public function listMedicationsAction()
{
$personId = $this->_getParam('personId');
$rows = array();
$filter = array('patientId' => $personId);
$medicationIterator = new MedicationIterator();
$medicationIterator->setFilter($filter);
$unsigned = array();
$signed = array();
$discontinued = array();
foreach ($medicationIterator as $medication) {
if ($medication->transmit == '') {
$discontinued[] = $medication;
continue;
}
if ($medication->eSignatureId > 0) {
// signed
$signed[] = $medication;
} else {
// unsigned
$unsigned[] = $medication;
}
}
$medications = array_merge($unsigned, $signed, $discontinued);
foreach ($medications as $medication) {
$expiration = '';
if ($medication->daysSupply == -1 && $medication->dateDiscontinued != '0000-00-00 00:00:00') {
$expiration = '<font color="#ff0000">' . date('m/d/Y h:i A', strtotime($medication->dateDiscontinued)) . '</font>';
} else {
if ($medication->dateBegan != '0000-00-00 00:00:00') {
$expiration = date('m/d/Y h:i A', strtotime($medication->expires));
$color = '#00ff00';
// green
if (strtotime(date('m/d/Y')) >= strtotime(substr($expiration, 0, 10))) {
$color = '#ff0000';
// red
}
$expiration = '<font color="' . $color . '">' . $expiration . '</font>';
}
}
$tmp = array();
$tmp['id'] = $medication->medicationId;
$tmp['data'][] = '';
$tmp['data'][] = $medication->description;
$tmp['data'][] = $medication->displayAction;
$tmp['data'][] = $medication->displayStatus;
$tmp['data'][] = $expiration;
$tmp['data'][] = '';
$tmp['data'][] = $medication->refillsRemaining;
$tmp['data'][] = $medication->comment;
$rows[] = $tmp;
}
$data = array();
$data['rows'] = $rows;
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct($data);
}
public function refillResponseDeniedAction()
{
$messagingId = $this->_getParam('messagingId');
$messaging = new Messaging();
$messaging->messagingId = $messagingId;
$messaging->populate();
$refills = '0';
if (strlen($messaging->refills) > 0) {
$refills = $messaging->refills;
$arrRefills = explode(' ', $messaging->refills);
$quantity = $arrRefills[0];
$qualifier = isset($arrRefills[1]) ? $arrRefills[1] : '';
$refills = $quantity;
/*else if ($arrRefills[1] == 'PRN') {
}*/
}
$refillRequest = new MedicationRefillRequest();
$refillRequest->messageId = $messagingId;
$refillRequest->populate();
$patientId = $refillRequest->medication->personId;
$medicationId = $refillRequest->medicationId;
$medicationIterator = new MedicationIterator();
$filters = array('patientId' => $patientId);
$medicationIterator->setFilter($filters);
$medications = array('' => '');
foreach ($medicationIterator as $medication) {
if ($medication->medicationId == $medicationId) {
continue;
}
$medications[$medication->medicationId] = $medication->description;
}
$this->view->medications = $medications;
$this->view->refills = $refills;
$this->view->refillRequest = $refillRequest;
$this->view->messagingId = $messagingId;
$this->view->reasonCodes = $this->getDenialReasonCodes();
$note = '';
$denialReason = '';
$isScheduled = false;
if ($refillRequest->medication->isScheduled()) {
$denialReason = __('Requested medication is controlled; Call or Fax to follow');
$isScheduled = true;
}
$this->view->isScheduled = $isScheduled;
$this->view->denialReason = $denialReason;
$this->view->note = $note;
$xml = new SimpleXMLElement($messaging->rawMessage);
$this->view->data = $this->_generateInfoDetails($xml->Body->RefillRequest);
$refillRequestDetails = $this->_generateRefillRequestDetails($xml->Body, $refillRequestDetails);
$this->view->refillRequestDetails = $refillRequestDetails;
$this->render('refill-response-denied');
}
public static function populate(CCD $base, SimpleXMLElement $xml)
{
$component = $xml->addChild('component');
$section = $component->addChild('section');
$templateId = $section->addChild('templateId');
$templateId->addAttribute('root', '2.16.840.1.113883.3.88.11.83.112');
$templateId->addAttribute('assigningAuthorityName', 'HITSP/C83');
$templateId = $section->addChild('templateId');
$templateId->addAttribute('root', '1.3.6.1.4.1.19376.1.5.3.1.3.19');
$templateId->addAttribute('assigningAuthorityName', 'IHE PCC');
$templateId = $section->addChild('templateId');
$templateId->addAttribute('root', '2.16.840.1.113883.10.20.1.8');
$templateId->addAttribute('assigningAuthorityName', 'HL7 CCD');
// <!-- Medications section template -->
$code = $section->addChild('code');
$code->addAttribute('code', '10160-0');
$code->addAttribute('codeSystem', '2.16.840.1.113883.6.1');
$code->addAttribute('codeSystemName', 'LOINC');
$code->addAttribute('displayName', 'History of medication use');
$section->addChild('title', 'Medications');
$medications = array();
$rows = array();
$filters = array('patientId' => $base->patient->personId);
$base->setFiltersDateRange($filters);
$iterator = new MedicationIterator();
$iterator->setFilter($filters);
foreach ($iterator as $medication) {
$medications[] = $medication;
$datePrescribed = ' ';
if ($medication->datePrescribed != '0000-00-00 00:00:00') {
$datePrescribed = date('M d, Y', strtotime($medication->datePrescribed));
}
$baseMed24 = $medication->baseMed24;
//$status = ($medication->status != 'Discontinued')?'Active':'Discontinued';
$rows[] = array('rxnorm' => $baseMed24->rxnorm_cuid, 'product' => 'Medication', 'medication' => html_convert_entities($medication->description), 'generic' => html_convert_entities($baseMed24->fdaDrugname), 'brand' => html_convert_entities($baseMed24->tradename), 'instructions' => html_convert_entities($medication->directions), 'strength' => html_convert_entities($medication->strength), 'dose' => html_convert_entities($medication->dose), 'route' => html_convert_entities($medication->route), 'frequency' => html_convert_entities($medication->schedule), 'date' => $datePrescribed, 'status' => html_convert_entities($medication->displayStatus));
}
$text = $section->addChild('text');
if ($rows) {
$table = $text->addChild('table');
$thead = $table->addChild('thead');
$tr = $thead->addChild('tr');
$tr->addChild('th', 'RxNorm Code');
$tr->addChild('th', 'Product');
$tr->addChild('th', 'Medication');
$tr->addChild('th', 'Generic Name');
$tr->addChild('th', 'Brand Name');
$tr->addChild('th', 'Instructions');
$tr->addChild('th', 'Strength');
$tr->addChild('th', 'Dose');
$tr->addChild('th', 'Route');
$tr->addChild('th', 'Frequency');
$tr->addChild('th', 'Date Started');
$tr->addChild('th', 'Status');
$tbody = $table->addChild('tbody');
foreach ($rows as $row) {
$tr = $tbody->addChild('tr');
$tr->addChild('td', $row['rxnorm']);
$tr->addChild('td', $row['product']);
$tr->addChild('td', $row['medication']);
$tr->addChild('td', $row['generic']);
$tr->addChild('td', $row['brand']);
$tr->addChild('td', $row['instructions']);
$tr->addChild('td', $row['strength']);
$tr->addChild('td', $row['dose']);
$tr->addChild('td', $row['route']);
$tr->addChild('td', $row['frequency']);
$tr->addChild('td', $row['date']);
$tr->addChild('td', $row['status']);
}
}
foreach ($medications as $medication) {
$quantity = '';
if (strlen($medication->strength) > 0 && strlen($medication->unit) > 0) {
$strength = explode(';', $medication->strength);
$strength = str_replace(',', '', $strength[0]);
$unit = explode(';', $medication->unit);
if ($strength) {
$quantity = '<quantity value="' . $strength . '" unit="' . preg_replace('/ /', '', strtolower($unit[0])) . '"/>';
}
}
$status = $medication->displayStatus;
$description = html_convert_entities($medication->description);
$entry = '<substanceAdministration classCode="SBADM" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.88.11.83.8" assigningAuthorityName="HITSP C83"/>
<templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="CCD"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7" assigningAuthorityName="IHE PCC"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1" assigningAuthorityName="IHE PCC"/>
<!--Medication activity template -->
<id root="' . NSDR::create_guid() . '"/>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
<period value="24" unit="h"/>
</effectiveTime>
<routeCode code="C38288" displayName="Oral" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="FDA RouteOfAdministration">
<!--IHE/PCC recommends that the routeCode be taken from the HL7 RouteOfAdministration code system. However, HITSP/C32, C83 and C80 recommend that for the U.S. Realm it be taken from the FDA RouteOfAdministration code system.-->
<translation displayName="Swallow, oral" code="PO" codeSystemName="HL7 RouteOfAdministration" codeSystem="2.16.840.1.113883.5.112"/>
</routeCode>
<doseQuantity value="1"/>
<rateQuantity nullFlavor="NA"/>
<consumable>
<manufacturedProduct>
<templateId root="2.16.840.1.113883.3.88.11.83.8.2" assigningAuthorityName="HITSP C83"/>
<templateId root="2.16.840.1.113883.10.20.1.53" assigningAuthorityName="CCD"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2" assigningAuthorityName="IHE PCC"/>
<!-- Product template -->
<manufacturedMaterial>
<code code="309362" codeSystem="2.16.840.1.113883.6.88" displayName="' . $description . '">
<originalText>' . $description . '<reference/>
</originalText>
<translation code="174742" codeSystem="2.16.840.1.113883.6.88" displayName="' . $description . '" codeSystemName="RxNorm"/>
</code>
<name>Plavix</name>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.47"/>
<code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<value xsi:type="CE" code="55561003" displayName="' . $status . '" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
</observation>
</entryRelationship>
<entryRelationship typeCode="REFR">
<supply classCode="SPLY" moodCode="INT">
<templateId root="2.16.840.1.113883.10.20.1.34" assigningAuthorityName="CCD"/>
<templateId root="2.16.840.1.113883.3.88.11.83.8.3" assigningAuthorityName="HITSP C83"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3" assigningAuthorityName="IHE PCC"/>
<id/>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20020101"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<repeatNumber value="1"/>' . $quantity . '
</supply>
</entryRelationship>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.88.11.83.8.1" assigningAuthorityName="HITSP C83"/>
<code code="73639000" codeSystem="2.16.840.1.113883.6.96" displayName="Prescription Drug"/>
</observation>
</entryRelationship>
</substanceAdministration>';
$entry = $section->addChild('entry', $entry);
$entry->addAttribute('typeCode', 'DRIV');
}
}