Case Surveillance SDK for .NET

The cs-sdk-dotnet repository contains software functions for processing case-based surveillance data. All source code is written in C# and targets .NET Standard 2.1. Supported functions include:

• Content validation for case notifications in the following file formats:
  • Json
  • HL7 v2.5.1
• Data format converter:
  • HL7 v2.5.1 to Json
  • HL7 v2.5.1 to CSV
• C# model objects for Message Mapping Guides (MMGs)
• Debatcher for HL7 v2.5.1 batch files

Usage

Validation and Conversion

Using the validator and converter in .NET applications is straightforward:

```csharp // create services for getting MMGs and vocabulary IVocabularyService vocabService = new InMemoryVocabularyService(); IMmgService mmgService = new InMemoryMmgService();

// an example (fake) HL7v2 message string hl7v2message = @"MSH|^~&|SAN^2.16.840.1.1.nnnn^ISO|SF^2.16.840.1.1.nnnn^ISO|PHINCDS^2.16.840.1.1.4.3.2.10^ISO|PHIN^2.16.840.1.1^ISO|20141225120030.1234-0500||ORU^R01^ORUR01|CONSYPHV10TMTC06|T|2.5.1|||||||||NOTFORUv3.0^PHINProfileID^2.16.840.1.1.4.10.3^ISO~GenericMMGV2.0^PHINMsgMapID^2.16.840.1.1.4.10.4^ISO~CongenitalSyphilisMMGV1.0^PHINMsgMapID^2.16.840.1.1.4.10.4^ISO PID|1||CONSYPHTC06^^^SAN&2.16.840.1.1.nnnn&ISO||~^^^^^^S||20130101|M||2054-5^Black or African American^CDCREC|^^^22^71292^^^^22073|||||||||||2186-5^Not Hispanic or Latino^CDCREC OBR|1||CONSYPHTC06^SAN^2.16.840.1.1.nnnn^ISO|68991-9^Epidemiologic Information^LN|||20131031170100|||||||||||||||20131031170100|||F||||||10316^Syphilis, Congenital^NND OBX|1|CWE|78746-5^Country of Birth^LN||USA^United States^ISO31661||||||F";

// Convert the HL7v2 message to JSON IConverter converter = new HL7v2ToJsonConverter(vocabService, mmgService); ConversionResult conversionResult = converter.Convert(hl7v2message);

// Validate the JSON payload against the MMG IContentValidator validator = new JsonContentValidator(vocabService, mmgService); ValidationResult validationResult = validator.ValidateMessage(json); ```

The cs-sdk-dotnet library requires dependency injection for the converter and validator. Doing so enables these functions to vary how they request MMGs and public health vocabulary. It also avoids hard-coding API calls or database access calls in the business logic. Downstream users of this SDK can then provide their own implementations.

Debatching

The HL7v2 debatcher is somewhat more complex in that it requires a callback function. The callback function is executed each time a message is debatched.

csharp IDebatchHandler handler = new StringDebatchHandler(DebatchCallback); // DebatchCallback() is executed for every message in the batch HL7v2Debatcher debatcher = new HL7v2Debatcher(); // create the debatcher DebatchResult result = debatcher.Debatch(batchmessage, handler, "1234"); // run the debatching operation

The StringDebatchHandler might look like this, in simplest form:

```csharp public class StringDebatchHandler : IDebatchHandler { private readonly ReadOnlySpanAction _callback;

public StringDebatchHandler(ReadOnlySpanAction<char, MessageDebatchMetadata> callback)
{
    _callback = callback;
}

public MessageHandleMetadata HandleDebatch(ReadOnlySpan<char> hl7v2message, MessageDebatchMetadata metadata)
{
    _callback(hl7v2message, metadata);
    return default(MessageHandleMetadata);
}

} ```

The DebatchCallback() function might look like this:

csharp private static void DebatchCallback(ReadOnlySpan<char> message, MessageDebatchMetadata metadata) { string hl7v2message = message.ToString(); ConversionResult conversionResult = converter.Convert(hl7v2message, metadata.TransactionId); ValidationResult validationResult = validator.Validate(conversionResult.Content, metadata.TransactionId); }

Example processing pipeline

A public health surveillance use case will likely require these functions to run in a defined sequence. For example, one could author an HL7 v2.5.1 pipeline that runs the functions in the following order:

1. Debatch the HL7 v2.5.1 payload
2. Convert HL7 v2.5.1 to Json (note that basic structural validation of HL7 v2.5.1 occurs by virtue of the conversion)
3. Validate the content of the Json document per the Message Mapping Guide

A basic C# pipeline implementation might look as follows:

```cs private static void RunPipeline(string batchmessage) { IDebatchHandler handler = new StringDebatchHandler(DebatchCallbackPipeline); HL7v2Debatcher debatcher = new HL7v2Debatcher(); DebatchResult result = debatcher.Debatch(batchmessage, handler, "1234");

// persist the debatch results in a database

}

private static IConverter converter = new HL7v2ToJsonConverter(); private static IContentValidator validator = new JsonContentValidator();

private static void DebatchCallbackPipeline(ReadOnlySpan message, MessageDebatchMetadata metadata) { string hl7v2message = message.ToString(); ConversionResult conversionResult = converter.Convert(hl7v2message, metadata.TransactionId); ValidationResult validationResult = validator.Validate(conversionResult.Content, metadata.TransactionId);

// persist the conversion and validation results
// persist the converted Json

}

public class StringDebatchHandler : IDebatchHandler { private readonly ReadOnlySpanAction _callback;

public StringDebatchHandler(ReadOnlySpanAction<char, MessageDebatchMetadata> callback)
{
    _callback = callback;
}

public MessageHandleMetadata HandleDebatch(ReadOnlySpan<char> hl7v2message, MessageDebatchMetadata metadata)
{
    _callback(hl7v2message, metadata);
    return default(MessageHandleMetadata);
}

} ```

The example pipeline code shown above will debatch 10,000 HL7v2 messages, convert them to Json, and then validate the Json in about 20 seconds. This is single-threaded performance, meaning a scale factor of 1, on 15W TDP Intel CPU.

HL7v2 to CSV converter

The SDK can optionally convert case surveillance messages in HL7v2 format to CSV format, where the CSV columns are the data elements in the message mapping guide:

cs IConverter converter = new HL7v2ToCsvConverter(new MmgCsvTemplateGenerator(), new HL7v2ToJsonConverter(), true); ConversionResult result = converter.Convert(hl7v2message, "1234"); string csv = result.Content;

This is an alternative to the SDK's conversion of HL7v2 messages to Json.

Disclaimer on Case Notification Data

This repository contains case notification data in various places, including in the tests/ folder and in the README.md file. Such data are necessary to both verify the correct functionality of the software as well as provide documentation to users about how to use the software. These data are synthetically generated, representing fictional people and events only. Any similarity to real persons is unintentional.

The primary source of synthetic case notification data used in this repository is the CDC's publicly-available Message Mapping Guides web page. Each MMG listed on that page contains a ZIP file consisting of a Test Message Package. This test message package contains a handful of synthetically generated, raw HL7v2 messages developed by the CDC that demonstrate how to correctly map every data element in the MMG to the HL7v2 format. In some cases, however, the authors of this library created their own synthetic case notifications or modified the CDC-authored test messages to test specific software functionality.

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This repository constitutes a work of the United States Government and is not subject to domestic copyright protection under 17 USC § 105. This repository is in the public domain within the United States, and copyright and related rights in the work worldwide are waived through the CC0 1.0 Universal public domain dedication. All contributions to this repository will be released under the CC0 dedication. By submitting a pull request you are agreeing to comply with this waiver of copyright interest.

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