custom/export_qrda_xml.php

   1 <?php
   2 /**
   3  *
   4  * EXPORT QRDA
   5  *
   6  * Copyright (C) 2015 Ensoftek, Inc
   7  *
   8  * LICENSE: This program is free software; you can redistribute it and/or
   9  * modify it under the terms of the GNU General Public License
  10  * as published by the Free Software Foundation; either version 2
  11  * of the License, or (at your option) any later version.
  12  * This program is distributed in the hope that it will be useful,
  13  * but WITHOUT ANY WARRANTY; without even the implied warranty of
  14  * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
  15  * GNU General Public License for more details.
  16  * You should have received a copy of the GNU General Public License
  17  * along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
  18  *
  19  * @package OpenEMR
  20  * @author  Ensoftek
  21  * @link    http://www.open-emr.org
  22  */
  23
  24
  25  //SANITIZE ALL ESCAPES
  26 $sanitize_all_escapes=true;
  27 //
  28 //STOP FAKE REGISTER GLOBALS
  29 $fake_register_globals=false;
  30 //
  31 require_once("../interface/globals.php");
  32 require_once("../ccr/uuid.php");
  33 require_once("../library/patient.inc");
  34 require_once "../library/options.inc.php";
  35 require_once("../library/clinical_rules.php");
  36 require_once("../library/classes/QRDAXml.class.php");
  37 require_once "$srcdir/report_database.inc";
  38 require_once("$srcdir/sanitize.inc.php");
  39 require_once "qrda_functions.php";
  40
  41 //Remove time limit, since script can take many minutes
  42 set_time_limit(0);
  43
  44 //DENEXCEP NOT NEEDED rules
  45 $denExcepNotNeedRules = array('0002', '0018', '0024', '0038', '0043', '0384', '0421');
  46
  47 //Predefined QRDA HQMF ID's for CQM rules
  48 $preDefinedUniqIDRules = array();
  49 $preDefPopIdArr = array();
  50 //CMS139v3/0101 - Falls: Screening for Future Fall Risk: HQMF_ID: 40280381-4555-E1C1-0145-672613970D15
  51 $preDefinedUniqIDRules['0101'] = '40280381-4555-E1C1-0145-672613970D15';
  52 $preDefPopIdArr['0101']['IPP'] = '2448B0C6-6848-4DCB-AA6D-F199337A2C5C';
  53 $preDefPopIdArr['0101']['DENOM'] = 'EC400908-35BE-439B-92A9-231D99CEA9DF';
  54 $preDefPopIdArr['0101']['NUMER'] = '663FB12B-0FF4-49AB-80A3-624C5E7DF892';
  55 $preDefPopIdArr['0101']['DENEXCEP'] = 'FEC7251A-BF8D-4472-97D8-E2A9C0A42176';
  56
  57 //CMS127v3/0043 - Pneumonia Vaccination Status for Older Adults: HQMF_ID: 40280381-4555-E1C1-0145-762578A81C4C
  58 $preDefinedUniqIDRules['0043'] = '40280381-4555-E1C1-0145-762578A81C4C';
  59 $preDefPopIdArr['0043']['IPP'] = '873AECC7-E15B-49E7-8391-D73A46201E2E';
  60 $preDefPopIdArr['0043']['DENOM'] = 'FF7016E1-E8C7-43BA-9D56-2BEF649F36FA';
  61 $preDefPopIdArr['0043']['NUMER'] = '201F5A6E-4DDE-43A2-BDFC-CE85A98560DA';
  62
  63 //CMS69v3/0421 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan: HQMF_ID: 40280381-4555-E1C1-0145-D2B36DBB3FE6
  64 $preDefinedUniqIDRules['0421']['Numerator 2'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
  65 $preDefPopIdArr['0421']['Numerator 2']['IPP'] = '1C936855-E644-44C0-B264-49A28756FDB1';
  66 $preDefPopIdArr['0421']['Numerator 2']['DENOM'] = '27F1591C-2060-462C-B5D7-7FE86A44B534';
  67 $preDefPopIdArr['0421']['Numerator 2']['DENEX'] = '9B0C3C26-D621-4EA3-81FB-A839A3012044';
  68 $preDefPopIdArr['0421']['Numerator 2']['NUMER'] = '3095531C-24D7-4AFB-9BCB-F1901FF0FF69';
  69
  70 $preDefinedUniqIDRules['0421']['Numerator 1'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
  71 $preDefPopIdArr['0421']['Numerator 1']['IPP'] = '6E701B1C-6CA5-4AD5-98C9-5F766745EA89';
  72 $preDefPopIdArr['0421']['Numerator 1']['DENOM'] = 'E4DC29B8-EB26-4A01-ABB0-4F99FC03BA39';
  73 $preDefPopIdArr['0421']['Numerator 1']['DENEX'] = 'BB1B4301-C275-4BAC-87C9-6E960B1601DA';
  74 $preDefPopIdArr['0421']['Numerator 1']['NUMER'] = '7669026D-3683-44CC-A2C5-3D62EB2F8A33';
  75
  76 //CMS117v3/0038 - Childhood Immunization Status: HQMF_ID: 40280381-4555-E1C1-0145-D7C003364261
  77 $preDefinedUniqIDRules['0038'] = '40280381-4555-E1C1-0145-D7C003364261';
  78 $preDefPopIdArr['0038']['IPP'] = '6ED6A787-C871-49B9-825C-70A0DB898977';
  79 $preDefPopIdArr['0038']['DENOM'] = '545DA813-89ED-4DCD-BDDF-4B33D93DCD84';
  80 $preDefPopIdArr['0038']['NUMER'] = '00193FC7-AEE4-4507-A20F-D25A7BB214AD';
  81
  82 //CMS138v3/0028 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention: HQMF_ID: 40280381-4600-425F-0146-1F5867D40E82
  83 $preDefinedUniqIDRules['0028'] = '40280381-4600-425F-0146-1F5867D40E82';
  84 $preDefPopIdArr['0028']['IPP'] = '4E118B62-2AF8-4F51-9355-6FD3F2427D9F';
  85 $preDefPopIdArr['0028']['DENOM'] = 'FA1B3953-AE58-4541-BF7B-84D0EB1B0713';
  86 $preDefPopIdArr['0028']['NUMER'] = '35B1A6DF-1871-4633-A74B-BCAE371BC030';
  87 $preDefPopIdArr['0028']['DENEXCEP'] = '3EE6DFF5-AB17-482F-A147-E6D1E46DBB79';
  88
  89 //CMS157v3/0384 - Oncology: Medical and Radiation – Pain Intensity Quantified: HQMF_ID: 40280381-4600-425F-0146-1F620BDF0EB0
  90 $preDefinedUniqIDRules['0384'] = '40280381-4600-425F-0146-1F620BDF0EB0';
  91 $preDefPopIdArr['0384']['IPP'] = 'C29B6555-3BC7-416F-B61A-FCACD637594F';
  92 $preDefPopIdArr['0384']['DENOM'] = 'E5F80C25-6816-4992-92E2-A735B17F8D4F';
  93 $preDefPopIdArr['0384']['NUMER'] = 'C948D0D2-D6E9-4099-9CD4-870F2F83A14C';
  94
  95 //CMS146v3/0002 - Appropriate Testing for Children with Pharyngitis: HQMF_ID: 40280381-4600-425F-0146-1F6E280C0F09
  96 $preDefinedUniqIDRules['0002'] = '40280381-4600-425F-0146-1F6E280C0F09';
  97 $preDefPopIdArr['0002']['IPP'] = '9D1135EA-BA90-45E7-8EED-F7335D1CC934';
  98 $preDefPopIdArr['0002']['DENOM'] = 'D04EFECB-A901-4565-BDDB-826510499092';
  99 $preDefPopIdArr['0002']['NUMER'] = '3F4CDE57-1C5C-4250-A338-55FED6775F57';
 100 $preDefPopIdArr['0002']['DENEX'] = '0525FBA2-F068-4706-ADB5-E345852DC55B';
 101
 102 //CMS165v3/0018 - Controlling High Blood Pressure: HQMF_ID: 40280381-4600-425F-0146-1F6F722B0F17
 103 $preDefinedUniqIDRules['0018'] = '40280381-4600-425F-0146-1F6F722B0F17';
 104 $preDefPopIdArr['0018']['IPP'] = 'A72855CE-3C60-41F9-AEE2-64D4F584DDD4';
 105 $preDefPopIdArr['0018']['DENOM'] = '26046A5C-E2CC-4A27-B480-FF7E3575691F';
 106 $preDefPopIdArr['0018']['NUMER'] = '0899A359-0CD8-4977-AA29-666892AA3AD4';
 107 $preDefPopIdArr['0018']['DENEX'] = '4327D845-6194-410D-A48D-D6E1802CAD55';
 108
 109 //CMS155v3/0024 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents: HQMF_ID: 40280381-4555-E1C1-0145-85C7311720F5
 110 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 111 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 112 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 113 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 114 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 115
 116 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 117 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 118 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 119 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 120 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 121
 122 $preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 123 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 124 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 125 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 126 $preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 127
 128 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 129 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 130 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 131 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 132 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 133 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 134 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DISPLAY_TEXT'] = 'BMI Recorded, RS1: 3-11';
 135
 136 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 137 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 138 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 139 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 140 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 141 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 142 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DISPLAY_TEXT'] = 'BMI Recorded, RS2: 12-17';
 143
 144 $preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 145 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 146 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 147 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 148 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 149 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 150 $preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS1: 3-11';
 151
 152 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
 153 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 154 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 155 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 156 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
 157 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 158 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS2: 12-17';
 159
 160 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
 161 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 162 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 163 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 164 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
 165 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 166 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS1: 3-11';
 167
 168 $preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
 169 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
 170 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
 171 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
 172 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
 173 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 174 $preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS2: 12-17';
 175
 176 $preDefPopIdArr['0024']['STRAT1'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
 177 $preDefPopIdArr['0024']['STRAT2'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
 178
 179 //Multiple Numerator NQF# Array declaration
 180 $multNumNQFArr = array('0421', '0024');
 181 $countNumNQFArr = array();
 182 $countNumNQFArr['0421'] = 2;//two Numerators
 183 $countNumNQFArr['0024'] = 9;//Nine Numerators
 184
 185 //Initiation of all QRDA needed elements
 186 $CQMeausesArr = array();
 187 $CQMeausesArr['init_patients'] = "Initial Patient Population";
 188 $CQMeausesArr['exclude_patients'] = "Denominator Exclusions";
 189 $CQMeausesArr['denom_patients'] = "Denominator";
 190 $CQMeausesArr['numer_patients'] = "Numerator";
 191 $CQMeausesArr['exception_patients'] = "Denominator Exceptions";
 192
 193 $cqmItemizedArr = array();
 194 $cqmItemizedArr['init_patients'] = "init_patients";
 195 $cqmItemizedArr['exclude_patients'] = "exclude";
 196 $cqmItemizedArr['denom_patients'] = "all";
 197 $cqmItemizedArr['numer_patients'] = "pass";
 198 $cqmItemizedArr['exception_patients'] = "exception";
 199
 200 //QRDA Needed Ethnicity
 201 $mainEthiArr = array(0=>'Not Hispanic or Latino', 1=>'Hispanic or Latino');
 202 $mainEthiCodeArr =  array(0=>'2186-5', 1=>'2135-2');
 203
 204 //QRDA Needed Race
 205 $mainQrdaRaceArr = array(0=>'American Indian or Alaska Native', 1=>'Asian', 2=>'Black or African American', 3=>'Native Hawaiian or Other Pacific Islander', 4=>'White', 5=>'Other');
 206 $mainQrdaRaceCodeArr =  array(0=>'1002-5', 1=>'2028-9', 2=>'2054-5', 3=>'2076-8', 4=>'2106-3', 5=>'2131-1');
 207
 208 $mainQrdaPopulationIncArr = array();
 209 $mainQrdaPopulationIncArr['init_patients'] = "IPP";
 210 $mainQrdaPopulationIncArr['exclude_patients'] = "DENEX";
 211 $mainQrdaPopulationIncArr['denom_patients'] = "DENOM";
 212 $mainQrdaPopulationIncArr['numer_patients'] = "NUMER";
 213 $mainQrdaPopulationIncArr['exception_patients'] = "DENEXCEP";
 214 $mainQrdaPopulationIncArr['measure_population'] = "MSRPOPL";
 215 $mainQrdaPopulationIncArr['numer_exclusion'] = "NUMEX";
 216
 217 //QRDA Needed Gender
 218 $mainQrdaGenderCodeArr = array();
 219 $mainQrdaGenderCodeArr['F'] = "Female";
 220 $mainQrdaGenderCodeArr['M'] = "Male";
 221 $mainQrdaGenderCodeArr['UN'] = "Unknown";
 222
 223 //QRDA Needed Payer Info
 224 $mainQrdaPayerCodeArr = array();
 225 $mainQrdaPayerCodeArr['A'] = "Medicare";
 226 $mainQrdaPayerCodeArr['B'] = "Medicaid";
 227 $mainQrdaPayerCodeArr['C'] = "Private Health Insurance";
 228 $mainQrdaPayerCodeArr['D'] = "Other";
 229
 230 //Payer Codes According to Cypress Codes
 231 $mainQrdaPayerCodeSendArr = array();
 232 $mainQrdaPayerCodeSendArr['A'] = "1";
 233 $mainQrdaPayerCodeSendArr['B'] = "2";
 234 $mainQrdaPayerCodeSendArr['C'] = "5";
 235 $mainQrdaPayerCodeSendArr['D'] = "349";
 236
 237 //Provider selection
 238 $form_provider = $_GET['form_provider'];
 239
 240 //Get Report Information
 241 $report_id = $_GET['report_id'];
 242 $report_view = collectReportDatabase($report_id);
 243 $target_date = $report_view['date_target'];
 244 $dataSheet = json_decode($report_view['data'],TRUE);
 245
 246 //Needed array for Rule NQF#0024 Stratification
 247 $stratumCheckArr = array();
 248 if(count($dataSheet) > 0){
 249         //Inner Data Loop
 250         foreach ($dataSheet as $row) {
 251                 $itemized_test_id = $row['itemized_test_id'];
 252                 $numerator_label = $row['numerator_label'];
 253                 if($row['cqm_nqf_code'] == "0024"){
 254                         if( $row['population_label'] == "Population Criteria 2" ){
 255                                 if($row['numerator_label'] == "Numerator 1"){
 256                                         $firstElement = count($row['init_patients']);
 257                                         $thirdElement = count($row['exclude_patients']);
 258                                         $fifthElement = count($row['denom_patients']);
 259                                         $seventhElement = count($row['numer_patients']);
 260                                 }else if($row['numerator_label'] == "Numerator 2"){
 261                                         $fifteenElement = count($row['numer_patients']);
 262                                 }else if($row['numerator_label'] == "Numerator 3"){
 263                                         $twentyThreeElement = count($row['numer_patients']);
 264                                 }
 265                         }else if( $row['population_label'] == "Population Criteria 3" ){
 266                                 if($row['numerator_label'] == "Numerator 1"){
 267                                         $secondElement = count($row['init_patients']);
 268                                         $sixElement = count($row['exclude_patients']);
 269                                         $fouthElement = count($row['denom_patients']);
 270                                         $eigthElement = count($row['numer_patients']);
 271                                 }else if($row['numerator_label'] == "Numerator 2"){
 272                                         $sixteenElement = count($row['numer_patients']);
 273                                 }else if($row['numerator_label'] == "Numerator 3"){
 274                                         $twentyFourElement = count($row['numer_patients']);
 275                                 }
 276                         }
 277                 }
 278
 279                 //Stratum Array for Cypress Version 2.6.0 acceptable format for NQF 0024 rule
 280                 $stratumCheckArr[1] = array('1'=> $firstElement, '2' => $secondElement);
 281                 $stratumCheckArr[2] = array('1'=> $thirdElement, '2' => $fouthElement);
 282                 $stratumCheckArr[3] = array('1'=> $fifthElement, '2' => $sixElement);
 283                 $stratumCheckArr[4] = array('1'=> $seventhElement, '2' => $eigthElement);
 284                 $stratumCheckArr[5] = array('1'=>'0', '2' =>'0');//Always 0
 285                 $stratumCheckArr[6] = array('1'=>'0', '2' =>'0');//Always 0
 286                 $stratumCheckArr[7] = array('1'=>'0', '2' =>'0');//Always 0
 287                 $stratumCheckArr[8] = array('1'=> $fifteenElement, '2' => $sixteenElement);
 288                 $stratumCheckArr[9] = array('1'=>'0', '2' =>'0');//Always 0
 289                 $stratumCheckArr[10] = array('1'=>'0', '2' =>'0');//Always 0
 290                 $stratumCheckArr[11] = array('1'=>'0', '2' =>'0');//Always 0
 291                 $stratumCheckArr[12] = array('1'=> $twentyThreeElement, '2' => $twentyFourElement);
 292         }
 293 }
 294
 295 $from_date = date('Y', strtotime($target_date ))."-01-01";
 296 $to_date =  date('Y', strtotime($target_date ))."-12-31";
 297 $xml = new QRDAXml();
 298
 299 #################################################################################################
 300 ####################### HEADER ELEMENTS START #####################################################
 301 #################################################################################################
 302 //Open Main Clinical Document
 303 $xml->open_clinicaldocument();
 304
 305 $xml->self_realmcode();
 306
 307 $xml->self_typeid();
 308
 309 $tempId = '2.16.840.1.113883.10.20.27.1.1';
 310 $xml->self_templateid($tempId);
 311
 312 $xml->unique_id = getUuid();
 313 $xml->self_id();
 314 $xml->self_code();
 315
 316 //Main Title Display to XML
 317 $main_title = "QRDA Calculated Summary Report";
 318 $xml->add_title($main_title);
 319
 320 //Effective date and time
 321 $eff_datetime = date('Ymdhis', strtotime($target_date));
 322 $xml->self_efftime($eff_datetime);
 323
 324 $xml->self_confidentcode();
 325
 326 //Language
 327 $xml->self_lang();
 328
 329 $setidVal =getUuid();
 330 $xml->self_setid($setidVal);
 331
 332 //Version
 333 $xml->self_version();
 334
 335 //Record Target Elements
 336 $xml->open_recordTarget();
 337 $xml->add_patientRole();
 338 $xml->close_recordTarget();
 339
 340 ############### Author Info #######################
 341 $xml->open_author();
 342 //Author time
 343 $auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
 344 $xml->self_authorTime($auth_dtime);
 345 //Assigned Author
 346 $xml->open_assignAuthor();
 347 $authorsetid = getUuid();
 348 $xml->self_customId($authorsetid);
 349 if($form_provider != ""){
 350         $userRow = sqlQuery("SELECT facility, facility_id, federaltaxid, npi, phone,fname, lname FROM users WHERE id=?", array($form_provider));
 351         $facility_name = $userRow['facility'];
 352         $facility_id = $userRow['facility_id'];
 353 }
 354 //$xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 355
 356 //assignedAuthoringDevice Start
 357 $xml->open_customTag('assignedAuthoringDevice');
 358
 359 $xml->element('softwareName', 'CYPRESS');
 360
 361 //assignedAuthoringDevice Close
 362 $xml->close_customTag();
 363
 364 //Facility Address
 365 $facilResRow = sqlQuery("SELECT name, street,city,state,postal_code, country_code, phone from facility WHERE id = ?", array($facility_id));
 366 $xml->add_authReprestOrginisation($facilResRow);
 367 //$xml->add_facilAddress($facilResRow);
 368 $xml->close_assignAuthor();
 369 $xml->close_author();
 370
 371 ############### Custodian Info #######################
 372 $xml->open_custodian();
 373 $xml->open_assgnCustodian();
 374 $xml->add_represtCustodianOrginisation($facilResRow);
 375 $xml->close_assgnCustodian();
 376 $xml->close_custodian();
 377
 378 /*
 379 ############### Information Recipient #######################
 380 $xml->open_infoRecipient();
 381 $xml->add_indententRecipient();
 382 $xml->close_infoRecipient();
 383 */
 384
 385 ############### Legal Authenticator #######################
 386 $xml->open_legalAuthenticator();
 387 $auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
 388 $xml->self_authorTime($auth_dtime);
 389 $xml->self_legalSignCode();
 390
 391 $xml->open_assignedEntity();
 392 $assignedEntityId = getUuid();
 393 $xml->self_customId($assignedEntityId);
 394
 395 $xml->open_customTag('assignedPerson');
 396
 397 //Provider Name
 398 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 399 $xml->add_providerName($userNameArr);
 400
 401 //assignedPerson Close
 402 $xml->close_customTag();
 403
 404 //Represent Origination Name
 405 $xml->add_authReprestOrginisation($facilResRow);
 406 $xml->close_assignedEntity();
 407
 408 $xml->close_legalAuthenticator();
 409
 410 /*
 411 ############### Participant is Device(optional)  #######################
 412 $participentDevArr = array();
 413 $xml->open_participant_data('DEV');//DEV -- Device
 414 $xml->open_assocEntityData('RGPR');//RGPR -- Regulated Product
 415 $participentDevArr['root'] = '2.16.840.1.113883.3.2074.1';
 416 $participentDevArr['extension'] = '1a2b3c';
 417 $xml->self_particpantIdInfo($participentDevArr);
 418 $xml->self_participantCodeDevice();
 419 $xml->close_assocEntityData();
 420 $xml->close_participant_data();
 421
 422 ############### Participant is Location(optional)  #######################
 423 $participentLocArr = array();
 424 $xml->open_participant_data('LOC');//LOC -- Location
 425 $xml->open_assocEntityData('SDLOC');//SDLOC -- Service Delivery Location
 426 $participentLocArr['root'] = '2.16.840.1.113883.3.249.5.1';
 427 $participentLocArr['extension'] = 'OK666333';
 428 $xml->self_particpantIdInfo($participentLocArr);
 429 $xml->self_participantCodeLocation();
 430
 431 $xml->add_facilAddress($facilResRow);
 432 $xml->close_assocEntityData();
 433 $xml->close_participant_data();
 434 */
 435
 436 ############### documentationOf  START  #######################
 437 $xml->open_customTag('documentationOf');
 438
 439 $xml->open_customTag('serviceEvent', array('classCode'=>'PCPR'));
 440
 441 $timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
 442 $xml->add_entryEffectTime($timeArr);
 443
 444 $xml->open_customTag('performer', array('typeCode'=>'PRF'));
 445
 446 $xml->open_customTag('assignedEntity');
 447
 448 $npi_provider = $userRow['npi'];
 449 $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' =>$npi_provider));
 450
 451 if($userRow['phone'] != ""){
 452         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 453 }
 454
 455 $xml->open_customTag('assignedPerson');
 456
 457 //Provider Name
 458 $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 459 $xml->add_providerName($userNameArr);
 460
 461 //assignedPerson Close
 462 $xml->close_customTag();
 463
 464 $xml->open_customTag('representedOrganization');
 465
 466 $tin_provider = $userRow['federaltaxid'];
 467 if($tin_provider != ""){
 468         $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' =>$tin_provider));
 469 }
 470
 471 $xml->add_facilName($facility_name);
 472
 473 $xml->add_facilAddress($facilResRow);
 474
 475 //representedOrganization Close
 476 $xml->close_customTag();
 477
 478 //assignedEntity Close
 479 $xml->close_customTag();
 480
 481 //performer Close
 482 $xml->close_customTag();
 483
 484 //serviceEvent Close
 485 $xml->close_customTag();
 486
 487 //documentationOf Close
 488 $xml->close_customTag();
 489 ############### documentationOf  END  #######################
 490
 491
 492 ############### authorization (optional)  #########################
 493
 494 #################################################################################################
 495 ####################### HEADER ELEMENTS END #####################################################
 496 #################################################################################################
 497
 498
 499
 500 #################################################################################################
 501 ######################### Main Component Open ###################################################
 502 $xml->open_mainComponent();
 503
 504 ############### Structure Body Open #######################
 505 $xml->open_structuredBody();
 506
 507 ##################### LOOP Component(s) START ########################
 508
 509 ###################### Report Parameters Open #####################
 510 //QRDA Category III Reporting Parameters Section (CMS EP) [section: templateId 2.16.840.1.113883.10.20.27.2.6
 511 $xml->open_loopComponent();
 512
 513 $xml->open_section();
 514
 515 $tempID = '2.16.840.1.113883.10.20.17.2.1';
 516 $xml->self_templateid($tempID);
 517
 518 $tempID = '2.16.840.1.113883.10.20.27.2.2';
 519 $xml->self_templateid($tempID);
 520
 521 $tempID = '2.16.840.1.113883.10.20.27.2.6';
 522 $xml->self_templateid($tempID);
 523 $arr = array('code'=>'55187-9', 'codeSystem'=>'2.16.840.1.113883.6.1');
 524 $xml->self_codeCustom($arr);
 525 $title = "Reporting Parameters";
 526 $xml->add_title($title);
 527
 528 $xml->open_text();
 529 $xml->open_list();
 530 $item_title = "Reporting period: ".date('d M Y', strtotime($from_date))." - ".date('d M Y', strtotime($to_date));
 531 $xml->add_item($item_title);
 532 $xml->close_list();
 533 $xml->close_text();
 534
 535 $typeCode = 'DRIV';
 536 $xml->open_entry($typeCode);
 537 $arr = array('classCode'=>'ACT', 'moodCode'=>'EVN');
 538 $xml->open_act($arr);
 539
 540 $tempID = '2.16.840.1.113883.10.20.17.3.8';
 541 $xml->self_templateid($tempID);
 542
 543 $tempID = '2.16.840.1.113883.10.20.27.3.23';
 544 $xml->self_templateid($tempID);
 545
 546 $actId = getUuid();
 547 $xml->self_customId($actId);
 548
 549 $arr = array('code'=>'252116004', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName'=>'Observation Parameters');
 550 $xml->self_codeCustom($arr);
 551
 552 $timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
 553 $xml->add_entryEffectTime($timeArr);
 554
 555 $xml->close_act();
 556 $xml->close_entry();
 557
 558 $xml->close_section();
 559
 560 $xml->close_loopComponent();
 561 ###################### Report Parameters Close #####################
 562
 563 ###################### Measure Section Open #####################
 564 $xml->open_loopComponent();
 565
 566 $xml->open_section();
 567
 568 $tempID = '2.16.840.1.113883.10.20.27.2.1';
 569 $xml->self_templateid($tempID);
 570
 571 $tempID = '2.16.840.1.113883.10.20.24.2.2';
 572 $xml->self_templateid($tempID);
 573
 574 $tempID = '2.16.840.1.113883.10.20.27.2.3';
 575 $xml->self_templateid($tempID);
 576
 577 $arr = array('code'=>'55186-1', 'codeSystem'=>'2.16.840.1.113883.6.1');
 578 $xml->self_codeCustom($arr);
 579 $title = "Measure Section";
 580 $xml->add_title($title);
 581
 582 $xml->open_text();
 583 $cnt=1;
 584
 585 $tabArr = array('border'=>1, 'width'=>'100%');
 586 if(count($dataSheet) > 0){
 587         $uniqIdArr = array();
 588
 589         //Inner Data Loop
 590         foreach ($dataSheet as $row) {
 591                 $itemized_test_id = $row['itemized_test_id'];
 592                 $numerator_label = $row['numerator_label'];
 593
 594                 //CQM Rules 2014 set, 0013 is 0018
 595                 if($row['cqm_nqf_code'] == "0013") $row['cqm_nqf_code'] = "0018";
 596
 597                 //Table Start
 598                 $xml->open_customTag('table', $tabArr);
 599                 //THEAD Start
 600                 $xml->open_customTag('thead');
 601                 //TR Start
 602                 $xml->open_customTag('tr');
 603
 604                 $xml->add_trElementsTitles();
 605
 606                 //TR close
 607                 $xml->close_customTag();
 608
 609                 //THEAD close
 610                 $xml->close_customTag();
 611                 //TBOBY START
 612                 $xml->open_customTag('tbody');
 613                 $xml->open_customTag('tr');
 614
 615                 $tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'),$row['id']);
 616
 617                 if (!empty($row['cqm_pqri_code'])) {
 618                         $tdTitle .= " " . htmlspecialchars( xl('PQRI') . ":" . $row['cqm_pqri_code'], ENT_NOQUOTES) . " ";
 619                 }
 620                 if (!empty($row['cqm_nqf_code'])) {
 621                         $tdTitle .= " " . htmlspecialchars( xl('NQF') . ":" . $row['cqm_nqf_code'], ENT_NOQUOTES) . " ";
 622                 }
 623
 624                 if ( !(empty($row['concatenated_label'])) ) {
 625                         $tdTitle .= ", " . htmlspecialchars( xl( $row['concatenated_label'] ), ENT_NOQUOTES) . " ";
 626         }
 627
 628                 $tdVersionNeutral = getUuid();
 629
 630                 if($preDefinedUniqIDRules[$row['cqm_nqf_code']] != ""){
 631                         if( ($row['cqm_nqf_code'] == "0421" ) )
 632                                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['numerator_label']];
 633                         else if($row['cqm_nqf_code'] == "0024")
 634                                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']];
 635                         else
 636                                 $tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']];
 637
 638                         $uniqIdArr[] = $tdVersionSpecific;
 639                 }else{
 640                         $tdVersionSpecific = getUuid();
 641                         $uniqIdArr[] = $tdVersionSpecific;
 642                 }
 643
 644                 $dataArr = array(0=>$tdTitle, 1=>$tdVersionNeutral, 2=>$tdVersionSpecific);
 645                 $xml->add_trElementsValues($dataArr);
 646
 647                 //TR close
 648                 $xml->close_customTag();
 649                 //TBODY close
 650                 $xml->close_customTag();
 651                 //Table Close
 652                 $xml->close_customTag();
 653
 654                 //Open List Item Wise
 655                 $xml->open_list();
 656
 657                 //Performance Rate
 658                 $xml->open_customTag('item');
 659                 $arrContent = array('name'=>'Performance Rate', 'value'=>$row['percentage']);
 660                 $xml->innerContent($arrContent);
 661                 $xml->close_customTag();
 662
 663
 664                 //All CQM Measures taken here
 665                 foreach($CQMeausesArr as $cqmKey => $cqmVal){
 666
 667                         //DENEXCEP(Denominator Exception not needed for some rules are skipping here)
 668                         if( (in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients") ) continue;
 669
 670                         //get Itemized Data
 671                         if($cqmKey == "init_patients")
 672                                 $itemPatArr = collectItemizedPatientsCdrReport($report_id,$itemized_test_id,$cqmItemizedArr[$cqmKey]);
 673                         else
 674                                 $itemPatArr = collectItemizedPatientsCdrReport($report_id,$itemized_test_id,$cqmItemizedArr[$cqmKey], $numerator_label);
 675                         $fullPatArr = array();
 676                         foreach($itemPatArr as $itemPatInfo){
 677                                 $fullPatArr[] = $itemPatInfo['pid'];
 678                         }
 679
 680                         //Initial Patient Population
 681                         $xml->open_customTag('item');
 682                         $arrContent = array('name'=>$cqmVal, 'value'=>count($fullPatArr));
 683                         $xml->innerContent($arrContent);
 684
 685                         $detailsArr = getQRDAPatientNeedInfo($fullPatArr);
 686
 687                         //Open Sub List
 688                         $xml->open_list();
 689
 690                         //Gender Section Display
 691                         foreach($mainQrdaGenderCodeArr as $GKey => $GVal){
 692                                 $xml->open_customTag('item');
 693                                 $genderInfo = $detailsArr['gender'][$GVal];
 694                                 $arrContent = array('name'=>$GVal, 'value'=>$genderInfo);
 695                                 $xml->innerContent($arrContent);
 696                                 $xml->close_customTag();
 697                         }
 698
 699                         //Ethnicity Section Display
 700                         foreach($mainEthiArr as $ethKey => $ethVal){
 701                                 $ethnicity_data = $detailsArr['ethnicity'][$ethVal];
 702                                 $xml->open_customTag('item');
 703                                 $arrContent = array('name'=>'Ethnicity - '.$ethVal, 'value'=>$ethnicity_data);
 704                                 $xml->innerContent($arrContent);
 705                                 $xml->close_customTag();
 706                         }
 707
 708                         //Race Section Display
 709                         foreach($mainQrdaRaceArr as $RKey => $RVal){
 710                                 $race_data = $detailsArr['race'][$RVal];
 711                                 $xml->open_customTag('item');
 712                                 $arrContent = array('name'=>'Race - '.$RVal, 'value'=>$race_data);
 713                                 $xml->innerContent($arrContent);
 714                                 $xml->close_customTag();
 715                         }
 716
 717                         //Payer Type Section Display
 718                         $payerCheckArr = getQRDAPayerInfo($fullPatArr);
 719                         foreach($mainQrdaPayerCodeArr as $PKey => $PVal){
 720                                 $xml->open_customTag('item');
 721                                 $arrContent = array('name'=>'Payer - '.$PVal, 'value'=>$payerCheckArr[$PVal]);
 722                                 $xml->innerContent($arrContent);
 723                                 $xml->close_customTag();
 724                         }
 725
 726                         //close Sub List
 727                         $xml->close_list();
 728                         $xml->close_customTag();
 729                 }
 730                 $xml->close_list();
 731         }
 732 }
 733
 734 $xml->close_text();
 735
 736 #######################################################################
 737 ######################### QUALITY MEASURES START ######################
 738 #######################################################################
 739 if(count($dataSheet) > 0){
 740         $innrCnt = 0;
 741         $skipMultNumArr = array();
 742         $dataChkArr = array();
 743         foreach($multNumNQFArr as $multNumVal){
 744                 $skipMultNumArr[$multNumVal] = false;
 745                 $dataChkArr[$multNumVal] = 0;
 746         }
 747
 748         //Inner Data Loop
 749         foreach ($dataSheet as $row) {
 750                 $itemized_test_id = $row['itemized_test_id'];
 751                 $numerator_label = $row['numerator_label'];
 752                 //Skip section
 753                 //if($row['cqm_nqf_code'] == "0028a") continue;
 754
 755                 //if($row['cqm_nqf_code'] == "0038"){
 756                 //      if(in_array($row['numerator_label'], $NQF38NumArr)) continue;
 757                 //}
 758
 759                 if(in_array($row['cqm_nqf_code'], $multNumNQFArr)){
 760                         $dataChkArr[$row['cqm_nqf_code']]++;
 761                 }
 762
 763                 //CQM Rules 2014 set, 0013 is 0018
 764                 if($row['cqm_nqf_code'] == "0013") $row['cqm_nqf_code'] = "0018";
 765
 766                 $tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'),$row['id']);
 767                 if (!empty($row['cqm_pqri_code'])) {
 768                         $tdTitle .= " " . text( xl('PQRI') . ":" . $row['cqm_pqri_code']) . " ";
 769                 }
 770                 if (!empty($row['cqm_nqf_code'])) {
 771                         $tdTitle .= " " . text( xl('NQF') . ":" . $row['cqm_nqf_code']) . " ";
 772                 }
 773
 774                 if ( !(empty($row['concatenated_label'])) ) {
 775                         $tdTitle .= ", " . text( xl( $row['concatenated_label'] )) . " ";
 776         }
 777
 778                 ###########################################################
 779                 if( ( !isset($skipMultNumArr[$row['cqm_nqf_code']]) ) || ($skipMultNumArr[$row['cqm_nqf_code']] == false) ){
 780
 781                         //Entry open
 782                         $xml->open_entry();
 783
 784                         //Organizer Start
 785                         $arr = array('classCode'=>'CLUSTER', 'moodCode'=>'EVN');
 786                         $xml->open_customTag('organizer', $arr);
 787
 788                         $tempID = "2.16.840.1.113883.10.20.24.3.98";
 789                         $xml->self_templateid($tempID);
 790
 791                         $tempID = "2.16.840.1.113883.10.20.27.3.1";
 792                         $xml->self_templateid($tempID);
 793
 794                         //$tempID = "2.16.840.1.113883.10.20.27.3.17";
 795                         //$xml->self_templateid($tempID);
 796                         $actId = getUuid();
 797                         $xml->self_customId($actId);
 798
 799                         $arr = array('code'=>'completed');
 800                         $xml->self_customTag('statusCode', $arr);
 801
 802                         //reference Start
 803                         $arr = array('typeCode'=>'REFR');
 804                         $xml->open_customTag('reference', $arr);
 805
 806                         //externalDocument Start
 807                         $arr = array('classCode'=>'DOC', 'moodCode'=>'EVN');
 808                         $xml->open_customTag('externalDocument', $arr);
 809
 810                         //$exDocID = getUuid();
 811                         $exDocID = $uniqIdArr[$innrCnt];
 812                         //$xml->self_customId($exDocID);
 813                         $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' =>$exDocID));
 814
 815                         $arr = array('code'=>'57024-2', 'displayName'=>'Health Quality Measure Document', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
 816                         $xml->self_codeCustom($arr);
 817
 818                         $dispContntTitle = str_replace("&", '', $tdTitle);
 819                         $xml->textDispContent($dispContntTitle);
 820
 821                         //externalDocument Close
 822                         $xml->close_customTag();
 823
 824                         //reference Close
 825                         $xml->close_customTag();
 826
 827
 828                         ############### Performance Rate for Proportion Measure template START###################
 829                         $xml->open_loopComponent();
 830
 831                         //observation Open
 832                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 833
 834                         $tempID = "2.16.840.1.113883.10.20.27.3.14";
 835                         $xml->self_templateid($tempID);
 836
 837                         $tempID = "2.16.840.1.113883.10.20.27.3.25";
 838                         $xml->self_templateid($tempID);
 839
 840                         $arr = array('code'=>'72510-1', 'displayName'=>'Performance Rate', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'SNOMED-CT');
 841                         $xml->self_codeCustom($arr);
 842
 843                         $arr = array('code'=>'completed');
 844                         $xml->self_customTag('statusCode', $arr);
 845
 846                         $percentage = str_replace("%", '', $row['percentage']);
 847                         $arr = array('xsi:type'=>'REAL', 'value'=>$percentag/100);
 848                         $xml->self_customTag('value', $arr);
 849
 850                         //reference Start
 851                         $arr = array('typeCode'=>'REFR');
 852                         $xml->open_customTag('reference', $arr);
 853
 854                         //externalObservation Start
 855                         $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
 856                         $xml->open_customTag('externalObservation', $arr);
 857
 858                         //Modified HQMF_ID
 859                         //$exDocID = getUuid();
 860
 861
 862                         if( ($row['cqm_nqf_code'] == "0421" )){
 863                                 $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['numerator_label']]["NUMER"];
 864                         }else if(($row['cqm_nqf_code'] == "0024")){
 865                                 $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]["NUMER"];
 866                         }else{
 867                                 if($preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"] != "")
 868                                         $exDocID = $preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"];
 869                                 else
 870                                         $exDocID = getUuid();
 871                         }
 872
 873                         $xml->self_customId($exDocID);
 874
 875                         $arr = array('code'=>'NUMER', 'displayName'=>'Numerator', 'codeSystem'=>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
 876                         $xml->self_codeCustom($arr);
 877
 878                         //externalObservation Close
 879                         $xml->close_customTag();
 880
 881                         //reference Close
 882                         $xml->close_customTag();
 883
 884                         //observation Close
 885                         $xml->close_customTag();
 886
 887                         $xml->close_loopComponent();
 888                         ############### Performance Rate for Proportion Measure template END ###################
 889
 890                 }
 891
 892                 //All CQM Measures taken here
 893                 foreach($CQMeausesArr as $cqmKey => $cqmVal){
 894
 895                         //DENEXCEP(Denominator Exception not needed for some rules are skipping here)
 896                         if( (in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients") ) continue;
 897
 898                         //get Itemized Data
 899                         if($cqmKey == "init_patients")
 900                                 $itemPatArr = collectItemizedPatientsCdrReport($report_id,$itemized_test_id,$cqmItemizedArr[$cqmKey]);
 901                         else
 902                                 $itemPatArr = collectItemizedPatientsCdrReport($report_id,$itemized_test_id,$cqmItemizedArr[$cqmKey], $numerator_label);
 903
 904                         $fullPatArr = array();
 905                         foreach($itemPatArr as $itemPatInfo){
 906                                 $fullPatArr[] = $itemPatInfo['pid'];
 907                         }
 908
 909                         $detailsArr = getQRDAPatientNeedInfo($fullPatArr);
 910                         ############### Initial patient population template START###################
 911                         $xml->open_loopComponent();
 912
 913                         //observation Open
 914                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 915
 916                         $tempID = "2.16.840.1.113883.10.20.27.3.5";
 917                         $xml->self_templateid($tempID);
 918
 919                         $tempID = "2.16.840.1.113883.10.20.27.3.16";
 920                         $xml->self_templateid($tempID);
 921
 922                         $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
 923                         $xml->self_codeCustom($arr);
 924
 925                         $arr = array('code'=>'completed');
 926                         $xml->self_customTag('statusCode', $arr);
 927
 928                         $arr = array('xsi:type'=>'CD', 'code'=>$mainQrdaPopulationIncArr[$cqmKey], 'displayName'=>$cqmVal, 'codeSystem' =>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
 929                         $xml->self_customTag('value', $arr);
 930
 931                         //entryRelationship Open
 932                         $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
 933
 934                         //observation Open
 935                         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 936
 937                         $tempID = "2.16.840.1.113883.10.20.27.3.3";
 938                         $xml->self_templateid($tempID);
 939
 940                         $tempID = "2.16.840.1.113883.10.20.27.3.24";
 941                         $xml->self_templateid($tempID);
 942
 943                         $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
 944                         $xml->self_codeCustom($arr);
 945
 946                         //$arr = array('code'=>'completed');
 947                         //$xml->self_customTag('statusCode', $arr);
 948
 949                         $arr = array('xsi:type'=>'INT', 'value'=>count($fullPatArr));
 950                         $xml->self_customTag('value', $arr);
 951
 952                         $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
 953                         $xml->self_customTag('methodCode', $arr);
 954
 955                         //observation Close
 956                         $xml->close_customTag();
 957
 958                         //entryRelationship Close
 959                         $xml->close_customTag();
 960
 961                         #### Stratum Start (Stratification)#####
 962                         if( ($row['cqm_nqf_code'] == "0024") && ( $row['population_label'] == "Population Criteria 1" || $row['population_label'] == "Population Criteria 2" || $row['population_label'] == "Population Criteria 3") ){
 963
 964                                 if($cnt <= 12){
 965                                         $stratumCheckArrSub = $stratumCheckArr[$cnt];
 966                                         for($i=1;$i<=2;$i++){
 967                                                 //entryRelationship Open
 968                                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
 969
 970                                                 //observation Open
 971                                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 972
 973                                                 $tempID = "2.16.840.1.113883.10.20.27.3.4";
 974                                                 $xml->self_templateid($tempID);
 975
 976                                                 $tempID = "2.16.840.1.113883.10.20.27.3.20";
 977                                                 $xml->self_templateid($tempID);
 978
 979                                                 $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
 980                                                 $xml->self_codeCustom($arr);
 981
 982                                                 $arr = array('code'=>'completed');
 983                                                 $xml->self_customTag('statusCode', $arr);
 984
 985                                                 //value open
 986                                                 $xml->open_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'OTH'));
 987
 988                                                 $stratumText = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]['DISPLAY_TEXT'];
 989                                                 $xml->element('originalText', "Stratum".$i);
 990
 991                                                 //value Close
 992                                                 $xml->close_customTag();
 993
 994                                                 //entryRelationship Open
 995                                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd' => 'true'));
 996
 997                                                 //observation Open
 998                                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 999
1000                                                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1001                                                 $xml->self_templateid($tempID);
1002
1003                                                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1004                                                 $xml->self_codeCustom($arr);
1005
1006                                                 $arr = array('xsi:type'=>'INT', 'value'=>$stratumCheckArrSub[$i]);
1007                                                 $xml->self_customTag('value', $arr);
1008
1009                                                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1010                                                 $xml->self_customTag('methodCode', $arr);
1011
1012                                                 //observation Close
1013                                                 $xml->close_customTag();
1014
1015                                                 //entryRelationship Close
1016                                                 $xml->close_customTag();
1017
1018                                                 //reference Start
1019                                                 $arr = array('typeCode'=>'REFR');
1020                                                 $xml->open_customTag('reference', $arr);
1021
1022                                                 //externalObservation Start
1023                                                 $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
1024                                                 $xml->open_customTag('externalObservation', $arr);
1025
1026                                                 //Modified HQMF_ID for CQM IDS
1027                                                 //$refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]['STRAT'];
1028                                                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']]['STRAT'.$i];
1029
1030                                                 $xml->self_customId($refID);
1031
1032                                                 //externalObservation Close
1033                                                 $xml->close_customTag();
1034
1035                                                 //reference Close
1036                                                 $xml->close_customTag();
1037
1038                                                 //observation Close
1039                                                 $xml->close_customTag();
1040
1041                                                 //entryRelationship Close
1042                                                 $xml->close_customTag();
1043                                         }
1044                                 }
1045                                 $cnt++;
1046                         }
1047                         #### Stratum END #####
1048
1049                         ####################################################
1050                         ####################################################
1051                         //Sex Supplemental Data Element START
1052                         ####################################################
1053                         ####################################################
1054
1055                         foreach($mainQrdaGenderCodeArr as $GKey => $GVal){
1056                                 //entryRelationship Open
1057                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1058
1059                                 //observation Open
1060                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1061
1062                                 $tempID = "2.16.840.1.113883.10.20.27.3.6";
1063                                 $xml->self_templateid($tempID);
1064
1065                                 $tempID = "2.16.840.1.113883.10.20.27.3.21";
1066                                 $xml->self_templateid($tempID);
1067
1068                                 $arr = array('code'=>'184100006', 'displayName'=>'patient sex', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1069                                 $xml->self_codeCustom($arr);
1070
1071                                 $arr = array('code'=>'completed');
1072                                 $xml->self_customTag('statusCode', $arr);
1073
1074                                 $arr = array('xsi:type'=>'CD', 'code'=>$GKey, 'codeSystem' =>'2.16.840.1.113883.5.1', 'codeSystemName'=>'AdministrativeGenderCode');
1075                                 $xml->self_customTag('value', $arr);
1076
1077                                 //entryRelationship Open
1078                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1079
1080                                 //observation Open
1081                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1082
1083                                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1084                                 $xml->self_templateid($tempID);
1085
1086                                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1087                                 $xml->self_templateid($tempID);
1088
1089                                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1090                                 $xml->self_codeCustom($arr);
1091
1092                                 //$arr = array('code'=>'completed');
1093                                 //$xml->self_customTag('statusCode', $arr);
1094
1095                                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['gender'][$GVal]);
1096                                 $xml->self_customTag('value', $arr);
1097
1098                                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1099                                 $xml->self_customTag('methodCode', $arr);
1100
1101                                 //observation Close
1102                                 $xml->close_customTag();
1103
1104                                 //entryRelationship Close
1105                                 $xml->close_customTag();
1106
1107
1108                                 //observation Close
1109                                 $xml->close_customTag();
1110
1111                                 //entryRelationship Close
1112                                 $xml->close_customTag();
1113                         }
1114                         ####################################################
1115                         ####################################################
1116                         //Sex Supplemental Data Element END
1117                         ####################################################
1118                         ####################################################
1119
1120                         ####################################################
1121                         ####################################################
1122                         //Ethnicity Supplemental Data Element (CMS EP) START
1123                         ####################################################
1124                         ####################################################
1125
1126                         foreach($mainEthiArr as $ethKey => $ethVal){
1127                                 //entryRelationship Open
1128                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1129
1130                                 //observation Open
1131                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1132
1133                                 $tempID = "2.16.840.1.113883.10.20.27.3.7";
1134                                 $xml->self_templateid($tempID);
1135
1136                                 $tempID = "2.16.840.1.113883.10.20.27.3.22";
1137                                 $xml->self_templateid($tempID);
1138
1139                                 $arr = array('code'=>'364699009', 'displayName'=>'Ethnic Group', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1140                                 $xml->self_codeCustom($arr);
1141
1142                                 $arr = array('code'=>'completed');
1143                                 $xml->self_customTag('statusCode', $arr);
1144
1145                                 $arr = array('xsi:type'=>'CD', 'code'=>$mainEthiCodeArr[$ethKey], 'displayName'=>$ethVal, 'codeSystem' =>'2.16.840.1.113883.6.238', 'codeSystemName'=>'Race &amp; Ethnicity - CDC');
1146                                 $xml->self_customTag('value', $arr);
1147
1148                                 //entryRelationship Open
1149                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1150
1151                                 //observation Open
1152                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1153
1154                                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1155                                 $xml->self_templateid($tempID);
1156
1157                                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1158                                 $xml->self_templateid($tempID);
1159
1160                                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1161                                 $xml->self_codeCustom($arr);
1162
1163                                 //$arr = array('code'=>'completed');
1164                                 //$xml->self_customTag('statusCode', $arr);
1165
1166                                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['ethnicity'][$ethVal]);
1167                                 $xml->self_customTag('value', $arr);
1168
1169                                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1170                                 $xml->self_customTag('methodCode', $arr);
1171
1172                                 //observation Close
1173                                 $xml->close_customTag();
1174
1175                                 //entryRelationship Close
1176                                 $xml->close_customTag();
1177
1178
1179                                 //observation Close
1180                                 $xml->close_customTag();
1181
1182                                 //entryRelationship Close
1183                                 $xml->close_customTag();
1184
1185                         }
1186                         ####################################################
1187                         ####################################################
1188                         //Ethnicity Supplemental Data Element (CMS EP) END
1189                         ####################################################
1190                         ####################################################
1191
1192
1193                         ####################################################
1194                         ####################################################
1195                         //Race Supplemental Data Element (CMS EP) START
1196                         ####################################################
1197                         ####################################################
1198
1199                         foreach($mainQrdaRaceArr as $RKey => $RVal){
1200                                 //entryRelationship Open
1201                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1202
1203                                 //observation Open
1204                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1205
1206                                 $tempID = "2.16.840.1.113883.10.20.27.3.8";
1207                                 $xml->self_templateid($tempID);
1208
1209                                 $tempID = "2.16.840.1.113883.10.20.27.3.19";
1210                                 $xml->self_templateid($tempID);
1211
1212                                 $arr = array('code'=>'103579009', 'displayName'=>'Race', 'codeSystem'=>'2.16.840.1.113883.6.96', 'codeSystemName'=>'SNOMED-CT');
1213                                 $xml->self_codeCustom($arr);
1214
1215                                 $arr = array('code'=>'completed');
1216                                 $xml->self_customTag('statusCode', $arr);
1217
1218                                 $arr = array('xsi:type'=>'CD', 'code'=>$mainQrdaRaceCodeArr[$RKey], 'displayName'=>$RVal, 'codeSystem' =>'2.16.840.1.113883.6.238', 'codeSystemName'=>'Race &amp; Ethnicity - CDC');
1219                                 $xml->self_customTag('value', $arr);
1220
1221                                 //entryRelationship Open
1222                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1223
1224                                 //observation Open
1225                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1226
1227                                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1228                                 $xml->self_templateid($tempID);
1229
1230                                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1231                                 $xml->self_templateid($tempID);
1232
1233                                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1234                                 $xml->self_codeCustom($arr);
1235
1236                                 //$arr = array('code'=>'completed');
1237                                 //$xml->self_customTag('statusCode', $arr);
1238
1239                                 $arr = array('xsi:type'=>'INT', 'value'=>$detailsArr['race'][$RVal]);
1240                                 $xml->self_customTag('value', $arr);
1241
1242                                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1243                                 $xml->self_customTag('methodCode', $arr);
1244
1245                                 //observation Close
1246                                 $xml->close_customTag();
1247
1248                                 //entryRelationship Close
1249                                 $xml->close_customTag();
1250
1251
1252                                 //observation Close
1253                                 $xml->close_customTag();
1254
1255                                 //entryRelationship Close
1256                                 $xml->close_customTag();
1257                         }
1258
1259                         ####################################################
1260                         ####################################################
1261                         //Race Supplemental Data Element (CMS EP) END
1262                         ####################################################
1263                         ####################################################
1264
1265
1266                         ####################################################
1267                         ####################################################
1268                         //Payer Supplemental Data Element (CMS EP) START
1269                         ####################################################
1270                         ####################################################
1271                         $payerCheckArr = getQRDAPayerInfo($fullPatArr);
1272                         foreach($mainQrdaPayerCodeArr as $PKey => $PVal){
1273                                 //entryRelationship Open
1274                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
1275
1276                                 //observation Open
1277                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1278
1279                                 $tempID = "2.16.840.1.113883.10.20.27.3.9";
1280                                 $xml->self_templateid($tempID);
1281
1282                                 $tempID = "2.16.840.1.113883.10.20.24.3.55";
1283                                 $xml->self_templateid($tempID);
1284
1285                                 $tempID = "2.16.840.1.113883.10.20.27.3.18";
1286                                 $xml->self_templateid($tempID);
1287
1288                                 $xml->self_setpatientRoleid();
1289
1290                                 $arr = array('code'=>'48768-6', 'displayName'=>'Payment source', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'SNOMED-CT');
1291                                 $xml->self_codeCustom($arr);
1292
1293                                 $arr = array('code'=>'completed');
1294                                 $xml->self_customTag('statusCode', $arr);
1295
1296                                 $timeArr = array('low'=>date('Ymd', strtotime($from_date)));
1297                                 $xml->add_entryEffectTime($timeArr);
1298
1299                                 /*
1300                                 //Value Tag Open
1301                                 $xml->open_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'OTH'));
1302
1303                                 $xml->self_customTag('translation', array('code'=>$PKey, 'displayName'=>$PVal, 'codeSystem'=>'2.16.840.1.113883.3.249.12', 'codeSystemName'=>'CMS Clinical Codes'));
1304
1305                                 //Value Tag Close
1306                                 $xml->close_customTag();
1307                                 */
1308
1309                                 //Value Tag
1310                                 $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$mainQrdaPayerCodeSendArr[$PKey], 'codeSystem'=>'2.16.840.1.113883.3.221.5' , 'codeSystemName'=>'SOP', 'displayName'=>$PVal));
1311
1312                                 //entryRelationship Open
1313                                 $xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
1314
1315                                 //observation Open
1316                                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1317
1318                                 $tempID = "2.16.840.1.113883.10.20.27.3.3";
1319                                 $xml->self_templateid($tempID);
1320
1321                                 $tempID = "2.16.840.1.113883.10.20.27.3.24";
1322                                 $xml->self_templateid($tempID);
1323
1324                                 $arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1325                                 $xml->self_codeCustom($arr);
1326
1327                                 //$arr = array('code'=>'completed');
1328                                 //$xml->self_customTag('statusCode', $arr);
1329
1330                                 $arr = array('xsi:type'=>'INT', 'value'=>$payerCheckArr[$PVal]);
1331                                 $xml->self_customTag('value', $arr);
1332
1333                                 $arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
1334                                 $xml->self_customTag('methodCode', $arr);
1335
1336                                 //observation Close
1337                                 $xml->close_customTag();
1338
1339                                 //entryRelationship Close
1340                                 $xml->close_customTag();
1341
1342
1343                                 //observation Close
1344                                 $xml->close_customTag();
1345
1346                                 //entryRelationship Close
1347                                 $xml->close_customTag();
1348
1349                         }
1350                         ####################################################
1351                         ####################################################
1352                         //Payer Supplemental Data Element (CMS EP) END
1353                         ####################################################
1354                         ####################################################
1355
1356                         ######################################################################
1357                         //reference Start
1358                         $arr = array('typeCode'=>'REFR');
1359                         $xml->open_customTag('reference', $arr);
1360
1361                         //externalObservation Start
1362                         $arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
1363                         $xml->open_customTag('externalObservation', $arr);
1364
1365                         //Modified HQMF_ID for CQM IDS
1366                         if( ($row['cqm_nqf_code'] == "0421" ) ){
1367                                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['numerator_label']][$mainQrdaPopulationIncArr[$cqmKey]];
1368                         }else if( ($row['cqm_nqf_code'] == "0024") ){
1369                                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']][$mainQrdaPopulationIncArr[$cqmKey]];
1370                         }else{
1371                                 $refID = $preDefPopIdArr[$row['cqm_nqf_code']][$mainQrdaPopulationIncArr[$cqmKey]];
1372                         }
1373                         if($refID == ""){
1374                                 $refID = getUuid();
1375                         }
1376                         $xml->self_customId($refID);
1377
1378                         //externalObservation Close
1379                         $xml->close_customTag();
1380
1381                         //reference Close
1382                         $xml->close_customTag();
1383                         ########################################################################
1384
1385                         //observation Close
1386                         $xml->close_customTag();
1387
1388                         $xml->close_loopComponent();
1389                         ############### Initial patient population template END#####################
1390                 }
1391
1392                 //Multiple Numerator Handling
1393                 if(in_array($row['cqm_nqf_code'], $multNumNQFArr)){
1394                         //Skipping Multiple Numerator(s)
1395                         if(in_array($row['cqm_nqf_code'], $multNumNQFArr)){
1396                                 $skipMultNumArr[$row['cqm_nqf_code']] = true;
1397                         }
1398                         if($dataChkArr[$row['cqm_nqf_code']] == $countNumNQFArr[$row['cqm_nqf_code']]){
1399                                 //Organizer Close
1400                                 $xml->close_customTag();
1401                                 $xml->close_entry();
1402                         }
1403                 }else{
1404                         //Organizer Close
1405                         $xml->close_customTag();
1406                         $xml->close_entry();
1407                 }
1408
1409                 ###########################################################
1410
1411                 $innrCnt++;
1412         }
1413 }
1414
1415 #######################################################################
1416 ######################### QUALITY MEASURES END ########################
1417 #######################################################################
1418
1419
1420 $xml->close_section();
1421
1422 $xml->close_loopComponent();
1423
1424 ##################### LOOP Component(s) END ########################
1425
1426 $xml->close_structuredBody();
1427 ############### Structure Body Close #######################
1428
1429 $xml->close_mainComponent();
1430 ############### Main Component Close #######################
1431
1432 //Close Main Clinical Document
1433 $xml->close_clinicaldocument();
1434
1435
1436 //QRDA File Download Folder in site/cqm_qrda folder
1437 $qrda_fname = "QRDA_III_".date("YmdHis").".xml";
1438 $qrda_file_path = $GLOBALS['OE_SITE_DIR'] . "/documents/cqm_qrda/";
1439 if(!file_exists($qrda_file_path)){
1440         mkdir($qrda_file_path, 0777, true);
1441 }
1442 $qrda_file_name = $qrda_file_path.$qrda_fname;
1443 $fileQRDAOPen = fopen($qrda_file_name, "w");
1444 fwrite($fileQRDAOPen, trim($xml->getXml()));
1445 fclose($fileQRDAOPen);
1446 ?>
1447
1448 <html>
1449 <head>
1450 <?php html_header_show();?>
1451 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
1452 <title><?php echo xlt('Export QRDA Report'); ?></title>
1453
1454 <script type="text/javascript">
1455         //Close Me function
1456         function closeme() {
1457           window.close();
1458         }
1459 </script>
1460 </head>
1461 <body>
1462
1463 <p class="text"><?php echo xlt('The exported data appears in the text area below. You can copy and paste this into an email or to any other desired destination (or) download the below link.'); ?></p>
1464
1465 <center>
1466 <form>
1467 <p class="text">
1468         <a href="qrda_download.php?qrda_fname=<?php echo attr($qrda_fname);?>"><?php echo xlt("Download QRDA Category III File");?></a>
1469 </p>
1470 <textarea rows='50' cols='500' style='width:95%' readonly>
1471 <?php echo trim($xml->getXml()); ?>
1472 </textarea>
1473
1474 <p><input type='button' value='<?php echo xla('Close'); ?>' onclick='closeme();' /></p>
1475 </form>
1476 </center>
1477
1478
1479 </body>
1480 </html>