@precisa-saude/fhir 0.20.1 → 0.20.3

package/dist/biomarkers.cjs

@@ -30,7 +30,7 @@
 
 
 
-var _chunkNXOTXKVBcjs = require('./chunk-NXOTXKVB.cjs');
+var _chunkNUTT5IWAcjs = require('./chunk-NUTT5IWA.cjs');
 
 
 
@@ -63,5 +63,5 @@ var _chunkNXOTXKVBcjs = require('./chunk-NXOTXKVB.cjs');
 
 
 
-exports.BIOMARKER_DEFINITIONS = _chunkNXOTXKVBcjs.BIOMARKER_DEFINITIONS; exports.CAC_INDICATOR_CODES = _chunkNXOTXKVBcjs.CAC_INDICATOR_CODES; exports.DEXA_CATEGORIES = _chunkNXOTXKVBcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkNXOTXKVBcjs.DEXA_INDICATOR_CODES; exports.codeToLoinc = _chunkNXOTXKVBcjs.codeToLoinc; exports.filterVisibleBiomarkers = _chunkNXOTXKVBcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkNXOTXKVBcjs.findCodeByName; exports.generateCacFullReference = _chunkNXOTXKVBcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkNXOTXKVBcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkNXOTXKVBcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkNXOTXKVBcjs.generateLLMReference; exports.getAllCodes = _chunkNXOTXKVBcjs.getAllCodes; exports.getAllDefinitions = _chunkNXOTXKVBcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkNXOTXKVBcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkNXOTXKVBcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkNXOTXKVBcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkNXOTXKVBcjs.getBiomarkersForCategories; exports.getDefinitionByCode = _chunkNXOTXKVBcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkNXOTXKVBcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkNXOTXKVBcjs.getDefinitionsBySex; exports.getSexForCode = _chunkNXOTXKVBcjs.getSexForCode; exports.getVisibleDefinitions = _chunkNXOTXKVBcjs.getVisibleDefinitions; exports.isBiomarkerVisible = _chunkNXOTXKVBcjs.isBiomarkerVisible; exports.isCacDocument = _chunkNXOTXKVBcjs.isCacDocument; exports.isDexaDocument = _chunkNXOTXKVBcjs.isDexaDocument; exports.isValidCode = _chunkNXOTXKVBcjs.isValidCode; exports.isValidLoinc = _chunkNXOTXKVBcjs.isValidLoinc; exports.loincToCode = _chunkNXOTXKVBcjs.loincToCode; exports.normalizeCode = _chunkNXOTXKVBcjs.normalizeCode; exports.toBiomarkerTests = _chunkNXOTXKVBcjs.toBiomarkerTests; exports.validateLoincNameMatch = _chunkNXOTXKVBcjs.validateLoincNameMatch;
+exports.BIOMARKER_DEFINITIONS = _chunkNUTT5IWAcjs.BIOMARKER_DEFINITIONS; exports.CAC_INDICATOR_CODES = _chunkNUTT5IWAcjs.CAC_INDICATOR_CODES; exports.DEXA_CATEGORIES = _chunkNUTT5IWAcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkNUTT5IWAcjs.DEXA_INDICATOR_CODES; exports.codeToLoinc = _chunkNUTT5IWAcjs.codeToLoinc; exports.filterVisibleBiomarkers = _chunkNUTT5IWAcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkNUTT5IWAcjs.findCodeByName; exports.generateCacFullReference = _chunkNUTT5IWAcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkNUTT5IWAcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkNUTT5IWAcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkNUTT5IWAcjs.generateLLMReference; exports.getAllCodes = _chunkNUTT5IWAcjs.getAllCodes; exports.getAllDefinitions = _chunkNUTT5IWAcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkNUTT5IWAcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkNUTT5IWAcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkNUTT5IWAcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkNUTT5IWAcjs.getBiomarkersForCategories; exports.getDefinitionByCode = _chunkNUTT5IWAcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkNUTT5IWAcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkNUTT5IWAcjs.getDefinitionsBySex; exports.getSexForCode = _chunkNUTT5IWAcjs.getSexForCode; exports.getVisibleDefinitions = _chunkNUTT5IWAcjs.getVisibleDefinitions; exports.isBiomarkerVisible = _chunkNUTT5IWAcjs.isBiomarkerVisible; exports.isCacDocument = _chunkNUTT5IWAcjs.isCacDocument; exports.isDexaDocument = _chunkNUTT5IWAcjs.isDexaDocument; exports.isValidCode = _chunkNUTT5IWAcjs.isValidCode; exports.isValidLoinc = _chunkNUTT5IWAcjs.isValidLoinc; exports.loincToCode = _chunkNUTT5IWAcjs.loincToCode; exports.normalizeCode = _chunkNUTT5IWAcjs.normalizeCode; exports.toBiomarkerTests = _chunkNUTT5IWAcjs.toBiomarkerTests; exports.validateLoincNameMatch = _chunkNUTT5IWAcjs.validateLoincNameMatch;
 //# sourceMappingURL=biomarkers.cjs.map

package/dist/biomarkers.js

@@ -30,7 +30,7 @@ import {
   normalizeCode,
   toBiomarkerTests,
   validateLoincNameMatch
-} from "./chunk-3KIJIRCI.js";
+} from "./chunk-RGRLMISI.js";
 export {
   BIOMARKER_DEFINITIONS,
   CAC_INDICATOR_CODES,

package/dist/{chunk-YYANW65U.js → chunk-G32XWBCX.js}

@@ -8,7 +8,7 @@ import {
   isValidCode,
   loincToCode,
   normalizeCode
-} from "./chunk-3KIJIRCI.js";
+} from "./chunk-RGRLMISI.js";
 import {
   validateFHIRImportBundle
 } from "./chunk-N3ZCOLG2.js";
@@ -162,4 +162,4 @@ export {
   mapFHIRObservationToInternal,
   processImportBundle
 };
-//# sourceMappingURL=chunk-YYANW65U.js.map
+//# sourceMappingURL=chunk-G32XWBCX.js.map

package/dist/{chunk-ETZXOGAB.cjs → chunk-G6LC6XTM.cjs}

@@ -8,7 +8,7 @@ var _chunkOR67NJDZcjs = require('./chunk-OR67NJDZ.cjs');
 
 
 
-var _chunkNXOTXKVBcjs = require('./chunk-NXOTXKVB.cjs');
+var _chunkNUTT5IWAcjs = require('./chunk-NUTT5IWA.cjs');
 
 
 var _chunk3ILBFLVQcjs = require('./chunk-3ILBFLVQ.cjs');
@@ -33,11 +33,11 @@ function resolveBiomarkerCode(observation) {
   } else {
     reason = "No code found in observation coding";
   }
-  const fromLoinc = loincCode ? _chunkNXOTXKVBcjs.loincToCode.call(void 0, loincCode) : void 0;
+  const fromLoinc = loincCode ? _chunkNUTT5IWAcjs.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 };
+  if (declaredCode && _chunkNUTT5IWAcjs.isValidCode.call(void 0, declaredCode)) {
+    const canonical = _chunkNUTT5IWAcjs.normalizeCode.call(void 0, declaredCode);
+    return { internalCode: canonical, loincCode: _chunkNUTT5IWAcjs.codeToLoinc.call(void 0, canonical), reason };
   }
   return { loincCode, reason };
 }
@@ -74,7 +74,7 @@ function mapFHIRObservationToInternal(observation, index) {
       skipped: { index, loincCode, reason, resourceType: "Observation" }
     };
   }
-  const definition = _chunkNXOTXKVBcjs.getDefinitionByCode.call(void 0, internalCode);
+  const definition = _chunkNUTT5IWAcjs.getDefinitionByCode.call(void 0, internalCode);
   let value;
   let unit = "";
   let isQualitative = false;
@@ -162,4 +162,4 @@ function processImportBundle(data) {
 
 
 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
+//# sourceMappingURL=chunk-G6LC6XTM.cjs.map

package/dist/{chunk-ETZXOGAB.cjs.map → chunk-G6LC6XTM.cjs.map}

@@ -1 +1 @@
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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"]}
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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-NXOTXKVB.cjs → chunk-NUTT5IWA.cjs}

@@ -1433,8 +1433,45 @@ var BIOMARKER_DEFINITIONS = [
     codeAliases: ["Urine_Microalbumin"],
     loinc: "14957-5",
     names: {
-      en: ["Microalbumin Urine", "Urine Albumin", "Urine Microalbumin"],
-      pt: ["Albumina Urina", "Microalbumina Urina", "Microalbumina na Urina"]
+      en: [
+        "Microalbumin Urine",
+        "Urine Albumin",
+        "Urine Microalbumin",
+        "Microalbumin",
+        "Microalbuminuria",
+        "Albumin, Urine"
+      ],
+      // Todas as formas abaixo, em pt e en, nomeiam o MESMO analito: albumina
+      // dosada na urina. Não são exames diferentes.
+      //
+      // "Microalbumina" e "microalbuminúria" são herança de nomenclatura: o
+      // prefixo micro nunca se referiu a uma molécula menor, e sim a uma
+      // faixa de excreção. O analito é o mesmo, e por isso as duas formas
+      // pertencem a esta entrada e não a uma separada.
+      //
+      // "Albumina Urinária" vem primeiro de propósito. O gerador do ValueSet
+      // do IG usa o primeiro nome pt como display, então a ordem decide o
+      // rótulo publicado — e essa é a forma que os laboratórios brasileiros
+      // de fato imprimem.
+      //
+      // As formas foram tiradas de dado real, não inventadas: "Albumin,
+      // Urine" e "Albumina Urinária" aparecem como rótulos `UNKNOWN_` na
+      // auditoria de cobertura da plataforma, ou seja, chegaram em laudo e
+      // não casaram com nada.
+      //
+      // Sem elas o pré-scan casava "Albumina Urinária" com `Albumin`, a
+      // albumina sérica. A troca não é cosmética: albumina na urina é
+      // marcador de lesão renal precoce, medida em mg/L, e a sérica é de
+      // função hepática e estado nutricional, medida em g/dL.
+      pt: [
+        "Albumina Urin\xE1ria",
+        "Albumina Urina",
+        "Microalbumina",
+        "Microalbumin\xFAria",
+        "Microalbumina Urina",
+        "Microalbumina na Urina",
+        "Albumina na Urina"
+      ]
     },
     unit: "mg/L"
   },
@@ -2422,7 +2459,7 @@ var BIOMARKER_DEFINITIONS = [
     code: "SkinfoldTriceps",
     loinc: "8354-3",
     names: {
-      en: ["Triceps Skinfold", "Tricipital Skinfold", "Skin Fold Thickness Triceps"],
+      en: ["Triceps Skinfold", "Tricipital Skinfold", "Skin Fold Thickness Triceps", "Triceps"],
       pt: ["Dobra Tricipital", "Dobra Cut\xE2nea Tricipital", "Tricipital", "DCT"]
     },
     unit: "mm"
@@ -2432,7 +2469,7 @@ var BIOMARKER_DEFINITIONS = [
     code: "SkinfoldThigh",
     loinc: "8353-5",
     names: {
-      en: ["Thigh Skinfold", "Skin Fold Thickness Thigh"],
+      en: ["Thigh Skinfold", "Skin Fold Thickness Thigh", "Thigh"],
       pt: ["Dobra da Coxa", "Dobra Cut\xE2nea Coxa", "Coxa"]
     },
     unit: "mm"
@@ -2451,7 +2488,7 @@ var BIOMARKER_DEFINITIONS = [
     category: "composicao-corporal",
     code: "SkinfoldSubscapular",
     names: {
-      en: ["Subscapular Skinfold"],
+      en: ["Subscapular Skinfold", "Subscapular"],
       pt: ["Dobra Subescapular", "Dobra Cut\xE2nea Subescapular", "Subescapular"]
     },
     unit: "mm"
@@ -2460,7 +2497,7 @@ var BIOMARKER_DEFINITIONS = [
     category: "composicao-corporal",
     code: "SkinfoldSuprailiac",
     names: {
-      en: ["Suprailiac Skinfold", "Supra-iliac Skinfold"],
+      en: ["Suprailiac Skinfold", "Supra-iliac Skinfold", "Suprailiac"],
       pt: ["Dobra Supra-il\xEDaca", "Dobra Cut\xE2nea Supra-il\xEDaca", "Supra-il\xEDaca", "Suprailiaca"]
     },
     unit: "mm"
@@ -2469,7 +2506,7 @@ var BIOMARKER_DEFINITIONS = [
     category: "composicao-corporal",
     code: "SkinfoldChest",
     names: {
-      en: ["Chest Skinfold", "Pectoral Skinfold"],
+      en: ["Chest Skinfold", "Pectoral Skinfold", "Chest"],
       pt: ["Dobra Peitoral", "Dobra Cut\xE2nea Peitoral", "Peitoral", "Dobra Tor\xE1cica"]
     },
     unit: "mm"
@@ -2478,7 +2515,7 @@ var BIOMARKER_DEFINITIONS = [
     category: "composicao-corporal",
     code: "SkinfoldMidaxillary",
     names: {
-      en: ["Midaxillary Skinfold", "Mid-axillary Skinfold"],
+      en: ["Midaxillary Skinfold", "Mid-axillary Skinfold", "Midaxillary", "MidAxilla"],
       pt: ["Dobra Axilar M\xE9dia", "Dobra Cut\xE2nea Axilar M\xE9dia", "Axilar M\xE9dia"]
     },
     unit: "mm"
@@ -3245,4 +3282,4 @@ function getBiomarkersForCategories(categories, options) {
 
 
 exports.BIOMARKER_DEFINITIONS = BIOMARKER_DEFINITIONS; exports.loincToCode = loincToCode; exports.codeToLoinc = codeToLoinc; exports.isValidLoinc = isValidLoinc; exports.isValidCode = isValidCode; exports.normalizeCode = normalizeCode; exports.getSexForCode = getSexForCode; exports.getDefinitionsBySex = getDefinitionsBySex; exports.getDefinitionByCode = getDefinitionByCode; exports.getDefinitionByLoinc = getDefinitionByLoinc; exports.getAllDefinitions = getAllDefinitions; exports.getVisibleDefinitions = getVisibleDefinitions; exports.getAllCodes = getAllCodes; exports.getAllLoincCodes = getAllLoincCodes; exports.generateLLMReference = generateLLMReference; exports.toBiomarkerTests = toBiomarkerTests; exports.getAllSearchPatterns = getAllSearchPatterns; exports.generateFilteredLLMReference = generateFilteredLLMReference; exports.DEXA_INDICATOR_CODES = DEXA_INDICATOR_CODES; exports.DEXA_CATEGORIES = DEXA_CATEGORIES; exports.generateDexaFullReference = generateDexaFullReference; exports.isDexaDocument = isDexaDocument; exports.CAC_INDICATOR_CODES = CAC_INDICATOR_CODES; exports.generateCacFullReference = generateCacFullReference; exports.isCacDocument = isCacDocument; exports.findCodeByName = findCodeByName; exports.validateLoincNameMatch = validateLoincNameMatch; exports.isBiomarkerVisible = isBiomarkerVisible; exports.filterVisibleBiomarkers = filterVisibleBiomarkers; exports.getBiomarkersByCategory = getBiomarkersByCategory; exports.getBiomarkersForCategories = getBiomarkersForCategories;
-//# sourceMappingURL=chunk-NXOTXKVB.cjs.map
+//# sourceMappingURL=chunk-NUTT5IWA.cjs.map