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43eaccb97e
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>
41 lines
1.4 KiB
TypeScript
41 lines
1.4 KiB
TypeScript
import {
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boolean,
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pgTable,
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primaryKey,
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text,
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timestamp,
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} from "drizzle-orm/pg-core";
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import { organization } from "./auth.js";
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// External healthcare-system integrations, configured per clinic. One row per
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// (organization, type):
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// fhir → HL7/FHIR lab-system connection (lab results in/out)
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// eprescribe → NCPDP SCRIPT e-prescribing to pharmacies
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// claims → X12 837/835 insurance claims clearinghouse
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// `credentials` is an encrypted JSON blob (API key / bearer token / submitter
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// IDs — shape depends on the type); `endpoint` is the base URL the clinic
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// points the integration at (a vendor sandbox or production gateway).
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export const integrations = pgTable(
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"integrations",
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{
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organizationId: text("organization_id")
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.notNull()
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.references(() => organization.id, { onDelete: "cascade" }),
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type: text("type").notNull(),
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endpoint: text("endpoint").notNull().default(""),
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credentials: text("credentials"),
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enabled: boolean("enabled").notNull().default(false),
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// "unconfigured" | "connected" | "error" — last known connection state.
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status: text("status").notNull().default("unconfigured"),
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lastSyncAt: timestamp("last_sync_at"),
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updatedAt: timestamp("updated_at")
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.defaultNow()
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.$onUpdate(() => new Date())
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.notNull(),
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},
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(table) => [
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primaryKey({ columns: [table.organizationId, table.type] }),
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],
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);
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