@precisa-saude/fhir 0.1.1 → 0.2.0

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[{ 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/${patientId}`,\n },\n };\n}\n\n/**\n * Convert user profile to FHIR Patient\n * NOTE: CPF is intentionally excluded for privacy (LGPD compliance)\n */\nexport function userProfileToFHIR(profile: UserProfileData): FHIRPatient {\n const nameParts = profile.name.split(' ');\n const given = nameParts.slice(0, -1);\n const family = nameParts[nameParts.length - 1] || '';\n\n return {\n address: profile.address\n ? 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[{ system: 'phone' as const, value: profile.phone }] : []),\n ]\n : undefined,\n };\n}\n\n/**\n * Convert complete lab result to FHIR Bundle\n * This is the main function for exporting lab results to FHIR R4 format\n */\nexport function labResultToFHIRBundle(\n report: LabReportData,\n observations: LabObservationData[],\n userProfile: UserProfileData,\n): FHIRBundle {\n const patientId = userProfile.userId;\n\n // Convert observations\n const fhirObservations = observations.map((obs) => ({\n fullUrl: `urn:uuid:observation-${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 };\n}\n"]}