Examples with OrderSelectRequest org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest used on opensource projects

Example 1 with OrderSelectRequest

use of org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest in project CRD by HL7-DaVinci.

the class OrderSelectService method createCqlExecutionContexts.

@Override
public List<CoverageRequirementRuleResult> createCqlExecutionContexts(OrderSelectRequest orderSelectRequest, FileStore fileStore, String baseUrl) {
    List<String> selections = Arrays.asList(orderSelectRequest.getContext().getSelections());
    FhirBundleProcessor fhirBundleProcessor = new FhirBundleProcessor(fileStore, baseUrl, selections);
    CrdPrefetch prefetch = orderSelectRequest.getPrefetch();
    fhirBundleProcessor.processOrderSelectMedicationStatements(prefetch.getMedicationRequestBundle(), prefetch.getMedicationStatementBundle());
    List<CoverageRequirementRuleResult> results = fhirBundleProcessor.getResults();
    if (results.isEmpty()) {
        throw RequestIncompleteException.NoSupportedBundlesFound();
    }
    return results;
}

Example 2 with OrderSelectRequest

use of org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest in project CRD by HL7-DaVinci.

the class OrderSelectServiceTest method testHandleRequestWithMatch.

@Test
public void testHandleRequestWithMatch() {
    URL applicationBase;
    try {
        applicationBase = new URL("http", "localhost", "/");
    } catch (MalformedURLException e) {
        throw new RuntimeException(e);
    }
    Calendar cal = Calendar.getInstance();
    cal.set(1970, Calendar.JULY, 4);
    // make sure azathioprine comes back with an interaction with methotrexate
    OrderSelectRequest request = CrdRequestCreator.createOrderSelectRequest(Enumerations.AdministrativeGender.MALE, cal.getTime(), "MA", "MA", getAzathioprineCode(), getMethotrexateCode());
    CdsResponse response = service.handleRequest(request, applicationBase);
    assertNotNull(response);
    assertEquals(1, response.getCards().size());
    assertTrue(response.getCards().get(0).getSummary().contains("Drug Interaction Found"));
    assertEquals(Card.IndicatorEnum.WARNING, response.getCards().get(0).getIndicator());
    // make sure methotrexate comes back with an interaction with azathioprine
    request = CrdRequestCreator.createOrderSelectRequest(Enumerations.AdministrativeGender.MALE, cal.getTime(), "MA", "MA", getMethotrexateCode(), getAzathioprineCode());
    response = service.handleRequest(request, applicationBase);
    assertNotNull(response);
    assertEquals(1, response.getCards().size());
    assertTrue(response.getCards().get(0).getSummary().contains("Drug Interaction Found"));
    assertEquals(Card.IndicatorEnum.WARNING, response.getCards().get(0).getIndicator());
}

Example 3 with OrderSelectRequest

use of org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest in project CRD by HL7-DaVinci.

the class OrderSelectServiceTest method testHandleRequestWithNoMatch.

@Test
public void testHandleRequestWithNoMatch() {
    URL applicationBase;
    try {
        applicationBase = new URL("http", "localhost", "/");
    } catch (MalformedURLException e) {
        throw new RuntimeException(e);
    }
    Calendar cal = Calendar.getInstance();
    cal.set(1970, Calendar.JULY, 4);
    // make sure azathioprine does not come back with an interaction with tylenol
    OrderSelectRequest request = CrdRequestCreator.createOrderSelectRequest(Enumerations.AdministrativeGender.MALE, cal.getTime(), "MA", "MA", getAzathioprineCode(), getTylenolCode());
    CdsResponse response = service.handleRequest(request, applicationBase);
    assertNotNull(response);
    assertEquals(0, response.getCards().size());
    assertTrue(response.getCards().isEmpty());
}

Example 4 with OrderSelectRequest

use of org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest in project CRD by HL7-DaVinci.

the class CdsService method handleRequest.

/**
 * Performs generic operations for incoming requests of any type.
 *
 * @param request the generically typed incoming request
 * @return The response from the server
 */
public CdsResponse handleRequest(@Valid @RequestBody requestTypeT request, URL applicationBaseUrl) {
    // create the RequestLog
    RequestLog requestLog = new RequestLog(request, new Date().getTime(), this.fhirComponents.getFhirVersion().toString(), this.id, requestService, 5);
    // Parsed request
    requestLog.advanceTimeline(requestService);
    PrefetchHydrator prefetchHydrator = new PrefetchHydrator(this, request, this.fhirComponents);
    prefetchHydrator.hydrate();
    // hydrated
    requestLog.advanceTimeline(requestService);
    // Attempt a Query Batch Request to backfill missing attributes.
    if (myConfig.isQueryBatchRequest()) {
        QueryBatchRequest qbr = new QueryBatchRequest(this.fhirComponents);
        this.attempQueryBatchRequest(request, qbr);
    }
    logger.info("***** ***** request from requestLog: " + requestLog.toString());
    CdsResponse response = new CdsResponse();
    Gson gson = new Gson();
    final String jsonObject = gson.toJson(request.getPrefetch());
    logger.info("Final populated CRDPrefetch: " + jsonObject);
    // CQL Fetched
    List<CoverageRequirementRuleResult> lookupResults;
    try {
        lookupResults = this.createCqlExecutionContexts(request, fileStore, applicationBaseUrl.toString() + "/");
        requestLog.advanceTimeline(requestService);
    } catch (RequestIncompleteException e) {
        logger.warn("RequestIncompleteException " + request);
        logger.warn(e.getMessage() + "; summary card sent to client");
        response.addCard(CardBuilder.summaryCard(CardTypes.COVERAGE, e.getMessage()));
        requestLog.setCardListFromCards(response.getCards());
        requestLog.setResults(e.getMessage());
        requestService.edit(requestLog);
        return response;
    }
    // process the extension for the configuration
    // load hook configuration with default values
    Configuration hookConfiguration = new Configuration();
    Extension extension = request.getExtension();
    if (extension != null) {
        if (extension.getConfiguration() != null) {
            hookConfiguration = extension.getConfiguration();
        }
    }
    boolean errorCardOnEmpty = !(request instanceof OrderSelectRequest);
    // no error cards on empty when order-select request
    boolean foundApplicableRule = false;
    for (CoverageRequirementRuleResult lookupResult : lookupResults) {
        requestLog.addTopic(requestService, lookupResult.getTopic());
        CqlResultsForCard results = executeCqlAndGetRelevantResults(lookupResult.getContext(), lookupResult.getTopic());
        CoverageRequirements coverageRequirements = results.getCoverageRequirements();
        if (results.ruleApplies()) {
            foundApplicableRule = true;
            if (results.getCoverageRequirements().getApplies()) {
                // if prior auth already approved
                if (coverageRequirements.isPriorAuthApproved()) {
                    response.addCard(CardBuilder.priorAuthCard(results, results.getRequest(), fhirComponents, coverageRequirements.getPriorAuthId(), request.getContext().getPatientId(), lookupResult.getCriteria().getPayorId(), request.getContext().getUserId(), applicationBaseUrl.toString() + "/fhir/" + fhirComponents.getFhirVersion().toString(), fhirResourceRepository));
                } else if (coverageRequirements.isDocumentationRequired() || coverageRequirements.isPriorAuthRequired()) {
                    if (StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireOrderUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireFaceToFaceUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireLabUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireProgressNoteUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnairePARequestUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnairePlanOfCareUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireDispenseUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireAdditionalUri())) {
                        List<Link> smartAppLinks = createQuestionnaireLinks(request, applicationBaseUrl, lookupResult, results);
                        if (coverageRequirements.isPriorAuthRequired()) {
                            Card card = CardBuilder.transform(CardTypes.PRIOR_AUTH, results, smartAppLinks);
                            card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.ADMIN));
                            response.addCard(card);
                        } else if (coverageRequirements.isDocumentationRequired()) {
                            Card card = CardBuilder.transform(CardTypes.DTR_CLIN, results, smartAppLinks);
                            card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.CLINICAL));
                            response.addCard(card);
                        }
                        // add a card for an alternative therapy if there is one
                        if (results.getAlternativeTherapy().getApplies() && hookConfiguration.getAlternativeTherapy()) {
                            try {
                                response.addCard(CardBuilder.alternativeTherapyCard(results.getAlternativeTherapy(), results.getRequest(), fhirComponents));
                            } catch (RuntimeException e) {
                                logger.warn("Failed to process alternative therapy: " + e.getMessage());
                            }
                        }
                    } else {
                        logger.warn("Unspecified Questionnaire URI; summary card sent to client");
                        response.addCard(CardBuilder.transform(CardTypes.COVERAGE, results));
                    }
                } else {
                    // no prior auth or documentation required
                    logger.info("Add the no doc or prior auth required card");
                    Card card = CardBuilder.transform(CardTypes.COVERAGE, results);
                    card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.COVERED));
                    card.setSelectionBehavior(Card.SelectionBehaviorEnum.ANY);
                    response.addCard(card);
                }
            }
            // apply the DrugInteractions
            if (results.getDrugInteraction().getApplies()) {
                response.addCard(CardBuilder.drugInteractionCard(results.getDrugInteraction(), results.getRequest()));
            }
        }
    }
    // CQL Executed
    requestLog.advanceTimeline(requestService);
    if (errorCardOnEmpty) {
        if (!foundApplicableRule) {
            String msg = "No documentation rules found";
            logger.warn(msg + "; summary card sent to client");
            response.addCard(CardBuilder.summaryCard(CardTypes.COVERAGE, msg));
        }
        CardBuilder.errorCardIfNonePresent(CardTypes.COVERAGE, response);
    }
    // Ading card to requestLog
    requestLog.setCardListFromCards(response.getCards());
    requestService.edit(requestLog);
    return response;
}

Example 5 with OrderSelectRequest

use of org.hl7.davinci.r4.crdhook.orderselect.OrderSelectRequest in project CRD by HL7-DaVinci.

the class CrdRequestCreator method createOrderSelectRequest.

/**
 * Generate a order select request that contains a DeviceRequest.
 *
 * @param patientGender Desired gender of the patient in the request
 * @param patientBirthdate Desired birth date of the patient in the request
 * @return Fully populated CdsRequest
 */
public static OrderSelectRequest createOrderSelectRequest(Enumerations.AdministrativeGender patientGender, Date patientBirthdate, String patientAddressState, String providerAddressState, Coding requestCoding, Coding statementCoding) {
    OrderSelectRequest request = new OrderSelectRequest();
    request.setHook(Hook.ORDER_SELECT);
    request.setHookInstance(UUID.randomUUID().toString());
    OrderSelectContext context = new OrderSelectContext();
    request.setContext(context);
    context.setUserId("Practitioner/1234");
    Patient patient = createPatient(patientGender, patientBirthdate, patientAddressState);
    context.setPatientId(patient.getId());
    // create and build MedicationRequest
    MedicationRequest mr = new MedicationRequest();
    mr.setStatus(MedicationRequest.MedicationRequestStatus.DRAFT);
    mr.setId("MedicationRequest/123");
    mr.setIntent(MedicationRequest.MedicationRequestIntent.ORDER);
    PrefetchCallback callback = (p, c) -> {
        mr.setPerformer(new Reference(p));
        mr.addInsurance(new Reference(c));
    };
    mr.setSubject(new Reference(patient));
    Practitioner provider = createPractitioner();
    Bundle prefetchBundle = createPrefetchBundle(patient, provider, callback, providerAddressState);
    mr.setMedication(new CodeableConcept().addCoding(requestCoding));
    Bundle orderBundle = new Bundle();
    Bundle.BundleEntryComponent bec = new Bundle.BundleEntryComponent();
    bec.setResource(mr);
    orderBundle.addEntry(bec);
    Bundle.BundleEntryComponent pfDrBec = new Bundle.BundleEntryComponent();
    pfDrBec.setResource(mr);
    prefetchBundle.addEntry(pfDrBec);
    context.setDraftOrders(orderBundle);
    context.setSelections(new String[] { "123" });
    Bundle prefetchMedicationStatementBundle = new Bundle();
    bec = new Bundle.BundleEntryComponent();
    bec.setResource(patient);
    prefetchMedicationStatementBundle.addEntry(bec);
    bec = new Bundle.BundleEntryComponent();
    MedicationStatement ms = new MedicationStatement();
    ms.setId("MedciationStatement/12345");
    ms.setMedication(new CodeableConcept().addCoding(statementCoding));
    bec.setResource(ms);
    prefetchMedicationStatementBundle.addEntry(bec);
    // add the prefetch into the request
    CrdPrefetch prefetch = new CrdPrefetch();
    prefetch.setMedicationRequestBundle(prefetchBundle);
    prefetch.setMedicationStatementBundle(prefetchMedicationStatementBundle);
    request.setPrefetch(prefetch);
    return request;
}