/**
* @param $rule
* @return bool
*/
private function ckSocialHistory($rule)
{
if (isset($rule['concepts']['SOCI']) && !empty($rule['concepts']['SOCI'])) {
$count = 0;
foreach ($rule['concepts']['SOCI'] as $concept) {
$socials = $this->SocialHistory->getSocialHistoryByPidAndCode($this->Patient->getPatientPid(), $concept['concept_code']);
if ($concept['frequency_interval'] == '') {
if ($this->compare(count($socials), $concept['frequency_operator'], $concept['frequency'])) {
return true;
}
} else {
$frequency = 0;
foreach ($socials as $social) {
$starDate = isset($social['create_date']) ? $social['create_date'] : $social['start_date'];
if ($this->isWithInterval($starDate, $concept['frequency_interval'], $concept['frequency_operator'], 'Y-m-d H:i:s')) {
$frequency++;
if ($concept['frequency'] == $frequency) {
break;
}
}
}
if ($concept['frequency_operator'] == '' || $this->compare($frequency, $concept['frequency_operator'], $concept['frequency'])) {
$count++;
}
}
}
return $count == count($rule['concepts']['SOCI']);
}
return true;
}
/**
* Method setSocialHistorySection()
*/
private function setSocialHistorySection()
{
$SocialHistory = new SocialHistory();
if ($this->isExcluded('social')) {
$socialHistory['@attributes'] = ['nullFlavor' => 'NI'];
$this->addSection(['section' => $socialHistory]);
return;
}
/**
* Smoking Status Observation - This clinical statement represents a patient's current smoking
* status. The vocabulary selected for this clinical statement is the best approximation of the
* statuses in Meaningful Use (MU) Stage 1.
*
* If the patient is a smoker (77176002), the effectiveTime/low element must be present. If the patient
* is an ex-smoker (8517006), both the effectiveTime/low and effectiveTime/high element must be present.
*
* The smoking status value set includes a special code to communicate if the smoking status is unknown
* which is different from how Consolidated CDA generally communicates unknown information.
*/
$smokingStatus = $SocialHistory->getSocialHistoryByPidAndCode($this->pid, 'smoking_status');
if (count($smokingStatus) > 0) {
$smokingStatus = end($smokingStatus);
$socialHistory = ['templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.2.17']], 'code' => ['@attributes' => ['code' => '29762-2', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => "Social History"]], 'title' => 'Social History', 'text' => $smokingStatus['note']];
$socialHistory['entry'][] = ['@attributes' => ['typeCode' => 'DRIV'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.38.2']], 'code' => ['@attributes' => ['code' => 'ASSERTION', 'codeSystemName' => 'ActCode', 'codeSystem' => '2.16.840.1.113883.5.4']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['low' => ['@attributes' => ['value' => $this->parseDate($smokingStatus['create_date'])]]], 'value' => ['@attributes' => ['xsi:type' => 'CD', 'code' => $smokingStatus['status_code'], 'displayName' => $smokingStatus['status'], 'codeSystemName' => $smokingStatus['status_code_type'], 'codeSystem' => $this->codes($smokingStatus['status_code_type'])]]]];
}
unset($smokingStatus);
/**
* This Social History Observation defines the patient's occupational, personal (e.g., lifestyle),
* social, and environmental history and health risk factors, as well as administrative data such
* as marital status, race, ethnicity, and religious affiliation.
*/
$socialHistories = $SocialHistory->getSocialHistoryByPidAndCode($this->pid);
if (count($socialHistories) > 0) {
$socialHistory['text'] = ['table' => ['@attributes' => ['border' => '1', 'width' => '100%'], 'thead' => ['tr' => [['th' => [['@value' => 'Social History Element'], ['@value' => 'Description'], ['@value' => 'Effective Dates']]]]], 'tbody' => ['tr' => []]]];
}
foreach ($socialHistories as $socialHistoryEntry) {
$dateText = $this->parseDate($socialHistoryEntry['start_date']) . ' - ';
if ($socialHistoryEntry['end_date'] != '0000-00-00 00:00:00') {
$dateText .= $this->parseDate($socialHistoryEntry['end_date']);
}
$socialHistory['text']['table']['tbody']['tr'][] = ['td' => [['@value' => $socialHistoryEntry['category_code_text']], ['@value' => $socialHistoryEntry['observation']], ['@value' => $dateText]]];
$entry = ['@attributes' => ['typeCode' => 'DRIV'], 'observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.38']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => $socialHistoryEntry['category_code'], 'codeSystem' => $this->codes($socialHistoryEntry['category_code_type']), 'codeSystemName' => $socialHistoryEntry['category_code_text'], 'displayName' => $socialHistoryEntry['category_code_text']]], 'statusCode' => ['@attributes' => ['code' => 'completed']]]];
$entry['observation']['effectiveTime'] = ['@attributes' => ['xsi:type' => 'IVL_TS']];
$entry['observation']['effectiveTime']['low'] = ['@attributes' => ['value' => $this->parseDate($socialHistoryEntry['start_date'])]];
if ($socialHistoryEntry['end_date'] != '0000-00-00 00:00:00') {
$entry['observation']['effectiveTime']['high'] = ['@attributes' => ['value' => $this->parseDate($socialHistoryEntry['end_date'])]];
} else {
$entry['observation']['effectiveTime']['high'] = ['@attributes' => ['nullFlavor' => 'NI']];
}
$entry['observation']['value'] = ['@attributes' => ['xsi:type' => 'ST'], '@value' => $socialHistoryEntry['observation']];
$socialHistory['entry'][] = $entry;
unset($entry);
}
unset($socialHistories);
// /***************************************************************************************************************
// * Pregnancy Observation - This clinical statement represents current and/or
// * prior pregnancy dates enabling investigators to determine if the subject
// * of the case report* was pregnant during the course of a condition.
// */
// $socialHistory['text']['table']['tbody']['tr'][] = array(
// 'td' => array(
// array(
// '@value' => 'Social History Element Data'
// ),
// array(
// '@value' => 'ReactiDescriptionon Data'
// ),
// array(
// '@value' => 'Effective Data'
// )
// )
// );
// $socialHistory['entry'][] = array(
// '@attributes' => array(
// 'typeCode' => 'DRIV'
// ),
// 'observation' => array(
// '@attributes' => array(
// 'classCode' => 'OBS',
// 'moodCode' => 'EVN'
// ),
// 'templateId' => array(
// '@attributes' => array(
// 'root' => '2.16.840.1.113883.10.20.15.3.8'
// )
// ),
// 'code' => array(
// '@attributes' => array(
// 'code' => 'ASSERTION',
// 'codeSystem' => '2.16.840.1.113883.5.4'
// )
// ),
// 'statusCode' => array(
// '@attributes' => array(
// 'code' => 'completed',
// )
// ),
// 'value' => array(
// '@attributes' => array(
// 'xsi:type' => 'CD',
// 'code' => '77386006',
// 'codeSystem' => '2.16.840.1.113883.6.96'
// )
// ),
// 'entryRelationship' => array(
// '@attributes' => array(
// 'typeCode' => 'REFR'
// ),
// 'observation' => array(
// '@attributes' => array(
// 'classCode' => 'OBS',
// 'moodCode' => 'EVN'
// ),
// 'templateId' => array(
// '@attributes' => array(
// 'root' => '2.16.840.1.113883.10.20.15.3.1'
// )
// ),
// 'code' => array(
// '@attributes' => array(
// 'code' => '11778-8',
// 'codeSystemName' => 'LOINC',
// 'codeSystem' => '2.16.840.1.113883.6.1'
// )
// ),
// 'statusCode' => array(
// '@attributes' => array(
// 'code' => 'completed'
// )
// ),
// /**
// * Estimated Date Of Delivery
// */
// 'value' => array(
// '@attributes' => array(
// 'xsi:type' => 'TS',
// 'value' => '20150123' // TODO
// )
// )
// )
// )
// )
// );
$this->addSection(['section' => $socialHistory]);
unset($socialHistoryData, $socialHistory);
}
