3 // Copyright (C) 2007-2010 Rod Roark <rod@sunsetsystems.com>
5 // 2012 - Refactored extensively to allow for creating multiple feesheets on demand
6 // uses a session array of PIDS by Medical Information Integration, LLC - mi-squared.com
8 // 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.
13 require_once("../globals.php");
14 require_once("$srcdir/acl.inc");
15 require_once("$srcdir/patient.inc");
16 require_once("$srcdir/billing.inc");
17 require_once("$srcdir/classes/Address.class.php");
18 require_once("$srcdir/classes/InsuranceCompany.class.php");
19 require_once("$srcdir/formatting.inc.php");
21 function genColumn($ix) {
24 for ($imax = count($SBCODES); $ix < $imax; ++
$ix) {
25 $a = explode('|', $SBCODES[$ix], 2);
27 if ($cmd == '*C') { // column break
30 if ($cmd == '*B') { // Borderless and empty
31 $html .= " <tr><td colspan='5' class='fscode' style='border-width:0 1px 0 0;padding-top:1px;' nowrap> </td></tr>\n";
32 } else if ($cmd == '*G') {
33 $title = htmlspecialchars($a[1]);
36 $html .= " <tr><td colspan='5' align='center' class='fsgroup' style='vertical-align:middle' nowrap>$title</td></tr>\n";
38 else if ($cmd == '*H') {
39 $title = htmlspecialchars($a[1]);
42 $html .= " <tr><td colspan='5' class='fshead' style='vertical-align:middle' nowrap>$title</td></tr>\n";
45 $title = htmlspecialchars($a[1]);
48 $b = explode(':', $cmd);
50 $html .= " <td class='fscode' style='vertical-align:middle;width:14pt' nowrap> </td>\n";
55 $html .= " <td class='fscode' style='vertical-align:middle' nowrap>$code</td>\n";
56 $html .= " <td colspan='3' class='fscode' style='vertical-align:middle' nowrap>$title</td>\n";
59 $html .= " <td colspan='2' class='fscode' style='vertical-align:middle' nowrap>" . $b[0] . '/' . $b[1] . "</td>\n";
60 $html .= " <td colspan='2' class='fscode' style='vertical-align:middle' nowrap>$title</td>\n";
70 // Build output to handle multiple pids and and superbill for each patient.
71 // This value is initially a maximum, and will be recomputed to
72 // distribute lines evenly among the pages. (was 55)
77 $header_height = 44; // height of page headers in points
78 // This tells us if patient/encounter data is to be filled in.
79 // 1 = single PID from popup, 2=array of PIDs for session
81 if (empty($_GET['fill'])) {
84 $form_fill = $_GET['fill'];
87 // Show based on session array or single pid?
90 if(!empty($_SESSION['pidList']) and $form_fill == 2)
92 $pid_list = $_SESSION['pidList'];
94 else if ($form_fill == 1)
96 array_push($pid_list,$pid); //get from active PID
98 array_push($pid_list,''); // empty element for blank form
101 // make sure to clean up the session
102 // else we'll build off of trash in the combo-drop down for a single patient later
103 unset($_SESSION['pidList']);
105 // This file is optional. You can create it to customize how the printed
106 // fee sheet looks, otherwise you'll get a mirror of your actual fee sheet.
108 if (file_exists("../../custom/fee_sheet_codes.php"))
109 include_once ("../../custom/fee_sheet_codes.php");
111 // TBD: Move these to globals.php, or make them user-specific.
117 // The $SBCODES table is a simple indexed array whose values are
118 // strings of the form "code|text" where code may be either a billing
119 // code or one of the following:
121 // *H - A main heading, where "text" is its title (to be centered).
122 // *G - Specifies a new category, where "text" is its name.
123 // *B - A borderless blank row.
124 // *C - Ends the current column and starts a new one.
125 // If $SBCODES is not provided, then manufacture it from the Fee Sheet.
127 if (empty($SBCODES)) {
131 // Create entries based on the fee_sheet_options table.
132 $res = sqlStatement("SELECT * FROM fee_sheet_options " .
133 "ORDER BY fs_category, fs_option");
134 while ($row = sqlFetchArray($res)) {
135 $fs_category = $row['fs_category'];
136 $fs_option = $row['fs_option'];
137 $fs_codes = $row['fs_codes'];
138 if ($fs_category !== $last_category) {
139 $last_category = $fs_category;
140 $SBCODES[] = '*G|' . substr($fs_category, 1);
142 $SBCODES[] = " |" . substr($fs_option, 1);
145 // Create entries based on categories defined within the codes.
146 $pres = sqlStatement("SELECT option_id, title FROM list_options " .
147 "WHERE list_id = 'superbill' ORDER BY seq");
148 while ($prow = sqlFetchArray($pres)) {
149 $SBCODES[] = '*G|' . xl_list_label($prow['title']);
150 $res = sqlStatement("SELECT code_type, code, code_text FROM codes " .
151 "WHERE superbill = '" . $prow['option_id'] . "' AND active = 1 " .
152 "ORDER BY code_text");
153 while ($row = sqlFetchArray($res)) {
154 $SBCODES[] = $row['code'] . '|' . $row['code_text'];
158 // Create one more group, for Products.
159 if ($GLOBALS['sell_non_drug_products']) {
160 $SBCODES[] = '*G|' . xl('Products');
161 $tres = sqlStatement("SELECT " .
162 "dt.drug_id, dt.selector, d.name, d.ndc_number " .
163 "FROM drug_templates AS dt, drugs AS d WHERE " .
164 "d.drug_id = dt.drug_id AND d.active = 1 " .
165 "ORDER BY d.name, dt.selector, dt.drug_id");
166 while ($trow = sqlFetchArray($tres)) {
167 $tmp = $trow['selector'];
168 if ($trow['name'] !== $trow['selector'])
169 $tmp .= ' ' . $trow['name'];
170 $prodcode = empty($trow['ndc_number']) ?
('(' . $trow['drug_id'] . ')') :
172 $SBCODES[] = "$prodcode|$tmp";
176 // Extra stuff for the labs section.
177 $SBCODES[] = '*G|' . xl('Notes');
178 $percol = intval((count($SBCODES) +
2) / 3);
179 while (count($SBCODES) < $percol * 3)
182 // Adjust lines per page to distribute lines evenly among the pages.
183 $pages = intval(($percol +
$lines_in_stats +
$lines_per_page - 1) / $lines_per_page);
184 $lines_per_page = intval(($percol +
$lines_in_stats +
$pages - 1) / $pages);
186 // Figure out page and column breaks.
189 $page_start_index = 0;
190 while ($lines +
$lines_in_stats > $lines_per_page) {
192 $lines_this_page = $lines > $lines_per_page ?
$lines_per_page : $lines;
193 $lines -= $lines_this_page;
194 array_splice($SBCODES, $lines_this_page * 3 +
$page_start_index, 0, '*C|');
195 array_splice($SBCODES, $lines_this_page * 2 +
$page_start_index, 0, '*C|');
196 array_splice($SBCODES, $lines_this_page * 1 +
$page_start_index, 0, '*C|');
197 $page_start_index +
= $lines_this_page * 3 +
3;
199 array_splice($SBCODES, $lines * 2 +
$page_start_index, 0, '*C|');
200 array_splice($SBCODES, $lines * 1 +
$page_start_index, 0, '*C|');
203 $lheight = sprintf('%d', ($page_height - $header_height) / $lines_per_page);
205 // Common HTML Header information
213 font-family: sans-serif;
219 border-width: 0 0 1px 1px;
221 border-collapse: collapse;
222 border-color: #999999;
228 border-width: 0 0 0 0;
229 border-color: #999999;
232 height: ${lheight}pt;
233 font-family: sans-serif;
235 font-size: $fontsize pt;
236 background-color: #cccccc;
237 padding: ${padding}pt 2pt 0pt 2pt;
239 border-width: 1px 1px 0 0;
240 border-color: #999999;
243 height: ${lheight}pt;
244 font-family: sans-serif;
246 font-size: ${fontsize}pt;
247 padding: ${padding}pt 2pt 0pt 2pt;
249 border-width: 1px 1px 0 0;
250 border-color: #999999;
253 height: ${lheight}pt;
254 font-family: sans-serif;
256 font-size: ${fontsize}pt;
257 padding: ${padding}pt 2pt 0pt 2pt;
259 border-width: 1px 1px 0 0;
260 border-color: #999999;
265 height: ${header_height}pt;
280 page-break-after: always;
281 height: ${page_height}pt;
285 $html .= "<title>" . htmlspecialchars($frow['name']) . "</title>
286 <script type=\"text/javascript\" src=\"../../library/dialog.js\"></script>
287 <script language=\"JavaScript\">";
290 // Process click on Print button.
292 var divstyle = document.getElementById('hideonprint').style;
293 divstyle.display = 'none';
299 <body bgcolor='#ffffff'>
300 <form name='theform' method='post' action='printed_fee_sheet.php?fill=$form_fill'
301 onsubmit='return opener.top.restoreSession()'>
304 // Set Pagebreak for multi forms
305 if ($form_fill == 2) {
306 $html .= "<div class=pagebreak>\n";
311 $today = date('Y-m-d');
313 $alertmsg = ''; // anything here pops up in an alert box
315 // Get details for the primary facility.
316 $frow = sqlQuery("SELECT * FROM facility WHERE primary_business_entity = 1");
318 // If primary is not set try to old method of guessing...for backward compatibility
320 $frow = sqlQuery("SELECT * FROM facility " .
321 "ORDER BY billing_location DESC, accepts_assignment DESC, id LIMIT 1");
326 $alertmsg = xl("No Primary Business Entity selected in facility list");
329 // Loop on array of PIDS
330 $saved_pages = $pages; //Save calculated page count of a single fee sheet
332 foreach ($pid_list as $pid) {
335 // Get the patient's name and chart number.
336 $patdata = getPatientData($pid);
339 // This tracks our position in the $SBCODES array.
342 while (--$pages >= 0) {
344 $html .= genFacilityTitle(xl('Superbill/Fee Sheet'), -1);
347 <table class='bordertbl' cellspacing='0' cellpadding='0' width='100%'>
350 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
352 <td class='toprow' style='width:10%'></td>
353 <td class='toprow' style='width:10%'></td>
354 <td class='toprow' style='width:25%'></td>
355 <td class='toprow' style='width:55%'></td>
358 $cindex = genColumn($cindex); // Column 1
360 if ($pages == 0) { // if this is the last page
362 <td colspan='3' valign='top' class='fshead' style='height:" . $lheight * 2 . "pt'>";
363 $html .= xl('Patient', 'r');
367 $html .= $patdata['fname'] . ' ' . $patdata['mname'] . ' ' . $patdata['lname'] . "<br />\n";
368 $html .= $patdata['street'] . "<br />\n";
369 $html .= $patdata['city'] . ', ' . $patdata['state'] . ' ' . $patdata['postal_code'] . "\n";
373 <td valign='top' class='fshead'>";
374 $html .= xl('DOB', 'r');
378 $html .= $patdata['DOB'];
380 $html .= xl('ID', 'r');
384 $html .= $patdata['pubpid'];
389 <td colspan='3' valign='top' class='fshead' style='height:${lheight}pt'>";
390 $html .= xl('Doctor', 'r');
394 if ($form_fill && $encounter) {
395 $query = "SELECT fe.reason, fe.date, u.fname, u.mname, u.lname, u.username " .
397 "JOIN form_encounter AS fe ON fe.id = f.form_id " .
398 "LEFT JOIN users AS u ON u.username = f.user " .
399 "WHERE f.pid = '$pid' AND f.encounter = '$encounter' AND f.formdir = 'newpatient' AND f.deleted = 0 " .
400 "ORDER BY f.id LIMIT 1";
401 $encdata = sqlQuery($query);
402 if (!empty($encdata['username'])) {
403 $html .= $encdata['fname'] . ' ' . $encdata['mname'] . ' ' . $encdata['lname'];
408 <td valign='top' class='fshead'>";
409 $html .= xl('Reason', 'r');
412 if (!empty($encdata)) {
413 $html .= $encdata['reason'];
419 <td colspan='4' valign='top' class='fshead' style='height:${lheight}pt'>";
421 if (empty($GLOBALS['ippf_specific'])) {
422 $html .= xl('Insurance', 'r').":";
424 foreach (array('primary', 'secondary', 'tertiary') as $instype) {
425 $query = "SELECT * FROM insurance_data WHERE " .
426 "pid = '$pid' AND type = '$instype' " .
427 "ORDER BY date DESC LIMIT 1";
428 $row = sqlQuery($query);
429 if ($row['provider']) {
430 $icobj = new InsuranceCompany($row['provider']);
431 $adobj = $icobj->get_address();
432 $insco_name = trim($icobj->get_name());
433 if ($instype != 'primary')
436 $html .= " $insco_name";
438 $html .= " <font color='red'><b>Missing Name</b></font>";
444 // IPPF wants a visit date box with the current date in it.
445 $html .= xl('Visit date','r');
446 $html .= ":<br />\n";
447 if (!empty($encdata)) {
448 $html .= substr($encdata['date'], 0, 10);
450 $html .= oeFormatShortDate(date('Y-m-d')) . "\n";
457 <td colspan='4' valign='top' class='fshead' style='height:${lheight}pt'>";
458 $html .= xl('Prior Visit', 'r');
463 <td colspan='4' valign='top' class='fshead' style='height:${lheight}pt'>";
464 $html .= xl('Today\'s Charges', 'r');
469 <td colspan='4' valign='top' class='fshead' style='height:${lheight}pt'>";
470 $html .= xl('Today\'s Balance', 'r');
475 <td colspan='4' valign='top' class='fshead' style='height:${lheight}pt'>";
476 $html .= xl('Notes', 'r');
480 } // end if last page
485 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
487 <td class='toprow' style='width:10%'></td>
488 <td class='toprow' style='width:10%'></td>
489 <td class='toprow' style='width:25%'></td>
490 <td class='toprow' style='width:55%'></td>
493 $cindex = genColumn($cindex); // Column 2
495 if ($pages == 0) { // if this is the last page
497 <td colspan='4' valign='top' class='fshead' style='height:" . $lheight * 8 . "pt'>";
498 $html .= xl('Notes', 'r');
502 } // end if last page
507 <table border='0' cellspacing='0' cellpadding='0' width='100%'>
509 <td class='toprow' style='width:10%'></td>
510 <td class='toprow' style='width:10%'></td>
511 <td class='toprow' style='width:25%'></td>
512 <td class='toprow' style='width:55%'></td>
515 $cindex = genColumn($cindex); // Column 3
517 if ($pages == 0) { // if this is the last page
519 <td valign='top' colspan='4' class='fshead' style='height:" . $lheight * 6 . "pt;border-width:0 1px 0 0'>
524 <td valign='top' colspan='4' class='fshead' style='height:" . $lheight * 2 . "pt'>";
525 $html .= xl('Signature', 'r');
529 } // end if last page
537 $html .= "</div>"; //end of div.pageLetter
540 $pages = $saved_pages; //RESET
544 if ($form_fill != 2) { //use native browser 'print' for multipage
545 $html .= "<div id='hideonprint'>
547 <input type='button' value='";
549 $html .= xl('Print', 'r');
550 $html .="' onclick='printme()' />
560 // Send final result to display