ccr/createCCR.php

   1 <?php
   2 /**
   3  * CCR Script.
   4  *
   5  * @package   OpenEMR
   6  * @link      http://www.open-emr.org
   7  * @author    Garden State Health Systems <http://www.gshsys.com/>
   8  * @author    Brady Miller <brady.g.miller@gmail.com>
   9  * @copyright Copyright (c) 2010 Garden State Health Systems <http://www.gshsys.com/>
  10  * @copyright Copyright (c) 2018 Brady Miller <brady.g.miller@gmail.com>
  11  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  12  */
  13
  14
  15 // check if using the patient portal
  16 //(if so, then use the portal authorization)
  17 if (isset($_GET['portal_auth']) || isset($_GET['portal_auth_two'])) {
  18     if (isset($_GET['portal_auth'])) {
  19         $landingpage = "../patients/index.php";
  20     } else { // isset($_GET['portal_auth_two'])
  21         $landingpage = "../portal/index.php";
  22     }
  23
  24     session_start();
  25     if (isset($_SESSION['pid']) && (isset($_SESSION['patient_portal_onsite']) || isset($_SESSION['patient_portal_onsite_two']))) {
  26         $pid = $_SESSION['pid'];
  27         $ignoreAuth=true;
  28         global $ignoreAuth;
  29     } else {
  30         session_destroy();
  31         header('Location: '.$landingpage.'?w');
  32         exit;
  33     }
  34 }
  35
  36 require_once(dirname(__FILE__) . "/../interface/globals.php");
  37 require_once(dirname(__FILE__) . "/../library/sql-ccr.inc");
  38 require_once(dirname(__FILE__) . "/uuid.php");
  39 require_once(dirname(__FILE__) . "/transmitCCD.php");
  40 require_once(dirname(__FILE__) . "/../custom/code_types.inc.php");
  41
  42 use PHPMailer\PHPMailer\PHPMailer;
  43
  44 function createCCR($action, $raw = "no", $requested_by = "")
  45 {
  46
  47     $authorID = getUuid();
  48     $patientID = getUuid();
  49     $sourceID = getUuid();
  50     $oemrID = getUuid();
  51
  52     $result = getActorData();
  53     while ($res = sqlFetchArray($result[2])) {
  54         ${"labID{$res['id']}"} = getUuid();
  55     }
  56
  57        $ccr = new DOMDocument('1.0', 'UTF-8');
  58        $e_styleSheet = $ccr->createProcessingInstruction('xml-stylesheet', 'type="text/xsl" href="stylesheet/ccr.xsl"');
  59        $ccr->appendChild($e_styleSheet);
  60
  61        $e_ccr = $ccr->createElementNS('urn:astm-org:CCR', 'ContinuityOfCareRecord');
  62        $ccr->appendChild($e_ccr);
  63
  64        /////////////// Header
  65
  66        require_once("createCCRHeader.php");
  67        $e_Body = $ccr->createElement('Body');
  68        $e_ccr->appendChild($e_Body);
  69
  70        /////////////// Problems
  71
  72        $e_Problems = $ccr->createElement('Problems');
  73        require_once("createCCRProblem.php");
  74        $e_Body->appendChild($e_Problems);
  75
  76        /////////////// Alerts
  77
  78        $e_Alerts = $ccr->createElement('Alerts');
  79        require_once("createCCRAlerts.php");
  80        $e_Body->appendChild($e_Alerts);
  81
  82        ////////////////// Medication
  83
  84        $e_Medications = $ccr->createElement('Medications');
  85        require_once("createCCRMedication.php");
  86        $e_Body->appendChild($e_Medications);
  87
  88        ///////////////// Immunization
  89
  90        $e_Immunizations = $ccr->createElement('Immunizations');
  91        require_once("createCCRImmunization.php");
  92        $e_Body->appendChild($e_Immunizations);
  93
  94
  95        /////////////////// Results
  96
  97        $e_Results = $ccr->createElement('Results');
  98        require_once("createCCRResult.php");
  99        $e_Body->appendChild($e_Results);
 100
 101
 102        /////////////////// Procedures
 103
 104        //$e_Procedures = $ccr->createElement('Procedures');
 105        //require_once("createCCRProcedure.php");
 106        //$e_Body->appendChild($e_Procedures);
 107
 108        //////////////////// Footer
 109
 110        // $e_VitalSigns = $ccr->createElement('VitalSigns');
 111        // $e_Body->appendChild($e_VitalSigns);
 112
 113        /////////////// Actors
 114
 115        $e_Actors = $ccr->createElement('Actors');
 116        require_once("createCCRActor.php");
 117        $e_ccr->appendChild($e_Actors);
 118
 119     if ($action=="generate") {
 120         gnrtCCR($ccr, $raw, $requested_by);
 121     }
 122
 123     if ($action == "viewccd") {
 124         viewCCD($ccr, $raw, $requested_by);
 125     }
 126 }
 127
 128 function gnrtCCR($ccr, $raw = "no", $requested_by = "")
 129 {
 130     global $pid;
 131
 132     $ccr->preserveWhiteSpace = false;
 133     $ccr->formatOutput = true;
 134
 135     if ($raw == "yes") {
 136         // simply send the xml to a textarea (nice debugging tool)
 137         echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
 138         echo $ccr->saveXml();
 139         echo "</textarea>";
 140         return;
 141     } else if ($raw == "hybrid") {
 142 // send a file that contains a hybrid file of the raw xml and the xsl stylesheet
 143         createHybridXML($ccr);
 144     } else if ($raw == "pure") {
 145 // send a zip file that contains a separate xml data file and xsl stylesheet
 146         if (! (class_exists('ZipArchive'))) {
 147                         displayError(xl("ERROR: Missing ZipArchive PHP Module"));
 148                     return;
 149         }
 150
 151         $tempDir = $GLOBALS['temporary_files_dir'];
 152         $zipName = $tempDir . "/" . getReportFilename() . "-ccr.zip";
 153         if (file_exists($zipName)) {
 154                     unlink($zipName);
 155         }
 156
 157         $zip = new ZipArchive();
 158         if (!($zip)) {
 159                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 160                     return;
 161         }
 162
 163         if ($zip->open($zipName, ZIPARCHIVE::CREATE)) {
 164             $zip->addFile("stylesheet/ccr.xsl", "stylesheet/ccr.xsl");
 165             $xmlName = $tempDir . "/" . getReportFilename() . "-ccr.xml";
 166             if (file_exists($xmlName)) {
 167                             unlink($xmlName);
 168             }
 169
 170             $ccr->save($xmlName);
 171             $zip->addFile($xmlName, basename($xmlName));
 172             $zip->close();
 173             header("Pragma: public");
 174             header("Expires: 0");
 175             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 176             header("Content-Type: application/force-download");
 177             header("Content-Length: " . filesize($zipName));
 178             header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
 179             header("Content-Description: File Transfer");
 180             readfile($zipName);
 181             unlink($zipName);
 182             unlink($xmlName);
 183                 exit(0);
 184         } else {
 185                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 186                     return;
 187         }
 188     } else if (substr($raw, 0, 4)=="send") {
 189         $recipient = trim(stripslashes(substr($raw, 5)));
 190         $result=transmitCCD($ccr, $recipient, $requested_by, "CCR");
 191         echo htmlspecialchars($result, ENT_NOQUOTES);
 192         return;
 193     } else {
 194         header("Content-type: application/xml");
 195             echo $ccr->saveXml();
 196     }
 197 }
 198
 199 function viewCCD($ccr, $raw = "no", $requested_by = "")
 200 {
 201     global $pid;
 202
 203     $ccr->preserveWhiteSpace = false;
 204     $ccr->formatOutput = true;
 205
 206     if (file_exists(dirname(__FILE__) .'/generatedXml')) {
 207         $ccr->save(dirname(__FILE__) . '/generatedXml/ccrForCCD.xml');
 208     }
 209
 210     $xmlDom = new DOMDocument();
 211     $xmlDom->loadXML($ccr->saveXML());
 212
 213     $ccr_ccd = new DOMDocument();
 214     $ccr_ccd->load(dirname(__FILE__) .'/ccd/ccr_ccd.xsl');
 215
 216     $xslt = new XSLTProcessor();
 217     $xslt->importStylesheet($ccr_ccd);
 218
 219     $ccd = new DOMDocument();
 220     $ccd->preserveWhiteSpace = false;
 221     $ccd->formatOutput = true;
 222
 223     $ccd->loadXML($xslt->transformToXML($xmlDom));
 224
 225     if (file_exists(dirname(__FILE__) .'/generatedXml')) {
 226         $ccd->save(dirname(__FILE__) . '/generatedXml/ccdDebug.xml');
 227     }
 228
 229     if ($raw == "yes") {
 230       // simply send the xml to a textarea (nice debugging tool)
 231         echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
 232         echo $ccd->saveXml();
 233         echo "</textarea>";
 234         return;
 235     }
 236
 237     if ($raw == "pure") {
 238         // send a zip file that contains a separate xml data file and xsl stylesheet
 239         if (! (class_exists('ZipArchive'))) {
 240             displayError(xl("ERROR: Missing ZipArchive PHP Module"));
 241             return;
 242         }
 243
 244         $tempDir = $GLOBALS['temporary_files_dir'];
 245         $zipName = $tempDir . "/" . getReportFilename() . "-ccd.zip";
 246         if (file_exists($zipName)) {
 247             unlink($zipName);
 248         }
 249
 250         $zip = new ZipArchive();
 251         if (!($zip)) {
 252             displayError(xl("ERROR: Unable to Create Zip Archive."));
 253             return;
 254         }
 255
 256         if ($zip->open($zipName, ZIPARCHIVE::CREATE)) {
 257             $zip->addFile("stylesheet/cda.xsl", "stylesheet/cda.xsl");
 258             $xmlName = $tempDir . "/" . getReportFilename() . "-ccd.xml";
 259             if (file_exists($xmlName)) {
 260                 unlink($xmlName);
 261             }
 262
 263             $e_styleSheet = $ccd->createProcessingInstruction(
 264                 'xml-stylesheet',
 265                 'type="text/xsl" href="stylesheet/cda.xsl"'
 266             );
 267             $ccd->insertBefore($e_styleSheet, $ccd->firstChild);
 268             $ccd->save($xmlName);
 269             $zip->addFile($xmlName, basename($xmlName));
 270             $zip->close();
 271             header("Pragma: public");
 272             header("Expires: 0");
 273             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 274             header("Content-Type: application/force-download");
 275             header("Content-Length: " . filesize($zipName));
 276             header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
 277             header("Content-Description: File Transfer");
 278             readfile($zipName);
 279             unlink($zipName);
 280             unlink($xmlName);
 281             exit(0);
 282         } else {
 283             displayError(xl("ERROR: Unable to Create Zip Archive."));
 284             return;
 285         }
 286     }
 287
 288     if (substr($raw, 0, 4)=="send") {
 289         $recipient = trim(stripslashes(substr($raw, 5)));
 290         $result=transmitCCD($ccd, $recipient, $requested_by);
 291         echo htmlspecialchars($result, ENT_NOQUOTES);
 292         return;
 293     }
 294
 295         $ss = new DOMDocument();
 296         $ss->load(dirname(__FILE__) ."/stylesheet/cda.xsl");
 297
 298         $xslt->importStyleSheet($ss);
 299
 300         $html = $xslt->transformToXML($ccd);
 301
 302         echo $html;
 303 }
 304
 305
 306 function sourceType($ccr, $uuid)
 307 {
 308
 309     $e_Source = $ccr->createElement('Source');
 310
 311     $e_Actor = $ccr->createElement('Actor');
 312     $e_Source->appendChild($e_Actor);
 313
 314     $e_ActorID = $ccr->createElement('ActorID', $uuid);
 315     $e_Actor->appendChild($e_ActorID);
 316
 317     return $e_Source;
 318 }
 319
 320
 321 function displayError($message)
 322 {
 323     echo '<script type="text/javascript">alert("' . addslashes($message) . '");</script>';
 324 }
 325
 326
 327 function createHybridXML($ccr)
 328 {
 329
 330     // save the raw xml
 331     $main_xml = $ccr->saveXml();
 332
 333     // save the stylesheet
 334     $main_stylesheet = file_get_contents('stylesheet/ccr.xsl');
 335
 336     // replace stylesheet link in raw xml file
 337     $substitute_string = '<?xml-stylesheet type="text/xsl" href="#style1"?>
 338 <!DOCTYPE ContinuityOfCareRecord [
 339 <!ATTLIST xsl:stylesheet id ID #REQUIRED>
 340 ]>
 341 ';
 342     $replace_string = '<?xml-stylesheet type="text/xsl" href="stylesheet/ccr.xsl"?>';
 343     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 344
 345     // remove redundant xml declaration from stylesheet
 346     $replace_string = '<?xml version="1.0" encoding="UTF-8"?>';
 347     $main_stylesheet = str_replace($replace_string, '', $main_stylesheet);
 348
 349     // embed the stylesheet in the raw xml file
 350     $replace_string ='<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">';
 351     $main_stylesheet = $replace_string.$main_stylesheet;
 352     $main_xml = str_replace($replace_string, $main_stylesheet, $main_xml);
 353
 354     // insert style1 id into the stylesheet parameter
 355     $substitute_string = 'xsl:stylesheet id="style1" exclude-result-prefixes';
 356     $replace_string = 'xsl:stylesheet exclude-result-prefixes';
 357     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 358
 359     // prepare the filename to use
 360     //   LASTNAME-FIRSTNAME-PID-DATESTAMP-ccr.xml
 361     $main_filename = getReportFilename()."-ccr.xml";
 362
 363     // send the output as a file to the user
 364     header("Content-type: text/xml");
 365     header("Content-Disposition: attachment; filename=" . $main_filename . "");
 366     echo $main_xml;
 367 }
 368
 369 if ($_POST['ccrAction']) {
 370     $raw=$_POST['raw'];
 371   /* If transmit requested, fail fast if the recipient address fails basic validation */
 372     if (substr($raw, 0, 4)=="send") {
 373         $send_to = trim(stripslashes(substr($raw, 5)));
 374         if (!PHPMailer::ValidateAddress($send_to)) {
 375             echo(htmlspecialchars(xl('Invalid recipient address. Please try again.'), ENT_QUOTES));
 376             return;
 377         }
 378
 379         createCCR($_POST['ccrAction'], $raw, $_POST['requested_by']);
 380     } else {
 381         createCCR($_POST['ccrAction'], $raw);
 382     }
 383 }