public function ajaxListInteractionsAction()
{
$severeNotify = PermissionTemplate::hasPermission('medication-alerts', 'severe-notification') ? true : false;
$criticalNotify = PermissionTemplate::hasPermission('medication-alerts', 'critical-notification') ? true : false;
$allergyNotify = PermissionTemplate::hasPermission('medication-alerts', 'allergy-notification') ? true : false;
$personId = (int) $this->_getParam('personId');
$md5 = preg_replace('/[^A-Za-z0-9]/', '', $this->_getParam('md5'));
$vaclass = preg_replace('/[^A-Za-z0-9]/', '', $this->_getParam('vaclass'));
// regular allergies search
$interactionIterator = new BaseMed24InteractionIterator();
$interactionIterator->setFilters(array('personId' => $personId, 'md5' => $md5));
$regularAllergies = $interactionIterator->toJsonArray('hipaa_ndc', array('tradename', 'fda_drugname', 'notice'));
$tmpArray = $regularAllergies;
$regularAllergies = array();
foreach ($tmpArray as $key => $value) {
// notice: S, C, Y, ^
if (!$severeNotify && $value['data'][2] == 'SIGNIFICANT' || !$criticalNotify && $value['data'][2] == 'CRITICAL') {
continue;
}
$regularAllergies[] = $value;
}
$listSymptoms = array();
$enumeration = new Enumeration();
$enumeration->populateByEnumerationName(PatientAllergy::ENUM_SYMPTOM_PARENT_NAME);
$enumerationsClosure = new EnumerationsClosure();
$enumerationIterator = $enumerationsClosure->getAllDescendants($enumeration->enumerationId, 1);
$ctr = 0;
foreach ($enumerationIterator as $enum) {
$listSymptoms[$enum->key] = $enum->name;
}
$listSeverities = array();
$enumeration->populateByEnumerationName(PatientAllergy::ENUM_SEVERITY_PARENT_NAME);
$enumerationsClosure = new EnumerationsClosure();
$enumerationIterator = $enumerationsClosure->getAllDescendants($enumeration->enumerationId, 1);
$ctr = 0;
foreach ($enumerationIterator as $enum) {
$listSeverities[$enum->key] = $enum->name;
}
// drug class search
$patientAllergyIterator = new PatientAllergyIterator();
$patientAllergyIterator->setFilters(array('patientId' => $personId, 'enteredInError' => 0, 'drugAllergy' => $vaclass, 'reactionType' => 'Drug Class Allergy'));
$drugClassAllergies = array();
foreach ($patientAllergyIterator as $allergy) {
if (!$allergyNotify) {
break;
}
/*if ((!$severeNotify && $allergy->severity == 'SEVERE') ||
(!$criticalNotify && $allergy->severity == 'MOD')) continue;*/
$symptoms = explode(',', $allergy->symptoms);
$symptom = array();
foreach ($symptoms as $sym) {
$symptom[] = $listSymptoms[$sym];
}
$tmpArray = array();
$tmpArray['id'] = $allergy->patientAllergyId;
$tmpArray['data'][] = $allergy->causativeAgent;
$tmpArray['data'][] = $allergy->reactionType;
$tmpArray['data'][] = $listSeverities[$allergy->severity] . ' - ' . implode(',', $symptom);
$drugClassAllergies[] = $tmpArray;
}
// specific drug search
$patientAllergyIterator->setFilters(array('patientId' => $personId, 'enteredInError' => 0, 'drugAllergy' => $md5, 'reactionType' => 'Specific Drug Allergy'));
$specificDrugAllergies = array();
foreach ($patientAllergyIterator as $allergy) {
if (!$allergyNotify) {
break;
}
/*if ((!$severeNotify && $allergy->severity == 'SEVERE') ||
(!$criticalNotify && $allergy->severity == 'MOD')) continue;*/
$symptoms = explode(',', $allergy->symptoms);
$symptom = array();
foreach ($symptoms as $sym) {
$symptom[] = $listSymptoms[$sym];
}
$tmpArray = array();
$tmpArray['id'] = $allergy->patientAllergyId;
$tmpArray['data'][] = $allergy->causativeAgent;
$tmpArray['data'][] = $allergy->reactionType;
$tmpArray['data'][] = $listSeverities[$allergy->severity] . ' - ' . implode(',', $symptom);
$specificDrugAllergies[] = $tmpArray;
}
$interactions = array_merge_recursive($regularAllergies, $drugClassAllergies, $specificDrugAllergies);
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct(array('rows' => $interactions));
}
protected static function _checkMedication(HealthStatusHandler $handler, $patientId, $audit)
{
$ret = false;
if ($audit->objectClass != 'Medication') {
return $ret;
}
$db = Zend_Registry::get('dbAdapter');
$medication = new Medication();
$medication->medicationId = (int) $audit->objectId;
$medication->populate();
$s = $medication->description;
if (preg_match('/avandia/i', $s)) {
$message = 'Patient may be suitable for referral to Diabetes Counseling';
} else {
if (preg_match('/hydrochlorothiazide/i', $s)) {
$message = 'Patient may be suitable for treatment of hypertension with a diuretic such as Hydrochlorothiazide';
} else {
if (preg_match('/lipitor/i', $s)) {
$message = 'Patient may benefit from hypercholesteremia drug such as Lipitor';
$sqlSelect = $db->select()->from('chmed.basemed24', array('md5', 'vaclass'))->where('pkey = ?', $medication->pkey);
$hasAllergy = false;
if ($row = $db->fetchRow($sqlSelect)) {
$personId = (int) $patientId;
$md5 = $row['md5'];
$vaclass = $row['vaclass'];
// check for allergy interactions
do {
// regular allergies search
$interactionIterator = new BaseMed24InteractionIterator();
$interactionIterator->setFilters(array('personId' => $personId, 'md5' => $md5));
$regularAllergies = $interactionIterator->toJsonArray('hipaa_ndc', array('tradename', 'fda_drugname', 'notice'));
$tmpArray = $regularAllergies;
$regularAllergies = array();
foreach ($tmpArray as $key => $value) {
$hasAllergy = true;
break 2;
}
// drug class search
$patientAllergyIterator = new PatientAllergyIterator();
$patientAllergyIterator->setFilters(array('patientId' => $personId, 'enteredInError' => 0, 'drugAllergy' => $vaclass, 'reactionType' => 'Drug Class Allergy'));
$drugClassAllergies = array();
foreach ($patientAllergyIterator as $allergy) {
$hasAllergy = true;
break 2;
}
// specific drug search
$patientAllergyIterator->setFilters(array('patientId' => $personId, 'enteredInError' => 0, 'drugAllergy' => $md5, 'reactionType' => 'Specific Drug Allergy'));
$specificDrugAllergies = array();
foreach ($patientAllergyIterator as $allergy) {
$hasAllergy = true;
break 2;
}
} while (false);
}
if ($hasAllergy) {
$message .= '. NOTE: Consult patients allergies: Lipitor/Atorvastatin';
}
} else {
return $ret;
}
}
}
self::createHSA($handler, $patientId, $message);
return true;
}
