@andes/fhir 1.11.1

package/package.json

@@ -0,0 +1,54 @@
+{
+  "name": "@andes/fhir",
+  "version": "1.11.1",
+  "repository": {
+    "type": "git",
+    "url": "https://github.com/andes/fhir.git"
+  },
+  "author": "Red TICs",
+  "license": "GPL-3.0",
+  "jest": {
+    "verbose": true
+  },
+  "scripts": {
+    "lint": "tslint --project .",
+    "start": "node index.js",
+    "tsc": "tsc",
+    "test": "npx jest --coverage",
+    "tsc:w": "tsc -w",
+    "prepublishOnly": "rm -rf dist && tsc -p ./ --outDir dist/",
+    "semantic-release": "semantic-release"
+  },
+  "main": "./dist/index.js",
+  "devDependencies": {
+    "@semantic-release/changelog": "^3.0.6",
+    "@semantic-release/git": "^7.0.18",
+    "@types/jest": "^26.0.22",
+    "@types/moment": "^2.13.0",
+    "@types/node": "^6.0.117",
+    "jasmine-core": "~2.6.2",
+    "jasmine-spec-reporter": "~4.1.0",
+    "jest": "^26.6.3",
+    "semantic-release": "^17.0.2",
+    "ts-jest": "^26.5.4",
+    "ts-node": "~3.0.4",
+    "tslint": "^5.20.1",
+    "tslint-eslint-rules": "^5.4.0",
+    "typescript": "^3.9.9"
+  },
+  "dependencies": {
+    "@jest/types": "^26.6.2",
+    "moment": "^2.24.0"
+  },
+  "release": {
+    "branch": "master",
+    "plugins": [
+      "@semantic-release/commit-analyzer",
+      "@semantic-release/release-notes-generator",
+      "@semantic-release/changelog",
+      "@semantic-release/npm",
+      "@semantic-release/git",
+      "@semantic-release/github"
+    ]
+  }
+}

package/src/data/patient.json

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+{
+    "_id": "58d30d6fgbb1a96b254d9877",
+    "entidadesValidadoras": [
+        "RENAPER",
+        "Sisa"
+    ],
+    "documento": "42910660",
+    "apellido": "PERINGA PONCE",
+    "nombre": "HUGO AGUSTIN",
+    "sexo": "masculino",
+    "fechaNacimiento": "1979-11-14T03:00:00.000-03:00",
+    "estado": "validado",
+    "genero": "masculino",
+    "financiador": [
+        {
+            "codigoPuco": 921001,
+            "nombre": "O.S.P. NEUQUEN",
+            "financiador": "O.S.P. NEUQUEN"
+        },
+        {
+            "codigoPuco": 921001,
+            "nombre": "O.S.P. NEUQUEN",
+            "financiador": "O.S.P. NEUQUEN"
+        }
+    ],
+    "relaciones": [
+        {
+            "_id": "5b92dec9646d99436065cbfc",
+            "relacion": {
+                "_id": "59247c391ebf0273353b23c0",
+                "nombre": "hijo/a",
+                "opuesto": "progenitor/a"
+            },
+            "referencia": "5b92de583173b053ae88f2d0",
+            "nombre": "JOSEFINA",
+            "apellido": "PERINGA PONCE",
+            "documento": "333333333",
+            "fotoId": "5f9072d00254f253d9c7dd54"
+        },
+        {
+            "_id": "5b92dec9646d99436065cbfa",
+            "relacion": {
+                "_id": "59247c391ebf0273353b23c0",
+                "nombre": "hijo/a",
+                "opuesto": "progenitor/a"
+            },
+            "referencia": "5b9287f10394a225c25a150b",
+            "nombre": "IGNACIO",
+            "apellido": "PERINGA PONCE",
+            "documento": "222222222",
+            "fotoId": "5f9072d00254f253d9c7dd2c"
+        },
+        {
+            "_id": "5f00d31e044ef317c36fd4f8",
+            "relacion": {
+                "_id": "59247c391ebf0273353b23c0",
+                "nombre": "hijo/a",
+                "opuesto": "progenitor/a"
+            },
+            "referencia": "5f00d2f7acfe3a7e46a88227",
+            "nombre": "JUAN CRUZ",
+            "apellido": "PERINGA  PONCE",
+            "documento": "11111111",
+            "fotoId": "5f9078ff0254f253d9dc7212"
+        },
+        {
+            "_id": "5f09f00d5cec191aa5908457",
+            "relacion": {
+                "_id": "59247e1c1ebf0273353b23c5",
+                "nombre": "otro",
+                "opuesto": "otro"
+            },
+            "referencia": "59cb176acd21ce293061b67b",
+            "nombre": "FLORENCIA INES",
+            "apellido": "YAMIL",
+            "documento": "15365478",
+            "fotoId": "5f9072b40254f253d9c79556"
+        }
+    ],
+    "direccion": [
+        {
+            "geoReferencia": [
+                -38.9305707,
+                -68.0839758
+            ],
+            "activo": true,
+            "_id": "58d90d6f0bb1a96b254d9878",
+            "valor": "Enrique Santos Discepolo 1856",
+            "codigoPostal": "8300",
+            "ubicacion": {
+                "_id": "58d90d6f0bb1a96b254d9879",
+                "pais": {
+                    "_id": "57f3b5c469fe79a598e6281f",
+                    "nombre": "Argentina"
+                },
+                "provincia": {
+                    "_id": "57f3f3aacebd681cc2014c53",
+                    "nombre": "Neuquén"
+                },
+                "localidad": {
+                    "_id": "57f538a472325875a199a82d",
+                    "nombre": "NEUQUEN"
+                },
+                "barrio": null
+            },
+            "ranking": 0,
+            "ultimaActualizacion": "2017-03-27T10:02:16.809-03:00"
+        },
+        {
+            "geoReferencia": null,
+            "activo": true,
+            "_id": "6046105ba4e2d85f81ad60f7",
+            "valor": "NORDENSTROM 1898 0 0",
+            "codigoPostal": "8300",
+            "ranking": 1,
+            "ubicacion": {
+                "_id": "6046105ba4e2d85f81ad60f8",
+                "pais": {
+                    "_id": "57f3b5c469fe79a598e6281f",
+                    "nombre": "Argentina"
+                },
+                "provincia": {
+                    "_id": "57f3f3aacebd681cc2014c53",
+                    "nombre": "Neuquén"
+                },
+                "localidad": {
+                    "_id": "57f538a472325875a199a82d",
+                    "nombre": "Neuquén"
+                },
+                "barrio": null
+            },
+            "ultimaActualizacion": "2021-03-08T08:54:04.089-03:00"
+        }
+    ],
+    "contacto": [
+        {
+            "activo": true,
+            "_id": "5cabf8cc129519c9cd5bf6f2",
+            "tipo": "celular",
+            "valor": "4462221"
+        },
+        {
+            "activo": true,
+            "_id": "5cabf8cc129519c9cd5bf6f1",
+            "tipo": "email",
+            "valor": "hugoperingaponce@gmail.com"
+        }
+    ],
+    "identificadores": [
+        {
+            "entidad": "RENAPER",
+            "valor": "241654536"
+        }
+    ],
+    "estadoCivil": "soltero",
+    "reportarError": false,
+    "scan": "27381849",
+    "carpetaEfectores": [
+        {
+            "_id": "5992e06a0e3f6446112e9bd5",
+            "organizacion": {
+                "_id": "59650203d03019f919ea31ed",
+                "nombre": "CENTRO DE SALUD PARQUE INDUSTRIAL"
+            },
+            "nroCarpeta": ""
+        },
+        {
+            "_id": "5b57565dc0202168d3d5762d",
+            "organizacion": {
+                "_id": "57e9670e52df311059bc8964",
+                "nombre": "HOSPITAL PROVINCIAL NEUQUEN - DR. EDUARDO CASTRO RENDON"
+            },
+            "nroCarpeta": "PDR27381849"
+        }
+    ],
+    "notas": [],
+    "cuil": "23273818499",
+    "foto": null,
+    "activo": true,
+    "notaError": "",
+    "tipoIdentificacion": null,
+    "fotoId": "6046105c18944f849e9fe315",
+    "documentos": [],
+    "fechaFallecimiento": null
+}

package/src/lib/allergyIntolerance.ts

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+/**
+ * Encode de Alergias e Intolerancias from ANDES to FHIR
+ * @param {} AllergyIntolerance
+ */
+export function encode(patientReference, alergiaIntolerancia) {
+    return {
+        category: [
+            'medication'
+        ],
+        criticality: 'high',
+        patient: {
+            reference: patientReference
+        },
+        id: alergiaIntolerancia._id,
+        code: {
+            coding: [
+                {
+                    system: 'http://snomed.info/sct',
+                    display: alergiaIntolerancia.concepto.term,
+                    code: alergiaIntolerancia.concepto.conceptId,
+                }
+            ]
+        },
+        meta: {
+            profile: ['http://hl7.org/fhir/uv/ips/StructureDefinition/allergyintolerance-uv-ips']
+        },
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Alergia </p><p><b>meta</b>: </p><p><b>text</b>: ${alergiaIntolerancia.concepto.semanticTag}</p></div>`
+        },
+        resourceType: 'AllergyIntolerance',
+        type: 'allergy',
+        onsetDateTime: alergiaIntolerancia.valor.fechaInicio
+    };
+}
+

package/src/lib/bundle.ts

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+import * as moment from 'moment';
+import { makeUrl } from './config';
+
+export function encode(ID, resources) {
+    return {
+        resourceType: 'Bundle',
+        id: ID,
+        meta: {
+            lastUpdated: moment().format()
+        },
+        language: 'es-AR',
+        entry: resources,
+        type: 'document',
+        identifier: {
+            system: makeUrl('Bundle'),
+            value: ID
+        }
+    };
+}

package/src/lib/composition.ts

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+
+import * as moment from 'moment';
+import { makeUrl } from './config';
+
+function getReference(url) {
+    return {
+        reference: url
+    };
+}
+
+export function encode(ID, patientReference, custodianReference, deviceReference, medicationStatementReference, ImmunizationReferences, AllergyIntoleranceReferences, ConditionReferences) {
+    const now = moment();
+    let Immunization: any = [];
+    let conditions: any = [];
+    let medications: any = [];
+    let allergyIntolerance = [];
+
+    Immunization = [{
+        title: 'Vacunas',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http:\/\/www.w3.org\/1999\/xhtml">Sección referida a la vacunación del paciente <\/div>'
+        },
+        code: {
+            coding: [
+                {
+                    system: 'http:\/\/loinc.org',
+                    display: 'Immunization record',
+                    code: '60484-3'
+                }
+            ]
+        },
+        entry: ImmunizationReferences ? ImmunizationReferences.map(getReference) : []
+    }];
+
+    medications = [{
+        title: 'Medicamentos',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http:\/\/www.w3.org\/1999\/xhtml">Registro de medicamentos<\/div>'
+        },
+        code: {
+            coding: [
+                {
+                    system: 'http:\/\/loinc.org',
+                    display: 'Medication use',
+                    code: '10160-0'
+                }
+            ]
+        },
+        entry: medicationStatementReference ? medicationStatementReference.map(getReference) : [],
+    }];
+
+    allergyIntolerance = [{
+        title: 'Alergias o Intolerancias',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http:\/\/www.w3.org\/1999\/xhtml">Registro de Alergias<\/div>'
+        },
+        code: {
+            coding: [
+                {
+                    system: 'http:\/\/loinc.org',
+                    display: 'Allergies and/or adverse reactions',
+                    code: '48765-2'
+                }
+            ]
+        },
+        entry: AllergyIntoleranceReferences ? AllergyIntoleranceReferences.map(getReference) : [],
+    }];
+
+    conditions = [{
+        code: {
+            coding: [
+                {
+                    system: 'http:\/\/loinc.org',
+                    display: 'Problem list',
+                    code: '11450-4'
+                }
+            ]
+        },
+        entry: ConditionReferences ? ConditionReferences.map(getReference) : [],
+        title: 'Problemas activos',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http:\/\/www.w3.org\/1999\/xhtml">Lista de problemas activos (trastornos)<\/div>'
+        }
+    }];
+
+    return {
+        id: ID,
+        subject: {
+            reference: patientReference
+        },
+        section: [
+            ...conditions,
+            ...medications,
+            ...Immunization,
+            ...allergyIntolerance
+
+        ],
+        resourceType: 'Composition',
+        author: [
+            {
+                identifier: {
+                    system: 'https://federador.msal.gob.ar/uri',
+                    value: deviceReference
+                }
+            }
+        ],
+        confidentiality: 'N',
+        type: {
+            coding: [
+                {
+                    system: 'http:\/\/loinc.org',
+                    display: 'Patient Summary',
+                    code: '60591-5'
+                }
+            ]
+        },
+        title: 'Resumen del paciente al ' + now.format('DD/MM/YYYY, HH:mm'),
+        identifier: {
+            system: makeUrl('Composition'),
+            value: ID
+        },
+        date: now,
+        // meta: {
+        //     profile: [
+        //         'http:\/\/hl7.org\/fhir\/uv\/ips\/StructureDefinition\/composition-uv-ips'
+        //     ]
+        // },
+        text: {
+            status: 'generated',
+            div: '<div xmlns=\"http://www.w3.org/1999/xhtml\">IPS Neuquen</div>'
+        },
+        custodian: {
+            identifier: {
+                system: 'https://federador.msal.gob.ar/uri',
+                value: custodianReference
+            }
+        },
+        attester: [
+            {
+                mode: 'legal',
+                time: now,
+                party: {
+                    reference: custodianReference
+                }
+            }
+        ],
+        status: 'final'
+    };
+}

package/src/lib/condition.ts

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+import { makeUrl } from './config';
+
+/**
+ *
+ * @param registro Registro RUP a transformar a FHIR
+ */
+
+
+export function encode(patientReference, registro) {
+    return {
+        id : registro._id,
+        category : [
+            {
+                coding : [
+                    {
+                        system : 'http://loinc.org',
+                        display : 'Problem',
+                        code : '75326-9'
+                    }
+                ]
+            }
+        ],
+        subject : {
+            reference : patientReference
+        },
+        onsetDateTime : registro.createdAt.getFullYear(), // [TODO] No va solo el año
+        resourceType : 'Condition',
+        // Por el momento ponemos 'confirmed'
+        verificationStatus : {
+            coding : [
+                {
+                    system : 'http://terminology.hl7.org//CodeSystem//condition-ver-status',
+                    code : 'confirmed'
+                }
+            ]
+        },
+        code : {
+            coding : [
+                {
+                    code : registro.concepto.conceptId,
+                    system : 'http://snomed.info/sct',
+                    display : registro.concepto.fsn
+                }
+            ]
+        },
+        recordedDate : registro.createdAt,
+        meta : {
+            profile : [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/condition-uv-ips'
+            ]
+        },
+        text : {
+            status : 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Problema: </p><p>${registro.nombre}</p></div>`
+        },
+        severity : {  // [TODO] Sacar esto porque no lo tenemos todavía. No hay un campo de severidad.
+            coding : [
+                {
+                    system : 'http://loinc.org',
+                    display : 'Moderate',
+                    code : 'LA6751-7'
+                }
+            ]
+        },
+        clinicalStatus : {
+            coding : [
+                {
+                    system: 'http://terminology.hl7.org/CodeSystem/condition-clinical',
+                    code: registro.valor.estado // [TODO]  Tenemos este dato.
+                },
+                {
+                    system: 'http://terminology.hl7.org/CodeSystem/evolution',
+                    // code: registro.valor.evolucion.replace('<p>','').replace('</p>','')  // [TODO]  Tenemos este dato.
+                    code: registro.valor.evolucion  // [TODO]  Tenemos este dato.
+                }
+            ]
+        }
+    };
+}
+

package/src/lib/config.test.ts

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+import { getDominio, makeUrl } from './config';
+
+test('Get default domain', () => {
+    expect(getDominio()).toBe('andes.gob.ar');
+});
+
+test('Get default URL without id', () => {
+    expect(makeUrl('patient')).toBe('andes.gob.ar/patient');
+});
+
+test('Get default URL with id', () => {
+    expect(makeUrl('patient', '123456')).toBe('andes.gob.ar/patient/123456');
+});

package/src/lib/config.ts

@@ -0,0 +1,17 @@
+let DOMINIO = 'andes.gob.ar';
+
+export function initialize({ dominio }) {
+    DOMINIO = dominio;
+}
+
+export function getDominio() {
+    return DOMINIO;
+}
+
+export function makeUrl(resource, id = null) {
+    let url = `${DOMINIO}/${resource}`;
+    if (id) {
+        url += `/${id}`;
+    }
+    return url;
+}

package/src/lib/device.test.ts

@@ -0,0 +1,9 @@
+import { encode } from './device';
+
+test('Device type 1', () => {
+    expect(encode().id).toBe('device-01');
+});
+
+test('Device Name', () => {
+    expect(encode().deviceName[0].name).toBe('Sistema de Aplicaciones Neuquinas de Salud (ANDES)');
+});

package/src/lib/device.ts

@@ -0,0 +1,36 @@
+import { makeUrl } from './config';
+
+export function encode() {
+    /**
+ * HARDCODE DEVICE
+ */
+
+    return {
+        resourceType: 'Device',
+        id: 'device-01',
+        identifier: [
+            {
+                system: makeUrl('Device'),
+                value: 'device-01'
+            }
+        ],
+        type: {
+            coding: [
+                {
+                    system: 'http://snomed.info/sct',
+                    code: '462894001',
+                    display: 'software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)'
+                }
+            ]
+        },
+        owner: {
+            reference: 'http://argentina.gob.ar/salud/refes/14999912399913'
+        },
+        deviceName: [
+            {
+                name: 'Sistema de Aplicaciones Neuquinas de Salud (ANDES)',
+                type: 'manufacturer-name'
+            }
+        ]
+    };
+}