custom/export_qrda_xml.php

   1 <?php
   2 /**
   3  *
   4  * EXPORT QRDA
   5  *
   6  * Copyright (C) 2015 Ensoftek, Inc
   7  *
   8  * LICENSE: This program is free software; you can redistribute it and/or
   9  * modify it under the terms of the GNU General Public License
  10  * as published by the Free Software Foundation; either version 2
  11  * of the License, or (at your option) any later version.
  12  * This program is distributed in the hope that it will be useful,
  13  * but WITHOUT ANY WARRANTY; without even the implied warranty of
  14  * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
  15  * GNU General Public License for more details.
  16  * You should have received a copy of the GNU General Public License
  17  * along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
  18  *
  19  * @package OpenEMR
  20  * @author  Ensoftek
  21  * @link    http://www.open-emr.org
  22  */
  23
  24
  25
  26 require_once("../interface/globals.php");
  27 require_once("../ccr/uuid.php");
  28 require_once("../library/patient.inc");
  29 require_once "../library/options.inc.php";
  30 require_once("../library/clinical_rules.php");
  31 require_once "$srcdir/report_database.inc";
  32 require_once "qrda_functions.php";
  33
  34 use OpenEMR\Services\FacilityService;
  35
  36 if (!verifyCsrfToken($_GET["csrf_token_form"])) {
  37     csrfNotVerified();
  38 }
  39
  40 $facilityService = new FacilityService();
  41
  42 //Remove time limit, since script can take many minutes
  43 set_time_limit(0);
  44
  45 //DENEXCEP NOT NEEDED rules
  46 $denExcepNotNeedRules = array('0002', '0018', '0024', '0038', '0043', '0059', '0421');
  47
  48 //Predefined QRDA HQMF ID's for CQM rules
  49 $preDefinedUniqIDRules = array();
  50 $preDefPopIdArr = array();
  51
  52 // CMS147v4/0041 - Preventive Care and Screening: Influenza Immunization HQMF ID: 40280381-4600-425F-0146-EE66F0005509
  53 $preDefinedUniqIDRules['0041'] = '40280381-4600-425F-0146-EE66F0005509';
  54 $preDefPopIdArr['0041']['IPP'] = 'F48702E6-D39A-49D8-BE3C-8FAB5C6AADDA';
  55 $preDefPopIdArr['0041']['DENOM'] = 'B61EC2DC-0841-4906-A84B-5BE5024DA7F1';
  56 $preDefPopIdArr['0041']['NUMER'] = '0ED7B212-369B-489A-A5B5-07BC146FA557';
  57 $preDefPopIdArr['0041']['DENEXCEP'] = 'B5C9EC50-3011-43DC-AD07-CED2D3B770B2';
  58
  59 // CMS122v3/0059 - Diabetes: Hemoglobin A1c Poor Control: HQMF_ID: 40280381-4555-E1C1-0145-90AC70DE2C73
  60 $preDefinedUniqIDRules['0059'] = '40280381-4555-E1C1-0145-90AC70DE2C73';
  61 $preDefPopIdArr['0059']['IPP'] = 'EDED90E9-E4FE-47E6-90AC-29D9AA3E861A';
  62 $preDefPopIdArr['0059']['DENOM'] = '6721D6DA-E87D-4E42-A34A-C8490686598C';
  63 $preDefPopIdArr['0059']['NUMER'] = '7549BA9E-1841-4231-8CAA-095BDF0AB8A1';
  64
  65
  66 //CMS139v3/0101 - Falls: Screening for Future Fall Risk: HQMF_ID: 40280381-4555-E1C1-0145-672613970D15
  67 $preDefinedUniqIDRules['0101'] = '40280381-4555-E1C1-0145-672613970D15';
  68 $preDefPopIdArr['0101']['IPP'] = '2448B0C6-6848-4DCB-AA6D-F199337A2C5C';
  69 $preDefPopIdArr['0101']['DENOM'] = 'EC400908-35BE-439B-92A9-231D99CEA9DF';
  70 $preDefPopIdArr['0101']['NUMER'] = '663FB12B-0FF4-49AB-80A3-624C5E7DF892';
  71 $preDefPopIdArr['0101']['DENEXCEP'] = 'FEC7251A-BF8D-4472-97D8-E2A9C0A42176';
  72
  73 //CMS127v3/0043 - Pneumonia Vaccination Status for Older Adults: HQMF_ID: 40280381-4555-E1C1-0145-762578A81C4C
  74 $preDefinedUniqIDRules['0043'] = '40280381-4555-E1C1-0145-762578A81C4C';
  75 $preDefPopIdArr['0043']['IPP'] = '873AECC7-E15B-49E7-8391-D73A46201E2E';
  76 $preDefPopIdArr['0043']['DENOM'] = 'FF7016E1-E8C7-43BA-9D56-2BEF649F36FA';
  77 $preDefPopIdArr['0043']['NUMER'] = '201F5A6E-4DDE-43A2-BDFC-CE85A98560DA';
  78
  79 //CMS69v3/0421 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan: HQMF_ID: 40280381-4555-E1C1-0145-D2B36DBB3FE6
  80 $preDefinedUniqIDRules['0421']['Numerator 1'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
  81 $preDefPopIdArr['0421']['Numerator 1']['IPP'] = '1C936855-E644-44C0-B264-49A28756FDB1';
  82 $preDefPopIdArr['0421']['Numerator 1']['DENOM'] = '27F1591C-2060-462C-B5D7-7FE86A44B534';
  83 $preDefPopIdArr['0421']['Numerator 1']['DENEX'] = '9B0C3C26-D621-4EA3-81FB-A839A3012044';
  84 $preDefPopIdArr['0421']['Numerator 1']['NUMER'] = '3095531C-24D7-4AFB-9BCB-F1901FF0FF69';
  85
  86 $preDefinedUniqIDRules['0421']['Numerator 2'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
  87 $preDefPopIdArr['0421']['Numerator 2']['IPP'] = '6E701B1C-6CA5-4AD5-98C9-5F766745EA89';
  88 $preDefPopIdArr['0421']['Numerator 2']['DENOM'] = 'E4DC29B8-EB26-4A01-ABB0-4F99FC03BA39';
  89 $preDefPopIdArr['0421']['Numerator 2']['DENEX'] = 'BB1B4301-C275-4BAC-87C9-6E960B1601DA';
  90 $preDefPopIdArr['0421']['Numerator 2']['NUMER'] = '7669026D-3683-44CC-A2C5-3D62EB2F8A33';
  91
  92 //CMS117v3/0038 - Childhood Immunization Status: HQMF_ID: 40280381-4555-E1C1-0145-D7C003364261
  93 $preDefinedUniqIDRules['0038'] = '40280381-4555-E1C1-0145-D7C003364261';
  94 $preDefPopIdArr['0038']['IPP'] = '6ED6A787-C871-49B9-825C-70A0DB898977';
  95 $preDefPopIdArr['0038']['DENOM'] = '545DA813-89ED-4DCD-BDDF-4B33D93DCD84';
  96 $preDefPopIdArr['0038']['NUMER'] = '00193FC7-AEE4-4507-A20F-D25A7BB214AD';
  97
  98 //CMS138v3/0028 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention: HQMF_ID: 40280381-4600-425F-0146-1F5867D40E82
  99 $preDefinedUniqIDRules['0028'] = '40280381-4600-425F-0146-1F5867D40E82';
 100 $preDefPopIdArr['0028']['IPP'] = '4E118B62-2AF8-4F51-9355-6FD3F2427D9F';
 101 $preDefPopIdArr['0028']['DENOM'] = 'FA1B3953-AE58-4541-BF7B-84D0EB1B0713';
 102 $preDefPopIdArr['0028']['NUMER'] = '35B1A6DF-1871-4633-A74B-BCAE371BC030';
 103 $preDefPopIdArr['0028']['DENEXCEP'] = '3EE6DFF5-AB17-482F-A147-E6D1E46DBB79';
 104
 105 //CMS157v3/0384 - Oncology: Medical and Radiation – Pain Intensity Quantified: HQMF_ID: 40280381-4600-425F-0146-1F620BDF0EB0
 106 $preDefinedUniqIDRules['0384'] = '40280381-4600-425F-0146-1F620BDF0EB0';
 107 $preDefPopIdArr['0384']['IPP'] = 'C29B6555-3BC7-416F-B61A-FCACD637594F';
 108 $preDefPopIdArr['0384']['DENOM'] = 'E5F80C25-6816-4992-92E2-A735B17F8D4F';
 109 $preDefPopIdArr['0384']['NUMER'] = 'C948D0D2-D6E9-4099-9CD4-870F2F83A14C';
 110
 111 //CMS146v3/0002 - Appropriate Testing for Children with Pharyngitis: HQMF_ID: 40280381-4600-425F-0146-1F6E280C0F09
 112 $preDefinedUniqIDRules['0002'] = '40280381-4600-425F-0146-1F6E280C0F09';
 113 $preDefPopIdArr['0002']['IPP'] = '9D1135EA-BA90-45E7-8EED-F7335D1CC934';
 114 $preDefPopIdArr['0002']['DENOM'] = 'D04EFECB-A901-4565-BDDB-826510499092';
 115 $preDefPopIdArr['0002']['NUMER'] = '3F4CDE57-1C5C-4250-A338-55FED6775F57';
 116 $preDefPopIdArr['0002']['DENEX'] = '0525FBA2-F068-4706-ADB5-E345852DC55B';
 117
 118 //CMS165v3/0018 - Controlling High Blood Pressure: HQMF_ID: 40280381-4600-425F-0146-1F6F722B0F17
 119 $preDefinedUniqIDRules['0018'] = '40280381-4600-425F-0146-1F6F722B0F17';
 120 $preDefPopIdArr['0018']['IPP'] = 'A72855CE-3C60-41F9-AEE2-64D4F584DDD4';
 121 $preDefPopIdArr['0018']['DENOM'] = '26046A5C-E2CC-4A27-B480-FF7E3575691F';
 122 $preDefPopIdArr['0018']['NUMER'] = '0899A359-0CD8-4977-AA29-666892AA3AD4';
 123 $preDefPopIdArr['0018']['DENEX'] = '4327D845-6194-410D-A48D-D6E1802CAD55';
 124
 125 //CMS155v3/0024 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents: HQMF_ID: 40280381-4555-E1C1-0145-85C7311720F5
 126 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 127 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 128 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 129 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 130 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 131
 132 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 133 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 134 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 135 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 136 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 137
 138 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 139 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 140 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 141 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 142 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 143
 144 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 145 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 146 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 147 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 148 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 149 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 150 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DISPLAY_TEXT'] = 'BMI Recorded, RS1: 3-11';
 151
 152 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 153 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 154 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 155 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 156 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 157 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 158 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DISPLAY_TEXT'] = 'BMI Recorded, RS2: 12-17';
 159
 160 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 161 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 162 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 163 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 164 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 165 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 166 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS1: 3-11';
 167
 168 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 169 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 170 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 171 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 172 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 173 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 174 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS2: 12-17';
 175
 176 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 177 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 178 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 179 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 180 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 181 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 182 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS1: 3-11';
 183
 184 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 185 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 186 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 187 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 188 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 189 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 190 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS2: 12-17';
 191
 192 $preDefPopIdArr['0024']['STRAT1'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 193 $preDefPopIdArr['0024']['STRAT2'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 194
 195 //Multiple Numerator NQF# Array declaration
 196 $multNumNQFArr = array('0421', '0024');
 197 $countNumNQFArr = array();
 198 $countNumNQFArr['0421'] = 2;//two Numerators
 199 $countNumNQFArr['0024'] = 9;//Nine Numerators
 200
 201 //Initiation of all QRDA needed elements
 202 $CQMeausesArr = array();
 203 $CQMeausesArr['init_patients'] = "Initial Patient Population";
 204 $CQMeausesArr['exclude_patients'] = "Denominator Exclusions";
 205 $CQMeausesArr['denom_patients'] = "Denominator";
 206 $CQMeausesArr['numer_patients'] = "Numerator";
 207 $CQMeausesArr['exception_patients'] = "Denominator Exceptions";
 208
 209 $cqmItemizedArr = array();
 210 $cqmItemizedArr['init_patients'] = "init_patients";
 211 $cqmItemizedArr['exclude_patients'] = "exclude";
 212 $cqmItemizedArr['denom_patients'] = "all";
 213 $cqmItemizedArr['numer_patients'] = "pass";
 214 $cqmItemizedArr['exception_patients'] = "exception";
 215
 216 //QRDA Needed Ethnicity
 217 $mainEthiArr = array(0=>'Not Hispanic or Latino', 1=>'Hispanic or Latino');
 218 $mainEthiCodeArr =  array(0=>'2186-5', 1=>'2135-2');
 219
 220 //QRDA Needed Race
 221 $mainQrdaRaceArr = array(0=>'American Indian or Alaska Native', 1=>'Asian', 2=>'Black or African American', 3=>'Native Hawaiian or Other Pacific Islander', 4=>'White', 5=>'Other');
 222 $mainQrdaRaceCodeArr =  array(0=>'1002-5', 1=>'2028-9', 2=>'2054-5', 3=>'2076-8', 4=>'2106-3', 5=>'2131-1');
 223
 224 $mainQrdaPopulationIncArr = array();
 225 $mainQrdaPopulationIncArr['init_patients'] = "IPP";
 226 $mainQrdaPopulationIncArr['exclude_patients'] = "DENEX";
 227 $mainQrdaPopulationIncArr['denom_patients'] = "DENOM";
 228 $mainQrdaPopulationIncArr['numer_patients'] = "NUMER";
 229 $mainQrdaPopulationIncArr['exception_patients'] = "DENEXCEP";
 230 $mainQrdaPopulationIncArr['measure_population'] = "MSRPOPL";
 231 $mainQrdaPopulationIncArr['numer_exclusion'] = "NUMEX";
 232
 233 //QRDA Needed Gender
 234 $mainQrdaGenderCodeArr = array();
 235 $mainQrdaGenderCodeArr['F'] = "Female";
 236 $mainQrdaGenderCodeArr['M'] = "Male";
 237 $mainQrdaGenderCodeArr['UN'] = "Unknown";
 238
 239 //QRDA Needed Payer Info
 240 $mainQrdaPayerCodeArr = array();
 241 $mainQrdaPayerCodeArr['A'] = "Medicare";
 242 $mainQrdaPayerCodeArr['B'] = "Medicaid";
 243 $mainQrdaPayerCodeArr['C'] = "Private Health Insurance";
 244 $mainQrdaPayerCodeArr['D'] = "Other";
 245
 246 //Payer Codes According to Cypress Codes
 247 $mainQrdaPayerCodeSendArr = array();
 248 $mainQrdaPayerCodeSendArr['A'] = "1";
 249 $mainQrdaPayerCodeSendArr['B'] = "2";
 250 $mainQrdaPayerCodeSendArr['C'] = "5";
 251 $mainQrdaPayerCodeSendArr['D'] = "349";
 252
 253 //Provider selection
 254 $form_provider = $_GET['form_provider'];
 255
 256 //Get Report Information
 257 $report_id = $_GET['report_id'];
 258 $report_view = collectReportDatabase($report_id);
 259 $target_date = $report_view['date_target'];
 260 $dataSheet = json_decode($report_view['data'], true);
 261
 262 //Needed array for Rule NQF#0024 Stratification
 263 $stratumCheckArr = array();
 264 if (count($dataSheet) > 0) {
 265     //Inner Data Loop
 266     foreach ($dataSheet as $row) {
 267         $itemized_test_id = $row['itemized_test_id'];
 268         $numerator_label = $row['numerator_label'];
 269         if ($row['cqm_nqf_code'] == "0024") {
 270             if ($row['population_label'] == "Population Criteria 2") {
 271                 if ($row['numerator_label'] == "Numerator 1") {
 272                     $stratum_1_ipp      = $row['initial_population'];
 273                     $stratum_1_exclude  = $row['excluded'];
 274                     $stratum_1_denom    = $row['pass_filter'];
 275                     $stratum_1_numer1  = $row['pass_target'];
 276                 } else if ($row['numerator_label'] == "Numerator 2") {
 277                     $stratum_1_numer2 = $row['pass_target'];
 278                 } else if ($row['numerator_label'] == "Numerator 3") {
 279                     $stratum_1_numer3 = $row['pass_target'];
 280                 }
 281             } else if ($row['population_label'] == "Population Criteria 3") {
 282                 if ($row['numerator_label'] == "Numerator 1") {
 283                     $stratum_2_ipp      = $row['initial_population'];
 284                     $stratum_2_exclude  = $row['excluded'];
 285                     $stratum_2_denom    = $row['pass_filter'];
 286                     $stratum_2_numer1  = $row['pass_target'];
 287                 } else if ($row['numerator_label'] == "Numerator 2") {
 288                     $stratum_2_numer2 = $row['pass_target'];
 289                 } else if ($row['numerator_label'] == "Numerator 3") {
 290                     $stratum_2_numer3 = $row['pass_target'];
 291                 }
 292             }
 293         }
 294
 295         $stratum = array();
 296         $stratum[1] = array('init_patients' => $stratum_1_ipp,
 297                             'exclude_patients' => $stratum_1_exclude,
 298                             'denom_patients' => $stratum_1_denom,
 299                             'numer_patients' => $stratum_1_numer1,
 300                             'numer2' => $stratum_1_numer2,
 301                             'numer3' => $stratum_1_numer3);
 302
 303         $stratum[2] = array('init_patients' => $stratum_2_ipp,
 304                             'exclude_patients' => $stratum_2_exclude,
 305                             'denom_patients' => $stratum_2_denom,
 306                             'numer_patients' => $stratum_2_numer1,
 307                             'numer2' => $stratum_2_numer2,
 308                             'numer3' => $stratum_2_numer3);
 309     }
 310 }
 311
 312 $from_date = date('Y', strtotime($target_date))."-01-01";
 313 $to_date =  date('Y', strtotime($target_date))."-12-31";
 314 $xml = new QRDAXml();
 315
 316 #################################################################################################
 317 ####################### HEADER ELEMENTS START #####################################################
 318 #################################################################################################
 319 //Open Main Clinical Document
 320 $xml->open_clinicaldocument();
 321
 322 $xml->self_realmcode();
 323
 324 $xml->self_typeid();
 325
 326 $tempId = '2.16.840.1.113883.10.20.27.1.1';
 327 $xml->self_templateid($tempId);
 328
 329 $xml->unique_id = getUuid();
 330 $xml->self_id();
 331 $xml->self_code();
 332
 333 //Main Title Display to XML
 334 $main_title = "QRDA Calculated Summary Report";
 335 $xml->add_title($main_title);
 336
 337 //Effective date and time
 338 $eff_datetime = date('Ymdhis', strtotime($target_date));
 339 $xml->self_efftime($eff_datetime);
 340
 341 $xml->self_confidentcode();
 342
 343 //Language
 344 $xml->self_lang();
 345
 346 $setidVal =getUuid();
 347 $xml->self_setid($setidVal);
 348
 349 //Version
 350 $xml->self_version();
 351
 352 //Record Target Elements
 353 $xml->open_recordTarget();
 354 $xml->add_patientRole();
 355 $xml->close_recordTarget();
 356
 357 ############### Author Info #######################
 358 $xml->open_author();
 359 //Author time
 360 $auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
 361 $xml->self_authorTime($auth_dtime);
 362 //Assigned Author
 363 $xml->open_assignAuthor();
 364 $authorsetid = getUuid();
 365 $xml->self_customId($authorsetid);
 366 if ($form_provider != "") {
 367     $userRow = sqlQuery("SELECT facility, facility_id, federaltaxid, npi, phone,fname, lname FROM users WHERE id=?", array($form_provider));
 368     $facility_name = $userRow['facility'];
 369     $facility_id = $userRow['facility_id'];
 370 }
 371
 372 //$xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 373
 374 //assignedAuthoringDevice Start
 375 $xml->open_customTag('assignedAuthoringDevice');
 376
 377 $xml->element('softwareName', 'CYPRESS');
 378
 379 //assignedAuthoringDevice Close
 380 $xml->close_customTag();
 381
 382 //Facility Address
 383 $facilResRow = $facilityService->getById($facility_id);
 384 $xml->add_authReprestOrginisation($facilResRow);
 385 //$xml->add_facilAddress($facilResRow);
 386 $xml->close_assignAuthor();
 387 $xml->close_author();
 388
 389 ############### Custodian Info #######################
 390 $xml->open_custodian();
 391 $xml->open_assgnCustodian();
 392 $xml->add_represtCustodianOrginisation($facilResRow);
 393 $xml->close_assgnCustodian();
 394 $xml->close_custodian();
 395
 396 /*
 397 ############### Information Recipient #######################
 398 $xml->open_infoRecipient();
 399 $xml->add_indententRecipient();
 400 $xml->close_infoRecipient();
 401 */
 402
 403 ############### Legal Authenticator #######################
 404 $xml->open_legalAuthenticator();
 405 $auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
 406 $xml->self_authorTime($auth_dtime);
 407 $xml->self_legalSignCode();
 408
 409 $xml->open_assignedEntity();
 410 $assignedEntityId = getUuid();
 411 $xml->self_customId($assignedEntityId);
 412
 413 $xml->open_customTag('assignedPerson');
 414
 415 //Provider Name
 416 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 417 $xml->add_providerName($userNameArr);
 418
 419 //assignedPerson Close
 420 $xml->close_customTag();
 421
 422 //Represent Origination Name
 423 $xml->add_authReprestOrginisation($facilResRow);
 424 $xml->close_assignedEntity();
 425
 426 $xml->close_legalAuthenticator();
 427
 428 /*
 429 ############### Participant is Device(optional)  #######################
 430 $participentDevArr = array();
 431 $xml->open_participant_data('DEV');//DEV -- Device
 432 $xml->open_assocEntityData('RGPR');//RGPR -- Regulated Product
 433 $participentDevArr['root'] = '2.16.840.1.113883.3.2074.1';
 434 $participentDevArr['extension'] = '1a2b3c';
 435 $xml->self_particpantIdInfo($participentDevArr);
 436 $xml->self_participantCodeDevice();
 437 $xml->close_assocEntityData();
 438 $xml->close_participant_data();
 439
 440 ############### Participant is Location(optional)  #######################
 441 $participentLocArr = array();
 442 $xml->open_participant_data('LOC');//LOC -- Location
 443 $xml->open_assocEntityData('SDLOC');//SDLOC -- Service Delivery Location
 444 $participentLocArr['root'] = '2.16.840.1.113883.3.249.5.1';
 445 $participentLocArr['extension'] = 'OK666333';
 446 $xml->self_particpantIdInfo($participentLocArr);
 447 $xml->self_participantCodeLocation();
 448
 449 $xml->add_facilAddress($facilResRow);
 450 $xml->close_assocEntityData();
 451 $xml->close_participant_data();
 452 */
 453
 454 ############### documentationOf  START  #######################
 455 $xml->open_customTag('documentationOf');
 456
 457 $xml->open_customTag('serviceEvent', array('classCode'=>'PCPR'));
 458
 459 $timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
 460 $xml->add_entryEffectTime($timeArr);
 461
 462 $xml->open_customTag('performer', array('typeCode'=>'PRF'));
 463
 464 $xml->open_customTag('assignedEntity');
 465
 466 $npi_provider = !empty($userRow['npi']) ? $userRow['npi'] : '123456789';
 467 $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' =>$npi_provider));
 468
 469 if ($userRow['phone'] != "") {
 470     $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 471 }
 472
 473 $xml->open_customTag('assignedPerson');
 474
 475 //Provider Name
 476 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 477 $xml->add_providerName($userNameArr);
 478
 479 //assignedPerson Close
 480 $xml->close_customTag();
 481
 482 $xml->open_customTag('representedOrganization');
 483
 484 $tin_provider = $userRow['federaltaxid'];
 485 if ($tin_provider != "") {
 486     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' =>$tin_provider));
 487 }
 488
 489 $xml->add_facilName($facility_name);
 490
 491 $xml->add_facilAddress($facilResRow);
 492
 493 //representedOrganization Close
 494 $xml->close_customTag();
 495
 496 //assignedEntity Close
 497 $xml->close_customTag();
 498
 499 //performer Close
 500 $xml->close_customTag();
 501
 502 //serviceEvent Close
 503 $xml->close_customTag();
 504
 505 //documentationOf Close
 506 $xml->close_customTag();
 507 ############### documentationOf  END  #######################
 508
 509
 510 ############### authorization (optional)  #########################
 511
 512 #################################################################################################
 513 ####################### HEADER ELEMENTS END #####################################################
 514 #################################################################################################
 515
 516
 517
 518 #################################################################################################
 519 ######################### Main Component Open ###################################################
 520 $xml->open_mainComponent();
 521
 522 ############### Structure Body Open #######################
 523 $xml->open_structuredBody();
 524
 525 ##################### LOOP Component(s) START ########################
 526
 527 ###################### Report Parameters Open #####################
 528 //QRDA Category III Reporting Parameters Section (CMS EP) [section: templateId 2.16.840.1.113883.10.20.27.2.6
 529 $xml->open_loopComponent();
 530
 531 $xml->open_section();
 532
 533 $tempID = '2.16.840.1.113883.10.20.17.2.1';
 534 $xml->self_templateid($tempID);
 535
 536 $tempID = '2.16.840.1.113883.10.20.27.2.2';
 537 $xml->self_templateid($tempID);
 538
 539 $tempID = '2.16.840.1.113883.10.20.27.2.6';
 540 $xml->self_templateid($tempID);
 541 $arr = array('code'=>'55187-9', 'codeSystem'=>'2.16.840.1.113883.6.1');
 542 $xml->self_codeCustom($arr);
 543 $title = "Reporting Parameters";
 544 $xml->add_title($title);
 545
 546 $xml->open_text();
 547 $xml->open_list();
 548 $item_title = "Reporting period: ".date('d M Y', strtotime($from_date))." - ".date('d M Y', strtotime($to_date));
 549 $xml->add_item($item_title);
 550 $xml->close_list();
 551 $xml->close_text();
 552
 553 $typeCode = 'DRIV';
 554 $xml->open_entry($typeCode);
 555 $arr = array('classCode'=>'ACT', 'moodCode'=>'EVN');
 556 $xml->open_act($arr);
 557
 558 $tempID = '2.16.840.1.113883.10.20.17.3.8';
 559 $xml->self_templateid($tempID);
 560
 561 $tempID = '2.16.840.1.113883.10.20.27.3.23';
 562 $xml->self_templateid($tempID);
 563
 564 $actId = getUuid();
 565 $xml->self_customId($actId);
 566
 567 $arr = array('code'=>'252116004', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName'=>'Observation Parameters');
 568 $xml->self_codeCustom($arr);
 569
 570 $timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
 571 $xml->add_entryEffectTime($timeArr);
 572
 573 $xml->close_act();
 574 $xml->close_entry();
 575
 576 $xml->close_section();
 577
 578 $xml->close_loopComponent();
 579 ###################### Report Parameters Close #####################
 580
 581 ###################### Measure Section Open #####################
 582 $xml->open_loopComponent();
 583
 584 $xml->open_section();
 585
 586 $tempID = '2.16.840.1.113883.10.20.27.2.1';
 587 $xml->self_templateid($tempID);
 588
 589 $tempID = '2.16.840.1.113883.10.20.24.2.2';
 590 $xml->self_templateid($tempID);
 591
 592 $tempID = '2.16.840.1.113883.10.20.27.2.3';
 593 $xml->self_templateid($tempID);
 594
 595 $arr = array('code'=>'55186-1', 'codeSystem'=>'2.16.840.1.113883.6.1');
 596 $xml->self_codeCustom($arr);
 597 $title = "Measure Section";
 598 $xml->add_title($title);
 599
 600 $xml->open_text();
 601 $cnt=1;
 602
 603 $tabArr = array('border'=>1, 'width'=>'100%');
 604 if (count($dataSheet) > 0) {
 605     $uniqIdArr = array();
 606
 607     //Inner Data Loop
 608     foreach ($dataSheet as $row) {
 609         $itemized_test_id = $row['itemized_test_id'];
 610         $numerator_label = $row['numerator_label'];
 611
 612         //CQM Rules 2014 set, 0013 is 0018
 613         if ($row['cqm_nqf_code'] == "0013") {
 614             $row['cqm_nqf_code'] = "0018";
 615         }
 616
 617         //Table Start
 618         $xml->open_customTag('table', $tabArr);
 619         //THEAD Start
 620         $xml->open_customTag('thead');
 621         //TR Start
 622         $xml->open_customTag('tr');
 623
 624         $xml->add_trElementsTitles();
 625
 626         //TR close
 627         $xml->close_customTag();
 628
 629         //THEAD close
 630         $xml->close_customTag();
 631         //TBOBY START
 632         $xml->open_customTag('tbody');
 633         $xml->open_customTag('tr');
 634
 635         $tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'), $row['id']);
 636
 637         if (!empty($row['cqm_pqri_code'])) {
 638             $tdTitle .= " " . xlt('PQRI') . ":" . text($row['cqm_pqri_code']) . " ";
 639         }
 640
 641         if (!empty($row['cqm_nqf_code'])) {
 642             $tdTitle .= " " . xlt('NQF') . ":" . text($row['cqm_nqf_code']) . " ";
 643         }
 644
 645         if (!(empty($row['concatenated_label']))) {
 646             $tdTitle .= ", " . xlt($row['concatenated_label']) . " ";
 647         }
 648
 649         $tdVersionNeutral = getUuid();
 650
 651         if ($preDefinedUniqIDRules[$row['cqm_nqf_code']] != "") {
 652             if (($row['cqm_nqf_code'] == "0421" )) {
 653                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['numerator_label']];
 654             } else if ($row['cqm_nqf_code'] == "0024") {
 655                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']];
 656             } else {
 657                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']];
 658             }
 659
 660             $uniqIdArr[] = $tdVersionSpecific;
 661         } else {
 662             $tdVersionSpecific = getUuid();
 663             $uniqIdArr[] = $tdVersionSpecific;
 664         }
 665
 666         $dataArr = array(0=>$tdTitle, 1=>$tdVersionNeutral, 2=>$tdVersionSpecific);
 667         $xml->add_trElementsValues($dataArr);
 668
 669         //TR close
 670         $xml->close_customTag();
 671         //TBODY close
 672         $xml->close_customTag();
 673         //Table Close
 674         $xml->close_customTag();
 675
 676         //Open List Item Wise
 677         $xml->open_list();
 678
 679         //Performance Rate
 680         $xml->open_customTag('item');
 681         $arrContent = array('name'=>'Performance Rate', 'value'=>$row['percentage']);
 682         $xml->innerContent($arrContent);
 683         $xml->close_customTag();
 684
 685
 686         //All CQM Measures taken here
 687         foreach ($CQMeausesArr as $cqmKey => $cqmVal) {
 688             //DENEXCEP(Denominator Exception not needed for some rules are skipping here)
 689             if ((in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients")) {
 690                 continue;
 691             }
 692
 693             //get Itemized Data
 694             if ($cqmKey == "init_patients") {
 695                 $itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey]);
 696             } else {
 697                 $itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey], $numerator_label);
 698             }
 699
 700             $fullPatArr = array();
 701             foreach ($itemPatArr as $itemPatInfo) {
 702                 $fullPatArr[] = $itemPatInfo['pid'];
 703             }
 704
 705             //Initial Patient Population
 706             $xml->open_customTag('item');
 707             $arrContent = array('name'=>$cqmVal, 'value'=>count($fullPatArr));
 708             $xml->innerContent($arrContent);
 709
 710             $detailsArr = getQRDAPatientNeedInfo($fullPatArr);
 711
 712             //Open Sub List
 713             $xml->open_list();
 714
 715             //Gender Section Display
 716             foreach ($mainQrdaGenderCodeArr as $GKey => $GVal) {
 717                 $xml->open_customTag('item');
 718                 $genderInfo = $detailsArr['gender'][$GVal];
 719                 $arrContent = array('name'=>$GVal, 'value'=>$genderInfo);
 720                 $xml->innerContent($arrContent);
 721                 $xml->close_customTag();
 722             }
 723
 724             //Ethnicity Section Display
 725             foreach ($mainEthiArr as $ethKey => $ethVal) {
 726                 $ethnicity_data = $detailsArr['ethnicity'][$ethVal];
 727                 $xml->open_customTag('item');
 728                 $arrContent = array('name'=>'Ethnicity - '.$ethVal, 'value'=>$ethnicity_data);
 729                 $xml->innerContent($arrContent);
 730                 $xml->close_customTag();
 731             }
 732
 733             //Race Section Display
 734             foreach ($mainQrdaRaceArr as $RKey => $RVal) {
 735                 $race_data = $detailsArr['race'][$RVal];
 736                 $xml->open_customTag('item');
 737                 $arrContent = array('name'=>'Race - '.$RVal, 'value'=>$race_data);
 738                 $xml->innerContent($arrContent);
 739                 $xml->close_customTag();
 740             }
 741
 742             //Payer Type Section Display
 743             $payerCheckArr = getQRDAPayerInfo($fullPatArr);
 744             foreach ($mainQrdaPayerCodeArr as $PKey => $PVal) {
 745                 $xml->open_customTag('item');
 746                 $arrContent = array('name'=>'Payer - '.$PVal, 'value'=>$payerCheckArr[$PVal]);
 747                 $xml->innerContent($arrContent);
 748                 $xml->close_customTag();
 749             }
 750
 751             //close Sub List
 752             $xml->close_list();
 753             $xml->close_customTag();
 754         }
 755
 756         $xml->close_list();
 757     }
 758 }
 759
 760 $xml->close_text();
 761
 762 #######################################################################
 763 ######################### QUALITY MEASURES START ######################
 764 #######################################################################
 765 if (count($dataSheet) > 0) {
 766     $innrCnt = 0;
 767     $skipMultNumArr = array();
 768     $dataChkArr = array();
 769     foreach ($multNumNQFArr as $multNumVal) {
 770         $skipMultNumArr[$multNumVal] = false;
 771         $dataChkArr[$multNumVal] = 0;
 772     }
 773
 774     //Inner Data Loop
 775     foreach ($dataSheet as $row) {
 776         $itemized_test_id = $row['itemized_test_id'];
 777         $numerator_label = $row['numerator_label'];
 778         //Skip section
 779         //if($row['cqm_nqf_code'] == "0028a") continue;
 780
 781         //if($row['cqm_nqf_code'] == "0038"){
 782         //      if(in_array($row['numerator_label'], $NQF38NumArr)) continue;
 783         //}
 784
 785         if (in_array($row['cqm_nqf_code'], $multNumNQFArr)) {
 786             $dataChkArr[$row['cqm_nqf_code']]++;
 787         }
 788
 789         //CQM Rules 2014 set, 0013 is 0018
 790         if ($row['cqm_nqf_code'] == "0013") {
 791             $row['cqm_nqf_code'] = "0018";
 792         }
 793
 794         $tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'), $row['id']);
 795         if (!empty($row['cqm_pqri_code'])) {
 796             $tdTitle .= " " . xlt('PQRI') . ":" . text($row['cqm_pqri_code']) . " ";
 797         }
 798
 799         if (!empty($row['cqm_nqf_code'])) {
 800             $tdTitle .= " " . xlt('NQF') . ":" . text($row['cqm_nqf_code']) . " ";
 801         }
 802
 803         if (!(empty($row['concatenated_label']))) {
 804             $tdTitle .= ", " . xlt($row['concatenated_label']) . " ";
 805         }
 806
 807         ###########################################################
 808         if (( !isset($skipMultNumArr[$row['cqm_nqf_code']]) ) || ($skipMultNumArr[$row['cqm_nqf_code']] == false)) {
 809             //Entry open
 810             $xml->open_entry();
 811
 812             //Organizer Start
 813             $arr = array('classCode'=>'CLUSTER', 'moodCode'=>'EVN');
 814             $xml->open_customTag('organizer', $arr);
 815
 816             $tempID = "2.16.840.1.113883.10.20.24.3.98";
 817             $xml->self_templateid($tempID);
 818
 819             $tempID = "2.16.840.1.113883.10.20.27.3.1";
 820             $xml->self_templateid($tempID);
 821
 822             //$tempID = "2.16.840.1.113883.10.20.27.3.17";
 823             //$xml->self_templateid($tempID);
 824             $actId = getUuid();
 825             $xml->self_customId($actId);
 826
 827             $arr = array('code'=>'completed');
 828             $xml->self_customTag('statusCode', $arr);
 829
 830             //reference Start
 831             $arr = array('typeCode'=>'REFR');
 832             $xml->open_customTag('reference', $arr);
 833
 834             //externalDocument Start
 835             $arr = array('classCode'=>'DOC', 'moodCode'=>'EVN');
 836             $xml->open_customTag('externalDocument', $arr);
 837
 838             //$exDocID = getUuid();
 839             $exDocID = $uniqIdArr[$innrCnt];
 840             //$xml->self_customId($exDocID);
 841             $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' =>$exDocID));
 842
 843             $arr = array('code'=>'57024-2', 'displayName'=>'Health Quality Measure Document', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
 844             $xml->self_codeCustom($arr);
 845
 846             $dispContntTitle = str_replace("&", '', $tdTitle);
 847             $xml->textDispContent($dispContntTitle);
 848
 849             //externalDocument Close
 850             $xml->close_customTag();
 851
 852             //reference Close
 853             $xml->close_customTag();
 854
 855
 856             ############### Performance Rate for Proportion Measure template START###################
 857             $xml->open_loopComponent();
 858
 859             //observation Open
 860             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 861
 862             $tempID = "2.16.840.1.113883.10.20.27.3.14";
 863             $xml->self_templateid($tempID);
 864
 865             $tempID = "2.16.840.1.113883.10.20.27.3.25";
 866             $xml->self_templateid($tempID);
 867
 868             $arr = array('code'=>'72510-1', 'displayName'=>'Performance Rate', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'SNOMED-CT');
 869             $xml->self_codeCustom($arr);
 870
 871             $arr = array('code'=>'completed');
 872             $xml->self_customTag('statusCode', $arr);
 873
 874             $percentage = str_replace("%", '', $row['percentage']);
 875             $arr = array('xsi:type'=>'REAL', 'value'=>$percentage/100);
 876             $xml->self_customTag('value', $arr);
 877
 878             //reference Start
 879             $arr = array('typeCode'=>'REFR');
 880             $xml->open_customTag('reference', $arr);
 881
 882             //externalObservation Start
 883             $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
 884             $xml->open_customTag('externalObservation', $arr);
 885
 886             //Modified HQMF_ID
 887             //$exDocID = getUuid();
 888
 889
 890             if (($row['cqm_nqf_code'] == "0421" )) {
 891                 $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['numerator_label']]["NUMER"];
 892             } else if (($row['cqm_nqf_code'] == "0024")) {
 893                 $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]["NUMER"];
 894             } else {
 895                 if ($preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"] != "") {
 896                     $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"];
 897                 } else {
 898                     $exDocID = getUuid();
 899                 }
 900             }
 901
 902             $xml->self_customId($exDocID);
 903
 904             $arr = array('code'=>'NUMER', 'displayName'=>'Numerator', 'codeSystem'=>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
 905             $xml->self_codeCustom($arr);
 906
 907             //externalObservation Close
 908             $xml->close_customTag();
 909
 910             //reference Close
 911             $xml->close_customTag();
 912
 913             //observation Close
 914             $xml->close_customTag();
 915
 916             $xml->close_loopComponent();
 917             ############### Performance Rate for Proportion Measure template END ###################
 918         }
 919
 920         //All CQM Measures taken here
 921         foreach ($CQMeausesArr as $cqmKey => $cqmVal) {
 922             //DENEXCEP(Denominator Exception not needed for some rules are skipping here)
 923             if ((in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients")) {
 924                 continue;
 925             }
 926
 927             //cqm 0024 alllowing only nuemerator 2 and numerator 3 for ipp1,ipp2 and 1pp3 to avoid repeatation
 928             if ($row['cqm_nqf_code'] == '0024' && ($row['numerator_label'] == "Numerator 2" || $row['numerator_label'] == "Numerator 3") && $cqmKey != 'numer_patients') {
 929                 continue;
 930             }
 931
 932             if ($row['cqm_nqf_code'] == '0024' && ($row['population_label'] == "Population Criteria 2" || $row['population_label'] == "Population Criteria 3")) {
 933                 continue;
 934             }
 935
 936
 937             //get Itemized Data
 938             if ($cqmKey == "init_patients") {
 939                 $itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey]);
 940             } else {
 941                 $itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey], $numerator_label);
 942             }
 943
 944             $fullPatArr = array();
 945             foreach ($itemPatArr as $itemPatInfo) {
 946                 $fullPatArr[] = $itemPatInfo['pid'];
 947             }
 948
 949             $detailsArr = getQRDAPatientNeedInfo($fullPatArr);
 950             ############### Initial patient population template START###################
 951             $xml->open_loopComponent();
 952
 953             //observation Open
 954             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 955
 956             $tempID = "2.16.840.1.113883.10.20.27.3.5";
 957             $xml->self_templateid($tempID);
 958
 959             $tempID = "2.16.840.1.113883.10.20.27.3.16";
 960             $xml->self_templateid($tempID);
 961
 962             $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
 963             $xml->self_codeCustom($arr);
 964
 965             $arr = array('code'=>'completed');
 966             $xml->self_customTag('statusCode', $arr);
 967
 968             $arr = array('xsi:type'=>'CD', 'code'=>$mainQrdaPopulationIncArr[$cqmKey], 'displayName'=>$cqmVal, 'codeSystem' =>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
 969             $xml->self_customTag('value', $arr);
 970
 971             //entryRelationship Open
 972             $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
 973
 974             //observation Open
 975             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 976
 977             $tempID = "2.16.840.1.113883.10.20.27.3.3";
 978             $xml->self_templateid($tempID);
 979
 980             $tempID = "2.16.840.1.113883.10.20.27.3.24";
 981             $xml->self_templateid($tempID);
 982
 983             $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
 984             $xml->self_codeCustom($arr);
 985
 986             //$arr = array('code'=>'completed');
 987             //$xml->self_customTag('statusCode', $arr);
 988
 989             $arr = array('xsi:type'=>'INT', 'value'=>count($fullPatArr));
 990             $xml->self_customTag('value', $arr);
 991
 992             $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
 993             $xml->self_customTag('methodCode', $arr);
 994
 995             //observation Close
 996             $xml->close_customTag();
 997
 998             //entryRelationship Close
 999             $xml->close_customTag();
1000
1001             #### Stratum Start (Stratification)#####
1002             if ($row['cqm_nqf_code'] == '0024') {
1003                 $strat_count = 1;
1004                 for (; $strat_count <= 2; $strat_count++) {
1005                         $strata_value = $stratum[$strat_count][$cqmKey];
1006
1007                     if ($row['numerator_label'] == "Numerator 2") {
1008                         $strata_value = $stratum[$strat_count]['numer2'];
1009                     } else if ($row['numerator_label'] == "Numerator 3") {
1010                         $strata_value = $stratum[$strat_count]['numer3'];
1011                     }
1012
1013                         //entryRelationship Open
1014                         $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1015
1016                         //observation Open
1017                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1018
1019                         $tempID = "2.16.840.1.113883.10.20.27.3.4";
1020                         $xml->self_templateid($tempID);
1021
1022                         $tempID = "2.16.840.1.113883.10.20.27.3.20";
1023                         $xml->self_templateid($tempID);
1024
1025                         $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1026                         $xml->self_codeCustom($arr);
1027
1028                         $arr = array('code'=>'completed');
1029                         $xml->self_customTag('statusCode', $arr);
1030
1031                         //value open
1032                         $xml->open_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'OTH'));
1033
1034                         $stratumText = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]['DISPLAY_TEXT'];
1035                         $xml->element('originalText', "Stratum ".$strat_count);
1036
1037                         //value Close
1038                         $xml->close_customTag();
1039
1040                         //entryRelationship Open
1041                         $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd' => 'true'));
1042
1043                         //observation Open
1044                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1045
1046                         $tempID = "2.16.840.1.113883.10.20.27.3.3";
1047                         $xml->self_templateid($tempID);
1048
1049                         $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1050                         $xml->self_codeCustom($arr);
1051
1052                         $arr = array('xsi:type'=>'INT', 'value'=>$strata_value);
1053                         $xml->self_customTag('value', $arr);
1054
1055                         $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1056                         $xml->self_customTag('methodCode', $arr);
1057
1058                         //observation Close
1059                         $xml->close_customTag();
1060
1061                         //entryRelationship Close
1062                         $xml->close_customTag();
1063
1064                         //reference Start
1065                         $arr = array('typeCode'=>'REFR');
1066                         $xml->open_customTag('reference', $arr);
1067
1068                         //externalObservation Start
1069                         $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
1070                         $xml->open_customTag('externalObservation', $arr);
1071
1072                         //Modified HQMF_ID for CQM IDS
1073                         //$refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]['STRAT'];
1074                         $refID = $preDefPopIdArr[$row['cqm_nqf_code']]['STRAT'.$strat_count];
1075
1076                         $xml->self_customId($refID);
1077
1078                         //externalObservation Close
1079                         $xml->close_customTag();
1080
1081                         //reference Close
1082                         $xml->close_customTag();
1083
1084                         //observation Close
1085                         $xml->close_customTag();
1086
1087                         //entryRelationship Close
1088                         $xml->close_customTag();
1089                 }
1090             }
1091
1092             #### Stratum END #####
1093
1094             ####################################################
1095             ####################################################
1096             //Sex Supplemental Data Element START
1097             ####################################################
1098             ####################################################
1099
1100             foreach ($mainQrdaGenderCodeArr as $GKey => $GVal) {
1101                 //entryRelationship Open
1102                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1103
1104                 //observation Open
1105                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1106
1107                 $tempID = "2.16.840.1.113883.10.20.27.3.6";
1108                 $xml->self_templateid($tempID);
1109
1110                 $tempID = "2.16.840.1.113883.10.20.27.3.21";
1111                 $xml->self_templateid($tempID);
1112
1113                 $arr = array('code'=>'184100006', 'displayName'=>'patient sex', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1114                 $xml->self_codeCustom($arr);
1115
1116                 $arr = array('code'=>'completed');
1117                 $xml->self_customTag('statusCode', $arr);
1118
1119                 $arr = array('xsi:type'=>'CD', 'code'=>$GKey, 'codeSystem' =>'2.16.840.1.113883.5.1', 'codeSystemName'=>'AdministrativeGenderCode');
1120                 $xml->self_customTag('value', $arr);
1121
1122                 //entryRelationship Open
1123                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1124
1125                 //observation Open
1126                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1127
1128                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1129                 $xml->self_templateid($tempID);
1130
1131                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1132                 $xml->self_templateid($tempID);
1133
1134                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1135                 $xml->self_codeCustom($arr);
1136
1137                 //$arr = array('code'=>'completed');
1138                 //$xml->self_customTag('statusCode', $arr);
1139
1140                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['gender'][$GVal]);
1141                 $xml->self_customTag('value', $arr);
1142
1143                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1144                 $xml->self_customTag('methodCode', $arr);
1145
1146                 //observation Close
1147                 $xml->close_customTag();
1148
1149                 //entryRelationship Close
1150                 $xml->close_customTag();
1151
1152
1153                 //observation Close
1154                 $xml->close_customTag();
1155
1156                 //entryRelationship Close
1157                 $xml->close_customTag();
1158             }
1159
1160             ####################################################
1161             ####################################################
1162             //Sex Supplemental Data Element END
1163             ####################################################
1164             ####################################################
1165
1166             ####################################################
1167             ####################################################
1168             //Ethnicity Supplemental Data Element (CMS EP) START
1169             ####################################################
1170             ####################################################
1171
1172             foreach ($mainEthiArr as $ethKey => $ethVal) {
1173                 //entryRelationship Open
1174                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1175
1176                 //observation Open
1177                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1178
1179                 $tempID = "2.16.840.1.113883.10.20.27.3.7";
1180                 $xml->self_templateid($tempID);
1181
1182                 $tempID = "2.16.840.1.113883.10.20.27.3.22";
1183                 $xml->self_templateid($tempID);
1184
1185                 $arr = array('code'=>'364699009', 'displayName'=>'Ethnic Group', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1186                 $xml->self_codeCustom($arr);
1187
1188                 $arr = array('code'=>'completed');
1189                 $xml->self_customTag('statusCode', $arr);
1190
1191                 $arr = array('xsi:type'=>'CD', 'code'=>$mainEthiCodeArr[$ethKey], 'displayName'=>$ethVal, 'codeSystem' =>'2.16.840.1.113883.6.238', 'codeSystemName'=>'Race &amp; Ethnicity - CDC');
1192                 $xml->self_customTag('value', $arr);
1193
1194                 //entryRelationship Open
1195                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1196
1197                 //observation Open
1198                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1199
1200                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1201                 $xml->self_templateid($tempID);
1202
1203                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1204                 $xml->self_templateid($tempID);
1205
1206                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1207                 $xml->self_codeCustom($arr);
1208
1209                 //$arr = array('code'=>'completed');
1210                 //$xml->self_customTag('statusCode', $arr);
1211
1212                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['ethnicity'][$ethVal]);
1213                 $xml->self_customTag('value', $arr);
1214
1215                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1216                 $xml->self_customTag('methodCode', $arr);
1217
1218                 //observation Close
1219                 $xml->close_customTag();
1220
1221                 //entryRelationship Close
1222                 $xml->close_customTag();
1223
1224
1225                 //observation Close
1226                 $xml->close_customTag();
1227
1228                 //entryRelationship Close
1229                 $xml->close_customTag();
1230             }
1231
1232             ####################################################
1233             ####################################################
1234             //Ethnicity Supplemental Data Element (CMS EP) END
1235             ####################################################
1236             ####################################################
1237
1238
1239             ####################################################
1240             ####################################################
1241             //Race Supplemental Data Element (CMS EP) START
1242             ####################################################
1243             ####################################################
1244
1245             foreach ($mainQrdaRaceArr as $RKey => $RVal) {
1246                 //entryRelationship Open
1247                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1248
1249                 //observation Open
1250                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1251
1252                 $tempID = "2.16.840.1.113883.10.20.27.3.8";
1253                 $xml->self_templateid($tempID);
1254
1255                 $tempID = "2.16.840.1.113883.10.20.27.3.19";
1256                 $xml->self_templateid($tempID);
1257
1258                 $arr = array('code'=>'103579009', 'displayName'=>'Race', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1259                 $xml->self_codeCustom($arr);
1260
1261                 $arr = array('code'=>'completed');
1262                 $xml->self_customTag('statusCode', $arr);
1263
1264                 $arr = array('xsi:type'=>'CD', 'code'=>$mainQrdaRaceCodeArr[$RKey], 'displayName'=>$RVal, 'codeSystem' =>'2.16.840.1.113883.6.238', 'codeSystemName'=>'Race &amp; Ethnicity - CDC');
1265                 $xml->self_customTag('value', $arr);
1266
1267                 //entryRelationship Open
1268                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1269
1270                 //observation Open
1271                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1272
1273                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1274                 $xml->self_templateid($tempID);
1275
1276                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1277                 $xml->self_templateid($tempID);
1278
1279                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1280                 $xml->self_codeCustom($arr);
1281
1282                 //$arr = array('code'=>'completed');
1283                 //$xml->self_customTag('statusCode', $arr);
1284
1285                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['race'][$RVal]);
1286                 $xml->self_customTag('value', $arr);
1287
1288                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1289                 $xml->self_customTag('methodCode', $arr);
1290
1291                 //observation Close
1292                 $xml->close_customTag();
1293
1294                 //entryRelationship Close
1295                 $xml->close_customTag();
1296
1297
1298                 //observation Close
1299                 $xml->close_customTag();
1300
1301                 //entryRelationship Close
1302                 $xml->close_customTag();
1303             }
1304
1305             ####################################################
1306             ####################################################
1307             //Race Supplemental Data Element (CMS EP) END
1308             ####################################################
1309             ####################################################
1310
1311
1312             ####################################################
1313             ####################################################
1314             //Payer Supplemental Data Element (CMS EP) START
1315             ####################################################
1316             ####################################################
1317             $payerCheckArr = getQRDAPayerInfo($fullPatArr);
1318             foreach ($mainQrdaPayerCodeArr as $PKey => $PVal) {
1319                 //entryRelationship Open
1320                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1321
1322                 //observation Open
1323                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1324
1325                 $tempID = "2.16.840.1.113883.10.20.27.3.9";
1326                 $xml->self_templateid($tempID);
1327
1328                 $tempID = "2.16.840.1.113883.10.20.24.3.55";
1329                 $xml->self_templateid($tempID);
1330
1331                 $tempID = "2.16.840.1.113883.10.20.27.3.18";
1332                 $xml->self_templateid($tempID);
1333
1334                 $xml->self_setpatientRoleid();
1335
1336                 $arr = array('code'=>'48768-6', 'displayName'=>'Payment source', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'SNOMED-CT');
1337                 $xml->self_codeCustom($arr);
1338
1339                 $arr = array('code'=>'completed');
1340                 $xml->self_customTag('statusCode', $arr);
1341
1342                 $timeArr = array('low'=>date('Ymd', strtotime($from_date)));
1343                 $xml->add_entryEffectTime($timeArr);
1344
1345                 /*
1346                                 //Value Tag Open
1347                                 $xml->open_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'OTH'));
1348
1349                                 $xml->self_customTag('translation', array('code'=>$PKey, 'displayName'=>$PVal, 'codeSystem'=>'2.16.840.1.113883.3.249.12', 'codeSystemName'=>'CMS Clinical Codes'));
1350
1351                                 //Value Tag Close
1352                                 $xml->close_customTag();
1353                                 */
1354
1355                 //Value Tag
1356                 $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$mainQrdaPayerCodeSendArr[$PKey], 'codeSystem'=>'2.16.840.1.113883.3.221.5' , 'codeSystemName'=>'SOP', 'displayName'=>$PVal));
1357
1358                 //entryRelationship Open
1359                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1360
1361                 //observation Open
1362                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1363
1364                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1365                 $xml->self_templateid($tempID);
1366
1367                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1368                 $xml->self_templateid($tempID);
1369
1370                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1371                 $xml->self_codeCustom($arr);
1372
1373                 //$arr = array('code'=>'completed');
1374                 //$xml->self_customTag('statusCode', $arr);
1375
1376                 $arr = array('xsi:type'=>'INT', 'value'=>$payerCheckArr[$PVal]);
1377                 $xml->self_customTag('value', $arr);
1378
1379                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1380                 $xml->self_customTag('methodCode', $arr);
1381
1382                 //observation Close
1383                 $xml->close_customTag();
1384
1385                 //entryRelationship Close
1386                 $xml->close_customTag();
1387
1388
1389                 //observation Close
1390                 $xml->close_customTag();
1391
1392                 //entryRelationship Close
1393                 $xml->close_customTag();
1394             }
1395
1396             ####################################################
1397             ####################################################
1398             //Payer Supplemental Data Element (CMS EP) END
1399             ####################################################
1400             ####################################################
1401
1402             ######################################################################
1403             //reference Start
1404             $arr = array('typeCode'=>'REFR');
1405             $xml->open_customTag('reference', $arr);
1406
1407             //externalObservation Start
1408             $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
1409             $xml->open_customTag('externalObservation', $arr);
1410
1411             //Modified HQMF_ID for CQM IDS
1412             if (($row['cqm_nqf_code'] == "0421" )) {
1413                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['numerator_label']][$mainQrdaPopulationIncArr[$cqmKey]];
1414             } else if (($row['cqm_nqf_code'] == "0024")) {
1415                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']][$mainQrdaPopulationIncArr[$cqmKey]];
1416             } else {
1417                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$mainQrdaPopulationIncArr[$cqmKey]];
1418             }
1419
1420             if ($refID == "") {
1421                 $refID = getUuid();
1422             }
1423
1424             $xml->self_customId($refID);
1425
1426             //externalObservation Close
1427             $xml->close_customTag();
1428
1429             //reference Close
1430             $xml->close_customTag();
1431             ########################################################################
1432
1433             //observation Close
1434             $xml->close_customTag();
1435
1436             $xml->close_loopComponent();
1437             ############### Initial patient population template END#####################
1438         }
1439
1440         //Multiple Numerator Handling
1441         if (in_array($row['cqm_nqf_code'], $multNumNQFArr)) {
1442             //Skipping Multiple Numerator(s)
1443             if (in_array($row['cqm_nqf_code'], $multNumNQFArr)) {
1444                 $skipMultNumArr[$row['cqm_nqf_code']] = true;
1445             }
1446
1447             if ($dataChkArr[$row['cqm_nqf_code']] == $countNumNQFArr[$row['cqm_nqf_code']]) {
1448                 //Organizer Close
1449                 $xml->close_customTag();
1450                 $xml->close_entry();
1451             }
1452         } else {
1453             //Organizer Close
1454             $xml->close_customTag();
1455             $xml->close_entry();
1456         }
1457
1458         ###########################################################
1459
1460         $innrCnt++;
1461     }
1462 }
1463
1464 #######################################################################
1465 ######################### QUALITY MEASURES END ########################
1466 #######################################################################
1467
1468
1469 $xml->close_section();
1470
1471 $xml->close_loopComponent();
1472
1473 ##################### LOOP Component(s) END ########################
1474
1475 $xml->close_structuredBody();
1476 ############### Structure Body Close #######################
1477
1478 $xml->close_mainComponent();
1479 ############### Main Component Close #######################
1480
1481 //Close Main Clinical Document
1482 $xml->close_clinicaldocument();
1483
1484
1485 //QRDA File Download Folder in site/cqm_qrda folder
1486 $qrda_fname = "QRDA_III_".date("YmdHis").".xml";
1487 $qrda_file_path = $GLOBALS['OE_SITE_DIR'] . "/documents/cqm_qrda/";
1488 if (!file_exists($qrda_file_path)) {
1489     mkdir($qrda_file_path, 0777, true);
1490 }
1491
1492 $qrda_file_name = $qrda_file_path.$qrda_fname;
1493 $fileQRDAOPen = fopen($qrda_file_name, "w");
1494 fwrite($fileQRDAOPen, trim($xml->getXml()));
1495 fclose($fileQRDAOPen);
1496 ?>
1497
1498 <html>
1499 <head>
1500 <?php html_header_show();?>
1501 <script type="text/javascript" src="<?php echo $webroot ?>/interface/main/tabs/js/include_opener.js"></script>
1502 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
1503 <title><?php echo xlt('Export QRDA Report'); ?></title>
1504
1505 <script type="text/javascript">
1506     //Close Me function
1507     function closeme() {
1508       window.close();
1509     }
1510 </script>
1511 </head>
1512 <body>
1513
1514 <p class="text"><?php echo xlt('The exported data appears in the text area below. You can copy and paste this into an email or to any other desired destination (or) download the below link.'); ?></p>
1515
1516 <center>
1517 <form>
1518 <p class="text">
1519     <a href="qrda_download.php?qrda_fname=<?php echo attr(urlencode($qrda_fname)); ?>&csrf_token_form=<?php echo attr(urlencode($_SESSION['csrf_token'])); ?>"><?php echo xlt("Download QRDA Category III File");?></a>
1520 </p>
1521 <textarea rows='50' cols='500' style='width:95%' readonly>
1522 <?php echo trim($xml->getXml()); ?>
1523 </textarea>
1524
1525 <p><input type='button' value='<?php echo xla('Close'); ?>' onclick='closeme();' /></p>
1526 </form>
1527 </center>
1528
1529
1530 </body>
1531 </html>