public Entities.PatientDetails GetPatientDetails(string unitnum, int apptid)
{
Entities.PatientDetails objPatient = new Entities.PatientDetails();
string assignedBy = "";
string Base64 = string.Empty;
if (SessionManager.Instance.ActiveUser != null)
{
if (string.IsNullOrEmpty(SessionManager.Instance.ActiveUser.ToString()) == false)
{
assignedBy = SessionManager.Instance.ActiveUser.ToString();
}
}
string _userlogin = SessionManager.Instance.ActiveUser.userLogin;
SessionManager.Instance.SetActivePatient(unitnum, apptid);
//SessionManager.Instance.GetActivePatient().LoadFullObject();
SessionManager.Instance.GetActivePatient().BackgroundLoadWork();
RiskApps3.Model.PatientRecord.Patient proband = SessionManager.Instance.GetActivePatient();
Base64 = Helpers.ShowPedigreeImage(proband);
objPatient.name = proband.name;
objPatient.age = proband.age;
objPatient.unitnum = proband.unitnum;
objPatient.dob = proband.dob;
objPatient.homephone = proband.homephone;
objPatient.cellphone = proband.cellphone;
objPatient.workphone = proband.workphone;
objPatient.PedigreeImage = Base64;
/*
* var obj = new {
* PatientName=proband.name,
* age = proband.age,
* MRN = proband.unitnum,
* DOB = proband.dob,
* HomePhone = proband.homephone,
* CellPhone = proband.cellphone,
* WorkPhone = proband.workphone,
* PedigreeImage = Base64
* };*/
return(objPatient);
}
public static string ShowPedigreeImage(RiskApps3.Model.PatientRecord.Patient proband)
{
int Width = 625;
int Height = 625;
PedigreeGenerator pg = new PedigreeGenerator(Width, Height, proband);
Bitmap bmp;
if (proband != null)
{
bmp = pg.GeneratePedigreeImage(proband);
}
else
{
bmp = pg.GeneratePedigreeImage();
}
System.IO.MemoryStream stream = new System.IO.MemoryStream();
bmp.Save(stream, System.Drawing.Imaging.ImageFormat.Png);
var base64Data = Convert.ToBase64String(stream.ToArray());
return(base64Data);
}
/// <summary>
/// Send the PDF document referenced by "dt" to the PACS system defined in the database lkpInterfaceDefinitions for this document
/// </summary>
/// <param name="dt">Document Template, as per the HTML document generation</param>
/// <param name="patient">V3 Patient object</param>
/// <param name="filename">Name of the PDF file to be converted to a .DCM (DICOM) file and transmitted to PACS</param>
/// <param name="apptId">Appointment ID</param>
/// <returns></returns>
public static bool send2PACS(DocumentTemplate dt, RiskApps3.Model.PatientRecord.Patient patient, string filenameIn, int apptId)
{
List <TripleArg> args = new List <TripleArg>(); // for want of a tuple which doesn't exist till .NET 4.0
List <KeyValuePair <string, string> > dicomOutputArgs = new List <KeyValuePair <string, string> >();
List <InterfaceInstance> interfaces = new List <InterfaceInstance>();
//int interfaceId = -1;
//string interfaceType = "";
//string ipAddress = "";
//string port = "";
//string aeTitleRemote = "";
//string aeTitleLocal = "";
//string DCMTKpath = "";
string accessionNumber = "";
string patientname = "";
string dob = "";
string gender = "";
string apptDate = "";
string apptTime = "";
//int pacsSubType = (int)pacsSubTypes.PDF; // NEW jdg 8/7/15... which type of encapsulated DCM to generate? Default to PDF... NOW 2 ==> JPG
ParameterCollection pacsArgs = new ParameterCollection();
pacsArgs.Add("documentTemplateID", dt.documentTemplateID);
string filename;
SqlDataReader reader = BCDB2.Instance.ExecuteReaderSPWithParams("sp_getInterfaceDefinitionFromTemplateID", pacsArgs);
while (reader.Read())
{
InterfaceInstance instance = new InterfaceInstance();
if (reader.IsDBNull(0) == false)
{
instance.InterfaceId = reader.GetInt32(0);
}
if (reader.IsDBNull(1) == false)
{
instance.InterfaceType = reader.GetString(1);
}
if (reader.IsDBNull(2) == false)
{
instance.IpAddress = reader.GetString(2);
}
if (reader.IsDBNull(3) == false)
{
instance.Port = reader.GetString(3);
}
if (reader.IsDBNull(4) == false)
{
instance.AeTitleRemote = reader.GetString(4);
}
if (reader.IsDBNull(5) == false)
{
instance.AeTitleLocal = reader.GetString(5);
}
if (reader.IsDBNull(6) == false)
{
instance.DCMTKpath = reader.GetString(6);
}
if (reader.IsDBNull(7) == false)
{
instance.PacsSubType = reader.GetInt32(7); // for now, 1 == PDF, 2 == JPG, 3 == BMP (see enum pacsSubTypes, above)
}
if (instance.InterfaceId > 0)
{
interfaces.Add(instance); // multiple PACS interfaces per document are now supported.
}
}
// just do this once...
if (apptId > 0)
{
// This is an FMH specific hack, they are sending the Accession Number in the HL7 ADT_A08 message in PID|26...
// and it is being stored in the appointment table in the unused field "referral".
// No more obvious way of accomplishing this has jumped out at me yet, but this will have to be made more generic as new
// customers are brought on-line.
string sqlStr = "SELECT referral,patientname,dob,gender,apptDate,apptTime FROM tblAppointments WHERE apptID=" + apptId.ToString() + ";";
reader = BCDB2.Instance.ExecuteReader(sqlStr);
while (reader.Read())
{
if (reader.IsDBNull(0) == false)
{
accessionNumber = reader.GetString(0);
}
if (reader.IsDBNull(1) == false) // taking this from appointment table, alternatively, could use Patient object
{
patientname = reader.GetString(1);
}
if (reader.IsDBNull(2) == false)
{
dob = reader.GetString(2);
}
if (reader.IsDBNull(3) == false)
{
gender = reader.GetString(3);
}
if (reader.IsDBNull(4) == false)
{
apptDate = reader.GetString(4);
}
if (reader.IsDBNull(5) == false)
{
apptTime = reader.GetString(5);
}
}
reader.Close();
}
foreach (InterfaceInstance iface in interfaces) // send document to each eligible interface, converting it as need be
{
if ((iface.InterfaceId > 0) && (iface.InterfaceType == "PACS")) // no interface? not a PACS interface? bye bye!
{
// Ok! We're sending this thing to PACS... go ahead and convert the PDF file to a DCM file...
// This will call into the DCMTK library to do their pdf2dcm, dcmodify (to set metadata), and storescu. Add appropriate parameters to the DCM.
filename = filenameIn; // reinit
// filter out oddball cases of calling this method with conflicting interface parameters versus the type of file passed in.
// however, we WILL reconvert PDFs to an image upon demand, see below.
if (((filename.ToUpper().Contains(".JPG")) || (filename.ToUpper().Contains(".BMP"))) && (iface.PacsSubType == (int)pacsSubTypes.PDF))
{
Logger.Instance.WriteToLog("Send2PACS: Attempted to send an image file to a PDF interface, interfaceID #" + iface.InterfaceId + ". Request Aborted" + (apptId > 0 ? " for appt id " + apptId.ToString() + "." : "."));
continue;
}
if (iface.PacsSubType == (int)pacsSubTypes.JPG) // jpg
{
// If we were sent a PDF file, yet it's pacsSubType is different, convert the document to an image
// this could happen depending on what type of file is generated from the survey, and the settings made in lkpInterfaceDefinitions
// as of now, we're not converting between jpgs and bmps... if you send a bmp and interface type is jpg, bail... and vice versa
if (filename.ToUpper().Contains(".BMP"))
{
Logger.Instance.WriteToLog("Send2PACS: Attempted to send a BMP file to a JPG interface. Request Aborted" + (apptId > 0 ? " for appt id " + apptId.ToString() + "." : "."));
continue;
}
if (filename.ToUpper().Contains(".PDF")) // re-convert this html to an image instead
{
HtmlToImageConverter htmlToJpgConverter = new HtmlToImageConverter();
htmlToJpgConverter.LicenseKey = "sjwvPS4uPSskPSgzLT0uLDMsLzMkJCQk";
filename = filename.ToUpper().Replace(".PDF", "") + ".jpg";
htmlToJpgConverter.ConvertHtmlToFile(dt.htmlText, "", System.Drawing.Imaging.ImageFormat.Jpeg, filename);
}
}
if (iface.PacsSubType == (int)pacsSubTypes.BMP) // bitmap
{
// If we were sent a PDF file, yet it's pacsSubType is different, convert the document to an image
// this could happen depending on what type of file is generated from the survey, and the settings made in lkpInterfaceDefinitions
// as of now, we're not converting between jpgs and bmps... if you send a bmp and interface type is jpg, bail... and vice versa
if (filename.ToUpper().Contains(".JPG"))
{
Logger.Instance.WriteToLog("Send2PACS: Attempted to send a JPG file to a BMP interface. Request Aborted" + (apptId > 0 ? " for appt id " + apptId.ToString() + "." : "."));
continue;
}
if (filename.ToUpper().Contains(".PDF")) // re-convert this html to an image instead
{
HtmlToImageConverter htmlToJpgConverter = new HtmlToImageConverter();
htmlToJpgConverter.LicenseKey = "sjwvPS4uPSskPSgzLT0uLDMsLzMkJCQk";
filename = filename.ToUpper().Replace(".PDF", "") + ".bmp";
htmlToJpgConverter.ConvertHtmlToFile(dt.htmlText, "", System.Drawing.Imaging.ImageFormat.Bmp, filename);
}
}
args.Clear();
string dcmFilename = filename + ".dcm";
TripleArg arg1 = new TripleArg();
//arg1.ArgSwitch = filename;
arg1.ArgSwitch = "\"" + filename + "\"";
args.Add(arg1);
TripleArg arg2 = new TripleArg();
//arg2.ArgSwitch = dcmFilename;
arg2.ArgSwitch = "\"" + dcmFilename + "\"";
args.Add(arg2);
if ((patient != null) && (iface.PacsSubType == (int)pacsSubTypes.PDF)) // for some reason, img2dcm (jpg) doesn't have a patient identifier arg. will have to insert this into the metadata later.
{
TripleArg arg3 = new TripleArg();
arg3.ArgSwitch = "+pi";
arg3.Name = patient.unitnum;
args.Add(arg3);
}
if (iface.PacsSubType == (int)pacsSubTypes.BMP) // defaults to jpg
{
TripleArg arg4 = new TripleArg();
arg4.ArgSwitch = "-i";
arg4.Name = "BMP";
args.Add(arg4);
}
if ((iface.PacsSubType == (int)pacsSubTypes.JPG) || (iface.PacsSubType == (int)pacsSubTypes.BMP)) // jpg, bmp
{
// do the conversion jpg --> dcm; this is a local command, no ip/port needed for this one.
wrapDCMTKmethodAsExternalCommand(null, null, iface.DCMTKpath + "\\img2dcm.exe", args);
}
else
{
// do the conversion pdf --> dcm; this is a local command, no ip/port needed for this one.
wrapDCMTKmethodAsExternalCommand(null, null, iface.DCMTKpath + "\\pdf2dcm.exe", args);
}
if (!File.Exists(dcmFilename))
{
Logger.Instance.WriteToLog("Send2PACS: Unable to convert JPG or PDF to DCM OR perhaps just unable to write it to disk. Check lkp_AutomationDocuments, lkpInterfaceDefinitions, document storage location and DICOM binary library (" + iface.DCMTKpath + ") for existence and/or permissions. Filename: " + dcmFilename + ".");
continue; // something went wrong, but didn't throw an error...
}
// I'm guessing that we'll be adding a study/series ID later, just add another TripleArg here, if you didn't build the DCM with it in the metadata initially
// If you need to fetch the UID, here is a sample of what a findscu would look like... don't forget the -aec and -aet...
// findscu localhost 5678 -S -k StudyInstanceUID -k QueryRetrieveLevel=STUDY -k AccessionNumber=22222893 -aet Hughes -aec Hughes2
// and of course, you have to read the resulting array list.
args.Clear();
TripleArg modArg0 = new TripleArg(); // dcm file name
modArg0.ArgSwitch = "\"" + dcmFilename + "\"";
args.Add(modArg0);
if (!String.IsNullOrEmpty(accessionNumber))
{
TripleArg modArg1 = new TripleArg(); // accession number
modArg1.ArgSwitch = "-m";
modArg1.Name = "AccessionNumber"; // DICOM literal string, do not modify
modArg1.Value = accessionNumber;
args.Add(modArg1);
}
else
{
// make a note of this circumstance, it's especially critical for FMH
Logger.Instance.WriteToLog("Send2PACS: Accession number is not set for Interface #" + iface.InterfaceId + " for appt # : " + apptId.ToString());
}
TripleArg modArg2 = new TripleArg(); // Modality hard-coded to "OT". May need to be parameterized later.
modArg2.ArgSwitch = "-i";
modArg2.Name = "Modality"; // DICOM literal string, do not modify
modArg2.Value = "OT";
args.Add(modArg2);
TripleArg modArg3 = new TripleArg(); // Patient Name
modArg3.ArgSwitch = "-m";
modArg3.Name = "PatientName"; // DICOM literal string, do not modify
patientname = patientname.Replace(", ", ","); // hack for extra space in name...
patientname = patientname.Replace(", ", ","); // hack for extra space in name...
modArg3.Value = patientname.Replace(",", "^");
args.Add(modArg3);
try
{
if (!String.IsNullOrEmpty(dob))
{
dob = DateTime.ParseExact(dob, "MM/dd/yyyy", CultureInfo.InvariantCulture).ToString("yyyyMMdd"); // FMH preferred format... DICOM Standard??
}
}
catch (Exception) { } // else use dob as found in database
TripleArg modArg4 = new TripleArg(); // Date of Birth
modArg4.ArgSwitch = "-m";
modArg4.Name = "PatientBirthDate"; // DICOM literal string, do not modify
modArg4.Value = dob;
args.Add(modArg4);
TripleArg modArg5 = new TripleArg(); // Gender
modArg5.ArgSwitch = "-m";
modArg5.Name = "PatientSex"; // DICOM literal string, do not modify
modArg5.Value = gender;
args.Add(modArg5);
try
{
if (!String.IsNullOrEmpty(apptDate))
{
apptDate = DateTime.ParseExact(apptDate, "MM/dd/yyyy", CultureInfo.InvariantCulture).ToString("yyyyMMdd");
}
}
catch (Exception) { } // else use apptDate as found in database
TripleArg modArg6 = new TripleArg(); // Study Date
modArg6.ArgSwitch = "-m";
modArg6.Name = "StudyDate"; // DICOM literal string, do not modify
modArg6.Value = apptDate;
args.Add(modArg6);
if ((iface.PacsSubType == (int)pacsSubTypes.JPG) || (iface.PacsSubType == (int)pacsSubTypes.BMP)) // pdf already has this in the metadata; img2dcm won't take patient id argument like pdf2dcm, for reasons that escape me
{
TripleArg modArg7 = new TripleArg(); // MRN
modArg7.ArgSwitch = "-m";
modArg7.Name = "PatientID"; // DICOM literal string, do not modify
modArg7.Value = patient.unitnum;
args.Add(modArg7);
}
try
{
if (!String.IsNullOrEmpty(apptTime))
{
apptTime = DateTime.ParseExact(apptTime, "hh:mm tt", CultureInfo.InvariantCulture).ToString("hhmm") + "00";
TripleArg modArg8 = new TripleArg(); // Date of Birth
modArg8.ArgSwitch = "-m";
modArg8.Name = "StudyTime"; // DICOM literal string, do not modify
modArg8.Value = apptTime;
args.Add(modArg8);
}
}
catch (Exception) { } // no time? no big deal.
TripleArg modArg9 = new TripleArg(); // Study ID
modArg9.ArgSwitch = "-m";
modArg9.Name = "StudyID"; // DICOM literal string, do not modify
//modArg9.Value = "1";
modArg9.Value = iface.InterfaceId.ToString();
args.Add(modArg9);
TripleArg modArg10 = new TripleArg(); // Series ID
modArg10.ArgSwitch = "-m";
modArg10.Name = "SeriesNumber"; // DICOM literal string, do not modify
//modArg10.Value = "1";
modArg10.Value = iface.InterfaceId.ToString();
args.Add(modArg10);
TripleArg modArg11 = new TripleArg(); // Instance
modArg11.ArgSwitch = "-m";
modArg11.Name = "InstanceNumber"; // DICOM literal string, do not modify
//modArg11.Value = "1";
modArg11.Value = iface.InterfaceId.ToString();
args.Add(modArg11);
wrapDCMTKmethodAsExternalCommand(null, null, iface.DCMTKpath + "\\dcmodify.exe", args);
args.Clear();
TripleArg sendArg1 = new TripleArg(); // file to xmit
sendArg1.ArgSwitch = "\"" + dcmFilename + "\"";
args.Add(sendArg1);
TripleArg sendArg2 = new TripleArg(); // ae title HRA
sendArg2.ArgSwitch = "-aet";
sendArg2.Name = iface.AeTitleLocal;
args.Add(sendArg2);
TripleArg sendArg3 = new TripleArg(); // ae title remote
sendArg3.ArgSwitch = "-aec";
sendArg3.Name = iface.AeTitleRemote;
args.Add(sendArg3);
// Send it out... finally!
dicomOutputArgs = wrapDCMTKmethodAsExternalCommand(iface.IpAddress, iface.Port, iface.DCMTKpath + "\\storescu.exe", args);
// todo: parse out any useful returned values... in the meantime, unless an error is thrown we'll return success
Logger.Instance.WriteToLog("Send2PACS: Successful send to " + iface.AeTitleRemote + " for Interface #" + iface.InterfaceId + " " + (apptId > 0 ? " for appt id " + apptId.ToString() : ""));
try
{
File.Delete(dcmFilename); // no point in keeping these around.
File.Delete(dcmFilename + ".bak");
File.Delete(filename);
}
catch (Exception e)
{
Logger.Instance.WriteToLog("Send2PACS: Unable to delete " + dcmFilename + ", underlying error was " + e.Message);
}
}
}
// if some interfaces were processed, return true.
if (interfaces.Count > 0)
{
return(true);
}
else
{
return(false);
}
}
