public static Encounter GetEncounterFromEncounterEntry(this POCD_MT000040Encounter encounterEntry, Client client)
{
var encounter = new Encounter(client, encounterEntry?.moodCode == x_DocumentEncounterMood.EVN ? "PRF" : "ORD")
{
Code = encounterEntry?.code?.GetCode(),
VisitDateRange = encounterEntry?.effectiveTime?.GetDateRange(),
//
//TODO: I can't find any examples that have an effectiveTime associated with the Service Delivery Location.
// Officially, that template does not contain a date, or contain any other templates that might contain a date.
// There is usually an effectiveTime above it in the data file, at the same level as the participant, but
// that is where we are getting the VisitDateRange from. If the FacilityLocation DateRange is the same as
// the top-level DateRange for this Encounter, what's the point of having it at the FacilityLocation level?
FacilityLocation = encounterEntry?.participant?.FirstOrDefault(p => p.typeCode == "LOC")?.participantRole?.GetCodeWithDateRange(),
//
DischargeDisposition = encounterEntry?.dischargeDispositionCode?.GetCode(),
PrincipalDiagnosis = ((encounterEntry?.entryRelationship?.FirstOrDefault(r => (r.Item as POCD_MT000040Act)
?.code?.code == LoincConstants.HOSPITAL_DISCHARGE_DIAGNOSIS)?.Item as POCD_MT000040Act)
?.entryRelationship?.FirstOrDefault(e => e.Item is POCD_MT000040Observation)?.Item as POCD_MT000040Observation)?.GetFirstNonNullValueCode(),
EncounterDiagnosis = ((encounterEntry?.entryRelationship?.FirstOrDefault(r => (r.Item as POCD_MT000040Act)
?.code?.code == LoincConstants.ENCOUNTER_DIAGNOSIS)?.Item as POCD_MT000040Act)
?.entryRelationship?.FirstOrDefault(e => e.Item is POCD_MT000040Observation)?.Item as POCD_MT000040Observation)?.GetValueCodeWithDateRange()
};
//TODO: distinguish between Principal Diagnosis and Encounter Diagnosis using priorityCode? Does this only apply to HospitalDischargeDiagnosis?
/*
* <!-- This denotes that the diagnosis is the principal diagnosis. There is generally only a single diagnosis for coded bill.-->
* <!-- This current modeling aligns with QRDA. Substantial discussion occurred on the task force regarding this method. -->
* <!-- Additional comments on this approach should be included in comments on the QRDA Implementation Guide. We will revisit if QRDA changes their standard approach. -->
* <priorityCode code="63161005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Principal"/>
*
* <!-- This denotes that the diagnosis is a secondary diagnosis. There may be multiple secondary diagnoses on coded bills.-->
* <!-- This current modeling aligns with QRDA. Substantial discussion occurred on the task force regarding this method. -->
* <!-- Additional comments on this approach should be included in comments on the QRDA Implementation Guide. We will revisit if QRDA changes their standard approach. -->
* <priorityCode code="2603003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Secondary"/>
*
* https://github.com/HL7/C-CDA-Examples/blob/master/Encounters/Hospital%20Discharge%20Encounter%20with%20Billable%20Diagnoses/Hospital%20Discharge%20Encounter%20with%20Billable%20Diagnoses(C-CDA2.1).xml
*/
return(encounter);
}
public override POCD_MT000040Component3 ToPocdComponent()
{
POCD_MT000040Component3 returnVal = base.ToPocdComponent();
// *** Skip unless we have a pediatrician name ***
if (!string.IsNullOrWhiteSpace(this.PediatricianName))
{
// *** Create encounter containing pediatrician name ***
POCD_MT000040Encounter enc = new POCD_MT000040Encounter();
// *** Set Class, Mood ***
enc.classCode = "ENC";
enc.moodCode = x_DocumentEncounterMood.PRP;
// *** Set Template Ids ***
CdaTemplateIdList templateIds = new CdaTemplateIdList("1.3.6.1.4.1.19376.1.5.3.1.4.14", "2.16.840.1.113883.10.20.1.21", "2.16.840.1.113883.10.20.1.25");
enc.templateId = templateIds.ToPocd();
// *** Add Id ***
enc.id = new II[] { new II()
{
root = Guid.NewGuid().ToString()
} };
// *** Code ***
enc.code = new CD()
{
code = "Ambulatory", codeSystem = "2.16.840.1.113883.5.4", codeSystemName = "ActEncounterCode"
};
// *** Add name as performer ***
CdaName cdaName = new CdaName()
{
Last = this.PediatricianName
};
enc.performer = new POCD_MT000040Performer2[]
{
new POCD_MT000040Performer2()
{
typeCode = ParticipationPhysicalPerformer.PRF,
typeCodeSpecified = true,
assignedEntity = new POCD_MT000040AssignedEntity()
{
assignedPerson = new POCD_MT000040Person()
{
name = new PN[]
{
cdaName.ToPN()
}
}
}
}
};
// *** Add encounter to list of entries ***
List <POCD_MT000040Entry> entryList = new List <POCD_MT000040Entry>(returnVal.section.entry);
entryList.Add(new POCD_MT000040Entry()
{
Item = enc
});
returnVal.section.entry = entryList.ToArray();
// *** Add pediatrician to human-readable ***
List <object> items = new List <object>(returnVal.section.text.Items);
// *** Create a new paragraph ***
StrucDocParagraph para = new StrucDocParagraph();
para.Text = new[] { string.Format("Pediatrician: {0}", this.PediatricianName) };
// *** Add it to list ***
items.Add(para);
// *** Add list to document ***
returnVal.section.text.Items = items.ToArray();
}
return(returnVal);
}
