@precisa-saude/fhir 0.1.0

package/dist/chunk-S6VJHXJF.js

@@ -0,0 +1,153 @@
+import {
+  getDefinitionByLoinc,
+  loincToCode
+} from "./chunk-I6H35QXI.js";
+import {
+  validateFHIRImportBundle
+} from "./chunk-N3ZCOLG2.js";
+
+// src/importer.ts
+var MAX_OBSERVATIONS = 1e3;
+var MAX_FILE_SIZE = 5 * 1024 * 1024;
+function extractLoincCode(observation) {
+  if (!observation.code?.coding) return void 0;
+  const loincCoding = observation.code.coding.find((c) => c.system === "http://loinc.org");
+  return loincCoding?.code;
+}
+function extractFlag(observation) {
+  const code = observation.interpretation?.[0]?.coding?.[0]?.code;
+  if (code === "H" || code === "HH") return "H";
+  if (code === "L" || code === "LL") return "L";
+  return "";
+}
+function extractObservationsFromBundle(bundle) {
+  const observations = [];
+  const skipped = [];
+  for (let i = 0; i < bundle.entry.length; i++) {
+    const entry = bundle.entry[i];
+    if (!entry.resource) {
+      skipped.push({ index: i, reason: "Entry has no resource" });
+      continue;
+    }
+    if (entry.resource.resourceType !== "Observation") {
+      continue;
+    }
+    if (observations.length >= MAX_OBSERVATIONS) {
+      skipped.push({ index: i, reason: `Maximum of ${MAX_OBSERVATIONS} observations exceeded` });
+      continue;
+    }
+    observations.push(entry.resource);
+  }
+  return { observations, skipped };
+}
+function mapFHIRObservationToInternal(observation, index) {
+  const loincCode = extractLoincCode(observation);
+  if (!loincCode) {
+    return {
+      skipped: {
+        index,
+        reason: "No LOINC code found in observation coding",
+        resourceType: "Observation"
+      }
+    };
+  }
+  const internalCode = loincToCode(loincCode);
+  if (!internalCode) {
+    return {
+      skipped: {
+        index,
+        loincCode,
+        reason: `Unknown LOINC code: ${loincCode}`,
+        resourceType: "Observation"
+      }
+    };
+  }
+  const definition = getDefinitionByLoinc(loincCode);
+  let value;
+  let unit = "";
+  let isQualitative = false;
+  if (observation.valueQuantity?.value !== void 0) {
+    value = observation.valueQuantity.value;
+    unit = observation.valueQuantity.unit || observation.valueQuantity.code || "";
+  } else if (observation.valueString) {
+    value = observation.valueString;
+    isQualitative = true;
+  } else {
+    return {
+      skipped: {
+        index,
+        loincCode,
+        reason: "Observation has no value (valueQuantity or valueString)",
+        resourceType: "Observation"
+      }
+    };
+  }
+  const collectionDate = observation.effectiveDateTime || observation.effectivePeriod?.start || "";
+  if (!collectionDate) {
+    return {
+      skipped: {
+        index,
+        loincCode,
+        reason: "Observation has no effectiveDateTime or effectivePeriod.start",
+        resourceType: "Observation"
+      }
+    };
+  }
+  let referenceMin;
+  let referenceMax;
+  if (observation.referenceRange?.[0]) {
+    referenceMin = observation.referenceRange[0].low?.value;
+    referenceMax = observation.referenceRange[0].high?.value;
+  }
+  const imported = {
+    biomarkerCode: internalCode,
+    biomarkerName: definition?.names.pt[0] || definition?.names.en[0] || observation.code.text || internalCode,
+    collectionDate,
+    flag: extractFlag(observation),
+    isQualitative,
+    loincCode,
+    referenceMax,
+    referenceMin,
+    unit: unit || definition?.unit || "",
+    value
+  };
+  return { observation: imported };
+}
+function processImportBundle(data) {
+  const validationErrors = validateFHIRImportBundle(data);
+  if (validationErrors.length > 0) {
+    return {
+      errors: validationErrors,
+      imported: [],
+      skipped: [],
+      totalProcessed: 0
+    };
+  }
+  const bundle = data;
+  const { observations, skipped } = extractObservationsFromBundle(bundle);
+  const imported = [];
+  const allSkipped = [...skipped];
+  for (let i = 0; i < observations.length; i++) {
+    const result = mapFHIRObservationToInternal(observations[i], i);
+    if ("observation" in result) {
+      imported.push(result.observation);
+    } else {
+      allSkipped.push(result.skipped);
+    }
+  }
+  return {
+    errors: [],
+    imported,
+    skipped: allSkipped,
+    totalProcessed: observations.length
+  };
+}
+
+export {
+  MAX_OBSERVATIONS,
+  MAX_FILE_SIZE,
+  extractObservationsFromBundle,
+  mapFHIRObservationToInternal,
+  processImportBundle
+};
+//# sourceMappingURL=chunk-S6VJHXJF.js.map

package/dist/chunk-S6VJHXJF.js.map

@@ -0,0 +1 @@
+{"version":3,"sources":["../src/importer.ts"],"sourcesContent":["/**\n * FHIR Importer\n *\n * Parses FHIR R4 Bundles and extracts Observation resources with known LOINC codes,\n * mapping them to internal biomarker codes for storage as lab results.\n */\n\nimport { getDefinitionByLoinc, loincToCode } from './biomarkers';\nimport type { FHIRBundle, FHIRObservation } from './fhir-types';\nimport { validateFHIRImportBundle } from './validators';\n\nexport interface ImportedObservation {\n  biomarkerCode: string;\n  biomarkerName: string;\n  collectionDate: string;\n  flag: 'H' | 'L' | '';\n  isQualitative: boolean;\n  loincCode: string;\n  referenceMax?: number;\n  referenceMin?: number;\n  unit: string;\n  value: number | string;\n}\n\nexport interface SkippedEntry {\n  index: number;\n  loincCode?: string;\n  reason: string;\n  resourceType?: string;\n}\n\nexport interface ImportError {\n  details: string;\n  field: string;\n}\n\nexport interface FHIRImportResult {\n  errors: ImportError[];\n  imported: ImportedObservation[];\n  skipped: SkippedEntry[];\n  totalProcessed: number;\n}\n\nconst MAX_OBSERVATIONS = 1000;\nconst MAX_FILE_SIZE = 5 * 1024 * 1024; // 5MB\n\n/**\n * Extract LOINC code from an Observation's code.coding array\n */\nfunction extractLoincCode(observation: FHIRObservation): string | undefined {\n  if (!observation.code?.coding) return undefined;\n  const loincCoding = observation.code.coding.find((c) => c.system === 'http://loinc.org');\n  return loincCoding?.code;\n}\n\n/**\n * Extract interpretation flag from Observation\n */\nfunction extractFlag(observation: FHIRObservation): 'H' | 'L' | '' {\n  const code = observation.interpretation?.[0]?.coding?.[0]?.code;\n  if (code === 'H' || code === 'HH') return 'H';\n  if (code === 'L' || code === 'LL') return 'L';\n  return '';\n}\n\n/**\n * Extract Observation resources from a FHIR Bundle\n */\nexport function extractObservationsFromBundle(bundle: FHIRBundle): {\n  observations: FHIRObservation[];\n  skipped: SkippedEntry[];\n} {\n  const observations: FHIRObservation[] = [];\n  const skipped: SkippedEntry[] = [];\n\n  for (let i = 0; i < bundle.entry.length; i++) {\n    const entry = bundle.entry[i]!;\n    if (!entry.resource) {\n      skipped.push({ index: i, reason: 'Entry has no resource' });\n      continue;\n    }\n\n    if (entry.resource.resourceType !== 'Observation') {\n      // Non-observation resources are silently skipped (Patient, DiagnosticReport, etc.)\n      continue;\n    }\n\n    if (observations.length >= MAX_OBSERVATIONS) {\n      skipped.push({ index: i, reason: `Maximum of ${MAX_OBSERVATIONS} observations exceeded` });\n      continue;\n    }\n\n    observations.push(entry.resource as FHIRObservation);\n  }\n\n  return { observations, skipped };\n}\n\n/**\n * Map a FHIR Observation to internal format using LOINC→biomarker code lookup\n */\nexport function mapFHIRObservationToInternal(\n  observation: FHIRObservation,\n  index: number,\n): { observation: ImportedObservation } | { skipped: SkippedEntry } {\n  const loincCode = extractLoincCode(observation);\n\n  if (!loincCode) {\n    return {\n      skipped: {\n        index,\n        reason: 'No LOINC code found in observation coding',\n        resourceType: 'Observation',\n      },\n    };\n  }\n\n  const internalCode = loincToCode(loincCode);\n  if (!internalCode) {\n    return {\n      skipped: {\n        index,\n        loincCode,\n        reason: `Unknown LOINC code: ${loincCode}`,\n        resourceType: 'Observation',\n      },\n    };\n  }\n\n  const definition = getDefinitionByLoinc(loincCode);\n\n  // Extract value\n  let value: number | string;\n  let unit = '';\n  let isQualitative = false;\n\n  if (observation.valueQuantity?.value !== undefined) {\n    value = observation.valueQuantity.value;\n    unit = observation.valueQuantity.unit || observation.valueQuantity.code || '';\n  } else if (observation.valueString) {\n    value = observation.valueString;\n    isQualitative = true;\n  } else {\n    return {\n      skipped: {\n        index,\n        loincCode,\n        reason: 'Observation has no value (valueQuantity or valueString)',\n        resourceType: 'Observation',\n      },\n    };\n  }\n\n  // Extract collection date (effectiveDateTime or effectivePeriod.start)\n  const collectionDate = observation.effectiveDateTime || observation.effectivePeriod?.start || '';\n  if (!collectionDate) {\n    return {\n      skipped: {\n        index,\n        loincCode,\n        reason: 'Observation has no effectiveDateTime or effectivePeriod.start',\n        resourceType: 'Observation',\n      },\n    };\n  }\n\n  // Extract reference ranges\n  let referenceMin: number | undefined;\n  let referenceMax: number | undefined;\n  if (observation.referenceRange?.[0]) {\n    referenceMin = observation.referenceRange[0].low?.value;\n    referenceMax = observation.referenceRange[0].high?.value;\n  }\n\n  const imported: ImportedObservation = {\n    biomarkerCode: internalCode,\n    biomarkerName:\n      definition?.names.pt[0] || definition?.names.en[0] || observation.code.text || internalCode,\n    collectionDate,\n    flag: extractFlag(observation),\n    isQualitative,\n    loincCode,\n    referenceMax,\n    referenceMin,\n    unit: unit || definition?.unit || '',\n    value,\n  };\n\n  return { observation: imported };\n}\n\n/**\n * Process a complete FHIR Bundle for import\n */\nexport function processImportBundle(data: unknown): FHIRImportResult {\n  // Structural validation\n  const validationErrors = validateFHIRImportBundle(data);\n  if (validationErrors.length > 0) {\n    return {\n      errors: validationErrors,\n      imported: [],\n      skipped: [],\n      totalProcessed: 0,\n    };\n  }\n\n  const bundle = data as FHIRBundle;\n\n  // Extract observations\n  const { observations, skipped } = extractObservationsFromBundle(bundle);\n\n  // Map each observation to internal format\n  const imported: ImportedObservation[] = [];\n  const allSkipped: SkippedEntry[] = [...skipped];\n\n  for (let i = 0; i < observations.length; i++) {\n    const result = mapFHIRObservationToInternal(observations[i]!, i);\n\n    if ('observation' in result) {\n      imported.push(result.observation);\n    } else {\n      allSkipped.push(result.skipped);\n    }\n  }\n\n  return {\n    errors: [],\n    imported,\n    skipped: allSkipped,\n    totalProcessed: observations.length,\n  };\n}\n\nexport { MAX_FILE_SIZE, MAX_OBSERVATIONS };\n"],"mappings":";;;;;;;;;AA2CA,IAAM,mBAAmB;AACzB,IAAM,gBAAgB,IAAI,OAAO;AAKjC,SAAS,iBAAiB,aAAkD;AAC1E,MAAI,CAAC,YAAY,MAAM,OAAQ,QAAO;AACtC,QAAM,cAAc,YAAY,KAAK,OAAO,KAAK,CAAC,MAAM,EAAE,WAAW,kBAAkB;AACvF,SAAO,aAAa;AACtB;AAKA,SAAS,YAAY,aAA8C;AACjE,QAAM,OAAO,YAAY,iBAAiB,CAAC,GAAG,SAAS,CAAC,GAAG;AAC3D,MAAI,SAAS,OAAO,SAAS,KAAM,QAAO;AAC1C,MAAI,SAAS,OAAO,SAAS,KAAM,QAAO;AAC1C,SAAO;AACT;AAKO,SAAS,8BAA8B,QAG5C;AACA,QAAM,eAAkC,CAAC;AACzC,QAAM,UAA0B,CAAC;AAEjC,WAAS,IAAI,GAAG,IAAI,OAAO,MAAM,QAAQ,KAAK;AAC5C,UAAM,QAAQ,OAAO,MAAM,CAAC;AAC5B,QAAI,CAAC,MAAM,UAAU;AACnB,cAAQ,KAAK,EAAE,OAAO,GAAG,QAAQ,wBAAwB,CAAC;AAC1D;AAAA,IACF;AAEA,QAAI,MAAM,SAAS,iBAAiB,eAAe;AAEjD;AAAA,IACF;AAEA,QAAI,aAAa,UAAU,kBAAkB;AAC3C,cAAQ,KAAK,EAAE,OAAO,GAAG,QAAQ,cAAc,gBAAgB,yBAAyB,CAAC;AACzF;AAAA,IACF;AAEA,iBAAa,KAAK,MAAM,QAA2B;AAAA,EACrD;AAEA,SAAO,EAAE,cAAc,QAAQ;AACjC;AAKO,SAAS,6BACd,aACA,OACkE;AAClE,QAAM,YAAY,iBAAiB,WAAW;AAE9C,MAAI,CAAC,WAAW;AACd,WAAO;AAAA,MACL,SAAS;AAAA,QACP;AAAA,QACA,QAAQ;AAAA,QACR,cAAc;AAAA,MAChB;AAAA,IACF;AAAA,EACF;AAEA,QAAM,eAAe,YAAY,SAAS;AAC1C,MAAI,CAAC,cAAc;AACjB,WAAO;AAAA,MACL,SAAS;AAAA,QACP;AAAA,QACA;AAAA,QACA,QAAQ,uBAAuB,SAAS;AAAA,QACxC,cAAc;AAAA,MAChB;AAAA,IACF;AAAA,EACF;AAEA,QAAM,aAAa,qBAAqB,SAAS;AAGjD,MAAI;AACJ,MAAI,OAAO;AACX,MAAI,gBAAgB;AAEpB,MAAI,YAAY,eAAe,UAAU,QAAW;AAClD,YAAQ,YAAY,cAAc;AAClC,WAAO,YAAY,cAAc,QAAQ,YAAY,cAAc,QAAQ;AAAA,EAC7E,WAAW,YAAY,aAAa;AAClC,YAAQ,YAAY;AACpB,oBAAgB;AAAA,EAClB,OAAO;AACL,WAAO;AAAA,MACL,SAAS;AAAA,QACP;AAAA,QACA;AAAA,QACA,QAAQ;AAAA,QACR,cAAc;AAAA,MAChB;AAAA,IACF;AAAA,EACF;AAGA,QAAM,iBAAiB,YAAY,qBAAqB,YAAY,iBAAiB,SAAS;AAC9F,MAAI,CAAC,gBAAgB;AACnB,WAAO;AAAA,MACL,SAAS;AAAA,QACP;AAAA,QACA;AAAA,QACA,QAAQ;AAAA,QACR,cAAc;AAAA,MAChB;AAAA,IACF;AAAA,EACF;AAGA,MAAI;AACJ,MAAI;AACJ,MAAI,YAAY,iBAAiB,CAAC,GAAG;AACnC,mBAAe,YAAY,eAAe,CAAC,EAAE,KAAK;AAClD,mBAAe,YAAY,eAAe,CAAC,EAAE,MAAM;AAAA,EACrD;AAEA,QAAM,WAAgC;AAAA,IACpC,eAAe;AAAA,IACf,eACE,YAAY,MAAM,GAAG,CAAC,KAAK,YAAY,MAAM,GAAG,CAAC,KAAK,YAAY,KAAK,QAAQ;AAAA,IACjF;AAAA,IACA,MAAM,YAAY,WAAW;AAAA,IAC7B;AAAA,IACA;AAAA,IACA;AAAA,IACA;AAAA,IACA,MAAM,QAAQ,YAAY,QAAQ;AAAA,IAClC;AAAA,EACF;AAEA,SAAO,EAAE,aAAa,SAAS;AACjC;AAKO,SAAS,oBAAoB,MAAiC;AAEnE,QAAM,mBAAmB,yBAAyB,IAAI;AACtD,MAAI,iBAAiB,SAAS,GAAG;AAC/B,WAAO;AAAA,MACL,QAAQ;AAAA,MACR,UAAU,CAAC;AAAA,MACX,SAAS,CAAC;AAAA,MACV,gBAAgB;AAAA,IAClB;AAAA,EACF;AAEA,QAAM,SAAS;AAGf,QAAM,EAAE,cAAc,QAAQ,IAAI,8BAA8B,MAAM;AAGtE,QAAM,WAAkC,CAAC;AACzC,QAAM,aAA6B,CAAC,GAAG,OAAO;AAE9C,WAAS,IAAI,GAAG,IAAI,aAAa,QAAQ,KAAK;AAC5C,UAAM,SAAS,6BAA6B,aAAa,CAAC,GAAI,CAAC;AAE/D,QAAI,iBAAiB,QAAQ;AAC3B,eAAS,KAAK,OAAO,WAAW;AAAA,IAClC,OAAO;AACL,iBAAW,KAAK,OAAO,OAAO;AAAA,IAChC;AAAA,EACF;AAEA,SAAO;AAAA,IACL,QAAQ,CAAC;AAAA,IACT;AAAA,IACA,SAAS;AAAA,IACT,gBAAgB,aAAa;AAAA,EAC/B;AACF;","names":[]}

package/dist/chunk-UIDSSWBJ.js

@@ -0,0 +1,251 @@
+import {
+  codeToLoinc
+} from "./chunk-I6H35QXI.js";
+import {
+  getDefaultUnit,
+  unitToUCUM
+} from "./chunk-VPMT4MRS.js";
+
+// src/converter.ts
+function interpretationCode(flag) {
+  switch (flag) {
+    case "H":
+      return "H";
+    // High
+    case "L":
+      return "L";
+    // Low
+    default:
+      return "N";
+  }
+}
+function interpretationDisplay(flag) {
+  switch (flag) {
+    case "H":
+      return "High";
+    case "L":
+      return "Low";
+    default:
+      return "Normal";
+  }
+}
+function labObservationToFHIR(observation, patientId, laboratoryName) {
+  const loincCode = codeToLoinc(observation.biomarkerCode) || "99999-9";
+  const sourceUnit = observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;
+  const ucumUnit = unitToUCUM(sourceUnit);
+  const isQualitative = observation.isQualitative || typeof observation.value === "string";
+  const fhirObs = {
+    category: [
+      {
+        coding: [
+          {
+            code: "laboratory",
+            display: "Laboratory",
+            system: "http://terminology.hl7.org/CodeSystem/observation-category"
+          }
+        ]
+      }
+    ],
+    code: {
+      coding: [
+        {
+          code: loincCode,
+          display: observation.biomarkerName,
+          system: "http://loinc.org"
+        },
+        {
+          code: observation.biomarkerCode,
+          display: observation.biomarkerName,
+          system: "http://fhir-brasil.dev/biomarker-codes"
+        }
+      ],
+      text: observation.biomarkerName
+    },
+    effectiveDateTime: observation.collectionDate,
+    id: `${observation.reportId}-${observation.biomarkerCode}`,
+    interpretation: [
+      {
+        coding: [
+          {
+            code: interpretationCode(observation.flag),
+            display: interpretationDisplay(observation.flag),
+            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
+          }
+        ]
+      }
+    ],
+    performer: laboratoryName ? [{ display: laboratoryName }] : void 0,
+    resourceType: "Observation",
+    status: "final",
+    subject: {
+      reference: `Patient/${patientId}`
+    }
+  };
+  if (isQualitative) {
+    fhirObs.valueString = String(observation.value);
+  } else {
+    fhirObs.valueQuantity = {
+      code: ucumUnit,
+      system: "http://unitsofmeasure.org",
+      unit: sourceUnit,
+      value: observation.value
+    };
+    if (observation.referenceMin !== void 0 && observation.referenceMax !== void 0) {
+      fhirObs.referenceRange = [
+        {
+          high: {
+            code: ucumUnit,
+            system: "http://unitsofmeasure.org",
+            unit: sourceUnit,
+            value: observation.referenceMax
+          },
+          low: {
+            code: ucumUnit,
+            system: "http://unitsofmeasure.org",
+            unit: sourceUnit,
+            value: observation.referenceMin
+          }
+        }
+      ];
+    }
+  }
+  return fhirObs;
+}
+function labReportToFHIR(report, patientId, observationIds) {
+  let status;
+  switch (report.processingStatus) {
+    case "complete":
+      status = "final";
+      break;
+    case "partial":
+      status = "partial";
+      break;
+    case "pending_review":
+      status = "preliminary";
+      break;
+    default:
+      status = "final";
+  }
+  return {
+    category: [
+      {
+        coding: [
+          {
+            code: "LAB",
+            display: "Laboratory",
+            system: "http://terminology.hl7.org/CodeSystem/v2-0074"
+          }
+        ]
+      }
+    ],
+    code: {
+      coding: [
+        {
+          code: "11502-2",
+          // Laboratory report
+          display: "Laboratory report",
+          system: "http://loinc.org"
+        }
+      ],
+      text: "Laboratory Results"
+    },
+    conclusion: report.overallStatus === "NORMAL" ? "All results within normal limits" : "One or more abnormal results detected",
+    conclusionCode: report.overallStatus === "ANORMAL" ? [
+      {
+        coding: [
+          {
+            code: "A",
+            display: "Abnormal",
+            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
+          }
+        ]
+      }
+    ] : void 0,
+    effectiveDateTime: report.collectionDate,
+    id: report.reportId,
+    issued: report.createdAt,
+    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : void 0,
+    resourceType: "DiagnosticReport",
+    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),
+    status,
+    subject: {
+      reference: `Patient/${patientId}`
+    }
+  };
+}
+function userProfileToFHIR(profile) {
+  const nameParts = profile.name.split(" ");
+  const given = nameParts.slice(0, -1);
+  const family = nameParts[nameParts.length - 1] || "";
+  return {
+    address: profile.address ? [
+      {
+        city: profile.address.city,
+        country: profile.address.country || "BR",
+        line: [
+          profile.address.street && profile.address.number ? `${profile.address.street}, ${profile.address.number}` : profile.address.street,
+          profile.address.complement
+        ].filter(Boolean),
+        postalCode: profile.address.postalCode,
+        state: profile.address.state
+      }
+    ] : void 0,
+    birthDate: profile.birthDate,
+    gender: profile.gender,
+    id: profile.userId,
+    name: [
+      {
+        family,
+        given: given.length > 0 ? given : void 0,
+        text: profile.name
+      }
+    ],
+    resourceType: "Patient",
+    telecom: [
+      ...profile.email ? [{ system: "email", value: profile.email }] : [],
+      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
+    ].length > 0 ? [
+      ...profile.email ? [{ system: "email", value: profile.email }] : [],
+      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
+    ] : void 0
+  };
+}
+function labResultToFHIRBundle(report, observations, userProfile) {
+  const patientId = userProfile.userId;
+  const fhirObservations = observations.map((obs) => ({
+    fullUrl: `urn:uuid:observation-${obs.reportId}-${obs.biomarkerCode}`,
+    resource: labObservationToFHIR(
+      { ...obs, collectionDate: report.collectionDate },
+      patientId,
+      report.laboratoryName
+    )
+  }));
+  const observationIds = observations.map(
+    (obs) => `observation-${obs.reportId}-${obs.biomarkerCode}`
+  );
+  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);
+  const fhirPatient = userProfileToFHIR(userProfile);
+  return {
+    entry: [
+      {
+        fullUrl: `urn:uuid:${patientId}`,
+        resource: fhirPatient
+      },
+      {
+        fullUrl: `urn:uuid:diagnostic-report-${report.reportId}`,
+        resource: diagnosticReport
+      },
+      ...fhirObservations
+    ],
+    resourceType: "Bundle",
+    type: "collection"
+  };
+}
+
+export {
+  labObservationToFHIR,
+  labReportToFHIR,
+  userProfileToFHIR,
+  labResultToFHIRBundle
+};
+//# sourceMappingURL=chunk-UIDSSWBJ.js.map

package/dist/chunk-UIDSSWBJ.js.map

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+{"version":3,"sources":["../src/converter.ts"],"sourcesContent":["/**\n * FHIR Converter\n *\n * Converts lab results to FHIR R4 DiagnosticReport and Observation resources.\n * See: https://hl7.org/fhir/diagnosticreport.html\n */\n\nimport { codeToLoinc } from './biomarkers';\nimport type { FHIRBundle, FHIRDiagnosticReport, FHIRObservation, FHIRPatient } from './fhir-types';\nimport { getDefaultUnit, unitToUCUM } from './units';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\n\n// Re-export all types and functions\nexport * from './fhir-types';\n\n/**\n * Convert Flag to FHIR interpretation code\n */\nfunction interpretationCode(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'H'; // High\n    case 'L':\n      return 'L'; // Low\n    default:\n      return 'N'; // Normal\n  }\n}\n\n/**\n * Convert Flag to FHIR interpretation display\n */\nfunction interpretationDisplay(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'High';\n    case 'L':\n      return 'Low';\n    default:\n      return 'Normal';\n  }\n}\n\n/**\n * Convert generic lab observation to FHIR Observation\n */\nexport function labObservationToFHIR(\n  observation: LabObservationData,\n  patientId: string,\n  laboratoryName?: string,\n): FHIRObservation {\n  const loincCode = codeToLoinc(observation.biomarkerCode) || '99999-9';\n  // Use default unit if source unit is empty\n  const sourceUnit =\n    observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;\n  const ucumUnit = unitToUCUM(sourceUnit);\n  const isQualitative = observation.isQualitative || typeof observation.value === 'string';\n\n  // Base observation structure\n  const fhirObs: FHIRObservation = {\n    category: [\n      {\n        coding: [\n          {\n            code: 'laboratory',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/observation-category',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: loincCode,\n          display: observation.biomarkerName,\n          system: 'http://loinc.org',\n        },\n        {\n          code: observation.biomarkerCode,\n          display: observation.biomarkerName,\n          system: 'http://fhir-brasil.dev/biomarker-codes',\n        },\n      ],\n      text: observation.biomarkerName,\n    },\n    effectiveDateTime: observation.collectionDate,\n    id: `${observation.reportId}-${observation.biomarkerCode}`,\n    interpretation: [\n      {\n        coding: [\n          {\n            code: interpretationCode(observation.flag),\n            display: interpretationDisplay(observation.flag),\n            system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n          },\n        ],\n      },\n    ],\n    performer: laboratoryName ? [{ display: laboratoryName }] : undefined,\n    resourceType: 'Observation',\n    status: 'final',\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n\n  // Add value based on type (qualitative = string, quantitative = number)\n  if (isQualitative) {\n    fhirObs.valueString = String(observation.value);\n  } else {\n    fhirObs.valueQuantity = {\n      code: ucumUnit,\n      system: 'http://unitsofmeasure.org',\n      unit: sourceUnit,\n      value: observation.value as number,\n    };\n\n    // Reference range only applies to quantitative values\n    if (observation.referenceMin !== undefined && observation.referenceMax !== undefined) {\n      fhirObs.referenceRange = [\n        {\n          high: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMax,\n          },\n          low: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMin,\n          },\n        },\n      ];\n    }\n  }\n\n  return fhirObs;\n}\n\n/**\n * Convert generic lab report to FHIR DiagnosticReport\n */\nexport function labReportToFHIR(\n  report: LabReportData,\n  patientId: string,\n  observationIds: string[],\n): FHIRDiagnosticReport {\n  // Map processing status to FHIR status\n  let status: FHIRDiagnosticReport['status'];\n  switch (report.processingStatus) {\n    case 'complete':\n      status = 'final';\n      break;\n    case 'partial':\n      status = 'partial';\n      break;\n    case 'pending_review':\n      status = 'preliminary';\n      break;\n    default:\n      status = 'final';\n  }\n\n  return {\n    category: [\n      {\n        coding: [\n          {\n            code: 'LAB',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/v2-0074',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: '11502-2', // Laboratory report\n          display: 'Laboratory report',\n          system: 'http://loinc.org',\n        },\n      ],\n      text: 'Laboratory Results',\n    },\n    conclusion:\n      report.overallStatus === 'NORMAL'\n        ? 'All results within normal limits'\n        : 'One or more abnormal results detected',\n    conclusionCode:\n      report.overallStatus === 'ANORMAL'\n        ? [\n            {\n              coding: [\n                {\n                  code: 'A',\n                  display: 'Abnormal',\n                  system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n                },\n              ],\n            },\n          ]\n        : undefined,\n    effectiveDateTime: report.collectionDate,\n    id: report.reportId,\n    issued: report.createdAt,\n    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : undefined,\n    resourceType: 'DiagnosticReport',\n    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),\n    status,\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n}\n\n/**\n * Convert user profile to FHIR Patient\n * NOTE: CPF is intentionally excluded for privacy (LGPD compliance)\n */\nexport function userProfileToFHIR(profile: UserProfileData): FHIRPatient {\n  const nameParts = profile.name.split(' ');\n  const given = nameParts.slice(0, -1);\n  const family = nameParts[nameParts.length - 1] || '';\n\n  return {\n    address: profile.address\n      ? [\n          {\n            city: profile.address.city,\n            country: profile.address.country || 'BR',\n            line: [\n              profile.address.street && profile.address.number\n                ? `${profile.address.street}, ${profile.address.number}`\n                : profile.address.street,\n              profile.address.complement,\n            ].filter(Boolean) as string[],\n            postalCode: profile.address.postalCode,\n            state: profile.address.state,\n          },\n        ]\n      : undefined,\n    birthDate: profile.birthDate,\n    gender: profile.gender,\n    id: profile.userId,\n    name: [\n      {\n        family,\n        given: given.length > 0 ? given : undefined,\n        text: profile.name,\n      },\n    ],\n    resourceType: 'Patient',\n    telecom:\n      [\n        ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n        ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n      ].length > 0\n        ? [\n            ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n            ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n          ]\n        : undefined,\n  };\n}\n\n/**\n * Convert complete lab result to FHIR Bundle\n * This is the main function for exporting lab results to FHIR R4 format\n */\nexport function labResultToFHIRBundle(\n  report: LabReportData,\n  observations: LabObservationData[],\n  userProfile: UserProfileData,\n): FHIRBundle {\n  const patientId = userProfile.userId;\n\n  // Convert observations\n  const fhirObservations = observations.map((obs) => ({\n    fullUrl: `urn:uuid:observation-${obs.reportId}-${obs.biomarkerCode}`,\n    resource: labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    ),\n  }));\n\n  const observationIds = observations.map(\n    (obs) => `observation-${obs.reportId}-${obs.biomarkerCode}`,\n  );\n\n  // Convert report\n  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);\n\n  // Convert patient\n  const fhirPatient = userProfileToFHIR(userProfile);\n\n  return {\n    entry: [\n      {\n        fullUrl: `urn:uuid:${patientId}`,\n        resource: fhirPatient,\n      },\n      {\n        fullUrl: `urn:uuid:diagnostic-report-${report.reportId}`,\n        resource: diagnosticReport,\n      },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  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