ccr/createCCR.php

   1 <?php
   2
   3 /**
   4  * CCR Script.
   5  *
   6  * @package   OpenEMR
   7  * @link      http://www.open-emr.org
   8  * @author    Garden State Health Systems <http://www.gshsys.com/>
   9  * @author    Brady Miller <brady.g.miller@gmail.com>
  10  * @copyright Copyright (c) 2010 Garden State Health Systems <http://www.gshsys.com/>
  11  * @copyright Copyright (c) 2018-2019 Brady Miller <brady.g.miller@gmail.com>
  12  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  13  */
  14
  15 // check if using the patient portal
  16 //(if so, then use the portal authorization)
  17 if (isset($_GET['portal_auth'])) {
  18     $landingpage = "../portal/index.php";
  19
  20     // Will start the (patient) portal OpenEMR session/cookie.
  21     require_once(dirname(__FILE__) . "/../src/Common/Session/SessionUtil.php");
  22     OpenEMR\Common\Session\SessionUtil::portalSessionStart();
  23
  24     if (isset($_SESSION['pid']) && isset($_SESSION['patient_portal_onsite_two'])) {
  25         $pid = $_SESSION['pid'];
  26         $ignoreAuth = true;
  27         global $ignoreAuth;
  28     } else {
  29         OpenEMR\Common\Session\SessionUtil::portalSessionCookieDestroy();
  30         header('Location: ' . $landingpage . '?w');
  31         exit;
  32     }
  33 }
  34
  35 require_once(dirname(__FILE__) . "/../interface/globals.php");
  36 require_once(dirname(__FILE__) . "/../library/sql-ccr.inc.php");
  37 require_once(dirname(__FILE__) . "/uuid.php");
  38 require_once(dirname(__FILE__) . "/transmitCCD.php");
  39 require_once(dirname(__FILE__) . "/../custom/code_types.inc.php");
  40
  41 use PHPMailer\PHPMailer\PHPMailer;
  42
  43 function createCCR($action, $raw = "no", $requested_by = "")
  44 {
  45
  46     $authorID = getUuid();
  47     $patientID = getUuid();
  48     $sourceID = getUuid();
  49     $oemrID = getUuid();
  50
  51     $result = getActorData();
  52     while ($res = sqlFetchArray($result[2])) {
  53         ${"labID{$res['id']}"} = getUuid();
  54     }
  55
  56        $ccr = new DOMDocument('1.0', 'UTF-8');
  57        $e_styleSheet = $ccr->createProcessingInstruction('xml-stylesheet', 'type="text/xsl" href="stylesheet/ccr.xsl"');
  58        $ccr->appendChild($e_styleSheet);
  59
  60        $e_ccr = $ccr->createElementNS('urn:astm-org:CCR', 'ContinuityOfCareRecord');
  61        $ccr->appendChild($e_ccr);
  62
  63        /////////////// Header
  64
  65        require_once("createCCRHeader.php");
  66        $e_Body = $ccr->createElement('Body');
  67        $e_ccr->appendChild($e_Body);
  68
  69        /////////////// Problems
  70
  71        $e_Problems = $ccr->createElement('Problems');
  72        require_once("createCCRProblem.php");
  73        $e_Body->appendChild($e_Problems);
  74
  75        /////////////// Alerts
  76
  77        $e_Alerts = $ccr->createElement('Alerts');
  78        require_once("createCCRAlerts.php");
  79        $e_Body->appendChild($e_Alerts);
  80
  81        ////////////////// Medication
  82
  83        $e_Medications = $ccr->createElement('Medications');
  84        require_once("createCCRMedication.php");
  85        $e_Body->appendChild($e_Medications);
  86
  87        ///////////////// Immunization
  88
  89        $e_Immunizations = $ccr->createElement('Immunizations');
  90        require_once("createCCRImmunization.php");
  91        $e_Body->appendChild($e_Immunizations);
  92
  93
  94        /////////////////// Results
  95
  96        $e_Results = $ccr->createElement('Results');
  97        require_once("createCCRResult.php");
  98        $e_Body->appendChild($e_Results);
  99
 100
 101        /////////////////// Procedures
 102
 103        //$e_Procedures = $ccr->createElement('Procedures');
 104        //require_once("createCCRProcedure.php");
 105        //$e_Body->appendChild($e_Procedures);
 106
 107        //////////////////// Footer
 108
 109        // $e_VitalSigns = $ccr->createElement('VitalSigns');
 110        // $e_Body->appendChild($e_VitalSigns);
 111
 112        /////////////// Actors
 113
 114        $e_Actors = $ccr->createElement('Actors');
 115        require_once("createCCRActor.php");
 116        $e_ccr->appendChild($e_Actors);
 117
 118     if ($action == "generate") {
 119         gnrtCCR($ccr, $raw, $requested_by);
 120     }
 121
 122     if ($action == "viewccd") {
 123         viewCCD($ccr, $raw, $requested_by);
 124     }
 125 }
 126
 127 function gnrtCCR($ccr, $raw = "no", $requested_by = "")
 128 {
 129     global $pid;
 130
 131     $ccr->preserveWhiteSpace = false;
 132     $ccr->formatOutput = true;
 133
 134     if ($raw == "yes") {
 135         // simply send the xml to a textarea (nice debugging tool)
 136         echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
 137         echo $ccr->saveXml();
 138         echo "</textarea>";
 139         return;
 140     } elseif ($raw == "hybrid") {
 141 // send a file that contains a hybrid file of the raw xml and the xsl stylesheet
 142         createHybridXML($ccr);
 143     } elseif ($raw == "pure") {
 144 // send a zip file that contains a separate xml data file and xsl stylesheet
 145         if (! (class_exists('ZipArchive'))) {
 146                         displayError(xl("ERROR: Missing ZipArchive PHP Module"));
 147                     return;
 148         }
 149
 150         $tempDir = $GLOBALS['temporary_files_dir'];
 151         $zipName = $tempDir . "/" . getReportFilename() . "-ccr.zip";
 152         if (file_exists($zipName)) {
 153                     unlink($zipName);
 154         }
 155
 156         $zip = new ZipArchive();
 157         if (!($zip)) {
 158                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 159                     return;
 160         }
 161
 162         if ($zip->open($zipName, ZipArchive::CREATE)) {
 163             $zip->addFile("stylesheet/ccr.xsl", "stylesheet/ccr.xsl");
 164             $xmlName = $tempDir . "/" . getReportFilename() . "-ccr.xml";
 165             if (file_exists($xmlName)) {
 166                             unlink($xmlName);
 167             }
 168
 169             $ccr->save($xmlName);
 170             $zip->addFile($xmlName, basename($xmlName));
 171             $zip->close();
 172             header("Pragma: public");
 173             header("Expires: 0");
 174             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 175             header("Content-Type: application/force-download");
 176             header("Content-Length: " . filesize($zipName));
 177             header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
 178             header("Content-Description: File Transfer");
 179             readfile($zipName);
 180             unlink($zipName);
 181             unlink($xmlName);
 182                 exit(0);
 183         } else {
 184                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 185                     return;
 186         }
 187     } elseif (substr($raw, 0, 4) == "send") {
 188         $recipient = trim(stripslashes(substr($raw, 5)));
 189         $ccd_out = $ccr->saveXml();
 190         $result = transmitCCD($pid, $ccd_out, $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         $ccd_out = $ccd->saveXml();
 291         $result = transmitCCD($pid, $ccd_out, $recipient, $requested_by);
 292         echo htmlspecialchars($result, ENT_NOQUOTES);
 293         return;
 294     }
 295
 296         $ss = new DOMDocument();
 297         $ss->load(dirname(__FILE__) . "/stylesheet/cda.xsl");
 298
 299         $xslt->importStyleSheet($ss);
 300
 301         $html = $xslt->transformToXML($ccd);
 302
 303         echo $html;
 304 }
 305
 306
 307 function sourceType($ccr, $uuid)
 308 {
 309
 310     $e_Source = $ccr->createElement('Source');
 311
 312     $e_Actor = $ccr->createElement('Actor');
 313     $e_Source->appendChild($e_Actor);
 314
 315     $e_ActorID = $ccr->createElement('ActorID', $uuid);
 316     $e_Actor->appendChild($e_ActorID);
 317
 318     return $e_Source;
 319 }
 320
 321
 322 function displayError($message)
 323 {
 324     echo '<script>alert("' . addslashes($message) . '");</script>';
 325 }
 326
 327
 328 function createHybridXML($ccr)
 329 {
 330
 331     // save the raw xml
 332     $main_xml = $ccr->saveXml();
 333
 334     // save the stylesheet
 335     $main_stylesheet = file_get_contents('stylesheet/ccr.xsl');
 336
 337     // replace stylesheet link in raw xml file
 338     $substitute_string = '<?xml-stylesheet type="text/xsl" href="#style1"?>
 339 <!DOCTYPE ContinuityOfCareRecord [
 340 <!ATTLIST xsl:stylesheet id ID #REQUIRED>
 341 ]>
 342 ';
 343     $replace_string = '<?xml-stylesheet type="text/xsl" href="stylesheet/ccr.xsl"?>';
 344     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 345
 346     // remove redundant xml declaration from stylesheet
 347     $replace_string = '<?xml version="1.0" encoding="UTF-8"?>';
 348     $main_stylesheet = str_replace($replace_string, '', $main_stylesheet);
 349
 350     // embed the stylesheet in the raw xml file
 351     $replace_string = '<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">';
 352     $main_stylesheet = $replace_string . $main_stylesheet;
 353     $main_xml = str_replace($replace_string, $main_stylesheet, $main_xml);
 354
 355     // insert style1 id into the stylesheet parameter
 356     $substitute_string = 'xsl:stylesheet id="style1" exclude-result-prefixes';
 357     $replace_string = 'xsl:stylesheet exclude-result-prefixes';
 358     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 359
 360     // prepare the filename to use
 361     //   LASTNAME-FIRSTNAME-PID-DATESTAMP-ccr.xml
 362     $main_filename = getReportFilename() . "-ccr.xml";
 363
 364     // send the output as a file to the user
 365     header("Content-type: text/xml");
 366     header("Content-Disposition: attachment; filename=" . $main_filename . "");
 367     echo $main_xml;
 368 }
 369
 370 if ($_POST['ccrAction']) {
 371     $raw = $_POST['raw'];
 372   /* If transmit requested, fail fast if the recipient address fails basic validation */
 373     if (substr($raw, 0, 4) == "send") {
 374         $send_to = trim(stripslashes(substr($raw, 5)));
 375         if (!PHPMailer::ValidateAddress($send_to)) {
 376             echo(htmlspecialchars(xl('Invalid recipient address. Please try again.'), ENT_QUOTES));
 377             return;
 378         }
 379
 380         createCCR($_POST['ccrAction'], $raw, $_POST['requested_by']);
 381     } else {
 382         createCCR($_POST['ccrAction'], $raw);
 383     }
 384 }