custom/qrda_category1_functions.php

   1 <?php
   2 /**
   3  *
   4  * QRDA Functions
   5  *
   6  * Copyright (C) 2015 Ensoftek, Inc
   7  *
   8  * LICENSE: This program is free software; you can redistribute it and/or
   9  * modify it under the terms of the GNU General Public License
  10  * as published by the Free Software Foundation; either version 2
  11  * of the License, or (at your option) any later version.
  12  * This program is distributed in the hope that it will be useful,
  13  * but WITHOUT ANY WARRANTY; without even the implied warranty of
  14  * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
  15  * GNU General Public License for more details.
  16  * You should have received a copy of the GNU General Public License
  17  * along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
  18  *
  19  * @package OpenEMR
  20  * @author  Ensoftek
  21  * @link    http://www.open-emr.org
  22  */
  23 // This program exports report to QRDA Category I 2014 XML format.
  24
  25
  26 function mainQrdaCatOneGenerate($xml, $patient_id, $rule_id, $provider_id)
  27 {
  28     //Open Main Clinical Document
  29     $xml->open_clinicaldocument();
  30
  31     //Header Function
  32     getHeaderQRDA1($xml, $patient_id, $provider_id);
  33
  34     //Component Function
  35     getComponentQRDA1($xml, $patient_id, $rule_id);
  36
  37     //Close Main Clinical Document
  38     $xml->close_clinicaldocument();
  39
  40     //Downloaded XML
  41     $xmlDynFileName = downloadQRDACat1($xml, $patient_id, $rule_id);
  42
  43     return $xmlDynFileName;
  44 }
  45
  46     //Main Header Function
  47 function getHeaderQRDA1($xml, $patient_id, $provider_id)
  48 {
  49     global $mainQrdaRaceCodeArr, $mainEthiCodeArr, $from_date, $to_date;
  50
  51     //Patient Info
  52     if ($patient_id != "") {
  53         $patientRow = getPatData($patient_id);
  54     }
  55
  56     //User Info
  57     $userRow = getUsrDataCheck($provider_id);
  58     $facility_name = $userRow['facility'];
  59     $facility_id = $userRow['facility_id'];
  60
  61     //Facility Info
  62     if ($facility_id != "") {
  63         $facilResRow = getFacilDataChk($facility_id);
  64     }
  65
  66     ####################### HEADER ELEMENTS START ##########################################
  67
  68     $xml->self_realmcode();
  69
  70     $xml->self_typeid();
  71
  72     $tempId = '2.16.840.1.113883.10.20.22.1.1';
  73     $xml->self_templateid($tempId);
  74
  75     $tempId = '2.16.840.1.113883.10.20.24.1.1';
  76     $xml->self_templateid($tempId);
  77
  78     $tempId = '2.16.840.1.113883.10.20.24.1.2';
  79     $xml->self_templateid($tempId);
  80
  81     $tempId = '2.16.840.1.113883.10.20.24.1.3';
  82     $xml->self_templateid($tempId);
  83
  84     $xml->unique_id = getUuid();
  85     $xml->self_id();
  86
  87     $arr = array('code'=>'55182-0', 'displayName'=>'Quality Measure Report', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
  88     $xml->self_codeCustom($arr);
  89
  90     //Main Title Display to XML
  91     $main_title = "QRDA Category-I Report";
  92     $xml->add_title($main_title);
  93
  94     //Effective date and time
  95     $eff_datetime = date('Ymdhis', strtotime($from_date));
  96     $xml->self_efftime($eff_datetime);
  97
  98     $xml->self_confidentcode();
  99
 100     //Language
 101     $xml->self_lang();
 102
 103     //Record Target Elements
 104     $xml->open_recordTarget();
 105
 106     //patientRole Open
 107     $xml->open_customTag('patientRole');
 108
 109     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.572', 'extension' =>'112233'));
 110
 111     $xml->add_patientAddress($patientRow);
 112
 113     if ($patientRow['phone_home'] != "") {
 114         $xml->self_customTag('telecom', array('value' => $patientRow['phone_home'], 'use'=>'HP'));
 115     } else {
 116         $xml->self_customTag('telecom', array('nullFlavor' => "UNK"));
 117     }
 118
 119     $xml->open_customTag('patient');
 120
 121     $patNameArr = array('fname' =>$patientRow['fname'], 'lname'=>$patientRow['lname']);
 122     $xml->add_patName($patNameArr);
 123
 124     if ($patientRow['sex'] == "Male") {
 125         $gender = "M";
 126     } else if ($patientRow['sex'] == "Female") {
 127         $gender = "F";
 128     }
 129
 130     $xml->self_customTag('administrativeGenderCode', array('codeSystem' => '2.16.840.1.113883.18.2', 'code' =>$gender));
 131
 132     $xml->self_customTag('birthTime', array('value' =>date('Ymd', strtotime($patientRow['DOB']))));
 133
 134     if ($mainQrdaRaceCodeArr[$patientRow['race']] == "") {
 135         $mainQrdaRaceCodeArr[$patientRow['race']] = "2131-1";
 136     }
 137
 138     $xml->self_customTag('raceCode', array('codeSystem' =>'2.16.840.1.113883.6.238', 'code' => $mainQrdaRaceCodeArr[$patientRow['race']]));
 139     $xml->self_customTag('ethnicGroupCode', array('codeSystem' =>'2.16.840.1.113883.6.238', 'code' => $mainEthiCodeArr[$patientRow['ethnicity']]));
 140
 141     //patient Close
 142     $xml->close_customTag();
 143
 144     //patientRole Close
 145     $xml->close_customTag();
 146
 147     $xml->close_recordTarget();
 148
 149     ############### Author Info Start#######################
 150     $xml->open_author();
 151
 152     //Author time
 153     $auth_dtime = date('Ymdhis');
 154     $xml->self_authorTime($auth_dtime);
 155
 156     //Assigned Author
 157     $xml->open_assignAuthor();
 158     $npi_provider = empty($userRow['npi']) ? "FakeNPI" : $userRow['npi'];
 159     $xml->self_customTag('id', array('root' =>'2.16.840.1.113883.4.6', 'extension' => $npi_provider));
 160     $xml->add_patientAddress($facilResRow);
 161     if (!empty($userRow['phone'])) {
 162         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 163     } else {
 164         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 165     }
 166
 167
 168
 169
 170     //assignedAuthoringDevice Start
 171     $xml->open_customTag('assignedAuthoringDevice');
 172     $xml->element('manufacturerModelName', 'DrCloudEMR');
 173     $xml->element('softwareName', 'DrCloudEMR');
 174     //assignedAuthoringDevice Close
 175     $xml->close_customTag();
 176
 177     $xml->close_assignAuthor();
 178     ################## Author Info End ##########################
 179
 180     $xml->close_author();
 181     ############### Author Info End#######################
 182
 183     ############### Custodian Info Start #######################
 184     $xml->open_custodian();
 185     $xml->open_assgnCustodian();
 186     $xml->add_represtCustodianOrginisation($facilResRow);
 187     $xml->close_assgnCustodian();
 188     $xml->close_custodian();
 189     ############### Custodian Info End #######################
 190
 191     ############### Legal Authenticator Start#######################
 192     $xml->open_legalAuthenticator();
 193     $auth_dtime = date('Ymdhis');
 194     $xml->self_authorTime($auth_dtime);
 195     $xml->self_legalSignCode();
 196
 197     $xml->open_assignedEntity();
 198     $assignedEntityId = getUuid();
 199     $xml->self_customId($assignedEntityId);
 200     $xml->add_facilAddress($facilResRow);
 201     if (!empty($facilResRow['phone'])) {
 202         $xml->self_customTag('telecom', array('value' => $facilResRow['phone'], 'use'=>'WP'));
 203     } else {
 204         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 205     }
 206
 207     $xml->open_customTag('assignedPerson');
 208
 209     //Provider Name
 210     $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 211     $xml->add_providerName($userNameArr);
 212
 213     //assignedPerson Close
 214     $xml->close_customTag();
 215
 216     //Represent Origination Name
 217     $xml->add_authReprestOrginisation($facilResRow);
 218     $xml->close_assignedEntity();
 219
 220     $xml->close_legalAuthenticator();
 221     ############### Legal Authenticator End#######################
 222
 223     ############### documentationOf  START  #######################
 224     $xml->open_customTag('documentationOf');
 225
 226     $xml->open_customTag('serviceEvent', array('classCode'=>'PCPR'));
 227
 228     $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 229     $xml->add_entryEffectTime($timeArr);
 230
 231     $xml->open_customTag('performer', array('typeCode'=>'PRF'));
 232
 233     $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
 234     $xml->add_entryTime($timeArr);
 235
 236     $xml->open_customTag('assignedEntity');
 237
 238     $npi_provider = empty($userRow['npi']) ? "FakeNPI" :$userRow['npi'] ;
 239     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' =>$npi_provider));
 240
 241     if ($userRow['phone'] != "") {
 242         $xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
 243     } else {
 244         $xml->self_customTag('telecom', array("nullFlavor" => "UNK"));
 245     }
 246
 247     $xml->open_customTag('assignedPerson');
 248
 249     //Provider Name
 250     $userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
 251     $xml->add_providerName($userNameArr);
 252
 253     //assignedPerson Close
 254     $xml->close_customTag();
 255
 256     $xml->open_customTag('representedOrganization');
 257
 258     $tin_provider = $userRow['federaltaxid'];
 259     if ($tin_provider != "") {
 260         $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' =>$tin_provider));
 261     }
 262
 263     $xml->add_facilName($facility_name);
 264
 265     $xml->add_facilAddress($facilResRow);
 266
 267     //representedOrganization Close
 268     $xml->close_customTag();
 269
 270     //assignedEntity Close
 271     $xml->close_customTag();
 272
 273     //performer Close
 274     $xml->close_customTag();
 275
 276     //serviceEvent Close
 277     $xml->close_customTag();
 278
 279     //documentationOf Close
 280     $xml->close_customTag();
 281     ############### documentationOf  END  #######################
 282     ####################### HEADER ELEMENTS END #########################################
 283 }
 284
 285     //Component Function
 286 function getComponentQRDA1($xml, $patient_id, $rule_id)
 287 {
 288     //Component Open
 289     $xml->open_mainComponent();
 290
 291     //structuredBody Open
 292     $xml->open_structuredBody();
 293
 294     //Measure Section
 295     getMeasureSection($xml, $rule_id);
 296
 297     //Reporting Parameters
 298     getReportingParam($xml);
 299
 300     //Patient Data
 301     getQRDACat1PatientData($xml, $patient_id);
 302
 303     //structuredBody Close
 304     $xml->close_structuredBody();
 305
 306     //Component Close
 307     $xml->close_mainComponent();
 308 }
 309
 310     //Patient Data
 311 function getQRDACat1PatientData($xml, $patient_id)
 312 {
 313     $xml->open_loopComponent();
 314     $xml->open_section();
 315
 316     $tempID = '2.16.840.1.113883.10.20.17.2.4';
 317     $xml->self_templateid($tempID);
 318
 319     $tempID = '2.16.840.1.113883.10.20.24.2.1';
 320     $xml->self_templateid($tempID);
 321
 322     $arr = array('code'=>'55188-7', 'codeSystem'=>'2.16.840.1.113883.6.1');
 323     $xml->self_codeCustom($arr);
 324
 325     $title = "Patient Data";
 326     $xml->add_title($title);
 327
 328     $xml->element('text', "Patient Data");
 329
 330     //Insurance(Payer) Info
 331     payerQRDA($xml, $patient_id);
 332
 333     //Patient History Info
 334     patCharactersticQRDA($xml, $patient_id);
 335
 336     //Encounter Section
 337     getAllPatientEncounters($xml, $patient_id);
 338
 339     //Physical Exams(vitals)
 340     getAllPhysicalExams($xml, $patient_id);
 341
 342     //Diagnosis (Medical Problems)
 343     getAllMedicalProbs($xml, $patient_id);
 344
 345     //Ordered Medications
 346     getAllOrderMedications($xml, $patient_id);
 347
 348     // Active Medications
 349     getAllActiveMedications($xml, $patient_id);
 350
 351     //Immunization
 352     getAllImmunization($xml, $patient_id);
 353
 354     //Procedures
 355     getAllProcedures($xml, $patient_id);
 356
 357     //Lab Tests
 358     getAllLabTests($xml, $patient_id);
 359
 360     //Interventions
 361     getAllInterventionProcedures($xml, $patient_id);
 362
 363     //Risk Category Assessment
 364     getAllRiskCatAssessment($xml, $patient_id);
 365
 366     $xml->close_section();
 367     $xml->close_loopComponent();
 368 }
 369
 370     //Immunization
 371 function getAllImmunization($xml, $patient_id)
 372 {
 373     global $from_date, $to_date;
 374     $medArr = allImmuPat($patient_id, $from_date, $to_date);
 375
 376     foreach ($medArr as $medRow) {
 377         $vset = sqlStatement("select * from valueset where code =? and code_type = 'cvx' and nqf_code =?", array($medRow['cvx_code'], $xml->nqf_code));
 378         foreach ($vset as $v) {
 379             if (!empty($v['valueset'])) {
 380             //Entry open
 381                 $xml->open_entry();
 382
 383             //act open
 384                 $xml->open_customTag('act', array('classCode'=>'ACT', 'moodCode'=>'EVN'));
 385
 386                 $tempID = "2.16.840.1.113883.10.20.24.3.42";
 387                 $xml->self_templateid($tempID);
 388
 389                 $refID = getUuid();
 390                 $xml->self_customId($refID);
 391
 392                 $arr = array('code'=>'416118004', 'codeSystemName'=>'SNOMED CT', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName' => 'Administration');
 393                 $xml->self_codeCustom($arr);
 394
 395                 if ($medRow['status'] == "" || $medRow['status'] == "not_completed") {
 396                     $statusChk = "active";
 397                 } else {
 398                     $statusChk = "completed";
 399                 }
 400
 401                 $arr = array('code'=>"completed");
 402                 $xml->self_customTag('statusCode', $arr);
 403
 404                 $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['administered_date'])), 'high'=>date('Ymdhis', strtotime($medRow['administered_date'])));
 405                 $xml->add_entryEffectTimeQRDAMed($timeArr);
 406
 407                 $xml->open_customTag('entryRelationship', array('typeCode'=>'COMP'));
 408
 409             //substanceAdministration Open
 410                 $xml->open_customTag('substanceAdministration', array('classCode'=>'SBADM', 'moodCode'=>'EVN'));
 411
 412                 $tempID = "2.16.840.1.113883.10.20.22.4.16";
 413                 $xml->self_templateid($tempID);
 414
 415             //$tempID = "2.16.840.1.113883.10.20.24.3.41";
 416             //$xml->self_templateid($tempID);
 417
 418                 $refID = getUuid();
 419                 $xml->self_customId($refID);
 420
 421                 $arr = array('code'=>$statusChk);
 422                 $xml->self_customTag('statusCode', $arr);
 423
 424                 $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['administered_date'])), 'high'=>date('Ymdhis', strtotime($medRow['administered_date'])));
 425                 $xml->add_entryEffectTimeQRDAMed($timeArr);
 426
 427             //consumable open
 428                 $xml->open_customTag('consumable');
 429
 430             //manufacturedProduct Open
 431                 $xml->open_customTag('manufacturedProduct', array('classCode'=>'MANU'));
 432
 433                 $tempID = "2.16.840.1.113883.10.20.22.4.23";
 434                 $xml->self_templateid($tempID);
 435
 436                 $actId = getUuid();
 437                 $xml->self_customId($actId);
 438
 439             //manufacturedMaterial open
 440                 $xml->open_customTag('manufacturedMaterial');
 441
 442                 $arr = array('code'=>$v['code'], 'codeSystem'=>$v['code_system'],'sdtc:valueSet' => $v['valueset']);
 443                 $xml->self_codeCustom($arr);
 444
 445             //manufacturerOrganization open
 446             /*$xml->open_customTag('manufacturerOrganization');
 447
 448                         $xml->element('name', 'Medication, Administered Vaccine');
 449
 450                         //manufacturerOrganization Close
 451                         $xml->close_customTag();*/
 452
 453             //manufacturedMaterial Close
 454                 $xml->close_customTag();
 455
 456             //manufacturedProduct Close
 457                 $xml->close_customTag();
 458
 459             //consumable Close
 460                 $xml->close_customTag();
 461
 462             //substanceAdministration Close
 463                 $xml->close_customTag();
 464
 465             //entryRelationship Close
 466                 $xml->close_customTag();
 467
 468             //act Close
 469                 $xml->close_customTag();
 470
 471             //Entry close
 472                 $xml->close_entry();
 473             }
 474         }
 475     }
 476 }
 477
 478 function getAllPhysicalExams($xml, $patient_id)
 479 {
 480     global $encCheckUniqId, $from_date, $to_date;
 481
 482     $vitArr   = allVitalsPat($patient_id, $from_date, $to_date);
 483     $measures = array('bps' => array('name' => 'Blood Pressure Systolic','category' => 'Blood Pressure','unit' => 'mmHg','code' => '8480-6'),
 484                   'bpd' => array('name' => 'Blood Pressure Diastolic','category'=> 'Blood Pressure','unit' => 'mmHg','code' => '8462-4'),
 485                   'bmi' => array('name' => 'Body Mass Index','category' => 'Body Mass Index', 'unit' => 'kg/m2','code' => '39156-5'));
 486
 487     foreach ($vitArr as $vitRow) {
 488         //Entry open
 489         foreach ($measures as $measure_key => $measure) {
 490             $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($measure['code'],$xml->nqf_code));
 491             if (!empty($vset['valueset'])) {
 492                 $xml->open_entry();
 493
 494             //observation Open
 495                 $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 496
 497                 $tempID = "2.16.840.1.113883.10.20.22.4.2";
 498                 $xml->self_templateid($tempID);
 499
 500                 $tempID = "2.16.840.1.113883.10.20.24.3.57";
 501                 $xml->self_templateid($tempID);
 502
 503             //$refID = getUuid();
 504                 $refID = $encCheckUniqId[$vitRow['encounter']];
 505                 $xml->self_customId($refID);
 506
 507                 $arr = array('code'=>$measure['code'], 'codeSystem'=>$vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 508
 509             //code Open
 510                 $xml->open_customTag('code', $arr);
 511                 $xml->element('originalText', "Physical Exam, Finding: ".$measure['measure']);
 512             //code Close
 513                 $xml->close_customTag();
 514
 515                 $xml->element('text', "Physical Exam, Finding: ".$measure['category']);
 516
 517                 $arr = array('code'=>'completed');
 518                 $xml->self_customTag('statusCode', $arr);
 519
 520                 $timeArr = array('low'=>date('Ymdhis', strtotime($vitRow['date'])), 'high'=>date('Ymdhis', strtotime($vitRow['date'])));
 521                 $xml->add_entryEffectTimeQRDA($timeArr);
 522
 523                 $xml->self_customTag('value', array('xsi:type'=>'PQ', 'value'=>$vitRow[$measure_key], 'unit' => $measure['unit']));
 524
 525             //observation Close
 526                 $xml->close_customTag();
 527
 528             //Entry close
 529                 $xml->close_entry();
 530             }
 531         }
 532     }
 533 }
 534
 535 function getAllRiskCatAssessment($xml, $patient_id)
 536 {
 537     global $encCheckUniqId, $from_date, $to_date;
 538     $procArr = allProcPat("risk_category", $patient_id, $from_date, $to_date);
 539     foreach ($procArr as $procRow) {
 540         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($procRow['procedure_code'],$xml->nqf_code));
 541         if (!empty($vset['valueset'])) {
 542             //Entry open
 543             $xml->open_entry();
 544
 545             //observation Open
 546             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 547
 548             $tempID = "2.16.840.1.113883.10.20.22.4.69";
 549             $xml->self_templateid($tempID);
 550
 551             $tempID = "2.16.840.1.113883.10.20.24.3.69";
 552             $xml->self_templateid($tempID);
 553
 554             //$refID = getUuid();
 555             $refID = $encCheckUniqId[$procRow['encounter']];
 556             $xml->self_customId($refID);
 557
 558             $arr = array('code'=>$vset['code'], 'codeSystem'=>$vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 559             //code Open
 560             $xml->open_customTag('code', $arr);
 561             $xml->element('originalText', $procRow['procedure_name']);
 562             //code Close
 563             $xml->close_customTag();
 564
 565             $xml->element('text', $procRow['procedure_name']);
 566
 567             $arr = array('code'=>'completed');
 568             $xml->self_customTag('statusCode', $arr);
 569
 570             $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 571             $xml->add_entryEffectTimeQRDA($timeArr);
 572
 573             $xml->self_customTag('value', array('xsi:type'=>'CD', 'nullFlavor'=>'UNK'));
 574
 575             //observation Close
 576             $xml->close_customTag();
 577
 578             //Entry close
 579             $xml->close_entry();
 580         }
 581     }
 582 }
 583
 584 function getAllProcedures($xml, $patient_id)
 585 {
 586     global $encCheckUniqId, $from_date, $to_date;
 587     $procArr = allProcPat("Procedure", $patient_id, $from_date, $to_date);
 588     foreach ($procArr as $procRow) {
 589         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 590         if (!empty($vset['valueset'])) {
 591             //Entry open
 592             $xml->open_entry();
 593
 594             //procedure Open
 595             $xml->open_customTag('procedure', array('classCode'=>'PROC', 'moodCode'=>'EVN'));
 596
 597             $tempID = "2.16.840.1.113883.10.20.24.3.64";
 598             $xml->self_templateid($tempID);
 599
 600             $tempID = "2.16.840.1.113883.10.20.22.4.14";
 601             $xml->self_templateid($tempID);
 602
 603             $tempID = "2.16.840.1.113883.10.20.24.3.38";
 604             $xml->self_templateid($tempID);
 605
 606             $tempID = "2.16.840.1.113883.10.20.24.3.40";
 607             $xml->self_templateid($tempID);
 608
 609             //$refID = getUuid();
 610             $refID = $encCheckUniqId[$procRow['encounter']];
 611             $xml->self_customId($refID);
 612
 613
 614             $arr = array('code'=>$procRow['procedure_code'], 'codeSystem'=> $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 615             //code Open
 616             $xml->open_customTag('code', $arr);
 617             $xml->element('originalText', $procRow['procedure_name']);
 618             //code Close
 619             $xml->close_customTag();
 620
 621             $xml->element('text', $procRow['procedure_name']);
 622
 623             $arr = array('code'=>'completed');
 624             $xml->self_customTag('statusCode', $arr);
 625
 626             $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 627             $xml->add_entryEffectTimeQRDA($timeArr);
 628
 629             //procedure Close
 630             $xml->close_customTag();
 631
 632             //Entry close
 633             $xml->close_entry();
 634         }
 635     }
 636 }
 637
 638 function getAllLabTests($xml, $patient_id)
 639 {
 640     global $encCheckUniqId, $from_date, $to_date;
 641     $procArr = allProcPat("laboratory_test", $patient_id, $from_date, $to_date);
 642     foreach ($procArr as $procRow) {
 643         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 644         if (!empty($vset['valueset'])) {
 645             //Entry open
 646             $xml->open_entry();
 647
 648             //procedure Open
 649             $xml->open_customTag('procedure', array('classCode'=>'PROC', 'moodCode'=>'EVN'));
 650
 651             $tempID = "2.16.840.1.113883.10.20.24.3.38";
 652             $xml->self_templateid($tempID);
 653
 654             //$refID = getUuid();
 655             $refID = $encCheckUniqId[$procRow['encounter']];
 656             $xml->self_customId($refID);
 657
 658
 659             $arr = array('code'=>$procRow['procedure_code'], 'codeSystem'=> $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 660             //code Open
 661             $xml->open_customTag('code', $arr);
 662             $xml->element('originalText', $procRow['procedure_name']);
 663             //code Close
 664             $xml->close_customTag();
 665
 666             $xml->element('text', $procRow['procedure_name']);
 667
 668             $arr = array('code'=>'completed');
 669             $xml->self_customTag('statusCode', $arr);
 670
 671             $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 672             $xml->add_entryEffectTimeQRDA($timeArr);
 673
 674             //procedure Close
 675             $xml->close_customTag();
 676
 677             //Entry close
 678             $xml->close_entry();
 679         }
 680     }
 681 }
 682
 683
 684 function getAllInterventionProcedures($xml, $patient_id)
 685 {
 686     global $encCheckUniqId, $from_date, $to_date;
 687     $procArr = allProcPat("intervention", $patient_id, $from_date, $to_date);
 688     foreach ($procArr as $procRow) {
 689         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($procRow['procedure_code'],$xml->nqf_code));
 690         if (!empty($vset['valueset'])) {
 691             //Entry open
 692             $xml->open_entry();
 693
 694             //act Open
 695             $xml->open_customTag('act', array('classCode'=>'ACT', 'moodCode'=>'EVN'));
 696
 697             $tempID = "2.16.840.1.113883.10.20.22.4.12";
 698             $xml->self_templateid($tempID);
 699
 700             $tempID = "2.16.840.1.113883.10.20.24.3.32";
 701             $xml->self_templateid($tempID);
 702
 703             //$refID = getUuid();
 704             $refID = $encCheckUniqId[$procRow['encounter']];
 705             $xml->self_customId($refID);
 706
 707
 708             $arr = array('code'=>$procRow['procedure_code'], 'codeSystem'=> $vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 709             //code Open
 710             $xml->open_customTag('code', $arr);
 711             $xml->element('originalText', $procRow['procedure_name']);
 712             //code Close
 713             $xml->close_customTag();
 714
 715             $xml->element('text', $procRow['procedure_name']);
 716
 717             $arr = array('code'=>'completed');
 718             $xml->self_customTag('statusCode', $arr);
 719
 720             $timeArr = array('low'=>date('Ymdhis', strtotime($procRow['date_ordered'])), 'high'=>date('Ymdhis', strtotime($procRow['date_ordered'])));
 721             $xml->add_entryEffectTimeQRDA($timeArr);
 722
 723             //act Close
 724             $xml->close_customTag();
 725
 726             //Entry close
 727             $xml->close_entry();
 728         }
 729     }
 730 }
 731
 732 function getAllOrderMedications($xml, $patient_id)
 733 {
 734     global $from_date, $to_date;
 735     $medArr = allOrderMedsPat($patient_id, $from_date, $to_date);
 736
 737     foreach ($medArr as $medRow) {
 738         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($medRow['rxnorm_drugcode'],$xml->nqf_code));
 739         if (!empty($vset['valueset'])) {
 740             //Entry open
 741             $xml->open_entry();
 742
 743             //substanceAdministration Open
 744             $xml->open_customTag('substanceAdministration', array('classCode'=>'SBADM', 'moodCode'=>'RQO'));
 745
 746             $tempID = "2.16.840.1.113883.10.20.22.4.42";
 747             $xml->self_templateid($tempID);
 748
 749             $tempID = "2.16.840.1.113883.10.20.24.3.47";
 750             $xml->self_templateid($tempID);
 751
 752             $refID = getUuid();
 753             $xml->self_customId($refID);
 754
 755
 756             $arr = array('code'=>'new');
 757             $xml->self_customTag('statusCode', $arr);
 758
 759             $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['start_date'])), 'high'=>date('Ymdhis', strtotime($medRow['end_date'])));
 760             $xml->add_entryEffectTimeQRDAMed($timeArr);
 761
 762             /*if($medRow['enddate'] == ""){
 763             if($medRow['drug_interval'] != "" && $medRow['drug_interval'] != "0")
 764                 $xml->emptyelement('repeatNumber', array('value'=>$medRow['drug_interval']));
 765
 766             if($medRow['quantity'] != "")
 767                 $xml->emptyelement('doseQuantity', array('value'=>$medRow['quantity']));
 768
 769             if($medRow['units'] != "" && $medRow['size_type'] != "")
 770                 $xml->emptyelement('rateQuantity', array('units'=>$medRow['size_type'], 'value'=>$medRow['units']));
 771                         }*/
 772
 773             //consumable open
 774             $xml->open_customTag('consumable');
 775
 776             //manufacturedProduct Open
 777             $xml->open_customTag('manufacturedProduct', array('classCode'=>'MANU'));
 778
 779             $tempID = "2.16.840.1.113883.10.20.22.4.23";
 780             $xml->self_templateid($tempID);
 781
 782             $actId = getUuid();
 783             $xml->self_customId($actId);
 784
 785             //manufacturedMaterial open
 786             $xml->open_customTag('manufacturedMaterial');
 787
 788             $arr = array('code'=>$vset['code'], 'codeSystem'=>$vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 789             $xml->self_codeCustom($arr);
 790
 791             //manufacturerOrganization open
 792             /*$xml->open_customTag('manufacturerOrganization');
 793
 794                         $xml->element('name', 'Medication Factory Inc.');
 795
 796                         //manufacturerOrganization Close
 797                         $xml->close_customTag();*/
 798
 799             //manufacturedMaterial Close
 800             $xml->close_customTag();
 801
 802             //manufacturedProduct Close
 803             $xml->close_customTag();
 804
 805             //consumable Close
 806             $xml->close_customTag();
 807
 808             //substanceAdministration Close
 809             $xml->close_customTag();
 810
 811             //Entry close
 812             $xml->close_entry();
 813         }
 814     }
 815 }
 816
 817 function getAllActiveMedications($xml, $patient_id)
 818 {
 819     global $from_date, $to_date;
 820     $medArr = allActiveMedsPat($patient_id, $from_date, $to_date);
 821
 822     foreach ($medArr as $medRow) {
 823         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ? ", array($medRow['rxnorm_drugcode'],$xml->nqf_code));
 824         if (!empty($vset['valueset'])) {
 825             //Entry open
 826             $xml->open_entry();
 827
 828             //substanceAdministration Open
 829             $xml->open_customTag('substanceAdministration', array('classCode'=>'SBADM', 'moodCode'=>'EVN'));
 830
 831             $tempID = "2.16.840.1.113883.10.20.22.4.16";
 832             $xml->self_templateid($tempID);
 833
 834             $tempID = "2.16.840.1.113883.10.20.24.3.41";
 835             $xml->self_templateid($tempID);
 836
 837             $refID = getUuid();
 838             $xml->self_customId($refID);
 839
 840
 841             $arr = array('code'=>'active');
 842             $xml->self_customTag('statusCode', $arr);
 843
 844             $timeArr = array('low'=>date('Ymdhis', strtotime($medRow['start_date'])), 'high'=>date('Ymdhis', strtotime($medRow['end_date'])));
 845             $xml->add_entryEffectTimeQRDAMed($timeArr);
 846
 847             /*if($medRow['enddate'] == ""){
 848                 if($medRow['drug_interval'] != "" && $medRow['drug_interval'] != "0")
 849                 $xml->emptyelement('repeatNumber', array('value'=>$medRow['drug_interval']));
 850
 851             if($medRow['quantity'] != "")
 852                 $xml->emptyelement('doseQuantity', array('value'=>$medRow['quantity']));
 853
 854             if($medRow['units'] != "" && $medRow['size_type'] != "")
 855                 $xml->emptyelement('rateQuantity', array('units'=>$medRow['size_type'], 'value'=>$medRow['units']));
 856             }*/
 857
 858             //consumable open
 859             $xml->open_customTag('consumable');
 860
 861             //manufacturedProduct Open
 862             $xml->open_customTag('manufacturedProduct', array('classCode'=>'MANU'));
 863
 864             $tempID = "2.16.840.1.113883.10.20.22.4.23";
 865             $xml->self_templateid($tempID);
 866
 867             $actId = getUuid();
 868             $xml->self_customId($actId);
 869
 870             //manufacturedMaterial open
 871             $xml->open_customTag('manufacturedMaterial');
 872
 873             $arr = array('code'=>$vset['code'], 'codeSystem'=>$vset['code_system'],'sdtc:valueSet' => $vset['valueset']);
 874             $xml->self_codeCustom($arr);
 875
 876             //manufacturerOrganization open
 877             /*$xml->open_customTag('manufacturerOrganization');
 878
 879             $xml->element('name', 'Medication Factory Inc.');
 880
 881             //manufacturerOrganization Close
 882             $xml->close_customTag();*/
 883
 884             //manufacturedMaterial Close
 885             $xml->close_customTag();
 886
 887             //manufacturedProduct Close
 888             $xml->close_customTag();
 889
 890             //consumable Close
 891             $xml->close_customTag();
 892
 893             //substanceAdministration Close
 894             $xml->close_customTag();
 895
 896             //Entry close
 897             $xml->close_entry();
 898         }
 899     }
 900 }
 901
 902     //Medical problems
 903 function getAllMedicalProbs($xml, $patient_id)
 904 {
 905     global $from_date, $to_date;
 906     $diagArr = allListsPat('medical_problem', $patient_id, $from_date, $to_date);
 907
 908     foreach ($diagArr as $diagRow) {
 909         $diagExpArr = explode(";", $diagRow['diagnosis']);
 910         /*foreach($diagExpArr as $diagExpVal){
 911             $diagDisp = explode(":", $diagExpVal);
 912             if($diagDisp[0] == "ICD9" || $diagDisp[0] == "ICD10") continue;
 913             $diagDispCode = $diagDisp[1];
 914         }*/
 915
 916         $diagDisp = explode(":", $diagExpArr[0]);
 917         $diagDispCode = str_replace(".", "", $diagDisp[1]);
 918
 919         $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($diagDispCode,$xml->nqf_code));
 920         if (!empty($vset['valueset'])) {
 921             //Entry open
 922             $xml->open_entry();
 923
 924             //observation Open
 925             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 926
 927             $tempID = "2.16.840.1.113883.10.20.22.4.4";
 928             $xml->self_templateid($tempID);
 929
 930             $tempID = "2.16.840.1.113883.10.20.24.3.11";
 931             $xml->self_templateid($tempID);
 932
 933             $refID = getUuid();
 934             $xml->self_customId($refID);
 935
 936             $arr = array('code'=>'282291009', 'codeSystemName'=>'SNOMED-CT', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName' => 'diagnosis');
 937             $xml->self_codeCustom($arr);
 938
 939             $xml->textDispContent($diagRow['title']);
 940
 941             $activeChk = "active";
 942             $endate = $diagRow['begdate'];
 943             if ($diagRow['enddate']!= "") {
 944                 $activeChk = "completed";
 945                 $endate = $diagRow['enddate'];
 946             }
 947
 948             //$arr = array('code'=>$activeChk);
 949             $arr = array('code'=> "completed");
 950             $xml->self_customTag('statusCode', $arr);
 951
 952             $timeArr = array('low'=>date('Ymdhis', strtotime($diagRow['begdate'])), 'high'=>date('Ymdhis', strtotime($endate)));
 953             $xml->add_entryEffectTime($timeArr);
 954
 955
 956             $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$diagDispCode, 'codeSystem'=>'2.16.840.1.113883.6.96', 'sdtc:valueSet' => $vset['valueset']));
 957
 958             //entryRelationship Open
 959             $xml->open_customTag('entryRelationship', array('typeCode'=>'REFR'));
 960
 961             //observation Open
 962             $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
 963
 964             $tempID = "2.16.840.1.113883.10.20.22.4.6";
 965             $xml->self_templateid($tempID);
 966
 967             $tempID = "2.16.840.1.113883.10.20.24.3.94";
 968             $xml->self_templateid($tempID);
 969
 970             $refID = getUuid();
 971             $xml->self_customId($refID);
 972
 973             $arr = array('code'=>'33999-4', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName' => 'LOINC', 'displayName' => 'status');
 974             $xml->self_codeCustom($arr);
 975
 976             //$arr = array('code'=>$activeChk);
 977             $arr = array('code'=> "completed");
 978             $xml->self_customTag('statusCode', $arr);
 979
 980             $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>'55561003', 'displayName' => 'active', 'codeSystem' => '2.16.840.1.113883.6.96', 'codeSystemName' => 'SNOMED CT'));
 981
 982             //observation Close
 983             $xml->close_customTag();
 984
 985             //entryRelationship Close
 986             $xml->close_customTag();
 987
 988             //observation Close
 989             $xml->close_customTag();
 990
 991             //Entry close
 992             $xml->close_entry();
 993         }
 994     }
 995 }
 996
 997     //Encounters function
 998 function getAllPatientEncounters($xml, $patient_id)
 999 {
1000     global $encCheckUniqId, $from_date, $to_date,$EncounterCptCodes;
1001     $encArr = allEncPat($patient_id, $from_date, $to_date);
1002
1003     foreach ($encArr as $encRow) {
1004         $encRow['encounter'];
1005         $cpt_code = $EncounterCptCodes[str_replace(' ', '_', strtolower($encRow['pc_catname']))];
1006         $cpt_code = empty($cpt_code) ? '99201' : $cpt_code;
1007         $vset = sqlStatement("select * from valueset where code = ? and nqf_code = ?", array('99201',$xml->nqf_code));
1008         foreach ($vset as $v) {
1009             //Entry open
1010             $xml->open_entry();
1011
1012             //Encounter Open
1013             $xml->open_customTag('encounter', array('classCode'=>'ENC', 'moodCode'=>'EVN'));
1014
1015             $tempID = "2.16.840.1.113883.10.20.22.4.49";
1016             $xml->self_templateid($tempID);
1017
1018             $tempID = "2.16.840.1.113883.10.20.24.3.23";
1019             $xml->self_templateid($tempID);
1020
1021             $refID = getUuid();
1022             $xml->self_customId($refID);
1023             $encCheckUniqId[$encRow['encounter']] = $refID;
1024
1025
1026             $arr = array('code'=>$cpt_code, 'codeSystem'=>$v['code_system'],'sdtc:valueSet' => $v['valueset']);
1027             $xml->self_codeCustom($arr);
1028
1029             $arr = array('code'=>'completed');
1030             $xml->self_customTag('statusCode', $arr);
1031
1032             $timeArr = array('low'=>date('Ymdhis', strtotime($encRow['date'])), 'high'=>date('Ymdhis', strtotime($encRow['date'])));
1033             $xml->add_entryEffectTime($timeArr);
1034
1035             //Encounter Close
1036             $xml->close_customTag();
1037
1038             //Entry close
1039             $xml->close_entry();
1040         }
1041     }
1042
1043     $encArr = allProcPat("enc_checkup_procedure", $patient_id, $from_date, $to_date);
1044     foreach ($encArr as $encRow) {
1045         $encRow['encounter'];
1046         $vset = sqlStatement("select * from valueset where code = ? and nqf_code = ?", array($encRow['procedure_code'],$xml->nqf_code));
1047         foreach ($vset as $v) {
1048             //Entry open
1049             $xml->open_entry();
1050
1051             //Encounter Open
1052             $xml->open_customTag('encounter', array('classCode'=>'ENC', 'moodCode'=>'EVN'));
1053
1054             $tempID = "2.16.840.1.113883.10.20.22.4.49";
1055             $xml->self_templateid($tempID);
1056
1057             $tempID = "2.16.840.1.113883.10.20.24.3.23";
1058             $xml->self_templateid($tempID);
1059
1060             $refID = getUuid();
1061             $xml->self_customId($refID);
1062             $encCheckUniqId[$encRow['encounter']] = $refID;
1063
1064
1065             $arr = array('code'=>$v['code'], 'codeSystem'=>$v['code_system'],'sdtc:valueSet' => $v['valueset']);
1066             $xml->self_codeCustom($arr);
1067
1068             $arr = array('code'=>'completed');
1069             $xml->self_customTag('statusCode', $arr);
1070
1071             $timeArr = array('low'=>date('Ymdhis', strtotime($encRow['date'])), 'high'=>date('Ymdhis', strtotime($encRow['date'])));
1072             $xml->add_entryEffectTime($timeArr);
1073
1074             //Encounter Close
1075             $xml->close_customTag();
1076
1077             //Entry close
1078             $xml->close_entry();
1079         }
1080     }
1081 }
1082
1083     //Patient Data Sub Function for Payer Data
1084 function payerQRDA($xml, $patient_id)
1085 {
1086     global $mainQrdaPayerCodeSendArr, $from_date, $to_date;
1087
1088     //Insurance getting
1089     $payer = payerPatient($patient_id);
1090
1091     //Entry open
1092     $xml->open_entry();
1093
1094     //observation Open
1095     $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1096
1097     $tempID = "2.16.840.1.113883.10.20.24.3.55";
1098     $xml->self_templateid($tempID);
1099
1100     $actId = getUuid();
1101     $xml->self_customId($actId);
1102
1103     $arr = array('code'=>'48768-6', 'displayName'=>'Payment source', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
1104     $xml->self_codeCustom($arr);
1105
1106     $arr = array('code'=>'completed');
1107     $xml->self_customTag('statusCode', $arr);
1108
1109     $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
1110     $xml->add_entryEffectTime($timeArr);
1111
1112     $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=>$mainQrdaPayerCodeSendArr[$payer], 'codeSystem'=>'2.16.840.1.113883.3.221.5' , 'codeSystemName'=>'Source of Payment Typology', 'displayName'=>$payer));
1113
1114     //observation Close
1115     $xml->close_customTag();
1116
1117     //Entry close
1118     $xml->close_entry();
1119 }
1120
1121     //Reporting Parameters function
1122 function getReportingParam($xml)
1123 {
1124     global $from_date, $to_date;
1125
1126     $xml->open_loopComponent();
1127     $xml->open_section();
1128
1129     $tempID = '2.16.840.1.113883.10.20.17.2.1';
1130     $xml->self_templateid($tempID);
1131
1132     $arr = array('code'=>'55187-9', 'codeSystem'=>'2.16.840.1.113883.6.1');
1133     $xml->self_codeCustom($arr);
1134
1135     $title = "Reporting Parameters";
1136     $xml->add_title($title);
1137
1138     //Main Reporting Parameters display
1139     $xml->open_text();
1140     $xml->open_list();
1141     $item_title = "Reporting period: ".date('d M Y', strtotime($from_date))." - ".date('d M Y', strtotime($to_date));
1142     $xml->add_item($item_title);
1143     $xml->close_list();
1144     $xml->close_text();
1145
1146     $typeCode = 'DRIV';
1147     $xml->open_entry($typeCode);
1148     $arr = array('classCode'=>'ACT', 'moodCode'=>'EVN');
1149     $xml->open_act($arr);
1150
1151     $tempID = '2.16.840.1.113883.10.20.17.3.8';
1152     $xml->self_templateid($tempID);
1153
1154     $arr = array('extension'=>getUuid());
1155     $xml->self_customTag('id', $arr);
1156
1157     $arr = array('code'=>'252116004', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName'=>'Observation Parameters');
1158     $xml->self_codeCustom($arr);
1159
1160     $timeArr = array('low'=>date('Ymdhis', strtotime($from_date)), 'high'=>date('Ymdhis', strtotime($to_date)));
1161     $xml->add_entryEffectTime($timeArr);
1162
1163     $xml->close_act();
1164     $xml->close_entry();
1165
1166     $xml->close_section();
1167     $xml->close_loopComponent();
1168 }
1169
1170     //Measure Section
1171 function getMeasureSection($xml, $rule_id)
1172 {
1173     global $preDefinedUniqIDRules;
1174
1175     $xml->open_loopComponent();
1176     $xml->open_section();
1177
1178     $tempID = '2.16.840.1.113883.10.20.24.2.2';
1179     $xml->self_templateid($tempID);
1180
1181     $tempID = '2.16.840.1.113883.10.20.24.2.3';
1182     $xml->self_templateid($tempID);
1183
1184     $arr = array('code'=>'55186-1', 'codeSystem'=>'2.16.840.1.113883.6.1');
1185     $xml->self_codeCustom($arr);
1186
1187     $title = "Measure Section";
1188     $xml->add_title($title);
1189
1190     //Main Measure display
1191     $xml->open_text();
1192
1193     //Table Start
1194     $xml->open_customTag('table', $tabArr);
1195     //THEAD Start
1196     $xml->open_customTag('thead');
1197     //TR Start
1198     $xml->open_customTag('tr');
1199
1200     $xml->add_trElementsTitles();
1201
1202     //TR close
1203     $xml->close_customTag();
1204
1205     //THEAD close
1206     $xml->close_customTag();
1207     //TBOBY START
1208     $xml->open_customTag('tbody');
1209     $xml->open_customTag('tr');
1210
1211     if (!empty($rule_id)) {
1212         $tdTitle = "NQF:". $rule_id;
1213     }
1214
1215     $tdVersionNeutral = getUuid();
1216     $tdVersionSpecific = $preDefinedUniqIDRules[$rule_id];
1217     $uniqIdArr[] = $tdVersionSpecific;
1218
1219     $dataArr = array(0=>$tdTitle, 1=>$tdVersionNeutral, 2=>$tdVersionSpecific);
1220     $xml->add_trElementsValues($dataArr);
1221
1222     //TR close
1223     $xml->close_customTag();
1224     //TBODY close
1225     $xml->close_customTag();
1226     //Table Close
1227     $xml->close_customTag();
1228
1229     $xml->close_text();
1230
1231     //Entry open
1232     $xml->open_entry();
1233
1234     //Organizer Start
1235     $arr = array('classCode'=>'CLUSTER', 'moodCode'=>'EVN');
1236     $xml->open_customTag('organizer', $arr);
1237
1238     $tempID = "2.16.840.1.113883.10.20.24.3.98";
1239     $xml->self_templateid($tempID);
1240
1241     $tempID = "2.16.840.1.113883.10.20.24.3.97";
1242     $xml->self_templateid($tempID);
1243
1244     $arr = array('extension'=>$uniqIdArr[0]);
1245     $xml->self_customTag('id', $arr);
1246
1247     $arr = array('code'=>'completed');
1248     $xml->self_customTag('statusCode', $arr);
1249
1250     //reference Start
1251     $arr = array('typeCode'=>'REFR');
1252     $xml->open_customTag('reference', $arr);
1253
1254     //externalDocument Start
1255     $arr = array('classCode'=>'DOC', 'moodCode'=>'EVN');
1256     $xml->open_customTag('externalDocument', $arr);
1257
1258     $exDocID = $uniqIdArr[0];
1259     $xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' =>$exDocID));
1260
1261     $xml->element('text', "NQF# ".$rule_id);
1262
1263     $setidVal =getUuid();
1264     $xml->self_setid($setidVal);
1265
1266     $arr = array('value'=>'3');
1267     $xml->self_customTag('versionNumber', $arr);
1268
1269     //externalDocument Close
1270     $xml->close_customTag();
1271
1272     //reference Close
1273     $xml->close_customTag();
1274
1275     //Organizer Close
1276     $xml->close_customTag();
1277
1278     //Entry Close
1279     $xml->close_entry();
1280
1281     $xml->close_section();
1282     $xml->close_loopComponent();
1283 }
1284
1285     //Download QRDA Category I
1286 function downloadQRDACat1($xml, $patient_id, $rule_id)
1287 {
1288     //Patient Info
1289     if ($patient_id != "") {
1290         $patientRow = getPatData($patient_id);
1291         $patFname = $patientRow['fname'];
1292         $patLname = $patientRow['lname'];
1293     }
1294
1295     //QRDA File Download Folder in site/cqm_qrda folder
1296     $qrda_fname = $patFname."_".$patLname."_NQF_".$rule_id.".xml";
1297     global $qrda_file_path;
1298     if (!file_exists($qrda_file_path)) {
1299         mkdir($qrda_file_path, 0777, true);
1300     }
1301
1302     $qrda_file_name = $qrda_file_path.$qrda_fname;
1303     $fileQRDAOPen = fopen($qrda_file_name, "w");
1304     fwrite($fileQRDAOPen, trim($xml->getXml()));
1305     fclose($fileQRDAOPen);
1306     return $qrda_fname;
1307 }
1308
1309     //Patient History Info
1310 function patCharactersticQRDA($xml, $patient_id)
1311 {
1312
1313     //Patient History
1314     $patHist = patientQRDAHistory($patient_id);
1315
1316     $tobaccoArr = explode('|', $patHist['tobacco']);
1317
1318     $query = sqlQuery("select codes from list_options where list_id ='smoking_status' and option_id = ?", array($tobaccoArr[3]));
1319     $tobacco = explode(':', $query['codes']);
1320     $tobacco_code = $tobacco[1];
1321     $vset = sqlQuery("select * from valueset where code = ? and nqf_code = ?", array($tobacco_code,$xml->nqf_code));
1322     if (!empty($vset['valueset'])) {
1323         //Entry open
1324         $xml->open_entry();
1325
1326         //observation Open
1327         $xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
1328
1329         $tempID = "2.16.840.1.113883.10.20.22.4.85";
1330         $xml->self_templateid($tempID);
1331
1332         $actId = getUuid();
1333         $xml->self_customId($actId);
1334
1335         $arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
1336         $xml->self_codeCustom($arr);
1337
1338         $arr = array('code'=>'completed');
1339         $xml->self_customTag('statusCode', $arr);
1340
1341         $timeArr = array('low'=>date('Ymdhis', strtotime($patHist['date'])), 'high'=>date('Ymdhis', strtotime($patHist['date'])));
1342         $xml->add_entryEffectTime($timeArr);
1343
1344         $xml->self_customTag('value', array('xsi:type'=>'CD', 'code'=> $vset['code'], 'codeSystem'=>$vset['code_system'],'sdtc:valueSet' => $vset['valueset']));
1345
1346         //observation Close
1347         $xml->close_customTag();
1348
1349         //Entry close
1350         $xml->close_entry();
1351     }
1352 }