public void AddExaminationToPatient(int patientId, Examination exam, ExaminationType examType, IExaminationType examData, WorkFlow workFlow)
{
var patient = GetPatient(patientId, true);
patient.Examinations.Add(exam);
exam.WorkFlow = workFlow;
_context.SaveChanges();
if (examType == ExaminationType.BloodPressure)
{
BloodPressureData ExanData = examData as BloodPressureData;
_context.BloodPressureData.Add(examData as BloodPressureData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
if (examType == ExaminationType.BloodSpO2)
{
SpOData ExanData = examData as SpOData;
_context.SpOData.Add(examData as SpOData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
if (examType == ExaminationType.BodyTemperature)
{
BodyTemperatureData ExanData = examData as BodyTemperatureData;
ExanData.ExaminationId = exam.Id;
_context.BodyTemperatureData.Add(examData as BodyTemperatureData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
}
/// <summary>
/// Sort and save to DB HL7 incoming Messages.
/// </summary>
/// <param name="request"></param>
void HadleHL7Message(HL7RequestInfo request, string createdFromHl7Message)
{
try
{
// Handle ADT_A01 - incoming patient registration. Also save the raw HL7 Messages. To log and store it.
if (request.Message.ToString().Contains("ADT_A01"))
{
var pateitnToAdd = new Entities.Patient()
{
Archived = true,
Name = ((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.PatientName.GivenName.Value + " " + ((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.PatientName.FamilyName.Value,
Gender = ((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.Sex.Value,
ExternalId = Convert.ToInt32(((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.PatientAccountNumber.ID.Value),
Age = ((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.DateOfBirth.TimeOfAnEvent.Year,
BirthDate = new DateTime(
((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.DateOfBirth.TimeOfAnEvent.Year,
((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.DateOfBirth.TimeOfAnEvent.Month,
((NHapi.Model.V23.Message.ADT_A01)request.Message).PID.DateOfBirth.TimeOfAnEvent.Day),
OriginalHL7Message = createdFromHl7Message,
};
_patientInfoRepository.AddPatient(pateitnToAdd);
_patientInfoRepository.Save();
}
// Handle ORU_R01 - incoming Examination data.
if (request.Message.ToString().Contains("ORU_R01"))
{
int externalID = Convert.ToInt32(((NHapi.Model.V23.Message.ORU_R01)request.Message).GetRESPONSE().PATIENT.PID.PatientAccountNumber.ID.Value);
Patient patient = new Patient();
Examination examToAdd = new Examination();
BloodPressureData newExamData = new BloodPressureData();
SpOData newExaamSPo = new SpOData();
BodyTemperatureData newExamBTD = new BodyTemperatureData();
bool BloodPressureFalg = false;
if (_patientInfoRepository.PatientExistsByExtId(externalID))
{
patient = _patientInfoRepository.GetPatientByExtID(externalID);
}
else
{
// Todo Save Patient.
}
int obsCount = ((NHapi.Model.V23.Message.ORU_R01)request.Message).GetRESPONSE().ORDER_OBSERVATIONRepetitionsUsed;
for (int i = 0; i < obsCount; i++)
{
var orderObservation = ((NHapi.Model.V23.Message.ORU_R01)request.Message).GetRESPONSE().GetORDER_OBSERVATION(i);
int obxCount = ((NHapi.Model.V23.Message.ORU_R01)request.Message).GetRESPONSE().GetORDER_OBSERVATION(i).OBSERVATIONRepetitionsUsed;
for (int j = 0; j < obxCount; j++)
{
NHapi.Model.V23.Segment.OBX obx = orderObservation.GetOBSERVATION(j).OBX;
var obxVaries = orderObservation.GetOBSERVATION(j).OBX.GetObservationValue();
if (obx.ObservationIdentifier.Text.Value == "Body temperature")
{
Examination examToAddBDT = new Examination();
examToAddBDT.Description = String.Empty;
examToAddBDT.Archived = true;
examToAddBDT.PatientId = patient.Id;
examToAddBDT.Value = DateTime.Now.ToString();
examToAddBDT.ExaminationType = "Body temperature";
newExamBTD.TemperatureValue = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
_patientInfoRepository.AddExaminationToPatient(patient.Id, examToAddBDT, ExaminationType.BodyTemperature, newExamBTD, null);
}
if (obx.ObservationIdentifier.Text.Value == "SpO2")
{
Examination examToAddSPO = new Examination();
examToAddSPO.PatientId = patient.Id;
examToAddSPO.Description = String.Empty;
examToAddSPO.Archived = true;
examToAddSPO.Value = DateTime.Now.ToString();
examToAddSPO.ExaminationType = "SpO2";
newExaamSPo.SPOValue = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
_patientInfoRepository.AddExaminationToPatient(patient.Id, examToAddSPO, ExaminationType.BloodSpO2, newExaamSPo, null);
}
if (obx.ObservationIdentifier.Text.Value == "Mean blood pressure")
{
BloodPressureFalg = true;
examToAdd.PatientId = patient.Id;
examToAdd.Description = String.Empty;
examToAdd.Archived = true;
examToAdd.Value = DateTime.Now.ToString();
examToAdd.ExaminationType = "BloodPressure";
newExamData.MeanBloodPressure = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
}
if (obx.ObservationIdentifier.Text.Value == "Pulse rate")
{
BloodPressureFalg = true;
examToAdd.PatientId = patient.Id;
examToAdd.Archived = true;
examToAdd.Description = String.Empty;
examToAdd.Value = DateTime.Now.ToString();
examToAdd.ExaminationType = "BloodPressure";
newExamData.PulseRate = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
}
if (obx.ObservationIdentifier.Text.Value == "Diastolic blood pressure")
{
BloodPressureFalg = true;
examToAdd.PatientId = patient.Id;
examToAdd.Archived = true;
examToAdd.Description = String.Empty;
examToAdd.Value = DateTime.Now.ToString();
examToAdd.ExaminationType = "BloodPressure";
newExamData.DiastolicValue = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
}
if (obx.ObservationIdentifier.Text.Value == "Systolic blood pressure")
{
BloodPressureFalg = true;
examToAdd.PatientId = patient.Id;
examToAdd.Archived = true;
examToAdd.Description = String.Empty;
examToAdd.Value = DateTime.Now.ToString();
examToAdd.ExaminationType = "BloodPressure";
newExamData.SystolicValue = Convert.ToInt32(((NHapi.Base.Model.AbstractPrimitive)obx.GetObservationValue(0).Data).Value);
}
}
if (BloodPressureFalg)
{
_patientInfoRepository.AddExaminationToPatient(patient.Id, examToAdd, ExaminationType.BloodPressure, newExamData, null);
}
}
}
}
catch (Exception ex)
{
_logger.LogInformation("HadleHL7Message error: " + ex.Message);
}
}
public IActionResult CreateExamination(int patientId, [FromBody] ExaminationCreationDTO examinationDTO, int workFlowID)
{
if (examinationDTO == null)
{
return(BadRequest());
}
if (!ModelState.IsValid)
{
return(BadRequest());
}
if (!_patientInfoRepository.PatientExists(patientId))
{
return(NotFound());
}
WorkFlow workFlow = _patientInfoRepository.GetWorkFlow(workFlowID);
if (examinationDTO.Description == "Body temperature")
{
try
{
Examination examToAddBDT = new Examination();
examToAddBDT.Description = String.Empty;
examToAddBDT.Archived = false;
examToAddBDT.PatientId = patientId;
examToAddBDT.Value = DateTime.Now.ToString();
examToAddBDT.ExaminationType = "Body temperature";
BodyTemperatureData newExamBTD = new BodyTemperatureData()
{
TemperatureValue = examinationDTO.TemperatureValue.Value
};
_patientInfoRepository.AddExaminationToPatient(patientId, examToAddBDT, ExaminationType.BodyTemperature, newExamBTD, workFlow);
return(Ok());
}
catch (Exception ex)
{
_logger.LogCritical("CreateExamination() Error: " + ex.Message.ToString());
return(StatusCode(500, "Internal Server Error"));
}
}
if (examinationDTO.Description == "Blood Pressure")
{
try
{
Examination examToAddBDT = new Examination();
examToAddBDT.Description = String.Empty;
examToAddBDT.Archived = false;
examToAddBDT.PatientId = patientId;
examToAddBDT.Value = DateTime.Now.ToString();
examToAddBDT.ExaminationType = "BloodPressure";
BloodPressureData newExamBTD = new BloodPressureData()
{
SystolicValue = examinationDTO.SystolicValue.Value,
DiastolicValue = examinationDTO.DiastolicValue.Value,
PulseRate = examinationDTO.PulseRate.Value,
MeanBloodPressure = examinationDTO.MeanBloodPressure.Value
};
_patientInfoRepository.AddExaminationToPatient(patientId, examToAddBDT, ExaminationType.BloodPressure, newExamBTD, workFlow);
return(Ok());
}
catch (Exception ex)
{
_logger.LogCritical("CreateExamination() Error: " + ex.Message.ToString());
return(StatusCode(500, "Internal Server Error"));
}
}
if (examinationDTO.Description == "SpO2")
{
try
{
Examination examToAddBDT = new Examination();
examToAddBDT.Description = String.Empty;
examToAddBDT.Archived = false;
examToAddBDT.PatientId = patientId;
examToAddBDT.Value = DateTime.Now.ToString();
examToAddBDT.ExaminationType = "SpO2";
SpOData newExamBTD = new SpOData()
{
SPOValue = examinationDTO.SPOValue.Value
};
_patientInfoRepository.AddExaminationToPatient(patientId, examToAddBDT, ExaminationType.BloodSpO2, newExamBTD, workFlow);
return(Ok());
}
catch (Exception ex)
{
_logger.LogCritical("CreateExamination() Error: " + ex.Message.ToString());
return(StatusCode(500, "Internal Server Error"));
}
}
return(NotFound());
}
