public Patient()
{
_patientId = -1;
_patientInfo = new PatientInformation();
_monitoring = new List<Monitoring>();
_bloodwork = new Bloodwork();
_clinicalFindings = new ClinicalFindings();
_anestheticPlan = new AnestheticPlan();
_maintenance = new Maintenance();
}
public void SaveClinicalFindings(ClinicalFindings clinicalFindings)
{
if (service.UpdateClinicalFinding(clinicalFindings) == 0)
{
service.CreateClinicalFinding(clinicalFindings);
}
if (clinicalFindings.PriorAnesthesia.DateOfProblem != DateTime.MinValue || clinicalFindings.PriorAnesthesia.Problem != null)
{
clinicalFindings.PriorAnesthesia.PatientId = clinicalFindings.PatientId;
SavePriorAnesthesia(clinicalFindings.PriorAnesthesia);
}
if (clinicalFindings.AnesthesiaConcerns.Count > 0)
{
service.DeleteAnesthesiaConcern(clinicalFindings.PatientId);
SaveAnesthesiaConcerns(clinicalFindings.AnesthesiaConcerns, clinicalFindings.PatientId);
}
}
public void CreateClinicalFinding(ClinicalFindings cFind)
{
using (SqlConnection conn = new SqlConnection(connString))
{
string sql = @"INSERT INTO dbo.Clinical_Findings (
PatientId, Temperature, PulseRate, RespiratoryRate, CardiacAuscultationId, PulseQualityId, MucousMembraneColorId,
CapillaryRefillTimeId, RespiratoryAuscultationId, PhysicalStatusClassId, ReasonForClassification, CurrentMedications,
OtherAnestheticConcerns
) VALUES (
@PatientId, @Temperature, @PulseRate, @RespiratoryRate, @CardiacAuscultationId, @PulseQualityId, @MucousMembraneColorId,
@CapillaryRefillTimeId, @RespiratoryAuscultationId, @PhysicalStatusClassId, @ReasonForClassification, @CurrentMedications,
@OtherAnestheticConcerns
)";
SqlCommand cmd = new SqlCommand(sql, conn);
cmd.Parameters.Add("@PatientId", SqlDbType.Int).Value = cFind.PatientId;
if (cFind.Temperature == 0.0M)
cmd.Parameters.Add("@Temperature", SqlDbType.Decimal).Value = DBNull.Value;
else
cmd.Parameters.Add("@Temperature", SqlDbType.Decimal).Value = cFind.Temperature;
if (cFind.PulseRate == 0.0M)
cmd.Parameters.Add("@PulseRate", SqlDbType.Decimal).Value = DBNull.Value;
else
cmd.Parameters.Add("@PulseRate", SqlDbType.Decimal).Value = cFind.PulseRate;
if (cFind.RespiratoryRate == 0.0M)
cmd.Parameters.Add("@RespiratoryRate", SqlDbType.Decimal).Value = DBNull.Value;
else
cmd.Parameters.Add("@RespiratoryRate", SqlDbType.Decimal).Value = cFind.RespiratoryRate;
if (cFind.CardiacAuscultation.Id == -1)
cmd.Parameters.Add("@CardiacAuscultationId", SqlDbType.Int).Value = DBNull.Value;
else
cmd.Parameters.Add("@CardiacAuscultationId", SqlDbType.Int).Value = cFind.CardiacAuscultation.Id;
if (cFind.PulseQuality.Id == -1)
cmd.Parameters.Add("@PulseQualityId", SqlDbType.Int).Value = DBNull.Value;
else
cmd.Parameters.Add("@PulseQualityId", SqlDbType.Int).Value = cFind.PulseQuality.Id;
if (cFind.MucousMembraneColor.Id == -1)
cmd.Parameters.Add("@MucousMembraneColorId", SqlDbType.NVarChar).Value = DBNull.Value;
else
cmd.Parameters.Add("@MucousMembraneColorId", SqlDbType.NVarChar).Value = cFind.MucousMembraneColor.Id;
if (cFind.CapillaryRefillTime.Id == -1)
cmd.Parameters.Add("@CapillaryRefillTimeId", SqlDbType.Int).Value = DBNull.Value;
else
cmd.Parameters.Add("@CapillaryRefillTimeId", SqlDbType.Int).Value = cFind.CapillaryRefillTime.Id;
if (cFind.RespiratoryAuscultation.Id == -1)
cmd.Parameters.Add("@RespiratoryAuscultationId", SqlDbType.Int).Value = DBNull.Value;
else
cmd.Parameters.Add("@RespiratoryAuscultationId", SqlDbType.Int).Value = cFind.RespiratoryAuscultation.Id;
if (cFind.PhysicalStatusClassification.Id == -1)
cmd.Parameters.Add("@PhysicalStatusClassId", SqlDbType.Int).Value = DBNull.Value;
else
cmd.Parameters.Add("@PhysicalStatusClassId", SqlDbType.Int).Value = cFind.PhysicalStatusClassification.Id;
if (cFind.ReasonForClassification == null)
cmd.Parameters.Add("@ReasonForClassification", SqlDbType.NVarChar).Value = DBNull.Value;
else
cmd.Parameters.Add("@ReasonForClassification", SqlDbType.NVarChar).Value = cFind.ReasonForClassification;
if (cFind.CurrentMedications == null)
cmd.Parameters.Add("@CurrentMedications", SqlDbType.NVarChar).Value = DBNull.Value;
else
cmd.Parameters.Add("@CurrentMedications", SqlDbType.NVarChar).Value = cFind.CurrentMedications;
if (cFind.OtherAnestheticConcerns == null)
cmd.Parameters.Add("@OtherAnestheticConcerns", SqlDbType.NVarChar).Value = DBNull.Value;
else
cmd.Parameters.Add("@OtherAnestheticConcerns", SqlDbType.NVarChar).Value = cFind.OtherAnestheticConcerns;
try
{
conn.Open();
cmd.ExecuteNonQuery();
}
catch (Exception e)
{
throw e;
}
finally
{
conn.Close();
}
}
}
public ClinicalFindings GetClinicalFindings(int patientId, params ClinicalFindings.LazyComponents[] lazyComponents)
{
ClinicalFindings clinincalFindings = new ClinicalFindings();
using (SqlConnection conn = new SqlConnection(connString))
{
string sql = BuildClinicalFindingsSQL();
string from = @"FROM dbo.Clinical_Findings AS a";
string where = @" WHERE a.PatientId = @PatientId ";
foreach (ClinicalFindings.LazyComponents a in lazyComponents)
{
if (a == ClinicalFindings.LazyComponents.LOAD_CARDIAC_WITH_DETAILS)
{
sql += @", b.CategoryId as 'b.CategoryId', b.Label as 'b.Label', b.OtherFlag as 'b.OtherFlag', b.Description as 'b.Description',
b.Concentration as 'b.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as b ON a.CardiacAuscultationId = b.Id ";
}
else if (a == ClinicalFindings.LazyComponents.LOAD_PHYSICAL_STATUS_WITH_DETAILS)
{
sql += @", c.CategoryId as 'c.CategoryId', c.Label as 'c.Label', c.OtherFlag as 'c.OtherFlag', c.Description as 'c.Description',
c.Concentration as 'c.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as c ON a.PhysicalStatusClassId = c.Id ";
}
else if (a == ClinicalFindings.LazyComponents.LOAD_PULSE_QUALITY_WITH_DETAILS)
{
sql += @", d.CategoryId as 'd.CategoryId', d.Label as 'd.Label', d.OtherFlag as 'd.OtherFlag', d.Description as 'd.Description',
d.Concentration as 'd.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as d ON a.PulseQualityId = d.Id ";
}
else if (a == ClinicalFindings.LazyComponents.LOAD_RESPIRATORY_AUSCULTATION_WITH_DETAILS)
{
sql += @", e.CategoryId as 'e.CategoryId', e.Label as 'e.Label', e.OtherFlag as 'e.OtherFlag', e.Description as 'e.Description',
e.Concentration as 'e.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as e ON a.RespiratoryAuscultationId = e.Id ";
}
else if (a == ClinicalFindings.LazyComponents.LOAD_MUCOUS_MEMBRANE_WITH_DETAILS)
{
sql += @", f.CategoryId as 'f.CategoryId', f.Label as 'f.Label', f.OtherFlag as 'f.OtherFlag', f.Description as 'f.Description',
f.Concentration as 'f.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as f ON a.MucousMembraneColorId = f.Id ";
}
else if (a == ClinicalFindings.LazyComponents.LOAD_CAP_REFILL_WITH_DETAILS)
{
sql += @", g.CategoryId as 'g.CategoryId', g.Label as 'g.Label', g.OtherFlag as 'g.OtherFlag', g.Description as 'g.Description',
g.Concentration as 'g.Concentration' ";
from += @" LEFT OUTER JOIN dbo.Dropdown_Types as g ON a.CapillaryRefillTimeId = g.Id ";
}
}
sql = sql + from + where;
SqlCommand cmd = new SqlCommand(sql, conn);
cmd.Parameters.Add("@PatientId", SqlDbType.Int).Value = patientId;
try
{
conn.Open();
SqlDataReader read = cmd.ExecuteReader();
while (read.Read())
{
clinincalFindings = new ClinicalFindingsCallback().ProcessRow(read, lazyComponents);
}
}
catch (Exception e)
{
throw e;
}
finally
{
conn.Close();
}
}
return clinincalFindings;
}
