custom/qrda_category1_functions.php

   1 <?php
   2
   3 /**
   4  *
   5  * QRDA Functions
   6  *
   7  * Copyright (C) 2015 Ensoftek, Inc
   8  *
   9  * LICENSE: This program is free software; you can redistribute it and/or
  10  * modify it under the terms of the GNU General Public License
  11  * as published by the Free Software Foundation; either version 2
  12  * of the License, or (at your option) any later version.
  13  * This program is distributed in the hope that it will be useful,
  14  * but WITHOUT ANY WARRANTY; without even the implied warranty of
  15  * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
  16  * GNU General Public License for more details.
  17  * You should have received a copy of the GNU General Public License
  18  * along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
  19  *
  20  * @package OpenEMR
  21  * @author  Ensoftek
  22  * @link    http://www.open-emr.org
  23  */
  24 // This program exports report to QRDA Category I 2014 XML format.
  25
  26
  27 function mainQrdaCatOneGenerate($xml, $patient_id, $rule_id, $provider_id)
  28 {
  29     //Open Main Clinical Document
  30     $xml->open_clinicaldocument();
  31
  32     //Header Function
  33     getHeaderQRDA1($xml, $patient_id, $provider_id);
  34
  35     //Component Function
  36     getComponentQRDA1($xml, $patient_id, $rule_id);
  37
  38     //Close Main Clinical Document
  39     $xml->close_clinicaldocument();
  40
  41     //Downloaded XML
  42     $xmlDynFileName = downloadQRDACat1($xml, $patient_id, $rule_id);
  43
  44     return $xmlDynFileName;
  45 }
  46
  47     //Main Header Function
  48 function getHeaderQRDA1($xml, $patient_id, $provider_id)
  49 {
  50     global $mainQrdaRaceCodeArr, $mainEthiCodeArr, $from_date, $to_date;
  51
  52     //Patient Info
  53     if ($patient_id != "") {
  54         $patientRow = getPatData($patient_id);
  55     }
  56
  57     //User Info
  58     $userRow = getUsrDataCheck($provider_id);
  59     $facility_name = $userRow['facility'];
  60     $facility_id = $userRow['facility_id'];
  61
  62     //Facility Info
  63     if ($facility_id != "") {
  64         $facilResRow = getFacilDataChk($facility_id);
  65     }
  66
  67     ####################### HEADER ELEMENTS START ##########################################
  68
  69     $xml->self_realmcode();
  70
  71     $xml->self_typeid();
  72
  73     $tempId = '2.16.840.1.113883.10.20.22.1.1';
  74     $xml->self_templateid($tempId);
  75
  76     $tempId = '2.16.840.1.113883.10.20.24.1.1';
  77     $xml->self_templateid($tempId);
  78
  79     $tempId = '2.16.840.1.113883.10.20.24.1.2';
  80     $xml->self_templateid($tempId);
  81
  82     $tempId = '2.16.840.1.113883.10.20.24.1.3';
  83     $xml->self_templateid($tempId);
  84
  85     $xml->unique_id = getUuid();
  86     $xml->self_id();
  87
  88     $arr = array('code' => '55182-0', 'displayName' => 'Quality Measure Report', 'codeSystem' => '2.16.840.1.113883.6.1', 'codeSystemName' => 'LOINC');
  89     $xml->self_codeCustom($arr);
  90
  91     //Main Title Display to XML
  92     $main_title = "QRDA Category-I Report";
  93     $xml->add_title($main_title);
  94
  95     //Effective date and time
  96     $eff_datetime = date('Ymdhis', strtotime($from_date));
  97     $xml->self_efftime($eff_datetime);
  98
  99     $xml->self_confidentcode();
 100
 101     //Language
 102     $xml->self_lang();
 103
 104     //Record Target Elements
 105     $xml->open_recordTarget();
 106
 107     //patientRole Open
 108     $xml->open_customTag('patientRole');
 109
 110     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.572', 'extension' => '112233'));
 111
 112     $xml->add_patientAddress($patientRow);
 113
 114     if ($patientRow['phone_home'] != "") {
 115         $xml->self_customTag('telecom', array('value' => $patientRow['phone_home'], 'use' => 'HP'));
 116     } else {
 117         $xml->self_customTag('telecom', array('nullFlavor' => "UNK"));
 118     }
 119
 120     $xml->open_customTag('patient');
 121
 122     $patNameArr = array('fname' => $patientRow['fname'], 'lname' => $patientRow['lname']);
 123     $xml->add_patName($patNameArr);
 124
 125     if ($patientRow['sex'] == "Male") {
 126         $gender = "M";
 127     } elseif ($patientRow['sex'] == "Female") {
 128         $gender = "F";
 129     }
 130
 131     $xml->self_customTag('administrativeGenderCode', array('codeSystem' => '2.16.840.1.113883.18.2', 'code' => $gender));
 132
 133     $xml->self_customTag('birthTime', array('value' => date('Ymd', strtotime($patientRow['DOB']))));
 134
 135     if ($mainQrdaRaceCodeArr[$patientRow['race']] == "") {
 136         $mainQrdaRaceCodeArr[$patientRow['race']] = "2131-1";
 137     }
 138
 139     $xml->self_customTag('raceCode', array('codeSystem' => '2.16.840.1.113883.6.238', 'code' => $mainQrdaRaceCodeArr[$patientRow['race']]));
 140     $xml->self_customTag('ethnicGroupCode', array('codeSystem' => '2.16.840.1.113883.6.238', 'code' => $mainEthiCodeArr[$patientRow['ethnicity']]));
 141
 142     //patient Close
 143     $xml->close_customTag();
 144
 145     //patientRole Close
 146     $xml->close_customTag();
 147
 148     $xml->close_recordTarget();
 149
 150     ############### Author Info Start#######################
 151     $xml->open_author();
 152
 153     //Author time
 154     $auth_dtime = date('Ymdhis');
 155     $xml->self_authorTime($auth_dtime);
 156
 157     //Assigned Author
 158     $xml->open_assignAuthor();
 159     $npi_provider = empty($userRow['npi']) ? "FakeNPI" : $userRow['npi'];
 160     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' => $npi_provider));
 161     $xml->add_patientAddress($facilResRow);
 162     if (!empty($userRow['phone'])) {
 163         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use' => 'WP'));
 164     } else {
 165         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 166     }
 167
 168
 169
 170
 171     //assignedAuthoringDevice Start
 172     $xml->open_customTag('assignedAuthoringDevice');
 173     $xml->element('manufacturerModelName', 'DrCloudEMR');
 174     $xml->element('softwareName', 'DrCloudEMR');
 175     //assignedAuthoringDevice Close
 176     $xml->close_customTag();
 177
 178     $xml->close_assignAuthor();
 179     ################## Author Info End ##########################
 180
 181     $xml->close_author();
 182     ############### Author Info End#######################
 183
 184     ############### Custodian Info Start #######################
 185     $xml->open_custodian();
 186     $xml->open_assgnCustodian();
 187     $xml->add_represtCustodianOrginisation($facilResRow);
 188     $xml->close_assgnCustodian();
 189     $xml->close_custodian();
 190     ############### Custodian Info End #######################
 191
 192     ############### Legal Authenticator Start#######################
 193     $xml->open_legalAuthenticator();
 194     $auth_dtime = date('Ymdhis');
 195     $xml->self_authorTime($auth_dtime);
 196     $xml->self_legalSignCode();
 197
 198     $xml->open_assignedEntity();
 199     $assignedEntityId = getUuid();
 200     $xml->self_customId($assignedEntityId);
 201     $xml->add_facilAddress($facilResRow);
 202     if (!empty($facilResRow['phone'])) {
 203         $xml->self_customTag('telecom', array('value' => $facilResRow['phone'], 'use' => 'WP'));
 204     } else {
 205         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 206     }
 207
 208     $xml->open_customTag('assignedPerson');
 209
 210     //Provider Name
 211     $userNameArr = array('fname' => $userRow['fname'], 'lname' => $userRow['lname']);
 212     $xml->add_providerName($userNameArr);
 213
 214     //assignedPerson Close
 215     $xml->close_customTag();
 216
 217     //Represent Origination Name
 218     $xml->add_authReprestOrginisation($facilResRow);
 219     $xml->close_assignedEntity();
 220
 221     $xml->close_legalAuthenticator();
 222     ############### Legal Authenticator End#######################
 223
 224     ############### documentationOf  START  #######################
 225     $xml->open_customTag('documentationOf');
 226
 227     $xml->open_customTag('serviceEvent', array('classCode' => 'PCPR'));
 228
 229     $timeArr = array('low' => date('Ymdhis', strtotime($from_date)), 'high' => date('Ymdhis', strtotime($to_date)));
 230     $xml->add_entryEffectTime($timeArr);
 231
 232     $xml->open_customTag('performer', array('typeCode' => 'PRF'));
 233
 234     $timeArr = array('low' => date('Ymdhis', strtotime($from_date)), 'high' => date('Ymdhis', strtotime($to_date)));
 235     $xml->add_entryTime($timeArr);
 236
 237     $xml->open_customTag('assignedEntity');
 238
 239     $npi_provider = empty($userRow['npi']) ? "FakeNPI" : $userRow['npi'] ;
 240     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' => $npi_provider));
 241
 242     if ($userRow['phone'] != "") {
 243         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use' => 'WP'));
 244     } else {
 245         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 246     }
 247
 248     $xml->open_customTag('assignedPerson');
 249
 250     //Provider Name
 251     $userNameArr = array('fname' => $userRow['fname'], 'lname' => $userRow['lname']);
 252     $xml->add_providerName($userNameArr);
 253
 254     //assignedPerson Close
 255     $xml->close_customTag();
 256
 257     $xml->open_customTag('representedOrganization');
 258
 259     $tin_provider = $userRow['federaltaxid'];
 260     if ($tin_provider != "") {
 261         $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' => $tin_provider));
 262     }
 263
 264     $xml->add_facilName($facility_name);
 265
 266     $xml->add_facilAddress($facilResRow);
 267
 268     //representedOrganization Close
 269     $xml->close_customTag();
 270
 271     //assignedEntity Close
 272     $xml->close_customTag();
 273
 274     //performer Close
 275     $xml->close_customTag();
 276
 277     //serviceEvent Close
 278     $xml->close_customTag();
 279
 280     //documentationOf Close
 281     $xml->close_customTag();
 282     ############### documentationOf  END  #######################
 283     ####################### HEADER ELEMENTS END #########################################
 284 }
 285
 286     //Component Function
 287 function getComponentQRDA1($xml, $patient_id, $rule_id)
 288 {
 289     //Component Open
 290     $xml->open_mainComponent();
 291
 292     //structuredBody Open
 293     $xml->open_structuredBody();
 294
 295     //Measure Section
 296     getMeasureSection($xml, $rule_id);
 297
 298     //Reporting Parameters
 299     getReportingParam($xml);
 300
 301     //Patient Data
 302     getQRDACat1PatientData($xml, $patient_id);
 303
 304     //structuredBody Close
 305     $xml->close_structuredBody();
 306
 307     //Component Close
 308     $xml->close_mainComponent();
 309 }
 310
 311     //Patient Data
 312 function getQRDACat1PatientData($xml, $patient_id)
 313 {
 314     $xml->open_loopComponent();
 315     $xml->open_section();
 316
 317     $tempID = '2.16.840.1.113883.10.20.17.2.4';
 318     $xml->self_templateid($tempID);
 319
 320     $tempID = '2.16.840.1.113883.10.20.24.2.1';
 321     $xml->self_templateid($tempID);
 322
 323     $arr = array('code' => '55188-7', 'codeSystem' => '2.16.840.1.113883.6.1');
 324     $xml->self_codeCustom($arr);
 325
 326     $title = "Patient Data";
 327     $xml->add_title($title);
 328
 329     $xml->element('text', "Patient Data");
 330
 331     //Insurance(Payer) Info
 332     payerQRDA($xml, $patient_id);
 333
 334     //Patient History Info
 335     patCharactersticQRDA($xml, $patient_id);
 336
 337     //Encounter Section
 338     getAllPatientEncounters($xml, $patient_id);
 339
 340     //Physical Exams(vitals)
 341     getAllPhysicalExams($xml, $patient_id);
 342
 343     //Diagnosis (Medical Problems)
 344     getAllMedicalProbs($xml, $patient_id);
 345
 346     //Ordered Medications
 347     getAllOrderMedications($xml, $patient_id);
 348
 349     // Active Medications
 350     getAllActiveMedications($xml, $patient_id);
 351
 352     //Immunization
 353     getAllImmunization($xml, $patient_id);
 354
 355     //Procedures
 356     getAllProcedures($xml, $patient_id);
 357
 358     //Lab Tests
 359     getAllLabTests($xml, $patient_id);
 360
 361     //Interventions
 362     getAllInterventionProcedures($xml, $patient_id);
 363
 364     //Risk Category Assessment
 365     getAllRiskCatAssessment($xml, $patient_id);
 366
 367     $xml->close_section();
 368     $xml->close_loopComponent();
 369 }
 370
 371     //Immunization
 372 function getAllImmunization($xml, $patient_id)
 373 {
 374     global $from_date, $to_date;
 375     $medArr = allImmuPat($patient_id, $from_date, $to_date);
 376
 377     foreach ($medArr as $medRow) {
 378         $vset = sqlStatement("select * from valueset where code =? and code_type = 'cvx' and nqf_code =?", array($medRow['cvx_code'], $xml->nqf_code));
 379         foreach ($vset as $v) {
 380             if (!empty($v['valueset'])) {
 381             //Entry open
 382                 $xml->open_entry();
 383
 384             //act open
 385                 $xml->open_customTag('act', array('classCode' => 'ACT', 'moodCode' => 'EVN'));
 386
 387                 $tempID = "2.16.840.1.113883.10.20.24.3.42";
 388                 $xml->self_templateid($tempID);
 389
 390                 $refID = getUuid();
 391                 $xml->self_customId($refID);
 392
 393                 $arr = array('code' => '416118004', 'codeSystemName' => 'SNOMED CT', 'codeSystem' => '2.16.840.1.113883.6.96', 'displayName' => 'Administration');
 394                 $xml->self_codeCustom($arr);
 395
 396                 if ($medRow['status'] == "" || $medRow['status'] == "not_completed") {
 397                     $statusChk = "active";
 398                 } else {
 399                     $statusChk = "completed";
 400                 }
 401
 402                 $arr = array('code' => "completed");
 403                 $xml->self_customTag('statusCode', $arr);
 404
 405                 $timeArr = array('low' => date('Ymdhis', strtotime($medRow['administered_date'])), 'high' => date('Ymdhis', strtotime($medRow['administered_date'])));
 406                 $xml->add_entryEffectTimeQRDAMed($timeArr);
 407
 408                 $xml->open_customTag('entryRelationship', array('typeCode' => 'COMP'));
 409
 410             //substanceAdministration Open
 411                 $xml->open_customTag('substanceAdministration', array('classCode' => 'SBADM', 'moodCode' => 'EVN'));
 412
 413                 $tempID = "2.16.840.1.113883.10.20.22.4.16";
 414                 $xml->self_templateid($tempID);
 415
 416             //$tempID = "2.16.840.1.113883.10.20.24.3.41";
 417             //$xml->self_templateid($tempID);
 418
 419                 $refID = getUuid();
 420                 $xml->self_customId($refID);
 421
 422                 $arr = array('code' => $statusChk);
 423                 $xml->self_customTag('statusCode', $arr);
 424
 425                 $timeArr = array('low' => date('Ymdhis', strtotime($medRow['administered_date'])), 'high' => date('Ymdhis', strtotime($medRow['administered_date'])));
 426                 $xml->add_entryEffectTimeQRDAMed($timeArr);
 427
 428             //consumable open
 429                 $xml->open_customTag('consumable');
 430
 431             //manufacturedProduct Open
 432                 $xml->open_customTag('manufacturedProduct', array('classCode' => 'MANU'));
 433
 434                 $tempID = "2.16.840.1.113883.10.20.22.4.23";
 435                 $xml->self_templateid($tempID);
 436
 437                 $actId = getUuid();
 438                 $xml->self_customId($actId);
 439
 440             //manufacturedMaterial open
 441                 $xml->open_customTag('manufacturedMaterial');
 442
 443                 $arr = array('code' => $v['code'], 'codeSystem' => $v['code_system'],'sdtc:valueSet' => $v['valueset']);
 444                 $xml->self_codeCustom($arr);
 445
 446             //manufacturerOrganization open
 447             /*$xml->open_customTag('manufacturerOrganization');
 448
 449             $xml->element('name', 'Medication, Administered Vaccine');
 450
 451             //manufacturerOrganization Close
 452             $xml->close_customTag();*/
 453
 454             //manufacturedMaterial Close
 455                 $xml->close_customTag();
 456
 457             //manufacturedProduct Close
 458                 $xml->close_customTag();
 459
 460             //consumable Close
 461                 $xml->close_customTag();
 462
 463             //substanceAdministration Close
 464                 $xml->close_customTag();
 465
 466             //entryRelationship Close
 467                 $xml->close_customTag();
 468
 469             //act Close
 470                 $xml->close_customTag();
 471
 472             //Entry close
 473                 $xml->close_entry();
 474             }
 475         }
 476     }
 477 }
 478
 479 function getAllPhysicalExams($xml, $patient_id)
 480 {
 481     global $encCheckUniqId, $from_date, $to_date;
 482
 483     $vitArr   = allVitalsPat($patient_id, $from_date, $to_date);
 484     $measures = array('bps' => array('name' => 'Blood Pressure Systolic','category' => 'Blood Pressure','unit' => 'mmHg','code' => '8480-6'),
 485                   'bpd' => array('name' => 'Blood Pressure Diastolic','category' => 'Blood Pressure','unit' => 'mmHg','code' => '8462-4'),
 486                   'bmi' => array('name' => 'Body Mass Index','category' => 'Body Mass Index', 'unit' => 'kg/m2','code' => '39156-5'));
 487
 488     foreach ($vitArr as $vitRow) {
 489         //Entry open
 490         foreach ($measures as $measure_key => $measure) {
 491             $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($measure['code'],$xml->nqf_code));
 492             if (!empty($vset['valueset'])) {
 493                 $xml->open_entry();
 494
 495             //observation Open
 496                 $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
 497
 498                 $tempID = "2.16.840.1.113883.10.20.22.4.2";
 499                 $xml->self_templateid($tempID);
 500
 501                 $tempID = "2.16.840.1.113883.10.20.24.3.57";
 502                 $xml->self_templateid($tempID);
 503
 504             //$refID = getUuid();
 505                 $refID = $encCheckUniqId[$vitRow['encounter']];
 506                 $xml->self_customId($refID);
 507
 508                 $arr = array('code' => $measure['code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 509
 510             //code Open
 511                 $xml->open_customTag('code', $arr);
 512                 $xml->element('originalText', "Physical Exam, Finding: " . $measure['measure']);
 513             //code Close
 514                 $xml->close_customTag();
 515
 516                 $xml->element('text', "Physical Exam, Finding: " . $measure['category']);
 517
 518                 $arr = array('code' => 'completed');
 519                 $xml->self_customTag('statusCode', $arr);
 520
 521                 $timeArr = array('low' => date('Ymdhis', strtotime($vitRow['date'])), 'high' => date('Ymdhis', strtotime($vitRow['date'])));
 522                 $xml->add_entryEffectTimeQRDA($timeArr);
 523
 524                 $xml->self_customTag('value', array('xsi:type' => 'PQ', 'value' => $vitRow[$measure_key], 'unit' => $measure['unit']));
 525
 526             //observation Close
 527                 $xml->close_customTag();
 528
 529             //Entry close
 530                 $xml->close_entry();
 531             }
 532         }
 533     }
 534 }
 535
 536 function getAllRiskCatAssessment($xml, $patient_id)
 537 {
 538     global $encCheckUniqId, $from_date, $to_date;
 539     $procArr = allProcPat("risk_category", $patient_id, $from_date, $to_date);
 540     foreach ($procArr as $procRow) {
 541         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($procRow['procedure_code'],$xml->nqf_code));
 542         if (!empty($vset['valueset'])) {
 543             //Entry open
 544             $xml->open_entry();
 545
 546             //observation Open
 547             $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
 548
 549             $tempID = "2.16.840.1.113883.10.20.22.4.69";
 550             $xml->self_templateid($tempID);
 551
 552             $tempID = "2.16.840.1.113883.10.20.24.3.69";
 553             $xml->self_templateid($tempID);
 554
 555             //$refID = getUuid();
 556             $refID = $encCheckUniqId[$procRow['encounter']];
 557             $xml->self_customId($refID);
 558
 559             $arr = array('code' => $vset['code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 560             //code Open
 561             $xml->open_customTag('code', $arr);
 562             $xml->element('originalText', $procRow['procedure_name']);
 563             //code Close
 564             $xml->close_customTag();
 565
 566             $xml->element('text', $procRow['procedure_name']);
 567
 568             $arr = array('code' => 'completed');
 569             $xml->self_customTag('statusCode', $arr);
 570
 571             $timeArr = array('low' => date('Ymdhis', strtotime($procRow['date_ordered'])), 'high' => date('Ymdhis', strtotime($procRow['date_ordered'])));
 572             $xml->add_entryEffectTimeQRDA($timeArr);
 573
 574             $xml->self_customTag('value', array('xsi:type' => 'CD', 'nullFlavor' => 'UNK'));
 575
 576             //observation Close
 577             $xml->close_customTag();
 578
 579             //Entry close
 580             $xml->close_entry();
 581         }
 582     }
 583 }
 584
 585 function getAllProcedures($xml, $patient_id)
 586 {
 587     global $encCheckUniqId, $from_date, $to_date;
 588     $procArr = allProcPat("Procedure", $patient_id, $from_date, $to_date);
 589     foreach ($procArr as $procRow) {
 590         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 591         if (!empty($vset['valueset'])) {
 592             //Entry open
 593             $xml->open_entry();
 594
 595             //procedure Open
 596             $xml->open_customTag('procedure', array('classCode' => 'PROC', 'moodCode' => 'EVN'));
 597
 598             $tempID = "2.16.840.1.113883.10.20.24.3.64";
 599             $xml->self_templateid($tempID);
 600
 601             $tempID = "2.16.840.1.113883.10.20.22.4.14";
 602             $xml->self_templateid($tempID);
 603
 604             $tempID = "2.16.840.1.113883.10.20.24.3.38";
 605             $xml->self_templateid($tempID);
 606
 607             $tempID = "2.16.840.1.113883.10.20.24.3.40";
 608             $xml->self_templateid($tempID);
 609
 610             //$refID = getUuid();
 611             $refID = $encCheckUniqId[$procRow['encounter']];
 612             $xml->self_customId($refID);
 613
 614
 615             $arr = array('code' => $procRow['procedure_code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 616             //code Open
 617             $xml->open_customTag('code', $arr);
 618             $xml->element('originalText', $procRow['procedure_name']);
 619             //code Close
 620             $xml->close_customTag();
 621
 622             $xml->element('text', $procRow['procedure_name']);
 623
 624             $arr = array('code' => 'completed');
 625             $xml->self_customTag('statusCode', $arr);
 626
 627             $timeArr = array('low' => date('Ymdhis', strtotime($procRow['date_ordered'])), 'high' => date('Ymdhis', strtotime($procRow['date_ordered'])));
 628             $xml->add_entryEffectTimeQRDA($timeArr);
 629
 630             //procedure Close
 631             $xml->close_customTag();
 632
 633             //Entry close
 634             $xml->close_entry();
 635         }
 636     }
 637 }
 638
 639 function getAllLabTests($xml, $patient_id)
 640 {
 641     global $encCheckUniqId, $from_date, $to_date;
 642     $procArr = allProcPat("laboratory_test", $patient_id, $from_date, $to_date);
 643     foreach ($procArr as $procRow) {
 644         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 645         if (!empty($vset['valueset'])) {
 646             //Entry open
 647             $xml->open_entry();
 648
 649             //procedure Open
 650             $xml->open_customTag('procedure', array('classCode' => 'PROC', 'moodCode' => 'EVN'));
 651
 652             $tempID = "2.16.840.1.113883.10.20.24.3.38";
 653             $xml->self_templateid($tempID);
 654
 655             //$refID = getUuid();
 656             $refID = $encCheckUniqId[$procRow['encounter']];
 657             $xml->self_customId($refID);
 658
 659
 660             $arr = array('code' => $procRow['procedure_code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 661             //code Open
 662             $xml->open_customTag('code', $arr);
 663             $xml->element('originalText', $procRow['procedure_name']);
 664             //code Close
 665             $xml->close_customTag();
 666
 667             $xml->element('text', $procRow['procedure_name']);
 668
 669             $arr = array('code' => 'completed');
 670             $xml->self_customTag('statusCode', $arr);
 671
 672             $timeArr = array('low' => date('Ymdhis', strtotime($procRow['date_ordered'])), 'high' => date('Ymdhis', strtotime($procRow['date_ordered'])));
 673             $xml->add_entryEffectTimeQRDA($timeArr);
 674
 675             //procedure Close
 676             $xml->close_customTag();
 677
 678             //Entry close
 679             $xml->close_entry();
 680         }
 681     }
 682 }
 683
 684
 685 function getAllInterventionProcedures($xml, $patient_id)
 686 {
 687     global $encCheckUniqId, $from_date, $to_date;
 688     $procArr = allProcPat("intervention", $patient_id, $from_date, $to_date);
 689     foreach ($procArr as $procRow) {
 690         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 691         if (!empty($vset['valueset'])) {
 692             //Entry open
 693             $xml->open_entry();
 694
 695             //act Open
 696             $xml->open_customTag('act', array('classCode' => 'ACT', 'moodCode' => 'EVN'));
 697
 698             $tempID = "2.16.840.1.113883.10.20.22.4.12";
 699             $xml->self_templateid($tempID);
 700
 701             $tempID = "2.16.840.1.113883.10.20.24.3.32";
 702             $xml->self_templateid($tempID);
 703
 704             //$refID = getUuid();
 705             $refID = $encCheckUniqId[$procRow['encounter']];
 706             $xml->self_customId($refID);
 707
 708
 709             $arr = array('code' => $procRow['procedure_code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 710             //code Open
 711             $xml->open_customTag('code', $arr);
 712             $xml->element('originalText', $procRow['procedure_name']);
 713             //code Close
 714             $xml->close_customTag();
 715
 716             $xml->element('text', $procRow['procedure_name']);
 717
 718             $arr = array('code' => 'completed');
 719             $xml->self_customTag('statusCode', $arr);
 720
 721             $timeArr = array('low' => date('Ymdhis', strtotime($procRow['date_ordered'])), 'high' => date('Ymdhis', strtotime($procRow['date_ordered'])));
 722             $xml->add_entryEffectTimeQRDA($timeArr);
 723
 724             //act Close
 725             $xml->close_customTag();
 726
 727             //Entry close
 728             $xml->close_entry();
 729         }
 730     }
 731 }
 732
 733 function getAllOrderMedications($xml, $patient_id)
 734 {
 735     global $from_date, $to_date;
 736     $medArr = allOrderMedsPat($patient_id, $from_date, $to_date);
 737
 738     foreach ($medArr as $medRow) {
 739         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($medRow['rxnorm_drugcode'],$xml->nqf_code));
 740         if (!empty($vset['valueset'])) {
 741             //Entry open
 742             $xml->open_entry();
 743
 744             //substanceAdministration Open
 745             $xml->open_customTag('substanceAdministration', array('classCode' => 'SBADM', 'moodCode' => 'RQO'));
 746
 747             $tempID = "2.16.840.1.113883.10.20.22.4.42";
 748             $xml->self_templateid($tempID);
 749
 750             $tempID = "2.16.840.1.113883.10.20.24.3.47";
 751             $xml->self_templateid($tempID);
 752
 753             $refID = getUuid();
 754             $xml->self_customId($refID);
 755
 756
 757             $arr = array('code' => 'new');
 758             $xml->self_customTag('statusCode', $arr);
 759
 760             $timeArr = array('low' => date('Ymdhis', strtotime($medRow['start_date'])), 'high' => date('Ymdhis', strtotime($medRow['end_date'])));
 761             $xml->add_entryEffectTimeQRDAMed($timeArr);
 762
 763             /*if($medRow['enddate'] == ""){
 764             if($medRow['drug_interval'] != "" && $medRow['drug_interval'] != "0")
 765                 $xml->emptyelement('repeatNumber', array('value'=>$medRow['drug_interval']));
 766
 767             if($medRow['quantity'] != "")
 768                 $xml->emptyelement('doseQuantity', array('value'=>$medRow['quantity']));
 769
 770             if($medRow['units'] != "" && $medRow['size_type'] != "")
 771                 $xml->emptyelement('rateQuantity', array('units'=>$medRow['size_type'], 'value'=>$medRow['units']));
 772             }*/
 773
 774             //consumable open
 775             $xml->open_customTag('consumable');
 776
 777             //manufacturedProduct Open
 778             $xml->open_customTag('manufacturedProduct', array('classCode' => 'MANU'));
 779
 780             $tempID = "2.16.840.1.113883.10.20.22.4.23";
 781             $xml->self_templateid($tempID);
 782
 783             $actId = getUuid();
 784             $xml->self_customId($actId);
 785
 786             //manufacturedMaterial open
 787             $xml->open_customTag('manufacturedMaterial');
 788
 789             $arr = array('code' => $vset['code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 790             $xml->self_codeCustom($arr);
 791
 792             //manufacturerOrganization open
 793             /*$xml->open_customTag('manufacturerOrganization');
 794
 795             $xml->element('name', 'Medication Factory Inc.');
 796
 797             //manufacturerOrganization Close
 798             $xml->close_customTag();*/
 799
 800             //manufacturedMaterial Close
 801             $xml->close_customTag();
 802
 803             //manufacturedProduct Close
 804             $xml->close_customTag();
 805
 806             //consumable Close
 807             $xml->close_customTag();
 808
 809             //substanceAdministration Close
 810             $xml->close_customTag();
 811
 812             //Entry close
 813             $xml->close_entry();
 814         }
 815     }
 816 }
 817
 818 function getAllActiveMedications($xml, $patient_id)
 819 {
 820     global $from_date, $to_date;
 821     $medArr = allActiveMedsPat($patient_id, $from_date, $to_date);
 822
 823     foreach ($medArr as $medRow) {
 824         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($medRow['rxnorm_drugcode'],$xml->nqf_code));
 825         if (!empty($vset['valueset'])) {
 826             //Entry open
 827             $xml->open_entry();
 828
 829             //substanceAdministration Open
 830             $xml->open_customTag('substanceAdministration', array('classCode' => 'SBADM', 'moodCode' => 'EVN'));
 831
 832             $tempID = "2.16.840.1.113883.10.20.22.4.16";
 833             $xml->self_templateid($tempID);
 834
 835             $tempID = "2.16.840.1.113883.10.20.24.3.41";
 836             $xml->self_templateid($tempID);
 837
 838             $refID = getUuid();
 839             $xml->self_customId($refID);
 840
 841
 842             $arr = array('code' => 'active');
 843             $xml->self_customTag('statusCode', $arr);
 844
 845             $timeArr = array('low' => date('Ymdhis', strtotime($medRow['start_date'])), 'high' => date('Ymdhis', strtotime($medRow['end_date'])));
 846             $xml->add_entryEffectTimeQRDAMed($timeArr);
 847
 848             /*if($medRow['enddate'] == ""){
 849                 if($medRow['drug_interval'] != "" && $medRow['drug_interval'] != "0")
 850                 $xml->emptyelement('repeatNumber', array('value'=>$medRow['drug_interval']));
 851
 852             if($medRow['quantity'] != "")
 853                 $xml->emptyelement('doseQuantity', array('value'=>$medRow['quantity']));
 854
 855             if($medRow['units'] != "" && $medRow['size_type'] != "")
 856                 $xml->emptyelement('rateQuantity', array('units'=>$medRow['size_type'], 'value'=>$medRow['units']));
 857             }*/
 858
 859             //consumable open
 860             $xml->open_customTag('consumable');
 861
 862             //manufacturedProduct Open
 863             $xml->open_customTag('manufacturedProduct', array('classCode' => 'MANU'));
 864
 865             $tempID = "2.16.840.1.113883.10.20.22.4.23";
 866             $xml->self_templateid($tempID);
 867
 868             $actId = getUuid();
 869             $xml->self_customId($actId);
 870
 871             //manufacturedMaterial open
 872             $xml->open_customTag('manufacturedMaterial');
 873
 874             $arr = array('code' => $vset['code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 875             $xml->self_codeCustom($arr);
 876
 877             //manufacturerOrganization open
 878             /*$xml->open_customTag('manufacturerOrganization');
 879
 880             $xml->element('name', 'Medication Factory Inc.');
 881
 882             //manufacturerOrganization Close
 883             $xml->close_customTag();*/
 884
 885             //manufacturedMaterial Close
 886             $xml->close_customTag();
 887
 888             //manufacturedProduct Close
 889             $xml->close_customTag();
 890
 891             //consumable Close
 892             $xml->close_customTag();
 893
 894             //substanceAdministration Close
 895             $xml->close_customTag();
 896
 897             //Entry close
 898             $xml->close_entry();
 899         }
 900     }
 901 }
 902
 903     //Medical problems
 904 function getAllMedicalProbs($xml, $patient_id)
 905 {
 906     global $from_date, $to_date;
 907     $diagArr = allListsPat('medical_problem', $patient_id, $from_date, $to_date);
 908
 909     foreach ($diagArr as $diagRow) {
 910         $diagExpArr = explode(";", $diagRow['diagnosis']);
 911         /*foreach($diagExpArr as $diagExpVal){
 912             $diagDisp = explode(":", $diagExpVal);
 913             if($diagDisp[0] == "ICD9" || $diagDisp[0] == "ICD10") continue;
 914             $diagDispCode = $diagDisp[1];
 915         }*/
 916
 917         $diagDisp = explode(":", $diagExpArr[0]);
 918         $diagDispCode = str_replace(".", "", $diagDisp[1]);
 919
 920         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($diagDispCode,$xml->nqf_code));
 921         if (!empty($vset['valueset'])) {
 922             //Entry open
 923             $xml->open_entry();
 924
 925             //observation Open
 926             $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
 927
 928             $tempID = "2.16.840.1.113883.10.20.22.4.4";
 929             $xml->self_templateid($tempID);
 930
 931             $tempID = "2.16.840.1.113883.10.20.24.3.11";
 932             $xml->self_templateid($tempID);
 933
 934             $refID = getUuid();
 935             $xml->self_customId($refID);
 936
 937             $arr = array('code' => '282291009', 'codeSystemName' => 'SNOMED-CT', 'codeSystem' => '2.16.840.1.113883.6.96', 'displayName' => 'diagnosis');
 938             $xml->self_codeCustom($arr);
 939
 940             $xml->textDispContent($diagRow['title']);
 941
 942             $activeChk = "active";
 943             $endate = $diagRow['begdate'];
 944             if ($diagRow['enddate'] != "") {
 945                 $activeChk = "completed";
 946                 $endate = $diagRow['enddate'];
 947             }
 948
 949             //$arr = array('code'=>$activeChk);
 950             $arr = array('code' => "completed");
 951             $xml->self_customTag('statusCode', $arr);
 952
 953             $timeArr = array('low' => date('Ymdhis', strtotime($diagRow['begdate'])), 'high' => date('Ymdhis', strtotime($endate)));
 954             $xml->add_entryEffectTime($timeArr);
 955
 956
 957             $xml->self_customTag('value', array('xsi:type' => 'CD', 'code' => $diagDispCode, 'codeSystem' => '2.16.840.1.113883.6.96', 'sdtc:valueSet' => $vset['valueset']));
 958
 959             //entryRelationship Open
 960             $xml->open_customTag('entryRelationship', array('typeCode' => 'REFR'));
 961
 962             //observation Open
 963             $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
 964
 965             $tempID = "2.16.840.1.113883.10.20.22.4.6";
 966             $xml->self_templateid($tempID);
 967
 968             $tempID = "2.16.840.1.113883.10.20.24.3.94";
 969             $xml->self_templateid($tempID);
 970
 971             $refID = getUuid();
 972             $xml->self_customId($refID);
 973
 974             $arr = array('code' => '33999-4', 'codeSystem' => '2.16.840.1.113883.6.1', 'codeSystemName' => 'LOINC', 'displayName' => 'status');
 975             $xml->self_codeCustom($arr);
 976
 977             //$arr = array('code'=>$activeChk);
 978             $arr = array('code' => "completed");
 979             $xml->self_customTag('statusCode', $arr);
 980
 981             $xml->self_customTag('value', array('xsi:type' => 'CD', 'code' => '55561003', 'displayName' => 'active', 'codeSystem' => '2.16.840.1.113883.6.96', 'codeSystemName' => 'SNOMED CT'));
 982
 983             //observation Close
 984             $xml->close_customTag();
 985
 986             //entryRelationship Close
 987             $xml->close_customTag();
 988
 989             //observation Close
 990             $xml->close_customTag();
 991
 992             //Entry close
 993             $xml->close_entry();
 994         }
 995     }
 996 }
 997
 998     //Encounters function
 999 function getAllPatientEncounters($xml, $patient_id)
1000 {
1001     global $encCheckUniqId, $from_date, $to_date,$EncounterCptCodes;
1002     $encArr = allEncPat($patient_id, $from_date, $to_date);
1003
1004     foreach ($encArr as $encRow) {
1005         $encRow['encounter'];
1006         $cpt_code = $EncounterCptCodes[str_replace(' ', '_', strtolower($encRow['pc_catname']))];
1007         $cpt_code = empty($cpt_code) ? '99201' : $cpt_code;
1008         $vset = sqlStatement("select * from valueset where code = ? and nqf_code = ?", array('99201',$xml->nqf_code));
1009         foreach ($vset as $v) {
1010             //Entry open
1011             $xml->open_entry();
1012
1013             //Encounter Open
1014             $xml->open_customTag('encounter', array('classCode' => 'ENC', 'moodCode' => 'EVN'));
1015
1016             $tempID = "2.16.840.1.113883.10.20.22.4.49";
1017             $xml->self_templateid($tempID);
1018
1019             $tempID = "2.16.840.1.113883.10.20.24.3.23";
1020             $xml->self_templateid($tempID);
1021
1022             $refID = getUuid();
1023             $xml->self_customId($refID);
1024             $encCheckUniqId[$encRow['encounter']] = $refID;
1025
1026
1027             $arr = array('code' => $cpt_code, 'codeSystem' => $v['code_system'],'sdtc:valueSet' => $v['valueset']);
1028             $xml->self_codeCustom($arr);
1029
1030             $arr = array('code' => 'completed');
1031             $xml->self_customTag('statusCode', $arr);
1032
1033             $timeArr = array('low' => date('Ymdhis', strtotime($encRow['date'])), 'high' => date('Ymdhis', strtotime($encRow['date'])));
1034             $xml->add_entryEffectTime($timeArr);
1035
1036             //Encounter Close
1037             $xml->close_customTag();
1038
1039             //Entry close
1040             $xml->close_entry();
1041         }
1042     }
1043
1044     $encArr = allProcPat("enc_checkup_procedure", $patient_id, $from_date, $to_date);
1045     foreach ($encArr as $encRow) {
1046         $encRow['encounter'];
1047         $vset = sqlStatement("select * from valueset where code = ? and nqf_code = ?", array($encRow['procedure_code'],$xml->nqf_code));
1048         foreach ($vset as $v) {
1049             //Entry open
1050             $xml->open_entry();
1051
1052             //Encounter Open
1053             $xml->open_customTag('encounter', array('classCode' => 'ENC', 'moodCode' => 'EVN'));
1054
1055             $tempID = "2.16.840.1.113883.10.20.22.4.49";
1056             $xml->self_templateid($tempID);
1057
1058             $tempID = "2.16.840.1.113883.10.20.24.3.23";
1059             $xml->self_templateid($tempID);
1060
1061             $refID = getUuid();
1062             $xml->self_customId($refID);
1063             $encCheckUniqId[$encRow['encounter']] = $refID;
1064
1065
1066             $arr = array('code' => $v['code'], 'codeSystem' => $v['code_system'],'sdtc:valueSet' => $v['valueset']);
1067             $xml->self_codeCustom($arr);
1068
1069             $arr = array('code' => 'completed');
1070             $xml->self_customTag('statusCode', $arr);
1071
1072             $timeArr = array('low' => date('Ymdhis', strtotime($encRow['date'])), 'high' => date('Ymdhis', strtotime($encRow['date'])));
1073             $xml->add_entryEffectTime($timeArr);
1074
1075             //Encounter Close
1076             $xml->close_customTag();
1077
1078             //Entry close
1079             $xml->close_entry();
1080         }
1081     }
1082 }
1083
1084     //Patient Data Sub Function for Payer Data
1085 function payerQRDA($xml, $patient_id)
1086 {
1087     global $mainQrdaPayerCodeSendArr, $from_date, $to_date;
1088
1089     //Insurance getting
1090     $payer = payerPatient($patient_id);
1091
1092     //Entry open
1093     $xml->open_entry();
1094
1095     //observation Open
1096     $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
1097
1098     $tempID = "2.16.840.1.113883.10.20.24.3.55";
1099     $xml->self_templateid($tempID);
1100
1101     $actId = getUuid();
1102     $xml->self_customId($actId);
1103
1104     $arr = array('code' => '48768-6', 'displayName' => 'Payment source', 'codeSystem' => '2.16.840.1.113883.6.1', 'codeSystemName' => 'LOINC');
1105     $xml->self_codeCustom($arr);
1106
1107     $arr = array('code' => 'completed');
1108     $xml->self_customTag('statusCode', $arr);
1109
1110     $timeArr = array('low' => date('Ymdhis', strtotime($from_date)), 'high' => date('Ymdhis', strtotime($to_date)));
1111     $xml->add_entryEffectTime($timeArr);
1112
1113     $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));
1114
1115     //observation Close
1116     $xml->close_customTag();
1117
1118     //Entry close
1119     $xml->close_entry();
1120 }
1121
1122     //Reporting Parameters function
1123 function getReportingParam($xml)
1124 {
1125     global $from_date, $to_date;
1126
1127     $xml->open_loopComponent();
1128     $xml->open_section();
1129
1130     $tempID = '2.16.840.1.113883.10.20.17.2.1';
1131     $xml->self_templateid($tempID);
1132
1133     $arr = array('code' => '55187-9', 'codeSystem' => '2.16.840.1.113883.6.1');
1134     $xml->self_codeCustom($arr);
1135
1136     $title = "Reporting Parameters";
1137     $xml->add_title($title);
1138
1139     //Main Reporting Parameters display
1140     $xml->open_text();
1141     $xml->open_list();
1142     $item_title = "Reporting period: " . date('d M Y', strtotime($from_date)) . " - " . date('d M Y', strtotime($to_date));
1143     $xml->add_item($item_title);
1144     $xml->close_list();
1145     $xml->close_text();
1146
1147     $typeCode = 'DRIV';
1148     $xml->open_entry($typeCode);
1149     $arr = array('classCode' => 'ACT', 'moodCode' => 'EVN');
1150     $xml->open_act($arr);
1151
1152     $tempID = '2.16.840.1.113883.10.20.17.3.8';
1153     $xml->self_templateid($tempID);
1154
1155     $arr = array('extension' => getUuid());
1156     $xml->self_customTag('id', $arr);
1157
1158     $arr = array('code' => '252116004', 'codeSystem' => '2.16.840.1.113883.6.96', 'displayName' => 'Observation Parameters');
1159     $xml->self_codeCustom($arr);
1160
1161     $timeArr = array('low' => date('Ymdhis', strtotime($from_date)), 'high' => date('Ymdhis', strtotime($to_date)));
1162     $xml->add_entryEffectTime($timeArr);
1163
1164     $xml->close_act();
1165     $xml->close_entry();
1166
1167     $xml->close_section();
1168     $xml->close_loopComponent();
1169 }
1170
1171     //Measure Section
1172 function getMeasureSection($xml, $rule_id)
1173 {
1174     global $preDefinedUniqIDRules;
1175
1176     $xml->open_loopComponent();
1177     $xml->open_section();
1178
1179     $tempID = '2.16.840.1.113883.10.20.24.2.2';
1180     $xml->self_templateid($tempID);
1181
1182     $tempID = '2.16.840.1.113883.10.20.24.2.3';
1183     $xml->self_templateid($tempID);
1184
1185     $arr = array('code' => '55186-1', 'codeSystem' => '2.16.840.1.113883.6.1');
1186     $xml->self_codeCustom($arr);
1187
1188     $title = "Measure Section";
1189     $xml->add_title($title);
1190
1191     //Main Measure display
1192     $xml->open_text();
1193
1194     //Table Start
1195     $xml->open_customTag('table', $tabArr);
1196     //THEAD Start
1197     $xml->open_customTag('thead');
1198     //TR Start
1199     $xml->open_customTag('tr');
1200
1201     $xml->add_trElementsTitles();
1202
1203     //TR close
1204     $xml->close_customTag();
1205
1206     //THEAD close
1207     $xml->close_customTag();
1208     //TBOBY START
1209     $xml->open_customTag('tbody');
1210     $xml->open_customTag('tr');
1211
1212     if (!empty($rule_id)) {
1213         $tdTitle = "NQF:" . $rule_id;
1214     }
1215
1216     $tdVersionNeutral = getUuid();
1217     $tdVersionSpecific = $preDefinedUniqIDRules[$rule_id];
1218     $uniqIdArr[] = $tdVersionSpecific;
1219
1220     $dataArr = array(0 => $tdTitle, 1 => $tdVersionNeutral, 2 => $tdVersionSpecific);
1221     $xml->add_trElementsValues($dataArr);
1222
1223     //TR close
1224     $xml->close_customTag();
1225     //TBODY close
1226     $xml->close_customTag();
1227     //Table Close
1228     $xml->close_customTag();
1229
1230     $xml->close_text();
1231
1232     //Entry open
1233     $xml->open_entry();
1234
1235     //Organizer Start
1236     $arr = array('classCode' => 'CLUSTER', 'moodCode' => 'EVN');
1237     $xml->open_customTag('organizer', $arr);
1238
1239     $tempID = "2.16.840.1.113883.10.20.24.3.98";
1240     $xml->self_templateid($tempID);
1241
1242     $tempID = "2.16.840.1.113883.10.20.24.3.97";
1243     $xml->self_templateid($tempID);
1244
1245     $arr = array('extension' => $uniqIdArr[0]);
1246     $xml->self_customTag('id', $arr);
1247
1248     $arr = array('code' => 'completed');
1249     $xml->self_customTag('statusCode', $arr);
1250
1251     //reference Start
1252     $arr = array('typeCode' => 'REFR');
1253     $xml->open_customTag('reference', $arr);
1254
1255     //externalDocument Start
1256     $arr = array('classCode' => 'DOC', 'moodCode' => 'EVN');
1257     $xml->open_customTag('externalDocument', $arr);
1258
1259     $exDocID = $uniqIdArr[0];
1260     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' => $exDocID));
1261
1262     $xml->element('text', "NQF# " . $rule_id);
1263
1264     $setidVal = getUuid();
1265     $xml->self_setid($setidVal);
1266
1267     $arr = array('value' => '3');
1268     $xml->self_customTag('versionNumber', $arr);
1269
1270     //externalDocument Close
1271     $xml->close_customTag();
1272
1273     //reference Close
1274     $xml->close_customTag();
1275
1276     //Organizer Close
1277     $xml->close_customTag();
1278
1279     //Entry Close
1280     $xml->close_entry();
1281
1282     $xml->close_section();
1283     $xml->close_loopComponent();
1284 }
1285
1286     //Download QRDA Category I
1287 function downloadQRDACat1($xml, $patient_id, $rule_id)
1288 {
1289     //Patient Info
1290     if ($patient_id != "") {
1291         $patientRow = getPatData($patient_id);
1292         $patFname = $patientRow['fname'];
1293         $patLname = $patientRow['lname'];
1294     }
1295
1296     //QRDA File Download Folder in site/cqm_qrda folder
1297     $qrda_fname = $patFname . "_" . $patLname . "_NQF_" . $rule_id . ".xml";
1298     global $qrda_file_path;
1299     if (!file_exists($qrda_file_path)) {
1300         mkdir($qrda_file_path, 0777, true);
1301     }
1302
1303     $qrda_file_name = $qrda_file_path . $qrda_fname;
1304     $fileQRDAOPen = fopen($qrda_file_name, "w");
1305     fwrite($fileQRDAOPen, trim($xml->getXml()));
1306     fclose($fileQRDAOPen);
1307     return $qrda_fname;
1308 }
1309
1310     //Patient History Info
1311 function patCharactersticQRDA($xml, $patient_id)
1312 {
1313
1314     //Patient History
1315     $patHist = patientQRDAHistory($patient_id);
1316
1317     $tobaccoArr = explode('|', $patHist['tobacco']);
1318
1319     $query = sqlQuery("select codes from list_options where list_id ='smoking_status' and option_id = ?", array($tobaccoArr[3]));
1320     $tobacco = explode(':', $query['codes']);
1321     $tobacco_code = $tobacco[1];
1322     $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($tobacco_code,$xml->nqf_code));
1323     if (!empty($vset['valueset'])) {
1324         //Entry open
1325         $xml->open_entry();
1326
1327         //observation Open
1328         $xml->open_customTag('observation', array('classCode' => 'OBS', 'moodCode' => 'EVN'));
1329
1330         $tempID = "2.16.840.1.113883.10.20.22.4.85";
1331         $xml->self_templateid($tempID);
1332
1333         $actId = getUuid();
1334         $xml->self_customId($actId);
1335
1336         $arr = array('code' => 'ASSERTION', 'displayName' => 'Assertion', 'codeSystem' => '2.16.840.1.113883.5.4', 'codeSystemName' => 'ActCode');
1337         $xml->self_codeCustom($arr);
1338
1339         $arr = array('code' => 'completed');
1340         $xml->self_customTag('statusCode', $arr);
1341
1342         $timeArr = array('low' => date('Ymdhis', strtotime($patHist['date'])), 'high' => date('Ymdhis', strtotime($patHist['date'])));
1343         $xml->add_entryEffectTime($timeArr);
1344
1345         $xml->self_customTag('value', array('xsi:type' => 'CD', 'code' => $vset['code'], 'codeSystem' => $vset['code_system'],'sdtc:valueSet' => $vset['valueset']));
1346
1347         //observation Close
1348         $xml->close_customTag();
1349
1350         //Entry close
1351         $xml->close_entry();
1352     }
1353 }