///<summary></summary>
public static void Update(LabPanel labPanel)
{
if (RemotingClient.RemotingRole == RemotingRole.ClientWeb)
{
Meth.GetVoid(MethodBase.GetCurrentMethod(), labPanel);
return;
}
Crud.LabPanelCrud.Update(labPanel);
}
///<summary></summary>
public static long Insert(LabPanel labPanel)
{
if (RemotingClient.RemotingRole == RemotingRole.ClientWeb)
{
labPanel.LabPanelNum = Meth.GetLong(MethodBase.GetCurrentMethod(), labPanel);
return(labPanel.LabPanelNum);
}
return(Crud.LabPanelCrud.Insert(labPanel));
}
///<summary></summary>
public static long Insert(LabPanel labPanel) {
if(RemotingClient.RemotingRole==RemotingRole.ClientWeb) {
labPanel.LabPanelNum=Meth.GetLong(MethodBase.GetCurrentMethod(),labPanel);
return labPanel.LabPanelNum;
}
return Crud.LabPanelCrud.Insert(labPanel);
}
///<summary></summary>
public static void Update(LabPanel labPanel) {
if(RemotingClient.RemotingRole==RemotingRole.ClientWeb) {
Meth.GetVoid(MethodBase.GetCurrentMethod(),labPanel);
return;
}
Crud.LabPanelCrud.Update(labPanel);
}
private void CreateLabPanel() {
MedicalOrder order=listLabOrders[gridMain.GetSelectedIndex()];
MessageHL7 msg=new MessageHL7(textHL7Raw.Text);
//SegmentHL7 segOBR=null;
//SegmentHL7 segOBX=null;
//int idxPanel=0;
//int idxResult=0;
LabPanel panel=null;
LabResult result=null;
//loop through all message segments.
for(int i=0;i<msg.Segments.Count;i++){
if(msg.Segments[i].Name==SegmentNameHL7.OBR){//if this is the start of a new panel
panel=new LabPanel();
panel.PatNum=order.PatNum;
panel.MedicalOrderNum=order.MedicalOrderNum;
panel.RawMessage=textHL7Raw.Text;
panel.LabNameAddress=msg.Segments[i].GetFieldFullText(20);
panel.SpecimenSource=msg.Segments[i].GetFieldFullText(15);
panel.SpecimenCondition=msg.Segments[i].GetFieldFullText(13);
panel.ServiceId=msg.Segments[i].GetFieldComponent(4,0);
panel.ServiceName=msg.Segments[i].GetFieldComponent(4,1);
LabPanels.Insert(panel);
}
if(msg.Segments[i].Name==SegmentNameHL7.OBX){//if this is a result within a panel
result=new LabResult();
result.LabPanelNum=panel.LabPanelNum;
result.DateTimeTest=msg.Segments[i].GetDateTime(14);
result.TestID=msg.Segments[i].GetFieldComponent(3,0);
result.TestName=msg.Segments[i].GetFieldComponent(3,1);
result.ObsValue=msg.Segments[i].GetFieldFullText(5);
result.ObsUnits=msg.Segments[i].GetFieldFullText(6);
result.ObsRange=msg.Segments[i].GetFieldFullText(7);
LabResults.Insert(result);
}
//any other kind of segment, continue.
}
//order.IsLabPending=false;
//MedicalOrders.Update(order);
//return true;//I guess it's always true?
}
/*From http://www.dt7.com/cdc/sampmsgs.html example 1:
Vaccine Adverse Event Report (VAERS form) (unfortunately, does not seem adaptable to our situation)
MSH|^~\&||GA0000||VAERS PROCESSOR|20010331605||ORU^RO1|20010422GA03|T|2.3.1|||AL|
PID|||1234^^^^SR~1234-12^^^^LR~00725^^^^MR||Doe^John^Fitzgerald^JR^^^L||20001007|M||2106-3^White^HL70005|123 Peachtree St^APT 3B^Atlanta^GA^30210^^M^^GA067||(678) 555-1212^^PRN|
NK1|1|Jones^Jane^Lee^^RN|VAB^Vaccine administered by (Name)^HL70063|
NK1|2|Jones^Jane^Lee^^RN|FVP^Form completed by (Name)-Vaccine provider^HL70063|101 Main Street^^Atlanta^GA^38765^^O^^GA121||(404) 554-9097^^WPN|
ORC|CN|||||||||||1234567^Welby^Marcus^J^Jr^Dr.^MD^L|||||||||Peachtree Clinic|101 Main Street^^Atlanta^GA^38765^^O^^GA121|(404) 554-9097^^WPN|101 Main Street^^Atlanta^GA^38765^^O^^GA121|
OBR|1|||^CDC VAERS-1 (FDA) Report|||20010316|
OBX|1|NM|21612-7^Reported Patient Age^LN||05|mo^month^ANSI|
OBX|1|TS|30947-6^Date form completed^LN||20010316|
OBX|2|FT|30948-4^Vaccination adverse events and treatment, if any^LN|1|fever of 106F, with vomiting, seizures, persistent crying lasting over 3 hours, loss of appetite|
OBX|3|CE|30949-2^Vaccination adverse event outcome^LN|1|E^required emergency room/doctor visit^NIP005|
OBX|4|CE|30949-2^Vaccination adverse event outcome^LN|1|H^required hospitalization^NIP005|
OBX|5|NM|30950-0^Number of days hospitalized due to vaccination adverse event^LN|1|02|d^day^ANSI|
OBX|6|CE|30951-8^Patient recovered^LN||Y^Yes^ HL70239|
OBX|7|TS|30952-6^Date of vaccination^LN||20010216|
OBX|8|TS|30953-4^Adverse event onset date and time^LN||200102180900|
OBX|9|FT|30954-2^Relevant diagnostic tests/lab data^LN||Electrolytes, CBC, Blood culture|
OBR|2|||30955-9^All vaccines given on date listed in #10^LN|
OBX|1|CE30955-9&30956-7^Vaccine type^LN|1|08^HepB-Adolescent/pediatric^CVX|
OBX|2|CE|30955-9&30957-5^Manufacturer^LN|1|MSD^Merck^MVX|
OBX|3|ST|30955-9&30959-1^Lot number^LN|1|MRK12345|
OBX|4|CE|30955-9&30958-3^ Route^LN|1|IM^Intramuscular ^HL70162|
OBX|5|CE|30955-9&31034-2^Site^LN|1|LA^Left arm^ HL70163|
OBX|6|NM|30955-9&30960-9^Number of previous doses^LN|1|01I
OBX|7|CE|CE|30955-9&30956-7^Vaccine type^LN|2|50^DTaP-Hib^CVX|
OBX|8|CE|30955-9&30957-5^ Manufacturer^LN|2|WAL^Wyeth_Ayerst^MVX|
OBX|9|ST|30955-9&30959-1^Lot number^LN|2|W46932777|
OBX|10|CE|30955-9&30958-3^ Route^LN|2|IM^Intramuscular^HL70162|
*/
/*This is the example that we are using for incorporating lab results in our other test.
It is simpler than the above examples. We might want to use it instead.
MSH|^~\&|KAM|DGI|Y|OU|20100920093000||ORU^R01^ORU_R01|20100920093000|P|2.3.1
PID||405979410 |405979410^^^&2.16.840.1.113883.19.3.2.1&ISO^MR||Lewis^Frank ||19500101|M||2106-3^White^HL70005|622 Chestnut^^Springfield^Tennessee^37026^^M||^^^^^615^3826396|||||405979410 ||||N^Not Hispanic or Latino^HL70189
OBR|1|OrderNum-1001|FillOrder-1001|24331-1^Lipid Panel^LN||20100920083000|20100920083000|20100920083000|||||Hemolyzed ||| ProviderIDNum-100^Crow^Tom^Black^III^Dr.||||Aloha Laboratories 575 Luau Street Honolulu Hawaii 96813 ||||CH|F|
OBX|1|NM|14647-2^Total cholesterol^LN |134465|162|mg/dl |<200| N|||F|||20100920083000
OBX|2|NM|14646-4^HDL cholesterol^LN|333123|43|mg/dl|>=40| N|||F|||20100920083000
OBX|3|NM|2089-1^LDL cholesterol^LN|333123|84|mg/dl|<100| N|||F|||20100920083000
OBX|4|NM|14927-8^Triglycerides^LN|333123|127|mg/dl|<150| N|||F|||20100920083000*/
/*This is example #5 from the mu site. Hepatitis C is a legitimate reportable syndrome which would be reported to public health
MSH|^~\&|EHR Application^2.16.840.1.113883.3.72.7.1^HL7|EHR Facility^2.16.840.1.113883.3.72.7.2^HL7|PH Application^2.16.840.1.113883.3.72.7.3^HL7|PH Facility^2.16.840.1.113883.3.72.7.4^HL7|20110316102334||ORU^R01^ORU_R01|NIST-110316102333943|P|2.5.1|||||||||PHLabReport-Ack^^2.16.840.1.114222.4.10.3^ISO
SFT|NIST Lab, Inc.|3.6.23|A-1 Lab System|6742873-12||20080303
PID|||686774009^^^MPI&2.16.840.1.113883.19.3.2.1&ISO^MR||Takamura^Michael||19820815|M||2028-9^Asian^HL70005|3567 Maple Street^^Oakland^CA^94605^USA^M||^PRN^^^^510^6658876|||||||||N^Not Hispanic or Latino^HL70189
OBR|1||7564832^Lab^2.16.840.1.113883.19.3.1.6^ISO|10676-5^Hepatitis C Virus RNA^LN^1198112^Hepatitis C Test^99USI|||201007281400||||||Nausea, vomiting, abdominal pain|||1234^Admit^Alan^^^^^^ABC Medical Center&2.16.840.1.113883.19.4.6&ISO||||||201007301500|||F||||||787.01^Nausea and vomiting^I9CDX~789.0^Abdominal pain^I9CDX
OBX|1|NM|10676-5^Hepatitis C Virus RNA^LN|1|850000|iU/mL^international units per mililiter^UCUM|High Viral Load > or = 850000iU/mL|H|||F|||201007281400|||||200807301500||||Lab^L^^^^CLIA&2.16.840.1.113883.19.4.6&ISO^XX^^^1236|3434 Industrial Lane^^Ann Arbor^MI^48103^^B
SPM||||122555007^Venous blood specimen^SCT^BLDV^Blood venous^HL70487^20080131^2.5.1
*/
private void OBR(LabPanel panel, DateTime datetime)
{
seg=new SegmentHL7(SegmentName.OBR);
seg.SetField(0,"OBR");
seg.SetField(1,"1");
seg.SetField(2,"OrderNum-1001");
seg.SetField(3,"FillOrder-1001");
seg.SetField(4,panel.ServiceId,panel.ServiceName,"LN");//eg 10676-5, Hepatitis C Virus RNA
seg.SetField(6,datetime.ToString("yyyyMMddhhmmss"));
seg.SetField(7,datetime.ToString("yyyyMMddhhmmss"));
seg.SetField(8,datetime.ToString("yyyyMMddhhmmss"));
seg.SetField(13,panel.SpecimenCondition);
seg.SetField(15,panel.SpecimenSource);
seg.SetField(20,panel.LabNameAddress);
seg.SetField(24,"CH");
seg.SetField(25,"F");
msg.Segments.Add(seg);
}
