2026-04-27 04:25:52 +00:00

161 lines
5.6 KiB
JavaScript

const axios = require('axios');
const createError = require('http-errors');
const config = require('../config');
const { getBusToken, createBusRequest } = require('../utils/busAuth');
const { searchPatient } = require('../services/patient');
const { postDocumentReference, fetchDocumentReference } = require('../services/documentReference');
const { logger } = require('../utils/logger')
const DOCUMENT_REFERENCE_RESOURCE_TYPE = "DocumentReference";
const IPS_DOCUMENT_RESOURCE_TYPE = 'Bundle';
const PATIENT_RESOURCE_TYPE = 'Patient';
const LIST_RESOURCE_TYPE = 'List';
const NATIONAL_ID_SYSTEM = 'https://federador.msal.gob.ar/patient-id';
const DNI_SYSTEM = 'http://www.renaper.gob.ar/dni';
const CUSTODIAN_ID_SYSTEM = 'https://federador.msal.gob.ar/uri';
/**
* Procesa una transacción y devuelve los recursos persistidos en el servidor HAPI FHIR
* @param {*} transactionBundle
* @returns
*/
async function processTransaction(transactionBundle) {
const response = await axios.post(`${config.fhir.url}`, transactionBundle, {
headers: { 'Content-Type': 'application/fhir+json' },
});
if (response.status !== 200) {
throw createError(response.status, response.data.issue.diagnostics);
}
const processed = response.data;
const resources = [];
const responses = processed.entry.map(e => e.response);
for (i = 0; i < responses.length; i++) {
const resource = await axios.get(`${config.fhir.url}/${responses[i].location}`)
resources.push(resource);
}
return Promise.resolve(resources);
}
function extractResource(resources, resourceType) {
return resources.map(r => r.data).filter(r => r.resourceType === resourceType)[0];
}
function extractLocalIdentifier(patient) {
return patient.identifier.filter(i => {
return i.system !== NATIONAL_ID_SYSTEM && ((!!i.use && i.use === 'official') || (!i.use))
})[0];
}
/**
*
* @param {*} documentReference
* @returns
*/
async function getBusCustodianIdentifier() {
return Promise.resolve({ system: CUSTODIAN_ID_SYSTEM, value: config.bus.issuer });
}
async function getBusPatientReference(patient, token) {
const localIdentifier = extractLocalIdentifier(patient);
const nationalPatientResponse = await searchPatient(token, { identifier: `${localIdentifier.system}|${localIdentifier.value}` });
const nationalPatientBundle = nationalPatientResponse.data;
if (nationalPatientBundle.total == 0) {
throw createError(404, 'Patient does not exists');
}
// NOTE:La siguiente consulta no debería traer mas de un resultado.
return Promise.resolve(nationalPatientBundle.entry[0].fullUrl);
}
async function getLocalIPSDocumentReference(localIPSDocument) {
return Promise.resolve(`${config.baseURL}/fhir/Bundle/${localIPSDocument.id}`);
}
/**
* Crea un nuevo document refrence en el bus
* @param {*} token
* @param {*} localIPSDocument
* @param {*} localPatient
* @param {*} localDocumentReference
* @returns
*/
async function createBusDocumentReference(token, localIPSDocument, localPatient) {
const busCustodianIdentifier = await getBusCustodianIdentifier();
const busPatientReference = await getBusPatientReference(localPatient, token);
const localIPSDocumentReference = await getLocalIPSDocumentReference(localIPSDocument);
const busDocumentReference = {
resourceType: 'DocumentReference',
status: 'current',
type: {
coding: [
{
system: 'http://loinc.org',
code: '60591-5',
display: 'Patient Summary Document',
},
],
},
subject: {
reference: busPatientReference
},
custodian: {
identifier: busCustodianIdentifier,
},
content: [
{
attachment: {
url: localIPSDocumentReference,
},
},
],
};
const response = await postDocumentReference(token, busDocumentReference);
const created = await fetchDocumentReference(token, response.headers['location']);
return created.data;
}
/**
* ITI-65: Provide Document Bundle (MHD)
*
* POST /fhir/Bundle
*
* Flow:
* 1. Store the IPS Bundle in HAPI FHIR.
* 2. Resolve the patient national identifier via Bus $match.
* 3. Register a DocumentReference in the Bus pointing to the stored Bundle.
*
* Required header:
* x-custodian-id — Efector identifier value in the Federador MSAL system.
*/
async function provideDocumentBundle(req, res, next) {
try {
const transaction = req.body;
const token = await getBusToken(
config.bus.url,
config.bus.jwtSecret,
config.bus.issuer,
[config.bus.mpiScope, config.bus.documentRegistryScope].join(',')
);
// Paso 1: Ejecuto la transcción en el servidor hapi subyacente
const resources = await processTransaction(transaction);
// Paso 2: Obtengo el paciente local (tal como se guardo en la trasnaccion)
const localPatient = extractResource(resources, PATIENT_RESOURCE_TYPE);
// Paso 3: Obtengo el documento IPS local (tal como se guardo en la transacción)
const localIPSDocument = extractResource(resources, IPS_DOCUMENT_RESOURCE_TYPE)
// Paso 4: Creo el document reference en el indice de atenciones
const busDocumentReference = await createBusDocumentReference(token, localIPSDocument, localPatient);
return status(200).json(busDocumentReference);
} catch (err) {
next(err);
}
}
module.exports = { provideDocumentBundle };