protected function _populateHandlers()
{
$this->_handlers = array();
$handler = new HealthStatusHandler();
$db = Zend_Registry::get('dbAdapter');
$dbSelect = $db->select()->from($handler->_table)->where('active = 1');
$handlerIterator = $handler->getIterator($dbSelect);
foreach ($handlerIterator as $item) {
$this->_evaluateCodes($item);
$this->_handlers[] = $item;
}
}
public function generateDefaultCodesAction()
{
$code = $this->_getParam('code');
$handlerName = $this->_getParam('handlerName');
$condition = (int) $this->_getParam('condition');
$healthStatusHandler = new HealthStatusHandler();
$healthStatusHandler->name = $handlerName;
$healthStatusHandler->condition = $condition;
$data = '';
switch ($code) {
case 'handlerObject':
$data = $healthStatusHandler->generateDefaultHandlerObject();
break;
case 'datasource':
$data = $healthStatusHandler->generateDefaultDatasource();
break;
case 'template':
$data = $healthStatusHandler->generateDefaultTemplate();
break;
}
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct($data);
}
public static function generateTestTetanus()
{
$objects = array();
$person = new Person();
$person->last_name = 'ClearHealth';
$person->first_name = 'Test';
$person->middle_name = 'I';
$person->active = 1;
$person->persist();
$objects['person'] = $person;
$patient = new Patient();
$patient->person->_cascadePersist = false;
// to avoid persist() calls on person
$patient->person_id = $person->person_id;
$patient->recordNumber = 1000;
$patient->persist();
$objects['patient'] = $patient;
$medication = new Medication();
$medication->_shouldAudit = false;
// do not audit
$medication->hipaaNDC = 'hipaaNDC';
$medication->personId = $patient->person_id;
$medication->persist();
$objects['medication'] = $medication;
$audit = new Audit();
$audit->_ormPersist = true;
$audit->objectClass = get_class($medication);
$audit->objectId = $medication->medicationId;
$audit->dateTime = date('Y-m-d H:i:s');
$audit->type = WebVista_Model_ORM::REPLACE;
$audit->userId = (int) Zend_Auth::getInstance()->getIdentity()->personId;
$audit->persist();
$objects['audit'] = $audit;
$handler = new HealthStatusHandler();
$handler->name = 'Tetanus Shots Handler ' . NSDR::create_guid();
$handler->active = 1;
$handler->timeframe = '+1 month';
//$handler->condition = $audit->auditId;
$handlerName = Handler::normalizeHandlerName($handler->name);
$handler->handlerObject = <<<EOL
class {$handlerName}HealthStatusHandlerObject extends HealthStatusHandlerObjectAbstract {
\t//abstract requires at least this method
\tpublic static function matchAudit(HealthStatusHandler \$handler,Audit \$auditOrm) {
\t\t// check if the patientId of the item referenced by the audit is subscribed to the handler, if not return false (no match)
\t\t\$objectClass = \$auditOrm->objectClass;
\t\t\$obj = new \$objectClass();
\t\tforeach (\$obj->_primaryKeys as \$key) {
\t\t\t\$obj->\$key = \$auditOrm->objectId;
\t\t}
\t\t\$obj->populate();
\t\t\$patientId = \$obj->personId;
\t\tif (!HealthStatusHandlerPatient::isPatientSubscribed(\$handler->healthStatusHandlerId,\$patientId)) {
\t\t\treturn false;
\t\t}
\t\tif (\$auditOrm->objectClass == '{$audit->objectClass}' && \$auditOrm->type == '{$audit->type}') {
\t\t\treturn true;
\t\t}
\t\treturn false;
\t}
\tpublic static function fulfill(HealthStatusHandler \$handler,\$patientId) {
\t\t// fulfill sees if current patient has any open alerts linked to this handler
\t\t\$alert = new HealthStatusAlert();
\t\t\$alert->populateByHandlerPatientId(\$handler->healthStatusHandlerId,\$patientId);
\t\t// if there are open alerts then calls patientMatch again
\t\tif (strlen(\$alert->status) > 0) {
\t\t\t// if patientMatch returns FALSE then marks alerts as fulfilled if patientMatch return non-false alerts stay as is
\t\t\t// sees if any alerts exist for the patient that are for this handler and marks then as fulfilled if the same condition in patientMatch is reversed
\t\t\tif (self::patientMatch(\$handler,\$patientId) === false) {
\t\t\t\t\$alert->status = 'fulfilled';
\t\t\t\t\$alert->persist();
\t\t\t}
\t\t}
\t}
\tpublic static function patientMatch(HealthStatusHandler \$handler,\$patientId) {
\t\t// check if the patient does not have any record of a tetanus immunization (preferably by using NSDR)
\t\t// if it has, add the timeframe to the date of that immunization and check if that date is greater than today, if so then return true
\t\t// \$immunization = NSDR::populate(\$patientId.'::com.clearhealth.immunization');
\t\t// temporarily superseded NSDR
\t\t\$alert = new HealthStatusAlert();
\t\t\$alert->populateByHandlerPatientId(\$handler->healthStatusHandlerId,\$patientId);
\t\tif (!strlen(\$alert->status) > 0) {
\t\t\t// no existing alert, return true
\t\t\treturn true;
\t\t}
\t\t// would test to see if the date of a given patients last tetanus shot plus the timeframe is less than today
\t\t// if (strtotime(\$handler->timeframe,strtotime(\$alert->dateTime)) < strtotime(date('m/d/Y h:i A',strtotime('+1 month')))) {
\t\tif (\$alert->status == 'active') {
\t\t\tif (strtotime(\$alert->dateDue) < strtotime(date('m/d/Y h:i A',strtotime('+5 weeks')))) {
\t\t\t\t//self::fulfill(\$handler,\$patientId);
\t\t\t\treturn false;
\t\t\t}
\t\t\t// patientMatch checks if patient 1234 has NOT had a tetanus when date of last tetanus + timeframe < today and generates an alert
\t\t\treturn true;
\t\t}
\t\t/* \$alert->lastOccurence
\t\tif (\$alert->status == 'active' || \$alert->status == 'fulfilled' || \$alert->status == 'ignored') {
\t\t\t// would not match if patient already has an active, fulfilled or ignored alert
\t\t\treturn false;
\t\t}
\t\t*/
\t\treturn true;
\t}
}
EOL;
$handler->datasource = $handler->generateDefaultDatasource();
$handler->template = $handler->generateDefaultTemplate();
$handler->persist();
$objects['healthStatusHandler'] = $handler;
// subscribe patient to handler
$handlerPatient = new HealthStatusHandlerPatient();
$handlerPatient->healthStatusHandlerId = $handler->healthStatusHandlerId;
$handlerPatient->personId = $patient->personId;
$handlerPatient->persist();
$objects['healthStatusHandlerPatient'] = $handler;
return $objects;
}
public function testTetanusShotsFulfillWithAudit()
{
$this->_objects = HealthStatusHandler::generateTestTetanus();
$objects = array();
$timeTrigger = date('h:i A', strtotime('-10 minutes'));
$processHSA = new ProcessHSA($timeTrigger);
$process = Processingd::getInstance();
$process->clearProcesses();
$process->addProcess($processHSA);
$process->startProcessing(false);
$audit = new Audit();
$audit->_ormPersist = true;
$audit->objectClass = get_class($this->_objects['medication']);
$audit->objectId = $this->_objects['medication']->medicationId;
$audit->dateTime = date('Y-m-d H:i:s');
$audit->type = WebVista_Model_ORM::REPLACE;
$audit->userId = (int) Zend_Auth::getInstance()->getIdentity()->personId;
$audit->persist();
$objects['audit'] = $audit;
$time = date('h:i A', strtotime('-2 minutes'));
// advance the time to 2 minutes due to fast processing
$processHSA->setCurrentTime($time);
$process->clearProcesses();
$process->addProcess($processHSA);
$process->startProcessing(false);
$healthStatusAlert = new HealthStatusAlert();
$healthStatusAlert->populateByHandlerPatientId($this->_objects['healthStatusHandler']->healthStatusHandlerId, $this->_objects['patient']->personId);
$objects['healthStatusAlert'] = $healthStatusAlert;
$this->_cleanUpObjects($objects);
$this->assertTrue(strlen($healthStatusAlert->status) > 0, 'No alert created');
$this->assertEquals($healthStatusAlert->status, 'fulfilled', 'Alert is not fulfilled');
$this->assertEquals(date('Y-m-d', strtotime($healthStatusAlert->dateDue)), date('Y-m-d', strtotime('+1 month')), 'Due date is invalid');
}
public function generateTestDataAction()
{
HealthStatusHandler::generateTestData();
echo 'Done';
die;
}
