@precisa-saude/fhir 0.5.1 → 0.6.0

package/README.md

@@ -1,6 +1,6 @@
 # @precisa-saude/fhir
 
-Tipos FHIR R4, 200+ definições de biomarcadores com códigos LOINC, faixas de referência (SBPC/ML, SBC, SBD), conversores e importadores para o contexto clínico brasileiro.
+Tipos FHIR R4, 180+ definições de biomarcadores com códigos LOINC, faixas de referência (SBPC/ML, SBC, SBD), conversores e importadores para o contexto clínico brasileiro.
 
 ## Instalação
 
@@ -49,7 +49,7 @@ import { getDefinitionByCode, getAllDefinitions } from '@precisa-saude/fhir';
 const def = getDefinitionByCode('HDL');
 // { code: 'HDL', loinc: '2085-9', names: { pt: [...], en: [...] }, ... }
 
-const all = getAllDefinitions(); // 200+ definições
+const all = getAllDefinitions(); // 180+ definições
 ```
 
 ## Sub-path imports
@@ -69,7 +69,7 @@ import { validateFHIRObservation } from '@precisa-saude/fhir/validators';
 
 | Sub-path            | Descrição                                                          |
 | ------------------- | ------------------------------------------------------------------ |
-| `/biomarkers`       | 200+ definições com códigos LOINC, nomes pt/en, categorias         |
+| `/biomarkers`       | 180+ definições com códigos LOINC, nomes pt/en, categorias         |
 | `/reference-ranges` | Faixas de referência por sexo/idade (SBPC/ML, SBC, SBD, OMS)       |
 | `/converter`        | Converte dados laboratoriais para FHIR R4 Bundle                   |
 | `/importer`         | Importa FHIR Bundle de volta para estruturas internas              |

package/dist/{chunk-RGHKKL3W.js → chunk-4KGWSF55.js}

@@ -4,7 +4,7 @@ import {
 import {
   getDefaultUnit,
   unitToUCUM
-} from "./chunk-VPMT4MRS.js";
+} from "./chunk-R25V2E6S.js";
 
 // src/converter.ts
 function interpretationCode(flag) {
@@ -248,4 +248,4 @@ export {
   userProfileToFHIR,
   labResultToFHIRBundle
 };
-//# sourceMappingURL=chunk-RGHKKL3W.js.map
+//# sourceMappingURL=chunk-4KGWSF55.js.map

package/dist/{chunk-4EB4LIIT.cjs → chunk-CPZ7YNON.cjs}

@@ -4,7 +4,7 @@ var _chunk2EVQ2ESBcjs = require('./chunk-2EVQ2ESB.cjs');
 
 
 
-var _chunkGFXKYXHWcjs = require('./chunk-GFXKYXHW.cjs');
+var _chunkZYSD6A2Kcjs = require('./chunk-ZYSD6A2K.cjs');
 
 // src/converter.ts
 function interpretationCode(flag) {
@@ -31,8 +31,8 @@ function interpretationDisplay(flag) {
 }
 function labObservationToFHIR(observation, patientId, laboratoryName) {
   const loincCode = _chunk2EVQ2ESBcjs.codeToLoinc.call(void 0, observation.biomarkerCode) || "99999-9";
-  const sourceUnit = observation.unit || _chunkGFXKYXHWcjs.getDefaultUnit.call(void 0, observation.biomarkerCode) || observation.unit;
-  const ucumUnit = _chunkGFXKYXHWcjs.unitToUCUM.call(void 0, sourceUnit);
+  const sourceUnit = observation.unit || _chunkZYSD6A2Kcjs.getDefaultUnit.call(void 0, observation.biomarkerCode) || observation.unit;
+  const ucumUnit = _chunkZYSD6A2Kcjs.unitToUCUM.call(void 0, sourceUnit);
   const isQualitative = observation.isQualitative || typeof observation.value === "string";
   const fhirObs = {
     category: [
@@ -248,4 +248,4 @@ function labResultToFHIRBundle(report, observations, userProfile) {
 
 
 exports.labObservationToFHIR = labObservationToFHIR; exports.labReportToFHIR = labReportToFHIR; exports.userProfileToFHIR = userProfileToFHIR; exports.labResultToFHIRBundle = labResultToFHIRBundle;
-//# sourceMappingURL=chunk-4EB4LIIT.cjs.map
+//# sourceMappingURL=chunk-CPZ7YNON.cjs.map

package/dist/{chunk-4EB4LIIT.cjs.map → chunk-CPZ7YNON.cjs.map}

@@ -1 +1 @@
-{"version":3,"sources":["/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-4EB4LIIT.cjs","../src/converter.ts"],"names":[],"mappings":"AAAA;AACE;AACF,wDAA6B;AAC7B;AACE;AACA;AACF,wDAA6B;AAC7B;AACA;ACUA,SAAS,kBAAA,CAAmB,IAAA,EAAoB;AAC9C,EAAA,OAAA,CAAQ,IAAA,EAAM;AAAA,IACZ,KAAK,GAAA;AACH,MAAA,OAAO,GAAA;AAAA;AAAA,IACT,KAAK,GAAA;AACH,MAAA,OAAO,GAAA;AAAA;AAAA,IACT,OAAA;AACE,MAAA,OAAO,GAAA;AAAA,EACX;AACF;AAKA,SAAS,qBAAA,CAAsB,IAAA,EAAoB;AACjD,EAAA,OAAA,CAAQ,IAAA,EAAM;AAAA,IACZ,KAAK,GAAA;AACH,MAAA,OAAO,MAAA;AAAA,IACT,KAAK,GAAA;AACH,MAAA,OAAO,KAAA;AAAA,IACT,OAAA;AACE,MAAA,OAAO,QAAA;AAAA,EACX;AACF;AAKO,SAAS,oBAAA,CACd,WAAA,EACA,SAAA,EACA,cAAA,EACiB;AACjB,EAAA,MAAM,UAAA,EAAY,2CAAA,WAAY,CAAY,aAAa,EAAA,GAAK,SAAA;AAE5D,EAAA,MAAM,WAAA,EACJ,WAAA,CAAY,KAAA,GAAQ,8CAAA,WAAe,CAAY,aAAa,EAAA,GAAK,WAAA,CAAY,IAAA;AAC/E,EAAA,MAAM,SAAA,EAAW,0CAAA,UAAqB,CAAA;AACtC,EAAA,MAAM,cAAA,EAAgB,WAAA,CAAY,cAAA,GAAiB,OAAO,WAAA,CAAY,MAAA,IAAU,QAAA;AAGhF,EAAA,MAAM,QAAA,EAA2B;AAAA,IAC/B,QAAA,EAAU;AAAA,MACR;AAAA,QACE,MAAA,EAAQ;AAAA,UACN;AAAA,YACE,IAAA,EAAM,YAAA;AAAA,YACN,OAAA,EAAS,YAAA;AAAA,YACT,MAAA,EAAQ;AAAA,UACV;AAAA,QACF;AAAA,MACF;AAAA,IACF,CAAA;AAAA,IACA,IAAA,EAAM;AAAA,MACJ,MAAA,EAAQ;AAAA,QACN;AAAA,UACE,IAAA,EAAM,SAAA;AAAA,UACN,OAAA,EAAS,WAAA,CAAY,aAAA;AAAA,UACrB,MAAA,EAAQ;AAAA,QACV,CAAA;AAAA,QACA;AAAA,UACE,IAAA,EAAM,WAAA,CAAY,aAAA;AAAA,UAClB,OAAA,EAAS,WAAA,CAAY,aAAA;AAAA,UACrB,MAAA,EAAQ;AAAA,QACV;AAAA,MACF,CAAA;AAAA,MACA,IAAA,EAAM,WAAA,CAAY;AAAA,IACpB,CAAA;AAAA,IACA,iBAAA,EAAmB,WAAA,CAAY,cAAA;AAAA,IAC/B,EAAA,EAAI,CAAA,EAAA;AACJ,IAAA;AACE,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AAC2C,YAAA;AACM,YAAA;AACvC,UAAA;AAEZ,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACE,MAAA;AACF,IAAA;AACF,EAAA;AAGI,EAAA;AACF,IAAA;AACK,EAAA;AACL,IAAA;AACE,MAAA;AACA,MAAA;AACA,MAAA;AACA,MAAA;AACF,IAAA;AAGI,IAAA;AACF,MAAA;AACE,QAAA;AAAA,UAAA;AACQ,YAAA;AACE,YAAA;AACE,YAAA;AACF,YAAA;AACa,UAAA;AACrB,UAAA;AACK,YAAA;AACG,YAAA;AACE,YAAA;AACF,YAAA;AACa,UAAA;AAEvB,QAAA;AACF,MAAA;AACF,IAAA;AACF,EAAA;AAEO,EAAA;AACT;AAKgB;AAMV,EAAA;AACJ,EAAA;AACO,IAAA;AACH,MAAA;AACA,MAAA;AACG,IAAA;AACH,MAAA;AACA,MAAA;AACG,IAAA;AACH,MAAA;AACA,MAAA;AACF,IAAA;AACE,MAAA;AACJ,EAAA;AAEO,EAAA;AACL,IAAA;AACE,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AACQ,YAAA;AACG,YAAA;AACD,UAAA;AAEZ,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACE,MAAA;AACE,QAAA;AAAA,UAAA;AACQ;AAAA,UAAA;AACG,UAAA;AAEX,QAAA;AACF,MAAA;AACA,MAAA;AACF,IAAA;AACA,IAAA;AAIA,IAAA;AAGQ,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AACQ,YAAA;AACG,YAAA;AACD,UAAA;AAEZ,QAAA;AACF,MAAA;AAEF,IAAA;AACN,IAAA;AACI,IAAA;AACJ,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACE,MAAA;AACF,IAAA;AACF,EAAA;AACF;AAMgB;AACR,EAAA;AACA,EAAA;AACA,EAAA;AAEC,EAAA;AACL,IAAA;AAEM,MAAA;AACE,QAAA;AACA,QAAA;AACA,QAAA;AAAM,UAAA;AAGgB,UAAA;AAEtB,QAAA;AACA,QAAA;AACA,QAAA;AACF,MAAA;AAEF,IAAA;AACJ,IAAA;AACA,IAAA;AACI,IAAA;AACJ,IAAA;AACE,MAAA;AACE,QAAA;AACA,QAAA;AACA,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACA,IAAA;AAEQ,MAAA;AACA,MAAA;AACJ,IAAA;AAEQ,MAAA;AACA,MAAA;AAEN,IAAA;AACR,EAAA;AACF;AAMgB;AAKR,EAAA;AAGA,EAAA;AACJ,IAAA;AACA,IAAA;AACI,MAAA;AACF,MAAA;AACA,MAAA;AACF,IAAA;AACA,EAAA;AAEI,EAAA;AACH,IAAA;AACH,EAAA;AAGM,EAAA;AAGA,EAAA;AAEC,EAAA;AACL,IAAA;AACE,MAAA;AACE,QAAA;AACA,QAAA;AACF,MAAA;AACA,MAAA;AACE,QAAA;AACA,QAAA;AACF,MAAA;AACG,MAAA;AACL,IAAA;AACA,IAAA;AACA,IAAA;AACF,EAAA;AACF;ADxES;AACA;AACA;AACA;AACA;AACA;AACA","file":"/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-4EB4LIIT.cjs","sourcesContent":[null,"/**\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 { FHIRBundle, FHIRDiagnosticReport, FHIRObservation, FHIRPatient } from './fhir-types';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\nimport { getDefaultUnit, unitToUCUM } from './units';\n\n// Re-export all types and functions\nexport * from './fhir-types';\n\n/**\n * Convert Flag to FHIR interpretation code\n */\nfunction interpretationCode(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'H'; // High\n    case 'L':\n      return 'L'; // Low\n    default:\n      return 'N'; // Normal\n  }\n}\n\n/**\n * Convert Flag to FHIR interpretation display\n */\nfunction interpretationDisplay(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'High';\n    case 'L':\n      return 'Low';\n    default:\n      return 'Normal';\n  }\n}\n\n/**\n * Convert generic lab observation to FHIR Observation\n */\nexport function labObservationToFHIR(\n  observation: LabObservationData,\n  patientId: string,\n  laboratoryName?: string,\n): FHIRObservation {\n  const loincCode = codeToLoinc(observation.biomarkerCode) || '99999-9';\n  // Use default unit if source unit is empty\n  const sourceUnit =\n    observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;\n  const ucumUnit = unitToUCUM(sourceUnit);\n  const isQualitative = observation.isQualitative || typeof observation.value === 'string';\n\n  // Base observation structure\n  const fhirObs: FHIRObservation = {\n    category: [\n      {\n        coding: [\n          {\n            code: 'laboratory',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/observation-category',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: loincCode,\n          display: observation.biomarkerName,\n          system: 'http://loinc.org',\n        },\n        {\n          code: observation.biomarkerCode,\n          display: observation.biomarkerName,\n          system: 'http://fhir-brasil.dev/biomarker-codes',\n        },\n      ],\n      text: observation.biomarkerName,\n    },\n    effectiveDateTime: observation.collectionDate,\n    id: `${observation.reportId}-${observation.biomarkerCode}`,\n    interpretation: [\n      {\n        coding: [\n          {\n            code: interpretationCode(observation.flag),\n            display: interpretationDisplay(observation.flag),\n            system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n          },\n        ],\n      },\n    ],\n    performer: laboratoryName ? [{ display: laboratoryName }] : undefined,\n    resourceType: 'Observation',\n    status: 'final',\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n\n  // Add value based on type (qualitative = string, quantitative = number)\n  if (isQualitative) {\n    fhirObs.valueString = String(observation.value);\n  } else {\n    fhirObs.valueQuantity = {\n      code: ucumUnit,\n      system: 'http://unitsofmeasure.org',\n      unit: sourceUnit,\n      value: observation.value as number,\n    };\n\n    // Reference range only applies to quantitative values\n    if (observation.referenceMin !== undefined && observation.referenceMax !== undefined) {\n      fhirObs.referenceRange = [\n        {\n          high: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMax,\n          },\n          low: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMin,\n          },\n        },\n      ];\n    }\n  }\n\n  return fhirObs;\n}\n\n/**\n * Convert generic lab report to FHIR DiagnosticReport\n */\nexport function labReportToFHIR(\n  report: LabReportData,\n  patientId: string,\n  observationIds: string[],\n): FHIRDiagnosticReport {\n  // Map processing status to FHIR status\n  let status: FHIRDiagnosticReport['status'];\n  switch (report.processingStatus) {\n    case 'complete':\n      status = 'final';\n      break;\n    case 'partial':\n      status = 'partial';\n      break;\n    case 'pending_review':\n      status = 'preliminary';\n      break;\n    default:\n      status = 'final';\n  }\n\n  return {\n    category: [\n      {\n        coding: [\n          {\n            code: 'LAB',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/v2-0074',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: '11502-2', // Laboratory report\n          display: 'Laboratory report',\n          system: 'http://loinc.org',\n        },\n      ],\n      text: 'Laboratory Results',\n    },\n    conclusion:\n      report.overallStatus === 'NORMAL'\n        ? 'All results within normal limits'\n        : 'One or more abnormal results detected',\n    conclusionCode:\n      report.overallStatus === 'ANORMAL'\n        ? [\n            {\n              coding: [\n                {\n                  code: 'A',\n                  display: 'Abnormal',\n                  system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n                },\n              ],\n            },\n          ]\n        : undefined,\n    effectiveDateTime: report.collectionDate,\n    id: report.reportId,\n    issued: report.createdAt,\n    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : undefined,\n    resourceType: 'DiagnosticReport',\n    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),\n    status,\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n}\n\n/**\n * Convert user profile to FHIR Patient\n * NOTE: CPF is intentionally excluded for privacy (LGPD compliance)\n */\nexport function userProfileToFHIR(profile: UserProfileData): FHIRPatient {\n  const nameParts = profile.name.split(' ');\n  const given = nameParts.slice(0, -1);\n  const family = nameParts[nameParts.length - 1] || '';\n\n  return {\n    address: profile.address\n      ? [\n          {\n            city: profile.address.city,\n            country: profile.address.country || 'BR',\n            line: [\n              profile.address.street && profile.address.number\n                ? `${profile.address.street}, ${profile.address.number}`\n                : profile.address.street,\n              profile.address.complement,\n            ].filter(Boolean) as string[],\n            postalCode: profile.address.postalCode,\n            state: profile.address.state,\n          },\n        ]\n      : undefined,\n    birthDate: profile.birthDate,\n    gender: profile.gender,\n    id: profile.userId,\n    name: [\n      {\n        family,\n        given: given.length > 0 ? given : undefined,\n        text: profile.name,\n      },\n    ],\n    resourceType: 'Patient',\n    telecom:\n      [\n        ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n        ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n      ].length > 0\n        ? [\n            ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n            ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n          ]\n        : undefined,\n  };\n}\n\n/**\n * Convert complete lab result to FHIR Bundle\n * This is the main function for exporting lab results to FHIR R4 format\n */\nexport function labResultToFHIRBundle(\n  report: LabReportData,\n  observations: LabObservationData[],\n  userProfile: UserProfileData,\n): FHIRBundle {\n  const patientId = userProfile.userId;\n\n  // Convert observations\n  const fhirObservations = observations.map((obs) => ({\n    fullUrl: `urn:uuid:observation-${obs.reportId}-${obs.biomarkerCode}`,\n    resource: labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    ),\n  }));\n\n  const observationIds = observations.map(\n    (obs) => `observation-${obs.reportId}-${obs.biomarkerCode}`,\n  );\n\n  // Convert report\n  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);\n\n  // Convert patient\n  const fhirPatient = userProfileToFHIR(userProfile);\n\n  return {\n    entry: [\n      {\n        fullUrl: `urn:uuid:${patientId}`,\n        resource: fhirPatient,\n      },\n      {\n        fullUrl: `urn:uuid:diagnostic-report-${report.reportId}`,\n        resource: diagnosticReport,\n      },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  };\n}\n"]}
+{"version":3,"sources":["/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-CPZ7YNON.cjs","../src/converter.ts"],"names":[],"mappings":"AAAA;AACE;AACF,wDAA6B;AAC7B;AACE;AACA;AACF,wDAA6B;AAC7B;AACA;ACUA,SAAS,kBAAA,CAAmB,IAAA,EAAoB;AAC9C,EAAA,OAAA,CAAQ,IAAA,EAAM;AAAA,IACZ,KAAK,GAAA;AACH,MAAA,OAAO,GAAA;AAAA;AAAA,IACT,KAAK,GAAA;AACH,MAAA,OAAO,GAAA;AAAA;AAAA,IACT,OAAA;AACE,MAAA,OAAO,GAAA;AAAA,EACX;AACF;AAKA,SAAS,qBAAA,CAAsB,IAAA,EAAoB;AACjD,EAAA,OAAA,CAAQ,IAAA,EAAM;AAAA,IACZ,KAAK,GAAA;AACH,MAAA,OAAO,MAAA;AAAA,IACT,KAAK,GAAA;AACH,MAAA,OAAO,KAAA;AAAA,IACT,OAAA;AACE,MAAA,OAAO,QAAA;AAAA,EACX;AACF;AAKO,SAAS,oBAAA,CACd,WAAA,EACA,SAAA,EACA,cAAA,EACiB;AACjB,EAAA,MAAM,UAAA,EAAY,2CAAA,WAAY,CAAY,aAAa,EAAA,GAAK,SAAA;AAE5D,EAAA,MAAM,WAAA,EACJ,WAAA,CAAY,KAAA,GAAQ,8CAAA,WAAe,CAAY,aAAa,EAAA,GAAK,WAAA,CAAY,IAAA;AAC/E,EAAA,MAAM,SAAA,EAAW,0CAAA,UAAqB,CAAA;AACtC,EAAA,MAAM,cAAA,EAAgB,WAAA,CAAY,cAAA,GAAiB,OAAO,WAAA,CAAY,MAAA,IAAU,QAAA;AAGhF,EAAA,MAAM,QAAA,EAA2B;AAAA,IAC/B,QAAA,EAAU;AAAA,MACR;AAAA,QACE,MAAA,EAAQ;AAAA,UACN;AAAA,YACE,IAAA,EAAM,YAAA;AAAA,YACN,OAAA,EAAS,YAAA;AAAA,YACT,MAAA,EAAQ;AAAA,UACV;AAAA,QACF;AAAA,MACF;AAAA,IACF,CAAA;AAAA,IACA,IAAA,EAAM;AAAA,MACJ,MAAA,EAAQ;AAAA,QACN;AAAA,UACE,IAAA,EAAM,SAAA;AAAA,UACN,OAAA,EAAS,WAAA,CAAY,aAAA;AAAA,UACrB,MAAA,EAAQ;AAAA,QACV,CAAA;AAAA,QACA;AAAA,UACE,IAAA,EAAM,WAAA,CAAY,aAAA;AAAA,UAClB,OAAA,EAAS,WAAA,CAAY,aAAA;AAAA,UACrB,MAAA,EAAQ;AAAA,QACV;AAAA,MACF,CAAA;AAAA,MACA,IAAA,EAAM,WAAA,CAAY;AAAA,IACpB,CAAA;AAAA,IACA,iBAAA,EAAmB,WAAA,CAAY,cAAA;AAAA,IAC/B,EAAA,EAAI,CAAA,EAAA;AACJ,IAAA;AACE,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AAC2C,YAAA;AACM,YAAA;AACvC,UAAA;AAEZ,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACE,MAAA;AACF,IAAA;AACF,EAAA;AAGI,EAAA;AACF,IAAA;AACK,EAAA;AACL,IAAA;AACE,MAAA;AACA,MAAA;AACA,MAAA;AACA,MAAA;AACF,IAAA;AAGI,IAAA;AACF,MAAA;AACE,QAAA;AAAA,UAAA;AACQ,YAAA;AACE,YAAA;AACE,YAAA;AACF,YAAA;AACa,UAAA;AACrB,UAAA;AACK,YAAA;AACG,YAAA;AACE,YAAA;AACF,YAAA;AACa,UAAA;AAEvB,QAAA;AACF,MAAA;AACF,IAAA;AACF,EAAA;AAEO,EAAA;AACT;AAKgB;AAMV,EAAA;AACJ,EAAA;AACO,IAAA;AACH,MAAA;AACA,MAAA;AACG,IAAA;AACH,MAAA;AACA,MAAA;AACG,IAAA;AACH,MAAA;AACA,MAAA;AACF,IAAA;AACE,MAAA;AACJ,EAAA;AAEO,EAAA;AACL,IAAA;AACE,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AACQ,YAAA;AACG,YAAA;AACD,UAAA;AAEZ,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACE,MAAA;AACE,QAAA;AAAA,UAAA;AACQ;AAAA,UAAA;AACG,UAAA;AAEX,QAAA;AACF,MAAA;AACA,MAAA;AACF,IAAA;AACA,IAAA;AAIA,IAAA;AAGQ,MAAA;AACE,QAAA;AAAQ,UAAA;AACN,YAAA;AACQ,YAAA;AACG,YAAA;AACD,UAAA;AAEZ,QAAA;AACF,MAAA;AAEF,IAAA;AACN,IAAA;AACI,IAAA;AACJ,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACA,IAAA;AACE,MAAA;AACF,IAAA;AACF,EAAA;AACF;AAMgB;AACR,EAAA;AACA,EAAA;AACA,EAAA;AAEC,EAAA;AACL,IAAA;AAEM,MAAA;AACE,QAAA;AACA,QAAA;AACA,QAAA;AAAM,UAAA;AAGgB,UAAA;AAEtB,QAAA;AACA,QAAA;AACA,QAAA;AACF,MAAA;AAEF,IAAA;AACJ,IAAA;AACA,IAAA;AACI,IAAA;AACJ,IAAA;AACE,MAAA;AACE,QAAA;AACA,QAAA;AACA,QAAA;AACF,MAAA;AACF,IAAA;AACA,IAAA;AACA,IAAA;AAEQ,MAAA;AACA,MAAA;AACJ,IAAA;AAEQ,MAAA;AACA,MAAA;AAEN,IAAA;AACR,EAAA;AACF;AAMgB;AAKR,EAAA;AAGA,EAAA;AACJ,IAAA;AACA,IAAA;AACI,MAAA;AACF,MAAA;AACA,MAAA;AACF,IAAA;AACA,EAAA;AAEI,EAAA;AACH,IAAA;AACH,EAAA;AAGM,EAAA;AAGA,EAAA;AAEC,EAAA;AACL,IAAA;AACE,MAAA;AACE,QAAA;AACA,QAAA;AACF,MAAA;AACA,MAAA;AACE,QAAA;AACA,QAAA;AACF,MAAA;AACG,MAAA;AACL,IAAA;AACA,IAAA;AACA,IAAA;AACF,EAAA;AACF;ADxES;AACA;AACA;AACA;AACA;AACA;AACA","file":"/home/runner/work/fhir-brasil/fhir-brasil/packages/core/dist/chunk-CPZ7YNON.cjs","sourcesContent":[null,"/**\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 { FHIRBundle, FHIRDiagnosticReport, FHIRObservation, FHIRPatient } from './fhir-types';\nimport type { Flag, LabObservationData, LabReportData, UserProfileData } from './types';\nimport { getDefaultUnit, unitToUCUM } from './units';\n\n// Re-export all types and functions\nexport * from './fhir-types';\n\n/**\n * Convert Flag to FHIR interpretation code\n */\nfunction interpretationCode(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'H'; // High\n    case 'L':\n      return 'L'; // Low\n    default:\n      return 'N'; // Normal\n  }\n}\n\n/**\n * Convert Flag to FHIR interpretation display\n */\nfunction interpretationDisplay(flag: Flag): string {\n  switch (flag) {\n    case 'H':\n      return 'High';\n    case 'L':\n      return 'Low';\n    default:\n      return 'Normal';\n  }\n}\n\n/**\n * Convert generic lab observation to FHIR Observation\n */\nexport function labObservationToFHIR(\n  observation: LabObservationData,\n  patientId: string,\n  laboratoryName?: string,\n): FHIRObservation {\n  const loincCode = codeToLoinc(observation.biomarkerCode) || '99999-9';\n  // Use default unit if source unit is empty\n  const sourceUnit =\n    observation.unit || getDefaultUnit(observation.biomarkerCode) || observation.unit;\n  const ucumUnit = unitToUCUM(sourceUnit);\n  const isQualitative = observation.isQualitative || typeof observation.value === 'string';\n\n  // Base observation structure\n  const fhirObs: FHIRObservation = {\n    category: [\n      {\n        coding: [\n          {\n            code: 'laboratory',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/observation-category',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: loincCode,\n          display: observation.biomarkerName,\n          system: 'http://loinc.org',\n        },\n        {\n          code: observation.biomarkerCode,\n          display: observation.biomarkerName,\n          system: 'http://fhir-brasil.dev/biomarker-codes',\n        },\n      ],\n      text: observation.biomarkerName,\n    },\n    effectiveDateTime: observation.collectionDate,\n    id: `${observation.reportId}-${observation.biomarkerCode}`,\n    interpretation: [\n      {\n        coding: [\n          {\n            code: interpretationCode(observation.flag),\n            display: interpretationDisplay(observation.flag),\n            system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n          },\n        ],\n      },\n    ],\n    performer: laboratoryName ? [{ display: laboratoryName }] : undefined,\n    resourceType: 'Observation',\n    status: 'final',\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n\n  // Add value based on type (qualitative = string, quantitative = number)\n  if (isQualitative) {\n    fhirObs.valueString = String(observation.value);\n  } else {\n    fhirObs.valueQuantity = {\n      code: ucumUnit,\n      system: 'http://unitsofmeasure.org',\n      unit: sourceUnit,\n      value: observation.value as number,\n    };\n\n    // Reference range only applies to quantitative values\n    if (observation.referenceMin !== undefined && observation.referenceMax !== undefined) {\n      fhirObs.referenceRange = [\n        {\n          high: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMax,\n          },\n          low: {\n            code: ucumUnit,\n            system: 'http://unitsofmeasure.org',\n            unit: sourceUnit,\n            value: observation.referenceMin,\n          },\n        },\n      ];\n    }\n  }\n\n  return fhirObs;\n}\n\n/**\n * Convert generic lab report to FHIR DiagnosticReport\n */\nexport function labReportToFHIR(\n  report: LabReportData,\n  patientId: string,\n  observationIds: string[],\n): FHIRDiagnosticReport {\n  // Map processing status to FHIR status\n  let status: FHIRDiagnosticReport['status'];\n  switch (report.processingStatus) {\n    case 'complete':\n      status = 'final';\n      break;\n    case 'partial':\n      status = 'partial';\n      break;\n    case 'pending_review':\n      status = 'preliminary';\n      break;\n    default:\n      status = 'final';\n  }\n\n  return {\n    category: [\n      {\n        coding: [\n          {\n            code: 'LAB',\n            display: 'Laboratory',\n            system: 'http://terminology.hl7.org/CodeSystem/v2-0074',\n          },\n        ],\n      },\n    ],\n    code: {\n      coding: [\n        {\n          code: '11502-2', // Laboratory report\n          display: 'Laboratory report',\n          system: 'http://loinc.org',\n        },\n      ],\n      text: 'Laboratory Results',\n    },\n    conclusion:\n      report.overallStatus === 'NORMAL'\n        ? 'All results within normal limits'\n        : 'One or more abnormal results detected',\n    conclusionCode:\n      report.overallStatus === 'ANORMAL'\n        ? [\n            {\n              coding: [\n                {\n                  code: 'A',\n                  display: 'Abnormal',\n                  system: 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation',\n                },\n              ],\n            },\n          ]\n        : undefined,\n    effectiveDateTime: report.collectionDate,\n    id: report.reportId,\n    issued: report.createdAt,\n    performer: report.laboratoryName ? [{ display: report.laboratoryName }] : undefined,\n    resourceType: 'DiagnosticReport',\n    result: observationIds.map((id) => ({ reference: `Observation/${id}` })),\n    status,\n    subject: {\n      reference: `Patient/${patientId}`,\n    },\n  };\n}\n\n/**\n * Convert user profile to FHIR Patient\n * NOTE: CPF is intentionally excluded for privacy (LGPD compliance)\n */\nexport function userProfileToFHIR(profile: UserProfileData): FHIRPatient {\n  const nameParts = profile.name.split(' ');\n  const given = nameParts.slice(0, -1);\n  const family = nameParts[nameParts.length - 1] || '';\n\n  return {\n    address: profile.address\n      ? [\n          {\n            city: profile.address.city,\n            country: profile.address.country || 'BR',\n            line: [\n              profile.address.street && profile.address.number\n                ? `${profile.address.street}, ${profile.address.number}`\n                : profile.address.street,\n              profile.address.complement,\n            ].filter(Boolean) as string[],\n            postalCode: profile.address.postalCode,\n            state: profile.address.state,\n          },\n        ]\n      : undefined,\n    birthDate: profile.birthDate,\n    gender: profile.gender,\n    id: profile.userId,\n    name: [\n      {\n        family,\n        given: given.length > 0 ? given : undefined,\n        text: profile.name,\n      },\n    ],\n    resourceType: 'Patient',\n    telecom:\n      [\n        ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n        ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n      ].length > 0\n        ? [\n            ...(profile.email ? [{ system: 'email' as const, value: profile.email }] : []),\n            ...(profile.phone ? [{ system: 'phone' as const, value: profile.phone }] : []),\n          ]\n        : undefined,\n  };\n}\n\n/**\n * Convert complete lab result to FHIR Bundle\n * This is the main function for exporting lab results to FHIR R4 format\n */\nexport function labResultToFHIRBundle(\n  report: LabReportData,\n  observations: LabObservationData[],\n  userProfile: UserProfileData,\n): FHIRBundle {\n  const patientId = userProfile.userId;\n\n  // Convert observations\n  const fhirObservations = observations.map((obs) => ({\n    fullUrl: `urn:uuid:observation-${obs.reportId}-${obs.biomarkerCode}`,\n    resource: labObservationToFHIR(\n      { ...obs, collectionDate: report.collectionDate },\n      patientId,\n      report.laboratoryName,\n    ),\n  }));\n\n  const observationIds = observations.map(\n    (obs) => `observation-${obs.reportId}-${obs.biomarkerCode}`,\n  );\n\n  // Convert report\n  const diagnosticReport = labReportToFHIR(report, patientId, observationIds);\n\n  // Convert patient\n  const fhirPatient = userProfileToFHIR(userProfile);\n\n  return {\n    entry: [\n      {\n        fullUrl: `urn:uuid:${patientId}`,\n        resource: fhirPatient,\n      },\n      {\n        fullUrl: `urn:uuid:diagnostic-report-${report.reportId}`,\n        resource: diagnosticReport,\n      },\n      ...fhirObservations,\n    ],\n    resourceType: 'Bundle',\n    type: 'collection',\n  };\n}\n"]}

package/dist/{chunk-ZUBHCXUV.cjs → chunk-LYDCZW4C.cjs}

@@ -1,6 +1,6 @@
 "use strict";Object.defineProperty(exports, "__esModule", {value: true}); function _nullishCoalesce(lhs, rhsFn) { if (lhs != null) { return lhs; } else { return rhsFn(); } } function _optionalChain(ops) { let lastAccessLHS = undefined; let value = ops[0]; let i = 1; while (i < ops.length) { const op = ops[i]; const fn = ops[i + 1]; i += 2; if ((op === 'optionalAccess' || op === 'optionalCall') && value == null) { return undefined; } if (op === 'access' || op === 'optionalAccess') { lastAccessLHS = value; value = fn(value); } else if (op === 'call' || op === 'optionalCall') { value = fn((...args) => value.call(lastAccessLHS, ...args)); lastAccessLHS = undefined; } } return value; }
 
-var _chunkGFXKYXHWcjs = require('./chunk-GFXKYXHW.cjs');
+var _chunkZYSD6A2Kcjs = require('./chunk-ZYSD6A2K.cjs');
 
 // src/reference-ranges.ts
 var biomarkerRangeDefinitions = {
@@ -1636,7 +1636,7 @@ function applyFallbackReferenceRanges(biomarkers) {
     }
     const fallback = getFallbackReferenceRange(biomarker.code);
     if (fallback) {
-      const canonicalUnit = _chunkGFXKYXHWcjs.getCanonicalUnit.call(void 0, biomarker.code);
+      const canonicalUnit = _chunkZYSD6A2Kcjs.getCanonicalUnit.call(void 0, biomarker.code);
       const unitsMatch = !biomarker.unit || biomarker.unit.toLowerCase() === fallback.unit.toLowerCase() || canonicalUnit && biomarker.unit.toLowerCase() === canonicalUnit.toLowerCase() || // Handle common unit variations
       biomarker.unit === "%" && fallback.unit === "%";
       if (unitsMatch) {
@@ -1661,4 +1661,4 @@ function applyFallbackReferenceRanges(biomarkers) {
 
 
 exports.biomarkerRangeDefinitions = biomarkerRangeDefinitions; exports.defaultReferenceRanges = defaultReferenceRanges; exports.getReferenceRange = getReferenceRange; exports.getRangeDirection = getRangeDirection; exports.getFallbackReferenceRange = getFallbackReferenceRange; exports.applyFallbackReferenceRanges = applyFallbackReferenceRanges;
-//# sourceMappingURL=chunk-ZUBHCXUV.cjs.map
+//# sourceMappingURL=chunk-LYDCZW4C.cjs.map