Release Oswego v0.15

package.json

@@ -1,6 +1,6 @@
 {
   "name": "ottehr",
-  "version": "0.14.0",
+  "version": "0.15.0",
   "private": true,
   "scripts": {
     "test": "pnpm recursive run test",

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

@@ -4,6 +4,9 @@ import {
   OTTEHR_PATIENT_MESSAGE_CODE,
   OTTEHR_PATIENT_MESSAGE_SYSTEM,
   OttehrPatientMessageStatus,
+  RelatedPersonMaps,
+  SMSModel,
+  SMSRecipient,
 } from '../types';
 import { BatchInputRequest, FhirClient, User } from '@zapehr/sdk';
 import { DateTime } from 'luxon';
@@ -41,6 +44,52 @@ export const getChatContainsUnreadMessages = (chat: Communication[]): boolean =>
   return readStatusList.find((stat) => stat === false) !== undefined;
 };
 
+export const getCommunicationsAndSenders = async (
+  fhirClient: FhirClient,
+  uniqueNumbers: string[],
+): Promise<(Communication | RelatedPerson)[]> => {
+  return await fhirClient.searchResources<Communication | RelatedPerson>({
+    resourceType: 'Communication',
+    searchParams: [
+      { name: 'medium', value: ZAP_SMS_MEDIUM_CODE },
+      { name: 'sender:RelatedPerson.telecom', value: uniqueNumbers.join(',') },
+      { name: '_include', value: 'Communication:sender:RelatedPerson' },
+    ],
+  });
+};
+
+export function getUniquePhonesNumbers(allRps: RelatedPerson[]): string[] {
+  const uniquePhoneNumbers: string[] = [];
+
+  allRps.forEach((rp) => {
+    const phone = getSMSNumberForIndividual(rp);
+    if (phone && !uniquePhoneNumbers.includes(phone)) uniquePhoneNumbers.push(phone);
+  });
+
+  return uniquePhoneNumbers;
+}
+
+export const createSmsModel = (patientId: string, allRelatedPersonMaps: RelatedPersonMaps): SMSModel | undefined => {
+  let rps: RelatedPerson[] = [];
+  try {
+    rps = allRelatedPersonMaps.rpsToPatientIdMap[patientId];
+    const recipients = filterValidRecipients(rps);
+    if (recipients.length) {
+      const allComs = recipients.flatMap((recip) => {
+        return allRelatedPersonMaps.commsToRpRefMap[recip.relatedPersonId] ?? [];
+      });
+      return {
+        hasUnreadMessages: getChatContainsUnreadMessages(allComs),
+        recipients,
+      };
+    }
+  } catch (e) {
+    console.log('error building sms model: ', e);
+    console.log('related persons value prior to error: ', rps);
+  }
+  return undefined;
+};
+
 export interface MakeOttehrMessageReadStatusInput {
   userId: string;
   timeRead: string;
@@ -148,3 +197,17 @@ export const initialsFromName = (name: string): string => {
   });
   return parts.join('');
 };
+
+function filterValidRecipients(relatedPersons: RelatedPerson[]): SMSRecipient[] {
+  // some slack alerts suggest this could be undefined, but that would mean there are patients with no RP
+  // or some bug preventing rp from being returned with the query
+  return relatedPersons
+    .map((rp) => {
+      return {
+        recipientResourceUri: rp.id ? `RelatedPerson/${rp.id}` : undefined,
+        smsNumber: getSMSNumberForIndividual(rp),
+        relatedPersonId: rp.id,
+      };
+    })
+    .filter((rec) => rec.recipientResourceUri !== undefined && rec.smsNumber !== undefined) as SMSRecipient[];
+}

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';
 
@@ -27,6 +27,10 @@ export const getFullestAvailableName = (
   return undefined;
 };
 
+export function filterResources(allResources: Resource[], resourceType: string): Resource[] {
+  return allResources.filter((res) => res.resourceType === resourceType && res.id);
+}
+
 export const getPatchOperationForNewMetaTag = (resource: Resource, newTag: Coding): Operation => {
   if (resource.meta == undefined) {
     return {
@@ -70,6 +74,57 @@ 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/index.ts

@@ -3,3 +3,4 @@ export * from './formatPhoneNumber';
 export * from './paperwork';
 export * from './practitioner';
 export * from './telemed-appointment.helper';
+export * from './mappers';

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

@@ -0,0 +1,99 @@
+import { FhirClient } from '@zapehr/sdk';
+import { Communication, RelatedPerson, Resource } from 'fhir/r4';
+import { removePrefix } from '.';
+import {
+  filterResources,
+  getCommunicationsAndSenders,
+  getSMSNumberForIndividual,
+  getUniquePhonesNumbers,
+} from '../fhir';
+import { RelatedPersonMaps } from '../types';
+
+export const relatedPersonAndCommunicationMaps = async (
+  fhirClient: FhirClient,
+  inputResources: Resource[],
+): Promise<RelatedPersonMaps> => {
+  const allRelatedPersons = filterResources(inputResources, 'RelatedPerson') as RelatedPerson[];
+  const rpsPhoneNumbers = getUniquePhonesNumbers(allRelatedPersons);
+  const rpsToPatientIdMap = mapRelatedPersonToPatientId(allRelatedPersons);
+  const rpToIdMap = mapRelatedPersonToId(allRelatedPersons);
+  const foundResources = await getCommunicationsAndSenders(fhirClient, rpsPhoneNumbers);
+  const foundRelatedPersons = filterResources(foundResources, 'RelatedPerson') as RelatedPerson[];
+  Object.assign(rpToIdMap, mapRelatedPersonToId(foundRelatedPersons));
+  rpsPhoneNumbers.concat(getUniquePhonesNumbers(foundRelatedPersons)); // do better here
+  const rpsRefsToPhoneNumberMap = mapRelatedPersonsRefsToPhoneNumber(foundRelatedPersons);
+
+  const foundCommunications = filterResources(foundResources, 'Communication') as Communication[];
+  const commsToRpRefMap = mapCommunicationsToRelatedPersonRef(foundCommunications, rpToIdMap, rpsRefsToPhoneNumberMap);
+
+  return {
+    rpsToPatientIdMap,
+    commsToRpRefMap,
+  };
+};
+
+function mapRelatedPersonToPatientId(allRps: RelatedPerson[]): Record<string, RelatedPerson[]> {
+  const rpsToPatientIdMap: Record<string, RelatedPerson[]> = {};
+
+  allRps.forEach((rp) => {
+    const patientId = removePrefix('Patient/', rp.patient.reference || '');
+    if (patientId) {
+      if (rpsToPatientIdMap[patientId]) rpsToPatientIdMap[patientId].push(rp);
+      else rpsToPatientIdMap[patientId] = [rp];
+    }
+  });
+
+  return rpsToPatientIdMap;
+}
+
+function mapRelatedPersonToId(allRps: RelatedPerson[]): Record<string, RelatedPerson> {
+  const rpToIdMap: Record<string, RelatedPerson> = {};
+
+  allRps.forEach((rp) => {
+    rpToIdMap['RelatedPerson/' + rp.id] = rp;
+  });
+
+  return rpToIdMap;
+}
+
+function mapRelatedPersonsRefsToPhoneNumber(allRps: RelatedPerson[]): Record<string, string[]> {
+  const relatedPersonRefToPhoneNumber: Record<string, string[]> = {};
+
+  allRps.forEach((rp) => {
+    const rpRef = `RelatedPerson/${rp.id}`;
+    const pn = getSMSNumberForIndividual(rp as RelatedPerson);
+    if (pn) {
+      if (relatedPersonRefToPhoneNumber[pn]) relatedPersonRefToPhoneNumber[pn].push(rpRef);
+      else relatedPersonRefToPhoneNumber[pn] = [rpRef];
+    }
+  });
+  return relatedPersonRefToPhoneNumber;
+}
+
+function mapCommunicationsToRelatedPersonRef(
+  allCommunications: Communication[],
+  rpToIdMap: Record<string, RelatedPerson>,
+  rpsRefsToPhoneNumberMap: Record<string, string[]>,
+): Record<string, Communication[]> {
+  const commsToRpRefMap: Record<string, Communication[]> = {};
+
+  allCommunications.forEach((comm) => {
+    const communication = comm as Communication;
+    const rpRef = communication.sender?.reference;
+    if (rpRef) {
+      const senderResource = rpToIdMap[rpRef];
+      if (senderResource) {
+        const smsNumber = getSMSNumberForIndividual(senderResource);
+        if (smsNumber) {
+          const allRPsWithThisNumber = rpsRefsToPhoneNumberMap[smsNumber];
+          allRPsWithThisNumber.forEach((rpRef) => {
+            if (commsToRpRefMap[rpRef]) commsToRpRefMap[rpRef].push(communication);
+            else commsToRpRefMap[rpRef] = [communication];
+          });
+        }
+      }
+    }
+  });
+
+  return commsToRpRefMap;
+}

packages/ehr-utils/lib/helpers/paperwork/paperworkResponse.hepler.ts

@@ -39,6 +39,25 @@ export const mapPaperworkResponseItem = (item: QuestionnaireResponseItem): Quest
   return item as QuestionnaireResponseItemWithValueArray;
 };
 
+export enum QuestionnaireLinkIds {
+  PREFERRED_LANGUAGE = 'preferred-language',
+  ALLERGIES = 'allergies',
+  REASON_FOR_VISIT = 'reason-for-visit',
+  VITALS_TEMPERATURE = 'vitals-temperature',
+  VITALS_PULSE = 'vitals-pulse',
+  VITALS_HR = 'vitals-hr',
+  VITALS_RR = 'vitals-rr',
+  VITALS_BP = 'vitals-bp',
+  MEDICAL_HISTORY = 'medical-history',
+  SURGICAL_HISTORY = 'surgical-history',
+  CURRENT_MEDICATION = 'current-medications',
+  PATIENT_STREET_ADDRESS = 'patient-street-address',
+  PATIENT_NUMBER = 'patient-number',
+  GUARDIAN_NUMBER = 'guardian-number',
+  RELAY_PHONE = 'relay-phone',
+  CONSENT_FORMS = 'consent-forms',
+}
+
 export const getQuestionnaireResponseByLinkId = (
   linkId: string,
   questionnaireResponse?: QuestionnaireResponse,

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

@@ -26,6 +26,8 @@ export const mapStatusToTelemed = (
     case 'finished':
       if (appointmentStatus === 'fulfilled') return ApptStatus.complete;
       else return ApptStatus.unsigned;
+    case 'cancelled':
+      return ApptStatus.cancelled;
   }
   return undefined;
 };

packages/ehr-utils/lib/types/data/urgent-care/appointment.types.ts

@@ -63,7 +63,7 @@ const PRIVATE_EXTENSION_BASE_URL = 'https://fhir.zapehr.com/r4/StructureDefiniti
 const visitStatusExtensionCode = 'visit-history';
 export const visitStatusExtensionUrl = `${PRIVATE_EXTENSION_BASE_URL}/${visitStatusExtensionCode}`;
 
-const getStatusFromExtension = (resource: Appointment): VisitStatus | undefined => {
+export const getStatusFromExtension = (resource: Appointment): VisitStatus | undefined => {
   const history = getVisitStatusHistory(resource);
   if (history) {
     const historySorted = [...history]

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

@@ -6,3 +6,17 @@ export type User = ZapEHRUser & {
   roles: { name: string }[];
   profileResource?: Practitioner;
 };
+
+export enum RoleType {
+  NewUser = 'NewUser',
+  Administrator = 'Administrator',
+  AssistantAdmin = 'AssistantAdmin',
+  RegionalTelemedLead = 'RegionalTelemedLead',
+  CallCentre = 'CallCentre',
+  Billing = 'Billing',
+  Manager = 'Manager',
+  Staff = 'Staff',
+  Provider = 'Provider',
+  FrontDesk = 'Front Desk',
+  Inactive = 'Inactive',
+}

packages/ehr-utils/package.json

@@ -1,7 +1,7 @@
 {
   "name": "ehr-utils",
   "private": true,
-  "version": "0.14.0",
+  "version": "0.15.0",
   "main": "lib/main.ts",
   "types": "lib/main.ts",
   "scripts": {

packages/ottehr-components/package.json

@@ -1,7 +1,7 @@
 {
   "name": "ottehr-components",
   "private": true,
-  "version": "0.14.0",
+  "version": "0.15.0",
   "main": "lib/main.ts",
   "types": "lib/main.ts",
   "scripts": {

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_GET_SCHEDULE_ZAMBDA_ID=get-schedule
 VITE_APP_SYNC_USER_ZAMBDA_ID=sync-user
 VITE_APP_DEACTIVATE_USER_ZAMBDA_ID=deactivate-user
 VITE_APP_GET_EMPLOYEES_ZAMBDA_ID=get-employees
@@ -30,4 +31,7 @@ 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-telemed-appointment
 VITE_APP_CANCEL_IN_PERSON_APPOINTMENT_ZAMBDA_ID=cancel-in-person-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=
+VITE_APP_PHOTON_CONNECTION_NAME=

packages/telemed-ehr/app/package.json

@@ -1,6 +1,6 @@
 {
   "name": "telemed-ehr-app",
-  "version": "0.14.0",
+  "version": "0.15.0",
   "private": true,
   "browserslist": {
     "production": [
@@ -30,7 +30,7 @@
     "test": "react-scripts test",
     "eject": "react-scripts eject",
     "deploy:development": " PREFIX=development CLOUDFRONT_ID=E10TA6FN58D1OS ENV=development pnpm run ci-deploy-skeleton",
-    "ci-deploy-skeleton": "ENV=${ENV} VITE_APP_SHA=${GIT_HEAD:-$(git rev-parse --short HEAD)} VITE_APP_VERSION=$(node -pe 'require(\"./package.json\").version') pnpm run build:${ENV} && aws s3 sync build/ s3://ehr.ottehr.com --region us-east-1 --delete --profile ottehr && aws cloudfront create-invalidation --distribution-id ${CLOUDFRONT_ID} --paths '/*' --region us-east-1"
+    "ci-deploy-skeleton": "ENV=${ENV} VITE_APP_SHA=${GIT_HEAD:-$(git rev-parse --short HEAD)} VITE_APP_VERSION=$(node -pe 'require(\"./package.json\").version') pnpm run build:${ENV} && aws s3 sync build/ s3://ehr.ottehr.com --region us-east-1 --delete && aws cloudfront create-invalidation --distribution-id ${CLOUDFRONT_ID} --paths '/*' --region us-east-1"
   },
   "dependencies": {
     "@mui/icons-material": "^5.14.9",

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

@@ -81,6 +81,7 @@ function App(): ReactElement {
                           dev-mode="true"
                           auto-login="true"
                           redirect-uri={window.location.origin}
+                          // connection={import.meta.env.VITE_APP_PHOTON_CONNECTION_NAME}
                         >
                           <Outlet />
                         </photon-client>