@precisa-saude/fhir 0.37.1 → 0.37.2

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@precisa-saude/fhir",
-  "version": "0.37.1",
+  "version": "0.37.2",
   "description": "Tipos FHIR R4, definições de biomarcadores, faixas de referência e conversores para o ecossistema de saúde brasileiro",
   "keywords": [
     "fhir",

package/dist/chunk-A2R65X4X.cjs

@@ -1,276 +0,0 @@
-"use strict";Object.defineProperty(exports, "__esModule", {value: true}); function _nullishCoalesce(lhs, rhsFn) { if (lhs != null) { return lhs; } else { return rhsFn(); } }
-
-
-var _chunkOR67NJDZcjs = require('./chunk-OR67NJDZ.cjs');
-
-
-var _chunkDE7NHXIRcjs = require('./chunk-DE7NHXIR.cjs');
-
-
-
-var _chunkRWUFK5ANcjs = require('./chunk-RWUFK5AN.cjs');
-
-
-
-var _chunkBDS6CM7Fcjs = require('./chunk-BDS6CM7F.cjs');
-
-// src/bundle-urls.ts
-var BUNDLE_BASE_URL = "https://precisa-saude.com.br/fhir";
-var entryFullUrl = (resource) => `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;
-
-// src/converter.ts
-function interpretationCode(flag) {
-  switch (flag) {
-    case "H":
-      return "H";
-    // High
-    case "L":
-      return "L";
-    // Low
-    default:
-      return "N";
-  }
-}
-function interpretationDisplay(flag) {
-  switch (flag) {
-    case "H":
-      return "High";
-    case "L":
-      return "Low";
-    default:
-      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, quantity) => {
-  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));
-  }
-  const meaning = observation.referenceKind && _chunkDE7NHXIRcjs.referenceRangeMeaning.call(void 0, observation.referenceKind);
-  return toRanges(observation.referenceMin, observation.referenceMax).map(
-    (range) => meaning ? { ...range, type: { coding: [meaning] } } : range
-  );
-};
-function labObservationToFHIR(observation, patientId, laboratoryName) {
-  const methodLoinc = observation.methodLoinc && _chunkBDS6CM7Fcjs.methodVariantOf.call(void 0, observation.biomarkerCode, observation.methodLoinc) ? observation.methodLoinc : void 0;
-  const loincCode = _nullishCoalesce(methodLoinc, () => ( _chunkBDS6CM7Fcjs.codeToLoinc.call(void 0, observation.biomarkerCode)));
-  const sourceUnit = observation.unit || _chunkRWUFK5ANcjs.getDefaultUnit.call(void 0, observation.biomarkerCode) || observation.unit;
-  const ucumUnit = _chunkRWUFK5ANcjs.resolveUcum.call(void 0, sourceUnit, observation.biomarkerCode);
-  const quantity = (value) => ({
-    ...ucumUnit ? { code: ucumUnit, system: "http://unitsofmeasure.org" } : {},
-    ...sourceUnit ? { unit: sourceUnit } : {},
-    value
-  });
-  const isQualitative = observation.isQualitative || typeof observation.value === "string";
-  const fhirObs = {
-    category: [
-      {
-        coding: [
-          {
-            code: "laboratory",
-            display: "Laboratory",
-            system: "http://terminology.hl7.org/CodeSystem/observation-category"
-          }
-        ]
-      }
-    ],
-    code: {
-      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,
-      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma
-      // afirmação falsa, e quem consumisse o bundle confiando no system
-      // trataria aquilo como código de verdade. Composição corporal, densidade
-      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.
-      coding: [
-        ...loincCode ? [
-          {
-            code: loincCode,
-            display: observation.biomarkerName,
-            system: _chunkOR67NJDZcjs.LOINC_SYSTEM
-          }
-        ] : [],
-        {
-          code: observation.biomarkerCode,
-          display: observation.biomarkerName,
-          system: _chunkOR67NJDZcjs.BIOMARKER_CODE_SYSTEM
-        }
-      ],
-      text: observation.biomarkerName
-    },
-    effectiveDateTime: observation.collectionDate,
-    id: `${observation.reportId}-${observation.biomarkerCode}`,
-    interpretation: [
-      {
-        coding: [
-          {
-            code: interpretationCode(observation.flag),
-            display: interpretationDisplay(observation.flag),
-            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
-          }
-        ]
-      }
-    ],
-    performer: laboratoryName ? [{ display: laboratoryName }] : void 0,
-    resourceType: "Observation",
-    status: "final",
-    subject: {
-      reference: `Patient/${patientId}`
-    }
-  };
-  if (isQualitative) {
-    fhirObs.valueString = String(observation.value);
-  } else {
-    fhirObs.valueQuantity = quantity(observation.value);
-    const referenceRange = buildReferenceRanges(observation, quantity);
-    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;
-  }
-  return fhirObs;
-}
-function labReportToFHIR(report, patientId, observationIds) {
-  let status;
-  switch (report.processingStatus) {
-    case "complete":
-      status = "final";
-      break;
-    case "partial":
-      status = "partial";
-      break;
-    case "pending_review":
-      status = "preliminary";
-      break;
-    default:
-      status = "final";
-  }
-  return {
-    category: [
-      {
-        coding: [
-          {
-            code: "LAB",
-            display: "Laboratory",
-            system: "http://terminology.hl7.org/CodeSystem/v2-0074"
-          }
-        ]
-      }
-    ],
-    code: {
-      coding: [
-        {
-          code: "11502-2",
-          // Laboratory report
-          display: "Laboratory report",
-          system: "http://loinc.org"
-        }
-      ],
-      text: "Laboratory Results"
-    },
-    conclusion: report.overallStatus === "NORMAL" ? "All results within normal limits" : "One or more abnormal results detected",
-    conclusionCode: report.overallStatus === "ANORMAL" ? [
-      {
-        coding: [
-          {
-            code: "A",
-            display: "Abnormal",
-            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
-          }
-        ]
-      }
-    ] : void 0,
-    effectiveDateTime: report.collectionDate,
-    id: report.reportId,
-    issued: report.createdAt,
-    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : void 0,
-    resourceType: "DiagnosticReport",
-    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),
-    status,
-    subject: {
-      reference: `Patient/${patientId}`
-    }
-  };
-}
-function userProfileToFHIR(profile) {
-  const nameParts = profile.name.split(" ");
-  const given = nameParts.slice(0, -1);
-  const family = nameParts[nameParts.length - 1] || "";
-  return {
-    address: profile.address ? [
-      {
-        city: profile.address.city,
-        country: profile.address.country || "BR",
-        line: [
-          profile.address.street && profile.address.number ? `${profile.address.street}, ${profile.address.number}` : profile.address.street,
-          profile.address.complement
-        ].filter(Boolean),
-        postalCode: profile.address.postalCode,
-        state: profile.address.state
-      }
-    ] : void 0,
-    birthDate: profile.birthDate,
-    gender: profile.gender,
-    id: profile.userId,
-    name: [
-      {
-        family,
-        given: given.length > 0 ? given : void 0,
-        text: profile.name
-      }
-    ],
-    resourceType: "Patient",
-    telecom: [
-      ...profile.email ? [{ system: "email", value: profile.email }] : [],
-      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
-    ].length > 0 ? [
-      ...profile.email ? [{ system: "email", value: profile.email }] : [],
-      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
-    ] : void 0
-  };
-}
-function labResultToFHIRBundle(report, observations, userProfile) {
-  const patientId = userProfile.userId;
-  const fhirObservations = observations.map((obs) => {
-    const resource = labObservationToFHIR(
-      { ...obs, collectionDate: report.collectionDate },
-      patientId,
-      report.laboratoryName
-    );
-    return { fullUrl: entryFullUrl(resource), resource };
-  });
-  const observationIds = fhirObservations.map((entry) => entry.resource.id);
-  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);
-  const fhirPatient = userProfileToFHIR(userProfile);
-  return {
-    entry: [
-      { fullUrl: entryFullUrl(fhirPatient), resource: fhirPatient },
-      { fullUrl: entryFullUrl(diagnosticReport), resource: diagnosticReport },
-      ...fhirObservations
-    ],
-    resourceType: "Bundle",
-    type: "collection"
-  };
-}
-
-
-
-
-
-
-
-
-exports.BUNDLE_BASE_URL = BUNDLE_BASE_URL; exports.entryFullUrl = entryFullUrl; exports.labObservationToFHIR = labObservationToFHIR; exports.labReportToFHIR = labReportToFHIR; exports.userProfileToFHIR = userProfileToFHIR; exports.labResultToFHIRBundle = labResultToFHIRBundle;
-//# sourceMappingURL=chunk-A2R65X4X.cjs.map

package/dist/chunk-A2R65X4X.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, methodVariantOf } 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 { referenceRangeMeaning } from './reference-ranges';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\nimport { getDefaultUnit, resolveUcum } 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  quantity: (value: number) => FHIRQuantity,\n): FHIRReferenceRange[] => {\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  const meaning = observation.referenceKind && referenceRangeMeaning(observation.referenceKind);\n  return toRanges(observation.referenceMin, observation.referenceMax).map((range) =>\n    meaning ? { ...range, type: { coding: [meaning] } } : range,\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  // O código por método só sai quando é variante declarada do biomarcador. Um\n  // `methodLoinc` qualquer viraria afirmação sob `http://loinc.org` que o\n  // catálogo não conferiu.\n  const methodLoinc =\n    observation.methodLoinc && methodVariantOf(observation.biomarkerCode, observation.methodLoinc)\n      ? observation.methodLoinc\n      : undefined;\n  const loincCode = methodLoinc ?? codeToLoinc(observation.biomarkerCode);\n  // Use default unit if source unit is empty\n  const sourceUnit =\n    observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;\n  // `system` + `code` só saem quando a unidade resolve em UCUM. Unidade que o\n  // pacote não sabe traduzir fica só em `unit`, como texto: afirmar\n  // `http://unitsofmeasure.org` sobre `x10^3/mm3` era publicar um código\n  // falso, e quem consome o Bundle confiando no system trataria aquilo como\n  // UCUM de verdade.\n  const ucumUnit = resolveUcum(sourceUnit, observation.biomarkerCode);\n  const quantity = (value: number): FHIRQuantity => ({\n    ...(ucumUnit ? { code: ucumUnit, system: 'http://unitsofmeasure.org' } : {}),\n    ...(sourceUnit ? { unit: sourceUnit } : {}),\n    value,\n  });\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 = quantity(observation.value as number);\n\n    // Reference range only applies to quantitative values\n    const referenceRange = buildReferenceRanges(observation, quantity);\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/chunk-I6FCFMAO.js

@@ -1,276 +0,0 @@
-import {
-  BIOMARKER_CODE_SYSTEM,
-  LOINC_SYSTEM
-} from "./chunk-A6HR4XDK.js";
-import {
-  referenceRangeMeaning
-} from "./chunk-O7SK2YUU.js";
-import {
-  getDefaultUnit,
-  resolveUcum
-} from "./chunk-CZLX33DZ.js";
-import {
-  codeToLoinc,
-  methodVariantOf
-} from "./chunk-YCJUGK6D.js";
-
-// src/bundle-urls.ts
-var BUNDLE_BASE_URL = "https://precisa-saude.com.br/fhir";
-var entryFullUrl = (resource) => `${BUNDLE_BASE_URL}/${resource.resourceType}/${resource.id}`;
-
-// src/converter.ts
-function interpretationCode(flag) {
-  switch (flag) {
-    case "H":
-      return "H";
-    // High
-    case "L":
-      return "L";
-    // Low
-    default:
-      return "N";
-  }
-}
-function interpretationDisplay(flag) {
-  switch (flag) {
-    case "H":
-      return "High";
-    case "L":
-      return "Low";
-    default:
-      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, quantity) => {
-  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));
-  }
-  const meaning = observation.referenceKind && referenceRangeMeaning(observation.referenceKind);
-  return toRanges(observation.referenceMin, observation.referenceMax).map(
-    (range) => meaning ? { ...range, type: { coding: [meaning] } } : range
-  );
-};
-function labObservationToFHIR(observation, patientId, laboratoryName) {
-  const methodLoinc = observation.methodLoinc && methodVariantOf(observation.biomarkerCode, observation.methodLoinc) ? observation.methodLoinc : void 0;
-  const loincCode = methodLoinc ?? codeToLoinc(observation.biomarkerCode);
-  const sourceUnit = observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;
-  const ucumUnit = resolveUcum(sourceUnit, observation.biomarkerCode);
-  const quantity = (value) => ({
-    ...ucumUnit ? { code: ucumUnit, system: "http://unitsofmeasure.org" } : {},
-    ...sourceUnit ? { unit: sourceUnit } : {},
-    value
-  });
-  const isQualitative = observation.isQualitative || typeof observation.value === "string";
-  const fhirObs = {
-    category: [
-      {
-        coding: [
-          {
-            code: "laboratory",
-            display: "Laboratory",
-            system: "http://terminology.hl7.org/CodeSystem/observation-category"
-          }
-        ]
-      }
-    ],
-    code: {
-      // Sem LOINC, o coding LOINC simplesmente não sai. Antes ia `99999-9`,
-      // que não é código LOINC nenhum: publicava sob `http://loinc.org` uma
-      // afirmação falsa, e quem consumisse o bundle confiando no system
-      // trataria aquilo como código de verdade. Composição corporal, densidade
-      // óssea e escore de cálcio não têm LOINC, e o certo é a lacuna explícita.
-      coding: [
-        ...loincCode ? [
-          {
-            code: loincCode,
-            display: observation.biomarkerName,
-            system: LOINC_SYSTEM
-          }
-        ] : [],
-        {
-          code: observation.biomarkerCode,
-          display: observation.biomarkerName,
-          system: BIOMARKER_CODE_SYSTEM
-        }
-      ],
-      text: observation.biomarkerName
-    },
-    effectiveDateTime: observation.collectionDate,
-    id: `${observation.reportId}-${observation.biomarkerCode}`,
-    interpretation: [
-      {
-        coding: [
-          {
-            code: interpretationCode(observation.flag),
-            display: interpretationDisplay(observation.flag),
-            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
-          }
-        ]
-      }
-    ],
-    performer: laboratoryName ? [{ display: laboratoryName }] : void 0,
-    resourceType: "Observation",
-    status: "final",
-    subject: {
-      reference: `Patient/${patientId}`
-    }
-  };
-  if (isQualitative) {
-    fhirObs.valueString = String(observation.value);
-  } else {
-    fhirObs.valueQuantity = quantity(observation.value);
-    const referenceRange = buildReferenceRanges(observation, quantity);
-    if (referenceRange.length > 0) fhirObs.referenceRange = referenceRange;
-  }
-  return fhirObs;
-}
-function labReportToFHIR(report, patientId, observationIds) {
-  let status;
-  switch (report.processingStatus) {
-    case "complete":
-      status = "final";
-      break;
-    case "partial":
-      status = "partial";
-      break;
-    case "pending_review":
-      status = "preliminary";
-      break;
-    default:
-      status = "final";
-  }
-  return {
-    category: [
-      {
-        coding: [
-          {
-            code: "LAB",
-            display: "Laboratory",
-            system: "http://terminology.hl7.org/CodeSystem/v2-0074"
-          }
-        ]
-      }
-    ],
-    code: {
-      coding: [
-        {
-          code: "11502-2",
-          // Laboratory report
-          display: "Laboratory report",
-          system: "http://loinc.org"
-        }
-      ],
-      text: "Laboratory Results"
-    },
-    conclusion: report.overallStatus === "NORMAL" ? "All results within normal limits" : "One or more abnormal results detected",
-    conclusionCode: report.overallStatus === "ANORMAL" ? [
-      {
-        coding: [
-          {
-            code: "A",
-            display: "Abnormal",
-            system: "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
-          }
-        ]
-      }
-    ] : void 0,
-    effectiveDateTime: report.collectionDate,
-    id: report.reportId,
-    issued: report.createdAt,
-    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : void 0,
-    resourceType: "DiagnosticReport",
-    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),
-    status,
-    subject: {
-      reference: `Patient/${patientId}`
-    }
-  };
-}
-function userProfileToFHIR(profile) {
-  const nameParts = profile.name.split(" ");
-  const given = nameParts.slice(0, -1);
-  const family = nameParts[nameParts.length - 1] || "";
-  return {
-    address: profile.address ? [
-      {
-        city: profile.address.city,
-        country: profile.address.country || "BR",
-        line: [
-          profile.address.street && profile.address.number ? `${profile.address.street}, ${profile.address.number}` : profile.address.street,
-          profile.address.complement
-        ].filter(Boolean),
-        postalCode: profile.address.postalCode,
-        state: profile.address.state
-      }
-    ] : void 0,
-    birthDate: profile.birthDate,
-    gender: profile.gender,
-    id: profile.userId,
-    name: [
-      {
-        family,
-        given: given.length > 0 ? given : void 0,
-        text: profile.name
-      }
-    ],
-    resourceType: "Patient",
-    telecom: [
-      ...profile.email ? [{ system: "email", value: profile.email }] : [],
-      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
-    ].length > 0 ? [
-      ...profile.email ? [{ system: "email", value: profile.email }] : [],
-      ...profile.phone ? [{ system: "phone", value: profile.phone }] : []
-    ] : void 0
-  };
-}
-function labResultToFHIRBundle(report, observations, userProfile) {
-  const patientId = userProfile.userId;
-  const fhirObservations = observations.map((obs) => {
-    const resource = labObservationToFHIR(
-      { ...obs, collectionDate: report.collectionDate },
-      patientId,
-      report.laboratoryName
-    );
-    return { fullUrl: entryFullUrl(resource), resource };
-  });
-  const observationIds = fhirObservations.map((entry) => entry.resource.id);
-  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);
-  const fhirPatient = userProfileToFHIR(userProfile);
-  return {
-    entry: [
-      { fullUrl: entryFullUrl(fhirPatient), resource: fhirPatient },
-      { fullUrl: entryFullUrl(diagnosticReport), resource: diagnosticReport },
-      ...fhirObservations
-    ],
-    resourceType: "Bundle",
-    type: "collection"
-  };
-}
-
-export {
-  BUNDLE_BASE_URL,
-  entryFullUrl,
-  labObservationToFHIR,
-  labReportToFHIR,
-  userProfileToFHIR,
-  labResultToFHIRBundle
-};
-//# sourceMappingURL=chunk-I6FCFMAO.js.map

package/dist/chunk-I6FCFMAO.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, methodVariantOf } 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 { referenceRangeMeaning } from './reference-ranges';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\nimport { getDefaultUnit, resolveUcum } 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. 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Um\n  // `methodLoinc` qualquer viraria afirmação sob `http://loinc.org` que o\n  // catálogo não conferiu.\n  const methodLoinc =\n    observation.methodLoinc && methodVariantOf(observation.biomarkerCode, observation.methodLoinc)\n      ? observation.methodLoinc\n      : undefined;\n  const loincCode = methodLoinc ?? codeToLoinc(observation.biomarkerCode);\n  // Use default unit if source unit is empty\n  const sourceUnit =\n    observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;\n  // `system` + `code` só saem quando a unidade resolve em UCUM. 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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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[{ 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 = quantity(observation.value as number);\n\n    // Reference range only applies to quantitative values\n    const referenceRange = buildReferenceRanges(observation, quantity);\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      ? 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