input('term') ? trim($request->input('term')) : '';
if (empty($term)) return '';
$matches = DB::connection('pgsql_fdb')->select(
"SELECT med_name_id, med_name FROM rminmid1_med_name WHERE med_status_cd = '0' AND med_name ILIKE :term ORDER BY med_name",
['term' => '%' . $term . '%']
);
return view('app.fdb-pg.fdb-med-suggest', compact('matches'));
}
public function routedMeds(Request $request)
{
$medNameID = $request->input('med-name-id') ? trim($request->input('med-name-id')) : '';
if (empty($medNameID)) return '';
$matches = DB::connection('pgsql_fdb')->select(
"SELECT routed_med_id, med_routed_med_id_desc FROM rmirmid1_routed_med WHERE med_status_cd = '0' AND med_name_id = :medNameID ORDER BY med_routed_med_id_desc",
['medNameID' => $medNameID]
);
return json_encode($matches);
}
public function routedDosages(Request $request)
{
$routedMedID = $request->input('routed-med-id') ? trim($request->input('routed-med-id')) : '';
if (empty($routedMedID)) return '';
$matches = DB::connection('pgsql_fdb')->select(
"SELECT routed_dosage_form_med_id, med_routed_df_med_id_desc FROM rmidfid1_routed_dose_form_med WHERE med_status_cd = '0' AND routed_med_id = :routedMedID ORDER BY med_routed_df_med_id_desc",
['routedMedID' => $routedMedID]
);
return json_encode($matches);
}
public function meds(Request $request)
{
$dosageFormMedId = $request->input('dosage-form-med-id') ? trim($request->input('dosage-form-med-id')) : '';
if (empty($dosageFormMedId)) return '';
$matches = DB::connection('pgsql_fdb')->select(
"SELECT medid, med_medid_desc, gcn_seqno FROM rmiid1_med WHERE med_status_cd = '0' AND routed_dosage_form_med_id = :dosageFormMedId ORDER BY med_medid_desc",
['dosageFormMedId' => $dosageFormMedId]
);
return json_encode($matches);
}
public function sideEffects(Request $request)
{
$gcnSeqNo = $request->input('gcn-seq-no') ? trim($request->input('gcn-seq-no')) : '';
if (empty($gcnSeqNo)) return '';
$sides = DB::connection('pgsql_fdb')->select("
SELECT r1.side, sm.side_freq, sm.side_sev, sm.dxid, dx.dxid_desc56
FROM rsidegc0_gcnseqno_link r1
JOIN rsidema3_mstr sm ON r1.side = sm.side
JOIN rfmldx0_dxid dx ON sm.dxid = dx.dxid
WHERE r1.gcn_seqno = :gcnSeqNo
ORDER BY sm.side_sev DESC, sm.side_freq ASC
",
['gcnSeqNo' => $gcnSeqNo]
);
return view('app.fdb-pg.fdb-side-effects', compact('sides'));
}
public function geriatricPrecautions(Request $request)
{
$gcnSeqNo = $request->input('gcn-seq-no') ? trim($request->input('gcn-seq-no')) : '';
if (empty($gcnSeqNo)) return '';
$precautions = DB::connection('pgsql_fdb')->select("
SELECT r1.geri_code, gm.geri_sl, gm.geri_desc, gm.geri_narrative
FROM rgerigc0_geri_gcnseqno_link r1
JOIN rgerima1_geri_mstr gm ON r1.geri_code = gm.geri_code
WHERE r1.gcn_seqno = :gcnSeqNo
ORDER BY gm.geri_desc
",
['gcnSeqNo' => $gcnSeqNo]
);
return view('app.fdb-pg.fdb-geriatric-precautions', compact('precautions'));
}
public function indications(Request $request)
{
$gcnSeqNo = $request->input('gcn-seq-no') ? trim($request->input('gcn-seq-no')) : '';
if (empty($gcnSeqNo)) return '';
$indications = DB::connection('pgsql_fdb')->select("
SELECT r1.indcts, r2.indcts_sn, r2.indcts_lbl, r2.dxid, r2.proxy_ind, r3.dxid_desc56
FROM rindmgc0_indcts_gcnseqno_link r1
JOIN rindmma2_indcts_mstr r2 ON r1.indcts = r2.indcts
JOIN rfmldx0_dxid r3 ON r2.dxid = r3.dxid
WHERE r1.gcn_seqno = :gcnSeqNo
ORDER BY r3.dxid_desc56
",
['gcnSeqNo' => $gcnSeqNo]
);
return view('app.fdb-pg.fdb-indications', compact('indications'));
}
public function contraindications(Request $request)
{
$routedMedID = $request->input('routed-med-id') ? trim($request->input('routed-med-id')) : '';
if (empty($routedMedID)) return '';
$contraindications = DB::connection('pgsql_fdb')->select("
SELECT r1.ddxcn, r2.dxid, r2.ddxcn_sl, r3.dxid_desc56
FROM rddcmrm0_routed_med_link r1
JOIN rddcmma1_contra_mstr r2 ON r1.ddxcn = r2.ddxcn
JOIN rfmldx0_dxid r3 ON r2.dxid = r3.dxid
WHERE r1.routed_med_id = :routedMedID
ORDER BY r2.ddxcn_sl
",
['routedMedID' => $routedMedID]
);
return view('app.fdb-pg.fdb-contraindications', compact('contraindications'));
}
public function dxSuggest(Request $request)
{
$term = $request->input('term') ? trim($request->input('term')) : '';
if (empty($term)) return '';
$matches = DB::connection('pgsql_fdb')->select("
SELECT distinct(r1.dxid), r1.dxid_desc56
FROM rfmldx0_dxid r1
JOIN rfmlsyn0_dxid_syn r2 ON r1.dxid = r2.dxid
WHERE (r1.dxid_desc56 ILIKE :term OR r1.dxid_desc100 ILIKE :term OR r2.dxid_syn_desc56 ILIKE :term OR r2.dxid_syn_desc100 ILIKE :term)
ORDER BY r1.dxid_desc56
",
['term' => '%' . $term . '%']
);
return view('app.fdb-pg.fdb-dx-suggest', compact('matches'));
}
public function allergySuggest(Request $request)
{
$term = $request->input('term') ? trim($request->input('term')) : '';
if (empty($term)) return '';
$matches = DB::connection('pgsql_fdb')->select("
SELECT r1.dam_concept_id, r1.dam_concept_id_typ, r1.dam_concept_id_desc
FROM rdamca0_concept r1
WHERE (r1.dam_concept_id_desc ILIKE :term)
ORDER BY r1.dam_concept_id_desc
",
['term' => '%' . $term . '%']
);
return view('app.fdb-pg.fdb-allergy-suggest', compact('matches'));
}
public function drugAllergies(Request $request) {
// override
if($request->input('test')) {
$x = new \stdClass();
$x->allergen = 'Pollen';
$x->dam_concept_id_typ = 6;
$allergies = [$x];
$y = new \stdClass();
$y->rx = 'Brufen';
$rx = [$y];
}
else {
$input = json_decode($request->input('data'));
$allergies = $input->allergies;
$rx = $input->rx;
}
$output = [];
/*
for each allergy
if dam_concept_id_typ = 1 // allergen-group-id
// https://docs.fdbhealth.com/display/MKDOCUS/Screening+an+NDC+for+a+DAM_ALRGN_GRP+Allergen+-+Illustration+of+Scenario+C
...
elseif dam_concept_id_typ = 2 // medication-name-id
// https://docs.fdbhealth.com/display/MKDOCUS/Screening+an+NDC+for+a+MED_NAME_ID+Allergen+-+Illustration+of+Scenario+B
...
elseif dam_concept_id_typ = 6 // base-ingredient-id
// https://docs.fdbhealth.com/display/MKDOCUS/Screening+an+NDC+for+an+Ingredient+Allergen+-+Illustration+of+Scenario+A
...
endif
endfor
*/
foreach ($allergies as $allergy) {
foreach ($rx as $rxItem) {
if($allergy->dam_concept_id_typ == 6) { // ingredient
if ($this->drugAllergyIngredientAllergenVsSingleRx($allergy, $rxItem)) {
$output[] = "{$rxItem->rx} can cause allergic reactions since the patient is allergic to {$allergy->allergen}.";
}
}
else if($allergy->dam_concept_id_typ == 2) { // medication
if ($this->drugAllergyMedicationAllergenVsSingleRx($allergy, $rxItem)) {
$output[] = "{$rxItem->rx} can cause allergic reactions since the patient is allergic to {$allergy->allergen}.";
}
}
else if($allergy->dam_concept_id_typ == 1) { // allergen group
if ($this->drugAllergyGroupAllergenVsSingleRx($allergy, $rxItem)) {
$output[] = "{$rxItem->rx} can cause allergic reactions since the patient is allergic to {$allergy->allergen}.";
}
}
}
}
return implode("
", $output);
}
private function drugAllergyIngredientAllergenVsSingleRx($_allergen, $_rx) {
$matches = DB::connection('pgsql_fdb')->select("
(
-- ingredients from medication
SELECT R1.related_hic_seqn as hic_seqn, R2.hic_desc
FROM RHICHCR0_HIC_HIC_LINK R1
JOIN RHICD5_HIC_DESC R2 ON R1.related_hic_seqn = R2.hic_seqn
WHERE R1.hic_seqn IN (
SELECT S2.dam_alrgn_hic_seqn
FROM RMEDMHL0_MED_HICLSEQNO_LINK S1
JOIN RDAMHHA0_HIC_HICL_ALG_LINK S2 ON S1.hicl_seqno = S2.hicl_seqno
WHERE S1.med_concept_id = :medid
AND S1.med_concept_id_typ = 3
)
)
INTERSECT
(
-- all ingredients directly and related from allergens
(
SELECT R1.related_hic_seqn as hic_seqn, R2.hic_desc
FROM RHICHCR0_HIC_HIC_LINK R1
JOIN RHICD5_HIC_DESC R2 ON R1.related_hic_seqn = R2.hic_seqn
WHERE R1.hic_seqn = :allergenConceptID
)
UNION
-- all ingredients via related dam allergen groups
(
SELECT r3.hic_seqn, r4.hic_desc
FROM RDAMGHC0_HIC_ALRGN_GRP_LINK R1
JOIN rdamagd1_alrgn_grp_desc R2 on R1.dam_alrgn_grp = R2.dam_alrgn_grp
JOIN RDAMGHC0_HIC_ALRGN_GRP_LINK R3 on R1.dam_alrgn_grp = R3.dam_alrgn_grp
JOIN RHICD5_HIC_DESC R4 on r3.hic_seqn = r4.hic_seqn
WHERE R1.hic_seqn = :allergenConceptID
AND R2.dam_alrgn_grp_status_cd = 0
ORDER BY r3.hic_seqn
)
)
",
['medid' => $_rx->medid, 'allergenConceptID' => $_allergen->dam_concept_id]
);
return !!count($matches);
}
private function drugAllergyMedicationAllergenVsSingleRx($_allergen, $_rx) {
$matches = DB::connection('pgsql_fdb')->select("
(
-- ingredients from medication
SELECT R1.related_hic_seqn as hic_seqn
FROM RHICHCR0_HIC_HIC_LINK R1
JOIN RHICD5_HIC_DESC R2 ON R1.related_hic_seqn = R2.hic_seqn
WHERE R1.hic_seqn IN (
SELECT S2.dam_alrgn_hic_seqn
FROM RMEDMHL0_MED_HICLSEQNO_LINK S1
JOIN RDAMHHA0_HIC_HICL_ALG_LINK S2 ON S1.hicl_seqno = S2.hicl_seqno
WHERE S1.med_concept_id = :medid
AND S1.med_concept_id_typ = 3
)
)
INTERSECT
(
-- all ingredients directly and related from allergens
SELECT R1.dam_alrgn_hic_seqn as hic_seqn
FROM RDAMHHA0_HIC_HICL_ALG_LINK R1
WHERE R1.hicl_seqno IN (
SELECT R1.hicl_seqno
FROM RMEDMHL0_MED_HICLSEQNO_LINK R1
WHERE R1.med_concept_id_typ = 1
AND R1.med_concept_id = :allergenConceptID
AND MED_CONCEPT_HICL_SRC_CD = 0
)
)
",
['medid' => $_rx->medid, 'allergenConceptID' => $_allergen->dam_concept_id]
);
return !!count($matches);
}
private function drugAllergyGroupAllergenVsSingleRx($_allergen, $_rx) {
$matches = DB::connection('pgsql_fdb')->select("
(
-- ingredients from medication
SELECT R1.related_hic_seqn as hic_seqn
FROM RHICHCR0_HIC_HIC_LINK R1
JOIN RHICD5_HIC_DESC R2 ON R1.related_hic_seqn = R2.hic_seqn
WHERE R1.hic_seqn IN (
SELECT S2.dam_alrgn_hic_seqn
FROM RMEDMHL0_MED_HICLSEQNO_LINK S1
JOIN RDAMHHA0_HIC_HICL_ALG_LINK S2 ON S1.hicl_seqno = S2.hicl_seqno
WHERE S1.med_concept_id = :medid
AND S1.med_concept_id_typ = 3
)
)
INTERSECT
(
-- ingredients from medication allergen
(
SELECT R1.hic_seqn as hic_seqn
FROM RDAMGHC0_HIC_ALRGN_GRP_LINK R1
WHERE R1.DAM_ALRGN_GRP = :allergenConceptID
)
UNION
(
SELECT distinct s1.hic_seqn
FROM RDAMXHC0_HIC_ALRGN_XSENSE_LINK S1
WHERE S1.dam_alrgn_xsense IN (
SELECT R1.dam_alrgn_xsense
FROM RDAMGX0_ALRGN_GRP_XSENSE_LINK R1
JOIN RDAMCSD1_XSENSIT_ALLERGY_DESC R2 on R1.dam_alrgn_xsense = R2.dam_alrgn_xsense
WHERE R1.dam_alrgn_grp = :allergenConceptID
AND R2.dam_alrgn_xsense_status_cd = 0
)
)
)
",
['medid' => $_rx->medid, 'allergenConceptID' => $_allergen->dam_concept_id]
);
return !!count($matches);
}
}