public function updateVisitProcedures()
{
$iterator = new PatientProcedureIterator();
$iterator->setFilters(array('visitId' => $this->visitId));
foreach ($iterator as $patientProcedure) {
$patientProcedure->setUnsetDiagnosis($this->code, true);
$patientProcedure->persist();
}
}
public function populateProcedures(SimpleXMLELement $xml)
{
$component = $xml->addChild('component');
$section = $component->addChild('section');
$templateId = $section->addChild('templateId');
$templateId->addAttribute('root', '2.16.840.1.113883.10.20.1.12');
// <!-- Procedures section template -->
$code = $section->addChild('code');
$code->addAttribute('code', '47519-4');
$code->addAttribute('codeSystem', '2.16.840.1.113883.6.1');
$section->addChild('title', 'Procedures');
$rows = array();
$filters = array('patientId' => $this->_patientId);
$this->setFiltersDateRange($filters);
$iterator = new PatientProcedureIterator(null, false);
$iterator->setFilters($filters);
$ctr = 1;
foreach ($iterator as $procedure) {
$rows[] = array('contents' => array('id' => 'Proc' . $ctr++, 'value' => html_convert_entities($procedure->procedure)), 'date' => date('M d, Y', strtotime($procedure->dateTime)));
}
$text = $section->addChild('text');
if ($rows) {
$table = $text->addChild('table');
$thead = $table->addChild('thead');
$tr = $thead->addChild('tr');
$tr->addChild('th', 'Procedure');
$tr->addChild('th', 'Date');
$tbody = $table->addChild('tbody');
foreach ($rows as $row) {
$tr = $tbody->addChild('tr');
$td = $tr->addChild('td');
$content = $td->addChild('content', $row['contents']['value']);
$content->addAttribute('ID', $row['contents']['id']);
$tr->addChild('td', $row['date']);
}
}
}
public function listPatientProceduresAction()
{
$patientId = (int) $this->_getParam('patientId');
$visitId = (int) $this->_getParam('visitId');
$rows = array();
if ($patientId > 0) {
$patientProcedureIterator = new PatientProcedureIterator();
$patientProcedureIterator->setFilters(array('patientId' => $patientId, 'visitId' => $visitId));
foreach ($patientProcedureIterator as $proc) {
$rows[] = $this->_generateRowData($proc);
}
}
$data = array();
$data['rows'] = $rows;
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct($data);
}
public function calculateFees($recompute = null)
{
// pass true or false to override visit.closed checking
if ($recompute === null) {
$recompute = $this->closed ? false : true;
}
$visitId = (int) $this->encounter_id;
$total = 0;
$discounted = 0;
$visitFlat = 0;
$visitPercentage = 0;
$codeFlat = 0;
$codePercentage = 0;
$discountApplied = array();
if ($recompute) {
$insuranceProgramId = (int) $this->activePayerId;
$dateOfVisit = date('Y-m-d', strtotime($this->date_of_treatment));
$statistics = PatientStatisticsDefinition::getPatientStatistics((int) $this->patient_id);
$familySize = isset($statistics['family_size']) ? $statistics['family_size'] : 0;
$monthlyIncome = isset($statistics['monthly_income']) ? $statistics['monthly_income'] : 0;
$retDiscount = DiscountTable::checkDiscount($insuranceProgramId, $dateOfVisit, $familySize, $monthlyIncome);
if ($retDiscount !== false) {
$discount = (double) $retDiscount['discount'];
switch ($retDiscount['discountType']) {
case DiscountTable::DISCOUNT_TYPE_FLAT_VISIT:
$discountApplied[] = 'Flat Visit: $' . $discount;
$visitFlat += $discount;
break;
case DiscountTable::DISCOUNT_TYPE_FLAT_CODE:
$discountApplied[] = 'Flat Code: $' . $discount;
$codeFlat += $discount;
break;
case DiscountTable::DISCOUNT_TYPE_PERC_VISIT:
$discountApplied[] = 'Percentage Visit: ' . $discount . '%';
$visitPercentage += $discount / 100;
break;
case DiscountTable::DISCOUNT_TYPE_PERC_CODE:
$discountApplied[] = 'Percentage Code: ' . $discount . '%';
$codePercentage += $discount / 100;
break;
}
}
} else {
$claimLineFees = array();
$iterator = ClaimLine::mostRecentClaims($visitId);
foreach ($iterator as $claimLine) {
$code = $claimLine->procedureCode;
if (!isset($claimLineFees[$code])) {
$claimLineFees[$code] = array('baseFee' => 0, 'adjustedFee' => 0);
}
$claimLineFees[$code]['baseFee'] += (double) $claimLine->baseFee;
$claimLineFees[$code]['adjustedFee'] += (double) $claimLine->adjustedFee;
}
}
$details = array();
$iterator = new PatientProcedureIterator();
$iterator->setFilters(array('visitId' => $visitId));
$firstProcedureId = null;
foreach ($iterator as $patientProcedure) {
$patientProcedureId = (int) $patientProcedure->patientProcedureId;
$code = $patientProcedure->code;
$quantity = (int) $patientProcedure->quantity;
$writeoff = 0;
if ($recompute) {
$fee = '-.--';
$feeDiscounted = '-.--';
$discountedRate = '';
$retFee = FeeSchedule::checkFee($insuranceProgramId, $dateOfVisit, $code);
if ($retFee !== false && (double) $retFee['fee'] != 0) {
$fee = (double) $retFee['fee'];
$tmpFee = 0;
for ($i = 1; $i <= 4; $i++) {
$modifier = 'modifier' . $i;
if (!strlen($patientProcedure->{$modifier}) > 0) {
continue;
}
switch ($patientProcedure->{$modifier}) {
case $retFee['modifier1']:
$tmpFee += (double) $retFee['modifier1fee'];
break 2;
case $retFee['modifier2']:
$tmpFee += (double) $retFee['modifier2fee'];
break 2;
case $retFee['modifier3']:
$tmpFee += (double) $retFee['modifier3fee'];
break 2;
case $retFee['modifier4']:
$tmpFee += (double) $retFee['modifier4fee'];
break 2;
}
}
if ($tmpFee > 0) {
$fee = $tmpFee;
}
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}
// calculate discounts
if ($codeFlat > 0) {
$tmpDiscount = $fee - $codeFlat;
if ($tmpDiscount < 0) {
$tmpDiscount = 0;
}
$feeDiscounted += $tmpDiscount;
$writeoff = $tmpDiscount;
}
if ($firstProcedureId !== null && $visitFlat > 0) {
$writeoff = $fee;
trigger_error('VISIT FLAT: ' . $visitFlat);
trigger_error('WRITEOFF: ' . $writeoff);
}
if ($codePercentage > 0) {
$tmpDiscount = $feeDiscounted * $codePercentage;
if ($tmpDiscount < 0) {
$tmpDiscount = 0;
}
$feeDiscounted += $tmpDiscount;
$writeoff = $tmpDiscount;
}
}
if ($firstProcedureId === null) {
$firstProcedureId = $patientProcedureId;
}
} else {
if (isset($claimLineFees[$code])) {
$fee = $claimLineFees[$code]['baseFee'];
$feeDiscounted = $claimLineFees[$code]['adjustedFee'];
} else {
$fee = $patientProcedure->baseFee;
$feeDiscounted = $patientProcedure->adjustedFee;
}
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}
}
/*$quantity = (int)$patientProcedure->quantity;
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}*/
$total += $fee;
$discounted += (double) $feeDiscounted;
$details[$patientProcedureId] = array();
$details[$patientProcedureId]['orm'] = $patientProcedure;
$details[$patientProcedureId]['fee'] = $fee;
$details[$patientProcedureId]['feeDiscounted'] = $feeDiscounted;
$details[$patientProcedureId]['writeoff'] = $writeoff;
}
if ($visitFlat > 0) {
$discounted += $visitFlat;
// update the first procedure
if ($firstProcedureId !== null) {
$details[$firstProcedureId]['feeDiscounted'] += $visitFlat;
$writeoff = $details[$firstProcedureId]['fee'] - $details[$firstProcedureId]['feeDiscounted'];
if ($writeoff < 0) {
$writeoff = 0;
}
$details[$firstProcedureId]['writeoff'] = $writeoff;
}
}
if ($visitPercentage > 0) {
$discounted += $discounted * $visitPercentage;
// update the first procedure
if ($firstProcedureId !== null) {
$details[$firstProcedureId]['feeDiscounted'] += $details[$firstProcedureId]['feeDiscounted'] * $visitFlat;
}
}
$row = array();
$row['discountApplied'] = $discountApplied;
$row['details'] = $details;
$row['total'] = $total;
$row['discounted'] = $discounted;
return $row;
}
public function paymentReceiptAction()
{
// d96de46c-be90-45b0-b5f9-0b4abee76483
$referenceId = $this->_getParam('referenceId');
$personId = (int) $this->_getParam('personId');
$visitId = (int) $this->_getParam('visitId');
$data = $this->_getAttachmentData($referenceId);
$patient = new Patient();
$patient->personId = $personId;
if ($personId > 0) {
$patient->populate();
}
$person = $patient->person;
$visit = new Visit();
$visit->visitId = $visitId;
if ($visitId > 0) {
$visit->populate();
}
$practiceId = (int) $visit->practiceId;
if (!$practiceId > 0) {
$buildingId = (int) $visit->buildingId;
if ($buildingId > 0) {
$building = new Building();
$building->buildingId = $buildingId;
$building->populate();
$practiceId = (int) $building->practiceId;
} else {
$roomId = (int) $visit->roomId;
if ($roomId > 0) {
$room = new Room();
$room->roomId = $roomId;
$room->populate();
$practiceId = (int) $room->building->practiceId;
}
}
}
$practice = new Practice();
$practice->practiceId = $practiceId;
if ($practiceId > 0) {
$practice->populate();
}
$primaryAddress = $practice->primaryAddress;
$xml = new SimpleXMLElement('<data/>');
$xmlPractice = $xml->addChild('practice');
$this->_addChild($xmlPractice, 'name', $practice->name);
$this->_addChild($xmlPractice, 'primaryLine1', $primaryAddress->line1);
$primaryCityStateZip = $primaryAddress->city . ' ' . $primaryAddress->state . ' ' . $primaryAddress->postalCode;
$this->_addChild($xmlPractice, 'primaryCityStateZip', $primaryCityStateZip);
$this->_addChild($xmlPractice, 'mainPhone', $practice->mainPhone->number);
$xmlPatient = $xml->addChild('patient');
$name = $person->firstName . ' ' . $person->middleName . ' ' . $person->lastName;
$this->_addChild($xmlPatient, 'name', $name);
$addresses = Address::listAddresses($personId);
if (isset($addresses[Address::TYPE_BILLING])) {
$address = $addresses[Address::TYPE_BILLING];
} else {
if (isset($addresses[Address::TYPE_HOME])) {
$address = $addresses[Address::TYPE_HOME];
} else {
if (isset($addresses[Address::TYPE_MAIN])) {
$address = $addresses[Address::TYPE_MAIN];
} else {
if (isset($addresses[Address::TYPE_SEC])) {
$address = $addresses[Address::TYPE_SEC];
} else {
if (isset($addresses[Address::TYPE_OTHER])) {
$address = $addresses[Address::TYPE_OTHER];
} else {
$address = array_pop($addresses);
}
}
}
}
}
$billingCityStateZip = $address->city . ' ' . $address->state . ' ' . $address->postalCode;
$this->_addChild($xmlPatient, 'billingLine1', $address->line1);
$this->_addChild($xmlPatient, 'billingCityStateZip', $billingCityStateZip);
$iterator = new PatientProcedureIterator();
$iterator->setFilters(array('visitId' => $visitId));
$procedures = array();
foreach ($iterator as $row) {
$procedures[] = $row->code;
}
$iterator = new PatientDiagnosisIterator();
$iterator->setFilters(array('visitId' => $visitId));
$diagnoses = array();
foreach ($iterator as $row) {
$diagnoses[] = $row->code;
}
$xmlNotes = $xmlPatient->addChild('notes');
$note = implode(',', $procedures) . " \t " . implode(',', $diagnoses) . " \t " . date('m/d/y', strtotime($visit->dateOfTreatment));
$this->_addChild($xmlNotes, 'note', $note);
$today = date('Y-m-d');
$todaysTotal = 0;
$iterator = new PaymentIterator();
$iterator->setFilters(array('visitId' => $visitId, 'company' => 'System', 'paymentDate' => $today));
$payments = array();
foreach ($iterator as $row) {
$payments[] = $row;
}
$iterator->setFilters(array('personId' => $personId, 'unallocated' => true, 'paymentDate' => $today));
foreach ($iterator as $row) {
$payments[] = $row;
}
foreach ($payments as $row) {
$xmlPayment = $xmlPatient->addChild('payments');
$paymentDate = date('m/d/y', strtotime($row->paymentDate));
$this->_addChild($xmlPayment, 'date', $paymentDate);
$this->_addChild($xmlPayment, 'description', $row->title . ' .... Thank You');
$this->_addChild($xmlPayment, 'method', $row->paymentType);
$amount = (double) $row->amount;
$todaysTotal += $amount;
$this->_addChild($xmlPayment, 'amount', '-' . number_format($amount, 2));
$this->_addChild($xmlPayment, 'insurance', $row->insuranceDisplay);
}
$fees = $visit->calculateFees();
$previousBalance = $fees['total'];
$this->_addChild($xmlPatient, 'previousBalance', number_format($previousBalance, 2));
$this->_addChild($xmlPatient, 'todaysTotal', '-' . number_format($todaysTotal, 2));
$totalDue = $previousBalance - $todaysTotal;
$this->_addChild($xmlPatient, 'totalDue', number_format($totalDue, 2));
$totalDueFromPatient = $previousBalance;
$this->_addChild($xmlPatient, 'totalDueFromPatient', number_format($totalDueFromPatient, 2));
try {
$content = ReportBase::mergepdfset($xml, $data);
$this->getResponse()->setHeader('Content-Type', 'application/pdf');
} catch (Exception $e) {
$content = '<script>alert("' . $e->getMessage() . '")</script>';
}
$this->view->content = $content;
$this->render('binary-template');
}
public function listPatientProceduresAction()
{
$patientId = (int) $this->_getParam('patientId');
$rows = array();
if ($patientId > 0) {
$patientProcedureIterator = new PatientProcedureIterator();
$patientProcedureIterator->setFilters(array('patientId' => $patientId));
$providerIterator = new ProviderIterator();
$listProviders = $providerIterator->toArray('personId', 'displayName');
foreach ($patientProcedureIterator as $proc) {
$quantity = $proc->quantity;
if ($quantity > 2) {
$quantity .= ' times';
} else {
$quantity .= ' time';
}
$provider = '';
if (isset($listProviders[$proc->providerId])) {
$provider = $listProviders[$proc->providerId];
}
$tmp = array();
$tmp['id'] = $proc->code;
$tmp['data'][] = $quantity;
$tmp['data'][] = $proc->procedure;
$tmp['data'][] = $provider;
$tmp['data'][] = $proc->providerId;
$tmp['data'][] = $proc->comments;
$rows[] = $tmp;
}
}
$data = array();
$data['rows'] = $rows;
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct($data);
}
public static function checkRules(Visit $visit, array $fees = array())
{
if (!isset($fees['details'])) {
$fees = $visit->calculateFees(true);
}
$visitId = (int) $visit->visitId;
$payerId = (int) $visit->activePayerId;
$procedures = null;
$iterator = new ClaimRuleIterator();
foreach (self::listGroups() as $groupId => $values) {
// TODO: use operators
$matched = false;
$iterator->setFilters(array('groupId' => $groupId));
foreach ($iterator as $claimRule) {
$type = $claimRule->type;
switch ($type) {
case self::TYPE_PROCEDURE:
case self::TYPE_DIAGNOSIS:
if ($procedures === null) {
$procedures = array();
$patientProcedureIterator = new PatientProcedureIterator();
$patientProcedureIterator->setFilters(array('visitId' => $visitId));
foreach ($patientProcedureIterator as $patientProcedure) {
$procedures[] = $patientProcedure;
}
}
$code = $claimRule->code;
foreach ($procedures as $procedure) {
if ($type == self::TYPE_PROCEDURE) {
if ($procedure->code == $code) {
$matched = true;
break;
}
} else {
for ($i = 1; $i <= 8; $i++) {
$key = 'diagnosisCode' . $i;
if ($procedure->{$key} == $code) {
$matched = true;
break 2;
}
}
}
}
break;
case self::TYPE_INSURANCE_PROGRAM:
if ($claimRule->value == $payerId) {
$matched = true;
}
break;
case self::TYPE_MODIFIER:
break;
case self::TYPE_LINE_AMOUNT:
break;
case self::TYPE_CLAIM_TOTAL:
break;
}
}
if ($matched) {
$visit->_claimRule = $values;
}
}
return $visit;
}
