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export_qrda_xml.php
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<?php
/**
*
* EXPORT QRDA
*
* Copyright (C) 2015 Ensoftek, Inc
*
* LICENSE: This program is free software; you can redistribute it and/or
* modify it under the terms of the GNU General Public License
* as published by the Free Software Foundation; either version 2
* of the License, or (at your option) any later version.
* This program is distributed in the hope that it will be useful,
* but WITHOUT ANY WARRANTY; without even the implied warranty of
* MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
* GNU General Public License for more details.
* You should have received a copy of the GNU General Public License
* along with this program. If not, see <http://opensource.org/licenses/gpl-license.php>;.
*
* @package OpenEMR
* @author Ensoftek
* @link http://www.open-emr.org
*/
require_once("../interface/globals.php");
require_once("../ccr/uuid.php");
require_once("../library/patient.inc");
require_once "../library/options.inc.php";
require_once("../library/clinical_rules.php");
require_once "$srcdir/report_database.inc";
require_once "qrda_functions.php";
use OpenEMR\Common\Csrf\CsrfUtils;
use OpenEMR\Services\FacilityService;
if (!CsrfUtils::verifyCsrfToken($_GET["csrf_token_form"])) {
CsrfUtils::csrfNotVerified();
}
$facilityService = new FacilityService();
//Remove time limit, since script can take many minutes
set_time_limit(0);
//DENEXCEP NOT NEEDED rules
$denExcepNotNeedRules = array('0002', '0018', '0024', '0038', '0043', '0059', '0421');
//Predefined QRDA HQMF ID's for CQM rules
$preDefinedUniqIDRules = array();
$preDefPopIdArr = array();
// CMS147v4/0041 - Preventive Care and Screening: Influenza Immunization HQMF ID: 40280381-4600-425F-0146-EE66F0005509
$preDefinedUniqIDRules['0041'] = '40280381-4600-425F-0146-EE66F0005509';
$preDefPopIdArr['0041']['IPP'] = 'F48702E6-D39A-49D8-BE3C-8FAB5C6AADDA';
$preDefPopIdArr['0041']['DENOM'] = 'B61EC2DC-0841-4906-A84B-5BE5024DA7F1';
$preDefPopIdArr['0041']['NUMER'] = '0ED7B212-369B-489A-A5B5-07BC146FA557';
$preDefPopIdArr['0041']['DENEXCEP'] = 'B5C9EC50-3011-43DC-AD07-CED2D3B770B2';
// CMS122v3/0059 - Diabetes: Hemoglobin A1c Poor Control: HQMF_ID: 40280381-4555-E1C1-0145-90AC70DE2C73
$preDefinedUniqIDRules['0059'] = '40280381-4555-E1C1-0145-90AC70DE2C73';
$preDefPopIdArr['0059']['IPP'] = 'EDED90E9-E4FE-47E6-90AC-29D9AA3E861A';
$preDefPopIdArr['0059']['DENOM'] = '6721D6DA-E87D-4E42-A34A-C8490686598C';
$preDefPopIdArr['0059']['NUMER'] = '7549BA9E-1841-4231-8CAA-095BDF0AB8A1';
//CMS139v3/0101 - Falls: Screening for Future Fall Risk: HQMF_ID: 40280381-4555-E1C1-0145-672613970D15
$preDefinedUniqIDRules['0101'] = '40280381-4555-E1C1-0145-672613970D15';
$preDefPopIdArr['0101']['IPP'] = '2448B0C6-6848-4DCB-AA6D-F199337A2C5C';
$preDefPopIdArr['0101']['DENOM'] = 'EC400908-35BE-439B-92A9-231D99CEA9DF';
$preDefPopIdArr['0101']['NUMER'] = '663FB12B-0FF4-49AB-80A3-624C5E7DF892';
$preDefPopIdArr['0101']['DENEXCEP'] = 'FEC7251A-BF8D-4472-97D8-E2A9C0A42176';
//CMS127v3/0043 - Pneumonia Vaccination Status for Older Adults: HQMF_ID: 40280381-4555-E1C1-0145-762578A81C4C
$preDefinedUniqIDRules['0043'] = '40280381-4555-E1C1-0145-762578A81C4C';
$preDefPopIdArr['0043']['IPP'] = '873AECC7-E15B-49E7-8391-D73A46201E2E';
$preDefPopIdArr['0043']['DENOM'] = 'FF7016E1-E8C7-43BA-9D56-2BEF649F36FA';
$preDefPopIdArr['0043']['NUMER'] = '201F5A6E-4DDE-43A2-BDFC-CE85A98560DA';
//CMS69v3/0421 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan: HQMF_ID: 40280381-4555-E1C1-0145-D2B36DBB3FE6
$preDefinedUniqIDRules['0421']['Numerator 1'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
$preDefPopIdArr['0421']['Numerator 1']['IPP'] = '1C936855-E644-44C0-B264-49A28756FDB1';
$preDefPopIdArr['0421']['Numerator 1']['DENOM'] = '27F1591C-2060-462C-B5D7-7FE86A44B534';
$preDefPopIdArr['0421']['Numerator 1']['DENEX'] = '9B0C3C26-D621-4EA3-81FB-A839A3012044';
$preDefPopIdArr['0421']['Numerator 1']['NUMER'] = '3095531C-24D7-4AFB-9BCB-F1901FF0FF69';
$preDefinedUniqIDRules['0421']['Numerator 2'] = '40280381-4555-E1C1-0145-D2B36DBB3FE6';
$preDefPopIdArr['0421']['Numerator 2']['IPP'] = '6E701B1C-6CA5-4AD5-98C9-5F766745EA89';
$preDefPopIdArr['0421']['Numerator 2']['DENOM'] = 'E4DC29B8-EB26-4A01-ABB0-4F99FC03BA39';
$preDefPopIdArr['0421']['Numerator 2']['DENEX'] = 'BB1B4301-C275-4BAC-87C9-6E960B1601DA';
$preDefPopIdArr['0421']['Numerator 2']['NUMER'] = '7669026D-3683-44CC-A2C5-3D62EB2F8A33';
//CMS117v3/0038 - Childhood Immunization Status: HQMF_ID: 40280381-4555-E1C1-0145-D7C003364261
$preDefinedUniqIDRules['0038'] = '40280381-4555-E1C1-0145-D7C003364261';
$preDefPopIdArr['0038']['IPP'] = '6ED6A787-C871-49B9-825C-70A0DB898977';
$preDefPopIdArr['0038']['DENOM'] = '545DA813-89ED-4DCD-BDDF-4B33D93DCD84';
$preDefPopIdArr['0038']['NUMER'] = '00193FC7-AEE4-4507-A20F-D25A7BB214AD';
//CMS138v3/0028 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention: HQMF_ID: 40280381-4600-425F-0146-1F5867D40E82
$preDefinedUniqIDRules['0028'] = '40280381-4600-425F-0146-1F5867D40E82';
$preDefPopIdArr['0028']['IPP'] = '4E118B62-2AF8-4F51-9355-6FD3F2427D9F';
$preDefPopIdArr['0028']['DENOM'] = 'FA1B3953-AE58-4541-BF7B-84D0EB1B0713';
$preDefPopIdArr['0028']['NUMER'] = '35B1A6DF-1871-4633-A74B-BCAE371BC030';
$preDefPopIdArr['0028']['DENEXCEP'] = '3EE6DFF5-AB17-482F-A147-E6D1E46DBB79';
//CMS157v3/0384 - Oncology: Medical and Radiation – Pain Intensity Quantified: HQMF_ID: 40280381-4600-425F-0146-1F620BDF0EB0
$preDefinedUniqIDRules['0384'] = '40280381-4600-425F-0146-1F620BDF0EB0';
$preDefPopIdArr['0384']['IPP'] = 'C29B6555-3BC7-416F-B61A-FCACD637594F';
$preDefPopIdArr['0384']['DENOM'] = 'E5F80C25-6816-4992-92E2-A735B17F8D4F';
$preDefPopIdArr['0384']['NUMER'] = 'C948D0D2-D6E9-4099-9CD4-870F2F83A14C';
//CMS146v3/0002 - Appropriate Testing for Children with Pharyngitis: HQMF_ID: 40280381-4600-425F-0146-1F6E280C0F09
$preDefinedUniqIDRules['0002'] = '40280381-4600-425F-0146-1F6E280C0F09';
$preDefPopIdArr['0002']['IPP'] = '9D1135EA-BA90-45E7-8EED-F7335D1CC934';
$preDefPopIdArr['0002']['DENOM'] = 'D04EFECB-A901-4565-BDDB-826510499092';
$preDefPopIdArr['0002']['NUMER'] = '3F4CDE57-1C5C-4250-A338-55FED6775F57';
$preDefPopIdArr['0002']['DENEX'] = '0525FBA2-F068-4706-ADB5-E345852DC55B';
//CMS165v3/0018 - Controlling High Blood Pressure: HQMF_ID: 40280381-4600-425F-0146-1F6F722B0F17
$preDefinedUniqIDRules['0018'] = '40280381-4600-425F-0146-1F6F722B0F17';
$preDefPopIdArr['0018']['IPP'] = 'A72855CE-3C60-41F9-AEE2-64D4F584DDD4';
$preDefPopIdArr['0018']['DENOM'] = '26046A5C-E2CC-4A27-B480-FF7E3575691F';
$preDefPopIdArr['0018']['NUMER'] = '0899A359-0CD8-4977-AA29-666892AA3AD4';
$preDefPopIdArr['0018']['DENEX'] = '4327D845-6194-410D-A48D-D6E1802CAD55';
//CMS155v3/0024 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents: HQMF_ID: 40280381-4555-E1C1-0145-85C7311720F5
$preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
$preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
$preDefinedUniqIDRules['0024']['Population Criteria 1']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 1']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
$preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 1']['DISPLAY_TEXT'] = 'BMI Recorded, RS1: 3-11';
$preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 2']['DISPLAY_TEXT'] = 'BMI Recorded, RS2: 12-17';
$preDefinedUniqIDRules['0024']['Population Criteria 2']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
$preDefPopIdArr['0024']['Population Criteria 2']['Numerator 3']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS1: 3-11';
$preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 1'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['NUMER'] = 'FD4649BD-B962-4CBE-BF4A-C2F95F3EA08E';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 1']['DISPLAY_TEXT'] = 'Nutrition Counseling, RS2: 12-17';
$preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 2'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['NUMER'] = '52FBD726-4DD1-48F5-98B9-7175754923E1';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 2']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS1: 3-11';
$preDefinedUniqIDRules['0024']['Population Criteria 3']['Numerator 3'] = '40280381-4555-E1C1-0145-85C7311720F5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['IPP'] = '10127790-AE94-4070-9DD3-1D3776D08D7C';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENOM'] = '3B3C1568-F875-49B1-9090-E2F494EECBB6';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DENEX'] = 'B288D5A4-D573-4FAA-92D6-0B01E1B35C7A';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['NUMER'] = 'C43CE779-C5EE-4C15-A4CC-AF1C446CFB09';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['STRAT'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
$preDefPopIdArr['0024']['Population Criteria 3']['Numerator 3']['DISPLAY_TEXT'] = 'Physical Activity Counseling, RS2: 12-17';
$preDefPopIdArr['0024']['STRAT1'] = '40280381-3D61-56A7-013E-5D53298E6DA3';
$preDefPopIdArr['0024']['STRAT2'] = '40280381-3D61-56A7-013E-5D532AF06DA5';
//Multiple Numerator NQF# Array declaration
$multNumNQFArr = array('0421', '0024');
$countNumNQFArr = array();
$countNumNQFArr['0421'] = 2;//two Numerators
$countNumNQFArr['0024'] = 9;//Nine Numerators
//Initiation of all QRDA needed elements
$CQMeausesArr = array();
$CQMeausesArr['init_patients'] = "Initial Patient Population";
$CQMeausesArr['exclude_patients'] = "Denominator Exclusions";
$CQMeausesArr['denom_patients'] = "Denominator";
$CQMeausesArr['numer_patients'] = "Numerator";
$CQMeausesArr['exception_patients'] = "Denominator Exceptions";
$cqmItemizedArr = array();
$cqmItemizedArr['init_patients'] = "init_patients";
$cqmItemizedArr['exclude_patients'] = "exclude";
$cqmItemizedArr['denom_patients'] = "all";
$cqmItemizedArr['numer_patients'] = "pass";
$cqmItemizedArr['exception_patients'] = "exception";
//QRDA Needed Ethnicity
$mainEthiArr = array(0=>'Not Hispanic or Latino', 1=>'Hispanic or Latino');
$mainEthiCodeArr = array(0=>'2186-5', 1=>'2135-2');
//QRDA Needed Race
$mainQrdaRaceArr = array(0=>'American Indian or Alaska Native', 1=>'Asian', 2=>'Black or African American', 3=>'Native Hawaiian or Other Pacific Islander', 4=>'White', 5=>'Other');
$mainQrdaRaceCodeArr = array(0=>'1002-5', 1=>'2028-9', 2=>'2054-5', 3=>'2076-8', 4=>'2106-3', 5=>'2131-1');
$mainQrdaPopulationIncArr = array();
$mainQrdaPopulationIncArr['init_patients'] = "IPP";
$mainQrdaPopulationIncArr['exclude_patients'] = "DENEX";
$mainQrdaPopulationIncArr['denom_patients'] = "DENOM";
$mainQrdaPopulationIncArr['numer_patients'] = "NUMER";
$mainQrdaPopulationIncArr['exception_patients'] = "DENEXCEP";
$mainQrdaPopulationIncArr['measure_population'] = "MSRPOPL";
$mainQrdaPopulationIncArr['numer_exclusion'] = "NUMEX";
//QRDA Needed Gender
$mainQrdaGenderCodeArr = array();
$mainQrdaGenderCodeArr['F'] = "Female";
$mainQrdaGenderCodeArr['M'] = "Male";
$mainQrdaGenderCodeArr['UN'] = "Unknown";
//QRDA Needed Payer Info
$mainQrdaPayerCodeArr = array();
$mainQrdaPayerCodeArr['A'] = "Medicare";
$mainQrdaPayerCodeArr['B'] = "Medicaid";
$mainQrdaPayerCodeArr['C'] = "Private Health Insurance";
$mainQrdaPayerCodeArr['D'] = "Other";
//Payer Codes According to Cypress Codes
$mainQrdaPayerCodeSendArr = array();
$mainQrdaPayerCodeSendArr['A'] = "1";
$mainQrdaPayerCodeSendArr['B'] = "2";
$mainQrdaPayerCodeSendArr['C'] = "5";
$mainQrdaPayerCodeSendArr['D'] = "349";
//Provider selection
$form_provider = $_GET['form_provider'];
//Get Report Information
$report_id = $_GET['report_id'];
$report_view = collectReportDatabase($report_id);
$target_date = $report_view['date_target'];
$dataSheet = json_decode($report_view['data'], true);
//Needed array for Rule NQF#0024 Stratification
$stratumCheckArr = array();
if (count($dataSheet) > 0) {
//Inner Data Loop
foreach ($dataSheet as $row) {
$itemized_test_id = $row['itemized_test_id'];
$numerator_label = $row['numerator_label'];
if ($row['cqm_nqf_code'] == "0024") {
if ($row['population_label'] == "Population Criteria 2") {
if ($row['numerator_label'] == "Numerator 1") {
$stratum_1_ipp = $row['initial_population'];
$stratum_1_exclude = $row['excluded'];
$stratum_1_denom = $row['pass_filter'];
$stratum_1_numer1 = $row['pass_target'];
} else if ($row['numerator_label'] == "Numerator 2") {
$stratum_1_numer2 = $row['pass_target'];
} else if ($row['numerator_label'] == "Numerator 3") {
$stratum_1_numer3 = $row['pass_target'];
}
} else if ($row['population_label'] == "Population Criteria 3") {
if ($row['numerator_label'] == "Numerator 1") {
$stratum_2_ipp = $row['initial_population'];
$stratum_2_exclude = $row['excluded'];
$stratum_2_denom = $row['pass_filter'];
$stratum_2_numer1 = $row['pass_target'];
} else if ($row['numerator_label'] == "Numerator 2") {
$stratum_2_numer2 = $row['pass_target'];
} else if ($row['numerator_label'] == "Numerator 3") {
$stratum_2_numer3 = $row['pass_target'];
}
}
}
$stratum = array();
$stratum[1] = array('init_patients' => $stratum_1_ipp,
'exclude_patients' => $stratum_1_exclude,
'denom_patients' => $stratum_1_denom,
'numer_patients' => $stratum_1_numer1,
'numer2' => $stratum_1_numer2,
'numer3' => $stratum_1_numer3);
$stratum[2] = array('init_patients' => $stratum_2_ipp,
'exclude_patients' => $stratum_2_exclude,
'denom_patients' => $stratum_2_denom,
'numer_patients' => $stratum_2_numer1,
'numer2' => $stratum_2_numer2,
'numer3' => $stratum_2_numer3);
}
}
$from_date = date('Y', strtotime($target_date))."-01-01";
$to_date = date('Y', strtotime($target_date))."-12-31";
$xml = new QRDAXml();
#################################################################################################
####################### HEADER ELEMENTS START #####################################################
#################################################################################################
//Open Main Clinical Document
$xml->open_clinicaldocument();
$xml->self_realmcode();
$xml->self_typeid();
$tempId = '2.16.840.1.113883.10.20.27.1.1';
$xml->self_templateid($tempId);
$xml->unique_id = getUuid();
$xml->self_id();
$xml->self_code();
//Main Title Display to XML
$main_title = "QRDA Calculated Summary Report";
$xml->add_title($main_title);
//Effective date and time
$eff_datetime = date('Ymdhis', strtotime($target_date));
$xml->self_efftime($eff_datetime);
$xml->self_confidentcode();
//Language
$xml->self_lang();
$setidVal =getUuid();
$xml->self_setid($setidVal);
//Version
$xml->self_version();
//Record Target Elements
$xml->open_recordTarget();
$xml->add_patientRole();
$xml->close_recordTarget();
############### Author Info #######################
$xml->open_author();
//Author time
$auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
$xml->self_authorTime($auth_dtime);
//Assigned Author
$xml->open_assignAuthor();
$authorsetid = getUuid();
$xml->self_customId($authorsetid);
if ($form_provider != "") {
$userRow = sqlQuery("SELECT facility, facility_id, federaltaxid, npi, phone,fname, lname FROM users WHERE id=?", array($form_provider));
$facility_name = $userRow['facility'];
$facility_id = $userRow['facility_id'];
}
//$xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
//assignedAuthoringDevice Start
$xml->open_customTag('assignedAuthoringDevice');
$xml->element('softwareName', 'CYPRESS');
//assignedAuthoringDevice Close
$xml->close_customTag();
//Facility Address
$facilResRow = $facilityService->getById($facility_id);
$xml->add_authReprestOrginisation($facilResRow);
//$xml->add_facilAddress($facilResRow);
$xml->close_assignAuthor();
$xml->close_author();
############### Custodian Info #######################
$xml->open_custodian();
$xml->open_assgnCustodian();
$xml->add_represtCustodianOrginisation($facilResRow);
$xml->close_assgnCustodian();
$xml->close_custodian();
/*
############### Information Recipient #######################
$xml->open_infoRecipient();
$xml->add_indententRecipient();
$xml->close_infoRecipient();
*/
############### Legal Authenticator #######################
$xml->open_legalAuthenticator();
$auth_dtime = date('Ymdhis', strtotime(date('Y-m-d H:i:s')));
$xml->self_authorTime($auth_dtime);
$xml->self_legalSignCode();
$xml->open_assignedEntity();
$assignedEntityId = getUuid();
$xml->self_customId($assignedEntityId);
$xml->open_customTag('assignedPerson');
//Provider Name
$userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
$xml->add_providerName($userNameArr);
//assignedPerson Close
$xml->close_customTag();
//Represent Origination Name
$xml->add_authReprestOrginisation($facilResRow);
$xml->close_assignedEntity();
$xml->close_legalAuthenticator();
/*
############### Participant is Device(optional) #######################
$participentDevArr = array();
$xml->open_participant_data('DEV');//DEV -- Device
$xml->open_assocEntityData('RGPR');//RGPR -- Regulated Product
$participentDevArr['root'] = '2.16.840.1.113883.3.2074.1';
$participentDevArr['extension'] = '1a2b3c';
$xml->self_particpantIdInfo($participentDevArr);
$xml->self_participantCodeDevice();
$xml->close_assocEntityData();
$xml->close_participant_data();
############### Participant is Location(optional) #######################
$participentLocArr = array();
$xml->open_participant_data('LOC');//LOC -- Location
$xml->open_assocEntityData('SDLOC');//SDLOC -- Service Delivery Location
$participentLocArr['root'] = '2.16.840.1.113883.3.249.5.1';
$participentLocArr['extension'] = 'OK666333';
$xml->self_particpantIdInfo($participentLocArr);
$xml->self_participantCodeLocation();
$xml->add_facilAddress($facilResRow);
$xml->close_assocEntityData();
$xml->close_participant_data();
*/
############### documentationOf START #######################
$xml->open_customTag('documentationOf');
$xml->open_customTag('serviceEvent', array('classCode'=>'PCPR'));
$timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
$xml->add_entryEffectTime($timeArr);
$xml->open_customTag('performer', array('typeCode'=>'PRF'));
$xml->open_customTag('assignedEntity');
$npi_provider = !empty($userRow['npi']) ? $userRow['npi'] : '123456789';
$xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.6', 'extension' =>$npi_provider));
if ($userRow['phone'] != "") {
$xml->self_customTag('telecom', array('value' => $userRow['phone'], 'use'=>'WP'));
}
$xml->open_customTag('assignedPerson');
//Provider Name
$userNameArr = array('fname' =>$userRow['fname'], 'lname'=>$userRow['lname']);
$xml->add_providerName($userNameArr);
//assignedPerson Close
$xml->close_customTag();
$xml->open_customTag('representedOrganization');
$tin_provider = $userRow['federaltaxid'];
if ($tin_provider != "") {
$xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.2', 'extension' =>$tin_provider));
}
$xml->add_facilName($facility_name);
$xml->add_facilAddress($facilResRow);
//representedOrganization Close
$xml->close_customTag();
//assignedEntity Close
$xml->close_customTag();
//performer Close
$xml->close_customTag();
//serviceEvent Close
$xml->close_customTag();
//documentationOf Close
$xml->close_customTag();
############### documentationOf END #######################
############### authorization (optional) #########################
#################################################################################################
####################### HEADER ELEMENTS END #####################################################
#################################################################################################
#################################################################################################
######################### Main Component Open ###################################################
$xml->open_mainComponent();
############### Structure Body Open #######################
$xml->open_structuredBody();
##################### LOOP Component(s) START ########################
###################### Report Parameters Open #####################
//QRDA Category III Reporting Parameters Section (CMS EP) [section: templateId 2.16.840.1.113883.10.20.27.2.6
$xml->open_loopComponent();
$xml->open_section();
$tempID = '2.16.840.1.113883.10.20.17.2.1';
$xml->self_templateid($tempID);
$tempID = '2.16.840.1.113883.10.20.27.2.2';
$xml->self_templateid($tempID);
$tempID = '2.16.840.1.113883.10.20.27.2.6';
$xml->self_templateid($tempID);
$arr = array('code'=>'55187-9', 'codeSystem'=>'2.16.840.1.113883.6.1');
$xml->self_codeCustom($arr);
$title = "Reporting Parameters";
$xml->add_title($title);
$xml->open_text();
$xml->open_list();
$item_title = "Reporting period: ".date('d M Y', strtotime($from_date))." - ".date('d M Y', strtotime($to_date));
$xml->add_item($item_title);
$xml->close_list();
$xml->close_text();
$typeCode = 'DRIV';
$xml->open_entry($typeCode);
$arr = array('classCode'=>'ACT', 'moodCode'=>'EVN');
$xml->open_act($arr);
$tempID = '2.16.840.1.113883.10.20.17.3.8';
$xml->self_templateid($tempID);
$tempID = '2.16.840.1.113883.10.20.27.3.23';
$xml->self_templateid($tempID);
$actId = getUuid();
$xml->self_customId($actId);
$arr = array('code'=>'252116004', 'codeSystem'=>'2.16.840.1.113883.6.96', 'displayName'=>'Observation Parameters');
$xml->self_codeCustom($arr);
$timeArr = array('low'=>date('Ymd', strtotime($from_date)), 'high'=>date('Ymd', strtotime($to_date)));
$xml->add_entryEffectTime($timeArr);
$xml->close_act();
$xml->close_entry();
$xml->close_section();
$xml->close_loopComponent();
###################### Report Parameters Close #####################
###################### Measure Section Open #####################
$xml->open_loopComponent();
$xml->open_section();
$tempID = '2.16.840.1.113883.10.20.27.2.1';
$xml->self_templateid($tempID);
$tempID = '2.16.840.1.113883.10.20.24.2.2';
$xml->self_templateid($tempID);
$tempID = '2.16.840.1.113883.10.20.27.2.3';
$xml->self_templateid($tempID);
$arr = array('code'=>'55186-1', 'codeSystem'=>'2.16.840.1.113883.6.1');
$xml->self_codeCustom($arr);
$title = "Measure Section";
$xml->add_title($title);
$xml->open_text();
$cnt=1;
$tabArr = array('border'=>1, 'width'=>'100%');
if (count($dataSheet) > 0) {
$uniqIdArr = array();
//Inner Data Loop
foreach ($dataSheet as $row) {
$itemized_test_id = $row['itemized_test_id'];
$numerator_label = $row['numerator_label'];
//CQM Rules 2014 set, 0013 is 0018
if ($row['cqm_nqf_code'] == "0013") {
$row['cqm_nqf_code'] = "0018";
}
//Table Start
$xml->open_customTag('table', $tabArr);
//THEAD Start
$xml->open_customTag('thead');
//TR Start
$xml->open_customTag('tr');
$xml->add_trElementsTitles();
//TR close
$xml->close_customTag();
//THEAD close
$xml->close_customTag();
//TBOBY START
$xml->open_customTag('tbody');
$xml->open_customTag('tr');
$tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'), $row['id']);
if (!empty($row['cqm_pqri_code'])) {
$tdTitle .= " " . xlt('PQRI') . ":" . text($row['cqm_pqri_code']) . " ";
}
if (!empty($row['cqm_nqf_code'])) {
$tdTitle .= " " . xlt('NQF') . ":" . text($row['cqm_nqf_code']) . " ";
}
if (!(empty($row['concatenated_label']))) {
$tdTitle .= ", " . xlt($row['concatenated_label']) . " ";
}
$tdVersionNeutral = getUuid();
if ($preDefinedUniqIDRules[$row['cqm_nqf_code']] != "") {
if (($row['cqm_nqf_code'] == "0421" )) {
$tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['numerator_label']];
} else if ($row['cqm_nqf_code'] == "0024") {
$tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']];
} else {
$tdVersionSpecific = $preDefinedUniqIDRules[$row['cqm_nqf_code']];
}
$uniqIdArr[] = $tdVersionSpecific;
} else {
$tdVersionSpecific = getUuid();
$uniqIdArr[] = $tdVersionSpecific;
}
$dataArr = array(0=>$tdTitle, 1=>$tdVersionNeutral, 2=>$tdVersionSpecific);
$xml->add_trElementsValues($dataArr);
//TR close
$xml->close_customTag();
//TBODY close
$xml->close_customTag();
//Table Close
$xml->close_customTag();
//Open List Item Wise
$xml->open_list();
//Performance Rate
$xml->open_customTag('item');
$arrContent = array('name'=>'Performance Rate', 'value'=>$row['percentage']);
$xml->innerContent($arrContent);
$xml->close_customTag();
//All CQM Measures taken here
foreach ($CQMeausesArr as $cqmKey => $cqmVal) {
//DENEXCEP(Denominator Exception not needed for some rules are skipping here)
if ((in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients")) {
continue;
}
//get Itemized Data
if ($cqmKey == "init_patients") {
$itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey]);
} else {
$itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey], $numerator_label);
}
$fullPatArr = array();
foreach ($itemPatArr as $itemPatInfo) {
$fullPatArr[] = $itemPatInfo['pid'];
}
//Initial Patient Population
$xml->open_customTag('item');
$arrContent = array('name'=>$cqmVal, 'value'=>count($fullPatArr));
$xml->innerContent($arrContent);
$detailsArr = getQRDAPatientNeedInfo($fullPatArr);
//Open Sub List
$xml->open_list();
//Gender Section Display
foreach ($mainQrdaGenderCodeArr as $GKey => $GVal) {
$xml->open_customTag('item');
$genderInfo = $detailsArr['gender'][$GVal];
$arrContent = array('name'=>$GVal, 'value'=>$genderInfo);
$xml->innerContent($arrContent);
$xml->close_customTag();
}
//Ethnicity Section Display
foreach ($mainEthiArr as $ethKey => $ethVal) {
$ethnicity_data = $detailsArr['ethnicity'][$ethVal];
$xml->open_customTag('item');
$arrContent = array('name'=>'Ethnicity - '.$ethVal, 'value'=>$ethnicity_data);
$xml->innerContent($arrContent);
$xml->close_customTag();
}
//Race Section Display
foreach ($mainQrdaRaceArr as $RKey => $RVal) {
$race_data = $detailsArr['race'][$RVal];
$xml->open_customTag('item');
$arrContent = array('name'=>'Race - '.$RVal, 'value'=>$race_data);
$xml->innerContent($arrContent);
$xml->close_customTag();
}
//Payer Type Section Display
$payerCheckArr = getQRDAPayerInfo($fullPatArr);
foreach ($mainQrdaPayerCodeArr as $PKey => $PVal) {
$xml->open_customTag('item');
$arrContent = array('name'=>'Payer - '.$PVal, 'value'=>$payerCheckArr[$PVal]);
$xml->innerContent($arrContent);
$xml->close_customTag();
}
//close Sub List
$xml->close_list();
$xml->close_customTag();
}
$xml->close_list();
}
}
$xml->close_text();
#######################################################################
######################### QUALITY MEASURES START ######################
#######################################################################
if (count($dataSheet) > 0) {
$innrCnt = 0;
$skipMultNumArr = array();
$dataChkArr = array();
foreach ($multNumNQFArr as $multNumVal) {
$skipMultNumArr[$multNumVal] = false;
$dataChkArr[$multNumVal] = 0;
}
//Inner Data Loop
foreach ($dataSheet as $row) {
$itemized_test_id = $row['itemized_test_id'];
$numerator_label = $row['numerator_label'];
//Skip section
//if($row['cqm_nqf_code'] == "0028a") continue;
//if($row['cqm_nqf_code'] == "0038"){
// if(in_array($row['numerator_label'], $NQF38NumArr)) continue;
//}
if (in_array($row['cqm_nqf_code'], $multNumNQFArr)) {
$dataChkArr[$row['cqm_nqf_code']]++;
}
//CQM Rules 2014 set, 0013 is 0018
if ($row['cqm_nqf_code'] == "0013") {
$row['cqm_nqf_code'] = "0018";
}
$tdTitle = generate_display_field(array('data_type'=>'1','list_id'=>'clinical_rules'), $row['id']);
if (!empty($row['cqm_pqri_code'])) {
$tdTitle .= " " . xlt('PQRI') . ":" . text($row['cqm_pqri_code']) . " ";
}
if (!empty($row['cqm_nqf_code'])) {
$tdTitle .= " " . xlt('NQF') . ":" . text($row['cqm_nqf_code']) . " ";
}
if (!(empty($row['concatenated_label']))) {
$tdTitle .= ", " . xlt($row['concatenated_label']) . " ";
}
###########################################################
if (( !isset($skipMultNumArr[$row['cqm_nqf_code']]) ) || ($skipMultNumArr[$row['cqm_nqf_code']] == false)) {
//Entry open
$xml->open_entry();
//Organizer Start
$arr = array('classCode'=>'CLUSTER', 'moodCode'=>'EVN');
$xml->open_customTag('organizer', $arr);
$tempID = "2.16.840.1.113883.10.20.24.3.98";
$xml->self_templateid($tempID);
$tempID = "2.16.840.1.113883.10.20.27.3.1";
$xml->self_templateid($tempID);
//$tempID = "2.16.840.1.113883.10.20.27.3.17";
//$xml->self_templateid($tempID);
$actId = getUuid();
$xml->self_customId($actId);
$arr = array('code'=>'completed');
$xml->self_customTag('statusCode', $arr);
//reference Start
$arr = array('typeCode'=>'REFR');
$xml->open_customTag('reference', $arr);
//externalDocument Start
$arr = array('classCode'=>'DOC', 'moodCode'=>'EVN');
$xml->open_customTag('externalDocument', $arr);
//$exDocID = getUuid();
$exDocID = $uniqIdArr[$innrCnt];
//$xml->self_customId($exDocID);
$xml->self_customTag('id', array('root' => '2.16.840.1.113883.4.738', 'extension' =>$exDocID));
$arr = array('code'=>'57024-2', 'displayName'=>'Health Quality Measure Document', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'LOINC');
$xml->self_codeCustom($arr);
$dispContntTitle = str_replace("&", '', $tdTitle);
$xml->textDispContent($dispContntTitle);
//externalDocument Close
$xml->close_customTag();
//reference Close
$xml->close_customTag();
############### Performance Rate for Proportion Measure template START###################
$xml->open_loopComponent();
//observation Open
$xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
$tempID = "2.16.840.1.113883.10.20.27.3.14";
$xml->self_templateid($tempID);
$tempID = "2.16.840.1.113883.10.20.27.3.25";
$xml->self_templateid($tempID);
$arr = array('code'=>'72510-1', 'displayName'=>'Performance Rate', 'codeSystem'=>'2.16.840.1.113883.6.1', 'codeSystemName'=>'SNOMED-CT');
$xml->self_codeCustom($arr);
$arr = array('code'=>'completed');
$xml->self_customTag('statusCode', $arr);
$percentage = str_replace("%", '', $row['percentage']);
$arr = array('xsi:type'=>'REAL', 'value'=>$percentage/100);
$xml->self_customTag('value', $arr);
//reference Start
$arr = array('typeCode'=>'REFR');
$xml->open_customTag('reference', $arr);
//externalObservation Start
$arr = array('classCode'=>'OBS', 'moodCode'=>'EVN');
$xml->open_customTag('externalObservation', $arr);
//Modified HQMF_ID
//$exDocID = getUuid();
if (($row['cqm_nqf_code'] == "0421" )) {
$exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['numerator_label']]["NUMER"];
} else if (($row['cqm_nqf_code'] == "0024")) {
$exDocID = $preDefPopIdArr[$row['cqm_nqf_code']][$row['population_label']][$row['numerator_label']]["NUMER"];
} else {
if ($preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"] != "") {
$exDocID = $preDefPopIdArr[$row['cqm_nqf_code']]["NUMER"];
} else {
$exDocID = getUuid();
}
}
$xml->self_customId($exDocID);
$arr = array('code'=>'NUMER', 'displayName'=>'Numerator', 'codeSystem'=>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
$xml->self_codeCustom($arr);
//externalObservation Close
$xml->close_customTag();
//reference Close
$xml->close_customTag();
//observation Close
$xml->close_customTag();
$xml->close_loopComponent();
############### Performance Rate for Proportion Measure template END ###################
}
//All CQM Measures taken here
foreach ($CQMeausesArr as $cqmKey => $cqmVal) {
//DENEXCEP(Denominator Exception not needed for some rules are skipping here)
if ((in_array($row['cqm_nqf_code'], $denExcepNotNeedRules) ) && ($cqmKey == "exception_patients")) {
continue;
}
//cqm 0024 alllowing only nuemerator 2 and numerator 3 for ipp1,ipp2 and 1pp3 to avoid repeatation
if ($row['cqm_nqf_code'] == '0024' && ($row['numerator_label'] == "Numerator 2" || $row['numerator_label'] == "Numerator 3") && $cqmKey != 'numer_patients') {
continue;
}
if ($row['cqm_nqf_code'] == '0024' && ($row['population_label'] == "Population Criteria 2" || $row['population_label'] == "Population Criteria 3")) {
continue;
}
//get Itemized Data
if ($cqmKey == "init_patients") {
$itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey]);
} else {
$itemPatArr = collectItemizedPatientsCdrReport($report_id, $itemized_test_id, $cqmItemizedArr[$cqmKey], $numerator_label);
}
$fullPatArr = array();
foreach ($itemPatArr as $itemPatInfo) {
$fullPatArr[] = $itemPatInfo['pid'];
}
$detailsArr = getQRDAPatientNeedInfo($fullPatArr);
############### Initial patient population template START###################
$xml->open_loopComponent();
//observation Open
$xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
$tempID = "2.16.840.1.113883.10.20.27.3.5";
$xml->self_templateid($tempID);
$tempID = "2.16.840.1.113883.10.20.27.3.16";
$xml->self_templateid($tempID);
$arr = array('code'=>'ASSERTION', 'displayName'=>'Assertion', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
$xml->self_codeCustom($arr);
$arr = array('code'=>'completed');
$xml->self_customTag('statusCode', $arr);
$arr = array('xsi:type'=>'CD', 'code'=>$mainQrdaPopulationIncArr[$cqmKey], 'displayName'=>$cqmVal, 'codeSystem' =>'2.16.840.1.113883.5.1063', 'codeSystemName'=>'ObservationValue');
$xml->self_customTag('value', $arr);
//entryRelationship Open
$xml->open_customTag('entryRelationship', array('typeCode'=>'SUBJ', 'inversionInd'=>'true'));
//observation Open
$xml->open_customTag('observation', array('classCode'=>'OBS', 'moodCode'=>'EVN'));
$tempID = "2.16.840.1.113883.10.20.27.3.3";
$xml->self_templateid($tempID);
$tempID = "2.16.840.1.113883.10.20.27.3.24";
$xml->self_templateid($tempID);
$arr = array('code'=>'MSRAGG', 'displayName'=>'rate aggregation', 'codeSystem'=>'2.16.840.1.113883.5.4', 'codeSystemName'=>'ActCode');
$xml->self_codeCustom($arr);
//$arr = array('code'=>'completed');
//$xml->self_customTag('statusCode', $arr);
$arr = array('xsi:type'=>'INT', 'value'=>count($fullPatArr));
$xml->self_customTag('value', $arr);
$arr = array('code'=>'COUNT', 'displayName'=>'Count', 'codeSystem'=>'2.16.840.1.113883.5.84', 'codeSystemName'=>'ObservationMethod');
$xml->self_customTag('methodCode', $arr);
//observation Close
$xml->close_customTag();
//entryRelationship Close
$xml->close_customTag();