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Example 26 with MedicationRequest

use of org.hl7.fhir.r4.model.MedicationRequest in project cqf-ruler by DBCG.

the class ActivityDefinitionApplyProvider method resolveMedicationRequest.

private MedicationRequest resolveMedicationRequest(ActivityDefinition activityDefinition, String patientId) throws ActivityDefinitionApplyException {
    // intent, medication, and subject are required
    MedicationRequest medicationRequest = new MedicationRequest();
    medicationRequest.setIntent(MedicationRequest.MedicationRequestIntent.ORDER);
    medicationRequest.setSubject(new Reference(patientId));
    if (activityDefinition.hasProduct()) {
        medicationRequest.setMedication(activityDefinition.getProduct());
    } else {
        throw new ActivityDefinitionApplyException("Missing required product property");
    }
    if (activityDefinition.hasDosage()) {
        medicationRequest.setDosageInstruction(activityDefinition.getDosage());
    }
    if (activityDefinition.hasBodySite()) {
        throw new ActivityDefinitionApplyException("BodySite does not map to " + activityDefinition.getKind());
    }
    if (activityDefinition.hasCode()) {
        throw new ActivityDefinitionApplyException("Code does not map to " + activityDefinition.getKind());
    }
    if (activityDefinition.hasQuantity()) {
        throw new ActivityDefinitionApplyException("Quantity does not map to " + activityDefinition.getKind());
    }
    return medicationRequest;
}
Also used : MedicationRequest(org.hl7.fhir.dstu3.model.MedicationRequest) Reference(org.hl7.fhir.dstu3.model.Reference)

Example 27 with MedicationRequest

use of org.hl7.fhir.r4.model.MedicationRequest in project cqf-ruler by DBCG.

the class ActivityDefinitionApplyProvider method resolveActivityDefinition.

// For library use
public Resource resolveActivityDefinition(ActivityDefinition activityDefinition, String patientId, String practitionerId, String organizationId, RequestDetails theRequest) throws FHIRException {
    Resource result = newResource(activityDefinition.getKind().toCode());
    switch(result.fhirType()) {
        case "ServiceRequest":
            result = resolveServiceRequest(activityDefinition, patientId, practitionerId, organizationId);
            break;
        case "MedicationRequest":
            result = resolveMedicationRequest(activityDefinition, patientId);
            break;
        case "SupplyRequest":
            result = resolveSupplyRequest(activityDefinition, practitionerId, organizationId);
            break;
        case "Procedure":
            result = resolveProcedure(activityDefinition, patientId);
            break;
        case "DiagnosticReport":
            result = resolveDiagnosticReport(activityDefinition, patientId);
            break;
        case "Communication":
            result = resolveCommunication(activityDefinition, patientId);
            break;
        case "CommunicationRequest":
            result = resolveCommunicationRequest(activityDefinition, patientId);
            break;
        case "Task":
            result = resolveTask(activityDefinition, patientId);
            break;
    }
    for (ActivityDefinition.ActivityDefinitionDynamicValueComponent dynamicValue : activityDefinition.getDynamicValue()) {
        // ActivityDefinition apply operation does not fail.
        try {
            if (dynamicValue.getExpression() != null) {
                // Special case for setting a Patient reference
                if ("Patient".equals(dynamicValue.getExpression().getExpression())) {
                    this.modelResolver.setValue(result, dynamicValue.getPath(), new Reference(patientId));
                } else {
                    /*
						 * TODO: Passing the activityDefinition as context here because that's what will
						 * have the libraries, but perhaps the "context" here should be the result
						 * resource?
						 */
                    Object value = expressionEvaluation.evaluateInContext(activityDefinition, dynamicValue.getExpression().getExpression(), patientId, theRequest);
                    if (value != null) {
                        logger.debug("dynamicValue value: {}", value);
                        if (value instanceof Boolean) {
                            value = new BooleanType((Boolean) value);
                        } else if (value instanceof DateTime) {
                            value = Date.from(((DateTime) value).getDateTime().toInstant());
                        } else if (value instanceof String) {
                            value = new StringType((String) value);
                        }
                        this.modelResolver.setValue(result, dynamicValue.getPath(), value);
                    } else {
                        logger.warn("WARNING: ActivityDefinition has null value for path: {}", dynamicValue.getPath());
                    }
                }
            }
        } catch (Exception e) {
            logger.error("ERROR: ActivityDefinition dynamicValue {} could not be applied and threw exception {}", dynamicValue.getPath(), e.toString());
            logger.error(e.toString());
        }
    }
    return result;
}
Also used : StringType(org.hl7.fhir.r4.model.StringType) Reference(org.hl7.fhir.r4.model.Reference) Resource(org.hl7.fhir.r4.model.Resource) BooleanType(org.hl7.fhir.r4.model.BooleanType) DateTime(org.opencds.cqf.cql.engine.runtime.DateTime) InternalErrorException(ca.uhn.fhir.rest.server.exceptions.InternalErrorException) FHIRException(org.hl7.fhir.exceptions.FHIRException) ActivityDefinition(org.hl7.fhir.r4.model.ActivityDefinition)

Example 28 with MedicationRequest

use of org.hl7.fhir.r4.model.MedicationRequest in project bunsen by cerner.

the class TestData method newMedicationRequest.

/**
 * Returns a new MedicationRequest for testing.
 *
 * @return a FHIR MedicationRequest for testing.
 */
public static MedicationRequest newMedicationRequest() {
    MedicationRequest medicationRequest = new MedicationRequest();
    medicationRequest.setId("test-medication-request");
    CodeableConcept itemCodeableConcept = new CodeableConcept();
    itemCodeableConcept.addCoding().setSystem("http://www.nlm.nih.gov/research/umls/rxnorm").setCode("103109").setDisplay("Vitamin E 3 MG Oral Tablet [Ephynal]").setUserSelected(true);
    medicationRequest.setMedication(itemCodeableConcept);
    medicationRequest.setSubject(new Reference("Patient/12345").setDisplay("Here is a display for you."));
    medicationRequest.setDosageInstruction(ImmutableList.of(new Dosage().setTiming(new Timing().setRepeat(new TimingRepeatComponent().setCount(10)))));
    medicationRequest.setSubstitution(new MedicationRequestSubstitutionComponent().setAllowed(true));
    return medicationRequest;
}
Also used : MedicationRequest(org.hl7.fhir.dstu3.model.MedicationRequest) MedicationRequestSubstitutionComponent(org.hl7.fhir.dstu3.model.MedicationRequest.MedicationRequestSubstitutionComponent) Reference(org.hl7.fhir.dstu3.model.Reference) TimingRepeatComponent(org.hl7.fhir.dstu3.model.Timing.TimingRepeatComponent) Timing(org.hl7.fhir.dstu3.model.Timing) Dosage(org.hl7.fhir.dstu3.model.Dosage) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 29 with MedicationRequest

use of org.hl7.fhir.r4.model.MedicationRequest in project synthea by synthetichealth.

the class FhirR4 method convertToFHIR.

/**
 * Convert the given Person into a FHIR Bundle of the Patient and the
 * associated entries from their health record.
 *
 * @param person   Person to generate the FHIR JSON for
 * @param stopTime Time the simulation ended
 * @return FHIR Bundle containing the Person's health record
 */
public static Bundle convertToFHIR(Person person, long stopTime) {
    Bundle bundle = new Bundle();
    if (TRANSACTION_BUNDLE) {
        bundle.setType(BundleType.TRANSACTION);
    } else {
        bundle.setType(BundleType.COLLECTION);
    }
    BundleEntryComponent personEntry = basicInfo(person, bundle, stopTime);
    for (Encounter encounter : person.record.encounters) {
        BundleEntryComponent encounterEntry = encounter(person, personEntry, bundle, encounter);
        for (HealthRecord.Entry condition : encounter.conditions) {
            condition(person, personEntry, bundle, encounterEntry, condition);
        }
        for (HealthRecord.Allergy allergy : encounter.allergies) {
            allergy(person, personEntry, bundle, encounterEntry, allergy);
        }
        for (Observation observation : encounter.observations) {
            // Observation resources in v4 don't support Attachments
            if (observation.value instanceof Attachment) {
                media(person, personEntry, bundle, encounterEntry, observation);
            } else {
                observation(person, personEntry, bundle, encounterEntry, observation);
            }
        }
        for (Procedure procedure : encounter.procedures) {
            procedure(person, personEntry, bundle, encounterEntry, procedure);
        }
        for (HealthRecord.Device device : encounter.devices) {
            device(person, personEntry, bundle, device);
        }
        for (HealthRecord.Supply supply : encounter.supplies) {
            supplyDelivery(person, personEntry, bundle, supply, encounter);
        }
        for (Medication medication : encounter.medications) {
            medicationRequest(person, personEntry, bundle, encounterEntry, medication);
        }
        for (HealthRecord.Entry immunization : encounter.immunizations) {
            immunization(person, personEntry, bundle, encounterEntry, immunization);
        }
        for (Report report : encounter.reports) {
            report(person, personEntry, bundle, encounterEntry, report);
        }
        for (CarePlan careplan : encounter.careplans) {
            BundleEntryComponent careTeamEntry = careTeam(person, personEntry, bundle, encounterEntry, careplan);
            carePlan(person, personEntry, bundle, encounterEntry, encounter.provider, careTeamEntry, careplan);
        }
        for (ImagingStudy imagingStudy : encounter.imagingStudies) {
            imagingStudy(person, personEntry, bundle, encounterEntry, imagingStudy);
        }
        if (USE_US_CORE_IG) {
            String clinicalNoteText = ClinicalNoteExporter.export(person, encounter);
            boolean lastNote = (encounter == person.record.encounters.get(person.record.encounters.size() - 1));
            clinicalNote(person, personEntry, bundle, encounterEntry, clinicalNoteText, lastNote);
        }
        // one claim per encounter
        BundleEntryComponent encounterClaim = encounterClaim(person, personEntry, bundle, encounterEntry, encounter.claim);
        explanationOfBenefit(personEntry, bundle, encounterEntry, person, encounterClaim, encounter);
    }
    if (USE_US_CORE_IG) {
        // Add Provenance to the Bundle
        provenance(bundle, person, stopTime);
    }
    return bundle;
}
Also used : DiagnosticReport(org.hl7.fhir.r4.model.DiagnosticReport) Report(org.mitre.synthea.world.concepts.HealthRecord.Report) Bundle(org.hl7.fhir.r4.model.Bundle) ImagingStudy(org.mitre.synthea.world.concepts.HealthRecord.ImagingStudy) Attachment(org.mitre.synthea.engine.Components.Attachment) HealthRecord(org.mitre.synthea.world.concepts.HealthRecord) CarePlan(org.mitre.synthea.world.concepts.HealthRecord.CarePlan) BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Observation(org.mitre.synthea.world.concepts.HealthRecord.Observation) Medication(org.mitre.synthea.world.concepts.HealthRecord.Medication) Encounter(org.mitre.synthea.world.concepts.HealthRecord.Encounter) Procedure(org.mitre.synthea.world.concepts.HealthRecord.Procedure)

Example 30 with MedicationRequest

use of org.hl7.fhir.r4.model.MedicationRequest in project synthea by synthetichealth.

the class FHIRSTU3ExporterTest method testFHIRSTU3Export.

@Test
public void testFHIRSTU3Export() throws Exception {
    TestHelper.loadTestProperties();
    Generator.DEFAULT_STATE = Config.get("test_state.default", "Massachusetts");
    Config.set("exporter.baseDirectory", tempFolder.newFolder().toString());
    FhirContext ctx = FhirStu3.getContext();
    IParser parser = ctx.newJsonParser().setPrettyPrint(true);
    FhirValidator validator = ctx.newValidator();
    validator.setValidateAgainstStandardSchema(true);
    validator.setValidateAgainstStandardSchematron(true);
    ValidationResources validationResources = new ValidationResources();
    List<String> errors = ParallelTestingService.runInParallel((person) -> {
        List<String> validationErrors = new ArrayList<String>();
        TestHelper.exportOff();
        Config.set("exporter.fhir_stu3.export", "true");
        Config.set("exporter.fhir.use_shr_extensions", "true");
        FhirStu3.TRANSACTION_BUNDLE = person.randBoolean();
        String fhirJson = FhirStu3.convertToFHIRJson(person, System.currentTimeMillis());
        // (these should have been converted into URIs)
        if (fhirJson.contains("SNOMED-CT")) {
            validationErrors.add("JSON contains unconverted references to 'SNOMED-CT' (should be URIs)");
        }
        // let's crack open the Bundle and validate
        // each individual entry.resource to get context-sensitive error
        // messages...
        Bundle bundle = parser.parseResource(Bundle.class, fhirJson);
        for (BundleEntryComponent entry : bundle.getEntry()) {
            ValidationResult eresult = validator.validateWithResult(entry.getResource());
            if (!eresult.isSuccessful()) {
                for (SingleValidationMessage emessage : eresult.getMessages()) {
                    boolean valid = false;
                    if (emessage.getMessage().contains("@ Observation obs-7")) {
                        /*
               * The obs-7 invariant basically says that Observations should have values, unless
               * they are made of components. This test replaces an invalid XPath expression
               * that was causing correct instances to fail validation.
               */
                        valid = validateObs7((Observation) entry.getResource());
                    } else if (emessage.getMessage().contains("@ Condition con-4")) {
                        /*
               * The con-4 invariant says "If condition is abated, then clinicalStatus must be
               * either inactive, resolved, or remission" which is very clear and sensical.
               * However, the XPath expression does not evaluate correctly for valid instances,
               * so we must manually validate.
               */
                        valid = validateCon4((Condition) entry.getResource());
                    } else if (emessage.getMessage().contains("@ MedicationRequest mps-1")) {
                        /*
               * The mps-1 invariant says MedicationRequest.requester.onBehalfOf can only be
               * specified if MedicationRequest.requester.agent is practitioner or device.
               * But the invariant is poorly written and does not correctly handle references
               * starting with "urn:uuid"
               */
                        // ignore this error
                        valid = true;
                    } else if (emessage.getMessage().contains("per-1: If present, start SHALL have a lower value than end")) {
                        /*
               * The per-1 invariant does not account for daylight savings time... so, if the
               * daylight savings switch happens between the start and end, the validation
               * fails, even if it is valid.
               */
                        // ignore this error
                        valid = true;
                    }
                    if (!valid) {
                        System.out.println(parser.encodeResourceToString(entry.getResource()));
                        System.out.println("ERROR: " + emessage.getMessage());
                        validationErrors.add(emessage.getMessage());
                    }
                }
            }
            // Check ExplanationOfBenefit Resources against BlueButton
            if (entry.getResource().fhirType().equals("ExplanationOfBenefit")) {
                ValidationResult bbResult = validationResources.validateSTU3(entry.getResource());
                for (SingleValidationMessage message : bbResult.getMessages()) {
                    if (message.getMessage().contains("extension https://bluebutton.cms.gov/assets")) {
                        /*
               * The instance validator complains about the BlueButton extensions, ignore
               */
                        continue;
                    } else if (message.getSeverity() == ResultSeverityEnum.ERROR) {
                        if (!(message.getMessage().contains("Element 'ExplanationOfBenefit.id': minimum required = 1, but only found 0") || message.getMessage().contains("Could not verify slice for profile"))) {
                            // For some reason the validator is not detecting the IDs on the resources,
                            // even though they appear to be present while debugging and during normal
                            // operations.
                            System.out.println(message.getSeverity() + ": " + message.getMessage());
                            Assert.fail(message.getSeverity() + ": " + message.getMessage());
                        }
                    }
                }
            }
        }
        if (!validationErrors.isEmpty()) {
            Exporter.export(person, System.currentTimeMillis());
        }
        return validationErrors;
    });
    assertTrue("Validation of exported FHIR bundle failed: " + String.join("|", errors), errors.size() == 0);
}
Also used : FhirContext(ca.uhn.fhir.context.FhirContext) SingleValidationMessage(ca.uhn.fhir.validation.SingleValidationMessage) Bundle(org.hl7.fhir.dstu3.model.Bundle) ArrayList(java.util.ArrayList) FhirValidator(ca.uhn.fhir.validation.FhirValidator) ValidationResult(ca.uhn.fhir.validation.ValidationResult) BundleEntryComponent(org.hl7.fhir.dstu3.model.Bundle.BundleEntryComponent) Observation(org.hl7.fhir.dstu3.model.Observation) IParser(ca.uhn.fhir.parser.IParser) Test(org.junit.Test)

Aggregations

MedicationRequest (org.hl7.fhir.r4.model.MedicationRequest)128 Test (org.junit.Test)128 IBundleProvider (ca.uhn.fhir.rest.api.server.IBundleProvider)78 SearchParameterMap (org.openmrs.module.fhir2.api.search.param.SearchParameterMap)58 BaseModuleContextSensitiveTest (org.openmrs.test.BaseModuleContextSensitiveTest)48 ReferenceAndListParam (ca.uhn.fhir.rest.param.ReferenceAndListParam)44 ReferenceOrListParam (ca.uhn.fhir.rest.param.ReferenceOrListParam)44 ReferenceParam (ca.uhn.fhir.rest.param.ReferenceParam)44 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)36 Test (org.junit.jupiter.api.Test)35 IBaseResource (org.hl7.fhir.instance.model.api.IBaseResource)33 ParameterizedTest (org.junit.jupiter.params.ParameterizedTest)33 Resource (org.hl7.fhir.r4.model.Resource)31 MedicationRequest (org.hl7.fhir.dstu3.model.MedicationRequest)26 TokenAndListParam (ca.uhn.fhir.rest.param.TokenAndListParam)23 TokenParam (ca.uhn.fhir.rest.param.TokenParam)23 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)23 ArrayList (java.util.ArrayList)19 Include (ca.uhn.fhir.model.api.Include)15 HashSet (java.util.HashSet)15