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feat: FHIR bundle — use complaint_snomed_json for coded complaints (SNOMED + severity + duration)

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DevSoftTech Server 2026-05-20 02:08:01 +05:30
parent 0dd6a18167
commit cd18551ce2
2 changed files with 107 additions and 39 deletions
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63
app/Controllers/Opd_prescription.php
View File

@ -9587,22 +9587,59 @@ class Opd_prescription extends BaseController
$remarks = (string) ($row['Prescriber_Remarks'] ?? ''); $remarks = (string) ($row['Prescriber_Remarks'] ?? '');
$nabh = $this->hydrateNabhPrescriptionFields($row, $remarks); $nabh = $this->hydrateNabhPrescriptionFields($row, $remarks);
$complaintsText = trim((string) ($row['complaints'] ?? '')); // Primary: use structured complaint_snomed_json (has SNOMED codes, severity, duration)
$complaints = []; $complaints = [];
if ($complaintsText !== '') { $snomedJson = trim((string) ($row['complaint_snomed_json'] ?? ''));
$parts = preg_split('/[,;\n\r]+/', $complaintsText) ?: []; if ($snomedJson !== '' && $snomedJson !== '[]') {
$seen = []; $items = json_decode($snomedJson, true);
foreach ($parts as $part) { if (is_array($items)) {
$part = trim((string) $part); $seen = [];
if ($part === '' || preg_match('/^Complaint\s*(Onset|Duration|Severity)\s*:/i', $part) === 1) { foreach ($items as $item) {
continue; $text = trim((string) ($item['term'] ?? ''));
if ($text === '') {
continue;
}
$k = strtoupper($text);
if (isset($seen[$k])) {
continue;
}
$seen[$k] = true;
$complaints[] = [
'text' => $text,
'snomed_code' => trim((string) ($item['concept_id'] ?? '')),
'snomed_display' => $text,
'severity' => trim((string) ($item['severity'] ?? '')),
'duration' => trim((string) ($item['duration'] ?? '')),
'frequency' => trim((string) ($item['frequency'] ?? '')),
];
} }
$k = strtoupper($part); }
if (isset($seen[$k])) { }
continue; // Fallback: plain-text complaints field
if (empty($complaints)) {
$complaintsText = trim((string) ($row['complaints'] ?? ''));
if ($complaintsText !== '') {
$parts = preg_split('/[,;\n\r]+/', $complaintsText) ?: [];
$seen = [];
foreach ($parts as $part) {
$part = trim((string) $part);
if ($part === '' || preg_match('/^Complaint\s*(Onset|Duration|Severity)\s*:/i', $part) === 1) {
continue;
}
$k = strtoupper($part);
if (isset($seen[$k])) {
continue;
}
$seen[$k] = true;
$complaints[] = [
'text' => $part,
'snomed_code' => '',
'snomed_display' => $part,
'severity' => '',
'duration' => '',
'frequency' => '',
];
} }
$seen[$k] = true;
$complaints[] = ['text' => $part];
} }
} }

83
app/Libraries/FhirR4Builder.php
View File

@ -185,35 +185,66 @@ class FhirR4Builder
]]; ]];
} }
$entries[] = [ $complaintResource = [
'resource' => [ 'resourceType' => 'Condition',
'resourceType' => 'Condition', 'id' => $complaintId,
'id' => $complaintId, 'clinicalStatus' => [
'clinicalStatus' => [ 'coding' => [[
'coding' => [[ 'system' => 'http://terminology.hl7.org/CodeSystem/condition-clinical',
'system' => 'http://terminology.hl7.org/CodeSystem/condition-clinical', 'code' => 'active',
'code' => 'active',
]],
],
'verificationStatus' => [
'coding' => [[
'system' => 'http://terminology.hl7.org/CodeSystem/condition-ver-status',
'code' => 'unconfirmed',
]],
],
'category' => [[
'coding' => [[
'system' => 'http://terminology.hl7.org/CodeSystem/condition-category',
'code' => 'problem-list-item',
]],
'text' => 'Chief Complaint',
]], ]],
'code' => $code,
'subject' => ['reference' => $patientRef],
'encounter' => ['reference' => $encounterRef],
'recordedDate' => $issuedAt,
], ],
'verificationStatus' => [
'coding' => [[
'system' => 'http://terminology.hl7.org/CodeSystem/condition-ver-status',
'code' => 'unconfirmed',
]],
],
'category' => [[
'coding' => [[
'system' => 'http://terminology.hl7.org/CodeSystem/condition-category',
'code' => 'problem-list-item',
]],
'text' => 'Chief Complaint',
]],
'code' => $code,
'subject' => ['reference' => $patientRef],
'encounter' => ['reference' => $encounterRef],
'recordedDate' => $issuedAt,
]; ];
// Severity (High/Moderate/Low → SNOMED coded)
$severityText = trim((string) ($complaint['severity'] ?? ''));
if ($severityText !== '') {
$severityMap = [
'high' => ['24484000', 'Severe'],
'severe' => ['24484000', 'Severe'],
'moderate' => ['6736007', 'Moderate'],
'mild' => ['255604002', 'Mild'],
'low' => ['255604002', 'Mild'],
];
$severityKey = strtolower($severityText);
[$sevCode, $sevDisplay] = $severityMap[$severityKey] ?? ['', $severityText];
$severityCoding = ['text' => ucfirst($severityText)];
if ($sevCode !== '') {
$severityCoding['coding'] = [[
'system' => 'http://snomed.info/sct',
'code' => $sevCode,
'display' => $sevDisplay,
]];
}
$complaintResource['severity'] = $severityCoding;
}
// Duration → note
$durationText = trim((string) ($complaint['duration'] ?? ''));
$frequencyText = trim((string) ($complaint['frequency'] ?? ''));
$noteParts = array_filter([$durationText, $frequencyText]);
if (! empty($noteParts)) {
$complaintResource['note'] = [['text' => implode(' | ', $noteParts)]];
}
$entries[] = ['resource' => $complaintResource];
} }
foreach ($observations as $index => $observation) { foreach ($observations as $index => $observation) {