Message CreateHL7Message(Examination exam, string version, Patient patient, IExaminationType examType)
{
Message msg = new Message();
var msh = new Segment();
// MSH|^~\&|LIS|M|||20090518161040||ORU^R01|91380000032|P|2.3|
msh.Field(0, @"MSH");
msh.Field(2, @"^~\&");
msh.Field(3, "NurseCube");
msh.Field(4, "M");
msh.Field(5, "");
msh.Field(6, "");
string examDate = DateTime.Parse(exam.Value).ToString("yyyyMMddHHmmss");
msh.Field(7, examDate);
msh.Field(8, "");
msh.Field(9, "ORU^R01");
msh.Field(10, exam.Id.ToString());
msh.Field(11, "P");
msh.Field(12, version);
msg.Add(msh);
var pid = new Segment();
// PID|||15161516^^^^M||TEST^EMR SAMPLE^||19651015|M||||||||||1719|
pid.Field(0, "PID");
pid.Field(1, "");
pid.Field(2, patient.ExternalId.ToString());
pid.Field(3, patient.Id.ToString());
pid.Field(4, "");
pid.Field(5, patient.Name);
pid.Field(6, "PID");
string birthDate = DateTime.Parse(patient.BirthDate.ToString()).ToString("yyyyMMdd");
pid.Field(7, birthDate);
pid.Field(8, patient.Gender.ToString());
pid.Field(9, "");
pid.Field(10, "");
pid.Field(11, "");
pid.Field(12, "");
pid.Field(13, "");
pid.Field(14, "");
pid.Field(15, "");
pid.Field(16, "");
pid.Field(17, "");
pid.Field(17, patient.ExternalId.ToString());
msg.Add(pid);
// ORC | RE |||||||||||||||^|
var obc = new Segment();
obc.Field(0, "ORC");
obc.Field(1, "RE");
for (int i = 0; i < 14; i++)
{
obc.Field(i + 2, "");
}
obc.Field(1, "^");
msg.Add(obc);
var obr = new Segment();
//OBR|||E2905964|^^^ADIF^CBC|||200905041213|||||||200905041223|^|14516^TEST^PHYSICIAN||||M3017||||H|F|CBC^ADIF|^^^^^R|^^~
obr.Field(0, "OBR");
obr.Field(1, "");
obr.Field(2, "");
obr.Field(3, "E2905977");
obr.Field(4, "^^^ADIF^CBC");
obr.Field(5, "");
obr.Field(6, "");
obr.Field(7, examDate);
obr.Field(8, "");
obr.Field(9, "");
obr.Field(10, "");
obr.Field(11, "");
obr.Field(12, "");
obr.Field(13, "");
obr.Field(14, examDate);
obr.Field(15, "^");
// ToDO Add nurse id
obr.Field(16, "14516^TEST^Nurse");
obr.Field(17, "");
obr.Field(18, "");
msg.Add(obr);
if (exam.ExaminationType == "SpO2")
{
var obx = new Segment();
// OBX | 6 | NM | 431314004 ^ SpO2 ^ SNOMED - CT || 90 |%| 94 - 100 | L ||| F ||| 20100511220525
obx.Field(0, "OBX");
obx.Field(1, "6");
obx.Field(2, "NM");
obx.Field(3, "SpO2");
obx.Field(4, "");
obx.Field(5, (examType as SpOData).SPOValue.ToString());
obx.Field(6, "%");
obx.Field(7, "94 - 100");
obx.Field(8, "L");
obx.Field(9, "");
obx.Field(10, "");
obx.Field(11, "F");
obx.Field(12, "");
obx.Field(13, "");
obx.Field(14, examDate);
msg.Add(obx);
}
if (exam.ExaminationType == "Body temperature")
{
var obx = new Segment();
//OBX|2|NM|386725007 ^Body temperature ^SNOMED-CT||37|C |37|N|||F|||20100511220525
obx.Field(0, "OBX");
obx.Field(1, "2");
obx.Field(2, "NM");
obx.Field(3, "Body temperature");
obx.Field(4, "");
obx.Field(5, (examType as BodyTemperatureData).TemperatureValue.ToString());
obx.Field(6, "");
obx.Field(7, "37");
obx.Field(8, "C");
obx.Field(9, "37");
obx.Field(10, "");
obx.Field(11, "");
obx.Field(12, "");
obx.Field(13, "");
obx.Field(14, examDate);
msg.Add(obx);
}
if (exam.ExaminationType == "BloodPressure")
{
var obxmBP = new Segment();
//OBX | 1 | NM | 6797001 ^ Mean blood pressure ^ SNOMED - CT || 94 | mm[Hg] | 92 - 96 | N ||| F ||| 20100511220525
obxmBP.Field(0, "OBX");
obxmBP.Field(1, "1");
obxmBP.Field(2, "NM");
obxmBP.Field(3, "Mean blood pressure");
obxmBP.Field(4, "");
obxmBP.Field(5, (examType as BloodPressureData).MeanBloodPressure.ToString());
obxmBP.Field(6, "");
obxmBP.Field(7, "94");
obxmBP.Field(8, "mm[Hg]");
obxmBP.Field(9, "92 - 96");
obxmBP.Field(10, "n");
obxmBP.Field(11, "");
obxmBP.Field(12, "");
obxmBP.Field(13, "F");
obxmBP.Field(14, examDate);
msg.Add(obxmBP);
var obxmBT = new Segment();
//OBX | 3 | NM | 271649006 ^ Systolic blood pressure ^ SNOMED - CT || 100 | mm[Hg] | 90 - 120 | N ||| F ||| 20100511220725
obxmBT.Field(0, "OBX");
obxmBT.Field(1, "2");
obxmBT.Field(2, "NM");
obxmBT.Field(3, "Systolic blood pressur");
obxmBT.Field(4, "");
obxmBT.Field(5, (examType as BloodPressureData).SystolicValue.ToString());
obxmBT.Field(6, "");
obxmBT.Field(7, "100");
obxmBT.Field(8, "mm[Hg]");
obxmBT.Field(9, "90-120");
obxmBT.Field(10, "n");
obxmBT.Field(11, "");
obxmBT.Field(12, "");
obxmBT.Field(13, "F");
obxmBT.Field(14, examDate);
msg.Add(obxmBT);
//OBX | 4 | NM | 271650006 ^ Diastolic blood pressure ^ SNOMED - CT || 68 | mm[Hg] | 60 - 80 | N ||| F ||| 20100511220725
var obxmDT = new Segment();
obxmBT.Field(0, "OBX");
obxmBT.Field(1, "3");
obxmDT.Field(2, "NM");
obxmDT.Field(3, "Diastolic blood pressure");
obxmDT.Field(4, "");
obxmDT.Field(5, (examType as BloodPressureData).DiastolicValue.ToString());
obxmDT.Field(6, "");
obxmDT.Field(7, "68");
obxmDT.Field(8, "mm[Hg]");
obxmDT.Field(9, "60-80");
obxmDT.Field(10, "n");
obxmDT.Field(11, "");
obxmDT.Field(12, "");
obxmDT.Field(13, "F");
obxmDT.Field(14, examDate);
msg.Add(obxmDT);
//OBX|5|NM|78564009 ^Pulse rate ^SNOMED-CT||80|bpm |60-100|N|||F|||20100511220525
var obxmPR = new Segment();
obxmPR.Field(0, "OBX");
obxmPR.Field(1, "4");
obxmPR.Field(2, "NM");
obxmPR.Field(3, "Pulse rate");
obxmPR.Field(4, "");
obxmPR.Field(5, (examType as BloodPressureData).PulseRate.ToString());
obxmPR.Field(6, "");
obxmPR.Field(7, "80");
obxmPR.Field(8, "mm[Hg]");
obxmPR.Field(9, "60-100");
obxmPR.Field(10, "n");
obxmPR.Field(11, "");
obxmPR.Field(12, "");
obxmPR.Field(13, "F");
obxmPR.Field(14, examDate);
msg.Add(obxmPR);
}
return(msg);
}
public void AddExaminationToPatient(int patientId, Examination exam, ExaminationType examType, IExaminationType examData, WorkFlow workFlow)
{
var patient = GetPatient(patientId, true);
patient.Examinations.Add(exam);
exam.WorkFlow = workFlow;
_context.SaveChanges();
if (examType == ExaminationType.BloodPressure)
{
BloodPressureData ExanData = examData as BloodPressureData;
_context.BloodPressureData.Add(examData as BloodPressureData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
if (examType == ExaminationType.BloodSpO2)
{
SpOData ExanData = examData as SpOData;
_context.SpOData.Add(examData as SpOData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
if (examType == ExaminationType.BodyTemperature)
{
BodyTemperatureData ExanData = examData as BodyTemperatureData;
ExanData.ExaminationId = exam.Id;
_context.BodyTemperatureData.Add(examData as BodyTemperatureData);
ExanData.ExaminationId = exam.Id;
_context.SaveChanges();
}
}
