@metriport/shared 0.32.1 → 0.32.2

package/dist/medical/fhir/imaging-detection.js

@@ -0,0 +1,361 @@
+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.splitDiagnosticReports = exports.isImagingReport = exports.isImagingReportBasedOnDisplayValueParsing = exports.getImagingReportIdsFromProcedures = exports.isImagingCptCode = exports.IMAGING_PROCEDURE_RANGES = void 0;
+const constants_1 = require("./constants");
+const coding_1 = require("./coding");
+const procedure_type_1 = require("./procedure-type");
+/**
+ * Imaging procedure ranges - filtered from PROCEDURE_TYPE_RANGES where modality exists
+ */
+exports.IMAGING_PROCEDURE_RANGES = procedure_type_1.PROCEDURE_TYPE_RANGES.filter((range) => "modality" in range && !!range.modality);
+/**
+ * Check if a CPT code is in the imaging range
+ */
+function isImagingCptCode(cptCode) {
+    const numericCode = parseInt(cptCode, 10);
+    if (isNaN(numericCode))
+        return false;
+    return exports.IMAGING_PROCEDURE_RANGES.some(range => numericCode >= range.start && numericCode <= range.end);
+}
+exports.isImagingCptCode = isImagingCptCode;
+/**
+ * Check if a Procedure is an imaging procedure based on CPT codes
+ */
+function isImagingProcedure(procedure) {
+    if (!procedure.code?.coding)
+        return false;
+    for (const c of procedure.code.coding) {
+        const isImaging = c.system === constants_1.CPT_URL && c.code && isImagingCptCode(c.code);
+        if (isImaging)
+            return true;
+    }
+    return false;
+}
+function isReferenceDiagnosticReport(reference) {
+    if (!reference)
+        return false;
+    return (reference.type === "DiagnosticReport" || !!reference.reference?.startsWith("DiagnosticReport/"));
+}
+/**
+ * Extract ID from a reference
+ */
+function getReferenceId(reference) {
+    return reference.id || reference.reference?.split("/").pop() || "";
+}
+/**
+ * Get set of DiagnosticReport IDs that are linked to imaging Procedures
+ * This is the PRIMARY method for identifying imaging reports
+ */
+function getImagingReportIdsFromProcedures(procedures) {
+    if (procedures.length === 0)
+        return new Set();
+    return new Set(procedures
+        .filter(isImagingProcedure)
+        .flatMap(p => p.report ?? [])
+        .filter(isReferenceDiagnosticReport)
+        .map(getReferenceId)
+        .filter(id => id.length > 0));
+}
+exports.getImagingReportIdsFromProcedures = getImagingReportIdsFromProcedures;
+// LOINC codes for specific imaging types
+const ECHO_LOINC_CODES = [
+    "59282-4",
+    "34552-0",
+    "18010-9",
+    "85475-2",
+    "18106-5", // Cardiac echo study Procedure
+];
+const PFT_LOINC_CODES = [
+    "52485-0",
+    "81459-0",
+    "20080-8",
+    "81458-2", // Pulmonary function test panel
+];
+const CT_LOINC_CODES = [
+    "46305-9",
+    "24725-4",
+    "24627-2",
+    "24727-0",
+    "41806-1",
+    "29252-4",
+    "30799-1", // CT Head WO contrast
+];
+const MRI_LOINC_CODES = [
+    "30657-1",
+    "30794-2",
+    "36046-1",
+    "24589-4",
+    "24557-1",
+    "24587-8",
+    "24556-3", // MR Abdomen
+];
+const XR_LOINC_CODES = [
+    "24722-1",
+    "24799-9",
+    "36643-5",
+    "22030-1",
+    "24664-5",
+    "37616-0", // XR Pelvis Single view
+];
+const US_LOINC_CODES = [
+    "55034-6",
+    "24531-6",
+    "34813-6",
+    "59640-3",
+    "46298-6",
+    "24857-5", // US Thyroid
+];
+/**
+ * Check if a report is an Echocardiogram imaging report
+ */
+function isEchoImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesEchoInName(s) {
+        const lower = s.toLowerCase();
+        return lower.includes("echo") || lower.includes("echocardiogram");
+    }
+    const hasEchoInName = codings.some(coding => coding.display && includesEchoInName(coding.display));
+    const isEchoLoincCode = codings.some(coding => coding.code && ECHO_LOINC_CODES.includes(coding.code));
+    return hasEchoInName || isEchoLoincCode;
+}
+/**
+ * Check if a report is a PFT (Pulmonary Function Test) imaging report
+ */
+function isPFTImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesPftInName(s) {
+        const lower = s.toLowerCase();
+        return lower.includes("pulmonary") || lower.includes("spirometry") || lower.includes("pft");
+    }
+    const hasPftInName = codings.some(coding => coding.display && includesPftInName(coding.display));
+    const isPftLoincCode = codings.some(coding => coding.code && PFT_LOINC_CODES.includes(coding.code));
+    return hasPftInName || isPftLoincCode;
+}
+/**
+ * Check if a report is a CT (Computed Tomography) imaging report
+ */
+function isCTImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesCtInName(s) {
+        return s.toLowerCase().startsWith("ct ") || s.toLowerCase().includes(" ct ");
+    }
+    const hasCtInName = codings.some(coding => coding.display && includesCtInName(coding.display));
+    const isCtLoincCode = codings.some(coding => coding.code && CT_LOINC_CODES.includes(coding.code));
+    return hasCtInName || isCtLoincCode;
+}
+/**
+ * Check if a report is an MRI (Magnetic Resonance Imaging) report
+ */
+function isMRIImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesMriInName(s) {
+        return (s.toLowerCase().startsWith("mr ") ||
+            s.toLowerCase().includes(" mr ") ||
+            s.toLowerCase().includes("mri"));
+    }
+    const hasMriInName = codings.some(coding => coding.display && includesMriInName(coding.display));
+    const isMriLoincCode = codings.some(coding => coding.code && MRI_LOINC_CODES.includes(coding.code));
+    return hasMriInName || isMriLoincCode;
+}
+/**
+ * Check if a report is an XR (X-Ray) imaging report
+ */
+function isXRImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesXrInName(s) {
+        return s.toLowerCase().startsWith("xr ") || s.toLowerCase().includes(" xr ");
+    }
+    const hasXrInName = codings.some(coding => coding.display && includesXrInName(coding.display));
+    const isXrLoincCode = codings.some(coding => coding.code && XR_LOINC_CODES.includes(coding.code));
+    return hasXrInName || isXrLoincCode;
+}
+/**
+ * Check if a report is an Ultrasound imaging report
+ */
+function isUltrasoundImagingReport(report) {
+    const codings = report.code?.coding ?? [];
+    function includesUsInName(s) {
+        return (s.toLowerCase().startsWith("us ") ||
+            s.toLowerCase().includes(" us ") ||
+            s.toLowerCase().startsWith("us-") ||
+            s.toLowerCase().includes("ultrasound"));
+    }
+    const hasUsInName = codings.some(coding => coding.display && includesUsInName(coding.display));
+    const isUsLoincCode = codings.some(coding => coding.code && US_LOINC_CODES.includes(coding.code));
+    return hasUsInName || isUsLoincCode;
+}
+/**
+ * Check if a report is an imaging report based on display value parsing
+ * This is a fallback for when the report is not categorized by a LOINC code
+ */
+function isImagingReportBasedOnDisplayValueParsing(report) {
+    return (isEchoImagingReport(report) ||
+        isPFTImagingReport(report) ||
+        isCTImagingReport(report) ||
+        isMRIImagingReport(report) ||
+        isXRImagingReport(report) ||
+        isUltrasoundImagingReport(report));
+}
+exports.isImagingReportBasedOnDisplayValueParsing = isImagingReportBasedOnDisplayValueParsing;
+/**
+ * Get practitioners referenced by a DiagnosticReport
+ */
+function getReportPractitioners(report, practitionerMap) {
+    const practitioners = [];
+    for (const performer of report.performer ?? []) {
+        if (performer.reference?.startsWith("Practitioner/")) {
+            const id = performer.reference.split("/")[1];
+            const practitioner = id ? practitionerMap.get(id) : undefined;
+            if (practitioner)
+                practitioners.push(practitioner);
+        }
+    }
+    return practitioners;
+}
+/**
+ * Get organizations referenced by a DiagnosticReport
+ */
+function getReportOrganizations(report, organizationMap) {
+    const organizations = [];
+    for (const performer of report.performer ?? []) {
+        if (performer.reference?.startsWith("Organization/")) {
+            const id = performer.reference.split("/")[1];
+            const organization = id ? organizationMap.get(id) : undefined;
+            if (organization)
+                organizations.push(organization);
+        }
+    }
+    return organizations;
+}
+/**
+ * Get practitioners from an Encounter
+ */
+function getEncounterPractitioners(encounter, practitionerMap) {
+    const practitioners = [];
+    for (const participant of encounter.participant ?? []) {
+        if (participant.individual?.reference?.startsWith("Practitioner/")) {
+            const id = participant.individual.reference.split("/")[1];
+            const practitioner = id ? practitionerMap.get(id) : undefined;
+            if (practitioner)
+                practitioners.push(practitioner);
+        }
+    }
+    return practitioners;
+}
+/**
+ * Get organizations from an Encounter
+ */
+function getEncounterOrganizations(encounter, organizationMap) {
+    const organizations = [];
+    if (encounter.serviceProvider?.reference?.startsWith("Organization/")) {
+        const id = encounter.serviceProvider.reference.split("/")[1];
+        const organization = id ? organizationMap.get(id) : undefined;
+        if (organization)
+            organizations.push(organization);
+    }
+    return organizations;
+}
+function buildContextMaps(context) {
+    const practitionerMap = new Map();
+    for (const p of context.practitioners) {
+        if (p.id)
+            practitionerMap.set(p.id, p);
+    }
+    const organizationMap = new Map();
+    for (const o of context.organizations) {
+        if (o.id)
+            organizationMap.set(o.id, o);
+    }
+    const encounterMap = new Map();
+    for (const e of context.encounters) {
+        if (e.id)
+            encounterMap.set(e.id, e);
+    }
+    return { practitionerMap, organizationMap, encounterMap };
+}
+/**
+ * Main function to determine if a DiagnosticReport is an imaging report
+ * This is the primary logic used to split DiagnosticReports into Imaging vs Clinical Notes
+ */
+function isImagingReport(report, imagingReportIds, context, maps) {
+    // 1. Check if report ID is in the set of imaging report IDs (from Procedures)
+    if (report.id && imagingReportIds.has(report.id)) {
+        return true;
+    }
+    // 2. Check LOINC code class - if abbreviation is "RAD" (Radiology)
+    const loincCoding = report.code?.coding?.find(coding_1.isLoincCoding);
+    if (loincCoding && loincCoding.code) {
+        const loincClass = (0, coding_1.getLoincCodeClass)(loincCoding.code);
+        if (loincClass?.abbreviation === "RAD") {
+            return true;
+        }
+    }
+    // 3. Check display value parsing (fallback for uncategorized reports)
+    if (isImagingReportBasedOnDisplayValueParsing(report)) {
+        return true;
+    }
+    const { practitionerMap, organizationMap, encounterMap } = maps ?? buildContextMaps(context);
+    // Get the encounter for the report
+    const encounterId = report.encounter?.reference?.split("/").pop();
+    const encounter = encounterId ? encounterMap.get(encounterId) : undefined;
+    // 4. Check practitioner qualifications
+    const reportPractitioners = getReportPractitioners(report, practitionerMap);
+    const encounterPractitioners = encounter
+        ? getEncounterPractitioners(encounter, practitionerMap)
+        : [];
+    const allPractitioners = [...reportPractitioners, ...encounterPractitioners];
+    for (const practitioner of allPractitioners) {
+        if (practitioner.qualification) {
+            for (const qualification of practitioner.qualification) {
+                if (qualification.code?.text) {
+                    const qualificationText = qualification.code.text.toLowerCase();
+                    if (qualificationText.includes("radiology") || qualificationText.includes("imaging")) {
+                        return true;
+                    }
+                }
+                if (qualification.code?.coding) {
+                    for (const coding of qualification.code.coding) {
+                        const display = coding.display?.toLowerCase();
+                        if (display && (display.includes("radiology") || display.includes("imaging"))) {
+                            return true;
+                        }
+                    }
+                }
+            }
+        }
+    }
+    // 5. Check organization names
+    const reportOrganizations = getReportOrganizations(report, organizationMap);
+    const encounterOrganizations = encounter
+        ? getEncounterOrganizations(encounter, organizationMap)
+        : [];
+    const allOrganizations = [...reportOrganizations, ...encounterOrganizations];
+    for (const organization of allOrganizations) {
+        const name = organization.name?.toLowerCase();
+        if (name && (name.includes("radiology") || name.includes("imaging"))) {
+            return true;
+        }
+    }
+    return false;
+}
+exports.isImagingReport = isImagingReport;
+/**
+ * Split diagnostic reports into imaging reports and clinical notes
+ */
+function splitDiagnosticReports(diagnosticReports, procedures, context) {
+    const imagingReportIds = getImagingReportIdsFromProcedures(procedures);
+    const maps = buildContextMaps(context);
+    const imagingReports = [];
+    const clinicalNotes = [];
+    for (const report of diagnosticReports) {
+        if (isImagingReport(report, imagingReportIds, context, maps)) {
+            imagingReports.push(report);
+        }
+        else {
+            clinicalNotes.push(report);
+        }
+    }
+    return { imagingReports, clinicalNotes };
+}
+exports.splitDiagnosticReports = splitDiagnosticReports;
+//# sourceMappingURL=imaging-detection.js.map

package/dist/medical/fhir/imaging-detection.js.map

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