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

Example 11 with Patient

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

the class AppointmentResourceProvider method appointmentResourceConverterToAppointmentDetail.

/**
 * fhir resource Appointment to AppointmentDetail
 *
 * @param appointment Resource
 * @return populated AppointmentDetail
 */
private AppointmentDetail appointmentResourceConverterToAppointmentDetail(Appointment appointment) {
    appointmentValidation.validateAppointmentExtensions(appointment.getExtension());
    if (appointmentValidation.appointmentDescriptionTooLong(appointment)) {
        throwUnprocessableEntity422_InvalidResourceException("Appointment description cannot be greater then " + APPOINTMENT_DESCRIPTION_LENGTH + " characters");
    }
    AppointmentDetail appointmentDetail = new AppointmentDetail();
    Long id = appointment.getIdElement().getIdPartAsLong();
    appointmentDetail.setId(id);
    appointmentDetail.setLastUpdated(getLastUpdated(appointment.getMeta().getLastUpdated()));
    List<Extension> cnlExtension = appointment.getExtensionsByUrl(SystemURL.SD_EXTENSION_GPC_APPOINTMENT_CANCELLATION_REASON);
    if (cnlExtension != null && !cnlExtension.isEmpty()) {
        IBaseDatatype value = cnlExtension.get(0).getValue();
        if (null == value) {
            throwInvalidRequest400_BadRequestException("Cancellation reason missing.");
        }
        appointmentDetail.setCancellationReason(value.toString());
    }
    appointmentDetail.setStatus(appointment.getStatus().toString().toLowerCase(Locale.UK));
    appointmentDetail.setMinutesDuration(appointment.getMinutesDuration());
    appointmentDetail.setPriority(appointment.getPriority());
    appointmentDetail.setStartDateTime(appointment.getStart());
    appointmentDetail.setEndDateTime(appointment.getEnd());
    List<Long> slotIds = new ArrayList<>();
    for (Reference slotReference : appointment.getSlot()) {
        // #200 check slots for absolute references
        checkReferenceIsRelative(slotReference.getReference());
        try {
            String here = slotReference.getReference().substring("Slot/".length());
            Long slotId = new Long(here);
            slotIds.add(slotId);
        } catch (NumberFormatException ex) {
            throwUnprocessableEntity422_InvalidResourceException(String.format("The slot reference value data type for %s is not valid.", slotReference.getReference()));
        }
    }
    appointmentDetail.setSlotIds(slotIds);
    if (appointmentValidation.appointmentCommentTooLong(appointment)) {
        throwUnprocessableEntity422_InvalidResourceException("Appointment comment cannot be greater than " + APPOINTMENT_COMMENT_LENGTH + " characters");
    }
    appointmentDetail.setComment(appointment.getComment());
    appointmentDetail.setDescription(appointment.getDescription());
    for (AppointmentParticipantComponent participant : appointment.getParticipant()) {
        if (participant.getActor() != null) {
            String participantReference = participant.getActor().getReference();
            String actorIdString = participantReference.substring(participantReference.lastIndexOf("/") + 1);
            Long actorId;
            if (actorIdString.equals("null")) {
                actorId = null;
            } else {
                actorId = Long.valueOf(actorIdString);
            }
            if (participantReference.contains("Patient/")) {
                appointmentDetail.setPatientId(actorId);
            } else if (participantReference.contains("Practitioner/")) {
                appointmentDetail.setPractitionerId(actorId);
            } else if (participantReference.contains("Location/")) {
                appointmentDetail.setLocationId(actorId);
            }
        } else {
            throwUnprocessableEntity422_InvalidResourceException("Participant Actor cannot be null");
        }
    }
    if (appointment.getCreated() != null) {
        Date created = appointment.getCreated();
        appointmentDetail.setCreated(created);
    }
    // #200 check extensions for absolute references
    List<Extension> extensions = appointment.getExtension();
    for (Extension extension : extensions) {
        try {
            Reference reference = (Reference) extension.getValue();
            if (reference != null) {
                checkReferenceIsRelative(reference.getReference());
            }
        } catch (ClassCastException ex) {
        }
    }
    List<Resource> contained = appointment.getContained();
    if (contained != null && !contained.isEmpty()) {
        Resource org = contained.get(0);
        Organization bookingOrgRes = (Organization) org;
        BookingOrgDetail bookingOrgDetail = new BookingOrgDetail();
        appointmentValidation.validateBookingOrganizationValuesArePresent(bookingOrgRes);
        bookingOrgDetail.setName(bookingOrgRes.getName());
        // #198 add system and optional use type. Pick system phone if > 1 and available otherwise use the one supplied
        Iterator<ContactPoint> iter = bookingOrgRes.getTelecom().iterator();
        ContactPoint telecom = bookingOrgRes.getTelecomFirstRep();
        while (iter.hasNext()) {
            ContactPoint thisTelecom = iter.next();
            if (thisTelecom.getSystem() == ContactPoint.ContactPointSystem.PHONE) {
                telecom = thisTelecom;
                break;
            }
        }
        bookingOrgDetail.setTelephone(telecom.getValue());
        bookingOrgDetail.setSystem(telecom.getSystem().toString());
        if (telecom.getUse() != null && !telecom.getUse().toString().trim().isEmpty()) {
            bookingOrgDetail.setUsetype(telecom.getUse().toString());
        }
        if (!bookingOrgRes.getIdentifier().isEmpty()) {
            bookingOrgDetail.setOrgCode(bookingOrgRes.getIdentifierFirstRep().getValue());
            String system = bookingOrgRes.getIdentifierFirstRep().getSystem();
            // check that organization identifier system is https://fhir.nhs.uk/Id/ods-organization-code
            if (system != null && !system.trim().isEmpty()) {
                if (!system.equals(ID_ODS_ORGANIZATION_CODE)) {
                    throwUnprocessableEntity422_InvalidResourceException("Appointment organisation identifier system must be an ODS code!");
                }
            } else {
                throwUnprocessableEntity422_InvalidResourceException("Appointment organisation identifier system must be populated!");
            }
        }
        bookingOrgDetail.setAppointmentDetail(appointmentDetail);
        appointmentDetail.setBookingOrganization(bookingOrgDetail);
        // 1.2.7
        appointmentDetail.setServiceCategory(appointment.getServiceCategory().getText());
        appointmentDetail.setServiceType(appointment.getServiceTypeFirstRep().getText());
    }
    return appointmentDetail;
}

Example 12 with Patient

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

the class AppointmentResourceProvider method appointmentDetailToAppointmentResourceConverter.

/**
 * AppointmentDetail to fhir resource Appointment
 *
 * @param appointmentDetail
 * @return Appointment Resource
 */
private Appointment appointmentDetailToAppointmentResourceConverter(AppointmentDetail appointmentDetail) {
    Appointment appointment = new Appointment();
    String appointmentId = String.valueOf(appointmentDetail.getId());
    String versionId = String.valueOf(appointmentDetail.getLastUpdated().getTime());
    String resourceType = appointment.getResourceType().toString();
    IdType id = new IdType(resourceType, appointmentId, versionId);
    appointment.setId(id);
    appointment.getMeta().setVersionId(versionId);
    appointment.getMeta().setLastUpdated(appointmentDetail.getLastUpdated());
    appointment.getMeta().addProfile(SystemURL.SD_GPC_APPOINTMENT);
    Extension extension = new Extension(SystemURL.SD_EXTENSION_GPC_APPOINTMENT_CANCELLATION_REASON, new StringType(appointmentDetail.getCancellationReason()));
    appointment.addExtension(extension);
    // #157 derive delivery channel from slot
    List<Long> sids = appointmentDetail.getSlotIds();
    ScheduleDetail scheduleDetail = null;
    if (sids.size() > 0) {
        // get the first slot but it should not matter because for multi slot appts the deliveryChannel is always the same
        SlotDetail slotDetail = slotSearch.findSlotByID(sids.get(0));
        String deliveryChannel = slotDetail.getDeliveryChannelCode();
        if (deliveryChannel != null && !deliveryChannel.trim().isEmpty()) {
            Extension deliveryChannelExtension = new Extension(SystemURL.SD_EXTENSION_GPC_DELIVERY_CHANNEL, new CodeType(deliveryChannel));
            appointment.addExtension(deliveryChannelExtension);
        }
        scheduleDetail = scheduleSearch.findScheduleByID(slotDetail.getScheduleReference());
    }
    // practitioner role extension here
    // lookup the practitioner
    Long practitionerID = appointmentDetail.getPractitionerId();
    if (practitionerID != null) {
        // #195 we need to get this detail from the schedule not the practitioner table
        if (scheduleDetail != null) {
            Coding roleCoding = new Coding(SystemURL.VS_GPC_PRACTITIONER_ROLE, scheduleDetail.getPractitionerRoleCode(), scheduleDetail.getPractitionerRoleDisplay());
            Extension practitionerRoleExtension = new Extension(SystemURL.SD_EXTENSION_GPC_PRACTITIONER_ROLE, new CodeableConcept().addCoding(roleCoding));
            appointment.addExtension(practitionerRoleExtension);
        }
    }
    switch(appointmentDetail.getStatus().toLowerCase(Locale.UK)) {
        case "pending":
            appointment.setStatus(AppointmentStatus.PENDING);
            break;
        case "booked":
            appointment.setStatus(AppointmentStatus.BOOKED);
            break;
        case "arrived":
            appointment.setStatus(AppointmentStatus.ARRIVED);
            break;
        case "fulfilled":
            appointment.setStatus(AppointmentStatus.FULFILLED);
            break;
        case "cancelled":
            appointment.setStatus(AppointmentStatus.CANCELLED);
            break;
        case "noshow":
            appointment.setStatus(AppointmentStatus.NOSHOW);
            break;
        default:
            appointment.setStatus(AppointmentStatus.PENDING);
            break;
    }
    appointment.setStart(appointmentDetail.getStartDateTime());
    appointment.setEnd(appointmentDetail.getEndDateTime());
    // #218 Date time formats
    appointment.getStartElement().setPrecision(TemporalPrecisionEnum.SECOND);
    appointment.getEndElement().setPrecision(TemporalPrecisionEnum.SECOND);
    List<Reference> slotResources = new ArrayList<>();
    for (Long slotId : appointmentDetail.getSlotIds()) {
        slotResources.add(new Reference("Slot/" + slotId));
    }
    appointment.setSlot(slotResources);
    if (appointmentDetail.getPriority() != null) {
        appointment.setPriority(appointmentDetail.getPriority());
    }
    appointment.setComment(appointmentDetail.getComment());
    appointment.setDescription(appointmentDetail.getDescription());
    appointment.addParticipant().setActor(new Reference("Patient/" + appointmentDetail.getPatientId())).setStatus(ParticipationStatus.ACCEPTED);
    appointment.addParticipant().setActor(new Reference("Location/" + appointmentDetail.getLocationId())).setStatus(ParticipationStatus.ACCEPTED);
    if (null != appointmentDetail.getPractitionerId()) {
        appointment.addParticipant().setActor(new Reference("Practitioner/" + appointmentDetail.getPractitionerId())).setStatus(ParticipationStatus.ACCEPTED);
    }
    if (null != appointmentDetail.getCreated()) {
        appointment.setCreated(appointmentDetail.getCreated());
    }
    if (null != appointmentDetail.getBookingOrganization()) {
        // add extension with reference to contained item
        String reference = "#1";
        Reference orgRef = new Reference(reference);
        Extension bookingOrgExt = new Extension(SystemURL.SD_CC_APPOINTMENT_BOOKINGORG, orgRef);
        appointment.addExtension(bookingOrgExt);
        BookingOrgDetail bookingOrgDetail = appointmentDetail.getBookingOrganization();
        Organization bookingOrg = new Organization();
        bookingOrg.setId(reference);
        bookingOrg.getNameElement().setValue(bookingOrgDetail.getName());
        // #198 org phone now persists usetype and system
        ContactPoint orgTelecom = bookingOrg.getTelecomFirstRep();
        orgTelecom.setValue(bookingOrgDetail.getTelephone());
        try {
            orgTelecom.setSystem(ContactPointSystem.fromCode(bookingOrgDetail.getSystem().toLowerCase()));
            if (bookingOrgDetail.getUsetype() != null && !bookingOrgDetail.getUsetype().trim().isEmpty()) {
                orgTelecom.setUse(ContactPointUse.fromCode(bookingOrgDetail.getUsetype().toLowerCase()));
            }
        } catch (FHIRException ex) {
        // Logger.getLogger(AppointmentResourceProvider.class.getName()).log(Level.SEVERE, null, ex);
        }
        bookingOrg.getMeta().addProfile(SystemURL.SD_GPC_ORGANIZATION);
        if (null != bookingOrgDetail.getOrgCode()) {
            bookingOrg.getIdentifierFirstRep().setSystem(SystemURL.ID_ODS_ORGANIZATION_CODE).setValue(bookingOrgDetail.getOrgCode());
        }
        // add contained booking organization resource
        appointment.getContained().add(bookingOrg);
    }
    // if bookingOrganization
    appointment.setMinutesDuration(appointmentDetail.getMinutesDuration());
    // 1.2.7 set service category from schedule type description
    appointment.setServiceCategory(new CodeableConcept().setText(scheduleDetail.getTypeDescription()));
    // 1.2.7 set service type from slot type description
    appointment.addServiceType(new CodeableConcept().setText(slotSearch.findSlotByID(sids.get(0)).getTypeDisply()));
    return appointment;
}

Example 13 with Patient

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

the class PatientResourceProvider method registerPatient.

@Operation(name = REGISTER_PATIENT_OPERATION_NAME)
public Bundle registerPatient(@ResourceParam Parameters params) {
    Patient registeredPatient = null;
    validateParameterNames(params, registerPatientParams);
    Patient unregisteredPatient = params.getParameter().stream().filter(param -> "registerPatient".equalsIgnoreCase(param.getName())).map(ParametersParameterComponent::getResource).map(Patient.class::cast).findFirst().orElse(null);
    String nnn = nhsNumber.fromPatientResource(unregisteredPatient);
    // if its patient 14 spoof not on PDS and return the required error
    if (nnn.equals(patientNotOnSpine)) {
        throw OperationOutcomeFactory.buildOperationOutcomeException(new InvalidRequestException(String.format("Patient (NHS number - %s) not present on PDS", nnn)), SystemCode.INVALID_PATIENT_DEMOGRAPHICS, IssueType.INVALID);
    } else if (nnn.equals(patientSuperseded)) {
        throw OperationOutcomeFactory.buildOperationOutcomeException(new InvalidRequestException(String.format("Patient (NHS number - %s) is superseded", nnn)), SystemCode.INVALID_NHS_NUMBER, IssueType.INVALID);
    }
    if (unregisteredPatient != null) {
        validatePatient(unregisteredPatient);
        // check if the patient already exists
        PatientDetails patientDetails = patientSearch.findPatient(nhsNumber.fromPatientResource(unregisteredPatient));
        if (patientDetails == null || IsInactiveTemporaryPatient(patientDetails)) {
            if (patientDetails == null) {
                patientDetails = registerPatientResourceConverterToPatientDetail(unregisteredPatient);
                patientStore.create(patientDetails);
            } else {
                // reactivate inactive non temporary patient
                patientDetails.setRegistrationStatus(ACTIVE_REGISTRATION_STATUS);
                updateAddressAndTelecom(unregisteredPatient, patientDetails);
                patientStore.update(patientDetails);
            }
            try {
                registeredPatient = patientDetailsToRegisterPatientResourceConverter(patientSearch.findPatient(unregisteredPatient.getIdentifierFirstRep().getValue()));
                addPreferredBranchSurgeryExtension(registeredPatient);
            } catch (FHIRException e) {
                // TODO Auto-generated catch block
                e.printStackTrace();
            }
        } else if (patientDetails.isDeceased() || patientDetails.isSensitive()) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new InvalidRequestException(String.format("Patient (NHS number - %s) has invalid demographics", nnn)), SystemCode.INVALID_PATIENT_DEMOGRAPHICS, IssueType.INVALID);
        } else {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnclassifiedServerFailureException(409, String.format("Patient (NHS number - %s) already exists", nnn)), SystemCode.DUPLICATE_REJECTED, IssueType.INVALID);
        }
    } else {
        throw OperationOutcomeFactory.buildOperationOutcomeException(new UnprocessableEntityException("Patient record not found"), SystemCode.INVALID_PARAMETER, IssueType.INVALID);
    }
    Bundle bundle = new Bundle().setType(BundleType.SEARCHSET);
    bundle.getMeta().addProfile(SystemURL.SD_GPC_SRCHSET_BUNDLE);
    bundle.addEntry().setResource(registeredPatient);
    return bundle;
}

Example 14 with Patient

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

the class PatientResourceProvider method createContact.

// patientDetailsToMinimalPatient
/**
 * add a set of contact details into the patient record NB these are
 * Contacts (related people etc) not contactpoints (telecoms)
 *
 * @param patient fhirResource object
 */
private void createContact(Patient patient) {
    // relationships
    Patient.ContactComponent contact = new ContactComponent();
    for (String relationship : new String[] { "Emergency contact", "Next of kin", "Daughter" }) {
        CodeableConcept crelationship = new CodeableConcept();
        crelationship.setText(relationship);
        contact.addRelationship(crelationship);
    }
    // contact address
    Address address = new Address();
    address.addLine("Trevelyan Square");
    address.addLine("Boar Ln");
    address.setPostalCode("LS1 6AE");
    address.setType(AddressType.PHYSICAL);
    address.setUse(AddressUse.HOME);
    contact.setAddress(address);
    // gender
    contact.setGender(AdministrativeGender.FEMALE);
    // telecom
    ContactPoint telecom = new ContactPoint();
    telecom.setSystem(ContactPointSystem.PHONE);
    telecom.setUse(ContactPointUse.MOBILE);
    telecom.setValue("07777123123");
    contact.addTelecom(telecom);
    // Name
    HumanName name = new HumanName();
    name.addGiven("Jane");
    name.setFamily("Jackson");
    List<StringType> prefixList = new ArrayList<>();
    prefixList.add(new StringType("Miss"));
    name.setPrefix(prefixList);
    name.setText("JACKSON Jane (Miss)");
    name.setUse(NameUse.OFFICIAL);
    contact.setName(name);
    patient.addContact(contact);
}

Example 15 with Patient

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

the class PatientResourceProvider method StructuredRecordOperation.

@Operation(name = GET_STRUCTURED_RECORD_OPERATION_NAME)
public Bundle StructuredRecordOperation(@ResourceParam Parameters params) throws FHIRException {
    Bundle structuredBundle = new Bundle();
    Boolean getAllergies = false;
    Boolean includeResolved = false;
    Boolean getMedications = false;
    Boolean includePrescriptionIssues = false;
    Period medicationPeriod = null;
    String NHS = getNhsNumber(params);
    PatientDetails patientDetails = patientSearch.findPatient(NHS);
    // see https://nhsconnect.github.io/gpconnect/accessrecord_structured_development_retrieve_patient_record.html#error-handling
    if (patientDetails == null || patientDetails.isSensitive() || patientDetails.isDeceased() || !patientDetails.isActive()) {
        throw OperationOutcomeFactory.buildOperationOutcomeException(new ResourceNotFoundException("No patient details found for patient ID: " + NHS), SystemCode.PATIENT_NOT_FOUND, IssueType.NOTFOUND);
    }
    if (NHS.equals(patientNoconsent)) {
        throw OperationOutcomeFactory.buildOperationOutcomeException(new ForbiddenOperationException("No patient consent to share for patient ID: " + NHS), SystemCode.NO_PATIENT_CONSENT, IssueType.FORBIDDEN);
    }
    operationOutcome = null;
    for (ParametersParameterComponent param : params.getParameter()) {
        if (validateParametersName(param.getName())) {
            if (param.getName().equals(SystemConstants.INCLUDE_ALLERGIES)) {
                getAllergies = true;
                if (param.getPart().isEmpty()) {
                    // addWarningIssue(param, IssueType.REQUIRED, "Miss parameter part : " + SystemConstants.INCLUDE_RESOLVED_ALLERGIES);
                    throw OperationOutcomeFactory.buildOperationOutcomeException(new UnprocessableEntityException("Miss parameter : " + SystemConstants.INCLUDE_RESOLVED_ALLERGIES), SystemCode.INVALID_PARAMETER, IssueType.REQUIRED);
                }
                boolean includeResolvedParameterPartPresent = false;
                for (ParametersParameterComponent paramPart : param.getPart()) {
                    if (paramPart.getName().equals(SystemConstants.INCLUDE_RESOLVED_ALLERGIES)) {
                        if (paramPart.getValue() instanceof BooleanType) {
                            includeResolved = Boolean.valueOf(paramPart.getValue().primitiveValue());
                            includeResolvedParameterPartPresent = true;
                        } else {
                            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnprocessableEntityException("Miss parameter : " + SystemConstants.INCLUDE_RESOLVED_ALLERGIES), SystemCode.INVALID_PARAMETER, IssueType.REQUIRED);
                        }
                    } else {
                        addWarningIssue(param, paramPart, IssueType.NOTSUPPORTED);
                    // throw OperationOutcomeFactory.buildOperationOutcomeException(
                    // new UnprocessableEntityException("Incorrect parameter passed : " + paramPart.getName()),
                    // SystemCode.INVALID_PARAMETER, IssueType.INVALID);
                    }
                }
                if (!includeResolvedParameterPartPresent) {
                    throw OperationOutcomeFactory.buildOperationOutcomeException(new UnprocessableEntityException("Miss parameter : " + SystemConstants.INCLUDE_RESOLVED_ALLERGIES), SystemCode.INVALID_PARAMETER, IssueType.REQUIRED);
                }
            }
            if (param.getName().equals(SystemConstants.INCLUDE_MEDICATION)) {
                getMedications = true;
                boolean isIncludedPrescriptionIssuesExist = false;
                for (ParametersParameterComponent paramPart : param.getPart()) {
                    if (paramPart.getName().equals(SystemConstants.INCLUDE_PRESCRIPTION_ISSUES)) {
                        if (paramPart.getValue() instanceof BooleanType) {
                            includePrescriptionIssues = Boolean.valueOf(paramPart.getValue().primitiveValue());
                            isIncludedPrescriptionIssuesExist = true;
                        }
                    } else if (paramPart.getName().equals(SystemConstants.MEDICATION_SEARCH_FROM_DATE) && paramPart.getValue() instanceof DateType) {
                        DateType startDateDt = (DateType) paramPart.getValue();
                        medicationPeriod = new Period();
                        medicationPeriod.setStart(startDateDt.getValue());
                        medicationPeriod.setEnd(null);
                        String startDate = startDateDt.asStringValue();
                        if (!validateStartDateParamAndEndDateParam(startDate, null)) {
                        // addWarningIssue(param, paramPart, IssueType.INVALID, "Invalid date used");
                        }
                    } else {
                        addWarningIssue(param, paramPart, IssueType.NOTSUPPORTED);
                    // throw OperationOutcomeFactory.buildOperationOutcomeException(
                    // new UnprocessableEntityException("Incorrect parameter passed : " + paramPart.getName()),
                    // SystemCode.INVALID_PARAMETER, IssueType.INVALID);
                    }
                }
                if (!isIncludedPrescriptionIssuesExist) {
                    // # 1.2.6 now defaults to true if not provided
                    includePrescriptionIssues = true;
                }
            }
        } else {
            // invalid parameter
            addWarningIssue(param, IssueType.NOTSUPPORTED);
        }
    }
    // for parameter
    // Add Patient
    Patient patient = patientDetailsToPatientResourceConverter(patientDetails);
    if (patient.getIdentifierFirstRep().getValue().equals(NHS)) {
        structuredBundle.addEntry().setResource(patient);
    }
    // Organization from patient
    Set<String> orgIds = new HashSet<>();
    orgIds.add(patientDetails.getManagingOrganization());
    // Practitioner from patient
    Set<String> practitionerIds = new HashSet<>();
    List<Reference> practitionerReferenceList = patient.getGeneralPractitioner();
    practitionerReferenceList.forEach(practitionerReference -> {
        String[] pracRef = practitionerReference.getReference().split("/");
        if (pracRef.length > 1) {
            practitionerIds.add(pracRef[1]);
        }
    });
    if (getAllergies) {
        structuredBundle = structuredAllergyIntoleranceBuilder.buildStructuredAllergyIntolerence(NHS, practitionerIds, structuredBundle, includeResolved);
    }
    if (getMedications) {
        structuredBundle = populateMedicationBundle.addMedicationBundleEntries(structuredBundle, patientDetails, includePrescriptionIssues, medicationPeriod, practitionerIds, orgIds);
    }
    // Add all practitioners and practitioner roles
    for (String practitionerId : practitionerIds) {
        Practitioner pracResource = practitionerResourceProvider.getPractitionerById(new IdType(practitionerId));
        structuredBundle.addEntry().setResource(pracResource);
        List<PractitionerRole> practitionerRoleList = practitionerRoleResourceProvider.getPractitionerRoleByPracticionerId(new IdType(practitionerId));
        for (PractitionerRole role : practitionerRoleList) {
            String[] split = role.getOrganization().getReference().split("/");
            orgIds.add(split[1]);
            structuredBundle.addEntry().setResource(role);
        }
    }
    // Add all organizations
    for (String orgId : orgIds) {
        OrganizationDetails organizationDetails = organizationSearch.findOrganizationDetails(new Long(orgId));
        Organization organization = organizationResourceProvider.convertOrganizationDetailsToOrganization(organizationDetails);
        structuredBundle.addEntry().setResource(organization);
    }
    structuredBundle.setType(BundleType.COLLECTION);
    structuredBundle.getMeta().addProfile(SystemURL.SD_GPC_STRUCTURED_BUNDLE);
    if (operationOutcome != null) {
        structuredBundle.addEntry().setResource(operationOutcome);
    } else {
        removeDuplicateResources(structuredBundle);
    }
    return structuredBundle;
}