src/Services/Cda/CdaTemplateParse.php

   1 <?php
   2
   3 /**
   4  * Qrda and Cda ParseService Class
   5  *
   6  * @package   OpenEMR
   7  * @link      https://www.open-emr.org
   8  * @author    Jerry Padgett <sjpadgett@gmail.com>
   9  * @copyright Copyright (c) 2021 Jerry Padgett <sjpadgett@gmail.com>
  10  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  11  */
  12
  13 namespace OpenEMR\Services\Cda;
  14
  15 use DOMDocument;
  16 use OpenEMR\Events\CDA\CDAPreParseEvent;
  17 use OpenEMR\Events\CDA\CDAPostParseEvent;
  18 use OpenEMR\Services\CodeTypesService;
  19
  20 class CdaTemplateParse
  21 {
  22     private $templateData;
  23     private $codeService;
  24     private $currentOid;
  25     protected $is_qrda_import;
  26
  27     /**
  28      * @var \Symfony\Contracts\EventDispatcher\EventDispatcherInterface
  29      */
  30     private $ed;
  31
  32     public function __construct()
  33     {
  34         $this->templateData = [];
  35         $this->is_qrda_import = false;
  36         $this->codeService = new CodeTypesService();
  37         $this->ed = $GLOBALS['kernel']->getEventDispatcher();
  38     }
  39
  40     public function parseCDAEntryComponents($components): array
  41     {
  42
  43         $components_oids = array(
  44             '2.16.840.1.113883.10.20.22.4.7' => 'allergy',
  45             '2.16.840.1.113883.10.20.22.2.6.1' => 'allergy',
  46             '2.16.840.1.113883.10.20.22.2.1' => 'medication',
  47             '2.16.840.1.113883.10.20.22.2.1.1' => 'medication',
  48             '2.16.840.1.113883.10.20.22.2.5.1' => 'medical_problem',
  49             '2.16.840.1.113883.10.20.22.2.5' => 'medical_problem',
  50             '2.16.840.1.113883.10.20.22.2.2' => 'immunization',
  51             '2.16.840.1.113883.10.20.22.2.2.1' => 'immunization',
  52             '2.16.840.1.113883.3.88.11.83.145' => 'procedure',
  53             '2.16.840.1.113883.10.20.22.2.7.1' => 'procedure',
  54             '2.16.840.1.113883.10.20.22.2.3.1' => 'labResult',
  55             '2.16.840.1.113883.10.20.22.2.3' => 'labResult',
  56             '2.16.840.1.113883.10.20.22.2.4.1' => 'VitalSign',
  57             '2.16.840.1.113883.10.20.22.2.17' => 'socialHistory',
  58             '2.16.840.1.113883.3.88.11.83.127' => 'encounter',
  59             '2.16.840.1.113883.10.20.22.2.22.1' => 'encounter',
  60             '2.16.840.1.113883.10.20.22.2.22' => 'encounter',
  61             '2.16.840.1.113883.10.20.22.4.49' => 'encounter',
  62             '2.16.840.1.113883.10.20.22.2.10' => 'carePlan',
  63             '2.16.840.1.113883.10.20.22.2.60' => 'carePlan',
  64             '2.16.840.1.113883.10.20.22.2.58' => 'carePlan',
  65             '2.16.840.1.113883.10.20.22.2.14' => 'functionalCognitiveStatus',
  66             '2.16.840.1.113883.10.20.22.2.56' => 'functionalCognitiveStatus',
  67             '1.3.6.1.4.1.19376.1.5.3.1.3.1' => 'referral',
  68             '2.16.840.1.113883.10.20.22.2.11.1' => 'dischargeMedications',
  69             '2.16.840.1.113883.10.20.22.2.41' => 'dischargeSummary'
  70         );
  71
  72         $preParseEvent = new CDAPreParseEvent($components);
  73         $this->ed->dispatch($preParseEvent, CDAPreParseEvent::EVENT_HANDLE);
  74
  75         foreach ($preParseEvent->getComponents() as $component) {
  76             if (!empty($component['section']['templateId']['root'])) {
  77                 if (!empty($components_oids[$component['section']['templateId']['root']])) {
  78                     $this->currentOid = $component['section']['templateId']['root'];
  79                     $func_name = $components_oids[$component['section']['templateId']['root']];
  80                     $this->$func_name($component);
  81                     $postParseEvent = new CDAPostParseEvent($func_name, $this->currentOid, $component, $this->templateData);
  82                     $this->ed->dispatch($postParseEvent, CDAPostParseEvent::EVENT_HANDLE);
  83                 }
  84             } elseif (empty($component['section']['templateId'])) {
  85                 // uncomment for debugging information.
  86                 error_log("section and template id empty for " . var_export($component, true));
  87             } elseif (count($component['section']['templateId']) > 1) {
  88                 $this->currentOid = '';
  89                 foreach ($component['section']['templateId'] as $key_1 => $value_1) {
  90                     if (!empty($components_oids[$component['section']['templateId'][$key_1]['root']])) {
  91                         $this->currentOid = $component['section']['templateId'][$key_1]['root'];
  92                         $func_name = $components_oids[$component['section']['templateId'][$key_1]['root']];
  93                         $this->$func_name($component);
  94                         $postParseEvent = new CDAPostParseEvent($func_name, $this->currentOid, $component, $this->templateData);
  95                         $this->ed->dispatch($postParseEvent, CDAPostParseEvent::EVENT_HANDLE);
  96                         break;
  97                     }
  98                 }
  99             }
 100
 101             if (!empty($postParseEvent) && $postParseEvent instanceof CDAPostParseEvent) {
 102                 $this->templateData = $postParseEvent->getTemplateData();
 103             }
 104         }
 105         return $this->templateData;
 106     }
 107
 108     /**
 109      * parsePatientDataSection
 110      *
 111      * @param $entryComponents //An array of QRDA entry templates
 112      * @return array
 113      */
 114     public function parseQRDAPatientDataSection($entryComponents): array
 115     {
 116         $this->is_qrda_import = true;
 117         $qrda_oids = array(
 118             '2.16.840.1.113883.10.20.24.3.147' => 'fetchAllergyIntoleranceObservation',
 119             '2.16.840.1.113883.10.20.24.3.41' => 'fetchMedicationData',  // active medication @todo verify status all meds
 120             '2.16.840.1.113883.10.20.24.3.42' => 'fetchMedicationData',  // Medication Administered Act @todo honor end dates
 121             '2.16.840.1.113883.10.20.24.3.139' => 'fetchMedicationData', // Medication Dispensed Act @todo set med type
 122             '2.16.840.1.113883.10.20.24.3.105' => 'fetchMedicationData', // Medication Discharge Act
 123             '2.16.840.1.113883.10.20.24.3.137' => 'fetchMedicalProblemData',// diagnosis
 124             '2.16.840.1.113883.10.20.24.3.138' => 'fetchMedicalProblemData',// concern symtom
 125             '2.16.840.1.113883.10.20.24.3.140' => 'fetchImmunizationData',  // Immunization Administered (V3)
 126             '2.16.840.1.113883.10.20.22.4.14' => 'fetchProcedureActivityData', // procedure activity-performed 2.16.840.1.113883.10.20.24.3.64
 127             '2.16.840.1.113883.10.20.24.3.7' => 'fetchProcedureDeviceData', // procedure preformed Device Applied
 128             '2.16.840.1.113883.10.20.24.3.32' => 'fetchProcedurePreformedActivity',// procedure activity-intervention
 129             '2.16.840.1.113883.10.20.24.3.38' => 'fetchQrdaLabResultData',  // lab test preformed
 130             '2.16.840.1.113883.10.20.24.3.133' => 'fetchEncounterPerformed',
 131             '2.16.840.1.113883.10.20.24.3.143' => 'fetchCarePlanData',  // Immunization Order Substance Order @todo this is planned or goal MOVE
 132             '2.16.840.1.113883.10.20.24.3.47' => 'fetchCarePlanData', // Plan of Care Medication Substance Observation Activity Ordered
 133             '2.16.840.1.113883.10.20.24.3.130' => 'fetchCarePlanData', // Plan of Care Activity Supply CDA 2.16.840.1.113883.10.20.24.3.43
 134             '2.16.840.1.113883.10.20.24.3.31' => 'fetchCarePlanData', // Plan of Care Activity (act) Intervention Order
 135             '2.16.840.1.113883.10.20.24.3.37' => 'fetchCarePlanData', // Plan of Care Activity Observation Lab order
 136             '2.16.840.1.113883.10.20.24.3.17' => 'fetchCarePlanData', // Plan of Care Activity Observation Diagnostic Study, Order
 137             /**
 138              * CCDA 2.16.840.1.113883.10.20.22.4.13 - Procedure Activity Observation.
 139              * QRDA 2.16.840.1.113883.10.20.24.3.18 Diagnostic Study, Performed,
 140              * QRDA 2.16.840.1.113883.10.20.24.3.59 Physical Exam, Performed
 141              * QRDA '2.16.840.1.113883.10.20.24.3.54' Deceased Observation (V3) is handled in patient data parse.
 142              * */
 143             '2.16.840.1.113883.10.20.24.3.59' => 'fetchPhysicalExamPerformedData', // Physical Exam, Performed observation Vitals
 144             '2.16.840.1.113883.10.20.24.3.18' => 'fetchObservationPerformedData', //
 145             '2.16.840.1.113883.10.20.24.3.144' => 'fetchObservationPerformedData', // Assessment Performed
 146             '2.16.840.1.113883.10.20.24.3.54' => 'fetchDeceasedObservationData', // Deceased Observation (V3)
 147             '2.16.840.1.113883.10.20.24.3.55' => 'fetchPaymentSourceData', // Patient Characteristic Payer
 148         );
 149         foreach ($entryComponents['section']['entry'] as $entry) {
 150             $key = array_keys($entry)[0]; // need the entry template type i.e. observation, activity, substance etc.
 151             if (!empty($entry[$key]['templateId']['root'])) {
 152                 if (!empty($qrda_oids[$entry[$key]['templateId']['root']])) {
 153                     $this->currentOid = $entry[$key]['templateId']['root'];
 154                     $func_name = $qrda_oids[$entry[$key]['templateId']['root']] ?? null;
 155                     if (!empty($func_name)) {
 156                         $this->$func_name($entry);
 157                     }
 158                 } else {
 159                     $text = $entry[$key]['templateId']['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 160                     error_log('Root Missing QDM: ' . $text);
 161                 }
 162             } elseif (count($entry[$key]['templateId'] ?? []) > 1) {
 163                 $key_1 = 1;
 164                 if (!empty($qrda_oids[$entry[$key]['templateId'][$key_1]['root']])) {
 165                     $this->currentOid = $entry[$key]['templateId'][$key_1]['root'];
 166                     $func_name = $qrda_oids[$entry[$key]['templateId'][$key_1]['root']] ?? null;
 167                     if (!empty($func_name)) {
 168                         $this->$func_name($entry);
 169                     } else {
 170                         $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 171                         error_log('Missing Function for: ' . $text);
 172                     }
 173                 } elseif (count($entry[$key]['templateId'] ?? []) > 1) {
 174                     $key_1 = 0;
 175                     if (!empty($qrda_oids[$entry[$key]['templateId'][$key_1]['root']])) {
 176                         $this->currentOid = $entry[$key]['templateId'][$key_1]['root'];
 177                         $func_name = $qrda_oids[$entry[$key]['templateId'][$key_1]['root']] ?? null;
 178                         if (!empty($func_name)) {
 179                             $this->$func_name($entry);
 180                         } else {
 181                             $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 182                             error_log('Missing  Function for: ' . $text);
 183                         }
 184                     } else {
 185                         $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 186                         error_log('Missing QDM: ' . $text);
 187                     }
 188                 } else {
 189                     $text = $entry[$key]['templateId'][$key_1]['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 190                     error_log('Missing QDM: ' . $text);
 191                 }
 192             } elseif (!empty($entry[$key]['root'])) {
 193                 if (!empty($qrda_oids[$entry[$key]['root']])) {
 194                     $this->currentOid = $entry[$key]['root'];
 195                     $func_name = $qrda_oids[$entry[$key]['root']] ?? null;
 196                     if (!empty($func_name)) {
 197                         $this->$func_name($entry);
 198                     }
 199                 } else {
 200                     $text = $entry[$key]['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 201                     error_log('Root Missing QDM: ' . $text);
 202                 }
 203             }
 204         }
 205         if (empty($this->templateData)) {
 206             error_log('Could not find any QDMs in document!');
 207         }
 208         return $this->templateData ?? [];
 209     }
 210
 211     public function parseUnstructuredComponents($xml): array
 212     {
 213         $components = $xml['component'];
 214         $uuid = $xml['recordTarget']['patientRole']['id']['extension'] ?? null;
 215         if (!empty($components[0])) {
 216             foreach ($components as $component) {
 217                 $item = $component['nonXMLBody']['text'];
 218                 $this->fetchFileForImport($item, $uuid);
 219             }
 220         } else {
 221             $item = $components['nonXMLBody']['text'];
 222             $this->fetchFileForImport($item, $uuid);
 223         }
 224
 225         return $this->templateData ?? [];
 226     }
 227
 228     public function fetchFileForImport($component, $uuid): void
 229     {
 230         $i = 1;
 231         if (!empty($this->templateData['field_name_value_array']['import_file'])) {
 232             $i += count($this->templateData['field_name_value_array']['import_file']);
 233         }
 234         $this->templateData['field_name_value_array']['import_file'][$i]['uuid'] = $uuid;
 235         $this->templateData['field_name_value_array']['import_file'][$i]['hash'] = $component['hash'] ?? '';
 236         $this->templateData['field_name_value_array']['import_file'][$i]['mediaType'] = $component['mediaType'] ?? '';
 237         $this->templateData['field_name_value_array']['import_file'][$i]['category'] = $component['category'] ?? '';
 238         $this->templateData['field_name_value_array']['import_file'][$i]['file_name'] = $component['name'] ?? '';
 239         $this->templateData['field_name_value_array']['import_file'][$i]['compression'] = $component['compression'] ?? '';
 240         $this->templateData['field_name_value_array']['import_file'][$i]['content'] = $component['_'] ?? '';
 241
 242         $this->templateData['entry_identification_array']['import_file'][$i] = $i;
 243     }
 244
 245     public function fetchDeceasedObservationData($entry)
 246     {
 247         // handled in patient data parse.
 248         // leave this function to prevent parse errors.
 249     }
 250
 251     public function fetchPaymentSourceData($entry)
 252     {
 253         if (!empty($entry['observation']['effectiveTime']['low']['value'] ?? null)) {
 254             $i = 1;
 255             if (!empty($this->templateData['field_name_value_array']['payer'])) {
 256                 $i += count($this->templateData['field_name_value_array']['payer']);
 257             }
 258             $this->templateData['field_name_value_array']['payer'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
 259             $this->templateData['field_name_value_array']['payer'][$i]['code'] = $entry['observation']['value']['code'] ?? null;
 260             $this->templateData['field_name_value_array']['payer'][$i]['low_date'] = $entry['observation']['effectiveTime']['low']['value'] ?? null;
 261             $this->templateData['field_name_value_array']['payer'][$i]['high_date'] = $entry['observation']['effectiveTime']['high']['value'] ?? null;
 262
 263             $this->templateData['entry_identification_array']['payer'][$i] = $i;
 264         }
 265     }
 266
 267     /**
 268      * @param $entry
 269      */
 270     public function fetchObservationPerformedData($entry): void
 271     {
 272         // was also called from fetchPhysicalExamPerformedData()
 273         if (
 274             !empty($entry['observation']['value']['code'] ?? null)
 275             || !empty($entry['observation']['code']['code'] ?? null)
 276             || (!empty($entry['observation']['value']['nullFlavor'] ?? null) && empty($entry['observation']['value']['code'] ?? null))
 277             || (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null) && ($entry['observation']['entryRelationship']['typeCode'] ?? null) === 'RSON')
 278         ) {
 279             $i = 1;
 280             if (!empty($this->templateData['field_name_value_array']['observation_preformed'])) {
 281                 $i += count($this->templateData['field_name_value_array']['observation_preformed']);
 282             }
 283             $is_negated = !empty($entry['observation']['negationInd'] ?? false);
 284             $ob_type = 'assessment'; // default and 2.16.840.1.113883.10.20.24.3.144
 285             if ($this->currentOid === '2.16.840.1.113883.10.20.24.3.18') {
 286                 $ob_type = 'procedure_diagnostic';
 287             } elseif ($this->currentOid === '2.16.840.1.113883.10.20.24.3.59') {
 288                 $ob_type = 'physical_exam_performed';
 289             }
 290
 291             $ob_code = $entry['observation']['code']['code'];
 292             $ob_system = $entry['observation']['code']['codeSystemName'] ?: ($entry['observation']['code']['codeSystem'] ?? '');
 293             $ob_code_text = $entry['observation']['code']['displayName'] ?? '';
 294             if (($entry['observation']['code']['codeSystemName'] ?? null) == 'CPT4' && !empty($entry['observation']['code']['translation']['code'])) {
 295                 $ob_code = $entry['observation']['code']['translation']['code'];
 296                 $ob_system = $entry['observation']['code']['translation']['codeSystemName'] ?: $entry['observation']['value']['codeSystem'] ?? '';
 297                 $ob_code_text = $entry['observation']['code']['translation']['displayName'] ?? '';
 298             }
 299             $code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 300
 301             $result_code = [];
 302             $result_status = $entry['observation']['statusCode']['code'] ?? '';
 303             $reason_code = [];
 304             $reason_status = '';
 305             if (!empty($entry['observation']['value']['nullFlavor'])) {
 306                 $result_code['formatted_code'] = null;
 307                 $result_code['code_text'] = null;
 308                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 309             } elseif (($entry['observation']['value']['type'] ?? '') === 'CD') {
 310                 $ob_code = $entry['observation']['value']['code'];
 311                 $ob_system = $entry['observation']['value']['codeSystemName'] ?: $entry['observation']['value']['codeSystem'] ?? '';
 312                 $ob_code_text = $entry['observation']['value']['displayName'] ?? '';
 313                 $result_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 314                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 315             } elseif (($entry['observation']['value']['type'] ?? '') === 'PQ') {
 316                 $result_code['formatted_code'] = 'PQ';
 317                 $result_code['code_text'] = $entry['observation']['value']['value'] ?? '';
 318                 $result_unit = $entry['observation']['value']['unit'] ?? '';
 319                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 320             }
 321             if (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null)) {
 322                 // @todo inter to this moodcode RSON in full template!
 323                 $ob_code = $entry['observation']['entryRelationship']['observation']['value']['code'];
 324                 $ob_system = $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '';
 325                 $ob_code_text = $entry['observation']['entryRelationship']['observation']['value']['displayName'] ?? '';
 326                 $reason_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 327                 $reason_status = $entry['observation']['entryRelationship']['observation']['statusCode']['code'] ?? '';
 328             }
 329
 330             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation_type'] = $ob_type;
 331             $this->templateData['field_name_value_array']['observation_preformed'][$i]['extension'] = $entry['observation']['id']['extension'] ?? '';
 332             $this->templateData['field_name_value_array']['observation_preformed'][$i]['root'] = $entry['observation']['id']['root'] ?? '';
 333             $this->templateData['field_name_value_array']['observation_preformed'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? '';
 334             if (!empty($entry['observation']['effectiveTime']['low'])) {
 335                 $this->templateData['field_name_value_array']['observation_preformed'][$i]['date'] = $entry['observation']['effectiveTime']['low'];
 336                 $this->templateData['field_name_value_array']['observation_preformed'][$i]['date_end'] = $entry['observation']['effectiveTime']['high'] ?? null;
 337             }
 338
 339             if (!empty($entry['observation']['code']["nullFlavor"]) && !empty($entry['observation']['code']["valueSet"])) {
 340                 $code['code'] = $entry['observation']['code']["valueSet"] ?? null;
 341                 $code['formatted_code'] = 'OID:' . $entry['observation']['code']["valueSet"] ?? null;
 342                 $code['code_text'] = $entry['observation']['text'] ?? '';
 343             }
 344             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation_status'] = $result_status ?? '';
 345             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation'] = $entry['observation']['text'] ?: $code['code_text'] ?? null;
 346             $this->templateData['field_name_value_array']['observation_preformed'][$i]['code'] = $code['formatted_code'] ?? null;
 347             $this->templateData['field_name_value_array']['observation_preformed'][$i]['code_text'] = $code['code_text'] ?? '';
 348
 349             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_status'] = $result_status ?? '';
 350             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code'] = $result_code['formatted_code'] ?? '';
 351             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code_text'] = $result_code['code_text'] ?? '';
 352             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code_unit'] = $result_unit ?? '';
 353
 354             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_status'] = $is_negated ? 'negated' : ($reason_status ?? '');
 355             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_code'] = $reason_code['formatted_code'] ?? '';
 356             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_code_text'] = $reason_code['code_text'] ?? '';
 357
 358             $this->templateData['entry_identification_array']['observation_preformed'][$i] = $i;
 359         }
 360     }
 361
 362     /**
 363      * @param $entry
 364      */
 365     public function fetchEncounterPerformed($entry): void
 366     {
 367         if ($this->is_qrda_import) {
 368             $entry = $entry['act']['entryRelationship'];
 369         }
 370         if (!empty($entry['encounter']['effectiveTime']['value']) || !empty($entry['encounter']['effectiveTime']['low']['value'])) {
 371             $i = 1;
 372             if (!empty($this->templateData['field_name_value_array']['encounter'])) {
 373                 $i += count($this->templateData['field_name_value_array']['encounter']);
 374             }
 375
 376             $this->templateData['field_name_value_array']['encounter'][$i]['extension'] = $entry['encounter']['id']['extension'] ?? '';
 377             $this->templateData['field_name_value_array']['encounter'][$i]['root'] = $entry['encounter']['id']['root'] ?? '';
 378             $this->templateData['field_name_value_array']['encounter'][$i]['date'] = ($entry['encounter']['effectiveTime']['value'] ?? null) ?: $entry['encounter']['effectiveTime']['low']['value'] ?? null;
 379             $this->templateData['field_name_value_array']['encounter'][$i]['date_end'] = $entry['encounter']['effectiveTime']['high']['value'] ?? null;
 380
 381             $code_type = $entry['encounter']['code']['codeSystemName'] ?? '' ?: $entry['encounter']['code']['codeSystem'] ?? '';
 382             $code_text = $entry['encounter']['code']['displayName'] ?? '';
 383             $code = $this->codeService->resolveCode($entry['encounter']['code']['code'], $code_type, $code_text);
 384             $this->templateData['field_name_value_array']['encounter'][$i]['code'] = $code['formatted_code'];
 385             $this->templateData['field_name_value_array']['encounter'][$i]['code_text'] = $code['code_text'];
 386
 387             $this->templateData['field_name_value_array']['encounter'][$i]['provider_npi'] = $entry['encounter']['performer']['assignedEntity']['id']['extension'] ?? null;
 388             $this->templateData['field_name_value_array']['encounter'][$i]['provider_name'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? ''; // first
 389             $this->templateData['field_name_value_array']['encounter'][$i]['provider_family'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? ''; // last
 390             $this->templateData['field_name_value_array']['encounter'][$i]['provider_address'] = $entry['encounter']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? '';
 391             $this->templateData['field_name_value_array']['encounter'][$i]['provider_city'] = $entry['encounter']['performer']['assignedEntity']['addr']['city'] ?? '';
 392             $this->templateData['field_name_value_array']['encounter'][$i]['provider_state'] = $entry['encounter']['performer']['assignedEntity']['addr']['state'] ?? '';
 393             $this->templateData['field_name_value_array']['encounter'][$i]['provider_postalCode'] = $entry['encounter']['performer']['assignedEntity']['addr']['postalCode'] ?? '';
 394             $this->templateData['field_name_value_array']['encounter'][$i]['provider_country'] = $entry['encounter']['performer']['assignedEntity']['addr']['country'] ?? '';
 395             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_name'] = $entry['encounter']['participant']['participantRole']['playingEntity']['name'] ?? '';
 396             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_address'] = $entry['encounter']['participant']['participantRole']['addr']['streetAddressLine'] ?? '';
 397             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_city'] = $entry['encounter']['participant']['participantRole']['addr']['city'] ?? '';
 398             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_state'] = $entry['encounter']['participant']['participantRole']['addr']['state'] ?? '';
 399             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_zip'] = $entry['encounter']['participant']['participantRole']['addr']['postalCode'] ?? '';
 400             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_country'] = $entry['encounter']['participant']['participantRole']['addr']['country'] ?? '';
 401             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_telecom'] = $entry['encounter']['participant']['participantRole']['telecom'] ?? '';
 402             // encounter diagnosis to issues list
 403             if (count($entry['encounter']['entryRelationship'] ?? []) > 1 && !empty($entry['encounter']['entryRelationship'][0]['act'])) {
 404                 foreach ($entry['encounter']['entryRelationship'] as $k => $act) {
 405                     $code = $this->codeService->resolveCode(
 406                         $act['act']['entryRelationship']['observation']['value']['code'] ?? '',
 407                         ($act['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $act['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 408                         $act['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
 409                     );
 410                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_code'][] = $code['formatted_code'];
 411                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_issue'][] = $code['code_text'];
 412                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'][] = $act['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 413                 }
 414             } else {
 415                 $code = $this->codeService->resolveCode(
 416                     $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['code'] ?? '',
 417                     ($entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 418                     $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
 419                 );
 420                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'] = $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 421                 if (empty($code['code'])) {
 422                     $code = $this->codeService->resolveCode(
 423                         $entry["encounter"]["entryRelationship"]["observation"]["value"]["code"] ?? '',
 424                         ($entry["encounter"]["entryRelationship"]["observation"]["value"]['codeSystemName'] ?? '') ?: $entry["encounter"]["entryRelationship"]["observation"]["value"]['codeSystem'] ?? '',
 425                         $entry["encounter"]["entryRelationship"]["observation"]["value"]['displayName'] ?? ''
 426                     );
 427                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'] = $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 428                 }
 429                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_code'] = $code['formatted_code'];
 430                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_issue'] = $code['code_text'];
 431             }
 432
 433             $discharge = $entry['encounter']['sdtc:dischargeDispositionCode'] ?? null;
 434             $code = '';
 435             if (!empty($discharge)) {
 436                 $code = $this->codeService->getCodeWithType(($discharge['code'] ?? ''), ($discharge['codeSystemName'] ?? ''), true) ?? '';
 437                 $option = $this->codeService->dischargeOptionIdFromCode($code) ?? '';
 438                 if (empty($option)) {
 439                     $code = str_replace(" ", "-", $code); // Because "SNOMED CT" is "SNOMED-CT" in list options
 440                     $option = $this->codeService->dischargeOptionIdFromCode($code) ?? '';
 441                 }
 442             }
 443             $this->templateData['field_name_value_array']['encounter'][$i]['encounter_discharge_code'] = $option ?? '';
 444
 445             $this->templateData['entry_identification_array']['encounter'][$i] = $i;
 446         }
 447     }
 448
 449     /**
 450      * @param $entry
 451      */
 452     public function fetchMedicalProblemData($entry): void
 453     {
 454         if (!empty($entry['act']['entryRelationship']['observation']['value']['code'])) {
 455             $i = 1;
 456             if (!empty($this->templateData['field_name_value_array']['lists1'])) {
 457                 $i += count($this->templateData['field_name_value_array']['lists1']);
 458             }
 459             $classification = 'diagnosis';
 460             if ($this->currentOid == '2.16.840.1.113883.10.20.24.3.138') {
 461                 $classification = 'concern';
 462             }
 463             $this->templateData['field_name_value_array']['lists1'][$i]['subtype'] = $classification;
 464             $code = $this->codeService->resolveCode(
 465                 $entry['act']['entryRelationship']['observation']['value']['code'],
 466                 ($entry['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $entry['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 467                 $entry['act']['entryRelationship']['observation']['value']['displayName']
 468             );
 469             $this->templateData['field_name_value_array']['lists1'][$i]['list_code'] = $code['formatted_code'] ?: $entry['act']['entryRelationship']['observation']['value']['code'] ?? '';
 470             $this->templateData['field_name_value_array']['lists1'][$i]['list_code_text'] = $code['code_text'] ?: $entry['act']['entryRelationship']['observation']['value']['displayName'] ?? '';
 471
 472             $this->templateData['field_name_value_array']['lists1'][$i]['type'] = 'medical_problem';
 473             $this->templateData['field_name_value_array']['lists1'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 474             $this->templateData['field_name_value_array']['lists1'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 475             $this->templateData['field_name_value_array']['lists1'][$i]['begdate'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 476             $this->templateData['field_name_value_array']['lists1'][$i]['enddate'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 477             $this->templateData['field_name_value_array']['lists1'][$i]['observation'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 478             $this->templateData['field_name_value_array']['lists1'][$i]['observation_text'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 479             $this->templateData['field_name_value_array']['lists1'][$i]['status'] = ($entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['displayName'] ?? '') ?: $entry['act']['entryRelationship']['observation']['statusCode'] ?? null;
 480             $this->templateData['field_name_value_array']['lists1'][$i]['modified_time'] = $entry['act']['entryRelationship']['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 481             $this->templateData['entry_identification_array']['lists1'][$i] = $i;
 482         }
 483     }
 484
 485     /**
 486      * @param $entry
 487      */
 488     public function fetchAllergyIntoleranceObservation($entry)
 489     {
 490         if (!empty($entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['code'])) {
 491             $i = 1;
 492             // if there are already items here we want to add to them.
 493             if (!empty($this->templateData['field_name_value_array']['lists2'])) {
 494                 $i += count($this->templateData['field_name_value_array']['lists2']);
 495             }
 496
 497             $this->templateData['field_name_value_array']['lists2'][$i]['type'] = 'allergy';
 498             $this->templateData['field_name_value_array']['lists2'][$i]['extension'] = $entry['act']['id']['extension'] ?? '';
 499             $this->templateData['field_name_value_array']['lists2'][$i]['begdate'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 500             $this->templateData['field_name_value_array']['lists2'][$i]['enddate'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 501             $this->templateData['field_name_value_array']['lists2'][$i]['list_code'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['code'] ?? '';
 502             $this->templateData['field_name_value_array']['lists2'][$i]['list_code_text'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['displayName'];
 503             $this->templateData['field_name_value_array']['lists2'][$i]['codeSystemName'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['codeSystemName'] ?? '';
 504             $this->templateData['field_name_value_array']['lists2'][$i]['outcome'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? '';
 505             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al_code'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['code'] ?? '';
 506             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['code'] ?? '';
 507             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][0]['observation']['value']['displayName'] ?? '';
 508             $this->templateData['field_name_value_array']['lists2'][$i]['reaction'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? '';
 509             $this->templateData['field_name_value_array']['lists2'][$i]['reaction_text'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? '';
 510             $this->templateData['field_name_value_array']['lists2'][$i]['modified_time'] = $entry['act']['entryRelationship']['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 511             $this->templateData['entry_identification_array']['lists2'][$i] = $i;
 512         } elseif (!empty($entry['observation']['participant']['participantRole']['playingEntity']['code']['code'])) {
 513             $i = 1;
 514             // if there are already items here we want to add to them.
 515             if (!empty($this->templateData['field_name_value_array']['lists2'])) {
 516                 $i += count($this->templateData['field_name_value_array']['lists2']);
 517             }
 518
 519             $this->templateData['field_name_value_array']['lists2'][$i]['type'] = 'allergy';
 520             $this->templateData['field_name_value_array']['lists2'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
 521             $this->templateData['field_name_value_array']['lists2'][$i]['begdate'] = $entry['observation']['effectiveTime']['low']['value'] ?? null;
 522             $this->templateData['field_name_value_array']['lists2'][$i]['enddate'] = $entry['observation']['effectiveTime']['high']['value'] ?? null;
 523             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
 524
 525             $code = $this->codeService->resolveCode(
 526                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['code'] ?? null,
 527                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['codeSystemName'] ?? null,
 528                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['displayName'] ?: $entry['observation']['participant']['participantRole']['playingEntity']['name'] ?? null
 529             );
 530             $this->templateData['field_name_value_array']['lists2'][$i]['list_code'] = $code['formatted_code'];
 531             $this->templateData['field_name_value_array']['lists2'][$i]['list_code_text'] = $code['code_text'];
 532             $this->templateData['field_name_value_array']['lists2'][$i]['codeSystemName'] = $code['formatted_code_type'];
 533
 534             $this->templateData['field_name_value_array']['lists2'][$i]['outcome'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 535             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al_code'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 536             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 537             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['observation']['entryRelationship'][0]['observation']['value']['displayName'] ?? null;
 538             $this->templateData['field_name_value_array']['lists2'][$i]['reaction'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 539             $this->templateData['field_name_value_array']['lists2'][$i]['reaction_text'] = $entry['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 540             $this->templateData['field_name_value_array']['lists2'][$i]['modified_time'] = $entry['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 541             $this->templateData['entry_identification_array']['lists2'][$i] = $i;
 542         }
 543     }
 544
 545     /**
 546      * @param $entry
 547      */
 548     public function fetchMedicationData($entry): void
 549     {
 550         // @todo provider not correct.
 551         if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])) {
 552             $i = 1;
 553             if (!empty($this->templateData['field_name_value_array']['lists3'])) {
 554                 $i += count($this->templateData['field_name_value_array']['lists3']);
 555             }
 556
 557             $substanceAdministration_oids = array(
 558                 '2.16.840.1.113883.10.20.24.3.41' => 'active',
 559                 '2.16.840.1.113883.10.20.24.3.42' => 'administered',
 560                 '2.16.840.1.113883.10.20.24.3.139' => 'dispensed',
 561                 '2.16.840.1.113883.10.20.24.3.105' => 'discharge',
 562             );
 563             $request_type = '';
 564             if ($this->is_qrda_import) {
 565                 if (!empty($entry['substanceAdministration']['templateId']['root'])) {
 566                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId']['root']];
 567                 } elseif (!empty($entry['substanceAdministration']['templateId'][1]['root'])) {
 568                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId'][1]['root']];
 569                 }
 570             }
 571
 572             $code = $this->codeService->resolveCode(
 573                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'],
 574                 'RXNORM',
 575                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 576             );
 577
 578             $this->templateData['field_name_value_array']['lists3'][$i]['type'] = 'medication';
 579             $this->templateData['field_name_value_array']['lists3'][$i]['request_type'] = $request_type;
 580             $this->templateData['field_name_value_array']['lists3'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 581             $this->templateData['field_name_value_array']['lists3'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 582
 583             $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = date('Y-m-d');
 584             if (!empty($entry['substanceAdministration']['effectiveTime'][0]['low']['value'])) {
 585                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = $entry['substanceAdministration']['effectiveTime'][0]['low']['value'];
 586                 $this->templateData['field_name_value_array']['lists3'][$i]['enddate'] = $entry['substanceAdministration']['effectiveTime'][0]['high']['value'] ?? null;
 587             } elseif (!empty($entry['substanceAdministration']['effectiveTime']['low']['value'])) {
 588                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = $entry['substanceAdministration']['effectiveTime']['low']['value'];
 589                 $this->templateData['field_name_value_array']['lists3'][$i]['enddate'] = $entry['substanceAdministration']['effectiveTime']['high']['value'] ?? null;
 590             }
 591
 592             $this->templateData['field_name_value_array']['lists3'][$i]['route'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 593             $this->templateData['field_name_value_array']['lists3'][$i]['route_display'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 594             $this->templateData['field_name_value_array']['lists3'][$i]['dose'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 595             $this->templateData['field_name_value_array']['lists3'][$i]['dose_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 596             $this->templateData['field_name_value_array']['lists3'][$i]['rate'] = $entry['substanceAdministration']['rateQuantity']['value'] ?? null;
 597             $this->templateData['field_name_value_array']['lists3'][$i]['rate_unit'] = $entry['substanceAdministration']['rateQuantity']['unit'] ?? null;
 598             $this->templateData['field_name_value_array']['lists3'][$i]['drug_code'] = $code['code'];
 599             $this->templateData['field_name_value_array']['lists3'][$i]['drug_text'] = $code['code_text'];
 600             $this->templateData['field_name_value_array']['lists3'][$i]['note'] = $entry['substanceAdministration']['text']['reference']['value'] ?? null;
 601             $this->templateData['field_name_value_array']['lists3'][$i]['indication'] = $entry['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?? ($entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName'] ?? null);
 602             $this->templateData['field_name_value_array']['lists3'][$i]['prn'] = $entry['substanceAdministration']['precondition']['criterion']['value']['displayName'] ?? null;
 603             $this->templateData['field_name_value_array']['lists3'][$i]['modified_time'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['time']['value'] ?? null;
 604
 605             $this->templateData['field_name_value_array']['lists3'][$i]['provider_title'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['prefix'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'] ?? null);
 606             $this->templateData['field_name_value_array']['lists3'][$i]['provider_fname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'] ?? null);
 607             $this->templateData['field_name_value_array']['lists3'][$i]['provider_lname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'] ?? null);
 608             $this->templateData['field_name_value_array']['lists3'][$i]['provider_root'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'] ?? null;
 609             $this->templateData['field_name_value_array']['lists3'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null);
 610             $this->templateData['field_name_value_array']['lists3'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'] ?? null);
 611             $this->templateData['field_name_value_array']['lists3'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'] ?? null);
 612             $this->templateData['field_name_value_array']['lists3'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'] ?? null);
 613             $this->templateData['field_name_value_array']['lists3'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country']['value'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'] ?? null);
 614             $this->templateData['entry_identification_array']['lists3'][$i] = $i;
 615         }
 616     }
 617
 618     /**
 619      * @param $entry
 620      */
 621     public function fetchImmunizationData($entry): void
 622     {
 623         if (
 624             !empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])
 625             || !empty($entry['substanceAdministration']['negationInd']) == "true"
 626         ) {
 627             $i = 1;
 628             if (!empty($this->templateData['field_name_value_array']['immunization'])) {
 629                 $i += count($this->templateData['field_name_value_array']['immunization']);
 630             }
 631             $this->templateData['field_name_value_array']['immunization'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 632             $this->templateData['field_name_value_array']['immunization'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 633             $this->templateData['field_name_value_array']['immunization'][$i]['administered_date'] = $entry['substanceAdministration']['effectiveTime']['value'] ?: $entry['substanceAdministration']['effectiveTime']['low']['value'] ?? null;
 634             $this->templateData['field_name_value_array']['immunization'][$i]['route_code'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 635             $this->templateData['field_name_value_array']['immunization'][$i]['route_code_text'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 636
 637             $code = $this->codeService->resolveCode(
 638                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'] ?? null,
 639                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? null,
 640                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 641             );
 642             $code = $this->codeService->resolveCode(
 643                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'],
 644                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystem'],
 645                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 646             );
 647             if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["nullFlavor"])) {
 648                 $code['code'] = 'OID:' . $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["valueSet"] ?? null;
 649                 $code['formatted_code'] = 'OID:' . $code['code'];
 650                 $code['code_text'] = $entry['substanceAdministration']['text'] ?? '';
 651             }
 652             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code'] = $code['code'];
 653             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code_text'] = $code['code_text'];
 654             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 655             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 656             $this->templateData['field_name_value_array']['immunization'][$i]['completion_status'] = $entry['substanceAdministration']['statusCode']['code'] ?? null;
 657             $this->templateData['field_name_value_array']['immunization'][$i]['manufacturer'] = $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturerOrganization']['name'] ?? null;
 658             $this->templateData['field_name_value_array']['immunization'][$i]['provider_npi'] = $entry['substanceAdministration']['performer']['assignedEntity']['id']['extension'] ?? null;
 659             $this->templateData['field_name_value_array']['immunization'][$i]['provider_name'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? null;
 660             $this->templateData['field_name_value_array']['immunization'][$i]['provider_family'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? null;
 661             $this->templateData['field_name_value_array']['immunization'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 662             $this->templateData['field_name_value_array']['immunization'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? null;
 663             $this->templateData['field_name_value_array']['immunization'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? null;
 664             $this->templateData['field_name_value_array']['immunization'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 665             $this->templateData['field_name_value_array']['immunization'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country'] ?? null;
 666             $this->templateData['field_name_value_array']['immunization'][$i]['provider_telecom'] = $entry['substanceAdministration']['performer']['assignedEntity']['telecom']['value'] ?? null;
 667             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 668             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization_tele'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['telecom'] ?? null;
 669
 670             if (($entry['substanceAdministration']['entryRelationship'] ?? '') && $entry['substanceAdministration']['entryRelationship']['observation']['value']['code']) {
 671                 $code = $this->codeService->resolveCode(
 672                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['code'],
 673                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 674                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName']
 675                 );
 676                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_code'] = $code['formatted_code'];
 677                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_code_text'] = $code['code_text'];
 678                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
 679                 $date_low = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
 680                 $date_high = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
 681                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_date_low'] = $date_low;
 682                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_date_high'] = $date_high;
 683             }
 684
 685             $this->templateData['field_name_value_array']['immunization'][$i]['reason_status'] = (($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 686             $this->templateData['entry_identification_array']['immunization'][$i] = $i;
 687         }
 688     }
 689
 690     /**
 691      * @param $entry
 692      */
 693     public function fetchProcedureActivityData($entry): void
 694     {
 695         if (
 696             (!empty($entry['procedure']['code']['code']) || !empty($entry['procedure']['code']["nullFlavor"] ?? ''))
 697             && ($entry['procedure']['code']["nullFlavor"] ?? '') != 'NI'
 698         ) {
 699             $i = 1;
 700             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 701                 $i += count($this->templateData['field_name_value_array']['procedure']);
 702             }
 703
 704             $code = $this->codeService->resolveCode(
 705                 $entry['procedure']['code']['code'] ?? '',
 706                 ($entry['procedure']['code']['codeSystemName'] ?? '') ?: $entry['procedure']['code']['codeSystem'] ?? null,
 707                 $entry['procedure']['code']['displayName'] ?? ''
 708             );
 709             if (!empty($entry['procedure']['code']["nullFlavor"]) && !empty($entry['procedure']['code']["valueSet"])) {
 710                 $code['code'] = $entry['procedure']['code']["valueSet"] ?? null;
 711                 $code['formatted_code'] = 'OID:' . $entry['procedure']['code']["valueSet"] ?? null;
 712                 $code['code_text'] = $entry['procedure']['text'] ?? '';
 713             }
 714
 715             $procedure_type = 'order';
 716
 717             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 718             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 719
 720             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['formatted_code'];
 721             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 722             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 723
 724             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 725             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 726
 727             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 728                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 729                 $this->templateData['field_name_value_array']['procedure'][$i]['date_end'] = $entry['procedure']['effectiveTime']['high']['value'] ?? null;
 730             } else {
 731                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 732             }
 733
 734             // check for a reason code if observation.
 735             if (is_array($entry['procedure']['entryRelationship'] ?? '')) {
 736                 $entryRelationship = $entry['procedure']['entryRelationship'][1];
 737             } else {
 738                 $entryRelationship = $entry['procedure']['entryRelationship'] ?? '';
 739             }
 740             if ($entryRelationship['observation']['value']['code'] ?? '') {
 741                 $code = $this->codeService->resolveCode(
 742                     $entryRelationship['observation']['value']['code'],
 743                     $entryRelationship['observation']['value']['codeSystemName'] ?: $entryRelationship['observation']['value']['codeSystem'] ?? '',
 744                     $entryRelationship['observation']['value']['displayName']
 745                 );
 746                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code'] = $code['formatted_code'];
 747                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code_text'] = $code['code_text'];
 748                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
 749                 $date_low = $entryRelationship['observation']['effectiveTime']['low']['value'] ?? null;
 750                 $date_high = $entryRelationship['observation']['effectiveTime']['high']['value'] ?? null;
 751                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_low'] = $date_low;
 752                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_high'] = $date_high;
 753             }
 754
 755             $this->templateData['field_name_value_array']['procedure'][$i]['reason_status'] = (($entry['procedure']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 756
 757             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization1'] = $entry['procedure']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 758             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address1'] = $entry['procedure']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 759             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city1'] = $entry['procedure']['performer']['assignedEntity']['addr']['city'] ?? null;
 760             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state1'] = $entry['procedure']['performer']['assignedEntity']['addr']['state'] ?? null;
 761             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode1'] = $entry['procedure']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 762             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country1'] = $entry['procedure']['performer']['assignedEntity']['addr']['country'] ?? null;
 763             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_telecom1'] = $entry['procedure']['performer']['assignedEntity']['telecom']['value'] ?? null;
 764
 765             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization2'] = $entry['procedure']['participant']['participantRole']['playingEntity']['name'] ?? null;
 766             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address2'] = $entry['procedure']['participant']['participantRole']['addr']['streetAddressLine'] ?? null;
 767             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city2'] = $entry['procedure']['participant']['participantRole']['addr']['city'] ?? null;
 768             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state2'] = $entry['procedure']['participant']['participantRole']['addr']['state'] ?? null;
 769             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode2'] = $entry['procedure']['participant']['participantRole']['addr']['postalCode'] ?? null;
 770             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country2'] = $entry['procedure']['participant']['participantRole']['addr']['country'] ?? null;
 771
 772             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 773         }
 774     }
 775
 776     /**
 777      * @param $entry
 778      */
 779     public function fetchProcedureDeviceData($entry): void
 780     {
 781         if (!empty($entry['procedure']['code']['code']) && (($entry['procedure']['negationInd'] ?? 'false') != 'true')) {
 782             $i = 1;
 783             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 784                 $i += count($this->templateData['field_name_value_array']['procedure']);
 785             }
 786
 787             // future may need device status code
 788             /*$code_proc_type = $this->codeService->resolveCode(
 789                 $entry['procedure']['code']['code'] ?? '',
 790                 $entry['procedure']['code']['codeSystemName'] ?: $entry['procedure']['code']['codeSystem'] ?? null,
 791                 $entry['procedure']['code']['displayName'] ?? ''
 792             );*/
 793
 794             $code = $this->codeService->resolveCode(
 795                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['code'] ?? '',
 796                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['codeSystem'] ?? null,
 797                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['displayName'] ?? ''
 798             );
 799
 800             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = 'device';
 801
 802             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 803
 804             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 805             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 806
 807             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'];
 808             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 809             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 810
 811             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 812                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 813             } else {
 814                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 815             }
 816
 817             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 818         }
 819     }
 820
 821     /**
 822      * @param $entry
 823      */
 824     public function fetchProcedurePreformedActivity($entry): void
 825     {
 826         if (!empty($entry['act']['code']['code']) || $entry['act']['negationInd'] ?? 'false' == 'true') {
 827             $i = 1;
 828             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 829                 $i += count($this->templateData['field_name_value_array']['procedure']);
 830             }
 831
 832             $procedure_type = 'intervention';
 833             if (!empty($entry['act']['templateId'][1]['root']) && $entry['act']['templateId'][1]['root'] == '2.16.840.1.113883.10.20.24.3.32') {
 834                 $procedure_type = 'intervention';
 835             }
 836
 837             $code = $this->codeService->resolveCode(
 838                 $entry['act']['code']['code'] ?? '',
 839                 $entry['act']['code']['codeSystemName'] ?: $entry['act']['code']['codeSystem'] ?? null,
 840                 $entry['act']['code']['displayName'] ?? $entry['act']['text']
 841             );
 842             // negated oid
 843             if (!empty($entry["act"]["code"]["nullFlavor"]) && !empty($entry['act']['code']["valueSet"])) {
 844                 $code['code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
 845                 $code['formatted_code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
 846                 $code['code_text'] = $entry['act']['text'] ?? '';
 847             }
 848
 849             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 850
 851             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['act']['statusCode']['code'] ?? '';
 852
 853             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 854             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 855
 856             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'] ?? '';
 857             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $entry['act']['text'] ?? $code['code_text'] ?? '';
 858             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'] ?? '';
 859
 860             if (!empty($entry['act']['effectiveTime']['low']['value'])) {
 861                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 862                 $this->templateData['field_name_value_array']['procedure'][$i]['date_end'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 863             } else {
 864                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['value'] ?? null;
 865             }
 866
 867             $reason_code = $entry["act"]["entryRelationship"]["observation"]["value"]["code"] ?? null;
 868             if ($reason_code) {
 869                 $reason_system = $entry["act"]["entryRelationship"]["observation"]["value"]["codeSystem"];
 870                 $reason_name = $entry["act"]["entryRelationship"]["observation"]["value"]["codeSystemName"];
 871                 $code = $this->codeService->resolveCode(
 872                     $reason_code,
 873                     $reason_name ?: $reason_system ?? '',
 874                     ''
 875                 );
 876                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code'] = $code['formatted_code'];
 877                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code_text'] = $code['code_text'];
 878                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
 879                 $date_low = $entry["act"]["entryRelationship"]["observation"]['effectiveTime']['low']['value'] ?? null;
 880                 $date_high = $entry["act"]["entryRelationship"]["observation"]['effectiveTime']['high']['value'] ?? null;
 881                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_low'] = $date_low;
 882                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_high'] = $date_high;
 883             }
 884             $this->templateData['field_name_value_array']['procedure'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 885             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 886         }
 887     }
 888
 889     public function allergy($component)
 890     {
 891         if (!empty($component['section']['entry'][0])) {
 892             foreach ($component['section']['entry'] as $key => $value) {
 893                 $this->fetchAllergyIntoleranceObservation($value);
 894             }
 895         } else {
 896             $this->fetchAllergyIntoleranceObservation($component['section']['entry'] ?? null);
 897         }
 898     }
 899
 900     public function medication($component)
 901     {
 902         $component['section']['text'] = '';
 903         if (!empty($component['section']['entry'][0])) {
 904             foreach ($component['section']['entry'] as $key => $value) {
 905                 $this->fetchMedicationData($value);
 906             }
 907         } else {
 908             $this->fetchMedicationData($component['section']['entry'] ?? null);
 909         }
 910     }
 911
 912     public function medical_problem($component)
 913     {
 914         $component['section']['text'] = '';
 915         if (!empty($component['section']['entry'][0])) {
 916             foreach ($component['section']['entry'] as $key => $value) {
 917                 $this->fetchMedicalProblemData($value);
 918             }
 919         } else {
 920             $this->fetchMedicalProblemData($component['section']['entry'] ?? null);
 921         }
 922     }
 923
 924     public function immunization($component)
 925     {
 926         $component['section']['text'] = '';
 927         if (!empty($component['section']['entry'][0])) {
 928             foreach ($component['section']['entry'] as $key => $value) {
 929                 $this->fetchImmunizationData($value);
 930             }
 931         } else {
 932             $this->fetchImmunizationData($component['section']['entry'] ?? '');
 933         }
 934     }
 935
 936     public function procedure($component)
 937     {
 938         $component['section']['text'] = '';
 939         if (!empty($component['section']['entry'][0])) {
 940             foreach ($component['section']['entry'] as $key => $value) {
 941                 if ($key % 3 != 0) {
 942                     // TODO add two additional templates for type if needed in future.
 943                     //continue; //every third entry section has the procedure details
 944                 }
 945
 946                 $this->fetchProcedureActivityData($value);
 947             }
 948         } else {
 949             $this->fetchProcedureActivityData($component['section']['entry'] ?? null);
 950         }
 951     }
 952
 953     public function labResult($component): void
 954     {
 955         $component['section']['text'] = '';
 956
 957         if (!empty($component['section']['entry'][0])) {
 958             foreach ($component['section']['entry'] as $key => $value) {
 959                 $this->fetchLabResultData($value);
 960             }
 961         } else {
 962             $this->fetchLabResultData($component['section']['entry'] ?? null);
 963         }
 964     }
 965
 966     public function fetchLabResultData($lab_result_data): void
 967     {
 968         $i = 1;
 969         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
 970             $i += count($this->templateData['field_name_value_array']['procedure_result']);
 971         }
 972         if (!empty($lab_result_data['organizer']['component'])) {
 973             foreach ($lab_result_data['organizer']['component'] as $key => $value) {
 974                 if (empty($value['observation'])) {
 975                     $value = [$key => $value];
 976                 }
 977                 if (!empty($value['observation']['code']['code'])) {
 978                     $code = $this->codeService->resolveCode(
 979                         $lab_result_data['organizer']['code']['code'] ?? '',
 980                         ($lab_result_data['organizer']['code']['codeSystemName'] ?? '') ?: $lab_result_data['organizer']['code']['codeSystem'] ?? '',
 981                         $lab_result_data['organizer']['code']['displayName'] ?? ''
 982                     );
 983                     if (empty($lab_result_data['organizer']['id']['extension'])) {
 984                         $lab_result_data['organizer']['id']['extension'] = $lab_result_data['organizer']['id']['root'] ?? null;
 985                     }
 986                     $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $lab_result_data['organizer']['id']['extension'] ?? null;
 987                     $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $lab_result_data['organizer']['id']['root'] ?? null;
 988                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $code['formatted_code'] ?? null;
 989                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $code['code_text'] ?? null;
 990                     if (!empty($value['observation']['effectiveTime']['low']['value'])) {
 991                         $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $value['observation']['effectiveTime']['low']['value'];
 992                     } else {
 993                         $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $value['observation']['effectiveTime']['value'] ?? null;
 994                     }
 995
 996                     $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $lab_result_data['organizer']['statusCode']['code'] ?? null;
 997
 998                     if (empty($value['observation']['id']['extension'])) {
 999                         $value['observation']['id']['extension'] = $value['observation']['id']['root'] ?? null;
1000                     }
1001                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
1002                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
1003                     // @TODO code lookup here
1004                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $value['observation']['code']['code'] ?? null;
1005                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $value['observation']['code']['displayName'] ?? null;
1006                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
1007                     if ($value['observation']['value']['type'] == 'ST') {
1008                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['_'] ?? null;
1009                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = 'UNK'; // must be set to save
1010                     } elseif ($value['observation']['value']['type'] == 'CO') {
1011                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['displayName'] ?? null;
1012                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
1013                     } else {
1014                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
1015                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
1016                     }
1017                     if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
1018                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
1019                     } else {
1020                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
1021                     }
1022
1023                     $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1024                     $i++;
1025                 }
1026             }
1027         }
1028     }
1029
1030     public function fetchQrdaLabResultData($entry)
1031     {
1032         $i = 1;
1033         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
1034             $i += count($this->templateData['field_name_value_array']['procedure_result']);
1035         }
1036         if (!empty($entry['observation']['code']['code'])) {
1037             $code = $this->codeService->resolveCode(
1038                 $entry['observation']['code']['code'] ?? '',
1039                 $entry['observation']['code']['codeSystemName'] ?: $entry['observation']['code']['codeSystem'] ?? '',
1040                 $entry['observation']['code']['displayName'] ?? ''
1041             );
1042
1043             $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
1044             $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $entry['observation']['id']['root'] ?? null;
1045             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $code['formatted_code'];
1046             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $code['code_text'];
1047
1048             if (!empty($entry['observation']['effectiveTime']['low']['value'])) {
1049                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $entry['observation']['effectiveTime']['low']['value'];
1050             } else {
1051                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? null;
1052             }
1053             $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
1054
1055             $value = $entry['observation']['entryRelationship'] ?? null;
1056             if (!empty($value)) {
1057                 // find the result template
1058                 foreach ($entry['observation'] as $key => $find_value) {
1059                     // check if a ccda result template
1060                     $flag = false;
1061                     foreach ($find_value as $key1 => $val) {
1062                         if (is_array($val)) {
1063                             if ($val['templateId'][0]['root'] == '2.16.840.1.113883.10.20.22.4.2') {
1064                                 $flag = true;
1065                                 break;
1066                             }
1067                             if ($val['observation']['templateId'][0]['root'] == '2.16.840.1.113883.10.20.22.4.2') {
1068                                 $flag = true;
1069                                 $value = $val;
1070                                 break;
1071                             }
1072                         }
1073                     }
1074                     if ($flag) {
1075                         break;
1076                     }
1077                 }
1078             }
1079             if (empty($value)) {
1080                 $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1081                 return;
1082             }
1083             $code = $this->codeService->resolveCode(
1084                 $value['observation']['code']['code'] ?? null,
1085                 $value['observation']['code']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1086                 $value['observation']['code']['displayName'] ?? ''
1087             );
1088             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $code['formatted_code'];
1089             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $code['code_text'];
1090
1091             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
1092             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
1093             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
1094             if ($value['observation']['value']['type'] == 'ST') {
1095                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['_'] ?? null;
1096                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = 'UNK'; // must be set to save
1097             } else {
1098                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
1099                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
1100             }
1101
1102             if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
1103                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
1104             } else {
1105                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . '-' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
1106             }
1107
1108             $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1109         }
1110     }
1111
1112     public function VitalSign($component)
1113     {
1114         $component['section']['text'] = '';
1115         if (!empty($component['section']['entry'][0])) {
1116             foreach ($component['section']['entry'] as $key => $value) {
1117                 $this->fetchVitalSignData($value);
1118             }
1119         } else {
1120             $this->fetchVitalSignData($component['section']['entry'] ?? null);
1121         }
1122     }
1123
1124     public function fetchVitalSignData($vital_sign_data)
1125     {
1126         if (!empty($vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'])) {
1127             $i = 1;
1128             if (!empty($this->templateData['field_name_value_array']['vital_sign'])) {
1129                 $i += count($this->templateData['field_name_value_array']['vital_sign']);
1130             }
1131             $this->templateData['field_name_value_array']['vital_sign'][$i]['extension'] = $vital_sign_data['organizer']['id']['extension'] ?? null;
1132             $this->templateData['field_name_value_array']['vital_sign'][$i]['root'] = $vital_sign_data['organizer']['id']['root'] ?? null;
1133             $this->templateData['field_name_value_array']['vital_sign'][$i]['date'] = $vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'] ?? null;
1134             $vitals_array = array(
1135                 '8310-5' => 'temperature',
1136                 '8462-4' => 'bpd',
1137                 '8480-6' => 'bps',
1138                 '8287-5' => 'head_circ',
1139                 '8867-4' => 'pulse',
1140                 '8302-2' => 'height',
1141                 '2710-2' => 'oxygen_saturation',
1142                 '9279-1' => 'respiration',
1143                 '3141-9' => 'weight',
1144                 '39156-5' => 'BMI'
1145             );
1146
1147             for ($j = 0; $j < 9; $j++) {
1148                 $code = $vital_sign_data['organizer']['component'][$j]['observation']['code']['code'] ?? null;
1149                 if (!empty($vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'])) {
1150                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bps'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][0]['observation']['value']['value'] ?? null;
1151                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bpd'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][1]['observation']['value']['value'] ?? null;
1152                 } else {
1153                     if (array_key_exists($code, $vitals_array)) {
1154                         $this->templateData['field_name_value_array']['vital_sign'][$i][$vitals_array[$code]] = $vital_sign_data['organizer']['component'][$j]['observation']['value']['value'] ?? null;
1155                     }
1156                 }
1157             }
1158
1159             $this->templateData['entry_identification_array']['vital_sign'][$i] = $i;
1160         }
1161     }
1162
1163     public function fetchPhysicalExamPerformedData($entry)
1164     {
1165         // create an observation for this exam.
1166         $this->fetchObservationPerformedData($entry);
1167         // and a vital in vital forms.
1168         if (
1169             (!empty($entry['observation']['effectiveTime']['value']) && !empty($entry['observation']['value']['value']))
1170             || (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null) && ($entry['observation']['entryRelationship']['typeCode'] ?? null) === 'RSON')
1171         ) {
1172             $i = 1;
1173             if (!empty($this->templateData['field_name_value_array']['vital_sign'])) {
1174                 $cnt = count($this->templateData['field_name_value_array']['vital_sign'] ?? []);
1175                 $v_date = $entry['observation']['effectiveTime']['value'] ?? null;
1176                 for ($c = 1; $c <= $cnt; $c++) {
1177                     if ($this->templateData['field_name_value_array']['vital_sign'][$c]['date'] == $v_date) {
1178                         $i = 0;
1179                         $cnt = $c;
1180                         break;
1181                     }
1182                 }
1183                 $i += $cnt;
1184             }
1185             $this->templateData['field_name_value_array']['vital_sign'][$i]['extension'] = $entry['organizer']['id']['extension'] ?? null;
1186             $this->templateData['field_name_value_array']['vital_sign'][$i]['root'] = $entry['organizer']['id']['root'] ?? null;
1187             $this->templateData['field_name_value_array']['vital_sign'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? null;
1188             $vitals_array = array(
1189                 '8310-5' => 'temperature',
1190                 '8462-4' => 'bpd',
1191                 '8480-6' => 'bps',
1192                 '8287-5' => 'head_circ',
1193                 '8867-4' => 'pulse',
1194                 '8302-2' => 'height',
1195                 '2710-2' => 'oxygen_saturation', // deprecated code
1196                 '59408-5' => 'oxygen_saturation',
1197                 '9279-1' => 'respiration',
1198                 '3141-9' => 'weight',
1199                 '29463-7' => 'weight', // with clothes
1200                 '39156-5' => 'BMI'
1201             );
1202             $is_negated = !empty($entry['observation']['negationInd'] ?? false);
1203             $code = $entry['observation']['code']['code'] ?? null;
1204             if (array_key_exists($code, $vitals_array)) {
1205                 $this->templateData['field_name_value_array']['vital_sign'][$i][$vitals_array[$code]] = $entry['observation']['value']['value'] ?? null;
1206                 $this->templateData['field_name_value_array']['vital_sign'][$i]['vital_column'] = $vitals_array[$code] ?? '';
1207             } else {
1208                 // log missed exam
1209                 error_log('Missed Physical Exam code (likely vital): ' . $code);
1210             }
1211
1212             if (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null)) {
1213                 // @todo inter to this moodcode RSON in full template!
1214                 $ob_code = $entry['observation']['entryRelationship']['observation']['value']['code'];
1215                 $ob_system = $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '';
1216                 $ob_code_text = $entry['observation']['entryRelationship']['observation']['value']['displayName'] ?? '';
1217                 $reason_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
1218                 $reason_status = $entry['observation']['entryRelationship']['observation']['statusCode']['code'] ?? '';
1219             }
1220
1221             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_status'] = $is_negated ? 'negated' : ($reason_status ?? '');
1222             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_code'] = $reason_code['formatted_code'] ?? '';
1223             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_code_text'] = $reason_code['code_text'] ?? '';
1224
1225             $this->templateData['entry_identification_array']['vital_sign'][$i] = $i;
1226         }
1227     }
1228
1229     public function socialHistory($component)
1230     {
1231         $component['section']['text'] = '';
1232         if (!empty($component['section']['entry'][0])) {
1233             foreach ($component['section']['entry'] as $key => $value) {
1234                 $this->fetchSocialHistoryData($value);
1235             }
1236         } else {
1237             $this->fetchSocialHistoryData($component['section']['entry'] ?? null);
1238         }
1239     }
1240
1241     public function fetchSocialHistoryData($social_history_data)
1242     {
1243         if (!empty($social_history_data['observation']['value']['code'])) {
1244             $social_history_array = array(
1245                 '2.16.840.1.113883.10.20.22.4.78' => 'smoking'
1246             );
1247             $i = 0;
1248             $code = $social_history_data['observation']['templateId']['root'] ?? '';
1249             if (!empty($this->templateData['field_name_value_array']['social_history'])) {
1250                 foreach ($this->templateData['field_name_value_array']['social_history'] as $key => $value) {
1251                     if (!array_key_exists($social_history_array[$code], $value)) {
1252                         $i = $key;
1253                     } else {
1254                         $i = count($this->templateData['field_name_value_array']['social_history']) + 1;
1255                     }
1256                 }
1257             }
1258
1259             if (!empty($this->templateData['field_name_value_array']['social_history'])) {
1260                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['extension'] = $social_history_data['observation']['id']['extension'];
1261                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['root'] = $social_history_data['observation']['id']['root'];
1262                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['status'] = $social_history_data['observation']['value']['code'];
1263                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['begdate'] = $social_history_data['observation']['effectiveTime']['low']['value'];
1264                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['enddate'] = $social_history_data['observation']['effectiveTime']['high']['value'];
1265                 $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['value'] = $social_history_data['observation']['value']['displayName'];
1266             }
1267
1268             $this->templateData['entry_identification_array']['social_history'][$i] = $i;
1269         }
1270     }
1271
1272     public function encounter($component)
1273     {
1274         $component['section']['text'] = '';
1275         if ($component['section']['entry'][0]) {
1276             foreach ($component['section']['entry'] as $key => $value) {
1277                 $this->fetchEncounterPerformed($value);
1278             }
1279         } else {
1280             $this->fetchEncounterPerformed($component['section']['entry']);
1281         }
1282
1283         unset($component);
1284         return;
1285     }
1286
1287     public function carePlan($component)
1288     {
1289         if ($this->currentOid != '2.16.840.1.113883.10.20.22.2.58') {
1290             $component['section']['text'] = null;
1291         }
1292         if (!empty($component['section']['entry'][0])) {
1293             foreach ($component['section']['entry'] as $key => $value) {
1294                 $this->fetchCarePlanData($value, $component['section']['text']);
1295             }
1296         } else {
1297             $this->fetchCarePlanData($component['section']['entry'] ?? null, $component['section']['text']);
1298         }
1299     }
1300
1301     public function fetchCarePlanData($entry, $section_text = '')
1302     {
1303         $plan_type = 'plan_of_care';
1304         if ($this->currentOid == '2.16.840.1.113883.10.20.24.3.31') {
1305             $plan_type = 'intervention';
1306         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.37') {
1307             $plan_type = 'test_or_order';
1308         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.143' || $this->currentOid == '2.16.840.1.113883.10.20.24.3.47') {
1309             $plan_type = 'planned_medication_activity';
1310         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.130') {
1311             $plan_type = 'supply_order';
1312             if (($entry["act"]["entryRelationship"]["supply"]["templateId"][1]["root"] ?? null) == '2.16.840.1.113883.10.20.24.3.9') {
1313                 $plan_type = 'device_order';
1314             }
1315         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.22.2.60') {
1316             $plan_type = 'goal';
1317         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.22.2.58') {
1318             $plan_type = 'health_concern';
1319         }
1320
1321         $i = 1;
1322
1323         if (
1324             (!empty($entry['act']['code']['code']) && $plan_type == 'device_order')
1325             || (($entry['act']['negationInd'] ?? 'false') == 'true' && $plan_type == 'device_order')
1326         ) {
1327             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1328                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1329             }
1330
1331             $device_code = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["code"];
1332             $device_system = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["codeSystem"];
1333             $device_name = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["codeSystemName"];
1334
1335             $code = $this->codeService->resolveCode(
1336                 $device_code,
1337                 $device_name ?: $device_system ?? null,
1338                 ''
1339             );
1340
1341             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1342             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['act']['templateId']['extension'];
1343             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['act']['templateId']['root'];
1344             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1345             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1346             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry["act"]["entryRelationship"]["supply"]['text'] ?? $code['code_text'];
1347             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['act']['effectiveTime']['center']['value'] ?? $entry["act"]["entryRelationship"]["supply"]['author']['time']['value'] ?? null;
1348
1349             // reason
1350             $reason_code = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["code"] ?? null;
1351             if ($reason_code) {
1352                 $reason_system = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["codeSystem"];
1353                 $reason_name = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["codeSystemName"];
1354                 $code = $this->codeService->resolveCode(
1355                     $reason_code,
1356                     $reason_name ?: $reason_system ?? '',
1357                     ''
1358                 );
1359                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1360                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1361                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
1362                 $date_low = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]['effectiveTime']['low']['value'] ?? null;
1363                 $date_high = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]['effectiveTime']['high']['value'] ?? null;
1364                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1365                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1366             }
1367             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1368             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1369         } elseif (!empty($entry['act']['code']['code']) || ($entry['act']['negationInd'] ?? 'false') == 'true') {
1370             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1371                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1372             }
1373
1374             $code = $this->codeService->resolveCode(
1375                 $entry['act']['code']['code'] ?? '',
1376                 ($entry['act']['code']['codeSystemName'] ?? null) ?: $entry['act']['code']['codeSystem'] ?? null,
1377                 $entry['act']['code']['displayName'] ?? $entry['act']['text']
1378             );
1379             if (!empty($entry["act"]["code"]["nullFlavor"]) && !empty($entry['act']['code']["valueSet"])) {
1380                 $code['code'] = $entry["act"]["code"]["valueSet"] ?? null;
1381                 $code['formatted_code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
1382                 $code['code_text'] = $entry['act']['text'] ?? '';
1383             }
1384             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1385             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['act']['templateId']['extension'] ?? '';
1386             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['act']['templateId']['root'] ?? '';
1387             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1388             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1389             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry['act']['text'] ?? $code['code_text'];
1390             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['act']['effectiveTime']['center']['value'] ?? $entry['act']['author']['time']['value'] ?? null;
1391
1392             // negate
1393             if ($entry['act']['entryRelationship']['observation']['value']['code']) {
1394                 $code = $this->codeService->resolveCode(
1395                     $entry['act']['entryRelationship']['observation']['value']['code'],
1396                     $entry['act']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1397                     $entry['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
1398                 );
1399                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1400                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1401                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
1402                 $date_low = $entry['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1403                 $date_high = $entry['act']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1404                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1405                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1406             }
1407             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1408             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1409         } elseif (!empty($entry['observation']['code']['code']) || ($entry['observation']['negationInd'] ?? 'false') == 'true') { // it's an observation template
1410             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1411                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1412             }
1413
1414             $code = $this->codeService->resolveCode(
1415                 $entry['observation']['code']['code'] ?? null,
1416                 $entry['observation']['code']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1417                 $entry['observation']['code']['displayName'] ?? ''
1418             );
1419             if (!empty($entry['observation']['code']["nullFlavor"]) && !empty($entry['observation']['code']["valueSet"])) {
1420                 $code['code'] = $entry['observation']['code']["valueSet"] ?? null;
1421                 $code['formatted_code'] = 'OID:' . $entry['observation']['code']["valueSet"] ?? null;
1422                 $code['code_text'] = $entry['observation']['text'] ?? '';
1423             }
1424             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1425             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
1426             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['observation']['id']['root'] ?? null;
1427             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1428             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1429
1430             $text = $section_text ?: ($entry['observation']['text'] ?? null);
1431             if (empty($text)) {
1432                 if ($entry['observation']['value']['type'] == 'ST') {
1433                     $text = $entry['observation']['value']['_'];
1434                 } elseif ($entry['observation']['value']['type'] == 'CO') {
1435                     $text = $entry['observation']['value']['displayName'];
1436                 }
1437             }
1438             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $text ?: ($code['code_text'] ?? null);
1439             // TODO unsure why the author was used for plan date just be aware
1440             //$this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['observation']['author']['time']['value'] ?? null;
1441             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? $entry['observation']['author']['time']['value'] ?? null;
1442
1443             // check for a reason code if observation.
1444             if ($entry['observation']['entryRelationship']['observation']['value']['code']) {
1445                 $code = $this->codeService->resolveCode(
1446                     $entry['observation']['entryRelationship']['observation']['value']['code'],
1447                     $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1448                     $entry['observation']['entryRelationship']['observation']['value']['displayName']
1449                 );
1450                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1451                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1452                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
1453                 $date_low = $entry['observation']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1454                 $date_high = $entry['observation']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1455                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1456                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1457             }
1458
1459             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['observation']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1460             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1461         } elseif (
1462             !empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])
1463             || ($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true'
1464         ) {
1465             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1466                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1467             }
1468
1469             //$plan_type = 'substance_medication_order';
1470             $code = $this->codeService->resolveCode(
1471                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'] ?? '',
1472                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? ($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystem'] ?? ''),
1473                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName'] ?? ''
1474             );
1475             if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["nullFlavor"])) {
1476                 $code['code'] = $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["valueSet"] ?? null;
1477                 $code['formatted_code'] = 'OID:' . $code['code'];
1478                 $code['code_text'] = $entry['substanceAdministration']['text'] ?? '';
1479             }
1480
1481             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1482             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
1483             ;
1484             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
1485             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1486             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1487             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry['substanceAdministration']['text'] ?? $code['code_text'];
1488
1489             $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = null;
1490             if (!empty($entry['substanceAdministration']['effectiveTime']['low']['value'])) {
1491                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime']['low']['value'];
1492                 $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = $entry['substanceAdministration']['effectiveTime']['high']['value'] ?? null;
1493             } elseif (!empty($entry['substanceAdministration']['effectiveTime'][0]['low']['value'])) {
1494                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime'][0]['low']['value'];
1495                 $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = $entry['substanceAdministration']['effectiveTime'][0]['high']['value'] ?? null;
1496             } elseif (!empty($entry['substanceAdministration']['effectiveTime']['value'])) {
1497                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime']['value'];
1498             } else {
1499                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = date('Y-m-d');
1500             }
1501
1502             if ($entry['substanceAdministration']['entryRelationship']['observation']['value']['code']) {
1503                 $code = $this->codeService->resolveCode(
1504                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['code'],
1505                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1506                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName'] ?? ''
1507                 );
1508                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1509                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1510                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
1511                 $date_low = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1512                 $date_high = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1513                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1514                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1515             }
1516
1517             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1518             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1519         }
1520     }
1521
1522     public function functionalCognitiveStatus($component)
1523     {
1524         if ($this->currentOid != '2.16.840.1.113883.10.20.22.2.56') {
1525             $component['section']['text'] = '';
1526         }
1527         $ccnt = 0;
1528         if ($component['section']['entry'][0] ?? '') {
1529             foreach ($component['section']['entry'] as $key => $value) {
1530                 if (!empty($component['section']['text'][$ccnt])) {
1531                     $this->fetchFunctionalCognitiveStatusData($value, $component['section']['text'][$ccnt]);
1532                 }
1533                 $ccnt++;
1534             }
1535         } else {
1536             $this->fetchFunctionalCognitiveStatusData($component['section']['entry'] ?? '', $component['section']['text']);
1537         }
1538     }
1539
1540     public function fetchFunctionalCognitiveStatusData($entry, $section_text = null)
1541     {
1542         $cognitive = '0';
1543
1544         if ($this->currentOid == '2.16.840.1.113883.10.20.22.2.56') {
1545             $cognitive = '1';
1546             return;
1547         }
1548         if (!empty($entry['observation']['value']['code'])) {
1549             $i = 1;
1550             if (!empty($this->templateData['field_name_value_array']['functional_cognitive_status'])) {
1551                 $i += count($this->templateData['field_name_value_array']['functional_cognitive_status']);
1552             }
1553
1554             $code = $this->codeService->resolveCode(
1555                 $entry['observation']['value']['code'] ?? null,
1556                 $value['observation']['value']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1557                 $value['observation']['value']['displayName'] ?? ''
1558             );
1559             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['cognitive'] = $cognitive;
1560             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['extension'] = $entry['observation']['id']['extension'];
1561             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['root'] = $entry['observation']['id']['root'];
1562             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['date'] = $entry['observation']['effectiveTime']['low']['value'];
1563             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code'] = $code['formatted_code'];
1564             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code_text'] = $section_text ?: $code['code_text'];
1565             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['description'] = $section_text ?: $code['code_text'];
1566             $this->templateData['entry_identification_array']['functional_cognitive_status'][$i] = $i;
1567         } elseif (!empty($entry['organizer']['code']['code'])) {
1568             // a CCDA template
1569             $i = 1;
1570             if (!empty($this->templateData['field_name_value_array']['functional_cognitive_status'])) {
1571                 $i += count($this->templateData['field_name_value_array']['functional_cognitive_status']);
1572             }
1573
1574             foreach ($entry['organizer']['component'] as $k => $fscomponent) {
1575                 // patient self-status @todo why am I sending an independent status by default.
1576                 if (($fscomponent["observation"]["templateId"]["root"] ?? null) == "2.16.840.1.113883.10.20.22.4.128") {
1577                     continue;
1578                 }
1579                 $code = $this->codeService->resolveCode(
1580                     $fscomponent['observation']['value']['code'] ?? null,
1581                     $fscomponent['observation']['value']['codeSystem'] ?? '',
1582                     $fscomponent['observation']['value']['displayName'] ?? ''
1583                 );
1584
1585                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['cognitive'] = $cognitive;
1586                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['extension'] = $fscomponent['observation']['id']['extension'];
1587                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['root'] = $fscomponent['observation']['id']['root'];
1588                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['date'] = $fscomponent['observation']['effectiveTime']['value'];
1589                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code'] = $fscomponent['observation']['value']['code'] ?? $code['formatted_code'] ?? null;
1590                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code_text'] = $fscomponent['observation']['value']['displayName'] ?? $code['code_text'] ?? null;
1591                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['description'] = $fscomponent['observation']['value']['displayName'] ?? $code['code_text'] ?? null;
1592                 ;
1593                 $this->templateData['entry_identification_array']['functional_cognitive_status'][$i] = $i;
1594             }
1595         }
1596     }
1597
1598     public function referral($component)
1599     {
1600         if ($component['section']['entry'][0] ?? '') {
1601             foreach ($component['section']['entry'] as $key => $value) {
1602                 $this->fetchReferralData($value);
1603             }
1604         } else {
1605             $this->fetchReferralData($component['section']);
1606         }
1607     }
1608
1609     public function fetchReferralData($referral_data)
1610     {
1611         if (!empty($referral_data['text']['paragraph']) && is_array($referral_data['text']['paragraph'])) {
1612             $i = 1;
1613             foreach ($referral_data['text']['paragraph'] as $key => $value) {
1614                 if ($value) {
1615                     $this->templateData['field_name_value_array']['referral'][$i]['body'] = preg_replace('/\s+/', ' ', $value);
1616                     $this->templateData['entry_identification_array']['referral'][$i] = $i;
1617                     $i++;
1618                 }
1619             }
1620         } else {
1621             $i = 1;
1622             if (!empty($this->templateData['field_name_value_array']['referral'])) {
1623                 $i += count($this->templateData['field_name_value_array']['referral']);
1624             }
1625             $this->templateData['field_name_value_array']['referral'][$i]['root'] = $referral_data['templateId']['root'] ?? '';
1626             $this->templateData['field_name_value_array']['referral'][$i]['body'] = (!empty($referral_data['text']['paragraph'])) ? preg_replace('/\s+/', ' ', $referral_data['text']['paragraph']) : '';
1627
1628             $this->templateData['entry_identification_array']['referral'][$i] = $i;
1629         }
1630
1631         return;
1632     }
1633
1634     public function dischargeMedications($component)
1635     {
1636         $component['section']['text'] = '';
1637         if ($component['section']['entry'][0]) {
1638             foreach ($component['section']['entry'] as $key => $value) {
1639                 $this->fetchDischargeMedicationsData($value);
1640             }
1641         } else {
1642             $this->fetchDischargeMedicationsData($component['section']['entry']);
1643         }
1644     }
1645
1646     public function fetchDischargeMedicationsData($discharge_medications_data)
1647     {
1648         $i = 1;
1649         if (!empty($this->templateData['field_name_value_array']['discharge_medication'])) {
1650             $i += count($this->templateData['field_name_value_array']['discharge_medication']);
1651         }
1652         $this->templateData['field_name_value_array']['discharge_medication'][$i]['extension'] = $discharge_medications_data['act']['id']['extension'];
1653         $this->templateData['field_name_value_array']['discharge_medication'][$i]['root'] = $discharge_medications_data['act']['id']['root'];
1654         $this->templateData['field_name_value_array']['discharge_medication'][$i]['begdate'] = $discharge_medications_data['act']['effectiveTime']['low']['value'];
1655         $this->templateData['field_name_value_array']['discharge_medication'][$i]['enddate'] = $discharge_medications_data['act']['effectiveTime']['high']['value'];
1656         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['code'];
1657         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route_display'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['displayName'];
1658         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['value'];
1659         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['unit'];
1660         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['value'];
1661         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['unit'];
1662         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_code'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'];
1663         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_text'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName'];
1664         $this->templateData['field_name_value_array']['discharge_medication'][$i]['note'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['text']['reference']['value'];
1665         $this->templateData['field_name_value_array']['discharge_medication'][$i]['indication'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?: $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship']['observation']['value']['displayName'];
1666         $this->templateData['field_name_value_array']['discharge_medication'][$i]['prn'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['precondition']['criterion']['value']['displayName'];
1667
1668         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_title'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'];
1669         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_fname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'];
1670         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_lname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'];
1671         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_root'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'];
1672         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_address'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'];
1673         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_city'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'];
1674         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_state'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'];
1675         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_postalCode'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'];
1676         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_country'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'];
1677         $this->templateData['entry_identification_array']['discharge_medication'][$i] = $i;
1678         unset($discharge_medications_data);
1679         return;
1680     }
1681
1682     public function dischargeSummary($component)
1683     {
1684         if ($component['section']['entry'][0]) {
1685             foreach ($component['section']['entry'] as $key => $value) {
1686                 $this->fetchDischargeSummaryData($value);
1687             }
1688         } else {
1689             $this->fetchDischargeSummaryData($component['section']);
1690         }
1691
1692         unset($component);
1693         return;
1694     }
1695
1696     public function fetchDischargeSummaryData($discharge_summary_data)
1697     {
1698         $i = 1;
1699         if (!empty($this->templateData['field_name_value_array']['discharge_summary'])) {
1700             $i += count($this->templateData['field_name_value_array']['discharge_summary']);
1701         }
1702         $this->templateData['field_name_value_array']['discharge_summary'][$i]['root'] = $discharge_summary_data['templateId']['root'];
1703         $text = preg_replace('/\s+/', ' ', $discharge_summary_data['text']['content']);
1704         for ($j = 0, $jMax = count($discharge_summary_data['text']['list']['item']); $j < $jMax; $j++) {
1705             if (is_array($discharge_summary_data['text']['list']['item'][$j])) {
1706                 for ($k = 0, $kMax = count($discharge_summary_data['text']['list']['item'][$j]['list']['item']); $k < $kMax; $k++) {
1707                     $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]['list']['item'][$k]);
1708                 }
1709             } else {
1710                 $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]);
1711             }
1712         }
1713
1714         $this->templateData['field_name_value_array']['discharge_summary'][$i]['text'] = $text;
1715
1716         $this->templateData['entry_identification_array']['discharge_summary'][$i] = $i;
1717     }
1718 }