@medplum/health-gorilla-core 4.5.2 → 5.0.0

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Files changed (5) hide show
  1. package/dist/cjs/index.cjs +1 -1
  2. package/dist/cjs/index.cjs.map +1 -1
  3. package/dist/esm/index.mjs +1 -1
  4. package/dist/esm/index.mjs.map +1 -1
  5. package/package.json +10 -10
package/dist/cjs/index.cjs CHANGED
@@ -1,2 +1,2 @@
1
- "use strict";var __defProp=Object.defineProperty;var __getOwnPropDesc=Object.getOwnPropertyDescriptor;var __getOwnPropNames=Object.getOwnPropertyNames;var __hasOwnProp=Object.prototype.hasOwnProperty;var __export=(target,all)=>{for(var name in all)__defProp(target,name,{get:all[name],enumerable:!0})},__copyProps=(to,from,except,desc)=>{if(from&&typeof from=="object"||typeof from=="function")for(let key of __getOwnPropNames(from))!__hasOwnProp.call(to,key)&&key!==except&&__defProp(to,key,{get:()=>from[key],enumerable:!(desc=__getOwnPropDesc(from,key))||desc.enumerable});return to};var __toCommonJS=mod=>__copyProps(__defProp({},"__esModule",{value:!0}),mod);var index_exports={};__export(index_exports,{BillToOptions:()=>BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT:()=>HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT:()=>HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM:()=>HEALTH_GORILLA_SYSTEM,LabOrderValidationError:()=>LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE:()=>MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM:()=>NPI_SYSTEM,PRIORITY_VALUES:()=>PRIORITY_VALUES,assertLabOrderInputs:()=>assertLabOrderInputs,assertReferenceOfType:()=>assertReferenceOfType,createLabOrderBundle:()=>createLabOrderBundle,getMissingRequiredQuestionnaireItems:()=>getMissingRequiredQuestionnaireItems,isBillTo:()=>isBillTo,isPriority:()=>isPriority,isReferenceOfType:()=>isReferenceOfType,isValidLabOrderInputs:()=>isValidLabOrderInputs,normalizeAoeQuestionnaire:()=>normalizeAoeQuestionnaire,questionnaireItemIterator:()=>questionnaireItemIterator,validateLabOrderInputs:()=>validateLabOrderInputs});module.exports=__toCommonJS(index_exports);var import_core=require("@medplum/core");function normalizeAoeQuestionnaire(aoe){if(aoe.item)for(let item of aoe.item)item.linkId=item.linkId??item.id,item.initial=item.answerOption?void 0:item.initial;return aoe}function getMissingRequiredQuestionnaireItems(q,qr,includeRequiredWhenSpecimenCollected){let missing=[],answersByLinkId=qr&&(0,import_core.getAllQuestionnaireAnswers)(qr);for(let item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item))if(item.required||includeRequiredWhenSpecimenCollected&&(0,import_core.getExtensionValue)(item,"https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen")===!0){let answers=answersByLinkId?.[item.linkId];if(answers&&answers.length>0){let hasValue=!1;for(let answer of answers)if((0,import_core.arrayify)((0,import_core.getTypedPropertyValue)({type:"QuestionnaireResponseItemAnswer",value:answer},"value[x]"))?.some(v=>v.value)){hasValue=!0;continue}if(hasValue)continue}missing.push(item.linkId)}return missing}function*questionnaireItemIterator(item){if(item)for(let i of item)yield i,i.item&&(yield*questionnaireItemIterator(i.item))}var import_core2=require("@medplum/core"),MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO="billTo",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN="performingLabAccountNumber",HEALTH_GORILLA_SYSTEM="https://www.healthgorilla.com",HEALTH_GORILLA_ENVIRONMENT=HEALTH_GORILLA_SYSTEM+"/environment",HEALTH_GORILLA_AUTHORIZED_BY_EXT=HEALTH_GORILLA_SYSTEM+"/fhir/StructureDefinition/requestgroup-authorizedBy",NPI_SYSTEM=import_core2.HTTP_HL7_ORG+"/fhir/sid/us-npi";var import_core4=require("@medplum/core");var import_core3=require("@medplum/core"),BillToOptions=["patient","insurance","customer-account","self"];function isBillTo(value){return value==="patient"||value==="insurance"||value==="customer-account"||value==="self"}var PRIORITY_VALUES=["routine","urgent","asap","stat"];function isPriority(value){return PRIORITY_VALUES.includes(value)}function isReferenceOfType(resourceType,value){return(0,import_core3.isReference)(value)&&value.reference.startsWith(resourceType+"/")}function assertReferenceOfType(resourceType,value){if(!isReferenceOfType(resourceType,value))throw new Error(`Expected reference to be of type ${resourceType}`)}function tempId(){return"urn:uuid:"+(0,import_core4.generateId)()}function assertLabOrderInputs(args){let errors=validateLabOrderInputs(args);if(errors)throw new LabOrderValidationError(errors)}function isValidLabOrderInputs(args){return!validateLabOrderInputs(args)}function validateLabOrderInputs(args){let errors={};if(args.patient||(errors.patient={message:"Patient is required"}),args.requester||(errors.requester={message:"Requesting Practitioner is required"}),args.performingLab||(errors.performingLab={message:"Performing Lab is required"}),!args.selectedTests||args.selectedTests.length===0)errors.selectedTests={message:"At least one test must be selected"};else for(let test of args.selectedTests){let meta=args.testMetadata?.[test.code];meta?.priority&&!isPriority(meta.priority)&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].priority={message:`Priority for ${(0,import_core4.formatCoding)(test,!0)} must be one of ${PRIORITY_VALUES.join(", ")}`});let q=meta?.aoeQuestionnaire;if(q){let missing=getMissingRequiredQuestionnaireItems(q,meta.aoeResponses,!!args.specimenCollectedDateTime);missing.length>0&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].aoeResponses={message:`Missing required AOE responses for ${(0,import_core4.formatCoding)(test,!0)}: ${missing.join(", ")}`})}}if(!isBillTo(args.billingInformation?.billTo))errors.billingInformation??={},args.billingInformation?.billTo?errors.billingInformation.billTo={message:`Bill to must be one of: ${BillToOptions.join(", ")}`}:errors.billingInformation.billTo={message:"Bill to is required"};else if(args.billingInformation.billTo==="insurance"){let coverageCount=args.billingInformation.patientCoverage?.length??0;(coverageCount<1||coverageCount>3)&&(errors.billingInformation??={},errors.billingInformation.patientCoverage={message:"BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance"})}if(Object.keys(errors).length>0)return errors}var LabOrderValidationError=class extends Error{constructor(errors){super(`Invalid lab order inputs: ${JSON.stringify(errors)}`),this.errors=errors}};function createLabOrderBundle(inputs){assertLabOrderInputs(inputs);let{patient,requester,requestingLocation,performingLab,performingLabAccountNumber,selectedTests,testMetadata,diagnoses,specimenCollectedDateTime,billingInformation,orderNotes}=inputs,bundle={resourceType:"Bundle",type:"transaction"},labOrderTempId=tempId(),labOrderExtension=[],bundleEntry=[],subjectReference=(0,import_core4.isReference)(patient)?patient:(0,import_core4.createReference)(patient),requesterReference=(0,import_core4.isReference)(requester)?requester:(0,import_core4.createReference)(requester),performerReference=(0,import_core4.createReference)(performingLab),testEntries=[];for(let test of selectedTests){let metadata=testMetadata[test.code],qr;metadata?.aoeResponses&&(qr=(0,import_core4.deepClone)(metadata.aoeResponses),qr.id=tempId(),bundleEntry.push({fullUrl:qr.id,resource:qr,request:{method:"POST",url:"QuestionnaireResponse"}}));let testSR={resourceType:"ServiceRequest",id:tempId(),status:"draft",intent:"order",basedOn:[{reference:labOrderTempId}],subject:subjectReference,requester:requesterReference,performer:[performerReference],category:[{coding:[{system:import_core4.SNOMED,code:"103693007",display:"Diagnostic procedure"}]}],code:{coding:[test]},priority:metadata?.priority??"routine",note:metadata?.notes?[{authorReference:requesterReference,time:new Date().toISOString(),text:metadata.notes}]:void 0,supportingInfo:qr?[{reference:qr.id}]:void 0};testEntries.push({fullUrl:testSR.id,resource:testSR,request:{method:"POST",url:"ServiceRequest"}})}let specimen;if(specimenCollectedDateTime&&(specimen={resourceType:"Specimen",id:tempId(),subject:subjectReference,collection:{collectedDateTime:specimenCollectedDateTime.toISOString()}},bundleEntry.push({fullUrl:specimen.id,resource:specimen,request:{method:"POST",url:"Specimen"}})),labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,valueString:billingInformation.billTo}),performingLabAccountNumber&&labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,valueString:performingLabAccountNumber}),requestingLocation){let requestingLocationRef=(0,import_core4.isReference)(requestingLocation)?requestingLocation:(0,import_core4.createReference)(requestingLocation);labOrderExtension.push({url:HEALTH_GORILLA_AUTHORIZED_BY_EXT,valueReference:requestingLocationRef})}let insurance;billingInformation.billTo==="insurance"&&(insurance=(billingInformation.patientCoverage??[]).map(coverage=>(0,import_core4.createReference)(coverage)));let labOrder={resourceType:"ServiceRequest",id:labOrderTempId,meta:{profile:[MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE]},extension:labOrderExtension,status:"draft",intent:"order",subject:subjectReference,requester:requesterReference,performer:[performerReference],reasonCode:diagnoses,category:[{coding:[{system:import_core4.SNOMED,code:"108252007",display:"Laboratory procedure"}]}],code:{coding:selectedTests},insurance,specimen:specimen?[{reference:specimen.id}]:void 0,note:orderNotes?[{authorReference:requesterReference,time:new Date().toISOString(),text:orderNotes}]:void 0};bundleEntry.push({fullUrl:labOrder.id,resource:labOrder,request:{method:"POST",url:"ServiceRequest"}}),bundleEntry.push(...testEntries);for(let entry of bundleEntry)entry.resource&&delete entry.resource.id;return bundle.entry=bundleEntry,bundle}0&&(module.exports={BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM,LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM,PRIORITY_VALUES,assertLabOrderInputs,assertReferenceOfType,createLabOrderBundle,getMissingRequiredQuestionnaireItems,isBillTo,isPriority,isReferenceOfType,isValidLabOrderInputs,normalizeAoeQuestionnaire,questionnaireItemIterator,validateLabOrderInputs});
1
+ "use strict";var __defProp=Object.defineProperty;var __getOwnPropDesc=Object.getOwnPropertyDescriptor;var __getOwnPropNames=Object.getOwnPropertyNames;var __hasOwnProp=Object.prototype.hasOwnProperty;var __defNormalProp=(obj,key,value)=>key in obj?__defProp(obj,key,{enumerable:!0,configurable:!0,writable:!0,value}):obj[key]=value;var __export=(target,all)=>{for(var name in all)__defProp(target,name,{get:all[name],enumerable:!0})},__copyProps=(to,from,except,desc)=>{if(from&&typeof from=="object"||typeof from=="function")for(let key of __getOwnPropNames(from))!__hasOwnProp.call(to,key)&&key!==except&&__defProp(to,key,{get:()=>from[key],enumerable:!(desc=__getOwnPropDesc(from,key))||desc.enumerable});return to};var __toCommonJS=mod=>__copyProps(__defProp({},"__esModule",{value:!0}),mod);var __publicField=(obj,key,value)=>__defNormalProp(obj,typeof key!="symbol"?key+"":key,value);var index_exports={};__export(index_exports,{BillToOptions:()=>BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT:()=>HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT:()=>HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM:()=>HEALTH_GORILLA_SYSTEM,LabOrderValidationError:()=>LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE:()=>MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE:()=>MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM:()=>NPI_SYSTEM,PRIORITY_VALUES:()=>PRIORITY_VALUES,assertLabOrderInputs:()=>assertLabOrderInputs,assertReferenceOfType:()=>assertReferenceOfType,createLabOrderBundle:()=>createLabOrderBundle,getMissingRequiredQuestionnaireItems:()=>getMissingRequiredQuestionnaireItems,isBillTo:()=>isBillTo,isPriority:()=>isPriority,isReferenceOfType:()=>isReferenceOfType,isValidLabOrderInputs:()=>isValidLabOrderInputs,normalizeAoeQuestionnaire:()=>normalizeAoeQuestionnaire,questionnaireItemIterator:()=>questionnaireItemIterator,validateLabOrderInputs:()=>validateLabOrderInputs});module.exports=__toCommonJS(index_exports);var import_core=require("@medplum/core");function normalizeAoeQuestionnaire(aoe){if(aoe.item)for(let item of aoe.item)item.linkId=item.linkId??item.id,item.initial=item.answerOption?void 0:item.initial;return aoe}function getMissingRequiredQuestionnaireItems(q,qr,includeRequiredWhenSpecimenCollected){let missing=[],answersByLinkId=qr&&(0,import_core.getAllQuestionnaireAnswers)(qr);for(let item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item))if(item.required||includeRequiredWhenSpecimenCollected&&(0,import_core.getExtensionValue)(item,"https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen")===!0){let answers=answersByLinkId?.[item.linkId];if(answers&&answers.length>0){let hasValue=!1;for(let answer of answers)if((0,import_core.arrayify)((0,import_core.getTypedPropertyValue)({type:"QuestionnaireResponseItemAnswer",value:answer},"value[x]"))?.some(v=>v.value)){hasValue=!0;continue}if(hasValue)continue}missing.push(item.linkId)}return missing}function*questionnaireItemIterator(item){if(item)for(let i of item)yield i,i.item&&(yield*questionnaireItemIterator(i.item))}var import_core2=require("@medplum/core"),MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO="billTo",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN="performingLabAccountNumber",HEALTH_GORILLA_SYSTEM="https://www.healthgorilla.com",HEALTH_GORILLA_ENVIRONMENT=HEALTH_GORILLA_SYSTEM+"/environment",HEALTH_GORILLA_AUTHORIZED_BY_EXT=HEALTH_GORILLA_SYSTEM+"/fhir/StructureDefinition/requestgroup-authorizedBy",NPI_SYSTEM=import_core2.HTTP_HL7_ORG+"/fhir/sid/us-npi";var import_core4=require("@medplum/core");var import_core3=require("@medplum/core"),BillToOptions=["patient","insurance","customer-account","self"];function isBillTo(value){return value==="patient"||value==="insurance"||value==="customer-account"||value==="self"}var PRIORITY_VALUES=["routine","urgent","asap","stat"];function isPriority(value){return PRIORITY_VALUES.includes(value)}function isReferenceOfType(resourceType,value){return(0,import_core3.isReference)(value)&&value.reference.startsWith(resourceType+"/")}function assertReferenceOfType(resourceType,value){if(!isReferenceOfType(resourceType,value))throw new Error(`Expected reference to be of type ${resourceType}`)}function tempId(){return"urn:uuid:"+(0,import_core4.generateId)()}function assertLabOrderInputs(args){let errors=validateLabOrderInputs(args);if(errors)throw new LabOrderValidationError(errors)}function isValidLabOrderInputs(args){return!validateLabOrderInputs(args)}function validateLabOrderInputs(args){let errors={};if(args.patient||(errors.patient={message:"Patient is required"}),args.requester||(errors.requester={message:"Requesting Practitioner is required"}),args.performingLab||(errors.performingLab={message:"Performing Lab is required"}),!args.selectedTests||args.selectedTests.length===0)errors.selectedTests={message:"At least one test must be selected"};else for(let test of args.selectedTests){let meta=args.testMetadata?.[test.code];meta?.priority&&!isPriority(meta.priority)&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].priority={message:`Priority for ${(0,import_core4.formatCoding)(test,!0)} must be one of ${PRIORITY_VALUES.join(", ")}`});let q=meta?.aoeQuestionnaire;if(q){let missing=getMissingRequiredQuestionnaireItems(q,meta.aoeResponses,!!args.specimenCollectedDateTime);missing.length>0&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].aoeResponses={message:`Missing required AOE responses for ${(0,import_core4.formatCoding)(test,!0)}: ${missing.join(", ")}`})}}if(!isBillTo(args.billingInformation?.billTo))errors.billingInformation??={},args.billingInformation?.billTo?errors.billingInformation.billTo={message:`Bill to must be one of: ${BillToOptions.join(", ")}`}:errors.billingInformation.billTo={message:"Bill to is required"};else if(args.billingInformation.billTo==="insurance"){let coverageCount=args.billingInformation.patientCoverage?.length??0;(coverageCount<1||coverageCount>3)&&(errors.billingInformation??={},errors.billingInformation.patientCoverage={message:"BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance"})}if(Object.keys(errors).length>0)return errors}var LabOrderValidationError=class extends Error{constructor(errors){super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);__publicField(this,"errors");this.errors=errors}};function createLabOrderBundle(inputs){assertLabOrderInputs(inputs);let{patient,requester,requestingLocation,performingLab,performingLabAccountNumber,selectedTests,testMetadata,diagnoses,specimenCollectedDateTime,billingInformation,orderNotes}=inputs,bundle={resourceType:"Bundle",type:"transaction"},labOrderTempId=tempId(),labOrderExtension=[],bundleEntry=[],subjectReference=(0,import_core4.isReference)(patient)?patient:(0,import_core4.createReference)(patient),requesterReference=(0,import_core4.isReference)(requester)?requester:(0,import_core4.createReference)(requester),performerReference=(0,import_core4.createReference)(performingLab),testEntries=[];for(let test of selectedTests){let metadata=testMetadata[test.code],qr;metadata?.aoeResponses&&(qr=(0,import_core4.deepClone)(metadata.aoeResponses),qr.id=tempId(),bundleEntry.push({fullUrl:qr.id,resource:qr,request:{method:"POST",url:"QuestionnaireResponse"}}));let testSR={resourceType:"ServiceRequest",id:tempId(),status:"draft",intent:"order",basedOn:[{reference:labOrderTempId}],subject:subjectReference,requester:requesterReference,performer:[performerReference],category:[{coding:[{system:import_core4.SNOMED,code:"103693007",display:"Diagnostic procedure"}]}],code:{coding:[test]},priority:metadata?.priority??"routine",note:metadata?.notes?[{authorReference:requesterReference,time:new Date().toISOString(),text:metadata.notes}]:void 0,supportingInfo:qr?[{reference:qr.id}]:void 0};testEntries.push({fullUrl:testSR.id,resource:testSR,request:{method:"POST",url:"ServiceRequest"}})}let specimen;if(specimenCollectedDateTime&&(specimen={resourceType:"Specimen",id:tempId(),subject:subjectReference,collection:{collectedDateTime:specimenCollectedDateTime.toISOString()}},bundleEntry.push({fullUrl:specimen.id,resource:specimen,request:{method:"POST",url:"Specimen"}})),labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,valueString:billingInformation.billTo}),performingLabAccountNumber&&labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,valueString:performingLabAccountNumber}),requestingLocation){let requestingLocationRef=(0,import_core4.isReference)(requestingLocation)?requestingLocation:(0,import_core4.createReference)(requestingLocation);labOrderExtension.push({url:HEALTH_GORILLA_AUTHORIZED_BY_EXT,valueReference:requestingLocationRef})}let insurance;billingInformation.billTo==="insurance"&&(insurance=(billingInformation.patientCoverage??[]).map(coverage=>(0,import_core4.createReference)(coverage)));let labOrder={resourceType:"ServiceRequest",id:labOrderTempId,meta:{profile:[MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE]},extension:labOrderExtension,status:"draft",intent:"order",subject:subjectReference,requester:requesterReference,performer:[performerReference],reasonCode:diagnoses,category:[{coding:[{system:import_core4.SNOMED,code:"108252007",display:"Laboratory procedure"}]}],code:{coding:selectedTests},insurance,specimen:specimen?[{reference:specimen.id}]:void 0,note:orderNotes?[{authorReference:requesterReference,time:new Date().toISOString(),text:orderNotes}]:void 0};bundleEntry.push({fullUrl:labOrder.id,resource:labOrder,request:{method:"POST",url:"ServiceRequest"}}),bundleEntry.push(...testEntries);for(let entry of bundleEntry)entry.resource&&delete entry.resource.id;return bundle.entry=bundleEntry,bundle}0&&(module.exports={BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM,LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM,PRIORITY_VALUES,assertLabOrderInputs,assertReferenceOfType,createLabOrderBundle,getMissingRequiredQuestionnaireItems,isBillTo,isPriority,isReferenceOfType,isValidLabOrderInputs,normalizeAoeQuestionnaire,questionnaireItemIterator,validateLabOrderInputs});
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  //# sourceMappingURL=index.cjs.map
package/dist/cjs/index.cjs.map CHANGED
@@ -2,6 +2,6 @@
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  "version": 3,
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  "sources": ["../../src/index.ts", "../../src/aoe.ts", "../../src/constants.ts", "../../src/lab-order.ts", "../../src/types.ts"],
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  "sourcesContent": ["// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nexport * from './aoe';\nexport * from './constants';\nexport * from './lab-order';\nexport * from './types';\n", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport type {\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 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 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport type {\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 type {\n BillingInformation,\n DiagnosisCodeableConcept,\n LabOrderServiceRequest,\n LabOrderTestMetadata,\n LabOrganization,\n TestCoding,\n} from './types';\nimport { BillToOptions, isBillTo, isPriority, PRIORITY_VALUES } 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 readonly errors: LabOrderInputErrors;\n\n constructor(errors: LabOrderInputErrors) {\n super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n this.errors = 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { isReference } from '@medplum/core';\nimport type {\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', 'self'] 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' || value === 'self') {\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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  "names": ["import_core", "import_core", "import_core"]
7
7
  }
package/dist/esm/index.mjs CHANGED
@@ -1,2 +1,2 @@
1
- import{arrayify,getAllQuestionnaireAnswers,getExtensionValue,getTypedPropertyValue}from"@medplum/core";function normalizeAoeQuestionnaire(aoe){if(aoe.item)for(let item of aoe.item)item.linkId=item.linkId??item.id,item.initial=item.answerOption?void 0:item.initial;return aoe}function getMissingRequiredQuestionnaireItems(q,qr,includeRequiredWhenSpecimenCollected){let missing=[],answersByLinkId=qr&&getAllQuestionnaireAnswers(qr);for(let item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item))if(item.required||includeRequiredWhenSpecimenCollected&&getExtensionValue(item,"https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen")===!0){let answers=answersByLinkId?.[item.linkId];if(answers&&answers.length>0){let hasValue=!1;for(let answer of answers)if(arrayify(getTypedPropertyValue({type:"QuestionnaireResponseItemAnswer",value:answer},"value[x]"))?.some(v=>v.value)){hasValue=!0;continue}if(hasValue)continue}missing.push(item.linkId)}return missing}function*questionnaireItemIterator(item){if(item)for(let i of item)yield i,i.item&&(yield*questionnaireItemIterator(i.item))}import{HTTP_HL7_ORG}from"@medplum/core";var MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO="billTo",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN="performingLabAccountNumber",HEALTH_GORILLA_SYSTEM="https://www.healthgorilla.com",HEALTH_GORILLA_ENVIRONMENT=HEALTH_GORILLA_SYSTEM+"/environment",HEALTH_GORILLA_AUTHORIZED_BY_EXT=HEALTH_GORILLA_SYSTEM+"/fhir/StructureDefinition/requestgroup-authorizedBy",NPI_SYSTEM=HTTP_HL7_ORG+"/fhir/sid/us-npi";import{createReference,deepClone,formatCoding,generateId,isReference as isReference2,SNOMED}from"@medplum/core";import{isReference}from"@medplum/core";var BillToOptions=["patient","insurance","customer-account","self"];function isBillTo(value){return value==="patient"||value==="insurance"||value==="customer-account"||value==="self"}var PRIORITY_VALUES=["routine","urgent","asap","stat"];function isPriority(value){return PRIORITY_VALUES.includes(value)}function isReferenceOfType(resourceType,value){return isReference(value)&&value.reference.startsWith(resourceType+"/")}function assertReferenceOfType(resourceType,value){if(!isReferenceOfType(resourceType,value))throw new Error(`Expected reference to be of type ${resourceType}`)}function tempId(){return"urn:uuid:"+generateId()}function assertLabOrderInputs(args){let errors=validateLabOrderInputs(args);if(errors)throw new LabOrderValidationError(errors)}function isValidLabOrderInputs(args){return!validateLabOrderInputs(args)}function validateLabOrderInputs(args){let errors={};if(args.patient||(errors.patient={message:"Patient is required"}),args.requester||(errors.requester={message:"Requesting Practitioner is required"}),args.performingLab||(errors.performingLab={message:"Performing Lab is required"}),!args.selectedTests||args.selectedTests.length===0)errors.selectedTests={message:"At least one test must be selected"};else for(let test of args.selectedTests){let meta=args.testMetadata?.[test.code];meta?.priority&&!isPriority(meta.priority)&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].priority={message:`Priority for ${formatCoding(test,!0)} must be one of ${PRIORITY_VALUES.join(", ")}`});let q=meta?.aoeQuestionnaire;if(q){let missing=getMissingRequiredQuestionnaireItems(q,meta.aoeResponses,!!args.specimenCollectedDateTime);missing.length>0&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].aoeResponses={message:`Missing required AOE responses for ${formatCoding(test,!0)}: ${missing.join(", ")}`})}}if(!isBillTo(args.billingInformation?.billTo))errors.billingInformation??={},args.billingInformation?.billTo?errors.billingInformation.billTo={message:`Bill to must be one of: ${BillToOptions.join(", ")}`}:errors.billingInformation.billTo={message:"Bill to is required"};else if(args.billingInformation.billTo==="insurance"){let coverageCount=args.billingInformation.patientCoverage?.length??0;(coverageCount<1||coverageCount>3)&&(errors.billingInformation??={},errors.billingInformation.patientCoverage={message:"BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance"})}if(Object.keys(errors).length>0)return errors}var LabOrderValidationError=class extends Error{constructor(errors){super(`Invalid lab order inputs: ${JSON.stringify(errors)}`),this.errors=errors}};function createLabOrderBundle(inputs){assertLabOrderInputs(inputs);let{patient,requester,requestingLocation,performingLab,performingLabAccountNumber,selectedTests,testMetadata,diagnoses,specimenCollectedDateTime,billingInformation,orderNotes}=inputs,bundle={resourceType:"Bundle",type:"transaction"},labOrderTempId=tempId(),labOrderExtension=[],bundleEntry=[],subjectReference=isReference2(patient)?patient:createReference(patient),requesterReference=isReference2(requester)?requester:createReference(requester),performerReference=createReference(performingLab),testEntries=[];for(let test of selectedTests){let metadata=testMetadata[test.code],qr;metadata?.aoeResponses&&(qr=deepClone(metadata.aoeResponses),qr.id=tempId(),bundleEntry.push({fullUrl:qr.id,resource:qr,request:{method:"POST",url:"QuestionnaireResponse"}}));let testSR={resourceType:"ServiceRequest",id:tempId(),status:"draft",intent:"order",basedOn:[{reference:labOrderTempId}],subject:subjectReference,requester:requesterReference,performer:[performerReference],category:[{coding:[{system:SNOMED,code:"103693007",display:"Diagnostic procedure"}]}],code:{coding:[test]},priority:metadata?.priority??"routine",note:metadata?.notes?[{authorReference:requesterReference,time:new Date().toISOString(),text:metadata.notes}]:void 0,supportingInfo:qr?[{reference:qr.id}]:void 0};testEntries.push({fullUrl:testSR.id,resource:testSR,request:{method:"POST",url:"ServiceRequest"}})}let specimen;if(specimenCollectedDateTime&&(specimen={resourceType:"Specimen",id:tempId(),subject:subjectReference,collection:{collectedDateTime:specimenCollectedDateTime.toISOString()}},bundleEntry.push({fullUrl:specimen.id,resource:specimen,request:{method:"POST",url:"Specimen"}})),labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,valueString:billingInformation.billTo}),performingLabAccountNumber&&labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,valueString:performingLabAccountNumber}),requestingLocation){let requestingLocationRef=isReference2(requestingLocation)?requestingLocation:createReference(requestingLocation);labOrderExtension.push({url:HEALTH_GORILLA_AUTHORIZED_BY_EXT,valueReference:requestingLocationRef})}let insurance;billingInformation.billTo==="insurance"&&(insurance=(billingInformation.patientCoverage??[]).map(coverage=>createReference(coverage)));let labOrder={resourceType:"ServiceRequest",id:labOrderTempId,meta:{profile:[MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE]},extension:labOrderExtension,status:"draft",intent:"order",subject:subjectReference,requester:requesterReference,performer:[performerReference],reasonCode:diagnoses,category:[{coding:[{system:SNOMED,code:"108252007",display:"Laboratory procedure"}]}],code:{coding:selectedTests},insurance,specimen:specimen?[{reference:specimen.id}]:void 0,note:orderNotes?[{authorReference:requesterReference,time:new Date().toISOString(),text:orderNotes}]:void 0};bundleEntry.push({fullUrl:labOrder.id,resource:labOrder,request:{method:"POST",url:"ServiceRequest"}}),bundleEntry.push(...testEntries);for(let entry of bundleEntry)entry.resource&&delete entry.resource.id;return bundle.entry=bundleEntry,bundle}export{BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM,LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM,PRIORITY_VALUES,assertLabOrderInputs,assertReferenceOfType,createLabOrderBundle,getMissingRequiredQuestionnaireItems,isBillTo,isPriority,isReferenceOfType,isValidLabOrderInputs,normalizeAoeQuestionnaire,questionnaireItemIterator,validateLabOrderInputs};
1
+ var __defProp=Object.defineProperty;var __defNormalProp=(obj,key,value)=>key in obj?__defProp(obj,key,{enumerable:!0,configurable:!0,writable:!0,value}):obj[key]=value;var __publicField=(obj,key,value)=>__defNormalProp(obj,typeof key!="symbol"?key+"":key,value);import{arrayify,getAllQuestionnaireAnswers,getExtensionValue,getTypedPropertyValue}from"@medplum/core";function normalizeAoeQuestionnaire(aoe){if(aoe.item)for(let item of aoe.item)item.linkId=item.linkId??item.id,item.initial=item.answerOption?void 0:item.initial;return aoe}function getMissingRequiredQuestionnaireItems(q,qr,includeRequiredWhenSpecimenCollected){let missing=[],answersByLinkId=qr&&getAllQuestionnaireAnswers(qr);for(let item of questionnaireItemIterator(normalizeAoeQuestionnaire(q).item))if(item.required||includeRequiredWhenSpecimenCollected&&getExtensionValue(item,"https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen")===!0){let answers=answersByLinkId?.[item.linkId];if(answers&&answers.length>0){let hasValue=!1;for(let answer of answers)if(arrayify(getTypedPropertyValue({type:"QuestionnaireResponseItemAnswer",value:answer},"value[x]"))?.some(v=>v.value)){hasValue=!0;continue}if(hasValue)continue}missing.push(item.linkId)}return missing}function*questionnaireItemIterator(item){if(item)for(let i of item)yield i,i.item&&(yield*questionnaireItemIterator(i.item))}import{HTTP_HL7_ORG}from"@medplum/core";var MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaTenant",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE="https://medplum.com/profiles/integrations/health-gorilla/StructureDefinition/MedplumHealthGorillaOrder",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO="billTo",MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN="performingLabAccountNumber",HEALTH_GORILLA_SYSTEM="https://www.healthgorilla.com",HEALTH_GORILLA_ENVIRONMENT=HEALTH_GORILLA_SYSTEM+"/environment",HEALTH_GORILLA_AUTHORIZED_BY_EXT=HEALTH_GORILLA_SYSTEM+"/fhir/StructureDefinition/requestgroup-authorizedBy",NPI_SYSTEM=HTTP_HL7_ORG+"/fhir/sid/us-npi";import{createReference,deepClone,formatCoding,generateId,isReference as isReference2,SNOMED}from"@medplum/core";import{isReference}from"@medplum/core";var BillToOptions=["patient","insurance","customer-account","self"];function isBillTo(value){return value==="patient"||value==="insurance"||value==="customer-account"||value==="self"}var PRIORITY_VALUES=["routine","urgent","asap","stat"];function isPriority(value){return PRIORITY_VALUES.includes(value)}function isReferenceOfType(resourceType,value){return isReference(value)&&value.reference.startsWith(resourceType+"/")}function assertReferenceOfType(resourceType,value){if(!isReferenceOfType(resourceType,value))throw new Error(`Expected reference to be of type ${resourceType}`)}function tempId(){return"urn:uuid:"+generateId()}function assertLabOrderInputs(args){let errors=validateLabOrderInputs(args);if(errors)throw new LabOrderValidationError(errors)}function isValidLabOrderInputs(args){return!validateLabOrderInputs(args)}function validateLabOrderInputs(args){let errors={};if(args.patient||(errors.patient={message:"Patient is required"}),args.requester||(errors.requester={message:"Requesting Practitioner is required"}),args.performingLab||(errors.performingLab={message:"Performing Lab is required"}),!args.selectedTests||args.selectedTests.length===0)errors.selectedTests={message:"At least one test must be selected"};else for(let test of args.selectedTests){let meta=args.testMetadata?.[test.code];meta?.priority&&!isPriority(meta.priority)&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].priority={message:`Priority for ${formatCoding(test,!0)} must be one of ${PRIORITY_VALUES.join(", ")}`});let q=meta?.aoeQuestionnaire;if(q){let missing=getMissingRequiredQuestionnaireItems(q,meta.aoeResponses,!!args.specimenCollectedDateTime);missing.length>0&&(errors.testMetadata??={},errors.testMetadata[test.code]??={},errors.testMetadata[test.code].aoeResponses={message:`Missing required AOE responses for ${formatCoding(test,!0)}: ${missing.join(", ")}`})}}if(!isBillTo(args.billingInformation?.billTo))errors.billingInformation??={},args.billingInformation?.billTo?errors.billingInformation.billTo={message:`Bill to must be one of: ${BillToOptions.join(", ")}`}:errors.billingInformation.billTo={message:"Bill to is required"};else if(args.billingInformation.billTo==="insurance"){let coverageCount=args.billingInformation.patientCoverage?.length??0;(coverageCount<1||coverageCount>3)&&(errors.billingInformation??={},errors.billingInformation.patientCoverage={message:"BillingInformation.patientCoverage must contain 1-3 Coverage resources when billing to insurance"})}if(Object.keys(errors).length>0)return errors}var LabOrderValidationError=class extends Error{constructor(errors){super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);__publicField(this,"errors");this.errors=errors}};function createLabOrderBundle(inputs){assertLabOrderInputs(inputs);let{patient,requester,requestingLocation,performingLab,performingLabAccountNumber,selectedTests,testMetadata,diagnoses,specimenCollectedDateTime,billingInformation,orderNotes}=inputs,bundle={resourceType:"Bundle",type:"transaction"},labOrderTempId=tempId(),labOrderExtension=[],bundleEntry=[],subjectReference=isReference2(patient)?patient:createReference(patient),requesterReference=isReference2(requester)?requester:createReference(requester),performerReference=createReference(performingLab),testEntries=[];for(let test of selectedTests){let metadata=testMetadata[test.code],qr;metadata?.aoeResponses&&(qr=deepClone(metadata.aoeResponses),qr.id=tempId(),bundleEntry.push({fullUrl:qr.id,resource:qr,request:{method:"POST",url:"QuestionnaireResponse"}}));let testSR={resourceType:"ServiceRequest",id:tempId(),status:"draft",intent:"order",basedOn:[{reference:labOrderTempId}],subject:subjectReference,requester:requesterReference,performer:[performerReference],category:[{coding:[{system:SNOMED,code:"103693007",display:"Diagnostic procedure"}]}],code:{coding:[test]},priority:metadata?.priority??"routine",note:metadata?.notes?[{authorReference:requesterReference,time:new Date().toISOString(),text:metadata.notes}]:void 0,supportingInfo:qr?[{reference:qr.id}]:void 0};testEntries.push({fullUrl:testSR.id,resource:testSR,request:{method:"POST",url:"ServiceRequest"}})}let specimen;if(specimenCollectedDateTime&&(specimen={resourceType:"Specimen",id:tempId(),subject:subjectReference,collection:{collectedDateTime:specimenCollectedDateTime.toISOString()}},bundleEntry.push({fullUrl:specimen.id,resource:specimen,request:{method:"POST",url:"Specimen"}})),labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,valueString:billingInformation.billTo}),performingLabAccountNumber&&labOrderExtension.push({url:MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,valueString:performingLabAccountNumber}),requestingLocation){let requestingLocationRef=isReference2(requestingLocation)?requestingLocation:createReference(requestingLocation);labOrderExtension.push({url:HEALTH_GORILLA_AUTHORIZED_BY_EXT,valueReference:requestingLocationRef})}let insurance;billingInformation.billTo==="insurance"&&(insurance=(billingInformation.patientCoverage??[]).map(coverage=>createReference(coverage)));let labOrder={resourceType:"ServiceRequest",id:labOrderTempId,meta:{profile:[MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE]},extension:labOrderExtension,status:"draft",intent:"order",subject:subjectReference,requester:requesterReference,performer:[performerReference],reasonCode:diagnoses,category:[{coding:[{system:SNOMED,code:"108252007",display:"Laboratory procedure"}]}],code:{coding:selectedTests},insurance,specimen:specimen?[{reference:specimen.id}]:void 0,note:orderNotes?[{authorReference:requesterReference,time:new Date().toISOString(),text:orderNotes}]:void 0};bundleEntry.push({fullUrl:labOrder.id,resource:labOrder,request:{method:"POST",url:"ServiceRequest"}}),bundleEntry.push(...testEntries);for(let entry of bundleEntry)entry.resource&&delete entry.resource.id;return bundle.entry=bundleEntry,bundle}export{BillToOptions,HEALTH_GORILLA_AUTHORIZED_BY_EXT,HEALTH_GORILLA_ENVIRONMENT,HEALTH_GORILLA_SYSTEM,LabOrderValidationError,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_BILL_TO,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_EXTENSION_URL_PERFORMING_LAB_AN,MEDPLUM_HEALTH_GORILLA_LAB_ORDER_PROFILE,MEDPLUM_HEALTH_GORILLA_TENANT_PROFILE,NPI_SYSTEM,PRIORITY_VALUES,assertLabOrderInputs,assertReferenceOfType,createLabOrderBundle,getMissingRequiredQuestionnaireItems,isBillTo,isPriority,isReferenceOfType,isValidLabOrderInputs,normalizeAoeQuestionnaire,questionnaireItemIterator,validateLabOrderInputs};
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  //# sourceMappingURL=index.mjs.map
package/dist/esm/index.mjs.map CHANGED
@@ -2,6 +2,6 @@
2
2
  "version": 3,
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3
  "sources": ["../../src/aoe.ts", "../../src/constants.ts", "../../src/lab-order.ts", "../../src/types.ts"],
4
4
  "sourcesContent": ["// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { arrayify, getAllQuestionnaireAnswers, getExtensionValue, getTypedPropertyValue } from '@medplum/core';\nimport type {\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 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 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { createReference, deepClone, formatCoding, generateId, isReference, SNOMED } from '@medplum/core';\nimport type {\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 type {\n BillingInformation,\n DiagnosisCodeableConcept,\n LabOrderServiceRequest,\n LabOrderTestMetadata,\n LabOrganization,\n TestCoding,\n} from './types';\nimport { BillToOptions, isBillTo, isPriority, PRIORITY_VALUES } 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 readonly errors: LabOrderInputErrors;\n\n constructor(errors: LabOrderInputErrors) {\n super(`Invalid lab order inputs: ${JSON.stringify(errors)}`);\n this.errors = 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", "// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors\n// SPDX-License-Identifier: Apache-2.0\nimport { isReference } from '@medplum/core';\nimport type {\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', 'self'] 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' || value === 'self') {\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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6
6
  "names": ["isReference", "isReference"]
7
7
  }
package/package.json CHANGED
@@ -1,6 +1,6 @@
1
1
  {
2
2
  "name": "@medplum/health-gorilla-core",
3
- "version": "4.5.2",
3
+ "version": "5.0.0",
4
4
  "description": "Medplum Health Gorilla SDK",
5
5
  "homepage": "https://www.medplum.com/",
6
6
  "bugs": {
@@ -42,18 +42,18 @@
42
42
  "test:watch": "vitest watch"
43
43
  },
44
44
  "devDependencies": {
45
- "@medplum/core": "4.5.2",
46
- "@medplum/definitions": "4.5.2",
47
- "@medplum/fhirtypes": "4.5.2",
48
- "@medplum/mock": "4.5.2",
49
- "@types/node": "20.19.23",
50
- "vitest": "4.0.3"
45
+ "@medplum/core": "5.0.0",
46
+ "@medplum/definitions": "5.0.0",
47
+ "@medplum/fhirtypes": "5.0.0",
48
+ "@medplum/mock": "5.0.0",
49
+ "@types/node": "22.18.13",
50
+ "vitest": "4.0.6"
51
51
  },
52
52
  "peerDependencies": {
53
- "@medplum/core": "4.5.2",
54
- "@medplum/fhirtypes": "4.5.2"
53
+ "@medplum/core": "5.0.0",
54
+ "@medplum/fhirtypes": "5.0.0"
55
55
  },
56
56
  "engines": {
57
- "node": "^20.19.0 || >=22.12.0"
57
+ "node": "^22.18.0 || >=24.2.0"
58
58
  }
59
59
  }