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{ Data, Effect, Schema } from \"effect\";\n\nconst NonEmptyStringSchema = Schema.String.pipe(Schema.nonEmptyString());\n\nconst isIsoDateString = (value: string): boolean => {\n const match = /^(\\d{4})-(\\d{2})-(\\d{2})$/.exec(value);\n if (!match) {\n return false;\n }\n\n const [, year, month, day] = match;\n const parsed = new Date(`${value}T00:00:00.000Z`);\n return (\n parsed.getUTCFullYear() === Number(year) &&\n parsed.getUTCMonth() + 1 === Number(month) &&\n parsed.getUTCDate() === Number(day)\n );\n};\n\nconst IsoDateStringSchema = Schema.String.pipe(\n Schema.filter(\n (value) => isIsoDateString(value) || \"must be a valid ISO date string\"\n )\n);\n\nconst UnitsSchema = Schema.Number.pipe(Schema.int(), Schema.positive());\nconst NpiSchema = Schema.String.pipe(Schema.pattern(/^\\d{10}$/));\nconst TinSchema = Schema.String.pipe(Schema.pattern(/^\\d{2}-\\d{7}$/));\n\nexport const SupportingInfoSchema = Schema.Struct({\n id: NonEmptyStringSchema,\n value: NonEmptyStringSchema,\n source: Schema.Literal(\"chart\", \"patient\", \"payer\", \"external\")\n});\n\nexport type SupportingInfo = typeof SupportingInfoSchema.Type;\n\nexport const SupportingInfoListSchema = Schema.Array(SupportingInfoSchema);\n\nexport const decodeSupportingInfoList = (\n input: unknown\n): Effect.Effect, ProtocolError> =>\n Effect.suspend(() =>\n Schema.decodeUnknown(SupportingInfoListSchema)(input).pipe(\n Effect.mapError(\n (detail) =>\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-evidence\",\n detail\n })\n )\n )\n ).pipe(\n Effect.catchAllDefect((detail) =>\n Effect.fail(\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-evidence\",\n detail\n })\n )\n )\n );\n\nexport const DocumentationRequirementSchema = Schema.Struct({\n id: NonEmptyStringSchema,\n description: NonEmptyStringSchema,\n questionnaire: NonEmptyStringSchema\n});\n\nexport type DocumentationRequirement =\n typeof DocumentationRequirementSchema.Type;\n\nexport const AuthorizationRequestSchema = Schema.Struct({\n patient: Schema.Struct({\n memberId: NonEmptyStringSchema,\n dob: IsoDateStringSchema\n }),\n provider: Schema.Struct({\n npi: NpiSchema,\n tin: TinSchema\n }),\n service: Schema.Struct({\n code: NonEmptyStringSchema,\n codeSystem: NonEmptyStringSchema,\n diagnosis: Schema.Array(NonEmptyStringSchema),\n placeOfService: NonEmptyStringSchema,\n requestedStart: IsoDateStringSchema,\n units: UnitsSchema,\n urgency: Schema.Literal(\"standard\", \"expedited\")\n }),\n supportingInfo: Schema.Array(SupportingInfoSchema)\n});\n\nexport type AuthorizationRequest = typeof AuthorizationRequestSchema.Type;\n\nexport type ProtocolErrorKind =\n | \"validation\"\n | \"transport\"\n | \"workflow\"\n | \"payer\";\n\nexport type ProtocolErrorReason =\n | \"invalid-request\"\n | \"invalid-evidence\"\n | \"invalid-determination\"\n | \"invalid-terminal-determination\"\n | \"invalid-resume-token\"\n | \"invalid-subscription-event\"\n | \"unknown-subscription\"\n | \"subscription-timeout\"\n | \"evidence-required\"\n | \"evidence-missing-requirements\"\n | \"evidence-collection-failed\"\n | \"max-steps-exceeded\"\n | \"policy-evaluation-failed\"\n | \"policy-review-failed\"\n | \"http-error\"\n | \"http-timeout\"\n | \"http-request-failed\"\n | \"missing-base-url\"\n | \"smart-auth-configuration-invalid\"\n | \"smart-configuration-failed\"\n | \"smart-token-request-failed\"\n | \"smart-token-response-invalid\"\n | \"transport-authorize-failed\"\n | \"transport-resume-failed\"\n | \"transport-await-failed\"\n | \"transport-audit-failed\"\n | \"transport-verify-failed\"\n | \"transport-capabilities-failed\"\n | (string & {});\n\n/**\n * Structured protocol failure raised by the SDK and Effect services.\n *\n * @example\n * try {\n * await client.request(request);\n * } catch (error) {\n * if (error instanceof ProtocolError && error.kind === \"validation\") {\n * console.error(error.reason, error.detail);\n * }\n * }\n */\nexport class ProtocolError extends Data.TaggedError(\"ProtocolError\")<{\n readonly reason: ProtocolErrorReason;\n readonly kind?: ProtocolErrorKind;\n readonly detail?: unknown;\n readonly requestId?: string;\n}> {\n override get message(): string {\n const kind = this.kind ? `${this.kind}: ` : \"\";\n return `${kind}${this.reason}`;\n }\n}\n\nexport const decodeAuthorizationRequest = (\n input: unknown\n): Effect.Effect =>\n Effect.suspend(() =>\n Schema.decodeUnknown(AuthorizationRequestSchema)(input).pipe(\n Effect.mapError(\n (detail) =>\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-request\",\n detail\n })\n )\n )\n ).pipe(\n Effect.catchAllDefect((detail) =>\n Effect.fail(\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-request\",\n detail\n })\n )\n )\n );\n\nexport type DeterminationStatus =\n | \"approved\"\n | \"denied\"\n | \"info-needed\"\n | \"pended\"\n | \"error\";\n\nexport type NextAction =\n | \"none\"\n | \"attach-evidence\"\n | \"await-payer\"\n | \"appeal\"\n | \"contact-payer\";\n\nexport type PendingReason =\n | \"human-review\"\n | \"payer-processing\"\n | \"external-records\";\n\nexport type DeterminationBy = \"rules\" | \"clinical-reviewer\" | null;\n\nexport interface SignatureReceipt {\n readonly alg: \"EdDSA\";\n readonly format: \"detached-json\";\n readonly keyId: string;\n readonly issuedAt: string;\n readonly requestHash: string;\n readonly payloadHash: string;\n readonly nonce: string;\n readonly signature: string;\n}\n\nexport interface X278Capabilities {\n readonly protocol: \"x278\";\n readonly implementation: string;\n readonly endpoints: {\n readonly authorize: string;\n readonly resume: string;\n readonly awaitDetermination: string;\n readonly auditLog?: string;\n readonly verify?: string;\n };\n readonly signing?: {\n readonly alg: SignatureReceipt[\"alg\"];\n readonly publicKeyPem?: string;\n };\n}\n\nexport const SignatureReceiptSchema = Schema.Struct({\n alg: Schema.Literal(\"EdDSA\"),\n format: Schema.Literal(\"detached-json\"),\n keyId: Schema.String,\n issuedAt: Schema.String,\n requestHash: Schema.String,\n payloadHash: Schema.String,\n nonce: Schema.String,\n signature: Schema.String\n});\n\nexport interface DeterminationBase {\n readonly authId: string;\n readonly status: DeterminationStatus;\n readonly nextAction: NextAction;\n readonly ruleSetVersion: string;\n readonly expiresAt: string | null;\n readonly determinationBy: DeterminationBy;\n}\n\nexport interface ApprovedDetermination extends DeterminationBase {\n readonly status: \"approved\";\n readonly nextAction: \"none\";\n readonly authNumber: string;\n readonly approvedUnits: number;\n readonly validFrom: string;\n readonly validThrough: string;\n readonly determinationBy: \"rules\" | \"clinical-reviewer\";\n readonly signature: SignatureReceipt;\n}\n\nexport const ApprovedDeterminationSchema = Schema.Struct({\n authId: Schema.String,\n status: Schema.Literal(\"approved\"),\n nextAction: Schema.Literal(\"none\"),\n ruleSetVersion: Schema.String,\n expiresAt: Schema.NullOr(Schema.String),\n determinationBy: Schema.Literal(\"rules\", \"clinical-reviewer\"),\n authNumber: Schema.String,\n approvedUnits: UnitsSchema,\n validFrom: IsoDateStringSchema,\n validThrough: IsoDateStringSchema,\n signature: SignatureReceiptSchema\n});\n\nexport type UnsignedApprovedDetermination = Omit<\n ApprovedDetermination,\n \"signature\"\n>;\n\nexport interface DeniedDetermination extends DeterminationBase {\n readonly status: \"denied\";\n readonly nextAction: \"appeal\";\n readonly reasonCode: string;\n readonly reasonText: string;\n readonly appealPath: string;\n readonly determinationBy: \"rules\" | \"clinical-reviewer\";\n readonly signature: SignatureReceipt;\n}\n\nexport const DeniedDeterminationSchema = Schema.Struct({\n authId: Schema.String,\n status: Schema.Literal(\"denied\"),\n nextAction: Schema.Literal(\"appeal\"),\n ruleSetVersion: Schema.String,\n expiresAt: Schema.NullOr(Schema.String),\n determinationBy: Schema.Literal(\"rules\", \"clinical-reviewer\"),\n reasonCode: Schema.String,\n reasonText: Schema.String,\n appealPath: Schema.String,\n signature: SignatureReceiptSchema\n});\n\nexport type UnsignedDeniedDetermination = Omit;\n\nexport type UnsignedTerminalDetermination =\n | UnsignedApprovedDetermination\n | UnsignedDeniedDetermination;\n\nexport interface InfoNeededDetermination extends DeterminationBase {\n readonly status: \"info-needed\";\n readonly nextAction: \"attach-evidence\";\n readonly documentationRequired: ReadonlyArray;\n readonly resumeToken: string;\n readonly determinationBy: null;\n}\n\nexport const InfoNeededDeterminationSchema = Schema.Struct({\n authId: Schema.String,\n status: Schema.Literal(\"info-needed\"),\n nextAction: Schema.Literal(\"attach-evidence\"),\n ruleSetVersion: Schema.String,\n expiresAt: Schema.NullOr(Schema.String),\n determinationBy: Schema.Null,\n documentationRequired: Schema.Array(DocumentationRequirementSchema),\n resumeToken: Schema.String\n});\n\nexport interface PendedDetermination extends DeterminationBase {\n readonly status: \"pended\";\n readonly nextAction: \"await-payer\";\n readonly pendingReason: PendingReason;\n readonly subscription: string;\n readonly determinationBy: \"clinical-reviewer\" | null;\n}\n\nexport const PendedDeterminationSchema = Schema.Struct({\n authId: Schema.String,\n status: Schema.Literal(\"pended\"),\n nextAction: Schema.Literal(\"await-payer\"),\n ruleSetVersion: Schema.String,\n expiresAt: Schema.NullOr(Schema.String),\n determinationBy: Schema.NullOr(Schema.Literal(\"clinical-reviewer\")),\n pendingReason: Schema.Literal(\n \"human-review\",\n \"payer-processing\",\n \"external-records\"\n ),\n subscription: Schema.String\n});\n\nexport interface ErrorDetermination extends DeterminationBase {\n readonly status: \"error\";\n readonly nextAction: \"contact-payer\";\n readonly reasonCode: string;\n readonly reasonText: string;\n readonly determinationBy: null;\n}\n\nexport const ErrorDeterminationSchema = Schema.Struct({\n authId: Schema.String,\n status: Schema.Literal(\"error\"),\n nextAction: Schema.Literal(\"contact-payer\"),\n ruleSetVersion: Schema.String,\n expiresAt: Schema.NullOr(Schema.String),\n determinationBy: Schema.Null,\n reasonCode: Schema.String,\n reasonText: Schema.String\n});\n\nexport type TerminalDetermination =\n | ApprovedDetermination\n | DeniedDetermination;\n\nexport type NonTerminalDetermination =\n | InfoNeededDetermination\n | PendedDetermination;\n\nexport type Determination =\n | TerminalDetermination\n | NonTerminalDetermination\n | ErrorDetermination;\n\nexport const TerminalDeterminationSchema = Schema.Union(\n ApprovedDeterminationSchema,\n DeniedDeterminationSchema\n);\n\nexport const DeterminationSchema = Schema.Union(\n ApprovedDeterminationSchema,\n DeniedDeterminationSchema,\n InfoNeededDeterminationSchema,\n PendedDeterminationSchema,\n ErrorDeterminationSchema\n);\n\nexport const decodeDetermination = (\n input: unknown\n): Effect.Effect =>\n Effect.suspend(() =>\n Schema.decodeUnknown(DeterminationSchema)(input).pipe(\n Effect.mapError(\n (detail) =>\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-determination\",\n detail\n })\n )\n )\n ).pipe(\n Effect.catchAllDefect((detail) =>\n Effect.fail(\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-determination\",\n detail\n })\n )\n )\n );\n\nexport const decodeTerminalDetermination = (\n input: unknown\n): Effect.Effect =>\n Effect.suspend(() =>\n Schema.decodeUnknown(TerminalDeterminationSchema)(input).pipe(\n Effect.mapError(\n (detail) =>\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-terminal-determination\",\n detail\n })\n )\n )\n ).pipe(\n Effect.catchAllDefect((detail) =>\n Effect.fail(\n new ProtocolError({\n kind: \"validation\",\n reason: \"invalid-terminal-determination\",\n detail\n })\n )\n )\n );\n\nexport interface AuditRecord {\n readonly authId: string;\n readonly status: TerminalDetermination[\"status\"];\n readonly requestHash: string;\n readonly determinationHash: string;\n readonly signatureKeyId: string;\n readonly appendedAt: string;\n}\n","import { Effect } from \"effect\";\nimport type { AuthorizationRequest, DocumentationRequirement, SupportingInfo } from \"./domain.js\";\nimport { ProtocolError, decodeSupportingInfoList } from \"./domain.js\";\nimport type { FhirResource } from \"./fhir-pas.js\";\n\nexport type EvidenceValueResolver = (\n requirement: DocumentationRequirement\n) => string | SupportingInfo;\n\nexport interface DtrQuestionnaireResponseOptions {\n readonly authored?: string;\n readonly authorReference?: string;\n readonly subjectReference?: string;\n}\n\nconst isEvidenceArray = (\n value: AuthorizationRequest | ReadonlyArray\n): value is ReadonlyArray => Array.isArray(value);\n\nconst evidenceIds = (\n evidenceOrRequest: AuthorizationRequest | ReadonlyArray\n): Set => {\n const evidence: ReadonlyArray = isEvidenceArray(evidenceOrRequest)\n ? evidenceOrRequest\n : evidenceOrRequest.supportingInfo;\n\n return new Set(evidence.map((item) => item.id));\n};\n\n/**\n * Creates a supporting-info attachment for a documentation requirement.\n *\n * @example\n * const evidence = createEvidenceForRequirement(requirement, \"chart note text\");\n */\nexport const createEvidenceForRequirement = (\n requirement: DocumentationRequirement,\n value: string,\n source: SupportingInfo[\"source\"] = \"chart\"\n): SupportingInfo => ({\n id: requirement.id,\n value,\n source\n});\n\n/**\n * Creates evidence for every returned documentation requirement.\n */\nexport const createEvidenceForRequirements = (\n requirements: ReadonlyArray,\n resolve: EvidenceValueResolver\n): ReadonlyArray =>\n requirements.map((requirement) => {\n const resolved = resolve(requirement);\n return typeof resolved === \"string\"\n ? createEvidenceForRequirement(requirement, resolved)\n : resolved;\n });\n\n/**\n * Returns the requirements not yet satisfied by the supplied request/evidence.\n */\nexport const missingEvidenceRequirements = (\n requirements: ReadonlyArray,\n evidenceOrRequest: AuthorizationRequest | ReadonlyArray\n): ReadonlyArray => {\n const supplied = evidenceIds(evidenceOrRequest);\n return requirements.filter((requirement) => !supplied.has(requirement.id));\n};\n\nexport const evidenceSatisfiesRequirements = (\n requirements: ReadonlyArray,\n evidenceOrRequest: AuthorizationRequest | ReadonlyArray\n): boolean => missingEvidenceRequirements(requirements, evidenceOrRequest).length === 0;\n\nexport const assertEvidenceSatisfiesRequirements = async (\n requirements: ReadonlyArray,\n evidence: unknown\n): Promise> => {\n const decoded = await Effect.runPromise(decodeSupportingInfoList(evidence));\n const missing = missingEvidenceRequirements(requirements, decoded);\n\n if (missing.length > 0) {\n throw new ProtocolError({\n kind: \"validation\",\n reason: \"evidence-missing-requirements\",\n detail: missing\n });\n }\n\n return decoded;\n};\n\n/**\n * Converts x278 evidence into DTR-style QuestionnaireResponse resources.\n */\nexport const toDtrQuestionnaireResponses = (\n requirements: ReadonlyArray,\n evidence: ReadonlyArray,\n options: DtrQuestionnaireResponseOptions = {}\n): ReadonlyArray => {\n const evidenceById = new Map(evidence.map((item) => [item.id, item]));\n\n return requirements.map((requirement) => {\n const answer = evidenceById.get(requirement.id);\n\n return {\n resourceType: \"QuestionnaireResponse\",\n id: `qr-${requirement.id}`,\n questionnaire: requirement.questionnaire,\n status: answer ? \"completed\" : \"in-progress\",\n ...(options.authored ? { authored: options.authored } : {}),\n ...(options.authorReference\n ? { author: { reference: options.authorReference } }\n : {}),\n ...(options.subjectReference\n ? { subject: { reference: options.subjectReference } }\n : {}),\n item: [\n {\n linkId: requirement.id,\n text: requirement.description,\n ...(answer\n ? {\n answer: [\n {\n valueString: answer.value\n }\n ]\n }\n : {})\n }\n ]\n };\n });\n};\n"]}