@ovok/core 0.4.16 → 0.4.18

package/dist/client/auth/types/AuthResponse.d.ts

@@ -1,15 +1,13 @@
-import { ProfileResource } from "@medplum/core";
-import { Project, Reference } from "@medplum/fhirtypes";
 export type AuthResponse = {
     accessToken: string;
     refreshToken: string;
     expiresIn: number;
     profile: {
-        reference: Reference<ProfileResource>;
+        reference: string;
         display: string;
     };
     project: {
-        reference: Reference<Project>;
+        reference: string;
         display: string;
     };
 };

package/dist/client/observation/methods/getLatestObservationsByCodes.js

@@ -15,5 +15,7 @@ async function getLatestObservationsByCodes(params) {
         patient: `Patient/${patientId}`,
         ...(params.date ? { date: `ge${params.date}` } : {}),
     });
-    return this.get(`/fhir/Observation/$lastn?${urlParams.toString()}`);
+    return this.get(`/fhir/Observation/$lastn?${urlParams.toString()}`, {
+        cache: "no-cache",
+    });
 }

package/dist/client/observation/methods/observationsToMeasurements.js

@@ -13,6 +13,21 @@ const valueOf = (observation) => {
     const value = (_a = observation.valueQuantity) === null || _a === void 0 ? void 0 : _a.value;
     return typeof value === "number" ? value : undefined;
 };
+const irregularHeartbeatOf = (observations) => {
+    var _a, _b, _c;
+    const rhythm = observations.find((observation) => {
+        var _a, _b;
+        return (_b = (_a = observation.code) === null || _a === void 0 ? void 0 : _a.coding) === null || _b === void 0 ? void 0 : _b.some((coding) => coding.system === types_1.PulseRhythmCoding.system &&
+            coding.code === types_1.PulseRhythmCoding.observation);
+    });
+    const result = (_c = (_b = (_a = rhythm === null || rhythm === void 0 ? void 0 : rhythm.valueCodeableConcept) === null || _a === void 0 ? void 0 : _a.coding) === null || _b === void 0 ? void 0 : _b.find((coding) => coding.system === types_1.PulseRhythmCoding.system)) === null || _c === void 0 ? void 0 : _c.code;
+    if (result === types_1.PulseRhythmCoding.irregular ||
+        result === types_1.PulseRhythmCoding.irregularlyIrregular ||
+        result === types_1.PulseRhythmCoding.regularlyIrregular) {
+        return true;
+    }
+    return result === types_1.PulseRhythmCoding.regular ? false : undefined;
+};
 const recordedAtOf = (observation) => {
     var _a, _b;
     const value = (_a = observation.effectiveDateTime) !== null && _a !== void 0 ? _a : (_b = observation.effectivePeriod) === null || _b === void 0 ? void 0 : _b.start;
@@ -263,6 +278,7 @@ const inverseGroup = (type, observations) => {
                 diastolic: value(types_1.ObservationCode.DIASTOLIC_BLOOD_PRESSURE),
                 meanArterialPressure: value(types_1.ObservationCode.MEAN_BLOOD_PRESSURE),
                 heartRate: value(types_1.ObservationCode.BLOOD_PRESSURE_HEART_RATE),
+                irregularHeartbeat: irregularHeartbeatOf(observations),
             };
         case types_1.MeasurementTypeKey.bloodGlucose:
             return { ...measurement, measurementTypeKey: type, bloodGlucose: value(types_1.ObservationCode.BLOOD_GLUCOSE) };
@@ -395,7 +411,7 @@ const inverseGroup = (type, observations) => {
     }
 };
 const codesForType = {
-    [types_1.MeasurementTypeKey.bloodPressure]: [types_1.ObservationCode.SYSTOLIC_BLOOD_PRESSURE, types_1.ObservationCode.DIASTOLIC_BLOOD_PRESSURE, types_1.ObservationCode.MEAN_BLOOD_PRESSURE, types_1.ObservationCode.BLOOD_PRESSURE_HEART_RATE],
+    [types_1.MeasurementTypeKey.bloodPressure]: [types_1.ObservationCode.SYSTOLIC_BLOOD_PRESSURE, types_1.ObservationCode.DIASTOLIC_BLOOD_PRESSURE, types_1.ObservationCode.MEAN_BLOOD_PRESSURE, types_1.ObservationCode.BLOOD_PRESSURE_HEART_RATE, types_1.PulseRhythmCoding.observation],
     [types_1.MeasurementTypeKey.bloodGlucose]: [types_1.ObservationCode.BLOOD_GLUCOSE],
     [types_1.MeasurementTypeKey.bodyWeight]: [types_1.ObservationCode.BODY_WEIGHT],
     [types_1.MeasurementTypeKey.temperature]: [types_1.ObservationCode.BODY_TEMPERATURE],

package/dist/client/observation/services/blood-pressure.d.ts

@@ -1,13 +1,17 @@
-import { Observation } from "@medplum/fhirtypes";
+import { CodeableConcept, Observation } from "@medplum/fhirtypes";
 import { BloodPressureMeasurement, Measurement, MeasurementTypeKey } from "../../../types";
 import { RecordResult, RecordType } from "../types/generate-measurement/HealthConnectTypes";
 import { Sample } from "../types/generate-measurement/Sample";
+import { ObservationValue } from "../types/generate-observation-body/ObservationValue";
 import { ObservationMetadata } from "../types/service/ObservationMetadata";
 import { BaseObservationService } from "./base-observation-service";
 export declare class BloodPressureService extends BaseObservationService<BloodPressureMeasurement> {
     protected measurementTypeKey: MeasurementTypeKey;
     protected measurementTypeName: string;
     protected observationMetadata: ObservationMetadata<BloodPressureMeasurement>[];
+    getObservationCodes(): CodeableConcept[];
+    generateValues(measurement: Measurement): ObservationValue[];
+    getAdditionalProperties(measurement: Measurement): Partial<Observation>[];
     getMeasurementDisplay(measurement: Measurement): string;
     getObservationDisplay(observations: Observation[]): string | undefined;
     convertSamplesToMeasurement(samples: Sample[]): BloodPressureMeasurement;

package/dist/client/observation/services/blood-pressure.js

@@ -46,6 +46,48 @@ class BloodPressureService extends base_observation_service_1.BaseObservationSer
             },
         ];
     }
+    getObservationCodes() {
+        return [
+            ...super.getObservationCodes(),
+            {
+                coding: [{
+                        code: types_1.PulseRhythmCoding.observation,
+                        display: "Pulse rhythm",
+                        system: types_1.PulseRhythmCoding.system,
+                    }],
+                text: "Pulse rhythm",
+            },
+        ];
+    }
+    generateValues(measurement) {
+        const castedMeasurement = this.getCastedMeasurement(measurement);
+        const rhythmCode = castedMeasurement.irregularHeartbeat === undefined
+            ? undefined
+            : castedMeasurement.irregularHeartbeat
+                ? types_1.PulseRhythmCoding.irregular
+                : types_1.PulseRhythmCoding.regular;
+        return [
+            ...super.generateValues(measurement),
+            rhythmCode
+                ? {
+                    valueCodeableConcept: {
+                        coding: [{
+                                code: rhythmCode,
+                                system: types_1.PulseRhythmCoding.system,
+                            }],
+                    },
+                }
+                : {},
+        ];
+    }
+    getAdditionalProperties(measurement) {
+        var _a;
+        const properties = super.getAdditionalProperties(measurement);
+        return [
+            ...properties,
+            { effectiveDateTime: (_a = properties[0]) === null || _a === void 0 ? void 0 : _a.effectiveDateTime },
+        ];
+    }
     getMeasurementDisplay(measurement) {
         const castedMeasurement = this.getCastedMeasurement(measurement);
         return `${castedMeasurement.systolic}/${castedMeasurement.diastolic}`;

package/dist/client/observation/types/ObservationCode.d.ts

@@ -48,3 +48,12 @@ export declare enum ObservationCode {
     RESPIRATORY_THERAPY = "respiratory-therapy",
     BABY_SLEEP = "baby-sleep"
 }
+/** SNOMED CT concepts used to represent the result of a blood-pressure rhythm check. */
+export declare const PulseRhythmCoding: {
+    readonly system: "http://snomed.info/sct";
+    readonly observation: "364095004";
+    readonly regular: "271636001";
+    readonly irregular: "61086009";
+    readonly irregularlyIrregular: "271637005";
+    readonly regularlyIrregular: "271638000";
+};

package/dist/client/observation/types/ObservationCode.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.ObservationCode = void 0;
+exports.PulseRhythmCoding = exports.ObservationCode = void 0;
 var ObservationCode;
 (function (ObservationCode) {
     ObservationCode["BLOOD_PRESSURE_HEART_RATE"] = "8885-6";
@@ -52,3 +52,12 @@ var ObservationCode;
     ObservationCode["RESPIRATORY_THERAPY"] = "respiratory-therapy";
     ObservationCode["BABY_SLEEP"] = "baby-sleep";
 })(ObservationCode || (exports.ObservationCode = ObservationCode = {}));
+/** SNOMED CT concepts used to represent the result of a blood-pressure rhythm check. */
+exports.PulseRhythmCoding = {
+    system: "http://snomed.info/sct",
+    observation: "364095004",
+    regular: "271636001",
+    irregular: "61086009",
+    irregularlyIrregular: "271637005",
+    regularlyIrregular: "271638000",
+};

package/dist/conformance/capability-requirements.js

@@ -48,7 +48,7 @@ exports.OVOK_CORE_REQUIREMENTS = {
     description: "The FHIR surface a server must provide for the @ovok/core client library's own methods to function.",
     software: {
         name: "@ovok/core",
-        version: "0.4.16",
+        version: "0.4.18",
     },
     fhirVersion: "4.0.1",
     format: ["json"],

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@ovok/core",
-  "version": "0.4.16",
+  "version": "0.4.18",
   "private": false,
   "main": "dist/index.js",
   "types": "dist/index.d.ts",