public function indexAction()
{
$personId = (int) $this->_getParam('personId');
$visitId = (int) $this->_getParam('visitId');
$identity = Zend_Auth::getInstance()->getIdentity();
$this->view->providerId = (int) $identity->personId;
$this->view->personId = $personId;
$insuredRelationship = new InsuredRelationship();
$insuredRelationship->personId = $personId;
$insurancePrograms = array('0' => '');
foreach ($insuredRelationship->getProgramList() as $key => $value) {
$insurancePrograms[$key] = $value;
}
$this->view->insurancePrograms = $insurancePrograms;
$visit = new Visit();
$visit->visitId = $visitId;
if (!$visit->populate()) {
$visit->visitId = 0;
$visit->dateOfTreatment = date('Y-m-d');
}
$this->view->visit = $visit;
$this->view->room = Building::getBuildingDefaultLocation($this->view->providerId, (int) $identity->default_location_id);
$facilityIterator = new FacilityIterator();
$this->view->facilityIterator = $facilityIterator;
$facilityIterator->setFilter(array('Practice'));
$this->view->practices = $facilityIterator->toArray('practiceId', 'name');
$provider = new Provider();
$providerIterator = $provider->getIter();
$this->view->providers = $providerIterator->toArray('personId', 'displayName');
$this->render();
}
public static function handlerSSSourceData(Audit $audit)
{
$data = array();
if ($audit->objectClass != 'ESignature') {
return $data;
}
$eSignature = new ESignature();
$eSignature->eSignatureId = $audit->objectId;
$eSignature->populate();
if ($eSignature->objectClass != 'Medication' || !strlen($eSignature->signature) > 0) {
WebVista::log('esignature is not signed or medication');
return $data;
}
// MEDICATION DATA
$medication = new Medication();
$medication->medicationId = (int) $eSignature->objectId;
$medication->populate();
if ($medication->transmit != 'ePrescribe' || $medication->isScheduled()) {
WebVista::log('medication is either scheduled or not an eprescribe');
return $data;
}
WebVista::log('generating source data');
$data['_audit'] = $audit;
$uuid = NSDR::create_guid();
$data['messageId'] = str_replace('-', '', $uuid);
$data['prescriberOrderNumber'] = $medication->medicationId . '_' . $audit->auditId;
$data['rxReferenceNumber'] = $medication->rxReferenceNumber;
WebVista::log('messageId:[' . $data['messageId'] . '] prescriberOrderNumber:[' . $data['prescriberOrderNumber'] . '], rxReferenceNumber:[' . $data['rxReferenceNumber'] . ']');
$medData = array();
$medData['description'] = $medication->description;
$medData['strength'] = $medication->dose;
$qualifiers = Medication::listQuantityQualifiersMapping();
$medData['strengthUnits'] = $qualifiers[$medication->quantityQualifier];
// temporarily set to the same with quantity
$medData['quantity'] = $medication->quantity;
$medData['quantityUnits'] = $qualifiers[$medication->quantityQualifier];
$medData['daysSupply'] = $medication->daysSupply;
$medData['directions'] = $medication->directions;
$qualifier = 'R';
if ($medication->prn) {
$qualifier = 'PRN';
}
$medData['refills'] = $medication->refills;
$medData['refillsUnits'] = $qualifier;
$medData['substitutions'] = $medication->substitution ? '0' : '1';
$writtenDate = date('Ymd', strtotime($medication->datePrescribed));
if ($medication->datePrescribed == '0000-00-00 00:00:00') {
$writtenDate = '';
}
$medData['writtenDate'] = $writtenDate;
$medData['productCode'] = $medication->hipaaNDC;
$medData['productQualifier'] = 'ND';
$medData['dosageForm'] = DataTables::getDosageForm($medication->chmedDose);
$medData['drugDBCode'] = $medication->pkey;
$medData['drugDBQualifier'] = '';
//'pkey'; valid options: "E|G|FG|FS|MC|MD|MG|MM"
$medData['note'] = $medication->comment;
$data['Medication'] = $medData;
WebVista::log('medication data: ' . print_r($medData, true));
// PHARMACY DATA
$pharmacy = new Pharmacy();
$pharmacy->pharmacyId = $medication->pharmacyId;
$pharmacy->populate();
$pharmacyData = array();
$pharmacyData['NCPDPID'] = $pharmacy->NCPDPID;
$pharmacyData['fileId'] = $pharmacy->pharmacyId;
$pharmacyData['NPI'] = $pharmacy->NPI;
$pharmacyData['storeName'] = $pharmacy->StoreName;
$pharmacyData['storeNumber'] = $pharmacy->StoreNumber;
$pharmacyData['email'] = $pharmacy->Email;
$pharmacyData['twentyFourHourFlag'] = $pharmacy->TwentyFourHourFlag;
$pharmacyData['crossStreet'] = $pharmacy->CrossStreet;
$pharmacyData['addressLine1'] = $pharmacy->AddressLine1;
$pharmacyData['addressLine2'] = $pharmacy->AddressLine2;
$pharmacyData['city'] = $pharmacy->City;
$pharmacyData['state'] = $pharmacy->State;
$pharmacyData['zip'] = $pharmacy->Zip;
$phones = array();
$phones[] = array('number' => $pharmacy->PhonePrimary, 'type' => 'TE');
$phones[] = array('number' => $pharmacy->Fax, 'type' => 'FX');
$phones[] = array('number' => $pharmacy->PhoneAlt1, 'type' => $pharmacy->PhoneAlt1Qualifier);
$phones[] = array('number' => $pharmacy->PhoneAlt2, 'type' => $pharmacy->PhoneAlt2Qualifier);
$phones[] = array('number' => $pharmacy->PhoneAlt3, 'type' => $pharmacy->PhoneAlt3Qualifier);
$phones[] = array('number' => $pharmacy->PhoneAlt4, 'type' => $pharmacy->PhoneAlt4Qualifier);
$phones[] = array('number' => $pharmacy->PhoneAlt5, 'type' => $pharmacy->PhoneAlt5Qualifier);
$pharmacyData['phones'] = $phones;
$data['Pharmacy'] = $pharmacyData;
WebVista::log('pharmacy data: ' . print_r($pharmacyData, true));
// PRESCRIBER DATA
$provider = new Provider();
$provider->personId = $medication->prescriberPersonId;
$provider->populate();
$prescriberData = array();
$prescriberData['DEANumber'] = $provider->deaNumber;
// it has conflicts with DEANumber
//$prescriberData['stateLicenseNumber'] = $provider->stateLicenseNumber;
$prescriberData['fileId'] = $provider->personId;
$prescriberData['clinicName'] = '';
$identifierType = $provider->identifierType;
if (strlen($identifierType) > 0) {
// $prescriberData[$identifierType] = $provider->identifier;
}
$prescriberData['lastName'] = $provider->person->lastName;
$prescriberData['firstName'] = $provider->person->firstName;
$prescriberData['middleName'] = $provider->person->middleName;
$prescriberData['suffix'] = $provider->person->suffix;
$prescriberData['prefix'] = '';
$prescriberData['email'] = $provider->person->email;
$prescriberData['specialtyCode'] = $provider->specialty;
$specialtyQualifier = '';
if (strlen($provider->specialty) > 0) {
$specialtyQualifier = 'AM';
}
$prescriberData['specialtyQualifier'] = $specialtyQualifier;
$building = Building::getBuildingDefaultLocation((int) $provider->personId);
$ePrescriber = new EPrescriber();
$ePrescriber->providerId = (int) $provider->personId;
$ePrescriber->buildingId = (int) $building->buildingId;
$ePrescriber->populateWithBuildingProvider();
$prescriberData['SPI'] = $ePrescriber->SSID;
$prescriberData['addressLine1'] = $building->line1;
$prescriberData['addressLine2'] = $building->line2;
$prescriberData['city'] = $building->city;
$prescriberData['state'] = $building->state;
$prescriberData['zip'] = $building->zipCode;
$prescriberData['phones'] = $building->phoneNumbers;
$data['Prescriber'] = $prescriberData;
WebVista::log('prescriber data: ' . print_r($prescriberData, true));
// PATIENT DATA
$patient = new Patient();
$patient->personId = $medication->personId;
$patient->populate();
$patientData = array();
$patientData['lastName'] = $patient->person->lastName;
$patientData['firstName'] = $patient->person->firstName;
$patientData['middleName'] = $patient->person->middleName;
$patientData['suffix'] = $patient->person->suffix;
$patientData['prefix'] = '';
$patientData['email'] = $patient->person->email;
$patientData['fileId'] = $patient->recordNumber;
$patientData['medicareNumber'] = '';
// TODO: to be implemented
$identifierType = $patient->identifierType;
if (strlen($identifierType) > 0) {
$patientData[$identifierType] = $patient->identifier;
}
$patientData['gender'] = $patient->person->getDisplayGender();
$dateOfBirth = date('Ymd', strtotime($patient->person->dateOfBirth));
if ($patient->person->dateOfBirth == '0000-00-00') {
$dateOfBirth = '';
}
$patientData['dateOfBirth'] = $dateOfBirth;
$address = new Address();
$address->personId = $patient->personId;
$addressIterator = $address->getIteratorByPersonId();
foreach ($addressIterator as $address) {
break;
// retrieves the top address
}
$patientData['addressLine1'] = $address->line1;
$patientData['addressLine2'] = $address->line2;
$patientData['city'] = $address->city;
$patientData['state'] = $address->state;
$patientData['zip'] = $address->zipCode;
$phoneNumber = new PhoneNumber();
$phoneNumber->personId = $patient->personId;
$patientData['phones'] = $phoneNumber->phoneNumbers;
$data['Patient'] = $patientData;
WebVista::log('patient data: ' . print_r($patientData, true));
// CHECK for attending/supervisor
$attendingId = (int) TeamMember::getAttending($patient->teamId);
$building = Building::getBuildingDefaultLocation($attendingId);
$ePrescriber = new EPrescriber();
$ePrescriber->providerId = $attendingId;
$ePrescriber->buildingId = (int) $building->buildingId;
$ePrescriber->populateWithBuildingProvider();
if ($attendingId > 0 && strlen($ePrescriber->SSID) > 0) {
// SUPERVISOR
$provider = new Provider();
$provider->personId = $attendingId;
$provider->populate();
$supervisorData = array();
$supervisorData['DEANumber'] = $provider->deaNumber;
$supervisorData['SPI'] = $ePrescriber->SSID;
// it has conflicts with DEANumber
//$supervisorData['stateLicenseNumber'] = $provider->stateLicenseNumber;
$supervisorData['fileId'] = $provider->personId;
$supervisorData['clinicName'] = '';
$identifierType = $provider->identifierType;
if (strlen($identifierType) > 0) {
// $prescriberData[$identifierType] = $provider->identifier;
}
$phoneNumber = new PhoneNumber();
$phoneNumber->personId = $provider->personId;
$supervisorData['phones'] = $phoneNumber->phoneNumbers;
$supervisorData['lastName'] = $provider->person->lastName;
$supervisorData['firstName'] = $provider->person->firstName;
$supervisorData['middleName'] = $provider->person->middleName;
$supervisorData['suffix'] = $provider->person->suffix;
$supervisorData['prefix'] = '';
$supervisorData['email'] = $provider->person->email;
$supervisorData['specialtyCode'] = $provider->specialty;
$specialtyQualifier = '';
if (strlen($provider->specialty) > 0) {
$specialtyQualifier = 'AM';
}
$supervisorData['specialtyQualifier'] = $specialtyQualifier;
$supervisorData['addressLine1'] = $building->line1;
$supervisorData['addressLine2'] = $building->line2;
$supervisorData['city'] = $building->city;
$supervisorData['state'] = $building->state;
$supervisorData['zip'] = $building->zipCode;
$supervisorData['phones'] = $building->phoneNumbers;
$data['Supervisor'] = $supervisorData;
WebVista::log('supervisor data: ' . print_r($supervisorData, true));
}
return $data;
}
public function populate($patientId, $userId, $visitId)
{
$this->_patientId = (int) $patientId;
$patient = new Patient();
$patient->personId = $this->_patientId;
$patient->populate();
$this->_title = $patient->displayName . ' Healthcare Record';
$this->patient = $patient;
$this->_userId = (int) $userId;
$user = new User();
$user->personId = $this->_userId;
$user->populate();
$this->user = $user;
$visit = new Visit();
$visit->visitId = (int) $visitId;
if ($visit->visitId > 0 && $visit->populate()) {
$this->visit = $visit;
}
$this->building = Building::getBuildingDefaultLocation($this->user->personId);
$performers = array();
$problemList = new ProblemList();
$filters = array();
$filters['personId'] = $this->_patientId;
$this->setFiltersDateRange($filters);
$problems = array();
$problemListIterator = new ProblemListIterator();
$problemListIterator->setFilters($filters);
foreach ($problemListIterator as $problem) {
$problems[] = $problem;
$providerId = (int) $problem->providerId;
if (!isset($performers[$providerId])) {
$provider = new Provider();
$provider->personId = $providerId;
$provider->populate();
$performers[$providerId] = $provider;
}
}
$this->problemLists = $problems;
unset($filters['personId']);
$filters['patientId'] = $this->_patientId;
$labResults = array();
$labTests = array();
$labOrderTests = array();
$labsIterator = new LabsIterator();
$labsIterator->setFilters($filters);
foreach ($labsIterator as $lab) {
// get the lab order
$labTestId = (int) $lab->labTestId;
if (!isset($labTests[$labTestId])) {
$labTest = new LabTest();
$labTest->labTestId = (int) $lab->labTestId;
$labTest->populate();
$labTests[$labTestId] = $labTest;
}
$labTest = $labTests[$labTestId];
$orderId = (int) $labTest->labOrderId;
if (!isset($labOrderTests[$orderId])) {
$orderLabTest = new OrderLabTest();
$orderLabTest->orderId = $orderId;
$orderLabTest->populate();
$labOrderTests[$orderId] = $orderLabTest;
}
$orderLabTest = $labOrderTests[$orderId];
$providerId = (int) $orderLabTest->order->providerId;
if (!isset($performers[$providerId])) {
$provider = new Provider();
$provider->personId = $providerId;
$provider->populate();
$performers[$providerId] = $provider;
}
if (!isset($labResults[$orderId])) {
$labResults[$orderId] = array();
$labResults[$orderId]['results'] = array();
$labResults[$orderId]['labTest'] = $labTest;
$labResults[$orderId]['orderLabTest'] = $orderLabTest;
}
$labResults[$orderId]['results'][] = $lab;
}
$this->labResults = $labResults;
$this->performers = $performers;
$this->populateHeader($this->_xml);
$this->populateBody($this->_xml);
return $this->_xml->asXML();
}
protected function _checkCurrentLocation(Medication $medication)
{
$identity = Zend_Auth::getInstance()->getIdentity();
$personId = (int) $identity->personId;
$building = Building::getBuildingDefaultLocation($personId);
$ret = false;
if ($building->buildingId > 0) {
$eprescriber = new EPrescriber();
$eprescriber->populateWithBuildingProvider((int) $building->buildingId, $personId);
$location = 'for location: ' . $building->practice->name . '->' . $building->name;
$err = $medication->summary . ' could not be signed because: ';
if (!strlen($eprescriber->SSID) > 0) {
$ret = $err . 'Medication will be ePrescribed and you do not have an SPI ' . $location;
} else {
$tmp = array();
$line1Len = strlen($building->line1);
if (!$line1Len > 0 || $line1Len > 35) {
$tmp[] = 'Address line1 field must be supplied and not more than 35 characters';
}
$line2Len = strlen($building->line2);
if ($line2Len > 0 && $line2Len > 35) {
$tmp[] = 'Address line2 must not be more than 35 characters';
}
$cityLen = strlen($building->city);
if (!$cityLen > 0 || $cityLen > 35) {
$tmp[] = 'Address city field must be supplied and not more than 35 characters';
}
if (strlen($building->state) != 2) {
$tmp[] = 'Address state field must be supplied and not more than 2 characters';
}
$zipCodeLen = strlen($building->zipCode);
if ($zipCodeLen != 5 && $zipCodeLen != 9) {
$tmp[] = 'Address zipcode must be supplied and must be 5 or 9 digit long';
}
$phoneNumber = PhoneNumber::autoFixNumber($building->phoneNumber);
$fax = PhoneNumber::autoFixNumber($building->fax);
if (strlen($phoneNumber) < 11) {
$tmp[] = 'Phone number \'' . $phoneNumber . '\' is invalid';
}
$faxLen = strlen($fax);
if ($faxLen > 0 && $faxLen < 11) {
$tmp[] = 'Fax number \'' . $fax . '\' is invalid';
}
if (count($tmp) > 0) {
$ret = $err . "\n" . implode("\n", $tmp) . ' ' . $location;
}
}
} else {
$ret = $medication->summary . ' could not be signed because: Medication will be ePrescribed and you do not have a default location.';
}
return $ret;
}
public static function generateOBR(array $data)
{
static $obrCtr = 1;
$orderLabTest = $data['orderLabTest'];
$labTest = $data['labTest'];
$loinc = $data['loinc'];
$obr = 'OBR|' . $obrCtr++ . '||' . $labTest->filerOrderNum . '^Lab^2.16.840.1.113883.19.3.1.6^ISO|';
$altIdentifier = '3456543';
$obr .= $loinc->loincNum . '^' . $loinc->shortname . '^LN^' . $altIdentifier . '^' . $labTest->service . '^99USI|||';
// concatenated diagnoses ,
$diagnoses = array();
$iterator = new PatientDiagnosisIterator();
$iterator->setFilters(array('patientId' => (int) $orderLabTest->order->patientId));
foreach ($iterator as $pd) {
$diagnoses[$pd->code] = $pd->diagnosis;
}
$relevantClinicalInfo = implode(',', $diagnoses);
$obr .= date('YmdHiO', strtotime($labTest->observationTime)) . '||||||' . $relevantClinicalInfo . '|||';
$provider = $orderLabTest->order->provider;
$providerId = strlen($provider->identifier) > 0 ? $provider->identifier : $provider->personId;
$building = Building::getBuildingDefaultLocation($provider->personId);
if ($provider->personId > 0) {
$obr .= $providerId . '^' . $provider->person->lastName . '^' . $provider->person->firstName . '^^^^^^' . $building->name . '&2.16.840.1.113883.19.4.6&ISO';
}
$obr .= '||||||' . date('YmdHiO', strtotime($labTest->reportTime)) . '|||' . $labTest->status . '||||||';
$reasonForStudy = array();
foreach ($diagnoses as $code => $description) {
$codeSystem = strpos($code, '.') === false ? 'SCT' : 'I9CDX';
$reasonForStudy[] = $code . '^' . $description . '^' . $codeSystem;
}
$obr .= implode('~', $reasonForStudy);
return $obr;
}
