/**
* A method that allows us to determine the stage of the breast cancer. Stages are computed based on the rules given by Digital Health Assistant.
*/
internal short DetermineStage(DistantMetastasisState distantMetastasis, PrimaryTumorState primaryTumor, RegionalLymphNodesState regionalLymphNodes)
{
// Stage 4 cancer
if (distantMetastasis == DistantMetastasisState.M1)
{
return(4);
}
// Stage 0 cancer
if (regionalLymphNodes == RegionalLymphNodesState.N0 && primaryTumor == PrimaryTumorState.T0)
{
return(0);
}
// Stage 1 cancer
if ((regionalLymphNodes == RegionalLymphNodesState.N1 && primaryTumor == PrimaryTumorState.T0) ||
(regionalLymphNodes == RegionalLymphNodesState.N1 && primaryTumor == PrimaryTumorState.T1) ||
(regionalLymphNodes == RegionalLymphNodesState.N1 && primaryTumor == PrimaryTumorState.T1))
{
return(1);
}
// Stage 2 cancer
if ((regionalLymphNodes == RegionalLymphNodesState.N1 && primaryTumor == PrimaryTumorState.T1) ||
(regionalLymphNodes == RegionalLymphNodesState.N0 && primaryTumor == PrimaryTumorState.T2) ||
(regionalLymphNodes == RegionalLymphNodesState.N1 && primaryTumor == PrimaryTumorState.T2) ||
(regionalLymphNodes == RegionalLymphNodesState.N0 && primaryTumor == PrimaryTumorState.T3))
{
return(2);
}
// Everything inbetween falls into the Stage 3 category
return(3);
}
public static string TranslateMetastatsisState(DistantMetastasisState state)
{
var distantMetastasisState = "";
if (state == DistantMetastasisState.M0)
{
distantMetastasisState += "M0 no evidence of distant metastases";
}
else if (state == DistantMetastasisState.M1)
{
distantMetastasisState += "M2 distant detectable metastases as determined by clinical and radiographic means";
}
return(distantMetastasisState);
}
public async Task <IActionResult> CreateAsync(string patientId, PrimaryTumorState primaryTumor, DistantMetastasisState distantMetastasis, RegionalLymphNodesState regionalLymphNodes)
{
Patient patient = await _patientService.GetByIdAsync(patientId);
Doctor doctor = await _doctorService.GetByUserIdAsync(_userManager.GetUserId(HttpContext.User));
if (patient.ActiveDiagnoseId != 0)
{
var oldDiagnose = await _diagnoseService.GetByIdAsync(patient.ActiveDiagnoseId);
if (oldDiagnose != null && oldDiagnose.Treatment != null)
{
oldDiagnose.Treatment.End = DateTime.Now;
await _diagnoseService.UpdateAsync();
}
}
Diagnose diagnose = new Diagnose()
{
Patient = patient,
Doctor = doctor,
DistantMetastasis = distantMetastasis,
PrimaryTumor = primaryTumor,
RegionalLymphNodes = regionalLymphNodes,
Stage = _diagnoseService.DetermineStage(distantMetastasis, primaryTumor, regionalLymphNodes)
};
HealthCheck healthCheck = new HealthCheck()
{
Diagnose = diagnose,
Timestamp = DateTime.Now
};
var healthCheckId = await _healthCheckService.CreateAsync(healthCheck);
healthCheck = await _healthCheckService.GetByIdAsync(healthCheckId);
patient.ActiveDiagnoseId = healthCheck.Diagnose.Id;
await _patientService.UpdateAsync();
return(RedirectToAction("", "DoctorDashboard"));
}