public function processPrintedRxAction()
{
// transmit
// dateTransmitted
$medicationIds = explode(',', $this->_getParam('medicationId', ''));
foreach ($medicationIds as $medicationId) {
$medicationId = (int) $medicationId;
if (!$medicationId > 0) {
continue;
}
$medication = new Medication();
$medication->medicationId = $medicationId;
$medication->populate();
$medication->transmit = 'Print';
$date = date('Y-m-d H:i:s');
$medication->dateTransmitted = $date;
$medication->dateBegan = $date;
$medication->persist();
}
$rows = array();
$rows['msg'] = __('Saved successfully.');
$data = array();
$data['rows'] = $rows;
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct($data);
}
public static function handlerSSAct(Audit $audit, array $sourceData)
{
if (!isset($sourceData['_audit']) || $audit->objectClass != 'ESignature') {
WebVista::log('unable to send: _audit index does not exists or audit objectClass not ESignature ');
return false;
}
$eSignature = new ESignature();
$eSignature->eSignatureId = $audit->objectId;
$eSignature->populate();
if ($eSignature->objectClass != 'Medication' || !strlen($eSignature->signature) > 0) {
WebVista::log('unable to send: signature is not signed or objectClass not Medication');
return false;
}
$medication = new Medication();
$medication->medicationId = (int) $eSignature->objectId;
$medication->populate();
$medication->dateTransmitted = date('Y-m-d H:i:s');
$medication->persist();
$patientInfo = $sourceData['Patient']['lastName'] . ', ' . $sourceData['Patient']['firstName'] . ' ' . $sourceData['Patient']['middleName'] . ' MRN#' . $sourceData['Patient']['fileId'];
$patientInfo .= ' - ' . $sourceData['Medication']['description'] . ' #' . date('m/d/Y', strtotime($sourceData['Medication']['writtenDate']));
WebVista::log('patient info: ' . $patientInfo);
$audit = $sourceData['_audit'];
unset($sourceData['_audit']);
$messaging = new Messaging();
$messaging->messagingId = $sourceData['messageId'];
$messaging->messageType = 'NewRx';
$messaging->populate();
$messaging->objectId = (int) $eSignature->objectId;
$messaging->objectClass = $audit->objectClass;
$messaging->status = 'Sending';
$messaging->note = 'Sending newRx (' . $patientInfo . ')';
$messaging->dateStatus = date('Y-m-d H:i:s');
$messaging->auditId = $audit->auditId;
// this must be required for retransmission in case of error
$messaging->persist();
if ($messaging->resend && $messaging->pharmacyId > 0) {
// supersedes pharmacy from messaging
$pharmacy = new Pharmacy();
$pharmacy->pharmacyId = $messaging->pharmacyId;
$pharmacy->populate();
$pharmacyData = array();
$pharmacyData['NCPDPID'] = $pharmacy->NCPDPID;
$pharmacyData['StoreName'] = $pharmacy->StoreName;
$pharmacyData['addressLine1'] = $pharmacy->AddressLine1;
$pharmacyData['addressLine2'] = $pharmacy->AddressLine2;
$pharmacyData['city'] = $pharmacy->City;
$pharmacyData['state'] = $pharmacy->State;
$pharmacyData['zip'] = $pharmacy->Zip;
$pharmacyData['phone'] = $pharmacy->PhonePrimary;
$pharmacyData['fax'] = '';
$sourceData['Pharmacy'] = $pharmacyData;
}
$query = http_build_query(array('data' => $sourceData));
$ch = curl_init();
$ePrescribeURL = Zend_Registry::get('config')->healthcloud->URL;
$ePrescribeURL .= 'ss-manager.raw/new-rx?apiKey=' . Zend_Registry::get('config')->healthcloud->apiKey;
WebVista::log('SS URL: ' . $ePrescribeURL);
WebVista::log('URL Query: ' . $query);
curl_setopt($ch, CURLOPT_URL, $ePrescribeURL);
curl_setopt($ch, CURLOPT_POST, true);
curl_setopt($ch, CURLOPT_POSTFIELDS, $query);
curl_setopt($ch, CURLOPT_SSL_VERIFYPEER, false);
curl_setopt($ch, CURLOPT_SSL_VERIFYHOST, false);
curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
curl_setopt($ch, CURLOPT_SSL_VERIFYPEER, false);
curl_setopt($ch, CURLOPT_USERPWD, 'admin:ch3!');
$output = curl_exec($ch);
$error = '';
$messaging->status = 'Sent';
$messaging->note = 'newRx pending';
$messaging->unresolved = 1;
WebVista::log('RESPONSE: ' . $output);
if (!curl_errno($ch)) {
try {
$responseXml = new SimpleXMLElement($output);
if (isset($responseXml->error)) {
$errorCode = (string) $responseXml->error->code;
$errorMsg = (string) $responseXml->error->message;
if (isset($responseXml->error->errorCode)) {
$errorCode = (string) $responseXml->error->errorCode;
}
if (isset($responseXml->error->errorMsg)) {
$errorMsg = (string) $responseXml->error->errorMsg;
}
$error = $errorMsg;
trigger_error('There was an error prescribing new medication, Error code: ' . $errorCode . ' Error Message: ' . $errorMsg, E_USER_NOTICE);
} else {
if (isset($responseXml->status)) {
$messaging->note = 'newRx awaiting confirmation';
if ((string) $responseXml->status->code == '010') {
// value 000 is for free standing error?
$messaging->status .= ' and Verified';
$messaging->note = 'newRx sent and verified';
$messaging->unresolved = 0;
}
} else {
$error = 'Unrecognized HealthCloud response: ' . $output;
}
}
if (isset($responseXml->rawMessage)) {
$messaging->rawMessage = base64_decode((string) $responseXml->rawMessage);
$messaging->rawMessageResponse = base64_decode((string) $responseXml->rawMessageResponse);
}
} catch (Exception $e) {
$error = __("There was an error connecting to HealthCloud to prescribe new medication. Please try again or contact the system administrator.");
trigger_error("There was an error prescribing new medication, the response couldn't be parsed as XML: " . $output, E_USER_NOTICE);
}
} else {
$error = __("There was an error connecting to HealthCloud to prescribe new medication. Please try again or contact the system administrator.");
trigger_error("Curl error connecting to healthcare prescribed new medication: " . curl_error($ch), E_USER_NOTICE);
}
$messaging->note .= ' (' . $patientInfo . ')';
curl_close($ch);
$ret = true;
if (strlen($error) > 0) {
$messaging->status = 'Error';
$patientInfo = $sourceData['Patient']['lastName'] . ', ' . $sourceData['Patient']['firstName'] . ' ' . $sourceData['Patient']['middleName'] . ' MRN#' . $sourceData['Patient']['fileId'];
$providerInfo = $sourceData['Prescriber']['lastName'] . ', ' . $sourceData['Prescriber']['firstName'] . ' ' . $sourceData['Prescriber']['middleName'];
$medicationInfo = $sourceData['Medication']['description'] . ' #' . date('m/d/Y', strtotime($sourceData['Medication']['writtenDate']));
$messaging->note = $error . ' Patient: ' . $patientInfo . ' Provider: ' . $providerInfo . ' Medication: ' . $medicationInfo;
$ret = false;
}
if ($messaging->resend) {
$messaging->resend = 0;
}
$messaging->retries++;
$messaging->dateStatus = date('Y-m-d H:i:s');
$messaging->persist();
return $ret;
}
public static function generateTestTetanus()
{
$objects = array();
$person = new Person();
$person->last_name = 'ClearHealth';
$person->first_name = 'Test';
$person->middle_name = 'I';
$person->active = 1;
$person->persist();
$objects['person'] = $person;
$patient = new Patient();
$patient->person->_cascadePersist = false;
// to avoid persist() calls on person
$patient->person_id = $person->person_id;
$patient->recordNumber = 1000;
$patient->persist();
$objects['patient'] = $patient;
$medication = new Medication();
$medication->_shouldAudit = false;
// do not audit
$medication->hipaaNDC = 'hipaaNDC';
$medication->personId = $patient->person_id;
$medication->persist();
$objects['medication'] = $medication;
$audit = new Audit();
$audit->_ormPersist = true;
$audit->objectClass = get_class($medication);
$audit->objectId = $medication->medicationId;
$audit->dateTime = date('Y-m-d H:i:s');
$audit->type = WebVista_Model_ORM::REPLACE;
$audit->userId = (int) Zend_Auth::getInstance()->getIdentity()->personId;
$audit->persist();
$objects['audit'] = $audit;
$handler = new HealthStatusHandler();
$handler->name = 'Tetanus Shots Handler ' . NSDR::create_guid();
$handler->active = 1;
$handler->timeframe = '+1 month';
//$handler->condition = $audit->auditId;
$handlerName = Handler::normalizeHandlerName($handler->name);
$handler->handlerObject = <<<EOL
class {$handlerName}HealthStatusHandlerObject extends HealthStatusHandlerObjectAbstract {
\t//abstract requires at least this method
\tpublic static function matchAudit(HealthStatusHandler \$handler,Audit \$auditOrm) {
\t\t// check if the patientId of the item referenced by the audit is subscribed to the handler, if not return false (no match)
\t\t\$objectClass = \$auditOrm->objectClass;
\t\t\$obj = new \$objectClass();
\t\tforeach (\$obj->_primaryKeys as \$key) {
\t\t\t\$obj->\$key = \$auditOrm->objectId;
\t\t}
\t\t\$obj->populate();
\t\t\$patientId = \$obj->personId;
\t\tif (!HealthStatusHandlerPatient::isPatientSubscribed(\$handler->healthStatusHandlerId,\$patientId)) {
\t\t\treturn false;
\t\t}
\t\tif (\$auditOrm->objectClass == '{$audit->objectClass}' && \$auditOrm->type == '{$audit->type}') {
\t\t\treturn true;
\t\t}
\t\treturn false;
\t}
\tpublic static function fulfill(HealthStatusHandler \$handler,\$patientId) {
\t\t// fulfill sees if current patient has any open alerts linked to this handler
\t\t\$alert = new HealthStatusAlert();
\t\t\$alert->populateByHandlerPatientId(\$handler->healthStatusHandlerId,\$patientId);
\t\t// if there are open alerts then calls patientMatch again
\t\tif (strlen(\$alert->status) > 0) {
\t\t\t// if patientMatch returns FALSE then marks alerts as fulfilled if patientMatch return non-false alerts stay as is
\t\t\t// sees if any alerts exist for the patient that are for this handler and marks then as fulfilled if the same condition in patientMatch is reversed
\t\t\tif (self::patientMatch(\$handler,\$patientId) === false) {
\t\t\t\t\$alert->status = 'fulfilled';
\t\t\t\t\$alert->persist();
\t\t\t}
\t\t}
\t}
\tpublic static function patientMatch(HealthStatusHandler \$handler,\$patientId) {
\t\t// check if the patient does not have any record of a tetanus immunization (preferably by using NSDR)
\t\t// if it has, add the timeframe to the date of that immunization and check if that date is greater than today, if so then return true
\t\t// \$immunization = NSDR::populate(\$patientId.'::com.clearhealth.immunization');
\t\t// temporarily superseded NSDR
\t\t\$alert = new HealthStatusAlert();
\t\t\$alert->populateByHandlerPatientId(\$handler->healthStatusHandlerId,\$patientId);
\t\tif (!strlen(\$alert->status) > 0) {
\t\t\t// no existing alert, return true
\t\t\treturn true;
\t\t}
\t\t// would test to see if the date of a given patients last tetanus shot plus the timeframe is less than today
\t\t// if (strtotime(\$handler->timeframe,strtotime(\$alert->dateTime)) < strtotime(date('m/d/Y h:i A',strtotime('+1 month')))) {
\t\tif (\$alert->status == 'active') {
\t\t\tif (strtotime(\$alert->dateDue) < strtotime(date('m/d/Y h:i A',strtotime('+5 weeks')))) {
\t\t\t\t//self::fulfill(\$handler,\$patientId);
\t\t\t\treturn false;
\t\t\t}
\t\t\t// patientMatch checks if patient 1234 has NOT had a tetanus when date of last tetanus + timeframe < today and generates an alert
\t\t\treturn true;
\t\t}
\t\t/* \$alert->lastOccurence
\t\tif (\$alert->status == 'active' || \$alert->status == 'fulfilled' || \$alert->status == 'ignored') {
\t\t\t// would not match if patient already has an active, fulfilled or ignored alert
\t\t\treturn false;
\t\t}
\t\t*/
\t\treturn true;
\t}
}
EOL;
$handler->datasource = $handler->generateDefaultDatasource();
$handler->template = $handler->generateDefaultTemplate();
$handler->persist();
$objects['healthStatusHandler'] = $handler;
// subscribe patient to handler
$handlerPatient = new HealthStatusHandlerPatient();
$handlerPatient->healthStatusHandlerId = $handler->healthStatusHandlerId;
$handlerPatient->personId = $patient->personId;
$handlerPatient->persist();
$objects['healthStatusHandlerPatient'] = $handler;
return $objects;
}
