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