org.iexhub.connectors.PDQQueryManager.java Source code

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/*******************************************************************************
 * Copyright (c) 2015, 2016 Substance Abuse and Mental Health Services Administration (SAMHSA)
 *
 * Licensed under the Apache License, Version 2.0 (the "License");
 * you may not use this file except in compliance with the License.
 * You may obtain a copy of the License at     http://www.apache.org/licenses/LICENSE-2.0
 * Unless required by applicable law or agreed to in writing, software
 * distributed under the License is distributed on an "AS IS" BASIS,
 * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
 * See the License for the specific language governing permissions and
 * limitations under the License.
 *
 * Contributors:
 *     Eversolve, LLC - initial IExHub implementation for Health Information Exchange (HIE) integration
 *     Anthony Sute, Ioana Singureanu
 *******************************************************************************/
package org.iexhub.connectors;

import java.io.File;
import java.io.FileInputStream;
import java.io.IOException;
import java.math.BigInteger;
import java.net.InetAddress;
import java.nio.file.Files;
import java.nio.file.Paths;
import java.util.Base64;
import java.util.Properties;
import java.util.UUID;

import org.apache.axiom.om.OMElement;
import org.apache.axis2.AxisFault;
import org.apache.commons.io.FileUtils;
import org.apache.log4j.Logger;
import org.iexhub.exceptions.UnexpectedServerException;

import PDQSupplier.org.hl7.v3.*;
import PDQSupplier.org.iexhub.services.client.PDQSupplier_ServiceStub;

import org.joda.time.DateTime;
import org.joda.time.DateTimeZone;
import org.joda.time.format.DateTimeFormat;
import org.joda.time.format.DateTimeFormatter;
import org.joda.time.format.ISODateTimeFormat;
import org.productivity.java.syslog4j.Syslog;
import org.productivity.java.syslog4j.impl.net.tcp.ssl.SSLTCPNetSyslogConfig;

/**
 * PDQV3 Query 
 * ITI-47 
 * @author A. Sute
 *
 */

public class PDQQueryManager {
    private static String keyStoreFile = "c:/temp/1264.jks";
    private static String keyStorePwd = "IEXhub";
    private static String cipherSuites = "TLS_RSA_WITH_AES_128_CBC_SHA";
    private static String httpsProtocols = "TLSv1";
    private static boolean debugSsl = false;

    private static boolean logPdqRequestMessages = false;
    private static boolean logPdqResponseMessages = false;
    private static String logOutputPath = "c:/temp/";
    private static boolean logSyslogAuditMsgsLocally = false;

    private static String iti47AuditMsgTemplate = null;
    private static SSLTCPNetSyslogConfig sysLogConfig = null;
    private static final String propertiesFile = "/temp/IExHub.properties";

    /** Logger */
    public static Logger log = Logger.getLogger(PDQQueryManager.class);

    public final static ObjectFactory factory = new ObjectFactory();

    private static String receiverApplicationName = "2.16.840.1.113883.3.72.6.5.100.556";
    private static String receiverTelecomValue = "http://servicelocation/PDQuery";
    private static String queryIdOid = "1.2.840.114350.1.13.28.1.18.5.999";
    private static String otherIDsScopingOrganizationOid = "2.16.840.1.113883.3.72.5.9.1";
    private static String receiverApplicationRepresentedOrganization = "2.16.840.1.113883.3.72.6.1";
    private static String iExHubDomainOid = "2.16.840.1.113883.3.72.5.9.1";
    private static String iExHubSenderDeviceId = "1.3.6.1.4.1.21367.13.10.215";

    private static PDQSupplier_ServiceStub pdqSupplierStub = null;
    private static String endpointUri = null;

    public PDQQueryManager(String endpointURI) throws AxisFault, Exception {
        this(endpointURI, false);
    }

    public PDQQueryManager(String endpointURI, boolean enableTLS) throws AxisFault, Exception {
        Properties props = new Properties();
        try {
            props.load(new FileInputStream(propertiesFile));

            PDQQueryManager.logSyslogAuditMsgsLocally = (props.getProperty("LogSyslogAuditMsgsLocally") == null)
                    ? PDQQueryManager.logSyslogAuditMsgsLocally
                    : Boolean.parseBoolean(props.getProperty("LogSyslogAuditMsgsLocally"));
            PDQQueryManager.iExHubSenderDeviceId = (props.getProperty("IExHubSenderDeviceID") == null)
                    ? PDQQueryManager.iExHubSenderDeviceId
                    : props.getProperty("IExHubSenderDeviceID");
            PDQQueryManager.logOutputPath = (props.getProperty("LogOutputPath") == null)
                    ? PDQQueryManager.logOutputPath
                    : props.getProperty("LogOutputPath");
            PDQQueryManager.logPdqRequestMessages = (props.getProperty("LogPDQRequestMessages") == null)
                    ? PDQQueryManager.logPdqRequestMessages
                    : Boolean.parseBoolean(props.getProperty("LogPDQRequestMessages"));
            PDQQueryManager.logPdqResponseMessages = (props.getProperty("LogPDQResponseMessages") == null)
                    ? PDQQueryManager.logPdqResponseMessages
                    : Boolean.parseBoolean(props.getProperty("LogPDQResponseMessages"));
            PDQQueryManager.keyStoreFile = (props.getProperty("PDQKeyStoreFile") == null)
                    ? PDQQueryManager.keyStoreFile
                    : props.getProperty("PDQKeyStoreFile");
            PDQQueryManager.keyStorePwd = (props.getProperty("PDQKeyStorePwd") == null)
                    ? PDQQueryManager.keyStorePwd
                    : props.getProperty("PDQKeyStorePwd");
            PDQQueryManager.cipherSuites = (props.getProperty("PDQCipherSuites") == null)
                    ? PDQQueryManager.cipherSuites
                    : props.getProperty("PDQCipherSuites");
            PDQQueryManager.httpsProtocols = (props.getProperty("PDQHttpsProtocols") == null)
                    ? PDQQueryManager.httpsProtocols
                    : props.getProperty("PDQHttpsProtocols");
            PDQQueryManager.debugSsl = (props.getProperty("DebugSSL") == null) ? PDQQueryManager.debugSsl
                    : Boolean.parseBoolean(props.getProperty("DebugSSL"));
            PDQQueryManager.receiverApplicationName = (props.getProperty("PDQReceiverApplicationName") == null)
                    ? PDQQueryManager.receiverApplicationName
                    : props.getProperty("PDQReceiverApplicationName");
            PDQQueryManager.receiverTelecomValue = (props.getProperty("PDQReceiverTelecomValue") == null)
                    ? PDQQueryManager.receiverTelecomValue
                    : props.getProperty("PDQReceiverTelecomValue");
            PDQQueryManager.queryIdOid = (props.getProperty("PDQQueryIdOID") == null) ? PDQQueryManager.queryIdOid
                    : props.getProperty("PDQQueryIdOID");
            PDQQueryManager.otherIDsScopingOrganizationOid = (props
                    .getProperty("PDQOtherIDsScopingOrganizationOID") == null)
                            ? PDQQueryManager.otherIDsScopingOrganizationOid
                            : props.getProperty("PDQOtherIDsScopingOrganizationOID");
            PDQQueryManager.receiverApplicationRepresentedOrganization = (props
                    .getProperty("PDQReceiverApplicationRepresentedOrganization") == null)
                            ? PDQQueryManager.receiverApplicationRepresentedOrganization
                            : props.getProperty("PDQReceiverApplicationRepresentedOrganization");
            PDQQueryManager.iExHubDomainOid = (props.getProperty("IExHubDomainOID") == null)
                    ? PDQQueryManager.iExHubDomainOid
                    : props.getProperty("IExHubDomainOID");

            // If endpoint URI's are null, then set to the values in the properties file...
            if (endpointURI == null) {
                endpointURI = props.getProperty("PDQManagerEndpointURI");
            }

            PDQQueryManager.endpointUri = endpointURI;

            // If Syslog server host is specified, then configure...
            iti47AuditMsgTemplate = props.getProperty("Iti47AuditMsgTemplate");
            String syslogServerHost = props.getProperty("SyslogServerHost");
            int syslogServerPort = (props.getProperty("SyslogServerPort") != null)
                    ? Integer.parseInt(props.getProperty("SyslogServerPort"))
                    : -1;
            if ((syslogServerHost != null) && (syslogServerHost.length() > 0) && (syslogServerPort > -1)) {
                if (iti47AuditMsgTemplate == null) {
                    log.error("ITI-47 audit message templates not specified in properties file, " + propertiesFile);
                    throw new UnexpectedServerException(
                            "ITI-47 audit message templates not specified in properties file, " + propertiesFile);
                }

                // TCP over SSL (secure) syslog
                //            System.setProperty("javax.net.ssl.keyStore",
                //                  keyStoreFile);
                //            System.setProperty("javax.net.ssl.keyStorePassword",
                //                  keyStorePwd);
                //            System.setProperty("javax.net.ssl.trustStore",
                //                  keyStoreFile);
                //            System.setProperty("javax.net.ssl.trustStorePassword",
                //                  keyStorePwd);
                System.setProperty("https.cipherSuites", cipherSuites);
                System.setProperty("https.protocols", httpsProtocols);

                if (debugSsl) {
                    System.setProperty("javax.net.debug", "ssl");
                }

                sysLogConfig = new SSLTCPNetSyslogConfig();
                sysLogConfig.setHost(syslogServerHost);
                sysLogConfig.setPort(syslogServerPort);
                sysLogConfig.setKeyStore(keyStoreFile);
                sysLogConfig.setKeyStorePassword(keyStorePwd);
                sysLogConfig.setTrustStore(keyStoreFile);
                sysLogConfig.setTrustStorePassword(keyStorePwd);
                sysLogConfig.setUseStructuredData(true);
                sysLogConfig.setMaxMessageLength(8192);
                Syslog.createInstance("sslTcp", sysLogConfig);
            }

            // Instantiate PDQSupplier client stub and enable WS-Addressing...
            pdqSupplierStub = new PDQSupplier_ServiceStub(endpointURI);
            pdqSupplierStub._getServiceClient().engageModule("addressing");

            if (enableTLS) {
                System.setProperty("javax.net.ssl.keyStore", keyStoreFile);
                System.setProperty("javax.net.ssl.keyStorePassword", keyStorePwd);
                System.setProperty("javax.net.ssl.trustStore", keyStoreFile);
                System.setProperty("javax.net.ssl.trustStorePassword", keyStorePwd);
                System.setProperty("https.cipherSuites", cipherSuites);
                System.setProperty("https.protocols", httpsProtocols);

                if (debugSsl) {
                    System.setProperty("javax.net.debug", "ssl");
                }

                pdqSupplierStub._getServiceClient().engageModule("rampart");
            }

            log.info("PDQQueryManager connector successfully initialized, endpointURI=" + endpointURI);
        } catch (Exception e) {
            throw e;
        }
    }

    /**
     * @param queryText
     * @param patientId
     * @throws IOException
     */
    private void logIti47AuditMsg(String queryText, String patientId) throws IOException {
        String logMsg = FileUtils.readFileToString(new File(iti47AuditMsgTemplate));

        // Substitutions...
        patientId = patientId.replace("'", "");
        patientId = patientId.replace("&", "&");

        DateTime now = new DateTime(DateTimeZone.UTC);
        DateTimeFormatter fmt = ISODateTimeFormat.dateTime();
        logMsg = logMsg.replace("$DateTime$", fmt.print(now));

        logMsg = logMsg.replace("$AltUserId$", "IExHub");

        logMsg = logMsg.replace("$IexhubIpAddress$", InetAddress.getLocalHost().getHostAddress());

        logMsg = logMsg.replace("$IexhubUserId$", "http://" + InetAddress.getLocalHost().getCanonicalHostName());

        logMsg = logMsg.replace("$DestinationIpAddress$", PDQQueryManager.endpointUri);

        logMsg = logMsg.replace("$DestinationUserId$", "IExHub");

        logMsg = logMsg.replace("$PatientIdMtom$", Base64.getEncoder().encodeToString(patientId.getBytes()));

        logMsg = logMsg.replace("$QueryByParameterMtom$", Base64.getEncoder().encodeToString(queryText.getBytes()));

        logMsg = logMsg.replace("$PatientId$", patientId);

        if (logSyslogAuditMsgsLocally) {
            log.info(logMsg);
        }

        if ((sysLogConfig == null) || (iti47AuditMsgTemplate == null)) {
            return;
        }

        // Log the syslog message and close connection
        Syslog.getInstance("sslTcp").info(logMsg);
        Syslog.getInstance("sslTcp").flush();
    }

    /**
     * @param givenName
     * @param familyName
     * @param middleName
     * @param dateOfBirth
     * @param gender
     * @param mothersMaidenName
     * @param addressStreet
     * @param addressCity
     * @param addressState
     * @param addressPostalCode
     * @param patientId
     * @param patientIdDomain
     * @param otherIDsScopingOrganization
     * @param telecom
     * @return
     * @throws IOException
     */
    public PRPAIN201306UV02 queryPatientDemographics(String givenName, String familyName, String middleName,
            String dateOfBirth, String gender, String mothersMaidenName, String addressStreet, String addressCity,
            String addressState, String addressPostalCode, String patientId, String patientIdDomain,
            String otherIDsScopingOrganization, String telecom) throws IOException {
        return queryPatientDemographics(givenName, familyName, middleName, dateOfBirth, gender, mothersMaidenName,
                addressStreet, addressCity, addressState, addressPostalCode, patientId, patientIdDomain,
                otherIDsScopingOrganization, telecom, -1, null);
    }

    /**
     * @param queryResult
     * @param existingQueryId
     * @return
     * @throws IOException
     */
    public MCCIIN000002UV01 queryCancel(PRPAIN201306UV02 queryResult, String existingQueryId) throws IOException {
        QUQIIN000003UV01Type qUQIIN000003UV01 = new QUQIIN000003UV01Type();

        // ITS version...
        qUQIIN000003UV01.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        qUQIIN000003UV01.setId(messageId);

        // Creation time...
        setCreationTime(qUQIIN000003UV01);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("QUQI_IN000003UV01");
        qUQIIN000003UV01.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("T");
        qUQIIN000003UV01.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        qUQIIN000003UV01.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        qUQIIN000003UV01.setAcceptAckCode(acceptAckCode);

        // Set receiver...
        setReceiverQueryContinuation(qUQIIN000003UV01);

        // Set sender...
        setSenderQueryContinuation(qUQIIN000003UV01);

        MCCIMT000300UV01Acknowledgement ack = new MCCIMT000300UV01Acknowledgement();
        CS ackValue = new CS();
        ackValue.setCode("AA");
        ack.setTypeCode(ackValue);
        MCCIMT000300UV01TargetMessage ackTargetMsg = new MCCIMT000300UV01TargetMessage();
        II ackTargetMsgId = new II();
        ackTargetMsgId.setRoot(queryResult.getId().getRoot());
        ackTargetMsg.setId(ackTargetMsgId);
        ack.setTargetMessage(ackTargetMsg);
        qUQIIN000003UV01.getAcknowledgement().add(ack);

        QUQIMT000001UV01ControlActProcess controlAct = new QUQIMT000001UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE000003UV01");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);

        // Create queryContinuation section...
        QUQIMT000001UV01QueryContinuation queryContinuation = new QUQIMT000001UV01QueryContinuation();
        II queryId = new II();
        queryId.setRoot(queryIdOid);
        queryId.setExtension(((existingQueryId != null) && (existingQueryId.length() > 0)) ? existingQueryId
                : "NIST_CONTINUATION");
        queryContinuation.setQueryId(queryId);

        INT resultSetSizeINT = new INT();
        resultSetSizeINT.setValue(BigInteger.valueOf(0));
        queryContinuation.setContinuationQuantity(resultSetSizeINT);

        CS statusCode = new CS();
        statusCode.setCode("aborted");
        queryContinuation.setStatusCode(statusCode);

        controlAct.setQueryContinuation(queryContinuation);

        qUQIIN000003UV01.setControlActProcess(controlAct);

        UUID logMsgId = null;
        if (logPdqRequestMessages) {
            logMsgId = UUID.randomUUID();
            OMElement requestElement = pdqSupplierStub.toOM(qUQIIN000003UV01,
                    pdqSupplierStub.optimizeContent(
                            new javax.xml.namespace.QName("urn:hl7-org:v3", "QUQI_IN000003UV01_Cancel")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "QUQI_IN000003UV01_Cancel"));
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PDQQueryCancelRequest.xml"),
                    requestElement.toString().getBytes());
        }

        MCCIIN000002UV01 response = pdqSupplierStub.pDQSupplier_QUQI_IN000003UV01_Cancel(qUQIIN000003UV01);
        if (logPdqResponseMessages) {
            OMElement responseElement = pdqSupplierStub.toOM(response,
                    pdqSupplierStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "MCCI_IN000002UV01")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "MCCI_IN000002UV01"));
            Files.write(Paths
                    .get(logOutputPath + ((logMsgId == null) ? UUID.randomUUID().toString() : logMsgId.toString())
                            + "_PDQQueryCancelResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }

    /**
     * @param queryResult
     * @return
     * @throws IOException
     */
    public PRPAIN201306UV02 queryContinue(PRPAIN201306UV02 queryResult) throws IOException {
        return queryContinue(queryResult, -1, null);
    }

    /**
     * @param queryResult
     * @param resultSetSize
     * @param existingQueryId
     * @return
     * @throws IOException
     */
    public PRPAIN201306UV02 queryContinue(PRPAIN201306UV02 queryResult, int resultSetSize, String existingQueryId)
            throws IOException {
        QUQIIN000003UV01Type qUQIIN000003UV01 = new QUQIIN000003UV01Type();

        // ITS version...
        qUQIIN000003UV01.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        qUQIIN000003UV01.setId(messageId);

        // Creation time...
        setCreationTime(qUQIIN000003UV01);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("QUQI_IN000003UV01");
        qUQIIN000003UV01.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("T");
        qUQIIN000003UV01.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        qUQIIN000003UV01.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        qUQIIN000003UV01.setAcceptAckCode(acceptAckCode);

        // Set receiver...
        setReceiverQueryContinuation(qUQIIN000003UV01);

        // Set sender...
        setSenderQueryContinuation(qUQIIN000003UV01);

        MCCIMT000300UV01Acknowledgement ack = new MCCIMT000300UV01Acknowledgement();
        CS ackValue = new CS();
        ackValue.setCode("AA");
        ack.setTypeCode(ackValue);
        MCCIMT000300UV01TargetMessage ackTargetMsg = new MCCIMT000300UV01TargetMessage();
        II ackTargetMsgId = new II();
        ackTargetMsgId.setRoot(queryResult.getId().getRoot());
        ackTargetMsg.setId(ackTargetMsgId);
        ack.setTargetMessage(ackTargetMsg);
        qUQIIN000003UV01.getAcknowledgement().add(ack);

        QUQIMT000001UV01ControlActProcess controlAct = new QUQIMT000001UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE000003UV01");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);

        // Create queryContinuation section...
        QUQIMT000001UV01QueryContinuation queryContinuation = new QUQIMT000001UV01QueryContinuation();
        II queryId = new II();
        queryId.setRoot(queryIdOid);
        queryId.setExtension(((existingQueryId != null) && (existingQueryId.length() > 0)) ? existingQueryId
                : "NIST_CONTINUATION");
        queryContinuation.setQueryId(queryId);

        if (resultSetSize > 0) {
            INT resultSetSizeINT = new INT();
            resultSetSizeINT.setValue(BigInteger.valueOf(resultSetSize));
            queryContinuation.setContinuationQuantity(resultSetSizeINT);
        }

        CS statusCode = new CS();
        statusCode.setCode("waitContinuedQueryResponse");
        queryContinuation.setStatusCode(statusCode);

        controlAct.setQueryContinuation(queryContinuation);

        qUQIIN000003UV01.setControlActProcess(controlAct);

        UUID logMsgId = null;
        if (logPdqRequestMessages) {
            logMsgId = UUID.randomUUID();
            OMElement requestElement = pdqSupplierStub.toOM(qUQIIN000003UV01,
                    pdqSupplierStub.optimizeContent(
                            new javax.xml.namespace.QName("urn:hl7-org:v3", "QUQI_IN000003UV01_Continue")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "QUQI_IN000003UV01_Continue"));
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PDQQueryContinueRequest.xml"),
                    requestElement.toString().getBytes());
        }

        PRPAIN201306UV02 response = pdqSupplierStub.pDQSupplier_QUQI_IN000003UV01_Continue(qUQIIN000003UV01);
        if (logPdqResponseMessages) {
            OMElement responseElement = pdqSupplierStub.toOM(response,
                    pdqSupplierStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201306UV02")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201306UV02"));
            Files.write(Paths
                    .get(logOutputPath + ((logMsgId == null) ? UUID.randomUUID().toString() : logMsgId.toString())
                            + "_PDQQueryContinueResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }

    /**
     * @param givenName
     * @param familyName
     * @param middleName
     * @param dateOfBirth
     * @param gender
     * @param mothersMaidenName
     * @param addressStreet
     * @param addressCity
     * @param addressState
     * @param addressPostalCode
     * @param patientId
     * @param patientIdDomain
     * @param otherIDsScopingOrganization
     * @param telecom
     * @param resultSetSize
     * @return
     * @throws IOException
     */
    public PRPAIN201306UV02 queryPatientDemographics(String givenName, String familyName, String middleName,
            String dateOfBirth, String gender, String mothersMaidenName, String addressStreet, String addressCity,
            String addressState, String addressPostalCode, String patientId, String patientIdDomain,
            String otherIDsScopingOrganization, String telecom, int resultSetSize) throws IOException {
        return queryPatientDemographics(givenName, familyName, middleName, dateOfBirth, gender, mothersMaidenName,
                addressStreet, addressCity, addressState, addressPostalCode, patientId, patientIdDomain,
                otherIDsScopingOrganization, telecom, resultSetSize, null);
    }

    /**
     * @param givenName
     * @param familyName
     * @param middleName
     * @param dateOfBirth
     * @param gender
     * @param mothersMaidenName
     * @param addressStreet
     * @param addressCity
     * @param addressState
     * @param addressPostalCode
     * @param patientId
     * @param patientIdDomain
     * @param otherIDsScopingOrganization
     * @param telecom
     * @param resultSetSize
     * @param existingQueryId
     * @return
     * @throws IOException
     */
    public PRPAIN201306UV02 queryPatientDemographics(String givenName, String familyName, String middleName,
            String dateOfBirth, String gender, String mothersMaidenName, String addressStreet, String addressCity,
            String addressState, String addressPostalCode, String patientId, String patientIdDomain,
            String otherIDsScopingOrganization, String telecom, int resultSetSize, String existingQueryId)
            throws IOException {
        //      if ((familyName == null) ||
        //         (familyName.length() == 0))
        //      {
        //         throw new FamilyNameParamMissingException("FamilyName parameter is required");
        //      }
        //      
        //      if ((gender == null) ||
        //         (gender.length() == 0))
        //      {
        //         throw new GenderParamMissingException("Gender parameter is required");         
        //      }

        PRPAIN201305UV02 pRPA_IN201305UV02 = new PRPAIN201305UV02();

        // ITS version...
        pRPA_IN201305UV02.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        pRPA_IN201305UV02.setId(messageId);

        // Creation time...
        setCreationTime(pRPA_IN201305UV02);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("PRPA_IN201305UV02");
        pRPA_IN201305UV02.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("T");
        pRPA_IN201305UV02.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        pRPA_IN201305UV02.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        pRPA_IN201305UV02.setAcceptAckCode(acceptAckCode);

        // Set receiver...
        setReceiver(pRPA_IN201305UV02);

        // Set sender...
        setSender(pRPA_IN201305UV02);

        // Generate GUID portion of patient ID...
        String guid = UUID.randomUUID().toString();

        // Create QueryByParameter...
        PRPAMT201306UV02QueryByParameter queryByParam = new PRPAMT201306UV02QueryByParameter();
        II queryId = new II();
        queryId.setRoot(queryIdOid);
        queryId.setExtension((resultSetSize > 0) ? existingQueryId : guid);
        queryByParam.setQueryId(queryId);
        CS responseModalityCode = new CS();
        responseModalityCode.setCode("R");
        queryByParam.setResponseModalityCode(responseModalityCode);
        CS responsePriorityCode = new CS();
        responsePriorityCode.setCode("I");
        queryByParam.setResponsePriorityCode(responsePriorityCode);
        CS statusCode = new CS();
        statusCode.setCode("new");
        queryByParam.setStatusCode(statusCode);

        // Create ParameterList...
        PRPAMT201306UV02ParameterList paramList = new PRPAMT201306UV02ParameterList();

        // Create LivingSubjectId if present...
        if ((patientId != null) && (patientId.length() > 0)) {
            PRPAMT201306UV02LivingSubjectId livingSubjectId = new PRPAMT201306UV02LivingSubjectId();
            paramList.getLivingSubjectId().add(setLivingSubjectId(livingSubjectId, patientId, patientIdDomain));
        }

        // Create LivingSubjectAdministrativeGender if present...
        if ((gender != null) && (gender.length() > 0)) {
            PRPAMT201306UV02LivingSubjectAdministrativeGender livingSubjectAdministrativeGender = new PRPAMT201306UV02LivingSubjectAdministrativeGender();
            paramList.getLivingSubjectAdministrativeGender()
                    .add(setLivingSubjectAdministrativeGender(livingSubjectAdministrativeGender, gender));
        }

        // Create LivingSubjectBirthTime if present...
        if ((dateOfBirth != null) && (dateOfBirth.length() > 0)) {
            PRPAMT201306UV02LivingSubjectBirthTime livingSubjectBirthTime = new PRPAMT201306UV02LivingSubjectBirthTime();
            paramList.getLivingSubjectBirthTime()
                    .add(setLivingSubjectBirthTime(livingSubjectBirthTime, dateOfBirth));
        }

        // Create PatientTelecom if present...
        if ((telecom != null) && (telecom.length() > 0)) {
            PRPAMT201306UV02PatientTelecom patientTelecom = new PRPAMT201306UV02PatientTelecom();
            paramList.getPatientTelecom().add(setPatientTelecom(patientTelecom, telecom));
        }

        // Create MothersMaidenName if present...
        if ((mothersMaidenName != null) && (mothersMaidenName.length() > 0)) {
            PRPAMT201306UV02MothersMaidenName mothersMaidenNameObj = new PRPAMT201306UV02MothersMaidenName();
            paramList.getMothersMaidenName().add(setMothersMaidenName(mothersMaidenNameObj, mothersMaidenName));
        }

        // Create LivingSubjectName...
        if (((familyName != null) && (familyName.length() > 0))
                || ((givenName != null) && (givenName.length() > 0))) {
            PRPAMT201306UV02LivingSubjectName livingSubjectName = new PRPAMT201306UV02LivingSubjectName();
            paramList.getLivingSubjectName()
                    .add(setLivingSubjectName(livingSubjectName, familyName, givenName, middleName));
        }

        // Create patientAddress if present...
        if (((addressStreet != null) && (addressStreet.length() > 0))
                || ((addressCity != null) && (addressCity.length() > 0))
                || ((addressState != null) && (addressState.length() > 0))
                || ((addressPostalCode != null) && (addressPostalCode.length() > 0))) {
            PRPAMT201306UV02PatientAddress patientAddress = new PRPAMT201306UV02PatientAddress();
            paramList.getPatientAddress().add(
                    setPatientAddress(patientAddress, addressStreet, addressCity, addressState, addressPostalCode));
        }

        if ((otherIDsScopingOrganization != null) && (otherIDsScopingOrganization.length() > 0))
        //          ((otherIDsScopingOrganizationOID != null) &&
        //          (otherIDsScopingOrganizationOID.length() > 0)))
        {
            // Populate otherIDsScopingOrganization...
            PRPAMT201306UV02OtherIDsScopingOrganization otherIDsScopingOrg = new PRPAMT201306UV02OtherIDsScopingOrganization();
            paramList.getOtherIDsScopingOrganization()
                    .add(setOtherIDsScopingOrganization(otherIDsScopingOrg, otherIDsScopingOrganization));
        }

        if (resultSetSize > 0) {
            INT resultSetSizeINT = new INT();
            resultSetSizeINT.setValue(BigInteger.valueOf(resultSetSize));
            queryByParam.setInitialQuantity(resultSetSizeINT);
        }

        queryByParam.setParameterList(paramList);

        PRPAIN201305UV02QUQIMT021001UV01ControlActProcess controlAct = new PRPAIN201305UV02QUQIMT021001UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE201305UV02");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);
        controlAct.setQueryByParameter(
                factory.createPRPAIN201305UV02QUQIMT021001UV01ControlActProcessQuerybyParameter(queryByParam));

        pRPA_IN201305UV02.setControlActProcess(controlAct);

        OMElement requestElement = pdqSupplierStub.toOM(pRPA_IN201305UV02,
                pdqSupplierStub
                        .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201305UV02")),
                new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201305UV02"));
        String queryText = requestElement.toString();

        UUID logMsgId = null;
        if (logPdqRequestMessages) {
            logMsgId = UUID.randomUUID();
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PDQQueryRequest.xml"),
                    queryText.getBytes());
        }

        logIti47AuditMsg(queryText, patientId + "^^^&" + patientIdDomain + "&ISO");

        PRPAIN201306UV02 response = pdqSupplierStub.pDQSupplier_PRPA_IN201305UV02(pRPA_IN201305UV02);
        if (logPdqResponseMessages) {
            OMElement responseElement = pdqSupplierStub.toOM(response,
                    pdqSupplierStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201306UV02")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201306UV02"));
            Files.write(Paths
                    .get(logOutputPath + ((logMsgId == null) ? UUID.randomUUID().toString() : logMsgId.toString())
                            + "_PDQQueryResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }

    /**
     * @param mothersMaidenNameObj
     * @param mothersMaidenName
     * @return
     */
    private PRPAMT201306UV02MothersMaidenName setMothersMaidenName(
            PRPAMT201306UV02MothersMaidenName mothersMaidenNameObj, String mothersMaidenName) {
        EnFamily enFamily = null;
        if ((mothersMaidenName != null) && (mothersMaidenName.length() > 0)) {
            enFamily = new EnFamily();
            enFamily.getContent().add(mothersMaidenName);
        }

        PN patientName = new PN();
        patientName.getContent().add(factory.createENFamily(enFamily));
        mothersMaidenNameObj.getValue().add(patientName);

        ST semanticsText = new ST();
        semanticsText.getContent().add("Person.MothersMaidenName");
        mothersMaidenNameObj.setSemanticsText(semanticsText);
        return mothersMaidenNameObj;
    }

    /**
     * @param patientTelecom
     * @param telecom
     * @return
     */
    private PRPAMT201306UV02PatientTelecom setPatientTelecom(PRPAMT201306UV02PatientTelecom patientTelecom,
            String telecom) {
        TEL telecomValue = new TEL();
        telecomValue.setValue(telecom);
        patientTelecom.getValue().add(telecomValue);
        return patientTelecom;
    }

    /**
     * @param qUQIIN000003UV01
     */
    private void setCreationTime(QUQIIN000003UV01Type qUQIIN000003UV01) {
        DateTime dt = new DateTime(DateTimeZone.UTC);
        TS creationTime = new TS();
        StringBuilder timeBuilder = new StringBuilder();
        timeBuilder.append(dt.getYear());
        timeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        timeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());
        timeBuilder.append((dt.getHourOfDay() < 10) ? ("0" + dt.getHourOfDay()) : dt.getHourOfDay());
        timeBuilder.append((dt.getMinuteOfHour() < 10) ? ("0" + dt.getMinuteOfHour()) : dt.getMinuteOfHour());
        timeBuilder.append((dt.getSecondOfMinute() < 10) ? ("0" + dt.getSecondOfMinute()) : dt.getSecondOfMinute());
        creationTime.setValue(timeBuilder.toString());
        qUQIIN000003UV01.setCreationTime(creationTime);
    }

    /**
     * @param pRPA_IN201305UV02
     */
    private void setCreationTime(PRPAIN201305UV02 pRPA_IN201305UV02) {
        DateTime dt = new DateTime(DateTimeZone.UTC);
        TS creationTime = new TS();
        StringBuilder timeBuilder = new StringBuilder();
        timeBuilder.append(dt.getYear());
        timeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        timeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());
        timeBuilder.append((dt.getHourOfDay() < 10) ? ("0" + dt.getHourOfDay()) : dt.getHourOfDay());
        timeBuilder.append((dt.getMinuteOfHour() < 10) ? ("0" + dt.getMinuteOfHour()) : dt.getMinuteOfHour());
        timeBuilder.append((dt.getSecondOfMinute() < 10) ? ("0" + dt.getSecondOfMinute()) : dt.getSecondOfMinute());
        creationTime.setValue(timeBuilder.toString());
        pRPA_IN201305UV02.setCreationTime(creationTime);
    }

    /**
     * @param qUQIIN000003UV01
     */
    private void setReceiverQueryContinuation(QUQIIN000003UV01Type qUQIIN000003UV01) {
        MCCIMT000300UV01Receiver receiver = new MCCIMT000300UV01Receiver();
        receiver.setTypeCode(CommunicationFunctionType.RCV);
        MCCIMT000300UV01Device receiverDevice = new MCCIMT000300UV01Device();
        receiverDevice.setClassCode(EntityClassDevice.DEV);
        receiverDevice.setDeterminerCode("INSTANCE");
        II receiverDeviceId = new II();
        receiverDeviceId.setRoot(receiverApplicationName);
        receiverDevice.getId().add(receiverDeviceId);
        TEL receiverTelecom = new TEL();
        receiverTelecom.setValue(receiverTelecomValue);
        receiverDevice.getTelecom().add(receiverTelecom);
        receiver.setDevice(receiverDevice);
        qUQIIN000003UV01.getReceiver().add(receiver);
    }

    /**
     * @param pRPA_IN201305UV02
     */
    private void setReceiver(PRPAIN201305UV02 pRPA_IN201305UV02) {
        MCCIMT000100UV01Receiver receiver = new MCCIMT000100UV01Receiver();
        receiver.setTypeCode(CommunicationFunctionType.RCV);
        MCCIMT000100UV01Device receiverDevice = new MCCIMT000100UV01Device();
        receiverDevice.setClassCode(EntityClassDevice.DEV);
        receiverDevice.setDeterminerCode("INSTANCE");
        II receiverDeviceId = new II();
        receiverDeviceId.setRoot(receiverApplicationName);
        receiverDevice.getId().add(receiverDeviceId);
        MCCIMT000100UV01Agent asAgent = new MCCIMT000100UV01Agent();
        asAgent.getClassCode().add("AGNT");
        MCCIMT000100UV01Organization representedOrganization = new MCCIMT000100UV01Organization();
        representedOrganization.setDeterminerCode("INSTANCE");
        representedOrganization.setClassCode("ORG");
        II representedOrganizationId = new II();
        representedOrganizationId.setRoot(receiverApplicationRepresentedOrganization);
        representedOrganization.getId().add(representedOrganizationId);
        asAgent.setRepresentedOrganization(
                factory.createMCCIMT000100UV01AgentRepresentedOrganization(representedOrganization));
        receiverDevice.setAsAgent(factory.createMCCIMT000100UV01DeviceAsAgent(asAgent));
        receiver.setDevice(receiverDevice);
        pRPA_IN201305UV02.getReceiver().add(receiver);
    }

    /**
     * @param qUQIIN000003UV01
     */
    private void setSenderQueryContinuation(QUQIIN000003UV01Type qUQIIN000003UV01) {
        MCCIMT000300UV01Sender sender = new MCCIMT000300UV01Sender();
        sender.setTypeCode(CommunicationFunctionType.SND);
        MCCIMT000300UV01Device senderDevice = new MCCIMT000300UV01Device();
        senderDevice.setClassCode(EntityClassDevice.DEV);
        senderDevice.setDeterminerCode("INSTANCE");
        II senderDeviceId = new II();
        senderDeviceId.setRoot(iExHubSenderDeviceId);
        senderDevice.getId().add(senderDeviceId);
        sender.setDevice(senderDevice);
        qUQIIN000003UV01.setSender(sender);
    }

    /**
     * @param pRPA_IN201305UV02
     */
    private void setSender(PRPAIN201305UV02 pRPA_IN201305UV02) {
        MCCIMT000100UV01Sender sender = new MCCIMT000100UV01Sender();
        sender.setTypeCode(CommunicationFunctionType.SND);
        MCCIMT000100UV01Device senderDevice = new MCCIMT000100UV01Device();
        senderDevice.setClassCode(EntityClassDevice.DEV);
        senderDevice.setDeterminerCode("INSTANCE");
        II senderDeviceId = new II();
        senderDeviceId.setRoot(iExHubSenderDeviceId);
        senderDevice.getId().add(senderDeviceId);
        MCCIMT000100UV01Agent senderAsAgent = new MCCIMT000100UV01Agent();
        senderAsAgent.getClassCode().add("AGNT");
        MCCIMT000100UV01Organization senderRepresentedOrganization = new MCCIMT000100UV01Organization();
        senderRepresentedOrganization.setDeterminerCode("INSTANCE");
        senderRepresentedOrganization.setClassCode("ORG");
        II senderRepresentedOrganizationId = new II();
        senderRepresentedOrganizationId.setRoot(iExHubDomainOid);
        senderRepresentedOrganization.getId().add(senderRepresentedOrganizationId);
        senderAsAgent.setRepresentedOrganization(
                factory.createMCCIMT000100UV01AgentRepresentedOrganization(senderRepresentedOrganization));
        senderDevice.setAsAgent(factory.createMCCIMT000100UV01DeviceAsAgent(senderAsAgent));
        sender.setDevice(senderDevice);
        pRPA_IN201305UV02.setSender(sender);
    }

    /**
     * @param livingSubjectName
     * @param familyName
     * @param givenName
     * @param middleName
     * @return
     */
    private PRPAMT201306UV02LivingSubjectName setLivingSubjectName(
            PRPAMT201306UV02LivingSubjectName livingSubjectName, String familyName, String givenName,
            String middleName) {
        EN enCompleteName = null;
        EnFamily enFamily2 = new EnFamily();
        if ((familyName != null) && (familyName.length() > 0)) {
            enFamily2.getContent().add(familyName);
            enCompleteName = new EN();
            enCompleteName.getContent().add(factory.createENFamily(enFamily2));
        }

        EN enGiven = null;
        EnGiven enGiven2 = new EnGiven();
        if ((givenName != null) && (givenName.length() > 0)) {
            enGiven = new EN();

            if ((middleName != null) && (middleName.length() > 0)) {
                enGiven2.getContent().add(givenName + " " + middleName);
            } else {
                enGiven2.getContent().add(givenName);
            }

            enGiven = new EN();
            enGiven.getContent().add(factory.createENGiven(enGiven2));
            enCompleteName.getContent().add(factory.createENGiven(enGiven2));
            livingSubjectName.getValue().add(enCompleteName);
        } else {
            livingSubjectName.getValue().add(enCompleteName);
        }

        ST livingSubjectNameSemanticsText = new ST();
        livingSubjectNameSemanticsText.getContent().add("LivingSubject.name");
        livingSubjectName.setSemanticsText(livingSubjectNameSemanticsText);
        return livingSubjectName;
    }

    /**
     * @param adminGender
     * @param gender
     * @return
     */
    private PRPAMT201306UV02LivingSubjectAdministrativeGender setLivingSubjectAdministrativeGender(
            PRPAMT201306UV02LivingSubjectAdministrativeGender adminGender, String gender) {
        CE genderValue = new CE();
        genderValue.setCode(
                ((gender.compareToIgnoreCase("f") == 0) || (gender.compareToIgnoreCase("female") == 0)) ? "F"
                        : (((gender.compareToIgnoreCase("m") == 0) || (gender.compareToIgnoreCase("male") == 0))
                                ? "M"
                                : ""));
        adminGender.getValue().add(genderValue);
        ST genderSemanticsText = new ST();
        genderSemanticsText.getContent().add("LivingSubject.administrativeGender");
        adminGender.setSemanticsText(genderSemanticsText);
        return adminGender;
    }

    /**
     * @param otherIDsScopingOrganization
     * @param otherIDsScopingOrganizationString
     * @return
     */
    private PRPAMT201306UV02OtherIDsScopingOrganization setOtherIDsScopingOrganization(
            PRPAMT201306UV02OtherIDsScopingOrganization otherIDsScopingOrganization,
            String otherIDsScopingOrganizationString) {
        II scopingOrganizationId = new II();
        scopingOrganizationId.setRoot((otherIDsScopingOrganizationString == null) ? otherIDsScopingOrganizationOid
                : otherIDsScopingOrganizationString);
        otherIDsScopingOrganization.getValue().add(scopingOrganizationId);
        ST otherIDsScopingOrganizationSemanticsText = new ST();
        otherIDsScopingOrganizationSemanticsText.getContent().add("OtherIDs.scopingOrganization.id");
        otherIDsScopingOrganization.setSemanticsText(otherIDsScopingOrganizationSemanticsText);
        return otherIDsScopingOrganization;
    }

    /**
     * @param patientAddress
     * @param addressStreet
     * @param addressCity
     * @param addressState
     * @param addressPostalCode
     * @return
     */
    private PRPAMT201306UV02PatientAddress setPatientAddress(PRPAMT201306UV02PatientAddress patientAddress,
            String addressStreet, String addressCity, String addressState, String addressPostalCode) {
        AD address = new AD();
        if ((addressStreet != null) && (addressStreet.length() > 0)) {
            AdxpStreetAddressLine streetAddressLine = new AdxpStreetAddressLine();
            streetAddressLine.getContent().add(addressStreet);
            address.getContent().add(factory.createADStreetAddressLine(streetAddressLine));
        }

        if ((addressCity != null) && (addressCity.length() > 0)) {
            AdxpCity cityName = new AdxpCity();
            cityName.getContent().add(addressCity);
            address.getContent().add(factory.createADCity(cityName));
        }

        if ((addressState != null) && (addressState.length() > 0)) {
            AdxpState stateName = new AdxpState();
            stateName.getContent().add(addressState);
            address.getContent().add(factory.createADState(stateName));
        }

        if ((addressPostalCode != null) && (addressPostalCode.length() > 0)) {
            AdxpPostalCode postalCodeName = new AdxpPostalCode();
            postalCodeName.getContent().add(addressPostalCode);
            address.getContent().add(factory.createADPostalCode(postalCodeName));
        }

        patientAddress.getValue().add(address);

        ST patientAddressSemanticsText = new ST();
        patientAddressSemanticsText.getContent().add("Patient.addr");
        patientAddress.setSemanticsText(patientAddressSemanticsText);

        return patientAddress;
    }

    /**
     * @param livingSubjectBirthTime
     * @param dateOfBirth
     * @return
     */
    private PRPAMT201306UV02LivingSubjectBirthTime setLivingSubjectBirthTime(
            PRPAMT201306UV02LivingSubjectBirthTime livingSubjectBirthTime, String dateOfBirth) {
        DateTimeFormatter formatter = DateTimeFormat.forPattern("MM/dd/yyyy");
        DateTime dt = formatter.parseDateTime(dateOfBirth);
        StringBuilder timeBuilder = new StringBuilder();
        timeBuilder.append(dt.getYear());
        timeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        timeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());

        IVLTS date = new IVLTS();
        date.setValue(timeBuilder.toString());
        livingSubjectBirthTime.getValue().add(date);

        ST birthTimeSemanticsText = new ST();
        birthTimeSemanticsText.getContent().add("LivingSubject.birthTime");
        livingSubjectBirthTime.setSemanticsText(birthTimeSemanticsText);

        return livingSubjectBirthTime;
    }

    /**
     * @param livingSubjectId
     * @param patientId
     * @param patientIdDomain
     * @return
     */
    private PRPAMT201306UV02LivingSubjectId setLivingSubjectId(PRPAMT201306UV02LivingSubjectId livingSubjectId,
            String patientId, String patientIdDomain) {
        II livingSubjectIdII = new II();
        livingSubjectIdII.setRoot((patientIdDomain == null) ? iExHubDomainOid : patientIdDomain);
        livingSubjectIdII.setExtension(patientId);
        livingSubjectId.getValue().add(livingSubjectIdII);
        ST livingSubjectIdSemanticsText = new ST();
        livingSubjectIdSemanticsText.getContent().add("LivingSubject.id");
        livingSubjectId.setSemanticsText(livingSubjectIdSemanticsText);
        return livingSubjectId;
    }
}