add initial erx modifications without breaking

packages/ehr-utils/lib/fhir/constants.ts

@@ -7,4 +7,9 @@ export const FHIR_EXTENSION = {
       url: `${PRIVATE_EXTENSION_BASE_URL}/date-of-birth-not-confirmed`,
     },
   },
+  Patient: {
+    weight: {
+      url: `${PRIVATE_EXTENSION_BASE_URL}/weight`,
+    },
+  },
 };

packages/ehr-utils/lib/fhir/index.ts

@@ -1,6 +1,6 @@
 import { BatchInputRequest, FhirClient } from '@zapehr/sdk';
 import { Operation } from 'fast-json-patch';
-import { Coding, Patient, Person, Practitioner, RelatedPerson, Resource, Appointment } from 'fhir/r4';
+import { Coding, Patient, Person, Practitioner, RelatedPerson, Resource, Appointment, Extension } from 'fhir/r4';
 import { FHIR_EXTENSION } from './constants';
 export * from './chat';
 
@@ -70,6 +70,58 @@ export const getPatchOperationForNewMetaTag = (resource: Resource, newTag: Codin
   }
 };
 
+export const getPatchOperationToUpdateExtension = (
+  resource: { extension?: Extension[] },
+  newExtension: {
+    url: Extension['url'];
+    valueString?: Extension['valueString'];
+    valueBoolean?: Extension['valueBoolean'];
+  },
+): Operation | undefined => {
+  if (!resource.extension) {
+    return {
+      op: 'add',
+      path: '/extension',
+      value: [newExtension],
+    };
+  }
+
+  const extension = resource.extension;
+  let requiresUpdate = false;
+
+  if (extension.length > 0) {
+    const existingExtIndex = extension.findIndex((ext) => ext.url === newExtension.url);
+    // check if formUser exists and needs to be updated and if so, update
+    if (
+      existingExtIndex >= 0 &&
+      (extension[existingExtIndex].valueString !== newExtension.valueString ||
+        extension[existingExtIndex].valueBoolean !== newExtension.valueBoolean)
+    ) {
+      extension[existingExtIndex] = newExtension;
+      requiresUpdate = true;
+    } else if (existingExtIndex < 0) {
+      // if form user does not exist within the extension
+      // push to patientExtension array
+      extension.push(newExtension);
+      requiresUpdate = true;
+    }
+  } else {
+    // since no extensions exist, it must be added via patch operations
+    extension.push(newExtension);
+    requiresUpdate = true;
+  }
+
+  if (requiresUpdate) {
+    return {
+      op: 'replace',
+      path: '/extension',
+      value: extension,
+    };
+  }
+
+  return undefined;
+};
+
 export interface GetPatchBinaryInput {
   resourceId: string;
   resourceType: string;

packages/ehr-utils/lib/helpers/practitioner.ts

@@ -1,5 +1,6 @@
-import { Encounter, Practitioner } from 'fhir/r4';
+import { Encounter, Identifier, Practitioner } from 'fhir/r4';
 import {
+  FHIR_IDENTIFIER_NPI,
   PRACTITIONER_QUALIFICATION_CODE_SYSTEM,
   PRACTITIONER_QUALIFICATION_EXTENSION_URL,
   PRACTITIONER_QUALIFICATION_STATE_SYSTEM,
@@ -54,3 +55,7 @@ export const checkIsEncounterForPractitioner = (encounter: Encounter, practition
 
   return !!practitioner && !!encounterPractitioner && practitionerId === encounterPractitionerId;
 };
+
+export const getPractitionerNPIIdentitifier = (practitioner: Practitioner | undefined): Identifier | undefined => {
+  return practitioner?.identifier?.find((existIdentifier) => existIdentifier.system === FHIR_IDENTIFIER_NPI);
+};

packages/ehr-utils/lib/types/api/chart-data/chart-data.types.ts

@@ -5,6 +5,7 @@ export interface ChartDataFields {
   ros?: FreeTextNoteDTO;
   conditions?: MedicalConditionDTO[];
   medications?: MedicationDTO[];
+  prescribedMedications?: PrescribedMedicationDTO[];
   allergies?: AllergyDTO[];
   procedures?: ProcedureDTO[];
   proceduresNote?: FreeTextNoteDTO;
@@ -41,6 +42,11 @@ export interface MedicationDTO extends SaveableDTO {
   id?: string;
 }
 
+export interface PrescribedMedicationDTO extends SaveableDTO {
+  name?: string;
+  instructions?: string;
+}
+
 export interface ProcedureDTO extends SaveableDTO {
   name?: string;
 }

packages/ehr-utils/lib/types/api/index.ts

@@ -2,5 +2,6 @@ export * from './change-telemed-appointment-status';
 export * from './chart-data';
 export * from './get-telemed-appointments';
 export * from './icd-search';
+export * from './sync-user';
 export * from './init-telemed-session';
 export * from './patient-instructions';

packages/ehr-utils/lib/types/api/sync-user/index.ts

@@ -0,0 +1 @@
+export * from './sync-user.types';

packages/ehr-utils/lib/types/api/sync-user/sync-user.types.ts

@@ -0,0 +1,4 @@
+export interface SyncUserResponse {
+  message: string;
+  updated: boolean;
+}

packages/ehr-utils/lib/types/constants.ts

@@ -1,5 +1,5 @@
 export const TELEMED_VIDEO_ROOM_CODE = 'chime-video-meetings';
-export const PHOTON_PATIENT_IDENTIFIER_SYSTEM = 'http://api.zapehr.com/photon-patient-id';
+export const ERX_PATIENT_IDENTIFIER_SYSTEM = 'http://api.zapehr.com/photon-patient-id';
 
 export const PRACTITIONER_QUALIFICATION_EXTENSION_URL =
   'http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/practitioner-qualification';

packages/ehr-utils/lib/types/practitioner.types.ts

@@ -281,3 +281,6 @@ export interface PractitionerLicense {
   code: PractitionerQualificationCode;
   active: boolean;
 }
+
+export const ERX_PRESCRIBER_SYSTEM_URL = 'http://api.zapehr.com/photon-prescriber-id';
+export const ERX_PRACTITIONER_ENROLLED = 'http://api.zapehr.com/photon-practitioner-enrolled';

packages/telemed-ehr/app/env/.env.local-template

@@ -18,6 +18,7 @@ VITE_APP_GET_APPOINTMENTS_ZAMBDA_ID=get-appointments
 VITE_APP_CREATE_APPOINTMENT_ZAMBDA_ID=create-appointment
 VITE_APP_UPDATE_USER_ZAMBDA_ID=update-user
 VITE_APP_GET_USER_ZAMBDA_ID=get-user
+VITE_APP_SYNC_USER_ZAMBDA_ID=sync-user
 VITE_APP_DEACTIVATE_USER_ZAMBDA_ID=deactivate-user
 VITE_APP_GET_EMPLOYEES_ZAMBDA_ID=get-employees
 VITE_APP_GET_TELEMED_APPOINTMENTS_ZAMBDA_ID=get-telemed-appointments
@@ -28,4 +29,6 @@ VITE_APP_CHANGE_TELEMED_APPOINTMENT_STATUS_ZAMBDA_ID=change-telemed-appointment-
 VITE_APP_DELETE_CHART_DATA_ZAMBDA_ID=delete-chart-data
 VITE_APP_GET_TOKEN_FOR_CONVERSATION_ZAMBDA_ID=get-token-for-conversation
 VITE_APP_CANCEL_TELEMED_APPOINTMENT_ZAMBDA_ID=cancel-appointment
-VITE_APP_QRS_URL=http://localhost:3002
+VITE_APP_QRS_URL=http://localhost:3002
+VITE_APP_PHOTON_ORG_ID=
+VITE_APP_PHOTON_CLIENT_ID=

packages/telemed-ehr/app/index.html

@@ -2,11 +2,11 @@
 <html lang="en">
   <head>
     <meta charset="utf-8" />
-    <link rel="icon" href="./public/favicon.ico" />
+    <link rel="icon" href="./public/ottehr-icon.ico" />
     <meta name="viewport" content="width=device-width, initial-scale=1" />
     <meta name="theme-color" content="#000000" />
     <meta name="description" content="Web site created using create-react-app" />
-    <link rel="apple-touch-icon" href="./public/logo192.png" />
+    <link rel="apple-touch-icon" href="./public/ottehr-icon-256.png" />
     <link rel="manifest" href="./public/manifest.json" />
     <title>Ottehr EHR</title>
   </head>

packages/telemed-ehr/app/package.json

@@ -37,12 +37,13 @@
     "@mui/x-data-grid-pro": "^6.3.0",
     "@mui/x-date-pickers": "^5.0.20",
     "@mui/x-date-pickers-pro": "^5.0.20",
-    "@photonhealth/elements": "^0.9.1-rc.1",
+    "@photonhealth/elements": "^0.12.2",
     "@twilio/conversations": "^2.4.1",
     "@zapehr/sdk": "1.0.15",
     "amazon-chime-sdk-component-library-react": "^3.7.0",
     "amazon-chime-sdk-js": "^3.20.0",
     "chart.js": "^4.4.1",
+    "notistack": "^3.0.1",
     "fast-json-patch": "^3.1.1",
     "react-chartjs-2": "^5.2.0",
     "react-draggable": "^4.4.6",

packages/telemed-ehr/app/public/manifest.json

@@ -3,8 +3,8 @@
   "name": "Ottehr EHR",
   "icons": [
     {
-      "src": "favicon.ico",
-      "sizes": "32x32 16x16",
+      "src": "ottehr-icon.ico",
+      "sizes": "64x64 32x32 24x24 16x16",
       "type": "image/x-icon"
     }
   ],

packages/telemed-ehr/app/src/App.tsx

@@ -8,7 +8,7 @@ import { LoadingScreen } from './components/LoadingScreen';
 import Navbar from './components/navigation/Navbar';
 import { ProtectedRoute } from './components/routing/ProtectedRoute';
 import { useApiClients } from './hooks/useAppClients';
-import useOttehrUser from './hooks/useOttehrUser';
+import useOttehrUser, { useProviderERXStateStore } from './hooks/useOttehrUser';
 import AddPatient from './pages/AddPatient';
 import AppointmentsPage from './pages/Appointments';
 import EditEmployeePage from './pages/EditEmployee';
@@ -22,16 +22,10 @@ import { TelemedAdminPage } from './pages/TelemedAdminPage';
 import { useNavStore } from './state/nav.store';
 import EditInsurance from './telemed/features/telemed-admin/EditInsurance';
 import EditStatePage from './telemed/features/telemed-admin/EditState';
-import { isLocalOrDevOrTestingOrTrainingEnv } from './telemed/utils/env.helper';
 import { RoleType } from './types/types';
 import { AppointmentPage } from './pages/AppointmentPage';
 import AddSchedulePage from './pages/AddSchedulePage';
-
-const enablePhoton = false && isLocalOrDevOrTestingOrTrainingEnv;
-
-if (enablePhoton) {
-  import('@photonhealth/elements').catch(console.log);
-}
+import('@photonhealth/elements').catch(console.log);
 
 const TelemedTrackingBoardPageLazy = lazy(async () => {
   const TrackingBoardPage = await import('./telemed/pages/TrackingBoardPage');
@@ -53,8 +47,11 @@ if (MUI_X_LICENSE_KEY != null) {
 function App(): ReactElement {
   useApiClients();
   const currentUser = useOttehrUser();
+  // console.log(currentUser);
   const currentTab = useNavStore((state: any) => state.currentTab) || 'In Person';
 
+  const wasEnrolledInERX = useProviderERXStateStore((state) => state.wasEnrolledInERX);
+
   const roleUnknown =
     !currentUser || !currentUser.hasRole([RoleType.Administrator, RoleType.Staff, RoleType.Manager, RoleType.Provider]);
 
@@ -71,11 +68,12 @@ function App(): ReactElement {
                 <ProtectedRoute
                   showWhenAuthenticated={
                     <>
-                      {currentUser?.hasRole([RoleType.Provider]) && enablePhoton ? (
+                      {(currentUser?.hasRole([RoleType.Provider]) && currentUser.isPractitionerEnrolledInERX) ||
+                      wasEnrolledInERX ? (
                         <photon-client
                           id={import.meta.env.VITE_APP_PHOTON_CLIENT_ID}
                           org={import.meta.env.VITE_APP_PHOTON_ORG_ID}
-                          dev-mode="true"
+                          dev-mode={import.meta.env.MODE === 'production' ? 'false' : 'true'}
                           auto-login="true"
                           redirect-uri={window.location.origin}
                         >