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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>