custom/export_qrda_xml.php

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