library/classes/rulesets/Cqm/reports/common/Immunizations.php

   1 <?php
   2 // Copyright (C) 2011 Ken Chapple <ken@mi-squared.com>
   3 //
   4 // This program is free software; you can redistribute it and/or
   5 // modify it under the terms of the GNU General Public License
   6 // as published by the Free Software Foundation; either version 2
   7 // of the License, or (at your option) any later version.
   8 //
   9 class Immunizations
  10 {
  11     public static function checkDtap(CqmPatient $patient, $beginDate, $endDate)
  12     {
  13         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  14         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  15         $fourCount = array( Medication::OPTION_COUNT => 4, Medication::OPTION_UNIQUE_DATES => true );
  16         if (Helper::checkMed(Medication::DTAP_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $fourCount) &&
  17             !( Helper::checkAllergy(Allergy::DTAP_VAC, $patient, $patient->dob, $endDate) ||
  18                Helper::checkDiagActive(Diagnosis::ENCEPHALOPATHY, $patient, $beginDate, $endDate) ||
  19                Helper::checkDiagActive(Diagnosis::PROG_NEURO_DISORDER, $patient, $beginDate, $endDate) ) ) {
  20             return true;
  21         }
  22
  23         return false;
  24     }
  25
  26     public static function checkIpv(CqmPatient $patient, $beginDate, $endDate)
  27     {
  28         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  29         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  30         $threeCount = array( Medication::OPTION_COUNT => 3 );
  31         if (Helper::checkMed(Medication::IPV, $patient, $dobPlus42Days, $dobPlus2Years, $threeCount) &&
  32             !( Helper::checkAllergy(Allergy::IPV, $patient, $patient->dob, $endDate) ||
  33                Helper::checkAllergy(Allergy::NEOMYCIN, $patient, $patient->dob, $endDate) ||
  34                Helper::checkAllergy(Allergy::STREPTOMYCIN, $patient, $patient->dob, $endDate) ) ) {
  35             return true;
  36         }
  37
  38         return false;
  39     }
  40
  41     public static function checkMmr(CqmPatient $patient, $beginDate, $endDate)
  42     {
  43         $dobPlus1Year = date('Y-m-d 00:00:00', strtotime('+1 year', strtotime($patient->dob)));
  44         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  45         $dateMinus2Years = date('Y-m-d 00:00:00', strtotime('-2 year', strtotime($endDate)));
  46         if (Helper::checkMed(Medication::MMR, $patient, $dobPlus1Year, $dobPlus2Years) ||
  47              ( Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  48                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  49                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  50                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) &&
  51                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  52                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  53              ( Helper::checkDiagResolved(Diagnosis::MEASLES, $patient, $patient->dob, $endDate) &&
  54                Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  55                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  56                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  57                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  58              ( Helper::checkDiagResolved(Diagnosis::MUMPS, $patient, $patient->dob, $endDate) &&
  59                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  60                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) &&
  61                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  62                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  63              ( Helper::checkDiagResolved(Diagnosis::RUBELLA, $patient, $patient->dob, $endDate) &&
  64                Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  65                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  66                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  67                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) ) &&
  68               !( Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
  69                  Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
  70                  Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $beginDate, $endDate) ||
  71                  Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $beginDate, $endDate) ||
  72                  Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $beginDate, $endDate) ||
  73                  Helper::checkAllergy(Allergy::MMR, $patient, $patient->dob, $dateMinus2Years) ||
  74                  Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $beginDate, $endDate) ) ) {
  75             return true;
  76         }
  77
  78         return false;
  79     }
  80
  81     public static function checkHib(CqmPatient $patient, $beginDate, $endDate)
  82     {
  83         $options = array( Medication::OPTION_COUNT => 2 );
  84         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  85         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  86         if (Helper::checkMed(Medication::HIB, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
  87             !Helper::checkAllergy(Allergy::HIB, $patient, $patient->dob, $endDate) ) {
  88             return true;
  89         }
  90
  91         return false;
  92     }
  93
  94     public static function checkHepB(CqmPatient $patient, $beginDate, $endDate)
  95     {
  96         $options = array( Medication::OPTION_COUNT => 3 );
  97         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  98         if (Helper::checkMed(Medication::HEP_B_VAC, $patient, $patient->dob, $dobPlus2Years, $options) ||
  99             Helper::checkDiagResolved(Diagnosis::HEP_B, $patient, $patient->dob, $endDate) &&
 100             !( Helper::checkAllergy(Allergy::HEP_B_VAC, $patient, $patient->dob, $endDate) ||
 101                Helper::checkAllergy(Allergy::BAKERS_YEAST, $patient, $patient->dob, $endDate) ) ) {
 102             return true;
 103         }
 104
 105         return false;
 106     }
 107
 108     public static function checkVzv(CqmPatient $patient, $beginDate, $endDate)
 109     {
 110         $options = array( Medication::OPTION_COUNT => 1 );
 111         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 112         if (Helper::checkMed(Medication::VZV, $patient, $patient->dob, $dobPlus2Years, $options) ||
 113              ( Helper::checkDiagResolved(Diagnosis::VZV, $patient, $patient->dob, $endDate) &&
 114                !( Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
 115                   Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
 116                   Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $beginDate, $endDate) ||
 117                   Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $beginDate, $endDate) ||
 118                   Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $beginDate, $endDate) ||
 119                   Helper::checkAllergy(Allergy::VZV, $patient, $patient->dob, $endDate) ||
 120                   Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $beginDate, $endDate) ) ) ) {
 121             return true;
 122         }
 123
 124         return false;
 125     }
 126
 127     public static function checkPheumococcal(CqmPatient $patient, $beginDate, $endDate)
 128     {
 129         $options = array( Medication::OPTION_COUNT => 4 );
 130         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 131         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 132         if (Helper::checkMed(Medication::PNEUMOCOCCAL_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 133             !Helper::checkAllergy(Allergy::PNEUM_VAC, $patient) ) {
 134             return true;
 135         }
 136
 137         return false;
 138     }
 139
 140     public static function checkHepA(CqmPatient $patient, $beginDate, $endDate)
 141     {
 142         $options = array( Medication::OPTION_COUNT => 2 );
 143         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 144         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 145         if (Helper::checkMed(Medication::HEP_A_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) ||
 146             ( Helper::checkDiagResolved(Diagnosis::HEP_A, $patient, $patient->dob, $endDate) &&
 147               !Helper::checkAllergy(Allergy::HEP_A_VAC, $patient, $patient->dob, $endDate) ) ) {
 148             return true;
 149         }
 150
 151         return false;
 152     }
 153
 154     public static function checkRotavirus(CqmPatient $patient, $beginDate, $endDate)
 155     {
 156         $options = array( Medication::OPTION_COUNT => 4 );
 157         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 158         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 159         if (Helper::checkMed(Medication::ROTAVIRUS_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 160             !Helper::checkAllergy(Allergy::ROTAVIRUS_VAC, $patient, $patient->dob, $endDate) ) {
 161             return true;
 162         }
 163
 164         return false;
 165     }
 166
 167     public static function checkInfluenza(CqmPatient $patient, $beginDate, $endDate)
 168     {
 169         $options = array( Medication::OPTION_COUNT => 2 );
 170         $dobPlus180Days = date('Y-m-d 00:00:00', strtotime('+180 day', strtotime($patient->dob)));
 171         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 172         if (Helper::checkMed(Medication::INFLUENZA_VAC, $patient, $dobPlus180Days, $dobPlus2Years, $options) &&
 173             !( Helper::checkAllergy(Allergy::INFLUENZA_VAC, $patient, $patient->dob, $endDate) ||
 174                Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $patient->dob, $endDate) ||
 175                Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $patient->dob, $endDate) ||
 176                Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $patient->dob, $endDate) ||
 177                Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $patient->dob, $endDate) ||
 178                Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $patient->dob, $endDate) ||
 179                Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $patient->dob, $endDate) ) ) {
 180             return true;
 181         }
 182
 183         return false;
 184     }
 185
 186     public static function checkRotavirus_2014(CqmPatient $patient, $beginDate, $endDate)
 187     {
 188         $options = array( Medication::OPTION_COUNT => 2 );
 189         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 190         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 191         if (Helper::checkMed(Medication::ROTAVIRUS_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 192             !Helper::checkAllergy(Allergy::ROTAVIRUS_VAC, $patient, $patient->dob, $endDate) ) {
 193             return true;
 194         }
 195
 196         return false;
 197     }
 198 }