src/Services/Cda/CdaTemplateParse.php

   1 <?php
   2
   3 /**
   4  * Qrda and Cda ParseService 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 DOMDocument;
  16 use OpenEMR\Services\CodeTypesService;
  17
  18 class CdaTemplateParse
  19 {
  20     private $templateData;
  21     private $codeService;
  22     private $currentOid;
  23     protected $is_qrda_import;
  24
  25     public function __construct()
  26     {
  27         $this->templateData = [];
  28         $this->is_qrda_import = false;
  29         $this->codeService = new CodeTypesService();
  30     }
  31
  32     public function parseCDAEntryComponents($components): array
  33     {
  34
  35         $components_oids = array(
  36             '2.16.840.1.113883.10.20.22.4.7' => 'allergy',
  37             '2.16.840.1.113883.10.20.22.2.6.1' => 'allergy',
  38             '2.16.840.1.113883.10.20.22.2.1' => 'medication',
  39             '2.16.840.1.113883.10.20.22.2.1.1' => 'medication',
  40             '2.16.840.1.113883.10.20.22.2.5.1' => 'medical_problem',
  41             '2.16.840.1.113883.10.20.22.2.5' => 'medical_problem',
  42             '2.16.840.1.113883.10.20.22.2.2' => 'immunization',
  43             '2.16.840.1.113883.10.20.22.2.2.1' => 'immunization',
  44             '2.16.840.1.113883.3.88.11.83.145' => 'procedure',
  45             '2.16.840.1.113883.10.20.22.2.7.1' => 'procedure',
  46             '2.16.840.1.113883.10.20.22.2.3.1' => 'labResult',
  47             '2.16.840.1.113883.10.20.22.2.3' => 'labResult',
  48             '2.16.840.1.113883.10.20.22.2.4.1' => 'VitalSign',
  49             '2.16.840.1.113883.10.20.22.2.17' => 'socialHistory',
  50             '2.16.840.1.113883.3.88.11.83.127' => 'encounter',
  51             '2.16.840.1.113883.10.20.22.2.22.1' => 'encounter',
  52             '2.16.840.1.113883.10.20.22.2.22' => 'encounter',
  53             '2.16.840.1.113883.10.20.22.4.49' => 'encounter',
  54             '2.16.840.1.113883.10.20.22.2.10' => 'carePlan',
  55             '2.16.840.1.113883.10.20.22.2.60' => 'carePlan',
  56             '2.16.840.1.113883.10.20.22.2.58' => 'carePlan',
  57             '2.16.840.1.113883.10.20.22.2.14' => 'functionalCognitiveStatus',
  58             '2.16.840.1.113883.10.20.22.2.56' => 'functionalCognitiveStatus',
  59             '1.3.6.1.4.1.19376.1.5.3.1.3.1' => 'referral',
  60             '2.16.840.1.113883.10.20.22.2.11.1' => 'dischargeMedications',
  61             '2.16.840.1.113883.10.20.22.2.41' => 'dischargeSummary'
  62         );
  63
  64         foreach ($components as $component) {
  65             if (!empty($component['section']['templateId']['root'])) {
  66                 if (!empty($components_oids[$component['section']['templateId']['root']])) {
  67                     $this->currentOid = $component['section']['templateId']['root'];
  68                     $func_name = $components_oids[$component['section']['templateId']['root']];
  69                     $this->$func_name($component);
  70                 }
  71             } elseif (empty($component['section']['templateId'])) {
  72                 // uncomment for debugging information.
  73                 error_log("section and template id empty for " . var_export($component, true));
  74             } elseif (count($component['section']['templateId']) > 1) {
  75                 $this->currentOid = '';
  76                 foreach ($component['section']['templateId'] as $key_1 => $value_1) {
  77                     if (!empty($components_oids[$component['section']['templateId'][$key_1]['root']])) {
  78                         $this->currentOid = $component['section']['templateId'][$key_1]['root'];
  79                         $func_name = $components_oids[$component['section']['templateId'][$key_1]['root']];
  80                         $this->$func_name($component);
  81                         break;
  82                     }
  83                 }
  84             }
  85         }
  86         return $this->templateData;
  87     }
  88
  89     /**
  90      * parsePatientDataSection
  91      *
  92      * @param $entryComponents //An array of QRDA entry templates
  93      * @return array
  94      */
  95     public function parseQRDAPatientDataSection($entryComponents): array
  96     {
  97         $this->is_qrda_import = true;
  98         $qrda_oids = array(
  99             '2.16.840.1.113883.10.20.24.3.147' => 'fetchAllergyIntoleranceObservation',
 100             '2.16.840.1.113883.10.20.24.3.41' => 'fetchMedicationData',  // active medication @todo verify status all meds
 101             '2.16.840.1.113883.10.20.24.3.42' => 'fetchMedicationData',  // Medication Administered Act @todo honor end dates
 102             '2.16.840.1.113883.10.20.24.3.139' => 'fetchMedicationData', // Medication Dispensed Act @todo set med type
 103             '2.16.840.1.113883.10.20.24.3.105' => 'fetchMedicationData', // Medication Discharge Act
 104             '2.16.840.1.113883.10.20.24.3.137' => 'fetchMedicalProblemData',// diagnosis
 105             '2.16.840.1.113883.10.20.24.3.138' => 'fetchMedicalProblemData',// concern symtom
 106             '2.16.840.1.113883.10.20.24.3.140' => 'fetchImmunizationData',  // Immunization Administered (V3)
 107             '2.16.840.1.113883.10.20.22.4.14' => 'fetchProcedureActivityData', // procedure activity-performed 2.16.840.1.113883.10.20.24.3.64
 108             '2.16.840.1.113883.10.20.24.3.7' => 'fetchProcedureDeviceData', // procedure preformed Device Applied
 109             '2.16.840.1.113883.10.20.24.3.32' => 'fetchProcedurePreformedActivity',// procedure activity-intervention
 110             '2.16.840.1.113883.10.20.24.3.38' => 'fetchQrdaLabResultData',  // lab test preformed
 111             '2.16.840.1.113883.10.20.24.3.133' => 'fetchEncounterPerformed',
 112             '2.16.840.1.113883.10.20.24.3.143' => 'fetchCarePlanData',  // Immunization Order Substance Order @todo this is planned or goal MOVE
 113             '2.16.840.1.113883.10.20.24.3.47' => 'fetchCarePlanData', // Plan of Care Medication Substance Observation Activity Ordered
 114             '2.16.840.1.113883.10.20.24.3.130' => 'fetchCarePlanData', // Plan of Care Activity Supply CDA 2.16.840.1.113883.10.20.24.3.43
 115             '2.16.840.1.113883.10.20.24.3.31' => 'fetchCarePlanData', // Plan of Care Activity (act) Intervention Order
 116             '2.16.840.1.113883.10.20.24.3.37' => 'fetchCarePlanData', // Plan of Care Activity Observation Lab order
 117             '2.16.840.1.113883.10.20.24.3.17' => 'fetchCarePlanData', // Plan of Care Activity Observation Diagnostic Study, Order
 118             /**
 119              * CCDA 2.16.840.1.113883.10.20.22.4.13 - Procedure Activity Observation.
 120              * QRDA 2.16.840.1.113883.10.20.24.3.18 Diagnostic Study, Performed,
 121              * QRDA 2.16.840.1.113883.10.20.24.3.59 Physical Exam, Performed
 122              * QRDA '2.16.840.1.113883.10.20.24.3.54' Deceased Observation (V3) is handled in patient data parse.
 123              * */
 124             '2.16.840.1.113883.10.20.24.3.59' => 'fetchPhysicalExamPerformedData', // Physical Exam, Performed observation Vitals
 125             '2.16.840.1.113883.10.20.24.3.18' => 'fetchObservationPerformedData', //
 126             '2.16.840.1.113883.10.20.24.3.144' => 'fetchObservationPerformedData', // Assessment Performed
 127             '2.16.840.1.113883.10.20.24.3.54' => 'fetchDeceasedObservationData', // Deceased Observation (V3)
 128             '2.16.840.1.113883.10.20.24.3.55' => 'fetchPaymentSourceData', // Patient Characteristic Payer
 129         );
 130         foreach ($entryComponents['section']['entry'] as $entry) {
 131             $key = array_keys($entry)[0]; // need the entry template type i.e. observation, activity, substance etc.
 132             if (!empty($entry[$key]['templateId']['root'])) {
 133                 if (!empty($qrda_oids[$entry[$key]['templateId']['root']])) {
 134                     $this->currentOid = $entry[$key]['templateId']['root'];
 135                     $func_name = $qrda_oids[$entry[$key]['templateId']['root']] ?? null;
 136                     if (!empty($func_name)) {
 137                         $this->$func_name($entry);
 138                     }
 139                 } else {
 140                     $text = $entry[$key]['templateId']['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 141                     error_log('Root Missing QDM: ' . $text);
 142                 }
 143             } elseif (count($entry[$key]['templateId'] ?? []) > 1) {
 144                 $key_1 = 1;
 145                 if (!empty($qrda_oids[$entry[$key]['templateId'][$key_1]['root']])) {
 146                     $this->currentOid = $entry[$key]['templateId'][$key_1]['root'];
 147                     $func_name = $qrda_oids[$entry[$key]['templateId'][$key_1]['root']] ?? null;
 148                     if (!empty($func_name)) {
 149                         $this->$func_name($entry);
 150                     } else {
 151                         $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 152                         error_log('Missing Function for: ' . $text);
 153                     }
 154                 } elseif (count($entry[$key]['templateId'] ?? []) > 1) {
 155                     $key_1 = 0;
 156                     if (!empty($qrda_oids[$entry[$key]['templateId'][$key_1]['root']])) {
 157                         $this->currentOid = $entry[$key]['templateId'][$key_1]['root'];
 158                         $func_name = $qrda_oids[$entry[$key]['templateId'][$key_1]['root']] ?? null;
 159                         if (!empty($func_name)) {
 160                             $this->$func_name($entry);
 161                         } else {
 162                             $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 163                             error_log('Missing  Function for: ' . $text);
 164                         }
 165                     } else {
 166                         $text = $entry[$key]['templateId'][$key_1]['root'] . " Key: $key_1 " . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 167                         error_log('Missing QDM: ' . $text);
 168                     }
 169                 } else {
 170                     $text = $entry[$key]['templateId'][$key_1]['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 171                     error_log('Missing QDM: ' . $text);
 172                 }
 173             } elseif (!empty($entry[$key]['root'])) {
 174                 if (!empty($qrda_oids[$entry[$key]['root']])) {
 175                     $this->currentOid = $entry[$key]['root'];
 176                     $func_name = $qrda_oids[$entry[$key]['root']] ?? null;
 177                     if (!empty($func_name)) {
 178                         $this->$func_name($entry);
 179                     }
 180                 } else {
 181                     $text = $entry[$key]['root'] . ' ' . ($entry[$key]['text'] ?: $entry[$key]['code']['displayName']);
 182                     error_log('Root Missing QDM: ' . $text);
 183                 }
 184             }
 185         }
 186         if (empty($this->templateData)) {
 187             error_log('Could not find any QDMs in document!');
 188         }
 189         return $this->templateData ?? [];
 190     }
 191
 192     public function parseUnstructuredComponents($xml): array
 193     {
 194         $components = $xml['component'];
 195         $uuid = $xml['recordTarget']['patientRole']['id']['extension'] ?? null;
 196         if (!empty($components[0])) {
 197             foreach ($components as $component) {
 198                 $item = $component['nonXMLBody']['text'];
 199                 $this->fetchFileForImport($item, $uuid);
 200             }
 201         } else {
 202             $item = $components['nonXMLBody']['text'];
 203             $this->fetchFileForImport($item, $uuid);
 204         }
 205
 206         return $this->templateData ?? [];
 207     }
 208
 209     public function fetchFileForImport($component, $uuid): void
 210     {
 211         $i = 1;
 212         if (!empty($this->templateData['field_name_value_array']['import_file'])) {
 213             $i += count($this->templateData['field_name_value_array']['import_file']);
 214         }
 215         $this->templateData['field_name_value_array']['import_file'][$i]['uuid'] = $uuid;
 216         $this->templateData['field_name_value_array']['import_file'][$i]['hash'] = $component['hash'] ?? '';
 217         $this->templateData['field_name_value_array']['import_file'][$i]['mediaType'] = $component['mediaType'] ?? '';
 218         $this->templateData['field_name_value_array']['import_file'][$i]['category'] = $component['category'] ?? '';
 219         $this->templateData['field_name_value_array']['import_file'][$i]['file_name'] = $component['name'] ?? '';
 220         $this->templateData['field_name_value_array']['import_file'][$i]['compression'] = $component['compression'] ?? '';
 221         $this->templateData['field_name_value_array']['import_file'][$i]['content'] = $component['_'] ?? '';
 222
 223         $this->templateData['entry_identification_array']['import_file'][$i] = $i;
 224     }
 225
 226     public function fetchDeceasedObservationData($entry)
 227     {
 228         // handled in patient data parse.
 229         // leave this function to prevent parse errors.
 230     }
 231
 232     public function fetchPaymentSourceData($entry)
 233     {
 234         if (!empty($entry['observation']['effectiveTime']['low']['value'] ?? null)) {
 235             $i = 1;
 236             if (!empty($this->templateData['field_name_value_array']['payer'])) {
 237                 $i += count($this->templateData['field_name_value_array']['payer']);
 238             }
 239             $this->templateData['field_name_value_array']['payer'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
 240             $this->templateData['field_name_value_array']['payer'][$i]['code'] = $entry['observation']['value']['code'] ?? null;
 241             $this->templateData['field_name_value_array']['payer'][$i]['low_date'] = $entry['observation']['effectiveTime']['low']['value'] ?? null;
 242             $this->templateData['field_name_value_array']['payer'][$i]['high_date'] = $entry['observation']['effectiveTime']['high']['value'] ?? null;
 243
 244             $this->templateData['entry_identification_array']['payer'][$i] = $i;
 245         }
 246     }
 247
 248     /**
 249      * @param $entry
 250      */
 251     public function fetchObservationPerformedData($entry): void
 252     {
 253         // was also called from fetchPhysicalExamPerformedData()
 254         if (
 255             !empty($entry['observation']['value']['code'] ?? null)
 256             || !empty($entry['observation']['code']['code'] ?? null)
 257             || (!empty($entry['observation']['value']['nullFlavor'] ?? null) && empty($entry['observation']['value']['code'] ?? null))
 258             || (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null) && ($entry['observation']['entryRelationship']['typeCode'] ?? null) === 'RSON')
 259         ) {
 260             $i = 1;
 261             if (!empty($this->templateData['field_name_value_array']['observation_preformed'])) {
 262                 $i += count($this->templateData['field_name_value_array']['observation_preformed']);
 263             }
 264             $is_negated = !empty($entry['observation']['negationInd'] ?? false);
 265             $ob_type = 'assessment'; // default and 2.16.840.1.113883.10.20.24.3.144
 266             if ($this->currentOid === '2.16.840.1.113883.10.20.24.3.18') {
 267                 $ob_type = 'procedure_diagnostic';
 268             } elseif ($this->currentOid === '2.16.840.1.113883.10.20.24.3.59') {
 269                 $ob_type = 'physical_exam_performed';
 270             }
 271
 272             $ob_code = $entry['observation']['code']['code'];
 273             $ob_system = $entry['observation']['code']['codeSystemName'] ?: ($entry['observation']['code']['codeSystem'] ?? '');
 274             $ob_code_text = $entry['observation']['code']['displayName'] ?? '';
 275             if (($entry['observation']['code']['codeSystemName'] ?? null) == 'CPT4' && !empty($entry['observation']['code']['translation']['code'])) {
 276                 $ob_code = $entry['observation']['code']['translation']['code'];
 277                 $ob_system = $entry['observation']['code']['translation']['codeSystemName'] ?: $entry['observation']['value']['codeSystem'] ?? '';
 278                 $ob_code_text = $entry['observation']['code']['translation']['displayName'] ?? '';
 279             }
 280             $code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 281
 282             $result_code = [];
 283             $result_status = $entry['observation']['statusCode']['code'] ?? '';
 284             $reason_code = [];
 285             $reason_status = '';
 286             if (!empty($entry['observation']['value']['nullFlavor'])) {
 287                 $result_code['formatted_code'] = null;
 288                 $result_code['code_text'] = null;
 289                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 290             } elseif (($entry['observation']['value']['type'] ?? '') === 'CD') {
 291                 $ob_code = $entry['observation']['value']['code'];
 292                 $ob_system = $entry['observation']['value']['codeSystemName'] ?: $entry['observation']['value']['codeSystem'] ?? '';
 293                 $ob_code_text = $entry['observation']['value']['displayName'] ?? '';
 294                 $result_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 295                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 296             } elseif (($entry['observation']['value']['type'] ?? '') === 'PQ') {
 297                 $result_code['formatted_code'] = 'PQ';
 298                 $result_code['code_text'] = $entry['observation']['value']['value'] ?? '';
 299                 $result_unit = $entry['observation']['value']['unit'] ?? '';
 300                 $result_status = $entry['observation']['statusCode']['code'] ?? '';
 301             }
 302             if (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null)) {
 303                 // @todo inter to this moodcode RSON in full template!
 304                 $ob_code = $entry['observation']['entryRelationship']['observation']['value']['code'];
 305                 $ob_system = $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '';
 306                 $ob_code_text = $entry['observation']['entryRelationship']['observation']['value']['displayName'] ?? '';
 307                 $reason_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
 308                 $reason_status = $entry['observation']['entryRelationship']['observation']['statusCode']['code'] ?? '';
 309             }
 310
 311             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation_type'] = $ob_type;
 312             $this->templateData['field_name_value_array']['observation_preformed'][$i]['extension'] = $entry['observation']['id']['extension'] ?? '';
 313             $this->templateData['field_name_value_array']['observation_preformed'][$i]['root'] = $entry['observation']['id']['root'] ?? '';
 314             $this->templateData['field_name_value_array']['observation_preformed'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? '';
 315             if (!empty($entry['observation']['effectiveTime']['low'])) {
 316                 $this->templateData['field_name_value_array']['observation_preformed'][$i]['date'] = $entry['observation']['effectiveTime']['low'];
 317                 $this->templateData['field_name_value_array']['observation_preformed'][$i]['date_end'] = $entry['observation']['effectiveTime']['high'] ?? null;
 318             }
 319
 320             if (!empty($entry['observation']['code']["nullFlavor"]) && !empty($entry['observation']['code']["valueSet"])) {
 321                 $code['code'] = $entry['observation']['code']["valueSet"] ?? null;
 322                 $code['formatted_code'] = 'OID:' . $entry['observation']['code']["valueSet"] ?? null;
 323                 $code['code_text'] = $entry['observation']['text'] ?? '';
 324             }
 325             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation_status'] = $result_status ?? '';
 326             $this->templateData['field_name_value_array']['observation_preformed'][$i]['observation'] = $entry['observation']['text'] ?: $code['code_text'] ?? null;
 327             $this->templateData['field_name_value_array']['observation_preformed'][$i]['code'] = $code['formatted_code'] ?? null;
 328             $this->templateData['field_name_value_array']['observation_preformed'][$i]['code_text'] = $code['code_text'] ?? '';
 329
 330             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_status'] = $result_status ?? '';
 331             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code'] = $result_code['formatted_code'] ?? '';
 332             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code_text'] = $result_code['code_text'] ?? '';
 333             $this->templateData['field_name_value_array']['observation_preformed'][$i]['result_code_unit'] = $result_unit ?? '';
 334
 335             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_status'] = $is_negated ? 'negated' : ($reason_status ?? '');
 336             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_code'] = $reason_code['formatted_code'] ?? '';
 337             $this->templateData['field_name_value_array']['observation_preformed'][$i]['reason_code_text'] = $reason_code['code_text'] ?? '';
 338
 339             $this->templateData['entry_identification_array']['observation_preformed'][$i] = $i;
 340         }
 341     }
 342
 343     /**
 344      * @param $entry
 345      */
 346     public function fetchEncounterPerformed($entry): void
 347     {
 348         if ($this->is_qrda_import) {
 349             $entry = $entry['act']['entryRelationship'];
 350         }
 351         if (!empty($entry['encounter']['effectiveTime']['value']) || !empty($entry['encounter']['effectiveTime']['low']['value'])) {
 352             $i = 1;
 353             if (!empty($this->templateData['field_name_value_array']['encounter'])) {
 354                 $i += count($this->templateData['field_name_value_array']['encounter']);
 355             }
 356
 357             $this->templateData['field_name_value_array']['encounter'][$i]['extension'] = $entry['encounter']['id']['extension'];
 358             $this->templateData['field_name_value_array']['encounter'][$i]['root'] = $entry['encounter']['id']['root'];
 359             $this->templateData['field_name_value_array']['encounter'][$i]['date'] = ($entry['encounter']['effectiveTime']['value'] ?? null) ?: $entry['encounter']['effectiveTime']['low']['value'] ?? null;
 360             $this->templateData['field_name_value_array']['encounter'][$i]['date_end'] = $entry['encounter']['effectiveTime']['high']['value'] ?? null;
 361
 362             $code_type = $entry['encounter']['code']['codeSystemName'] ?: $entry['encounter']['code']['codeSystem'] ?? '';
 363             $code_text = $entry['encounter']['code']['displayName'] ?? '';
 364             $code = $this->codeService->resolveCode($entry['encounter']['code']['code'], $code_type, $code_text);
 365             $this->templateData['field_name_value_array']['encounter'][$i]['code'] = $code['formatted_code'];
 366             $this->templateData['field_name_value_array']['encounter'][$i]['code_text'] = $code['code_text'];
 367
 368             $this->templateData['field_name_value_array']['encounter'][$i]['provider_npi'] = $entry['encounter']['performer']['assignedEntity']['id']['extension'] ?? null;
 369             $this->templateData['field_name_value_array']['encounter'][$i]['provider_name'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? ''; // first
 370             $this->templateData['field_name_value_array']['encounter'][$i]['provider_family'] = $entry['encounter']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? ''; // last
 371             $this->templateData['field_name_value_array']['encounter'][$i]['provider_address'] = $entry['encounter']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? '';
 372             $this->templateData['field_name_value_array']['encounter'][$i]['provider_city'] = $entry['encounter']['performer']['assignedEntity']['addr']['city'] ?? '';
 373             $this->templateData['field_name_value_array']['encounter'][$i]['provider_state'] = $entry['encounter']['performer']['assignedEntity']['addr']['state'] ?? '';
 374             $this->templateData['field_name_value_array']['encounter'][$i]['provider_postalCode'] = $entry['encounter']['performer']['assignedEntity']['addr']['postalCode'] ?? '';
 375             $this->templateData['field_name_value_array']['encounter'][$i]['provider_country'] = $entry['encounter']['performer']['assignedEntity']['addr']['country'] ?? '';
 376             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_name'] = $entry['encounter']['participant']['participantRole']['playingEntity']['name'] ?? '';
 377             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_address'] = $entry['encounter']['participant']['participantRole']['addr']['streetAddressLine'] ?? '';
 378             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_city'] = $entry['encounter']['participant']['participantRole']['addr']['city'] ?? '';
 379             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_state'] = $entry['encounter']['participant']['participantRole']['addr']['state'] ?? '';
 380             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_zip'] = $entry['encounter']['participant']['participantRole']['addr']['postalCode'] ?? '';
 381             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_country'] = $entry['encounter']['participant']['participantRole']['addr']['country'] ?? '';
 382             $this->templateData['field_name_value_array']['encounter'][$i]['represented_organization_telecom'] = $entry['encounter']['participant']['participantRole']['telecom'] ?? '';
 383             // encounter diagnosis to issues list
 384             if (count($entry['encounter']['entryRelationship'] ?? []) > 1 && !empty($entry['encounter']['entryRelationship'][0]['act'])) {
 385                 foreach ($entry['encounter']['entryRelationship'] as $k => $act) {
 386                     $code = $this->codeService->resolveCode(
 387                         $act['act']['entryRelationship']['observation']['value']['code'] ?? '',
 388                         ($act['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $act['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 389                         $act['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
 390                     );
 391                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_code'][] = $code['formatted_code'];
 392                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_issue'][] = $code['code_text'];
 393                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'][] = $act['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 394                 }
 395             } else {
 396                 $code = $this->codeService->resolveCode(
 397                     $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['code'] ?? '',
 398                     ($entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 399                     $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
 400                 );
 401                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'] = $entry['encounter']['entryRelationship']['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 402                 if (empty($code['code'])) {
 403                     $code = $this->codeService->resolveCode(
 404                         $entry["encounter"]["entryRelationship"]["observation"]["value"]["code"] ?? '',
 405                         ($entry["encounter"]["entryRelationship"]["observation"]["value"]['codeSystemName'] ?? '') ?: $entry["encounter"]["entryRelationship"]["observation"]["value"]['codeSystem'] ?? '',
 406                         $entry["encounter"]["entryRelationship"]["observation"]["value"]['displayName'] ?? ''
 407                     );
 408                     $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_date'] = $this->templateData['field_name_value_array']['encounter'][$i]['date'] ?? null;
 409                 }
 410                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_code'] = $code['formatted_code'];
 411                 $this->templateData['field_name_value_array']['encounter'][$i]['encounter_diagnosis_issue'] = $code['code_text'];
 412             }
 413
 414             $discharge = $entry['encounter']['sdtc:dischargeDispositionCode'] ?? null;
 415             $code = '';
 416             if (!empty($discharge)) {
 417                 $code = $this->codeService->getCodeWithType(($discharge['code'] ?? ''), ($discharge['codeSystemName'] ?? ''), true) ?? '';
 418                 $option = $this->codeService->dischargeOptionIdFromCode($code) ?? '';
 419                 if (empty($option)) {
 420                     $code = str_replace(" ", "-", $code); // Because "SNOMED CT" is "SNOMED-CT" in list options
 421                     $option = $this->codeService->dischargeOptionIdFromCode($code) ?? '';
 422                 }
 423             }
 424             $this->templateData['field_name_value_array']['encounter'][$i]['encounter_discharge_code'] = $option ?? '';
 425
 426             $this->templateData['entry_identification_array']['encounter'][$i] = $i;
 427         }
 428     }
 429
 430     /**
 431      * @param $entry
 432      */
 433     public function fetchMedicalProblemData($entry): void
 434     {
 435         if (!empty($entry['act']['entryRelationship']['observation']['value']['code'])) {
 436             $i = 1;
 437             if (!empty($this->templateData['field_name_value_array']['lists1'])) {
 438                 $i += count($this->templateData['field_name_value_array']['lists1']);
 439             }
 440             $classification = 'diagnosis';
 441             if ($this->currentOid == '2.16.840.1.113883.10.20.24.3.138') {
 442                 $classification = 'concern';
 443             }
 444             $this->templateData['field_name_value_array']['lists1'][$i]['subtype'] = $classification;
 445             $code = $this->codeService->resolveCode(
 446                 $entry['act']['entryRelationship']['observation']['value']['code'],
 447                 ($entry['act']['entryRelationship']['observation']['value']['codeSystemName'] ?? '') ?: $entry['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 448                 $entry['act']['entryRelationship']['observation']['value']['displayName']
 449             );
 450             $this->templateData['field_name_value_array']['lists1'][$i]['list_code'] = $code['formatted_code'] ?: $entry['act']['entryRelationship']['observation']['value']['code'] ?? '';
 451             $this->templateData['field_name_value_array']['lists1'][$i]['list_code_text'] = $code['code_text'] ?: $entry['act']['entryRelationship']['observation']['value']['displayName'] ?? '';
 452
 453             $this->templateData['field_name_value_array']['lists1'][$i]['type'] = 'medical_problem';
 454             $this->templateData['field_name_value_array']['lists1'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 455             $this->templateData['field_name_value_array']['lists1'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 456             $this->templateData['field_name_value_array']['lists1'][$i]['begdate'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 457             $this->templateData['field_name_value_array']['lists1'][$i]['enddate'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 458             $this->templateData['field_name_value_array']['lists1'][$i]['observation'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 459             $this->templateData['field_name_value_array']['lists1'][$i]['observation_text'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 460             $this->templateData['field_name_value_array']['lists1'][$i]['status'] = ($entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['displayName'] ?? '') ?: $entry['act']['entryRelationship']['observation']['statusCode'] ?? null;
 461             $this->templateData['field_name_value_array']['lists1'][$i]['modified_time'] = $entry['act']['entryRelationship']['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 462             $this->templateData['entry_identification_array']['lists1'][$i] = $i;
 463         }
 464     }
 465
 466     /**
 467      * @param $entry
 468      */
 469     public function fetchAllergyIntoleranceObservation($entry)
 470     {
 471         if (!empty($entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['code'])) {
 472             $i = 1;
 473             // if there are already items here we want to add to them.
 474             if (!empty($this->templateData['field_name_value_array']['lists2'])) {
 475                 $i += count($this->templateData['field_name_value_array']['lists2']);
 476             }
 477
 478             $this->templateData['field_name_value_array']['lists2'][$i]['type'] = 'allergy';
 479             $this->templateData['field_name_value_array']['lists2'][$i]['extension'] = $entry['act']['id']['extension'];
 480             $this->templateData['field_name_value_array']['lists2'][$i]['begdate'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 481             $this->templateData['field_name_value_array']['lists2'][$i]['enddate'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 482             $this->templateData['field_name_value_array']['lists2'][$i]['list_code'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['code'] ?? '';
 483             $this->templateData['field_name_value_array']['lists2'][$i]['list_code_text'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['displayName'];
 484             $this->templateData['field_name_value_array']['lists2'][$i]['codeSystemName'] = $entry['act']['entryRelationship']['observation']['participant']['participantRole']['playingEntity']['code']['codeSystemName'];
 485             $this->templateData['field_name_value_array']['lists2'][$i]['outcome'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? '';
 486             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al_code'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['code'] ?? '';
 487             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][2]['observation']['value']['code'] ?? '';
 488             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][0]['observation']['value']['displayName'];
 489             $this->templateData['field_name_value_array']['lists2'][$i]['reaction'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['code'] ?? '';
 490             $this->templateData['field_name_value_array']['lists2'][$i]['reaction_text'] = $entry['act']['entryRelationship']['observation']['entryRelationship'][1]['observation']['value']['displayName'];
 491             $this->templateData['field_name_value_array']['lists2'][$i]['modified_time'] = $entry['act']['entryRelationship']['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 492             $this->templateData['entry_identification_array']['lists2'][$i] = $i;
 493         } elseif (!empty($entry['observation']['participant']['participantRole']['playingEntity']['code']['code'])) {
 494             $i = 1;
 495             // if there are already items here we want to add to them.
 496             if (!empty($this->templateData['field_name_value_array']['lists2'])) {
 497                 $i += count($this->templateData['field_name_value_array']['lists2']);
 498             }
 499
 500             $this->templateData['field_name_value_array']['lists2'][$i]['type'] = 'allergy';
 501             $this->templateData['field_name_value_array']['lists2'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
 502             $this->templateData['field_name_value_array']['lists2'][$i]['begdate'] = $entry['observation']['effectiveTime']['low']['value'] ?? null;
 503             $this->templateData['field_name_value_array']['lists2'][$i]['enddate'] = $entry['observation']['effectiveTime']['high']['value'] ?? null;
 504             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
 505
 506             $code = $this->codeService->resolveCode(
 507                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['code'] ?? null,
 508                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['codeSystemName'] ?? null,
 509                 $entry['observation']['participant']['participantRole']['playingEntity']['code']['displayName'] ?: $entry['observation']['participant']['participantRole']['playingEntity']['name'] ?? null
 510             );
 511             $this->templateData['field_name_value_array']['lists2'][$i]['list_code'] = $code['formatted_code'];
 512             $this->templateData['field_name_value_array']['lists2'][$i]['list_code_text'] = $code['code_text'];
 513             $this->templateData['field_name_value_array']['lists2'][$i]['codeSystemName'] = $code['formatted_code_type'];
 514
 515             $this->templateData['field_name_value_array']['lists2'][$i]['outcome'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 516             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al_code'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 517             $this->templateData['field_name_value_array']['lists2'][$i]['severity_al'] = $entry['observation']['entryRelationship'][2]['observation']['value']['code'] ?? null;
 518             $this->templateData['field_name_value_array']['lists2'][$i]['status'] = $entry['observation']['entryRelationship'][0]['observation']['value']['displayName'] ?? null;
 519             $this->templateData['field_name_value_array']['lists2'][$i]['reaction'] = $entry['observation']['entryRelationship'][1]['observation']['value']['code'] ?? null;
 520             $this->templateData['field_name_value_array']['lists2'][$i]['reaction_text'] = $entry['observation']['entryRelationship'][1]['observation']['value']['displayName'] ?? null;
 521             $this->templateData['field_name_value_array']['lists2'][$i]['modified_time'] = $entry['observation']['performer']['assignedEntity']['time']['value'] ?? null;
 522             $this->templateData['entry_identification_array']['lists2'][$i] = $i;
 523         }
 524     }
 525
 526     /**
 527      * @param $entry
 528      */
 529     public function fetchMedicationData($entry): void
 530     {
 531         // @todo provider not correct.
 532         if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])) {
 533             $i = 1;
 534             if (!empty($this->templateData['field_name_value_array']['lists3'])) {
 535                 $i += count($this->templateData['field_name_value_array']['lists3']);
 536             }
 537
 538             $substanceAdministration_oids = array(
 539                 '2.16.840.1.113883.10.20.24.3.41' => 'active',
 540                 '2.16.840.1.113883.10.20.24.3.42' => 'administered',
 541                 '2.16.840.1.113883.10.20.24.3.139' => 'dispensed',
 542                 '2.16.840.1.113883.10.20.24.3.105' => 'discharge',
 543             );
 544             $request_type = '';
 545             if ($this->is_qrda_import) {
 546                 if (!empty($entry['substanceAdministration']['templateId']['root'])) {
 547                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId']['root']];
 548                 } elseif (!empty($entry['substanceAdministration']['templateId'][1]['root'])) {
 549                     $request_type = $substanceAdministration_oids[$entry['substanceAdministration']['templateId'][1]['root']];
 550                 }
 551             }
 552
 553             $code = $this->codeService->resolveCode(
 554                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'],
 555                 'RXNORM',
 556                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 557             );
 558
 559             $this->templateData['field_name_value_array']['lists3'][$i]['type'] = 'medication';
 560             $this->templateData['field_name_value_array']['lists3'][$i]['request_type'] = $request_type;
 561             $this->templateData['field_name_value_array']['lists3'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 562             $this->templateData['field_name_value_array']['lists3'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 563
 564             $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = date('Y-m-d');
 565             if (!empty($entry['substanceAdministration']['effectiveTime'][0]['low']['value'])) {
 566                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = $entry['substanceAdministration']['effectiveTime'][0]['low']['value'];
 567                 $this->templateData['field_name_value_array']['lists3'][$i]['enddate'] = $entry['substanceAdministration']['effectiveTime'][0]['high']['value'] ?? null;
 568             } elseif (!empty($entry['substanceAdministration']['effectiveTime']['low']['value'])) {
 569                 $this->templateData['field_name_value_array']['lists3'][$i]['begdate'] = $entry['substanceAdministration']['effectiveTime']['low']['value'];
 570                 $this->templateData['field_name_value_array']['lists3'][$i]['enddate'] = $entry['substanceAdministration']['effectiveTime']['high']['value'] ?? null;
 571             }
 572
 573             $this->templateData['field_name_value_array']['lists3'][$i]['route'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 574             $this->templateData['field_name_value_array']['lists3'][$i]['route_display'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 575             $this->templateData['field_name_value_array']['lists3'][$i]['dose'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 576             $this->templateData['field_name_value_array']['lists3'][$i]['dose_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 577             $this->templateData['field_name_value_array']['lists3'][$i]['rate'] = $entry['substanceAdministration']['rateQuantity']['value'] ?? null;
 578             $this->templateData['field_name_value_array']['lists3'][$i]['rate_unit'] = $entry['substanceAdministration']['rateQuantity']['unit'] ?? null;
 579             $this->templateData['field_name_value_array']['lists3'][$i]['drug_code'] = $code['code'];
 580             $this->templateData['field_name_value_array']['lists3'][$i]['drug_text'] = $code['code_text'];
 581             $this->templateData['field_name_value_array']['lists3'][$i]['note'] = $entry['substanceAdministration']['text']['reference']['value'] ?? null;
 582             $this->templateData['field_name_value_array']['lists3'][$i]['indication'] = $entry['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?? ($entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName'] ?? null);
 583             $this->templateData['field_name_value_array']['lists3'][$i]['prn'] = $entry['substanceAdministration']['precondition']['criterion']['value']['displayName'] ?? null;
 584             $this->templateData['field_name_value_array']['lists3'][$i]['modified_time'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['time']['value'] ?? null;
 585
 586             $this->templateData['field_name_value_array']['lists3'][$i]['provider_title'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['prefix'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'] ?? null);
 587             $this->templateData['field_name_value_array']['lists3'][$i]['provider_fname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'] ?? null);
 588             $this->templateData['field_name_value_array']['lists3'][$i]['provider_lname'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'] ?? null);
 589             $this->templateData['field_name_value_array']['lists3'][$i]['provider_root'] = $entry['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'] ?? null;
 590             $this->templateData['field_name_value_array']['lists3'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null);
 591             $this->templateData['field_name_value_array']['lists3'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'] ?? null);
 592             $this->templateData['field_name_value_array']['lists3'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'] ?? null);
 593             $this->templateData['field_name_value_array']['lists3'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'] ?? null);
 594             $this->templateData['field_name_value_array']['lists3'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country']['value'] ?? ($entry['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'] ?? null);
 595             $this->templateData['entry_identification_array']['lists3'][$i] = $i;
 596         }
 597     }
 598
 599     /**
 600      * @param $entry
 601      */
 602     public function fetchImmunizationData($entry): void
 603     {
 604         if (
 605             !empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])
 606             || !empty($entry['substanceAdministration']['negationInd']) == "true"
 607         ) {
 608             $i = 1;
 609             if (!empty($this->templateData['field_name_value_array']['immunization'])) {
 610                 $i += count($this->templateData['field_name_value_array']['immunization']);
 611             }
 612             $this->templateData['field_name_value_array']['immunization'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
 613             $this->templateData['field_name_value_array']['immunization'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
 614             $this->templateData['field_name_value_array']['immunization'][$i]['administered_date'] = $entry['substanceAdministration']['effectiveTime']['value'] ?: $entry['substanceAdministration']['effectiveTime']['low']['value'] ?? null;
 615             $this->templateData['field_name_value_array']['immunization'][$i]['route_code'] = $entry['substanceAdministration']['routeCode']['code'] ?? null;
 616             $this->templateData['field_name_value_array']['immunization'][$i]['route_code_text'] = $entry['substanceAdministration']['routeCode']['displayName'] ?? null;
 617
 618             $code = $this->codeService->resolveCode(
 619                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'] ?? null,
 620                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? null,
 621                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 622             );
 623             $code = $this->codeService->resolveCode(
 624                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'],
 625                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystem'],
 626                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName']
 627             );
 628             if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["nullFlavor"])) {
 629                 $code['code'] = 'OID:' . $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["valueSet"] ?? null;
 630                 $code['formatted_code'] = 'OID:' . $code['code'];
 631                 $code['code_text'] = $entry['substanceAdministration']['text'] ?? '';
 632             }
 633             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code'] = $code['code'];
 634             $this->templateData['field_name_value_array']['immunization'][$i]['cvx_code_text'] = $code['code_text'];
 635             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered'] = $entry['substanceAdministration']['doseQuantity']['value'] ?? null;
 636             $this->templateData['field_name_value_array']['immunization'][$i]['amount_administered_unit'] = $entry['substanceAdministration']['doseQuantity']['unit'] ?? null;
 637             $this->templateData['field_name_value_array']['immunization'][$i]['completion_status'] = $entry['substanceAdministration']['statusCode']['code'] ?? null;
 638             $this->templateData['field_name_value_array']['immunization'][$i]['manufacturer'] = $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturerOrganization']['name'] ?? null;
 639             $this->templateData['field_name_value_array']['immunization'][$i]['provider_npi'] = $entry['substanceAdministration']['performer']['assignedEntity']['id']['extension'] ?? null;
 640             $this->templateData['field_name_value_array']['immunization'][$i]['provider_name'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['given'] ?? null;
 641             $this->templateData['field_name_value_array']['immunization'][$i]['provider_family'] = $entry['substanceAdministration']['performer']['assignedEntity']['assignedPerson']['name']['family'] ?? null;
 642             $this->templateData['field_name_value_array']['immunization'][$i]['provider_address'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 643             $this->templateData['field_name_value_array']['immunization'][$i]['provider_city'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['city'] ?? null;
 644             $this->templateData['field_name_value_array']['immunization'][$i]['provider_state'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['state'] ?? null;
 645             $this->templateData['field_name_value_array']['immunization'][$i]['provider_postalCode'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 646             $this->templateData['field_name_value_array']['immunization'][$i]['provider_country'] = $entry['substanceAdministration']['performer']['assignedEntity']['addr']['country'] ?? null;
 647             $this->templateData['field_name_value_array']['immunization'][$i]['provider_telecom'] = $entry['substanceAdministration']['performer']['assignedEntity']['telecom']['value'] ?? null;
 648             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 649             $this->templateData['field_name_value_array']['immunization'][$i]['represented_organization_tele'] = $entry['substanceAdministration']['performer']['assignedEntity']['representedOrganization']['telecom'] ?? null;
 650
 651             if ($entry['substanceAdministration']['entryRelationship']['observation']['value']['code']) {
 652                 $code = $this->codeService->resolveCode(
 653                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['code'],
 654                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
 655                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName']
 656                 );
 657                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_code'] = $code['formatted_code'];
 658                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_code_text'] = $code['code_text'];
 659                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
 660                 $date_low = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
 661                 $date_high = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
 662                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_date_low'] = $date_low;
 663                 $this->templateData['field_name_value_array']['immunization'][$i]['reason_date_high'] = $date_high;
 664             }
 665
 666             $this->templateData['field_name_value_array']['immunization'][$i]['reason_status'] = (($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 667             $this->templateData['entry_identification_array']['immunization'][$i] = $i;
 668         }
 669     }
 670
 671     /**
 672      * @param $entry
 673      */
 674     public function fetchProcedureActivityData($entry): void
 675     {
 676         if (
 677             (!empty($entry['procedure']['code']['code']) || !empty($entry['procedure']['code']["nullFlavor"]))
 678             && $entry['procedure']['code']["nullFlavor"] != 'NI'
 679         ) {
 680             $i = 1;
 681             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 682                 $i += count($this->templateData['field_name_value_array']['procedure']);
 683             }
 684
 685             $code = $this->codeService->resolveCode(
 686                 $entry['procedure']['code']['code'] ?? '',
 687                 ($entry['procedure']['code']['codeSystemName'] ?? '') ?: $entry['procedure']['code']['codeSystem'] ?? null,
 688                 $entry['procedure']['code']['displayName'] ?? ''
 689             );
 690             if (!empty($entry['procedure']['code']["nullFlavor"]) && !empty($entry['procedure']['code']["valueSet"])) {
 691                 $code['code'] = $entry['procedure']['code']["valueSet"] ?? null;
 692                 $code['formatted_code'] = 'OID:' . $entry['procedure']['code']["valueSet"] ?? null;
 693                 $code['code_text'] = $entry['procedure']['text'] ?? '';
 694             }
 695
 696             $procedure_type = 'order';
 697
 698             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 699             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 700
 701             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['formatted_code'];
 702             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 703             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 704
 705             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 706             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 707
 708             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 709                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 710                 $this->templateData['field_name_value_array']['procedure'][$i]['date_end'] = $entry['procedure']['effectiveTime']['high']['value'] ?? null;
 711             } else {
 712                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 713             }
 714
 715             // check for a reason code if observation.
 716             if (is_array($entry['procedure']['entryRelationship'])) {
 717                 $entryRelationship = $entry['procedure']['entryRelationship'][1];
 718             } else {
 719                 $entryRelationship = $entry['procedure']['entryRelationship'];
 720             }
 721             if ($entryRelationship['observation']['value']['code']) {
 722                 $code = $this->codeService->resolveCode(
 723                     $entryRelationship['observation']['value']['code'],
 724                     $entryRelationship['observation']['value']['codeSystemName'] ?: $entryRelationship['observation']['value']['codeSystem'] ?? '',
 725                     $entryRelationship['observation']['value']['displayName']
 726                 );
 727                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code'] = $code['formatted_code'];
 728                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code_text'] = $code['code_text'];
 729                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
 730                 $date_low = $entryRelationship['observation']['effectiveTime']['low']['value'] ?? null;
 731                 $date_high = $entryRelationship['observation']['effectiveTime']['high']['value'] ?? null;
 732                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_low'] = $date_low;
 733                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_high'] = $date_high;
 734             }
 735
 736             $this->templateData['field_name_value_array']['procedure'][$i]['reason_status'] = (($entry['procedure']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 737
 738             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization1'] = $entry['procedure']['performer']['assignedEntity']['representedOrganization']['name'] ?? null;
 739             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address1'] = $entry['procedure']['performer']['assignedEntity']['addr']['streetAddressLine'] ?? null;
 740             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city1'] = $entry['procedure']['performer']['assignedEntity']['addr']['city'] ?? null;
 741             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state1'] = $entry['procedure']['performer']['assignedEntity']['addr']['state'] ?? null;
 742             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode1'] = $entry['procedure']['performer']['assignedEntity']['addr']['postalCode'] ?? null;
 743             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country1'] = $entry['procedure']['performer']['assignedEntity']['addr']['country'] ?? null;
 744             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_telecom1'] = $entry['procedure']['performer']['assignedEntity']['telecom']['value'] ?? null;
 745
 746             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization2'] = $entry['procedure']['participant']['participantRole']['playingEntity']['name'] ?? null;
 747             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_address2'] = $entry['procedure']['participant']['participantRole']['addr']['streetAddressLine'] ?? null;
 748             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_city2'] = $entry['procedure']['participant']['participantRole']['addr']['city'] ?? null;
 749             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_state2'] = $entry['procedure']['participant']['participantRole']['addr']['state'] ?? null;
 750             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_postalcode2'] = $entry['procedure']['participant']['participantRole']['addr']['postalCode'] ?? null;
 751             $this->templateData['field_name_value_array']['procedure'][$i]['represented_organization_country2'] = $entry['procedure']['participant']['participantRole']['addr']['country'] ?? null;
 752
 753             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 754         }
 755     }
 756
 757     /**
 758      * @param $entry
 759      */
 760     public function fetchProcedureDeviceData($entry): void
 761     {
 762         if (!empty($entry['procedure']['code']['code']) && (($entry['procedure']['negationInd'] ?? 'false') != 'true')) {
 763             $i = 1;
 764             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 765                 $i += count($this->templateData['field_name_value_array']['procedure']);
 766             }
 767
 768             // future may need device status code
 769             /*$code_proc_type = $this->codeService->resolveCode(
 770                 $entry['procedure']['code']['code'] ?? '',
 771                 $entry['procedure']['code']['codeSystemName'] ?: $entry['procedure']['code']['codeSystem'] ?? null,
 772                 $entry['procedure']['code']['displayName'] ?? ''
 773             );*/
 774
 775             $code = $this->codeService->resolveCode(
 776                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['code'] ?? '',
 777                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['codeSystem'] ?? null,
 778                 $entry['procedure']['participant']['participantRole']['playingDevice']['code']['displayName'] ?? ''
 779             );
 780
 781             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = 'device';
 782
 783             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['procedure']['statusCode']['code'] ?? '';
 784
 785             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['procedure']['id']['extension'] ?? null;
 786             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['procedure']['id']['root'] ?? null;
 787
 788             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'];
 789             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $code['code_text'];
 790             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'];
 791
 792             if (!empty($entry['procedure']['effectiveTime']['low']['value'])) {
 793                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['low']['value'] ?? null;
 794             } else {
 795                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['procedure']['effectiveTime']['value'] ?? null;
 796             }
 797
 798             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 799         }
 800     }
 801
 802     /**
 803      * @param $entry
 804      */
 805     public function fetchProcedurePreformedActivity($entry): void
 806     {
 807         if (!empty($entry['act']['code']['code']) || $entry['act']['negationInd'] ?? 'false' == 'true') {
 808             $i = 1;
 809             if (!empty($this->templateData['field_name_value_array']['procedure'])) {
 810                 $i += count($this->templateData['field_name_value_array']['procedure']);
 811             }
 812
 813             $procedure_type = 'intervention';
 814             if (!empty($entry['act']['templateId'][1]['root']) && $entry['act']['templateId'][1]['root'] == '2.16.840.1.113883.10.20.24.3.32') {
 815                 $procedure_type = 'intervention';
 816             }
 817
 818             $code = $this->codeService->resolveCode(
 819                 $entry['act']['code']['code'] ?? '',
 820                 $entry['act']['code']['codeSystemName'] ?: $entry['act']['code']['codeSystem'] ?? null,
 821                 $entry['act']['code']['displayName'] ?? $entry['act']['text']
 822             );
 823             // negated oid
 824             if (!empty($entry["act"]["code"]["nullFlavor"]) && !empty($entry['act']['code']["valueSet"])) {
 825                 $code['code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
 826                 $code['formatted_code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
 827                 $code['code_text'] = $entry['act']['text'] ?? '';
 828             }
 829
 830             $this->templateData['field_name_value_array']['procedure'][$i]['procedure_type'] = $procedure_type;
 831
 832             $this->templateData['field_name_value_array']['procedure'][$i]['status'] = $entry['act']['statusCode']['code'] ?? '';
 833
 834             $this->templateData['field_name_value_array']['procedure'][$i]['extension'] = $entry['act']['id']['extension'] ?? null;
 835             $this->templateData['field_name_value_array']['procedure'][$i]['root'] = $entry['act']['id']['root'] ?? null;
 836
 837             $this->templateData['field_name_value_array']['procedure'][$i]['code'] = $code['code'] ?? '';
 838             $this->templateData['field_name_value_array']['procedure'][$i]['code_text'] = $entry['act']['text'] ?? $code['code_text'] ?? '';
 839             $this->templateData['field_name_value_array']['procedure'][$i]['codeSystemName'] = $code['formatted_code_type'] ?? '';
 840
 841             if (!empty($entry['act']['effectiveTime']['low']['value'])) {
 842                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['low']['value'] ?? null;
 843                 $this->templateData['field_name_value_array']['procedure'][$i]['date_end'] = $entry['act']['effectiveTime']['high']['value'] ?? null;
 844             } else {
 845                 $this->templateData['field_name_value_array']['procedure'][$i]['date'] = $entry['act']['effectiveTime']['value'] ?? null;
 846             }
 847
 848             $reason_code = $entry["act"]["entryRelationship"]["observation"]["value"]["code"] ?? null;
 849             if ($reason_code) {
 850                 $reason_system = $entry["act"]["entryRelationship"]["observation"]["value"]["codeSystem"];
 851                 $reason_name = $entry["act"]["entryRelationship"]["observation"]["value"]["codeSystemName"];
 852                 $code = $this->codeService->resolveCode(
 853                     $reason_code,
 854                     $reason_name ?: $reason_system ?? '',
 855                     ''
 856                 );
 857                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code'] = $code['formatted_code'];
 858                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_code_text'] = $code['code_text'];
 859                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
 860                 $date_low = $entry["act"]["entryRelationship"]["observation"]['effectiveTime']['low']['value'] ?? null;
 861                 $date_high = $entry["act"]["entryRelationship"]["observation"]['effectiveTime']['high']['value'] ?? null;
 862                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_low'] = $date_low;
 863                 $this->templateData['field_name_value_array']['procedure'][$i]['reason_date_high'] = $date_high;
 864             }
 865             $this->templateData['field_name_value_array']['procedure'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
 866             $this->templateData['entry_identification_array']['procedure'][$i] = $i;
 867         }
 868     }
 869
 870     public function allergy($component)
 871     {
 872         if (!empty($component['section']['entry'][0])) {
 873             foreach ($component['section']['entry'] as $key => $value) {
 874                 $this->fetchAllergyIntoleranceObservation($value);
 875             }
 876         } else {
 877             $this->fetchAllergyIntoleranceObservation($component['section']['entry'] ?? null);
 878         }
 879     }
 880
 881     public function medication($component)
 882     {
 883         $component['section']['text'] = '';
 884         if (!empty($component['section']['entry'][0])) {
 885             foreach ($component['section']['entry'] as $key => $value) {
 886                 $this->fetchMedicationData($value);
 887             }
 888         } else {
 889             $this->fetchMedicationData($component['section']['entry'] ?? null);
 890         }
 891     }
 892
 893     public function medical_problem($component)
 894     {
 895         $component['section']['text'] = '';
 896         if (!empty($component['section']['entry'][0])) {
 897             foreach ($component['section']['entry'] as $key => $value) {
 898                 $this->fetchMedicalProblemData($value);
 899             }
 900         } else {
 901             $this->fetchMedicalProblemData($component['section']['entry'] ?? null);
 902         }
 903     }
 904
 905     public function immunization($component)
 906     {
 907         $component['section']['text'] = '';
 908         if (!empty($component['section']['entry'][0])) {
 909             foreach ($component['section']['entry'] as $key => $value) {
 910                 $this->fetchImmunizationData($value);
 911             }
 912         } else {
 913             $this->fetchImmunizationData($component['section']['entry']);
 914         }
 915     }
 916
 917     public function procedure($component)
 918     {
 919         $component['section']['text'] = '';
 920         if (!empty($component['section']['entry'][0])) {
 921             foreach ($component['section']['entry'] as $key => $value) {
 922                 if ($key % 3 != 0) {
 923                     // TODO add two additional templates for type if needed in future.
 924                     //continue; //every third entry section has the procedure details
 925                 }
 926
 927                 $this->fetchProcedureActivityData($value);
 928             }
 929         } else {
 930             $this->fetchProcedureActivityData($component['section']['entry'] ?? null);
 931         }
 932     }
 933
 934     public function labResult($component): void
 935     {
 936         $component['section']['text'] = '';
 937
 938         if (!empty($component['section']['entry'][0])) {
 939             foreach ($component['section']['entry'] as $key => $value) {
 940                 $this->fetchLabResultData($value);
 941             }
 942         } else {
 943             $this->fetchLabResultData($component['section']['entry'] ?? null);
 944         }
 945     }
 946
 947     public function fetchLabResultData($lab_result_data): void
 948     {
 949         $i = 1;
 950         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
 951             $i += count($this->templateData['field_name_value_array']['procedure_result']);
 952         }
 953         if (!empty($lab_result_data['organizer']['component'])) {
 954             foreach ($lab_result_data['organizer']['component'] as $key => $value) {
 955                 if (empty($value['observation'])) {
 956                     $value = [$key => $value];
 957                 }
 958                 if (!empty($value['observation']['code']['code'])) {
 959                     $code = $this->codeService->resolveCode(
 960                         $lab_result_data['organizer']['code']['code'] ?? '',
 961                         ($lab_result_data['organizer']['code']['codeSystemName'] ?? '') ?: $lab_result_data['organizer']['code']['codeSystem'] ?? '',
 962                         $lab_result_data['organizer']['code']['displayName'] ?? ''
 963                     );
 964                     if (empty($lab_result_data['organizer']['id']['extension'])) {
 965                         $lab_result_data['organizer']['id']['extension'] = $lab_result_data['organizer']['id']['root'] ?? null;
 966                     }
 967                     $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $lab_result_data['organizer']['id']['extension'] ?? null;
 968                     $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $lab_result_data['organizer']['id']['root'] ?? null;
 969                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $code['formatted_code'] ?? null;
 970                     $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $code['code_text'] ?? null;
 971                     if (!empty($value['observation']['effectiveTime']['low']['value'])) {
 972                         $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $value['observation']['effectiveTime']['low']['value'];
 973                     } else {
 974                         $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $value['observation']['effectiveTime']['value'] ?? null;
 975                     }
 976
 977                     $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $lab_result_data['organizer']['statusCode']['code'] ?? null;
 978
 979                     if (empty($value['observation']['id']['extension'])) {
 980                         $value['observation']['id']['extension'] = $value['observation']['id']['root'] ?? null;
 981                     }
 982                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
 983                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
 984                     // @TODO code lookup here
 985                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $value['observation']['code']['code'] ?? null;
 986                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $value['observation']['code']['displayName'] ?? null;
 987                     $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
 988                     if ($value['observation']['value']['type'] == 'ST') {
 989                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['_'] ?? null;
 990                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = 'UNK'; // must be set to save
 991                     } elseif ($value['observation']['value']['type'] == 'CO') {
 992                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['displayName'] ?? null;
 993                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
 994                     } else {
 995                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
 996                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
 997                     }
 998                     if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
 999                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
1000                     } else {
1001                         $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
1002                     }
1003
1004                     $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1005                     $i++;
1006                 }
1007             }
1008         }
1009     }
1010
1011     public function fetchQrdaLabResultData($entry)
1012     {
1013         $i = 1;
1014         if (!empty($this->templateData['field_name_value_array']['procedure_result'])) {
1015             $i += count($this->templateData['field_name_value_array']['procedure_result']);
1016         }
1017         if (!empty($entry['observation']['code']['code'])) {
1018             $code = $this->codeService->resolveCode(
1019                 $entry['observation']['code']['code'] ?? '',
1020                 $entry['observation']['code']['codeSystemName'] ?: $entry['observation']['code']['codeSystem'] ?? '',
1021                 $entry['observation']['code']['displayName'] ?? ''
1022             );
1023
1024             $this->templateData['field_name_value_array']['procedure_result'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
1025             $this->templateData['field_name_value_array']['procedure_result'][$i]['root'] = $entry['observation']['id']['root'] ?? null;
1026             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_code'] = $code['formatted_code'];
1027             $this->templateData['field_name_value_array']['procedure_result'][$i]['proc_text'] = $code['code_text'];
1028
1029             if (!empty($entry['observation']['effectiveTime']['low']['value'])) {
1030                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $entry['observation']['effectiveTime']['low']['value'];
1031             } else {
1032                 $this->templateData['field_name_value_array']['procedure_result'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? null;
1033             }
1034             $this->templateData['field_name_value_array']['procedure_result'][$i]['status'] = $entry['observation']['statusCode']['code'] ?? null;
1035
1036             $value = $entry['observation']['entryRelationship'] ?? null;
1037             if (!empty($value)) {
1038                 // find the result template
1039                 foreach ($entry['observation'] as $key => $find_value) {
1040                     // check if a ccda result template
1041                     $flag = false;
1042                     foreach ($find_value as $key1 => $val) {
1043                         if (is_array($val)) {
1044                             if ($val['templateId'][0]['root'] == '2.16.840.1.113883.10.20.22.4.2') {
1045                                 $flag = true;
1046                                 break;
1047                             }
1048                             if ($val['observation']['templateId'][0]['root'] == '2.16.840.1.113883.10.20.22.4.2') {
1049                                 $flag = true;
1050                                 $value = $val;
1051                                 break;
1052                             }
1053                         }
1054                     }
1055                     if ($flag) {
1056                         break;
1057                     }
1058                 }
1059             }
1060             if (empty($value)) {
1061                 $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1062                 return;
1063             }
1064             $code = $this->codeService->resolveCode(
1065                 $value['observation']['code']['code'] ?? null,
1066                 $value['observation']['code']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1067                 $value['observation']['code']['displayName'] ?? ''
1068             );
1069             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_code'] = $code['formatted_code'];
1070             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_text'] = $code['code_text'];
1071
1072             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_extension'] = $value['observation']['id']['extension'] ?? null;
1073             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_root'] = $value['observation']['id']['root'] ?? null;
1074             $this->templateData['field_name_value_array']['procedure_result'][$i]['results_date'] = $value['observation']['effectiveTime']['value'] ?? null;
1075             if ($value['observation']['value']['type'] == 'ST') {
1076                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['_'] ?? null;
1077                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = 'UNK'; // must be set to save
1078             } else {
1079                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_value'] = $value['observation']['value']['value'] ?? null;
1080                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_unit'] = $value['observation']['value']['unit'] ?: 'UNK';
1081             }
1082
1083             if (!empty($value['observation']['referenceRange']['observationRange']['text'])) {
1084                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = $value['observation']['referenceRange']['observationRange']['text'];
1085             } else {
1086                 $this->templateData['field_name_value_array']['procedure_result'][$i]['results_range'] = ($value['observation']['referenceRange']['observationRange']['value']['low']['value'] ?? '') . '-' . ($value['observation']['referenceRange']['observationRange']['value']['high']['value'] ?? '') . ' ' . ($value['observation']['referenceRange']['observationRange']['value']['low']['unit'] ?? '');
1087             }
1088
1089             $this->templateData['entry_identification_array']['procedure_result'][$i] = $i;
1090         }
1091     }
1092
1093     public function VitalSign($component)
1094     {
1095         $component['section']['text'] = '';
1096         if (!empty($component['section']['entry'][0])) {
1097             foreach ($component['section']['entry'] as $key => $value) {
1098                 $this->fetchVitalSignData($value);
1099             }
1100         } else {
1101             $this->fetchVitalSignData($component['section']['entry'] ?? null);
1102         }
1103     }
1104
1105     public function fetchVitalSignData($vital_sign_data)
1106     {
1107         if (!empty($vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'])) {
1108             $i = 1;
1109             if (!empty($this->templateData['field_name_value_array']['vital_sign'])) {
1110                 $i += count($this->templateData['field_name_value_array']['vital_sign']);
1111             }
1112             $this->templateData['field_name_value_array']['vital_sign'][$i]['extension'] = $vital_sign_data['organizer']['id']['extension'] ?? null;
1113             $this->templateData['field_name_value_array']['vital_sign'][$i]['root'] = $vital_sign_data['organizer']['id']['root'] ?? null;
1114             $this->templateData['field_name_value_array']['vital_sign'][$i]['date'] = $vital_sign_data['organizer']['component'][0]['observation']['effectiveTime']['value'] ?? null;
1115             $vitals_array = array(
1116                 '8310-5' => 'temperature',
1117                 '8462-4' => 'bpd',
1118                 '8480-6' => 'bps',
1119                 '8287-5' => 'head_circ',
1120                 '8867-4' => 'pulse',
1121                 '8302-2' => 'height',
1122                 '2710-2' => 'oxygen_saturation',
1123                 '9279-1' => 'respiration',
1124                 '3141-9' => 'weight',
1125                 '39156-5' => 'BMI'
1126             );
1127
1128             for ($j = 0; $j < 9; $j++) {
1129                 $code = $vital_sign_data['organizer']['component'][$j]['observation']['code']['code'] ?? null;
1130                 if (!empty($vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'])) {
1131                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bps'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][0]['observation']['value']['value'] ?? null;
1132                     $this->templateData['field_name_value_array']['vital_sign'][$i]['bpd'] = $vital_sign_data['organizer']['component'][$j]['observation']['entryRelationship'][1]['observation']['value']['value'] ?? null;
1133                 } else {
1134                     if (array_key_exists($code, $vitals_array)) {
1135                         $this->templateData['field_name_value_array']['vital_sign'][$i][$vitals_array[$code]] = $vital_sign_data['organizer']['component'][$j]['observation']['value']['value'] ?? null;
1136                     }
1137                 }
1138             }
1139
1140             $this->templateData['entry_identification_array']['vital_sign'][$i] = $i;
1141         }
1142     }
1143
1144     public function fetchPhysicalExamPerformedData($entry)
1145     {
1146         // create an observation for this exam.
1147         $this->fetchObservationPerformedData($entry);
1148         // and a vital in vital forms.
1149         if (
1150             (!empty($entry['observation']['effectiveTime']['value']) && !empty($entry['observation']['value']['value']))
1151             || (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null) && ($entry['observation']['entryRelationship']['typeCode'] ?? null) === 'RSON')
1152         ) {
1153             $i = 1;
1154             if (!empty($this->templateData['field_name_value_array']['vital_sign'])) {
1155                 $cnt = count($this->templateData['field_name_value_array']['vital_sign'] ?? []);
1156                 $v_date = $entry['observation']['effectiveTime']['value'] ?? null;
1157                 for ($c = 1; $c <= $cnt; $c++) {
1158                     if ($this->templateData['field_name_value_array']['vital_sign'][$c]['date'] == $v_date) {
1159                         $i = 0;
1160                         $cnt = $c;
1161                         break;
1162                     }
1163                 }
1164                 $i += $cnt;
1165             }
1166             $this->templateData['field_name_value_array']['vital_sign'][$i]['extension'] = $entry['organizer']['id']['extension'] ?? null;
1167             $this->templateData['field_name_value_array']['vital_sign'][$i]['root'] = $entry['organizer']['id']['root'] ?? null;
1168             $this->templateData['field_name_value_array']['vital_sign'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? null;
1169             $vitals_array = array(
1170                 '8310-5' => 'temperature',
1171                 '8462-4' => 'bpd',
1172                 '8480-6' => 'bps',
1173                 '8287-5' => 'head_circ',
1174                 '8867-4' => 'pulse',
1175                 '8302-2' => 'height',
1176                 '2710-2' => 'oxygen_saturation', // deprecated code
1177                 '59408-5' => 'oxygen_saturation',
1178                 '9279-1' => 'respiration',
1179                 '3141-9' => 'weight',
1180                 '29463-7' => 'weight', // with clothes
1181                 '39156-5' => 'BMI'
1182             );
1183             $is_negated = !empty($entry['observation']['negationInd'] ?? false);
1184             $code = $entry['observation']['code']['code'] ?? null;
1185             if (array_key_exists($code, $vitals_array)) {
1186                 $this->templateData['field_name_value_array']['vital_sign'][$i][$vitals_array[$code]] = $entry['observation']['value']['value'] ?? null;
1187                 $this->templateData['field_name_value_array']['vital_sign'][$i]['vital_column'] = $vitals_array[$code] ?? '';
1188             } else {
1189                 // log missed exam
1190                 error_log('Missed Physical Exam code (likely vital): ' . $code);
1191             }
1192
1193             if (!empty($entry['observation']['entryRelationship']['observation']['value']['code'] ?? null)) {
1194                 // @todo inter to this moodcode RSON in full template!
1195                 $ob_code = $entry['observation']['entryRelationship']['observation']['value']['code'];
1196                 $ob_system = $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '';
1197                 $ob_code_text = $entry['observation']['entryRelationship']['observation']['value']['displayName'] ?? '';
1198                 $reason_code = $this->codeService->resolveCode($ob_code, $ob_system, $ob_code_text);
1199                 $reason_status = $entry['observation']['entryRelationship']['observation']['statusCode']['code'] ?? '';
1200             }
1201
1202             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_status'] = $is_negated ? 'negated' : ($reason_status ?? '');
1203             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_code'] = $reason_code['formatted_code'] ?? '';
1204             $this->templateData['field_name_value_array']['vital_sign'][$i]['reason_code_text'] = $reason_code['code_text'] ?? '';
1205
1206             $this->templateData['entry_identification_array']['vital_sign'][$i] = $i;
1207         }
1208     }
1209
1210     public function socialHistory($component)
1211     {
1212         $component['section']['text'] = '';
1213         if (!empty($component['section']['entry'][0])) {
1214             foreach ($component['section']['entry'] as $key => $value) {
1215                 $this->fetchSocialHistoryData($value);
1216             }
1217         } else {
1218             $this->fetchSocialHistoryData($component['section']['entry'] ?? null);
1219         }
1220     }
1221
1222     public function fetchSocialHistoryData($social_history_data)
1223     {
1224         if (!empty($social_history_data['observation']['value']['code'])) {
1225             $social_history_array = array(
1226                 '2.16.840.1.113883.10.20.22.4.78' => 'smoking'
1227             );
1228             $i = 0;
1229             $code = $social_history_data['observation']['templateId']['root'];
1230             if (!empty($this->templateData['field_name_value_array']['social_history'])) {
1231                 foreach ($this->templateData['field_name_value_array']['social_history'] as $key => $value) {
1232                     if (!array_key_exists($social_history_array[$code], $value)) {
1233                         $i = $key;
1234                     } else {
1235                         $i = count($this->templateData['field_name_value_array']['social_history']) + 1;
1236                     }
1237                 }
1238             }
1239
1240             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['extension'] = $social_history_data['observation']['id']['extension'];
1241             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['root'] = $social_history_data['observation']['id']['root'];
1242             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['status'] = $social_history_data['observation']['value']['code'];
1243             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['begdate'] = $social_history_data['observation']['effectiveTime']['low']['value'];
1244             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['enddate'] = $social_history_data['observation']['effectiveTime']['high']['value'];
1245             $this->templateData['field_name_value_array']['social_history'][$i][$social_history_array[$code]]['value'] = $social_history_data['observation']['value']['displayName'];
1246             $this->templateData['entry_identification_array']['social_history'][$i] = $i;
1247         }
1248     }
1249
1250     public function encounter($component)
1251     {
1252         $component['section']['text'] = '';
1253         if ($component['section']['entry'][0]) {
1254             foreach ($component['section']['entry'] as $key => $value) {
1255                 $this->fetchEncounterPerformed($value);
1256             }
1257         } else {
1258             $this->fetchEncounterPerformed($component['section']['entry']);
1259         }
1260
1261         unset($component);
1262         return;
1263     }
1264
1265     public function carePlan($component)
1266     {
1267         if ($this->currentOid != '2.16.840.1.113883.10.20.22.2.58') {
1268             $component['section']['text'] = null;
1269         }
1270         if (!empty($component['section']['entry'][0])) {
1271             foreach ($component['section']['entry'] as $key => $value) {
1272                 $this->fetchCarePlanData($value, $component['section']['text']);
1273             }
1274         } else {
1275             $this->fetchCarePlanData($component['section']['entry'] ?? null, $component['section']['text']);
1276         }
1277     }
1278
1279     public function fetchCarePlanData($entry, $section_text = '')
1280     {
1281         $plan_type = 'plan_of_care';
1282         if ($this->currentOid == '2.16.840.1.113883.10.20.24.3.31') {
1283             $plan_type = 'intervention';
1284         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.37') {
1285             $plan_type = 'test_or_order';
1286         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.143' || $this->currentOid == '2.16.840.1.113883.10.20.24.3.47') {
1287             $plan_type = 'planned_medication_activity';
1288         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.24.3.130') {
1289             $plan_type = 'supply_order';
1290             if (($entry["act"]["entryRelationship"]["supply"]["templateId"][1]["root"] ?? null) == '2.16.840.1.113883.10.20.24.3.9') {
1291                 $plan_type = 'device_order';
1292             }
1293         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.22.2.60') {
1294             $plan_type = 'goal';
1295         } elseif ($this->currentOid == '2.16.840.1.113883.10.20.22.2.58') {
1296             $plan_type = 'health_concern';
1297         }
1298
1299         $i = 1;
1300
1301         if (
1302             (!empty($entry['act']['code']['code']) && $plan_type == 'device_order')
1303             || (($entry['act']['negationInd'] ?? 'false') == 'true' && $plan_type == 'device_order')
1304         ) {
1305             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1306                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1307             }
1308
1309             $device_code = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["code"];
1310             $device_system = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["codeSystem"];
1311             $device_name = $entry["act"]["entryRelationship"]["supply"]["participant"]["participantRole"]["playingDevice"]["code"]["codeSystemName"];
1312
1313             $code = $this->codeService->resolveCode(
1314                 $device_code,
1315                 $device_name ?: $device_system ?? null,
1316                 ''
1317             );
1318
1319             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1320             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['act']['templateId']['extension'];
1321             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['act']['templateId']['root'];
1322             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1323             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1324             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry["act"]["entryRelationship"]["supply"]['text'] ?? $code['code_text'];
1325             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['act']['effectiveTime']['center']['value'] ?? $entry["act"]["entryRelationship"]["supply"]['author']['time']['value'] ?? null;
1326
1327             // reason
1328             $reason_code = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["code"] ?? null;
1329             if ($reason_code) {
1330                 $reason_system = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["codeSystem"];
1331                 $reason_name = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]["value"]["codeSystemName"];
1332                 $code = $this->codeService->resolveCode(
1333                     $reason_code,
1334                     $reason_name ?: $reason_system ?? '',
1335                     ''
1336                 );
1337                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1338                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1339                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
1340                 $date_low = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]['effectiveTime']['low']['value'] ?? null;
1341                 $date_high = $entry["act"]["entryRelationship"]["supply"]["entryRelationship"]["observation"]['effectiveTime']['high']['value'] ?? null;
1342                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1343                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1344             }
1345             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1346             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1347         } elseif (!empty($entry['act']['code']['code']) || ($entry['act']['negationInd'] ?? 'false') == 'true') {
1348             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1349                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1350             }
1351
1352             $code = $this->codeService->resolveCode(
1353                 $entry['act']['code']['code'] ?? '',
1354                 ($entry['act']['code']['codeSystemName'] ?? null) ?: $entry['act']['code']['codeSystem'] ?? null,
1355                 $entry['act']['code']['displayName'] ?? $entry['act']['text']
1356             );
1357             if (!empty($entry["act"]["code"]["nullFlavor"]) && !empty($entry['act']['code']["valueSet"])) {
1358                 $code['code'] = $entry["act"]["code"]["valueSet"] ?? null;
1359                 $code['formatted_code'] = 'OID:' . $entry["act"]["code"]["valueSet"] ?? null;
1360                 $code['code_text'] = $entry['act']['text'] ?? '';
1361             }
1362             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1363             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['act']['templateId']['extension'] ?? '';
1364             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['act']['templateId']['root'] ?? '';
1365             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1366             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1367             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry['act']['text'] ?? $code['code_text'];
1368             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['act']['effectiveTime']['center']['value'] ?? $entry['act']['author']['time']['value'] ?? null;
1369
1370             // negate
1371             if ($entry['act']['entryRelationship']['observation']['value']['code']) {
1372                 $code = $this->codeService->resolveCode(
1373                     $entry['act']['entryRelationship']['observation']['value']['code'],
1374                     $entry['act']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['act']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1375                     $entry['act']['entryRelationship']['observation']['value']['displayName'] ?? ''
1376                 );
1377                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1378                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1379                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['act']['text'];
1380                 $date_low = $entry['act']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1381                 $date_high = $entry['act']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1382                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1383                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1384             }
1385             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['act']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1386             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1387         } elseif (!empty($entry['observation']['code']['code']) || ($entry['observation']['negationInd'] ?? 'false') == 'true') { // it's an observation template
1388             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1389                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1390             }
1391
1392             $code = $this->codeService->resolveCode(
1393                 $entry['observation']['code']['code'] ?? null,
1394                 $entry['observation']['code']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1395                 $entry['observation']['code']['displayName'] ?? ''
1396             );
1397             if (!empty($entry['observation']['code']["nullFlavor"]) && !empty($entry['observation']['code']["valueSet"])) {
1398                 $code['code'] = $entry['observation']['code']["valueSet"] ?? null;
1399                 $code['formatted_code'] = 'OID:' . $entry['observation']['code']["valueSet"] ?? null;
1400                 $code['code_text'] = $entry['observation']['text'] ?? '';
1401             }
1402             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1403             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['observation']['id']['extension'] ?? null;
1404             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['observation']['id']['root'] ?? null;
1405             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1406             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1407
1408             $text = $section_text ?: ($entry['observation']['text'] ?? null);
1409             if (empty($text)) {
1410                 if ($entry['observation']['value']['type'] == 'ST') {
1411                     $text = $entry['observation']['value']['_'];
1412                 } elseif ($entry['observation']['value']['type'] == 'CO') {
1413                     $text = $entry['observation']['value']['displayName'];
1414                 }
1415             }
1416             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $text ?: ($code['code_text'] ?? null);
1417             // TODO unsure why the author was used for plan date just be aware
1418             //$this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['observation']['author']['time']['value'] ?? null;
1419             $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['observation']['effectiveTime']['value'] ?? $entry['observation']['author']['time']['value'] ?? null;
1420
1421             // check for a reason code if observation.
1422             if ($entry['observation']['entryRelationship']['observation']['value']['code']) {
1423                 $code = $this->codeService->resolveCode(
1424                     $entry['observation']['entryRelationship']['observation']['value']['code'],
1425                     $entry['observation']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['observation']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1426                     $entry['observation']['entryRelationship']['observation']['value']['displayName']
1427                 );
1428                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1429                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1430                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
1431                 $date_low = $entry['observation']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1432                 $date_high = $entry['observation']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1433                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1434                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1435             }
1436
1437             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['observation']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1438             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1439         } elseif (
1440             !empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'])
1441             || ($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true'
1442         ) {
1443             if (!empty($this->templateData['field_name_value_array']['care_plan'])) {
1444                 $i += count($this->templateData['field_name_value_array']['care_plan']);
1445             }
1446
1447             //$plan_type = 'substance_medication_order';
1448             $code = $this->codeService->resolveCode(
1449                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'] ?? '',
1450                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystemName'] ?? ($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['codeSystem'] ?? ''),
1451                 $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName'] ?? ''
1452             );
1453             if (!empty($entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["nullFlavor"])) {
1454                 $code['code'] = $entry['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']["valueSet"] ?? null;
1455                 $code['formatted_code'] = 'OID:' . $code['code'];
1456                 $code['code_text'] = $entry['substanceAdministration']['text'] ?? '';
1457             }
1458
1459             $this->templateData['field_name_value_array']['care_plan'][$i]['plan_type'] = $plan_type;
1460             $this->templateData['field_name_value_array']['care_plan'][$i]['extension'] = $entry['substanceAdministration']['id']['extension'] ?? null;
1461             ;
1462             $this->templateData['field_name_value_array']['care_plan'][$i]['root'] = $entry['substanceAdministration']['id']['root'] ?? null;
1463             $this->templateData['field_name_value_array']['care_plan'][$i]['code'] = $code['formatted_code'];
1464             $this->templateData['field_name_value_array']['care_plan'][$i]['code_text'] = $code['code_text'];
1465             $this->templateData['field_name_value_array']['care_plan'][$i]['description'] = $entry['substanceAdministration']['text'] ?? $code['code_text'];
1466
1467             $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = null;
1468             if (!empty($entry['substanceAdministration']['effectiveTime']['low']['value'])) {
1469                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime']['low']['value'];
1470                 $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = $entry['substanceAdministration']['effectiveTime']['high']['value'] ?? null;
1471             } elseif (!empty($entry['substanceAdministration']['effectiveTime'][0]['low']['value'])) {
1472                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime'][0]['low']['value'];
1473                 $this->templateData['field_name_value_array']['care_plan'][$i]['end_date'] = $entry['substanceAdministration']['effectiveTime'][0]['high']['value'] ?? null;
1474             } elseif (!empty($entry['substanceAdministration']['effectiveTime']['value'])) {
1475                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = $entry['substanceAdministration']['effectiveTime']['value'];
1476             } else {
1477                 $this->templateData['field_name_value_array']['care_plan'][$i]['date'] = date('Y-m-d');
1478             }
1479
1480             if ($entry['substanceAdministration']['entryRelationship']['observation']['value']['code']) {
1481                 $code = $this->codeService->resolveCode(
1482                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['code'],
1483                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystemName'] ?: $entry['substanceAdministration']['entryRelationship']['observation']['value']['codeSystem'] ?? '',
1484                     $entry['substanceAdministration']['entryRelationship']['observation']['value']['displayName'] ?? ''
1485                 );
1486                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code'] = $code['formatted_code'];
1487                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_code_text'] = $code['code_text'];
1488                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_description'] = $code['code_text'] ?? $entry['observation']['text'];
1489                 $date_low = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['low']['value'] ?? null;
1490                 $date_high = $entry['substanceAdministration']['entryRelationship']['observation']['effectiveTime']['high']['value'] ?? null;
1491                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_low'] = $date_low;
1492                 $this->templateData['field_name_value_array']['care_plan'][$i]['reason_date_high'] = $date_high;
1493             }
1494
1495             $this->templateData['field_name_value_array']['care_plan'][$i]['reason_status'] = (($entry['substanceAdministration']['negationInd'] ?? 'false') == 'true') ? 'negated' : null;
1496             $this->templateData['entry_identification_array']['care_plan'][$i] = $i;
1497         }
1498     }
1499
1500     public function functionalCognitiveStatus($component)
1501     {
1502         if ($this->currentOid != '2.16.840.1.113883.10.20.22.2.56') {
1503             $component['section']['text'] = '';
1504         }
1505         $ccnt = 0;
1506         if ($component['section']['entry'][0]) {
1507             foreach ($component['section']['entry'] as $key => $value) {
1508                 $this->fetchFunctionalCognitiveStatusData($value, $component['section']['text'][$ccnt]);
1509                 $ccnt++;
1510             }
1511         } else {
1512             $this->fetchFunctionalCognitiveStatusData($component['section']['entry'], $component['section']['text']);
1513         }
1514     }
1515
1516     public function fetchFunctionalCognitiveStatusData($entry, $section_text = null)
1517     {
1518         $cognitive = '0';
1519
1520         if ($this->currentOid == '2.16.840.1.113883.10.20.22.2.56') {
1521             $cognitive = '1';
1522             return;
1523         }
1524         if (!empty($entry['observation']['value']['code'])) {
1525             $i = 1;
1526             if (!empty($this->templateData['field_name_value_array']['functional_cognitive_status'])) {
1527                 $i += count($this->templateData['field_name_value_array']['functional_cognitive_status']);
1528             }
1529
1530             $code = $this->codeService->resolveCode(
1531                 $entry['observation']['value']['code'] ?? null,
1532                 $value['observation']['value']['codeSystemName'] ?? $value['observation']['code']['codeSystem'] ?? '',
1533                 $value['observation']['value']['displayName'] ?? ''
1534             );
1535             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['cognitive'] = $cognitive;
1536             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['extension'] = $entry['observation']['id']['extension'];
1537             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['root'] = $entry['observation']['id']['root'];
1538             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['date'] = $entry['observation']['effectiveTime']['low']['value'];
1539             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code'] = $code['formatted_code'];
1540             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code_text'] = $section_text ?: $code['code_text'];
1541             $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['description'] = $section_text ?: $code['code_text'];
1542             $this->templateData['entry_identification_array']['functional_cognitive_status'][$i] = $i;
1543         } elseif (!empty($entry['organizer']['code']['code'])) {
1544             // a CCDA template
1545             $i = 1;
1546             if (!empty($this->templateData['field_name_value_array']['functional_cognitive_status'])) {
1547                 $i += count($this->templateData['field_name_value_array']['functional_cognitive_status']);
1548             }
1549
1550             foreach ($entry['organizer']['component'] as $k => $fscomponent) {
1551                 // patient self-status @todo why am I sending an independent status by default.
1552                 if (($fscomponent["observation"]["templateId"]["root"] ?? null) == "2.16.840.1.113883.10.20.22.4.128") {
1553                     continue;
1554                 }
1555                 $code = $this->codeService->resolveCode(
1556                     $fscomponent['observation']['value']['code'] ?? null,
1557                     $fscomponent['observation']['value']['codeSystem'] ?? '',
1558                     $fscomponent['observation']['value']['displayName'] ?? ''
1559                 );
1560
1561                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['cognitive'] = $cognitive;
1562                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['extension'] = $fscomponent['observation']['id']['extension'];
1563                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['root'] = $fscomponent['observation']['id']['root'];
1564                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['date'] = $fscomponent['observation']['effectiveTime']['value'];
1565                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code'] = $fscomponent['observation']['value']['code'] ?? $code['formatted_code'] ?? null;
1566                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['code_text'] = $fscomponent['observation']['value']['displayName'] ?? $code['code_text'] ?? null;
1567                 $this->templateData['field_name_value_array']['functional_cognitive_status'][$i]['description'] = $fscomponent['observation']['value']['displayName'] ?? $code['code_text'] ?? null;
1568                 ;
1569                 $this->templateData['entry_identification_array']['functional_cognitive_status'][$i] = $i;
1570             }
1571         }
1572     }
1573
1574     public function referral($component)
1575     {
1576         if ($component['section']['entry'][0]) {
1577             foreach ($component['section']['entry'] as $key => $value) {
1578                 $this->fetchReferralData($value);
1579             }
1580         } else {
1581             $this->fetchReferralData($component['section']);
1582         }
1583     }
1584
1585     public function fetchReferralData($referral_data)
1586     {
1587         if (!empty($referral_data['text']['paragraph']) && is_array($referral_data['text']['paragraph'])) {
1588             $i = 1;
1589             foreach ($referral_data['text']['paragraph'] as $key => $value) {
1590                 if ($value) {
1591                     $this->templateData['field_name_value_array']['referral'][$i]['body'] = preg_replace('/\s+/', ' ', $value);
1592                     $this->templateData['entry_identification_array']['referral'][$i] = $i;
1593                     $i++;
1594                 }
1595             }
1596         } else {
1597             $i = 1;
1598             if (!empty($this->templateData['field_name_value_array']['referral'])) {
1599                 $i += count($this->templateData['field_name_value_array']['referral']);
1600             }
1601             $this->templateData['field_name_value_array']['referral'][$i]['root'] = $referral_data['templateId']['root'];
1602             $this->templateData['field_name_value_array']['referral'][$i]['body'] = (!empty($referral_data['text']['paragraph'])) ? preg_replace('/\s+/', ' ', $referral_data['text']['paragraph']) : '';
1603
1604             $this->templateData['entry_identification_array']['referral'][$i] = $i;
1605         }
1606
1607         return;
1608     }
1609
1610     public function dischargeMedications($component)
1611     {
1612         $component['section']['text'] = '';
1613         if ($component['section']['entry'][0]) {
1614             foreach ($component['section']['entry'] as $key => $value) {
1615                 $this->fetchDischargeMedicationsData($value);
1616             }
1617         } else {
1618             $this->fetchDischargeMedicationsData($component['section']['entry']);
1619         }
1620     }
1621
1622     public function fetchDischargeMedicationsData($discharge_medications_data)
1623     {
1624         $i = 1;
1625         if (!empty($this->templateData['field_name_value_array']['discharge_medication'])) {
1626             $i += count($this->templateData['field_name_value_array']['discharge_medication']);
1627         }
1628         $this->templateData['field_name_value_array']['discharge_medication'][$i]['extension'] = $discharge_medications_data['act']['id']['extension'];
1629         $this->templateData['field_name_value_array']['discharge_medication'][$i]['root'] = $discharge_medications_data['act']['id']['root'];
1630         $this->templateData['field_name_value_array']['discharge_medication'][$i]['begdate'] = $discharge_medications_data['act']['effectiveTime']['low']['value'];
1631         $this->templateData['field_name_value_array']['discharge_medication'][$i]['enddate'] = $discharge_medications_data['act']['effectiveTime']['high']['value'];
1632         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['code'];
1633         $this->templateData['field_name_value_array']['discharge_medication'][$i]['route_display'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['routeCode']['displayName'];
1634         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['value'];
1635         $this->templateData['field_name_value_array']['discharge_medication'][$i]['dose_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['doseQuantity']['unit'];
1636         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['value'];
1637         $this->templateData['field_name_value_array']['discharge_medication'][$i]['rate_unit'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['rateQuantity']['unit'];
1638         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_code'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['code'];
1639         $this->templateData['field_name_value_array']['discharge_medication'][$i]['drug_text'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['consumable']['manufacturedProduct']['manufacturedMaterial']['code']['displayName'];
1640         $this->templateData['field_name_value_array']['discharge_medication'][$i]['note'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['text']['reference']['value'];
1641         $this->templateData['field_name_value_array']['discharge_medication'][$i]['indication'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][0]['observation']['value']['displayName'] ?: $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship']['observation']['value']['displayName'];
1642         $this->templateData['field_name_value_array']['discharge_medication'][$i]['prn'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['precondition']['criterion']['value']['displayName'];
1643
1644         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_title'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['prefix'];
1645         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_fname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['given'];
1646         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_lname'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['assignedPerson']['name']['family'];
1647         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_root'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['author']['assignedAuthor']['id']['root'];
1648         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_address'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['streetAddressLine'];
1649         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_city'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['city'];
1650         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_state'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['state'];
1651         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_postalCode'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['postalCode'];
1652         $this->templateData['field_name_value_array']['discharge_medication'][$i]['provider_country'] = $discharge_medications_data['act']['entryRelationship']['substanceAdministration']['entryRelationship'][1]['supply']['performer']['assignedEntity']['addr']['country'];
1653         $this->templateData['entry_identification_array']['discharge_medication'][$i] = $i;
1654         unset($discharge_medications_data);
1655         return;
1656     }
1657
1658     public function dischargeSummary($component)
1659     {
1660         if ($component['section']['entry'][0]) {
1661             foreach ($component['section']['entry'] as $key => $value) {
1662                 $this->fetchDischargeSummaryData($value);
1663             }
1664         } else {
1665             $this->fetchDischargeSummaryData($component['section']);
1666         }
1667
1668         unset($component);
1669         return;
1670     }
1671
1672     public function fetchDischargeSummaryData($discharge_summary_data)
1673     {
1674         $i = 1;
1675         if (!empty($this->templateData['field_name_value_array']['discharge_summary'])) {
1676             $i += count($this->templateData['field_name_value_array']['discharge_summary']);
1677         }
1678         $this->templateData['field_name_value_array']['discharge_summary'][$i]['root'] = $discharge_summary_data['templateId']['root'];
1679         $text = preg_replace('/\s+/', ' ', $discharge_summary_data['text']['content']);
1680         for ($j = 0, $jMax = count($discharge_summary_data['text']['list']['item']); $j < $jMax; $j++) {
1681             if (is_array($discharge_summary_data['text']['list']['item'][$j])) {
1682                 for ($k = 0, $kMax = count($discharge_summary_data['text']['list']['item'][$j]['list']['item']); $k < $kMax; $k++) {
1683                     $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]['list']['item'][$k]);
1684                 }
1685             } else {
1686                 $text .= '#$%' . preg_replace('/\s+/', ' ', $discharge_summary_data['text']['list']['item'][$j]);
1687             }
1688         }
1689
1690         $this->templateData['field_name_value_array']['discharge_summary'][$i]['text'] = $text;
1691
1692         $this->templateData['entry_identification_array']['discharge_summary'][$i] = $i;
1693     }
1694 }