org.iexhub.connectors.PIXManager.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 PIXManager.org.hl7.v3.*;
import PIXManager.org.iexhub.services.client.PIXManager_ServiceStub;
import org.apache.axiom.om.OMElement;
import org.apache.axis2.AxisFault;
import org.apache.commons.io.FileUtils;
import org.apache.log4j.Logger;
import org.hl7.fhir.dstu3.model.*;
import org.hl7.fhir.dstu3.model.Enumerations.AdministrativeGender;
import org.hl7.fhir.dstu3.model.Organization.OrganizationContactComponent;
import org.iexhub.config.IExHubConfig;
import org.iexhub.exceptions.FamilyNameParamMissingException;
import org.iexhub.exceptions.PatientIdParamMissingException;
import org.iexhub.exceptions.UnexpectedServerException;
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;

import javax.xml.bind.JAXBElement;
import java.io.File;
import java.io.IOException;
import java.net.InetAddress;
import java.nio.file.Files;
import java.nio.file.Paths;
import java.util.Base64;
import java.util.UUID;

/**
 * PIX Add Manager
 * @author A. Sute
 *
 */

public class PIXManager {
    public static final int SYSLOG_SERVER_PORT_MIN = 0;
    public static final int SYSLOG_SERVER_PORT_MAX = 65535;
    private static String keyStoreFile = IExHubConfig.getConfigLocationPath("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 logPixRequestMessages = false;
    private static boolean logPixResponseMessages = false;
    private static String logOutputPath = "/java/iexhub/logs";
    private static boolean logSyslogAuditMsgsLocally = false;

    private static String iti44AuditMsgTemplate = null;
    private static String iti45AuditMsgTemplate = null;
    private static SSLTCPNetSyslogConfig sysLogConfig = null;

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

    private static String endpointUri = null;
    private static String receiverApplicationName = "2.16.840.1.113883.3.72.6.5.100.556";
    private static String receiverApplicationRepresentedOrganization = "2.16.840.1.113883.3.72.6.1";
    private static String providerOrganizationName = "HIE Portal";
    private static String providerOrganizationContactTelecom = "555-555-5555";
    private static String providerOrganizationOid = "1.2.840.114350.1.13.99998.8734";
    private static String queryIdOid = "1.2.840.114350.1.13.28.1.18.5.999";
    private static String dataSourceOid = "2.16.840.1.113883.3.72.5.9.3";
    private static String iExHubDomainOid = "2.16.840.1.113883.3.72.5.9.1";
    private static String iExHubAssigningAuthority = "ISO";
    private static String iExHubSenderDeviceId = "1.3.6.1.4.1.21367.13.10.215";
    private static String patientIdAssigningAuthority = "1.3.6.1.4.1.21367.13.20.200";
    private static String uriPrefix = "urn:oid:";

    private static PIXManager_ServiceStub pixManagerStub = null;
    private static final ObjectFactory objectFactory = new ObjectFactory();

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

    public PIXManager(String endpointURI, boolean enableTLS) throws AxisFault, Exception {
        PIXManager.logSyslogAuditMsgsLocally = IExHubConfig.getProperty("LogSyslogAuditMsgsLocally",
                PIXManager.logSyslogAuditMsgsLocally);
        PIXManager.iExHubSenderDeviceId = IExHubConfig.getProperty("IExHubSenderDeviceID",
                PIXManager.iExHubSenderDeviceId);
        PIXManager.patientIdAssigningAuthority = IExHubConfig.getProperty("PatientIDAssigningAuthority",
                PIXManager.patientIdAssigningAuthority);
        PIXManager.logOutputPath = IExHubConfig.getProperty("LogOutputPath", PIXManager.logOutputPath);
        PIXManager.logPixRequestMessages = IExHubConfig.getProperty("LogPIXRequestMessages",
                PIXManager.logPixRequestMessages);
        PIXManager.logPixResponseMessages = IExHubConfig.getProperty("LogPIXResponseMessages",
                PIXManager.logPixResponseMessages);
        PIXManager.keyStoreFile = IExHubConfig.getProperty("PIXKeyStoreFile", PIXManager.keyStoreFile);
        PIXManager.keyStorePwd = IExHubConfig.getProperty("PIXKeyStorePwd", PIXManager.keyStorePwd);
        PIXManager.cipherSuites = IExHubConfig.getProperty("PIXCipherSuites", PIXManager.cipherSuites);
        PIXManager.httpsProtocols = IExHubConfig.getProperty("PIXHttpsProtocols", PIXManager.httpsProtocols);
        PIXManager.debugSsl = IExHubConfig.getProperty("DebugSSL", PIXManager.debugSsl);
        PIXManager.receiverApplicationName = IExHubConfig.getProperty("PIXReceiverApplicationName",
                PIXManager.receiverApplicationName);
        PIXManager.receiverApplicationRepresentedOrganization = IExHubConfig.getProperty(
                "PIXReceiverApplicationRepresentedOrganization",
                PIXManager.receiverApplicationRepresentedOrganization);
        PIXManager.providerOrganizationName = IExHubConfig.getProperty("PIXProviderOrganizationName",
                PIXManager.providerOrganizationName);
        PIXManager.providerOrganizationContactTelecom = IExHubConfig.getProperty(
                "PIXProviderOrganizationContactTelecom", PIXManager.providerOrganizationContactTelecom);
        PIXManager.providerOrganizationOid = IExHubConfig.getProperty("PIXProviderOrganizationOID",
                PIXManager.providerOrganizationOid);
        PIXManager.queryIdOid = IExHubConfig.getProperty("PIXQueryIdOID", PIXManager.queryIdOid);
        PIXManager.dataSourceOid = IExHubConfig.getProperty("PIXDataSourceOID", PIXManager.dataSourceOid);
        PIXManager.iExHubDomainOid = IExHubConfig.getProperty("IExHubDomainOID", PIXManager.iExHubDomainOid);
        PIXManager.iExHubAssigningAuthority = IExHubConfig.getProperty("IExHubAssigningAuthority",
                PIXManager.iExHubAssigningAuthority);

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

        PIXManager.endpointUri = endpointURI;

        // If Syslog server host is specified, then configure...
        iti44AuditMsgTemplate = IExHubConfig.getProperty("Iti44AuditMsgTemplate");
        iti45AuditMsgTemplate = IExHubConfig.getProperty("Iti45AuditMsgTemplate");
        String syslogServerHost = IExHubConfig.getProperty("SyslogServerHost");
        int syslogServerPort = IExHubConfig.getProperty("SyslogServerPort", -1);
        if ((syslogServerHost != null) && (syslogServerHost.length() > 0)
                && (syslogServerPort > SYSLOG_SERVER_PORT_MIN && syslogServerPort <= SYSLOG_SERVER_PORT_MAX)) {
            if ((iti44AuditMsgTemplate == null) || (iti45AuditMsgTemplate == null)) {
                log.error("ITI-44 and/or ITI-45 audit message templates not specified in properties file, "
                        + IExHubConfig.CONFIG_FILE);
                throw new UnexpectedServerException(
                        "ITI-44 and/or ITI-45 audit message templates not specified in properties file, "
                                + IExHubConfig.CONFIG_FILE);
            }

            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);
        }

        try {
            // Instantiate PIXManager client stub and enable WS-Addressing...
            pixManagerStub = new PIXManager_ServiceStub(endpointURI);
            pixManagerStub._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");
                }

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

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

    /**
     * @param patientId
     * @throws IOException
     */
    private void logIti44AuditMsg(String patientId) throws IOException {
        String logMsg = FileUtils.readFileToString(new File(iti44AuditMsgTemplate));

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

        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("$DestinationIpAddress$", PIXManager.endpointUri);

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

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

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

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

        if ((sysLogConfig == null) || (iti44AuditMsgTemplate == null)) {
            return;
        }

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

    /**
     * @param queryText
     * @param patientId
     * @throws IOException
     */
    private void logIti45AuditMsg(String queryText, String patientId) throws IOException {
        String logMsg = FileUtils.readFileToString(new File(iti45AuditMsgTemplate));

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

        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("$DestinationIpAddress$", PIXManager.endpointUri);

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

        // Query text must be Base64 encoded...
        logMsg = logMsg.replace("$PixQueryMtom$", Base64.getEncoder().encodeToString(queryText.getBytes()));

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

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

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

        if ((sysLogConfig == null) || (iti45AuditMsgTemplate == null)) {
            return;
        }

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

    /**
     * @param patientId
     * @param domainOID
     * @param populateDataSource
     * @return
     * @throws IOException
     */
    public PRPAIN201310UV02 patientRegistryGetIdentifiers(String patientId, String domainOID,
            boolean populateDataSource) throws IOException {
        if ((patientId == null) || (patientId.length() == 0)) {
            throw new PatientIdParamMissingException("PatientId parameter is required");
        }

        PRPAIN201309UV02 pRPA_IN201309UV02 = new PRPAIN201309UV02();

        // ITS version...
        pRPA_IN201309UV02.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        pRPA_IN201309UV02.setId(messageId);

        // Creation time...
        DateTime dt = new DateTime(DateTimeZone.UTC);
        TS creationTime = new TS();
        StringBuilder creationTimeBuilder = new StringBuilder();
        creationTimeBuilder.append(dt.getYear());
        creationTimeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        creationTimeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());
        creationTimeBuilder.append((dt.getHourOfDay() < 10) ? ("0" + dt.getHourOfDay()) : dt.getHourOfDay());
        creationTimeBuilder
                .append((dt.getMinuteOfHour() < 10) ? ("0" + dt.getMinuteOfHour()) : dt.getMinuteOfHour());
        creationTimeBuilder
                .append((dt.getSecondOfMinute() < 10) ? ("0" + dt.getSecondOfMinute()) : dt.getSecondOfMinute());
        creationTime.setValue(creationTimeBuilder.toString());
        pRPA_IN201309UV02.setCreationTime(creationTime);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("PRPA_IN201309UV02");
        pRPA_IN201309UV02.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("P");
        pRPA_IN201309UV02.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        pRPA_IN201309UV02.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        pRPA_IN201309UV02.setAcceptAckCode(acceptAckCode);

        // Create receiver...
        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);
        receiver.setDevice(receiverDevice);
        pRPA_IN201309UV02.getReceiver().add(receiver);

        // Create sender...
        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(PIXManager.iExHubSenderDeviceId);
        senderDevice.getId().add(senderDeviceId);
        sender.setDevice(senderDevice);
        pRPA_IN201309UV02.setSender(sender);

        // Create AuthorOrPerformer...
        QUQIMT021001UV01AuthorOrPerformer authorOrPerformer = new QUQIMT021001UV01AuthorOrPerformer();
        authorOrPerformer.setTypeCode(XParticipationAuthorPerformer.fromValue("AUT"));
        COCTMT090100UV01AssignedPerson assignedPerson = new COCTMT090100UV01AssignedPerson();
        assignedPerson.setClassCode("ASSIGNED");
        II assignedPersonId = new II();
        assignedPersonId.setRoot(PIXManager.iExHubDomainOid);
        assignedPersonId.setExtension("IExHub");
        assignedPerson.getId().add(assignedPersonId);
        authorOrPerformer.setAssignedPerson(
                objectFactory.createQUQIMT021001UV01AuthorOrPerformerAssignedPerson(assignedPerson));

        // Create QueryByParameter...
        PRPAMT201307UV02QueryByParameter queryByParam = new PRPAMT201307UV02QueryByParameter();
        II queryId = new II();
        queryId.setRoot(queryIdOid);
        queryId.setExtension(UUID.randomUUID().toString());
        queryByParam.setQueryId(queryId);
        CS responsePriorityCode = new CS();
        responsePriorityCode.setCode("I");
        queryByParam.setResponsePriorityCode(responsePriorityCode);
        CS statusCode = new CS();
        statusCode.setCode("new");
        queryByParam.setStatusCode(statusCode);

        // Create ParameterList...
        PRPAMT201307UV02ParameterList paramList = new PRPAMT201307UV02ParameterList();

        if (populateDataSource) {
            // Create DataSource...
            PRPAMT201307UV02DataSource dataSource = new PRPAMT201307UV02DataSource();
            II dataSourceId = new II();
            dataSourceId.setRoot(dataSourceOid);
            dataSource.getValue().add(dataSourceId);
            ST dataSourceSemanticsText = new ST();
            dataSourceSemanticsText.getContent().add("DataSource.id");
            dataSource.setSemanticsText(dataSourceSemanticsText);
            paramList.getDataSource().add(dataSource);
        }

        // Create PatientIdentifier...
        PRPAMT201307UV02PatientIdentifier patientIdentifier = new PRPAMT201307UV02PatientIdentifier();
        II patientIdentifierId = new II();
        patientIdentifierId.setRoot(domainOID);
        patientIdentifierId.setExtension(patientId);
        patientIdentifier.getValue().add(patientIdentifierId);
        ST patientIdentifierSemanticsText = new ST();
        patientIdentifierSemanticsText.getContent().add("Patient.Id");
        patientIdentifier.setSemanticsText(patientIdentifierSemanticsText);
        paramList.getPatientIdentifier().add(patientIdentifier);
        queryByParam.setParameterList(paramList);

        // Create ControlActProcess...
        PRPAIN201309UV02QUQIMT021001UV01ControlActProcess controlAct = new PRPAIN201309UV02QUQIMT021001UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE201309UV02");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);
        controlAct.getAuthorOrPerformer().add(authorOrPerformer);
        controlAct.setQueryByParameter(objectFactory
                .createPRPAIN201309UV02QUQIMT021001UV01ControlActProcessQueryByParameter(queryByParam));

        pRPA_IN201309UV02.setControlActProcess(controlAct);

        OMElement requestElement = pixManagerStub.toOM(pRPA_IN201309UV02,
                pixManagerStub
                        .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201301UV02")),
                new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201309UV02"));
        String queryText = requestElement.toString();

        UUID logMsgId = null;
        if (logPixRequestMessages) {
            logMsgId = UUID.randomUUID();
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PIXGetIdentifiersRequest.xml"),
                    requestElement.toString().getBytes());
        }

        logIti45AuditMsg(queryText, patientId + "^^^&" + domainOID + "&ISO");

        PRPAIN201310UV02 response = pixManagerStub.pIXManager_PRPA_IN201309UV02(pRPA_IN201309UV02);
        if (logPixResponseMessages) {
            OMElement responseElement = pixManagerStub.toOM(response,
                    pixManagerStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201310UV02")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201310UV02"));
            Files.write(Paths
                    .get(logOutputPath + ((logMsgId == null) ? UUID.randomUUID().toString() : logMsgId.toString())
                            + "_PIXGetIdentifiersResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }

    /**
     * @param fhirName
     * @return
     */
    private PN populatePersonName(HumanName fhirName) {
        EnFamily enFamily = null;
        if ((fhirName.getFamily() != null) && (fhirName.getFamily().length() > 0)) {
            enFamily = new EnFamily();
            enFamily.getContent().add(fhirName.getFamily());
        }

        EnGiven enGiven = null;
        if ((fhirName.getGivenAsSingleString() != null) && (fhirName.getGivenAsSingleString().length() > 0)) {
            enGiven = new EnGiven();
            enGiven.getContent().add(fhirName.getGivenAsSingleString());
        }

        PN personName = new PN();
        personName.getContent().add(objectFactory.createENFamily(enFamily));

        if (enGiven != null) {
            personName.getContent().add(objectFactory.createENGiven(enGiven));
        }

        return personName;
    }

    /**
     * @param fhirAddress
     * @return
     */
    private AD populatePatientAddress(Address fhirAddress) {
        AD address = new AD();
        if ((fhirAddress.getLine() != null) && (!fhirAddress.getLine().isEmpty())) {
            for (StringType addressLine : fhirAddress.getLine()) {
                AdxpStreetAddressLine streetAddressLine = new AdxpStreetAddressLine();
                streetAddressLine.getContent().add(addressLine.getValueAsString());
                address.getContent().add(objectFactory.createADStreetAddressLine(streetAddressLine));
            }
        }

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

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

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

        return address;
    }

    /**
     * @param fhirPatientResource
     * @return
     * @throws IOException
     */
    public MCCIIN000002UV01 registerPatient(Patient fhirPatientResource) throws IOException {
        String dateOfBirth = (fhirPatientResource.getBirthDate() != null)
                ? fhirPatientResource.getBirthDateElement().getValueAsString()
                : null;
        String gender = (fhirPatientResource.getGender() == null) ? ""
                : (fhirPatientResource.getGender().compareTo(AdministrativeGender.MALE) == 0) ? "M"
                        : ((fhirPatientResource.getGender().compareTo(AdministrativeGender.FEMALE) == 0) ? "F"
                                : ((fhirPatientResource.getGender().compareTo(AdministrativeGender.OTHER) == 0)
                                        ? "UN"
                                        : ""));

        if ((fhirPatientResource.getName().get(0).getFamily() == null)
                || (fhirPatientResource.getName().get(0).getFamily().length() == 0)) {
            throw new FamilyNameParamMissingException("FamilyName parameter is required");
        }

        PRPAIN201301UV02 pRPA_IN201301UV02 = new PRPAIN201301UV02();

        // ITS version...
        pRPA_IN201301UV02.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        pRPA_IN201301UV02.setId(messageId);

        // Creation time...
        DateTime dt = new DateTime(DateTimeZone.UTC);
        TS creationTime = new TS();
        StringBuilder creationTimeBuilder = new StringBuilder();
        creationTimeBuilder.append(dt.getYear());
        creationTimeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        creationTimeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());
        creationTimeBuilder.append((dt.getHourOfDay() < 10) ? ("0" + dt.getHourOfDay()) : dt.getHourOfDay());
        creationTimeBuilder
                .append((dt.getMinuteOfHour() < 10) ? ("0" + dt.getMinuteOfHour()) : dt.getMinuteOfHour());
        creationTimeBuilder
                .append((dt.getSecondOfMinute() < 10) ? ("0" + dt.getSecondOfMinute()) : dt.getSecondOfMinute());
        creationTime.setValue(creationTimeBuilder.toString());
        pRPA_IN201301UV02.setCreationTime(creationTime);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("PRPA_IN201301UV02");
        pRPA_IN201301UV02.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("P");
        pRPA_IN201301UV02.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        pRPA_IN201301UV02.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        pRPA_IN201301UV02.setAcceptAckCode(acceptAckCode);

        // Create receiver...
        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(PIXManager.receiverApplicationRepresentedOrganization);
        representedOrganization.getId().add(representedOrganizationId);
        asAgent.setRepresentedOrganization(
                objectFactory.createMCCIMT000100UV01AgentRepresentedOrganization(representedOrganization));
        receiverDevice.setAsAgent(objectFactory.createMCCIMT000100UV01DeviceAsAgent(asAgent));
        receiver.setDevice(receiverDevice);
        pRPA_IN201301UV02.getReceiver().add(receiver);

        // Create sender...
        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(PIXManager.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(PIXManager.iExHubDomainOid);
        senderRepresentedOrganization.getId().add(senderRepresentedOrganizationId);
        senderAsAgent.setRepresentedOrganization(
                objectFactory.createMCCIMT000100UV01AgentRepresentedOrganization(senderRepresentedOrganization));
        senderDevice.setAsAgent(objectFactory.createMCCIMT000100UV01DeviceAsAgent(senderAsAgent));
        sender.setDevice(senderDevice);
        pRPA_IN201301UV02.setSender(sender);

        PRPAIN201301UV02MFMIMT700701UV01Subject1 subject = new PRPAIN201301UV02MFMIMT700701UV01Subject1();

        // Create Registration Event...
        PRPAIN201301UV02MFMIMT700701UV01RegistrationEvent registrationEvent = new PRPAIN201301UV02MFMIMT700701UV01RegistrationEvent();
        registrationEvent.getClassCode().add("REG");
        registrationEvent.getMoodCode().add("EVN");
        registrationEvent.getNullFlavor().add("NA");
        CS statusCode = new CS();
        statusCode.setCode("active");
        registrationEvent.setStatusCode(statusCode);
        PRPAIN201301UV02MFMIMT700701UV01Subject2 subject1 = new PRPAIN201301UV02MFMIMT700701UV01Subject2();
        subject1.setTypeCode(ParticipationTargetSubject.SBJ);

        // Create Patient...
        PRPAMT201301UV02Patient patient = new PRPAMT201301UV02Patient();
        patient.getClassCode().add("PAT");
        CS patientStatusCode = new CS();
        patientStatusCode.setCode("active");
        patient.setStatusCode(patientStatusCode);

        // Create PatientPerson...
        PRPAMT201301UV02Person patientPerson = new PRPAMT201301UV02Person();

        // Other ID's specified...
        II constructedPatientId = null;
        if (fhirPatientResource.getIdentifier() != null) {
            for (Identifier fhirId : fhirPatientResource.getIdentifier()) {
                if ((fhirId.getUse() != null) && (fhirId.getUse().equals(Identifier.IdentifierUse.OFFICIAL)))

                {
                    // This is the official identifier
                    constructedPatientId = new II();
                    if ((fhirId.getSystem() == null) || (fhirId.getSystem().length() == 0)) {
                        throw new PatientIdParamMissingException("Patient ID system missing");
                    }
                    constructedPatientId.setRoot((fhirId.getSystem().toLowerCase().startsWith(uriPrefix))
                            ? fhirId.getSystem().replace(uriPrefix, "")
                            : fhirId.getSystem());
                    constructedPatientId.setExtension(fhirId.getValue());
                    constructedPatientId.setAssigningAuthorityName(PIXManager.iExHubAssigningAuthority);
                    patient.getId().add(constructedPatientId);
                } else {
                    PRPAMT201301UV02OtherIDs asOtherId = new PRPAMT201301UV02OtherIDs();
                    asOtherId.getClassCode().add("SD");
                    II otherId = new II();
                    otherId.setRoot(fhirId.getSystemElement().getValueAsString());
                    otherId.setExtension(fhirId.getValue());
                    asOtherId.getId().add(otherId);

                    COCTMT150002UV01Organization scopingOrg = new COCTMT150002UV01Organization();
                    scopingOrg.setClassCode("ORG");
                    scopingOrg.setDeterminerCode("INSTANCE");
                    II scopingOrgId = new II();
                    scopingOrgId.setRoot(fhirId.getSystemElement().getValueAsString());
                    scopingOrg.getId().add(scopingOrgId);
                    asOtherId.setScopingOrganization(scopingOrg);

                    patientPerson.getAsOtherIDs().add(asOtherId);
                }
            }
        }

        patientPerson.getName().add(populatePersonName(fhirPatientResource.getName().get(0)));

        if ((gender != null) && (gender.length() > 0)) {
            CE adminGenderCode = new CE();
            adminGenderCode.setCode(gender);
            adminGenderCode.setCodeSystem("2.16.840.1.113883.5.1");
            patientPerson.setAdministrativeGenderCode(adminGenderCode);
        } else {
            CE adminGenderCode = new CE();
            adminGenderCode.getNullFlavor().add("UNK");
            adminGenderCode.setCodeSystem("2.16.840.1.113883.5.1");
            patientPerson.setAdministrativeGenderCode(adminGenderCode);
        }

        patientPerson.getClassCode().add("PSN");
        patientPerson.setDeterminerCode("INSTANCE");

        if ((fhirPatientResource.getTelecom() != null) && (!fhirPatientResource.getTelecom().isEmpty())) {
            for (ContactPoint contactPoint : fhirPatientResource.getTelecom()) {
                // Add if telecom value is present only
                if (contactPoint.getValue() != null && !contactPoint.getValue().isEmpty()) {
                    TEL contactPartyTelecom = new TEL();
                    contactPartyTelecom.setValue(contactPoint.getValue());
                    patientPerson.getTelecom().add(contactPartyTelecom);
                }
            }
        }

        if (dateOfBirth != null) {
            // Try several formats for date parsing...
            DateTimeFormatter formatter = null;
            DateTime birthDateTime = null;
            try {
                formatter = DateTimeFormat.forPattern("MM/dd/yyyy");
                birthDateTime = formatter.parseDateTime(dateOfBirth);
            } catch (Exception e) {
                try {
                    formatter = DateTimeFormat.forPattern("yyyy-MM-dd");
                    birthDateTime = formatter.parseDateTime(dateOfBirth);
                } catch (Exception e2) {
                    throw e2;
                }
            }

            StringBuilder birthDateBuilder = new StringBuilder();
            birthDateBuilder.append(birthDateTime.getYear());
            birthDateBuilder.append((birthDateTime.getMonthOfYear() < 10) ? ("0" + birthDateTime.getMonthOfYear())
                    : birthDateTime.getMonthOfYear());
            birthDateBuilder.append((birthDateTime.getDayOfMonth() < 10) ? ("0" + birthDateTime.getDayOfMonth())
                    : birthDateTime.getDayOfMonth());
            TS birthTime = new TS();
            birthTime.setValue(birthDateBuilder.toString());
            patientPerson.setBirthTime(birthTime);
        }

        JAXBElement<PRPAMT201301UV02Person> patientPersonElement = objectFactory
                .createPRPAMT201301UV02PatientPatientPerson(patientPerson);
        patient.setPatientPerson(patientPersonElement);

        // Create ProviderOrganization - set IExHub as provider if no careProvider specified in FHIR patient resource parameter...
        COCTMT150003UV03Organization providerOrganization = new COCTMT150003UV03Organization();
        providerOrganization.setDeterminerCode("INSTANCE");
        providerOrganization.setClassCode("ORG");

        if ((fhirPatientResource.getGeneralPractitioner() != null)
                && (!fhirPatientResource.getGeneralPractitioner().isEmpty())) {
            for (Reference resourceRef : fhirPatientResource.getGeneralPractitioner()) {
                if (resourceRef.getResource() != null) {
                    if (resourceRef.getResource().getClass() == Organization.class) {
                        Organization careProvider = (Organization) resourceRef.getResource();

                        // Provider ID
                        II providerId = new II();
                        providerId
                                .setRoot((careProvider.getId().startsWith("#")) ? careProvider.getId().substring(1)
                                        : careProvider.getId());
                        providerOrganization.getId().add(providerId);

                        // Provider name
                        if ((careProvider.getName() != null) && (careProvider.getName().length() > 0)) {
                            ON providerName = new ON();
                            providerName.getContent().add(careProvider.getName());
                            providerOrganization.getName().add(providerName);
                        }

                        // Create Contact Party if FHIR organization contacts are present...
                        for (OrganizationContactComponent fhirOrganizationContact : careProvider.getContact()) {
                            COCTMT150003UV03ContactParty contactParty = new COCTMT150003UV03ContactParty();
                            contactParty.setClassCode(RoleClassContact.CON);

                            // Contact telecom(s)
                            if ((fhirOrganizationContact.getTelecom() != null)
                                    && (!fhirOrganizationContact.getTelecom().isEmpty())) {
                                for (ContactPoint contactPoint : fhirOrganizationContact.getTelecom()) {
                                    TEL contactPartyTelecom = new TEL();
                                    contactPartyTelecom.setValue(contactPoint.getValue());
                                    contactParty.getTelecom().add(contactPartyTelecom);
                                }
                            }

                            // Contact name
                            if ((fhirOrganizationContact.getName() != null)
                                    && (!fhirOrganizationContact.getName().isEmpty())) {
                                COCTMT150003UV03Person contactPerson = new COCTMT150003UV03Person();
                                contactPerson.getName().add(populatePersonName(fhirOrganizationContact.getName()));
                                contactParty.setContactPerson(objectFactory
                                        .createCOCTMT150003UV03ContactPartyContactPerson(contactPerson));
                            }

                            // Contact address(es)
                            if ((careProvider.getAddress() != null) && (!careProvider.getAddress().isEmpty())) {
                                for (Address fhirAddr : careProvider.getAddress()) {
                                    contactParty.getAddr().add(populatePatientAddress(fhirAddr));
                                }
                            }

                            providerOrganization.getContactParty().add(contactParty);
                        }
                    }
                }
            }
        } else {
            II providerId = new II();
            providerId.setRoot(providerOrganizationOid);
            providerOrganization.getId().add(providerId);
            ON providerName = new ON();
            providerName.getContent().add(providerOrganizationName);
            providerOrganization.getName().add(providerName);
            COCTMT150003UV03ContactParty contactParty = new COCTMT150003UV03ContactParty();
            contactParty.setClassCode(RoleClassContact.CON);
            TEL contactPartyTelecom = new TEL();
            contactPartyTelecom.setValue(providerOrganizationContactTelecom);
            contactParty.getTelecom().add(contactPartyTelecom);
            providerOrganization.getContactParty().add(contactParty);
        }

        patient.setProviderOrganization(providerOrganization);

        subject1.setPatient(patient);

        registrationEvent.setSubject1(subject1);

        // Create Custodian info...
        MFMIMT700701UV01Custodian custodian = new MFMIMT700701UV01Custodian();
        custodian.getTypeCode().add("CST");
        COCTMT090003UV01AssignedEntity assignedEntity = new COCTMT090003UV01AssignedEntity();
        assignedEntity.setClassCode("ASSIGNED");
        II assignedEntityId = new II();
        assignedEntityId.setRoot(iExHubDomainOid);
        assignedEntity.getId().add(assignedEntityId);
        COCTMT090003UV01Organization assignedOrganization = new COCTMT090003UV01Organization();
        assignedOrganization.setDeterminerCode("INSTANCE");
        assignedOrganization.setClassCode("ORG");
        EN organizationName = new EN();
        organizationName.getContent().add("IHE Portal");
        assignedOrganization.getName().add(organizationName);
        assignedEntity.setAssignedOrganization(
                objectFactory.createCOCTMT090003UV01AssignedEntityAssignedOrganization(assignedOrganization));
        custodian.setAssignedEntity(assignedEntity);
        registrationEvent.setCustodian(custodian);

        // Set Subject info...
        subject.getTypeCode().add("SUBJ");

        subject.setRegistrationEvent(registrationEvent);

        PRPAIN201301UV02MFMIMT700701UV01ControlActProcess controlAct = new PRPAIN201301UV02MFMIMT700701UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE201301UV02");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);
        controlAct.getSubject().add(subject);

        pRPA_IN201301UV02.setControlActProcess(controlAct);

        logIti44AuditMsg(constructedPatientId.getExtension() + "^^^&" + constructedPatientId.getRoot() + "&"
                + PIXManager.iExHubAssigningAuthority);

        UUID logMsgId = null;
        if (logPixRequestMessages) {
            logMsgId = UUID.randomUUID();
            OMElement requestElement = pixManagerStub.toOM(pRPA_IN201301UV02,
                    pixManagerStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201301UV02")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201301UV02"));
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PIXRegisterPatientRequest.xml"),
                    requestElement.toString().getBytes());
        }

        MCCIIN000002UV01 response = pixManagerStub.pIXManager_PRPA_IN201301UV02(pRPA_IN201301UV02);
        if (logPixResponseMessages) {
            OMElement responseElement = pixManagerStub.toOM(response,
                    pixManagerStub
                            .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())
                            + "_PIXRegisterPatientResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }

    // Non-FHIR version of registerPatient()
    /**
     * @param givenName
     * @param familyName
     * @param middleName
     * @param dateOfBirth
     * @param gender
     * @param patientId
     * @return
     * @throws IOException
     */
    public MCCIIN000002UV01 registerPatient(String givenName, String familyName, String middleName,
            String dateOfBirth, String gender, String patientId) throws IOException {
        if ((familyName == null) || (familyName.length() == 0)) {
            throw new FamilyNameParamMissingException("FamilyName parameter is required");
        }

        PRPAIN201301UV02 pRPA_IN201301UV02 = new PRPAIN201301UV02();

        // ITS version...
        pRPA_IN201301UV02.setITSVersion("XML_1.0");

        // ID...
        II messageId = new II();
        messageId.setRoot(iExHubDomainOid);
        messageId.setExtension(UUID.randomUUID().toString());
        pRPA_IN201301UV02.setId(messageId);

        // Creation time...
        DateTime dt = new DateTime(DateTimeZone.UTC);
        TS creationTime = new TS();
        StringBuilder creationTimeBuilder = new StringBuilder();
        creationTimeBuilder.append(dt.getYear());
        creationTimeBuilder.append((dt.getMonthOfYear() < 10) ? ("0" + dt.getMonthOfYear()) : dt.getMonthOfYear());
        creationTimeBuilder.append((dt.getDayOfMonth() < 10) ? ("0" + dt.getDayOfMonth()) : dt.getDayOfMonth());
        creationTimeBuilder.append((dt.getHourOfDay() < 10) ? ("0" + dt.getHourOfDay()) : dt.getHourOfDay());
        creationTimeBuilder
                .append((dt.getMinuteOfHour() < 10) ? ("0" + dt.getMinuteOfHour()) : dt.getMinuteOfHour());
        creationTimeBuilder
                .append((dt.getSecondOfMinute() < 10) ? ("0" + dt.getSecondOfMinute()) : dt.getSecondOfMinute());
        creationTime.setValue(creationTimeBuilder.toString());
        pRPA_IN201301UV02.setCreationTime(creationTime);

        // Interaction ID...
        II interactionId = new II();
        interactionId.setRoot("2.16.840.1.113883.1.6");
        interactionId.setExtension("PRPA_IN201301UV02");
        pRPA_IN201301UV02.setInteractionId(interactionId);

        // Processing code...
        CS processingCode = new CS();
        processingCode.setCode("P");
        pRPA_IN201301UV02.setProcessingCode(processingCode);

        // Processing mode code...
        CS processingModeCode = new CS();
        processingModeCode.setCode("T");
        pRPA_IN201301UV02.setProcessingModeCode(processingModeCode);

        // Accept ack code...
        CS acceptAckCode = new CS();
        acceptAckCode.setCode("AL");
        pRPA_IN201301UV02.setAcceptAckCode(acceptAckCode);

        // Create receiver...
        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(PIXManager.receiverApplicationRepresentedOrganization);
        representedOrganization.getId().add(representedOrganizationId);
        asAgent.setRepresentedOrganization(
                objectFactory.createMCCIMT000100UV01AgentRepresentedOrganization(representedOrganization));
        receiverDevice.setAsAgent(objectFactory.createMCCIMT000100UV01DeviceAsAgent(asAgent));
        receiver.setDevice(receiverDevice);
        pRPA_IN201301UV02.getReceiver().add(receiver);

        // Create sender...
        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(PIXManager.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(PIXManager.iExHubDomainOid);
        senderRepresentedOrganization.getId().add(senderRepresentedOrganizationId);
        senderAsAgent.setRepresentedOrganization(
                objectFactory.createMCCIMT000100UV01AgentRepresentedOrganization(senderRepresentedOrganization));
        senderDevice.setAsAgent(objectFactory.createMCCIMT000100UV01DeviceAsAgent(senderAsAgent));
        sender.setDevice(senderDevice);
        pRPA_IN201301UV02.setSender(sender);

        PRPAIN201301UV02MFMIMT700701UV01Subject1 subject = new PRPAIN201301UV02MFMIMT700701UV01Subject1();

        // Create Registration Event...
        PRPAIN201301UV02MFMIMT700701UV01RegistrationEvent registrationEvent = new PRPAIN201301UV02MFMIMT700701UV01RegistrationEvent();
        registrationEvent.getClassCode().add("REG");
        registrationEvent.getMoodCode().add("EVN");
        registrationEvent.getNullFlavor().add("NA");
        CS statusCode = new CS();
        statusCode.setCode("active");
        registrationEvent.setStatusCode(statusCode);
        PRPAIN201301UV02MFMIMT700701UV01Subject2 subject1 = new PRPAIN201301UV02MFMIMT700701UV01Subject2();
        subject1.setTypeCode(ParticipationTargetSubject.SBJ);

        // Create Patient...
        PRPAMT201301UV02Patient patient = new PRPAMT201301UV02Patient();
        patient.getClassCode().add("PAT");

        II constructedPatientId = new II();
        constructedPatientId.setRoot(PIXManager.patientIdAssigningAuthority);
        constructedPatientId.setExtension(UUID.randomUUID().toString());
        constructedPatientId.setAssigningAuthorityName(PIXManager.iExHubAssigningAuthority);
        patient.getId().add(constructedPatientId);

        CS patientStatusCode = new CS();
        patientStatusCode.setCode("active");
        patient.setStatusCode(patientStatusCode);

        // Create PatientPerson...
        PRPAMT201301UV02Person patientPerson = new PRPAMT201301UV02Person();

        EnFamily enFamily = null;
        if ((familyName != null) && (familyName.length() > 0)) {
            enFamily = new EnFamily();
            enFamily.getContent().add(familyName);
        }

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

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

        PN patientName = new PN();
        patientName.getContent().add(objectFactory.createENFamily(enFamily));

        if (enGiven != null) {
            patientName.getContent().add(objectFactory.createENGiven(enGiven));
        }

        patientPerson.getName().add(patientName);

        if ((gender != null) && (gender.length() > 0)) {
            CE adminGenderCode = new CE();
            adminGenderCode.setCode(gender);
            adminGenderCode.setCodeSystem("2.16.840.1.113883.5.1");
            patientPerson.setAdministrativeGenderCode(adminGenderCode);
        } else {
            CE adminGenderCode = new CE();
            adminGenderCode.getNullFlavor().add("UNK");
            adminGenderCode.setCodeSystem("2.16.840.1.113883.5.1");
            patientPerson.setAdministrativeGenderCode(adminGenderCode);
        }

        patientPerson.getClassCode().add("PSN");
        patientPerson.setDeterminerCode("INSTANCE");

        if (dateOfBirth != null) {
            // Try several formats for date parsing...
            DateTimeFormatter formatter = null;
            DateTime birthDateTime = null;
            try {
                formatter = DateTimeFormat.forPattern("MM/dd/yyyy");
                birthDateTime = formatter.parseDateTime(dateOfBirth);
            } catch (Exception e) {
                try {
                    formatter = DateTimeFormat.forPattern("yyyy-MM-dd");
                    birthDateTime = formatter.parseDateTime(dateOfBirth);
                } catch (Exception e2) {
                    throw e2;
                }
            }

            StringBuilder birthDateBuilder = new StringBuilder();
            birthDateBuilder.append(birthDateTime.getYear());
            birthDateBuilder.append((birthDateTime.getMonthOfYear() < 10) ? ("0" + birthDateTime.getMonthOfYear())
                    : birthDateTime.getMonthOfYear());
            birthDateBuilder.append((birthDateTime.getDayOfMonth() < 10) ? ("0" + birthDateTime.getDayOfMonth())
                    : birthDateTime.getDayOfMonth());
            TS birthTime = new TS();
            birthTime.setValue(birthDateBuilder.toString());
            patientPerson.setBirthTime(birthTime);
        }

        JAXBElement<PRPAMT201301UV02Person> patientPersonElement = objectFactory
                .createPRPAMT201301UV02PatientPatientPerson(patientPerson);
        patient.setPatientPerson(patientPersonElement);

        // Create ProviderOrganization...
        COCTMT150003UV03Organization providerOrganization = new COCTMT150003UV03Organization();
        providerOrganization.setDeterminerCode("INSTANCE");
        providerOrganization.setClassCode("ORG");
        II providerId = new II();
        providerId.setRoot(providerOrganizationOid);
        providerOrganization.getId().add(providerId);
        ON providerName = new ON();
        providerName.getContent().add(providerOrganizationName);
        providerOrganization.getName().add(providerName);
        COCTMT150003UV03ContactParty contactParty = new COCTMT150003UV03ContactParty();
        contactParty.setClassCode(RoleClassContact.CON);
        TEL contactPartyTelecom = new TEL();
        contactPartyTelecom.setValue(providerOrganizationContactTelecom);
        contactParty.getTelecom().add(contactPartyTelecom);
        providerOrganization.getContactParty().add(contactParty);

        patient.setProviderOrganization(providerOrganization);

        subject1.setPatient(patient);

        registrationEvent.setSubject1(subject1);

        // Create Custodian info...
        MFMIMT700701UV01Custodian custodian = new MFMIMT700701UV01Custodian();
        custodian.getTypeCode().add("CST");
        COCTMT090003UV01AssignedEntity assignedEntity = new COCTMT090003UV01AssignedEntity();
        assignedEntity.setClassCode("ASSIGNED");
        II assignedEntityId = new II();
        assignedEntityId.setRoot(iExHubDomainOid);
        assignedEntity.getId().add(assignedEntityId);
        COCTMT090003UV01Organization assignedOrganization = new COCTMT090003UV01Organization();
        assignedOrganization.setDeterminerCode("INSTANCE");
        assignedOrganization.setClassCode("ORG");
        EN organizationName = new EN();
        organizationName.getContent().add("IHE Portal");
        assignedOrganization.getName().add(organizationName);
        assignedEntity.setAssignedOrganization(
                objectFactory.createCOCTMT090003UV01AssignedEntityAssignedOrganization(assignedOrganization));
        custodian.setAssignedEntity(assignedEntity);
        registrationEvent.setCustodian(custodian);

        // Set Subject info...
        subject.getTypeCode().add("SUBJ");

        subject.setRegistrationEvent(registrationEvent);

        PRPAIN201301UV02MFMIMT700701UV01ControlActProcess controlAct = new PRPAIN201301UV02MFMIMT700701UV01ControlActProcess();
        CD controlActProcessCode = new CD();
        controlActProcessCode.setCode("PRPA_TE201301UV02");
        controlActProcessCode.setCodeSystem("2.16.840.1.113883.1.6");
        controlAct.setCode(controlActProcessCode);
        controlAct.setClassCode(ActClassControlAct.CACT);
        controlAct.setMoodCode(XActMoodIntentEvent.EVN);
        controlAct.getSubject().add(subject);

        pRPA_IN201301UV02.setControlActProcess(controlAct);

        logIti44AuditMsg(
                patientId + "^^^&" + PIXManager.iExHubDomainOid + "&" + PIXManager.iExHubAssigningAuthority);

        UUID logMsgId = null;
        if (logPixRequestMessages) {
            logMsgId = UUID.randomUUID();
            OMElement requestElement = pixManagerStub.toOM(pRPA_IN201301UV02,
                    pixManagerStub
                            .optimizeContent(new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201301UV02")),
                    new javax.xml.namespace.QName("urn:hl7-org:v3", "PRPA_IN201301UV02"));
            Files.write(Paths.get(logOutputPath + logMsgId.toString() + "_PIXRegisterPatientRequest.xml"),
                    requestElement.toString().getBytes());
        }

        MCCIIN000002UV01 response = pixManagerStub.pIXManager_PRPA_IN201301UV02(pRPA_IN201301UV02);
        if (logPixResponseMessages) {
            OMElement responseElement = pixManagerStub.toOM(response,
                    pixManagerStub
                            .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())
                            + "_PIXRegisterPatientResponse.xml"),
                    responseElement.toString().getBytes());
        }

        return response;
    }
}