library/classes/rulesets/Cqm/reports/common/Immunizations.php

   1 <?php
   2
   3 // Copyright (C) 2011 Ken Chapple <ken@mi-squared.com>
   4 //
   5 // This program is free software; you can redistribute it and/or
   6 // modify it under the terms of the GNU General Public License
   7 // as published by the Free Software Foundation; either version 2
   8 // of the License, or (at your option) any later version.
   9 //
  10 class Immunizations
  11 {
  12     public static function checkDtap(CqmPatient $patient, $beginDate, $endDate)
  13     {
  14         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  15         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  16         $fourCount = array( Medication::OPTION_COUNT => 4, Medication::OPTION_UNIQUE_DATES => true );
  17         if (
  18             Helper::checkMed(Medication::DTAP_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $fourCount) &&
  19             !( Helper::checkAllergy(Allergy::DTAP_VAC, $patient, $patient->dob, $endDate) ||
  20                Helper::checkDiagActive(Diagnosis::ENCEPHALOPATHY, $patient, $beginDate, $endDate) ||
  21                Helper::checkDiagActive(Diagnosis::PROG_NEURO_DISORDER, $patient, $beginDate, $endDate) )
  22         ) {
  23             return true;
  24         }
  25
  26         return false;
  27     }
  28
  29     public static function checkIpv(CqmPatient $patient, $beginDate, $endDate)
  30     {
  31         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  32         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  33         $threeCount = array( Medication::OPTION_COUNT => 3 );
  34         if (
  35             Helper::checkMed(Medication::IPV, $patient, $dobPlus42Days, $dobPlus2Years, $threeCount) &&
  36             !( Helper::checkAllergy(Allergy::IPV, $patient, $patient->dob, $endDate) ||
  37                Helper::checkAllergy(Allergy::NEOMYCIN, $patient, $patient->dob, $endDate) ||
  38                Helper::checkAllergy(Allergy::STREPTOMYCIN, $patient, $patient->dob, $endDate) )
  39         ) {
  40             return true;
  41         }
  42
  43         return false;
  44     }
  45
  46     public static function checkMmr(CqmPatient $patient, $beginDate, $endDate)
  47     {
  48         $dobPlus1Year = date('Y-m-d 00:00:00', strtotime('+1 year', strtotime($patient->dob)));
  49         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  50         $dateMinus2Years = date('Y-m-d 00:00:00', strtotime('-2 year', strtotime($endDate)));
  51         if (
  52             Helper::checkMed(Medication::MMR, $patient, $dobPlus1Year, $dobPlus2Years) ||
  53              ( Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  54                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  55                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  56                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) &&
  57                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  58                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  59              ( Helper::checkDiagResolved(Diagnosis::MEASLES, $patient, $patient->dob, $endDate) &&
  60                Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  61                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  62                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  63                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  64              ( Helper::checkDiagResolved(Diagnosis::MUMPS, $patient, $patient->dob, $endDate) &&
  65                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  66                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) &&
  67                Helper::checkMed(Medication::RUBELLA_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  68                !Helper::checkAllergy(Allergy::RUBELLA_VAC, $patient, $patient->dob, $endDate) ) ||
  69              ( Helper::checkDiagResolved(Diagnosis::RUBELLA, $patient, $patient->dob, $endDate) &&
  70                Helper::checkMed(Medication::MUMPS_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  71                !Helper::checkAllergy(Allergy::MUMPS_VAC, $patient, $patient->dob, $endDate) &&
  72                Helper::checkMed(Medication::MEASLES_VAC, $patient, $patient->dob, $dobPlus2Years) &&
  73                !Helper::checkAllergy(Allergy::MEASLES_VAC, $patient, $patient->dob, $endDate) ) &&
  74               !( Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
  75                  Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
  76                  Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $beginDate, $endDate) ||
  77                  Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $beginDate, $endDate) ||
  78                  Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $beginDate, $endDate) ||
  79                  Helper::checkAllergy(Allergy::MMR, $patient, $patient->dob, $dateMinus2Years) ||
  80                  Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $beginDate, $endDate) )
  81         ) {
  82             return true;
  83         }
  84
  85         return false;
  86     }
  87
  88     public static function checkHib(CqmPatient $patient, $beginDate, $endDate)
  89     {
  90         $options = array( Medication::OPTION_COUNT => 2 );
  91         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
  92         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
  93         if (
  94             Helper::checkMed(Medication::HIB, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
  95             !Helper::checkAllergy(Allergy::HIB, $patient, $patient->dob, $endDate)
  96         ) {
  97             return true;
  98         }
  99
 100         return false;
 101     }
 102
 103     public static function checkHepB(CqmPatient $patient, $beginDate, $endDate)
 104     {
 105         $options = array( Medication::OPTION_COUNT => 3 );
 106         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 107         if (
 108             Helper::checkMed(Medication::HEP_B_VAC, $patient, $patient->dob, $dobPlus2Years, $options) ||
 109             Helper::checkDiagResolved(Diagnosis::HEP_B, $patient, $patient->dob, $endDate) &&
 110             !( Helper::checkAllergy(Allergy::HEP_B_VAC, $patient, $patient->dob, $endDate) ||
 111                Helper::checkAllergy(Allergy::BAKERS_YEAST, $patient, $patient->dob, $endDate) )
 112         ) {
 113             return true;
 114         }
 115
 116         return false;
 117     }
 118
 119     public static function checkVzv(CqmPatient $patient, $beginDate, $endDate)
 120     {
 121         $options = array( Medication::OPTION_COUNT => 1 );
 122         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 123         if (
 124             Helper::checkMed(Medication::VZV, $patient, $patient->dob, $dobPlus2Years, $options) ||
 125              ( Helper::checkDiagResolved(Diagnosis::VZV, $patient, $patient->dob, $endDate) &&
 126                !( Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
 127                   Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $beginDate, $endDate) ||
 128                   Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $beginDate, $endDate) ||
 129                   Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $beginDate, $endDate) ||
 130                   Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $beginDate, $endDate) ||
 131                   Helper::checkAllergy(Allergy::VZV, $patient, $patient->dob, $endDate) ||
 132                   Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $beginDate, $endDate) ) )
 133         ) {
 134             return true;
 135         }
 136
 137         return false;
 138     }
 139
 140     public static function checkPheumococcal(CqmPatient $patient, $beginDate, $endDate)
 141     {
 142         $options = array( Medication::OPTION_COUNT => 4 );
 143         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 144         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 145         if (
 146             Helper::checkMed(Medication::PNEUMOCOCCAL_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 147             !Helper::checkAllergy(Allergy::PNEUM_VAC, $patient)
 148         ) {
 149             return true;
 150         }
 151
 152         return false;
 153     }
 154
 155     public static function checkHepA(CqmPatient $patient, $beginDate, $endDate)
 156     {
 157         $options = array( Medication::OPTION_COUNT => 2 );
 158         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 159         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 160         if (
 161             Helper::checkMed(Medication::HEP_A_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) ||
 162             ( Helper::checkDiagResolved(Diagnosis::HEP_A, $patient, $patient->dob, $endDate) &&
 163               !Helper::checkAllergy(Allergy::HEP_A_VAC, $patient, $patient->dob, $endDate) )
 164         ) {
 165             return true;
 166         }
 167
 168         return false;
 169     }
 170
 171     public static function checkRotavirus(CqmPatient $patient, $beginDate, $endDate)
 172     {
 173         $options = array( Medication::OPTION_COUNT => 4 );
 174         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 175         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 176         if (
 177             Helper::checkMed(Medication::ROTAVIRUS_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 178             !Helper::checkAllergy(Allergy::ROTAVIRUS_VAC, $patient, $patient->dob, $endDate)
 179         ) {
 180             return true;
 181         }
 182
 183         return false;
 184     }
 185
 186     public static function checkInfluenza(CqmPatient $patient, $beginDate, $endDate)
 187     {
 188         $options = array( Medication::OPTION_COUNT => 2 );
 189         $dobPlus180Days = date('Y-m-d 00:00:00', strtotime('+180 day', strtotime($patient->dob)));
 190         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 191         if (
 192             Helper::checkMed(Medication::INFLUENZA_VAC, $patient, $dobPlus180Days, $dobPlus2Years, $options) &&
 193             !( Helper::checkAllergy(Allergy::INFLUENZA_VAC, $patient, $patient->dob, $endDate) ||
 194                Helper::checkDiagActive(Diagnosis::CANCER_LYMPH_HIST, $patient, $patient->dob, $endDate) ||
 195                Helper::checkDiagInactive(Diagnosis::CANCER_LYMPH_HIST, $patient, $patient->dob, $endDate) ||
 196                Helper::checkDiagActive(Diagnosis::ASYMPTOMATIC_HIV, $patient, $patient->dob, $endDate) ||
 197                Helper::checkDiagActive(Diagnosis::MULT_MYELOMA, $patient, $patient->dob, $endDate) ||
 198                Helper::checkDiagActive(Diagnosis::LUKEMIA, $patient, $patient->dob, $endDate) ||
 199                Helper::checkDiagActive(Diagnosis::IMMUNODEF, $patient, $patient->dob, $endDate) )
 200         ) {
 201             return true;
 202         }
 203
 204         return false;
 205     }
 206
 207     public static function checkRotavirus_2014(CqmPatient $patient, $beginDate, $endDate)
 208     {
 209         $options = array( Medication::OPTION_COUNT => 2 );
 210         $dobPlus42Days = date('Y-m-d 00:00:00', strtotime('+42 day', strtotime($patient->dob)));
 211         $dobPlus2Years = date('Y-m-d 00:00:00', strtotime('+2 year', strtotime($patient->dob)));
 212         if (
 213             Helper::checkMed(Medication::ROTAVIRUS_VAC, $patient, $dobPlus42Days, $dobPlus2Years, $options) &&
 214             !Helper::checkAllergy(Allergy::ROTAVIRUS_VAC, $patient, $patient->dob, $endDate)
 215         ) {
 216             return true;
 217         }
 218
 219         return false;
 220     }
 221 }