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