Пример #1
0
 public function viewXmlAction()
 {
     $personId = (int) $this->_getParam('personId');
     $visitId = (int) $this->_getParam('visitId');
     $providerId = (int) Zend_Auth::getInstance()->getIdentity()->personId;
     $ccd = new CCD(true);
     $contents = $ccd->populate($personId, $providerId, $visitId);
     header('Content-Type: text/xml;');
     $this->view->contents = $contents;
     $this->render();
 }
Пример #2
0
 public function printAction()
 {
     $personId = (int) $this->_getParam('personId');
     $visitId = (int) $this->_getParam('visitId');
     $providerId = (int) Zend_Auth::getInstance()->getIdentity()->personId;
     $auditType = $visitId > 0 ? GenericAccessAudit::CCD_VISIT_PRINT : GenericAccessAudit::CCD_ALL_PRINT;
     $this->_createAudit($providerId, $personId, $visitId, $auditType);
     $ccd = new CCD(true);
     $contents = $ccd->populate($personId, $providerId, $visitId);
     header('Content-Type: text/xml;');
     $this->view->contents = $contents;
     $this->render();
 }
Пример #3
0
    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;
            $datePrescribed = '&#160;';
            if ($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');
        }
    }
Пример #4
0
    public static function populate(CCD $base, SimpleXMLElement $xml)
    {
        $component = $xml->addChild('component');
        $section = $component->addChild('section');
        $templateId = $section->addChild('templateId');
        $templateId->addAttribute('root', '2.16.840.1.113883.3.88.11.83.102');
        $templateId->addAttribute('assigningAuthorityName', 'HITSP/C83');
        $templateId = $section->addChild('templateId');
        $templateId->addAttribute('root', '1.3.6.1.4.1.19376.1.5.3.1.3.13');
        $templateId->addAttribute('assigningAuthorityName', 'IHE PCC');
        $templateId = $section->addChild('templateId');
        $templateId->addAttribute('root', '2.16.840.1.113883.10.20.1.2');
        $templateId->addAttribute('assigningAuthorityName', 'HL7 CCD');
        // <!--Allergies/Reactions section template-->
        $code = $section->addChild('code');
        $code->addAttribute('code', '48765-2');
        $code->addAttribute('codeSystem', '2.16.840.1.113883.6.1');
        $code->addAttribute('codeSystemName', 'LOINC');
        $code->addAttribute('displayName', 'Allergies');
        $section->addChild('title', 'Allergies and Adverse Reactions');
        $enumeration = new Enumeration();
        $listSymptoms = array();
        $enumeration->populateByEnumerationName(PatientAllergy::ENUM_SYMPTOM_PARENT_NAME);
        $enumerationsClosure = new EnumerationsClosure();
        $enumerationIterator = $enumerationsClosure->getAllDescendants($enumeration->enumerationId, 1);
        foreach ($enumerationIterator as $enum) {
            $listSymptoms[$enum->key] = $enum->name;
        }
        $filters = array('patientId' => $base->patient->personId);
        $base->setFiltersDateRange($filters);
        $rows = array();
        $allergies = PatientAllergy::listMedicationAllergies($filters);
        foreach ($allergies as $key => $allergy) {
            $exp = explode(',', $allergy['symptoms']);
            $symptoms = array();
            foreach ($exp as $symp) {
                $symptoms[] = isset($listSymptoms[$symp]) ? $listSymptoms[$symp] : '';
            }
            $reactionType = $allergy['reactionType'];
            if (!strlen($reactionType) > 0) {
                $reactionType = 'Unknown';
            }
            $active = (int) $allergy['active'] ? 'Active' : 'Inactive';
            $snomed = '';
            $row = array();
            $row['type'] = $reactionType;
            //'Drug Allergy';
            if ($reactionType == 'Specific Drug Allergy') {
                $snomed = '416098002';
            }
            $row['snomed'] = $snomed;
            $row['substance'] = html_convert_entities($allergy['causativeAgent']);
            $row['rxnorm'] = html_convert_entities($allergy['rxnorm_cuid']);
            $row['reaction'] = array('id' => 'ReactionID-' . $key, 'value' => html_convert_entities(implode(', ', $symptoms)));
            $row['date'] = date('M d, Y', strtotime($allergy['dateTimeReaction']));
            $row['status'] = html_convert_entities($active);
            $rows[] = $row;
        }
        /*
        -**SNOMED Allergy Type Code** (note from NIST: "The SNOMED Allergy Type Code is required by HITSP/C83, which is a component of the HITSP/C32 implementation guide specified by ONC in the Final Rule")
        -**Medication/Agent Allergy** (including medication/agent allergy and associated RxNorm code)
        */
        $text = $section->addChild('text');
        if ($rows) {
            $table = $text->addChild('table');
            $thead = $table->addChild('thead');
            $tr = $thead->addChild('tr');
            $tr->addChild('th', 'Type');
            $tr->addChild('th', 'Drug allergy SNOMED code');
            $tr->addChild('th', 'Substance');
            $tr->addChild('th', 'Substance RxNorm code');
            $tr->addChild('th', 'Reaction');
            $tr->addChild('th', 'Date Identified');
            $tr->addChild('th', 'Status');
            $tbody = $table->addChild('tbody');
            foreach ($rows as $row) {
                $tr = $tbody->addChild('tr');
                $tr->addChild('td', $row['type']);
                $tr->addChild('td', $row['snomed']);
                $tr->addChild('td', $row['substance']);
                $tr->addChild('td', $row['rxnorm']);
                $td = $tr->addChild('td', $row['reaction']['value']);
                $td->addAttribute('ID', $row['reaction']['id']);
                $tr->addChild('td', $row['date']);
                $tr->addChild('td', $row['status']);
            }
        }
        foreach ($allergies as $allergy) {
            $type = $allergy['reactionType'];
            if (!strlen($type) > 0) {
                $type = 'Unknown';
            }
            $substance = html_convert_entities($allergy['causativeAgent']);
            $exp = explode(',', $allergy['symptoms']);
            $symptoms = array();
            foreach ($exp as $symp) {
                $symptoms[] = isset($listSymptoms[$symp]) ? $listSymptoms[$symp] : '';
            }
            $reaction = '';
            if ($symptoms) {
                $reaction = html_convert_entities(implode(', ', $symptoms));
            }
            $status = 'Inactive';
            $statusCode = 'completed';
            $effectiveTimeHigh = '<high nullFlavor="UNK"/>';
            if ((int) $allergy['active']) {
                $status = 'Active';
                $statusCode = 'active';
                $effectiveTimeHigh = '';
            }
            $status = (int) $allergy['active'] ? 'Active' : 'Inactive';
            // STATUS CODES: active, suspended, aborted, completed
            $statusCode = (int) $allergy['active'] ? 'active' : 'completed';
            $entry = '<act classCode="ACT" moodCode="EVN">
				<templateId root="2.16.840.1.113883.3.88.11.83.6" assigningAuthorityName="HITSP C83"/>
				<templateId root="2.16.840.1.113883.10.20.1.27" assigningAuthorityName="CCD"/>
				<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" assigningAuthorityName="IHE PCC"/>
				<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3" assigningAuthorityName="IHE PCC"/>
				<id root="' . NSDR::create_guid() . '"/>
				<code nullFlavor="NA"/>
				<statusCode code="' . $statusCode . '"/>
				<effectiveTime>
					<low nullFlavor="UNK"/>' . $effectiveTimeHigh . '
				</effectiveTime>
				<entryRelationship typeCode="SUBJ" inversionInd="false">
					<observation classCode="OBS" moodCode="EVN">
						<templateId root="2.16.840.1.113883.10.20.1.18" assigningAuthorityName="CCD"/>
						<templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
						<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" assigningAuthorityName="IHE PCC"/>
						<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.6" assigningAuthorityName="IHE PCC"/>
						<id root="' . NSDR::create_guid() . '"/>
						<code code="416098002" codeSystem="2.16.840.1.113883.6.96" displayName="drug allergy" codeSystemName="SNOMED CT" />
						<text>
							<reference value="PtrToValueInSectionText"/>
						</text>
						<statusCode code="completed"/>
						<effectiveTime>
							<low nullFlavor="UNK"/>
						</effectiveTime>
						<value xsi:type="CD"/>
						<participant typeCode="CSM">
							<participantRole classCode="MANU">
								<addr/>
								<telecom/>
								<playingEntity classCode="MMAT">
									<code code="70618" codeSystem="2.16.840.1.113883.6.88" displayName="' . $substance . '">
										<originalText>
											<reference value="PointrToSectionText"/>
										</originalText>
									</code>
									<name>' . $substance . '</name>
								</playingEntity>
							</participantRole>';
            if ($reaction != '' && false) {
                $entry .= '
							<entryRelationship typeCode="MFST" inversionInd="true">
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.1.54" assigningAuthorityName="CCD"/>
									<!--Reaction observation template -->
									<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
									<text/>
									<statusCode code="completed"/>
									<value xsi:type="CD" code="247472004" codeSystem="2.16.840.1.113883.6.96" displayName="' . $reaction . '"/>
									<entryRelationship typeCode="SUBJ">
										<observation classCode="OBS" moodCode="EVN">
											<templateId root="2.16.840.1.113883.10.20.1.55" assigningAuthorityName="CCD"/>
											<code code="SEV" displayName="Severity" codeSystemName="HL7 ActCode" codeSystem="2.16.840.1.113883.5.4"/>
											<text>Required by HITSP C-83</text>
											<statusCode code="completed"/>
											<value xsi:type="CE" displayName="moderate" code="6736007" codeSystemName="SNOMED" codeSystem="2.16.840.1.113883.6.96"/>
										</observation>
									</entryRelationship>
								</observation>
							</entryRelationship>';
            }
            $entry .= '
							<!--<entryRelationship typeCode="REFR">
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.1.39"/>
									<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
									<statusCode code="completed"/>
									<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="' . $status . '"/>
								</observation>
							</entryRelationship>-->
						</participant>
					</observation>
				</entryRelationship>
			</act>';
            $entry = $section->addChild('entry', $entry);
            $entry->addAttribute('typeCode', 'DRIV');
        }
    }