private void FormSnomeds_Load(object sender, EventArgs e)
{
_showingInfoButton = CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton;
_showingInfobuttonShift = (_showingInfoButton?1:0);
if (IsSelectionMode || IsMultiSelectMode)
{
butClose.Text = Lan.g(this, "Cancel");
}
else
{
butOK.Visible = false;
}
if (IsMultiSelectMode)
{
gridMain.SelectionMode = GridSelectionMode.MultiExtended;
}
ActiveControl = textCode;
//This check is here to prevent Snomeds from being used in non-member nations.
List <EhrQuarterlyKey> ehrKeys = EhrQuarterlyKeys.GetAllKeys();
groupBox1.Visible = false;
for (int i = 0; i < ehrKeys.Count; i++)
{
if (FormEHR.QuarterlyKeyIsValid(ehrKeys[i].YearValue.ToString(), ehrKeys[i].QuarterValue.ToString(), ehrKeys[i].PracticeName, ehrKeys[i].KeyValue))
{
//EHR has been valid.
groupBox1.Visible = true;
break;
}
}
}
private void FormEhrTriggerEdit_Load(object sender, EventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).EditBibliography)
{
textBibliography.Enabled = false;
textInstruction.Enabled = false;
}
textDescription.Text = EhrTriggerCur.Description;
textBibliography.Text = EhrTriggerCur.Bibliography;
textInstruction.Text = EhrTriggerCur.Instructions;
FillComboCardinality();
FillGrid();
}
private void FormEhrTriggers_Load(object sender, EventArgs e)
{
mainMenu1.MenuItems[0].Enabled = false;
butAddTrigger.Enabled = false;
gridMain.Enabled = false;
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).SetupCDS || Security.IsAuthorized(Permissions.SecurityAdmin, true))
{
mainMenu1.MenuItems[0].Enabled = true;
butAddTrigger.Enabled = true;
gridMain.Enabled = true;
}
FillGrid();
}
private void butSave_Click(object sender, EventArgs e)
{
if (PatCur == null)
{
MsgBox.Show(this, "Please attach to patient first.");
return;
}
//Check lab dates to see if these labs already exist.
for (int i = 0; i < ListEhrLabs.Count; i++)
{
EhrLab tempLab = null; //lab from DB if it exists.
tempLab = EhrLabs.GetByGUID(ListEhrLabs[i].PlacerOrderUniversalID, ListEhrLabs[i].PlacerOrderNum);
if (tempLab == null)
{
tempLab = EhrLabs.GetByGUID(ListEhrLabs[i].FillerOrderUniversalID, ListEhrLabs[i].FillerOrderNum);
}
if (tempLab != null)
{
//validate Date of Lab and attached patient.
//Date
if (tempLab.ResultDateTime.CompareTo(ListEhrLabs[i].ResultDateTime) < 0) //string compare dates will return 1+ if tempLab Date is greater.
{
MsgBox.Show(this, "This lab already exists in the database and has a more recent timestamp.");
continue;
}
if (PatCur.PatNum != tempLab.PatNum)
{
//do nothing. We are importing an updated lab result and the previous lab result was attached to the wrong patient.
//or do something. later maybe.
}
}
ListEhrLabs[i].PatNum = PatCur.PatNum;
Provider prov = Providers.GetProv(Security.CurUser.ProvNum);
if (Security.CurUser.ProvNum != 0 && EhrProvKeys.GetKeysByFLName(prov.LName, prov.FName).Count > 0) //The user who is currently logged in is a provider and has a valid EHR key.
{
ListEhrLabs[i].IsCpoe = true;
}
ListEhrLabs[i] = EhrLabs.SaveToDB(ListEhrLabs[i]); //SAVE
for (int j = 0; j < ListEhrLabs[i].ListEhrLabResults.Count; j++) //EHR TRIGGER
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).LabTestCDS)
{
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(ListEhrLabs[i].ListEhrLabResults[j], PatCur);
FormCDSI.ShowIfRequired(false);
}
}
}
DialogResult = DialogResult.OK;
//Done!
}
private void gridMain_CellClick(object sender, ODGridClickEventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton)
{
return;
}
if (e.Col != 0)
{
return; //not infobutton column
}
FormInfobutton FormIB = new FormInfobutton((List <KnowledgeRequest>)gridMain.ListGridRows[e.Row].Tag);
FormIB.ShowDialog();
}
private void gridMain_CellClick(object sender, ODGridClickEventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
return;
}
if (e.Col != 0)
{
return;
}
List <KnowledgeRequest> listKnowledgeRequests = EhrTriggers.ConvertToKnowledgeRequests(Snomeds.GetByCode(gridMain.Rows[e.Row].Cells[1].Text));
FormInfobutton FormIB = new FormInfobutton(listKnowledgeRequests);
FormIB.ShowDialog();
}
private void gridMain_CellClick(object sender, ODGridClickEventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
return;
}
if (e.Col != 0)
{
return;
}
FormInfobutton FormIB = new FormInfobutton();
FormIB.ListObjects.Add(Snomeds.GetByCode(gridMain.Rows[e.Row].Cells[1].Text));
FormIB.ShowDialog();
}
private void gridMain_CellClick(object sender, ODGridClickEventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
return;
}
if (e.Col != 0)
{
return;
}
List <KnowledgeRequest> listKnowledgeRequests = EhrTriggers.ConvertToKnowledgeRequests(EhrLabCur.ListEhrLabResults[e.Row]);
FormInfobutton FormIB = new FormInfobutton(listKnowledgeRequests);
//if(PatCurNum>0) {
// FormIB.PatCur=Patients.GetPat(PatCurNum);
//}
FormIB.ShowDialog();
}
private void butOk_Click(object sender, EventArgs e)
{
for (int i = 0; i < _listCdsPermissions.Count; i++)
{
//TODO:instead of updating all permissions. Update only the permissions neccesary.
if (_listCdsPermissions[i].UserNum != _listCdsPermissionsOld[i].UserNum)
{
#if DEBUG
throw new Exception("If this ever happens, something went wrong. We can explicitly loop through both lists and match patnums.");
#else
continue; //should never happen, but userNums were mismatched.
#endif
}
if (_listCdsPermissions[i].SetupCDS == _listCdsPermissionsOld[i].SetupCDS &&
_listCdsPermissions[i].ShowCDS == _listCdsPermissionsOld[i].ShowCDS &&
_listCdsPermissions[i].ShowInfobutton == _listCdsPermissionsOld[i].ShowInfobutton &&
_listCdsPermissions[i].EditBibliography == _listCdsPermissionsOld[i].EditBibliography &&
_listCdsPermissions[i].ProblemCDS == _listCdsPermissionsOld[i].ProblemCDS &&
_listCdsPermissions[i].MedicationCDS == _listCdsPermissionsOld[i].MedicationCDS &&
_listCdsPermissions[i].AllergyCDS == _listCdsPermissionsOld[i].AllergyCDS &&
_listCdsPermissions[i].DemographicCDS == _listCdsPermissionsOld[i].DemographicCDS &&
_listCdsPermissions[i].LabTestCDS == _listCdsPermissionsOld[i].LabTestCDS &&
_listCdsPermissions[i].VitalCDS == _listCdsPermissionsOld[i].VitalCDS)
{
continue; //nothing to change.
}
CDSPermissions.Update(_listCdsPermissions[i]);
//The following line of code should never be re-ordered, only added to if needed. Otherwise historical security logs may not be enterpreted correctly.
string cdsLog = "CDSPermChanged,U:" + _listCdsPermissions[i].UserNum + ","
+ (_listCdsPermissions[i].SetupCDS ?"T":"F")
+ (_listCdsPermissions[i].ShowCDS ?"T":"F")
+ (_listCdsPermissions[i].ShowInfobutton ?"T":"F")
+ (_listCdsPermissions[i].EditBibliography ?"T":"F")
+ (_listCdsPermissions[i].ProblemCDS ?"T":"F")
+ (_listCdsPermissions[i].MedicationCDS ?"T":"F")
+ (_listCdsPermissions[i].AllergyCDS ?"T":"F")
+ (_listCdsPermissions[i].DemographicCDS ?"T":"F")
+ (_listCdsPermissions[i].LabTestCDS ?"T":"F")
+ (_listCdsPermissions[i].VitalCDS ?"T":"F")
;
SecurityLogs.MakeLogEntry(Permissions.SecurityAdmin, 0, cdsLog); //Log entry example: CDSPermChanged,33,TTTFFFFFF
}
DialogResult = DialogResult.OK;
}
private void gridMain_CellClick(object sender, ODGridClickEventArgs e)
{
if (!CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
return;
}
if (e.Col != 0)
{
return;
}
FormInfobutton FormIB = new FormInfobutton();
if (PatCurNum != null && PatCurNum > 0)
{
FormIB.PatCur = Patients.GetPat(PatCurNum);
}
FormIB.ListObjects.Add(EhrLabCur.ListEhrLabResults[e.Row]);
FormIB.ShowDialog();
}
private void FormSnomeds_Load(object sender, EventArgs e)
{
_showingInfoButton = CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton;
_showingInfobuttonShift = (_showingInfoButton?1:0);
if (IsSelectionMode || IsMultiSelectMode)
{
butClose.Text = Lan.g(this, "Cancel");
}
else
{
butOK.Visible = false;
}
if (IsMultiSelectMode)
{
gridMain.SelectionMode = GridSelectionMode.MultiExtended;
}
ActiveControl = textCode;
//This check is here to prevent Snomeds from being used in non-member nations.
groupBox1.Visible = false;
Provider prov = Providers.GetProv(Security.CurUser.ProvNum);
if (prov == null)
{
return;
}
string ehrKey = "";
int yearValue = 0;
List <EhrProvKey> listProvKeys = EhrProvKeys.GetKeysByFLName(prov.LName, prov.FName);
if (listProvKeys.Count != 0)
{
ehrKey = listProvKeys[0].ProvKey;
yearValue = listProvKeys[0].YearValue;
}
if (FormEHR.ProvKeyIsValid(prov.LName, prov.FName, yearValue, ehrKey))
{
//EHR has been valid.
groupBox1.Visible = true;
}
}
private void butAdd_Click(object sender, EventArgs e)
{
FormEhrLabOrderEdit2014 FormLOE = new FormEhrLabOrderEdit2014();
FormLOE.EhrLabCur = new EhrLab();
FormLOE.EhrLabCur.PatNum = PatCur.PatNum;
FormLOE.IsNew = true;
FormLOE.ShowDialog();
if (FormLOE.DialogResult != DialogResult.OK)
{
return;
}
EhrMeasureEvent newMeasureEvent = new EhrMeasureEvent();
newMeasureEvent.DateTEvent = DateTime.Now;
newMeasureEvent.EventType = EhrMeasureEventType.CPOE_LabOrdered; //default
Loinc loinc = Loincs.GetByCode(FormLOE.EhrLabCur.UsiID);
if (loinc != null && loinc.ClassType == "RAD") //short circuit logic
{
newMeasureEvent.EventType = EhrMeasureEventType.CPOE_RadOrdered;
}
newMeasureEvent.PatNum = FormLOE.EhrLabCur.PatNum;
newMeasureEvent.MoreInfo = "";
newMeasureEvent.FKey = FormLOE.EhrLabCur.EhrLabNum;
EhrMeasureEvents.Insert(newMeasureEvent);
EhrLabs.SaveToDB(FormLOE.EhrLabCur);
for (int i = 0; i < FormLOE.EhrLabCur.ListEhrLabResults.Count; i++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).LabTestCDS)
{
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(FormLOE.EhrLabCur.ListEhrLabResults[i], PatCur);
FormCDSI.ShowIfRequired(false);
}
}
FillGrid();
}
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col;
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton)
{
col = new ODGridColumn("", 18); //infobutton
col.ImageList = imageListInfoButton;
gridMain.Columns.Add(col);
}
col = new ODGridColumn("Conditions", 300);
gridMain.Columns.Add(col);
col = new ODGridColumn("Instructions", 400);
gridMain.Columns.Add(col);
col = new ODGridColumn("Bibliography", 120);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
for (int i = 0; i < _table.Rows.Count; i++)
{
row = new ODGridRow();
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton)
{
row.Cells.Add(_table.Rows[i][0].ToString()); //infobutton
}
row.Cells.Add(_table.Rows[i][1].ToString()); //Trigger Text
row.Cells.Add(_table.Rows[i][2].ToString()); //TriggerInstructions
row.Cells.Add(_table.Rows[i][3].ToString()); //Bibliography
row.Tag = (List <object>)_table.Rows[i][4]; //List of objects to be sent to FormInfobutton;
gridMain.Rows.Add(row);
}
gridMain.EndUpdate();
}
private void butImport_Click(object sender, EventArgs e)
{
MsgBoxCopyPaste MBCP = new MsgBoxCopyPaste("Paste HL7 Lab Message Text Here.");
MBCP.textMain.SelectAll();
MBCP.ShowDialog();
if (MBCP.DialogResult != DialogResult.OK)
{
return;
}
List <EhrLab> listEhrLabs;
try {
listEhrLabs = EhrLabs.ProcessHl7Message(MBCP.textMain.Text); //Not a typical use of the msg box copy paste
if (listEhrLabs[0].PatNum == PatCur.PatNum) //only need to check the first lab.
//nothing to do here. Imported lab matches the current patient.
{
}
else //does not match current patient, redirect to import form which displays patient information and is build for importing.
{
FormEhrLabOrderImport FormLOI = new FormEhrLabOrderImport();
FormLOI.PatCur = PatCur;
FormLOI.Hl7LabMessage = MBCP.textMain.Text;
FormLOI.ShowDialog();
FillGrid();
return;
}
//else if(listEhrLabs[0].PatNum==0) {
// if(MessageBox.Show("Lab patient does not match current patient. Lab patient name is "
// +MBCP.textMain.Text.Split(new string[] { "\r\n" },StringSplitOptions.RemoveEmptyEntries)[1].Split('|')[5].Split('~')[0].Split('^')[1]+" "//first name
// +MBCP.textMain.Text.Split(new string[] { "\r\n" },StringSplitOptions.RemoveEmptyEntries)[1].Split('|')[5].Split('~')[0].Split('^')[1]+" "//last name
// +"\r\nWould you like to import lab for the current patient?","",MessageBoxButtons.OKCancel)!=DialogResult.OK)
// {
// return;
// }
// //User agreed to import current lab(s) for current patient.
// for(int i=0;i<listEhrLabs.Count;i++) {
// listEhrLabs[i].PatNum=PatCur.PatNum;
// //TODO: Import external OIDs and PatIDs so that we can identify this patient next time.
// }
//}
//else {//Patnum is already associated with another patient.
// MessageBox.Show("This lab contains patient information for a different patient. Lab patient name is "
// +MBCP.textMain.Text.Split(new string[] { "\r\n" },StringSplitOptions.RemoveEmptyEntries)[1].Split('|')[5].Split('~')[0].Split('^')[1]+" "//first name
// +MBCP.textMain.Text.Split(new string[] { "\r\n" },StringSplitOptions.RemoveEmptyEntries)[1].Split('|')[5].Split('~')[0].Split('^')[1]);
// return;
//}
}
catch (Exception Ex) {
MessageBox.Show(this, "Unable to import lab.\r\n" + Ex.Message);
return;
}
for (int i = 0; i < listEhrLabs.Count; i++)
{
EhrLab tempLab = null; //lab from DB if it exists.
tempLab = EhrLabs.GetByGUID(listEhrLabs[i].PlacerOrderUniversalID, listEhrLabs[i].PlacerOrderNum);
if (tempLab == null)
{
tempLab = EhrLabs.GetByGUID(listEhrLabs[i].FillerOrderUniversalID, listEhrLabs[i].FillerOrderNum);
}
if (tempLab != null)
{
//Date validation.
//if(tempLab.ResultDateTime.CompareTo(listEhrLabs[i].ResultDateTime)<=0) {//string compare dates will return 1+ if tempLab Date is greater.
// MsgBox.Show(this,"This lab already exists in the database and has a more recent timestamp.");
// continue;
//}
//TODO: The code above works, but ignores more recent lab results. Although the lab order my be unchanged there may be updated lab results.
//It would be better to check for updated results, unfortunately results have no unique identifiers.
}
Provider prov = Providers.GetProv(Security.CurUser.ProvNum);
if (Security.CurUser.ProvNum != 0 && EhrProvKeys.GetKeysByFLName(prov.LName, prov.FName).Count > 0) //The user who is currently logged in is a provider and has a valid EHR key.
{
ListEhrLabs[i].IsCpoe = true;
}
listEhrLabs[i] = EhrLabs.SaveToDB(listEhrLabs[i]); //SAVE
for (int j = 0; j < listEhrLabs[i].ListEhrLabResults.Count; j++) //EHR TRIGGER
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).LabTestCDS)
{
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(listEhrLabs[i].ListEhrLabResults[j], PatCur);
FormCDSI.ShowIfRequired(false);
}
}
}
FillGrid();
}
private void butOK_Click(object sender, EventArgs e)
{
if (_listProblemReconcile.Count == 0)
{
if (!MsgBox.Show(this, true, "The reconcile list is empty which will cause all existing problems to be removed. Continue?"))
{
return;
}
}
Disease dis;
DiseaseDef disD;
bool isActive;
//Discontinue any current medications that are not present in the reconcile list.
for (int i = 0; i < _listProblemCur.Count; i++) //Start looping through all current problems
{
isActive = false;
dis = _listProblemCur[i];
disD = DiseaseDefs.GetItem(dis.DiseaseDefNum);
for (int j = 0; j < _listProblemReconcile.Count; j++) //Compare each reconcile problem to the current problem
{
DiseaseDef disDR = DiseaseDefs.GetItem(_listProblemReconcile[j].DiseaseDefNum);
if (_listProblemReconcile[j].DiseaseDefNum == _listProblemCur[i].DiseaseDefNum) //Has identical DiseaseDefNums
{
isActive = true;
break;
}
if (disDR == null)
{
continue;
}
if (disDR.SnomedCode != "" && disDR.SnomedCode == disD.SnomedCode) //Has a Snomed code and they are equal
{
isActive = true;
break;
}
}
if (!isActive) //Update current problems.
{
dis.ProbStatus = ProblemStatus.Inactive;
Diseases.Update(_listProblemCur[i]);
}
}
//Always update every current problem for the patient so that DateTStamp reflects the last reconcile date.
if (_listProblemCur.Count > 0)
{
Diseases.ResetTimeStamps(_patCur.PatNum, ProblemStatus.Active);
}
DiseaseDef disDU = null;
int index;
for (int j = 0; j < _listProblemReconcile.Count; j++)
{
index = ListProblemNew.IndexOf(_listProblemReconcile[j]);
if (index < 0)
{
continue;
}
if (_listProblemReconcile[j] == ListProblemNew[index])
{
disDU = DiseaseDefs.GetItem(DiseaseDefs.GetNumFromCode(ListProblemDefNew[index].SnomedCode));
if (disDU == null)
{
ListProblemNew[index].DiseaseDefNum = DiseaseDefs.Insert(ListProblemDefNew[index]);
}
else
{
ListProblemNew[index].DiseaseDefNum = disDU.DiseaseDefNum;
}
Diseases.Insert(ListProblemNew[index]);
}
}
DataValid.SetInvalid(InvalidType.Diseases);
//EhrMeasureEvent newMeasureEvent = new EhrMeasureEvent();
//newMeasureEvent.DateTEvent=DateTime.Now;
//newMeasureEvent.EventType=EhrMeasureEventType.ProblemReconcile;
//newMeasureEvent.PatNum=PatCur.PatNum;
//newMeasureEvent.MoreInfo="";
//EhrMeasureEvents.Insert(newMeasureEvent);
for (int inter = 0; inter < _listProblemReconcile.Count; inter++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).ProblemCDS)
{
DiseaseDef disDInter = DiseaseDefs.GetItem(_listProblemReconcile[inter].DiseaseDefNum);
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(disDInter, _patCur);
FormCDSI.ShowIfRequired(false);
}
}
DialogResult = DialogResult.OK;
}
private void butOk_Click(object sender, EventArgs e)
{
if (IsImport || IsViewOnly)
{
DialogResult = DialogResult.OK;
return;
}
if (!EntriesAreValid())
{
return;
}
if (Security.CurUser.ProvNum != 0 && Providers.GetProv(Security.CurUser.ProvNum).EhrKey != "") //The user who is currently logged in is a provider and has a valid EHR key.
{
EhrLabCur.IsCpoe = true;
}
if (EhrLabCur.PatNum == 0 && PatCurNum != null)
{
EhrLabCur.PatNum = PatCurNum;
}
//EhrLabCur.OrderControlCode=((HL70119)comb);//TODO:UI and this value.
if (checkAutoID.Checked)
{
EhrLabCur.PlacerOrderNum = EhrLabs.GetNextOrderNum().ToString();
EhrLabCur.PlacerOrderNamespace = "";
EhrLabCur.PlacerOrderUniversalID = OIDInternals.GetForType(IdentifierType.LabOrder).IDRoot;
EhrLabCur.PlacerOrderUniversalIDType = "ISO";
}
else
{
EhrLabCur.PlacerOrderNum = textPlacerOrderNum.Text;
EhrLabCur.PlacerOrderNamespace = textPlacerOrderNamespace.Text;
EhrLabCur.PlacerOrderUniversalID = textPlacerOrderUniversalID.Text;
EhrLabCur.PlacerOrderUniversalIDType = textPlacerOrderUniversalIDType.Text;
}
EhrLabCur.FillerOrderNum = textFillerOrderNum.Text;
EhrLabCur.FillerOrderNamespace = textFillerOrderNamespace.Text;
EhrLabCur.FillerOrderUniversalID = textFillerOrderUniversalID.Text;
EhrLabCur.FillerOrderUniversalIDType = textFillerOrderUniversalIDType.Text;
EhrLabCur.PlacerGroupNum = textPlacerGroupNum.Text;
EhrLabCur.PlacerGroupNamespace = textPlacerGroupNamespace.Text;
EhrLabCur.PlacerGroupUniversalID = textPlacerGroupUniversalID.Text;
EhrLabCur.PlacerGroupUniversalIDType = textPlacerGroupUniversalIDType.Text;
EhrLabCur.OrderingProviderID = textOrderingProvIdentifier.Text;
EhrLabCur.OrderingProviderLName = textOrderingProvLastName.Text;
EhrLabCur.OrderingProviderFName = textOrderingProvFirstName.Text;
EhrLabCur.OrderingProviderMiddleNames = textOrderingProvMiddleName.Text;
EhrLabCur.OrderingProviderSuffix = textOrderingProvSuffix.Text;
EhrLabCur.OrderingProviderPrefix = textOrderingProvPrefix.Text;
EhrLabCur.OrderingProviderAssigningAuthorityNamespaceID = textOrderingProvAANID.Text;
EhrLabCur.OrderingProviderAssigningAuthorityUniversalID = textOrderingProvAAUID.Text;
EhrLabCur.OrderingProviderAssigningAuthorityIDType = textOrderingProvAAUIDType.Text;
EhrLabCur.OrderingProviderNameTypeCode = ((HL70200)comboOrderingProvNameType.SelectedIndex - 1);
EhrLabCur.OrderingProviderIdentifierTypeCode = ((HL70203)comboOrderingProvIdType.SelectedIndex - 1);
//EhrLabCur.SetIdOBR=PIn.Long("");//TODO: UI and Save
EhrLabCur.UsiID = textUsiID.Text;
EhrLabCur.UsiText = textUsiText.Text;
EhrLabCur.UsiCodeSystemName = textUsiCodeSystemName.Text;
EhrLabCur.UsiIDAlt = textUsiIDAlt.Text;
EhrLabCur.UsiTextAlt = textUsiTextAlt.Text;
EhrLabCur.UsiCodeSystemNameAlt = textUsiCodeSystemNameAlt.Text;
EhrLabCur.UsiTextOriginal = textUsiTextOriginal.Text;
EhrLabCur.ObservationDateTimeStart = EhrLab.formatDateToHL7(textObservationDateTimeStart.Text.Trim());
EhrLabCur.ObservationDateTimeEnd = EhrLab.formatDateToHL7(textObservationDateTimeEnd.Text.Trim());
EhrLabCur.SpecimenActionCode = ((HL70065)comboSpecimenActionCode.SelectedIndex - 1);
EhrLabCur.ResultDateTime = EhrLab.formatDateToHL7(textResultDateTime.Text.Trim());//upper right hand corner of form.
EhrLabCur.ResultStatus = ((HL70123)comboResultStatus.SelectedIndex - 1);
//TODO: parent result.
/*
* EhrLabCur.ParentObservationID=
* EhrLabCur.ParentObservationText=
* EhrLabCur.ParentObservationCodeSystemName=
* EhrLabCur.ParentObservationIDAlt=
* EhrLabCur.ParentObservationTextAlt=
* EhrLabCur.ParentObservationCodeSystemNameAlt=
* EhrLabCur.ParentObservationTextOriginal=
* EhrLabCur.ParentObservationSubID=
* EhrLabCur.ParentPlacerOrderNum=
* EhrLabCur.ParentPlacerOrderNamespace=
* EhrLabCur.ParentPlacerOrderUniversalID=
* EhrLabCur.ParentPlacerOrderUniversalIDType=
* EhrLabCur.ParentFillerOrderNum=
* EhrLabCur.ParentFillerOrderNamespace=
* EhrLabCur.ParentFillerOrderUniversalID=
* EhrLabCur.ParentFillerOrderUniversalIDType=
*/
EhrLabCur.ListEhrLabResultsHandlingF = checkResultsHandlingF.Checked;
EhrLabCur.ListEhrLabResultsHandlingN = checkResultsHandlingN.Checked;
//EhrLabCur.TQ1SetId=//TODO:this
EhrLabCur.TQ1DateTimeStart = EhrLab.formatDateToHL7(textTQ1Start.Text);
EhrLabCur.TQ1DateTimeEnd = EhrLab.formatDateToHL7(textTQ1Stop.Text);
EhrLabs.SaveToDB(EhrLabCur);
Patient patCur = Patients.GetPat(EhrLabCur.PatNum);
for (int i = 0; i < EhrLabCur.ListEhrLabResults.Count; i++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).LabTestCDS)
{
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(EhrLabCur.ListEhrLabResults[i], patCur);
FormCDSI.ShowIfRequired(false);
}
}
DialogResult = DialogResult.OK;
}
///<summary>Lab Results</summary>
private void FillGrid()
{
gridMain.BeginUpdate();
gridMain.Columns.Clear();
ODGridColumn col;
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
col = new ODGridColumn("", 18); //infoButton
col.ImageList = imageListInfoButton;
gridMain.Columns.Add(col);
}
col = new ODGridColumn("Test Date", 70);
col.SortingStrategy = GridSortingStrategy.DateParse;
gridMain.Columns.Add(col);
col = new ODGridColumn("LOINC", 60); //LoincCode
gridMain.Columns.Add(col);
col = new ODGridColumn("Test Performed", 230); //ShortDescription
gridMain.Columns.Add(col);
col = new ODGridColumn("Result Value", 160); //Complicated
gridMain.Columns.Add(col);
col = new ODGridColumn("Units", 60);
gridMain.Columns.Add(col);
col = new ODGridColumn("Flags", 40);
gridMain.Columns.Add(col);
gridMain.Rows.Clear();
ODGridRow row;
for (int i = 0; i < EhrLabCur.ListEhrLabResults.Count; i++)
{
row = new ODGridRow();
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowInfobutton) //Security.IsAuthorized(Permissions.EhrInfoButton,true)) {
{
row.Cells.Add("0"); //index of infobutton
}
if (EhrLabCur.ListEhrLabResults[i].ObservationDateTime == null || EhrLabCur.ListEhrLabResults[i].ObservationDateTime == "")
{
row.Cells.Add(""); //null date
}
else
{
string dateSt = EhrLabCur.ListEhrLabResults[i].ObservationDateTime.Substring(0, 8); //stored in DB as yyyyMMdd[hh[mm[ss]]], []==optional components
DateTime dateT = PIn.Date(dateSt.Substring(4, 2) + "/" + dateSt.Substring(6, 2) + "/" + dateSt.Substring(0, 4));
row.Cells.Add(dateT.ToShortDateString()); //date only
}
if (EhrLabCur.ListEhrLabResults[i].ObservationIdentifierID != "")
{
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationIdentifierID);
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationIdentifierText);
}
else if (EhrLabCur.ListEhrLabResults[i].ObservationIdentifierIDAlt != "")
{
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationIdentifierIDAlt);
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationIdentifierTextAlt);
}
else
{
row.Cells.Add("UNK");
row.Cells.Add("Unknown, could not find valid test code.");
}
switch (EhrLabCur.ListEhrLabResults[i].ValueType)
{
case HL70125.CE:
case HL70125.CWE:
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationValueCodedElementText);
break;
case HL70125.DT:
case HL70125.TS:
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationValueDateTime);
break;
case HL70125.TM:
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationValueTime.ToString());
break;
case HL70125.NM:
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationValueNumeric.ToString());
break;
case HL70125.SN:
row.Cells.Add(
EhrLabCur.ListEhrLabResults[i].ObservationValueComparator
+ EhrLabCur.ListEhrLabResults[i].ObservationValueNumber1
+ (EhrLabCur.ListEhrLabResults[i].ObservationValueSeparatorOrSuffix == ""
?"":EhrLabCur.ListEhrLabResults[i].ObservationValueSeparatorOrSuffix + EhrLabCur.ListEhrLabResults[i].ObservationValueNumber2)
);
break;
case HL70125.FT:
case HL70125.ST:
case HL70125.TX:
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].ObservationValueText);
break;
}
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].UnitsID);
row.Cells.Add(EhrLabCur.ListEhrLabResults[i].AbnormalFlags.Replace("N", "")); //abnormal flags, show blank if flag is "Normal"
gridMain.Rows.Add(row);
}
gridMain.EndUpdate();
}
private void butOK_Click(object sender, EventArgs e)
{
if (_listAllergyReconcile.Count == 0)
{
if (!MsgBox.Show(this, true, "The reconcile list is empty which will cause all existing allergies to be removed. Continue?"))
{
return;
}
}
Allergy al;
AllergyDef alD;
bool isActive;
//Discontinue any current medications that are not present in the reconcile list.
for (int i = 0; i < _listAllergyCur.Count; i++) //Start looping through all current allergies
{
isActive = false;
al = _listAllergyCur[i];
alD = AllergyDefs.GetOne(al.AllergyDefNum, _listAllergyDefCur);
for (int j = 0; j < _listAllergyReconcile.Count; j++) //Compare each reconcile allergy to the current allergy
{
AllergyDef alDR = AllergyDefs.GetOne(_listAllergyReconcile[j].AllergyDefNum, _listAllergyDefCur);
if (_listAllergyReconcile[j].AllergyDefNum == _listAllergyCur[i].AllergyDefNum) //Has identical AllergyDefNums
{
isActive = true;
break;
}
if (alDR == null)
{
continue;
}
//if(alDR.SnomedAllergyTo!="" && alDR.SnomedAllergyTo==alD.SnomedAllergyTo) {//TODO: Change to UNII
// isActive=true;
// break;
//}
if (alDR.MedicationNum != 0 && alDR.MedicationNum == alD.MedicationNum) //Has a Snomed code and they are equal
{
isActive = true;
break;
}
}
if (!isActive)
{
_listAllergyCur[i].StatusIsActive = isActive;
Allergies.Update(_listAllergyCur[i]);
}
}
//Always update every current allergy for the patient so that DateTStamp reflects the last reconcile date.
if (_listAllergyCur.Count > 0)
{
Allergies.ResetTimeStamps(_patCur.PatNum, true);
}
AllergyDef alDU;
int index;
for (int j = 0; j < _listAllergyReconcile.Count; j++)
{
if (!_listAllergyReconcile[j].IsNew)
{
continue;
}
index = ListAllergyNew.IndexOf(_listAllergyReconcile[j]); //Returns -1 if not found.
if (index < 0)
{
continue;
}
//Insert the AllergyDef and Allergy if needed.
if (ListAllergyDefNew[index].MedicationNum != 0)
{
alDU = AllergyDefs.GetAllergyDefFromMedication(ListAllergyDefNew[index].MedicationNum);
}
else
{
alDU = null; //remove once UNII is implemented
//alDU=AllergyDefs.GetAllergyDefFromCode(ListAllergyDefNew[index].SnomedAllergyTo);//TODO: Change to UNII
}
if (alDU == null) //db is missing the def
{
ListAllergyNew[index].AllergyDefNum = AllergyDefs.Insert(ListAllergyDefNew[index]);
}
else
{
ListAllergyNew[index].AllergyDefNum = alDU.AllergyDefNum; //Set the allergydefnum on the allergy.
}
Allergies.Insert(ListAllergyNew[index]);
}
//TODO: Make an allergy measure event if one is needed for MU3.
//EhrMeasureEvent newMeasureEvent = new EhrMeasureEvent();
//newMeasureEvent.DateTEvent=DateTime.Now;
//newMeasureEvent.EventType=EhrMeasureEventType.AllergyReconcile;
//newMeasureEvent.PatNum=PatCur.PatNum;
//newMeasureEvent.MoreInfo="";
//EhrMeasureEvents.Insert(newMeasureEvent);
for (int inter = 0; inter < _listAllergyReconcile.Count; inter++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).AllergyCDS)
{
AllergyDef alDInter = AllergyDefs.GetOne(_listAllergyReconcile[inter].AllergyDefNum);
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(alDInter, _patCur);
FormCDSI.ShowIfRequired(false);
}
}
DialogResult = DialogResult.OK;
}
private void butOK_Click(object sender, EventArgs e)
{
if (_listMedicationPatReconcile.Count == 0)
{
if (!MsgBox.Show(this, true, "The reconcile list is empty which will cause all existing medications to be removed. Continue?"))
{
return;
}
}
MedicationPat medP;
bool isActive;
//Discontinue any current medications that are not present in the reconcile list.
for (int i = 0; i < _listMedicationPatCur.Count; i++) //Start looping through all current medications
{
isActive = false;
medP = _listMedicationPatCur[i];
for (int j = 0; j < _listMedicationPatReconcile.Count; j++) //Compare each reconcile medication to the current medication
{
if (medP.RxCui > 0 && medP.RxCui == _listMedicationPatReconcile[j].RxCui && _listMedicationPatReconcile[j].MedicationNum == _listMedicationPatCur[i].MedicationNum) //Has an RxNorm code and they are equal
{
isActive = true;
break;
}
}
if (!isActive) //Update current medications.
{
_listMedicationPatCur[i].DateStop = DateTime.Now; //Set the current DateStop to today (to set the medication as discontinued)
MedicationPats.Update(_listMedicationPatCur[i]);
}
}
//Always update every current medication for the patient so that DateTStamp reflects the last reconcile date.
if (_listMedicationPatCur.Count > 0)
{
MedicationPats.ResetTimeStamps(_patCur.PatNum, true);
}
Medication med;
int index;
for (int j = 0; j < _listMedicationPatReconcile.Count; j++)
{
index = ListMedicationPatNew.IndexOf(_listMedicationPatReconcile[j]);
if (index < 0)
{
continue;
}
if (_listMedicationPatReconcile[j] == ListMedicationPatNew[index])
{
med = Medications.GetMedicationFromDbByRxCui(_listMedicationPatReconcile[j].RxCui);
if (med == null)
{
med = new Medication();
med.MedName = ListMedicationPatNew[index].MedDescript;
med.RxCui = ListMedicationPatNew[index].RxCui;
ListMedicationPatNew[index].MedicationNum = Medications.Insert(med);
med.GenericNum = med.MedicationNum;
Medications.Update(med);
}
else
{
ListMedicationPatNew[index].MedicationNum = med.MedicationNum;
}
ListMedicationPatNew[index].ProvNum = 0; //Since imported, set provnum to 0 so it does not affect CPOE.
MedicationPats.Insert(ListMedicationPatNew[index]);
}
}
EhrMeasureEvent newMeasureEvent = new EhrMeasureEvent();
newMeasureEvent.DateTEvent = DateTime.Now;
newMeasureEvent.EventType = EhrMeasureEventType.MedicationReconcile;
newMeasureEvent.PatNum = _patCur.PatNum;
newMeasureEvent.MoreInfo = "";
EhrMeasureEvents.Insert(newMeasureEvent);
for (int inter = 0; inter < _listMedicationPatReconcile.Count; inter++)
{
if (CDSPermissions.GetForUser(Security.CurUser.UserNum).ShowCDS&& CDSPermissions.GetForUser(Security.CurUser.UserNum).MedicationCDS)
{
Medication medInter = Medications.GetMedicationFromDbByRxCui(_listMedicationPatReconcile[inter].RxCui);
FormCDSIntervention FormCDSI = new FormCDSIntervention();
FormCDSI.ListCDSI = EhrTriggers.TriggerMatch(medInter, _patCur);
FormCDSI.ShowIfRequired(false);
}
}
DialogResult = DialogResult.OK;
}
private void FormCDSSetup_Load(object sender, EventArgs e)
{
_listCdsPermissions = CDSPermissions.GetAll();
_listCdsPermissionsOld = CDSPermissions.GetAll();
FillGrid();
}
