@peopl-health/nexus 5.11.0-dev.1120 → 5.11.0-dev.1122

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Files changed (30) hide show
  1. package/lib/clinical/tools/analyzeSymptomPatternsTool.js +3 -6
  2. package/lib/clinical/tools/getActiveSymptomLandscapeTool.js +2 -2
  3. package/lib/clinical/tools/getPatientHistoryTool.js +1 -1
  4. package/lib/clinical/tools/openClusterHypothesisTool.js +3 -7
  5. package/lib/clinical/tools/openConditionTool.js +2 -2
  6. package/lib/clinical/tools/recordClinicalImpressionTool.js +1 -2
  7. package/lib/clinical/tools/recordInterventionTool.js +3 -5
  8. package/lib/clinical/tools/setContingencyPlanTool.js +3 -7
  9. package/lib/clinical/tools/submitSafetyGateTool.js +1 -5
  10. package/lib/clinical/tools/updateClusterHypothesisTool.js +4 -7
  11. package/lib/clinical/tools/updateConditionStatusTool.js +1 -2
  12. package/lib/fhir/constants/extensionSlugs.js +111 -0
  13. package/lib/fhir/resources/CarePlan.js +8 -7
  14. package/lib/fhir/resources/ClinicalImpression.js +39 -38
  15. package/lib/fhir/resources/CommunicationRequest.js +5 -4
  16. package/lib/fhir/resources/Condition.js +10 -9
  17. package/lib/fhir/resources/Observation.js +7 -6
  18. package/lib/fhir/resources/RiskAssessment.js +13 -12
  19. package/lib/fhir/resources/Task.js +4 -3
  20. package/lib/fhir/services/clusterService.js +9 -8
  21. package/lib/fhir/services/contingencyService.js +14 -11
  22. package/lib/fhir/services/palliativeService.js +23 -22
  23. package/lib/fhir/services/riskService.js +11 -10
  24. package/lib/fhir/services/routingService.js +10 -9
  25. package/lib/fhir/services/symptomCaseService.js +21 -20
  26. package/lib/shared/dtos/ClusterImpression.js +16 -5
  27. package/lib/shared/dtos/ContingencySafetyNet.js +3 -1
  28. package/lib/shared/dtos/Intervention.js +10 -3
  29. package/lib/shared/dtos/ManagedSymptom.js +15 -5
  30. package/package.json +1 -1
package/lib/shared/dtos/ManagedSymptom.js CHANGED
@@ -4,9 +4,14 @@ const { BaseDto } = require('./BaseDto');
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  const dateTime = z.iso.datetime({ offset: true });
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+ const OPEN_STATUSES = ['characterizing', 'monitoring'];
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+ const CLOSED_STATUSES = ['resolved', 'inactive', 'closed'];
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+ const CLINICAL_STATUSES = [...OPEN_STATUSES, ...CLOSED_STATUSES];
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+ const GRADE_CONFIDENCE_LEVELS = ['low', 'moderate', 'high'];
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+
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  const gradeEstimateSchema = z.strictObject({
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  bestEstimate: z.number().int().min(1).max(5).nullable().default(null),
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- confidence: z.enum(['low', 'moderate', 'high']).nullable().default(null),
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+ confidence: z.enum(GRADE_CONFIDENCE_LEVELS).nullable().default(null),
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  possibleRange: z.tuple([z.number().int().min(1).max(5), z.number().int().min(1).max(5)]).nullable().default(null),
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  reasoning: z.string().default(''),
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  })
@@ -23,7 +28,7 @@ const symptomConditionSchema = z.strictObject({
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  conditionId: z.string(),
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  patientId: z.string(),
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  ctcaeTerm: z.string(),
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- clinicalStatus: z.enum(['characterizing', 'monitoring', 'resolved', 'inactive', 'closed']).default('characterizing'),
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+ clinicalStatus: z.enum(CLINICAL_STATUSES).default('characterizing'),
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  onsetAt: dateTime,
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  abatementAt: dateTime.nullable().default(null),
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  closeReason: z.string().nullable().default(null),
@@ -35,8 +40,8 @@ const symptomConditionSchema = z.strictObject({
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  recurrenceCount: z.number().int().nonnegative().default(0),
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  reactivatedAt: dateTime.nullable().default(null),
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  })
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- .refine((c) => c.abatementAt === null || ['resolved', 'inactive', 'closed'].includes(c.clinicalStatus), {
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- message: 'abatementAt requires a terminal clinicalStatus (resolved/inactive/closed)',
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+ .refine((c) => c.abatementAt === null || CLOSED_STATUSES.includes(c.clinicalStatus), {
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+ message: `abatementAt requires a terminal clinicalStatus (${CLOSED_STATUSES.join('/')})`,
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  })
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  .refine((c) => c.abatementAt === null || new Date(c.abatementAt) >= new Date(c.onsetAt), {
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  message: 'abatementAt must be >= onsetAt',
@@ -72,4 +77,9 @@ class ManagedSymptom extends BaseDto {}
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  ManagedSymptom.schema = schema;
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- module.exports = { ManagedSymptom };
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+ module.exports = {
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+ ManagedSymptom,
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+ CLINICAL_STATUSES,
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+ OPEN_STATUSES,
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+ CLOSED_STATUSES,
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+ };
package/package.json CHANGED
@@ -1,6 +1,6 @@
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  {
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  "name": "@peopl-health/nexus",
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- "version": "5.11.0-dev.1120",
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+ "version": "5.11.0-dev.1122",
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  "description": "Core messaging and assistant library for WhatsApp communication platforms",
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  "keywords": [
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  "whatsapp",