tebra-mcp-server 0.1.0 → 0.2.0

package/dist/index.js

@@ -11,6 +11,10 @@
  *   TEBRA_SOAP_PASSWORD   — SOAP API password
  *   TEBRA_CUSTOMER_KEY    — Customer key from Tebra PM admin
  *
+ * Optional FHIR (clinical data):
+ *   TEBRA_FHIR_CLIENT_ID     — FHIR OAuth2 client ID
+ *   TEBRA_FHIR_CLIENT_SECRET — FHIR OAuth2 client secret
+ *
  * Usage:
  *   npx @allure-md/tebra-mcp-server
  *   TEBRA_SOAP_USER=... TEBRA_SOAP_PASSWORD=... TEBRA_CUSTOMER_KEY=... node dist/index.js
@@ -20,6 +24,8 @@ const index_js_1 = require("@modelcontextprotocol/sdk/server/index.js");
 const stdio_js_1 = require("@modelcontextprotocol/sdk/server/stdio.js");
 const types_js_1 = require("@modelcontextprotocol/sdk/types.js");
 const config_js_1 = require("./config.js");
+const fhir_client_js_1 = require("./fhir-client.js");
+// SOAP tool imports
 const patients_js_1 = require("./tools/patients.js");
 const encounters_js_1 = require("./tools/encounters.js");
 const authorizations_js_1 = require("./tools/authorizations.js");
@@ -27,12 +33,28 @@ const appointments_js_1 = require("./tools/appointments.js");
 const eligibility_js_1 = require("./tools/eligibility.js");
 const charges_js_1 = require("./tools/charges.js");
 const procedure_codes_js_1 = require("./tools/procedure-codes.js");
+const providers_js_1 = require("./tools/providers.js");
+const service_locations_js_1 = require("./tools/service-locations.js");
+const appointment_reasons_js_1 = require("./tools/appointment-reasons.js");
+const appointment_crud_js_1 = require("./tools/appointment-crud.js");
+const appointment_detail_js_1 = require("./tools/appointment-detail.js");
+const patient_crud_js_1 = require("./tools/patient-crud.js");
+const encounter_status_js_1 = require("./tools/encounter-status.js");
+const payments_js_1 = require("./tools/payments.js");
+const transactions_js_1 = require("./tools/transactions.js");
+const practices_js_1 = require("./tools/practices.js");
+const documents_js_1 = require("./tools/documents.js");
+const bulk_patients_js_1 = require("./tools/bulk-patients.js");
+const external_ids_js_1 = require("./tools/external-ids.js");
+const system_js_1 = require("./tools/system.js");
+// FHIR tool imports
+const fhir_clinical_js_1 = require("./tools/fhir-clinical.js");
 // ─── Validate config on startup ─────────────────────────────────
 const config = (0, config_js_1.getConfig)();
 // ─── Create MCP Server ──────────────────────────────────────────
 const server = new index_js_1.Server({
     name: '@allure-md/tebra-mcp-server',
-    version: '0.1.0',
+    version: '0.2.0', // Keep in sync with package.json
 }, {
     capabilities: {
         tools: {},
@@ -47,7 +69,30 @@ const allTools = [
     ...eligibility_js_1.eligibilityTools,
     ...charges_js_1.chargeTools,
     ...procedure_codes_js_1.procedureCodeTools,
+    ...providers_js_1.providerTools,
+    ...service_locations_js_1.serviceLocationTools,
+    ...appointment_reasons_js_1.appointmentReasonTools,
+    ...appointment_crud_js_1.appointmentCrudTools,
+    ...appointment_detail_js_1.appointmentDetailTools,
+    ...patient_crud_js_1.patientCrudTools,
+    ...encounter_status_js_1.encounterStatusTools,
+    ...payments_js_1.paymentTools,
+    ...transactions_js_1.transactionTools,
+    ...practices_js_1.practiceTools,
+    ...documents_js_1.documentTools,
+    ...bulk_patients_js_1.bulkPatientTools,
+    ...external_ids_js_1.externalIdTools,
+    ...system_js_1.systemTools,
 ];
+// Conditionally register FHIR tools when credentials are available
+if ((0, fhir_client_js_1.isFhirConfigured)()) {
+    allTools.push(...fhir_clinical_js_1.fhirClinicalTools);
+    console.error('FHIR tools enabled — 12 clinical data tools registered');
+}
+else {
+    console.error('FHIR tools disabled — set TEBRA_FHIR_CLIENT_ID and TEBRA_FHIR_CLIENT_SECRET to enable clinical data tools');
+}
+console.error(`Tebra MCP server: ${allTools.length} tools registered`);
 // ─── Tool Listing ───────────────────────────────────────────────
 server.setRequestHandler(types_js_1.ListToolsRequestSchema, async () => {
     return { tools: allTools };
@@ -56,26 +101,75 @@ server.setRequestHandler(types_js_1.ListToolsRequestSchema, async () => {
 server.setRequestHandler(types_js_1.CallToolRequestSchema, async (request) => {
     const { name, arguments: args } = request.params;
     try {
-        // Route to the correct handler by exact tool name
         const safeArgs = args ?? {};
         switch (name) {
+            // ─── Patient tools ──────────────────────────────
             case 'tebra_search_patients':
             case 'tebra_get_patient':
                 return await (0, patients_js_1.handlePatientTool)(name, safeArgs, config);
+            case 'tebra_create_patient':
+            case 'tebra_update_patient':
+                return await (0, patient_crud_js_1.handlePatientCrudTool)(name, safeArgs, config);
+            case 'tebra_get_all_patients':
+                return await (0, bulk_patients_js_1.handleBulkPatientTool)(name, safeArgs, config);
+            // ─── Authorization & eligibility ────────────────
             case 'tebra_get_patient_authorizations':
                 return await (0, authorizations_js_1.handleAuthorizationTool)(name, safeArgs, config);
+            case 'tebra_check_insurance_eligibility':
+                return await (0, eligibility_js_1.handleEligibilityTool)(name, safeArgs, config);
+            // ─── Encounter tools ────────────────────────────
             case 'tebra_get_encounter':
             case 'tebra_create_encounter':
                 return await (0, encounters_js_1.handleEncounterTool)(name, safeArgs, config);
+            case 'tebra_update_encounter_status':
+                return await (0, encounter_status_js_1.handleEncounterStatusTool)(name, safeArgs, config);
+            // ─── Appointment tools ──────────────────────────
             case 'tebra_get_appointments':
                 return await (0, appointments_js_1.handleAppointmentTool)(name, safeArgs, config);
-            case 'tebra_check_insurance_eligibility':
-                return await (0, eligibility_js_1.handleEligibilityTool)(name, safeArgs, config);
+            case 'tebra_get_appointment_detail':
+                return await (0, appointment_detail_js_1.handleAppointmentDetailTool)(name, safeArgs, config);
+            case 'tebra_create_appointment':
+            case 'tebra_update_appointment':
+            case 'tebra_delete_appointment':
+                return await (0, appointment_crud_js_1.handleAppointmentCrudTool)(name, safeArgs, config);
+            case 'tebra_get_appointment_reasons':
+                return await (0, appointment_reasons_js_1.handleAppointmentReasonTool)(name, safeArgs, config);
+            // ─── Financial tools ────────────────────────────
             case 'tebra_get_charges':
                 return await (0, charges_js_1.handleChargeTool)(name, safeArgs, config);
+            case 'tebra_get_payments':
+            case 'tebra_create_payment':
+                return await (0, payments_js_1.handlePaymentTool)(name, safeArgs, config);
+            case 'tebra_get_transactions':
+                return await (0, transactions_js_1.handleTransactionTool)(name, safeArgs, config);
+            // ─── Practice configuration ─────────────────────
+            case 'tebra_get_providers':
+                return await (0, providers_js_1.handleProviderTool)(name, safeArgs, config);
+            case 'tebra_get_service_locations':
+                return await (0, service_locations_js_1.handleServiceLocationTool)(name, safeArgs, config);
+            case 'tebra_get_practices':
+                return await (0, practices_js_1.handlePracticeTool)(name, safeArgs, config);
             case 'tebra_get_procedure_codes':
                 return await (0, procedure_codes_js_1.handleProcedureCodeTool)(name, safeArgs, config);
+            // ─── Document tools ─────────────────────────────
+            case 'tebra_create_document':
+            case 'tebra_delete_document':
+                return await (0, documents_js_1.handleDocumentTool)(name, safeArgs, config);
+            // ─── System / admin tools ───────────────────────
+            case 'tebra_update_patient_external_id':
+            case 'tebra_register_external_vendor':
+            case 'tebra_get_external_vendors':
+                return await (0, external_ids_js_1.handleExternalIdTool)(name, safeArgs, config);
+            case 'tebra_get_throttles':
+            case 'tebra_validate_connection':
+            case 'tebra_update_patient_case':
+            case 'tebra_create_appointment_reason':
+                return await (0, system_js_1.handleSystemTool)(name, safeArgs, config);
             default:
+                // Route FHIR tools by prefix
+                if (name.startsWith('tebra_fhir_')) {
+                    return await (0, fhir_clinical_js_1.handleFhirClinicalTool)(name, safeArgs);
+                }
                 return {
                     content: [{ type: 'text', text: `Unknown tool: ${name}` }],
                     isError: true,
@@ -94,10 +188,8 @@ server.setRequestHandler(types_js_1.CallToolRequestSchema, async (request) => {
 async function main() {
     const transport = new stdio_js_1.StdioServerTransport();
     await server.connect(transport);
-    // Server is now running and listening on stdio
 }
 main().catch((error) => {
-    // eslint-disable-next-line no-console
     console.error('Tebra MCP server failed to start:', error);
     process.exit(1);
 });

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package/dist/integrations/epic-notes-integration.d.ts

@@ -0,0 +1,145 @@
+/**
+ * Tebra MCP Integration Service for EPIC Notes
+ *
+ * Wraps Tebra MCP tool calls for EPIC Notes use cases:
+ * - Schedule pre-seeding (today's appointments for a provider)
+ * - Appointment context for note creation
+ * - Pushing signed notes back to Tebra (encounter + document upload)
+ *
+ * DEPLOYMENT: Copy this file to your EPIC Notes project:
+ *   /src/lib/services/tebra-integration.ts
+ *
+ * This module communicates with the Tebra MCP server via an McpToolCaller
+ * interface. Wire it to @modelcontextprotocol/sdk/client or any MCP-compatible
+ * transport.
+ *
+ * The MCP server itself requires TEBRA_SOAP_USER, TEBRA_SOAP_PASSWORD,
+ * and TEBRA_CUSTOMER_KEY in its environment.
+ */
+export interface Appointment {
+    appointmentId: string;
+    patientId: string;
+    patientName: string;
+    providerId: string;
+    providerName: string;
+    startDate: string;
+    endDate: string;
+    type: string;
+    status: string;
+    reason?: string;
+}
+export interface PatientDemographics {
+    patientId: string;
+    firstName: string;
+    lastName: string;
+    dateOfBirth: string;
+    mrn: string;
+    insurances: Array<{
+        payerName: string;
+        memberId: string;
+        isPrimary: boolean;
+    }>;
+}
+export interface Authorization {
+    authorizationId: string;
+    authNumber: string;
+    insurancePlan: string;
+    status: string;
+    approvedVisits: number;
+    usedVisits: number;
+    remainingVisits: number;
+    startDate: string;
+    endDate: string;
+    approvedCptCodes: string[];
+}
+export interface ClinicalSnapshot {
+    allergies: string[];
+    medications: string[];
+    conditions: string[];
+    recentVitals: Record<string, string> | null;
+}
+export interface EligibilityResult {
+    eligible: boolean;
+    planName: string | null;
+    memberId: string | null;
+    authRequired: boolean;
+    insurancePoliciesOnFile: number;
+}
+export interface NoteCreationContext {
+    appointment: Appointment;
+    patient: PatientDemographics;
+    authorizations: Authorization[];
+    eligibility: EligibilityResult;
+    clinical: ClinicalSnapshot | null;
+}
+export interface SignedNote {
+    appointmentId: string;
+    patientId: string;
+    providerId: string;
+    serviceDate: string;
+    diagnoses: Array<{
+        code: string;
+        description: string;
+    }>;
+    procedures: Array<{
+        code: string;
+        modifiers?: string[];
+        units?: number;
+    }>;
+    authorizationId?: string;
+    noteTitle: string;
+    pdfBase64?: string;
+}
+export interface EncounterResult {
+    encounterId: string;
+    status: string;
+}
+export interface McpToolCaller {
+    callTool(name: string, args: Record<string, unknown>): Promise<McpToolResult>;
+}
+export interface McpToolResult {
+    content: Array<{
+        type: string;
+        text: string;
+    }>;
+    isError?: boolean;
+}
+/**
+ * Get today's schedule for a provider.
+ * Used to pre-seed the EPIC Notes schedule view when a provider opens the app.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param providerId - Optional Tebra provider ID. If omitted, returns all providers' appointments.
+ * @returns Array of today's appointments sorted by start time
+ */
+export declare function getTodaySchedule(mcp: McpToolCaller, providerId?: string): Promise<Appointment[]>;
+/**
+ * Get full context for note creation when a provider taps an appointment.
+ * Fetches patient demographics, authorizations, eligibility, and clinical data in parallel.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param appointmentId - Tebra appointment ID
+ * @returns Complete context needed to populate a new note template
+ */
+export declare function getAppointmentContext(mcp: McpToolCaller, appointmentId: string): Promise<NoteCreationContext>;
+/**
+ * Push a signed note to Tebra: create an encounter (superbill) and optionally
+ * upload the note PDF to the patient chart, then advance the encounter to
+ * the Review status.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param note - Signed note data including diagnoses, procedures, and optional PDF
+ * @returns The created encounter ID and final status
+ */
+export declare function pushSignedNoteToTebra(mcp: McpToolCaller, note: SignedNote): Promise<EncounterResult>;
+/**
+ * Upload a signed note PDF to the patient's chart in Tebra.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param patientId - Tebra patient ID
+ * @param noteTitle - Title for the document in Tebra
+ * @param procedureDate - Date of the procedure/visit (ISO 8601)
+ * @param pdfBase64 - Base64-encoded PDF content
+ */
+export declare function uploadNoteToPaChart(mcp: McpToolCaller, patientId: string, noteTitle: string, procedureDate: string, pdfBase64: string): Promise<void>;
+//# sourceMappingURL=epic-notes-integration.d.ts.map

package/dist/integrations/epic-notes-integration.d.ts.map

@@ -0,0 +1 @@
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package/dist/integrations/epic-notes-integration.js

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+"use strict";
+/**
+ * Tebra MCP Integration Service for EPIC Notes
+ *
+ * Wraps Tebra MCP tool calls for EPIC Notes use cases:
+ * - Schedule pre-seeding (today's appointments for a provider)
+ * - Appointment context for note creation
+ * - Pushing signed notes back to Tebra (encounter + document upload)
+ *
+ * DEPLOYMENT: Copy this file to your EPIC Notes project:
+ *   /src/lib/services/tebra-integration.ts
+ *
+ * This module communicates with the Tebra MCP server via an McpToolCaller
+ * interface. Wire it to @modelcontextprotocol/sdk/client or any MCP-compatible
+ * transport.
+ *
+ * The MCP server itself requires TEBRA_SOAP_USER, TEBRA_SOAP_PASSWORD,
+ * and TEBRA_CUSTOMER_KEY in its environment.
+ */
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.getTodaySchedule = getTodaySchedule;
+exports.getAppointmentContext = getAppointmentContext;
+exports.pushSignedNoteToTebra = pushSignedNoteToTebra;
+exports.uploadNoteToPaChart = uploadNoteToPaChart;
+// ─── MCP Tool Name Constants ────────────────────────────────────
+// Centralized so tool name changes only require one update.
+const TOOL = {
+    GET_APPOINTMENTS: 'tebra_get_appointments',
+    GET_APPOINTMENT_DETAIL: 'tebra_get_appointment_detail',
+    GET_PATIENT: 'tebra_get_patient',
+    GET_PATIENT_AUTHORIZATIONS: 'tebra_get_patient_authorizations',
+    CHECK_ELIGIBILITY: 'tebra_check_insurance_eligibility',
+    CREATE_ENCOUNTER: 'tebra_create_encounter',
+    UPDATE_ENCOUNTER_STATUS: 'tebra_update_encounter_status',
+    CREATE_DOCUMENT: 'tebra_create_document',
+    GET_PROVIDERS: 'tebra_get_providers',
+    // FHIR tools for clinical context
+    FHIR_GET_ALLERGIES: 'tebra_fhir_get_allergies',
+    FHIR_GET_MEDICATIONS: 'tebra_fhir_get_medications',
+    FHIR_GET_CONDITIONS: 'tebra_fhir_get_conditions',
+    FHIR_GET_VITALS: 'tebra_fhir_get_vitals',
+};
+/**
+ * Parse the text content from an MCP tool result.
+ * Most Tebra tools return JSON in the first text content block.
+ */
+function parseToolResult(result) {
+    if (result.isError) {
+        const errorText = result.content[0]?.text ?? 'Unknown MCP tool error';
+        throw new Error(errorText);
+    }
+    const text = result.content[0]?.text ?? '{}';
+    try {
+        return JSON.parse(text);
+    }
+    catch {
+        throw new Error(`Unexpected non-JSON response from MCP tool: ${text}`);
+    }
+}
+// ─── Service Functions ──────────────────────────────────────────
+/**
+ * Get today's schedule for a provider.
+ * Used to pre-seed the EPIC Notes schedule view when a provider opens the app.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param providerId - Optional Tebra provider ID. If omitted, returns all providers' appointments.
+ * @returns Array of today's appointments sorted by start time
+ */
+async function getTodaySchedule(mcp, providerId) {
+    const today = new Date().toISOString().split('T')[0];
+    const args = {
+        startDate: today,
+        endDate: today,
+    };
+    if (providerId) {
+        args.providerId = providerId;
+    }
+    const result = await mcp.callTool(TOOL.GET_APPOINTMENTS, args);
+    const text = result.content[0]?.text ?? '';
+    // Handle "No appointments found" responses gracefully
+    if (text.startsWith('No appointments')) {
+        return [];
+    }
+    const appointments = parseToolResult(result);
+    return appointments.sort((a, b) => new Date(a.startDate).getTime() - new Date(b.startDate).getTime());
+}
+/**
+ * Get full context for note creation when a provider taps an appointment.
+ * Fetches patient demographics, authorizations, eligibility, and clinical data in parallel.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param appointmentId - Tebra appointment ID
+ * @returns Complete context needed to populate a new note template
+ */
+async function getAppointmentContext(mcp, appointmentId) {
+    // Step 1: Get appointment detail to extract patientId
+    const appointmentResult = await mcp.callTool(TOOL.GET_APPOINTMENT_DETAIL, {
+        appointmentId,
+    });
+    const appointment = parseToolResult(appointmentResult);
+    const { patientId } = appointment;
+    // Step 2: Fetch patient data, authorizations, eligibility, and clinical in parallel
+    const [patientResult, authResult, eligibilityResult, clinicalSnapshot] = await Promise.all([
+        mcp.callTool(TOOL.GET_PATIENT, { patientId }),
+        mcp.callTool(TOOL.GET_PATIENT_AUTHORIZATIONS, { patientId }),
+        mcp.callTool(TOOL.CHECK_ELIGIBILITY, { patientId }),
+        fetchClinicalSnapshot(mcp, patientId),
+    ]);
+    const patient = parseToolResult(patientResult);
+    // Authorizations may return "No authorizations found" -- not an error
+    let authorizations = [];
+    try {
+        authorizations = parseToolResult(authResult);
+    }
+    catch {
+        // No authorizations on file
+    }
+    const eligibility = parseToolResult(eligibilityResult);
+    return {
+        appointment,
+        patient,
+        authorizations,
+        eligibility,
+        clinical: clinicalSnapshot,
+    };
+}
+/**
+ * Push a signed note to Tebra: create an encounter (superbill) and optionally
+ * upload the note PDF to the patient chart, then advance the encounter to
+ * the Review status.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param note - Signed note data including diagnoses, procedures, and optional PDF
+ * @returns The created encounter ID and final status
+ */
+async function pushSignedNoteToTebra(mcp, note) {
+    // Step 1: Create the encounter (superbill)
+    const createResult = await mcp.callTool(TOOL.CREATE_ENCOUNTER, {
+        patientId: note.patientId,
+        providerId: note.providerId,
+        serviceDate: note.serviceDate,
+        diagnoses: note.diagnoses,
+        procedures: note.procedures,
+        authorizationId: note.authorizationId,
+    });
+    const encounter = parseToolResult(createResult);
+    // Step 2: Upload PDF and advance status in parallel
+    const parallelOps = [];
+    if (note.pdfBase64) {
+        parallelOps.push(uploadNoteToPaChart(mcp, note.patientId, note.noteTitle, note.serviceDate, note.pdfBase64));
+    }
+    // Advance encounter to Review status
+    parallelOps.push(mcp.callTool(TOOL.UPDATE_ENCOUNTER_STATUS, {
+        encounterId: encounter.encounterId,
+        status: 'Review',
+    }));
+    await Promise.all(parallelOps);
+    return {
+        encounterId: encounter.encounterId,
+        status: 'Review',
+    };
+}
+/**
+ * Upload a signed note PDF to the patient's chart in Tebra.
+ *
+ * @param mcp - MCP tool caller instance
+ * @param patientId - Tebra patient ID
+ * @param noteTitle - Title for the document in Tebra
+ * @param procedureDate - Date of the procedure/visit (ISO 8601)
+ * @param pdfBase64 - Base64-encoded PDF content
+ */
+async function uploadNoteToPaChart(mcp, patientId, noteTitle, procedureDate, pdfBase64) {
+    await mcp.callTool(TOOL.CREATE_DOCUMENT, {
+        patientId,
+        title: noteTitle,
+        date: procedureDate,
+        contentBase64: pdfBase64,
+        contentType: 'application/pdf',
+    });
+}
+// ─── Internal Helpers ───────────────────────────────────────────
+/**
+ * Fetch clinical snapshot from FHIR endpoints.
+ * Returns null if FHIR credentials are not configured (non-fatal).
+ */
+async function fetchClinicalSnapshot(mcp, patientId) {
+    try {
+        const [allergiesResult, medsResult, conditionsResult, vitalsResult] = await Promise.all([
+            mcp.callTool(TOOL.FHIR_GET_ALLERGIES, { patientId }),
+            mcp.callTool(TOOL.FHIR_GET_MEDICATIONS, { patientId }),
+            mcp.callTool(TOOL.FHIR_GET_CONDITIONS, { patientId }),
+            mcp.callTool(TOOL.FHIR_GET_VITALS, { patientId }),
+        ]);
+        return {
+            allergies: safeParseStringArray(allergiesResult),
+            medications: safeParseStringArray(medsResult),
+            conditions: safeParseStringArray(conditionsResult),
+            recentVitals: safeParseRecord(vitalsResult),
+        };
+    }
+    catch {
+        // FHIR not configured or unavailable -- degrade gracefully
+        return null;
+    }
+}
+function safeParseStringArray(result) {
+    try {
+        const parsed = JSON.parse(result.content[0]?.text ?? '[]');
+        if (Array.isArray(parsed)) {
+            return parsed.map((item) => typeof item === 'string' ? item : JSON.stringify(item));
+        }
+        return [];
+    }
+    catch {
+        return [];
+    }
+}
+function safeParseRecord(result) {
+    try {
+        const parsed = JSON.parse(result.content[0]?.text ?? 'null');
+        return typeof parsed === 'object' && parsed !== null ? parsed : null;
+    }
+    catch {
+        return null;
+    }
+}
+//# sourceMappingURL=epic-notes-integration.js.map

package/dist/integrations/epic-notes-integration.js.map

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