@the-cascade-protocol/cli 0.2.4 → 0.3.0

package/dist/lib/fhir-converter/converters-clinical-admin.js

@@ -0,0 +1,166 @@
+/**
+ * FHIR -> Cascade converters for administrative/financial types.
+ *
+ * Converts:
+ *   - Claim -> coverage:ClaimRecord
+ *   - ExplanationOfBenefit -> coverage:BenefitStatement
+ */
+import { NS, extractCodings, codeableConceptText, tripleStr, tripleDouble, tripleRef, tripleType, tripleDateTime, commonTriples, quadsToJsonLd, mintSubjectUri, } from './types.js';
+// ---------------------------------------------------------------------------
+// Claim converter (B3)
+// ---------------------------------------------------------------------------
+export function convertClaim(resource) {
+    const warnings = [];
+    const subjectUri = mintSubjectUri(resource);
+    const quads = [];
+    quads.push(tripleType(subjectUri, NS.coverage + 'ClaimRecord'));
+    quads.push(...commonTriples(subjectUri));
+    // Claim date — from billablePeriod.start or created
+    const claimDate = resource.billablePeriod?.start ?? resource.created;
+    if (claimDate) {
+        quads.push(tripleDateTime(subjectUri, NS.coverage + 'claimDate', claimDate));
+    }
+    // Status
+    if (resource.status) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'claimStatus', resource.status));
+    }
+    // Claim type
+    const claimType = resource.type?.coding?.[0]?.code ?? codeableConceptText(resource.type);
+    if (claimType) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'claimType', claimType));
+    }
+    // Claim total
+    if (resource.total?.value !== undefined) {
+        quads.push(tripleDouble(subjectUri, NS.coverage + 'claimTotal', resource.total.value));
+    }
+    // Billing provider
+    const provider = resource.provider?.display ?? resource.careTeam?.[0]?.provider?.display;
+    if (provider) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'billingProvider', provider));
+    }
+    // Diagnosis codes (ICD-10)
+    if (Array.isArray(resource.diagnosis)) {
+        for (const dx of resource.diagnosis) {
+            const codings = extractCodings(dx.diagnosisCodeableConcept);
+            for (const c of codings) {
+                if (c.system === 'http://hl7.org/fhir/sid/icd-10-cm' || c.system === 'http://hl7.org/fhir/sid/icd-10') {
+                    quads.push(tripleStr(subjectUri, NS.coverage + 'hasDiagnosis', c.code));
+                }
+            }
+        }
+    }
+    // Procedure codes (CPT)
+    if (Array.isArray(resource.procedure)) {
+        for (const proc of resource.procedure) {
+            const codings = extractCodings(proc.procedureCodeableConcept);
+            for (const c of codings) {
+                quads.push(tripleStr(subjectUri, NS.coverage + 'hasProcedure', c.code));
+            }
+        }
+    }
+    if (resource.id) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'sourceRecordId', resource.id));
+    }
+    quads.push(tripleRef(subjectUri, NS.cascade + 'layerPromotionStatus', NS.cascade + 'FullyMapped'));
+    return {
+        turtle: '',
+        jsonld: quadsToJsonLd(quads, 'coverage:ClaimRecord'),
+        warnings,
+        resourceType: 'Claim',
+        cascadeType: 'coverage:ClaimRecord',
+        _quads: quads,
+    };
+}
+// ---------------------------------------------------------------------------
+// ExplanationOfBenefit converter (B3)
+// ---------------------------------------------------------------------------
+export function convertExplanationOfBenefit(resource) {
+    const warnings = [];
+    const subjectUri = mintSubjectUri(resource);
+    const quads = [];
+    quads.push(tripleType(subjectUri, NS.coverage + 'BenefitStatement'));
+    quads.push(...commonTriples(subjectUri));
+    // Adjudication date — from billablePeriod.end or created
+    const adjDate = resource.billablePeriod?.end ?? resource.created;
+    if (adjDate) {
+        quads.push(tripleDateTime(subjectUri, NS.coverage + 'adjudicationDate', adjDate));
+    }
+    // Status
+    if (resource.status) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'adjudicationStatus', resource.status));
+    }
+    // Outcome
+    if (resource.outcome) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'outcomeCode', resource.outcome));
+    }
+    // Denial reason from adjudication[].reason
+    const denialReason = findDenialReason(resource);
+    if (denialReason) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'denialReason', denialReason));
+    }
+    // Totals — walk resource.total[] array
+    if (Array.isArray(resource.total)) {
+        for (const t of resource.total) {
+            const category = t.category?.coding?.[0]?.code;
+            const amount = t.amount?.value;
+            if (amount === undefined)
+                continue;
+            if (category === 'submitted' || category === 'eligible') {
+                quads.push(tripleDouble(subjectUri, NS.coverage + 'totalBilled', amount));
+            }
+            else if (category === 'allowed' || category === 'negotiated') {
+                quads.push(tripleDouble(subjectUri, NS.coverage + 'totalAllowed', amount));
+            }
+            else if (category === 'benefit' || category === 'paid') {
+                quads.push(tripleDouble(subjectUri, NS.coverage + 'totalPaid', amount));
+            }
+            else if (category === 'patientpay' || category === 'copay' || category === 'deductible') {
+                quads.push(tripleDouble(subjectUri, NS.coverage + 'patientResponsibility', amount));
+            }
+        }
+    }
+    // Related claim via claim reference
+    if (resource.claim?.reference) {
+        const parts = resource.claim.reference.split('/');
+        const claimId = parts[parts.length - 1];
+        if (claimId) {
+            // Mint deterministic URI matching what convertClaim would produce for that id
+            quads.push(tripleRef(subjectUri, NS.coverage + 'relatedClaim', `urn:uuid:${claimId}`));
+        }
+    }
+    if (resource.id) {
+        quads.push(tripleStr(subjectUri, NS.coverage + 'sourceRecordId', resource.id));
+    }
+    quads.push(tripleRef(subjectUri, NS.cascade + 'layerPromotionStatus', NS.cascade + 'FullyMapped'));
+    return {
+        turtle: '',
+        jsonld: quadsToJsonLd(quads, 'coverage:BenefitStatement'),
+        warnings,
+        resourceType: 'ExplanationOfBenefit',
+        cascadeType: 'coverage:BenefitStatement',
+        _quads: quads,
+    };
+}
+function findDenialReason(resource) {
+    if (!Array.isArray(resource.adjudication))
+        return undefined;
+    for (const adj of resource.adjudication) {
+        if (adj.reason) {
+            return codeableConceptText(adj.reason) ?? adj.reason?.coding?.[0]?.code;
+        }
+    }
+    // Also check item-level adjudication
+    if (Array.isArray(resource.item)) {
+        for (const item of resource.item) {
+            if (Array.isArray(item.adjudication)) {
+                for (const adj of item.adjudication) {
+                    if (adj.reason) {
+                        return codeableConceptText(adj.reason) ?? adj.reason?.coding?.[0]?.code;
+                    }
+                }
+            }
+        }
+    }
+    return undefined;
+}
+//# sourceMappingURL=converters-clinical-admin.js.map

package/dist/lib/fhir-converter/converters-clinical-admin.js.map

@@ -0,0 +1 @@
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package/dist/lib/fhir-converter/converters-clinical.d.ts

@@ -7,6 +7,13 @@
  *   - AllergyIntolerance -> health:AllergyRecord
  *   - Observation (lab) -> health:LabResultRecord
  *   - Observation (vital) -> clinical:VitalSign
+ *   - Procedure -> clinical:Procedure
+ *   - DocumentReference -> clinical:ClinicalDocument
+ *   - Encounter -> clinical:Encounter
+ *   - DiagnosticReport -> clinical:LaboratoryReport
+ *   - MedicationAdministration -> clinical:MedicationAdministration
+ *   - Device -> clinical:ImplantedDevice
+ *   - ImagingStudy -> clinical:ImagingStudy
  */
 import type { Quad } from 'n3';
 import { type ConversionResult } from './types.js';
@@ -26,4 +33,25 @@ export declare function convertObservationLab(resource: any): ConversionResult &
 export declare function convertObservationVital(resource: any): ConversionResult & {
     _quads: Quad[];
 };
+export declare function convertProcedure(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertClinicalDocument(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertEncounter(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertLaboratoryReport(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertMedicationAdministration(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertDevice(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
+export declare function convertImagingStudy(resource: any): ConversionResult & {
+    _quads: Quad[];
+};
 //# sourceMappingURL=converters-clinical.d.ts.map

package/dist/lib/fhir-converter/converters-clinical.d.ts.map

@@ -1 +1 @@
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