@andes/fhir 1.13.0-beta.1 → 1.13.0-beta.11

package/dist/lib/condition.js

@@ -4,16 +4,34 @@
  * @param registro Registro RUP a transformar a FHIR
  */
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 function encode(patientReference, registro) {
-    return {
+    const estado = registro.valor?.estado;
+    let clinicalStatusCode = 'active';
+    if (estado === 'inactivo' || estado === 'inactive') {
+        clinicalStatusCode = 'inactive';
+    }
+    else if (estado === 'resuelto' || estado === 'resolved') {
+        clinicalStatusCode = 'resolved';
+    }
+    const condition = {
+        resourceType: 'Condition',
         id: registro._id,
+        meta: {
+            profile: [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips'
+            ]
+        },
         category: [
             {
                 coding: [
+                    {
+                        system: 'http://terminology.hl7.org/CodeSystem/condition-category',
+                        code: 'problem-list-item',
+                        display: 'Problem List Item'
+                    },
                     {
                         system: 'http://loinc.org',
-                        display: 'Problem',
                         code: '75326-9'
                     }
                 ]
@@ -22,58 +40,44 @@ function encode(patientReference, registro) {
         subject: {
             reference: patientReference
         },
-        onsetDateTime: registro.createdAt.getFullYear(), // [TODO] No va solo el año
-        resourceType: 'Condition',
-        // Por el momento ponemos 'confirmed'
+        onsetDateTime: registro.createdAt ? new Date(registro.createdAt).toISOString() : new Date().toISOString(),
         verificationStatus: {
             coding: [
                 {
-                    system: 'http://terminology.hl7.org//CodeSystem//condition-ver-status',
+                    system: 'http://terminology.hl7.org/CodeSystem/condition-ver-status',
                     code: 'confirmed'
                 }
             ]
         },
-        code: {
+        clinicalStatus: {
             coding: [
                 {
-                    code: registro.concepto.conceptId,
-                    system: 'http://snomed.info/sct',
-                    display: registro.concepto.fsn
+                    system: 'http://terminology.hl7.org/CodeSystem/condition-clinical',
+                    code: clinicalStatusCode
                 }
             ]
         },
-        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>${registro.nombre}</p></div>`
-        },
-        severity: {
+        code: {
             coding: [
                 {
-                    system: 'http://loinc.org',
-                    display: 'Moderate',
-                    code: 'LA6751-7'
+                    system: 'http://snomed.info/sct',
+                    code: String(registro.concepto.conceptId)
                 }
-            ]
+            ],
+            text: registro.concepto.term || registro.concepto.fsn
         },
-        clinicalStatus: {
-            coding: [
-                {
-                    system: 'http://terminology.hl7.org/CodeSystem/condition-clinical',
-                    code: registro.valor.estado // [TODO]  Tenemos este dato.
-                },
-                {
-                    system: 'http://terminology.hl7.org/CodeSystem/evolution',
-                    // code: registro.valor.evolucion.replace('<p>','').replace('</p>','')  // [TODO]  Tenemos este dato.
-                    code: registro.valor.evolucion // [TODO]  Tenemos este dato.
-                }
-            ]
+        recordedDate: registro.createdAt ? new Date(registro.createdAt).toISOString() : undefined,
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Problema: </p><p>${registro.nombre || registro.concepto?.term || ''}</p></div>`
         }
     };
+    if (registro.valor?.evolucion) {
+        condition.note = [
+            {
+                text: String(registro.valor.evolucion)
+            }
+        ];
+    }
+    return condition;
 }
-exports.encode = encode;

package/dist/lib/config.js

@@ -1,15 +1,17 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.__reset = exports.makeUrl = exports.getDominio = exports.initialize = void 0;
-let DOMINIO = 'andes.gob.ar';
+exports.initialize = initialize;
+exports.getDominio = getDominio;
+exports.makeUrl = makeUrl;
+exports.__reset = __reset;
+const identifier_systems_1 = require("../constants/identifier-systems");
+let DOMINIO = identifier_systems_1.FhirIdentifierSystems.ANDES_ID;
 function initialize(config) {
     DOMINIO = config.dominio;
 }
-exports.initialize = initialize;
 function getDominio() {
     return DOMINIO;
 }
-exports.getDominio = getDominio;
 function makeUrl(resource, id) {
     let url = `${DOMINIO}/${resource}`;
     if (id) {
@@ -17,11 +19,9 @@ function makeUrl(resource, id) {
     }
     return url;
 }
-exports.makeUrl = makeUrl;
 /**
  * Reseteo explícito para tests
  */
 function __reset() {
-    DOMINIO = 'andes.gob.ar';
+    DOMINIO = identifier_systems_1.FhirIdentifierSystems.ANDES_ID;
 }
-exports.__reset = __reset;

package/dist/lib/device.d.ts

@@ -1,6 +1,10 @@
 export declare function encode(): {
     resourceType: string;
     id: string;
+    text: {
+        status: string;
+        div: string;
+    };
     identifier: {
         system: string;
         value: string;
@@ -9,8 +13,8 @@ export declare function encode(): {
         coding: {
             system: string;
             code: string;
-            display: string;
         }[];
+        text: string;
     };
     owner: {
         reference: string;

package/dist/lib/device.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 const config_1 = require("./config");
 function encode() {
     /**
@@ -9,6 +9,10 @@ function encode() {
     return {
         resourceType: 'Device',
         id: 'device-01',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http://www.w3.org/1999/xhtml"><p>Sistema de Aplicaciones Neuquinas de Salud (ANDES)</p></div>'
+        },
         identifier: [
             {
                 system: (0, config_1.makeUrl)('Device'),
@@ -19,10 +23,10 @@ function encode() {
             coding: [
                 {
                     system: 'http://snomed.info/sct',
-                    code: '462894001',
-                    display: 'software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)'
+                    code: '462894001'
                 }
-            ]
+            ],
+            text: 'software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)'
         },
         owner: {
             reference: 'http://argentina.gob.ar/salud/refes/14999912399913'
@@ -35,4 +39,3 @@ function encode() {
         ]
     };
 }
-exports.encode = encode;

package/dist/lib/document-reference.js

@@ -1,17 +1,13 @@
 "use strict";
-var __importDefault = (this && this.__importDefault) || function (mod) {
-    return (mod && mod.__esModule) ? mod : { "default": mod };
-};
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
-const moment_1 = __importDefault(require("moment"));
+exports.encode = encode;
 const config_1 = require("./config");
 function encode(ID, author, organization, patient, binaryURL) {
     return {
         resourceType: 'DocumentReference',
         id: ID,
         meta: {
-            lastUpdated: (0, moment_1.default)().format()
+            lastUpdated: new Date().toISOString()
         },
         contained: [
             {
@@ -103,4 +99,3 @@ function encode(ID, author, organization, patient, binaryURL) {
         }
     };
 }
-exports.encode = encode;

package/dist/lib/immunization.d.ts

@@ -4,41 +4,4 @@
  * [ASK] El code de extension puede ir en vaccineCode?
  * [ASk] Location no se sabe. Solo esta el texto
  */
-export declare function encode(patientReference: any, nomivac: any): {
-    resourceType: string;
-    id: any;
-    extension: {
-        url: string;
-        valueCoding: {
-            system: string;
-            code: string;
-            display: any;
-        };
-    }[];
-    status: string;
-    notGiven: boolean;
-    vaccineCode: {
-        coding: {
-            system: string;
-            code: any;
-            display: any;
-        }[];
-    };
-    patient: {
-        reference: any;
-    };
-    date: any;
-    primarySource: boolean;
-    location: {
-        reference: string;
-    };
-    vaccinationProtocol: {
-        doseSequence: number;
-        doseStatus: {
-            coding: {
-                system: string;
-                code: any;
-            }[];
-        };
-    }[];
-};
+export declare function encode(patientReference: any, nomivac: any): any;

package/dist/lib/immunization.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 /**
  * Encode de Vacunas Nomivac from ANDES to FHIR
  * @param {} nomivac
@@ -8,60 +8,72 @@ exports.encode = void 0;
  * [ASk] Location no se sabe. Solo esta el texto
  */
 function encode(patientReference, nomivac) {
-    return {
+    const occurrenceDate = nomivac.fechaAplicacion
+        ? new Date(nomivac.fechaAplicacion).toISOString()
+        : new Date().toISOString();
+    const immunization = {
         resourceType: 'Immunization',
-        id: nomivac.idvacuna,
-        extension: [
-            {
-                url: 'http://sisa/fhir/esquema',
-                valueCoding: {
-                    system: 'http://argentina.gob.ar/salud/NOMIVAC-esquemas',
-                    code: '0', // [TODO] Ver que code ponemos acá
-                    display: nomivac.vacuna
-                }
-            },
-            {
-                url: 'http://sisa/fhir/condicionAplicacion',
-                valueCoding: {
-                    system: 'http://argentina.gob.ar/salud/NOMIVAC-condicion',
-                    code: '17',
-                    display: 'Personal de Salud'
-                }
-            }
-        ],
+        id: String(nomivac.idvacuna),
+        meta: {
+            profile: [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips'
+            ]
+        },
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p>${nomivac.vacuna || 'Vacuna'}</p></div>`
+        },
         status: 'completed',
-        notGiven: false,
         vaccineCode: {
             coding: [
                 {
                     system: 'https://snomed.info/sct/11000221109/id/228100022110',
-                    code: nomivac.idvacuna,
+                    code: String(nomivac.idvacuna),
                     display: nomivac.vacuna
                 }
-            ]
+            ],
+            text: nomivac.vacuna
         },
         patient: {
             reference: patientReference
         },
-        date: nomivac.fechaAplicacion,
-        primarySource: false,
-        location: {
+        occurrenceDateTime: occurrenceDate,
+        primarySource: false
+    };
+    if (nomivac.vacuna || nomivac.condicion) {
+        immunization.extension = [];
+        if (nomivac.vacuna) {
+            immunization.extension.push({
+                url: 'http://sisa/fhir/esquema',
+                valueCoding: {
+                    system: 'http://argentina.gob.ar/salud/NOMIVAC-esquemas',
+                    code: '0',
+                    display: nomivac.vacuna
+                }
+            });
+        }
+        if (nomivac.condicion) {
+            immunization.extension.push({
+                url: 'http://sisa/fhir/condicionAplicacion',
+                valueCoding: {
+                    system: 'http://argentina.gob.ar/salud/NOMIVAC-condicion',
+                    code: '17',
+                    display: 'Personal de Salud'
+                }
+            });
+        }
+    }
+    if (nomivac.location) {
+        immunization.location = {
             reference: 'http://argentina.gob.ar/salud/refes/14999912399913'
-        },
-        // lotNumber: null,
-        vaccinationProtocol: [
+        };
+    }
+    if (nomivac.dosis) {
+        immunization.protocolApplied = [
             {
-                doseSequence: 1,
-                doseStatus: {
-                    coding: [
-                        {
-                            system: 'http://hl7.org/fhir/vaccination-protocol-dose-status',
-                            code: nomivac.dosis
-                        }
-                    ]
-                }
+                doseNumberString: String(nomivac.dosis)
             }
-        ]
-    };
+        ];
+    }
+    return immunization;
 }
-exports.encode = encode;

package/dist/lib/medication.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 /**
  * Encode de Medicamentos from ANDES to FHIR
  * @param {} medication
@@ -61,4 +61,3 @@ function encode(medication) {
         }
     };
 }
-exports.encode = encode;

package/dist/lib/medicationRequest.d.ts

@@ -11,7 +11,7 @@ export declare function encode(patientReference: any, practitionerReference: any
     contained: any[];
     identifier: {
         use: string;
-        system: string;
+        system: "http://app.andes.gob.ar/prescriptions";
         value: any;
     }[];
     status: string;
@@ -25,7 +25,7 @@ export declare function encode(patientReference: any, practitionerReference: any
     subject: {
         reference: any;
     };
-    authoredOn: string;
+    authoredOn: string | undefined;
     requester: {
         reference: any;
     };

package/dist/lib/medicationRequest.js

@@ -3,12 +3,9 @@
  * Encode medicationRequest from ANDES to FHIR
  * @param {} medicationRequest
  */
-var __importDefault = (this && this.__importDefault) || function (mod) {
-    return (mod && mod.__esModule) ? mod : { "default": mod };
-};
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
-const moment_1 = __importDefault(require("moment"));
+exports.encode = encode;
+const identifier_systems_1 = require("../constants/identifier-systems");
 // Muy incompleto hay que mejorarlo mucho todavía
 function encode(patientReference, practitionerReference, medicationFHIR, data) {
     return {
@@ -24,7 +21,7 @@ function encode(patientReference, practitionerReference, medicationFHIR, data) {
         identifier: [
             {
                 use: 'official',
-                system: 'http://app.andes.gob.ar/prescriptions', // Es el id de la prestación completa
+                system: identifier_systems_1.FhirIdentifierSystems.PRESCRIPTIONS, // Es el id de la prestación completa
                 value: data.registro.id
             }
         ],
@@ -53,7 +50,7 @@ function encode(patientReference, practitionerReference, medicationFHIR, data) {
             reference: patientReference // podría ser una reference a un group también
         },
         // encounter: Por ahora lo dejo pendiente. Podría ponerse una referencia a otra prestación o al informe del encuentro.
-        authoredOn: (0, moment_1.default)(data.registro.createdAt).format('YYYY-MM-DD'),
+        authoredOn: data.registro?.createdAt ? new Date(data.registro.createdAt).toISOString().slice(0, 10) : undefined,
         // requester & performer: pueden ser  Reference(Practitioner|PractitionerRole|Organization|Patient|Device|RelatedPerson|CareTeam)
         // por el momento vamos a tomar al profesional porque no tenemos otra info en la prestación
         requester: {
@@ -100,4 +97,3 @@ function encode(patientReference, practitionerReference, medicationFHIR, data) {
         eventHistory: null // [{ Reference(Provenance) }]
     };
 }
-exports.encode = encode;

package/dist/lib/medicationStatement.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 /**
  * Encode de Medicamentos from ANDES to FHIR
  * @param {} medicationStatement
@@ -23,7 +23,7 @@ function encode(patientReference, medicationReference, prestacionMedicamento) {
         },
         meta: {
             profile: [
-                'http://hl7.org/fhir/uv/ips/StructureDefinition/medication-ips'
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips'
             ]
         },
         // extension: null,
@@ -52,4 +52,3 @@ function encode(patientReference, medicationReference, prestacionMedicamento) {
         }
     };
 }
-exports.encode = encode;

package/dist/lib/organization.js

@@ -1,8 +1,9 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.encode = void 0;
+exports.encode = encode;
 const config_1 = require("./config");
 const rankingMapping_1 = require("../utils/rankingMapping");
+const identifier_systems_1 = require("../constants/identifier-systems");
 /**
  * Encode an ANDES Organization to FHIR Organization
  */
@@ -14,25 +15,25 @@ function encode(organization) {
     const identificadores = [];
     if (data.codigo?.sisa) {
         identificadores.push({
-            system: 'https://andes.gob.ar/sisa',
+            system: identifier_systems_1.FhirIdentifierSystems.SISA,
             value: data.codigo.sisa
         });
     }
     if (data.codigo?.cuie) {
         identificadores.push({
-            system: 'https://andes.gob.ar/cuie',
+            system: identifier_systems_1.FhirIdentifierSystems.CUIE,
             value: data.codigo.cuie
         });
     }
     if (data.codigo?.remediar) {
         identificadores.push({
-            system: 'https://andes.gob.ar/remediar',
+            system: identifier_systems_1.FhirIdentifierSystems.REMEDIAR,
             value: data.codigo.remediar
         });
     }
     if (data.codigo?.sips) {
         identificadores.push({
-            system: 'https://andes.gob.ar/sips',
+            system: identifier_systems_1.FhirIdentifierSystems.SIPS,
             value: data.codigo.sips
         });
     }
@@ -62,18 +63,35 @@ function encode(organization) {
     const direcciones = [];
     if (data.direccion) {
         const dir = data.direccion;
-        direcciones.push({
-            postalCode: dir.codigoPostal ?? '',
-            line: [dir.valor],
-            city: dir.ubicacion?.localidad?.nombre ?? '',
-            state: dir.ubicacion?.provincia?.nombre ?? '',
-            country: dir.ubicacion?.pais?.nombre ?? ''
-        });
+        const address = {};
+        const city = dir.ubicacion?.localidad?.nombre;
+        const state = dir.ubicacion?.provincia?.nombre;
+        const country = dir.ubicacion?.pais?.nombre;
+        if (dir.valor?.trim()) {
+            address.line = [dir.valor.trim()];
+        }
+        if (dir.codigoPostal && String(dir.codigoPostal).trim()) {
+            address.postalCode = String(dir.codigoPostal).trim();
+        }
+        if (city?.trim()) {
+            address.city = city.trim();
+        }
+        if (state?.trim()) {
+            address.state = state.trim();
+        }
+        if (country?.trim()) {
+            address.country = country.trim();
+        }
+        direcciones.push(address);
     }
     // Organización FHIR
     const organizacionFHIR = {
         resourceType: 'Organization',
         id: data._id ?? data.id,
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p>${data.nombre || 'Organización'}</p></div>`
+        },
         identifier: identificadores,
         active: data.activo ?? undefined,
         name: data.nombre ?? undefined,
@@ -91,4 +109,3 @@ function encode(organization) {
     }
     return organizacionFHIR;
 }
-exports.encode = encode;