using adas_core.Application.Exceptions;
using adas_core.Application.Repositories.Interfaces;
using adas_core.Application.Services.Interfaces;
using adas_core.Application.Subscriptions;
using adas_core.Domain.Enums;
using adas_core.Domain.Models;
using adas_core.Domain.Models.AppSettings;
using adas_core.Domain.Models.MongoModels;
using adas_core.Domain.Utils;
using Microsoft.AspNetCore.Http;
using Microsoft.Extensions.Logging;
using Microsoft.Extensions.Options;
using MongoDB.Bson;
using MongoDB.Driver;
namespace adas_core.Application.Services;
///
/// Provides the implementation of the contract,
/// offering diagnosis-related operations as defined by the interface.
///
///
public class DiagnosisService : IDiagnosisService
{
private readonly ILocalAuditService _auditService;
private readonly Lazy _calculatedObservations;
private readonly IClientMessageService _clientMessageService;
private readonly IDiagnosisArchiveRepository _diagnosisArchiveRepository;
private readonly List _diagnosisCode = [];
private readonly IDiagnosisRepository _diagnosisRepository;
private readonly string _diagnosisSystem;
private readonly IHttpContextAccessor _httpContextAccessor;
private readonly ILogger _logger;
private readonly Lazy _patientService;
private readonly ISubscribersService _subscribersService;
private readonly IUnitService _unitService;
///
/// Initializes a new instance of the , which provides operations for managing diagnoses and their archives. The constructor stores injected collaborators and seeds the diagnosis system identifier and configured diagnosis codes from .
///
/// A that resolves an for patient lookups.
/// The of providing configuration such as the diagnosis system and diagnosis codes.
/// The used to read and persist diagnoses.
/// The used to read and persist archived diagnoses.
/// The used to record diagnostic information.
/// The used to deliver messages to clients.
/// The used to notify subscribers of diagnosis events.
/// A that resolves an for derived observations.
/// The providing access to the current HTTP context.
/// The used to record local audit entries.
/// The used to manage measurement units.
///
public DiagnosisService(
Lazy patientService,
IOptions apiSettings,
IDiagnosisRepository diagnosisRepository,
IDiagnosisArchiveRepository diagnosisArchiveRepository,
ILogger logger,
IClientMessageService clientMessageService,
ISubscribersService subscribersService,
Lazy calculatedObservations,
IHttpContextAccessor httpContextAccessor,
ILocalAuditService auditService,
IUnitService unitService)
{
_patientService = patientService;
_diagnosisRepository = diagnosisRepository;
_diagnosisArchiveRepository = diagnosisArchiveRepository;
_logger = logger;
_clientMessageService = clientMessageService;
_subscribersService = subscribersService;
_calculatedObservations = calculatedObservations;
_unitService = unitService;
_httpContextAccessor = httpContextAccessor;
_auditService = auditService;
_diagnosisSystem = apiSettings.Value.DiagnosisSystem ?? "CUSTOM";
if (apiSettings.Value.DiagnosisCode.Any())
_diagnosisCode = apiSettings.Value.DiagnosisCode;
}
// private async Task SendBroadcast(PatientDiagnosis diagnosis)
// {
// var patient = await _patientService.Value.FindById(diagnosis.PatientId);
// if (patient == null) return;
//
//
// var subscribers = _subscribersService.GetSubscribers().Where(s =>
// (s.SubscriptionType == SubscriptionType.Box && s.Box == patient.Bed &&
// s.Section == patient.UnitString) ||
// (s.SubscriptionType == SubscriptionType.Section && s.Section == patient.UnitString)).ToList();
// subscribers.ForEach(Action);
// return;
//
// async void Action(WsSubscriber subscriber) =>
// await _clientMessageService.SendAsync(subscriber.Id, OperationType.Diagnosis, diagnosis);
// }
///
/// Archives the specified patient by delegating to the archival routine keyed by the patient's identifier.
///
/// The patient to be archived. Its Id is used to locate the record to archive.
///
public async Task Archive(Patient patient)
{
await ArchiveByPatientId(patient.Id);
}
///
/// Archives all diagnoses associated with the specified patient by copying them to the diagnosis archive repository and then deleting the original records.
///
/// The identifier of the patient whose diagnoses will be archived.
///
public async Task ArchiveByPatientId(ObjectId id)
{
_logger.LogDebug("Archive Diagnoses by Patient Id {id}", id);
using (var cursor = await FindByPatientIdAsync(id))
{
while (await cursor.MoveNextAsync())
foreach (var current in cursor.Current)
await _diagnosisArchiveRepository.InsertOneAsync(current);
}
await DeleteByPatientId(id);
}
///
/// Deletes all diagnoses associated with the specified patient identifier and records an audit log entry capturing the previous state of the records.
///
/// The unique identifier of the patient whose diagnoses should be deleted.
///
public async Task DeleteByPatientId(ObjectId id)
{
_logger.LogDebug("Delete Diagnoses by Patient Id {id}", id);
var oldPatient = await _diagnosisRepository.GetByPatient(id);
await _diagnosisRepository.DeleteByPatientId(id);
await _auditService.CreateAuditLogAsync(_httpContextAccessor.HttpContext?.User!, oldPatient, null);
}
///
/// Asynchronously retrieves the list of patient diagnoses associated with the specified patient identifier by delegating to the diagnosis repository.
///
/// The unique identifier of the patient whose diagnoses are being retrieved.
/// A task that represents the asynchronous operation, containing a list of records for the given patient.
///
public async Task> GetByPatientId(ObjectId patientId)
{
var diagnosis = await _diagnosisRepository.GetByPatient(patientId);
return diagnosis;
}
///
/// Asynchronously saves the specified API request by delegating to an overload that accepts a secondary parameter, which is passed as null.
///
/// The API request to save.
/// A task that represents the asynchronous save operation.
///
public Task SaveRequest(ApiRequest apiRequest)
{
return Task.FromResult(Task.Run(async () => { await SaveRequest(apiRequest, null); }));
}
///
/// Asynchronously saves the specified API request by delegating to the underlying save operation with a null secondary parameter.
///
/// The API request instance to persist.
/// A task that represents the asynchronous save operation.
///
public Task SaveRequestAsync(ApiRequest apiRequest)
{
return Task.FromResult(Task.Run(async () => { await SaveRequest(apiRequest, null); }));
}
///
/// Processes a diagnosis observation from an API request and persists it as a patient diagnosis. Maps SNOMED-coded observation values to diagnosis properties (description, label, code, state, category, start/end time), falling back to the current date when the observation time is missing, and skipping processing if the observations collection is null.
///
/// The API request containing the observation codes, values, message time, and optional observation time used to build the diagnosis.
/// The patient associated with the diagnosis, whose identifier is assigned to the new .
/// A task that represents the asynchronous insertion of the resulting .
///
public async Task ProcessDiagnosisObservation(ApiRequest apiRequest, Patient patient)
{
_logger.LogDebug("INSERT DiagnosisObservation from obsservation");
var time = apiRequest.ObservationData?.Time;
if (time == null)
_logger.LogWarning("Processing diagnosis without time. Set Datetime now {DateTimeNow}. ", DateTime.Now);
var obs = new PatientDiagnosis
{
CodingSystem = _diagnosisSystem,
Time = time ?? DateTime.Now,
PatientId = patient.Id,
MessageTime = apiRequest.MessageTime
};
if (apiRequest.Observations == null)
{
_logger.LogError("ApiRequest Observations null. ");
return;
}
for (var i = 0; i <= apiRequest.Observations.Count - 1; i++)
{
var value = apiRequest.Observations[i].Value;
var strValue = value.ToString() ?? "null";
switch (apiRequest.Observations[i].Code)
{
case "272099008":
obs.Description = strValue;
break;
case "1000000013":
obs.Label = strValue;
break;
case "1000000014":
obs.Code = strValue;
break;
case "394731006":
obs.State = strValue;
break;
case "272125009":
obs.Category = strValue;
break;
case "398201009":
if (DateTime.TryParse(apiRequest.Observations[i].Value.ToString(), out var startTime))
obs.StartTime = startTime;
break;
case "397898000":
if (DateTime.TryParse(apiRequest.Observations[i].Value.ToString(), out var endTime))
obs.EndTime = endTime;
break;
}
}
await InsertDiagnosis(obs);
}
///
/// Processes an incoming API request for diagnosis-related observations, resolving the patient from the request when not supplied. Validates that at least one of the patient number or location unit name is provided, handles ORU_R01 and ORU_R40 observation messages, and triggers diagnosis observation processing when the observation code is recognized.
///
/// The API request containing the type, patient identifiers, location, and observation data to be processed.
/// An optional pre-resolved patient; when null, the patient is resolved via the patient service using the request data.
/// Thrown when both the patient number and the location unit name are missing from the request, or when the request type is not valid for diagnosis processing.
///
public async Task SaveRequest(ApiRequest apiRequest, Patient? patient)
{
if (patient == null)
{
_logger.LogDebug("message:ApiRequest Diagnosis");
if (string.IsNullOrEmpty(apiRequest.PatientNumber) &&
string.IsNullOrEmpty(apiRequest.Location?.UnitName))
{
_logger.LogDebug("person and PointOfCare are nulls");
throw new ApiRequestException("person and PointOfCare are nulls");
}
_logger.LogDebug("patientNumber: {apiRequestpatientNumber} location: {apiRequestlocation}",
apiRequest.PatientNumber, apiRequest.Location);
_logger.LogDebug("RequestType: {apiRequesttype}", apiRequest.Type);
patient = await _patientService.Value.FindPatientByApiRequest(apiRequest);
}
if (patient == null)
{
// NO PATIENTS OR LOCATIONS WERE FOUND
_logger.LogWarning(
"Observation for patient: {apiRequestpatientNumber} with location: {apiRequestlocation} not found, ignoring",
apiRequest.PatientNumber, apiRequest.Location);
return;
}
var unitConfig = await _unitService.FindById(patient.UnitId);
if (!Hl7Utils.ManageAutoAdt(unitConfig, null, _logger, "ORU Diagnosis")) return;
switch (apiRequest.Type)
{
//* ORU_R01 - Unsolicited transmission of an observation message
//* ORU_R40 - Unsolicited transmission of an alert observation message
case "ORU_R01":
case "ORU_R40":
// OBSERVATIONS
if (apiRequest.Observation != null && apiRequest.Observations?.FirstOrDefault() == null)
apiRequest.Observations = [apiRequest.Observation];
if (apiRequest.Observations != null)
{
var obrcode = apiRequest.ObservationData?.Code;
if (apiRequest.ObservationData?.Value != null)
apiRequest.Observations.Add(new PatientObservation
{ Value = apiRequest.ObservationData.Value });
if (obrcode != null && _diagnosisCode.Contains(obrcode))
_ = ProcessDiagnosisObservation(apiRequest, patient);
}
break;
default:
_logger.LogWarning("ApiRequest type {apiRequesttype} sis not valid for Diagnosis",
apiRequest.Type);
throw new ApiRequestException("ApiRequest type " + apiRequest.Type +
" is not valid for Diagnosis");
}
}
///
/// Processes a list of patient diagnoses by associating each entry with the specified patient and message time, then inserting them as diagnosis observations.
///
/// The list of patient diagnoses to be processed and inserted.
/// The patient whose identifier is assigned to each diagnosis entry.
/// The timestamp assigned to each diagnosis entry during processing.
///
public async Task ProcessDiagnosis(List diagnosis, Patient patient, DateTime messageTime)
{
_logger.LogDebug("INSERT DiagnosisObservation from diagnosis");
foreach (var d in diagnosis)
{
d.PatientId = patient.Id;
d.Time = messageTime;
await InsertDiagnosis(d);
}
}
///
/// Updates many diagnosis records, replacing the with the new for the specified field, by delegating to the diagnosis repository.
///
/// The name of the identifier field used to locate the records to update.
/// The new ObjectId to assign to the matching records.
/// The existing ObjectId to be replaced in the matching records.
///
public async Task UpdateManyObjectId(string nameId, ObjectId id, ObjectId oldId)
{
await _diagnosisRepository.UpdateManyObjectId(nameId, id, oldId);
}
///
/// Retrieves all diagnoses associated with the specified patient identifier from the diagnosis repository.
///
/// The unique identifier of the patient whose diagnoses are being requested.
/// A task that represents the asynchronous operation, containing a list of records for the given patient.
///
public async Task> GetByPatient(ObjectId id)
{
return await _diagnosisRepository.GetByPatient(id);
}
///
/// Inserts a patient diagnosis into the repository after mapping it to the underlying data model, and broadcasts the stored record.
/// If the diagnosis cannot be mapped (returns null), the insert and broadcast operations are skipped.
///
/// The patient diagnosis to insert.
///
public async Task Insert(PatientDiagnosis diagnosis)
{
_logger.LogDebug("Insert {diagnosis}", diagnosis);
var diag = await MapDiagnosis(diagnosis);
if (diag != null)
{
await _diagnosisRepository.InsertOneAsync(diag);
await SendBroadcast(diag);
}
}
///
/// Maps a through the calculated observations mapper to produce a transformed diagnosis instance.
/// When the mapper yields a result, indicating the diagnosis is not applicable or cannot be mapped, a debug message is logged and the result is returned as-is.
///
/// The patient diagnosis to be mapped.
/// The mapped produced by the calculated observations mapper, or if the diagnosis was ignored.
///
private async Task MapDiagnosis(PatientDiagnosis diagnosis)
{
var diagnosis2 = await _calculatedObservations.Value.Map(diagnosis);
if (diagnosis2 == null) _logger.LogDebug("Mapping {diagnosis}: Ignored", diagnosis2);
return diagnosis2;
}
///
/// Sends a patient diagnosis broadcast to all subscribers whose registered location matches the patient's location (unit, room, and bed). Returns early without broadcasting if the patient cannot be found.
///
/// The patient diagnosis payload to broadcast to the matching subscribers.
///
private async Task SendBroadcast(PatientDiagnosis diagnosis)
{
var patient = await _patientService.Value.FindById(diagnosis.PatientId);
if (patient == null) return;
var displaySubscribers = _subscribersService.GetSubscribers().Where(s =>
!s.Locations.IsNullOrEmpty() && s.Locations.Any(c =>
c.UnitName == patient.Location.UnitName &&
c.Bed == patient.Location.Bed &&
c.Room == patient.Location.Room
)).ToList();
displaySubscribers.ForEach(Action);
return;
void Action(WsSubscriber subscriber)
{
_clientMessageService.SendAsync(subscriber.Id, OperationType.Diagnosis, diagnosis);
}
}
///
/// Asynchronously retrieves all patient diagnosis records associated with the specified patient identifier by delegating to the diagnosis repository.
///
/// The unique identifier of the patient whose diagnosis records are to be retrieved.
/// A task that represents the asynchronous operation, containing an asynchronous cursor over the matching records.
///
public Task> FindByPatientIdAsync(ObjectId patientId)
{
return _diagnosisRepository.FindByPatientIdAsync(patientId);
}
///
/// Inserts or updates a patient diagnosis, creating an audit log entry. If a diagnosis
/// already exists for the same patient, code, and coding system, it is updated while
/// preserving its identifier and original timestamp; otherwise a new record is inserted.
/// A broadcast is dispatched asynchronously after a successful insert or update.
///
/// The patient diagnosis to persist.
///
public async Task InsertDiagnosis(PatientDiagnosis diagnosis)
{
try
{
_logger.LogDebug("Insert {diagnosis}", diagnosis);
var diag = await MapDiagnosis(diagnosis);
if (diag == null)
{
_logger.LogError("Mepped diagnosis is null. Diagnosis: {diagnosis}", diagnosis);
}
else
{
var dgdb = await _diagnosisRepository.FindByPatientIdAndCode(diag.PatientId, diag.Code,
diag.CodingSystem);
if (dgdb != null)
{
var auxDgdb = dgdb;
diag.Id = dgdb.Id;
diag.Time = dgdb.Time;
diag.UpdateDate = diagnosis.Time;
await _diagnosisRepository.UpdateOneAsync(diag.Id, diag);
await _auditService.CreateAuditLogAsync(_httpContextAccessor.HttpContext?.User!, auxDgdb, dgdb);
}
else
{
await _diagnosisRepository.InsertOneAsync(diagnosis);
await _auditService.CreateAuditLogAsync(_httpContextAccessor.HttpContext?.User!, null, diagnosis);
}
_ = SendBroadcast(diagnosis);
}
}
catch (Exception ex)
{
_logger.LogError("Error inserting diagnosis. Diagnosis: {diagnosis}. Exception:{ex}", diagnosis, ex);
}
}
}