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Example 16 with MEDICATIONSTATEMENT

use of org.hl7.fhir.r4.model.codesystems.ResourceTypes.MEDICATIONSTATEMENT in project gpconnect-demonstrator by nhsconnect.

the class PopulateMedicationBundle method addMedicationBundleEntries.

public Bundle addMedicationBundleEntries(Bundle structuredBundle, PatientDetails patientDetails, Boolean includePrescriptionIssues, Period medicationPeriod, Set<String> practitionerIds, Set<String> orgIds) {
    BundleEntryComponent listEntry = new BundleEntryComponent();
    List<MedicationStatementDetail> medicationStatements = findMedicationStatements(Long.valueOf(patientDetails.getId()), medicationPeriod);
    structuredBundle.addEntry(listEntry.setResource(createListEntry(medicationStatements, patientDetails.getNhsNumber())));
    medicationStatements.forEach(medicationStatement -> {
        createBundleEntries(medicationStatement, includePrescriptionIssues, patientDetails, practitionerIds, orgIds).forEach(bundleEntry -> structuredBundle.addEntry(bundleEntry));
    });
    return structuredBundle;
}
Also used : BundleEntryComponent(org.hl7.fhir.dstu3.model.Bundle.BundleEntryComponent) MedicationStatementDetail(uk.gov.hscic.model.medication.MedicationStatementDetail)

Example 17 with MEDICATIONSTATEMENT

use of org.hl7.fhir.r4.model.codesystems.ResourceTypes.MEDICATIONSTATEMENT in project gpconnect-demonstrator by nhsconnect.

the class WarningCodeExtHelper method addWarningCodeExtensions.

/**
 * confidential items are per record but the other two are global values per
 * patient
 *
 * @param warningCodes
 * @param list
 * @param patientRepository
 * @param medicationStatementRepository
 * @param structuredAllergySearch
 */
public static void addWarningCodeExtensions(Set<String> warningCodes, ListResource list, PatientRepository patientRepository, MedicationStatementRepository medicationStatementRepository, StructuredAllergySearch structuredAllergySearch) {
    String NHS = list.getSubject().getIdentifier().getValue();
    PatientEntity patientEntity = patientRepository.findByNhsNumber(NHS);
    List<MedicationStatementEntity> medicationStatements = medicationStatementRepository.findByPatientId(patientEntity.getId());
    for (MedicationStatementEntity medicationStatement : medicationStatements) {
        setFlags(medicationStatement.getWarningCode());
    }
    List<StructuredAllergyIntoleranceEntity> allergies = structuredAllergySearch.getAllergyIntollerence(NHS);
    for (StructuredAllergyIntoleranceEntity allergy : allergies) {
        setFlags(allergy.getWarningCode());
    }
    // check medication_statements for either of the global flags
    if (dataInTransit) {
        warningCodes.add(DATA_IN_TRANSIT);
    }
    if (dataAwaitingFiling) {
        warningCodes.add(DATA_AWAITING_FILING);
    }
    StringBuilder sb = new StringBuilder();
    warningCodes.forEach(warningCode -> {
        if (warningCode != null) {
            String warningCodeDisplay = "";
            Annotation annotation = new Annotation();
            switch(warningCode) {
                case CONFIDENTIAL_ITEMS:
                    warningCodeDisplay = "Confidential Items";
                    // #266
                    annotation.setText(CONFIDENTIAL_ITEMS_NOTE);
                    // list.addNote(annotation);
                    sb.append("\r\n").append(annotation.getText());
                    break;
                case DATA_IN_TRANSIT:
                    warningCodeDisplay = "Data in Transit";
                    Calendar cal = new GregorianCalendar();
                    Date now = new Date();
                    cal.setTime(now);
                    // a week before now
                    cal.add(Calendar.DAY_OF_YEAR, -7);
                    // #266
                    annotation.setText(String.format(DATA_IN_TRANSIT_NOTE, DATE_FORMAT.format(cal.getTime())));
                    // list.addNote(annotation);
                    sb.append("\r\n").append(annotation.getText());
                    break;
                case DATA_AWAITING_FILING:
                    warningCodeDisplay = "Data Awaiting Filing";
                    // #266
                    annotation.setText(DATA_AWAITING_FILING_NOTE);
                    // list.addNote(annotation);
                    sb.append("\r\n").append(annotation.getText());
                    break;
                default:
                    break;
            }
            // #182
            Extension warningExt = new Extension(SystemURL.WARNING_CODE, new CodeType(warningCode));
            list.addExtension(warningExt);
        }
    });
    // cardinality of note 0..1 #266
    if (sb.length() > 0) {
        Annotation annotation = null;
        if (list.getNote().size() > 0) {
            annotation = list.getNote().get(0);
            annotation.setText(annotation.getText());
            annotation.setText(annotation.getText() + sb.toString());
        } else {
            annotation = new Annotation();
            list.addNote(annotation);
            annotation.setText(sb.toString().replaceFirst("^\r\n", ""));
        }
    }
}
Also used : StructuredAllergyIntoleranceEntity(uk.gov.hscic.patient.structuredAllergyIntolerance.StructuredAllergyIntoleranceEntity) GregorianCalendar(java.util.GregorianCalendar) Calendar(java.util.Calendar) GregorianCalendar(java.util.GregorianCalendar) Annotation(org.hl7.fhir.dstu3.model.Annotation) Date(java.util.Date) PatientEntity(uk.gov.hscic.patient.details.PatientEntity) MedicationStatementEntity(uk.gov.hscic.medication.statement.MedicationStatementEntity) Extension(org.hl7.fhir.dstu3.model.Extension) CodeType(org.hl7.fhir.dstu3.model.CodeType)

Example 18 with MEDICATIONSTATEMENT

use of org.hl7.fhir.r4.model.codesystems.ResourceTypes.MEDICATIONSTATEMENT 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;
}
Also used : UnprocessableEntityException(ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException) ArrayList(java.util.ArrayList) FHIRException(org.hl7.fhir.exceptions.FHIRException) Date(java.util.Date)

Example 19 with MEDICATIONSTATEMENT

use of org.hl7.fhir.r4.model.codesystems.ResourceTypes.MEDICATIONSTATEMENT in project gpconnect-demonstrator by nhsconnect.

the class PopulateMedicationBundle method createBundleEntries.

private List<BundleEntryComponent> createBundleEntries(MedicationStatementDetail statementDetail, Boolean includePrescriptionIssues, PatientDetails patientDetails, Set<String> practitionerIds, Set<String> orgIds) {
    List<BundleEntryComponent> bundleEntryComponents = new ArrayList<>();
    MedicationStatement medStatement = medicationStatementResourceProvider.getMedicationStatementResource(statementDetail);
    bundleEntryComponents.add(new BundleEntryComponent().setResource(medStatement));
    bundleEntryComponents.add(new BundleEntryComponent().setResource(medicationResourceProvider.getMedicationResourceForBundle(statementDetail.getMedicationId())));
    MedicationRequest medicationRequest = medicationRequestResourceProvider.getMedicationRequestPlanResource(statementDetail.getMedicationRequestPlanId());
    bundleEntryComponents.add(new BundleEntryComponent().setResource(medicationRequest));
    if (includePrescriptionIssues) {
        List<MedicationRequest> prescriptionIssues = medicationRequestResourceProvider.getMedicationRequestOrderResources(medicationRequest.getGroupIdentifier().getValue());
        prescriptionIssues.forEach(requestOrder -> bundleEntryComponents.add(new BundleEntryComponent().setResource(requestOrder)));
    }
    List<MedicationRequest> allMedReqs = new ArrayList<>();
    allMedReqs.add(medicationRequest);
    allMedReqs.addAll(allMedReqs);
    practitionerIds.addAll(getPractitionerIds(medStatement, allMedReqs));
    orgIds.addAll(getOrganisationIds(allMedReqs));
    return bundleEntryComponents;
}
Also used : BundleEntryComponent(org.hl7.fhir.dstu3.model.Bundle.BundleEntryComponent)

Example 20 with MEDICATIONSTATEMENT

use of org.hl7.fhir.r4.model.codesystems.ResourceTypes.MEDICATIONSTATEMENT 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;
}
Also used : IIdType(org.hl7.fhir.instance.model.api.IIdType) ListEntryComponent(org.hl7.fhir.dstu3.model.ListResource.ListEntryComponent)

Aggregations

ArrayList (java.util.ArrayList)11 MedicationStatement (org.hl7.fhir.r4.model.MedicationStatement)9 Test (org.junit.jupiter.api.Test)9 Coding (org.hl7.fhir.r4.model.Coding)8 Reference (org.hl7.fhir.dstu3.model.Reference)6 IdType (org.hl7.fhir.dstu3.model.IdType)5 Date (java.util.Date)4 RCMRMT030101UK04Component2 (org.hl7.v3.RCMRMT030101UK04Component2)4 RCMRMT030101UK04EhrExtract (org.hl7.v3.RCMRMT030101UK04EhrExtract)4 DateTimeType (org.hl7.fhir.dstu3.model.DateTimeType)3 Extension (org.hl7.fhir.dstu3.model.Extension)3 Bundle (org.hl7.fhir.r4.model.Bundle)3 UnprocessableEntityException (ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException)2 FileOutputStream (java.io.FileOutputStream)2 List (java.util.List)2 Complex (org.hl7.fhir.dstu2016may.formats.RdfGenerator.Complex)2 MedicationRequest (org.hl7.fhir.dstu3.model.MedicationRequest)2 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)2 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)2 Condition (org.hl7.fhir.r4.model.Condition)2