Files
temetro/backend/src/db/schema/integrations.ts
T
Khalid Abdi 43eaccb97e feat: HL7/FHIR, e-prescribing & insurance claims integrations
Real, standards-compliant integration clients that the clinic points at
its own (sandbox or production) endpoints — no mock data.

backend:
- `integrations` table (per org+type) storing endpoint + encrypted
  credentials (reusing the AI-key crypto) + status; Drizzle migration
- services/integrations:
  - fhir.ts — FHIR R4 REST client (pull lab Observations → patient
    record), HL7 v2 ORU parsing, capability-statement connection test
  - eprescribe.ts — NCPDP SCRIPT NewRx message build + transmit
  - claims.ts — X12 837P claim generation + 835 remittance parsing
- `/api/integrations` route: config GET/PUT (owner/admin), connection
  test, and the FHIR sync / HL7 ingest / e-Rx send / claim submit actions,
  RBAC-gated (lab/patient, prescription, invoice)

frontend:
- lib/integrations.ts client
- Settings → Integrations tab to configure endpoints/credentials/enable
  + test each integration
- on-page actions, shown only when the integration is enabled:
  Lab page → FHIR "Sync results" card; prescription sheet → "Send to
  pharmacy"; invoice sheet → "Submit claim"

Production e-Rx/claims routing requires the clinic's own Surescripts /
clearinghouse credentials; the code transmits real messages once supplied.

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-06-18 20:15:00 +03:00

41 lines
1.4 KiB
TypeScript

import {
boolean,
pgTable,
primaryKey,
text,
timestamp,
} from "drizzle-orm/pg-core";
import { organization } from "./auth.js";
// External healthcare-system integrations, configured per clinic. One row per
// (organization, type):
// fhir → HL7/FHIR lab-system connection (lab results in/out)
// eprescribe → NCPDP SCRIPT e-prescribing to pharmacies
// claims → X12 837/835 insurance claims clearinghouse
// `credentials` is an encrypted JSON blob (API key / bearer token / submitter
// IDs — shape depends on the type); `endpoint` is the base URL the clinic
// points the integration at (a vendor sandbox or production gateway).
export const integrations = pgTable(
"integrations",
{
organizationId: text("organization_id")
.notNull()
.references(() => organization.id, { onDelete: "cascade" }),
type: text("type").notNull(),
endpoint: text("endpoint").notNull().default(""),
credentials: text("credentials"),
enabled: boolean("enabled").notNull().default(false),
// "unconfigured" | "connected" | "error" — last known connection state.
status: text("status").notNull().default("unconfigured"),
lastSyncAt: timestamp("last_sync_at"),
updatedAt: timestamp("updated_at")
.defaultNow()
.$onUpdate(() => new Date())
.notNull(),
},
(table) => [
primaryKey({ columns: [table.organizationId, table.type] }),
],
);