First step in refactoring/integrating the amc rules for MU2, take 2.

library/classes/rulesets/Amc/library/AbstractAmcReport.php

@@ -1,11 +1,27 @@
 <?php
-// Copyright (C) 2011 Ken Chapple <[email protected]>
-//
-// 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.
-//
+/**
+ * AbstractAmcReport class
+ *
+ * Copyright (C) 2011 Ken Chapple <[email protected]>
+ * Copyright (C) 2015 Brady Miller <[email protected]>
+ *
+ * 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 3
+ * 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 <https://opensource.org/licenses/gpl-license.php>;.
+ *
+ * @package OpenEMR
+ * @author Ken Chapple <[email protected]>
+ * @author Brady Miller <[email protected]>
+ * @link https://www.open-emr.org
+ */
+
 require_once( 'AmcFilterIF.php' );
 require_once( dirname(__FILE__)."/../../../../clinical_rules.php" );
 require_once( dirname(__FILE__)."/../../../../amc.php" );
@@ -216,6 +232,14 @@ private function collectObjects ($patient,$object_label,$begin,$end) {
  "AND `date` >= ? AND `date` <= ?";
  array_push($sqlBindArray, $patient->id, $begin, $end);
  break;
+ case "encounters_office_visit":
+ $sql = "SELECT * " .
+ "FROM `form_encounter` LEFT JOIN `enc_category_map` ON (form_encounter.pc_catid = enc_category_map.main_cat_id) " .
+ "WHERE enc_category_map.rule_enc_id = 'enc_off_vis' " .
+ "AND `pid` = ? " .
+ "AND `date` >= ? AND `date` <= ?";
+ array_push($sqlBindArray, $patient->id, $begin, $end);
+ break;
  case "prescriptions":
  $sql = "SELECT * " .
  "FROM `prescriptions` " .
@@ -259,6 +283,9 @@ private function collectObjects ($patient,$object_label,$begin,$end) {
  break;
 
  case "med_orders":
+ // AMC MU2 TODO :
+ // Note the cpoe_flag and functionality does not exist in OpenEMR official codebase.
+ //
  $sql = "SELECT cpoe_flag as cpoe_stat " .
  "FROM `prescriptions` " .
  "WHERE `patient_id` = ? " .
@@ -286,22 +313,16 @@ private function collectObjects ($patient,$object_label,$begin,$end) {
  break;
 
  case "pres_non_substance":
+ // AMC MU2 TODO :
+ // Note the cpoe_flag, eTransmit, and formulary functionality does not exist in OpenEMR official codebase.
+ // Note that this was to be used in the AMC_304b rules (but is currently not being used yet, though).
+ //
  $sql = "SELECT formulary, cpoe_flag as transmit_stat, eTransmit " .
  "FROM `prescriptions` " .
  "WHERE controlledsubstance = 'no' " .
  "AND `patient_id` = ? ".
  "AND `date_added` BETWEEN ? AND ?";
  array_push($sqlBindArray, $patient->id, $begin, $end);
- break;
-
- case "encounters_office_vist":
- $sql = "SELECT * " .
- "FROM `form_encounter` fe " .
- "INNER JOIN openemr_postcalendar_categories opc ON fe.pc_catid = opc.pc_catid ".
- "WHERE opc.pc_catname = 'Office Visit' ".
- "AND`pid` = ? " .
- "AND `date` >= ? AND `date` <= ?";
- array_push($sqlBindArray, $patient->id, $begin, $end);
  break;
  }
 

library/classes/rulesets/Amc/reports/AMC_302m_STG2/Numerator.php

@@ -32,6 +32,11 @@ public function test( AmcPatient $patient, $beginDate, $endDate )
  // Is patient provided patient specific education during the report period.
 
  // Check for any patient specific education instances.
+ // 
+ // AMC MU2 TODO :
+ // Need to look into this measure, since as I recall it is measuring the patient education
+ // stuff that Rod added for MU2.
+ //
  $item = sqlQuery("SELECT * FROM `amc_misc_data` as amc, `form_encounter` as enc " .
  "WHERE enc.pid = amc.pid AND enc.pid = ? " .
  "AND amc.map_category = 'form_encounter' " .

library/classes/rulesets/Amc/reports/AMC_304a_3/Numerator.php

@@ -31,6 +31,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  // MEASURE STAGE2: Medication Order(s) Created as CPOE
+ //
+ // AMC MU2 TODO :
+ // Note the counter for this is using prescriptions which does not incorporate the cpoe_stat field.
+ //
  if ( $patient->object['cpoe_stat'] == 'yes') {
  return true;
  }else {

library/classes/rulesets/Amc/reports/AMC_304b_1_STG2/Numerator.php

@@ -32,6 +32,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically
+ //
+ // AMC MU2 TODO :
+ // Note OpenEMR official codebase does not support the eTransmit and forumulary items
+ //
  if ( ($patient->object['eTransmit'] == 1) && ($patient->object['formulary'] == 'yes') ) {
  return true;
  }else{

library/classes/rulesets/Amc/reports/AMC_304b_2_STG2/Numerator.php

@@ -31,6 +31,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically.
+ //
+ // AMC MU2 TODO :
+ // Note OpenEMR official codebase does not support the eTransmit and forumulary items
+ //
  if ( ($patient->object['eTransmit'] == 1) && ($patient->object['formulary'] == 'yes') ) {
  return true;
  }else{

library/classes/rulesets/Amc/reports/AMC_304b_STG1/Numerator.php

@@ -31,6 +31,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  //The number of prescriptions in the denominator transmitted electronically 
+ //
+ // AMC MU2 TODO :
+ // Note OpenEMR official codebase does not support the eTransmit item
+ //
  if($patient->object['eTransmit'] == 1) {
  return true;
  }else{ 

library/classes/rulesets/Amc/reports/AMC_304h.php

@@ -17,7 +17,7 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- return "encounters";
+ return "encounters_office_visit";
  }
 
  public function createDenominator() 

library/classes/rulesets/Amc/reports/AMC_304h/Numerator.php

@@ -1,12 +1,24 @@
 <?php
-// Copyright (C) 2011 Brady Miller <[email protected]>
-//
-// 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.
-//
-
+/**
+ * class AMC_304h_Numerator
+ *
+ * Copyright (C) 2011-2015 Brady Miller <[email protected]>
+ *
+ * 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 3
+ * 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 <https://opensource.org/licenses/gpl-license.php>;.
+ *
+ * @package OpenEMR
+ * @author Brady Miller <[email protected]>
+ * @link https://www.open-emr.org
+ */
 
 class AMC_304h_Numerator implements AmcFilterIF
 {
@@ -21,7 +33,6 @@ public function test( AmcPatient $patient, $beginDate, $endDate )
  $amcElement = amcCollect('provide_sum_pat_amc',$patient->id,'form_encounter',$patient->object['encounter']);
  if (!(empty($amcElement))) {
  $daysDifference = businessDaysDifference( date("Y-m-d",strtotime($patient->object['date'])) , date("Y-m-d",strtotime($amcElement['date_completed'])) );
- error_log("DEBUG: ".$daysDifference,0);
  if ($daysDifference < 4) {
  return true;
  }

library/classes/rulesets/Amc/reports/AMC_304h_STG2.php

@@ -4,6 +4,7 @@
  * AMC 304h STAGE2
  *
  * Copyright (C) 2015 Ensoftek, Inc
+ * Copyright (C) 2015 Brady Miller <[email protected]>
  *
  * LICENSE: This program is free software; you can redistribute it and/or
  * modify it under the terms of the GNU General Public License
@@ -18,6 +19,7 @@
  *
  * @package OpenEMR
  * @author Ensoftek
+ * @author Brady Miller <[email protected]>
  * @link https://www.open-emr.org
  */
 
@@ -30,7 +32,7 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- return "encounters_office_vist";
+ return "encounters_office_visit";
  }
 
  public function createDenominator() 

library/classes/rulesets/Amc/reports/AMC_304i_STG1/Numerator.php

@@ -31,6 +31,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  //The number of transitions of care and referrals in the denominator where a summary of care record was provided.(VIEW/TRANSMITTED)
+ //
+ // AMC MU2 TODO :
+ // Note from_ccda is not in the main OpenEMR codebase. Should ask Z&H on strategy for this one.
+ //
  $sumQry = "SELECT count(*) as cnt FROM amc_misc_data ".
  "WHERE map_category = 'form_encounter' ".
  "AND amc_id IN( 'med_reconc_amc', 'provide_sum_pat_amc' ) ".

library/classes/rulesets/Amc/reports/AMC_304i_STG2/Numerator.php

@@ -31,6 +31,10 @@ public function getTitle()
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
  //The number of transitions of care and referrals in the denominator where a summary of care record was electronically transmitted using CEHRT to a recipient.
+ //
+ // AMC MU2 TODO :
+ // Note from_ccda is not in the main OpenEMR codebase. Should ask Z&H on strategy for this one.
+ //
  $sumQry = "SELECT count(*) as cnt FROM amc_misc_data ".
  "WHERE map_category = 'form_encounter' ".
  "AND amc_id IN( 'med_reconc_amc' ) ".

library/classes/rulesets/Amc/reports/AMC_314g_1_2_14.php

@@ -4,6 +4,7 @@
  * AMC 314g 1 2 14 STAGE1
  *
  * Copyright (C) 2015 Ensoftek, Inc
+ * Copyright (C) 2015 Brady Miller <[email protected]>
  *
  * LICENSE: This program is free software; you can redistribute it and/or
  * modify it under the terms of the GNU General Public License
@@ -18,6 +19,7 @@
  *
  * @package OpenEMR
  * @author Ensoftek
+ * @author Brady Miller <[email protected]>
  * @link https://www.open-emr.org
  */
 
@@ -30,7 +32,7 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- return "encounters";
+ return "patients";
  }
 
  public function createDenominator() 

library/classes/rulesets/Amc/reports/AMC_314g_1_2_14/Denominator.php

@@ -4,6 +4,7 @@
  * AMC 314g_1_2_14 STAGE1 Denominator
  *
  * Copyright (C) 2015 Ensoftek, Inc
+ * Copyright (C) 2015 Brady Miller <[email protected]>
  *
  * LICENSE: This program is free software; you can redistribute it and/or
  * modify it under the terms of the GNU General Public License
@@ -18,24 +19,27 @@
  *
  * @package OpenEMR
  * @author Ensoftek
+ * @author Brady Miller <[email protected]>
  * @link https://www.open-emr.org
  */
 
 class AMC_314g_1_2_14_Denominator implements AmcFilterIF
 {
- public $patArr = array();
  public function getTitle()
  {
  return "AMC_314g_1_2_14 Denominator";
  }
 
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
- if(!in_array($patient->id, $this->patArr)){
- $this->patArr[] = $patient->id;
- return true;
- }
- else
- return false;
+ // Seen by the EP
+ // (basically needs an encounter within the report dates)
+ $options = array( Encounter::OPTION_ENCOUNTER_COUNT => 1 );
+ if (Helper::checkAnyEncounter($patient, $beginDate, $endDate, $options)) {
+ return true;
+ }
+ else {
+ return false;
+ }
  }
 }

library/classes/rulesets/Amc/reports/AMC_314g_1_2_14/Numerator.php

@@ -32,6 +32,10 @@ public function test( AmcPatient $patient, $beginDate, $endDate )
  {
  //The number of patients in the denominator who have timely (within 4 business days after the information is available to the EP) on-line access to their health information. 
  //Patient Portal has access to done V/D/T
+ //
+ // AMC MU2 TODO :
+ // This needs to be converted to the Z&H solution.
+ //
  $portalQry = "SELECT count(*) as cnt FROM patient_data pd ".
  "INNER JOIN ccda_log cl ON pd.pid = cl.patient_id AND cl.user_type = 2 AND cl.event IN ('patient-record-view', 'patient-record-download', 'patient-record-transmit') ".
  "WHERE pd.pid = ? AND cl.date BETWEEN ? AND ?";
@@ -43,4 +47,4 @@ public function test( AmcPatient $patient, $beginDate, $endDate )
  }
  }
 }
-?>
+?>

library/classes/rulesets/Amc/reports/AMC_314g_1_2_14_STG2.php

@@ -4,6 +4,7 @@
  * AMC 314g_1_2_14 STAGE2
  *
  * Copyright (C) 2015 Ensoftek, Inc
+ * Copyright (C) 2015 Brady Miller <[email protected]>
  *
  * LICENSE: This program is free software; you can redistribute it and/or
  * modify it under the terms of the GNU General Public License
@@ -18,6 +19,7 @@
  *
  * @package OpenEMR
  * @author Ensoftek
+ * @author Brady Miller <[email protected]>
  * @link https://www.open-emr.org
  */
 
@@ -31,7 +33,7 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- return "encounters";
+ return "patients";
  }
 
  public function createDenominator() 

library/classes/rulesets/Amc/reports/AMC_314g_1_2_14_STG2/Denominator.php

@@ -4,6 +4,7 @@
  * AMC 314g_1_2_14 STAGE2 Denominator
  *
  * Copyright (C) 2015 Ensoftek, Inc
+ * Copyright (C) 2015 Brady Miller <[email protected]>
  *
  * LICENSE: This program is free software; you can redistribute it and/or
  * modify it under the terms of the GNU General Public License
@@ -18,24 +19,27 @@
  *
  * @package OpenEMR
  * @author Ensoftek
+ * @author Brady Miller <[email protected]>
  * @link https://www.open-emr.org
  */
 
 class AMC_314g_1_2_14_STG2_Denominator implements AmcFilterIF
 {
- public $patArr = array();
  public function getTitle()
  {
  return "AMC_314g_1_2_14_STG2 Denominator";
  }
 
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
- if(!in_array($patient->id, $this->patArr)){
- $this->patArr[] = $patient->id;
- return true;
- }
- else
- return false;
+ // Seen by the EP
+ // (basically needs an encounter within the report dates)
+ $options = array( Encounter::OPTION_ENCOUNTER_COUNT => 1 );
+ if (Helper::checkAnyEncounter($patient, $beginDate, $endDate, $options)) {
+ return true;
+ }
+ else {
+ return false;
+ }
  }
 }