/**
* Method setAllergiesSection()
*/
private function setAllergiesSection()
{
$Allergies = new Allergies();
$allergiesData = $Allergies->getPatientAllergiesByPid($this->pid);
unset($Allergies);
if ($this->isExcluded('allergies') || empty($allergiesData)) {
$allergies['@attributes'] = ['nullFlavor' => 'NI'];
}
$allergies['templateId'] = ['@attributes' => ['root' => $this->requiredAllergies ? '2.16.840.1.113883.10.20.22.2.6.1' : '2.16.840.1.113883.10.20.22.2.6']];
$allergies['code'] = ['@attributes' => ['code' => '48765-2', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1']];
$allergies['title'] = 'Allergies, Adverse Reactions, Alerts';
$allergies['text'] = '';
if ($this->isExcluded('allergies')) {
$this->addSection(['section' => $allergies]);
return;
}
if (!empty($allergiesData)) {
$allergies['text'] = ['table' => ['@attributes' => ['border' => '1', 'width' => '100%'], 'thead' => ['tr' => [['th' => [['@value' => 'Substance'], ['@value' => 'Reaction'], ['@value' => 'Severity'], ['@value' => 'Status']]]]], 'tbody' => ['tr' => []]]];
$allergies['entry'] = [];
foreach ($allergiesData as $item) {
$hasBeginDate = preg_match('/^\\d{4}-\\d{2}-\\d{2}/', $item['begin_date']);
$hasEndDate = preg_match('/^\\d{4}-\\d{2}-\\d{2}/', $item['end_date']);
$allergies['text']['table']['tbody']['tr'][] = ['td' => [['@value' => $item['allergy']], ['@value' => $item['reaction']], ['@value' => $item['severity']], ['@value' => 'Status Data']]];
$entry = ['act' => ['@attributes' => ['classCode' => 'ACT', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.30']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '48765-2', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1']]]];
$entry['act']['statusCode'] = ['@attributes' => ['code' => $item['status_code'] == '55561003' ? 'active' : 'completed']];
$entry['act']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($item['begin_date'])]];
if ($hasEndDate) {
$entry['act']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($item['end_date'])]];
} elseif ($entry['act']['statusCode'] == 'completed' && !$hasEndDate) {
$entry['act']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'UNK']];
}
$entry['act']['entryRelationship'] = ['@attributes' => ['typeCode' => 'SUBJ'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.7']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => 'ASSERTION', 'codeSystem' => '2.16.840.1.113883.5.4']], 'statusCode' => ['@attributes' => ['code' => 'completed']]]];
// If it is unknown when the allergy began, this effectiveTime
// SHALL contain low/@nullFLavor="UNK" (CONF:9103)
$entry['act']['entryRelationship']['observation']['effectiveTime'] = ['@attributes' => ['xsi:type' => 'IVL_TS']];
if ($hasBeginDate) {
$entry['act']['entryRelationship']['observation']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($item['begin_date'])]];
} else {
$entry['act']['entryRelationship']['observation']['effectiveTime']['low'] = ['@attributes' => ['nullFLavor' => 'UNK']];
}
if ($hasEndDate) {
$entry['act']['entryRelationship']['observation']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($item['end_date'])]];
} elseif ($entry['act']['statusCode'] == 'completed' && !$hasEndDate) {
$entry['act']['entryRelationship']['observation']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'UNK']];
}
// 420134006 SNOMEDCT Propensity to adverse reactions
// 418038007 SNOMEDCT Propensity to adverse reactions to substance
// 419511003 SNOMEDCT Propensity to adverse reactions to drug
// 418471000 SNOMEDCT Propensity to adverse reactions to food
// 419199007 SNOMEDCT Allergy to substance
// 416098002 SNOMEDCT Drug allergy
// 414285001 SNOMEDCT Food allergy
// 59037007 SNOMEDCT Drug intolerance
// 235719002 SNOMEDCT Food intolerance
$entry['act']['entryRelationship']['observation']['value'] = ['@attributes' => ['xsi:type' => 'CD', 'code' => $item['allergy_type_code'], 'displayName' => $item['allergy_type'], 'codeSystemName' => $item['allergy_type_code_type'], 'codeSystem' => $this->codes($item['allergy_type_code_type'])]];
$entry['act']['entryRelationship']['observation']['participant'] = ['@attributes' => ['typeCode' => 'CSM'], 'participantRole' => ['@attributes' => ['classCode' => 'MANU'], 'playingEntity' => ['@attributes' => ['classCode' => 'MMAT'], 'code' => ['@attributes' => ['code' => $item['allergy_code'], 'displayName' => $item['allergy'], 'codeSystemName' => $item['allergy_code_type'], 'codeSystem' => $this->codes($item['allergy_code_type'])]]]]];
// Allergy Status Observation
$entryRelationship = ['@attributes' => ['typeCode' => 'SUBJ', 'inversionInd' => 'true'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.28']], 'code' => ['@attributes' => ['code' => '33999-4', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1']], 'statusCode' => ['@attributes' => ['code' => 'completed']]]];
$entryRelationship['observation']['effectiveTime'] = ['@attributes' => ['xsi:type' => 'IVL_TS']];
if ($hasBeginDate) {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($item['begin_date'])]];
} else {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['nullFLavor' => 'UNK']];
}
if ($hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($item['end_date'])]];
} elseif ($entry['act']['statusCode'] == 'completed' && !$hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'UNK']];
}
$entryRelationship['observation']['value'] = ['@attributes' => ['xsi:type' => 'CE', 'code' => $item['status_code'], 'displayName' => $item['status'], 'codeSystemName' => $item['status_code_type'], 'codeSystem' => $this->codes($item['status_code_type'])]];
$entry['act']['entryRelationship']['observation']['entryRelationship'][] = $entryRelationship;
unset($entryRelationship);
// Reaction Observation
$entryRelationship = ['@attributes' => ['typeCode' => 'MFST', 'inversionInd' => 'true'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.9']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['nullFlavor' => 'NA']], 'statusCode' => ['@attributes' => ['code' => 'completed']]]];
$entryRelationship['observation']['effectiveTime'] = ['@attributes' => ['xsi:type' => 'IVL_TS']];
if ($hasBeginDate) {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($item['begin_date'])]];
} else {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['nullFLavor' => 'UNK']];
}
if ($hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($item['end_date'])]];
} elseif ($entry['act']['statusCode'] == 'completed' && !$hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'UNK']];
}
$entryRelationship['observation']['value'] = ['@attributes' => ['xsi:type' => 'CD', 'code' => $item['reaction_code'], 'displayName' => $item['reaction'], 'codeSystemName' => $item['reaction_code_type'], 'codeSystem' => $this->codes($item['reaction_code_type'])]];
$entry['act']['entryRelationship']['observation']['entryRelationship'][] = $entryRelationship;
unset($entryRelationship);
// Severity Observation
$entryRelationship = ['@attributes' => ['typeCode' => 'SUBJ', 'inversionInd' => 'true'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.8']], 'code' => ['@attributes' => ['code' => 'SEV', 'codeSystemName' => 'ActCode', 'codeSystem' => '2.16.840.1.113883.5.4', 'displayName' => 'Severity Observation']], 'statusCode' => ['@attributes' => ['code' => 'completed']]]];
$entryRelationship['observation']['effectiveTime'] = ['@attributes' => ['xsi:type' => 'IVL_TS']];
if ($hasBeginDate) {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($item['begin_date'])]];
} else {
$entryRelationship['observation']['effectiveTime']['low'] = ['@attributes' => ['nullFLavor' => 'UNK']];
}
if ($hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($item['end_date'])]];
} elseif ($entry['act']['statusCode'] == 'completed' && !$hasEndDate) {
$entryRelationship['observation']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'UNK']];
}
$entryRelationship['observation']['value'] = ['@attributes' => ['xsi:type' => 'CD', 'code' => $item['severity_code'], 'displayName' => $item['severity'], 'codeSystemName' => $item['severity_code_type'], 'codeSystem' => $this->codes($item['severity_code_type'])]];
$entry['act']['entryRelationship']['observation']['entryRelationship'][] = $entryRelationship;
unset($entryRelationship);
$allergies['entry'][] = $entry;
}
}
if ($this->requiredAllergies || !empty($allergies['entry'])) {
$this->addSection(['section' => $allergies]);
}
unset($allergiesData, $allergies);
}
