@medplum/health-gorilla-core 3.2.27 → 3.2.28

package/dist/cjs/index.cjs.map

@@ -1,7 +1,7 @@
 {
   "version": 3,
   "sources": ["../../src/index.ts", "../../src/aoe.ts", "../../src/constants.ts", "../../src/lab-order.ts", "../../src/types.ts"],
-  "sourcesContent": ["export * from './aoe';\nexport * from './constants';\nexport * from './lab-order';\nexport * from './types';\n", "import { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport {\n  Questionnaire,\n  QuestionnaireItem,\n  QuestionnaireResponse,\n  QuestionnaireResponseItemAnswer,\n} from '@medplum/fhirtypes';\n\n/**\n * Edits an AOE Questionnaire from Health Gorilla to make it a valid Questionnaire;\n * most importantly, it sets the linkId to the id if it is not already set.\n * @param aoe - The AOE Questionnaire to normalize.\n * @returns - The normalized input Questionnaire.\n */\nexport function normalizeAoeQuestionnaire(aoe: Questionnaire): Questionnaire {\n  if (aoe.item) {\n    for (const item of aoe.item) {\n      item.linkId = item.linkId ?? item.id;\n      item.initial = item.answerOption ? undefined : item.initial;\n    }\n  }\n\n  return aoe;\n}\n\n/**\n * Checks which required items are missing from a QuestionnaireResponse.\n * @param q - The Questionnaire to check against.\n * @param qr - The QuestionnaireResponse to check.\n * @param includeRequiredWhenSpecimenCollected - Whether to require AOE answers when a specimen is collected.\n * @returns An array of linkIds of missing required items.\n */\nexport function getMissingRequiredQuestionnaireItems(\n  q: Questionnaire,\n  qr: QuestionnaireResponse | undefined,\n  includeRequiredWhenSpecimenCollected: boolean\n): string[] {\n  const required: string[] = [];\n  const missing: string[] = [];\n  const answersByLinkId: Record<string, QuestionnaireResponseItemAnswer[] | undefined> | undefined =\n    qr && getAllQuestionnaireAnswers(qr);\n\n  //TODO it might be better to make NormalizedAoeQuestionnaire a branded type\n  // and specify that as the input type to this function\n  for (const item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item)) {\n    if (\n      item.required ||\n      (includeRequiredWhenSpecimenCollected &&\n        getExtensionValue(\n          item,\n          'https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen'\n        ) === true)\n    ) {\n      required.push(item.linkId);\n\n      const answers = answersByLinkId?.[item.linkId];\n      if (answers && answers.length > 0) {\n        let hasValue = false;\n        for (const answer of answers) {\n          const values = arrayify(\n            getTypedPropertyValue({ type: 'QuestionnaireResponseItemAnswer', value: answer }, 'value[x]')\n          );\n          if (values?.some((v) => v.value)) {\n            hasValue = true;\n            continue;\n          }\n        }\n\n        if (hasValue) {\n          continue;\n        }\n      }\n\n      missing.push(item.linkId);\n    }\n  }\n\n  return missing;\n}\n\nexport function* questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem> {\n  if (!item) {\n    return;\n  }\n\n  for (const i of item) {\n    yield i;\n    if (i.item) {\n      yield* questionnaireItemIterator(i.item);\n    }\n  }\n}\n", "import { HTTP_HL7_ORG } from '@medplum/core';\n\nexport const MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder';\n\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO = 'billTo';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN = 'performingLabAccountNumber';\n\nexport const HEALTH_GORILLA_SYSTEM = 'https://www.healthgorilla.com';\nexport const HEALTH_GORILLA_ENVIRONMENT = HEALTH_GORILLA_SYSTEM + '/environment';\nexport const HEALTH_GORILLA_AUTHORIZED_BY_EXT =\n  HEALTH_GORILLA_SYSTEM + '/fhir/StructureDefinition/requestgroup-authorizedBy';\n\nexport const NPI_SYSTEM = HTTP_HL7_ORG + '/fhir/sid/us-npi';\n", "import { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport {\n  Bundle,\n  Coverage,\n  Extension,\n  Location,\n  Organization,\n  Patient,\n  Practitioner,\n  QuestionnaireResponse,\n  Reference,\n  Resource,\n  ResourceType,\n  ServiceRequest,\n  Specimen,\n} from '@medplum/fhirtypes';\nimport { getMissingRequiredQuestionnaireItems } from './aoe';\nimport {\n  HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,\n} from './constants';\nimport {\n  BillingInformation,\n  BillToOptions,\n  DiagnosisCodeableConcept,\n  isBillTo,\n  isPriority,\n  LabOrderServiceRequest,\n  LabOrderTestMetadata,\n  LabOrganization,\n  PRIORITY_VALUES,\n  TestCoding,\n} from './types';\n\nexport type LabOrderInputs = {\n  /** `Patient` the tests are ordered for. This must be a reference to an existing `Patient` resource. */\n  patient: Patient | (Reference<Patient> & { reference: string });\n  /** The physician who requests diagnostic procedures for the patient and responsible for the order.  */\n  requester: Practitioner | (Reference<Practitioner> & { reference: string });\n  /** For multi-location practices, optionally specify the location from which the order is being placed */\n  requestingLocation?: Location | Organization | (Reference<Location | Organization> & { reference: string });\n  /** The desired performer for doing the diagnostic testing - laboratory, radiology imaging center, etc. */\n  performingLab: LabOrganization;\n  /**\n   * (optional) Account Number for the performing lab. If not provided, the `HEALTH_GORILLA_SUBTENANT_ACCOUNT_NUMBER`\n   * `Project.secret` is used.\n   */\n  performingLabAccountNumber?: string;\n  /** The list of tests ordered within the given order. */\n  selectedTests: TestCoding[];\n  /** An object mapping the `Coding.code` of each selected test to an `LabOrderTestMetadata` object.  */\n  testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n  /** An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. */\n  diagnoses: DiagnosisCodeableConcept[];\n  /** (optional) The collection date of the lab order. */\n  specimenCollectedDateTime?: Date;\n  /** The billing preferences for the order. */\n  billingInformation: BillingInformation;\n  /** (optional) An order note - any comments that should be included in the requisition. */\n  orderNotes?: string;\n};\n\nfunction tempId(): string {\n  return 'urn:uuid:' + generateId();\n}\n\n/**\n * A modified type of `LabOrderInputs` that makes every field and sub-field optional and loosens\n * cardinality checks to facilitate typical type signatures of hooks and other state used in\n * React components that call `createLabOrderBundle`. This type is used in conjunction\n * with `validateLabOrderInputs`\n */\nexport type PartialLabOrderInputs = Partial<\n  Omit<LabOrderInputs, 'billingInformation' | 'testMetadata'> & {\n    testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n    billingInformation: Partial<\n      Omit<BillingInformation, 'patientCoverage'> & {\n        patientCoverage?: Coverage[];\n      }\n    >;\n  }\n>;\n\nexport type InputError = { message: string };\n\nexport type LabOrderInputErrors = {\n  patient?: InputError;\n  requester?: InputError;\n  performingLab?: InputError;\n  selectedTests?: InputError;\n  testMetadata?: {\n    [testCode: string]: {\n      priority?: InputError;\n      notes?: InputError;\n      aoeResponses?: InputError;\n    };\n  };\n  billingInformation?: {\n    billTo?: InputError;\n    patientCoverage?: InputError;\n  };\n};\n\nexport function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs {\n  const errors = validateLabOrderInputs(args);\n  if (errors) {\n    throw new LabOrderValidationError(errors);\n  }\n}\n\nexport function isValidLabOrderInputs(args: PartialLabOrderInputs): args is LabOrderInputs {\n  return !validateLabOrderInputs(args);\n}\n\nexport function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined {\n  const errors: LabOrderInputErrors = {};\n\n  if (!args.patient) {\n    errors.patient = { message: 'Patient is required' };\n  }\n\n  if (!args.requester) {\n    errors.requester = { message: 'Requesting Practitioner is required' };\n  }\n\n  if (!args.performingLab) {\n    errors.performingLab = { message: 'Performing Lab is required' };\n  }\n\n  if (!args.selectedTests || args.selectedTests.length === 0) {\n    errors.selectedTests = { message: 'At least one test must be selected' };\n  } else {\n    for (const test of args.selectedTests) {\n      const meta = args.testMetadata?.[test.code];\n\n      // priority\n      if (meta?.priority && !isPriority(meta.priority)) {\n        errors.testMetadata ??= {};\n        errors.testMetadata[test.code] ??= {};\n        errors.testMetadata[test.code].priority = {\n          message: `Priority for ${formatCoding(test, true)} must be one of ${PRIORITY_VALUES.join(', ')}`,\n        };\n      }\n\n      // AOE responses\n      const q = meta?.aoeQuestionnaire;\n      if (q) {\n        const missing = getMissingRequiredQuestionnaireItems(\n          q,\n          meta.aoeResponses,\n          Boolean(args.specimenCollectedDateTime)\n        );\n        if (missing.length > 0) {\n          errors.testMetadata ??= {};\n          errors.testMetadata[test.code] ??= {};\n          errors.testMetadata[test.code].aoeResponses = {\n            message: `Missing required AOE responses for ${formatCoding(test, true)}: ${missing.join(', ')}`,\n          };\n        }\n      }\n    }\n  }\n\n  if (!isBillTo(args.billingInformation?.billTo)) {\n    errors.billingInformation ??= {};\n    if (!args.billingInformation?.billTo) {\n      errors.billingInformation.billTo = { message: 'Bill to is required' };\n    } else {\n      errors.billingInformation.billTo = { message: `Bill to must be one of: ${BillToOptions.join(', ')}` };\n    }\n  } else if (args.billingInformation.billTo === 'insurance') {\n    const coverageCount = args.billingInformation.patientCoverage?.length ?? 0;\n    if (coverageCount < 1 || coverageCount > 3) {\n      errors.billingInformation ??= {};\n      errors.billingInformation.patientCoverage = {\n        message: 'BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance',\n      };\n    }\n  }\n\n  if (Object.keys(errors).length > 0) {\n    return errors;\n  }\n  return undefined;\n}\n\nexport class LabOrderValidationError extends Error {\n  constructor(readonly errors: LabOrderInputErrors) {\n    super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n  }\n}\n\ntype PopulatedBundleEntry = NonNullable<Bundle['entry']> &\n  {\n    fullUrl: string;\n    resource: Resource;\n    request: { method: 'POST'; url: ResourceType };\n  }[];\n\n/**\n * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing\n * a Health Gorilla lab order.\n * @param inputs - An object containing the required fields for creating a lab order bundle\n * @returns A transaction `Bundle` containing the resources necessary to create\n * a `ServiceRequest` representing the Health Gorilla lab order.\n */\nexport function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle {\n  assertLabOrderInputs(inputs);\n\n  inputs satisfies LabOrderInputs;\n\n  const {\n    patient,\n    requester,\n    requestingLocation,\n    performingLab,\n    performingLabAccountNumber,\n    selectedTests,\n    testMetadata,\n    diagnoses,\n    specimenCollectedDateTime,\n    billingInformation,\n    orderNotes,\n  } = inputs;\n\n  const bundle: Bundle = {\n    resourceType: 'Bundle',\n    type: 'transaction',\n  };\n\n  const labOrderTempId = tempId();\n  const labOrderExtension: Extension[] = [];\n  const bundleEntry: PopulatedBundleEntry = [];\n\n  const subjectReference = isReference(patient) ? patient : createReference(patient);\n  const requesterReference = isReference(requester) ? requester : createReference(requester);\n  const performerReference = createReference(performingLab);\n\n  const testEntries: PopulatedBundleEntry = [];\n  for (const test of selectedTests) {\n    const metadata = testMetadata[test.code];\n\n    let qr: QuestionnaireResponse | undefined;\n    if (metadata?.aoeResponses) {\n      qr = deepClone(metadata.aoeResponses);\n      qr.id = tempId();\n      bundleEntry.push({\n        fullUrl: qr.id,\n        resource: qr,\n        request: { method: 'POST', url: 'QuestionnaireResponse' },\n      });\n    }\n\n    const testSR: ServiceRequest = {\n      resourceType: 'ServiceRequest',\n      id: tempId(),\n      status: 'draft',\n      intent: 'order',\n      basedOn: [{ reference: labOrderTempId }],\n      subject: subjectReference,\n      requester: requesterReference,\n      performer: [performerReference],\n      category: [{ coding: [{ system: SNOMED, code: '103693007', display: 'Diagnostic procedure' }] }],\n      code: { coding: [test] },\n      priority: metadata?.priority || 'routine',\n      note: metadata?.notes\n        ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: metadata.notes }]\n        : undefined,\n      supportingInfo: qr ? [{ reference: qr.id }] : undefined,\n    };\n\n    testEntries.push({\n      fullUrl: testSR.id,\n      resource: testSR,\n      request: { method: 'POST', url: 'ServiceRequest' },\n    });\n  }\n\n  let specimen: Specimen | undefined;\n  if (specimenCollectedDateTime) {\n    specimen = {\n      resourceType: 'Specimen',\n      id: tempId(),\n      subject: subjectReference,\n      collection: { collectedDateTime: specimenCollectedDateTime.toISOString() },\n    };\n    bundleEntry.push({\n      fullUrl: specimen.id,\n      resource: specimen,\n      request: { method: 'POST', url: 'Specimen' },\n    });\n  }\n\n  labOrderExtension.push({\n    url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n    valueString: billingInformation.billTo,\n  });\n\n  if (performingLabAccountNumber) {\n    labOrderExtension.push({\n      url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n      valueString: performingLabAccountNumber,\n    });\n  }\n\n  if (requestingLocation) {\n    const requestingLocationRef = isReference(requestingLocation)\n      ? requestingLocation\n      : createReference(requestingLocation);\n\n    labOrderExtension.push({\n      url: HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n      valueReference: requestingLocationRef,\n    });\n  }\n\n  let insurance: Reference<Coverage>[] | undefined;\n  if (billingInformation.billTo === 'insurance') {\n    insurance = (billingInformation.patientCoverage ?? []).map((coverage) => {\n      return createReference(coverage);\n    });\n  }\n\n  const labOrder: LabOrderServiceRequest = {\n    resourceType: 'ServiceRequest',\n    id: labOrderTempId,\n    meta: { profile: [MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE] },\n    extension: labOrderExtension,\n    status: 'draft',\n    intent: 'order',\n    subject: subjectReference,\n    requester: requesterReference,\n    performer: [performerReference],\n    reasonCode: diagnoses,\n    category: [{ coding: [{ system: SNOMED, code: '108252007', display: 'Laboratory procedure' }] }],\n    // individual test codes are included in the ServcieRequest referenced in supporting Info.\n    // TBD what should go in the `code` field of the lab order. Leaving the tests there for now\n    // since code is required.\n    code: { coding: selectedTests },\n    insurance,\n    specimen: specimen ? [{ reference: specimen.id }] : undefined,\n    note: orderNotes\n      ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: orderNotes }]\n      : undefined,\n  };\n\n  bundleEntry.push({\n    fullUrl: labOrder.id,\n    resource: labOrder,\n    request: { method: 'POST', url: 'ServiceRequest' },\n  });\n\n  bundleEntry.push(...testEntries);\n\n  // Remove resource.id to avoid breaking the transaction processing of the urn:uuid:<uuid> temp IDs.\n  for (const entry of bundleEntry) {\n    if (entry.resource) {\n      delete entry.resource.id;\n    }\n  }\n\n  bundle.entry = bundleEntry;\n\n  return bundle;\n}\n", "import { isReference } from '@medplum/core';\nimport {\n  CodeableConcept,\n  Coding,\n  Coverage,\n  ExtractResource,\n  OperationOutcome,\n  Organization,\n  Questionnaire,\n  QuestionnaireResponse,\n  Reference,\n  ResourceType,\n  ServiceRequest,\n} from '@medplum/fhirtypes';\n\ndeclare const __brand: unique symbol;\nexport type Branded<T, B> = T & { [__brand]: B };\n\nexport type LabOrderServiceRequest = ServiceRequest & {\n  performer: [Reference<LabOrganization>];\n  code: CodeableConcept;\n};\n\nexport interface LabOrderTestMetadata {\n  /** (optional) This attribute allows to set priority for the given test within the order. Defaults to 'routine' */\n  priority?: 'routine' | 'urgent' | 'asap' | 'stat';\n  /** (optional) Any notes and comments related to the given test. */\n  notes?: string;\n  /** The AOE `Questionnaire`, if any, containing Ask at Order Entry (AOE) questions for the test.  */\n  readonly aoeQuestionnaire?: Questionnaire;\n  /**\n   * The `QuestionnaireResponse` resource containing answers related to the given diagnostic procedure.\n   * If AOE is required for the specified configuration (performer, test, specimen), but missed in the\n   * request, then the whole order will be rejected. Only answered AOEs should be included into request.\n   */\n  aoeResponses?: QuestionnaireResponse;\n}\n\nexport const BillToOptions = ['patient', 'insurance', 'customer-account'] as const;\nexport type BillTo = (typeof BillToOptions)[number];\n\nexport function isBillTo(value: unknown): value is BillTo {\n  if (value === 'patient' || value === 'insurance' || value === 'customer-account') {\n    value satisfies BillTo;\n    return true;\n  }\n  return false;\n}\n\nexport type LabOrganization = Organization & { id: string };\n\nexport type TestCoding = Branded<Coding & { code: string }, 'TestCoding'>;\n\nexport type DiagnosisCodeableConcept = Branded<\n  CodeableConcept & { coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[] },\n  'DiagnosisCodeableConcept'\n>;\n\nexport type BillingInformation = {\n  billTo?: BillTo;\n  patientCoverage?: [] | [Coverage] | [Coverage, Coverage] | [Coverage, Coverage, Coverage];\n};\n\nexport const PRIORITY_VALUES = ['routine', 'urgent', 'asap', 'stat'] as const;\n\nexport function isPriority(value: unknown): value is NonNullable<ServiceRequest['priority']> {\n  return PRIORITY_VALUES.includes(value as any);\n}\n\nexport type HGAutocompleteBotInput =\n  | {\n      type: 'lab';\n      query: string;\n    }\n  | {\n      type: 'test';\n      query: string;\n      labId: string;\n    }\n  | {\n      type: 'aoe';\n      testCode: Coding;\n    };\n\nexport type HGAutocompleteBotResponse =\n  | {\n      outcome: OperationOutcome;\n      type: 'lab';\n      result: Organization[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'test';\n      result: Coding[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'aoe';\n      result: Questionnaire | undefined;\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'error';\n      args: any;\n    };\n\nexport function isReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): value is Reference<ExtractResource<T>> & { reference: string } {\n  return isReference(value) && value.reference.startsWith(resourceType + '/');\n}\n\nexport function assertReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): asserts value is Reference<ExtractResource<T>> {\n  if (!isReferenceOfType(resourceType, value)) {\n    throw new Error(`Expected reference to be of type ${resourceType}`);\n  }\n}\n\nexport type WithId<T> = T & { id: string };\n"],
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+  "sourcesContent": ["export * from './aoe';\nexport * from './constants';\nexport * from './lab-order';\nexport * from './types';\n", "import { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport {\n  Questionnaire,\n  QuestionnaireItem,\n  QuestionnaireResponse,\n  QuestionnaireResponseItemAnswer,\n} from '@medplum/fhirtypes';\n\n/**\n * Edits an AOE Questionnaire from Health Gorilla to make it a valid Questionnaire;\n * most importantly, it sets the linkId to the id if it is not already set.\n * @param aoe - The AOE Questionnaire to normalize.\n * @returns - The normalized input Questionnaire.\n */\nexport function normalizeAoeQuestionnaire(aoe: Questionnaire): Questionnaire {\n  if (aoe.item) {\n    for (const item of aoe.item) {\n      item.linkId = item.linkId ?? item.id;\n      item.initial = item.answerOption ? undefined : item.initial;\n    }\n  }\n\n  return aoe;\n}\n\n/**\n * Checks which required items are missing from a QuestionnaireResponse.\n * @param q - The Questionnaire to check against.\n * @param qr - The QuestionnaireResponse to check.\n * @param includeRequiredWhenSpecimenCollected - Whether to require AOE answers when a specimen is collected.\n * @returns An array of linkIds of missing required items.\n */\nexport function getMissingRequiredQuestionnaireItems(\n  q: Questionnaire,\n  qr: QuestionnaireResponse | undefined,\n  includeRequiredWhenSpecimenCollected: boolean\n): string[] {\n  const required: string[] = [];\n  const missing: string[] = [];\n  const answersByLinkId: Record<string, QuestionnaireResponseItemAnswer[] | undefined> | undefined =\n    qr && getAllQuestionnaireAnswers(qr);\n\n  //TODO it might be better to make NormalizedAoeQuestionnaire a branded type\n  // and specify that as the input type to this function\n  for (const item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item)) {\n    if (\n      item.required ||\n      (includeRequiredWhenSpecimenCollected &&\n        getExtensionValue(\n          item,\n          'https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen'\n        ) === true)\n    ) {\n      required.push(item.linkId);\n\n      const answers = answersByLinkId?.[item.linkId];\n      if (answers && answers.length > 0) {\n        let hasValue = false;\n        for (const answer of answers) {\n          const values = arrayify(\n            getTypedPropertyValue({ type: 'QuestionnaireResponseItemAnswer', value: answer }, 'value[x]')\n          );\n          if (values?.some((v) => v.value)) {\n            hasValue = true;\n            continue;\n          }\n        }\n\n        if (hasValue) {\n          continue;\n        }\n      }\n\n      missing.push(item.linkId);\n    }\n  }\n\n  return missing;\n}\n\nexport function* questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem> {\n  if (!item) {\n    return;\n  }\n\n  for (const i of item) {\n    yield i;\n    if (i.item) {\n      yield* questionnaireItemIterator(i.item);\n    }\n  }\n}\n", "import { HTTP_HL7_ORG } from '@medplum/core';\n\nexport const MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder';\n\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO = 'billTo';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN = 'performingLabAccountNumber';\n\nexport const HEALTH_GORILLA_SYSTEM = 'https://www.healthgorilla.com';\nexport const HEALTH_GORILLA_ENVIRONMENT = HEALTH_GORILLA_SYSTEM + '/environment';\nexport const HEALTH_GORILLA_AUTHORIZED_BY_EXT =\n  HEALTH_GORILLA_SYSTEM + '/fhir/StructureDefinition/requestgroup-authorizedBy';\n\nexport const NPI_SYSTEM = HTTP_HL7_ORG + '/fhir/sid/us-npi';\n", "import { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport {\n  Bundle,\n  Coverage,\n  Extension,\n  Location,\n  Organization,\n  Patient,\n  Practitioner,\n  QuestionnaireResponse,\n  Reference,\n  Resource,\n  ResourceType,\n  ServiceRequest,\n  Specimen,\n} from '@medplum/fhirtypes';\nimport { getMissingRequiredQuestionnaireItems } from './aoe';\nimport {\n  HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,\n} from './constants';\nimport {\n  BillingInformation,\n  BillToOptions,\n  DiagnosisCodeableConcept,\n  isBillTo,\n  isPriority,\n  LabOrderServiceRequest,\n  LabOrderTestMetadata,\n  LabOrganization,\n  PRIORITY_VALUES,\n  TestCoding,\n} from './types';\n\nexport type LabOrderInputs = {\n  /** `Patient` the tests are ordered for. This must be a reference to an existing `Patient` resource. */\n  patient: Patient | (Reference<Patient> & { reference: string });\n  /** The physician who requests diagnostic procedures for the patient and responsible for the order.  */\n  requester: Practitioner | (Reference<Practitioner> & { reference: string });\n  /** For multi-location practices, optionally specify the location from which the order is being placed */\n  requestingLocation?: Location | Organization | (Reference<Location | Organization> & { reference: string });\n  /** The desired performer for doing the diagnostic testing - laboratory, radiology imaging center, etc. */\n  performingLab: LabOrganization;\n  /**\n   * (optional) Account Number for the performing lab. If not provided, the `HEALTH_GORILLA_SUBTENANT_ACCOUNT_NUMBER`\n   * `Project.secret` is used.\n   */\n  performingLabAccountNumber?: string;\n  /** The list of tests ordered within the given order. */\n  selectedTests: TestCoding[];\n  /** An object mapping the `Coding.code` of each selected test to an `LabOrderTestMetadata` object.  */\n  testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n  /** An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. */\n  diagnoses: DiagnosisCodeableConcept[];\n  /** (optional) The collection date of the lab order. */\n  specimenCollectedDateTime?: Date;\n  /** The billing preferences for the order. */\n  billingInformation: BillingInformation;\n  /** (optional) An order note - any comments that should be included in the requisition. */\n  orderNotes?: string;\n};\n\nfunction tempId(): string {\n  return 'urn:uuid:' + generateId();\n}\n\n/**\n * A modified type of `LabOrderInputs` that makes every field and sub-field optional and loosens\n * cardinality checks to facilitate typical type signatures of hooks and other state used in\n * React components that call `createLabOrderBundle`. This type is used in conjunction\n * with `validateLabOrderInputs`\n */\nexport type PartialLabOrderInputs = Partial<\n  Omit<LabOrderInputs, 'billingInformation' | 'testMetadata'> & {\n    testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n    billingInformation: Partial<\n      Omit<BillingInformation, 'patientCoverage'> & {\n        patientCoverage?: Coverage[];\n      }\n    >;\n  }\n>;\n\nexport type InputError = { message: string };\n\nexport type LabOrderInputErrors = {\n  patient?: InputError;\n  requester?: InputError;\n  performingLab?: InputError;\n  selectedTests?: InputError;\n  testMetadata?: {\n    [testCode: string]: {\n      priority?: InputError;\n      notes?: InputError;\n      aoeResponses?: InputError;\n    };\n  };\n  billingInformation?: {\n    billTo?: InputError;\n    patientCoverage?: InputError;\n  };\n};\n\nexport function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs {\n  const errors = validateLabOrderInputs(args);\n  if (errors) {\n    throw new LabOrderValidationError(errors);\n  }\n}\n\nexport function isValidLabOrderInputs(args: PartialLabOrderInputs): args is LabOrderInputs {\n  return !validateLabOrderInputs(args);\n}\n\nexport function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined {\n  const errors: LabOrderInputErrors = {};\n\n  if (!args.patient) {\n    errors.patient = { message: 'Patient is required' };\n  }\n\n  if (!args.requester) {\n    errors.requester = { message: 'Requesting Practitioner is required' };\n  }\n\n  if (!args.performingLab) {\n    errors.performingLab = { message: 'Performing Lab is required' };\n  }\n\n  if (!args.selectedTests || args.selectedTests.length === 0) {\n    errors.selectedTests = { message: 'At least one test must be selected' };\n  } else {\n    for (const test of args.selectedTests) {\n      const meta = args.testMetadata?.[test.code];\n\n      // priority\n      if (meta?.priority && !isPriority(meta.priority)) {\n        errors.testMetadata ??= {};\n        errors.testMetadata[test.code] ??= {};\n        errors.testMetadata[test.code].priority = {\n          message: `Priority for ${formatCoding(test, true)} must be one of ${PRIORITY_VALUES.join(', ')}`,\n        };\n      }\n\n      // AOE responses\n      const q = meta?.aoeQuestionnaire;\n      if (q) {\n        const missing = getMissingRequiredQuestionnaireItems(\n          q,\n          meta.aoeResponses,\n          Boolean(args.specimenCollectedDateTime)\n        );\n        if (missing.length > 0) {\n          errors.testMetadata ??= {};\n          errors.testMetadata[test.code] ??= {};\n          errors.testMetadata[test.code].aoeResponses = {\n            message: `Missing required AOE responses for ${formatCoding(test, true)}: ${missing.join(', ')}`,\n          };\n        }\n      }\n    }\n  }\n\n  if (!isBillTo(args.billingInformation?.billTo)) {\n    errors.billingInformation ??= {};\n    if (!args.billingInformation?.billTo) {\n      errors.billingInformation.billTo = { message: 'Bill to is required' };\n    } else {\n      errors.billingInformation.billTo = { message: `Bill to must be one of: ${BillToOptions.join(', ')}` };\n    }\n  } else if (args.billingInformation.billTo === 'insurance') {\n    const coverageCount = args.billingInformation.patientCoverage?.length ?? 0;\n    if (coverageCount < 1 || coverageCount > 3) {\n      errors.billingInformation ??= {};\n      errors.billingInformation.patientCoverage = {\n        message: 'BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance',\n      };\n    }\n  }\n\n  if (Object.keys(errors).length > 0) {\n    return errors;\n  }\n  return undefined;\n}\n\nexport class LabOrderValidationError extends Error {\n  constructor(readonly errors: LabOrderInputErrors) {\n    super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n  }\n}\n\ntype PopulatedBundleEntry = NonNullable<Bundle['entry']> &\n  {\n    fullUrl: string;\n    resource: Resource;\n    request: { method: 'POST'; url: ResourceType };\n  }[];\n\n/**\n * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing\n * a Health Gorilla lab order.\n * @param inputs - An object containing the required fields for creating a lab order bundle\n * @returns A transaction `Bundle` containing the resources necessary to create\n * a `ServiceRequest` representing the Health Gorilla lab order.\n */\nexport function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle {\n  assertLabOrderInputs(inputs);\n\n  inputs satisfies LabOrderInputs;\n\n  const {\n    patient,\n    requester,\n    requestingLocation,\n    performingLab,\n    performingLabAccountNumber,\n    selectedTests,\n    testMetadata,\n    diagnoses,\n    specimenCollectedDateTime,\n    billingInformation,\n    orderNotes,\n  } = inputs;\n\n  const bundle: Bundle = {\n    resourceType: 'Bundle',\n    type: 'transaction',\n  };\n\n  const labOrderTempId = tempId();\n  const labOrderExtension: Extension[] = [];\n  const bundleEntry: PopulatedBundleEntry = [];\n\n  const subjectReference = isReference(patient) ? patient : createReference(patient);\n  const requesterReference = isReference(requester) ? requester : createReference(requester);\n  const performerReference = createReference(performingLab);\n\n  const testEntries: PopulatedBundleEntry = [];\n  for (const test of selectedTests) {\n    const metadata = testMetadata[test.code];\n\n    let qr: QuestionnaireResponse | undefined;\n    if (metadata?.aoeResponses) {\n      qr = deepClone(metadata.aoeResponses);\n      qr.id = tempId();\n      bundleEntry.push({\n        fullUrl: qr.id,\n        resource: qr,\n        request: { method: 'POST', url: 'QuestionnaireResponse' },\n      });\n    }\n\n    const testSR: ServiceRequest = {\n      resourceType: 'ServiceRequest',\n      id: tempId(),\n      status: 'draft',\n      intent: 'order',\n      basedOn: [{ reference: labOrderTempId }],\n      subject: subjectReference,\n      requester: requesterReference,\n      performer: [performerReference],\n      category: [{ coding: [{ system: SNOMED, code: '103693007', display: 'Diagnostic procedure' }] }],\n      code: { coding: [test] },\n      priority: metadata?.priority || 'routine',\n      note: metadata?.notes\n        ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: metadata.notes }]\n        : undefined,\n      supportingInfo: qr ? [{ reference: qr.id }] : undefined,\n    };\n\n    testEntries.push({\n      fullUrl: testSR.id,\n      resource: testSR,\n      request: { method: 'POST', url: 'ServiceRequest' },\n    });\n  }\n\n  let specimen: Specimen | undefined;\n  if (specimenCollectedDateTime) {\n    specimen = {\n      resourceType: 'Specimen',\n      id: tempId(),\n      subject: subjectReference,\n      collection: { collectedDateTime: specimenCollectedDateTime.toISOString() },\n    };\n    bundleEntry.push({\n      fullUrl: specimen.id,\n      resource: specimen,\n      request: { method: 'POST', url: 'Specimen' },\n    });\n  }\n\n  labOrderExtension.push({\n    url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n    valueString: billingInformation.billTo,\n  });\n\n  if (performingLabAccountNumber) {\n    labOrderExtension.push({\n      url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n      valueString: performingLabAccountNumber,\n    });\n  }\n\n  if (requestingLocation) {\n    const requestingLocationRef = isReference(requestingLocation)\n      ? requestingLocation\n      : createReference(requestingLocation);\n\n    labOrderExtension.push({\n      url: HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n      valueReference: requestingLocationRef,\n    });\n  }\n\n  let insurance: Reference<Coverage>[] | undefined;\n  if (billingInformation.billTo === 'insurance') {\n    insurance = (billingInformation.patientCoverage ?? []).map((coverage) => {\n      return createReference(coverage);\n    });\n  }\n\n  const labOrder: LabOrderServiceRequest = {\n    resourceType: 'ServiceRequest',\n    id: labOrderTempId,\n    meta: { profile: [MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE] },\n    extension: labOrderExtension,\n    status: 'draft',\n    intent: 'order',\n    subject: subjectReference,\n    requester: requesterReference,\n    performer: [performerReference],\n    reasonCode: diagnoses,\n    category: [{ coding: [{ system: SNOMED, code: '108252007', display: 'Laboratory procedure' }] }],\n    // individual test codes are included in the ServcieRequest referenced in supporting Info.\n    // TBD what should go in the `code` field of the lab order. Leaving the tests there for now\n    // since code is required.\n    code: { coding: selectedTests },\n    insurance,\n    specimen: specimen ? [{ reference: specimen.id }] : undefined,\n    note: orderNotes\n      ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: orderNotes }]\n      : undefined,\n  };\n\n  bundleEntry.push({\n    fullUrl: labOrder.id,\n    resource: labOrder,\n    request: { method: 'POST', url: 'ServiceRequest' },\n  });\n\n  bundleEntry.push(...testEntries);\n\n  // Remove resource.id to avoid breaking the transaction processing of the urn:uuid:<uuid> temp IDs.\n  for (const entry of bundleEntry) {\n    if (entry.resource) {\n      delete entry.resource.id;\n    }\n  }\n\n  bundle.entry = bundleEntry;\n\n  return bundle;\n}\n", "import { isReference } from '@medplum/core';\nimport {\n  CodeableConcept,\n  Coding,\n  Coverage,\n  ExtractResource,\n  OperationOutcome,\n  Organization,\n  Questionnaire,\n  QuestionnaireResponse,\n  Reference,\n  ResourceType,\n  ServiceRequest,\n} from '@medplum/fhirtypes';\n\nexport type LabOrderServiceRequest = ServiceRequest & {\n  performer: [Reference<LabOrganization>];\n  code: CodeableConcept;\n};\n\nexport interface LabOrderTestMetadata {\n  /** (optional) This attribute allows to set priority for the given test within the order. Defaults to 'routine' */\n  priority?: 'routine' | 'urgent' | 'asap' | 'stat';\n  /** (optional) Any notes and comments related to the given test. */\n  notes?: string;\n  /** The AOE `Questionnaire`, if any, containing Ask at Order Entry (AOE) questions for the test.  */\n  readonly aoeQuestionnaire?: Questionnaire;\n  /**\n   * The `QuestionnaireResponse` resource containing answers related to the given diagnostic procedure.\n   * If AOE is required for the specified configuration (performer, test, specimen), but missed in the\n   * request, then the whole order will be rejected. Only answered AOEs should be included into request.\n   */\n  aoeResponses?: QuestionnaireResponse;\n}\n\nexport const BillToOptions = ['patient', 'insurance', 'customer-account'] as const;\nexport type BillTo = (typeof BillToOptions)[number];\n\nexport function isBillTo(value: unknown): value is BillTo {\n  if (value === 'patient' || value === 'insurance' || value === 'customer-account') {\n    value satisfies BillTo;\n    return true;\n  }\n  return false;\n}\n\nexport type LabOrganization = Organization & { id: string };\n\nexport type TestCoding = Coding & { code: string };\n\nexport type DiagnosisCodeableConcept = CodeableConcept & {\n  coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[];\n};\n\nexport type BillingInformation = {\n  billTo?: BillTo;\n  patientCoverage?: [] | [Coverage] | [Coverage, Coverage] | [Coverage, Coverage, Coverage];\n};\n\nexport const PRIORITY_VALUES = ['routine', 'urgent', 'asap', 'stat'] as const;\n\nexport function isPriority(value: unknown): value is NonNullable<ServiceRequest['priority']> {\n  return PRIORITY_VALUES.includes(value as any);\n}\n\nexport type HGAutocompleteBotInput =\n  | {\n      type: 'lab';\n      query: string;\n    }\n  | {\n      type: 'test';\n      query: string;\n      labId: string;\n    }\n  | {\n      type: 'aoe';\n      testCode: Coding;\n    };\n\nexport type HGAutocompleteBotResponse =\n  | {\n      outcome: OperationOutcome;\n      type: 'lab';\n      result: Organization[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'test';\n      result: Coding[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'aoe';\n      result: Questionnaire | undefined;\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'error';\n      args: any;\n    };\n\nexport function isReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): value is Reference<ExtractResource<T>> & { reference: string } {\n  return isReference(value) && value.reference.startsWith(resourceType + '/');\n}\n\nexport function assertReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): asserts value is Reference<ExtractResource<T>> {\n  if (!isReferenceOfType(resourceType, value)) {\n    throw new Error(`Expected reference to be of type ${resourceType}`);\n  }\n}\n\nexport type WithId<T> = T & { id: string };\n"],
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 }

package/dist/cjs/index.d.ts

@@ -15,8 +15,6 @@ import { Reference } from '@medplum/fhirtypes';
 import { ResourceType } from '@medplum/fhirtypes';
 import { ServiceRequest } from '@medplum/fhirtypes';
 
-declare const __brand: unique symbol;
-
 export declare function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs;
 
 export declare function assertReferenceOfType<T extends ResourceType>(resourceType: T, value: unknown): asserts value is Reference<ExtractResource<T>>;
@@ -30,10 +28,6 @@ export declare type BillTo = (typeof BillToOptions)[number];
 
 export declare const BillToOptions: readonly ["patient", "insurance", "customer-account"];
 
-export declare type Branded<T, B> = T & {
-    [__brand]: B;
-};
-
 /**
  * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing
  * a Health Gorilla lab order.
@@ -43,9 +37,9 @@ export declare type Branded<T, B> = T & {
  */
 export declare function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle;
 
-export declare type DiagnosisCodeableConcept = Branded<CodeableConcept & {
+export declare type DiagnosisCodeableConcept = CodeableConcept & {
     coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[];
-}, 'DiagnosisCodeableConcept'>;
+};
 
 /**
  * Checks which required items are missing from a QuestionnaireResponse.
@@ -222,9 +216,9 @@ export declare const PRIORITY_VALUES: readonly ["routine", "urgent", "asap", "st
 
 export declare function questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem>;
 
-export declare type TestCoding = Branded<Coding & {
+export declare type TestCoding = Coding & {
     code: string;
-}, 'TestCoding'>;
+};
 
 export declare function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined;
 

package/dist/esm/index.d.ts

@@ -15,8 +15,6 @@ import { Reference } from '@medplum/fhirtypes';
 import { ResourceType } from '@medplum/fhirtypes';
 import { ServiceRequest } from '@medplum/fhirtypes';
 
-declare const __brand: unique symbol;
-
 export declare function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs;
 
 export declare function assertReferenceOfType<T extends ResourceType>(resourceType: T, value: unknown): asserts value is Reference<ExtractResource<T>>;
@@ -30,10 +28,6 @@ export declare type BillTo = (typeof BillToOptions)[number];
 
 export declare const BillToOptions: readonly ["patient", "insurance", "customer-account"];
 
-export declare type Branded<T, B> = T & {
-    [__brand]: B;
-};
-
 /**
  * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing
  * a Health Gorilla lab order.
@@ -43,9 +37,9 @@ export declare type Branded<T, B> = T & {
  */
 export declare function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle;
 
-export declare type DiagnosisCodeableConcept = Branded<CodeableConcept & {
+export declare type DiagnosisCodeableConcept = CodeableConcept & {
     coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[];
-}, 'DiagnosisCodeableConcept'>;
+};
 
 /**
  * Checks which required items are missing from a QuestionnaireResponse.
@@ -222,9 +216,9 @@ export declare const PRIORITY_VALUES: readonly ["routine", "urgent", "asap", "st
 
 export declare function questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem>;
 
-export declare type TestCoding = Branded<Coding & {
+export declare type TestCoding = Coding & {
     code: string;
-}, 'TestCoding'>;
+};
 
 export declare function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined;
 

package/dist/esm/index.mjs.map

@@ -1,7 +1,7 @@
 {
   "version": 3,
   "sources": ["../../src/aoe.ts", "../../src/constants.ts", "../../src/lab-order.ts", "../../src/types.ts"],
-  "sourcesContent": ["import { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport {\n  Questionnaire,\n  QuestionnaireItem,\n  QuestionnaireResponse,\n  QuestionnaireResponseItemAnswer,\n} from '@medplum/fhirtypes';\n\n/**\n * Edits an AOE Questionnaire from Health Gorilla to make it a valid Questionnaire;\n * most importantly, it sets the linkId to the id if it is not already set.\n * @param aoe - The AOE Questionnaire to normalize.\n * @returns - The normalized input Questionnaire.\n */\nexport function normalizeAoeQuestionnaire(aoe: Questionnaire): Questionnaire {\n  if (aoe.item) {\n    for (const item of aoe.item) {\n      item.linkId = item.linkId ?? item.id;\n      item.initial = item.answerOption ? undefined : item.initial;\n    }\n  }\n\n  return aoe;\n}\n\n/**\n * Checks which required items are missing from a QuestionnaireResponse.\n * @param q - The Questionnaire to check against.\n * @param qr - The QuestionnaireResponse to check.\n * @param includeRequiredWhenSpecimenCollected - Whether to require AOE answers when a specimen is collected.\n * @returns An array of linkIds of missing required items.\n */\nexport function getMissingRequiredQuestionnaireItems(\n  q: Questionnaire,\n  qr: QuestionnaireResponse | undefined,\n  includeRequiredWhenSpecimenCollected: boolean\n): string[] {\n  const required: string[] = [];\n  const missing: string[] = [];\n  const answersByLinkId: Record<string, QuestionnaireResponseItemAnswer[] | undefined> | undefined =\n    qr && getAllQuestionnaireAnswers(qr);\n\n  //TODO it might be better to make NormalizedAoeQuestionnaire a branded type\n  // and specify that as the input type to this function\n  for (const item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item)) {\n    if (\n      item.required ||\n      (includeRequiredWhenSpecimenCollected &&\n        getExtensionValue(\n          item,\n          'https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen'\n        ) === true)\n    ) {\n      required.push(item.linkId);\n\n      const answers = answersByLinkId?.[item.linkId];\n      if (answers && answers.length > 0) {\n        let hasValue = false;\n        for (const answer of answers) {\n          const values = arrayify(\n            getTypedPropertyValue({ type: 'QuestionnaireResponseItemAnswer', value: answer }, 'value[x]')\n          );\n          if (values?.some((v) => v.value)) {\n            hasValue = true;\n            continue;\n          }\n        }\n\n        if (hasValue) {\n          continue;\n        }\n      }\n\n      missing.push(item.linkId);\n    }\n  }\n\n  return missing;\n}\n\nexport function* questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem> {\n  if (!item) {\n    return;\n  }\n\n  for (const i of item) {\n    yield i;\n    if (i.item) {\n      yield* questionnaireItemIterator(i.item);\n    }\n  }\n}\n", "import { HTTP_HL7_ORG } from '@medplum/core';\n\nexport const MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder';\n\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO = 'billTo';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN = 'performingLabAccountNumber';\n\nexport const HEALTH_GORILLA_SYSTEM = 'https://www.healthgorilla.com';\nexport const HEALTH_GORILLA_ENVIRONMENT = HEALTH_GORILLA_SYSTEM + '/environment';\nexport const HEALTH_GORILLA_AUTHORIZED_BY_EXT =\n  HEALTH_GORILLA_SYSTEM + '/fhir/StructureDefinition/requestgroup-authorizedBy';\n\nexport const NPI_SYSTEM = HTTP_HL7_ORG + '/fhir/sid/us-npi';\n", "import { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport {\n  Bundle,\n  Coverage,\n  Extension,\n  Location,\n  Organization,\n  Patient,\n  Practitioner,\n  QuestionnaireResponse,\n  Reference,\n  Resource,\n  ResourceType,\n  ServiceRequest,\n  Specimen,\n} from '@medplum/fhirtypes';\nimport { getMissingRequiredQuestionnaireItems } from './aoe';\nimport {\n  HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,\n} from './constants';\nimport {\n  BillingInformation,\n  BillToOptions,\n  DiagnosisCodeableConcept,\n  isBillTo,\n  isPriority,\n  LabOrderServiceRequest,\n  LabOrderTestMetadata,\n  LabOrganization,\n  PRIORITY_VALUES,\n  TestCoding,\n} from './types';\n\nexport type LabOrderInputs = {\n  /** `Patient` the tests are ordered for. This must be a reference to an existing `Patient` resource. */\n  patient: Patient | (Reference<Patient> & { reference: string });\n  /** The physician who requests diagnostic procedures for the patient and responsible for the order.  */\n  requester: Practitioner | (Reference<Practitioner> & { reference: string });\n  /** For multi-location practices, optionally specify the location from which the order is being placed */\n  requestingLocation?: Location | Organization | (Reference<Location | Organization> & { reference: string });\n  /** The desired performer for doing the diagnostic testing - laboratory, radiology imaging center, etc. */\n  performingLab: LabOrganization;\n  /**\n   * (optional) Account Number for the performing lab. If not provided, the `HEALTH_GORILLA_SUBTENANT_ACCOUNT_NUMBER`\n   * `Project.secret` is used.\n   */\n  performingLabAccountNumber?: string;\n  /** The list of tests ordered within the given order. */\n  selectedTests: TestCoding[];\n  /** An object mapping the `Coding.code` of each selected test to an `LabOrderTestMetadata` object.  */\n  testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n  /** An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. */\n  diagnoses: DiagnosisCodeableConcept[];\n  /** (optional) The collection date of the lab order. */\n  specimenCollectedDateTime?: Date;\n  /** The billing preferences for the order. */\n  billingInformation: BillingInformation;\n  /** (optional) An order note - any comments that should be included in the requisition. */\n  orderNotes?: string;\n};\n\nfunction tempId(): string {\n  return 'urn:uuid:' + generateId();\n}\n\n/**\n * A modified type of `LabOrderInputs` that makes every field and sub-field optional and loosens\n * cardinality checks to facilitate typical type signatures of hooks and other state used in\n * React components that call `createLabOrderBundle`. This type is used in conjunction\n * with `validateLabOrderInputs`\n */\nexport type PartialLabOrderInputs = Partial<\n  Omit<LabOrderInputs, 'billingInformation' | 'testMetadata'> & {\n    testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n    billingInformation: Partial<\n      Omit<BillingInformation, 'patientCoverage'> & {\n        patientCoverage?: Coverage[];\n      }\n    >;\n  }\n>;\n\nexport type InputError = { message: string };\n\nexport type LabOrderInputErrors = {\n  patient?: InputError;\n  requester?: InputError;\n  performingLab?: InputError;\n  selectedTests?: InputError;\n  testMetadata?: {\n    [testCode: string]: {\n      priority?: InputError;\n      notes?: InputError;\n      aoeResponses?: InputError;\n    };\n  };\n  billingInformation?: {\n    billTo?: InputError;\n    patientCoverage?: InputError;\n  };\n};\n\nexport function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs {\n  const errors = validateLabOrderInputs(args);\n  if (errors) {\n    throw new LabOrderValidationError(errors);\n  }\n}\n\nexport function isValidLabOrderInputs(args: PartialLabOrderInputs): args is LabOrderInputs {\n  return !validateLabOrderInputs(args);\n}\n\nexport function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined {\n  const errors: LabOrderInputErrors = {};\n\n  if (!args.patient) {\n    errors.patient = { message: 'Patient is required' };\n  }\n\n  if (!args.requester) {\n    errors.requester = { message: 'Requesting Practitioner is required' };\n  }\n\n  if (!args.performingLab) {\n    errors.performingLab = { message: 'Performing Lab is required' };\n  }\n\n  if (!args.selectedTests || args.selectedTests.length === 0) {\n    errors.selectedTests = { message: 'At least one test must be selected' };\n  } else {\n    for (const test of args.selectedTests) {\n      const meta = args.testMetadata?.[test.code];\n\n      // priority\n      if (meta?.priority && !isPriority(meta.priority)) {\n        errors.testMetadata ??= {};\n        errors.testMetadata[test.code] ??= {};\n        errors.testMetadata[test.code].priority = {\n          message: `Priority for ${formatCoding(test, true)} must be one of ${PRIORITY_VALUES.join(', ')}`,\n        };\n      }\n\n      // AOE responses\n      const q = meta?.aoeQuestionnaire;\n      if (q) {\n        const missing = getMissingRequiredQuestionnaireItems(\n          q,\n          meta.aoeResponses,\n          Boolean(args.specimenCollectedDateTime)\n        );\n        if (missing.length > 0) {\n          errors.testMetadata ??= {};\n          errors.testMetadata[test.code] ??= {};\n          errors.testMetadata[test.code].aoeResponses = {\n            message: `Missing required AOE responses for ${formatCoding(test, true)}: ${missing.join(', ')}`,\n          };\n        }\n      }\n    }\n  }\n\n  if (!isBillTo(args.billingInformation?.billTo)) {\n    errors.billingInformation ??= {};\n    if (!args.billingInformation?.billTo) {\n      errors.billingInformation.billTo = { message: 'Bill to is required' };\n    } else {\n      errors.billingInformation.billTo = { message: `Bill to must be one of: ${BillToOptions.join(', ')}` };\n    }\n  } else if (args.billingInformation.billTo === 'insurance') {\n    const coverageCount = args.billingInformation.patientCoverage?.length ?? 0;\n    if (coverageCount < 1 || coverageCount > 3) {\n      errors.billingInformation ??= {};\n      errors.billingInformation.patientCoverage = {\n        message: 'BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance',\n      };\n    }\n  }\n\n  if (Object.keys(errors).length > 0) {\n    return errors;\n  }\n  return undefined;\n}\n\nexport class LabOrderValidationError extends Error {\n  constructor(readonly errors: LabOrderInputErrors) {\n    super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n  }\n}\n\ntype PopulatedBundleEntry = NonNullable<Bundle['entry']> &\n  {\n    fullUrl: string;\n    resource: Resource;\n    request: { method: 'POST'; url: ResourceType };\n  }[];\n\n/**\n * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing\n * a Health Gorilla lab order.\n * @param inputs - An object containing the required fields for creating a lab order bundle\n * @returns A transaction `Bundle` containing the resources necessary to create\n * a `ServiceRequest` representing the Health Gorilla lab order.\n */\nexport function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle {\n  assertLabOrderInputs(inputs);\n\n  inputs satisfies LabOrderInputs;\n\n  const {\n    patient,\n    requester,\n    requestingLocation,\n    performingLab,\n    performingLabAccountNumber,\n    selectedTests,\n    testMetadata,\n    diagnoses,\n    specimenCollectedDateTime,\n    billingInformation,\n    orderNotes,\n  } = inputs;\n\n  const bundle: Bundle = {\n    resourceType: 'Bundle',\n    type: 'transaction',\n  };\n\n  const labOrderTempId = tempId();\n  const labOrderExtension: Extension[] = [];\n  const bundleEntry: PopulatedBundleEntry = [];\n\n  const subjectReference = isReference(patient) ? patient : createReference(patient);\n  const requesterReference = isReference(requester) ? requester : createReference(requester);\n  const performerReference = createReference(performingLab);\n\n  const testEntries: PopulatedBundleEntry = [];\n  for (const test of selectedTests) {\n    const metadata = testMetadata[test.code];\n\n    let qr: QuestionnaireResponse | undefined;\n    if (metadata?.aoeResponses) {\n      qr = deepClone(metadata.aoeResponses);\n      qr.id = tempId();\n      bundleEntry.push({\n        fullUrl: qr.id,\n        resource: qr,\n        request: { method: 'POST', url: 'QuestionnaireResponse' },\n      });\n    }\n\n    const testSR: ServiceRequest = {\n      resourceType: 'ServiceRequest',\n      id: tempId(),\n      status: 'draft',\n      intent: 'order',\n      basedOn: [{ reference: labOrderTempId }],\n      subject: subjectReference,\n      requester: requesterReference,\n      performer: [performerReference],\n      category: [{ coding: [{ system: SNOMED, code: '103693007', display: 'Diagnostic procedure' }] }],\n      code: { coding: [test] },\n      priority: metadata?.priority || 'routine',\n      note: metadata?.notes\n        ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: metadata.notes }]\n        : undefined,\n      supportingInfo: qr ? [{ reference: qr.id }] : undefined,\n    };\n\n    testEntries.push({\n      fullUrl: testSR.id,\n      resource: testSR,\n      request: { method: 'POST', url: 'ServiceRequest' },\n    });\n  }\n\n  let specimen: Specimen | undefined;\n  if (specimenCollectedDateTime) {\n    specimen = {\n      resourceType: 'Specimen',\n      id: tempId(),\n      subject: subjectReference,\n      collection: { collectedDateTime: specimenCollectedDateTime.toISOString() },\n    };\n    bundleEntry.push({\n      fullUrl: specimen.id,\n      resource: specimen,\n      request: { method: 'POST', url: 'Specimen' },\n    });\n  }\n\n  labOrderExtension.push({\n    url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n    valueString: billingInformation.billTo,\n  });\n\n  if (performingLabAccountNumber) {\n    labOrderExtension.push({\n      url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n      valueString: performingLabAccountNumber,\n    });\n  }\n\n  if (requestingLocation) {\n    const requestingLocationRef = isReference(requestingLocation)\n      ? requestingLocation\n      : createReference(requestingLocation);\n\n    labOrderExtension.push({\n      url: HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n      valueReference: requestingLocationRef,\n    });\n  }\n\n  let insurance: Reference<Coverage>[] | undefined;\n  if (billingInformation.billTo === 'insurance') {\n    insurance = (billingInformation.patientCoverage ?? []).map((coverage) => {\n      return createReference(coverage);\n    });\n  }\n\n  const labOrder: LabOrderServiceRequest = {\n    resourceType: 'ServiceRequest',\n    id: labOrderTempId,\n    meta: { profile: [MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE] },\n    extension: labOrderExtension,\n    status: 'draft',\n    intent: 'order',\n    subject: subjectReference,\n    requester: requesterReference,\n    performer: [performerReference],\n    reasonCode: diagnoses,\n    category: [{ coding: [{ system: SNOMED, code: '108252007', display: 'Laboratory procedure' }] }],\n    // individual test codes are included in the ServcieRequest referenced in supporting Info.\n    // TBD what should go in the `code` field of the lab order. Leaving the tests there for now\n    // since code is required.\n    code: { coding: selectedTests },\n    insurance,\n    specimen: specimen ? [{ reference: specimen.id }] : undefined,\n    note: orderNotes\n      ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: orderNotes }]\n      : undefined,\n  };\n\n  bundleEntry.push({\n    fullUrl: labOrder.id,\n    resource: labOrder,\n    request: { method: 'POST', url: 'ServiceRequest' },\n  });\n\n  bundleEntry.push(...testEntries);\n\n  // Remove resource.id to avoid breaking the transaction processing of the urn:uuid:<uuid> temp IDs.\n  for (const entry of bundleEntry) {\n    if (entry.resource) {\n      delete entry.resource.id;\n    }\n  }\n\n  bundle.entry = bundleEntry;\n\n  return bundle;\n}\n", "import { isReference } from '@medplum/core';\nimport {\n  CodeableConcept,\n  Coding,\n  Coverage,\n  ExtractResource,\n  OperationOutcome,\n  Organization,\n  Questionnaire,\n  QuestionnaireResponse,\n  Reference,\n  ResourceType,\n  ServiceRequest,\n} from '@medplum/fhirtypes';\n\ndeclare const __brand: unique symbol;\nexport type Branded<T, B> = T & { [__brand]: B };\n\nexport type LabOrderServiceRequest = ServiceRequest & {\n  performer: [Reference<LabOrganization>];\n  code: CodeableConcept;\n};\n\nexport interface LabOrderTestMetadata {\n  /** (optional) This attribute allows to set priority for the given test within the order. Defaults to 'routine' */\n  priority?: 'routine' | 'urgent' | 'asap' | 'stat';\n  /** (optional) Any notes and comments related to the given test. */\n  notes?: string;\n  /** The AOE `Questionnaire`, if any, containing Ask at Order Entry (AOE) questions for the test.  */\n  readonly aoeQuestionnaire?: Questionnaire;\n  /**\n   * The `QuestionnaireResponse` resource containing answers related to the given diagnostic procedure.\n   * If AOE is required for the specified configuration (performer, test, specimen), but missed in the\n   * request, then the whole order will be rejected. Only answered AOEs should be included into request.\n   */\n  aoeResponses?: QuestionnaireResponse;\n}\n\nexport const BillToOptions = ['patient', 'insurance', 'customer-account'] as const;\nexport type BillTo = (typeof BillToOptions)[number];\n\nexport function isBillTo(value: unknown): value is BillTo {\n  if (value === 'patient' || value === 'insurance' || value === 'customer-account') {\n    value satisfies BillTo;\n    return true;\n  }\n  return false;\n}\n\nexport type LabOrganization = Organization & { id: string };\n\nexport type TestCoding = Branded<Coding & { code: string }, 'TestCoding'>;\n\nexport type DiagnosisCodeableConcept = Branded<\n  CodeableConcept & { coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[] },\n  'DiagnosisCodeableConcept'\n>;\n\nexport type BillingInformation = {\n  billTo?: BillTo;\n  patientCoverage?: [] | [Coverage] | [Coverage, Coverage] | [Coverage, Coverage, Coverage];\n};\n\nexport const PRIORITY_VALUES = ['routine', 'urgent', 'asap', 'stat'] as const;\n\nexport function isPriority(value: unknown): value is NonNullable<ServiceRequest['priority']> {\n  return PRIORITY_VALUES.includes(value as any);\n}\n\nexport type HGAutocompleteBotInput =\n  | {\n      type: 'lab';\n      query: string;\n    }\n  | {\n      type: 'test';\n      query: string;\n      labId: string;\n    }\n  | {\n      type: 'aoe';\n      testCode: Coding;\n    };\n\nexport type HGAutocompleteBotResponse =\n  | {\n      outcome: OperationOutcome;\n      type: 'lab';\n      result: Organization[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'test';\n      result: Coding[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'aoe';\n      result: Questionnaire | undefined;\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'error';\n      args: any;\n    };\n\nexport function isReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): value is Reference<ExtractResource<T>> & { reference: string } {\n  return isReference(value) && value.reference.startsWith(resourceType + '/');\n}\n\nexport function assertReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): asserts value is Reference<ExtractResource<T>> {\n  if (!isReferenceOfType(resourceType, value)) {\n    throw new Error(`Expected reference to be of type ${resourceType}`);\n  }\n}\n\nexport type WithId<T> = T & { id: string };\n"],
-  "mappings": 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+  "sourcesContent": ["import { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport {\n  Questionnaire,\n  QuestionnaireItem,\n  QuestionnaireResponse,\n  QuestionnaireResponseItemAnswer,\n} from '@medplum/fhirtypes';\n\n/**\n * Edits an AOE Questionnaire from Health Gorilla to make it a valid Questionnaire;\n * most importantly, it sets the linkId to the id if it is not already set.\n * @param aoe - The AOE Questionnaire to normalize.\n * @returns - The normalized input Questionnaire.\n */\nexport function normalizeAoeQuestionnaire(aoe: Questionnaire): Questionnaire {\n  if (aoe.item) {\n    for (const item of aoe.item) {\n      item.linkId = item.linkId ?? item.id;\n      item.initial = item.answerOption ? undefined : item.initial;\n    }\n  }\n\n  return aoe;\n}\n\n/**\n * Checks which required items are missing from a QuestionnaireResponse.\n * @param q - The Questionnaire to check against.\n * @param qr - The QuestionnaireResponse to check.\n * @param includeRequiredWhenSpecimenCollected - Whether to require AOE answers when a specimen is collected.\n * @returns An array of linkIds of missing required items.\n */\nexport function getMissingRequiredQuestionnaireItems(\n  q: Questionnaire,\n  qr: QuestionnaireResponse | undefined,\n  includeRequiredWhenSpecimenCollected: boolean\n): string[] {\n  const required: string[] = [];\n  const missing: string[] = [];\n  const answersByLinkId: Record<string, QuestionnaireResponseItemAnswer[] | undefined> | undefined =\n    qr && getAllQuestionnaireAnswers(qr);\n\n  //TODO it might be better to make NormalizedAoeQuestionnaire a branded type\n  // and specify that as the input type to this function\n  for (const item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item)) {\n    if (\n      item.required ||\n      (includeRequiredWhenSpecimenCollected &&\n        getExtensionValue(\n          item,\n          'https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen'\n        ) === true)\n    ) {\n      required.push(item.linkId);\n\n      const answers = answersByLinkId?.[item.linkId];\n      if (answers && answers.length > 0) {\n        let hasValue = false;\n        for (const answer of answers) {\n          const values = arrayify(\n            getTypedPropertyValue({ type: 'QuestionnaireResponseItemAnswer', value: answer }, 'value[x]')\n          );\n          if (values?.some((v) => v.value)) {\n            hasValue = true;\n            continue;\n          }\n        }\n\n        if (hasValue) {\n          continue;\n        }\n      }\n\n      missing.push(item.linkId);\n    }\n  }\n\n  return missing;\n}\n\nexport function* questionnaireItemIterator(item: QuestionnaireItem[] | undefined): Generator<QuestionnaireItem> {\n  if (!item) {\n    return;\n  }\n\n  for (const i of item) {\n    yield i;\n    if (i.item) {\n      yield* questionnaireItemIterator(i.item);\n    }\n  }\n}\n", "import { HTTP_HL7_ORG } from '@medplum/core';\n\nexport const MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE =\n  'https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder';\n\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO = 'billTo';\nexport const MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN = 'performingLabAccountNumber';\n\nexport const HEALTH_GORILLA_SYSTEM = 'https://www.healthgorilla.com';\nexport const HEALTH_GORILLA_ENVIRONMENT = HEALTH_GORILLA_SYSTEM + '/environment';\nexport const HEALTH_GORILLA_AUTHORIZED_BY_EXT =\n  HEALTH_GORILLA_SYSTEM + '/fhir/StructureDefinition/requestgroup-authorizedBy';\n\nexport const NPI_SYSTEM = HTTP_HL7_ORG + '/fhir/sid/us-npi';\n", "import { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport {\n  Bundle,\n  Coverage,\n  Extension,\n  Location,\n  Organization,\n  Patient,\n  Practitioner,\n  QuestionnaireResponse,\n  Reference,\n  Resource,\n  ResourceType,\n  ServiceRequest,\n  Specimen,\n} from '@medplum/fhirtypes';\nimport { getMissingRequiredQuestionnaireItems } from './aoe';\nimport {\n  HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n  MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,\n} from './constants';\nimport {\n  BillingInformation,\n  BillToOptions,\n  DiagnosisCodeableConcept,\n  isBillTo,\n  isPriority,\n  LabOrderServiceRequest,\n  LabOrderTestMetadata,\n  LabOrganization,\n  PRIORITY_VALUES,\n  TestCoding,\n} from './types';\n\nexport type LabOrderInputs = {\n  /** `Patient` the tests are ordered for. This must be a reference to an existing `Patient` resource. */\n  patient: Patient | (Reference<Patient> & { reference: string });\n  /** The physician who requests diagnostic procedures for the patient and responsible for the order.  */\n  requester: Practitioner | (Reference<Practitioner> & { reference: string });\n  /** For multi-location practices, optionally specify the location from which the order is being placed */\n  requestingLocation?: Location | Organization | (Reference<Location | Organization> & { reference: string });\n  /** The desired performer for doing the diagnostic testing - laboratory, radiology imaging center, etc. */\n  performingLab: LabOrganization;\n  /**\n   * (optional) Account Number for the performing lab. If not provided, the `HEALTH_GORILLA_SUBTENANT_ACCOUNT_NUMBER`\n   * `Project.secret` is used.\n   */\n  performingLabAccountNumber?: string;\n  /** The list of tests ordered within the given order. */\n  selectedTests: TestCoding[];\n  /** An object mapping the `Coding.code` of each selected test to an `LabOrderTestMetadata` object.  */\n  testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n  /** An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. */\n  diagnoses: DiagnosisCodeableConcept[];\n  /** (optional) The collection date of the lab order. */\n  specimenCollectedDateTime?: Date;\n  /** The billing preferences for the order. */\n  billingInformation: BillingInformation;\n  /** (optional) An order note - any comments that should be included in the requisition. */\n  orderNotes?: string;\n};\n\nfunction tempId(): string {\n  return 'urn:uuid:' + generateId();\n}\n\n/**\n * A modified type of `LabOrderInputs` that makes every field and sub-field optional and loosens\n * cardinality checks to facilitate typical type signatures of hooks and other state used in\n * React components that call `createLabOrderBundle`. This type is used in conjunction\n * with `validateLabOrderInputs`\n */\nexport type PartialLabOrderInputs = Partial<\n  Omit<LabOrderInputs, 'billingInformation' | 'testMetadata'> & {\n    testMetadata: Record<string, LabOrderTestMetadata | undefined>;\n    billingInformation: Partial<\n      Omit<BillingInformation, 'patientCoverage'> & {\n        patientCoverage?: Coverage[];\n      }\n    >;\n  }\n>;\n\nexport type InputError = { message: string };\n\nexport type LabOrderInputErrors = {\n  patient?: InputError;\n  requester?: InputError;\n  performingLab?: InputError;\n  selectedTests?: InputError;\n  testMetadata?: {\n    [testCode: string]: {\n      priority?: InputError;\n      notes?: InputError;\n      aoeResponses?: InputError;\n    };\n  };\n  billingInformation?: {\n    billTo?: InputError;\n    patientCoverage?: InputError;\n  };\n};\n\nexport function assertLabOrderInputs(args: PartialLabOrderInputs): asserts args is LabOrderInputs {\n  const errors = validateLabOrderInputs(args);\n  if (errors) {\n    throw new LabOrderValidationError(errors);\n  }\n}\n\nexport function isValidLabOrderInputs(args: PartialLabOrderInputs): args is LabOrderInputs {\n  return !validateLabOrderInputs(args);\n}\n\nexport function validateLabOrderInputs(args: PartialLabOrderInputs): LabOrderInputErrors | undefined {\n  const errors: LabOrderInputErrors = {};\n\n  if (!args.patient) {\n    errors.patient = { message: 'Patient is required' };\n  }\n\n  if (!args.requester) {\n    errors.requester = { message: 'Requesting Practitioner is required' };\n  }\n\n  if (!args.performingLab) {\n    errors.performingLab = { message: 'Performing Lab is required' };\n  }\n\n  if (!args.selectedTests || args.selectedTests.length === 0) {\n    errors.selectedTests = { message: 'At least one test must be selected' };\n  } else {\n    for (const test of args.selectedTests) {\n      const meta = args.testMetadata?.[test.code];\n\n      // priority\n      if (meta?.priority && !isPriority(meta.priority)) {\n        errors.testMetadata ??= {};\n        errors.testMetadata[test.code] ??= {};\n        errors.testMetadata[test.code].priority = {\n          message: `Priority for ${formatCoding(test, true)} must be one of ${PRIORITY_VALUES.join(', ')}`,\n        };\n      }\n\n      // AOE responses\n      const q = meta?.aoeQuestionnaire;\n      if (q) {\n        const missing = getMissingRequiredQuestionnaireItems(\n          q,\n          meta.aoeResponses,\n          Boolean(args.specimenCollectedDateTime)\n        );\n        if (missing.length > 0) {\n          errors.testMetadata ??= {};\n          errors.testMetadata[test.code] ??= {};\n          errors.testMetadata[test.code].aoeResponses = {\n            message: `Missing required AOE responses for ${formatCoding(test, true)}: ${missing.join(', ')}`,\n          };\n        }\n      }\n    }\n  }\n\n  if (!isBillTo(args.billingInformation?.billTo)) {\n    errors.billingInformation ??= {};\n    if (!args.billingInformation?.billTo) {\n      errors.billingInformation.billTo = { message: 'Bill to is required' };\n    } else {\n      errors.billingInformation.billTo = { message: `Bill to must be one of: ${BillToOptions.join(', ')}` };\n    }\n  } else if (args.billingInformation.billTo === 'insurance') {\n    const coverageCount = args.billingInformation.patientCoverage?.length ?? 0;\n    if (coverageCount < 1 || coverageCount > 3) {\n      errors.billingInformation ??= {};\n      errors.billingInformation.patientCoverage = {\n        message: 'BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance',\n      };\n    }\n  }\n\n  if (Object.keys(errors).length > 0) {\n    return errors;\n  }\n  return undefined;\n}\n\nexport class LabOrderValidationError extends Error {\n  constructor(readonly errors: LabOrderInputErrors) {\n    super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n  }\n}\n\ntype PopulatedBundleEntry = NonNullable<Bundle['entry']> &\n  {\n    fullUrl: string;\n    resource: Resource;\n    request: { method: 'POST'; url: ResourceType };\n  }[];\n\n/**\n * Prepares a Bundle containing the resources necessary to create a `ServiceRequest` representing\n * a Health Gorilla lab order.\n * @param inputs - An object containing the required fields for creating a lab order bundle\n * @returns A transaction `Bundle` containing the resources necessary to create\n * a `ServiceRequest` representing the Health Gorilla lab order.\n */\nexport function createLabOrderBundle(inputs: PartialLabOrderInputs): Bundle {\n  assertLabOrderInputs(inputs);\n\n  inputs satisfies LabOrderInputs;\n\n  const {\n    patient,\n    requester,\n    requestingLocation,\n    performingLab,\n    performingLabAccountNumber,\n    selectedTests,\n    testMetadata,\n    diagnoses,\n    specimenCollectedDateTime,\n    billingInformation,\n    orderNotes,\n  } = inputs;\n\n  const bundle: Bundle = {\n    resourceType: 'Bundle',\n    type: 'transaction',\n  };\n\n  const labOrderTempId = tempId();\n  const labOrderExtension: Extension[] = [];\n  const bundleEntry: PopulatedBundleEntry = [];\n\n  const subjectReference = isReference(patient) ? patient : createReference(patient);\n  const requesterReference = isReference(requester) ? requester : createReference(requester);\n  const performerReference = createReference(performingLab);\n\n  const testEntries: PopulatedBundleEntry = [];\n  for (const test of selectedTests) {\n    const metadata = testMetadata[test.code];\n\n    let qr: QuestionnaireResponse | undefined;\n    if (metadata?.aoeResponses) {\n      qr = deepClone(metadata.aoeResponses);\n      qr.id = tempId();\n      bundleEntry.push({\n        fullUrl: qr.id,\n        resource: qr,\n        request: { method: 'POST', url: 'QuestionnaireResponse' },\n      });\n    }\n\n    const testSR: ServiceRequest = {\n      resourceType: 'ServiceRequest',\n      id: tempId(),\n      status: 'draft',\n      intent: 'order',\n      basedOn: [{ reference: labOrderTempId }],\n      subject: subjectReference,\n      requester: requesterReference,\n      performer: [performerReference],\n      category: [{ coding: [{ system: SNOMED, code: '103693007', display: 'Diagnostic procedure' }] }],\n      code: { coding: [test] },\n      priority: metadata?.priority || 'routine',\n      note: metadata?.notes\n        ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: metadata.notes }]\n        : undefined,\n      supportingInfo: qr ? [{ reference: qr.id }] : undefined,\n    };\n\n    testEntries.push({\n      fullUrl: testSR.id,\n      resource: testSR,\n      request: { method: 'POST', url: 'ServiceRequest' },\n    });\n  }\n\n  let specimen: Specimen | undefined;\n  if (specimenCollectedDateTime) {\n    specimen = {\n      resourceType: 'Specimen',\n      id: tempId(),\n      subject: subjectReference,\n      collection: { collectedDateTime: specimenCollectedDateTime.toISOString() },\n    };\n    bundleEntry.push({\n      fullUrl: specimen.id,\n      resource: specimen,\n      request: { method: 'POST', url: 'Specimen' },\n    });\n  }\n\n  labOrderExtension.push({\n    url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,\n    valueString: billingInformation.billTo,\n  });\n\n  if (performingLabAccountNumber) {\n    labOrderExtension.push({\n      url: MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,\n      valueString: performingLabAccountNumber,\n    });\n  }\n\n  if (requestingLocation) {\n    const requestingLocationRef = isReference(requestingLocation)\n      ? requestingLocation\n      : createReference(requestingLocation);\n\n    labOrderExtension.push({\n      url: HEALTH_GORILLA_AUTHORIZED_BY_EXT,\n      valueReference: requestingLocationRef,\n    });\n  }\n\n  let insurance: Reference<Coverage>[] | undefined;\n  if (billingInformation.billTo === 'insurance') {\n    insurance = (billingInformation.patientCoverage ?? []).map((coverage) => {\n      return createReference(coverage);\n    });\n  }\n\n  const labOrder: LabOrderServiceRequest = {\n    resourceType: 'ServiceRequest',\n    id: labOrderTempId,\n    meta: { profile: [MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE] },\n    extension: labOrderExtension,\n    status: 'draft',\n    intent: 'order',\n    subject: subjectReference,\n    requester: requesterReference,\n    performer: [performerReference],\n    reasonCode: diagnoses,\n    category: [{ coding: [{ system: SNOMED, code: '108252007', display: 'Laboratory procedure' }] }],\n    // individual test codes are included in the ServcieRequest referenced in supporting Info.\n    // TBD what should go in the `code` field of the lab order. Leaving the tests there for now\n    // since code is required.\n    code: { coding: selectedTests },\n    insurance,\n    specimen: specimen ? [{ reference: specimen.id }] : undefined,\n    note: orderNotes\n      ? [{ authorReference: requesterReference, time: new Date().toISOString(), text: orderNotes }]\n      : undefined,\n  };\n\n  bundleEntry.push({\n    fullUrl: labOrder.id,\n    resource: labOrder,\n    request: { method: 'POST', url: 'ServiceRequest' },\n  });\n\n  bundleEntry.push(...testEntries);\n\n  // Remove resource.id to avoid breaking the transaction processing of the urn:uuid:<uuid> temp IDs.\n  for (const entry of bundleEntry) {\n    if (entry.resource) {\n      delete entry.resource.id;\n    }\n  }\n\n  bundle.entry = bundleEntry;\n\n  return bundle;\n}\n", "import { isReference } from '@medplum/core';\nimport {\n  CodeableConcept,\n  Coding,\n  Coverage,\n  ExtractResource,\n  OperationOutcome,\n  Organization,\n  Questionnaire,\n  QuestionnaireResponse,\n  Reference,\n  ResourceType,\n  ServiceRequest,\n} from '@medplum/fhirtypes';\n\nexport type LabOrderServiceRequest = ServiceRequest & {\n  performer: [Reference<LabOrganization>];\n  code: CodeableConcept;\n};\n\nexport interface LabOrderTestMetadata {\n  /** (optional) This attribute allows to set priority for the given test within the order. Defaults to 'routine' */\n  priority?: 'routine' | 'urgent' | 'asap' | 'stat';\n  /** (optional) Any notes and comments related to the given test. */\n  notes?: string;\n  /** The AOE `Questionnaire`, if any, containing Ask at Order Entry (AOE) questions for the test.  */\n  readonly aoeQuestionnaire?: Questionnaire;\n  /**\n   * The `QuestionnaireResponse` resource containing answers related to the given diagnostic procedure.\n   * If AOE is required for the specified configuration (performer, test, specimen), but missed in the\n   * request, then the whole order will be rejected. Only answered AOEs should be included into request.\n   */\n  aoeResponses?: QuestionnaireResponse;\n}\n\nexport const BillToOptions = ['patient', 'insurance', 'customer-account'] as const;\nexport type BillTo = (typeof BillToOptions)[number];\n\nexport function isBillTo(value: unknown): value is BillTo {\n  if (value === 'patient' || value === 'insurance' || value === 'customer-account') {\n    value satisfies BillTo;\n    return true;\n  }\n  return false;\n}\n\nexport type LabOrganization = Organization & { id: string };\n\nexport type TestCoding = Coding & { code: string };\n\nexport type DiagnosisCodeableConcept = CodeableConcept & {\n  coding: (Coding & Required<Pick<Coding, 'system' | 'code'>>)[];\n};\n\nexport type BillingInformation = {\n  billTo?: BillTo;\n  patientCoverage?: [] | [Coverage] | [Coverage, Coverage] | [Coverage, Coverage, Coverage];\n};\n\nexport const PRIORITY_VALUES = ['routine', 'urgent', 'asap', 'stat'] as const;\n\nexport function isPriority(value: unknown): value is NonNullable<ServiceRequest['priority']> {\n  return PRIORITY_VALUES.includes(value as any);\n}\n\nexport type HGAutocompleteBotInput =\n  | {\n      type: 'lab';\n      query: string;\n    }\n  | {\n      type: 'test';\n      query: string;\n      labId: string;\n    }\n  | {\n      type: 'aoe';\n      testCode: Coding;\n    };\n\nexport type HGAutocompleteBotResponse =\n  | {\n      outcome: OperationOutcome;\n      type: 'lab';\n      result: Organization[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'test';\n      result: Coding[];\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'aoe';\n      result: Questionnaire | undefined;\n    }\n  | {\n      outcome: OperationOutcome;\n      type: 'error';\n      args: any;\n    };\n\nexport function isReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): value is Reference<ExtractResource<T>> & { reference: string } {\n  return isReference(value) && value.reference.startsWith(resourceType + '/');\n}\n\nexport function assertReferenceOfType<T extends ResourceType>(\n  resourceType: T,\n  value: unknown\n): asserts value is Reference<ExtractResource<T>> {\n  if (!isReferenceOfType(resourceType, value)) {\n    throw new Error(`Expected reference to be of type ${resourceType}`);\n  }\n}\n\nexport type WithId<T> = T & { id: string };\n"],
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 }

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@medplum/health-gorilla-core",
-  "version": "3.2.27",
+  "version": "3.2.28",
   "description": "Medplum Health Gorilla SDK",
   "homepage": "https://www.medplum.com/",
   "bugs": {
@@ -41,16 +41,16 @@
     "test:watch": "vitest watch"
   },
   "devDependencies": {
-    "@medplum/core": "3.2.27",
-    "@medplum/definitions": "3.2.27",
-    "@medplum/fhirtypes": "3.2.27",
-    "@medplum/mock": "3.2.27",
-    "@types/node": "22.10.2",
+    "@medplum/core": "3.2.28",
+    "@medplum/definitions": "3.2.28",
+    "@medplum/fhirtypes": "3.2.28",
+    "@medplum/mock": "3.2.28",
+    "@types/node": "22.10.6",
     "vitest": "2.1.8"
   },
   "peerDependencies": {
-    "@medplum/core": "3.2.27",
-    "@medplum/fhirtypes": "3.2.27"
+    "@medplum/core": "3.2.28",
+    "@medplum/fhirtypes": "3.2.28"
   },
   "engines": {
     "node": ">=18.0.0"