@precisa-saude/fhir 0.26.4 → 0.27.0

package/dist/{chunk-UVCWSKPO.js → chunk-7KPKFRKK.js}

@@ -37,6 +37,36 @@ function interpretationDisplay(flag) {
       return "Normal";
   }
 }
+var SEX_CODING = {
+  female: {
+    code: "female",
+    display: "Female",
+    system: "http://hl7.org/fhir/administrative-gender"
+  },
+  male: { code: "male", display: "Male", system: "http://hl7.org/fhir/administrative-gender" }
+};
+var buildReferenceRanges = (observation, sourceUnit, ucumUnit) => {
+  const quantity = (value) => ({
+    code: ucumUnit,
+    system: "http://unitsofmeasure.org",
+    unit: sourceUnit,
+    value
+  });
+  const toRanges = (low, high, sex) => {
+    if (low === void 0 && high === void 0) return [];
+    return [
+      {
+        ...sex === void 0 ? {} : { appliesTo: [{ coding: [SEX_CODING[sex]] }] },
+        ...high === void 0 ? {} : { high: quantity(high) },
+        ...low === void 0 ? {} : { low: quantity(low) }
+      }
+    ];
+  };
+  if (observation.referenceRanges && observation.referenceRanges.length > 0) {
+    return observation.referenceRanges.flatMap((r) => toRanges(r.low, r.high, r.appliesTo));
+  }
+  return toRanges(observation.referenceMin, observation.referenceMax);
+};
 function labObservationToFHIR(observation, patientId, laboratoryName) {
   const loincCode = codeToLoinc(observation.biomarkerCode);
   const sourceUnit = observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;
@@ -105,24 +135,8 @@ function labObservationToFHIR(observation, patientId, laboratoryName) {
       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
-          }
-        }
-      ];
-    }
+    const referenceRange = buildReferenceRanges(observation, sourceUnit, ucumUnit);
+    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;
   }
   return fhirObs;
 }
@@ -257,4 +271,4 @@ export {
   userProfileToFHIR,
   labResultToFHIRBundle
 };
-//# sourceMappingURL=chunk-UVCWSKPO.js.map
+//# sourceMappingURL=chunk-7KPKFRKK.js.map

package/dist/chunk-7KPKFRKK.js.map

@@ -0,0 +1 @@
+{"version":3,"sources":["../src/bundle-urls.ts","../src/converter.ts"],"sourcesContent":["/**\n * Endereço das entradas de um Bundle.\n *\n * O `fullUrl` identifica a entrada, e é contra ele que o validador resolve as\n * referências entre os recursos. Um Bundle com `subject.reference` valendo\n * `Patient/abc` só resolve se alguma entrada tiver `fullUrl` terminando em\n * `/Patient/abc`: a referência relativa é lida contra a base do `fullUrl` da\n * entrada, que é como os exemplos da própria HL7 montam Bundle de coleção.\n *\n * Antes o `fullUrl` era `urn:uuid:observation-<laudo>-<código>`, que erra duas\n * vezes. `urn:uuid:` exige a sintaxe de UUID e aquilo não era um UUID, e num\n * Bundle de entradas `urn:uuid:` a referência precisa repetir a URN inteira,\n * então nenhuma das relativas resolvia. Um laudo de 22 marcadores saía com 24\n * erros de URN e 22 referências perdidas.\n */\n/**\n * Recurso que já tem id, e por isso pode ser endereçado numa entrada.\n *\n * No FHIR o `id` é opcional, porque um recurso pode viajar sem identidade\n * própria. Numa entrada de Bundle ele não pode: sem id não há `fullUrl`, e sem\n * `fullUrl` nenhuma referência chega ao recurso. Os conversores daqui sempre\n * atribuem um, e o tipo passa a dizer isso em vez de deixar `undefined` chegar\n * até a montagem da URL.\n */\nexport type Addressable<T> = T & { id: string };\n\n/**\n * Base dos `fullUrl`.\n *\n * Não precisa responder a uma requisição: no FHIR o `fullUrl` é identidade, não\n * endereço de download. Fica sob um domínio nosso para não colidir com a\n * identidade de recurso de outra instituição, que é o risco real de usar\n * `example.org` em dado que sai da máquina.\n */\nexport const BUNDLE_BASE_URL = 'https://precisa-saude.com.br/fhir';\n\n/**\n * Monta o `fullUrl` a partir do próprio recurso.\n *\n * Recebe o recurso em vez do tipo e do id soltos de propósito. O defeito que\n * isto substitui nasceu de montar os dois lados em separado: o `fullUrl` dizia\n * `observation-demo-Hgb` enquanto o recurso tinha id `demo-Hgb`, e ninguém\n * percebeu porque nada obrigava os dois a concordarem.\n *\n * O parâmetro pede o mínimo que a URL consome, e não a união de recursos que\n * este pacote converte. Um Bundle pode carregar qualquer recurso do R4, e quem\n * acrescenta uma entrada de um tipo que não está nessa união (um `Specimen`,\n * por exemplo) precisa do mesmo endereço, senão monta o dele e as duas formas\n * divergem outra vez.\n */\nexport const entryFullUrl = (resource: Addressable<{ resourceType: string }>): string =>\n  `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;\n","/**\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 Addressable, entryFullUrl } from './bundle-urls';\nimport { BIOMARKER_CODE_SYSTEM, LOINC_SYSTEM } from './code-systems';\nimport type {\n  FHIRBundle,\n  FHIRDiagnosticReport,\n  FHIRObservation,\n  FHIRPatient,\n  FHIRQuantity,\n  FHIRReferenceRange,\n} 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 * O `coding` do sexo, que vai **dentro** do CodeableConcept do `appliesTo`.\n *\n * O nome diz `CODING` e não `APPLIES_TO` de propósito: isto não é o valor do\n * campo, é uma entrada da lista de codificações dele. O embrulho acontece no\n * uso, em `{ coding: [SEX_CODING[sex]] }`.\n *\n * É o `AdministrativeGender`, e não o v3-ObservationInterpretation nem um\n * sistema nosso: um consumidor que já lê `Patient.gender` compara os dois sem\n * tabela de tradução no meio.\n */\nconst SEX_CODING = {\n  female: {\n    code: 'female',\n    display: 'Female',\n    system: 'http://hl7.org/fhir/administrative-gender',\n  },\n  male: { code: 'male', display: 'Male', system: 'http://hl7.org/fhir/administrative-gender' },\n} as const;\n\n/**\n * Monta as faixas de referência do `Observation`.\n *\n * Duas mudanças em relação ao que existia, e as duas são sobre não perder o que\n * o laudo imprimiu.\n *\n * **Um limite só já basta.** Antes a faixa só saía com os dois, e um laudo que\n * publica \"inferior a 190 mg/dL\" ou \"superior a 60 mL/min/1,73m²\" perdia o\n * campo inteiro. O R4 trata `low` e `high` como opcionais independentes e\n * documenta o caso de um lado só, e o importador deste mesmo pacote já lia\n * `low?.value` e `high?.value` com acesso opcional: a assimetria era só do\n * escritor. Ver PRE-430.\n *\n * **Mais de uma faixa, anotada.** Laudo com uma coluna de referência por sexo\n * passa a sair com as duas, cada uma com o seu `appliesTo`, em vez de o\n * pipeline escolher uma sem saber de quem é o exame. Ver PRE-424 e PRE-425.\n */\nconst buildReferenceRanges = (\n  observation: LabObservationData,\n  sourceUnit: string,\n  ucumUnit: string,\n): FHIRReferenceRange[] => {\n  const quantity = (value: number): FHIRQuantity => ({\n    code: ucumUnit,\n    system: 'http://unitsofmeasure.org',\n    unit: sourceUnit,\n    value,\n  });\n\n  // Devolve lista, e não uma faixa: o caso sem limite nenhum vira lista vazia\n  // em vez de `undefined`, e aí os dois caminhos abaixo se compõem com\n  // `flatMap` sem ninguém precisar filtrar nada depois.\n  const toRanges = (low?: number, high?: number, sex?: 'female' | 'male'): FHIRReferenceRange[] => {\n    if (low === undefined && high === undefined) return [];\n\n    return [\n      {\n        ...(sex === undefined ? {} : { appliesTo: [{ coding: [SEX_CODING[sex]] }] }),\n        ...(high === undefined ? {} : { high: quantity(high) }),\n        ...(low === undefined ? {} : { low: quantity(low) }),\n      },\n    ];\n  };\n\n  // A lista anotada tem precedência: quando ela existe, o par simples é o\n  // resumo de uma das colunas e repeti-lo publicaria a mesma faixa duas vezes,\n  // uma delas sem dizer a quem se aplica.\n  //\n  // Lista vazia cai no par simples, igual a ausente, e isso é escolha: as duas\n  // dizem \"não tenho faixa anotada\", e tratá-las diferente faria um `[]` vindo\n  // de um `.filter()` apagar em silêncio a faixa que o chamador também mandou\n  // em `referenceMin` e `referenceMax`.\n  if (observation.referenceRanges && observation.referenceRanges.length > 0) {\n    return observation.referenceRanges.flatMap((r) => toRanges(r.low, r.high, r.appliesTo));\n  }\n\n  return toRanges(observation.referenceMin, observation.referenceMax);\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): Addressable<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: Addressable<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    const referenceRange = buildReferenceRanges(observation, sourceUnit, ucumUnit);\n    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;\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): Addressable<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): Addressable<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    const resource = labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    );\n\n    return { fullUrl: entryFullUrl(resource), resource };\n  });\n\n  // Os ids vêm dos recursos já montados, e não de uma segunda montagem da mesma\n  // regra. O `DiagnosticReport.result` aponta para eles, e era aqui que a\n  // referência se separava do recurso.\n  const observationIds = fhirObservations.map((entry) => entry.resource.id);\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      { fullUrl: entryFullUrl(fhirPatient), resource: fhirPatient },\n      { fullUrl: entryFullUrl(diagnosticReport), resource: diagnosticReport },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  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package/dist/{chunk-TA4B4WB7.cjs → chunk-ZQHKQ7MK.cjs}

@@ -37,6 +37,36 @@ function interpretationDisplay(flag) {
       return "Normal";
   }
 }
+var SEX_CODING = {
+  female: {
+    code: "female",
+    display: "Female",
+    system: "http://hl7.org/fhir/administrative-gender"
+  },
+  male: { code: "male", display: "Male", system: "http://hl7.org/fhir/administrative-gender" }
+};
+var buildReferenceRanges = (observation, sourceUnit, ucumUnit) => {
+  const quantity = (value) => ({
+    code: ucumUnit,
+    system: "http://unitsofmeasure.org",
+    unit: sourceUnit,
+    value
+  });
+  const toRanges = (low, high, sex) => {
+    if (low === void 0 && high === void 0) return [];
+    return [
+      {
+        ...sex === void 0 ? {} : { appliesTo: [{ coding: [SEX_CODING[sex]] }] },
+        ...high === void 0 ? {} : { high: quantity(high) },
+        ...low === void 0 ? {} : { low: quantity(low) }
+      }
+    ];
+  };
+  if (observation.referenceRanges && observation.referenceRanges.length > 0) {
+    return observation.referenceRanges.flatMap((r) => toRanges(r.low, r.high, r.appliesTo));
+  }
+  return toRanges(observation.referenceMin, observation.referenceMax);
+};
 function labObservationToFHIR(observation, patientId, laboratoryName) {
   const loincCode = _chunkABCHG3CFcjs.codeToLoinc.call(void 0, observation.biomarkerCode);
   const sourceUnit = observation.unit || _chunkMJ254F5Kcjs.getDefaultUnit.call(void 0, observation.biomarkerCode) || observation.unit;
@@ -105,24 +135,8 @@ function labObservationToFHIR(observation, patientId, laboratoryName) {
       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
-          }
-        }
-      ];
-    }
+    const referenceRange = buildReferenceRanges(observation, sourceUnit, ucumUnit);
+    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;
   }
   return fhirObs;
 }
@@ -257,4 +271,4 @@ function labResultToFHIRBundle(report, observations, userProfile) {
 
 
 exports.BUNDLE_BASE_URL = BUNDLE_BASE_URL; exports.entryFullUrl = entryFullUrl; exports.labObservationToFHIR = labObservationToFHIR; exports.labReportToFHIR = labReportToFHIR; exports.userProfileToFHIR = userProfileToFHIR; exports.labResultToFHIRBundle = labResultToFHIRBundle;
-//# sourceMappingURL=chunk-TA4B4WB7.cjs.map
+//# sourceMappingURL=chunk-ZQHKQ7MK.cjs.map

package/dist/chunk-ZQHKQ7MK.cjs.map

@@ -0,0 +1 @@
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O defeito que\n * isto substitui nasceu de montar os dois lados em separado: o `fullUrl` dizia\n * `observation-demo-Hgb` enquanto o recurso tinha id `demo-Hgb`, e ninguém\n * percebeu porque nada obrigava os dois a concordarem.\n *\n * O parâmetro pede o mínimo que a URL consome, e não a união de recursos que\n * este pacote converte. Um Bundle pode carregar qualquer recurso do R4, e quem\n * acrescenta uma entrada de um tipo que não está nessa união (um `Specimen`,\n * por exemplo) precisa do mesmo endereço, senão monta o dele e as duas formas\n * divergem outra vez.\n */\nexport const entryFullUrl = (resource: Addressable<{ resourceType: string }>): string =>\n  `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;\n","/**\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 Addressable, entryFullUrl } from './bundle-urls';\nimport { BIOMARKER_CODE_SYSTEM, LOINC_SYSTEM } from './code-systems';\nimport type {\n  FHIRBundle,\n  FHIRDiagnosticReport,\n  FHIRObservation,\n  FHIRPatient,\n  FHIRQuantity,\n  FHIRReferenceRange,\n} 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 * O `coding` do sexo, que vai **dentro** do CodeableConcept do `appliesTo`.\n *\n * O nome diz `CODING` e não `APPLIES_TO` de propósito: isto não é o valor do\n * campo, é uma entrada da lista de codificações dele. O embrulho acontece no\n * uso, em `{ coding: [SEX_CODING[sex]] }`.\n *\n * É o `AdministrativeGender`, e não o v3-ObservationInterpretation nem um\n * sistema nosso: um consumidor que já lê `Patient.gender` compara os dois sem\n * tabela de tradução no meio.\n */\nconst SEX_CODING = {\n  female: {\n    code: 'female',\n    display: 'Female',\n    system: 'http://hl7.org/fhir/administrative-gender',\n  },\n  male: { code: 'male', display: 'Male', system: 'http://hl7.org/fhir/administrative-gender' },\n} as const;\n\n/**\n * Monta as faixas de referência do `Observation`.\n *\n * Duas mudanças em relação ao que existia, e as duas são sobre não perder o que\n * o laudo imprimiu.\n *\n * **Um limite só já basta.** Antes a faixa só saía com os dois, e um laudo que\n * publica \"inferior a 190 mg/dL\" ou \"superior a 60 mL/min/1,73m²\" perdia o\n * campo inteiro. O R4 trata `low` e `high` como opcionais independentes e\n * documenta o caso de um lado só, e o importador deste mesmo pacote já lia\n * `low?.value` e `high?.value` com acesso opcional: a assimetria era só do\n * escritor. Ver PRE-430.\n *\n * **Mais de uma faixa, anotada.** Laudo com uma coluna de referência por sexo\n * passa a sair com as duas, cada uma com o seu `appliesTo`, em vez de o\n * pipeline escolher uma sem saber de quem é o exame. Ver PRE-424 e PRE-425.\n */\nconst buildReferenceRanges = (\n  observation: LabObservationData,\n  sourceUnit: string,\n  ucumUnit: string,\n): FHIRReferenceRange[] => {\n  const quantity = (value: number): FHIRQuantity => ({\n    code: ucumUnit,\n    system: 'http://unitsofmeasure.org',\n    unit: sourceUnit,\n    value,\n  });\n\n  // Devolve lista, e não uma faixa: o caso sem limite nenhum vira lista vazia\n  // em vez de `undefined`, e aí os dois caminhos abaixo se compõem com\n  // `flatMap` sem ninguém precisar filtrar nada depois.\n  const toRanges = (low?: number, high?: number, sex?: 'female' | 'male'): FHIRReferenceRange[] => {\n    if (low === undefined && high === undefined) return [];\n\n    return [\n      {\n        ...(sex === undefined ? {} : { appliesTo: [{ coding: [SEX_CODING[sex]] }] }),\n        ...(high === undefined ? {} : { high: quantity(high) }),\n        ...(low === undefined ? {} : { low: quantity(low) }),\n      },\n    ];\n  };\n\n  // A lista anotada tem precedência: quando ela existe, o par simples é o\n  // resumo de uma das colunas e repeti-lo publicaria a mesma faixa duas vezes,\n  // uma delas sem dizer a quem se aplica.\n  //\n  // Lista vazia cai no par simples, igual a ausente, e isso é escolha: as duas\n  // dizem \"não tenho faixa anotada\", e tratá-las diferente faria um `[]` vindo\n  // de um `.filter()` apagar em silêncio a faixa que o chamador também mandou\n  // em `referenceMin` e `referenceMax`.\n  if (observation.referenceRanges && observation.referenceRanges.length > 0) {\n    return observation.referenceRanges.flatMap((r) => toRanges(r.low, r.high, r.appliesTo));\n  }\n\n  return toRanges(observation.referenceMin, observation.referenceMax);\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): Addressable<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: Addressable<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    const referenceRange = buildReferenceRanges(observation, sourceUnit, ucumUnit);\n    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;\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): Addressable<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): Addressable<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    const resource = labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    );\n\n    return { fullUrl: entryFullUrl(resource), resource };\n  });\n\n  // Os ids vêm dos recursos já montados, e não de uma segunda montagem da mesma\n  // regra. O `DiagnosticReport.result` aponta para eles, e era aqui que a\n  // referência se separava do recurso.\n  const observationIds = fhirObservations.map((entry) => entry.resource.id);\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      { fullUrl: entryFullUrl(fhirPatient), resource: fhirPatient },\n      { fullUrl: entryFullUrl(diagnosticReport), resource: diagnosticReport },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  };\n}\n"]}

package/dist/cli.js

@@ -4107,6 +4107,36 @@ function interpretationDisplay(flag) {
       return "Normal";
   }
 }
+var SEX_CODING = {
+  female: {
+    code: "female",
+    display: "Female",
+    system: "http://hl7.org/fhir/administrative-gender"
+  },
+  male: { code: "male", display: "Male", system: "http://hl7.org/fhir/administrative-gender" }
+};
+var buildReferenceRanges = (observation, sourceUnit, ucumUnit) => {
+  const quantity = (value) => ({
+    code: ucumUnit,
+    system: "http://unitsofmeasure.org",
+    unit: sourceUnit,
+    value
+  });
+  const toRanges = (low, high, sex) => {
+    if (low === void 0 && high === void 0) return [];
+    return [
+      {
+        ...sex === void 0 ? {} : { appliesTo: [{ coding: [SEX_CODING[sex]] }] },
+        ...high === void 0 ? {} : { high: quantity(high) },
+        ...low === void 0 ? {} : { low: quantity(low) }
+      }
+    ];
+  };
+  if (observation.referenceRanges && observation.referenceRanges.length > 0) {
+    return observation.referenceRanges.flatMap((r) => toRanges(r.low, r.high, r.appliesTo));
+  }
+  return toRanges(observation.referenceMin, observation.referenceMax);
+};
 function labObservationToFHIR(observation, patientId, laboratoryName) {
   const loincCode = codeToLoinc(observation.biomarkerCode);
   const sourceUnit = observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;
@@ -4175,24 +4205,8 @@ function labObservationToFHIR(observation, patientId, laboratoryName) {
       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
-          }
-        }
-      ];
-    }
+    const referenceRange = buildReferenceRanges(observation, sourceUnit, ucumUnit);
+    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;
   }
   return fhirObs;
 }
@@ -6736,7 +6750,7 @@ async function main() {
     strict: false
   });
   if (values.version) {
-    process.stdout.write(`${"0.26.4"}
+    process.stdout.write(`${"0.27.0"}
 `);
     return;
   }

package/dist/{converter-CO7q_s52.d.cts → converter-D1Q84Oc9.d.ts}

@@ -1,4 +1,4 @@
-import { a as FHIRObservation, k as FHIRDiagnosticReport, b as FHIRBundle, m as FHIRPatient } from './fhir-types-Bmvac6o0.cjs';
+import { a as FHIRObservation, k as FHIRDiagnosticReport, b as FHIRBundle, m as FHIRPatient } from './fhir-types-B1KQmlRb.js';
 
 /**
  * Endereço das entradas de um Bundle.
@@ -78,6 +78,21 @@ interface LabReportData {
 /**
  * Individual biomarker observation for FHIR conversion
  */
+/**
+ * Uma faixa impressa no laudo, com a quem ela se aplica.
+ *
+ * Existe para o laudo que publica uma coluna de referência por sexo. Sem esta
+ * forma só há duas saídas, e as duas perdem: escolher uma coluna sem saber de
+ * quem é o exame, ou descartar as duas. Ambas já aconteceram no corpo real e
+ * estão registradas na PRE-424 e na PRE-425.
+ *
+ * `appliesTo` ausente significa "vale para todo mundo", que é o caso comum.
+ */
+interface PrintedReferenceRange {
+    appliesTo?: 'female' | 'male';
+    high?: number;
+    low?: number;
+}
 interface LabObservationData {
     biomarkerCode: string;
     biomarkerName: string;
@@ -86,6 +101,15 @@ interface LabObservationData {
     isQualitative?: boolean;
     referenceMax?: number;
     referenceMin?: number;
+    /**
+     * As faixas impressas, quando o laudo publica mais de uma.
+     *
+     * Tem precedência sobre `referenceMin` e `referenceMax`, que continuam sendo
+     * a forma simples e seguem valendo para o laudo de coluna única. As duas
+     * existem porque converter todo chamador de uma vez trocaria um problema real
+     * por uma migração grande sem ganho para quem tem uma faixa só.
+     */
+    referenceRanges?: PrintedReferenceRange[];
     reportId: string;
     unit: string;
     value: number | string;

package/dist/{converter-x5Gcw-03.d.ts → converter-DZH9x52r.d.cts}

@@ -1,4 +1,4 @@
-import { a as FHIRObservation, k as FHIRDiagnosticReport, b as FHIRBundle, m as FHIRPatient } from './fhir-types-Bmvac6o0.js';
+import { a as FHIRObservation, k as FHIRDiagnosticReport, b as FHIRBundle, m as FHIRPatient } from './fhir-types-B1KQmlRb.cjs';
 
 /**
  * Endereço das entradas de um Bundle.
@@ -78,6 +78,21 @@ interface LabReportData {
 /**
  * Individual biomarker observation for FHIR conversion
  */
+/**
+ * Uma faixa impressa no laudo, com a quem ela se aplica.
+ *
+ * Existe para o laudo que publica uma coluna de referência por sexo. Sem esta
+ * forma só há duas saídas, e as duas perdem: escolher uma coluna sem saber de
+ * quem é o exame, ou descartar as duas. Ambas já aconteceram no corpo real e
+ * estão registradas na PRE-424 e na PRE-425.
+ *
+ * `appliesTo` ausente significa "vale para todo mundo", que é o caso comum.
+ */
+interface PrintedReferenceRange {
+    appliesTo?: 'female' | 'male';
+    high?: number;
+    low?: number;
+}
 interface LabObservationData {
     biomarkerCode: string;
     biomarkerName: string;
@@ -86,6 +101,15 @@ interface LabObservationData {
     isQualitative?: boolean;
     referenceMax?: number;
     referenceMin?: number;
+    /**
+     * As faixas impressas, quando o laudo publica mais de uma.
+     *
+     * Tem precedência sobre `referenceMin` e `referenceMax`, que continuam sendo
+     * a forma simples e seguem valendo para o laudo de coluna única. As duas
+     * existem porque converter todo chamador de uma vez trocaria um problema real
+     * por uma migração grande sem ganho para quem tem uma faixa só.
+     */
+    referenceRanges?: PrintedReferenceRange[];
     reportId: string;
     unit: string;
     value: number | string;

package/dist/converter.cjs

@@ -3,7 +3,7 @@
 
 
 
-var _chunkTA4B4WB7cjs = require('./chunk-TA4B4WB7.cjs');
+var _chunkZQHKQ7MKcjs = require('./chunk-ZQHKQ7MK.cjs');
 require('./chunk-OR67NJDZ.cjs');
 require('./chunk-ABCHG3CF.cjs');
 require('./chunk-MJ254F5K.cjs');
@@ -12,5 +12,5 @@ require('./chunk-MJ254F5K.cjs');
 
 
 
-exports.labObservationToFHIR = _chunkTA4B4WB7cjs.labObservationToFHIR; exports.labReportToFHIR = _chunkTA4B4WB7cjs.labReportToFHIR; exports.labResultToFHIRBundle = _chunkTA4B4WB7cjs.labResultToFHIRBundle; exports.userProfileToFHIR = _chunkTA4B4WB7cjs.userProfileToFHIR;
+exports.labObservationToFHIR = _chunkZQHKQ7MKcjs.labObservationToFHIR; exports.labReportToFHIR = _chunkZQHKQ7MKcjs.labReportToFHIR; exports.labResultToFHIRBundle = _chunkZQHKQ7MKcjs.labResultToFHIRBundle; exports.userProfileToFHIR = _chunkZQHKQ7MKcjs.userProfileToFHIR;
 //# sourceMappingURL=converter.cjs.map

package/dist/converter.d.cts

@@ -1,2 +1,2 @@
-export { l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-CO7q_s52.cjs';
-export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, b as FHIRBundle, h as FHIRBundleEntry, i as FHIRCodeableConcept, d as FHIRCoding, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, c as FHIRIdentifier, F as FHIRMedicationStatement, a as FHIRObservation, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-Bmvac6o0.cjs';
+export { l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-DZH9x52r.cjs';
+export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, b as FHIRBundle, h as FHIRBundleEntry, i as FHIRCodeableConcept, d as FHIRCoding, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, c as FHIRIdentifier, F as FHIRMedicationStatement, a as FHIRObservation, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-B1KQmlRb.cjs';

package/dist/converter.d.ts

@@ -1,2 +1,2 @@
-export { l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-x5Gcw-03.js';
-export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, b as FHIRBundle, h as FHIRBundleEntry, i as FHIRCodeableConcept, d as FHIRCoding, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, c as FHIRIdentifier, F as FHIRMedicationStatement, a as FHIRObservation, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-Bmvac6o0.js';
+export { l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-D1Q84Oc9.js';
+export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, b as FHIRBundle, h as FHIRBundleEntry, i as FHIRCodeableConcept, d as FHIRCoding, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, c as FHIRIdentifier, F as FHIRMedicationStatement, a as FHIRObservation, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-B1KQmlRb.js';

package/dist/converter.js

@@ -3,7 +3,7 @@ import {
   labReportToFHIR,
   labResultToFHIRBundle,
   userProfileToFHIR
-} from "./chunk-UVCWSKPO.js";
+} from "./chunk-7KPKFRKK.js";
 import "./chunk-A6HR4XDK.js";
 import "./chunk-BA26FWOG.js";
 import "./chunk-R4MUCMO3.js";

package/dist/{fhir-types-Bmvac6o0.d.cts → fhir-types-B1KQmlRb.d.cts}

@@ -24,6 +24,15 @@ interface FHIRQuantity {
     value?: number;
 }
 interface FHIRReferenceRange {
+    /**
+     * A quem esta faixa se aplica, quando o laudo publica mais de uma.
+     *
+     * É o campo nativo do R4 para faixa estratificada, e existe justamente para
+     * o caso em que o documento imprime uma coluna por sexo. Sem ele só há duas
+     * saídas, e as duas perdem: escolher uma coluna sem saber de quem é o exame,
+     * ou descartar as duas.
+     */
+    appliesTo?: FHIRCodeableConcept[];
     high?: FHIRQuantity;
     low?: FHIRQuantity;
     text?: string;

package/dist/{fhir-types-Bmvac6o0.d.ts → fhir-types-B1KQmlRb.d.ts}

@@ -24,6 +24,15 @@ interface FHIRQuantity {
     value?: number;
 }
 interface FHIRReferenceRange {
+    /**
+     * A quem esta faixa se aplica, quando o laudo publica mais de uma.
+     *
+     * É o campo nativo do R4 para faixa estratificada, e existe justamente para
+     * o caso em que o documento imprime uma coluna por sexo. Sem ele só há duas
+     * saídas, e as duas perdem: escolher uma coluna sem saber de quem é o exame,
+     * ou descartar as duas.
+     */
+    appliesTo?: FHIRCodeableConcept[];
     high?: FHIRQuantity;
     low?: FHIRQuantity;
     text?: string;

package/dist/importer.d.cts

@@ -1,4 +1,4 @@
-import { b as FHIRBundle, a as FHIRObservation } from './fhir-types-Bmvac6o0.cjs';
+import { b as FHIRBundle, a as FHIRObservation } from './fhir-types-B1KQmlRb.cjs';
 
 /**
  * FHIR Importer

package/dist/importer.d.ts

@@ -1,4 +1,4 @@
-import { b as FHIRBundle, a as FHIRObservation } from './fhir-types-Bmvac6o0.js';
+import { b as FHIRBundle, a as FHIRObservation } from './fhir-types-B1KQmlRb.js';
 
 /**
  * FHIR Importer

package/dist/index.cjs

@@ -5,7 +5,7 @@
 
 
 
-var _chunkTA4B4WB7cjs = require('./chunk-TA4B4WB7.cjs');
+var _chunkZQHKQ7MKcjs = require('./chunk-ZQHKQ7MK.cjs');
 
 
 
@@ -234,14 +234,14 @@ function interventionToFHIRObservation(intervention, patientId) {
 }
 function interventionsToFHIRBundle(interventions, userProfile) {
   const patientId = userProfile.userId;
-  const fhirPatient = _chunkTA4B4WB7cjs.userProfileToFHIR.call(void 0, userProfile);
+  const fhirPatient = _chunkZQHKQ7MKcjs.userProfileToFHIR.call(void 0, userProfile);
   const entries = interventions.map((intervention) => {
     const isMedication = intervention.type === "medication" || intervention.type === "supplement";
     const resource = isMedication ? interventionToFHIRMedicationStatement(intervention, patientId) : interventionToFHIRObservation(intervention, patientId);
-    return { fullUrl: _chunkTA4B4WB7cjs.entryFullUrl.call(void 0, resource), resource };
+    return { fullUrl: _chunkZQHKQ7MKcjs.entryFullUrl.call(void 0, resource), resource };
   });
   return {
-    entry: [{ fullUrl: _chunkTA4B4WB7cjs.entryFullUrl.call(void 0, fhirPatient), resource: fhirPatient }, ...entries],
+    entry: [{ fullUrl: _chunkZQHKQ7MKcjs.entryFullUrl.call(void 0, fhirPatient), resource: fhirPatient }, ...entries],
     resourceType: "Bundle",
     type: "collection"
   };
@@ -716,5 +716,5 @@ var specimenTypeCoding = (text) => BY_NORMALIZED_TEXT.get(normalize(text));
 
 
 
-exports.AGE_BRACKETS = AGE_BRACKETS; exports.BIOMARKER_CODE_SYSTEM = _chunkOR67NJDZcjs.BIOMARKER_CODE_SYSTEM; exports.BIOMARKER_DEFAULT_UNIT = _chunkMJ254F5Kcjs.BIOMARKER_DEFAULT_UNIT; exports.BIOMARKER_DEFINITIONS = _chunkABCHG3CFcjs.BIOMARKER_DEFINITIONS; exports.BIOMARKER_UNITS = _chunkMJ254F5Kcjs.BIOMARKER_UNITS; exports.BODY_FAT_ZONES = BODY_FAT_ZONES; exports.BR_TIPO_AMOSTRA_VALUESET = BR_TIPO_AMOSTRA_VALUESET; exports.BUNDLE_BASE_URL = _chunkTA4B4WB7cjs.BUNDLE_BASE_URL; exports.CAC_INDICATOR_CODES = _chunkABCHG3CFcjs.CAC_INDICATOR_CODES; exports.CATEGORY_GROUPS = CATEGORY_GROUPS; exports.CATEGORY_SCREENING_INTERVALS = CATEGORY_SCREENING_INTERVALS; exports.DEXA_CATEGORIES = _chunkABCHG3CFcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkABCHG3CFcjs.DEXA_INDICATOR_CODES; exports.HL7_SPECIMEN_TYPE_SYSTEM = HL7_SPECIMEN_TYPE_SYSTEM; exports.LOINC_SYSTEM = _chunkOR67NJDZcjs.LOINC_SYSTEM; exports.MAX_FILE_SIZE = _chunkYHLC3YNAcjs.MAX_FILE_SIZE; exports.MAX_OBSERVATIONS = _chunkYHLC3YNAcjs.MAX_OBSERVATIONS; exports.T_SCORE_ZONES = T_SCORE_ZONES; exports.UNIT_TO_UCUM = _chunkMJ254F5Kcjs.UNIT_TO_UCUM; exports.ZONE_DEFS = ZONE_DEFS; exports.applyFallbackReferenceRanges = _chunk4NSBIPLWcjs.applyFallbackReferenceRanges; exports.biomarkerRangeDefinitions = _chunk4NSBIPLWcjs.biomarkerRangeDefinitions; exports.calculateNextScreeningDate = calculateNextScreeningDate; exports.cnsToFHIRIdentifier = cnsToFHIRIdentifier; exports.codeToLoinc = _chunkABCHG3CFcjs.codeToLoinc; exports.convertUnit = _chunkMJ254F5Kcjs.convertUnit; exports.cpfToFHIRIdentifier = cpfToFHIRIdentifier; exports.defaultReferenceRanges = _chunk4NSBIPLWcjs.defaultReferenceRanges; exports.entryFullUrl = _chunkTA4B4WB7cjs.entryFullUrl; exports.extractObservationsFromBundle = _chunkYHLC3YNAcjs.extractObservationsFromBundle; exports.filterVisibleBiomarkers = _chunkABCHG3CFcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkABCHG3CFcjs.findCodeByName; exports.formatCNS = formatCNS; exports.formatCPF = formatCPF; exports.generateCacFullReference = _chunkABCHG3CFcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkABCHG3CFcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkABCHG3CFcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkABCHG3CFcjs.generateLLMReference; exports.getAllCodes = _chunkABCHG3CFcjs.getAllCodes; exports.getAllDefinitions = _chunkABCHG3CFcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkABCHG3CFcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkABCHG3CFcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkABCHG3CFcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkABCHG3CFcjs.getBiomarkersForCategories; exports.getCanonicalUnit = _chunkMJ254F5Kcjs.getCanonicalUnit; exports.getCategoriesByInterval = getCategoriesByInterval; exports.getCategoryGroup = getCategoryGroup; exports.getDaysUntilScreening = getDaysUntilScreening; exports.getDefaultUnit = _chunkMJ254F5Kcjs.getDefaultUnit; exports.getDefinitionByCode = _chunkABCHG3CFcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkABCHG3CFcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkABCHG3CFcjs.getDefinitionsBySex; exports.getDueCategories = getDueCategories; exports.getFallbackReferenceRange = _chunk4NSBIPLWcjs.getFallbackReferenceRange; exports.getRangeDirection = _chunk4NSBIPLWcjs.getRangeDirection; exports.getReferenceRange = _chunk4NSBIPLWcjs.getReferenceRange; exports.getSIUnit = _chunkMJ254F5Kcjs.getSIUnit; exports.getScreeningInterval = getScreeningInterval; exports.getSexForCode = _chunkABCHG3CFcjs.getSexForCode; exports.getVisibleDefinitions = _chunkABCHG3CFcjs.getVisibleDefinitions; exports.interventionToFHIRMedicationStatement = interventionToFHIRMedicationStatement; exports.interventionToFHIRObservation = interventionToFHIRObservation; exports.interventionsToFHIRBundle = interventionsToFHIRBundle; exports.isBiomarkerVisible = _chunkABCHG3CFcjs.isBiomarkerVisible; exports.isCacDocument = _chunkABCHG3CFcjs.isCacDocument; exports.isDexaDocument = _chunkABCHG3CFcjs.isDexaDocument; exports.isScreeningDue = isScreeningDue; exports.isValidCode = _chunkABCHG3CFcjs.isValidCode; exports.isValidLoinc = _chunkABCHG3CFcjs.isValidLoinc; exports.labObservationToFHIR = _chunkTA4B4WB7cjs.labObservationToFHIR; exports.labReportToFHIR = _chunkTA4B4WB7cjs.labReportToFHIR; exports.labResultToFHIRBundle = _chunkTA4B4WB7cjs.labResultToFHIRBundle; exports.listMappedSubcategories = listMappedSubcategories; exports.loincToCode = _chunkABCHG3CFcjs.loincToCode; exports.mapFHIRObservationToInternal = _chunkYHLC3YNAcjs.mapFHIRObservationToInternal; exports.normalizeCode = _chunkABCHG3CFcjs.normalizeCode; exports.plural = plural; exports.pluralCount = pluralCount; exports.pluralPhrase = pluralPhrase; exports.pluralPhraseCount = pluralPhraseCount; exports.processImportBundle = _chunkYHLC3YNAcjs.processImportBundle; exports.specimenTypeCoding = specimenTypeCoding; exports.toBiomarkerTests = _chunkABCHG3CFcjs.toBiomarkerTests; exports.unitToUCUM = _chunkMJ254F5Kcjs.unitToUCUM; exports.userProfileToFHIR = _chunkTA4B4WB7cjs.userProfileToFHIR; exports.validateCNS = validateCNS; exports.validateCPF = validateCPF; exports.validateFHIRDiagnosticReport = _chunk3ILBFLVQcjs.validateFHIRDiagnosticReport; exports.validateFHIRImportBundle = _chunk3ILBFLVQcjs.validateFHIRImportBundle; exports.validateFHIRObservation = _chunk3ILBFLVQcjs.validateFHIRObservation; exports.validateLoincNameMatch = _chunkABCHG3CFcjs.validateLoincNameMatch;
+exports.AGE_BRACKETS = AGE_BRACKETS; exports.BIOMARKER_CODE_SYSTEM = _chunkOR67NJDZcjs.BIOMARKER_CODE_SYSTEM; exports.BIOMARKER_DEFAULT_UNIT = _chunkMJ254F5Kcjs.BIOMARKER_DEFAULT_UNIT; exports.BIOMARKER_DEFINITIONS = _chunkABCHG3CFcjs.BIOMARKER_DEFINITIONS; exports.BIOMARKER_UNITS = _chunkMJ254F5Kcjs.BIOMARKER_UNITS; exports.BODY_FAT_ZONES = BODY_FAT_ZONES; exports.BR_TIPO_AMOSTRA_VALUESET = BR_TIPO_AMOSTRA_VALUESET; exports.BUNDLE_BASE_URL = _chunkZQHKQ7MKcjs.BUNDLE_BASE_URL; exports.CAC_INDICATOR_CODES = _chunkABCHG3CFcjs.CAC_INDICATOR_CODES; exports.CATEGORY_GROUPS = CATEGORY_GROUPS; exports.CATEGORY_SCREENING_INTERVALS = CATEGORY_SCREENING_INTERVALS; exports.DEXA_CATEGORIES = _chunkABCHG3CFcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkABCHG3CFcjs.DEXA_INDICATOR_CODES; exports.HL7_SPECIMEN_TYPE_SYSTEM = HL7_SPECIMEN_TYPE_SYSTEM; exports.LOINC_SYSTEM = _chunkOR67NJDZcjs.LOINC_SYSTEM; exports.MAX_FILE_SIZE = _chunkYHLC3YNAcjs.MAX_FILE_SIZE; exports.MAX_OBSERVATIONS = _chunkYHLC3YNAcjs.MAX_OBSERVATIONS; exports.T_SCORE_ZONES = T_SCORE_ZONES; exports.UNIT_TO_UCUM = _chunkMJ254F5Kcjs.UNIT_TO_UCUM; exports.ZONE_DEFS = ZONE_DEFS; exports.applyFallbackReferenceRanges = _chunk4NSBIPLWcjs.applyFallbackReferenceRanges; exports.biomarkerRangeDefinitions = _chunk4NSBIPLWcjs.biomarkerRangeDefinitions; exports.calculateNextScreeningDate = calculateNextScreeningDate; exports.cnsToFHIRIdentifier = cnsToFHIRIdentifier; exports.codeToLoinc = _chunkABCHG3CFcjs.codeToLoinc; exports.convertUnit = _chunkMJ254F5Kcjs.convertUnit; exports.cpfToFHIRIdentifier = cpfToFHIRIdentifier; exports.defaultReferenceRanges = _chunk4NSBIPLWcjs.defaultReferenceRanges; exports.entryFullUrl = _chunkZQHKQ7MKcjs.entryFullUrl; exports.extractObservationsFromBundle = _chunkYHLC3YNAcjs.extractObservationsFromBundle; exports.filterVisibleBiomarkers = _chunkABCHG3CFcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkABCHG3CFcjs.findCodeByName; exports.formatCNS = formatCNS; exports.formatCPF = formatCPF; exports.generateCacFullReference = _chunkABCHG3CFcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkABCHG3CFcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkABCHG3CFcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkABCHG3CFcjs.generateLLMReference; exports.getAllCodes = _chunkABCHG3CFcjs.getAllCodes; exports.getAllDefinitions = _chunkABCHG3CFcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkABCHG3CFcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkABCHG3CFcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkABCHG3CFcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkABCHG3CFcjs.getBiomarkersForCategories; exports.getCanonicalUnit = _chunkMJ254F5Kcjs.getCanonicalUnit; exports.getCategoriesByInterval = getCategoriesByInterval; exports.getCategoryGroup = getCategoryGroup; exports.getDaysUntilScreening = getDaysUntilScreening; exports.getDefaultUnit = _chunkMJ254F5Kcjs.getDefaultUnit; exports.getDefinitionByCode = _chunkABCHG3CFcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkABCHG3CFcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkABCHG3CFcjs.getDefinitionsBySex; exports.getDueCategories = getDueCategories; exports.getFallbackReferenceRange = _chunk4NSBIPLWcjs.getFallbackReferenceRange; exports.getRangeDirection = _chunk4NSBIPLWcjs.getRangeDirection; exports.getReferenceRange = _chunk4NSBIPLWcjs.getReferenceRange; exports.getSIUnit = _chunkMJ254F5Kcjs.getSIUnit; exports.getScreeningInterval = getScreeningInterval; exports.getSexForCode = _chunkABCHG3CFcjs.getSexForCode; exports.getVisibleDefinitions = _chunkABCHG3CFcjs.getVisibleDefinitions; exports.interventionToFHIRMedicationStatement = interventionToFHIRMedicationStatement; exports.interventionToFHIRObservation = interventionToFHIRObservation; exports.interventionsToFHIRBundle = interventionsToFHIRBundle; exports.isBiomarkerVisible = _chunkABCHG3CFcjs.isBiomarkerVisible; exports.isCacDocument = _chunkABCHG3CFcjs.isCacDocument; exports.isDexaDocument = _chunkABCHG3CFcjs.isDexaDocument; exports.isScreeningDue = isScreeningDue; exports.isValidCode = _chunkABCHG3CFcjs.isValidCode; exports.isValidLoinc = _chunkABCHG3CFcjs.isValidLoinc; exports.labObservationToFHIR = _chunkZQHKQ7MKcjs.labObservationToFHIR; exports.labReportToFHIR = _chunkZQHKQ7MKcjs.labReportToFHIR; exports.labResultToFHIRBundle = _chunkZQHKQ7MKcjs.labResultToFHIRBundle; exports.listMappedSubcategories = listMappedSubcategories; exports.loincToCode = _chunkABCHG3CFcjs.loincToCode; exports.mapFHIRObservationToInternal = _chunkYHLC3YNAcjs.mapFHIRObservationToInternal; exports.normalizeCode = _chunkABCHG3CFcjs.normalizeCode; exports.plural = plural; exports.pluralCount = pluralCount; exports.pluralPhrase = pluralPhrase; exports.pluralPhraseCount = pluralPhraseCount; exports.processImportBundle = _chunkYHLC3YNAcjs.processImportBundle; exports.specimenTypeCoding = specimenTypeCoding; exports.toBiomarkerTests = _chunkABCHG3CFcjs.toBiomarkerTests; exports.unitToUCUM = _chunkMJ254F5Kcjs.unitToUCUM; exports.userProfileToFHIR = _chunkZQHKQ7MKcjs.userProfileToFHIR; exports.validateCNS = validateCNS; exports.validateCPF = validateCPF; exports.validateFHIRDiagnosticReport = _chunk3ILBFLVQcjs.validateFHIRDiagnosticReport; exports.validateFHIRImportBundle = _chunk3ILBFLVQcjs.validateFHIRImportBundle; exports.validateFHIRObservation = _chunk3ILBFLVQcjs.validateFHIRObservation; exports.validateLoincNameMatch = _chunkABCHG3CFcjs.validateLoincNameMatch;
 //# sourceMappingURL=index.cjs.map

package/dist/index.d.cts

@@ -1,9 +1,9 @@
-import { I as InterventionData, A as Addressable, U as UserProfileData } from './converter-CO7q_s52.cjs';
-export { B as BUNDLE_BASE_URL, F as Flag, G as Gender, L as LabObservationData, a as LabReportData, O as OverallStatus, e as entryFullUrl, l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-CO7q_s52.cjs';
+import { I as InterventionData, A as Addressable, U as UserProfileData } from './converter-DZH9x52r.cjs';
+export { B as BUNDLE_BASE_URL, F as Flag, G as Gender, L as LabObservationData, a as LabReportData, O as OverallStatus, e as entryFullUrl, l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-DZH9x52r.cjs';
 export { BIOMARKER_DEFINITIONS, BiomarkerDefinition, BiomarkerSearchPattern, CAC_INDICATOR_CODES, DEXA_CATEGORIES, DEXA_INDICATOR_CODES, SupportedBiomarker, codeToLoinc, filterVisibleBiomarkers, findCodeByName, generateCacFullReference, generateDexaFullReference, generateFilteredLLMReference, generateLLMReference, getAllCodes, getAllDefinitions, getAllLoincCodes, getAllSearchPatterns, getBiomarkersByCategory, getBiomarkersForCategories, getDefinitionByCode, getDefinitionByLoinc, getDefinitionsBySex, getSexForCode, getVisibleDefinitions, isBiomarkerVisible, isCacDocument, isDexaDocument, isValidCode, isValidLoinc, loincToCode, normalizeCode, toBiomarkerTests, validateLoincNameMatch } from './biomarkers.cjs';
 export { BIOMARKER_DEFAULT_UNIT, BIOMARKER_UNITS, BiomarkerUnitConfig, ConversionResult, UNIT_TO_UCUM, convertUnit, getCanonicalUnit, getDefaultUnit, getSIUnit, unitToUCUM } from './units.cjs';
-import { F as FHIRMedicationStatement, a as FHIRObservation, b as FHIRBundle, c as FHIRIdentifier, d as FHIRCoding } from './fhir-types-Bmvac6o0.cjs';
-export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, h as FHIRBundleEntry, i as FHIRCodeableConcept, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-Bmvac6o0.cjs';
+import { F as FHIRMedicationStatement, a as FHIRObservation, b as FHIRBundle, c as FHIRIdentifier, d as FHIRCoding } from './fhir-types-B1KQmlRb.cjs';
+export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, h as FHIRBundleEntry, i as FHIRCodeableConcept, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-B1KQmlRb.cjs';
 export { FHIRImportResult, ImportError, ImportedObservation, MAX_FILE_SIZE, MAX_OBSERVATIONS, SkippedEntry, extractObservationsFromBundle, mapFHIRObservationToInternal, processImportBundle } from './importer.cjs';
 export { validateFHIRDiagnosticReport, validateFHIRImportBundle, validateFHIRObservation } from './validators.cjs';
 export { BiomarkerRangeDefinition, BiomarkerReferenceRange, FastingRequirement, PregnancyTrimester, RangeDirection, RangeVariant, ReferenceRangeContext, SexKey, applyFallbackReferenceRanges, biomarkerRangeDefinitions, defaultReferenceRanges, getFallbackReferenceRange, getRangeDirection, getReferenceRange } from './reference-ranges.cjs';

package/dist/index.d.ts

@@ -1,9 +1,9 @@
-import { I as InterventionData, A as Addressable, U as UserProfileData } from './converter-x5Gcw-03.js';
-export { B as BUNDLE_BASE_URL, F as Flag, G as Gender, L as LabObservationData, a as LabReportData, O as OverallStatus, e as entryFullUrl, l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-x5Gcw-03.js';
+import { I as InterventionData, A as Addressable, U as UserProfileData } from './converter-D1Q84Oc9.js';
+export { B as BUNDLE_BASE_URL, F as Flag, G as Gender, L as LabObservationData, a as LabReportData, O as OverallStatus, e as entryFullUrl, l as labObservationToFHIR, b as labReportToFHIR, c as labResultToFHIRBundle, u as userProfileToFHIR } from './converter-D1Q84Oc9.js';
 export { BIOMARKER_DEFINITIONS, BiomarkerDefinition, BiomarkerSearchPattern, CAC_INDICATOR_CODES, DEXA_CATEGORIES, DEXA_INDICATOR_CODES, SupportedBiomarker, codeToLoinc, filterVisibleBiomarkers, findCodeByName, generateCacFullReference, generateDexaFullReference, generateFilteredLLMReference, generateLLMReference, getAllCodes, getAllDefinitions, getAllLoincCodes, getAllSearchPatterns, getBiomarkersByCategory, getBiomarkersForCategories, getDefinitionByCode, getDefinitionByLoinc, getDefinitionsBySex, getSexForCode, getVisibleDefinitions, isBiomarkerVisible, isCacDocument, isDexaDocument, isValidCode, isValidLoinc, loincToCode, normalizeCode, toBiomarkerTests, validateLoincNameMatch } from './biomarkers.js';
 export { BIOMARKER_DEFAULT_UNIT, BIOMARKER_UNITS, BiomarkerUnitConfig, ConversionResult, UNIT_TO_UCUM, convertUnit, getCanonicalUnit, getDefaultUnit, getSIUnit, unitToUCUM } from './units.js';
-import { F as FHIRMedicationStatement, a as FHIRObservation, b as FHIRBundle, c as FHIRIdentifier, d as FHIRCoding } from './fhir-types-Bmvac6o0.js';
-export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, h as FHIRBundleEntry, i as FHIRCodeableConcept, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-Bmvac6o0.js';
+import { F as FHIRMedicationStatement, a as FHIRObservation, b as FHIRBundle, c as FHIRIdentifier, d as FHIRCoding } from './fhir-types-B1KQmlRb.js';
+export { e as FHIRAddress, f as FHIRAnnotation, g as FHIRAttachment, h as FHIRBundleEntry, i as FHIRCodeableConcept, j as FHIRContactPoint, k as FHIRDiagnosticReport, l as FHIRHumanName, m as FHIRPatient, n as FHIRPeriod, o as FHIRQuantity, p as FHIRReference, q as FHIRReferenceRange } from './fhir-types-B1KQmlRb.js';
 export { FHIRImportResult, ImportError, ImportedObservation, MAX_FILE_SIZE, MAX_OBSERVATIONS, SkippedEntry, extractObservationsFromBundle, mapFHIRObservationToInternal, processImportBundle } from './importer.js';
 export { validateFHIRDiagnosticReport, validateFHIRImportBundle, validateFHIRObservation } from './validators.js';
 export { BiomarkerRangeDefinition, BiomarkerReferenceRange, FastingRequirement, PregnancyTrimester, RangeDirection, RangeVariant, ReferenceRangeContext, SexKey, applyFallbackReferenceRanges, biomarkerRangeDefinitions, defaultReferenceRanges, getFallbackReferenceRange, getRangeDirection, getReferenceRange } from './reference-ranges.js';

package/dist/index.js

@@ -5,7 +5,7 @@ import {
   labReportToFHIR,
   labResultToFHIRBundle,
   userProfileToFHIR
-} from "./chunk-UVCWSKPO.js";
+} from "./chunk-7KPKFRKK.js";
 import {
   MAX_FILE_SIZE,
   MAX_OBSERVATIONS,

package/dist/validators.d.cts

@@ -1,4 +1,4 @@
-import { k as FHIRDiagnosticReport, a as FHIRObservation } from './fhir-types-Bmvac6o0.cjs';
+import { k as FHIRDiagnosticReport, a as FHIRObservation } from './fhir-types-B1KQmlRb.cjs';
 import { ImportError } from './importer.cjs';
 
 /**

package/dist/validators.d.ts

@@ -1,4 +1,4 @@
-import { k as FHIRDiagnosticReport, a as FHIRObservation } from './fhir-types-Bmvac6o0.js';
+import { k as FHIRDiagnosticReport, a as FHIRObservation } from './fhir-types-B1KQmlRb.js';
 import { ImportError } from './importer.js';
 
 /**

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@precisa-saude/fhir",
-  "version": "0.26.4",
+  "version": "0.27.0",
   "description": "Tipos FHIR R4, definições de biomarcadores, faixas de referência e conversores para o ecossistema de saúde brasileiro",
   "keywords": [
     "fhir",

package/dist/chunk-TA4B4WB7.cjs.map

@@ -1 +0,0 @@
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Um Bundle com `subject.reference` valendo\n * `Patient/abc` só resolve se alguma entrada tiver `fullUrl` terminando em\n * `/Patient/abc`: a referência relativa é lida contra a base do `fullUrl` da\n * entrada, que é como os exemplos da própria HL7 montam Bundle de coleção.\n *\n * Antes o `fullUrl` era `urn:uuid:observation-<laudo>-<código>`, que erra duas\n * vezes. `urn:uuid:` exige a sintaxe de UUID e aquilo não era um UUID, e num\n * Bundle de entradas `urn:uuid:` a referência precisa repetir a URN inteira,\n * então nenhuma das relativas resolvia. Um laudo de 22 marcadores saía com 24\n * erros de URN e 22 referências perdidas.\n */\n/**\n * Recurso que já tem id, e por isso pode ser endereçado numa entrada.\n *\n * No FHIR o `id` é opcional, porque um recurso pode viajar sem identidade\n * própria. Numa entrada de Bundle ele não pode: sem id não há `fullUrl`, e sem\n * `fullUrl` nenhuma referência chega ao recurso. Os conversores daqui sempre\n * atribuem um, e o tipo passa a dizer isso em vez de deixar `undefined` chegar\n * até a montagem da URL.\n */\nexport type Addressable<T> = T & { id: string };\n\n/**\n * Base dos `fullUrl`.\n *\n * Não precisa responder a uma requisição: no FHIR o `fullUrl` é identidade, não\n * endereço de download. Fica sob um domínio nosso para não colidir com a\n * identidade de recurso de outra instituição, que é o risco real de usar\n * `example.org` em dado que sai da máquina.\n */\nexport const BUNDLE_BASE_URL = 'https://precisa-saude.com.br/fhir';\n\n/**\n * Monta o `fullUrl` a partir do próprio recurso.\n *\n * Recebe o recurso em vez do tipo e do id soltos de propósito. O defeito que\n * isto substitui nasceu de montar os dois lados em separado: o `fullUrl` dizia\n * `observation-demo-Hgb` enquanto o recurso tinha id `demo-Hgb`, e ninguém\n * percebeu porque nada obrigava os dois a concordarem.\n *\n * O parâmetro pede o mínimo que a URL consome, e não a união de recursos que\n * este pacote converte. Um Bundle pode carregar qualquer recurso do R4, e quem\n * acrescenta uma entrada de um tipo que não está nessa união (um `Specimen`,\n * por exemplo) precisa do mesmo endereço, senão monta o dele e as duas formas\n * divergem outra vez.\n */\nexport const entryFullUrl = (resource: Addressable<{ resourceType: string }>): string =>\n  `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;\n","/**\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 Addressable, entryFullUrl } from './bundle-urls';\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): Addressable<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: Addressable<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): Addressable<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): Addressable<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    const resource = labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    );\n\n    return { fullUrl: entryFullUrl(resource), resource };\n  });\n\n  // Os ids vêm dos recursos já montados, e não de uma segunda montagem da mesma\n  // regra. O `DiagnosticReport.result` aponta para eles, e era aqui que a\n  // referência se separava do recurso.\n  const observationIds = fhirObservations.map((entry) => entry.resource.id);\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      { fullUrl: entryFullUrl(fhirPatient), resource: fhirPatient },\n      { fullUrl: entryFullUrl(diagnosticReport), resource: diagnosticReport },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  };\n}\n"]}

package/dist/chunk-UVCWSKPO.js.map

@@ -1 +0,0 @@
-{"version":3,"sources":["../src/bundle-urls.ts","../src/converter.ts"],"sourcesContent":["/**\n * Endereço das entradas de um Bundle.\n *\n * O `fullUrl` identifica a entrada, e é contra ele que o validador resolve as\n * referências entre os recursos. Um Bundle com `subject.reference` valendo\n * `Patient/abc` só resolve se alguma entrada tiver `fullUrl` terminando em\n * `/Patient/abc`: a referência relativa é lida contra a base do `fullUrl` da\n * entrada, que é como os exemplos da própria HL7 montam Bundle de coleção.\n *\n * Antes o `fullUrl` era `urn:uuid:observation-<laudo>-<código>`, que erra duas\n * vezes. `urn:uuid:` exige a sintaxe de UUID e aquilo não era um UUID, e num\n * Bundle de entradas `urn:uuid:` a referência precisa repetir a URN inteira,\n * então nenhuma das relativas resolvia. Um laudo de 22 marcadores saía com 24\n * erros de URN e 22 referências perdidas.\n */\n/**\n * Recurso que já tem id, e por isso pode ser endereçado numa entrada.\n *\n * No FHIR o `id` é opcional, porque um recurso pode viajar sem identidade\n * própria. Numa entrada de Bundle ele não pode: sem id não há `fullUrl`, e sem\n * `fullUrl` nenhuma referência chega ao recurso. Os conversores daqui sempre\n * atribuem um, e o tipo passa a dizer isso em vez de deixar `undefined` chegar\n * até a montagem da URL.\n */\nexport type Addressable<T> = T & { id: string };\n\n/**\n * Base dos `fullUrl`.\n *\n * Não precisa responder a uma requisição: no FHIR o `fullUrl` é identidade, não\n * endereço de download. Fica sob um domínio nosso para não colidir com a\n * identidade de recurso de outra instituição, que é o risco real de usar\n * `example.org` em dado que sai da máquina.\n */\nexport const BUNDLE_BASE_URL = 'https://precisa-saude.com.br/fhir';\n\n/**\n * Monta o `fullUrl` a partir do próprio recurso.\n *\n * Recebe o recurso em vez do tipo e do id soltos de propósito. O defeito que\n * isto substitui nasceu de montar os dois lados em separado: o `fullUrl` dizia\n * `observation-demo-Hgb` enquanto o recurso tinha id `demo-Hgb`, e ninguém\n * percebeu porque nada obrigava os dois a concordarem.\n *\n * O parâmetro pede o mínimo que a URL consome, e não a união de recursos que\n * este pacote converte. Um Bundle pode carregar qualquer recurso do R4, e quem\n * acrescenta uma entrada de um tipo que não está nessa união (um `Specimen`,\n * por exemplo) precisa do mesmo endereço, senão monta o dele e as duas formas\n * divergem outra vez.\n */\nexport const entryFullUrl = (resource: Addressable<{ resourceType: string }>): string =>\n  `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;\n","/**\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 Addressable, entryFullUrl } from './bundle-urls';\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): Addressable<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: Addressable<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          ? 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