@precisa-saude/fhir 0.31.3 → 0.31.4

package/dist/biomarkers.cjs

@@ -30,7 +30,7 @@
 
 
 
-var _chunkR5S7URXWcjs = require('./chunk-R5S7URXW.cjs');
+var _chunkECUM5SFPcjs = require('./chunk-ECUM5SFP.cjs');
 
 
 
@@ -63,5 +63,5 @@ var _chunkR5S7URXWcjs = require('./chunk-R5S7URXW.cjs');
 
 
 
-exports.BIOMARKER_DEFINITIONS = _chunkR5S7URXWcjs.BIOMARKER_DEFINITIONS; exports.CAC_INDICATOR_CODES = _chunkR5S7URXWcjs.CAC_INDICATOR_CODES; exports.DEXA_CATEGORIES = _chunkR5S7URXWcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkR5S7URXWcjs.DEXA_INDICATOR_CODES; exports.codeToLoinc = _chunkR5S7URXWcjs.codeToLoinc; exports.filterVisibleBiomarkers = _chunkR5S7URXWcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkR5S7URXWcjs.findCodeByName; exports.generateCacFullReference = _chunkR5S7URXWcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkR5S7URXWcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkR5S7URXWcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkR5S7URXWcjs.generateLLMReference; exports.getAllCodes = _chunkR5S7URXWcjs.getAllCodes; exports.getAllDefinitions = _chunkR5S7URXWcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkR5S7URXWcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkR5S7URXWcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkR5S7URXWcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkR5S7URXWcjs.getBiomarkersForCategories; exports.getDefinitionByCode = _chunkR5S7URXWcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkR5S7URXWcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkR5S7URXWcjs.getDefinitionsBySex; exports.getSexForCode = _chunkR5S7URXWcjs.getSexForCode; exports.getVisibleDefinitions = _chunkR5S7URXWcjs.getVisibleDefinitions; exports.isBiomarkerVisible = _chunkR5S7URXWcjs.isBiomarkerVisible; exports.isCacDocument = _chunkR5S7URXWcjs.isCacDocument; exports.isDexaDocument = _chunkR5S7URXWcjs.isDexaDocument; exports.isValidCode = _chunkR5S7URXWcjs.isValidCode; exports.isValidLoinc = _chunkR5S7URXWcjs.isValidLoinc; exports.loincToCode = _chunkR5S7URXWcjs.loincToCode; exports.normalizeCode = _chunkR5S7URXWcjs.normalizeCode; exports.toBiomarkerTests = _chunkR5S7URXWcjs.toBiomarkerTests; exports.validateLoincNameMatch = _chunkR5S7URXWcjs.validateLoincNameMatch;
+exports.BIOMARKER_DEFINITIONS = _chunkECUM5SFPcjs.BIOMARKER_DEFINITIONS; exports.CAC_INDICATOR_CODES = _chunkECUM5SFPcjs.CAC_INDICATOR_CODES; exports.DEXA_CATEGORIES = _chunkECUM5SFPcjs.DEXA_CATEGORIES; exports.DEXA_INDICATOR_CODES = _chunkECUM5SFPcjs.DEXA_INDICATOR_CODES; exports.codeToLoinc = _chunkECUM5SFPcjs.codeToLoinc; exports.filterVisibleBiomarkers = _chunkECUM5SFPcjs.filterVisibleBiomarkers; exports.findCodeByName = _chunkECUM5SFPcjs.findCodeByName; exports.generateCacFullReference = _chunkECUM5SFPcjs.generateCacFullReference; exports.generateDexaFullReference = _chunkECUM5SFPcjs.generateDexaFullReference; exports.generateFilteredLLMReference = _chunkECUM5SFPcjs.generateFilteredLLMReference; exports.generateLLMReference = _chunkECUM5SFPcjs.generateLLMReference; exports.getAllCodes = _chunkECUM5SFPcjs.getAllCodes; exports.getAllDefinitions = _chunkECUM5SFPcjs.getAllDefinitions; exports.getAllLoincCodes = _chunkECUM5SFPcjs.getAllLoincCodes; exports.getAllSearchPatterns = _chunkECUM5SFPcjs.getAllSearchPatterns; exports.getBiomarkersByCategory = _chunkECUM5SFPcjs.getBiomarkersByCategory; exports.getBiomarkersForCategories = _chunkECUM5SFPcjs.getBiomarkersForCategories; exports.getDefinitionByCode = _chunkECUM5SFPcjs.getDefinitionByCode; exports.getDefinitionByLoinc = _chunkECUM5SFPcjs.getDefinitionByLoinc; exports.getDefinitionsBySex = _chunkECUM5SFPcjs.getDefinitionsBySex; exports.getSexForCode = _chunkECUM5SFPcjs.getSexForCode; exports.getVisibleDefinitions = _chunkECUM5SFPcjs.getVisibleDefinitions; exports.isBiomarkerVisible = _chunkECUM5SFPcjs.isBiomarkerVisible; exports.isCacDocument = _chunkECUM5SFPcjs.isCacDocument; exports.isDexaDocument = _chunkECUM5SFPcjs.isDexaDocument; exports.isValidCode = _chunkECUM5SFPcjs.isValidCode; exports.isValidLoinc = _chunkECUM5SFPcjs.isValidLoinc; exports.loincToCode = _chunkECUM5SFPcjs.loincToCode; exports.normalizeCode = _chunkECUM5SFPcjs.normalizeCode; exports.toBiomarkerTests = _chunkECUM5SFPcjs.toBiomarkerTests; exports.validateLoincNameMatch = _chunkECUM5SFPcjs.validateLoincNameMatch;
 //# sourceMappingURL=biomarkers.cjs.map

package/dist/biomarkers.js

@@ -30,7 +30,7 @@ import {
   normalizeCode,
   toBiomarkerTests,
   validateLoincNameMatch
-} from "./chunk-L4KJ3QWU.js";
+} from "./chunk-IBF7TKQH.js";
 export {
   BIOMARKER_DEFINITIONS,
   CAC_INDICATOR_CODES,

package/dist/{chunk-BXHJ3JAC.js → chunk-C2KPVIOY.js}

@@ -4,7 +4,7 @@ import {
 } from "./chunk-A6HR4XDK.js";
 import {
   codeToLoinc
-} from "./chunk-L4KJ3QWU.js";
+} from "./chunk-IBF7TKQH.js";
 import {
   getDefaultUnit,
   unitToUCUM
@@ -271,4 +271,4 @@ export {
   userProfileToFHIR,
   labResultToFHIRBundle
 };
-//# sourceMappingURL=chunk-BXHJ3JAC.js.map
+//# sourceMappingURL=chunk-C2KPVIOY.js.map

package/dist/{chunk-L7WLJNU5.cjs → chunk-CKDOYXRI.cjs}

@@ -8,7 +8,7 @@ var _chunkOR67NJDZcjs = require('./chunk-OR67NJDZ.cjs');
 
 
 
-var _chunkR5S7URXWcjs = require('./chunk-R5S7URXW.cjs');
+var _chunkECUM5SFPcjs = require('./chunk-ECUM5SFP.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 ? _chunkR5S7URXWcjs.loincToCode.call(void 0, loincCode) : void 0;
+  const fromLoinc = loincCode ? _chunkECUM5SFPcjs.loincToCode.call(void 0, loincCode) : void 0;
   if (fromLoinc) return { internalCode: fromLoinc, loincCode, reason };
-  if (declaredCode && _chunkR5S7URXWcjs.isValidCode.call(void 0, declaredCode)) {
-    const canonical = _chunkR5S7URXWcjs.normalizeCode.call(void 0, declaredCode);
-    return { internalCode: canonical, loincCode: _chunkR5S7URXWcjs.codeToLoinc.call(void 0, canonical), reason };
+  if (declaredCode && _chunkECUM5SFPcjs.isValidCode.call(void 0, declaredCode)) {
+    const canonical = _chunkECUM5SFPcjs.normalizeCode.call(void 0, declaredCode);
+    return { internalCode: canonical, loincCode: _chunkECUM5SFPcjs.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 = _chunkR5S7URXWcjs.getDefinitionByCode.call(void 0, internalCode);
+  const definition = _chunkECUM5SFPcjs.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-L7WLJNU5.cjs.map
+//# sourceMappingURL=chunk-CKDOYXRI.cjs.map

package/dist/{chunk-L7WLJNU5.cjs.map → chunk-CKDOYXRI.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-R5S7URXW.cjs → chunk-ECUM5SFP.cjs}

@@ -3314,10 +3314,17 @@ function isCacDocument(matchedCodes) {
 function normalizeText(text) {
   return text.replace(/[_\-/]/g, " ").replace(/([a-z])([A-Z])/g, "$1 $2").replace(/([A-Z]+)([A-Z][a-z])/g, "$1 $2").normalize("NFD").replace(/[\u0300-\u036f]/g, "").toLowerCase().replace(/\s+/g, " ").trim();
 }
+function foldText(text) {
+  return text.normalize("NFD").replace(/[\u0300-\u036f]/g, "").toLowerCase().replace(/[_\-/,]/g, " ").replace(/\s+/g, " ").trim();
+}
 var normalizedNameToCodeMap = /* @__PURE__ */ new Map();
+var foldedNameToCodeMap = /* @__PURE__ */ new Map();
 for (const def of BIOMARKER_DEFINITIONS) {
   for (const name of [...def.names.en, ...def.names.pt]) {
     normalizedNameToCodeMap.set(normalizeText(name), def.code);
+    const folded = foldText(name);
+    const owner = foldedNameToCodeMap.get(folded);
+    foldedNameToCodeMap.set(folded, owner === void 0 || owner === def.code ? def.code : null);
   }
 }
 function findCodeByName(name) {
@@ -3328,8 +3335,11 @@ function findCodeByName(name) {
   if (canonical) {
     return canonical;
   }
-  const normalized = normalizeText(name);
-  return normalizedNameToCodeMap.get(normalized);
+  const normalized = normalizedNameToCodeMap.get(normalizeText(name));
+  if (normalized) {
+    return normalized;
+  }
+  return _nullishCoalesce(foldedNameToCodeMap.get(foldText(name)), () => ( void 0));
 }
 function validateLoincNameMatch(loinc, name) {
   const loincCode = loincToCode(loinc);
@@ -3411,4 +3421,4 @@ 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-R5S7URXW.cjs.map
+//# sourceMappingURL=chunk-ECUM5SFP.cjs.map