Food" ? "414285001" : (patientAllergies.AllergyType == "Environmental" ? "426232007" : "106190000")));
//// Allergy Type SNOMED Code(Environmental Alergy:426232007, Food Allergy: 414285001, Medication Allergy: 416098002, Other Allergy: 106190000)
//obsValueAsCD.DisplayName = (patientAllergies.AllergyType == "Medication" ? "Drug allergy" : (patientAllergies.AllergyType == "Food" ? "Food allergy" : (patientAllergies.AllergyType == "Environmental" ? "Environmental allergy" : "Other allergy")));
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.CodeSystemName = "SNOMED CT";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
// "#reaction1" ' Dynamic Value
entryRel.AsObservation.Value.Add(obsValueAsCD);
PN pn = new PN();
pn.Text = patientAllergies.substance;
IParticipant2 parti = hl7factory.CreateParticipant2();
parti.TypeCode = "CSM";
parti.ParticipantRole.ClassCode = "MANU";
parti.ParticipantRole.AsPlayingEntity.ClassCode = "MMAT";
parti.ParticipantRole.AsPlayingEntity.Code.Code = Convert.ToString(patientAllergies.rxNorm);
//"314422" ' Dynamic Value
parti.ParticipantRole.AsPlayingEntity.Code.DisplayName = patientAllergies.substance;
//"ALLERGENIC EXTRACT, PENICILLIN" ' Dynamic Value
parti.ParticipantRole.AsPlayingEntity.Code.CodeSystem = "2.16.840.1.113883.6.88";
parti.ParticipantRole.AsPlayingEntity.Code.CodeSystemName = "RxNorm";
parti.ParticipantRole.AsPlayingEntity.Code.OriginalText.Reference.Value = "";
//"#" & Convert.ToString(dtRow("ReactionID"))
parti.ParticipantRole.AsPlayingEntity.Name.Add(pn);
entryRel.AsObservation.Participant.Add(parti);
///'' Allergy Status Observation '''''''''''
IEntryRelationship obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Root = "2.16.840.1.113883.10.20.22.4.28";
obs_EntryRel.AsObservation.Code.Code = "33999-4";
obs_EntryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.6.1";
obs_EntryRel.AsObservation.Code.CodeSystemName = "LOINC";
obs_EntryRel.AsObservation.Code.DisplayName = "Status";
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obsValueAsCE = new CE();
obsValueAsCE.Code = Convert.ToString(patientAllergies.status) == "Active" ? "55561003" : patientAllergies.status == "Inactive" ? "73425007" : "413322009";
obsValueAsCE.DisplayName = Convert.ToString(patientAllergies.status);
obsValueAsCE.CodeSystem = "2.16.840.1.113883.6.96";
obs_EntryRel.AsObservation.Value.Add(obsValueAsCE);
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
///' Allergy Reaction Observation
if (!string.IsNullOrEmpty(patientAllergies.reaction))
{
obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.MFST;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.9");
hl7III = obs_EntryRel.AsObservation.Id.Append();
hl7III.Init("4adc1020-7b14-11db-9fe1-0800200c9a64");
obs_EntryRel.AsObservation.Code.NullFlavor = "UNK";
//obs_EntryRel.AsObservation.Text.Reference.Value = "#" & Convert.ToString(dtRow("ReactionID")) '"#reaction1"
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obs_EntryRel.AsObservation.EffectiveTime = new IVL_TS().Init(low: new IVXB_TS(), high: new IVXB_TS());
obsValueAsCD = new CD();
if (!string.IsNullOrEmpty(GetSNOMED(patientAllergies.reaction)))
{
obsValueAsCD.Code = GetSNOMED(patientAllergies.reaction);
// Dynamic Value ''
}
obsValueAsCD.DisplayName = patientAllergies.reaction;
//"Hives"
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
obs_EntryRel.AsObservation.Value.Add(obsValueAsCD);
}
///' Allergy Severity Observation
if (!string.IsNullOrEmpty(patientAllergies.reaction))
{
obs_EntryRel = entryRel.AsObservation.EntryRelationship.Append();
obs_EntryRel.TypeCode = x_ActRelationshipEntryRelationship.SUBJ;
obs_EntryRel.InversionInd = true;
obs_EntryRel.InversionIndSpecified = true;
obs_EntryRel.AsObservation.ClassCode = "OBS";
obs_EntryRel.AsObservation.MoodCode = x_ActMoodDocumentObservation.EVN;
hl7III = obs_EntryRel.AsObservation.TemplateId.Append();
hl7III.Init("2.16.840.1.113883.10.20.22.4.8");
obs_EntryRel.AsObservation.Code.Code = "SEV";
obs_EntryRel.AsObservation.Code.DisplayName = "Severity Observation";
obs_EntryRel.AsObservation.Code.CodeSystem = "2.16.840.1.113883.5.4";
obs_EntryRel.AsObservation.Code.CodeSystemName = "ActCode";
//obs_EntryRel.AsObservation.Text.Reference.Value = "#severity1"
obs_EntryRel.AsObservation.StatusCode.Code = "completed";
obsValueAsCD = new CD();
obsValueAsCD.Code = (Convert.ToString(patientAllergies.reaction) == "Mild" ? "255604002" : (Convert.ToString(patientAllergies.reaction) == "Moderate" ? "6736007" : "24484000"));
obsValueAsCD.DisplayName = patientAllergies.reaction;
// Moderate or Mild or severe"
obsValueAsCD.CodeSystem = "2.16.840.1.113883.6.96";
obsValueAsCD.CodeSystemName = "SNOMED CT";
obsValueAsCD.OriginalText.Reference.Value = "#" + Convert.ToString(patientAllergies.allergyId);
obs_EntryRel.AsObservation.Value.Add(obsValueAsCD);
}
}
