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 override async Task <IActionResult> PatchAsync(int id, [FromBody] PatientAllergies patientAllergies) { //var attrToUpdate = _jsonApiContext.AttributesToUpdate; //var patientPastIllnessOld = _dbContextResolver.GetDbSet<PatientPastIllness>().Where(m => m.Id == id).FirstOrDefault(); //CommonMethods commonMethods = new CommonMethods(); ////List<AuditLogs> auditLogs = commonMethods.GetAuditLogValues(patientPastIllnessOld, patientAllergies, "PatientPastIllness", attrToUpdate) //// //.Where(i => attrToUpdate.Keys.Any(a1 => a1.InternalAttributeName == i.PropertyName)) //// .Select(q => new AuditLogs() { NewValue = q.NewValue, OldValue = q.OldValue, PrimaryKeyID = q.PrimaryKeyID, TableName = q.TableName, PropertyName = q.PropertyName }).ToList(); ////await _dbContextResolver.GetDbSet<AuditLogs>().AddRangeAsync(auditLogs); ////return await base.PatchAsync(id, patientAllergies); ////var patientPastIllnessInfo = await base.PatchAsync(id, patientAllergies); //int eventID = _dbContextResolver.GetDbSet<Event>().LastOrDefault().Id + 1; //List<AuditLogs> auditLogs = commonMethods.GetAuditLogValues(patientPastIllnessOld, patientAllergies, "PatientPastIllness", attrToUpdate) // //.Where(i => attrToUpdate.Keys.Any(a1 => a1.InternalAttributeName == i.PropertyName)) // .Select(q => new AuditLogs() { NewValue = q.NewValue, OldValue = q.OldValue, PrimaryKeyID = q.PrimaryKeyID, TableName = q.TableName, PropertyName = q.PropertyName, EventID = eventID }).ToList(); //await _dbContextResolver.GetDbSet<AuditLogs>().AddRangeAsync(auditLogs); return(await base.PatchAsync(id, patientAllergies)); }
/// <summary> /// Get Patient Alleries /// </summary> /// <param name="dataArr"></param> /// <returns></returns> public List <PatientAllergies> GetAllergies(Dictionary <string, ArrayList> dataArr) { List <PatientAllergies> alleryies = new List <PatientAllergies>(); if (dataArr.Count > 0) { for (int i = 0; i < dataArr.Count; i++) { PatientAllergies ptall = new PatientAllergies(); ArrayList itemalleryies = dataArr[i.ToString()]; ptall.substance = itemalleryies[1].ToString(); ptall.reaction = itemalleryies[5].ToString(); ptall.status = itemalleryies[3].ToString(); ptall.allergyDate = itemalleryies[0].ToString(); alleryies.Add(ptall); } } return(alleryies); }
public void Set_Pat_Allergies(string userID,PatientAllergies pAllergyDetails) { bool successFlag = false; SqlConnection sqlCon = new SqlConnection(conStr); objNLog.Info("Function Started with parameter pAllergyDetails"); try { SqlCommand sqlCmd = new SqlCommand("sp_Set_Pat_Allergies", sqlCon); sqlCmd.CommandType = CommandType.StoredProcedure; SqlParameter Pat_ID = sqlCmd.Parameters.Add("@Pat_ID", SqlDbType.Int); Pat_ID.Value = pAllergyDetails.PatID; SqlParameter PI_GroupNo = sqlCmd.Parameters.Add("@AllergicTo", SqlDbType.VarChar, 255); PI_GroupNo.Value = pAllergyDetails.AllergicTo; SqlParameter PI_PolicyID = sqlCmd.Parameters.Add("@AllergyDesc", SqlDbType.VarChar, 255); PI_PolicyID.Value = pAllergyDetails.AllergyDescription; sqlCon.Open(); sqlCmd.ExecuteNonQuery(); objNLog.Info("Allergy Info Added Successfully..."); objNLog.Info("<sp_Set_Pat_Allergies>Stored Procedure Executed Successfully..."); successFlag = true; objUALog.LogUserActivity(conStr, userID, "Added New Allergy Info. for the Patient(PatID)=" + pAllergyDetails.PatID, "Patient_Allergies", pAllergyDetails.PatID); } catch (SqlException SqlEx) { objNLog.Error("SQLException : " + SqlEx.Message); throw new Exception("Exception re-Raised from DL with SQLError# " + SqlEx.Number + " while Adding Allergy.", SqlEx); } catch (Exception ex) { objNLog.Error("Exception : " + ex.Message); throw new Exception("**Error occured while Adding Allergy.", ex); } finally { sqlCon.Close(); objNLog.Info("Finally Block: " + successFlag); } objNLog.Info("Status: " + successFlag); objNLog.Info("Function Terminated..."); }
protected void btnSaveAllergy_Click(object sender, EventArgs e) { objNLog.Info("Save Allergry Click Event Started"); try { string userID = (string)Session["User"]; PatientAllergies pAllergyDetails = new PatientAllergies(); pAllergyDetails.PatID = Int32.Parse(hidPatID.Value.ToString()); pAllergyDetails.AllergicTo = txtAllergyTo.Text; pAllergyDetails.AllergyDescription = txtAllergyDesc.Text; objPat_Info.Set_Pat_Allergies(userID,pAllergyDetails); FillgridPatAllergies(); } catch (Exception ex) { objNLog.Error("Exception : " + ex.Message); } objNLog.Error("Function Terminated..."); }
public override async Task <IActionResult> PostAsync([FromBody] PatientAllergies patientInfo) { var Token = HttpContext.Request.Headers.Skip(7).FirstOrDefault().Value; // return(await base.PostAsync(patientInfo)); }
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); } }
public string Update_Patient(PatientName Pat_Name, PatientPersonalDetails Pat_Per_Details, PatientAddress Pat_Add, PatientInsuranceDetails Pat_Ins_Details, PatientAllergies Pat_Allergies, FacilityInfo Fac_Info, PharmacyInfo Phrm_Info,ProviderInfo Prov_Info) { SqlConnection sqlCon = new SqlConnection(ConStr); SqlCommand sqlCmd = new SqlCommand("sp_update_Patient", sqlCon); sqlCmd.CommandType = CommandType.StoredProcedure; SqlParameter P_ID = sqlCmd.Parameters.Add("@Pat_ID", SqlDbType.Int); P_ID.Value = Pat_Name.Pat_ID; SqlParameter P_MName = sqlCmd.Parameters.Add("@Pat_MName", SqlDbType.VarChar, 50); if (Pat_Name.MiddleName != null) P_MName.Value = Pat_Name.MiddleName; else P_MName.Value = Convert.DBNull; SqlParameter P_Gender = sqlCmd.Parameters.Add("@Pat_Gender", SqlDbType.Char, 1); if (Pat_Per_Details.Gender != null) P_Gender.Value = Pat_Per_Details.Gender; else P_Gender.Value = Convert.DBNull; SqlParameter P_DOB = sqlCmd.Parameters.Add("@Pat_DOB", SqlDbType.DateTime); if (Pat_Per_Details.DOB != null) P_DOB.Value = DateTime.Parse(Pat_Per_Details.DOB); else { Nullable<DateTime> NullDate = null; P_DOB.Value = NullDate; } SqlParameter P_SSN = sqlCmd.Parameters.Add("@Pat_SSN", SqlDbType.VarChar, 50); if (Pat_Per_Details.SSN != null) P_SSN.Value = Pat_Per_Details.SSN; else P_SSN.Value = Convert.DBNull; SqlParameter P_Address1 = sqlCmd.Parameters.Add("@Pat_Address1", SqlDbType.VarChar, 50); if (Pat_Add.Address1 != null) P_Address1.Value = Pat_Add.Address1; else P_Address1.Value = Convert.DBNull; SqlParameter P_Address2 = sqlCmd.Parameters.Add("@Pat_Address2", SqlDbType.VarChar, 50); if (Pat_Add.Address2 != null) P_Address2.Value = Pat_Add.Address2; else P_Address2.Value = Convert.DBNull; SqlParameter P_City = sqlCmd.Parameters.Add("@Pat_City", SqlDbType.VarChar, 50); if (Pat_Add.City != null) P_City.Value = Pat_Add.City; else P_City.Value = Convert.DBNull; SqlParameter P_State = sqlCmd.Parameters.Add("@Pat_State", SqlDbType.VarChar, 50); if (Pat_Add.State != null) P_State.Value = Pat_Add.State; else P_State.Value = Convert.DBNull; SqlParameter P_ZIP = sqlCmd.Parameters.Add("@Pat_Zip", SqlDbType.VarChar, 50); if (Pat_Add.Zip != null) P_ZIP.Value = Pat_Add.Zip; else P_ZIP.Value = Convert.DBNull; SqlParameter P_PDoc = sqlCmd.Parameters.Add("@Pat_PDoc", SqlDbType.VarChar, 50); if (Pat_Per_Details.Pat_Pre_Doc != null) P_PDoc.Value = Pat_Per_Details.Pat_Pre_Doc; else P_PDoc.Value = Convert.DBNull; SqlParameter P_MRN = sqlCmd.Parameters.Add("@Pat_MRN", SqlDbType.VarChar, 15); if (Pat_Per_Details.MRN != null) P_MRN.Value = Pat_Per_Details.MRN; else P_MRN.Value = Convert.DBNull; SqlParameter Fac_ID = sqlCmd.Parameters.Add("@Fac_ID", SqlDbType.Int); if (Fac_Info.FacilityNO != null) Fac_ID.Value = Fac_Info.FacilityNO; else Fac_ID.Value = Convert.DBNull; SqlParameter Phrm_ID = sqlCmd.Parameters.Add("@Phrm_ID", SqlDbType.Int); if (Phrm_Info.PhrmID != null) Phrm_ID.Value = Phrm_Info.PhrmID; else Phrm_ID.Value = Convert.DBNull; //SqlParameter PI_InsName = sqlCmd.Parameters.Add("@Ins_Name", SqlDbType.VarChar, 50); //if (Pat_Ins_Details.InsuranceName != null) // PI_InsName.Value = Pat_Ins_Details.InsuranceName; //else // PI_InsName.Value = Convert.DBNull; int InsID = getInsuranceID(Pat_Ins_Details); Pat_Ins_Details.InsuranceID = InsID; SqlParameter Ins_ID = sqlCmd.Parameters.Add("@Ins_ID", SqlDbType.Int); if (Pat_Ins_Details.InsuranceID.ToString() != "0") Ins_ID.Value = Pat_Ins_Details.InsuranceID; else Ins_ID.Value = Convert.DBNull; SqlParameter PI_No = sqlCmd.Parameters.Add("@PI_Number", SqlDbType.Int); if (Pat_Ins_Details.PI_PolicyNo.ToString() != "0") PI_No.Value = Pat_Ins_Details.PI_PolicyNo; else PI_No.Value = Convert.DBNull; SqlParameter PI_PolicyID = sqlCmd.Parameters.Add("@PI_PolicyID", SqlDbType.Int); if (Pat_Ins_Details.PI_PolicyID.ToString() != "0") PI_PolicyID.Value = Pat_Ins_Details.PI_PolicyID; else PI_PolicyID.Value = Convert.DBNull; SqlParameter PI_GroupNo = sqlCmd.Parameters.Add("@PI_GroupNo", SqlDbType.Int); if (Pat_Ins_Details.PI_GroupNo.ToString() != "0") PI_GroupNo.Value = Pat_Ins_Details.PI_GroupNo; else PI_GroupNo.Value = Convert.DBNull; SqlParameter PI_BINNo = sqlCmd.Parameters.Add("@PI_BINNo", SqlDbType.Int); if (Pat_Ins_Details.PI_BINNo.ToString() != "0") PI_BINNo.Value = Pat_Ins_Details.PI_BINNo; else PI_BINNo.Value = Convert.DBNull; SqlParameter PI_InsdName = sqlCmd.Parameters.Add("@PI_InsdName", SqlDbType.VarChar, 50); if (Pat_Ins_Details.InsuredName != null) PI_InsdName.Value = Pat_Ins_Details.InsuredName; else PI_InsdName.Value = Convert.DBNull; SqlParameter PI_InsdDOB = sqlCmd.Parameters.Add("@PI_InsdDOB", SqlDbType.DateTime); if (Pat_Ins_Details.InsuredDOB != null) PI_InsdDOB.Value = DateTime.Parse( Pat_Ins_Details.InsuredDOB); else { Nullable<DateTime> NullDate = null; PI_InsdDOB.Value = NullDate; } SqlParameter PI_InsdSSN = sqlCmd.Parameters.Add("@PI_InsdSSN", SqlDbType.VarChar, 50); if (Pat_Ins_Details.InsuredSSN != null) PI_InsdSSN.Value = Pat_Ins_Details.InsuredSSN; else PI_InsdSSN.Value = Convert.DBNull; SqlParameter PI_InsdRel = sqlCmd.Parameters.Add("@PI_InsdRel", SqlDbType.VarChar, 50); if (Pat_Ins_Details.InsuredRelation != null) PI_InsdRel.Value = Pat_Ins_Details.InsuredRelation; else PI_InsdRel.Value = Convert.DBNull; SqlParameter PA_Desc = sqlCmd.Parameters.Add("@PA_Desc", SqlDbType.VarChar, 200); if (Pat_Allergies.AllergyDescription != null) PA_Desc.Value = Pat_Allergies.AllergyDescription; else PA_Desc.Value = Convert.DBNull; try { sqlCon.Open(); sqlCmd.ExecuteNonQuery(); } catch (Exception ex) { return ex.ToString(); } finally { sqlCon.Close(); } return "Updated Patient Information Successfully"; }