Examples with Identifier org.hl7.fhir.dstu3.model.Identifier used on opensource projects

Example 11 with Identifier

use of org.hl7.fhir.dstu3.model.Identifier in project gpconnect-demonstrator by nhsconnect.

the class MedicationStatementResourceProvider method getMedicationStatementResource.

public MedicationStatement getMedicationStatementResource(MedicationStatementDetail statementDetail) {
    MedicationStatement medicationStatement = new MedicationStatement();
    medicationStatement.setId(statementDetail.getId().toString());
    List<Identifier> identifiers = new ArrayList<>();
    Identifier identifier = new Identifier().setSystem("https://fhir.nhs.uk/Id/cross-care-setting-identifier").setValue(statementDetail.getGuid());
    identifiers.add(identifier);
    medicationStatement.setIdentifier(identifiers);
    medicationStatement.setMeta(new Meta().addProfile(SystemURL.SD_GPC_MEDICATION_STATEMENT));
    medicationStatement.addExtension(new Extension(SystemURL.SD_CC_EXT_MEDICATION_STATEMENT_LAST_ISSUE, new DateTimeType(statementDetail.getLastIssueDate(), TemporalPrecisionEnum.DAY)));
    if (statementDetail.getMedicationRequestPlanId() != null) {
        medicationStatement.addBasedOn(new Reference(new IdType("MedicationRequest", statementDetail.getMedicationRequestPlanId())));
    }
    try {
        medicationStatement.setStatus(MedicationStatementStatus.fromCode(statementDetail.getStatusCode()));
    } catch (FHIRException e) {
        throw new UnprocessableEntityException(e.getMessage());
    }
    if (statementDetail.getMedicationId() != null) {
        medicationStatement.setMedication(new Reference(new IdType("Medication", statementDetail.getMedicationId())));
    }
    medicationStatement.setEffective(new Period().setStart(statementDetail.getStartDate()).setEnd(statementDetail.getEndDate()));
    medicationStatement.setDateAsserted(statementDetail.getDateAsserted());
    if (statementDetail.getPatientId() != null)
        medicationStatement.setSubject(new Reference(new IdType("Patient", statementDetail.getPatientId())));
    try {
        medicationStatement.setTaken(statementDetail.getTakenCode() != null ? MedicationStatementTaken.fromCode(statementDetail.getTakenCode()) : MedicationStatementTaken.UNK);
    } catch (FHIRException e) {
        throw new UnprocessableEntityException(e.getMessage());
    }
    setReasonCodes(medicationStatement, statementDetail);
    setNotes(medicationStatement, statementDetail);
    String dosageText = statementDetail.getDosageText();
    medicationStatement.addDosage(new Dosage().setText(dosageText == null || dosageText.trim().isEmpty() ? NO_INFORMATION_AVAILABLE : dosageText).setPatientInstruction(statementDetail.getDosagePatientInstruction()));
    String prescribingAgency = statementDetail.getPrescribingAgency();
    if (prescribingAgency != null && !prescribingAgency.trim().isEmpty()) {
        String prescribingAgencyDisplay = "";
        if (prescribingAgency.equalsIgnoreCase("prescribed-at-gp-practice")) {
            prescribingAgencyDisplay = "Prescribed at GP practice";
        } else if (prescribingAgency.equalsIgnoreCase("prescribed-by-another-organisation")) {
            prescribingAgencyDisplay = "Prescribed by another organisation";
        }
        Coding coding = new Coding(SystemURL.CS_CC_PRESCRIBING_AGENCY_STU3, prescribingAgency, prescribingAgencyDisplay);
        CodeableConcept codeableConcept = new CodeableConcept().addCoding(coding);
        medicationStatement.addExtension(new Extension(SystemURL.SD_EXTENSION_CC_PRESCRIBING_AGENCY, codeableConcept));
    }
    // #281 1.2.5 add dosageLastChanged
    Date dosageLastChanged = statementDetail.getDosageLastChanged();
    if (dosageLastChanged != null) {
        medicationStatement.addExtension(new Extension(SystemURL.SD_EXTENSION_CC_DOSAGE_LAST_CHANGED, new DateTimeType(dosageLastChanged)));
    }
    return medicationStatement;
}

Example 12 with Identifier

use of org.hl7.fhir.dstu3.model.Identifier in project gpconnect-demonstrator by nhsconnect.

the class StructuredAllergyIntoleranceBuilder method buildStructuredAllergyIntolerence.

public Bundle buildStructuredAllergyIntolerence(String NHS, Set<String> practitionerIds, Bundle bundle, Boolean includedResolved) {
    List<StructuredAllergyIntoleranceEntity> allergyData = structuredAllergySearch.getAllergyIntollerence(NHS);
    ListResource activeList = initiateListResource(NHS, ACTIVE_ALLERGIES_DISPLAY, allergyData);
    ListResource resolvedList = initiateListResource(NHS, RESOLVED_ALLERGIES_DISPLAY, allergyData);
    // This is patient 5 example 2 only
    if (allergyData.size() == 1 && allergyData.get(0).getClinicalStatus().equals(SystemConstants.NO_KNOWN)) {
        StructuredAllergyIntoleranceEntity noKnownAllergy = allergyData.get(0);
        // #214 had incorrect code and value for no known allergies
        CodeableConcept noKnownAllergies = createCoding(SystemURL.VS_LIST_EMPTY_REASON_CODE, NO_CONTENT_RECORDED, NO_CONTENT_RECORDED_DISPLAY);
        noKnownAllergies.setText("No Known Allergies");
        // activeList.setEmptyReason(noKnownAllergies);
        // see spec example 2 no known allergies positively asserted
        Reference patient = new Reference(SystemConstants.PATIENT_REFERENCE_URL + allergyData.get(0).getPatientRef());
        String noKnownAllergyId = noKnownAllergy.getGuid();
        Reference allergyIntolerance = new Reference("AllergyIntolerance/" + noKnownAllergyId);
        Resource noKnownAllergyResource = createNoKnownAllergy(noKnownAllergy);
        activeList.setSubject(patient);
        // reference to AllergyIntolerance item
        activeList.addEntry().setItem(allergyIntolerance);
        activeList.setOrderedBy(createCoding(SystemURL.CS_LIST_ORDER, "event-date", "Sorted by Event Date"));
        bundle.addEntry().setResource(activeList);
        bundle.addEntry().setResource(noKnownAllergyResource);
        if (includedResolved) {
            resolvedList.setSubject(patient);
            resolvedList.setEmptyReason(noKnownAllergies);
            bundle.addEntry().setResource(resolvedList);
        }
        return bundle;
    }
    for (StructuredAllergyIntoleranceEntity allergyIntoleranceEntity : allergyData) {
        AllergyIntolerance allergyIntolerance = new AllergyIntolerance();
        allergyIntolerance.setOnset(new DateTimeType(allergyIntoleranceEntity.getOnSetDateTime()));
        allergyIntolerance.setMeta(createMeta(SystemURL.SD_CC_ALLERGY_INTOLERANCE));
        allergyIntolerance.setId(allergyIntoleranceEntity.getId().toString());
        List<Identifier> identifiers = new ArrayList<>();
        Identifier identifier1 = new Identifier().setSystem("https://fhir.nhs.uk/Id/cross-care-setting-identifier").setValue(allergyIntoleranceEntity.getGuid());
        identifiers.add(identifier1);
        allergyIntolerance.setIdentifier(identifiers);
        if (allergyIntoleranceEntity.getClinicalStatus().equals(SystemConstants.ACTIVE)) {
            allergyIntolerance.setClinicalStatus(AllergyIntoleranceClinicalStatus.ACTIVE);
        } else {
            allergyIntolerance.setClinicalStatus(AllergyIntoleranceClinicalStatus.RESOLVED);
        }
        if (allergyIntoleranceEntity.getCategory().equals(SystemConstants.MEDICATION)) {
            allergyIntolerance.addCategory(AllergyIntoleranceCategory.MEDICATION);
        } else {
            allergyIntolerance.addCategory(AllergyIntoleranceCategory.ENVIRONMENT);
        }
        allergyIntolerance.setVerificationStatus(AllergyIntoleranceVerificationStatus.UNCONFIRMED);
        // CODE
        codeableConceptBuilder.addConceptCode(SystemConstants.SNOMED_URL, allergyIntoleranceEntity.getConceptCode(), allergyIntoleranceEntity.getConceptDisplay()).addDescription(allergyIntoleranceEntity.getDescCode(), allergyIntoleranceEntity.getDescDisplay()).addTranslation(allergyIntoleranceEntity.getCodeTranslationRef());
        allergyIntolerance.setCode(codeableConceptBuilder.build());
        codeableConceptBuilder.clear();
        allergyIntolerance.setAssertedDate(allergyIntoleranceEntity.getAssertedDate());
        Reference patient = new Reference(SystemConstants.PATIENT_REFERENCE_URL + allergyIntoleranceEntity.getPatientRef());
        allergyIntolerance.setPatient(patient);
        Annotation noteAnnotation = new Annotation(new StringType(allergyIntoleranceEntity.getNote()));
        allergyIntolerance.setNote(Collections.singletonList(noteAnnotation));
        AllergyIntoleranceReactionComponent reaction = new AllergyIntoleranceReactionComponent();
        // MANIFESTATION
        List<CodeableConcept> theManifestation = new ArrayList<>();
        codeableConceptBuilder.addConceptCode(SystemConstants.SNOMED_URL, allergyIntoleranceEntity.getManifestationCoding(), allergyIntoleranceEntity.getManifestationDisplay()).addDescription(allergyIntoleranceEntity.getManifestationDescCoding(), allergyIntoleranceEntity.getManifestationDescDisplay()).addTranslation(allergyIntoleranceEntity.getManTranslationRef());
        theManifestation.add(codeableConceptBuilder.build());
        codeableConceptBuilder.clear();
        reaction.setManifestation(theManifestation);
        reaction.setDescription(allergyIntoleranceEntity.getNote());
        // SEVERITY
        try {
            reaction.setSeverity(AllergyIntoleranceSeverity.fromCode(allergyIntoleranceEntity.getSeverity()));
        } catch (FHIRException e) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnprocessableEntityException("Unknown severity: " + allergyIntoleranceEntity.getSeverity()), SystemCode.INVALID_RESOURCE, IssueType.INVALID);
        }
        // EXPOSURE
        CodeableConcept exposureRoute = new CodeableConcept();
        reaction.setExposureRoute(exposureRoute);
        allergyIntolerance.addReaction(reaction);
        // RECORDER
        final Reference refValue = new Reference();
        final Identifier identifier = new Identifier();
        final String recorder = allergyIntoleranceEntity.getRecorder();
        // This is just an example to demonstrate using Reference element instead of Identifier element
        if (recorder.equals(patient2NhsNo.trim())) {
            Reference rec = new Reference(SystemConstants.PATIENT_REFERENCE_URL + allergyIntoleranceEntity.getPatientRef());
            allergyIntolerance.setRecorder(rec);
        } else if (patientRepository.findByNhsNumber(recorder) != null) {
            identifier.setSystem(SystemURL.ID_NHS_NUMBER);
            identifier.setValue(recorder);
            refValue.setIdentifier(identifier);
            allergyIntolerance.setRecorder(refValue);
        } else if (practitionerSearch.findPractitionerByUserId(recorder) != null) {
            refValue.setReference("Practitioner/" + recorder);
            allergyIntolerance.setRecorder(refValue);
            practitionerIds.add(recorder);
        }
        // CLINICAL STATUS
        List<Extension> extensions = new ArrayList<>();
        if (allergyIntolerance.getClinicalStatus().getDisplay().contains("Active")) {
            listResourceBuilder(activeList, allergyIntolerance, false);
            bundle.addEntry().setResource(allergyIntolerance);
        } else if (allergyIntolerance.getClinicalStatus().getDisplay().equals("Resolved") && includedResolved.equals(true)) {
            listResourceBuilder(resolvedList, allergyIntolerance, true);
            allergyIntolerance.setLastOccurrence(allergyIntoleranceEntity.getEndDate());
            final Extension allergyEndExtension = createAllergyEndExtension(allergyIntoleranceEntity);
            extensions.add(allergyEndExtension);
        }
        if (!extensions.isEmpty()) {
            allergyIntolerance.setExtension(extensions);
        }
        // ASSERTER
        Reference asserter = allergyIntolerance.getAsserter();
        if (asserter != null && asserter.getReference() != null && asserter.getReference().startsWith("Practitioner")) {
            String[] split = asserter.getReference().split("/");
            practitionerIds.add(split[1]);
        }
    }
    if (!activeList.hasEntry()) {
        addEmptyListNote(activeList);
        addEmptyReasonCode(activeList);
    }
    bundle.addEntry().setResource(activeList);
    if (includedResolved && !resolvedList.hasEntry()) {
        addEmptyListNote(resolvedList);
        addEmptyReasonCode(resolvedList);
    }
    if (includedResolved) {
        bundle.addEntry().setResource(resolvedList);
    }
    return bundle;
}

Example 13 with Identifier

use of org.hl7.fhir.dstu3.model.Identifier in project gpconnect-demonstrator by nhsconnect.

the class PopulateMedicationBundle method createListEntry.

private ListResource createListEntry(List<MedicationStatementDetail> medicationStatements, String nhsNumber) {
    ListResource medicationStatementsList = new ListResource();
    // #179 dont populate List.id
    // medicationStatementsList.setId(new IdType(1));
    medicationStatementsList.setMeta(new Meta().addProfile(SystemURL.SD_GPC_LIST));
    medicationStatementsList.setStatus(ListStatus.CURRENT);
    // #179 dont populate List.id
    // medicationStatementsList.setId(new IdDt(1));
    medicationStatementsList.setMode(ListMode.SNAPSHOT);
    medicationStatementsList.setTitle(SystemConstants.MEDICATION_LIST);
    medicationStatementsList.setCode(new CodeableConcept().addCoding(new Coding(SystemURL.VS_SNOMED, "933361000000108", MEDICATION_LIST)));
    medicationStatementsList.setSubject(new Reference(new IdType("Patient", 1L)).setIdentifier(new Identifier().setValue(nhsNumber).setSystem(SystemURL.ID_NHS_NUMBER)));
    medicationStatementsList.setDate(new Date());
    medicationStatementsList.setOrderedBy(new CodeableConcept().addCoding(new Coding(SystemURL.CS_LIST_ORDER, "event-date", "Sorted by Event Date")));
    medicationStatementsList.addExtension(setClinicalSetting());
    if (medicationStatements.isEmpty()) {
        medicationStatementsList.setEmptyReason(new CodeableConcept().setText(SystemConstants.NO_CONTENT));
        medicationStatementsList.setNote(Arrays.asList(new Annotation(new StringType(SystemConstants.INFORMATION_NOT_AVAILABLE))));
    }
    Set<String> warningCodes = new HashSet<>();
    medicationStatements.forEach(statement -> {
        Reference statementRef = new Reference(new IdType("MedicationStatement", statement.getId()));
        ListEntryComponent listEntryComponent = new ListEntryComponent(statementRef);
        medicationStatementsList.addEntry(listEntryComponent);
        if (statement.getWarningCode() != null) {
            warningCodes.add(statement.getWarningCode());
        }
    });
    WarningCodeExtHelper.addWarningCodeExtensions(warningCodes, medicationStatementsList, patientRepository, medicationStatementRepository, structuredAllergySearch);
    return medicationStatementsList;
}

Example 14 with Identifier

use of org.hl7.fhir.dstu3.model.Identifier in project gpconnect-demonstrator by nhsconnect.

the class OrganizationResourceProvider method convertOrganizationDetailsToOrganization.

public Organization convertOrganizationDetailsToOrganization(OrganizationDetails organizationDetails) {
    String mapKey = String.format("%s", organizationDetails.getOrgCode());
    Identifier identifier = new Identifier().setSystem(SystemURL.ID_ODS_ORGANIZATION_CODE).setValue(organizationDetails.getOrgCode());
    Organization organization = new Organization().setName(organizationDetails.getOrgName()).addIdentifier(identifier);
    String resourceId = String.valueOf(organizationDetails.getId());
    String versionId = String.valueOf(organizationDetails.getLastUpdated().getTime());
    String resourceType = organization.getResourceType().toString();
    IdType id = new IdType(resourceType, resourceId, versionId);
    organization.setId(id);
    organization.getMeta().setVersionId(versionId);
    organization.getMeta().setLastUpdated(organizationDetails.getLastUpdated());
    organization.getMeta().addProfile(SystemURL.SD_GPC_ORGANIZATION);
    organization = addAdditionalProperties(organization);
    return organization;
}

Example 15 with Identifier

use of org.hl7.fhir.dstu3.model.Identifier in project gpconnect-demonstrator by nhsconnect.

the class AppointmentResourceProvider method createAppointment.

/**
 * Create a new appointment
 *
 * @param appointment Resource
 * @return MethodOutcome
 */
@Create
public MethodOutcome createAppointment(@ResourceParam Appointment appointment) {
    Meta meta = appointment.getMeta();
    final List<UriType> profiles = meta.getProfile();
    // #203 validations
    // Uses VC class and lamda functions for brevity and to avoid masses of duplicated code
    // first lamda takes no params and returns a Boolean representing the fail condition ie true for fail
    // second lamda takes no params and returns a String describing the error condition
    // VC.execute evaluates the first lamda and if true theows an InvalidResource exception containg the string from the second lambda
    VC.execute(new VC[] { new VC(() -> profiles.isEmpty(), () -> "Meta element must be present in Appointment"), new VC(() -> !profiles.get(0).getValue().equalsIgnoreCase(SD_GPC_APPOINTMENT), () -> "Meta.profile " + profiles.get(0).getValue() + " is not equal to " + SD_GPC_APPOINTMENT), // what to do if > 1 meta profile element?
    new VC(() -> appointment.getStatus() == null, () -> "No status supplied"), new VC(() -> appointment.getStatus() != AppointmentStatus.BOOKED, () -> "Status must be \"booked\""), new VC(() -> appointment.getStart() == null || appointment.getEnd() == null, () -> "Both start and end date are required"), new VC(() -> appointment.getSlot().isEmpty(), () -> "At least one slot is required"), new VC(() -> appointment.getCreated() == null, () -> "Created must be populated"), new VC(() -> appointment.getParticipant().isEmpty(), () -> "At least one participant is required"), new VC(() -> !appointment.getIdentifierFirstRep().isEmpty() && appointment.getIdentifierFirstRep().getValue() == null, () -> "Appointment identifier value is required"), new VC(() -> appointment.getId() != null, () -> "Appointment id shouldn't be provided!"), new VC(() -> !appointment.getReason().isEmpty(), () -> "Appointment reason shouldn't be provided!"), // #157 refers to typeCode but means specialty  (name was changed)
    new VC(() -> !appointment.getSpecialty().isEmpty(), () -> "Appointment speciality shouldn't be provided!"), // new VC(() -> !appointment.getServiceType().isEmpty(), () -> "Appointment service type shouldn't be provided!"),
    new VC(() -> !appointment.getAppointmentType().isEmpty(), () -> "Appointment type shouldn't be provided!"), new VC(() -> !appointment.getIndication().isEmpty(), () -> "Appointment indication shouldn't be provided!"), new VC(() -> !appointment.getSupportingInformation().isEmpty(), () -> "Appointment supporting information shouldn't be provided!"), new VC(() -> !appointment.getIncomingReferral().isEmpty(), () -> "Appointment incoming referral shouldn't be provided!") });
    boolean patientFound = false;
    boolean locationFound = false;
    for (AppointmentParticipantComponent participant : appointment.getParticipant()) {
        if (participant.getActor().getReference() != null) {
            String reference = participant.getActor().getReference();
            // check for absolute reference #200
            checkReferenceIsRelative(reference);
            if (reference.contains("Patient")) {
                patientFound = true;
            } else if (reference.contains("Location")) {
                locationFound = true;
            }
        } else {
            throwUnprocessableEntity422_InvalidResourceException("Appointment resource is not valid as it does not contain a Participant Actor reference");
        }
    }
    if (!patientFound || !locationFound) {
        throwUnprocessableEntity422_InvalidResourceException("Appointment resource is not a valid resource required valid Patient and Location");
    }
    // variable accessed in a lambda must be declared final
    final boolean fPatientFound = patientFound;
    final boolean fLocationFound = locationFound;
    VC.execute(new VC[] { new VC(() -> !fPatientFound, () -> "Appointment resource is not a valid resource required valid Patient"), new VC(() -> !fLocationFound, () -> "Appointment resource is not a valid resource required valid Location") });
    String locationId = null;
    String practitionerId = null;
    for (AppointmentParticipantComponent participant : appointment.getParticipant()) {
        Reference participantActor = participant.getActor();
        final Boolean searchParticipant = (participantActor != null);
        if (searchParticipant) {
            appointmentValidation.validateParticipantActor(participantActor);
        }
        CodeableConcept participantType = participant.getTypeFirstRep();
        final Boolean validParticipantType = appointmentValidation.validateParticipantType(participantType);
        VC.execute(new VC[] { new VC(() -> !searchParticipant, () -> "Supplied Participant is not valid. Must have an Actor."), new VC(() -> !validParticipantType, () -> "Supplied Participant is not valid. Must have a Type.") });
        // gets the logical id as a string
        if (participantActor.getReference().startsWith("Location")) {
            locationId = appointmentValidation.getId();
        } else if (participantActor.getReference().startsWith("Practitioner")) {
            practitionerId = appointmentValidation.getId();
        }
        appointmentValidation.validateParticipantStatus(participant.getStatus(), participant.getStatusElement(), participant.getStatusElement());
    }
    List<Extension> extensions = validateAppointmentExtensions(appointment, profiles, AppointmentOperation.BOOK);
    // Store New Appointment
    AppointmentDetail appointmentDetail = appointmentResourceConverterToAppointmentDetail(appointment);
    List<SlotDetail> slots = new ArrayList<>();
    // we'll get the delivery channel from the slot
    String deliveryChannel = null;
    String practitionerRoleCode = null;
    String practitionerRoleDisplay = null;
    ScheduleDetail schedule = null;
    String serviceType = null;
    for (Long slotId : appointmentDetail.getSlotIds()) {
        SlotDetail slotDetail = slotSearch.findSlotByID(slotId);
        new VC(() -> slotDetail == null, () -> String.format("Slot resource reference value %s is not a valid resource.", slotId)).execute();
        if (slotDetail.getFreeBusyType().equals("BUSY")) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new ResourceVersionConflictException(String.format("Slot is already in use.", slotId)), SystemCode.DUPLICATE_REJECTED, IssueType.CONFLICT);
        }
        if (deliveryChannel == null) {
            deliveryChannel = slotDetail.getDeliveryChannelCode();
        } else if (!deliveryChannel.equals(slotDetail.getDeliveryChannelCode())) {
            // added at 1.2.2
            throwUnprocessableEntity422_InvalidResourceException(String.format("Subsequent slot (Slot/%s) delivery channel (%s) is not equal to initial slot delivery channel (%s).", slotId, deliveryChannel, slotDetail.getDeliveryChannelCode()));
        }
        // 1.2.7 check service type is the same as initial service type
        if (serviceType == null) {
            serviceType = slotDetail.getTypeDisply();
        } else if (!serviceType.equals(slotDetail.getTypeDisply())) {
            // added at 1.2.2
            throwUnprocessableEntity422_InvalidResourceException(String.format("Subsequent slot (Slot/%s) service type (%s) is not equal to initial slot service type (%s).", slotId, serviceType, slotDetail.getTypeDisply()));
        }
        if (schedule == null) {
            // load the schedule so we can get the Practitioner ID
            schedule = scheduleSearch.findScheduleByID(slotDetail.getScheduleReference());
            // add practitioner id so we can get the practitioner role
            // practitioner is derived but needs to be stored fgr comparison if provided
            appointmentDetail.setPractitionerId(schedule.getPractitionerId());
        }
        if (practitionerRoleDisplay == null) {
            practitionerRoleDisplay = schedule.getPractitionerRoleDisplay();
            practitionerRoleCode = schedule.getPractitionerRoleCode();
        }
        slots.add(slotDetail);
    }
    // for slot
    validateUpdateExtensions(deliveryChannel, practitionerRoleDisplay, practitionerRoleCode, extensions);
    // #203 check location id matches the one in the schedule
    if (locationId != null && !locationId.equals(schedule.getLocationId().toString())) {
        throwUnprocessableEntity422_InvalidResourceException(String.format("Provided location id (%s) is not equal to Schedule location id (%s)", locationId, schedule.getLocationId().toString()));
    }
    // #203 check practitioner id matches the one in the schedule if there is one
    if (practitionerId != null) {
        if (!practitionerId.equals(schedule.getPractitionerId().toString())) {
            throwUnprocessableEntity422_InvalidResourceException(String.format("Provided practitioner id (%s) is not equal to Schedule practitioner id (%s)", practitionerId, schedule.getPractitionerId().toString()));
        }
    }
    // #203
    Date firstSlotStart = slots.get(0).getStartDateTime();
    Date lastSlotEnd = slots.get(slots.size() - 1).getEndDateTime();
    // need to insert a colon in the timezone string
    String firstSlotStartStr = TIMESTAMP_FORMAT.format(firstSlotStart).replaceFirst("([0-9]{2})([0-9]{2})$", "$1:$2");
    String lastSlotEndStr = TIMESTAMP_FORMAT.format(lastSlotEnd).replaceFirst("([0-9]{2})([0-9]{2})$", "$1:$2");
    VC.execute(new VC[] { new VC(() -> appointment.getStart().compareTo(firstSlotStart) != 0, () -> String.format("Start date '%s' must match start date of first slot '%s'", appointment.getStart(), firstSlotStart)), new VC(() -> appointment.getEnd().compareTo(lastSlotEnd) != 0, () -> String.format("End date '%s' must match end date of last slot '%s'", appointment.getEnd(), lastSlotEnd)), // #218 strings should match exactly
    new VC(() -> !appointment.getStartElement().getValueAsString().equals(firstSlotStartStr), () -> String.format("Start date '%s' must lexically match start date of first slot '%s'", appointment.getStartElement().getValueAsString(), firstSlotStartStr)), new VC(() -> !appointment.getEndElement().getValueAsString().equals(lastSlotEndStr), () -> String.format("End date '%s' must lexically match end date of last slot '%s'", appointment.getEndElement().getValueAsString(), lastSlotEndStr)), // This probably can never happen under fhir
    new VC(() -> appointment.getSlot().isEmpty(), () -> "Slot reference must be populated") });
    int durationFromSlots = (int) (lastSlotEnd.getTime() - firstSlotStart.getTime()) / (1000 * 60);
    // #203 validate optional minutes duration
    if (appointment.hasMinutesDuration()) {
        int providedDuration = appointment.getMinutesDuration();
        new VC(() -> durationFromSlots != providedDuration, () -> String.format("Provided duration (%d minutes) is not equal to actual appointment duration (%d minutes)", providedDuration, durationFromSlots)).execute();
    } else {
        // not provided so write the calculated value into the appointmentDetail object
        appointmentDetail.setMinutesDuration(durationFromSlots);
    }
    // add deliveryChannel #157 removed
    // appointmentDetail.setDeliveryChannel(deliveryChannel);
    appointmentDetail = appointmentStore.saveAppointment(appointmentDetail, slots);
    for (SlotDetail slot : slots) {
        // slot.setAppointmentId(appointmentDetail.getId());
        slot.setFreeBusyType("BUSY");
        slot.setLastUpdated(new Date());
        slotStore.saveSlot(slot);
    }
    // Build response containing the new resource id
    MethodOutcome methodOutcome = new MethodOutcome();
    methodOutcome.setId(new IdDt("Appointment", appointmentDetail.getId()));
    methodOutcome.setResource(appointmentDetailToAppointmentResourceConverter(appointmentDetail));
    methodOutcome.setCreated(Boolean.TRUE);
    return methodOutcome;
}