private void FillForm()
{
textMedName.Text = MedicationCur.MedName;
if (!IsNew)
{
textMedName.ReadOnly = true;
}
if (MedicationCur.MedicationNum == MedicationCur.GenericNum)
{
textGenericName.Text = MedicationCur.MedName;
textNotes.Text = MedicationCur.Notes;
textNotes.ReadOnly = false;
Brands = Medications.GetBrands(MedicationCur.MedicationNum);
comboBrands.Items.Clear();
comboBrands.Items.AddRange(Brands);
if (Brands.Length > 0)
{
comboBrands.SelectedIndex = 0;
}
}
else
{
textGenericName.Text = Medications.GetMedication(MedicationCur.GenericNum).MedName;
textNotes.Text = Medications.GetMedication(MedicationCur.GenericNum).Notes;
textNotes.ReadOnly = true;
Brands = new string[0];
comboBrands.Visible = false;
labelBrands.Visible = false;
}
_patNameMeds = Medications.GetPatNamesForMed(MedicationCur.MedicationNum);
comboPatients.Items.Clear();
comboPatients.Items.AddRange(_patNameMeds);
if (_patNameMeds.Length > 0)
{
comboPatients.SelectedIndex = 0;
}
AllergyDef alD = AllergyDefs.GetAllergyDefFromMedication(MedicationCur.MedicationNum);
if (alD != null)
{
_patNameAllergies = Allergies.GetPatNamesForAllergy(alD.AllergyDefNum);
comboPatientAllergy.Items.Clear();
comboPatientAllergy.Items.AddRange(_patNameAllergies);
if (_patNameAllergies.Length > 0)
{
comboPatientAllergy.SelectedIndex = 0;
}
}
if (CultureInfo.CurrentCulture.Name.EndsWith("US")) //United States
{
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationCur.RxCui.ToString());
}
else
{
labelRxNorm.Visible = false;
textRxNormDesc.Visible = false;
butRxNormSelect.Visible = false;
}
}
private void butIntervention_Click(object sender, EventArgs e)
{
if (comboInterventionCode.SelectedIndex < 0)
{
MsgBox.Show(this, "You must select an intervention code.");
return;
}
EhrCode iCodeCur = _listInterventionCodes[comboInterventionCode.SelectedIndex];
DateTime dateCur = PIn.Date(textDateIntervention.Text);
if (iCodeCur.CodeSystem == "RXNORM" && !checkPatientDeclined.Checked) //if patient declines the medication, enter as a declined intervention
//codeVal will be RxCui of medication, see if it already exists in Medication table
{
Medication medCur = Medications.GetMedicationFromDbByRxCui(PIn.Long(iCodeCur.CodeValue));
if (medCur == null) //no med with this RxCui, create one
{
medCur = new Medication();
Medications.Insert(medCur); //so that we will have the primary key
medCur.GenericNum = medCur.MedicationNum;
medCur.RxCui = PIn.Long(iCodeCur.CodeValue);
medCur.MedName = RxNorms.GetDescByRxCui(iCodeCur.CodeValue);
Medications.Update(medCur);
Medications.RefreshCache(); //refresh cache to include new medication
}
MedicationPat medPatCur = new MedicationPat();
medPatCur.PatNum = PatCur.PatNum;
medPatCur.ProvNum = PatCur.PriProv;
medPatCur.MedicationNum = medCur.MedicationNum;
medPatCur.RxCui = medCur.RxCui;
medPatCur.DateStart = dateCur;
FormMedPat FormMP = new FormMedPat();
FormMP.MedicationPatCur = medPatCur;
FormMP.IsNew = true;
FormMP.ShowDialog();
if (FormMP.DialogResult != DialogResult.OK)
{
return;
}
if (FormMP.MedicationPatCur.DateStart.Date < dateCur.AddMonths(-6).Date || FormMP.MedicationPatCur.DateStart.Date > dateCur.Date)
{
MsgBox.Show(this, "The medication order just entered is not within the 6 months prior to the date of this intervention. You can modify the "
+ "date of the medication order in the patient's medical history section.");
}
}
else
{
Intervention iCur = new Intervention();
iCur.PatNum = PatCur.PatNum;
iCur.ProvNum = PatCur.PriProv;
iCur.DateEntry = dateCur;
iCur.CodeValue = iCodeCur.CodeValue;
iCur.CodeSystem = iCodeCur.CodeSystem;
iCur.CodeSet = InterventionCodeSet.TobaccoCessation;
iCur.IsPatDeclined = checkPatientDeclined.Checked;
Interventions.Insert(iCur);
}
comboInterventionCode.SelectedIndex = -1;
FillGridInterventions();
}
private void FillRxCui()
{
if (RxDefCur.RxCui == 0)
{
textRxCui.Text = "";
}
else
{
textRxCui.Text = RxDefCur.RxCui.ToString() + " - " + RxNorms.GetDescByRxCui(RxDefCur.RxCui.ToString());
}
}
private void butRxNorm_Click(object sender, EventArgs e)
{
FormRxNorms FormRN = new FormRxNorms();
FormRN.ShowDialog();
if (FormRN.DialogResult != DialogResult.OK)
{
return;
}
MedicationCur.RxCui = PIn.Long(FormRN.SelectedRxNorm.RxCui);
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationCur.RxCui.ToString());
if (IsNew)
{
textMedName.Text = RxNorms.GetDescByRxCui(MedicationCur.RxCui.ToString());
}
}
private void butEdit_Click(object sender, System.EventArgs e)
{
Medications.Refresh();
FormMedicationEdit FormME = new FormMedicationEdit();
FormME.MedicationCur = Medications.GetMedication(MedicationPatCur.MedicationNum); //The edit button is not visible if MedicationNum=0.
FormME.ShowDialog();
if (FormME.DialogResult != DialogResult.OK)
{
return;
}
MedicationPatCur.RxCui = FormME.MedicationCur.RxCui;
textMedName.Text = Medications.GetMedication(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textGenericName.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textMedNote.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).Notes; //The edit button is not visible if MedicationNum=0.
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
}
private void FillRxCui()
{
if (!CultureInfo.CurrentCulture.Name.EndsWith("US")) //Not United States
{
labelRxNorm.Visible = false;
textRxCui.Visible = false;
butRxNormSelect.Visible = false;
return;
}
if (RxDefCur.RxCui == 0)
{
textRxCui.Text = "";
}
else
{
textRxCui.Text = RxDefCur.RxCui.ToString() + " - " + RxNorms.GetDescByRxCui(RxDefCur.RxCui.ToString());
}
}
//New Crop now handles formulary checks
/*private void butFormulary_Click(object sender,EventArgs e) {
* FormFormularies FormF=new FormFormularies();
* FormF.IsSelectionMode=true;
* FormF.ShowDialog();
* Cursor=Cursors.WaitCursor;
* if(FormF.DialogResult!=DialogResult.OK) {
* Cursor=Cursors.Default;
* return;
* }
* List<FormularyMed> ListMeds=FormularyMeds.GetMedsForFormulary(FormF.SelectedFormularyNum);
* bool medIsInFormulary=false;
* for(int i=0;i<ListMeds.Count;i++) {
* if(ListMeds[i].MedicationNum==MedicationPatCur.MedicationNum) {
* medIsInFormulary=true;
* }
* }
* Cursor=Cursors.Default;
* if(medIsInFormulary){
* MsgBox.Show(this,"This medication is in the selected formulary.");
* }
* else {
* MsgBox.Show(this,"This medication is not in the selected forumulary.");
* }
* }*/
private void butRxNormSelect_Click(object sender, EventArgs e)
{
FormRxNorms FormRN = new FormRxNorms();
FormRN.IsSelectionMode = true;
FormRN.InitSearchCodeOrDescript = textMedName.Text;
FormRN.ShowDialog();
if (FormRN.DialogResult != DialogResult.OK)
{
return;
}
MedicationPatCur.RxCui = PIn.Long(FormRN.SelectedRxNorm.RxCui);
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
if (IsNew)
{
textMedName.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
}
}
private void butEdit_Click(object sender, System.EventArgs e)
{
Medications.RefreshCache();
FormMedicationEdit FormME = new FormMedicationEdit();
Medication med = Medications.GetMedication(MedicationPatCur.MedicationNum); //The edit button is not visible if MedicationNum=0.
if (med == null) //Possible to delete the medication from a separate WS while medication loaded in memory.
{
MsgBox.Show(this, "An error occurred loading medication.");
return;
}
FormME.ShowDialog();
if (FormME.DialogResult != DialogResult.OK)
{
return;
}
MedicationPatCur.RxCui = FormME.MedicationCur.RxCui;
textMedName.Text = Medications.GetMedication(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textGenericName.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).MedName; //The edit button is not visible if MedicationNum=0.
textMedNote.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).Notes; //The edit button is not visible if MedicationNum=0.
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
}
private void FillForm()
{
textMedName.Text = MedicationCur.MedName;
if (!IsNew)
{
textMedName.ReadOnly = true;
}
if (MedicationCur.MedicationNum == MedicationCur.GenericNum)
{
textGenericName.Text = MedicationCur.MedName;
textNotes.Text = MedicationCur.Notes;
textNotes.ReadOnly = false;
Brands = Medications.GetBrands(MedicationCur.MedicationNum);
comboBrands.Items.Clear();
comboBrands.Items.AddRange(Brands);
if (Brands.Length > 0)
{
comboBrands.SelectedIndex = 0;
}
}
else
{
textGenericName.Text = Medications.GetMedication(MedicationCur.GenericNum).MedName;
textNotes.Text = Medications.GetMedication(MedicationCur.GenericNum).Notes;
textNotes.ReadOnly = true;
Brands = new string[0];
comboBrands.Visible = false;
labelBrands.Visible = false;
}
PatNames = Medications.GetPats(MedicationCur.MedicationNum);
comboPatients.Items.Clear();
comboPatients.Items.AddRange(PatNames);
if (PatNames.Length > 0)
{
comboPatients.SelectedIndex = 0;
}
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationCur.RxCui.ToString());
}
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 FillForm()
{
textMedName.Text = MedicationCur.MedName;
if (!IsNew)
{
textMedName.ReadOnly = true;
}
if (MedicationCur.GenericNum == 0)
{
//Probably occurred from a previous bug. This makes sure we have a generic num that is not 0.
MedicationCur.GenericNum = MedicationCur.MedicationNum;
MsgBox.Show(this, "This medication had a missing generic name. The generic name has been set to the medication name.");
}
if (MedicationCur.MedicationNum == MedicationCur.GenericNum)
{
textGenericName.Text = MedicationCur.MedName;
textNotes.Text = MedicationCur.Notes;
textNotes.ReadOnly = false;
Brands = Medications.GetBrands(MedicationCur.MedicationNum);
comboBrands.Items.Clear();
comboBrands.Items.AddRange(Brands);
if (Brands.Length > 0)
{
comboBrands.SelectedIndex = 0;
}
}
else
{
textGenericName.Text = Medications.GetMedication(MedicationCur.GenericNum).MedName;
textNotes.Text = Medications.GetMedication(MedicationCur.GenericNum).Notes;
textNotes.ReadOnly = true;
Brands = new string[0];
comboBrands.Visible = false;
labelBrands.Visible = false;
}
_patNameMeds = Medications.GetPatNamesForMed(MedicationCur.MedicationNum);
comboPatients.Items.Clear();
comboPatients.Items.AddRange(_patNameMeds);
if (_patNameMeds.Length > 0)
{
comboPatients.SelectedIndex = 0;
}
AllergyDef alD = AllergyDefs.GetAllergyDefFromMedication(MedicationCur.MedicationNum);
if (alD != null)
{
_patNameAllergies = Allergies.GetPatNamesForAllergy(alD.AllergyDefNum);
comboPatientAllergy.Items.Clear();
comboPatientAllergy.Items.AddRange(_patNameAllergies);
if (_patNameAllergies.Length > 0)
{
comboPatientAllergy.SelectedIndex = 0;
}
}
if (CultureInfo.CurrentCulture.Name.EndsWith("US")) //United States
{
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationCur.RxCui.ToString());
}
else
{
labelRxNorm.Visible = false;
textRxNormDesc.Visible = false;
butRxNormSelect.Visible = false;
}
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Date", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Prov", 50);
gridMain.Columns.Add(col);
col = new ODGridColumn("Intervention Type", 115);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code System", 85);
gridMain.Columns.Add(col);
col = new ODGridColumn("Code Description", 300);
gridMain.Columns.Add(col);
col = new ODGridColumn("Note", 100);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
#region Interventions
listIntervention = Interventions.Refresh(PatCur.PatNum);
for (int i = 0; i < listIntervention.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(listIntervention[i].DateEntry.ToShortDateString());
row.Cells.Add(Providers.GetAbbr(listIntervention[i].ProvNum));
row.Cells.Add(listIntervention[i].CodeSet.ToString());
row.Cells.Add(listIntervention[i].CodeValue);
row.Cells.Add(listIntervention[i].CodeSystem);
//Description of Intervention---------------------------------------------
//to get description, first determine which table the code is from. Interventions are allowed to be SNOMEDCT, ICD9, ICD10, HCPCS, or CPT.
string descript = "";
switch (listIntervention[i].CodeSystem)
{
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(listIntervention[i].CodeValue);
if (sCur != null)
{
descript = sCur.Description;
}
break;
case "ICD9CM":
ICD9 i9Cur = ICD9s.GetByCode(listIntervention[i].CodeValue);
if (i9Cur != null)
{
descript = i9Cur.Description;
}
break;
case "ICD10CM":
Icd10 i10Cur = Icd10s.GetByCode(listIntervention[i].CodeValue);
if (i10Cur != null)
{
descript = i10Cur.Description;
}
break;
case "HCPCS":
Hcpcs hCur = Hcpcses.GetByCode(listIntervention[i].CodeValue);
if (hCur != null)
{
descript = hCur.DescriptionShort;
}
break;
case "CPT":
Cpt cptCur = Cpts.GetByCode(listIntervention[i].CodeValue);
if (cptCur != null)
{
descript = cptCur.Description;
}
break;
}
row.Cells.Add(descript);
row.Cells.Add(listIntervention[i].Note);
row.Tag = listIntervention[i];
gridMain.Rows.Add(row);
}
#endregion
#region MedicationPats
listMedPats = MedicationPats.Refresh(PatCur.PatNum, true);
if (listMedPats.Count > 0)
{
//The following medications are used as interventions for some measures. Include them in the intervention window if they belong to these value sets.
//Above Normal Medications RxNorm Value Set, Below Normal Medications RxNorm Value Set, Tobacco Use Cessation Pharmacotherapy Value Set
List <string> listVS = new List <string> {
"2.16.840.1.113883.3.600.1.1498", "2.16.840.1.113883.3.600.1.1499", "2.16.840.1.113883.3.526.3.1190"
};
List <EhrCode> listEhrMeds = EhrCodes.GetForValueSetOIDs(listVS, true);
for (int i = listMedPats.Count - 1; i > -1; i--)
{
bool found = false;
for (int j = 0; j < listEhrMeds.Count; j++)
{
if (listMedPats[i].RxCui.ToString() == listEhrMeds[j].CodeValue)
{
found = true;
break;
}
}
if (!found)
{
listMedPats.RemoveAt(i);
}
}
}
for (int i = 0; i < listMedPats.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(listMedPats[i].DateStart.ToShortDateString());
row.Cells.Add(Providers.GetAbbr(listMedPats[i].ProvNum));
if (listMedPats[i].RxCui == 314153 || listMedPats[i].RxCui == 692876)
{
row.Cells.Add(InterventionCodeSet.AboveNormalWeight.ToString() + " Medication");
}
else if (listMedPats[i].RxCui == 577154 || listMedPats[i].RxCui == 860215 || listMedPats[i].RxCui == 860221 || listMedPats[i].RxCui == 860225 || listMedPats[i].RxCui == 860231)
{
row.Cells.Add(InterventionCodeSet.BelowNormalWeight.ToString() + " Medication");
}
else //There are 48 total medications that can be used as interventions. The remaining 41 medications are tobacco cessation medications
{
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
}
row.Cells.Add(listMedPats[i].RxCui.ToString());
row.Cells.Add("RXNORM");
//Medications that are used as interventions are all RxNorm codes, get description from that table
string descript = RxNorms.GetDescByRxCui(listMedPats[i].RxCui.ToString());
row.Cells.Add(descript);
row.Cells.Add(listMedPats[i].PatNote);
row.Tag = listMedPats[i];
gridMain.Rows.Add(row);
}
#endregion
gridMain.EndUpdate();
}
private void FormMedPat_Load(object sender, System.EventArgs e)
{
if (PrefC.GetBool(PrefName.ShowFeatureEhr))
{
labelPatNote.Text = "Count, Instructions, and Refills";
groupOrder.Text = "Medication Order";
}
//Formulary checks now handled in NewCrop
//else {
// butFormulary.Visible=false;
//}
if (CultureInfo.CurrentCulture.Name.EndsWith("US")) //United States
{
textRxNormDesc.Text = RxNorms.GetDescByRxCui(MedicationPatCur.RxCui.ToString());
if (Erx.IsFromErx(MedicationPatCur.ErxGuid)) //This is a medical order that was automatically created when fetching prescriptions from eRx.
//We allow the user to change the RxCui on the medical order, because eRx does not always supply an RxCui.
//Also the MedicaitonNum on the order will always be 0, so there is no link between the order and the medication table.
//If MedicationOrder was non-zero and we changed the RxCui on the order, then the automatic sync between medicationpat.RxCui and medication.RxCui would be tainted.
{
butRxNormSelect.Visible = true;
}
}
else
{
labelRxNorm.Visible = false;
textRxNormDesc.Visible = false;
}
if (MedicationPatCur.MedicationNum == 0) //Probably a medical order created during eRx prescription fetching, but not necessarily.
{
textMedName.Text = MedicationPatCur.MedDescript;
labelGenericNotes.Visible = false;
labelGenericName.Visible = false;
textGenericName.Visible = false;
textMedNote.Visible = false;
butEdit.Visible = false;
labelEdit.Visible = false;
}
else
{
textMedName.Text = Medications.GetMedication(MedicationPatCur.MedicationNum).MedName;
textGenericName.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).MedName;
textMedNote.Text = Medications.GetGeneric(MedicationPatCur.MedicationNum).Notes;
}
comboProv.Items.Add(Lan.g(this, "none"));
_listProviders = Providers.GetDeepCopy(true);
for (int i = 0; i < _listProviders.Count; i++)
{
comboProv.Items.Add(_listProviders[i].GetLongDesc());
}
if (MedicationPatCur.ProvNum == 0)
{
comboProv.SelectedIndex = 0;
}
else
{
for (int i = 0; i < _listProviders.Count; i++)
{
if (MedicationPatCur.ProvNum == _listProviders[i].ProvNum)
{
comboProv.SelectedIndex = i + 1;
}
}
//if a provider was subsequently hidden, then the combobox may now be -1.
}
if (MedicationPatCur.IsCpoe)
{
//We cannot allow the user to change the provider, because our EHR reports use the provider in combination with the IsCpoe flag to report CPOE.
comboProv.Enabled = false;
}
textPatNote.Text = MedicationPatCur.PatNote;
if (MedicationPatCur.DateStart.Year > 1880)
{
textDateStart.Text = MedicationPatCur.DateStart.ToShortDateString();
}
if (MedicationPatCur.DateStop.Year > 1880)
{
textDateStop.Text = MedicationPatCur.DateStop.ToShortDateString();
}
if (IsNew)
{
butEdit.Visible = false;
labelEdit.Visible = false;
}
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Code", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("CodeSystem", 90);
gridMain.Columns.Add(col);
col = new ODGridColumn("Description", 200);
gridMain.Columns.Add(col);
string selectedValue = comboCodeSet.SelectedItem.ToString();
List <string> listValSetOIDs = new List <string>();
if (selectedValue == "All")
{
listValSetOIDs = new List <string>(dictValueCodeSets.Values);
}
else //this will limit the codes to only one value set oid
{
listValSetOIDs.Add(dictValueCodeSets[selectedValue]);
}
listCodes = EhrCodes.GetForValueSetOIDs(listValSetOIDs, true); //these codes will exist in the corresponding table or will not be in the list
gridMain.Rows.Clear();
ODGridRow row;
int selectedIdx = -1;
for (int i = 0; i < listCodes.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(listCodes[i].CodeValue);
row.Cells.Add(listCodes[i].CodeSystem);
//Retrieve description from the associated table
string descript = "";
switch (listCodes[i].CodeSystem)
{
case "CPT":
Cpt cCur = Cpts.GetByCode(listCodes[i].CodeValue);
if (cCur != null)
{
descript = cCur.Description;
}
break;
case "HCPCS":
Hcpcs hCur = Hcpcses.GetByCode(listCodes[i].CodeValue);
if (hCur != null)
{
descript = hCur.DescriptionShort;
}
break;
case "ICD9CM":
ICD9 i9Cur = ICD9s.GetByCode(listCodes[i].CodeValue);
if (i9Cur != null)
{
descript = i9Cur.Description;
}
break;
case "ICD10CM":
Icd10 i10Cur = Icd10s.GetByCode(listCodes[i].CodeValue);
if (i10Cur != null)
{
descript = i10Cur.Description;
}
break;
case "RXNORM":
descript = RxNorms.GetDescByRxCui(listCodes[i].CodeValue);
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(listCodes[i].CodeValue);
if (sCur != null)
{
descript = sCur.Description;
}
break;
}
row.Cells.Add(descript);
gridMain.Rows.Add(row);
if (listCodes[i].CodeValue == InterventionCur.CodeValue && listCodes[i].CodeSystem == InterventionCur.CodeSystem)
{
selectedIdx = i;
}
}
gridMain.EndUpdate();
if (selectedIdx > -1)
{
gridMain.SetSelected(selectedIdx, true);
gridMain.ScrollToIndex(selectedIdx);
}
}
private void butOK_Click(object sender, EventArgs e)
{
//validate--------------------------------------
DateTime date;
if (textDate.Text == "")
{
MsgBox.Show(this, "Please enter a date.");
return;
}
try {
date = DateTime.Parse(textDate.Text);
}
catch {
MsgBox.Show(this, "Please fix date first.");
return;
}
string codeVal = "";
string codeSys = "";
if (gridMain.GetSelectedIndex() == -1) //no intervention code selected
{
MsgBox.Show(this, "You must select a code for this intervention.");
return;
}
else
{
codeVal = listCodes[gridMain.GetSelectedIndex()].CodeValue;
codeSys = listCodes[gridMain.GetSelectedIndex()].CodeSystem;
}
//save--------------------------------------
//Intervention grid may contain medications, have to insert a new med if necessary and load FormMedPat for user to input data
if (codeSys == "RXNORM" && !checkPatientDeclined.Checked)
{
//codeVal will be RxCui of medication, see if it already exists in Medication table
Medication medCur = Medications.GetMedicationFromDbByRxCui(PIn.Long(codeVal));
if (medCur == null) //no med with this RxCui, create one
{
medCur = new Medication();
Medications.Insert(medCur); //so that we will have the primary key
medCur.GenericNum = medCur.MedicationNum;
medCur.RxCui = PIn.Long(codeVal);
medCur.MedName = RxNorms.GetDescByRxCui(codeVal);
Medications.Update(medCur);
Medications.RefreshCache(); //refresh cache to include new medication
}
MedicationPat medPatCur = new MedicationPat();
medPatCur.PatNum = InterventionCur.PatNum;
medPatCur.ProvNum = InterventionCur.ProvNum;
medPatCur.MedicationNum = medCur.MedicationNum;
medPatCur.RxCui = medCur.RxCui;
medPatCur.DateStart = date;
FormMedPat FormMP = new FormMedPat();
FormMP.MedicationPatCur = medPatCur;
FormMP.IsNew = true;
FormMP.ShowDialog();
if (FormMP.DialogResult != DialogResult.OK)
{
return;
}
if (FormMP.MedicationPatCur.DateStart.Date < InterventionCur.DateEntry.AddMonths(-6).Date || FormMP.MedicationPatCur.DateStart.Date > InterventionCur.DateEntry.Date)
{
MsgBox.Show(this, "The medication order just entered is not within the 6 months prior to the date of this intervention. You can modify the date of the medication order in the patient's medical history section.");
}
DialogResult = DialogResult.OK;
return;
}
InterventionCur.DateEntry = date;
InterventionCur.CodeValue = codeVal;
InterventionCur.CodeSystem = codeSys;
InterventionCur.Note = textNote.Text;
InterventionCur.IsPatDeclined = checkPatientDeclined.Checked;
string selectedCodeSet = comboCodeSet.SelectedItem.ToString().Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
if (IsAllTypes) //CodeSet will be set by calling function unless showing all types, in which case we need to determine which InterventionCodeSet to assign
{
if (selectedCodeSet == "All") //All types showing and set to All, have to determine which InterventionCodeSet this code belongs to
{
List <string> listVSFound = new List <string>();
foreach (KeyValuePair <string, string> kvp in dictValueCodeSets)
{
List <EhrCode> listCodes = EhrCodes.GetForValueSetOIDs(new List <string> {
kvp.Value
}, true);
for (int i = 0; i < listCodes.Count; i++)
{
if (listCodes[i].CodeValue == codeVal)
{
listVSFound.Add(kvp.Key);
break;
}
}
}
if (listVSFound.Count > 1) //Selected code found in more than one value set, ask the user which InterventionCodeSet to assign to this intervention
{
InputBox chooseSet = new InputBox(Lan.g(this, "The selected code belongs to more than one intervention code set. Select the code set to assign to this intervention from the list below."), listVSFound);
if (chooseSet.ShowDialog() != DialogResult.OK)
{
return;
}
if (chooseSet.comboSelection.SelectedIndex == -1)
{
MsgBox.Show(this, "You must select an intervention code set for the selected code.");
return;
}
selectedCodeSet = chooseSet.comboSelection.SelectedItem.ToString().Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
}
else //the code must belong to at least one value set, since count in listVSFound is not greater than 1, it must be a code from exactly one set, use that for the InterventionCodeSet
{
selectedCodeSet = listVSFound[0].Split(new char[] { ' ' }, StringSplitOptions.RemoveEmptyEntries)[0];
}
}
InterventionCur.CodeSet = (InterventionCodeSet)Enum.Parse(typeof(InterventionCodeSet), selectedCodeSet);
}
//Nutrition is used for both nutrition and physical activity counseling for children, we have to determine which set this code belongs to
else if (InterventionCur.CodeSet == InterventionCodeSet.Nutrition && selectedCodeSet != "Nutrition") //Nutrition set by calling form, user is showing all or physical activity codes only
{
if (selectedCodeSet == "All") //showing all codes from Nutrition and PhysicalActivity interventions, determine which set it belongs to
//No codes exist in both code sets, so if it is not in the PhysicalActivity code set, we can safely assume this is a Nutrition intervention
{
List <EhrCode> listCodes = EhrCodes.GetForValueSetOIDs(new List <string> {
dictValueCodeSets[InterventionCodeSet.PhysicalActivity.ToString() + " Counseling"]
}, true);
for (int i = 0; i < listCodes.Count; i++)
{
if (listCodes[i].CodeValue == codeVal)
{
InterventionCur.CodeSet = InterventionCodeSet.PhysicalActivity;
break;
}
}
}
else
{
InterventionCur.CodeSet = InterventionCodeSet.PhysicalActivity;
}
}
else
{
//if not all types, and not Nutrition with All or PhysicalActivity selected in combo box, the code set sent in by calling form will remain the code set for this intervention
}
if (InterventionCur.IsNew)
{
Interventions.Insert(InterventionCur);
}
else
{
Interventions.Update(InterventionCur);
}
DialogResult = DialogResult.OK;
}
private void FillGridInterventions()
{
gridInterventions.BeginUpdate();
gridInterventions.Columns.Clear();
gridInterventions.Columns.Add(new ODGridColumn("Date", 70));
gridInterventions.Columns.Add(new ODGridColumn("Type", 150));
gridInterventions.Columns.Add(new ODGridColumn("Description", 160));
gridInterventions.Columns.Add(new ODGridColumn("Declined", 60)
{
TextAlign = HorizontalAlignment.Center
});
gridInterventions.Columns.Add(new ODGridColumn("Documentation", 140));
gridInterventions.Rows.Clear();
//build list of rows of CessationInterventions and CessationMedications so we can order the list by date and type before filling the grid
List <ODGridRow> listRows = new List <ODGridRow>();
ODGridRow row;
#region CessationInterventions
List <Intervention> listInterventions = Interventions.Refresh(PatCur.PatNum, InterventionCodeSet.TobaccoCessation);
foreach (Intervention iCur in listInterventions)
{
row = new ODGridRow();
row.Cells.Add(iCur.DateEntry.ToShortDateString());
string type = InterventionCodeSet.TobaccoCessation.ToString() + " Counseling";
string descript = "";
switch (iCur.CodeSystem)
{
case "CPT":
Cpt cptCur = Cpts.GetByCode(iCur.CodeValue);
descript = cptCur != null?cptCur.Description:"";
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(iCur.CodeValue);
descript = sCur != null?sCur.Description:"";
break;
case "RXNORM":
//if the user checks the "Patient Declined" checkbox, we enter the tobacco cessation medication as an intervention that was declined
type = InterventionCodeSet.TobaccoCessation.ToString() + " Medication";
RxNorm rCur = RxNorms.GetByRxCUI(iCur.CodeValue);
descript = rCur != null?rCur.Description:"";
break;
}
row.Cells.Add(type);
row.Cells.Add(descript);
row.Cells.Add(iCur.IsPatDeclined?"X":"");
row.Cells.Add(iCur.Note);
row.Tag = iCur;
listRows.Add(row);
}
#endregion
#region CessationMedications
//Tobacco Use Cessation Pharmacotherapy Value Set
string[] arrayRxCuiStrings = EhrCodes.GetForValueSetOIDs(new List <string> {
"2.16.840.1.113883.3.526.3.1190"
}, true)
.Select(x => x.CodeValue).ToArray();
//arrayRxCuiStrings will contain 41 RxCui strings for tobacco cessation medications if those exist in the rxnorm table
List <MedicationPat> listMedPats = MedicationPats.Refresh(PatCur.PatNum, true).FindAll(x => arrayRxCuiStrings.Contains(x.RxCui.ToString()));
foreach (MedicationPat medPatCur in listMedPats)
{
row = new ODGridRow();
List <string> listMedDates = new List <string>();
if (medPatCur.DateStart.Year > 1880)
{
listMedDates.Add(medPatCur.DateStart.ToShortDateString());
}
if (medPatCur.DateStop.Year > 1880)
{
listMedDates.Add(medPatCur.DateStop.ToShortDateString());
}
if (listMedDates.Count == 0)
{
listMedDates.Add(medPatCur.DateTStamp.ToShortDateString());
}
row.Cells.Add(string.Join(" - ", listMedDates));
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
row.Cells.Add(RxNorms.GetDescByRxCui(medPatCur.RxCui.ToString()));
row.Cells.Add(medPatCur.PatNote);
row.Tag = medPatCur;
listRows.Add(row);
}
#endregion
listRows.OrderBy(x => PIn.Date(x.Cells[0].Text)) //rows ordered by date, oldest first
.ThenBy(x => x.Cells[3].Text != "")
//interventions at the top, declined med interventions below normal interventions
.ThenBy(x => x.Tag.GetType().Name != "Intervention" || ((Intervention)x.Tag).CodeSystem == "RXNORM").ToList()
.ForEach(x => gridInterventions.Rows.Add(x)); //then add rows to gridInterventions
gridInterventions.EndUpdate();
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col = new ODGridColumn("Date", 70);
gridMain.Columns.Add(col);
col = new ODGridColumn("Type", 170);
gridMain.Columns.Add(col);
col = new ODGridColumn("Description", 170);
gridMain.Columns.Add(col);
col = new ODGridColumn("Documentation", 170);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
List <ODGridRow> listRows = new List <ODGridRow>();
#region AssessedEvents
_ListEvents = EhrMeasureEvents.RefreshByType(PatCur.PatNum, EhrMeasureEventType.TobaccoUseAssessed);
for (int i = 0; i < _ListEvents.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(_ListEvents[i].DateTEvent.ToShortDateString());
Loinc lCur = Loincs.GetByCode(_ListEvents[i].CodeValueEvent); //TobaccoUseAssessed events can be one of three types, all LOINC codes
if (lCur != null)
{
row.Cells.Add(lCur.NameLongCommon);
}
else
{
row.Cells.Add(_ListEvents[i].EventType.ToString());
}
Snomed sCur = Snomeds.GetByCode(_ListEvents[i].CodeValueResult);
if (sCur != null)
{
row.Cells.Add(sCur.Description);
}
else
{
row.Cells.Add("");
}
row.Cells.Add(_ListEvents[i].MoreInfo);
row.Tag = _ListEvents[i];
listRows.Add(row);
}
#endregion
#region CessationInterventions
_ListInterventions = Interventions.Refresh(PatCur.PatNum, InterventionCodeSet.TobaccoCessation);
for (int i = 0; i < _ListInterventions.Count; i++)
{
row = new ODGridRow();
row.Cells.Add(_ListInterventions[i].DateEntry.ToShortDateString());
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Counseling");
string descript = "";
switch (_ListInterventions[i].CodeSystem)
{
case "CPT":
Cpt cptCur = Cpts.GetByCode(_ListInterventions[i].CodeValue);
if (cptCur != null)
{
descript = cptCur.Description;
}
break;
case "SNOMEDCT":
Snomed sCur = Snomeds.GetByCode(_ListInterventions[i].CodeValue);
if (sCur != null)
{
descript = sCur.Description;
}
break;
}
row.Cells.Add(descript);
row.Cells.Add(_ListInterventions[i].Note);
row.Tag = _ListInterventions[i];
listRows.Add(row);
}
#endregion
#region CessationMedications
_ListMedPats = MedicationPats.Refresh(PatCur.PatNum, true);
List <EhrCode> listEhrMeds = EhrCodes.GetForValueSetOIDs(new List <string> {
"2.16.840.1.113883.3.526.3.1190"
}, true); //Tobacco Use Cessation Pharmacotherapy Value Set
//listEhrMeds will contain 41 medications for tobacco cessation if those exist in the rxnorm table
for (int i = _ListMedPats.Count - 1; i > -1; i--)
{
bool found = false;
for (int j = 0; j < listEhrMeds.Count; j++)
{
if (_ListMedPats[i].RxCui.ToString() == listEhrMeds[j].CodeValue)
{
found = true;
break;
}
}
if (!found)
{
_ListMedPats.RemoveAt(i);
}
}
for (int i = 0; i < _ListMedPats.Count; i++)
{
row = new ODGridRow();
string dateRange = "";
if (_ListMedPats[i].DateStart.Year > 1880)
{
dateRange = _ListMedPats[i].DateStart.ToShortDateString();
}
if (_ListMedPats[i].DateStop.Year > 1880)
{
if (dateRange != "")
{
dateRange += " - ";
}
dateRange += _ListMedPats[i].DateStop.ToShortDateString();
}
if (dateRange == "")
{
dateRange = _ListMedPats[i].DateTStamp.ToShortDateString();
}
row.Cells.Add(dateRange);
row.Cells.Add(InterventionCodeSet.TobaccoCessation.ToString() + " Medication");
string medDescript = RxNorms.GetDescByRxCui(_ListMedPats[i].RxCui.ToString());
row.Cells.Add(medDescript);
row.Cells.Add(_ListMedPats[i].PatNote);
row.Tag = _ListMedPats[i];
listRows.Add(row);
}
#endregion
listRows.Sort(SortDate);
for (int i = 0; i < listRows.Count; i++)
{
gridMain.Rows.Add(listRows[i]);
}
gridMain.EndUpdate();
}