public static function handlereFaxAct(Audit $audit, array $sourceData)
{
if ($audit->objectClass != 'ESignature') {
return false;
}
$eSignature = new ESignature();
$eSignature->eSignatureId = $audit->objectId;
$eSignature->populate();
if ($eSignature->objectClass != 'Medication') {
return false;
}
$medication = new Medication();
$medication->medicationId = $eSignature->objectId;
$medication->populate();
$audit = $sourceData['_audit'];
$messaging = new Messaging(Messaging::TYPE_OUTBOUND_FAX);
$messaging->messagingId = (int) $sourceData['transmissionId'];
$messaging->transmissionId = $messaging->messagingId;
$messaging->populate();
$messaging->objectId = $messaging->messagingId;
$messaging->objectClass = $audit->objectClass;
$messaging->status = 'Faxed';
$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();
$efax = new eFaxOutbound();
$url = Zend_Registry::get('config')->healthcloud->eFax->outboundUrl;
$url .= '?apiKey=' . Zend_Registry::get('config')->healthcloud->apiKey;
$efax->setUrl($url);
$efax->setTransmissionId($sourceData['transmissionId']);
$efax->setNoDuplicate(eFaxOutbound::NO_DUPLICATE_ENABLE);
$efax->setDispositionMethod('POST');
// use the default disposition URL
$dispositionUrl = Zend_Registry::get('config')->healthcloud->eFax->dispositionUrl;
$efax->setDispositionUrl($dispositionUrl);
//$efax->setDispositionMethod('EMAIL');
//$efax->addDispositionEmail('Arthur Layese','*****@*****.**');
foreach ($sourceData['recipients'] as $recipient) {
if ($messaging->resend && strlen($messaging->faxNumber) > 9) {
// supersedes fax number from messaging
$recipient['fax'] = $messaging->faxNumber;
}
$efax->addRecipient($recipient['fax'], $recipient['name'], $recipient['company']);
}
foreach ($sourceData['files'] as $file) {
$efax->addFile($file['contents'], $file['type']);
}
$ret = $efax->send();
if (!$ret) {
$messaging->status = 'Fax Error';
$messaging->note = implode(PHP_EOL, $efax->getErrors());
} else {
$messaging->docid = $efax->getDocId();
$messaging->status = 'Fax Sent';
$messaging->note = '';
}
if ($messaging->resend) {
$messaging->resend = 0;
}
$messaging->retries++;
$messaging->dateStatus = date('Y-m-d H:i:s');
$messaging->persist();
return true;
}
function editSignItemsAction()
{
$eSigIds = Zend_Json::decode($this->_getParam('electronicSignatureIds'));
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
if (strlen($eSigIds) <= 0) {
$msg = __('No selected items to sign.');
WebVista::log($msg);
$this->getResponse()->setHttpResponseCode(500);
$json->direct(array('error' => $msg));
return;
}
$eSigIds = explode(',', $eSigIds);
$signature = $this->_getParam('signature');
foreach ($eSigIds as $eSigId) {
if (strlen($eSigId) <= 0) {
continue;
}
$esig = new ESignature();
$esig->eSignatureId = (int) $eSigId;
$esig->populate();
$objectClass = $esig->objectClass;
if ($objectClass == 'Medication') {
// check for possible eprescribed
$medication = new Medication();
$medication->medicationId = (int) $esig->objectId;
$medication->populate();
if ($medication->transmit == 'ePrescribe') {
$result = $this->_checkCurrentLocation($medication);
if ($result !== false) {
$this->getResponse()->setHttpResponseCode(500);
$json->direct(array('error' => $result));
return;
}
}
}
$signedDate = date('Y-m-d H:i:s');
$esig->signedDateTime = $signedDate;
$obj = new $esig->objectClass();
$obj->documentId = $esig->objectId;
$obj->eSignatureId = $esig->eSignatureId;
try {
$esig->sign($obj, $signature);
} catch (Exception $e) {
$this->getResponse()->setHttpResponseCode(500);
$json->direct(array('error' => $e->getMessage()));
return;
}
$esig->persist();
$obj->populate();
$obj->eSignatureId = $esig->eSignatureId;
$obj->persist();
}
}
public static function buildJSJumpLink($objectId, $signingUserId, $objectClass)
{
$objectClass = 'Medications';
// temporarily hard code objectClass based on MainController::getMainTabs() definitions
$medication = new Medication();
$medication->medicationId = $objectId;
$medication->populate();
$patientId = $medication->personId;
$js = parent::buildJSJumpLink($objectId, $patientId, $objectClass);
$js .= <<<EOL
mainTabbar.setOnTabContentLoaded(function(tabId){
\tloadMedication(objectId);
\topenNewMedicationWindow(objectId);
});
EOL;
return $js;
}
public static function sendResponse($data, Messaging $messaging)
{
$messageInfo = '';
if (strlen($data['message']) > 0) {
$xmlMessage = new SimpleXMLElement($data['message']);
$lastName = (string) $xmlMessage->Body->RefillRequest->Patient->Name->LastName;
$firstName = (string) $xmlMessage->Body->RefillRequest->Patient->Name->FirstName;
$messageInfo = $lastName . ', ' . $firstName;
$description = (string) $xmlMessage->Body->RefillRequest->MedicationPrescribed->DrugDescription;
$datePrescribed = date('m/d/Y', strtotime((string) $xmlMessage->Body->RefillRequest->MedicationPrescribed->WrittenDate));
$messageInfo .= ' - ' . $description . ' #' . $datePrescribed;
}
$tmpMessaging = $messaging;
$messaging = new Messaging();
// $messaging->messagingId = $messageId;
// $messaging->populate();
$messaging->messageType = 'RefillResponse';
$messaging->objectId = $tmpMessaging->messagingId;
$messaging->objectClass = 'MedicationRefillResponse';
$messaging->status = 'Sending';
$messaging->note = 'Sending refill response (' . $messageInfo . ')';
$messaging->dateStatus = date('Y-m-d H:i:s');
$messaging->auditId = $tmpMessaging->auditId;
$messaging->persist();
if (isset($data['medicationId'])) {
$medicationId = $data['medicationId'];
unset($data['medicationId']);
$medication = new Medication();
$medication->medicationId = $medicationId;
if ($medication->populate()) {
$medData = array();
$medData['description'] = $medication->description;
$medData['strength'] = $medication->strength;
$medData['strengthUnits'] = '00';
//$medication->unit;
$medData['quantity'] = $medication->quantity;
$medData['quantityUnits'] = '00';
$medData['directions'] = $medication->directions;
$qualifier = 'R';
if ($medication->prn) {
$qualifier = 'PRN';
}
$medData['refills'] = $medication->refills;
$medData['refillsUnits'] = $qualifier;
$medData['substitutions'] = $medication->substitution;
$medData['writtenDate'] = date('Ymd', strtotime($medication->datePrescribed));
$data['Medication'] = $medData;
}
}
$query = http_build_query($data);
$ch = curl_init();
$ePrescribeURL = Zend_Registry::get('config')->healthcloud->URL;
$ePrescribeURL .= 'ss-manager.raw/receive-response?apiKey=' . Zend_Registry::get('config')->healthcloud->apiKey;
curl_setopt($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);
$output = curl_exec($ch);
$error = '';
$rawMessage = '';
$messaging->status = 'Sent';
$messaging->note = 'Refill response pending';
$messaging->unresolved = 1;
if (!curl_errno($ch)) {
try {
$xml = new SimpleXMLElement($output);
if (isset($xml->error)) {
$errorCode = (string) $xml->error->code;
$errorMsg = (string) $xml->error->message;
if (isset($xml->error->errorCode)) {
$errorCode = (string) $xml->error->errorCode;
}
if (isset($xml->error->errorMsg)) {
$errorMsg = (string) $xml->error->errorMsg;
}
$error = $errorMsg;
trigger_error('There was an error sending refill response, Error code: ' . $errorCode . ' Error Message: ' . $errorMsg, E_USER_NOTICE);
} else {
if (isset($xml->status)) {
$messaging->note = 'Refill response awaiting confirmation';
if ((string) $xml->status->code == '010') {
// value 000 is for free standing error?
$messaging->status .= ' and Verified';
$messaging->note = 'Refill response sent and verified';
$messaging->unresolved = 0;
}
} else {
$error = 'Unrecognized HealthCloud response: ' . $output;
}
}
if (isset($xml->rawMessage)) {
$messaging->rawMessage = base64_decode((string) $xml->rawMessage);
$messaging->rawMessageResponse = base64_decode((string) $xml->rawMessageResponse);
}
} catch (Exception $e) {
$error = __('There was an error, the response couldn\'t be parsed as XML: ' . $output);
trigger_error($error, E_USER_NOTICE);
}
} else {
$error = __('There was an error connecting to HealthCloud. Please try again or contact the system administrator.');
trigger_error('Curl error connecting to healthcare: ' . curl_error($ch), E_USER_NOTICE);
}
$messaging->note .= ' (' . $messageInfo . ')';
curl_close($ch);
$ret = true;
if (strlen($error) > 0) {
$messaging->status = 'Error';
$messaging->note = $error;
$ret = $error;
}
if ($messaging->resend) {
$messaging->resend = 0;
}
$messaging->retries++;
$messaging->dateStatus = date('Y-m-d H:i:s');
$messaging->persist();
return $ret;
}
public function newRxAction()
{
$medicationId = 1077476;
$data = array();
$medication = new Medication();
$medication->medicationId = $medicationId;
$medication->populate();
$data['PrescriberOrderNumber'] = $medication->medicationId;
$medData = array();
$medData['DrugDescription'] = $medication->description;
$medData['Strength'] = $medication->strength;
$medData['StrengthUnits'] = $medication->unit;
$medData['Quantity'] = $medication->quantity;
$medData['Directions'] = $medication->directions;
$medData['Refills'] = $medication->refills;
$medData['Substitutions'] = $medication->substitution;
$medData['WrittenDate'] = date('Ymd', strtotime($medication->datePrescribed));
$data['medication'] = $medData;
$pharmacy = new Pharmacy();
$pharmacy->pharmacyId = $medication->pharmacyId;
$pharmacy->populate();
$pharmacyData = array();
$pharmacyData['NCPDPID'] = $pharmacy->NCPDPID;
$pharmacyData['StoreName'] = $pharmacy->StoreName;
$pharmacyData['AddressLine1'] = $pharmacy->AddressLine1 . ' ' . $pharmacy->AddressLine2;
$pharmacyData['City'] = $pharmacy->City;
$pharmacyData['State'] = $pharmacy->State;
$pharmacyData['ZipCode'] = $pharmacy->Zip;
$pharmacyData['PhoneNumber'] = $pharmacy->PhonePrimary;
$data['pharmacy'] = $pharmacyData;
$provider = new Provider();
$provider->personId = $medication->prescriberPersonId;
$provider->populate();
$prescriberData = array();
$prescriberData['DEANumber'] = $provider->deaNumber;
$prescriberData['SPI'] = $provider->sureScriptsSPI;
$prescriberData['ClinicName'] = '';
$prescriberData['LastName'] = $provider->person->lastName;
$prescriberData['FirstName'] = $provider->person->firstName;
$prescriberData['Suffix'] = '';
$address = new Address();
$address->personId = $provider->personId;
$address->populateWithPersonId();
$prescriberData['AddressLine1'] = $address->line1 . ' ' . $address->line2;
$prescriberData['City'] = $address->city;
$prescriberData['State'] = 'AZ';
//$address->state;
$prescriberData['ZipCode'] = $address->zipCode;
$phoneNumber = new PhoneNumber();
$phoneNumber->personId = $provider->personId;
$phoneNumber->populateWithPersonId();
$prescriberData['PhoneNumber'] = $phoneNumber->number;
$data['prescriber'] = $prescriberData;
$patient = new Patient();
$patient->personId = $medication->personId;
$patient->populate();
$patientData = array();
$patientData['LastName'] = $patient->person->lastName;
$patientData['FirstName'] = $patient->person->firstName;
$patientData['Gender'] = $patient->person->gender;
$patientData['DateOfBirth'] = date('Ymd', strtotime($patient->person->dateOfBirth));
$address = new Address();
$address->personId = $patient->personId;
$address->populateWithPersonId();
$patientData['AddressLine1'] = $address->line1 . ' ' . $address->line2;
$patientData['City'] = $address->city;
$patientData['State'] = 'AZ';
//$address->state;
$patientData['ZipCode'] = $address->zipCode;
$phoneNumber = new PhoneNumber();
$phoneNumber->personId = $patient->personId;
$phoneNumber->populateWithPersonId();
$patientData['PhoneNumber'] = $phoneNumber->number;
$data['patient'] = $patientData;
$postFields = array();
foreach ($data as $type => $row) {
if (is_array($row)) {
foreach ($row as $field => $value) {
$key = $type . '[' . $field . ']';
$postFields[$key] = $value;
}
} else {
$postFields[$type] = $row;
}
}
$ch = curl_init();
$ePrescribeURL = Zend_Registry::get('config')->healthcloud->URL;
$ePrescribeURL .= 'ss-manager.raw/new-rx?apiKey=' . Zend_Registry::get('config')->healthcloud->apiKey;
curl_setopt($ch, CURLOPT_URL, $ePrescribeURL);
curl_setopt($ch, CURLOPT_POST, true);
curl_setopt($ch, CURLOPT_POSTFIELDS, $postFields);
curl_setopt($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);
trigger_error('OUTPUT: ' . $output, E_USER_NOTICE);
$error = "";
if (!curl_errno($ch)) {
try {
$responseXml = simplexml_load_string($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);
}
} 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 prescribeing 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);
}
curl_close($ch);
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
if (strlen($error) > 0) {
$this->getResponse()->setHttpResponseCode(500);
$json->direct(array('error' => $error));
return;
}
$json->direct(true);
}
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;
}
