private void FillAlerts()
{
RxAlertList = RxAlerts.Refresh(RxDefCur.RxDefNum);
listAlerts.Items.Clear();
for (int i = 0; i < RxAlertList.Count; i++)
{
if (RxAlertList[i].DiseaseDefNum > 0)
{
listAlerts.Items.Add(DiseaseDefs.GetName(RxAlertList[i].DiseaseDefNum));
}
if (RxAlertList[i].AllergyDefNum > 0)
{
AllergyDef allergyDef = AllergyDefs.GetOne(RxAlertList[i].AllergyDefNum);
if (allergyDef != null)
{
listAlerts.Items.Add(allergyDef.Description);
}
}
if (RxAlertList[i].MedicationNum > 0)
{
Medications.RefreshCache();
Medication med = Medications.GetMedication(RxAlertList[i].MedicationNum);
if (med != null)
{
listAlerts.Items.Add(med.MedName);
}
}
}
}
private static bool AllergyComparison(AutomationCondition autoCond, long patNum)
{
List <Allergy> allergyList = Allergies.GetAll(patNum, false);
switch (autoCond.Comparison)
{
case AutoCondComparison.Equals:
for (int i = 0; i < allergyList.Count; i++)
{
if (AllergyDefs.GetOne(allergyList[i].AllergyDefNum).Description == autoCond.CompareString)
{
return(true);
}
}
break;
case AutoCondComparison.Contains:
for (int i = 0; i < allergyList.Count; i++)
{
if (AllergyDefs.GetOne(allergyList[i].AllergyDefNum).Description.ToLower().Contains(autoCond.CompareString.ToLower()))
{
return(true);
}
}
break;
}
return(false);
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col;
col = new ODGridColumn("Reminder Criterion", 200);
gridMain.Columns.Add(col);
col = new ODGridColumn("Message", 200);
gridMain.Columns.Add(col);
listReminders = ReminderRules.SelectAll();
gridMain.Rows.Clear();
ODGridRow row;
for (int i = 0; i < listReminders.Count; i++)
{
row = new ODGridRow();
switch (listReminders[i].ReminderCriterion)
{
case EhrCriterion.Problem:
DiseaseDef def = DiseaseDefs.GetItem(listReminders[i].CriterionFK);
row.Cells.Add("Problem =" + def.ICD9Code + " " + def.DiseaseName);
break;
case EhrCriterion.Medication:
Medication tempMed = Medications.GetMedication(listReminders[i].CriterionFK);
if (tempMed.MedicationNum == tempMed.GenericNum) //handle generic medication names.
{
row.Cells.Add("Medication = " + tempMed.MedName);
}
else
{
row.Cells.Add("Medication = " + tempMed.MedName + " / " + Medications.GetGenericName(tempMed.GenericNum));
}
break;
case EhrCriterion.Allergy:
row.Cells.Add("Allergy = " + AllergyDefs.GetOne(listReminders[i].CriterionFK).Description);
break;
case EhrCriterion.Age:
row.Cells.Add("Age " + listReminders[i].CriterionValue);
break;
case EhrCriterion.Gender:
row.Cells.Add("Gender is " + listReminders[i].CriterionValue);
break;
case EhrCriterion.LabResult:
row.Cells.Add("LabResult " + listReminders[i].CriterionValue);
break;
//case EhrCriterion.ICD9:
// row.Cells.Add("ICD9 "+ICD9s.GetDescription(listReminders[i].CriterionFK));
// break;
}
row.Cells.Add(listReminders[i].Message);
gridMain.Rows.Add(row);
}
gridMain.EndUpdate();
}
private void butAddNew_Click(object sender, EventArgs e)
{
if (gridAllergyImport.SelectedIndices.Length == 0)
{
MsgBox.Show(this, "A row must be selected to add");
return;
}
Allergy al;
AllergyDef alD;
AllergyDef alDR = null;
int skipCount = 0;
bool isValid;
for (int i = 0; i < gridAllergyImport.SelectedIndices.Length; i++)
{
isValid = true;
//Since gridAllergyImport and ListAllergyNew are a 1:1 list we can use the selected index position to get our allergy
al = ListAllergyNew[gridAllergyImport.SelectedIndices[i]];
alD = ListAllergyDefNew[gridAllergyImport.SelectedIndices[i]]; //ListAllergyDefNew is also a 1:1 to gridAllergyImport.
for (int j = 0; j < _listAllergyReconcile.Count; j++)
{
if (_listAllergyReconcile[j].IsNew)
{
alDR = ListAllergyDefNew[ListAllergyNew.IndexOf(_listAllergyReconcile[j])];
}
else
{
alDR = AllergyDefs.GetOne(_listAllergyReconcile[j].AllergyDefNum);
}
if (alDR == null)
{
continue;
}
//if(alDR.SnomedAllergyTo!="" && alDR.SnomedAllergyTo!=null && alDR.SnomedAllergyTo==alD.SnomedAllergyTo) {//TODO: Change to UNII
// isValid=false;
// skipCount++;
// break;
//}
if (alDR.MedicationNum != 0 && alDR.MedicationNum == alD.MedicationNum)
{
isValid = false;
skipCount++;
break;
}
}
if (isValid)
{
_listAllergyReconcile.Add(al);
}
}
if (skipCount > 0)
{
MessageBox.Show(Lan.g(this, " Row(s) skipped because allergy already present in the reconcile list") + ": " + skipCount);
}
FillReconcileGrid();
}
private void FillFK()
{
if (RuleCur.CriterionFK == -1 || RuleCur.CriterionFK == 0)
{
textCriterionFK.Text = "";
return;
}
switch ((EhrCriterion)comboReminderCriterion.SelectedIndex)
{
case EhrCriterion.Problem:
DiseaseDef def = DiseaseDefs.GetItem(RuleCur.CriterionFK);
textCriterionFK.Text = def.DiseaseName;
textICD9.Text = def.ICD9Code;
break;
//case EhrCriterion.ICD9:
// textCriterionFK.Text=ICD9s.GetDescription(RuleCur.CriterionFK);
// break;
case EhrCriterion.Medication:
Medication tempMed = Medications.GetMedication(RuleCur.CriterionFK);
if (tempMed.MedicationNum == tempMed.GenericNum) //handle generic medication names.
{
textCriterionFK.Text = tempMed.MedName;
}
else
{
textCriterionFK.Text = tempMed.MedName + " / " + Medications.GetGenericName(tempMed.GenericNum);
}
break;
case EhrCriterion.Allergy:
textCriterionFK.Text = AllergyDefs.GetOne(RuleCur.CriterionFK).Description;
break;
case EhrCriterion.Age:
case EhrCriterion.Gender:
case EhrCriterion.LabResult:
//The FK boxes won't even be visible.
break;
default: //This should not happen.
break;
}
}
private void FillAlerts()
{
RxAlertList = RxAlerts.Refresh(RxDefCur.RxDefNum);
listAlerts.Items.Clear();
for (int i = 0; i < RxAlertList.Count; i++)
{
if (RxAlertList[i].DiseaseDefNum > 0)
{
listAlerts.Items.Add(DiseaseDefs.GetName(RxAlertList[i].DiseaseDefNum));
}
if (RxAlertList[i].AllergyDefNum > 0)
{
listAlerts.Items.Add(AllergyDefs.GetOne(RxAlertList[i].AllergyDefNum).Description);
}
if (RxAlertList[i].MedicationNum > 0)
{
Medications.Refresh();
listAlerts.Items.Add(Medications.GetMedication(RxAlertList[i].MedicationNum).MedName);
}
}
}
private void FormRxAlertEdit_Load(object sender, EventArgs e)
{
textRxName.Text = RxDefCur.Drug;
if (RxAlertCur.DiseaseDefNum > 0)
{
labelName.Text = Lan.g(this, "If the patient already has this Problem");
textName.Text = DiseaseDefs.GetName(RxAlertCur.DiseaseDefNum);
}
if (RxAlertCur.AllergyDefNum > 0)
{
labelName.Text = Lan.g(this, "If the patient already has this Allergy");
textName.Text = AllergyDefs.GetOne(RxAlertCur.AllergyDefNum).Description;
}
if (RxAlertCur.MedicationNum > 0)
{
labelName.Text = Lan.g(this, "If the patient is already taking this medication");
textName.Text = Medications.GetMedicationFromDb(RxAlertCur.MedicationNum).MedName;
}
textMessage.Text = RxAlertCur.NotificationMsg;
checkIsHighSignificance.Checked = RxAlertCur.IsHighSignificance;
}
private void FillAllergies()
{
allergyList = Allergies.GetAll(PatCur.PatNum, checkShowInactiveAllergies.Checked);
gridAllergies.BeginUpdate();
gridAllergies.Columns.Clear();
ODGridColumn col = new ODGridColumn(Lan.g("TableAllergies", "Allergy"), 100);
gridAllergies.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableAllergies", "Reaction"), 180);
gridAllergies.Columns.Add(col);
col = new ODGridColumn(Lan.g("TableAllergies", "Status"), 60, HorizontalAlignment.Center);
gridAllergies.Columns.Add(col);
gridAllergies.Rows.Clear();
ODGridRow row;
for (int i = 0; i < allergyList.Count; i++)
{
row = new ODGridRow();
AllergyDef allergyDef = AllergyDefs.GetOne(allergyList[i].AllergyDefNum);
row.Cells.Add(allergyDef.Description);
if (allergyList[i].DateAdverseReaction < DateTime.Parse("1-1-1800"))
{
row.Cells.Add(allergyList[i].Reaction);
}
else
{
row.Cells.Add(allergyList[i].Reaction + " " + allergyList[i].DateAdverseReaction.ToShortDateString());
}
if (allergyList[i].StatusIsActive)
{
row.Cells.Add("Active");
}
else
{
row.Cells.Add("Inactive");
}
gridAllergies.Rows.Add(row);
}
gridAllergies.EndUpdate();
}
private void FillFK()
{
if (RuleCur.CriterionFK == -1 || RuleCur.CriterionFK == 0)
{
textCriterionFK.Text = "";
return;
}
switch ((EhrCriterion)comboReminderCriterion.SelectedIndex)
{
case EhrCriterion.Problem:
textCriterionFK.Text = DiseaseDefs.GetName(RuleCur.CriterionFK);
break;
case EhrCriterion.ICD9:
textCriterionFK.Text = ICD9s.GetDescription(RuleCur.CriterionFK);
break;
case EhrCriterion.Medication:
Medication tempMed = Medications.GetMedication(RuleCur.CriterionFK);
if (tempMed.MedicationNum == tempMed.GenericNum) //handle generic medication names.
{
textCriterionFK.Text = tempMed.MedName;
}
else
{
textCriterionFK.Text = tempMed.MedName + " / " + Medications.GetGenericName(tempMed.GenericNum);
}
break;
case EhrCriterion.Allergy:
textCriterionFK.Text = AllergyDefs.GetOne(RuleCur.CriterionFK).Description;
break;
default:
//Nothing should happen here.
break;
}
}
private void FormRxAlertEdit_Load(object sender, EventArgs e)
{
textRxName.Text = RxDefCur.Drug;
if (RxAlertCur.DiseaseDefNum > 0)
{
labelName.Text = Lan.g(this, "If the patient already has this Problem");
textName.Text = DiseaseDefs.GetName(RxAlertCur.DiseaseDefNum);
}
if (RxAlertCur.AllergyDefNum > 0)
{
labelName.Text = Lan.g(this, "If the patient already has this Allergy");
textName.Text = AllergyDefs.GetOne(RxAlertCur.AllergyDefNum).Description;
}
if (RxAlertCur.MedicationNum > 0)
{
labelName.Text = Lan.g(this, "If the patient is already taking this medication");
textName.Text = Medications.GetMedicationFromDb(RxAlertCur.MedicationNum).MedName;
}
if (RxDefCur.RxCui != 0)
{
textRxNorm.Text = RxDefCur.RxCui.ToString() + " - " + RxNorms.GetDescByRxCui(RxDefCur.RxCui.ToString());
}
textMessage.Text = RxAlertCur.NotificationMsg;
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Category", 80);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code", 100);
gridMain.Columns.Add(col);
col = new ODGridColumn("CodeSystem", 120);
gridMain.Columns.Add(col);
//col=new ODGridColumn("Op+Value",80);//Example: >=150
//gridMain.Columns.Add(col);
col = new ODGridColumn("Description", 250); //Also includes values for labloinc and demographics and vitals. Example: ">150, BP Systolic"
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
//EhrTriggerCur.ProblemDefNumList-----------------------------------------------------------------------------------------------------------------------
string[] arrayString = EhrTriggerCur.ProblemDefNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Problem Def");
row.Cells.Add(DiseaseDefs.GetItem(PIn.Long(arrayString[i])).DiseaseName);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemIcd9List---------------------------------------------------------------------------------------------------------------------------
arrayString = EhrTriggerCur.ProblemIcd9List.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("ICD9 CM");
row.Cells.Add(ICD9s.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemIcd10List;
arrayString = EhrTriggerCur.ProblemIcd10List.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("ICD10 CM");
row.Cells.Add(Icd10s.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.ProblemSnomedList;
arrayString = EhrTriggerCur.ProblemSnomedList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Problem");
row.Cells.Add(arrayString[i]);
row.Cells.Add("SNOMED CT");
row.Cells.Add(Snomeds.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.MedicationNumList
arrayString = EhrTriggerCur.MedicationNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Medication Def");
row.Cells.Add(Medications.GetDescription(PIn.Long(arrayString[i])));
gridMain.Rows.Add(row);
}
//EhrTriggerCur.RxCuiList
arrayString = EhrTriggerCur.RxCuiList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("RxCui");
row.Cells.Add(RxNorms.GetByRxCUI(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.CvxList
arrayString = EhrTriggerCur.CvxList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Medication");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Cvx");
row.Cells.Add(Cvxs.GetByCode(arrayString[i]).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.AllergyDefNumList
arrayString = EhrTriggerCur.AllergyDefNumList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
row.Cells.Add("Allergy");
row.Cells.Add(arrayString[i]);
row.Cells.Add("Allergy Def");
row.Cells.Add(AllergyDefs.GetOne(PIn.Long(arrayString[i])).Description);
gridMain.Rows.Add(row);
}
//EhrTriggerCur.DemographicsList
arrayString = EhrTriggerCur.DemographicsList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
string[] arrayStringElements = arrayString[i].Split(new string[] { "," }, StringSplitOptions.RemoveEmptyEntries);
switch (arrayStringElements[0])
{
case "age":
row.Cells.Add("Demographic");
row.Cells.Add("30525-0");
row.Cells.Add("LOINC");
row.Cells.Add("Age" + arrayStringElements[1]); //Example "Age>55"
gridMain.Rows.Add(row);
break;
case "gender":
row.Cells.Add("Demographic");
row.Cells.Add("46098-0");
row.Cells.Add("LOINC");
row.Cells.Add("Gender:" + arrayString[i].Replace("gender,", "")); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
default:
//should never happen
continue; //next trigger
}
}
//EhrTriggerCur.LabLoincList
arrayString = EhrTriggerCur.LabLoincList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
Loinc _loincTemp = Loincs.GetByCode(arrayString[i]); //.Split(new string[] { ";" },StringSplitOptions.None)[0]);
if (_loincTemp == null)
{
continue;
}
row.Cells.Add("Laboratory");
row.Cells.Add(_loincTemp.LoincCode);
row.Cells.Add("LOINC");
row.Cells.Add(_loincTemp.NameShort);
//switch(arrayString[i].Split(new string[] { ";" },StringSplitOptions.RemoveEmptyEntries).Length) {
// case 1://loinc only comparison
// row.Cells.Add(_loincTemp.NameShort);
// break;
// case 2://microbiology or unitless lab.
// Snomed _snomedTemp=Snomeds.GetByCode(arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]);
// row.Cells.Add(_loincTemp.NameShort+", "
// +(_snomedTemp==null?arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]:_snomedTemp.Description));//Example: Bacteria Identified, Campylobacter jenuni
// break;
// case 3://"traditional lab results"
// row.Cells.Add(_loincTemp.NameShort+" "
// +arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[1]+" "//example: >150 or a snomed code if microbiology
// +arrayString[i].Split(new string[] { ";" },StringSplitOptions.None)[2] //example: mg/dL or blank
// );
// break;
// default://should never happen. Will display blank.
// row.Cells.Add("");
// break;
//}
gridMain.Rows.Add(row);
}
//EhrTriggerCur.VitalLoincList
arrayString = EhrTriggerCur.VitalLoincList.Split(new string[] { " " }, StringSplitOptions.RemoveEmptyEntries);
for (int i = 0; i < arrayString.Length; i++)
{
row = new ODGridRow();
string[] arrayStringElements = arrayString[i].Split(new string[] { "," }, StringSplitOptions.RemoveEmptyEntries);
switch (arrayStringElements[0])
{
case "height":
row.Cells.Add("Vitals");
row.Cells.Add("8302-2");
row.Cells.Add("LOINC");
row.Cells.Add("Height" + arrayString[i].Replace("height,", "") + " in."); //Example "Age>55"
gridMain.Rows.Add(row);
break;
case "weight":
row.Cells.Add("Vitals");
row.Cells.Add("29463-7");
row.Cells.Add("LOINC");
row.Cells.Add("Weight:" + arrayString[i].Replace("weight,", "")); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
case "bp???":
row.Cells.Add("Vitals");
row.Cells.Add("???There are two.");
row.Cells.Add("LOINC");
row.Cells.Add("???"); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
case "BMI":
row.Cells.Add("Vitals");
row.Cells.Add("39156-5");
row.Cells.Add("LOINC");
row.Cells.Add("BMI" + arrayString[i].Replace("BMI,", "").Replace("%", "") + "%"); //Example "Gender:Male, Female, Unknown/Undifferentiated"
gridMain.Rows.Add(row);
break;
default:
//should never happen
continue; //next trigger
}
}
//End trigger fields.
gridMain.EndUpdate();
}
private void butOK_Click(object sender, EventArgs e)
{
if (_listAllergyReconcile.Count == 0)
{
if (!MsgBox.Show(this, true, "The reconcile list is empty which will cause all existing allergies to be removed. Continue?"))
{
return;
}
}
Allergy al;
AllergyDef alD;
bool isActive;
//Discontinue any current medications that are not present in the reconcile list.
for (int i = 0; i < _listAllergyCur.Count; i++) //Start looping through all current allergies
{
isActive = false;
al = _listAllergyCur[i];
alD = AllergyDefs.GetOne(al.AllergyDefNum, _listAllergyDefCur);
for (int j = 0; j < _listAllergyReconcile.Count; j++) //Compare each reconcile allergy to the current allergy
{
AllergyDef alDR = AllergyDefs.GetOne(_listAllergyReconcile[j].AllergyDefNum, _listAllergyDefCur);
if (_listAllergyReconcile[j].AllergyDefNum == _listAllergyCur[i].AllergyDefNum) //Has identical AllergyDefNums
{
isActive = true;
break;
}
if (alDR == null)
{
continue;
}
//if(alDR.SnomedAllergyTo!="" && alDR.SnomedAllergyTo==alD.SnomedAllergyTo) {//TODO: Change to UNII
// isActive=true;
// break;
//}
if (alDR.MedicationNum != 0 && alDR.MedicationNum == alD.MedicationNum) //Has a Snomed code and they are equal
{
isActive = true;
break;
}
}
if (!isActive)
{
_listAllergyCur[i].StatusIsActive = isActive;
Allergies.Update(_listAllergyCur[i]);
}
}
//Always update every current allergy for the patient so that DateTStamp reflects the last reconcile date.
if (_listAllergyCur.Count > 0)
{
Allergies.ResetTimeStamps(_patCur.PatNum, true);
}
AllergyDef alDU;
int index;
for (int j = 0; j < _listAllergyReconcile.Count; j++)
{
if (!_listAllergyReconcile[j].IsNew)
{
continue;
}
index = ListAllergyNew.IndexOf(_listAllergyReconcile[j]); //Returns -1 if not found.
if (index < 0)
{
continue;
}
//Insert the AllergyDef and Allergy if needed.
if (ListAllergyDefNew[index].MedicationNum != 0)
{
alDU = AllergyDefs.GetAllergyDefFromMedication(ListAllergyDefNew[index].MedicationNum);
}
else
{
alDU = null; //remove once UNII is implemented
//alDU=AllergyDefs.GetAllergyDefFromCode(ListAllergyDefNew[index].SnomedAllergyTo);//TODO: Change to UNII
}
if (alDU == null) //db is missing the def
{
ListAllergyNew[index].AllergyDefNum = AllergyDefs.Insert(ListAllergyDefNew[index]);
}
else
{
ListAllergyNew[index].AllergyDefNum = alDU.AllergyDefNum; //Set the allergydefnum on the allergy.
}
Allergies.Insert(ListAllergyNew[index]);
}
//TODO: Make an allergy measure event if one is needed for MU3.
//EhrMeasureEvent newMeasureEvent = new EhrMeasureEvent();
//newMeasureEvent.DateTEvent=DateTime.Now;
//newMeasureEvent.EventType=EhrMeasureEventType.AllergyReconcile;
//newMeasureEvent.PatNum=PatCur.PatNum;
//newMeasureEvent.MoreInfo="";
//EhrMeasureEvents.Insert(newMeasureEvent);
for (int inter = 0; inter < _listAllergyReconcile.Count; inter++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).AllergyCDS)
{
AllergyDef alDInter = AllergyDefs.GetOne(_listAllergyReconcile[inter].AllergyDefNum);
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(alDInter, _patCur);
FormCDSI.ShowIfRequired(false);
}
}
DialogResult = DialogResult.OK;
}
private void butAddExist_Click(object sender, EventArgs e)
{
if (gridAllergyExisting.SelectedIndices.Length == 0)
{
MsgBox.Show(this, "A row must be selected to add");
return;
}
Allergy al;
AllergyDef alD;
int skipCount = 0;
bool isValid;
for (int i = 0; i < gridAllergyExisting.SelectedIndices.Length; i++)
{
isValid = true;
//Since gridAllergyExisting and _listAllergyCur are a 1:1 list we can use the selected index position to get our allergy
al = _listAllergyCur[gridAllergyExisting.SelectedIndices[i]];
alD = AllergyDefs.GetOne(al.AllergyDefNum, _listAllergyDefCur);
if (_listAllergyReconcile.Count == 0)
{
_listAllergyReconcile.Add(al);
continue;
}
for (int j = 0; j < _listAllergyReconcile.Count; j++)
{
if (!_listAllergyReconcile[j].IsNew && _listAllergyReconcile[j].AllergyNum == al.AllergyNum) //If not new, then from existing list. Check allergynums
{
isValid = false;
skipCount++;
break;
}
if (_listAllergyReconcile[j].IsNew)
{
//This is an allergy that is coming in from and external source.
AllergyDef alDN = null;
int index = ListAllergyNew.IndexOf(_listAllergyReconcile[j]); //Find the corresponding allergy def by looping through the incoming allergies.
if (index == -1)
{
continue; //This should not happen
}
alDN = ListAllergyDefNew[index]; //Incoming allergy and allergy def lists are 1 to 1 so we can use the same index.
if (alDN != null && alDN.MedicationNum == alD.MedicationNum)
{
isValid = false;
skipCount++;
break;
}
}
if (al.AllergyDefNum == _listAllergyReconcile[j].AllergyDefNum)
{
isValid = false;
skipCount++;
break;
}
if (!isValid)
{
break;
}
}
if (isValid)
{
_listAllergyReconcile.Add(al);
}
}
if (skipCount > 0)
{
MessageBox.Show(Lan.g(this, " Row(s) skipped because allergy already present in the reconcile list") + ": " + skipCount);
}
FillReconcileGrid();
}
private void FillExistingGrid()
{
gridAllergyExisting.BeginUpdate();
gridAllergyExisting.Columns.Clear();
ODGridColumn col = new ODGridColumn("Last Modified", 90, HorizontalAlignment.Center);
gridAllergyExisting.Columns.Add(col);
col = new ODGridColumn("Description", 200);
gridAllergyExisting.Columns.Add(col);
col = new ODGridColumn("Reaction", 100);
gridAllergyExisting.Columns.Add(col);
col = new ODGridColumn("Inactive", 80, HorizontalAlignment.Center);
gridAllergyExisting.Columns.Add(col);
gridAllergyExisting.Rows.Clear();
_listAllergyCur = Allergies.GetAll(_patCur.PatNum, false);
List <long> allergyDefNums = new List <long>();
for (int h = 0; h < _listAllergyCur.Count; h++)
{
if (_listAllergyCur[h].AllergyDefNum > 0)
{
allergyDefNums.Add(_listAllergyCur[h].AllergyDefNum);
}
}
_listAllergyDefCur = AllergyDefs.GetMultAllergyDefs(allergyDefNums);
ODGridRow row;
AllergyDef ald;
for (int i = 0; i < _listAllergyCur.Count; i++)
{
row = new ODGridRow();
ald = new AllergyDef();
ald = AllergyDefs.GetOne(_listAllergyCur[i].AllergyDefNum, _listAllergyDefCur);
row.Cells.Add(_listAllergyCur[i].DateTStamp.ToShortDateString());
if (ald.Description == null)
{
row.Cells.Add("");
}
else
{
row.Cells.Add(ald.Description);
}
if (_listAllergyCur[i].Reaction == null)
{
row.Cells.Add("");
}
else
{
row.Cells.Add(_listAllergyCur[i].Reaction);
}
if (_listAllergyCur[i].StatusIsActive)
{
row.Cells.Add("");
}
else
{
row.Cells.Add("X");
}
gridAllergyExisting.Rows.Add(row);
}
gridAllergyExisting.EndUpdate();
}
///<summary>Returns false if user does not wish to continue after seeing alert.</summary>
public static bool DisplayAlerts(long patNum, long rxDefNum)
{
List <RxAlert> alertList = null;
//if(rxDefNum==0){
// alertList=RxAlerts.RefreshByRxCui(rxCui);//for CPOE
//}
//else{
alertList = RxAlerts.Refresh(rxDefNum); //for Rx
//}
List <Disease> diseases = Diseases.Refresh(patNum);
List <Allergy> allergies = Allergies.Refresh(patNum);
List <MedicationPat> medicationPats = MedicationPats.Refresh(patNum, false); //Exclude discontinued, only active meds.
List <string> diseaseMatches = new List <string>();
List <string> allergiesMatches = new List <string>();
List <string> medicationsMatches = new List <string>();
List <string> customMessages = new List <string>();
bool showHighSigOnly = PrefC.GetBool(PrefName.EhrRxAlertHighSeverity);
for (int i = 0; i < alertList.Count; i++)
{
for (int j = 0; j < diseases.Count; j++)
{
//This does not look for matches with icd9s.
if (alertList[i].DiseaseDefNum == diseases[j].DiseaseDefNum && diseases[j].ProbStatus == 0) //ProbStatus is active.
{
if (alertList[i].NotificationMsg == "")
{
diseaseMatches.Add(DiseaseDefs.GetName(diseases[j].DiseaseDefNum));
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < allergies.Count; j++)
{
if (alertList[i].AllergyDefNum == allergies[j].AllergyDefNum && allergies[j].StatusIsActive)
{
if (alertList[i].NotificationMsg == "")
{
allergiesMatches.Add(AllergyDefs.GetOne(alertList[i].AllergyDefNum).Description);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < medicationPats.Count; j++)
{
bool isMedInteraction = false;
Medication medForAlert = Medications.GetMedication(alertList[i].MedicationNum);
if (medForAlert == null)
{
continue; //MedicationNum will be 0 for all other alerts that are not medication alerts.
}
if (medicationPats[j].MedicationNum != 0 && alertList[i].MedicationNum == medicationPats[j].MedicationNum) //Medication from medication list.
{
isMedInteraction = true;
}
else if (medicationPats[j].MedicationNum == 0 && medForAlert.RxCui != 0 && medicationPats[j].RxCui == medForAlert.RxCui) //Medication from NewCrop. Unfortunately, neither of these RxCuis are required.
{
isMedInteraction = true;
}
if (!isMedInteraction)
{
continue; //No known interaction.
}
//Medication interaction.
if (showHighSigOnly && !alertList[i].IsHighSignificance) //if set to only show high significance alerts and this is not a high significance interaction, do not show alert
{
continue; //Low significance alert.
}
if (alertList[i].NotificationMsg == "")
{
Medications.RefreshCache();
medicationsMatches.Add(Medications.GetMedication(alertList[i].MedicationNum).MedName);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
//these matches do not include ones that have custom messages.
if (diseaseMatches.Count > 0 ||
allergiesMatches.Count > 0 ||
medicationsMatches.Count > 0)
{
string alert = "";
for (int i = 0; i < diseaseMatches.Count; i++)
{
if (i == 0)
{
alert += Lan.g("RxAlertL", "This patient has the following medical problems: ");
}
alert += diseaseMatches[i];
if ((i + 1) == diseaseMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < allergiesMatches.Count; i++)
{
if (i == 0 && diseaseMatches.Count > 0)
{
alert += "and the following allergies: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient has the following allergies: ");
}
alert += allergiesMatches[i];
if ((i + 1) == allergiesMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < medicationsMatches.Count; i++)
{
if (i == 0 && (diseaseMatches.Count > 0 || allergiesMatches.Count > 0))
{
alert += "and is taking the following medications: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient is taking the following medications: ");
}
alert += medicationsMatches[i];
if ((i + 1) == medicationsMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
alert += "\r\n" + Lan.g("RxAlertL", "Continue anyway?");
if (MessageBox.Show(alert, "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
for (int i = 0; i < customMessages.Count; i++)
{
if (MessageBox.Show(customMessages[i] + "\r\n" + Lan.g("RxAlertL", "Continue anyway?"), "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
return(true);
}
///<summary>Returns false if user does not with to continue after seeing alert. If called from FormRxSelect, then rxCui will be 0. If called from CPOE, then rxDefNum will be 0.</summary>
public static bool DisplayAlerts(long patNum, long rxCui, long rxDefNum)
{
List <RxAlert> alertList = null;
if (rxDefNum == 0)
{
alertList = RxAlerts.RefreshByRxCui(rxCui); //for CPOE
}
else
{
alertList = RxAlerts.Refresh(rxDefNum); //for Rx
}
List <Disease> diseases = Diseases.Refresh(patNum);
List <Allergy> allergies = Allergies.Refresh(patNum);
List <Medication> medications = Medications.GetMedicationsByPat(patNum);
List <string> diseaseMatches = new List <string>();
List <string> allergiesMatches = new List <string>();
List <string> medicationsMatches = new List <string>();
List <string> customMessages = new List <string>();
for (int i = 0; i < alertList.Count; i++)
{
for (int j = 0; j < diseases.Count; j++)
{
//This does not look for matches with icd9s.
//The only reason we support diseases anyway is for allergies that may have been entered as diseases.
if (alertList[i].DiseaseDefNum == diseases[j].DiseaseDefNum && diseases[j].ProbStatus == 0) //ProbStatus is active.
{
if (alertList[i].NotificationMsg == "")
{
diseaseMatches.Add(DiseaseDefs.GetName(diseases[j].DiseaseDefNum));
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < allergies.Count; j++)
{
if (alertList[i].AllergyDefNum == allergies[j].AllergyDefNum && allergies[j].StatusIsActive)
{
if (alertList[i].NotificationMsg == "")
{
allergiesMatches.Add(AllergyDefs.GetOne(alertList[i].AllergyDefNum).Description);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
for (int j = 0; j < medications.Count; j++)
{
if (alertList[i].MedicationNum == medications[j].MedicationNum)
{
if (alertList[i].NotificationMsg == "")
{
Medications.Refresh();
medicationsMatches.Add(Medications.GetMedication(alertList[i].MedicationNum).MedName);
}
else
{
customMessages.Add(alertList[i].NotificationMsg);
}
}
}
}
//these matches do not include ones that have custom messages.
if (diseaseMatches.Count > 0 ||
allergiesMatches.Count > 0 ||
medicationsMatches.Count > 0)
{
string alert = "";
for (int i = 0; i < diseaseMatches.Count; i++)
{
if (i == 0)
{
alert += Lan.g("RxAlertL", "This patient has the following medical problems: ");
}
alert += diseaseMatches[i];
if ((i + 1) == diseaseMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < allergiesMatches.Count; i++)
{
if (i == 0 && diseaseMatches.Count > 0)
{
alert += "and the following allergies: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient has the following allergies: ");
}
alert += allergiesMatches[i];
if ((i + 1) == allergiesMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
for (int i = 0; i < medicationsMatches.Count; i++)
{
if (i == 0 && (diseaseMatches.Count > 0 || allergiesMatches.Count > 0))
{
alert += "and is taking the following medications: ";
}
else if (i == 0)
{
alert = Lan.g("RxAlertL", "This patient is taking the following medications: ");
}
alert += medicationsMatches[i];
if ((i + 1) == medicationsMatches.Count)
{
alert += ".\r\n";
}
else
{
alert += ", ";
}
}
alert += "\r\n" + Lan.g("RxAlertL", "Continue anyway?");
if (MessageBox.Show(alert, "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
for (int i = 0; i < customMessages.Count; i++)
{
if (MessageBox.Show(customMessages[i] + "\r\n" + Lan.g("RxAlertL", "Continue anyway?"), "Alert", MessageBoxButtons.OKCancel, MessageBoxIcon.Exclamation) != DialogResult.OK)
{
return(false);
}
}
return(true);
}
