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CQM module: More interim work on the cqm rules.
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 -Specifically working on the diabetes A1C rule.
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@rreddy70 @bradymiller
rreddy70 authored and bradymiller committed Apr 29, 2011
1 parent f9db348 commit 1b6220b
Showing 1 changed file with 134 additions and 0 deletions.
134 changes: 134 additions & 0 deletions library/classes/rulesets/ruleSet.class.php
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Expand Up @@ -113,6 +113,11 @@ private function process_rule() {
// PQRI 3
$this->rule_dm_bp_control_cqm();
break;
case "rule_dm_a1c_cqm":
// Diabetes: Hemoglobin A1C >9.0%
// NQF 0059
$this->rule_dm_a1c_cqm();
break;
case "problem_list_amc":
// Maintain an up-to-date problem list of current and active diagnoses.
// 170.302(c)
Expand Down Expand Up @@ -992,6 +997,135 @@ private function rule_dm_foot_cqm() {
private function rule_dm_bp_control_cqm() {

}

// Diabetes Control: Hemoglobin A1C >9.0% (NQF 0059) (PQRI 1)
private function rule_dm_a1c_cqm() {
$rule_id=$this->rule['id'];
$dateTarget = $this->dateTarget;
$patientData =$this->patientData;

// Calculate measurement period
$tempDateArray = explode("-",$dateTarget);
$tempYear = $tempDateArray[0];
$begin_measurement = $tempDateArray[0] . "-01-01 00:00:00";
$end_measurement = $tempDateArray[0] . "-12-31 23:59:59";

// Collect results
$total_pat = 0;
$pass_filt = 0;
$exclude_filt = 0;
$pass_targ = 0;
$perc = 0;
foreach ( $patientData as $rowPatient ) {
// increment total patients counter
$total_pat++;

// get patient id
$patient_id = $this->get_patient_id($rowPatient);

// filter for age less than 18 AND greater than 75
// utilize the convertDobtoAgeYearDecimal() function from library/clinical_rules.php
if ( (convertDobtoAgeYearDecimal( $this->get_DOB($patient_id), $begin_measurement ) < 18) ||
(convertDobtoAgeYearDecimal( $this->get_DOB($patient_id), $begin_measurement ) > 75) ) {
continue;
}

// filter for diagnosis of Diabetes
// utlize the exist_lists_item() function from library/clinical_rules.php
if (!( (exist_lists_item($patient_id,'medical_problem','CUSTOM::diabetes',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.0',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.00',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.02',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.03',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.10',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.11',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.13',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.20',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.21',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.22',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.23',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.30',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.31',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.32',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.33',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.40',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.41',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.42',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.43',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.50',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.51',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.52',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.53',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.60',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.61',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.62',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.31',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.7',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.70',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.71',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.72',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.73',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.80',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.81',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.82',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.83',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.9',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.90',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.91',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.92',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::250.93',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::357.2',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.0',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.01',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.02',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.03',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.04',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.05',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::362.05',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::366.41',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.0',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.00',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.01',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.02',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.03',$end_measurement)) ||
(exist_lists_item($patient_id,'medical_problem','ICD9::648.04',$end_measurement)) )) {
continue;
}

// Filter has been passed
$pass_filt++;

// collect specific items that fulfill request(Hemoglobin A1C >9.0%)
$proc_code = "CPT4:83036";// CPT Code for Hemoglobin A1C
$sql = sqlStatement("SELECT procedure_result.result " .
"FROM `procedure_type`, " .
"`procedure_order`, " .
"`procedure_report`, " .
"`procedure_result` " .
"WHERE procedure_type.procedure_type_id = procedure_order.procedure_type_id " .
"AND procedure_order.procedure_order_id = procedure_report.procedure_order_id " .
"AND procedure_report.procedure_report_id = procedure_result.procedure_report_id " .
"AND procedure_type.standard_code = ? " .
"AND procedure_result.result <= 9 " .
"AND procedure_order.patient_id = ? ", array($proc_code,$patient_id) );
$number = sqlNumRows($sql);
if ($number < 1) continue;


error_log("passed target",0);

// Target has been passed
$pass_targ++;
}

// Calculate Percentage (use calculate_percentage() function from library/clinical_rules.php
$perc = calculate_percentage($pass_filt,$exclude_filt,$pass_targ);

// Set results
$this->set_result($rule_id,$total_pat,$pass_filt,$exclude_filt,$pass_targ,$perc);
}


// TODO
// Maintain an up-to-date problem list of current and active diagnoses.
Expand Down

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