src/Services/Cda/CdaTemplateParse.php

   1 <?php
   2
   3 /**
   4  * QrdaParseService Class
   5  *
   6  * @package   OpenEMR
   7  * @link      https://www.open-emr.org
   8  * @author    Jerry Padgett <sjpadgett@gmail.com>
   9  * @copyright Copyright (c) 2021 Jerry Padgett <sjpadgett@gmail.com>
  10  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  11  */
  12
  13 namespace OpenEMR\Services\Cda;
  14
  15 use OpenEMR\Services\CodeTypesService;
  16
  17 class CdaTemplateParse
  18 {
  19     private $templateData;
  20     private $codeService;
  21     protected $is_qrda_import;
  22
  23     public function __construct()
  24     {
  25         $this->templateData = [];
  26         $this->is_qrda_import = false;
  27         $this->codeService = new CodeTypesService();
  28     }
  29
  30     public function parseCDAEntryComponents($components): array
  31     {
  32
  33         $components_oids = array(
  34             '2.16.840.1.113883.10.20.22.4.7' => 'allergy',
  35             '2.16.840.1.113883.10.20.22.2.6.1' => 'allergy',
  36             '2.16.840.1.113883.10.20.22.2.1' => 'medication',
  37             '2.16.840.1.113883.10.20.22.2.1.1' => 'medication',
  38             '2.16.840.1.113883.10.20.22.2.5.1' => 'medical_problem',
  39             '2.16.840.1.113883.10.20.22.2.5' => 'medical_problem',
  40             '2.16.840.1.113883.10.20.22.2.2' => 'immunization',
  41             '2.16.840.1.113883.10.20.22.2.2.1' => 'immunization',
  42             '2.16.840.1.113883.3.88.11.83.145' => 'procedure',
  43             '2.16.840.1.113883.10.20.22.2.7.1' => 'procedure',
  44             '2.16.840.1.113883.10.20.22.2.3.1' => 'labResult',
  45             '2.16.840.1.113883.10.20.22.2.3' => 'labResult',
  46             '2.16.840.1.113883.10.20.22.2.4.1' => 'VitalSign',
  47             '2.16.840.1.113883.10.20.22.2.17' => 'socialHistory',
  48             '2.16.840.1.113883.3.88.11.83.127' => 'encounter',
  49             '2.16.840.1.113883.10.20.22.2.22.1' => 'encounter',
  50             '2.16.840.1.113883.10.20.22.2.10' => 'carePlan',
  51             '2.16.840.1.113883.10.20.22.2.14' => 'functionalCognitiveStatus',
  52             '1.3.6.1.4.1.19376.1.5.3.1.3.1' => 'referral',
  53             '2.16.840.1.113883.10.20.22.2.11.1' => 'dischargeMedications',
  54             '2.16.840.1.113883.10.20.22.2.41' => 'dischargeSummary'
  55         );
  56
  57         foreach ($components as $component) {
  58             if (!empty($component['section']['templateId']['root'])) {
  59                 if (!empty($components_oids[$component['section']['templateId']['root']])) {
  60                     $func_name = $components_oids[$component['section']['templateId']['root']];
  61                     $this->$func_name($component);
  62                 }
  63             } elseif (empty($component['section']['templateId'])) {
  64                 // uncomment for debugging information.
  65                 error_log("section and template id empty for " . var_export($component, true));
  66             } elseif (count($component['section']['templateId']) > 1) {
  67                 foreach ($component['section']['templateId'] as $key_1 => $value_1) {
  68                     if (!empty($components_oids[$component['section']['templateId'][$key_1]['root']])) {
  69                         $func_name = $components_oids[$component['section']['templateId'][$key_1]['root']];
  70                         $this->$func_name($component);
  71                         break;
  72                     }
  73                 }
  74             }
  75         }
  76         return $this->templateData;
  77     }
  78
  79     /**
  80      * parsePatientDataSection
  81      *
  82      * @param $entryComponents //An array of QRDA entry templates
  83      * @return array
  84      */
  85     public function parseQRDAPatientDataSection($entryComponents): array
  86     {
  87         $this->is_qrda_import = true;
  88         $qrda_oids = array(
  89         '2.16.840.1.113883.10.20.24.3.147' => 'fetchAllergyIntoleranceObservation',
  90         '2.16.840.1.113883.10.20.24.3.41' => 'fetchMedicationData',  // active medication @todo verify status all meds
  91         '2.16.840.1.113883.10.20.24.3.42' => 'fetchMedicationData',  // Medication Administered Act @todo honor end dates
  92         '2.16.840.1.113883.10.20.24.3.139' => 'fetchMedicationData', // Medication Dispensed Act @todo set med type
  93         '2.16.840.1.113883.10.20.24.3.105' => 'fetchMedicationData', // Medication Discharge Act
  94         '2.16.840.1.113883.10.20.24.3.47' => 'fetchMedicationData',  // QDM Datatype: Substance, Order @todo substance water, breast milk
  95         '2.16.840.1.113883.10.20.24.3.137' => 'fetchMedicalProblemData',// diagnosis
  96         '2.16.840.1.113883.10.20.24.3.140' => 'fetchImmunizationData',  // Immunization Administered (V3)
  97         '2.16.840.1.113883.10.20.24.3.143' => 'fetchImmunizationData',  // Immunization Order (V3) @todo verify status
  98         '2.16.840.1.113883.10.20.22.4.14' => 'fetchProcedureActivityData', // procedure activity-performed 2.16.840.1.113883.10.20.24.3.64
  99         '2.16.840.1.113883.10.20.24.3.7' => 'fetchProcedureDeviceData', // procedure preformed Device Applied
 100         '2.16.840.1.113883.10.20.24.3.32' => 'fetchProcedurePreformedActivity',// procedure activity-intervention
 101         '2.16.840.1.113883.10.20.24.3.37' => 'fetchQrdaLabResultData',  // lab test ordered
 102         '2.16.840.1.113883.10.20.24.3.38' => 'fetchQrdaLabResultData',  // lab test preformed
 103         '2.16.840.1.113883.10.20.24.3.133' => 'fetchEncounterPerformed',
 104         //'' => '',
 105         );
 106         foreach ($entryComponents['section']['entry'] as $entry) {
 107             $key = array_keys($entry)[0]; // need the entry template type i.e. observation, activity, substance etc.
 108             if (!empty($entry[$key]['templateId']['root'])) {
 109                 if (!empty($qrda_oids[$entry[$key]['templateId']['root']])) {
 110                     $func_name = $qrda_oids[$entry[$key]['templateId']['root']] ?? null;
 111                     if (!empty($func_name)) {
 112                         $this->$func_name($entry);
 113                     }
 114                 } else {
 115                     $text = $entry[$key]['templateId']['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 116                     error_log('Root Missing QDM: ' . $text);
 117                 }
 118             } elseif (count($entry[$key]['templateId']) > 1) {
 119                 $key_1 = 1;
 120                 if (!empty($qrda_oids[$entry[$key]['templateId'][$key_1]['root']])) {
 121                     $func_name = $qrda_oids[$entry[$key]['templateId'][$key_1]['root']] ?? null;
 122                     if (!empty($func_name)) {
 123                         $this->$func_name($entry);
 124                     } else {
 125                         $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 126                         error_log('Missing QDM: ' . $text);
 127                     }
 128                 } else {
 129                     $text = $entry[$key]['templateId'][$key_1]['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 130                     error_log('Missing QDM: ' . $text);
 131                 }
 132             }
 133         }
 134         return $this->templateData;
 135     }
 136
 137     /**
 138      * @param $entry
 139      */
 140     public function fetchEncounterPerformed($entry): void
 141     {
 142         $entry = $entry['act']['entryRelationship'];
 143         if ($entry['encounter']['effectiveTime']['value'] != 0 || $entry['encounter']['effectiveTime']['low']['value'] != 0) {
 144             $i = 1;
 145             if (!empty($this->templateData['field_name_value_array']['encounter'])) {
 146                 $i += count($this->templateData['field_name_value_array']['encounter']);
 147             }
 148
 149             $this->templateData['field_name_value_array']['encounter'][$i]['extension'] = $entry['encounter']['id']['extension'];
 150             $this->templateData['field_name_value_array']['encounter'][$i]['root'] = $entry['encounter']['id']['root'];
 151             $this->templateData['field_name_value_array']['encounter'][$i]['date'] = $entry['encounter']['effectiveTime']['value'] ?: $entry['encounter']['effectiveTime']['low']['value'];
 152
 153             $code_type = $entry['encounter']['code']['codeSystemName'] ?: $entry['encounter']['code']['codeSystem'] ?? '';
 154             $code_text = $entry['encounter']['code']['displayName'] ?? '';
 155             $code = $this->codeService->resolveCode($entry['encounter']['code']['code'], $code_type, $code_text);
 156             $this->templateData['field_name_value_array']['encounter'][$i]['code'] = $code['formatted_code'];
 157             $this->templateData['field_name_value_array']['encounter'][$i]['code_text'] = $code['code_text'];
 158
 159             $this->templateData['field_name_value_array']['encounter'][$i]['provider_npi'] = $entry['encounter']['performer']['assignedEntity']['id']['extension'];
 160             $this->templateData['field_name_value_array']['encounter'][$i]['provider_name'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['given']; // first
 161             $this->templateData['field_name_value_array']['encounter'][$i]['provider_family'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['family']; // last
 162             $this->templateData['field_name_value_array']['encounter'][$i]['provider_address'] = $entry['encounter']['performer']['assignedEntity']['addr']['streetAddressLine'];
 163             $this->templateData['field_name_value_array']['encounter'][$i]['provider_city'] = $entry['encounter']['performer']['assignedEntity']['addr']['city'];
 164             $this->templateData['field_name_value_array']['encounter'][$i]['provider_state'] = $entry['encounter']['performer']['assignedEntity']['addr']['state'];
 165             $this->templateData['field_name_value_array']['encounter'][$i]['provider_postalCode'] = $entry['encounter']['performer']['assignedEntity']['addr']['postalCode'];
 166             $this->templateData['field_name_value_array']['encounter'][$i]['provider_country'] = $entry['encounter']['performer']['assignedEntity']['addr']['country'];
 167             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_name'] = $entry['encounter']['participant']['participantRole']['playingEntity']['name'];
 168             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_address'] = $entry['encounter']['participant']['participantRole']['addr']['streetAddressLine'];
 169             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_city'] = $entry['encounter']['participant']['participantRole']['addr']['city'];
 170             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_state'] = $entry['encounter']['participant']['participantRole']['addr']['state'];
 171             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_zip'] = $entry['encounter']['participant']['participantRole']['addr']['postalCode'];
 172             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_country'] = $entry['encounter']['participant']['participantRole']['addr']['country'];
 173             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_telecom'] = $entry['encounter']['participant']['participantRole']['telecom'];
 174
 175             // encounter diagnosis to issues list
 176             $code = $this->codeService->resolveCode(
 177                 $entry['encounter']['entryRelationship'][1]['act']['entryRelationship']['observation']['value']['code'],
 178                 $entry['encounter']['entryRelationship'][1]['act']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['encounter']['entryRelationship'][1]['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 179                 $entry['encounter']['entryRelationship'][1]['act']['entryRelationship']['observation']['value']['displayName']
 180             );
 181             $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_code'] = $code['formatted_code'];
 182             $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_issue'] = $code['code_text'];
 183
 184             $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'] = $entry['encounter']['entryRelationship'][1]['act']['entryRelationship']['observation']['effectiveTime']['low']['value'];
 185             $this->templateData['entry_identification_array']['encounter'][$i] = $i;
 186         }
 187     }
 188
 189     /**
 190      * @param $entry
 191      */
 192     public function fetchMedicalProblemData($entry): void
 193     {
 194         if (!empty($entry['act']['entryRelationship']['observation']['value']['code'])) {
 195             $i = 1;
 196             if (!empty($this->templateData['field_name_value_array']['lists1'])) {
 197                 $i += count($this->templateData['field_name_value_array']['lists1']);
 198             }
 199
 200             $code = $this->codeService->resolveCode(
 201                 $entry['act']['entryRelationship']['observation']['value']['code'],
 202                 $entry['act']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 203                 $entry['act']['entryRelationship']['observation']['value']['displayName']
 204             );
 205             $this->templateData['field_name_value_array']['lists1'][$i]['list_code'] = $code['formatted_code'];
 206             $this->templateData['field_name_value_array']['lists1'][$i]['list_code_text'] = $code['code_text'];
 207
 208             $this->templateData['field_name_value_array']['lists1'][$i]['type'] = 'medical_problem';
 209             $this->templateData['field_name_value_array']['lists1'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 210             $this->templateData['field_name_value_array']['lists1'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 211             $this->templateData['field_name_value_array']['lists1'][$i]['begdate'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 212             $this->templateData['field_name_value_array']['lists1'][$i]['enddate'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 213             $this->templateData['field_name_value_array']['lists1'][$i]['observation'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 214             $this->templateData['field_name_value_array']['lists1'][$i]['observation_text'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 215             $this->templateData['field_name_value_array']['lists1'][$i]['status'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['displayName'] ?: $entry['act']['entryRelationship']['observation']['statusCode'];
 216             $this->templateData['field_name_value_array']['lists1'][$i]['modified_time'] = $entry['act']['entryRelationship']['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 217             $this->templateData['entry_identification_array']['lists1'][$i] = $i;
 218         }
 219     }
 220
 221     /**
 222      * @param $entry
 223      */
 224     public function fetchAllergyIntoleranceObservation($entry)
 225     {
 226         if (!empty($entry['observation']['participant']['participantRole']['playingEntity']['code']['code'])) {
 227             $i = 1;
 228             // if there are already items here we want to add to them.
 229             if (!empty($this->templateData['field_name_value_array']['lists2'])) {
 230                 $i += count($this->templateData['field_name_value_array']['lists2']);
 231             }
 232
 233             $this->templateData['field_name_value_array']['lists2'][$i]['type'] = 'allergy';
 234             $this->templateData['field_name_value_array']['lists2'][$i]['extension'] = $entry['id']['extension'] ?? null;
 235             $this->templateData['field_name_value_array']['lists2'][$i]['begdate'] = $entry['effectiveTime']['low']['value'] ?? null;
 236             $this->templateData['field_name_value_array']['lists2'][$i]['enddate'] = $entry['effectiveTime']['high']['value'] ?? null;
 237
 238             $code = $this->codeService->resolveCode(
 239                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['code'] ?? null,
 240                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['codeSystemName'] ?? null,
 241                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['displayName'] ?: $entry['observation']['participant']['participantRole']['playingEntity']['name'] ?? null
 242             );
 243             $this->templateData['field_name_value_array']['lists2'][$i]['list_code'] = $code['formatted_code'];
 244             $this->templateData['field_name_value_array']['lists2'][$i]['list_code_text'] = $code['code_text'];
 245             $this->templateData['field_name_value_array']['lists2'][$i]['codeSystemName'] = $code['formatted_code_type'];
 246
 247             $this->templateData['field_name_value_array']['lists2'][$i]['outcome'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 248             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al_code'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 249             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 250             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['observation']['entryRelationship'][0]['observation']['value']['displayName'] ?? null;
 251             $this->templateData['field_name_value_array']['lists2'][$i]['reaction'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 252             $this->templateData['field_name_value_array']['lists2'][$i]['reaction_text'] = $entry['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 253             $this->templateData['field_name_value_array']['lists2'][$i]['modified_time'] = $entry['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 254             $this->templateData['entry_identification_array']['lists2'][$i] = $i;
 255         }
 256     }
 257
 258     /**
 259      * @param $entry
 260      */
 261     public function fetchMedicationData($entry): void
 262     {
 263         if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])) {
 264             $i = 1;
 265             if (!empty($this->templateData['field_name_value_array']['lists3'])) {
 266                 $i += count($this->templateData['field_name_value_array']['lists3']);
 267             }
 268
 269             $substanceAdministration_oids = array(
 270                 '2.16.840.1.113883.10.20.24.3.41' => 'active',
 271                 '2.16.840.1.113883.10.20.24.3.42' => 'administered',
 272                 '2.16.840.1.113883.10.20.24.3.139' => 'dispensed',
 273                 '2.16.840.1.113883.10.20.24.3.105' => 'discharge',
 274             );
 275             $request_type = '';
 276             if ($this->is_qrda_import) {
 277                 if (!empty($entry['substanceAdministration']['templateId']['root'])) {
 278                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId']['root']];
 279                 } elseif (!empty($entry['substanceAdministration']['templateId'][1]['root'])) {
 280                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId'][1]['root']];
 281                 }
 282             }
 283
 284             $code = $this->codeService->resolveCode(
 285                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'],
 286                 'RXNORM',
 287                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 288             );
 289
 290             $this->templateData['field_name_value_array']['lists3'][$i]['type'] = 'medication';
 291             $this->templateData['field_name_value_array']['lists3'][$i]['request_type'] = $request_type;
 292             $this->templateData['field_name_value_array']['lists3'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 293             $this->templateData['field_name_value_array']['lists3'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 294             if (empty($entry['substanceAdministration']['effectiveTime'][0]['low']['value'])) {
 295                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = date('Y-m-d');
 296             } else {
 297                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = $entry['substanceAdministration']['effectiveTime'][0]['low']['value'];
 298             }
 299
 300             if (!empty($entry['substanceAdministration']['effectiveTime'][0]['high']['value'])) {
 301                 $this->templateData['field_name_value_array']['lists3'][$i]['enddate'] = $entry['substanceAdministration']['effectiveTime'][0]['high']['value'];
 302             }
 303
 304             $this->templateData['field_name_value_array']['lists3'][$i]['route'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 305             $this->templateData['field_name_value_array']['lists3'][$i]['route_display'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 306             $this->templateData['field_name_value_array']['lists3'][$i]['dose'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 307             $this->templateData['field_name_value_array']['lists3'][$i]['dose_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 308             $this->templateData['field_name_value_array']['lists3'][$i]['rate'] = $entry['substanceAdministration']['rateQuantity']['value'] ?? null;
 309             $this->templateData['field_name_value_array']['lists3'][$i]['rate_unit'] = $entry['substanceAdministration']['rateQuantity']['unit'] ?? null;
 310             $this->templateData['field_name_value_array']['lists3'][$i]['drug_code'] = $code['code'];
 311             $this->templateData['field_name_value_array']['lists3'][$i]['drug_text'] = $code['code_text'];
 312             $this->templateData['field_name_value_array']['lists3'][$i]['note'] = $entry['substanceAdministration']['text']['reference']['value'] ?? null;
 313             $this->templateData['field_name_value_array']['lists3'][$i]['indication'] = $entry['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?? ($entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName'] ?? null);
 314             $this->templateData['field_name_value_array']['lists3'][$i]['prn'] = $entry['substanceAdministration']['precondition']['criterion']['value']['displayName'] ?? null;
 315             $this->templateData['field_name_value_array']['lists3'][$i]['modified_time'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['time']['value'] ?? null;
 316
 317             $this->templateData['field_name_value_array']['lists3'][$i]['provider_title'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['prefix'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'] ?? null);
 318             $this->templateData['field_name_value_array']['lists3'][$i]['provider_fname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'] ?? null);
 319             $this->templateData['field_name_value_array']['lists3'][$i]['provider_lname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'] ?? null);
 320             $this->templateData['field_name_value_array']['lists3'][$i]['provider_root'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'] ?? null;
 321             $this->templateData['field_name_value_array']['lists3'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null);
 322             $this->templateData['field_name_value_array']['lists3'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'] ?? null);
 323             $this->templateData['field_name_value_array']['lists3'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'] ?? null);
 324             $this->templateData['field_name_value_array']['lists3'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'] ?? null);
 325             $this->templateData['field_name_value_array']['lists3'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country']['value'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'] ?? null);
 326             $this->templateData['entry_identification_array']['lists3'][$i] = $i;
 327         }
 328     }
 329
 330     /**
 331      * @param $entry
 332      */
 333     public function fetchImmunizationData($entry): void
 334     {
 335         if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])) {
 336             $i = 1;
 337             if (!empty($this->templateData['field_name_value_array']['immunization'])) {
 338                 $i += count($this->templateData['field_name_value_array']['immunization']);
 339             }
 340             $this->templateData['field_name_value_array']['immunization'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 341             $this->templateData['field_name_value_array']['immunization'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 342             $this->templateData['field_name_value_array']['immunization'][$i]['administered_date'] = $entry['substanceAdministration']['effectiveTime']['value'] ?? null;
 343             $this->templateData['field_name_value_array']['immunization'][$i]['route_code'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 344             $this->templateData['field_name_value_array']['immunization'][$i]['route_code_text'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 345
 346             $code = $this->codeService->resolveCode(
 347                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'] ?? null,
 348                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'],
 349                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 350             );
 351             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code'] = $code['code'];
 352             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code_text'] = $code['code_text'];
 353             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 354             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 355             $this->templateData['field_name_value_array']['immunization'][$i]['completion_status'] = $entry['substanceAdministration']['statusCode']['code'] ?? null;
 356             $this->templateData['field_name_value_array']['immunization'][$i]['manufacturer'] = $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturerOrganization']['name'] ?? null;
 357             $this->templateData['field_name_value_array']['immunization'][$i]['provider_npi'] = $entry['substanceAdministration']['performer']['assignedEntity']['id']['extension'] ?? null;
 358             $this->templateData['field_name_value_array']['immunization'][$i]['provider_name'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? null;
 359             $this->templateData['field_name_value_array']['immunization'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 360             $this->templateData['field_name_value_array']['immunization'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? null;
 361             $this->templateData['field_name_value_array']['immunization'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? null;
 362             $this->templateData['field_name_value_array']['immunization'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 363             $this->templateData['field_name_value_array']['immunization'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country'] ?? null;
 364             $this->templateData['field_name_value_array']['immunization'][$i]['provider_telecom'] = $entry['substanceAdministration']['performer']['assignedEntity']['telecom']['value'] ?? null;
 365             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 366             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization_tele'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['telecom'] ?? null;
 367             $this->templateData['entry_identification_array']['immunization'][$i] = $i;
 368         }
 369     }
 370
 371     /**
 372      * @param $entry
 373      */
 374     public function fetchProcedureActivityData($entry): void
 375     {
 376         if (!empty($entry['procedure']['code']['code'])) {
 377             $i = 1;
 378             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 379                 $i += count($this->templateData['field_name_value_array']['procedure']);
 380             }
 381
 382             $code = $this->codeService->resolveCode(
 383                 $entry['procedure']['code']['code'] ?? '',
 384                 $entry['procedure']['code']['codeSystemName'] ?: $entry['procedure']['code']['codeSystem'] ?? null,
 385                 $entry['procedure']['code']['displayName'] ?? ''
 386             );
 387
 388             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 389             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 390
 391             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'];
 392             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 393             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 394
 395             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 396             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 397
 398             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 399                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 400             } else {
 401                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 402             }
 403
 404             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization1'] = $entry['procedure']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 405             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address1'] = $entry['procedure']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 406             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city1'] = $entry['procedure']['performer']['assignedEntity']['addr']['city'] ?? null;
 407             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state1'] = $entry['procedure']['performer']['assignedEntity']['addr']['state'] ?? null;
 408             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode1'] = $entry['procedure']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 409             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country1'] = $entry['procedure']['performer']['assignedEntity']['addr']['country'] ?? null;
 410             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_telecom1'] = $entry['procedure']['performer']['assignedEntity']['telecom']['value'] ?? null;
 411
 412             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization2'] = $entry['procedure']['participant']['participantRole']['playingEntity']['name'] ?? null;
 413             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address2'] = $entry['procedure']['participant']['participantRole']['addr']['streetAddressLine'] ?? null;
 414             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city2'] = $entry['procedure']['participant']['participantRole']['addr']['city'] ?? null;
 415             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state2'] = $entry['procedure']['participant']['participantRole']['addr']['state'] ?? null;
 416             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode2'] = $entry['procedure']['participant']['participantRole']['addr']['postalCode'] ?? null;
 417             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country2'] = $entry['procedure']['participant']['participantRole']['addr']['country'] ?? null;
 418             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 419         }
 420     }
 421
 422     /**
 423      * @param $entry
 424      */
 425     public function fetchProcedureDeviceData($entry): void
 426     {
 427         if (!empty($entry['procedure']['code']['code'])) {
 428             $i = 1;
 429             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 430                 $i += count($this->templateData['field_name_value_array']['procedure']);
 431             }
 432
 433             // future may need device status code
 434             /*$code_proc_type = $this->codeService->resolveCode(
 435                 $entry['procedure']['code']['code'] ?? '',
 436                 $entry['procedure']['code']['codeSystemName'] ?: $entry['procedure']['code']['codeSystem'] ?? null,
 437                 $entry['procedure']['code']['displayName'] ?? ''
 438             );*/
 439
 440             $code = $this->codeService->resolveCode(
 441                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['code'] ?? '',
 442                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['codeSystem'] ?? null,
 443                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['displayName'] ?? ''
 444             );
 445
 446             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = 'device';
 447
 448             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 449
 450             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 451             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 452
 453             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'];
 454             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 455             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 456
 457             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 458                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 459             } else {
 460                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 461             }
 462
 463             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 464         }
 465     }
 466
 467     /**
 468      * @param $entry
 469      */
 470     public function fetchProcedurePreformedActivity($entry): void
 471     {
 472         if (!empty($entry['act']['code']['code'])) {
 473             $i = 1;
 474             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 475                 $i += count($this->templateData['field_name_value_array']['procedure']);
 476             }
 477
 478             $procedure_type = 'intervention';
 479             if (!empty($entry['act']['templateId'][1]['root']) && $entry['act']['templateId'][1]['root'] == '2.16.840.1.113883.10.20.24.3.32') {
 480                 $procedure_type = 'intervention';
 481             }
 482
 483             $code = $this->codeService->resolveCode(
 484                 $entry['act']['code']['code'] ?? '',
 485                 $entry['act']['code']['codeSystemName'] ?: $entry['act']['code']['codeSystem'] ?? null,
 486                 $entry['act']['code']['displayName'] ?? $entry['act']['text']
 487             );
 488
 489             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 490
 491             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['act']['statusCode']['code'] ?? '';
 492
 493             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 494             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 495
 496             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'];
 497             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 498             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 499
 500             if (!empty($entry['act']['effectiveTime']['low']['value'])) {
 501                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 502             } else {
 503                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['value'] ?? null;
 504             }
 505
 506             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 507         }
 508     }
 509
 510     public function allergy($component)
 511     {
 512         if (!empty($component['section']['entry'][0])) {
 513             foreach ($component['section']['entry'] as $key => $value) {
 514                 $this->fetchAllergyIntoleranceObservation($value);
 515             }
 516         } else {
 517             $this->fetchAllergyIntoleranceObservation($component['section']['entry'] ?? null);
 518         }
 519     }
 520
 521     public function medication($component)
 522     {
 523         $component['section']['text'] = '';
 524         if (!empty($component['section']['entry'][0])) {
 525             foreach ($component['section']['entry'] as $key => $value) {
 526                 $this->fetchMedicationData($value);
 527             }
 528         } else {
 529             $this->fetchMedicationData($component['section']['entry'] ?? null);
 530         }
 531     }
 532
 533     public function medical_problem($component)
 534     {
 535         $component['section']['text'] = '';
 536         if (!empty($component['section']['entry'][0])) {
 537             foreach ($component['section']['entry'] as $key => $value) {
 538                 $this->fetchMedicalProblemData($value);
 539             }
 540         } else {
 541             $this->fetchMedicalProblemData($component['section']['entry'] ?? null);
 542         }
 543     }
 544
 545     public function immunization($component)
 546     {
 547         $component['section']['text'] = '';
 548         if (!empty($component['section']['entry'][0])) {
 549             foreach ($component['section']['entry'] as $key => $value) {
 550                 $this->fetchImmunizationData($value);
 551             }
 552         } else {
 553             $this->fetchImmunizationData($component['section']['entry']);
 554         }
 555     }
 556
 557     public function procedure($component)
 558     {
 559         $component['section']['text'] = '';
 560         if (!empty($component['section']['entry'][0])) {
 561             foreach ($component['section']['entry'] as $key => $value) {
 562                 if ($key % 3 != 0) {
 563                     continue; //every third entry section has the procedure details
 564                 }
 565
 566                 $this->fetchProcedureActivityData($value);
 567             }
 568         } else {
 569             $this->fetchProcedureActivityData($component['section']['entry'] ?? null);
 570         }
 571     }
 572
 573     public function labResult($component)
 574     {
 575         $component['section']['text'] = '';
 576         if (!empty($component['section']['entry'][0])) {
 577             foreach ($component['section']['entry'] as $key => $value) {
 578                 $this->fetchLabResultData($value);
 579             }
 580         } else {
 581             $this->fetchLabResultData($component['section']['entry'] ?? null);
 582         }
 583     }
 584
 585     public function fetchLabResultData($lab_result_data)
 586     {
 587         $i = 1;
 588         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
 589             $i += count($this->templateData['field_name_value_array']['procedure_result']);
 590         }
 591         if (!empty($lab_result_data['organizer']['component'])) {
 592             foreach ($lab_result_data['organizer']['component'] as $key => $value) {
 593                 if (!empty($value['observation']['code']['code'])) {
 594                     $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $lab_result_data['organizer']['id']['extension'] ?? null;
 595                     $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $lab_result_data['organizer']['id']['root'] ?? null;
 596                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $lab_result_data['organizer']['code']['code'] ?? null;
 597                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $lab_result_data['organizer']['code']['displayName'] ?? null;
 598                     $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $lab_result_data['organizer']['effectiveTime']['value'] ?? null;
 599                     $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $lab_result_data['organizer']['statusCode']['code'] ?? null;
 600
 601                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
 602                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
 603                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $value['observation']['code']['code'] ?? null;
 604                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $value['observation']['code']['displayName'] ?? null;
 605                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
 606                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
 607                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?? null;
 608                     if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
 609                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
 610                     } else {
 611                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . '-' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
 612                     }
 613
 614                     $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
 615                     $i++;
 616                 }
 617             }
 618         }
 619     }
 620
 621     public function fetchQrdaLabResultData($lab_result_data)
 622     {
 623         $i = 1;
 624         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
 625             $i += count($this->templateData['field_name_value_array']['procedure_result']);
 626         }
 627         if (!empty($lab_result_data['observation']['code']['code'])) {
 628             $code = $this->codeService->resolveCode(
 629                 $lab_result_data['observation']['code']['code'] ?? '',
 630                 $lab_result_data['observation']['code']['codeSystemName'] ?: $lab_result_data['observation']['code']['codeSystem'] ?? '',
 631                 $lab_result_data['observation']['code']['displayName'] ?? ''
 632             );
 633
 634             $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $lab_result_data['observation']['id']['extension'] ?? null;
 635             $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $lab_result_data['observation']['id']['root'] ?? null;
 636             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $code['formatted_code'];
 637             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $code['code_text'];
 638
 639             if (!empty($lab_result_data['observation']['effectiveTime']['low']['value'])) {
 640                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $lab_result_data['observation']['effectiveTime']['low']['value'];
 641             } else {
 642                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $lab_result_data['observation']['effectiveTime']['value'] ?? null;
 643             }
 644
 645             $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $lab_result_data['observation']['statusCode']['code'] ?? null;
 646
 647             $value = $lab_result_data['observation']['entryRelationship'];
 648
 649             $code = $this->codeService->resolveCode(
 650                 $value['observation']['code']['code'] ?? null,
 651                 $value['observation']['code']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
 652                 $value['observation']['code']['displayName'] ?? ''
 653             );
 654             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $code['formatted_code'];
 655             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $code['code_text'];
 656
 657             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
 658             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
 659             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
 660             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
 661             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?? null;
 662             if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
 663                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
 664             } else {
 665                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . '-' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
 666             }
 667
 668             $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
 669         }
 670     }
 671
 672     public function VitalSign($component)
 673     {
 674         $component['section']['text'] = '';
 675         if (!empty($component['section']['entry'][0])) {
 676             foreach ($component['section']['entry'] as $key => $value) {
 677                 $this->fetchVitalSignData($value);
 678             }
 679         } else {
 680             $this->fetchVitalSignData($component['section']['entry']);
 681         }
 682     }
 683
 684     public function fetchVitalSignData($vital_sign_data)
 685     {
 686         if (!empty($vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'])) {
 687             $i = 1;
 688             if (!empty($this->templateData['field_name_value_array']['vital_sign'])) {
 689                 $i += count($this->templateData['field_name_value_array']['vital_sign']);
 690             }
 691             $this->templateData['field_name_value_array']['vital_sign'][$i]['extension'] = $vital_sign_data['organizer']['id']['extension'] ?? null;
 692             $this->templateData['field_name_value_array']['vital_sign'][$i]['root'] = $vital_sign_data['organizer']['id']['root'] ?? null;
 693             $this->templateData['field_name_value_array']['vital_sign'][$i]['date'] = $vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'] ?? null;
 694             $vitals_array = array(
 695                 '8310-5' => 'temperature',
 696                 '8462-4' => 'bpd',
 697                 '8480-6' => 'bps',
 698                 '8287-5' => 'head_circ',
 699                 '8867-4' => 'pulse',
 700                 '8302-2' => 'height',
 701                 '2710-2' => 'oxygen_saturation',
 702                 '9279-1' => 'respiration',
 703                 '3141-9' => 'weight'
 704             );
 705
 706             for ($j = 0; $j < 9; $j++) {
 707                 $code = $vital_sign_data['organizer']['component'][$j]['observation']['code']['code'] ?? null;
 708                 if (!empty($vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'])) {
 709                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bps'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][0]['observation']['value']['value'] ?? null;
 710                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bpd'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][1]['observation']['value']['value'] ?? null;
 711                 } else {
 712                     if (array_key_exists($code, $vitals_array)) {
 713                         $this->templateData['field_name_value_array']['vital_sign'][$i][$vitals_array[$code]] = $vital_sign_data['organizer']['component'][$j]['observation']['value']['value'] ?? null;
 714                     }
 715                 }
 716             }
 717
 718             $this->templateData['entry_identification_array']['vital_sign'][$i] = $i;
 719         }
 720     }
 721
 722     public function socialHistory($component)
 723     {
 724         $component['section']['text'] = '';
 725         if (!empty($component['section']['entry'][0])) {
 726             foreach ($component['section']['entry'] as $key => $value) {
 727                 $this->fetchSocialHistoryData($value);
 728             }
 729         } else {
 730             $this->fetchSocialHistoryData($component['section']['entry'] ?? null);
 731         }
 732     }
 733
 734     public function fetchSocialHistoryData($social_history_data)
 735     {
 736         if (!empty($social_history_data['observation']['value']['code'])) {
 737             $social_history_array = array(
 738                 '2.16.840.1.113883.10.20.22.4.78' => 'smoking'
 739             );
 740             $i = 0;
 741             $code = $social_history_data['observation']['templateId']['root'];
 742             if (!empty($this->templateData['field_name_value_array']['social_history'])) {
 743                 foreach ($this->templateData['field_name_value_array']['social_history'] as $key => $value) {
 744                     if (!array_key_exists($social_history_array[$code], $value)) {
 745                         $i = $key;
 746                     } else {
 747                         $i = count($this->templateData['field_name_value_array']['social_history']) + 1;
 748                     }
 749                 }
 750             }
 751
 752             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['extension'] = $social_history_data['observation']['id']['extension'];
 753             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['root'] = $social_history_data['observation']['id']['root'];
 754             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['status'] = $social_history_data['observation']['value']['code'];
 755             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['begdate'] = $social_history_data['observation']['effectiveTime']['low']['value'];
 756             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['enddate'] = $social_history_data['observation']['effectiveTime']['high']['value'];
 757             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['value'] = $social_history_data['observation']['value']['displayName'];
 758             $this->templateData['entry_identification_array']['social_history'][$i] = $i;
 759         }
 760     }
 761
 762     public function encounter($component)
 763     {
 764         $component['section']['text'] = '';
 765         if ($component['section']['entry'][0]) {
 766             foreach ($component['section']['entry'] as $key => $value) {
 767                 $this->fetchEncounterPerformed($value);
 768             }
 769         } else {
 770             $this->fetchEncounterPerformed($component['section']['entry']);
 771         }
 772
 773         unset($component);
 774         return;
 775     }
 776
 777     public function carePlan($component)
 778     {
 779         $component['section']['text'] = '';
 780         if (!empty($component['section']['entry'][0])) {
 781             foreach ($component['section']['entry'] as $key => $value) {
 782                 $this->fetchCarePlanData($value);
 783             }
 784         } else {
 785             $this->fetchCarePlanData($component['section']['entry'] ?? null);
 786         }
 787     }
 788
 789     public function fetchCarePlanData($care_plan_data)
 790     {
 791         if (!empty($care_plan_data['act']['code']['code'])) {
 792             $i = 1;
 793             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
 794                 $i += count($this->templateData['field_name_value_array']['care_plan']);
 795             }
 796             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $care_plan_data['act']['templateId']['root'];
 797             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $care_plan_data['act']['templateId']['root'];
 798             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $care_plan_data['act']['code']['code'];
 799             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $care_plan_data['act']['code']['displayName'];
 800             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $care_plan_data['act']['text'];
 801             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $care_plan_data['act']['effectiveTime']['center']['value'];
 802             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
 803         }
 804     }
 805
 806     public function functionalCognitiveStatus($component)
 807     {
 808         $component['section']['text'] = '';
 809         if ($component['section']['entry'][0]) {
 810             foreach ($component['section']['entry'] as $key => $value) {
 811                 $this->fetchFunctionalCognitiveStatusData($value);
 812             }
 813         } else {
 814             $this->fetchFunctionalCognitiveStatusData($component['section']['entry']);
 815         }
 816     }
 817
 818     public function fetchFunctionalCognitiveStatusData($functional_cognitive_status_data)
 819     {
 820         if ($functional_cognitive_status_data['observation']['value']['code'] != '' && $functional_cognitive_status_data['observation']['value']['code'] != 0) {
 821             $i = 1;
 822             if (!empty($this->templateData['field_name_value_array']['functional_cognitive_status'])) {
 823                 $i += count($this->templateData['field_name_value_array']['functional_cognitive_status']);
 824             }
 825             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['extension'] = $functional_cognitive_status_data['observation']['id']['extension'];
 826             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['root'] = $functional_cognitive_status_data['observation']['id']['root'];
 827             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['date'] = $functional_cognitive_status_data['observation']['effectiveTime']['low']['value'];
 828             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code'] = $functional_cognitive_status_data['observation']['value']['code'];
 829             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code_text'] = $functional_cognitive_status_data['observation']['code']['displayName'];
 830             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['description'] = $functional_cognitive_status_data['observation']['value']['displayName'];
 831             $this->templateData['entry_identification_array']['functional_cognitive_status'][$i] = $i;
 832         }
 833     }
 834
 835     public function referral($component)
 836     {
 837         if ($component['section']['entry'][0]) {
 838             foreach ($component['section']['entry'] as $key => $value) {
 839                 $this->fetchReferralData($value);
 840             }
 841         } else {
 842             $this->fetchReferralData($component['section']);
 843         }
 844     }
 845
 846     public function fetchReferralData($referral_data)
 847     {
 848         if (!empty($referral_data['text']['paragraph']) && is_array($referral_data['text']['paragraph'])) {
 849             $i = 1;
 850             foreach ($referral_data['text']['paragraph'] as $key => $value) {
 851                 if ($value) {
 852                     $this->templateData['field_name_value_array']['referral'][$i]['body'] = preg_replace('/\s+/', ' ', $value);
 853                     $this->templateData['entry_identification_array']['referral'][$i] = $i;
 854                     $i++;
 855                 }
 856             }
 857         } else {
 858             $i = 1;
 859             if (!empty($this->templateData['field_name_value_array']['referral'])) {
 860                 $i += count($this->templateData['field_name_value_array']['referral']);
 861             }
 862             $this->templateData['field_name_value_array']['referral'][$i]['root'] = $referral_data['templateId']['root'];
 863             $this->templateData['field_name_value_array']['referral'][$i]['body'] = (!empty($referral_data['text']['paragraph'])) ? preg_replace('/\s+/', ' ', $referral_data['text']['paragraph']) : '';
 864
 865             $this->templateData['entry_identification_array']['referral'][$i] = $i;
 866         }
 867
 868         return;
 869     }
 870
 871     public function dischargeMedications($component)
 872     {
 873         $component['section']['text'] = '';
 874         if ($component['section']['entry'][0]) {
 875             foreach ($component['section']['entry'] as $key => $value) {
 876                 $this->fetchDischargeMedicationsData($value);
 877             }
 878         } else {
 879             $this->fetchDischargeMedicationsData($component['section']['entry']);
 880         }
 881     }
 882
 883     public function fetchDischargeMedicationsData($discharge_medications_data)
 884     {
 885         $i = 1;
 886         if (!empty($this->templateData['field_name_value_array']['discharge_medication'])) {
 887             $i += count($this->templateData['field_name_value_array']['discharge_medication']);
 888         }
 889         $this->templateData['field_name_value_array']['discharge_medication'][$i]['extension'] = $discharge_medications_data['act']['id']['extension'];
 890         $this->templateData['field_name_value_array']['discharge_medication'][$i]['root'] = $discharge_medications_data['act']['id']['root'];
 891         $this->templateData['field_name_value_array']['discharge_medication'][$i]['begdate'] = $discharge_medications_data['act']['effectiveTime']['low']['value'];
 892         $this->templateData['field_name_value_array']['discharge_medication'][$i]['enddate'] = $discharge_medications_data['act']['effectiveTime']['high']['value'];
 893         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['code'];
 894         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route_display'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['displayName'];
 895         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['value'];
 896         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['unit'];
 897         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['value'];
 898         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['unit'];
 899         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_code'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'];
 900         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_text'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName'];
 901         $this->templateData['field_name_value_array']['discharge_medication'][$i]['note'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['text']['reference']['value'];
 902         $this->templateData['field_name_value_array']['discharge_medication'][$i]['indication'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?: $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship']['observation']['value']['displayName'];
 903         $this->templateData['field_name_value_array']['discharge_medication'][$i]['prn'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['precondition']['criterion']['value']['displayName'];
 904
 905         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_title'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'];
 906         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_fname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'];
 907         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_lname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'];
 908         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_root'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'];
 909         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_address'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'];
 910         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_city'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'];
 911         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_state'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'];
 912         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_postalCode'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'];
 913         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_country'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'];
 914         $this->templateData['entry_identification_array']['discharge_medication'][$i] = $i;
 915         unset($discharge_medications_data);
 916         return;
 917     }
 918
 919     public function dischargeSummary($component)
 920     {
 921         if ($component['section']['entry'][0]) {
 922             foreach ($component['section']['entry'] as $key => $value) {
 923                 $this->fetchDischargeSummaryData($value);
 924             }
 925         } else {
 926             $this->fetchDischargeSummaryData($component['section']);
 927         }
 928
 929         unset($component);
 930         return;
 931     }
 932
 933     public function fetchDischargeSummaryData($discharge_summary_data)
 934     {
 935         $i = 1;
 936         if (!empty($this->templateData['field_name_value_array']['discharge_summary'])) {
 937             $i += count($this->templateData['field_name_value_array']['discharge_summary']);
 938         }
 939         $this->templateData['field_name_value_array']['discharge_summary'][$i]['root'] = $discharge_summary_data['templateId']['root'];
 940         $text = preg_replace('/\s+/', ' ', $discharge_summary_data['text']['content']);
 941         for ($j = 0, $jMax = count($discharge_summary_data['text']['list']['item']); $j < $jMax; $j++) {
 942             if (is_array($discharge_summary_data['text']['list']['item'][$j])) {
 943                 for ($k = 0, $kMax = count($discharge_summary_data['text']['list']['item'][$j]['list']['item']); $k < $kMax; $k++) {
 944                     $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]['list']['item'][$k]);
 945                 }
 946             } else {
 947                 $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]);
 948             }
 949         }
 950
 951         $this->templateData['field_name_value_array']['discharge_summary'][$i]['text'] = $text;
 952
 953         $this->templateData['entry_identification_array']['discharge_summary'][$i] = $i;
 954     }
 955 }