MAth-Cloud-3.0.0/api.ipsocloud.com/api/v1/Models/ReportInterface.class.php

<?php

namespace Models {

  require_once 'Models/User.class.php';
  require_once 'Tools/Random.class.php';
  require_once 'Tools/FS.class.php';
  require_once 'Tools/UUID.class.php';

  require_once 'External/dompdf_0-8-6/autoload.inc.php';

  require_once 'External/ImageWorkshop/vendor/autoload.php';
  require_once 'External/ImageWorkshop/src/ImageWorkshop.php';
  use PHPImageWorkshop\ImageWorkshop;
  
  class ReportInterface {
    //
    protected $DataInterface;

    /**
     * 
     */
    public function __construct($DataInterface) {
      $this->DataInterface = $DataInterface;
    }
    
    /**
     * Get media
     */
    public function reportGet($User, $patientID, $visitID) {
      $userID = $User->ID;

      // patient
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT patient.* FROM patient WHERE ID = :fk_patient"
      );
      $statement->bindParam(':fk_patient', $patientID);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $patient = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];

      // visit
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT area, markers FROM visit WHERE ID = :fk_visit"
      );
      $statement->bindParam(':fk_visit', $visitID);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $data = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];

      // media
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT * FROM media WHERE fk_visit = :fk_visit"
      );
      $statement->bindParam(':fk_visit', $visitID);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $media = $statement->fetchAll(\PDO::FETCH_ASSOC);
      foreach($media as &$m) {
        $m['metrics'] = json_decode($m['metrics']);
        // measures
        $statement = $this->DataInterface->DatabaseConnection->prepare(
          "SELECT * FROM measure WHERE fk_media = :fk_media"
        );
        $statement->bindParam(':fk_media', $m['ID']);
        // Error check
        if(!$statement->execute()) {
          return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
        }
        $m['measure'] = $statement->fetchAll(\PDO::FETCH_ASSOC);
        foreach($m['measure'] as &$measure) {
          $measure['points'] = json_decode($measure['points']);
          $measure['computation'] = json_decode($measure['computation']);
        }
      }

      // Abacus
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT DISTINCT name FROM abacus ORDER BY name"
      );
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $abacus = $statement->fetchAll(\PDO::FETCH_ASSOC);

      // Recipient
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT * FROM recipient WHERE fk_user = :fk_user ORDER BY email"
      );
      $statement->bindParam(':fk_user', $userID);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $recipient = $statement->fetchAll(\PDO::FETCH_ASSOC);

      // PACS
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT data FROM settings_pacs WHERE fk_physician = $userID"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $pacs = json_decode($statement->fetchAll(\PDO::FETCH_ASSOC)[0]['data']);

      return [
        'result' => 'OK',
        'patient' => $patient,
        'area' => $data['area'],
        'markers' => json_decode($data['markers']),
        'media' => $media,
        'recipient' => $recipient,
        'pacs' => $pacs,
        'abacus' => $abacus
      ];
    }

    /**
     * 
     */
    public function reportMailAddPost($User, $data) {
      $userID = $User->ID;

      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "INSERT INTO recipient(ID, email, fk_user) VALUES(0, :email, :fk_user)"
      );
      $statement->bindParam(':email', $data['email']);
      $statement->bindParam(':fk_user', $userID);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $emailID = $this->DataInterface->DatabaseConnection->lastInsertId();

      return [
        'result' => 'OK',
        'ID' => $emailID
      ];
    }

    /**
     * 
     */
    public function reportMailDeletePost($User, $data) {
      $userID = $User->ID;

      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "DELETE FROM recipient WHERE ID = :ID"
      );
      $statement->bindParam(':ID', $data['ID']);
      // Error check
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }

      return [
        'result' => 'OK'
      ];
    }

    /**
     * 
     */
    protected function generateMeasureText($lang, &$measureList, $M, &$imt_value, &$imt_count) {
      if($M['type']=='imt') {
        $measureList[] = 
        ($this->tr($lang, 'imt_avg').': '.number_format($M['computation']->imt_mean, 3)).' mm, '.
        ($this->tr($lang, 'imt_max').': '.number_format($M['computation']->imt_max, 3)).' mm';
        $imt_value+=$M['computation']->imt_mean;
        $imt_count++;
      }
      else if($M['type']=='plaque') {
        $measureList[] = 
        ($this->tr($lang, 'plaque').': '.round($M['computation']->plaque_area*100)/100).' mm², '.
        ($this->tr($lang, 'thk_max').': '.round($M['computation']->plaque_max_thickness*10)/10).' mm';
      }
      else if($M['type']=='area') {
        $measureList[] = ($this->tr($lang, 'surface').': '.round($M['computation']->surface*100)/100).' mm²';
      }
      else if($M['type']=='thickness') {
        $measureList[] = ($this->tr($lang, 'thk').': '.round($M['computation']->distance*10)/10).' mm';
      }
      else if($M['type']=='plaque_thickness') {
        $measureList[] = ($this->tr($lang, 'thk_plaque').': '.round($M['computation']->distance*10)/10).' mm';
      }
      else if($M['type']=='diameter') {
        $measureList[] = ($this->tr($lang, 'diameter').': '.round($M['computation']->distance*10)/10).' mm';
      }
    }

    /**
     * 
     */
    protected function generateImageCell($lang, $side, $visit, $visitID, $markers, $media, $ID, &$imt_value, &$imt_count, $mode) {
      $M = null;
      for($i=0; $i<count($media); $i++) {
        if($media[$i]['ID'] == $ID) {
          $M = $media[$i];
          break;
        }
      }
      $span = count($media)==2?3:4;
      if(!$M) {
        return '<tr><td colspan="'.$span.'" style="height: 16px;">not found</td></tr>';
      }

      // segment
      $incidence = array_key_exists('incidence', $M)?(' ('.$this->tr($lang, $M['incidence']).')'):'';
      $segmentName = $this->tr($lang, $visit['area'].'_'.$side.'_'.$M['location']).' '.$incidence;
      $segmentImage = '../../storage/area/area_'.$visit['area'].'_'.($side=='right'?'R':'L').'_'.$M['location'].'.png';
      $segmentLayer = ImageWorkshop::initFromPath($segmentImage);
      for($mk=0; $mk<count($visit['markers']); $mk++) {
        if($visit['markers'][$mk]->location==$side) {
          $segmentLayer->addLayerOnTop($markers[$visit['markers'][$mk]->type], $visit['markers'][$mk]->x, $visit['markers'][$mk]->y);
        }
      }
      ob_start();
      imagejpeg($segmentLayer->getResult(), null, 100);
      $segmentBase64 = ob_get_contents();
      ob_end_clean();
      $segmentBase64 = 'data:image/jpeg;base64,'.base64_encode($segmentBase64);

      // image
      $frame = 0;
      for($measure=0; $measure<count($M['measure']); $measure++) {
        $mm = $M['measure'][$measure];
        if($mm['type'] != 'calibration') {
          $frame = $mm['frame'];
          break;
        }
      }

      $path = '../../storage/media/'.$visitID.'/'.$M['filename'];
      $path_parts = pathinfo($path);
      if(property_exists($M['metrics'], 'fps')) {
        $path = $path_parts['dirname'].'/'.$path_parts['filename'].'-'.$frame.'.jpeg';
      }
      else {
        $path = $path_parts['dirname'].'/'.$path_parts['filename'].'.jpeg';
      }
      // draw measures
      $mImage = imagecreatefromjpeg($path);
      $orange = imagecolorallocate($mImage, 255,165,0);
      $green = imagecolorallocate($mImage, 0, 255, 0);
      imagesetthickness($mImage, 2);
      foreach($M['measure'] as $Mm) {
        if($Mm['type']=='imt') {
          for($p=0; $p<count($Mm['computation']->vect_adventitia); $p++) {
            imageline($mImage, $Mm['computation']->vect_adventitia[$p]->x, $Mm['computation']->vect_adventitia[$p]->y, $Mm['computation']->vect_adventitia[$p]->x+1, $Mm['computation']->vect_adventitia[$p]->y, $green);
          }
          for($p=0; $p<count($Mm['computation']->vect_intima); $p++) {
            imageline($mImage, $Mm['computation']->vect_intima[$p]->x, $Mm['computation']->vect_intima[$p]->y, $Mm['computation']->vect_intima[$p]->x+1, $Mm['computation']->vect_intima[$p]->y, $orange);
          }
        }
        else if($Mm['type']=='plaque') {
          for($p=0; $p<count($Mm['computation']->longeantPlaque)-1; $p++) {
            imageline($mImage, $Mm['computation']->longeantPlaque[$p]->x, $Mm['computation']->longeantPlaque[$p]->y, $Mm['computation']->longeantPlaque[$p+1]->x, $Mm['computation']->longeantPlaque[$p+1]->y, $orange);
          }
          for($p=0; $p<count($Mm['computation']->ptsTrouvesFin)-1; $p++) {
            imageline($mImage, $Mm['computation']->ptsTrouvesFin[$p]->x, $Mm['computation']->ptsTrouvesFin[$p]->y, $Mm['computation']->ptsTrouvesFin[$p+1]->x, $Mm['computation']->ptsTrouvesFin[$p+1]->y, $green);
          }
          imageline($mImage, $Mm['computation']->longeantPlaque[0]->x, $Mm['computation']->longeantPlaque[0]->y, $Mm['computation']->ptsTrouvesFin[0]->x, $Mm['computation']->ptsTrouvesFin[0]->y, $green);
          imageline($mImage, $Mm['computation']->longeantPlaque[count($Mm['computation']->longeantPlaque)-1]->x, $Mm['computation']->longeantPlaque[count($Mm['computation']->longeantPlaque)-1]->y, $Mm['computation']->ptsTrouvesFin[count($Mm['computation']->ptsTrouvesFin)-1]->x, $Mm['computation']->ptsTrouvesFin[count($Mm['computation']->ptsTrouvesFin)-1]->y, $green);
        }
        else if($Mm['type']=='area') {
          for($p=0; $p<count($Mm['points'])-1; $p++) {
            imageline($mImage, $Mm['points'][$p]->x, $Mm['points'][$p]->y, $Mm['points'][$p+1]->x, $Mm['points'][$p+1]->y, $green);
          }
          imageline($mImage, $Mm['points'][0]->x, $Mm['points'][0]->y, $Mm['points'][count($Mm['points'])-1]->x, $Mm['points'][count($Mm['points'])-1]->y, $green);
          for($p=0; $p<count($Mm['points'])-1; $p++) {
            imagefilledellipse($mImage, $Mm['points'][$p]->x, $Mm['points'][$p]->y, 10, 10, $orange);
          }
        }
        else if($Mm['type']=='diameter' || $Mm['type']=='thickness' || $Mm['type']=='plaque_thickness') {
          imageline($mImage, $Mm['points'][0]->x, $Mm['points'][0]->y, $Mm['points'][1]->x, $Mm['points'][1]->y, $green);
          imageline($mImage, $Mm['points'][0]->x, $Mm['points'][0]->y, $Mm['points'][1]->x, $Mm['points'][1]->y, $green);
          imagefilledellipse($mImage, $Mm['points'][0]->x, $Mm['points'][0]->y, 10, 10, $orange);
          imagefilledellipse($mImage, $Mm['points'][1]->x, $Mm['points'][1]->y, 10, 10, $orange);
        }
      }
      ob_start();
      imagejpeg($mImage);
      $imageData = ob_get_contents();
      ob_end_clean();
      $imageBase64 = 'data:image/jpeg;base64,'.base64_encode($imageData);
      imagedestroy($mImage);
      //$imageBase64 = 'data:image/' . pathinfo(parse_url($path, PHP_URL_PATH), PATHINFO_EXTENSION) . ';base64,' . base64_encode(file_get_contents($path));

      // measures
      $measureList = [];
      foreach($M['measure'] as $Mm) {
        if($frame==intval($Mm['frame']) && $Mm['type']!='calibration') {
          $this->generateMeasureText($lang, $measureList, $Mm, $imt_value, $imt_count);
        }
      }

      // layout
      if($mode == '2R') {
        return '<tr><td colspan="'.$span.'" style="height: 16px;"></td></tr>'.
        '<tr>'.
        '<td style="width: 20%" valign="top"><img src="'.$segmentBase64.'" style="width: 100%;" /></td>'.
        '<td style="width: 60%" align="center">'.
        '<img src="'.$imageBase64.'" style="width: 90%;" /><div style="width: 100%; text-align: center;"><b>'.$segmentName.'</b><br/>'.implode('<br/>',$measureList).'</div>'.
        '</td>'.
        '<td style="width: 20%; text-align: center;"><h3>'.$this->tr($lang, $side).'</h3></td>'.
        '</tr>';
      }
      if($mode == '2L') {
        return '<tr><td colspan="'.$span.'" style="height: 16px;"></td></tr>'.
        '<tr>'.
        '<td style="width: 20%; text-align: center;"><h3>'.$this->tr($lang, $side).'</h3></td>'.
        '<td style="width: 60%" align="center">'.
        '<img src="'.$imageBase64.'" style="width: 90%;" /><div style="width: 100%; text-align: center;"><b>'.$segmentName.'</b><br/>'.implode('<br/>',$measureList).'</div>'.
        '</td>'.
        '<td style="width: 20%" valign="top"><img src="'.$segmentBase64.'" style="width: 100%;" /></td>'.
        '</tr>';
      }
      if($mode == '6R') {
        return '<td style="width: 15%" valign="top"><img src="'.$segmentBase64.'" style="width: 100%;" /></td>'.
        '<td style="width: 35%" valign="top">'.
        '<img src="'.$imageBase64.'" style="width: 100%;" /><div style="width: 100%; text-align: center;"><b>'.$segmentName.'</b><br/>'.implode('<br/>',$measureList).'</div>'.
        '</td>';
      }
      if($mode == '6L') {
        return '<td style="width: 35%" valign="top">'.
        '<img src="'.$imageBase64.'" style="width: 100%;" /><div style="width: 100%; text-align: center;"><b>'.$segmentName.'</b><br/>'.implode('<br/>',$measureList).'</div>'.
        '</td>'.
        '<td style="width: 15%" valign="top"><img src="'.$segmentBase64.'" style="width: 100%;" /></td>';
      }
    }

    /**
     * 
     */
    public function reportPdfMailPost($User, $data) {
      $userID = $User->ID;

      // report
      $res = $this->reportPdfDownloadPost($User, $data);
      if($res['result']=='ERROR') {
        return $res;
      }

      foreach($data['emails'] as $email) {
        $res = $this->DataInterface->sendMail($User->email, $email, $data['subject'], $data['message'], '../../storage/report/'.$res['filename']);
        if($res['result']=='ERROR') {
          return $res;
        }
      }

      return [
        'result' => 'OK',
        'report' => $res
      ];      
    }
        
   /**
     * 
     */
    public function reportPdfPACSPost($User, $data) {
      $userID = $User->ID;

      // report
      $res = $this->reportPdfDownloadPost($User, $data);
      if($res['result']=='ERROR') {
        return $res;
      }
      $reportPath = '../../storage/report/'.$res['filename'];
      $dicomPath = $reportPath.'.dcm';

      // PACS
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT data FROM settings_pacs WHERE fk_physician = $userID"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $pacs = json_decode($statement->fetchAll(\PDO::FETCH_ASSOC)[0]['data']);
      
      // convert to dicom
      // if comming from a DICOM study, then use existing ID/UID from with this:
      // ' +st '.$aDicomFile.
      $patientName = $res['patient']['lastname'].'^'.$res['patient']['firstname'];
      $patientID = $res['patient']['patientID'];
      $patientBirth = str_replace('-','',$res['patient']['birthDate']);
      $patientSex = $res['patient']['gender'];
      $studyDate = str_replace('-','',$res['visit']['visitDate']);
      $cmdLine = 'pdf2dcm '.$reportPath.' '.$dicomPath.
        ' +pn "'.$patientName.'" +pi "'.$patientID.'" +pb '.$patientBirth.' +ps '.$patientSex.
        ' -k StudyDate="'.$studyDate.'" '.
        ' -v 2>&1';

      $output=null;
      $retval=null;
      exec($cmdLine, $output, $retval);
      if($retval !== 0 || count($output)<1) {
        return [
          'result' => 'ERROR',
          'cmdLine' => $cmdLine,
          'output' => $output, 
          'retval' => $retval
        ];
      }

      // send
      $cmdLine = 'storescu '.$pacs->serverAddress.' '.$pacs->queryPort.' '.$dicomPath.' -aet '.$pacs->callingAET.' -aec '.$pacs->calledAET.
        ' -v 2>&1';
      
      $output=null;
      $retval=null;
      exec($cmdLine, $output, $retval);
      if($retval !== 0 || count($output)<1) {
        return [
          'result' => 'ERROR',
          'cmdLine' => $cmdLine,
          'output' => $output, 
          'retval' => $retval
        ];
      }

      unlink($dicomPath);
  
      return [
        'result' => 'OK',
        'report' => $res,
        'cmdLine' => $cmdLine
      ];      
    }
     
    /**
     * 
     */
    public function reportPdfDownloadPost($User, $data) {
      $userID = $User->ID;
      $visitID = $data['visitID'];
      $lang = $data['lang'];
      $reportType = $data['type'];
      $mediaList = $data['mediaList'];

      // style
      $style = '.page-break { page-break-after: always; } '.
      'h1 { width: 100%; margin: 0 0 16px 0; padding: 0; text-align: center; } '.
      'h3 { width: 100%; margin: 0 0 16px 0; padding: 0; text-align: center; } '.
      '.footer { position: fixed; bottom: 0; width: 100%; text-align: center; }'.
      '.blue { color: rgb(0,0,255); }'.
      '.grid { border-collapse: collapse; } .grid td { border: 1px solid black; text-align: center; }';

      // user
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT * FROM user, organization WHERE organization.fk_user = user.ID AND user.ID = $userID"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $user = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];
      // patient
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT * FROM patient, visit WHERE visit.fk_patient = patient.ID AND visit.ID = $visitID"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $patient = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];
      // visit
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT area, markers, visitDate FROM visit WHERE ID = :fk_visit"
      );
      $statement->bindParam(':fk_visit', $visitID);
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $visit = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];
      $visit['markers'] = json_decode($visit['markers']);
      // media
      $str = implode(',',$mediaList);
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT ID, side, location, filename, metrics FROM media WHERE ID IN ($str)"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $media = $statement->fetchAll(\PDO::FETCH_ASSOC);
      foreach($media as &$m) {
        $m['metrics'] = json_decode($m['metrics']);
        // measures
        $statement = $this->DataInterface->DatabaseConnection->prepare(
          "SELECT * FROM measure WHERE fk_media = :fk_media ORDER BY ID"
        );
        $statement->bindParam(':fk_media', $m['ID']);
        if(!$statement->execute()) {
          return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
        }
        $m['measure'] = $statement->fetchAll(\PDO::FETCH_ASSOC);
        foreach($m['measure'] as &$_measure) {
          $_measure['points'] = json_decode($_measure['points']);
          $_measure['computation'] = json_decode($_measure['computation']);
        }
      }
      // organization
      $statement = $this->DataInterface->DatabaseConnection->prepare(
        "SELECT * FROM organization WHERE fk_user = $userID"
      );
      if(!$statement->execute()) {
        return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
      }
      $organization = $statement->fetchAll(\PDO::FETCH_ASSOC)[0];
      $org_name = $organization['name'];
      $org_address = $organization['address'].' '.$organization['zip'].' '.$organization['city'].' - '.$organization['phone'];

      // markers
      $markers = [
        "plaque" => ImageWorkshop::initFromPath('../../storage/marker/plaque.png'),
        "stenose" => ImageWorkshop::initFromPath('../../storage/marker/stenose.png'),
        "occlusion" => ImageWorkshop::initFromPath('../../storage/marker/occlusion.png')
      ];

      // IMT
      $imt_value_right = 0;
      $imt_count_right = 0;
      $imt_value_left = 0;
      $imt_count_left = 0;

      // 1st page
      $pics = '<table style="width: 100%;" border="0">';
      if($reportType==2) {
        $pics .= $this->generateImageCell($lang, 'right', $visit, $visitID, $markers, $media, $mediaList[0], $imt_value_right, $imt_count_right, '2R');
        $pics .= $this->generateImageCell($lang, 'left', $visit, $visitID, $markers, $media, $mediaList[1], $imt_value_left, $imt_count_left, '2L');
      }
      else {
        $pics .= '<tr><td colspan="4" style="height: 16px;"></td></tr>'.'<tr>';
        $pics .= $this->generateImageCell($lang, 'right', $visit, $visitID, $markers, $media, $mediaList[0], $imt_value_right, $imt_count_right, '6R');
        $pics .= $this->generateImageCell($lang, 'left', $visit, $visitID, $markers, $media, $mediaList[3], $imt_value_left, $imt_count_left, '6L');
        $pics .= '</tr>';
        $pics .= '<tr><td colspan="4" style="height: 16px;"></td></tr>'.'<tr>';
        $pics .= $this->generateImageCell($lang, 'right', $visit, $visitID, $markers, $media, $mediaList[1], $imt_value_right, $imt_count_right, '6R');
        $pics .= $this->generateImageCell($lang, 'left', $visit, $visitID, $markers, $media, $mediaList[4], $imt_value_left, $imt_count_left, '6L');
        $pics .= '</tr>';
        $pics .= '<tr><td colspan="4" style="height: 16px;"></td></tr>'.'<tr>';
        $pics .= $this->generateImageCell($lang, 'right', $visit, $visitID, $markers, $media, $mediaList[2], $imt_value_right, $imt_count_right, '6R');
        $pics .= $this->generateImageCell($lang, 'left', $visit, $visitID, $markers, $media, $mediaList[5], $imt_value_left, $imt_count_left, '6L');
        $pics .= '</tr>';
      }
      $pics .= '</table>';
      $brand = 'data:image/' . pathinfo(parse_url('../../storage/logo/logo-48.png', PHP_URL_PATH), PATHINFO_EXTENSION) . ';base64,' . base64_encode(file_get_contents('../../storage/logo/logo-48.png'));
      $page1 = 
      '<div class="page-break">'.
      //'<h1>'.$this->tr($lang, $reportType==2?'title2':'title6').'</h1>'.
      '<h3 style="margin:4px 0;">'.$org_name.'</h3>'.
      '<h3 style="font-size:14px;">'.$org_address.'</h3>'.
      '<table style="width: 100%; border: 1px solid black;" border="0">'.
        '<tr><td>'.$this->tr($lang, 'patientID').':</td><td>'.$patient['patientID'].'</td><td>'.$this->tr($lang, 'patientName').':</td><td>'.$patient['lastname'].' '.$patient['firstname'].'</td></tr>'.
        '<tr><td>'.$this->tr($lang, 'patientBirth').':</td><td>'.$this->trDate($lang, $patient['birthDate']).'</td><td>'.$this->tr($lang, 'visitID').':</td><td>'.$patient['number'].'</td></tr>'.
        '<tr><td>'.$this->tr($lang, 'institution').':</td><td>'.$user['name'].'</td><td>'.$this->tr($lang, 'physician').':</td><td>'.$user['lastname'].' '.$user['firstname'].'</td></tr>'.
      '</table>'.
      $pics.
      '<div class="footer">'.
        '<div style="position:absolute; left:0;">'.$patient['lastname'].' '.$patient['firstname'].'</div>'.
        $this->trDate($lang, date('Y-m-d')).
        '<div style="position:absolute; right:0;"><img src="'.$brand.'" style="width:96px;"></div>'.
      '</div>'.
      '</div>';

      // 2nd page
      if($imt_count_left>0 && $imt_count_right>0) {
        $password = strtoupper(substr($patient['firstname'], 0, 1)).strtoupper(substr($patient['lastname'], 0, 1)).substr($patient['birthDate'],0,4);
        if($imt_count_left>0) {
          $imt_value_left /= $imt_count_left;
        }
        if($imt_count_right>0) {
          $imt_value_right /= $imt_count_right;
        }

        $abacus_name = '';
        $abacus_gender = $patient['gender'];
        if($data['abacus']=='PARC') {
          $abacus_name = 'Europe, France, 30-79 years, PARC 2009 (Mean)';
        }
        else if($data['abacus']=='ARIC_CAUCASIAN') {
          $abacus_name = 'USA, 35-85 years, Caucasian, ARIC 1993 (R+L). Extrapolated values below 45 and over 65';
        }
        else if($data['abacus']=='ARIC_AFRICAN') {
          $abacus_name = 'USA, 35-85 years, African American, ARIC 1993 (R+L). Extrapolated values below 45 and over 65';
        }

        // graph layout
        $graph_layout = '';
        $abacusTable = '';
        if($data['abacus']=='PARC') {
          // no matter the side
          $statement = $this->DataInterface->DatabaseConnection->prepare(
            "SELECT data FROM abacus WHERE name = '$abacus_name' AND sex = '$abacus_gender'"
          );
          if(!$statement->execute()) {
            return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
          }
          $abacus_raw_data = json_decode($statement->fetchAll(\PDO::FETCH_ASSOC)[0]['data']);
          $abacus_data = [];
          foreach($abacus_raw_data as $raw_data) {
            $abacus_data[$raw_data->age] = [$raw_data->min, $raw_data->mean, $raw_data->max];
          }

          // ref values
          $abacusTable .= '<tr style="background-color: lightgray;"><td>'.$this->tr($lang, 'age').'</td><td>'.$this->tr($lang, '25percent').'</td><td>'.$this->tr($lang, '50percent').'</td><td>'.$this->tr($lang, '75percent').'</td></tr>';
          foreach($abacus_data as $age => $values) {
            $abacusTable .= '<tr><td>'.$age.'</td>';
            foreach($values as $value) {
              $abacusTable .= '<td>'.$value.'</td>';
            }
            $abacusTable .= '</tr>';
          }
  
          // imt value
          $imt_value = $imt_value_left + $imt_value_right;
          if($imt_value_left>0 && $imt_value_right>0) {
            $imt_value /= 2.0;
          }

          // graph
          $graph_layout .= '<img src="'.$this->generateGraph2($abacus_data, 0, $lang, $imt_value, $patient['birthDate']).'">';
        }
        else if($data['abacus']=='ARIC_CAUCASIAN' || $data['abacus']=='ARIC_AFRICAN') {
          // right
          $statement = $this->DataInterface->DatabaseConnection->prepare(
            "SELECT data FROM abacus WHERE name = '$abacus_name' AND sex = '$abacus_gender' AND side = 'right'"
          );
          if(!$statement->execute()) {
            return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
          }
          $abacus_raw_data = json_decode($statement->fetchAll(\PDO::FETCH_ASSOC)[0]['data']);
          $abacus_data_right = [];
          foreach($abacus_raw_data as $raw_data) {
            $abacus_data_right[$raw_data->age] = [$raw_data->min, $raw_data->mean, $raw_data->max];
          }

          // left
          $statement = $this->DataInterface->DatabaseConnection->prepare(
            "SELECT data FROM abacus WHERE name = '$abacus_name' AND sex = '$abacus_gender' AND side = 'left'"
          );
          if(!$statement->execute()) {
            return ['result' => 'ERROR', 'reason' => 'internal_error', 'message' => 'Database error', 'data' => $statement->errorInfo()];
          }
          $abacus_raw_data = json_decode($statement->fetchAll(\PDO::FETCH_ASSOC)[0]['data']);
          $abacus_data_left = [];
          foreach($abacus_raw_data as $raw_data) {
            $abacus_data_left[$raw_data->age] = [$raw_data->min, $raw_data->mean, $raw_data->max];
          }

          // ref values
          $abacusTable .= '<tr style="background-color: lightgray;"><td rowspan="2">'.$this->tr($lang, 'age').'</td><td colspan="2">'.$this->tr($lang, '25percent').'</td><td colspan="2">'.$this->tr($lang, '50percent').'</td><td colspan="2">'.$this->tr($lang, '75percent').'</td></tr>';
          $abacusTable .= '<tr style="background-color: lightgray;"><td>R</td><td>L</td><td>R</td><td>L</td><td>R</td><td>L</td></tr>';
          for($i=0; $i<count($abacus_data_right); $i++) {
            $k = array_keys($abacus_data_right)[$i];
            $abacusTable .= '<tr><td>'.$k.'</td>';
            $val_right = $abacus_data_right[$k];
            $val_left = $abacus_data_left[$k];
            for($v=0; $v<count($val_right); $v++) {
              $abacusTable .= '<td>'.$val_right[$v].'</td>';
              $abacusTable .= '<td>'.$val_left[$v].'</td>';
            }
            $abacusTable .= '</tr>';
          }

          // graph
          $graph_layout .= '<table style="width: 100%;" border="0">';
          $graph_layout .= '<tr><td style="width: 50%;">';
          $graph_layout .= '<img style="width: 100%;" src="'.$this->generateGraph2($abacus_data_right, 0.5, $lang, $imt_value_right, $patient['birthDate']).'">';
          $graph_layout .= '</td><td style="width: 50%;">';
          $graph_layout .= '<img style="width: 100%;" src="'.$this->generateGraph2($abacus_data_left, 0.5, $lang, $imt_value_left, $patient['birthDate']).'">';
          $graph_layout .= '</td></tr>';
          $graph_layout .= '</table>';
        }

        $page2 = 
        '<div class="page-break">'.
        '<h3>'.$this->tr($lang, 'p2_title').' ('.$this->tr($lang, $patient['gender']).')</h3>'.
        '<table class="grid" style="width: 100%; margin-bottom: 16px; font-size: 12px;" border="0">'.
          $abacusTable.
        '</table>'.
        '<p style="width: 100%; text-align: center; margin-bottom: 16px; font-size: 12px;">'.$this->tr($lang, $data['abacus']).'</p>'.
        '<p style="width: 100%;" align="center">'.
          $graph_layout.
        '</p>'.
        '<h5 style="margin:0; padding-top: 0;">'.$this->tr($lang, 'indications').'</h4>'.
        '<p style="height:20px;">'.$data['indications'].'</p>'.
        '<h5 style="margin:0;">'.$this->tr($lang, 'clinical').'</h4>'.
        '<p style="height:20px;">'.$data['clinical'].'</p>'.
        '<h5 style="margin:0;">'.$this->tr($lang, 'report').'</h4>'.
        '<p style="height:160px;">'.$data['report'].'</p>'.
        '<p style="width: 100%; text-align: center; font-size: 12px;">'.$this->tr($lang, 'disclaimer').'</p>'.
        '<div class="footer">'.
          '<div style="position:absolute; left:0;">'.$password.'</div>'.
          $this->trDate($lang, date('Y-m-d')).
          '<div style="position:absolute; right:0;"><img src="'.$brand.'" style="width:96px;"></div>'.
        '</div>'.
        '</div>';
      }

      // 3rd page
      $page3 = 
      '<div class="">'.
      '<h3 class="blue">'.$this->tr($lang, 'p3_title').'</h3>'.
      '<h4 class="blue">'.$this->tr($lang, 'p3_subtitle1').'</h4>'.
      '<p>'.$this->tr($lang, 'p3_text1').'</p>'.
      '<h4 class="blue">'.$this->tr($lang, 'p3_subtitle2').'</h4>'.
      '<p>'.$this->tr($lang, 'p3_text2').'</p>'.
      '<h4 class="blue">'.$this->tr($lang, 'p3_subtitle3').'</h4>'.
      '<p>'.$this->tr($lang, 'p3_text3').'</p>'.
      '<h4 class="blue">'.$this->tr($lang, 'p3_subtitle4').'</h4>'.
      '<p>'.$this->tr($lang, 'p3_text4').'</p>'.
      '<h4 class="blue">'.$this->tr($lang, 'p3_subtitle5').'</h4>'.
      '<p>'.$this->tr($lang, 'p3_text5').'</p>'.
      '<div class="footer">'.
        '<div style="position:absolute; left:0;">'.$patient['lastname'].' '.$patient['firstname'].'</div>'.
        $this->trDate($lang, date('Y-m-d')).
        '<div style="position:absolute; right:0;"><img src="'.$brand.'" style="width:96px;"></div>'.
      '</div>'.
      '</div>';

      $html = '<html><style>'.$style.'</style><body>'.$page1.$page2.$page3.'</body></html>';
      //file_put_contents('test.html', $html);

      $filename = $patient['lastname'].' '.$patient['firstname'].'-'.$visitID;
      $filename = str_replace(' ','_',$filename);

      $options = new \Dompdf\Options();
      $options->set('isRemoteEnabled', false);
      $dompdf = new \Dompdf\Dompdf($options);
      $dompdf->loadHtml($html, 'UTF-8');
      $dompdf->setPaper('A4', 'portrait');
      $dompdf->render();
      //$dompdf->get_canvas()->get_cpdf()->setEncryption($password, $password);
      $baseDir = '../../storage/report/';
      \Tools\FS::mkpath($baseDir);
      $path = $baseDir.$filename.'.pdf';
      file_put_contents($path, $dompdf->output());
      $reportBase64 = base64_encode(file_get_contents($path));

      return [
        'result' => 'OK',
        'data' => $data,
        'media' => $media,
        'password' => $password,
        'base64' => $reportBase64,
        'filename' => $filename.'.pdf',
        'patient' => $patient,
        'visit' => $visit
      ];
    }

    public function tr($lang, $item) {
      return array_key_exists($item, DataInterface::$translation[$lang])?DataInterface::$translation[$lang][$item]:'?'.$item.'?';
    }

    public function trDate($lang, $date) {
      if($lang=='fr') {
        $t = explode('-', $date);
        return $t[2].'/'.$t[1].'/'.$t[0];
      }
      return $date;
    }

    protected function generateGraph2($abacus, $plot_offset, $lang, $imt_value, $birth) {
      $width = 450;
      $height = 300;
      $margin = 40;
      $margin2 = 20;

      $today = date("Y-m-d");
      $diff = date_diff(date_create($birth), date_create($today));
      $patientAge = $diff->y;

      $png_image = imagecreate($width+$margin+$margin+$margin2, $height+$margin);
      imagecolorallocate($png_image, 255, 255, 255);
      imageantialias($png_image, true);
      //imagesetthickness($png_image, 2);
      $white = imagecolorallocate($png_image, 255, 255, 255);
      $black = imagecolorallocate($png_image, 0, 0, 0);
      $red = imagecolorallocate($png_image, 255, 0, 0);
      $green = imagecolorallocate($png_image, 0, 128, 0);
      $blue = imagecolorallocate($png_image, 0, 0, 128);

      // scale
      $yr = 125 - 40;
      $yr2 = $yr / 5 * 2;
      $xr = 90 - 20;
      $xr2 = $xr / 5;

      // Y => 30 / 29 => 34 => 33
      $val = 0.4;
      imageline($png_image, $margin2+$margin, 0, $margin2+$margin, $height, $black);
      for($i=0; $i<=$yr2; $i++) {
        $y = $height - (($height-0)/$yr2 * $i);
        $offset = ($i%2)?2:5;
        imageline($png_image, $margin2+$margin-$offset, 0+$y, $margin2+$margin+$offset, 0+$y, $black);
        if(!($i%2) && $i<$yr2-1) {
          imagestring($png_image, 2, $margin2+$margin-32, $y-6, number_format($val,2), $black);
          $val+=0.05;
        }
      }

      // X
      $age = 20;
      imageline($png_image, $margin2+$margin, $height, $margin2+$width+$margin, $height, $black);
      for($i=0; $i<=$xr2; $i++) {
        $x = ($width-0)/$xr2 * $i;
        $offset = ($i%2)?2:5;
        imageline($png_image, $margin2+$margin+$x, $height-$offset, $margin2+$margin+$x, $height+$offset, $black);
        if(!($i%2)) {
          imagestring($png_image, 2, $margin2+$margin+$x-6, $height+6, $age, $black);
          $age+=10;
        }
      }

      // 25%
      $tab = [];
      foreach($abacus as $age => $values) {
        $tab[] = $values[0];
      }
      for($i=0; $i<count($tab)-1; $i++) {
        $x1 = ($width-1)/($xr2/2) * (1+$i+$plot_offset);
        $x2 = ($width-1)/($xr2/2) * (1+$i+1+$plot_offset);
        $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
        $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
        imageline($png_image, $margin2+$margin+$x1, $y1, $margin2+$margin+$x2, $y2, $green);
        imagefilledellipse($png_image, $margin2+$margin+$x1, $y1, 5, 5, $green);
      }
      imagefilledellipse($png_image, $margin2+$margin+(($width-1)/($xr2/2) * (1+count($tab)-1+$plot_offset)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $green);
      imagefilledrectangle($png_image, $margin2+$margin+40, 0, $margin2+$margin+50, 10, $green);
      imagettftext($png_image, 10, 0, $margin2+$margin+50+5, 10, $green, './arial.ttf', $this->tr($lang, '25percent'));
      
      // 50%
      $tab = [];
      foreach($abacus as $age => $values) {
        $tab[] = $values[1];
      }
      imagesetstyle($png_image, array($black, $black, $black, $black, $black, $black, $black, $black, $black, $black, $white, $white, $white, $white, $white, $white, $white, $white, $white, $white));
      for($i=0; $i<count($tab)-1; $i++) {
        $x1 = ($width-1)/($xr2/2) * (1+$i+$plot_offset);
        $x2 = ($width-1)/($xr2/2) * (1+$i+1+$plot_offset);
        $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
        $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
        imageline($png_image, $margin2+$margin+$x1, $y1, $margin2+$margin+$x2, $y2, IMG_COLOR_STYLED);
        imagefilledellipse($png_image, $margin2+$margin+$x1, $y1, 5, 5, $black);
      }
      imagefilledellipse($png_image, $margin2+$margin+(($width-1)/($xr2/2) * (1+count($tab)-1+$plot_offset)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $black);
      imagefilledrectangle($png_image, $margin2+$margin+180, 0, $margin2+$margin+190, 10, $black);
      imagettftext($png_image, 10, 0, $margin2+$margin+190+5, 10, $black, './arial.ttf', $this->tr($lang, '50percent'));
      
      // 75%
      $tab = [];
      foreach($abacus as $age => $values) {
        $tab[] = $values[2];
      }
      for($i=0; $i<count($tab)-1; $i++) {
        $x1 = ($width-1)/($xr2/2) * (1+$i+$plot_offset);
        $x2 = ($width-1)/($xr2/2) * (1+$i+1+$plot_offset);
        $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
        $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
        imageline($png_image, $margin2+$margin+$x1, $y1, $margin2+$margin+$x2, $y2, $red);
        imagefilledellipse($png_image, $margin2+$margin+$x1, $y1, 5, 5, $red);
      }
      imagefilledellipse($png_image, $margin2+$margin+(($width-1)/($xr2/2) * (1+count($tab)-1+$plot_offset)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $red);
      imagefilledrectangle($png_image, $margin2+$margin+320, 0, $margin2+$margin+330, 10, $red);
      imagettftext($png_image, 10, 0, $margin2+$margin+330+5, 10, $red, './arial.ttf', $this->tr($lang, '75percent'));
      
      // value
      $x = $margin+($width/($xr) * ($patientAge-20));
      $y = $height - ( $height / $yr * ($imt_value*100-40) );
      imagefilledellipse($png_image, $margin2+$x, $y, 9, 9, $blue);
      imagettftext($png_image, 10, 0, $margin2+$x + 6, $y + 5, $blue, './arial.ttf', number_format($imt_value,3));

      // legends
      imagettftext($png_image, 10, 0, $width/2+5, $height+32, $black, './arial.ttf', 'Age (y)');
      imagettftext($png_image, 10, 90, 10, $height/2-5, $black, './arial.ttf', 'IMT (mm)');

      ob_start();
      imagepng($png_image);
      $data = ob_get_contents();
      ob_end_clean();
      $res = 'data:image/png;base64,'.base64_encode($data);

      imagedestroy($png_image);
      return $res;
    }

    protected function generateGraph($ABQ, $abacus, $lang, $imt_value_left, $imt_value_right, $birth) {
      $width = 450;
      $height = 300;
      $margin = 40;

      $today = date("Y-m-d");
      $diff = date_diff(date_create($birth), date_create($today));
      $patientAge = $diff->y;

      $png_image = imagecreate($width+$margin+$margin, $height+$margin);
      imagecolorallocate($png_image, 255, 255, 255);
      imageantialias($png_image, true);
      //imagesetthickness($png_image, 2);
      $white = imagecolorallocate($png_image, 255, 255, 255);
      $black = imagecolorallocate($png_image, 0, 0, 0);
      $red = imagecolorallocate($png_image, 255, 0, 0);
      $green = imagecolorallocate($png_image, 0, 128, 0);
      $blue = imagecolorallocate($png_image, 0, 0, 128);

      // value
      $imt_value = $imt_value_left + $imt_value_right;
      if($imt_value_left>0 && $imt_value_right>0) {
        $imt_value /= 2.0;
      }
      // Y
      $val = 0.4;
      imageline($png_image, $margin, 0, $margin, $height, $black);
      for($i=0; $i<=30; $i++) {
        $y = $height - (($height-0)/30 * $i);
        $offset = ($i%2)?2:5;
        imageline($png_image, $margin-$offset, 0+$y, $margin+$offset, 0+$y, $black);
        if(!($i%2) && $i<29) {
          imagestring($png_image, 2, $margin-32, $y-6, number_format($val,2), $black);
          $val+=0.05;
        }
      }
      // 
      $yr = 115 - 40;
      if($ABQ=='PARC') {
        // X
        $age = 20;
        imageline($png_image, $margin, $height, $width+$margin, $height, $black);
        for($i=0; $i<=12; $i++) {
          $x = ($width-0)/12 * $i;
          $offset = ($i%2)?2:5;
          imageline($png_image, $margin+$x, $height-$offset, $margin+$x, $height+$offset, $black);
          if(!($i%2)) {
            imagestring($png_image, 2, $margin+$x-6, $height+6, $age, $black);
            $age+=10;
          }
        }
        // 25%
        $tab = [];
        foreach($abacus as $age => $values) {
          $tab[] = $values[0];
        }
        for($i=0; $i<count($tab)-1; $i++) {
          $x1 = ($width-1)/6 * (1+$i);
          $x2 = ($width-1)/6 * (1+$i+1);
          $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
          $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
          imageline($png_image, $margin+$x1, $y1, $margin+$x2, $y2, $green);
          imagefilledellipse($png_image, $margin+$x1, $y1, 5, 5, $green);
        }
        imagefilledellipse($png_image, $margin+(($width-1)/6 * (1+count($tab)-1)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $green);
        imagefilledrectangle($png_image, $margin+40, 0, $margin+50, 10, $green);
        imagettftext($png_image, 10, 0, $marvisitgin+50+5, 10, $green, './arial.ttf', $this->tr($lang, '25percent'));
        // 50%
        $tab = [];
        foreach($abacus as $age => $values) {
          $tab[] = $values[1];
        }
        imagesetstyle($png_image, array($black, $black, $black, $black, $black, $black, $black, $black, $black, $black, $white, $white, $white, $white, $white, $white, $white, $white, $white, $white));
        for($i=0; $i<count($tab)-1; $i++) {
          $x1 = ($width-1)/6 * (1+$i);
          $x2 = ($width-1)/6 * (1+$i+1);
          $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
          $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
          imageline($png_image, $margin+$x1, $y1, $margin+$x2, $y2, IMG_COLOR_STYLED);
          imagefilledellipse($png_image, $margin+$x1, $y1, 5, 5, $black);
        }
        imagefilledellipse($png_image, $margin+(($width-1)/6 * (1+count($tab)-1)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $black);
        imagefilledrectangle($png_image, $margin+180, 0, $margin+190, 10, $black);
        imagettftext($png_image, 10, 0, $margin+190+5, 10, $black, './arial.ttf', $this->tr($lang, '50percent'));
        // 75%
        $tab = [];
        foreach($abacus as $age => $values) {
          $tab[] = $values[2];
        }
        for($i=0; $i<count($tab)-1; $i++) {
          $x1 = ($width-1)/6 * (1+$i);
          $x2 = ($width-1)/6 * (1+$i+1);
          $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
          $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
          imageline($png_image, $margin+$x1, $y1, $margin+$x2, $y2, $red);
          imagefilledellipse($png_image, $margin+$x1, $y1, 5, 5, $red);
        }
        imagefilledellipse($png_image, $margin+(($width-1)/6 * (1+count($tab)-1)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $red);
        imagefilledrectangle($png_image, $margin+320, 0, $margin+330, 10, $red);
        imagettftext($png_image, 10, 0, $margin+330+5, 10, $red, './arial.ttf', $this->tr($lang, '75percent'));
        // value
        $x = $margin+($width/(80-20) * ($patientAge-20));
        $y = $height - ( $height / $yr * ($imt_value*100-40) );
        imagefilledellipse($png_image, $x, $y, 9, 9, $blue);
        imagettftext($png_image, 10, 0, $x + 6, $y + 5, $blue, './arial.ttf', number_format($imt_value,3));
      }
      else if($ABQ=='VITA') {
        // X
        $age = 35;
        imageline($png_image, $margin, $height, $width+$margin, $height, $black);
        for($i=0; $i<=12; $i++) {
          $x = ($width-0)/12 * $i;
          $offset = ($i%2)?2:5;
          imageline($png_image, $margin+$x, $height-$offset, $margin+$x, $height+$offset, $black);
          if(!($i%2)) {
            imagestring($png_image, 2, $margin+$x-6, $height+6, $age, $black);
            $age+=5;
          }
        }
        // 20%
        $tab = [];
        foreach($abacus as $age => $values) {
          $tab[] = $values[0];
        }
        for($i=0; $i<count($tab)-1; $i++) {
          $x1 = ($width-1)/6 * (2+$i);
          $x2 = ($width-1)/6 * (2+$i+1);
          $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
          $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
          imageline($png_image, $margin+$x1, $y1, $margin+$x2, $y2, $green);
          imagefilledellipse($png_image, $margin+$x1, $y1, 5, 5, $green);
        }
        imagefilledellipse($png_image, $margin+(($width-1)/6 * (2+count($tab)-1)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $green);
        imagefilledrectangle($png_image, $margin+40, 0, $margin+50, 10, $green);
        imagettftext($png_image, 10, 0, $margin+50+5, 10, $green, './arial.ttf', $this->tr($lang, '20percent'));
        // 80%
        $tab = [];
        foreach($abacus as $age => $values) {
          $tab[] = $values[1];
        }
        for($i=0; $i<count($tab)-1; $i++) {
          $x1 = ($width-1)/6 * (2+$i);
          $x2 = ($width-1)/6 * (2+$i+1);
          $y1 = $height - ( $height / $yr * ($tab[$i]*100-40) );
          $y2 = $height - ( $height / $yr * ($tab[$i+1]*100-40) );
          imageline($png_image, $margin+$x1, $y1, $margin+$x2, $y2, $red);
          imagefilledellipse($png_image, $margin+$x1, $y1, 5, 5, $red);
        }
        imagefilledellipse($png_image, $margin+(($width-1)/6 * (2+count($tab)-1)), $height - ( $height / $yr * ($tab[count($tab)-1]*100-40) ), 5, 5, $red);
        imagefilledrectangle($png_image, $margin+180, 0, $margin+190, 10, $red);
        imagettftext($png_image, 10, 0, $margin+190+5, 10, $red, './arial.ttf', $this->tr($lang, '80percent'));
        // value
        $x = $margin+($width/(65-35) * ($patientAge-35));
        $y = $height - ( $height / $yr * ($imt_value*100-40) );
        imagefilledellipse($png_image, $x, $y, 9, 9, $blue);
        imagettftext($png_image, 10, 0, $x + 6, $y + 5, $blue, './arial.ttf', number_format($imt_value,3));
      }

      ob_start();
      imagepng($png_image);
      $data = ob_get_contents();
      ob_end_clean();
      $res = 'data:image/png;base64,'.base64_encode($data);

      imagedestroy($png_image);
      return $res;
    }

  }
}