Third step in refactoring/integrating the amc rules for MU2.

amc item 8 completed
(just have the following items left to complete: 7,14, and 20)

controllers/C_Prescription.class.php

@@ -208,6 +208,26 @@ function edit_action_process() {
  processAmcCall('e_prescribe_amc', true, 'remove', $this->prescriptions[0]->get_patient_id(), 'prescriptions', $this->prescriptions[0]->id);
  }
 
+ // Set the AMC reporting flag (to record prescriptions that checked drug formulary)
+ if (!(empty($_POST['checked_formulary_flag']))) {
+ // add the e-prescribe flag
+ processAmcCall('e_prescribe_chk_formulary_amc', true, 'add', $this->prescriptions[0]->get_patient_id(), 'prescriptions', $this->prescriptions[0]->id);
+ }
+ else {
+ // remove the e-prescribe flag
+ processAmcCall('e_prescribe_chk_formulary_amc', true, 'remove', $this->prescriptions[0]->get_patient_id(), 'prescriptions', $this->prescriptions[0]->id);
+ }
+
+ // Set the AMC reporting flag (to record prescriptions that are controlled substances)
+ if (!(empty($_POST['controlled_substance_flag']))) {
+ // add the e-prescribe flag
+ processAmcCall('e_prescribe_cont_subst_amc', true, 'add', $this->prescriptions[0]->get_patient_id(), 'prescriptions', $this->prescriptions[0]->id);
+ }
+ else {
+ // remove the e-prescribe flag
+ processAmcCall('e_prescribe_cont_subst_amc', true, 'remove', $this->prescriptions[0]->get_patient_id(), 'prescriptions', $this->prescriptions[0]->id);
+ }
+
 // TajEmo Work by CB 2012/05/29 02:58:29 PM to stop from going to send screen. Improves Work Flow 
 // if ($this->prescriptions[0]->get_active() > 0) {
 // return $this->send_action($this->prescriptions[0]->id);

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

@@ -301,20 +301,6 @@ private function collectObjects ($patient,$object_label,$begin,$end) {
  "patient_id = ? " .
  "AND (date_ordered BETWEEN ? AND ?)"; 
  array_push($sqlBindArray, $patient->id, $begin, $end);
- break;
-
- case "pres_non_substance":
- // Still TODO
- // 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;
  }
 

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

@@ -22,8 +22,7 @@
  */
 // Denominator:
 // Reporting period start and end date
-// Prescription written for drugs requiring a prescription in order to be dispensed
-// Generate and transmit permissible prescriptions electronically (Controlled substances with drug formulary).( AMC-2014:170.314(g)(1)/(2)–8 )
+// Prescription written for drugs requiring a prescription in order to be dispensed(including controlled substance)
 class AMC_304b_1_STG2_Denominator implements AmcFilterIF
 {
  public function getTitle()
@@ -33,7 +32,7 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate )
  {
- return true;
+ return true;
  }
 
 }

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

@@ -31,16 +31,14 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
- //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically
- //
- // Still TODO
- // AMC MU2 TODO :
- // Note OpenEMR official codebase does not support the eTransmit and forumulary items
- //
- if ( ($patient->object['eTransmit'] == 1) && ($patient->object['formulary'] == 'yes') ) {
- return true;
- }else{
- return false;
- }
+ //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically
+ $eprescribe = amcCollect('e_prescribe_amc',$patient->id,'prescriptions',$patient->object['id']);
+ $checkformulary = amcCollect('e_prescribe_chk_formulary_amc',$patient->id,'prescriptions',$patient->object['id']);
+ if ( !(empty($eprescribe)) && !(empty($checkformulary)) ) {
+ return true;
+ }
+ else {
+ return false;
+ }
  }
 }

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

@@ -31,7 +31,6 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- //return "pres_non_substance";
  return "prescriptions";
  }
 

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

@@ -36,7 +36,17 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate )
  {
- return true;
+ // Check if prescription is for a controlled substance
+ $controlledSubstanceCheck = amcCollect('e_prescribe_cont_subst_amc',$patient->id,'prescriptions',$patient->object['id']);
+ // Exclude controlled substances
+ if (empty($controlledSubstanceCheck)) {
+ // Not a controlled substance, so include in denominator.
+ return true;
+ }
+ else {
+ // Is a controlled substance, so exclude from denominator.
+ return false;
+ }
  }
 
 }

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

@@ -30,16 +30,14 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
- //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically.
- //
- // Still TODO
- // AMC MU2 TODO :
- // Note OpenEMR official codebase does not support the eTransmit and forumulary items
- //
- if ( ($patient->object['eTransmit'] == 1) && ($patient->object['formulary'] == 'yes') ) {
- return true;
- }else{
- return false;
- }
+ //The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically
+ $eprescribe = amcCollect('e_prescribe_amc',$patient->id,'prescriptions',$patient->object['id']);
+ $checkformulary = amcCollect('e_prescribe_chk_formulary_amc',$patient->id,'prescriptions',$patient->object['id']);
+ if ( !(empty($eprescribe)) && !(empty($checkformulary)) ) {
+ return true;
+ }
+ else {
+ return false;
+ }
  }
 }

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

@@ -31,7 +31,6 @@ public function getTitle()
 
  public function getObjectToCount()
  {
- //return "pres_non_substance";
  return "prescriptions";
  }
 

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

@@ -33,7 +33,17 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate )
  {
- return true;
+ // Check if prescription is for a controlled substance
+ $controlledSubstanceCheck = amcCollect('e_prescribe_cont_subst_amc',$patient->id,'prescriptions',$patient->object['id']);
+ // Exclude controlled substances
+ if (empty($controlledSubstanceCheck)) {
+ // Not a controlled substance, so include in denominator.
+ return true;
+ }
+ else {
+ // Is a controlled substance, so exclude from denominator.
+ return false;
+ }
  }
 
 }

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

@@ -30,16 +30,13 @@ public function getTitle()
 
  public function test( AmcPatient $patient, $beginDate, $endDate ) 
  {
- //The number of prescriptions in the denominator transmitted electronically 
- //
- // Still TODO
- // AMC MU2 TODO :
- // Note OpenEMR official codebase does not support the eTransmit item
- //
- if($patient->object['eTransmit'] == 1) {
- return true;
- }else{ 
- return false;
- }
+ // The number of prescriptions in the denominator transmitted electronically.
+ $amcElement = amcCollect('e_prescribe_amc',$patient->id,'prescriptions',$patient->object['id']);
+ if (!(empty($amcElement))) {
+ return true;
+ }
+ else {
+ return false;
+ }
  }
 }

sql/4_2_0-to-4_2_1_upgrade.sql

@@ -12259,7 +12259,7 @@ INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`
 
 #IfNotRow2D list_options list_id clinical_rules option_id e_prescribe_stage1_amc
  INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
- ('clinical_rules', 'e_prescribe_stage1_amc', 'Generate and transmit permissible prescriptions electronically (Uncontrolled Substances).', 50, 0, 0, '', '', '', 0, 0);
+ ('clinical_rules', 'e_prescribe_stage1_amc', 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).', 50, 0, 0, '', '', '', 0, 0);
 #EndIf
 
 #IfNotRow clinical_rules id e_prescribe_1_stage2_amc
@@ -12281,7 +12281,7 @@ INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`
 
 #IfNotRow2D list_options list_id clinical_rules option_id e_prescribe_2_stage2_amc
  INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
- ('clinical_rules', 'e_prescribe_2_stage2_amc', 'Generate and transmit permissible prescriptions electronically (Uncontrolled substances with drug formulary).', 50, 0, 0, '', '', '', 0, 0);
+ ('clinical_rules', 'e_prescribe_2_stage2_amc', 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).', 50, 0, 0, '', '', '', 0, 0);
 #EndIf
 
 #IfMissingColumn users cpoe
@@ -12584,3 +12584,11 @@ INSERT INTO `rule_reminder` ( `id`, `method`, `method_detail`, `value` ) VALUES
 INSERT INTO `rule_target` ( `id`, `group_id`, `include_flag`, `required_flag`, `method`, `value`, `interval` ) VALUES ('rule_socsec_entry', 1, 1, 1, 'target_database', '::patient_data::ss::::::ge::1', 0);
 #EndIf
 
+#IfRow2D list_options list_id clinical_rules option_id e_prescribe_stage1_amc
+UPDATE `list_options` SET `title` = 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).' WHERE list_id = 'clinical_rules' AND option_id = 'e_prescribe_stage1_amc';
+#EndIf
+
+#IfRow2D list_options list_id clinical_rules option_id e_prescribe_2_stage2_amc 
+UPDATE `list_options` SET `title` = 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).' WHERE list_id = 'clinical_rules' AND option_id = 'e_prescribe_2_stage2_amc';
+#EndIf
+

sql/database.sql

@@ -3716,11 +3716,11 @@ INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`
 INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
 ('clinical_rules', 'send_sum_stage2_amc', 'The EP, eligible hospital or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral (Measure B).', 80, 0, 0, '', '', '', 0, 0);
 INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
-('clinical_rules', 'e_prescribe_stage1_amc', 'Generate and transmit permissible prescriptions electronically (Uncontrolled Substances).', 50, 0, 0, '', '', '', 0, 0);
+('clinical_rules', 'e_prescribe_stage1_amc', 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).', 50, 0, 0, '', '', '', 0, 0);
 INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
 ('clinical_rules', 'e_prescribe_1_stage2_amc', 'Generate and transmit permissible prescriptions electronically (All Prescriptions).', 50, 0, 0, '', '', '', 0, 0);
 INSERT INTO `list_options` (`list_id`, `option_id`, `title`, `seq`, `is_default`, `option_value`, `mapping`, `notes`, `codes`, `toggle_setting_1`, `toggle_setting_2`) VALUES
-('clinical_rules', 'e_prescribe_2_stage2_amc', 'Generate and transmit permissible prescriptions electronically (Uncontrolled substances with drug formulary).', 50, 0, 0, '', '', '', 0, 0);
+('clinical_rules', 'e_prescribe_2_stage2_amc', 'Generate and transmit permissible prescriptions electronically (Not including controlled substances).', 50, 0, 0, '', '', '', 0, 0);
 
 -- order types
 INSERT INTO list_options ( list_id, option_id, title, seq, is_default ) VALUES ('lists','order_type','Order Types', 1,0);

templates/prescription/general_edit.html

@@ -119,6 +119,23 @@
  <input type="checkbox" id="escribe_flag" name="escribe_flag" checked>
  {/if}
  <span class="text">{xl t='E-Prescription?'}</span><br>
+
+ {amcCollect amc_id='e_prescribe_chk_formulary_amc' patient_id=$prescription->patient->id object_category='prescriptions' object_id=$prescription->id}
+ {if not $amcCollectReturn}
+ <input type="checkbox" id="checked_formulary_flag" name="checked_formulary_flag">
+ {else}
+ <input type="checkbox" id="checked_formulary_flag" name="checked_formulary_flag" checked>
+ {/if}
+ <span class="text">{xl t='Checked Drug Formulary?'}</span><br>
+
+ {amcCollect amc_id='e_prescribe_cont_subst_amc' patient_id=$prescription->patient->id object_category='prescriptions' object_id=$prescription->id}
+ {if not $amcCollectReturn}
+ <input type="checkbox" id="controlled_substance_flag" name="controlled_substance_flag">
+ {else}
+ <input type="checkbox" id="controlled_substance_flag" name="controlled_substance_flag" checked>
+ {/if}
+ <span class="text">{xl t='Controlled Substance?'}</span><br>
+
  </div>
  </div>
 {php} } {/php}

version.php

@@ -17,7 +17,7 @@
 // is a database change in the course of development. It is used
 // internally to determine when a database upgrade is needed.
 //
-$v_database = 149;
+$v_database = 150;
 
 // Access control version identifier, this is to be incremented whenever there
 // is a access control change in the course of development. It is used