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Update DischargeFhirGenerator section titles for initial FHIR fixes

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DevSoftTech Server 2026-09-04 21:45:49 +05:30
parent a6bb1f7cda
commit 4e1d5ed7af
1 changed files with 42 additions and 35 deletions
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77
app/Libraries/Abdm/Fhir/Generators/DischargeFhirGenerator.php
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@ -122,10 +122,11 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$resolved = $this->codingResolver->resolveSnomedForDiagnosisOrFinding((string) ($cond['code'] ?? ''), $text); $resolved = $this->codingResolver->resolveSnomedForDiagnosisOrFinding((string) ($cond['code'] ?? ''), $text);
$coding = $this->withoutPlaceholderCoding((array) ($resolved['coding'] ?? [])); $coding = $this->withoutPlaceholderCoding((array) ($resolved['coding'] ?? []));
if ($coding === []) { if ($coding === []) {
$fallback = $this->resolveFallbackSnomedCode($text);
$coding = [[ $coding = [[
'system' => 'http://snomed.info/sct', 'system' => 'http://snomed.info/sct',
'code' => $this->resolveFallbackSnomedCode($text), 'code' => $fallback['code'],
'display' => $text, 'display' => $fallback['display'],
]]; ]];
} }
$builder->addCondition([ $builder->addCondition([
@ -169,15 +170,18 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$coding = $this->withoutPlaceholderCoding((array) ($resolved['coding'] ?? [])); $coding = $this->withoutPlaceholderCoding((array) ($resolved['coding'] ?? []));
if ($coding === []) { if ($coding === []) {
$codeVal = '71388002'; // Procedure $codeVal = '71388002'; // Procedure
$displayVal = 'Procedure';
if (stripos($text, 'laparo') !== false) { if (stripos($text, 'laparo') !== false) {
$codeVal = '86174004'; // Laparoscopy $codeVal = '86174004'; // Laparoscopy
$displayVal = 'Laparoscopy';
} elseif (stripos($text, 'surg') !== false) { } elseif (stripos($text, 'surg') !== false) {
$codeVal = '387713003'; // Surgical procedure $codeVal = '387713003'; // Surgical procedure
$displayVal = 'Surgical procedure';
} }
$coding = [[ $coding = [[
'system' => 'http://snomed.info/sct', 'system' => 'http://snomed.info/sct',
'code' => $codeVal, 'code' => $codeVal,
'display' => $text, 'display' => $displayVal,
]]; ]];
} }
$builder->addProcedure([ $builder->addProcedure([
@ -217,7 +221,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$medCoding[] = [ $medCoding[] = [
'system' => 'http://snomed.info/sct', 'system' => 'http://snomed.info/sct',
'code' => '105904009', // Type of drug 'code' => '105904009', // Type of drug
'display' => $name, 'display' => 'Type of drug',
]; ];
} }
@ -294,10 +298,11 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
'display' => $loincDisplay !== '' ? $loincDisplay : $text, 'display' => $loincDisplay !== '' ? $loincDisplay : $text,
]; ];
} else { } else {
$fallback = $this->resolvePhysicalExamSnomedCode($text);
$coding[] = [ $coding[] = [
'system' => 'http://snomed.info/sct', 'system' => 'http://snomed.info/sct',
'code' => $this->resolvePhysicalExamSnomedCode($text), 'code' => $fallback['code'],
'display' => $text, 'display' => $fallback['display'],
]; ];
} }
@ -450,7 +455,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$coding = [[ $coding = [[
'system' => 'http://snomed.info/sct', 'system' => 'http://snomed.info/sct',
'code' => '108252007', 'code' => '108252007',
'display' => $text, 'display' => 'Laboratory procedure',
]]; ]];
} }
@ -676,7 +681,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$sectionDefinitions = [ $sectionDefinitions = [
['title' => 'Chief complaints', 'code' => '422843007', 'display' => 'Chief complaint section', 'prefix' => 'discharge-chief-complaint-', 'items' => $chiefComplaintsList, 'narrative' => trim((string) ($source['chief_complaint_narrative'] ?? ''))], ['title' => 'Chief complaints', 'code' => '422843007', 'display' => 'Chief complaint section', 'prefix' => 'discharge-chief-complaint-', 'items' => $chiefComplaintsList, 'narrative' => trim((string) ($source['chief_complaint_narrative'] ?? ''))],
['title' => 'Problems and Diagnoses', 'code' => '1003642006', 'display' => 'Past medical history section', 'prefix' => 'discharge-diagnosis-', 'items' => $diagnosesList, 'narrative' => trim((string) ($source['diagnosis_narrative'] ?? ''))], ['title' => 'Medical History', 'code' => '1003642006', 'display' => 'Past medical history section', 'prefix' => 'discharge-diagnosis-', 'items' => $diagnosesList, 'narrative' => trim((string) ($source['diagnosis_narrative'] ?? ''))],
['title' => 'Procedures', 'code' => '1003640003', 'display' => 'History of past procedure section', 'prefix' => 'discharge-procedure-', 'items' => (array) ($source['procedures'] ?? [])], ['title' => 'Procedures', 'code' => '1003640003', 'display' => 'History of past procedure section', 'prefix' => 'discharge-procedure-', 'items' => (array) ($source['procedures'] ?? [])],
['title' => 'Medications', 'code' => '1003606003', 'display' => 'Medication history section', 'prefix' => 'discharge-medication-', 'items' => (array) ($source['medications'] ?? [])], ['title' => 'Medications', 'code' => '1003606003', 'display' => 'Medication history section', 'prefix' => 'discharge-medication-', 'items' => (array) ($source['medications'] ?? [])],
]; ];
@ -706,8 +711,8 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$sectionDefinitions[] = ['title' => 'Investigations', 'code' => '721981007', 'display' => 'Diagnostic studies report', 'prefix' => 'discharge-investigation-', 'items' => (array) ($source['investigations'] ?? [])]; $sectionDefinitions[] = ['title' => 'Investigations', 'code' => '721981007', 'display' => 'Diagnostic studies report', 'prefix' => 'discharge-investigation-', 'items' => (array) ($source['investigations'] ?? [])];
$sectionDefinitions[] = ['title' => 'Allergies', 'code' => '722446000', 'display' => 'Allergy record', 'prefix' => 'discharge-allergy-', 'items' => (array) ($source['allergies'] ?? [])]; $sectionDefinitions[] = ['title' => 'Allergies', 'code' => '722446000', 'display' => 'Allergy record', 'prefix' => 'discharge-allergy-', 'items' => (array) ($source['allergies'] ?? [])];
$sectionDefinitions[] = ['title' => 'Care plan', 'code' => '734163000', 'display' => 'Care plan', 'prefix' => 'discharge-careplan-', 'items' => (array) ($source['care_plans'] ?? [])]; $sectionDefinitions[] = ['title' => 'Care Plan', 'code' => '734163000', 'display' => 'Care plan', 'prefix' => 'discharge-careplan-', 'items' => (array) ($source['care_plans'] ?? [])];
$sectionDefinitions[] = ['title' => 'Document reference', 'code' => '373942005', 'display' => 'Discharge summary', 'prefix' => 'discharge-document-', 'items' => $documentsList]; $sectionDefinitions[] = ['title' => 'Document Reference', 'code' => '373942005', 'display' => 'Discharge summary', 'prefix' => 'discharge-document-', 'items' => $documentsList];
$sections = []; $sections = [];
foreach ($sectionDefinitions as $definition) { foreach ($sectionDefinitions as $definition) {
@ -873,81 +878,83 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
return ['unit' => '', 'code' => '']; return ['unit' => '', 'code' => ''];
} }
private function resolvePhysicalExamSnomedCode(string $text): string /** @return array{code:string,display:string} */
private function resolvePhysicalExamSnomedCode(string $text): array
{ {
$upper = strtoupper(trim($text)); $upper = strtoupper(trim($text));
if (str_contains($upper, 'PALLOR')) { if (str_contains($upper, 'PALLOR')) {
return '89521008'; return ['code' => '89521008', 'display' => 'Pallor'];
} }
if (str_contains($upper, 'JAUNDICE') || str_contains($upper, 'ICTERUS')) { if (str_contains($upper, 'JAUNDICE') || str_contains($upper, 'ICTERUS')) {
return '18165004'; return ['code' => '18165004', 'display' => 'Jaundice'];
} }
if (str_contains($upper, 'CYANOSIS')) { if (str_contains($upper, 'CYANOSIS')) {
return '119419001'; return ['code' => '119419001', 'display' => 'Cyanosis'];
} }
if (str_contains($upper, 'CLUBBING')) { if (str_contains($upper, 'CLUBBING')) {
return '30760006'; return ['code' => '30760006', 'display' => 'Clubbing of nail'];
} }
if (str_contains($upper, 'EDEMA') || str_contains($upper, 'OEDEMA')) { if (str_contains($upper, 'EDEMA') || str_contains($upper, 'OEDEMA')) {
return '267038008'; return ['code' => '267038008', 'display' => 'Edema'];
} }
if (str_contains($upper, 'JVP')) { if (str_contains($upper, 'JVP')) {
return '271649006'; return ['code' => '271649006', 'display' => 'Jugular venous pressure finding'];
} }
return '364075005'; return ['code' => '364075005', 'display' => 'Physical examination finding'];
} }
private function resolveFallbackSnomedCode(string $text): string /** @return array{code:string,display:string} */
private function resolveFallbackSnomedCode(string $text): array
{ {
$upper = strtoupper(trim($text)); $upper = strtoupper(trim($text));
if (str_contains($upper, 'VIRAL FEVER')) { if (str_contains($upper, 'VIRAL FEVER')) {
return '409702008'; return ['code' => '409702008', 'display' => 'Viral fever'];
} }
if (str_contains($upper, 'TYPHOID')) { if (str_contains($upper, 'TYPHOID')) {
return '4834000'; return ['code' => '4834000', 'display' => 'Typhoid fever'];
} }
if (str_contains($upper, 'DENGUE')) { if (str_contains($upper, 'DENGUE')) {
return '38362002'; return ['code' => '38362002', 'display' => 'Dengue'];
} }
if (str_contains($upper, 'MALARIA')) { if (str_contains($upper, 'MALARIA')) {
return '61462000'; return ['code' => '61462000', 'display' => 'Malaria'];
} }
if (str_contains($upper, 'FEVER') || str_contains($upper, 'PYREXIA')) { if (str_contains($upper, 'FEVER') || str_contains($upper, 'PYREXIA')) {
return '386661006'; return ['code' => '386661006', 'display' => 'Fever'];
} }
if (str_contains($upper, 'BREATHLESS') || str_contains($upper, 'DYSPNEA')) { if (str_contains($upper, 'BREATHLESS') || str_contains($upper, 'DYSPNEA')) {
return '267036007'; return ['code' => '267036007', 'display' => 'Dyspnea'];
} }
if (str_contains($upper, 'COUGH')) { if (str_contains($upper, 'COUGH')) {
return '49727002'; return ['code' => '49727002', 'display' => 'Cough'];
} }
if (str_contains($upper, 'ABDOMINAL PAIN') || str_contains($upper, 'ABDOMEN PAIN')) { if (str_contains($upper, 'ABDOMINAL PAIN') || str_contains($upper, 'ABDOMEN PAIN')) {
return '21522000'; return ['code' => '21522000', 'display' => 'Abdominal pain'];
} }
if (str_contains($upper, 'CHEST PAIN')) { if (str_contains($upper, 'CHEST PAIN')) {
return '29857009'; return ['code' => '29857009', 'display' => 'Chest pain'];
} }
if (str_contains($upper, 'PAIN')) { if (str_contains($upper, 'PAIN')) {
return '22253000'; return ['code' => '22253000', 'display' => 'Pain'];
} }
if (str_contains($upper, 'HEADACHE')) { if (str_contains($upper, 'HEADACHE')) {
return '25064000'; return ['code' => '25064000', 'display' => 'Headache'];
} }
if (str_contains($upper, 'DIARRHEA')) { if (str_contains($upper, 'DIARRHEA')) {
return '62315000'; return ['code' => '62315000', 'display' => 'Diarrhea'];
} }
if (str_contains($upper, 'VOMITING')) { if (str_contains($upper, 'VOMITING')) {
return '422400008'; return ['code' => '422400008', 'display' => 'Vomiting'];
} }
if (str_contains($upper, 'HYPERTENSION') || str_contains($upper, 'HTN')) { if (str_contains($upper, 'HYPERTENSION') || str_contains($upper, 'HTN')) {
return '38341003'; return ['code' => '38341003', 'display' => 'Hypertension'];
} }
if (str_contains($upper, 'DIABETES') || str_contains($upper, 'DM')) { if (str_contains($upper, 'DIABETES') || str_contains($upper, 'DM')) {
return '73211009'; return ['code' => '73211009', 'display' => 'Diabetes mellitus'];
} }
return '404684003'; return ['code' => '404684003', 'display' => 'Clinical finding'];
} }
/** /**