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@RamilGaripov RamilGaripov commented Aug 8, 2025

Issues:

Description

Testing

Check each PR.

Release Plan

  • ⚠️ Points to master
  • Merge this

Summary by CodeRabbit

  • Bug Fixes
    • Improved error messages for missing patient discovery parameters, providing more specific context.
    • Adjusted patient discovery response handling to ensure consistent processing even when no results are found.
    • Updated document upload logic to always upload files, regardless of their existing status in storage.

RamilGaripov and others added 4 commits August 7, 2025 08:46
Part of ENG-620

Signed-off-by: Ramil Garipov <ramil@metriport.com>
Ref: ENG-000

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Mac.attlocal.net>
…dr-fix

fix(core): always replace the doc on s3 after dr
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coderabbitai bot commented Aug 8, 2025

Walkthrough

This update modifies two files related to Carequality outbound processing. In the patient discovery response processor, import statements are reorganized and error handling is improved by using a more specific error type with context. The early exit on empty patient discovery results is removed. In document reference processing, the logic now always uploads files to S3, regardless of their prior existence.

Changes

Cohort / File(s) Change Summary
Patient Discovery Response Handling
packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
Imports reorganized; added MetriportError and processAsyncError. Early return on empty results removed—function continues processing even if no patient discovery results. Error thrown on missing parameters is now a MetriportError with context.
Document Reference S3 Upload Logic
packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
Conditional check for S3 file existence removed; file is now always uploaded to S3, regardless of whether it already exists.

Sequence Diagram(s)

sequenceDiagram
    participant Client
    participant PatientDiscoveryProcessor
    participant S3
    participant ErrorHandler

    Client->>PatientDiscoveryProcessor: Process outbound patient discovery response
    alt Missing parameters
        PatientDiscoveryProcessor->>ErrorHandler: Throw MetriportError with context
    else Results present or empty
        PatientDiscoveryProcessor->>PatientDiscoveryProcessor: Continue processing (no early exit on empty)
    end

    Client->>PatientDiscoveryProcessor: Request document reference processing
    PatientDiscoveryProcessor->>S3: Upload file (always, no existence check)
Loading

Estimated code review effort

🎯 2 (Simple) | ⏱️ ~8 minutes

Possibly related PRs

  • feat(dp): fix demo aug #4326: Modifies process-outbound-patient-discovery-resps.ts with identical changes, including import reorganization, removal of early return, and improved error handling with MetriportError.

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📜 Recent review details

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📥 Commits

Reviewing files that changed from the base of the PR and between 424e809 and 6340284.

📒 Files selected for processing (2)
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts (2 hunks)
  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts (1 hunks)
🧰 Additional context used
📓 Path-based instructions (3)
**/*.{js,jsx,ts,tsx}

📄 CodeRabbit Inference Engine (.cursorrules)

**/*.{js,jsx,ts,tsx}: Don’t use null inside the app, only on code interacting with external interfaces/services, like DB and HTTP; convert to undefined before sending inwards into the code
Use const whenever possible
Use async/await instead of .then()
Naming: classes, enums: PascalCase
Naming: constants, variables, functions: camelCase
Naming: file names: kebab-case
Naming: Don’t use negative names, like notEnabled, prefer isDisabled
If possible, use decomposing objects for function parameters
Prefer Nullish Coalesce (??) than the OR operator (||) when you want to provide a default value
Avoid creating arrow functions
Use truthy syntax instead of in - i.e., if (data.link) not if ('link' in data)
While handling errors, keep the stack trace around: if you create a new Error (e.g., MetriportError), make sure to pass the original error as the new one’s cause so the stack trace is available upstream.
max column length is 100 chars
multi-line comments use /** */
top-level comments go after the import (save pre-import to basic file header, like license)
move literals to constants declared after imports when possible

Files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
**/*.{ts,tsx}

📄 CodeRabbit Inference Engine (.cursorrules)

Use types whenever possible

Files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
**/*.ts

⚙️ CodeRabbit Configuration File

**/*.ts: - Use the Onion Pattern to organize a package's code in layers

  • Try to use immutable code and avoid sharing state across different functions, objects, and systems
  • Try to build code that's idempotent whenever possible
  • Prefer functional programming style functions: small, deterministic, 1 input, 1 output
  • Minimize coupling / dependencies
  • Avoid modifying objects received as parameter
  • Only add comments to code to explain why something was done, not how it works
  • Naming
    • classes, enums: PascalCase
    • constants, variables, functions: camelCase
    • file names: kebab-case
    • table and column names: snake_case
    • Use meaningful names, so whoever is reading the code understands what it means
    • Don’t use negative names, like notEnabled, prefer isDisabled
    • For numeric values, if the type doesn’t convey the unit, add the unit to the name
  • Typescript
    • Use types
    • Prefer const instead of let
    • Avoid any and casting from any to other types
    • Type predicates: only applicable to narrow down the type, not to force a complete type conversion
    • Prefer deconstructing parameters for functions instead of multiple parameters that might be of
      the same type
    • Don’t use null inside the app, only on code interacting with external interfaces/services,
      like DB and HTTP; convert to undefined before sending inwards into the code
    • Use async/await instead of .then()
    • Use the strict equality operator ===, don’t use abstract equality operator ==
    • When calling a Promise-returning function asynchronously (i.e., not awaiting), use .catch() to
      handle errors (see processAsyncError and emptyFunction depending on the case)
    • Date and Time
      • Always use buildDayjs() to create dayjs instances
      • Prefer dayjs.duration(...) to create duration consts and keep them as duration
  • Prefer Nullish Coalesce (??) than the OR operator (||) to provide a default value
  • Avoid creating arrow functions
  • U...

Files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
🧠 Learnings (24)
📓 Common learnings
Learnt from: leite08
PR: metriport/metriport#0
File: :0-0
Timestamp: 2025-03-05T18:43:30.389Z
Learning: For backmerge PRs at metriport/metriport, only verify two things: (1) that the source branch is `master` and destination branch is `develop`, and (2) that there's a link to at least one PR (usually a "patch" PR) in the description. No need for detailed review comments or updates to the PR description unless there's an issue with these criteria.
Learnt from: leite08
PR: metriport/metriport#3611
File: packages/utils/src/fhir-converter/s3-to-lambda.ts:29-47
Timestamp: 2025-04-05T16:02:02.517Z
Learning: For release PRs (where head branch is `develop` and base branch is `master`), don't suggest code changes as these have already been reviewed in previous PRs. Instead, focus only on checking if the PR description follows the template and practices, and if the PR is pointing to the correct base branch (`master`).
Learnt from: lucasdellabella
PR: metriport/metriport#3907
File: packages/terminology/src/seed/seed-ndc-from-fda.ts:91-113
Timestamp: 2025-05-28T05:28:26.896Z
Learning: On PRs with "release" in the title, only provide very high priority feedback and avoid lower priority suggestions like refactoring or optimization improvements.
Learnt from: lucasdellabella
PR: metriport/metriport#0
File: :0-0
Timestamp: 2025-03-14T13:44:44.651Z
Learning: Avoid adding AI-generated summaries to PRs with "RELEASE" in the title.
Learnt from: thomasyopes
PR: metriport/metriport#3484
File: packages/api/src/routes/internal/medical/organization.ts:7-15
Timestamp: 2025-03-18T23:49:35.819Z
Learning: Typo fixes and other minor code quality improvements should not be addressed in release PRs to minimize risk and maintain stability.
Learnt from: leite08
PR: metriport/metriport#4215
File: packages/core/src/command/analytics-platform/config.ts:4-13
Timestamp: 2025-07-20T01:18:28.093Z
Learning: User leite08 prefers that code improvement suggestions (like consolidating duplicated schemas) be made on feature PRs rather than release PRs. Such improvements should be deferred to follow-up PRs during the release cycle.
Learnt from: leite08
PR: metriport/metriport#3814
File: packages/api/src/routes/internal/medical/patient-consolidated.ts:141-174
Timestamp: 2025-05-20T21:26:26.804Z
Learning: The functionality introduced in packages/api/src/routes/internal/medical/patient-consolidated.ts is planned to be refactored in downstream PR #3857, including improvements to error handling and validation.
Learnt from: thomasyopes
PR: metriport/metriport#3754
File: packages/core/src/external/ehr/healthie/link-patient/healthie-link-patient-cloud.ts:17-25
Timestamp: 2025-04-30T21:00:14.857Z
Learning: In the Healthie integration, errors from the SQS client in the link-patient functionality are allowed to bubble up to the caller rather than being caught and re-thrown with additional context at each level.
Learnt from: thomasyopes
PR: metriport/metriport#3427
File: packages/core/src/external/ehr/api/sync-patient.ts:16-55
Timestamp: 2025-03-11T20:42:46.516Z
Learning: In the patient synchronization architecture, the flow follows this pattern: (1) `ehr-sync-patient-cloud.ts` sends messages to an SQS queue, (2) the `ehr-sync-patient` Lambda consumes these messages, and (3) the Lambda uses the `syncPatient` function to make the API calls to process the patient data.
Learnt from: thomasyopes
PR: metriport/metriport#4165
File: packages/data-transformation/fhir-to-csv/main.py:0-0
Timestamp: 2025-07-18T09:53:38.906Z
Learning: In packages/data-transformation/fhir-to-csv/main.py, S3 upload operations should be allowed to hard fail without try-catch blocks. The team prefers immediate failure over error handling and continuation for S3 upload operations in the FHIR-to-CSV transformation process.
Learnt from: leite08
PR: metriport/metriport#4034
File: packages/core/src/command/patient-import/patient-or-record-failed.ts:19-30
Timestamp: 2025-06-16T17:03:23.069Z
Learning: In patient import error handling functions like setPatientOrRecordFailed, the team prefers Promise.all over Promise.allSettled to ensure atomic all-or-nothing behavior - if either the job update or patient record update fails, the entire operation should fail rather than allowing partial success.
Learnt from: thomasyopes
PR: metriport/metriport#4165
File: packages/api/src/routes/internal/analytics-platform/index.ts:28-28
Timestamp: 2025-07-18T09:33:29.581Z
Learning: In packages/api/src/routes/internal/analytics-platform/index.ts, the patientId parameter handling is intentionally inconsistent: the `/fhir-to-csv` and `/fhir-to-csv/transform` endpoints require patientId (using getFromQueryOrFail) for single patient processing, while the `/fhir-to-csv/batch` endpoint treats patientId as optional (using getFromQuery) because it's designed to run over all patients when no specific patient ID is provided.
Learnt from: RamilGaripov
PR: metriport/metriport#4187
File: packages/api/src/command/medical/patient/map-patient.ts:41-49
Timestamp: 2025-07-30T14:51:29.865Z
Learning: In the syncElationPatientIntoMetriport and syncHealthiePatientIntoMetriport functions, the patientId parameter is intended to receive the Metriport patient ID for demographic validation purposes via confirmPatientMatch, not the external system patient ID. The external patient ID should be passed through the specific external ID parameters (elationPatientId, healthiePatientId, etc.).
Learnt from: leite08
PR: metriport/metriport#3463
File: packages/api/src/command/medical/patient/settings/create-patient-settings.ts:64-90
Timestamp: 2025-03-18T18:11:50.070Z
Learning: In the metriport codebase, idempotent operations are preferred over transactions in certain cases, such as in patient settings updates, where retry logic can be used to handle partial failures.
Learnt from: thomasyopes
PR: metriport/metriport#3608
File: packages/core/src/external/ehr/resource-diff/steps/compute/ehr-compute-resource-diff-cloud.ts:52-59
Timestamp: 2025-04-19T13:15:42.469Z
Learning: Error handling in Metriport's EHR components: Factory and handler classes like `EhrComputeResourceDiffCloud` should not throw exceptions (like MetriportError) during batch processing operations. They should use other error handling approaches instead of throwing.
Learnt from: RamilGaripov
PR: metriport/metriport#4176
File: packages/fhir-converter/src/lib/handlebars-converter/handlebars-helpers.js:296-320
Timestamp: 2025-07-17T21:24:37.077Z
Learning: RamilGaripov prefers to maintain consistency with existing patterns in a file rather than making isolated fixes to coding guideline violations like var vs const declarations, when the pattern is already established throughout the codebase.
Learnt from: RamilGaripov
PR: metriport/metriport#3675
File: packages/api/src/routes/internal/hl7/index.ts:0-0
Timestamp: 2025-04-23T06:31:50.128Z
Learning: RamilGaripov prefers using Zod schema validation for parsing and validating all query parameters in routes as it's a cleaner way to write route logic, rather than using separate validation methods like getUUIDFrom().orFail() followed by schema validation.
Learnt from: RamilGaripov
PR: metriport/metriport#4259
File: packages/utils/src/document/reconversion-kickoff-loader.ts:78-81
Timestamp: 2025-07-27T23:42:34.014Z
Learning: For utility scripts in packages/utils, RamilGaripov prefers to keep them simple without extensive validation or error handling, as they are local developer tools where the developer controls the input and execution environment.
📚 Learning: 2025-05-28T19:23:20.179Z
Learnt from: keshavsaharia
PR: metriport/metriport#3885
File: packages/core/src/external/sftp/surescripts/client.ts:1-134
Timestamp: 2025-05-28T19:23:20.179Z
Learning: In packages/core/src/external/sftp/surescripts/client.ts, the standalone getPatientLoadFileName function intentionally omits the transmission ID from the filename, which differs from the class method getPatientLoadFileName. This difference in filename generation is expected behavior.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-06-06T16:45:31.832Z
Learnt from: thomasyopes
PR: metriport/metriport#3970
File: packages/api/src/external/ehr/athenahealth/command/write-back/medication.ts:17-17
Timestamp: 2025-06-06T16:45:31.832Z
Learning: The writeMedicationToChart function in packages/api/src/external/ehr/athenahealth/command/write-back/medication.ts returns a response that is not currently used by any consumers, so changes to its return type are not breaking changes in practice.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-20T21:26:26.804Z
Learnt from: leite08
PR: metriport/metriport#3814
File: packages/api/src/routes/internal/medical/patient-consolidated.ts:141-174
Timestamp: 2025-05-20T21:26:26.804Z
Learning: The functionality introduced in packages/api/src/routes/internal/medical/patient-consolidated.ts is planned to be refactored in downstream PR #3857, including improvements to error handling and validation.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-07-16T00:54:56.156Z
Learnt from: leite08
PR: metriport/metriport#4193
File: packages/carequality-sdk/src/client/carequality-fhir.ts:198-208
Timestamp: 2025-07-16T00:54:56.156Z
Learning: User leite08 accepted the risk of parameter mutation in packages/carequality-sdk/src/client/carequality-fhir.ts when modifying org.active = false directly on input parameters, choosing to proceed despite the violation of the "Avoid modifying objects received as parameter" coding guideline.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-06-25T01:56:08.732Z
Learnt from: thomasyopes
PR: metriport/metriport#4090
File: packages/core/src/command/conversion-fhir/conversion-fhir-direct.ts:18-25
Timestamp: 2025-06-25T01:56:08.732Z
Learning: In packages/core/src/command/conversion-fhir/conversion-fhir-direct.ts, the ConversionFhirDirect class is designed for local testing purposes and does not require comprehensive error handling for HTTP requests, as confirmed by the user thomasyopes.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-07-09T17:18:16.731Z
Learnt from: thomasyopes
PR: metriport/metriport#4164
File: packages/core/src/external/ehr/healthie/index.ts:939-953
Timestamp: 2025-07-09T17:18:16.731Z
Learning: In packages/core/src/external/ehr/healthie/index.ts, the immunization.cvx_code field is required and non-nullable according to the zod schema validation (z.coerce.string()), so null checks are not needed in the convertImmunizationToFhir method.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-06-01T02:28:19.913Z
Learnt from: leite08
PR: metriport/metriport#3944
File: packages/core/src/command/consolidated/search/fhir-resource/ingest-lexical.ts:53-53
Timestamp: 2025-06-01T02:28:19.913Z
Learning: In packages/core/src/command/consolidated/search/fhir-resource/ingest-lexical.ts, the processErrors function intentionally throws MetriportError to bubble errors up the call stack rather than handling them locally. This is by design - errors from ingestPatientConsolidated should propagate upward rather than being caught at immediate calling locations.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-01T16:10:45.273Z
Learnt from: thomasyopes
PR: metriport/metriport#3771
File: packages/core/src/util/webhook.ts:34-45
Timestamp: 2025-05-01T16:10:45.273Z
Learning: The webhook signature verification code in packages/core/src/util/webhook.ts is copied directly from Healthie's documentation and should not be modified to maintain exact compliance with their implementation.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-05-31T21:58:28.502Z
Learnt from: leite08
PR: metriport/metriport#3940
File: packages/core/src/command/consolidated/search/fhir-resource/search-consolidated.ts:82-86
Timestamp: 2025-05-31T21:58:28.502Z
Learning: In packages/core/src/command/consolidated/search/fhir-resource/search-consolidated.ts, the mutable array operations using push() on resourcesMutable and hydratedMutable (lines 82-86 and 100-103) have been explicitly accepted as exceptions to the immutability guidelines after previous discussion.

Applied to files:

  • packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts
📚 Learning: 2025-04-16T00:25:25.196Z
Learnt from: RamilGaripov
PR: metriport/metriport#3676
File: packages/core/src/command/hl7v2-subscriptions/hl7v2-to-fhir-conversion/shared.ts:1-10
Timestamp: 2025-04-16T00:25:25.196Z
Learning: The circular dependency between shared.ts (importing getPatientIdsOrFail) and adt/utils.ts (using unpackPidFieldOrFail) will be addressed in a follow-up PR.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-08T19:41:36.533Z
Learnt from: thomasyopes
PR: metriport/metriport#3788
File: packages/api/src/external/ehr/shared/utils/bundle.ts:83-93
Timestamp: 2025-05-08T19:41:36.533Z
Learning: In the Metriport codebase, the team prefers to let errors bubble up naturally in some cases rather than adding explicit error handling at every layer, as demonstrated in the refreshEhrBundle function in the bundle.ts file.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-07-18T09:33:29.581Z
Learnt from: thomasyopes
PR: metriport/metriport#4165
File: packages/api/src/routes/internal/analytics-platform/index.ts:28-28
Timestamp: 2025-07-18T09:33:29.581Z
Learning: In packages/api/src/routes/internal/analytics-platform/index.ts, the patientId parameter handling is intentionally inconsistent: the `/fhir-to-csv` and `/fhir-to-csv/transform` endpoints require patientId (using getFromQueryOrFail) for single patient processing, while the `/fhir-to-csv/batch` endpoint treats patientId as optional (using getFromQuery) because it's designed to run over all patients when no specific patient ID is provided.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-06-16T17:03:23.069Z
Learnt from: leite08
PR: metriport/metriport#4034
File: packages/core/src/command/patient-import/patient-or-record-failed.ts:19-30
Timestamp: 2025-06-16T17:03:23.069Z
Learning: In patient import error handling functions like setPatientOrRecordFailed, the team prefers Promise.all over Promise.allSettled to ensure atomic all-or-nothing behavior - if either the job update or patient record update fails, the entire operation should fail rather than allowing partial success.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-07-30T14:51:29.865Z
Learnt from: RamilGaripov
PR: metriport/metriport#4187
File: packages/api/src/command/medical/patient/map-patient.ts:41-49
Timestamp: 2025-07-30T14:51:29.865Z
Learning: In the syncElationPatientIntoMetriport and syncHealthiePatientIntoMetriport functions, the patientId parameter is intended to receive the Metriport patient ID for demographic validation purposes via confirmPatientMatch, not the external system patient ID. The external patient ID should be passed through the specific external ID parameters (elationPatientId, healthiePatientId, etc.).

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-27T16:10:48.223Z
Learnt from: lucasdellabella
PR: metriport/metriport#3866
File: packages/core/src/command/hl7v2-subscriptions/hl7v2-roster-generator.ts:142-151
Timestamp: 2025-05-27T16:10:48.223Z
Learning: In packages/core/src/command/hl7v2-subscriptions/hl7v2-roster-generator.ts, the user prefers to let axios errors bubble up naturally rather than adding try-catch blocks that re-throw with MetriportError wrappers, especially when the calling code already has retry mechanisms in place via simpleExecuteWithRetries.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-19T13:53:09.828Z
Learnt from: leite08
PR: metriport/metriport#3814
File: packages/core/src/command/consolidated/search/fhir-resource/search-semantic.ts:36-36
Timestamp: 2025-05-19T13:53:09.828Z
Learning: In the `getConsolidatedPatientData` function from `metriport/core/command/consolidated/consolidated-get`, only the `patient` parameter is required. Other parameters like `requestId`, `resources`, `dateFrom`, `dateTo`, `fromDashboard`, and `forceDataFromFhir` are all optional.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-06-27T01:50:14.227Z
Learnt from: lucasdellabella
PR: metriport/metriport#4098
File: packages/api/src/routes/medical/dtos/tcm-encounter-dto.ts:10-22
Timestamp: 2025-06-27T01:50:14.227Z
Learning: In packages/api/src/routes/medical/dtos/tcm-encounter-dto.ts, the patient fields patientData.firstName, patientData.lastName, and patientData.dob are guaranteed to be non-nullable values, so defensive null/undefined checks are not needed when accessing these fields.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-06-18T21:05:22.256Z
Learnt from: RamilGaripov
PR: metriport/metriport#3976
File: packages/api/src/routes/medical/patient.ts:541-543
Timestamp: 2025-06-18T21:05:22.256Z
Learning: In packages/api/src/routes/medical/patient.ts, inline schema definitions like cohortIdSchema are acceptable and don't need to be moved to separate schema files when the user prefers to keep them inline.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-03-11T20:42:46.516Z
Learnt from: thomasyopes
PR: metriport/metriport#3427
File: packages/core/src/external/ehr/api/sync-patient.ts:16-55
Timestamp: 2025-03-11T20:42:46.516Z
Learning: In the patient synchronization architecture, the flow follows this pattern: (1) `ehr-sync-patient-cloud.ts` sends messages to an SQS queue, (2) the `ehr-sync-patient` Lambda consumes these messages, and (3) the Lambda uses the `syncPatient` function to make the API calls to process the patient data.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-07-16T18:51:08.416Z
Learnt from: leite08
PR: metriport/metriport#4095
File: packages/commonwell-cert-runner/src/single-commands/patient-create.ts:35-36
Timestamp: 2025-07-16T18:51:08.416Z
Learning: In packages/commonwell-cert-runner and the CommonWell SDK, PatientCollection.Patients is strongly typed as an array (z.array(patientCollectionItemSchema)), so resp.Patients will always exist and be an array. The getMetriportPatientIdOrFail utility function is designed to handle undefined/null input with proper error messages, making additional bounds checking unnecessary.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-06-03T21:02:23.374Z
Learnt from: leite08
PR: metriport/metriport#3953
File: packages/core/src/command/consolidated/search/fhir-resource/__tests__/search-consolidated-setup.ts:28-30
Timestamp: 2025-06-03T21:02:23.374Z
Learning: The `makePatient()` function returns `PatientWithId` type which requires the `id` field to be present, ensuring `patient.id` is never undefined.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-05-31T21:29:39.196Z
Learnt from: leite08
PR: metriport/metriport#3940
File: packages/core/src/command/consolidated/search/fhir-resource/search-consolidated.ts:60-73
Timestamp: 2025-05-31T21:29:39.196Z
Learning: In search-consolidated.ts, the user prefers to let errors bubble up from concurrent search operations (Promise.all) rather than catching them explicitly with try-catch blocks. Errors from searchFhirResources and searchDocuments should be allowed to propagate up the call stack.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
📚 Learning: 2025-03-05T21:42:32.929Z
Learnt from: thomasyopes
PR: metriport/metriport#3383
File: packages/api/src/routes/ehr-internal/canvas/internal/patient.ts:10-24
Timestamp: 2025-03-05T21:42:32.929Z
Learning: The processPatientsFromAppointments endpoint in the Canvas API is intentionally designed to be asynchronous (fire-and-forget pattern). The endpoint returns a 200 OK response immediately after initiating the process, without waiting for it to complete. Error handling is handled through the .catch() method with processAsyncError rather than awaiting the promise.

Applied to files:

  • packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts
🧬 Code Graph Analysis (2)
packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts (1)
packages/mllp-server/src/utils.ts (1)
  • s3Utils (18-18)
packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts (1)
packages/shared/src/index.ts (1)
  • MetriportError (43-43)
🔇 Additional comments (6)
packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts (1)

109-114: Confirm unconditional overwrite behavior of DR uploads

We’ve verified that S3Utils.uploadFile (packages/core/src/external/aws/s3.ts around L470) uses the AWS SDK’s put/upload API with no conditional headers, so it will always overwrite an existing object and defer to bucket defaults for encryption. The contentType you pass is applied, but there’s no built-in guard to skip or error on existing keys. That means your isNew flag (at L139 in process/dr-response.ts) correctly reflects the pre‐upload state.

Please confirm that always overwriting—and incurring re-upload costs for re-requests or concurrent uploads—is the intended behavior.

• DR upload invocation: packages/core/src/external/carequality/ihe-gateway-v2/outbound/xca/process/dr-response.ts L109–114
• S3Utils.uploadFile implementation: packages/core/src/external/aws/s3.ts around L470

packages/api/src/external/carequality/process-outbound-patient-discovery-resps.ts (5)

4-6: Import additions for MedicalDataSource/logging/async-error handling look correct

Imports align with usage below (analytics source, out logger, processAsyncError in catch chains). LGTM.


9-11: MetriportError and elapsedTimeFromNow imports are appropriate

Used for structured errors and analytics timing. LGTM.


14-14: Import path adjustment for invalid-links command

Consistent with call sites below; no issues.


17-29: Additional CQ/HIE imports match downstream usage

All newly imported helpers are referenced later (analytics, resets, updates). LGTM.


60-63: MetriportError constructor signature verified
The constructor is defined as (message: string, cause?: unknown, additionalInfo?: AdditionalInfo), so your requestId and patientId are correctly placed in the additionalInfo field. No further changes required.

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@RamilGaripov RamilGaripov changed the title RELEASE ...WIP RELEASE CQ DQ updates Aug 8, 2025
@RamilGaripov RamilGaripov marked this pull request as ready for review August 8, 2025 01:49
@RamilGaripov RamilGaripov added this pull request to the merge queue Aug 8, 2025
Merged via the queue into master with commit cb1f29e Aug 8, 2025
70 checks passed
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