custom/qrda_category1_functions.php

   1 <?php
   2 /**
   3  *
   4  * QRDA Functions
   5  *
   6  * Copyright (C) 2015 Ensoftek, Inc
   7  *
   8  * LICENSE: This program is free software; you can redistribute it and/or
   9  * modify it under the terms of the GNU General Public License
  10  * as published by the Free Software Foundation; either version 2
  11  * of the License, or (at your option) any later version.
  12  * This program is distributed in the hope that it will be useful,
  13  * but WITHOUT ANY WARRANTY; without even the implied warranty of
  14  * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
  15  * GNU General Public License for more details.
  16  * You should have received a copy of the GNU General Public License
  17  * along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
  18  *
  19  * @package OpenEMR
  20  * @author  Ensoftek
  21  * @link    http://www.open-emr.org
  22  */
  23 // This program exports report to QRDA Category I 2014 XML format.
  24
  25
  26         function mainQrdaCatOneGenerate($xml, $patient_id, $rule_id, $provider_id){
  27                 //Open Main Clinical Document
  28                 $xml->open_clinicaldocument();
  29
  30                 //Header Function
  31                 getHeaderQRDA1($xml, $patient_id, $provider_id);
  32
  33                 //Component Function
  34                 getComponentQRDA1($xml, $patient_id, $rule_id);
  35
  36                 //Close Main Clinical Document
  37                 $xml->close_clinicaldocument();
  38
  39                 //Downloaded XML
  40                 $xmlDynFileName = downloadQRDACat1($xml, $patient_id, $rule_id);
  41
  42                 return $xmlDynFileName;
  43         }
  44
  45         //Main Header Function
  46         function getHeaderQRDA1($xml, $patient_id, $provider_id){
  47                 global $mainQrdaRaceCodeArr, $mainEthiCodeArr, $from_date, $to_date;
  48
  49                 //Patient Info
  50                 if($patient_id != ""){
  51                         $patientRow = getPatData($patient_id);
  52                 }
  53                 //User Info
  54                 $userRow = getUsrDataCheck($provider_id);
  55                 $facility_name = $userRow['facility'];
  56                 $facility_id = $userRow['facility_id'];
  57
  58                 //Facility Info
  59                 if($facility_id != "")
  60                         $facilResRow = getFacilDataChk($facility_id);
  61
  62                 ####################### HEADER ELEMENTS START ##########################################
  63
  64                 $xml->self_realmcode();
  65
  66                 $xml->self_typeid();
  67
  68                 $tempId = '2.16.840.1.113883.10.20.22.1.1';
  69                 $xml->self_templateid($tempId);
  70
  71                 $tempId = '2.16.840.1.113883.10.20.24.1.1';
  72                 $xml->self_templateid($tempId);
  73
  74                 $tempId = '2.16.840.1.113883.10.20.24.1.2';
  75                 $xml->self_templateid($tempId);
  76
  77                 $tempId = '2.16.840.1.113883.10.20.24.1.3';
  78                 $xml->self_templateid($tempId);
  79
  80                 $xml->unique_id = getUuid();
  81                 $xml->self_id();
  82
  83                 $arr = array('code'=>'55182-0', 'displayName'=>'Quality Measure Report', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
  84                 $xml->self_codeCustom($arr);
  85
  86                 //Main Title Display to XML
  87                 $main_title = "QRDA Category-I Report";
  88                 $xml->add_title($main_title);
  89
  90                 //Effective date and time
  91                 $eff_datetime = date('Ymdhis', strtotime($from_date));
  92                 $xml->self_efftime($eff_datetime);
  93
  94                 $xml->self_confidentcode();
  95
  96                 //Language
  97                 $xml->self_lang();
  98
  99                 //Record Target Elements
 100                 $xml->open_recordTarget();
 101
 102                 //patientRole Open
 103                 $xml->open_customTag('patientRole');
 104
 105                 $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.572', 'extension' =>'112233'));
 106
 107                 $xml->add_patientAddress($patientRow);
 108
 109                 if($patientRow['phone_home'] != "")
 110                         $xml->self_customTag('telecom', array('value' => $patientRow['phone_home'], 'use'=>'HP'));
 111
 112                 $xml->open_customTag('patient');
 113
 114                 $patNameArr = array('fname' =>$patientRow['fname'], 'lname'=>$patientRow['lname']);
 115                 $xml->add_patName($patNameArr);
 116
 117                 if($patientRow['sex'] == "Male") $gender = "M";
 118                 else if($patientRow['sex'] == "Female") $gender = "F";
 119                 $xml->self_customTag('administrativeGenderCode', array('codeSystem' => '2.16.840.1.113883.18.2', 'code' =>$gender));
 120
 121                 $xml->self_customTag('birthTime', array('value' =>date('Ymd', strtotime($patientRow['DOB']))));
 122
 123                 if($mainQrdaRaceCodeArr[$patientRow['race']] == "") $mainQrdaRaceCodeArr[$patientRow['race']] = "2131-1";
 124                 $xml->self_customTag('raceCode', array('codeSystem' =>'2.16.840.1.113883.6.238', 'code' => $mainQrdaRaceCodeArr[$patientRow['race']]));
 125                 $xml->self_customTag('ethnicGroupCode', array('codeSystem' =>'2.16.840.1.113883.6.238', 'code' => $mainEthiCodeArr[$patientRow['ethnicity']]));
 126
 127                 //patient Close
 128                 $xml->close_customTag();
 129
 130                 //patientRole Close
 131                 $xml->close_customTag();
 132
 133                 $xml->close_recordTarget();
 134
 135                 ############### Author Info Start#######################
 136                 $xml->open_author();
 137
 138                 //Author time
 139                 $auth_dtime = date('Ymdhis');
 140                 $xml->self_authorTime($auth_dtime);
 141
 142                 //Assigned Author
 143                 $xml->open_assignAuthor();
 144                 $xml->self_customTag('id', array('root' =>'2.16.840.1.113883.4.6', 'extension' => $userRow['npi']));
 145                 $xml->add_patientAddress($facilResRow);
 146                 $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 147
 148                 //assignedAuthoringDevice Start
 149                 $xml->open_customTag('assignedAuthoringDevice');
 150                 $xml->element('manufacturerModelName', 'DrCloudEMR');
 151                 $xml->element('softwareName', 'DrCloudEMR');
 152                 //assignedAuthoringDevice Close
 153                 $xml->close_customTag();
 154
 155                 $xml->close_assignAuthor();
 156                 ################## Author Info End ##########################
 157
 158                 $xml->close_author();
 159                 ############### Author Info End#######################
 160
 161                 ############### Custodian Info Start #######################
 162                 $xml->open_custodian();
 163                 $xml->open_assgnCustodian();
 164                 $xml->add_represtCustodianOrginisation($facilResRow);
 165                 $xml->close_assgnCustodian();
 166                 $xml->close_custodian();
 167                 ############### Custodian Info End #######################
 168
 169                 ############### Legal Authenticator Start#######################
 170                 $xml->open_legalAuthenticator();
 171                 $auth_dtime = date('Ymdhis');
 172                 $xml->self_authorTime($auth_dtime);
 173                 $xml->self_legalSignCode();
 174
 175                 $xml->open_assignedEntity();
 176                 $assignedEntityId = getUuid();
 177                 $xml->self_customId($assignedEntityId);
 178                 $xml->add_facilAddress($facilResRow);
 179                 $xml->self_customTag('telecom', array('value' => $facilResRow['phone'], 'use'=>'WP'));
 180                 $xml->open_customTag('assignedPerson');
 181
 182                 //Provider Name
 183                 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 184                 $xml->add_providerName($userNameArr);
 185
 186                 //assignedPerson Close
 187                 $xml->close_customTag();
 188
 189                 //Represent Origination Name
 190                 $xml->add_authReprestOrginisation($facilResRow);
 191                 $xml->close_assignedEntity();
 192
 193                 $xml->close_legalAuthenticator();
 194                 ############### Legal Authenticator End#######################
 195
 196                 ############### documentationOf  START  #######################
 197                 $xml->open_customTag('documentationOf');
 198
 199                 $xml->open_customTag('serviceEvent', array('classCode'=>'PCPR'));
 200
 201                 $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 202                 $xml->add_entryEffectTime($timeArr);
 203
 204                 $xml->open_customTag('performer', array('typeCode'=>'PRF'));
 205
 206                 $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 207                 $xml->add_entryTime($timeArr);
 208
 209                 $xml->open_customTag('assignedEntity');
 210
 211                 $npi_provider = $userRow['npi'];
 212                 $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' =>$npi_provider));
 213
 214                 if($userRow['phone'] != ""){
 215                         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 216                 }
 217
 218                 $xml->open_customTag('assignedPerson');
 219
 220                 //Provider Name
 221                 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 222                 $xml->add_providerName($userNameArr);
 223
 224                 //assignedPerson Close
 225                 $xml->close_customTag();
 226
 227                 $xml->open_customTag('representedOrganization');
 228
 229                 $tin_provider = $userRow['federaltaxid'];
 230                 if($tin_provider != ""){
 231                         $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' =>$tin_provider));
 232                 }
 233
 234                 $xml->add_facilName($facility_name);
 235
 236                 $xml->add_facilAddress($facilResRow);
 237
 238                 //representedOrganization Close
 239                 $xml->close_customTag();
 240
 241                 //assignedEntity Close
 242                 $xml->close_customTag();
 243
 244                 //performer Close
 245                 $xml->close_customTag();
 246
 247                 //serviceEvent Close
 248                 $xml->close_customTag();
 249
 250                 //documentationOf Close
 251                 $xml->close_customTag();
 252                 ############### documentationOf  END  #######################
 253                 ####################### HEADER ELEMENTS END #########################################
 254         }
 255
 256         //Component Function
 257         function getComponentQRDA1($xml, $patient_id, $rule_id){
 258                 //Component Open
 259                 $xml->open_mainComponent();
 260
 261                 //structuredBody Open
 262                 $xml->open_structuredBody();
 263
 264                 //Measure Section
 265                 getMeasureSection($xml, $rule_id);
 266
 267                 //Reporting Parameters
 268                 getReportingParam($xml);
 269
 270                 //Patient Data
 271                 getQRDACat1PatientData($xml, $patient_id);
 272
 273                 //structuredBody Close
 274                 $xml->close_structuredBody();
 275
 276                 //Component Close
 277                 $xml->close_mainComponent();
 278         }
 279
 280         //Patient Data
 281         function getQRDACat1PatientData($xml, $patient_id){
 282                 $xml->open_loopComponent();
 283                 $xml->open_section();
 284
 285                 $tempID = '2.16.840.1.113883.10.20.17.2.4';
 286                 $xml->self_templateid($tempID);
 287
 288                 $tempID = '2.16.840.1.113883.10.20.24.2.1';
 289                 $xml->self_templateid($tempID);
 290
 291                 $arr = array('code'=>'55188-7', 'codeSystem'=>'2.16.840.1.113883.6.1');
 292                 $xml->self_codeCustom($arr);
 293
 294                 $title = "Patient Data";
 295                 $xml->add_title($title);
 296
 297                 $xml->element('text', "Patient Data");
 298
 299                 //Insurance(Payer) Info
 300                 payerQRDA($xml, $patient_id);
 301
 302                 //Patient History Info
 303                 patCharactersticQRDA($xml, $patient_id);
 304
 305                 //Encounter Section
 306                 getAllPatientEncounters($xml, $patient_id);
 307
 308                 //Physical Exams(vitals)
 309                 getAllPhysicalExams($xml, $patient_id);
 310
 311                 //Diagnosis (Medical Problems)
 312                 getAllMedicalProbs($xml, $patient_id);
 313
 314                 //Medications
 315                 getAllMedications($xml, $patient_id);
 316
 317                 //Immunization
 318                 getAllImmunization($xml, $patient_id);
 319
 320                 //Procedures
 321                 getAllProcedures($xml, $patient_id);
 322
 323                 //Risk Category Assessment
 324                 getAllRiskCatAssessment($xml, $patient_id);
 325
 326                 $xml->close_section();
 327                 $xml->close_loopComponent();
 328         }
 329
 330         //Immunization
 331         function getAllImmunization($xml, $patient_id){
 332                 global $from_date, $to_date;
 333                 $medArr = allImmuPat($patient_id, $from_date, $to_date);
 334
 335                 foreach($medArr as $medRow){
 336                         //Entry open
 337                         $xml->open_entry();
 338
 339                         //act open
 340                         $xml->open_customTag('act', array('classCode'=>'ACT', 'moodCode'=>'EVN'));
 341
 342                         $tempID = "2.16.840.1.113883.10.20.24.3.42";
 343                         $xml->self_templateid($tempID);
 344
 345                         $refID = getUuid();
 346                         $xml->self_customId($refID);
 347
 348                         $arr = array('code'=>'416118004', 'codeSystemName'=>'SNOMED CT', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName' => 'Administration');
 349                         $xml->self_codeCustom($arr);
 350
 351                         if($medRow['status'] == "" || $medRow['status'] == "not_completed")
 352                                 $statusChk = "active";
 353                         else
 354                                 $statusChk = "completed";
 355
 356                         $arr = array('code'=>$statusChk);
 357                         $xml->self_customTag('statusCode', $arr);
 358
 359                         $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['administered_date'])), 'high'=>date('Ymdhis', strtotime($medRow['administered_date'])));
 360                         $xml->add_entryEffectTimeQRDAMed($timeArr);
 361
 362                         $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
 363
 364                         //substanceAdministration Open
 365                         $xml->open_customTag('substanceAdministration', array('classCode'=>'SBADM', 'moodCode'=>'EVN'));
 366
 367                         $tempID = "2.16.840.1.113883.10.20.22.4.16";
 368                         $xml->self_templateid($tempID);
 369
 370                         //$tempID = "2.16.840.1.113883.10.20.24.3.41";
 371                         //$xml->self_templateid($tempID);
 372
 373                         $refID = getUuid();
 374                         $xml->self_customId($refID);
 375
 376                         $arr = array('code'=>$statusChk);
 377                         $xml->self_customTag('statusCode', $arr);
 378
 379                         $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['administered_date'])), 'high'=>date('Ymdhis', strtotime($medRow['administered_date'])));
 380                         $xml->add_entryEffectTimeQRDAMed($timeArr);
 381
 382                         //consumable open
 383                         $xml->open_customTag('consumable');
 384
 385                         //manufacturedProduct Open
 386                         $xml->open_customTag('manufacturedProduct', array('classCode'=>'MANU'));
 387
 388                         $tempID = "2.16.840.1.113883.10.20.22.4.23";
 389                         $xml->self_templateid($tempID);
 390
 391                         $actId = getUuid();
 392                         $xml->self_customId($actId);
 393
 394                         //manufacturedMaterial open
 395                         $xml->open_customTag('manufacturedMaterial');
 396
 397                         $arr = array('code'=>$medRow['cvx_code'], 'codeSystem'=>'2.16.840.1.113883.12.292');
 398                         $xml->self_codeCustom($arr);
 399
 400                         //manufacturerOrganization open
 401                         /*$xml->open_customTag('manufacturerOrganization');
 402
 403                         $xml->element('name', 'Medication, Administered Vaccine');
 404
 405                         //manufacturerOrganization Close
 406                         $xml->close_customTag();*/
 407
 408                         //manufacturedMaterial Close
 409                         $xml->close_customTag();
 410
 411                         //manufacturedProduct Close
 412                         $xml->close_customTag();
 413
 414                         //consumable Close
 415                         $xml->close_customTag();
 416
 417                         //substanceAdministration Close
 418                         $xml->close_customTag();
 419
 420                         //entryRelationship Close
 421                         $xml->close_customTag();
 422
 423                         //act Close
 424                         $xml->close_customTag();
 425
 426                         //Entry close
 427                         $xml->close_entry();
 428                 }
 429         }
 430
 431         function getAllPhysicalExams($xml, $patient_id){
 432                 global $encCheckUniqId, $from_date, $to_date;
 433
 434                 $vitArr = allVitalsPat( $patient_id, $from_date, $to_date);
 435
 436                 foreach($vitArr as $vitRow){
 437                         //Entry open
 438                         $xml->open_entry();
 439
 440                         //observation Open
 441                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 442
 443                         $tempID = "2.16.840.1.113883.10.20.22.4.2";
 444                         $xml->self_templateid($tempID);
 445
 446                         $tempID = "2.16.840.1.113883.10.20.24.3.57";
 447                         $xml->self_templateid($tempID);
 448
 449                         //$refID = getUuid();
 450                         $refID = $encCheckUniqId[$vitRow['encounter']];
 451                         $xml->self_customId($refID);
 452
 453                         $arr = array('code'=>'8480-6', 'codeSystem'=>'2.16.840.1.113883.6.1');
 454                         //code Open
 455                         $xml->open_customTag('code', $arr);
 456                         $xml->element('originalText', "Physical Exam(BPS)");
 457                         //code Close
 458                         $xml->close_customTag();
 459
 460                         $xml->element('text', "Physical Exam(BPS)");
 461
 462                         $arr = array('code'=>'completed');
 463                         $xml->self_customTag('statusCode', $arr);
 464
 465                         $timeArr = array('low'=>date('Ymdhis', strtotime($vitRow['date'])), 'high'=>date('Ymdhis', strtotime($vitRow['date'])));
 466                         $xml->add_entryEffectTimeQRDA($timeArr);
 467
 468                         $xml->self_customTag('value', array('xsi:type'=>'PQ', 'value'=>$vitRow['bps'], 'unit' => 'mmHg'));
 469
 470                         //observation Close
 471                         $xml->close_customTag();
 472
 473                         //Entry close
 474                         $xml->close_entry();
 475                 }
 476         }
 477
 478         function getAllRiskCatAssessment($xml, $patient_id){
 479                 global $encCheckUniqId, $from_date, $to_date;
 480                 $procArr = allProcPat("Risk Category Assessment", $patient_id, $from_date, $to_date);
 481                 foreach($procArr as $procRow){
 482                         //Entry open
 483                         $xml->open_entry();
 484
 485                         //observation Open
 486                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 487
 488                         $tempID = "2.16.840.1.113883.10.20.22.4.69";
 489                         $xml->self_templateid($tempID);
 490
 491                         $tempID = "2.16.840.1.113883.10.20.24.3.69";
 492                         $xml->self_templateid($tempID);
 493
 494                         //$refID = getUuid();
 495                         $refID = $encCheckUniqId[$procRow['encounter']];
 496                         $xml->self_customId($refID);
 497
 498                         $arr = array('code'=>$procRow['procedure_code'], 'codeSystem'=>'2.16.840.1.113883.6.1');
 499                         //code Open
 500                         $xml->open_customTag('code', $arr);
 501                         $xml->element('originalText', $procRow['procedure_name']);
 502                         //code Close
 503                         $xml->close_customTag();
 504
 505                         $xml->element('text', $procRow['procedure_name']);
 506
 507                         $arr = array('code'=>'completed');
 508                         $xml->self_customTag('statusCode', $arr);
 509
 510                         $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 511                         $xml->add_entryEffectTimeQRDA($timeArr);
 512
 513                         $xml->self_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'UNK'));
 514
 515                         //observation Close
 516                         $xml->close_customTag();
 517
 518                         //Entry close
 519                         $xml->close_entry();
 520                 }
 521         }
 522
 523         function getAllProcedures($xml, $patient_id){
 524                 global $encCheckUniqId, $from_date, $to_date;
 525                 $procArr = allProcPat("Procedure", $patient_id, $from_date, $to_date);
 526                 foreach($procArr as $procRow){
 527                         //Entry open
 528                         $xml->open_entry();
 529
 530                         //procedure Open
 531                         $xml->open_customTag('procedure', array('classCode'=>'PROC', 'moodCode'=>'EVN'));
 532
 533                         $tempID = "2.16.840.1.113883.10.20.24.3.64";
 534                         $xml->self_templateid($tempID);
 535
 536                         $tempID = "2.16.840.1.113883.10.20.22.4.14";
 537                         $xml->self_templateid($tempID);
 538
 539                         //$refID = getUuid();
 540                         $refID = $encCheckUniqId[$procRow['encounter']];
 541                         $xml->self_customId($refID);
 542
 543                         $arr = array('code'=>$procRow['procedure_code'], 'codeSystem'=>'2.16.840.1.113883.6.96');
 544                         //code Open
 545                         $xml->open_customTag('code', $arr);
 546                         $xml->element('originalText', $procRow['procedure_name']);
 547                         //code Close
 548                         $xml->close_customTag();
 549
 550                         $xml->element('text', $procRow['procedure_name']);
 551
 552                         $arr = array('code'=>'completed');
 553                         $xml->self_customTag('statusCode', $arr);
 554
 555                         $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 556                         $xml->add_entryEffectTimeQRDA($timeArr);
 557
 558                         //procedure Close
 559                         $xml->close_customTag();
 560
 561                         //Entry close
 562                         $xml->close_entry();
 563                 }
 564         }
 565
 566         function getAllMedications($xml, $patient_id){
 567                 global $from_date, $to_date;
 568                 $medArr = allListsPat('medication', $patient_id, $from_date, $to_date);
 569
 570                 foreach($medArr as $medRow){
 571                         //Entry open
 572                         $xml->open_entry();
 573
 574                         //substanceAdministration Open
 575                         $xml->open_customTag('substanceAdministration', array('classCode'=>'SBADM', 'moodCode'=>'RQO'));
 576
 577                         $tempID = "2.16.840.1.113883.10.20.22.4.42";
 578                         $xml->self_templateid($tempID);
 579
 580                         $tempID = "2.16.840.1.113883.10.20.24.3.47";
 581                         $xml->self_templateid($tempID);
 582
 583                         $refID = getUuid();
 584                         $xml->self_customId($refID);
 585
 586                         $activeChk = "new";
 587                         $endate = $medRow['begdate'];
 588                         if($medRow['enddate']!= ""){
 589                                 $activeChk = "completed";
 590                                 $endate = $medRow['enddate'];
 591                         }
 592                         $arr = array('code'=>$activeChk);
 593                         $xml->self_customTag('statusCode', $arr);
 594
 595                         $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['begdate'])), 'high'=>date('Ymdhis', strtotime($endate)));
 596                         $xml->add_entryEffectTimeQRDAMed($timeArr);
 597
 598                         /*if($medRow['enddate'] == ""){
 599                                 if($medRow['drug_interval'] != "" && $medRow['drug_interval'] != "0")
 600                                         $xml->emptyelement('repeatNumber', array('value'=>$medRow['drug_interval']));
 601
 602                                 if($medRow['quantity'] != "")
 603                                         $xml->emptyelement('doseQuantity', array('value'=>$medRow['quantity']));
 604
 605                                 if($medRow['units'] != "" && $medRow['size_type'] != "")
 606                                         $xml->emptyelement('rateQuantity', array('units'=>$medRow['size_type'], 'value'=>$medRow['units']));
 607                         }*/
 608
 609                         //consumable open
 610                         $xml->open_customTag('consumable');
 611
 612                         //manufacturedProduct Open
 613                         $xml->open_customTag('manufacturedProduct', array('classCode'=>'MANU'));
 614
 615                         $tempID = "2.16.840.1.113883.10.20.22.4.23";
 616                         $xml->self_templateid($tempID);
 617
 618                         $actId = getUuid();
 619                         $xml->self_customId($actId);
 620
 621                         //manufacturedMaterial open
 622                         $xml->open_customTag('manufacturedMaterial');
 623
 624                         $arr = array('code'=>'197454', 'codeSystem'=>'2.16.840.1.113883.6.88');
 625                         $xml->self_codeCustom($arr);
 626
 627                         //manufacturerOrganization open
 628                         /*$xml->open_customTag('manufacturerOrganization');
 629
 630                         $xml->element('name', 'Medication Factory Inc.');
 631
 632                         //manufacturerOrganization Close
 633                         $xml->close_customTag();*/
 634
 635                         //manufacturedMaterial Close
 636                         $xml->close_customTag();
 637
 638                         //manufacturedProduct Close
 639                         $xml->close_customTag();
 640
 641                         //consumable Close
 642                         $xml->close_customTag();
 643
 644                         //substanceAdministration Close
 645                         $xml->close_customTag();
 646
 647                         //Entry close
 648                         $xml->close_entry();
 649                 }
 650         }
 651
 652         //Medical problems
 653         function getAllMedicalProbs($xml, $patient_id){
 654                 global $from_date, $to_date;
 655                 $diagArr = allListsPat('medical_problem', $patient_id, $from_date, $to_date);
 656
 657                 foreach($diagArr as $diagRow){
 658                         $diagExpArr = explode(";", $diagRow['diagnosis']);
 659                         /*foreach($diagExpArr as $diagExpVal){
 660                                 $diagDisp = explode(":", $diagExpVal);
 661                                 if($diagDisp[0] == "ICD9" || $diagDisp[0] == "ICD10") continue;
 662                                 $diagDispCode = $diagDisp[1];
 663                         }*/
 664
 665                         $diagDisp = explode(":", $diagExpArr[0]);
 666                         $diagDispCode = str_replace(".", "",$diagDisp[1]);
 667
 668                         //Entry open
 669                         $xml->open_entry();
 670
 671                         //observation Open
 672                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 673
 674                         $tempID = "2.16.840.1.113883.10.20.22.4.4";
 675                         $xml->self_templateid($tempID);
 676
 677                         $tempID = "2.16.840.1.113883.10.20.24.3.11";
 678                         $xml->self_templateid($tempID);
 679
 680                         $refID = getUuid();
 681                         $xml->self_customId($refID);
 682
 683                         $arr = array('code'=>'282291009', 'codeSystemName'=>'SNOMED-CT', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName' => 'diagnosis');
 684                         $xml->self_codeCustom($arr);
 685
 686                         $xml->textDispContent($diagRow['title']);
 687
 688                         $activeChk = "active";
 689                         $endate = $diagRow['begdate'];
 690                         if($diagRow['enddate']!= ""){
 691                                 $activeChk = "completed";
 692                                 $endate = $diagRow['enddate'];
 693                         }
 694
 695                         $arr = array('code'=>$activeChk);
 696                         $xml->self_customTag('statusCode', $arr);
 697
 698                         $timeArr = array('low'=>date('Ymdhis', strtotime($diagRow['begdate'])), 'high'=>date('Ymdhis', strtotime($endate)));
 699                         $xml->add_entryEffectTime($timeArr);
 700
 701                         $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$diagDispCode, 'codeSystem'=>'2.16.840.1.113883.6.96'));
 702
 703                         //entryRelationship Open
 704                         $xml->open_customTag('entryRelationship', array('typeCode'=>'REFR'));
 705
 706                         //observation Open
 707                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 708
 709                         $tempID = "2.16.840.1.113883.10.20.22.4.6";
 710                         $xml->self_templateid($tempID);
 711
 712                         $tempID = "2.16.840.1.113883.10.20.24.3.94";
 713                         $xml->self_templateid($tempID);
 714
 715                         $refID = getUuid();
 716                         $xml->self_customId($refID);
 717
 718                         $arr = array('code'=>'33999-4', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName' => 'LOINC', 'displayName' => 'status');
 719                         $xml->self_codeCustom($arr);
 720
 721                         $arr = array('code'=>$activeChk);
 722                         $xml->self_customTag('statusCode', $arr);
 723
 724                         $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>'55561003', 'displayName' => 'active', 'codeSystem' => '2.16.840.1.113883.6.96', 'codeSystemName' => 'SNOMED CT'));
 725
 726                         //observation Close
 727                         $xml->close_customTag();
 728
 729                         //entryRelationship Close
 730                         $xml->close_customTag();
 731
 732                         //observation Close
 733                         $xml->close_customTag();
 734
 735                         //Entry close
 736                         $xml->close_entry();
 737                 }
 738         }
 739
 740         //Encounters function
 741         function getAllPatientEncounters($xml, $patient_id){
 742                 global $encCheckUniqId, $from_date, $to_date;
 743                 $encArr = allEncPat($patient_id, $from_date, $to_date);
 744
 745                 foreach($encArr as $encRow){
 746                         $encRow['encounter'];
 747                         //Entry open
 748                         $xml->open_entry();
 749
 750                         //Encounter Open
 751                         $xml->open_customTag('encounter', array('classCode'=>'ENC', 'moodCode'=>'EVN'));
 752
 753                         $tempID = "2.16.840.1.113883.10.20.22.4.49";
 754                         $xml->self_templateid($tempID);
 755
 756                         $tempID = "2.16.840.1.113883.10.20.24.3.23";
 757                         $xml->self_templateid($tempID);
 758
 759                         $refID = getUuid();
 760                         $xml->self_customId($refID);
 761                         $encCheckUniqId[$encRow['encounter']] = $refID;
 762
 763                         $arr = array('code'=>'99201', 'codeSystem'=>'2.16.840.1.113883.6.12');
 764                         $xml->self_codeCustom($arr);
 765
 766                         $arr = array('code'=>'completed');
 767                         $xml->self_customTag('statusCode', $arr);
 768
 769                         $timeArr = array('low'=>date('Ymdhis', strtotime($encRow['date'])), 'high'=>date('Ymdhis', strtotime($encRow['date'])));
 770                         $xml->add_entryEffectTime($timeArr);
 771
 772                         //Encounter Close
 773                         $xml->close_customTag();
 774
 775                         //Entry close
 776                         $xml->close_entry();
 777                 }
 778
 779         }
 780
 781         //Patient Data Sub Function for Payer Data
 782         function payerQRDA($xml, $patient_id){
 783                 global $mainQrdaPayerCodeSendArr, $from_date, $to_date;
 784
 785                 //Insurance getting
 786                 $payer = payerPatient($patient_id);
 787
 788                 //Entry open
 789                 $xml->open_entry();
 790
 791                 //observation Open
 792                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 793
 794                 $tempID = "2.16.840.1.113883.10.20.24.3.55";
 795                 $xml->self_templateid($tempID);
 796
 797                 $actId = getUuid();
 798                 $xml->self_customId($actId);
 799
 800                 $arr = array('code'=>'48768-6', 'displayName'=>'Payment source', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
 801                 $xml->self_codeCustom($arr);
 802
 803                 $arr = array('code'=>'completed');
 804                 $xml->self_customTag('statusCode', $arr);
 805
 806                 $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 807                 $xml->add_entryEffectTime($timeArr);
 808
 809                 $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$mainQrdaPayerCodeSendArr[$payer], 'codeSystem'=>'2.16.840.1.113883.3.221.5' , 'codeSystemName'=>'Source of Payment Typology', 'displayName'=>$payer));
 810
 811                 //observation Close
 812                 $xml->close_customTag();
 813
 814                 //Entry close
 815                 $xml->close_entry();
 816         }
 817
 818         //Reporting Parameters function
 819         function getReportingParam($xml){
 820                 global $from_date, $to_date;
 821
 822                 $xml->open_loopComponent();
 823                 $xml->open_section();
 824
 825                 $tempID = '2.16.840.1.113883.10.20.17.2.1';
 826                 $xml->self_templateid($tempID);
 827
 828                 $arr = array('code'=>'55187-9', 'codeSystem'=>'2.16.840.1.113883.6.1');
 829                 $xml->self_codeCustom($arr);
 830
 831                 $title = "Reporting Parameters";
 832                 $xml->add_title($title);
 833
 834                 //Main Reporting Parameters display
 835                 $xml->open_text();
 836                 $xml->open_list();
 837                 $item_title = "Reporting period: ".date('d M Y', strtotime($from_date))." - ".date('d M Y', strtotime($to_date));
 838                 $xml->add_item($item_title);
 839                 $xml->close_list();
 840                 $xml->close_text();
 841
 842                 $typeCode = 'DRIV';
 843                 $xml->open_entry($typeCode);
 844                 $arr = array('classCode'=>'ACT', 'moodCode'=>'EVN');
 845                 $xml->open_act($arr);
 846
 847                 $tempID = '2.16.840.1.113883.10.20.17.3.8';
 848                 $xml->self_templateid($tempID);
 849
 850                 $arr = array('extension'=>getUuid());
 851                 $xml->self_customTag('id', $arr);
 852
 853                 $arr = array('code'=>'252116004', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName'=>'Observation Parameters');
 854                 $xml->self_codeCustom($arr);
 855
 856                 $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 857                 $xml->add_entryEffectTime($timeArr);
 858
 859                 $xml->close_act();
 860                 $xml->close_entry();
 861
 862                 $xml->close_section();
 863                 $xml->close_loopComponent();
 864         }
 865
 866         //Measure Section
 867         function getMeasureSection($xml, $rule_id){
 868                 global $preDefinedUniqIDRules;
 869
 870                 $xml->open_loopComponent();
 871                 $xml->open_section();
 872
 873                 $tempID = '2.16.840.1.113883.10.20.24.2.2';
 874                 $xml->self_templateid($tempID);
 875
 876                 $tempID = '2.16.840.1.113883.10.20.24.2.3';
 877                 $xml->self_templateid($tempID);
 878
 879                 $arr = array('code'=>'55186-1', 'codeSystem'=>'2.16.840.1.113883.6.1');
 880                 $xml->self_codeCustom($arr);
 881
 882                 $title = "Measure Section";
 883                 $xml->add_title($title);
 884
 885                 //Main Measure display
 886                 $xml->open_text();
 887
 888                 //Table Start
 889                 $xml->open_customTag('table', $tabArr);
 890                 //THEAD Start
 891                 $xml->open_customTag('thead');
 892                 //TR Start
 893                 $xml->open_customTag('tr');
 894
 895                 $xml->add_trElementsTitles();
 896
 897                 //TR close
 898                 $xml->close_customTag();
 899
 900                 //THEAD close
 901                 $xml->close_customTag();
 902                 //TBOBY START
 903                 $xml->open_customTag('tbody');
 904                 $xml->open_customTag('tr');
 905
 906                 if (!empty($rule_id)) {
 907                         $tdTitle = "NQF:". $rule_id;
 908                 }
 909
 910                 $tdVersionNeutral = getUuid();
 911                 $tdVersionSpecific = $preDefinedUniqIDRules[$rule_id];
 912                 $uniqIdArr[] = $tdVersionSpecific;
 913
 914                 $dataArr = array(0=>$tdTitle, 1=>$tdVersionNeutral, 2=>$tdVersionSpecific);
 915                 $xml->add_trElementsValues($dataArr);
 916
 917                 //TR close
 918                 $xml->close_customTag();
 919                 //TBODY close
 920                 $xml->close_customTag();
 921                 //Table Close
 922                 $xml->close_customTag();
 923
 924                 $xml->close_text();
 925
 926                 //Entry open
 927                 $xml->open_entry();
 928
 929                 //Organizer Start
 930                 $arr = array('classCode'=>'CLUSTER', 'moodCode'=>'EVN');
 931                 $xml->open_customTag('organizer', $arr);
 932
 933                 $tempID = "2.16.840.1.113883.10.20.24.3.98";
 934                 $xml->self_templateid($tempID);
 935
 936                 $tempID = "2.16.840.1.113883.10.20.24.3.97";
 937                 $xml->self_templateid($tempID);
 938
 939                 $arr = array('extension'=>$uniqIdArr[0]);
 940                 $xml->self_customTag('id', $arr);
 941
 942                 $arr = array('code'=>'completed');
 943                 $xml->self_customTag('statusCode', $arr);
 944
 945                 //reference Start
 946                 $arr = array('typeCode'=>'REFR');
 947                 $xml->open_customTag('reference', $arr);
 948
 949                 //externalDocument Start
 950                 $arr = array('classCode'=>'DOC', 'moodCode'=>'EVN');
 951                 $xml->open_customTag('externalDocument', $arr);
 952
 953                 $exDocID = $uniqIdArr[0];
 954                 $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' =>$exDocID));
 955
 956                 $xml->element('text', "NQF# ".$rule_id);
 957
 958                 $setidVal =getUuid();
 959                 $xml->self_setid($setidVal);
 960
 961                 $arr = array('value'=>'3');
 962                 $xml->self_customTag('versionNumber', $arr);
 963
 964                 //externalDocument Close
 965                 $xml->close_customTag();
 966
 967                 //reference Close
 968                 $xml->close_customTag();
 969
 970                 //Organizer Close
 971                 $xml->close_customTag();
 972
 973                 //Entry Close
 974                 $xml->close_entry();
 975
 976                 $xml->close_section();
 977                 $xml->close_loopComponent();
 978         }
 979
 980         //Download QRDA Category I
 981         function downloadQRDACat1($xml, $patient_id, $rule_id){
 982                 //Patient Info
 983                 if($patient_id != ""){
 984                         $patientRow = getPatData($patient_id);
 985                         $patFname = $patientRow['fname'];
 986                         $patLname = $patientRow['lname'];
 987                 }
 988
 989                 //QRDA File Download Folder in site/cqm_qrda folder
 990                 $qrda_fname = $patFname."_".$patLname."_NQF_".$rule_id.".xml";
 991                 global $qrda_file_path;
 992                 if(!file_exists($qrda_file_path)){
 993                         mkdir($qrda_file_path, 0777, true);
 994                 }
 995                 $qrda_file_name = $qrda_file_path.$qrda_fname;
 996                 $fileQRDAOPen = fopen($qrda_file_name, "w");
 997                 fwrite($fileQRDAOPen, trim($xml->getXml()));
 998                 fclose($fileQRDAOPen);
 999                 return $qrda_fname;
1000         }
1001
1002         //Patient History Info
1003         function patCharactersticQRDA($xml, $patient_id){
1004
1005                 //Patient History
1006                 $patHist = patientQRDAHistory($patient_id);
1007
1008                 //Entry open
1009                 $xml->open_entry();
1010
1011                 //observation Open
1012                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1013
1014                 $tempID = "2.16.840.1.113883.10.20.22.4.85";
1015                 $xml->self_templateid($tempID);
1016
1017                 $actId = getUuid();
1018                 $xml->self_customId($actId);
1019
1020                 $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1021                 $xml->self_codeCustom($arr);
1022
1023                 $arr = array('code'=>'completed');
1024                 $xml->self_customTag('statusCode', $arr);
1025
1026                 $timeArr = array('low'=>date('Ymdhis', strtotime($patHist['date'])), 'high'=>date('Ymdhis', strtotime($patHist['date'])));
1027                 $xml->add_entryEffectTime($timeArr);
1028
1029                 $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>'160603005', 'codeSystem'=>'2.16.840.1.113883.6.96'));
1030
1031                 //observation Close
1032                 $xml->close_customTag();
1033
1034                 //Entry close
1035                 $xml->close_entry();
1036         }
1037
1038 ?>