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<?php
/**
* CCR Script.
*
* @package OpenEMR
* @link http://www.open-emr.org
* @author Garden State Health Systems <http://www.gshsys.com/>
* @author Brady Miller <brady.g.miller@gmail.com>
* @copyright Copyright (c) 2010 Garden State Health Systems <http://www.gshsys.com/>
* @copyright Copyright (c) 2018-2019 Brady Miller <brady.g.miller@gmail.com>
* @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
*/
// check if using the patient portal
//(if so, then use the portal authorization)
if (isset($_GET['portal_auth'])) {
$landingpage = "../portal/index.php";
// Will start the (patient) portal OpenEMR session/cookie.
require_once(dirname(__FILE__) . "/../src/Common/Session/SessionUtil.php");
OpenEMR\Common\Session\SessionUtil::portalSessionStart();
if (isset($_SESSION['pid']) && isset($_SESSION['patient_portal_onsite_two'])) {
$pid = $_SESSION['pid'];
$ignoreAuth = true;
global $ignoreAuth;
} else {
OpenEMR\Common\Session\SessionUtil::portalSessionCookieDestroy();
header('Location: ' . $landingpage . '?w');
exit;
}
}
require_once(dirname(__FILE__) . "/../interface/globals.php");
require_once(dirname(__FILE__) . "/../library/sql-ccr.inc");
require_once(dirname(__FILE__) . "/uuid.php");
require_once(dirname(__FILE__) . "/transmitCCD.php");
require_once(dirname(__FILE__) . "/../custom/code_types.inc.php");
use PHPMailer\PHPMailer\PHPMailer;
function createCCR($action, $raw = "no", $requested_by = "")
{
$authorID = getUuid();
$patientID = getUuid();
$sourceID = getUuid();
$oemrID = getUuid();
$result = getActorData();
while ($res = sqlFetchArray($result[2])) {
${"labID{$res['id']}"} = getUuid();
}
$ccr = new DOMDocument('1.0', 'UTF-8');
$e_styleSheet = $ccr->createProcessingInstruction('xml-stylesheet', 'type="text/xsl" href="stylesheet/ccr.xsl"');
$ccr->appendChild($e_styleSheet);
$e_ccr = $ccr->createElementNS('urn:astm-org:CCR', 'ContinuityOfCareRecord');
$ccr->appendChild($e_ccr);
/////////////// Header
require_once("createCCRHeader.php");
$e_Body = $ccr->createElement('Body');
$e_ccr->appendChild($e_Body);
/////////////// Problems
$e_Problems = $ccr->createElement('Problems');
require_once("createCCRProblem.php");
$e_Body->appendChild($e_Problems);
/////////////// Alerts
$e_Alerts = $ccr->createElement('Alerts');
require_once("createCCRAlerts.php");
$e_Body->appendChild($e_Alerts);
////////////////// Medication
$e_Medications = $ccr->createElement('Medications');
require_once("createCCRMedication.php");
$e_Body->appendChild($e_Medications);
///////////////// Immunization
$e_Immunizations = $ccr->createElement('Immunizations');
require_once("createCCRImmunization.php");
$e_Body->appendChild($e_Immunizations);
/////////////////// Results
$e_Results = $ccr->createElement('Results');
require_once("createCCRResult.php");
$e_Body->appendChild($e_Results);
/////////////////// Procedures
//$e_Procedures = $ccr->createElement('Procedures');
//require_once("createCCRProcedure.php");
//$e_Body->appendChild($e_Procedures);
//////////////////// Footer
// $e_VitalSigns = $ccr->createElement('VitalSigns');
// $e_Body->appendChild($e_VitalSigns);
/////////////// Actors
$e_Actors = $ccr->createElement('Actors');
require_once("createCCRActor.php");
$e_ccr->appendChild($e_Actors);
if ($action == "generate") {
gnrtCCR($ccr, $raw, $requested_by);
}
if ($action == "viewccd") {
viewCCD($ccr, $raw, $requested_by);
}
}
function gnrtCCR($ccr, $raw = "no", $requested_by = "")
{
global $pid;
$ccr->preserveWhiteSpace = false;
$ccr->formatOutput = true;
if ($raw == "yes") {
// simply send the xml to a textarea (nice debugging tool)
echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
echo $ccr->saveXml();
echo "</textarea>";
return;
} elseif ($raw == "hybrid") {
// send a file that contains a hybrid file of the raw xml and the xsl stylesheet
createHybridXML($ccr);
} elseif ($raw == "pure") {
// send a zip file that contains a separate xml data file and xsl stylesheet
if (! (class_exists('ZipArchive'))) {
displayError(xl("ERROR: Missing ZipArchive PHP Module"));
return;
}
$tempDir = $GLOBALS['temporary_files_dir'];
$zipName = $tempDir . "/" . getReportFilename() . "-ccr.zip";
if (file_exists($zipName)) {
unlink($zipName);
}
$zip = new ZipArchive();
if (!($zip)) {
displayError(xl("ERROR: Unable to Create Zip Archive."));
return;
}
if ($zip->open($zipName, ZipArchive::CREATE)) {
$zip->addFile("stylesheet/ccr.xsl", "stylesheet/ccr.xsl");
$xmlName = $tempDir . "/" . getReportFilename() . "-ccr.xml";
if (file_exists($xmlName)) {
unlink($xmlName);
}
$ccr->save($xmlName);
$zip->addFile($xmlName, basename($xmlName));
$zip->close();
header("Pragma: public");
header("Expires: 0");
header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
header("Content-Type: application/force-download");
header("Content-Length: " . filesize($zipName));
header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
header("Content-Description: File Transfer");
readfile($zipName);
unlink($zipName);
unlink($xmlName);
exit(0);
} else {
displayError(xl("ERROR: Unable to Create Zip Archive."));
return;
}
} elseif (substr($raw, 0, 4) == "send") {
$recipient = trim(stripslashes(substr($raw, 5)));
$ccd_out = $ccr->saveXml();
$result = transmitCCD($pid, $ccd_out, $recipient, $requested_by, "CCR");
echo htmlspecialchars($result, ENT_NOQUOTES);
return;
} else {
header("Content-type: application/xml");
echo $ccr->saveXml();
}
}
function viewCCD($ccr, $raw = "no", $requested_by = "")
{
global $pid;
$ccr->preserveWhiteSpace = false;
$ccr->formatOutput = true;
if (file_exists(dirname(__FILE__) . '/generatedXml')) {
$ccr->save(dirname(__FILE__) . '/generatedXml/ccrForCCD.xml');
}
$xmlDom = new DOMDocument();
$xmlDom->loadXML($ccr->saveXML());
$ccr_ccd = new DOMDocument();
$ccr_ccd->load(dirname(__FILE__) . '/ccd/ccr_ccd.xsl');
$xslt = new XSLTProcessor();
$xslt->importStylesheet($ccr_ccd);
$ccd = new DOMDocument();
$ccd->preserveWhiteSpace = false;
$ccd->formatOutput = true;
$ccd->loadXML($xslt->transformToXML($xmlDom));
if (file_exists(dirname(__FILE__) . '/generatedXml')) {
$ccd->save(dirname(__FILE__) . '/generatedXml/ccdDebug.xml');
}
if ($raw == "yes") {
// simply send the xml to a textarea (nice debugging tool)
echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
echo $ccd->saveXml();
echo "</textarea>";
return;
}
if ($raw == "pure") {
// send a zip file that contains a separate xml data file and xsl stylesheet
if (! (class_exists('ZipArchive'))) {
displayError(xl("ERROR: Missing ZipArchive PHP Module"));
return;
}
$tempDir = $GLOBALS['temporary_files_dir'];
$zipName = $tempDir . "/" . getReportFilename() . "-ccd.zip";
if (file_exists($zipName)) {
unlink($zipName);
}
$zip = new ZipArchive();
if (!($zip)) {
displayError(xl("ERROR: Unable to Create Zip Archive."));
return;
}
if ($zip->open($zipName, ZipArchive::CREATE)) {
$zip->addFile("stylesheet/cda.xsl", "stylesheet/cda.xsl");
$xmlName = $tempDir . "/" . getReportFilename() . "-ccd.xml";
if (file_exists($xmlName)) {
unlink($xmlName);
}
$e_styleSheet = $ccd->createProcessingInstruction(
'xml-stylesheet',
'type="text/xsl" href="stylesheet/cda.xsl"'
);
$ccd->insertBefore($e_styleSheet, $ccd->firstChild);
$ccd->save($xmlName);
$zip->addFile($xmlName, basename($xmlName));
$zip->close();
header("Pragma: public");
header("Expires: 0");
header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
header("Content-Type: application/force-download");
header("Content-Length: " . filesize($zipName));
header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
header("Content-Description: File Transfer");
readfile($zipName);
unlink($zipName);
unlink($xmlName);
exit(0);
} else {
displayError(xl("ERROR: Unable to Create Zip Archive."));
return;
}
}
if (substr($raw, 0, 4) == "send") {
$recipient = trim(stripslashes(substr($raw, 5)));
$ccd_out = $ccd->saveXml();
$result = transmitCCD($pid, $ccd_out, $recipient, $requested_by);
echo htmlspecialchars($result, ENT_NOQUOTES);
return;
}
$ss = new DOMDocument();
$ss->load(dirname(__FILE__) . "/stylesheet/cda.xsl");
$xslt->importStyleSheet($ss);
$html = $xslt->transformToXML($ccd);
echo $html;
}
function sourceType($ccr, $uuid)
{
$e_Source = $ccr->createElement('Source');
$e_Actor = $ccr->createElement('Actor');
$e_Source->appendChild($e_Actor);
$e_ActorID = $ccr->createElement('ActorID', $uuid);
$e_Actor->appendChild($e_ActorID);
return $e_Source;
}
function displayError($message)
{
echo '<script>alert("' . addslashes($message) . '");</script>';
}
function createHybridXML($ccr)
{
// save the raw xml
$main_xml = $ccr->saveXml();
// save the stylesheet
$main_stylesheet = file_get_contents('stylesheet/ccr.xsl');
// replace stylesheet link in raw xml file
$substitute_string = '<?xml-stylesheet type="text/xsl" href="#style1"?>
<!DOCTYPE ContinuityOfCareRecord [
<!ATTLIST xsl:stylesheet id ID #REQUIRED>
]>
';
$replace_string = '<?xml-stylesheet type="text/xsl" href="stylesheet/ccr.xsl"?>';
$main_xml = str_replace($replace_string, $substitute_string, $main_xml);
// remove redundant xml declaration from stylesheet
$replace_string = '<?xml version="1.0" encoding="UTF-8"?>';
$main_stylesheet = str_replace($replace_string, '', $main_stylesheet);
// embed the stylesheet in the raw xml file
$replace_string = '<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">';
$main_stylesheet = $replace_string . $main_stylesheet;
$main_xml = str_replace($replace_string, $main_stylesheet, $main_xml);
// insert style1 id into the stylesheet parameter
$substitute_string = 'xsl:stylesheet id="style1" exclude-result-prefixes';
$replace_string = 'xsl:stylesheet exclude-result-prefixes';
$main_xml = str_replace($replace_string, $substitute_string, $main_xml);
// prepare the filename to use
// LASTNAME-FIRSTNAME-PID-DATESTAMP-ccr.xml
$main_filename = getReportFilename() . "-ccr.xml";
// send the output as a file to the user
header("Content-type: text/xml");
header("Content-Disposition: attachment; filename=" . $main_filename . "");
echo $main_xml;
}
if ($_POST['ccrAction']) {
$raw = $_POST['raw'];
/* If transmit requested, fail fast if the recipient address fails basic validation */
if (substr($raw, 0, 4) == "send") {
$send_to = trim(stripslashes(substr($raw, 5)));
if (!PHPMailer::ValidateAddress($send_to)) {
echo(htmlspecialchars(xl('Invalid recipient address. Please try again.'), ENT_QUOTES));
return;
}
createCCR($_POST['ccrAction'], $raw, $_POST['requested_by']);
} else {
createCCR($_POST['ccrAction'], $raw);
}
}