@metriport/shared 0.33.5 → 0.33.6-alpha.0

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

@@ -1,361 +0,0 @@
-"use strict";
-Object.defineProperty(exports, "__esModule", { value: true });
-exports.IMAGING_PROCEDURE_RANGES = void 0;
-exports.isImagingCptCode = isImagingCptCode;
-exports.getImagingReportIdsFromProcedures = getImagingReportIdsFromProcedures;
-exports.isImagingReportBasedOnDisplayValueParsing = isImagingReportBasedOnDisplayValueParsing;
-exports.isImagingReport = isImagingReport;
-exports.splitDiagnosticReports = splitDiagnosticReports;
-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);
-}
-/**
- * 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));
-}
-// LOINC codes for specific imaging types
-const ECHO_LOINC_CODES = [
-    "59282-4", // Cardiac stress echo study
-    "34552-0", // Cardiac 2D echo panel
-    "18010-9", // Aorta Diameter by US
-    "85475-2", // US Heart Transesophageal
-    "18106-5", // Cardiac echo study Procedure
-];
-const PFT_LOINC_CODES = [
-    "52485-0", // Pulmonary Function Tests
-    "81459-0", // Spirometry panel
-    "20080-8", // Pulmonary function test method
-    "81458-2", // Pulmonary function test panel
-];
-const CT_LOINC_CODES = [
-    "46305-9", // CT Whole body
-    "24725-4", // CT Head
-    "24627-2", // CT Chest
-    "24727-0", // CT Head W contrast IV
-    "41806-1", // CT Abdomen
-    "29252-4", // CT Chest WO contrast
-    "30799-1", // CT Head WO contrast
-];
-const MRI_LOINC_CODES = [
-    "30657-1", // MR Brain WO contrast
-    "30794-2", // MR Breast
-    "36046-1", // MR Liver
-    "24589-4", // MR Brain W contrast IV
-    "24557-1", // MR Abdomen WO and W contrast IV
-    "24587-8", // MR Brain WO and W contrast IV
-    "24556-3", // MR Abdomen
-];
-const XR_LOINC_CODES = [
-    "24722-1", // XR Hand 3 Views
-    "24799-9", // XR Abdomen AP
-    "36643-5", // XR Chest 2 Views
-    "22030-1", // Xray/Scan.total Narrative
-    "24664-5", // XR Clavicle Views
-    "37616-0", // XR Pelvis Single view
-];
-const US_LOINC_CODES = [
-    "55034-6", // US Abdomen
-    "24531-6", // US Retroperitoneum
-    "34813-6", // US Kidney
-    "59640-3", // US Pelvis Transvaginal
-    "46298-6", // US Breast
-    "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));
-}
-/**
- * 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;
-}
-/**
- * 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 };
-}
-//# sourceMappingURL=imaging-detection.js.map

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

@@ -1 +0,0 @@
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