/**
* @param $rule
* @return bool
*/
private function ckVitals($rule)
{
if (isset($rule['concepts']['VITA']) && !empty($rule['concepts']['VITA'])) {
$count = 0;
foreach ($rule['concepts']['VITA'] as $concept) {
$vitals = $this->Vitals->getVitalsByPid($this->Patient->getPatientPid());
$codes = $this->Vitals->getCodes();
$frequency = 0;
foreach ($vitals as $vital) {
$mapping = $codes[$concept['concept_code']]['mapping'];
if ($concept['value_operator'] == '' || $this->compare($vital[$mapping], $concept['value_operator'], $concept['value'])) {
if ($this->isWithInterval($vital['date'], $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']['VITA']);
}
return true;
}
private function getEncounterRelations($encounter, $allVitals = true)
{
$filters = new stdClass();
$filters->filter[0] = new stdClass();
$filters->filter[0]->property = 'eid';
$filters->filter[0]->value = $encounter['eid'];
$Vitals = new Vitals();
if ($_SESSION['globals']['enable_encounter_vitals']) {
$encounter['vitals'] = $allVitals ? $Vitals->getVitalsByPid($encounter['pid']) : $Vitals->getVitalsByEid($encounter['eid']);
}
unset($Vitals);
if ($_SESSION['globals']['enable_encounter_review_of_systems']) {
$encounter['reviewofsystems'][] = $this->getReviewOfSystems($filters);
}
if ($_SESSION['globals']['enable_encounter_family_history']) {
$encounter['familyhistory'] = $this->FamilyHistory->getFamilyHistoryByPid($encounter['pid']);
}
// //TODO: Matcha Model
// if($_SESSION['globals']['enable_encounter_review_of_systems_cks']){
//
// }
if ($_SESSION['globals']['enable_encounter_soap']) {
$encounter['soap'][] = $this->getSoapByEid($encounter['eid']);
}
if ($_SESSION['globals']['enable_encounter_dictation']) {
$encounter['speechdictation'][] = $this->getDictation($filters);
}
if ($_SESSION['globals']['enable_encounter_hcfa']) {
$encounter['hcfaoptions'][] = $this->getHCFA($filters);
}
$encounter['services'] = $this->getEncounterServiceCodesByEid($encounter['eid']);
unset($filters);
return $encounter;
}
/**
* Method setVitalsSection()
*
* The Vital Signs section contains relevant vital signs for the context and use case of the document type,
* such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference,
* pulse oximetry, temperature and body surface area. The section should include notable vital signs such
* as the most recent, maximum and/or minimum, baseline, or relevant trends.
*
* Vital signs are represented in the same way as other results, but are aggregated into their own section
* to follow clinical conventions.
*/
private function setVitalsSection()
{
$Vitals = new Vitals();
$vitalsData = $Vitals->getVitalsByPid($this->pid);
if (empty($vitalsData) || $this->isExcluded('vitals')) {
$vitals['@attributes'] = ['nullFlavor' => 'NI'];
}
$vitals['templateId'] = ['@attributes' => ['root' => $this->requiredVitals ? '2.16.840.1.113883.10.20.22.2.4.1' : '2.16.840.1.113883.10.20.22.2.4']];
$vitals['code'] = ['@attributes' => ['code' => '8716-3', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1']];
$vitals['title'] = 'Vital Signs';
$vitals['text'] = '';
if ($this->isExcluded('vitals')) {
$this->addSection(['section' => $vitals]);
return;
}
if (!empty($vitalsData)) {
$vitals['text'] = ['table' => ['@attributes' => ['border' => '1', 'width' => '100%'], 'thead' => ['tr' => [['th' => [['@attributes' => ['align' => 'right'], '@value' => 'Date / Time:']]]]], 'tbody' => ['tr' => [['th' => [['@attributes' => ['align' => 'left'], '@value' => 'Height']]], ['th' => [['@attributes' => ['align' => 'left'], '@value' => 'Weight']]], ['th' => [['@attributes' => ['align' => 'left'], '@value' => 'Blood Pressure']]], ['th' => [['@attributes' => ['align' => 'left'], '@value' => 'BMI (Body Mass Index)']]]]]]];
$vitals['entry'] = [];
foreach ($vitalsData as $item) {
// strip date (yyyy-mm-dd hh:mm:ss => yyyymmdd)
$date = $this->parseDate($item['date']);
// Date
$vitals['text']['table']['thead']['tr'][0]['th'][] = ['@value' => date('F j, Y', strtotime($item['date']))];
// Height
$vitals['text']['table']['tbody']['tr'][0]['td'][] = ['@value' => $item['height_cm'] . ' cm'];
// Weight
$vitals['text']['table']['tbody']['tr'][1]['td'][] = ['@value' => $item['weight_kg'] . ' kg'];
// Blood Pressure
$vitals['text']['table']['tbody']['tr'][2]['td'][] = ['@value' => $item['bp_systolic'] . '/' . $item['bp_diastolic'] . ' mmHg'];
// BMI (Body Mass Index)
$vitals['text']['table']['tbody']['tr'][3]['td'][] = ['@value' => $item['bmi'] . ' kg/m2'];
// Code Entry
$entry = ['@attributes' => ['typeCode' => 'DRIV'], 'organizer' => ['@attributes' => ['classCode' => 'CLUSTER', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.26']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '46680005', 'codeSystemName' => 'SNOMED CT', 'codeSystem' => '2.16.840.1.113883.6.96', 'displayName' => 'Vital signs']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'component' => [['observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.27']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '8302-2', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => 'Height']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'value' => ['@attributes' => ['xsi:type' => 'PQ', 'value' => $item['height_cm'], 'unit' => 'cm']]]], ['observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.2']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '3141-9', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => 'Weight Measured']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'value' => ['@attributes' => ['xsi:type' => 'PQ', 'value' => $item['weight_kg'], 'unit' => 'kg']]]], ['observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.2']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '8480-6', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => 'BP Systolic']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'value' => ['@attributes' => ['xsi:type' => 'PQ', 'value' => $item['bp_systolic'], 'unit' => 'mm[Hg]']]]], ['observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.2']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '8462-4', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => 'BP Diastolic']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'value' => ['@attributes' => ['xsi:type' => 'PQ', 'value' => $item['bp_diastolic'], 'unit' => 'mm[Hg]']]]], ['observation' => ['@attributes' => ['classCode' => 'OBS', 'moodCode' => 'EVN'], 'templateId' => ['@attributes' => ['root' => '2.16.840.1.113883.10.20.22.4.2']], 'id' => ['@attributes' => ['root' => UUID::v4()]], 'code' => ['@attributes' => ['code' => '39156-5', 'codeSystemName' => 'LOINC', 'codeSystem' => '2.16.840.1.113883.6.1', 'displayName' => 'Body mass index (BMI) [Ratio]']], 'statusCode' => ['@attributes' => ['code' => 'completed']], 'effectiveTime' => ['@attributes' => ['value' => $date]], 'value' => ['@attributes' => ['xsi:type' => 'PQ', 'value' => $item['bmi'], 'unit' => 'kg/m2']]]]]]];
$vitals['entry'][] = $entry;
}
}
if ($this->requiredVitals || isset($vitals['entry'])) {
$this->addSection(['section' => $vitals]);
}
unset($vitalsData, $vitals);
}
