@precisa-saude/fhir 0.20.0 → 0.20.1

package/dist/chunk-A6HR4XDK.js

@@ -0,0 +1,9 @@
+// src/code-systems.ts
+var LOINC_SYSTEM = "http://loinc.org";
+var BIOMARKER_CODE_SYSTEM = "http://fhir-brasil.dev/biomarker-codes";
+
+export {
+  LOINC_SYSTEM,
+  BIOMARKER_CODE_SYSTEM
+};
+//# sourceMappingURL=chunk-A6HR4XDK.js.map

package/dist/chunk-A6HR4XDK.js.map

@@ -0,0 +1 @@
+{"version":3,"sources":["../src/code-systems.ts"],"sourcesContent":["/**\n * Identificadores de sistema de código usados nos recursos FHIR.\n *\n * Ficam num módulo próprio porque exportação e importação precisam concordar\n * literalmente: o importador procura o coding pelo `system`, e uma string\n * divergente de um lado faz o biomarcador desaparecer sem erro.\n */\n\n/** LOINC, o vocabulário oficial de exames laboratoriais. */\nexport const LOINC_SYSTEM = 'http://loinc.org';\n\n/**\n * Códigos internos do fhir-brasil.\n *\n * Cobre o que não tem LOINC publicado: composição corporal por DEXA,\n * densidade óssea e escore de cálcio, entre outros. É o que permite o ciclo\n * exportar/importar preservar esses biomarcadores.\n */\nexport const BIOMARKER_CODE_SYSTEM = 'http://fhir-brasil.dev/biomarker-codes';\n"],"mappings":";AASO,IAAM,eAAe;AASrB,IAAM,wBAAwB;","names":[]}

package/dist/chunk-ETZXOGAB.cjs

@@ -0,0 +1,165 @@
+"use strict";Object.defineProperty(exports, "__esModule", {value: true}); function _nullishCoalesce(lhs, rhsFn) { if (lhs != null) { return lhs; } else { return rhsFn(); } } function _optionalChain(ops) { let lastAccessLHS = undefined; let value = ops[0]; let i = 1; while (i < ops.length) { const op = ops[i]; const fn = ops[i + 1]; i += 2; if ((op === 'optionalAccess' || op === 'optionalCall') && value == null) { return undefined; } if (op === 'access' || op === 'optionalAccess') { lastAccessLHS = value; value = fn(value); } else if (op === 'call' || op === 'optionalCall') { value = fn((...args) => value.call(lastAccessLHS, ...args)); lastAccessLHS = undefined; } } return value; }
+
+
+var _chunkOR67NJDZcjs = require('./chunk-OR67NJDZ.cjs');
+
+
+
+
+
+
+var _chunkNXOTXKVBcjs = require('./chunk-NXOTXKVB.cjs');
+
+
+var _chunk3ILBFLVQcjs = require('./chunk-3ILBFLVQ.cjs');
+
+// src/importer.ts
+var MAX_OBSERVATIONS = 5e3;
+var MAX_FILE_SIZE = 15 * 1024 * 1024;
+function resolveBiomarkerCode(observation) {
+  const coding = _nullishCoalesce(_optionalChain([observation, 'access', _ => _.code, 'optionalAccess', _2 => _2.coding]), () => ( []));
+  const loincCode = _optionalChain([coding, 'access', _3 => _3.find, 'call', _4 => _4((c) => c.system === _chunkOR67NJDZcjs.LOINC_SYSTEM), 'optionalAccess', _5 => _5.code]);
+  const declaredCode = _optionalChain([coding, 'access', _6 => _6.find, 'call', _7 => _7((c) => c.system === _chunkOR67NJDZcjs.BIOMARKER_CODE_SYSTEM), 'optionalAccess', _8 => _8.code]);
+  const seenCodes = [
+    ...loincCode ? [`LOINC ${loincCode}`] : [],
+    ...declaredCode ? [`biomarker code ${declaredCode}`] : []
+  ];
+  let reason;
+  if (seenCodes.length > 0) {
+    reason = `Unknown code: ${seenCodes.join(", ")}`;
+  } else if (coding.length > 0) {
+    const systems = [...new Set(coding.map((c) => _nullishCoalesce(c.system, () => ( "(sem system)"))))];
+    reason = `No code in a supported system (found: ${systems.join(", ")})`;
+  } else {
+    reason = "No code found in observation coding";
+  }
+  const fromLoinc = loincCode ? _chunkNXOTXKVBcjs.loincToCode.call(void 0, loincCode) : void 0;
+  if (fromLoinc) return { internalCode: fromLoinc, loincCode, reason };
+  if (declaredCode && _chunkNXOTXKVBcjs.isValidCode.call(void 0, declaredCode)) {
+    const canonical = _chunkNXOTXKVBcjs.normalizeCode.call(void 0, declaredCode);
+    return { internalCode: canonical, loincCode: _chunkNXOTXKVBcjs.codeToLoinc.call(void 0, canonical), reason };
+  }
+  return { loincCode, reason };
+}
+function extractFlag(observation) {
+  const code = _optionalChain([observation, 'access', _9 => _9.interpretation, 'optionalAccess', _10 => _10[0], 'optionalAccess', _11 => _11.coding, 'optionalAccess', _12 => _12[0], 'optionalAccess', _13 => _13.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 { internalCode, loincCode, reason } = resolveBiomarkerCode(observation);
+  if (!internalCode) {
+    return {
+      skipped: { index, loincCode, reason, resourceType: "Observation" }
+    };
+  }
+  const definition = _chunkNXOTXKVBcjs.getDefinitionByCode.call(void 0, internalCode);
+  let value;
+  let unit = "";
+  let isQualitative = false;
+  if (_optionalChain([observation, 'access', _14 => _14.valueQuantity, 'optionalAccess', _15 => _15.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 || _optionalChain([observation, 'access', _16 => _16.effectivePeriod, 'optionalAccess', _17 => _17.start]) || "";
+  if (!collectionDate) {
+    return {
+      skipped: {
+        index,
+        loincCode,
+        reason: "Observation has no effectiveDateTime or effectivePeriod.start",
+        resourceType: "Observation"
+      }
+    };
+  }
+  let referenceMin;
+  let referenceMax;
+  if (_optionalChain([observation, 'access', _18 => _18.referenceRange, 'optionalAccess', _19 => _19[0]])) {
+    referenceMin = _optionalChain([observation, 'access', _20 => _20.referenceRange, 'access', _21 => _21[0], 'access', _22 => _22.low, 'optionalAccess', _23 => _23.value]);
+    referenceMax = _optionalChain([observation, 'access', _24 => _24.referenceRange, 'access', _25 => _25[0], 'access', _26 => _26.high, 'optionalAccess', _27 => _27.value]);
+  }
+  const imported = {
+    biomarkerCode: internalCode,
+    biomarkerName: _optionalChain([definition, 'optionalAccess', _28 => _28.names, 'access', _29 => _29.pt, 'access', _30 => _30[0]]) || _optionalChain([definition, 'optionalAccess', _31 => _31.names, 'access', _32 => _32.en, 'access', _33 => _33[0]]) || observation.code.text || internalCode,
+    collectionDate,
+    flag: extractFlag(observation),
+    isQualitative,
+    loincCode,
+    referenceMax,
+    referenceMin,
+    unit: unit || _optionalChain([definition, 'optionalAccess', _34 => _34.unit]) || "",
+    value
+  };
+  return { observation: imported };
+}
+function processImportBundle(data) {
+  const validationErrors = _chunk3ILBFLVQcjs.validateFHIRImportBundle.call(void 0, 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
+  };
+}
+
+
+
+
+
+
+
+exports.MAX_OBSERVATIONS = MAX_OBSERVATIONS; exports.MAX_FILE_SIZE = MAX_FILE_SIZE; exports.extractObservationsFromBundle = extractObservationsFromBundle; exports.mapFHIRObservationToInternal = mapFHIRObservationToInternal; exports.processImportBundle = processImportBundle;
+//# sourceMappingURL=chunk-ETZXOGAB.cjs.map

package/dist/chunk-ETZXOGAB.cjs.map

@@ -0,0 +1 @@
+{"version":3,"sources":["/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-ETZXOGAB.cjs","../src/importer.ts"],"names":[],"mappings":"AAAA;AACE;AACA;AACF,wDAA6B;AAC7B;AACE;AACA;AACA;AACA;AACA;AACF,wDAA6B;AAC7B;AACE;AACF,wDAA6B;AAC7B;AACA;ACgDA,IAAM,iBAAA,EAAmB,GAAA;AACzB,IAAM,cAAA,EAAgB,GAAA,EAAK,KAAA,EAAO,IAAA;AAclC,SAAS,oBAAA,CAAqB,WAAA,EAI5B;AACA,EAAA,MAAM,OAAA,mCAAS,WAAA,mBAAY,IAAA,6BAAM,QAAA,UAAU,CAAC,GAAA;AAC5C,EAAA,MAAM,UAAA,kBAAY,MAAA,qBAAO,IAAA,mBAAK,CAAC,CAAA,EAAA,GAAM,CAAA,CAAE,OAAA,IAAW,8BAAY,CAAA,6BAAG,MAAA;AACjE,EAAA,MAAM,aAAA,kBAAe,MAAA,qBAAO,IAAA,mBAAK,CAAC,CAAA,EAAA,GAAM,CAAA,CAAE,OAAA,IAAW,uCAAqB,CAAA,6BAAG,MAAA;AAE7E,EAAA,MAAM,UAAA,EAAY;AAAA,IAChB,GAAI,UAAA,EAAY,CAAC,CAAA,MAAA,EAAS,SAAS,CAAA,CAAA;AACf,IAAA;AACtB,EAAA;AAOI,EAAA;AACsB,EAAA;AACE,IAAA;AACE,EAAA;AACO,IAAA;AAC1B,IAAA;AACJ,EAAA;AACI,IAAA;AACX,EAAA;AAE8B,EAAA;AACN,EAAA;AAEQ,EAAA;AAOE,IAAA;AAIE,IAAA;AACpC,EAAA;AAE2B,EAAA;AAC7B;AAKmE;AACxC,EAAA;AACU,EAAA;AACA,EAAA;AAC5B,EAAA;AACT;AAK8C;AAIH,EAAA;AACR,EAAA;AAEA,EAAA;AACH,IAAA;AACP,IAAA;AACc,MAAA;AACjC,MAAA;AACF,IAAA;AAEmB,IAAA;AAEjB,MAAA;AACF,IAAA;AAE2B,IAAA;AACQ,MAAA;AACjC,MAAA;AACF,IAAA;AAEmD,IAAA;AACrD,EAAA;AAE+B,EAAA;AACjC;AAME;AAGiC,EAAA;AAEd,EAAA;AACV,IAAA;AACwB,MAAA;AAC/B,IAAA;AACF,EAAA;AAEmB,EAAA;AAGf,EAAA;AACO,EAAA;AACS,EAAA;AAEW,EAAA;AACK,IAAA;AACD,IAAA;AACC,EAAA;AACd,IAAA;AACJ,IAAA;AACX,EAAA;AACE,IAAA;AACI,MAAA;AACP,QAAA;AACA,QAAA;AACQ,QAAA;AACM,QAAA;AAChB,MAAA;AACF,IAAA;AACF,EAAA;AAGmC,EAAA;AACd,EAAA;AACZ,IAAA;AACI,MAAA;AACP,QAAA;AACA,QAAA;AACQ,QAAA;AACM,QAAA;AAChB,MAAA;AACF,IAAA;AACF,EAAA;AAGI,EAAA;AACA,EAAA;AACiC,EAAA;AACR,IAAA;AACA,IAAA;AAC7B,EAAA;AAEsC,EAAA;AACrB,IAAA;AAEK,IAAA;AACpB,IAAA;AAC6B,IAAA;AAC7B,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACkC,IAAA;AAClC,IAAA;AACF,EAAA;AAE+B,EAAA;AACjC;AAKqE;AAE1C,EAAA;AACQ,EAAA;AACxB,IAAA;AACG,MAAA;AACG,MAAA;AACD,MAAA;AACM,MAAA;AAClB,IAAA;AACF,EAAA;AAEe,EAAA;AAGmB,EAAA;AAGO,EAAA;AACK,EAAA;AAEb,EAAA;AAChB,IAAA;AAEc,IAAA;AACK,MAAA;AAC3B,IAAA;AACyB,MAAA;AAChC,IAAA;AACF,EAAA;AAEO,EAAA;AACI,IAAA;AACT,IAAA;AACS,IAAA;AACoB,IAAA;AAC/B,EAAA;AACF;ADnIuC;AACA;AACA;AACA;AACA;AACA;AACA;AACA","file":"/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-ETZXOGAB.cjs","sourcesContent":[null,"/**\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 {\n  codeToLoinc,\n  getDefinitionByCode,\n  isValidCode,\n  loincToCode,\n  normalizeCode,\n} from './biomarkers';\nimport { BIOMARKER_CODE_SYSTEM, LOINC_SYSTEM } from './code-systems';\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  /** Ausente nos biomarcadores sem LOINC publicado, como composição corporal. */\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\n/**\n * Limites de importação.\n *\n * Uma Observation exportada ocupa cerca de 1,25KB em JSON compacto e 2,75KB\n * quando o arquivo vem indentado, medido sobre um histórico real de 998\n * Observations em 61 laudos. Nesse tamanho, 5000 Observations dão 6,0MB\n * compactos ou 13,1MB indentados, e por isso o teto de arquivo é 15MB: cobre\n * as duas formas com folga.\n *\n * Na densidade desse mesmo histórico (16 Observations por laudo), 5000\n * equivalem a cerca de 300 laudos.\n */\nconst MAX_OBSERVATIONS = 5000;\nconst MAX_FILE_SIZE = 15 * 1024 * 1024; // 15MB\n\n/**\n * Resolve o código interno do biomarcador a partir do `code.coding`.\n *\n * LOINC primeiro, que é o vocabulário que arquivos de terceiros usam. Quando\n * não resolve, cai para o coding de códigos internos, presente nos arquivos\n * exportados pela própria plataforma.\n *\n * O fallback cobre dois casos: biomarcadores sem LOINC publicado (composição\n * corporal, densidade óssea, escore de cálcio) e arquivos antigos, exportados\n * quando esses biomarcadores saíam com o placeholder `99999-9`, que não\n * resolve para nada.\n */\nfunction resolveBiomarkerCode(observation: FHIRObservation): {\n  internalCode?: string;\n  loincCode?: string;\n  reason: string;\n} {\n  const coding = observation.code?.coding ?? [];\n  const loincCode = coding.find((c) => c.system === LOINC_SYSTEM)?.code;\n  const declaredCode = coding.find((c) => c.system === BIOMARKER_CODE_SYSTEM)?.code;\n\n  const seenCodes = [\n    ...(loincCode ? [`LOINC ${loincCode}`] : []),\n    ...(declaredCode ? [`biomarker code ${declaredCode}`] : []),\n  ];\n\n  // Três motivos distintos de descarte, que antes se confundiam num só. Sem\n  // essa separação, um arquivo em SNOMED relatava \"nenhum código encontrado\",\n  // sugerindo `coding` vazio quando na verdade o código existia e estava num\n  // system que não tratamos. Para importação de terceiros, é a diferença entre\n  // um diagnóstico acionável e um enigma.\n  let reason: string;\n  if (seenCodes.length > 0) {\n    reason = `Unknown code: ${seenCodes.join(', ')}`;\n  } else if (coding.length > 0) {\n    const systems = [...new Set(coding.map((c) => c.system ?? '(sem system)'))];\n    reason = `No code in a supported system (found: ${systems.join(', ')})`;\n  } else {\n    reason = 'No code found in observation coding';\n  }\n\n  const fromLoinc = loincCode ? loincToCode(loincCode) : undefined;\n  if (fromLoinc) return { internalCode: fromLoinc, loincCode, reason };\n\n  if (declaredCode && isValidCode(declaredCode)) {\n    // `isValidCode` aceita alias, mas alias não serve como código armazenado:\n    // 49 definições têm um, e tanto `codeToLoinc` quanto as faixas de\n    // referência são indexadas só pelo canônico. Sem normalizar, `VLDL_Cholesterol`\n    // entraria no lugar de `VLDL` e perderia o LOINC 13458-5 que ele tem.\n    // Importar um Bundle é fronteira de dados, que é onde `normalizeCode` deve\n    // ser aplicado.\n    const canonical = normalizeCode(declaredCode);\n\n    // `codeToLoinc` devolve undefined para quem não tem LOINC, que é o caso\n    // esperado aqui. O campo fica de fora em vez de receber um valor inventado.\n    return { internalCode: canonical, loincCode: codeToLoinc(canonical), reason };\n  }\n\n  return { loincCode, reason };\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 { internalCode, loincCode, reason } = resolveBiomarkerCode(observation);\n\n  if (!internalCode) {\n    return {\n      skipped: { index, loincCode, reason, resourceType: 'Observation' },\n    };\n  }\n\n  const definition = getDefinitionByCode(internalCode);\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"]}

package/dist/chunk-OR67NJDZ.cjs

@@ -0,0 +1,9 @@
+"use strict";Object.defineProperty(exports, "__esModule", {value: true});// src/code-systems.ts
+var LOINC_SYSTEM = "http://loinc.org";
+var BIOMARKER_CODE_SYSTEM = "http://fhir-brasil.dev/biomarker-codes";
+
+
+
+
+exports.LOINC_SYSTEM = LOINC_SYSTEM; exports.BIOMARKER_CODE_SYSTEM = BIOMARKER_CODE_SYSTEM;
+//# sourceMappingURL=chunk-OR67NJDZ.cjs.map

package/dist/chunk-OR67NJDZ.cjs.map

@@ -0,0 +1 @@
+{"version":3,"sources":["/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-OR67NJDZ.cjs","../src/code-systems.ts"],"names":[],"mappings":"AAAA;ACSO,IAAM,aAAA,EAAe,kBAAA;AASrB,IAAM,sBAAA,EAAwB,wCAAA;ADfrC;AACA;AACE;AACA;AACF,2FAAC","file":"/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-OR67NJDZ.cjs","sourcesContent":[null,"/**\n * Identificadores de sistema de código usados nos recursos FHIR.\n *\n * Ficam num módulo próprio porque exportação e importação precisam concordar\n * literalmente: o importador procura o coding pelo `system`, e uma string\n * divergente de um lado faz o biomarcador desaparecer sem erro.\n */\n\n/** LOINC, o vocabulário oficial de exames laboratoriais. */\nexport const LOINC_SYSTEM = 'http://loinc.org';\n\n/**\n * Códigos internos do fhir-brasil.\n *\n * Cobre o que não tem LOINC publicado: composição corporal por DEXA,\n * densidade óssea e escore de cálcio, entre outros. É o que permite o ciclo\n * exportar/importar preservar esses biomarcadores.\n */\nexport const BIOMARKER_CODE_SYSTEM = 'http://fhir-brasil.dev/biomarker-codes';\n"]}

package/dist/{chunk-2KDLOCD2.cjs → chunk-QJF5BZ3J.cjs}

@@ -1,5 +1,9 @@
 "use strict";Object.defineProperty(exports, "__esModule", {value: true});
 
+
+var _chunkOR67NJDZcjs = require('./chunk-OR67NJDZ.cjs');
+
+
 var _chunkNXOTXKVBcjs = require('./chunk-NXOTXKVB.cjs');
 
 
@@ -30,7 +34,7 @@ function interpretationDisplay(flag) {
   }
 }
 function labObservationToFHIR(observation, patientId, laboratoryName) {
-  const loincCode = _chunkNXOTXKVBcjs.codeToLoinc.call(void 0, observation.biomarkerCode) || "99999-9";
+  const loincCode = _chunkNXOTXKVBcjs.codeToLoinc.call(void 0, observation.biomarkerCode);
   const sourceUnit = observation.unit || _chunkMJ254F5Kcjs.getDefaultUnit.call(void 0, observation.biomarkerCode) || observation.unit;
   const ucumUnit = _chunkMJ254F5Kcjs.unitToUCUM.call(void 0, sourceUnit);
   const isQualitative = observation.isQualitative || typeof observation.value === "string";
@@ -47,16 +51,23 @@ function labObservationToFHIR(observation, patientId, laboratoryName) {
       }
     ],
     code: {
+      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,
+      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma
+      // afirmação falsa, e quem consumisse o bundle confiando no system
+      // trataria aquilo como código de verdade. Composição corporal, densidade
+      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.
       coding: [
-        {
-          code: loincCode,
-          display: observation.biomarkerName,
-          system: "http://loinc.org"
-        },
+        ...loincCode ? [
+          {
+            code: loincCode,
+            display: observation.biomarkerName,
+            system: _chunkOR67NJDZcjs.LOINC_SYSTEM
+          }
+        ] : [],
         {
           code: observation.biomarkerCode,
           display: observation.biomarkerName,
-          system: "http://fhir-brasil.dev/biomarker-codes"
+          system: _chunkOR67NJDZcjs.BIOMARKER_CODE_SYSTEM
         }
       ],
       text: observation.biomarkerName
@@ -248,4 +259,4 @@ function labResultToFHIRBundle(report, observations, userProfile) {
 
 
 exports.labObservationToFHIR = labObservationToFHIR; exports.labReportToFHIR = labReportToFHIR; exports.userProfileToFHIR = userProfileToFHIR; exports.labResultToFHIRBundle = labResultToFHIRBundle;
-//# sourceMappingURL=chunk-2KDLOCD2.cjs.map
+//# sourceMappingURL=chunk-QJF5BZ3J.cjs.map

package/dist/chunk-QJF5BZ3J.cjs.map

@@ -0,0 +1 @@
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// 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);\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      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,\n      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma\n      // afirmação falsa, e quem consumisse o bundle confiando no system\n      // trataria aquilo como código de verdade. Composição corporal, densidade\n      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.\n      coding: [\n        ...(loincCode\n          ? [\n              {\n                code: loincCode,\n                display: observation.biomarkerName,\n                system: LOINC_SYSTEM,\n              },\n            ]\n          : []),\n        {\n          code: observation.biomarkerCode,\n          display: observation.biomarkerName,\n          system: BIOMARKER_CODE_SYSTEM,\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  };\n}\n"]}

package/dist/{chunk-6TQ24JCA.js → chunk-SN5ZJHWS.js}

@@ -1,3 +1,7 @@
+import {
+  BIOMARKER_CODE_SYSTEM,
+  LOINC_SYSTEM
+} from "./chunk-A6HR4XDK.js";
 import {
   codeToLoinc
 } from "./chunk-3KIJIRCI.js";
@@ -30,7 +34,7 @@ function interpretationDisplay(flag) {
   }
 }
 function labObservationToFHIR(observation, patientId, laboratoryName) {
-  const loincCode = codeToLoinc(observation.biomarkerCode) || "99999-9";
+  const loincCode = codeToLoinc(observation.biomarkerCode);
   const sourceUnit = observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;
   const ucumUnit = unitToUCUM(sourceUnit);
   const isQualitative = observation.isQualitative || typeof observation.value === "string";
@@ -47,16 +51,23 @@ function labObservationToFHIR(observation, patientId, laboratoryName) {
       }
     ],
     code: {
+      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,
+      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma
+      // afirmação falsa, e quem consumisse o bundle confiando no system
+      // trataria aquilo como código de verdade. Composição corporal, densidade
+      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.
       coding: [
-        {
-          code: loincCode,
-          display: observation.biomarkerName,
-          system: "http://loinc.org"
-        },
+        ...loincCode ? [
+          {
+            code: loincCode,
+            display: observation.biomarkerName,
+            system: LOINC_SYSTEM
+          }
+        ] : [],
         {
           code: observation.biomarkerCode,
           display: observation.biomarkerName,
-          system: "http://fhir-brasil.dev/biomarker-codes"
+          system: BIOMARKER_CODE_SYSTEM
         }
       ],
       text: observation.biomarkerName
@@ -248,4 +259,4 @@ export {
   userProfileToFHIR,
   labResultToFHIRBundle
 };
-//# sourceMappingURL=chunk-6TQ24JCA.js.map
+//# sourceMappingURL=chunk-SN5ZJHWS.js.map

package/dist/chunk-SN5ZJHWS.js.map

@@ -0,0 +1 @@
+{"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 { BIOMARKER_CODE_SYSTEM, LOINC_SYSTEM } from './code-systems';\nimport type { FHIRBundle, FHIRDiagnosticReport, FHIRObservation, FHIRPatient } from './fhir-types';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\nimport { getDefaultUnit, unitToUCUM } from './units';\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);\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      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,\n      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma\n      // afirmação falsa, e quem consumisse o bundle confiando no system\n      // trataria aquilo como código de verdade. Composição corporal, densidade\n      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.\n      coding: [\n        ...(loincCode\n          ? [\n              {\n                code: loincCode,\n                display: observation.biomarkerName,\n                system: LOINC_SYSTEM,\n              },\n            ]\n          : []),\n        {\n          code: observation.biomarkerCode,\n          display: observation.biomarkerName,\n          system: BIOMARKER_CODE_SYSTEM,\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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package/dist/{chunk-OZGOBYLX.js → chunk-YYANW65U.js}

@@ -1,6 +1,13 @@
 import {
-  getDefinitionByLoinc,
-  loincToCode
+  BIOMARKER_CODE_SYSTEM,
+  LOINC_SYSTEM
+} from "./chunk-A6HR4XDK.js";
+import {
+  codeToLoinc,
+  getDefinitionByCode,
+  isValidCode,
+  loincToCode,
+  normalizeCode
 } from "./chunk-3KIJIRCI.js";
 import {
   validateFHIRImportBundle
@@ -9,10 +16,30 @@ import {
 // src/importer.ts
 var MAX_OBSERVATIONS = 5e3;
 var MAX_FILE_SIZE = 15 * 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 resolveBiomarkerCode(observation) {
+  const coding = observation.code?.coding ?? [];
+  const loincCode = coding.find((c) => c.system === LOINC_SYSTEM)?.code;
+  const declaredCode = coding.find((c) => c.system === BIOMARKER_CODE_SYSTEM)?.code;
+  const seenCodes = [
+    ...loincCode ? [`LOINC ${loincCode}`] : [],
+    ...declaredCode ? [`biomarker code ${declaredCode}`] : []
+  ];
+  let reason;
+  if (seenCodes.length > 0) {
+    reason = `Unknown code: ${seenCodes.join(", ")}`;
+  } else if (coding.length > 0) {
+    const systems = [...new Set(coding.map((c) => c.system ?? "(sem system)"))];
+    reason = `No code in a supported system (found: ${systems.join(", ")})`;
+  } else {
+    reason = "No code found in observation coding";
+  }
+  const fromLoinc = loincCode ? loincToCode(loincCode) : void 0;
+  if (fromLoinc) return { internalCode: fromLoinc, loincCode, reason };
+  if (declaredCode && isValidCode(declaredCode)) {
+    const canonical = normalizeCode(declaredCode);
+    return { internalCode: canonical, loincCode: codeToLoinc(canonical), reason };
+  }
+  return { loincCode, reason };
 }
 function extractFlag(observation) {
   const code = observation.interpretation?.[0]?.coding?.[0]?.code;
@@ -41,28 +68,13 @@ function extractObservationsFromBundle(bundle) {
   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);
+  const { internalCode, loincCode, reason } = resolveBiomarkerCode(observation);
   if (!internalCode) {
     return {
-      skipped: {
-        index,
-        loincCode,
-        reason: `Unknown LOINC code: ${loincCode}`,
-        resourceType: "Observation"
-      }
+      skipped: { index, loincCode, reason, resourceType: "Observation" }
     };
   }
-  const definition = getDefinitionByLoinc(loincCode);
+  const definition = getDefinitionByCode(internalCode);
   let value;
   let unit = "";
   let isQualitative = false;
@@ -150,4 +162,4 @@ export {
   mapFHIRObservationToInternal,
   processImportBundle
 };
-//# sourceMappingURL=chunk-OZGOBYLX.js.map
+//# sourceMappingURL=chunk-YYANW65U.js.map

package/dist/chunk-YYANW65U.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 {\n  codeToLoinc,\n  getDefinitionByCode,\n  isValidCode,\n  loincToCode,\n  normalizeCode,\n} from './biomarkers';\nimport { BIOMARKER_CODE_SYSTEM, LOINC_SYSTEM } from './code-systems';\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  /** Ausente nos biomarcadores sem LOINC publicado, como composição corporal. */\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\n/**\n * Limites de importação.\n *\n * Uma Observation exportada ocupa cerca de 1,25KB em JSON compacto e 2,75KB\n * quando o arquivo vem indentado, medido sobre um histórico real de 998\n * Observations em 61 laudos. Nesse tamanho, 5000 Observations dão 6,0MB\n * compactos ou 13,1MB indentados, e por isso o teto de arquivo é 15MB: cobre\n * as duas formas com folga.\n *\n * Na densidade desse mesmo histórico (16 Observations por laudo), 5000\n * equivalem a cerca de 300 laudos.\n */\nconst MAX_OBSERVATIONS = 5000;\nconst MAX_FILE_SIZE = 15 * 1024 * 1024; // 15MB\n\n/**\n * Resolve o código interno do biomarcador a partir do `code.coding`.\n *\n * LOINC primeiro, que é o vocabulário que arquivos de terceiros usam. Quando\n * não resolve, cai para o coding de códigos internos, presente nos arquivos\n * exportados pela própria plataforma.\n *\n * O fallback cobre dois casos: biomarcadores sem LOINC publicado (composição\n * corporal, densidade óssea, escore de cálcio) e arquivos antigos, exportados\n * quando esses biomarcadores saíam com o placeholder `99999-9`, que não\n * resolve para nada.\n */\nfunction resolveBiomarkerCode(observation: FHIRObservation): {\n  internalCode?: string;\n  loincCode?: string;\n  reason: string;\n} {\n  const coding = observation.code?.coding ?? [];\n  const loincCode = coding.find((c) => c.system === LOINC_SYSTEM)?.code;\n  const declaredCode = coding.find((c) => c.system === BIOMARKER_CODE_SYSTEM)?.code;\n\n  const seenCodes = [\n    ...(loincCode ? [`LOINC ${loincCode}`] : []),\n    ...(declaredCode ? [`biomarker code ${declaredCode}`] : []),\n  ];\n\n  // Três motivos distintos de descarte, que antes se confundiam num só. Sem\n  // essa separação, um arquivo em SNOMED relatava \"nenhum código encontrado\",\n  // sugerindo `coding` vazio quando na verdade o código existia e estava num\n  // system que não tratamos. Para importação de terceiros, é a diferença entre\n  // um diagnóstico acionável e um enigma.\n  let reason: string;\n  if (seenCodes.length > 0) {\n    reason = `Unknown code: ${seenCodes.join(', ')}`;\n  } else if (coding.length > 0) {\n    const systems = [...new Set(coding.map((c) => c.system ?? '(sem system)'))];\n    reason = `No code in a supported system (found: ${systems.join(', ')})`;\n  } else {\n    reason = 'No code found in observation coding';\n  }\n\n  const fromLoinc = loincCode ? loincToCode(loincCode) : undefined;\n  if (fromLoinc) return { internalCode: fromLoinc, loincCode, reason };\n\n  if (declaredCode && isValidCode(declaredCode)) {\n    // `isValidCode` aceita alias, mas alias não serve como código armazenado:\n    // 49 definições têm um, e tanto `codeToLoinc` quanto as faixas de\n    // referência são indexadas só pelo canônico. Sem normalizar, `VLDL_Cholesterol`\n    // entraria no lugar de `VLDL` e perderia o LOINC 13458-5 que ele tem.\n    // Importar um Bundle é fronteira de dados, que é onde `normalizeCode` deve\n    // ser aplicado.\n    const canonical = normalizeCode(declaredCode);\n\n    // `codeToLoinc` devolve undefined para quem não tem LOINC, que é o caso\n    // esperado aqui. 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