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Removed active column from clinical_rules table and:
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1) Removed active column from clinical_rules table
    and algorithm in clinical_rules.php
2) To resolve_rules_sql function in clinical_rules.php added
    functionality to grab all per patient configurable
    (ie. not cmq or amc) rules for the admin gui.
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@bradymiller
bradymiller committed Dec 9, 2010
1 parent 10d0e0f commit e036a34
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Showing 2 changed files with 48 additions and 36 deletions.
29 changes: 21 additions & 8 deletions library/clinical_rules.php
View file
Expand Up @@ -488,14 +488,23 @@ function test_targets($patient_id,$rule,$group_id='',$dateTarget) {

// Function to return active rules
// Parameters:
// $type - rule filter (active_alert,passive_alert,cqm,amc,patient_reminder)
// $patient_id - pid of selected patient. (if custom rule does not exist then
// will use the default rule)
// $type - rule filter (active_alert,passive_alert,cqm,amc,patient_reminder)
// $patient_id - pid of selected patient. (if custom rule does not exist then
// will use the default rule)
// $configurableOnly - true if only want the configurable (per patient) rules
// (ie. ignore cqm and amc rules)
// Return: array containing rules
function resolve_rules_sql($type='',$patient_id='0') {
function resolve_rules_sql($type='',$patient_id='0',$configurableOnly=FALSE) {

// Collect all default rules into an array
$sql = sqlStatement("SELECT * FROM `clinical_rules` WHERE `pid`=0 ORDER BY `id`");
if ($configurableOnly) {
// Collect all default, configurable (per patient) rules into an array
// (ie. ignore the cqm and amc rules)
$sql = sqlStatement("SELECT * FROM `clinical_rules` WHERE `pid`=0 AND `cqm_flag` !=1 AND `amc_flag` !=1 ORDER BY `id`");
}
else {
// Collect all default rules into an array
$sql = sqlStatement("SELECT * FROM `clinical_rules` WHERE `pid`=0 ORDER BY `id`");
}
$returnArray= array();
for($iter=0; $row=sqlFetchArray($sql); $iter++) {
array_push($returnArray,$row);
Expand Down Expand Up @@ -524,13 +533,17 @@ function resolve_rules_sql($type='',$patient_id='0') {

// Use the chosen rule if set
if (!empty($type)) {
if ($goRule['active'] == 1 && $goRule["${type}_flag"] == 1) {
if ($goRule["${type}_flag"] == 1) {
// active, so use the rule
array_push($newReturnArray,$goRule);
}
}
else {
if ($goRule['active'] == 1) {
if ($goRule['active_alert'] == 1 ||
$goRule['passive_alert'] == 1 ||
$goRule['cqm'] == 1 ||
$goRule['amc'] == 1 ||
$goRule['patient_reminder'] == 1) {
// active, so use the rule
array_push($newReturnArray,$goRule);
}
Expand Down
55 changes: 27 additions & 28 deletions sql/database.sql
View file
Expand Up @@ -3501,7 +3501,6 @@ DROP TABLE IF EXISTS `clinical_rules`;
CREATE TABLE `clinical_rules` (
`id` varchar(31) NOT NULL DEFAULT '' COMMENT 'Unique and maps to list_options list clinical_rules',
`pid` bigint(20) NOT NULL DEFAULT '0' COMMENT '0 is default for all patients, while > 0 is id from patient_data table',
`active` tinyint(1) NOT NULL default 1,
`active_alert_flag` tinyint(1) NOT NULL default 0 COMMENT 'Active Alert Widget Module flag - note not yet utilized',
`passive_alert_flag` tinyint(1) NOT NULL default 0 COMMENT 'Passive Alert Widget Module flag',
`cqm_flag` tinyint(1) NOT NULL default 0 COMMENT 'Clinical Quality Measure flag (unable to customize per patient)',
Expand All @@ -3519,37 +3518,37 @@ CREATE TABLE `clinical_rules` (
--
-- Clinical Quality Measure (CMQ) rules
--
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_htn_bp_measure_cqm', 0, 1, 0, 0, 1, '0013', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_use_assess_cqm', 0, 1, 0, 0, 1, '0028a', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_cess_inter_cqm', 0, 1, 0, 0, 1, '0028b', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_adult_wt_screen_fu_cqm', 0, 1, 0, 0, 1, '0421', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_wt_assess_couns_child_cqm', 0, 1, 0, 0, 1, '0024', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_influenza_ge_50_cqm', 0, 1, 0, 0, 1, '0041', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_child_immun_stat_cqm', 0, 1, 0, 0, 1, '0038', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_pneumovacc_ge_65_cqm', 0, 1, 0, 0, 1, '0043', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_eye_cqm', 0, 1, 0, 0, 1, '0055', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_foot_cqm', 0, 1, 0, 0, 1, '0056', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_bp_control_cqm', 0, 1, 0, 0, 1, '0061', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_htn_bp_measure_cqm', 0, 0, 0, 1, '0013', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_use_assess_cqm', 0, 0, 0, 1, '0028a', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_cess_inter_cqm', 0, 0, 0, 1, '0028b', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_adult_wt_screen_fu_cqm', 0, 0, 0, 1, '0421', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_wt_assess_couns_child_cqm', 0, 0, 0, 1, '0024', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_influenza_ge_50_cqm', 0, 0, 0, 1, '0041', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_child_immun_stat_cqm', 0, 0, 0, 1, '0038', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_pneumovacc_ge_65_cqm', 0, 0, 0, 1, '0043', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_eye_cqm', 0, 0, 0, 1, '0055', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_foot_cqm', 0, 0, 0, 1, '0056', 0, 0, 0);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_bp_control_cqm', 0, 0, 0, 1, '0061', 0, 0, 0);

--
-- Standard clinical rules
--
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_htn_bp_measure', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_use_assess', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_cess_inter', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_adult_wt_screen_fu', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_wt_assess_couns_child', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_influenza_ge_50', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_child_immun_stat', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_pneumovacc_ge_65', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_hemo_a1c', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_urine_alb', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_eye', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_foot', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_mammo', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_pap', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_colon', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_prostate', 0, 1, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_htn_bp_measure', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_use_assess', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_tob_cess_inter', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_adult_wt_screen_fu', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_wt_assess_couns_child', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_influenza_ge_50', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_child_immun_stat', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_pneumovacc_ge_65', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_hemo_a1c', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_urine_alb', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_eye', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_dm_foot', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_mammo', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_pap', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_colon', 0, 0, 1, 0, '', 0, 0, 1);
INSERT INTO `clinical_rules` ( `id`, `pid`, `active_alert_flag`, `passive_alert_flag`, `cqm_flag`, `cqm_code`, `amc_flag`, `amc_code`, `patient_reminder_flag` ) VALUES ('rule_cs_prostate', 0, 0, 1, 0, '', 0, 0, 1);

--
-- Rules to specifically demonstrate passing of NIST criteria
Expand Down

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