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@thomasyopes thomasyopes commented May 21, 2025

Issues:

Dependencies

Description

  • consolidating the GET FHIR endpoint pagination code to be shared across clients
  • adding Athena methods for fetching resources by resource type
  • using the s3 access directly in the EHR clients
  • add patient ID filtering to sanity check the requested resources

Testing

  • Local
    • Canvas resource diff jobs runs correctly
    • Athena resource diff jobs runs correctly
  • Staging
    • Canvas resource diff jobs runs correctly
    • Athena resource diff jobs runs correctly
  • Sandbox
    • N/A
  • Production
    • Canvas resource diff jobs runs correctly
    • Athena resource diff jobs runs correctly

Release Plan

  • Upstream dependencies are met/released
  • Merge this

Summary by CodeRabbit

  • New Features

    • Added API endpoints to manage resource diff bundle jobs for AthenaHealth patients, including starting jobs and retrieving job payloads.
    • Introduced support for fetching and caching FHIR resource bundles by resource type from AthenaHealth EHR.
    • Expanded supported resource types for Canvas and AthenaHealth EHR integrations.
    • Added AthenaHealth patient ID parsing and practice ID extraction utilities.
  • Bug Fixes

    • Improved validation and error handling for resource diff bundle job requests, ensuring required parameters are present.
  • Refactor

    • Simplified and unified bundle fetching, caching, and pagination logic across EHR integrations.
    • Removed or renamed parameters and types related to practice IDs for cleaner APIs.
    • Updated function and method names for clarity and consistency.
    • Reorganized imports and improved logging messages for clarity.
    • Refined FHIR resource schema definitions to enforce stricter validation and type safety.
  • Tests

    • Added tests for AthenaHealth patient ID parsing and validation utilities.

Thomas Yopes added 23 commits May 7, 2025 12:58
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
…rt/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
…rt/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
… 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
…etriport/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
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coderabbitai bot commented May 21, 2025

Walkthrough

This change set introduces AthenaHealth EHR support for fetching FHIR resource bundles by resource type, including new API endpoints and client methods. It centralizes and refactors bundle fetching logic for all EHRs, removes Canvas-specific pre-signed URL logic, eliminates practiceId from most bundle APIs, and standardizes pagination and caching utilities.

Changes

File(s) / Path(s) Change Summary
packages/api/src/external/ehr/canvas/command/bundle/fetch-bundle-presigned-url.ts Deleted fetchBundlePreSignedUrl for Canvas.
packages/api/src/external/ehr/canvas/command/write-back/condition.ts Renamed export createConditionwriteConditionToFhir and fixed import path.
packages/api/src/external/ehr/elation/command/write-back/condition.ts Updated import path for createElationClient.
packages/api/src/external/ehr/shared/command/bundle/fetch-bundle-presignd-urls.ts Refactored to remove practiceId, centralize fetch logic, and simplify parameters.
packages/api/src/external/ehr/shared/job/bundle/create-resource-diff-bundles/start-jobs-across-ehrs.ts Added Athena support, refactored CX mapping logic, updated job starter signature.
packages/api/src/external/ehr/shared/utils/bundle/functions.ts Removed EHR-specific bundle fetch functions, simplified validation, and renamed utility.
packages/api/src/external/ehr/shared/utils/bundle/types.ts Consolidated types, removed practiceId and client-specific types, redefined FetchBundleParams.
packages/api/src/external/ehr/shared/utils/job.ts Removed practiceId from GetResourceDiffBundlesJobPayloadParams.
packages/api/src/external/ehr/shared/job/bundle/create-resource-diff-bundles/get-job-payload.ts Removed practiceId from function signatures and calls.
packages/api/src/routes/ehr/athenahealth/patient.ts Added POST and GET endpoints for Athena resource diff jobs and payloads.
packages/api/src/routes/ehr/canvas/patient.ts Switched to writeConditionToFhir, removed practiceId from resource diff endpoints.
packages/api/src/routes/ehr/elation/chart.ts Updated import path for writeConditionToChart.
packages/api/src/routes/ehr/elation/patient.ts Reordered import statements.
packages/api/src/routes/internal/ehr/patient.ts Removed practiceId from GET resource diff endpoints.
packages/api/src/external/ehr/athenahealth/shared.ts Added getAthenaPracticeIdFromPatientId utility.
packages/api/src/external/ehr/athenahealth/__tests__/get-athena-practice-id-from-patient-id.test.ts Added tests for Athena practice ID extraction utility.
packages/core/src/external/ehr/athenahealth/command/get-bundle-by-resource-type.ts Added Athena-specific getBundleByResourceType implementation.
packages/core/src/external/ehr/athenahealth/index.ts Added bundle-by-resource-type method, supported resource lists, and improved pagination/caching.
packages/core/src/external/ehr/bundle/bundle-shared.ts Added Athena resource support to getSupportedResourcesByEhr.
packages/core/src/external/ehr/bundle/command/create-or-replace-bundle.ts Minor log message change in bundle creation.
packages/core/src/external/ehr/bundle/command/fetch-bundle.ts Enforced jobId for resource diff bundles, removed fetchBundleOrFail, added type alias.
packages/core/src/external/ehr/canvas/index.ts Refactored bundle fetching to use shared utilities, removed pre-signed URL and caching logic.
packages/core/src/external/ehr/shared.ts Replaced TTL-based bundle fetch with modular cache/pagination utilities.
packages/core/src/external/ehr/command/get-bundle-by-resource-type.ts Registered Athena bundle fetch handler.
packages/core/src/fhir-deduplication/dedup-resources.ts Standardized error message for unsupported resource types.
packages/shared/src/interface/external/ehr/fhir-resource.ts Refactored FHIR resource schemas; added strict schemas enforcing required fields.

Sequence Diagram(s)

sequenceDiagram
    participant Client
    participant API_Route
    participant Athena_Util
    participant Athena_API
    participant Shared_Util
    participant Bundle_Store

    Client->>API_Route: POST /ehr/athenahealth/patient/:id/resource/diff
    API_Route->>Athena_Util: getAthenaPracticeIdFromPatientId(id)
    API_Route->>Shared_Util: startCreateResourceDiffBundlesJobAtEhr({ practiceId, ... })
    Shared_Util->>Bundle_Store: Create resource diff job
    Bundle_Store-->>Shared_Util: Job ID
    Shared_Util-->>API_Route: Job ID
    API_Route-->>Client: { jobId }

    Client->>API_Route: GET /ehr/athenahealth/patient/:id/resource/diff/latest
    API_Route->>Shared_Util: getLatestResourceDiffBundlesJobPayload({ ehr, cxId, ehrPatientId, bundleType })
    Shared_Util->>Athena_API: getBundleByResourceType({ ... })
    Athena_API->>Athena_API: Validate resourceType
    Athena_API->>Athena_API: Fetch paginated resources
    Athena_API-->>Shared_Util: Bundle
    Shared_Util-->>API_Route: Payload with pre-signed URLs (if job complete)
    API_Route-->>Client: Payload

    Client->>API_Route: GET /ehr/athenahealth/patient/:id/resource/diff/:jobId
    API_Route->>Shared_Util: getResourceDiffBundlesJobPayload({ ehr, cxId, ehrPatientId, bundleType, jobId })
    Shared_Util->>Athena_API: getBundleByResourceType({ ... })
    Athena_API-->>Shared_Util: Bundle
    Shared_Util-->>API_Route: Payload with pre-signed URLs (if job complete)
    API_Route-->>Client: Payload
Loading

Possibly related PRs

  • metriport/metriport#3788: Adds and refactors fetchBundlePreSignedUrl for Canvas and related bundle/job logic into shared utilities; this PR later removes or replaces that functionality, indicating a strong connection.
  • metriport/metriport#3714: Introduces a new job-based asynchronous resource diff workflow for Canvas EHR, including job creation, payload retrieval, and pre-signed URL fetching functions; both PRs modify Canvas bundle fetch and resource diff logic.
  • metriport/metriport#3870: Originally introduced Canvas-specific fetchBundlePreSignedUrl and resource diff job commands; this PR refactors or removes those, making them directly connected.

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Thomas Yopes added 4 commits May 21, 2025 14:29
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
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now using the bundle command from core directly instead of a client command

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Actionable comments posted: 0

🧹 Nitpick comments (1)
packages/core/src/external/ehr/athenahealth/index.ts (1)

735-747: Consider stronger typing for resourceType parameter

The method validates resourceType with a type guard, but you could improve type safety by accepting SupportedAthenaHealthResource directly:

  async getBundleByResourceType({
    cxId,
    metriportPatientId,
    athenaPatientId,
-   resourceType,
+   resourceType: SupportedAthenaHealthResource,
    useCachedBundle = true,
  }: {
    cxId: string;
    metriportPatientId: string;
    athenaPatientId: string;
-   resourceType: string;
+   resourceType: SupportedAthenaHealthResource;
    useCachedBundle?: boolean;
  }): Promise<Bundle> {

This would catch invalid resource types at compile time rather than runtime.

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  • packages/core/src/external/ehr/athenahealth/index.ts (10 hunks)
  • packages/core/src/external/ehr/canvas/index.ts (8 hunks)
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  • packages/core/src/external/ehr/canvas/index.ts
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📓 Path-based instructions (1)
`**/*.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...

**/*.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 ==
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      handle errors (see processAsyncError and emptyFunction depending on the case)
    • Date and Time
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      • 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
  • Use truthy syntax instead of in - i.e., if (data.link) not if ('link' in data)
  • Error handling
    • Pass the original error as the new one’s cause so the stack trace is persisted
    • Error messages should have a static message - add dynamic data to MetriportError's additionalInfo prop
    • Avoid sending multiple events to Sentry for a single error
  • Global constants and variables
    • Move literals to constants declared after imports when possible (avoid magic numbers)
    • Avoid shared, global objects
  • Avoid using console.log and console.error in packages other than utils, infra and shared,
    and try to use out().log instead
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    • don't send objects as a second parameter to console.log() or out().log()
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  • packages/core/src/external/ehr/athenahealth/index.ts
🧠 Learnings (1)
packages/core/src/external/ehr/athenahealth/index.ts (2)
Learnt from: thomasyopes
PR: metriport/metriport#3883
File: packages/core/src/external/ehr/athenahealth/index.ts:0-0
Timestamp: 2025-06-04T12:48:50.151Z
Learning: When arrays contain overlapping values (like supportedAthenaHealthResources and scopes in AthenaHealth), derive one from the other programmatically using spread syntax to prevent divergence when lists change. Use a pattern like `const derivedArray = [...baseArray, ...additionalItems]` to maintain consistency.
Learnt from: thomasyopes
PR: metriport/metriport#3608
File: packages/core/src/external/ehr/canvas/index.ts:451-469
Timestamp: 2025-04-21T17:07:30.574Z
Learning: The `getMetriportOnlyBundleByResourceType` method in CanvasApi returns `Promise<Bundle | undefined>` because the Metriport-only bundle is a computed artifact that may not exist yet. In contrast, `getBundleByResourceType` returns `Promise<Bundle>` because it can always fetch from the EHR API if the S3 cached bundle doesn't exist.
🧬 Code Graph Analysis (1)
packages/core/src/external/ehr/athenahealth/index.ts (4)
packages/api/src/routes/medical/schemas/fhir.ts (1)
  • Bundle (23-23)
packages/shared/src/index.ts (1)
  • BadRequestError (40-40)
packages/core/src/external/ehr/shared.ts (2)
  • fetchEhrFhirResourcesWithPagination (349-363)
  • fetchEhrBundleUsingCache (318-338)
packages/shared/src/interface/external/ehr/fhir-resource.ts (2)
  • EhrFhirResourceBundle (26-26)
  • ehrFhirResourceBundleSchema (21-25)
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  • GitHub Check: check-pr / lint-build-test
  • GitHub Check: check-pr / lint-build-test
  • GitHub Check: check-pr / lint-build-test
  • GitHub Check: check-pr / lint-build-test
  • GitHub Check: Analyze (javascript)
🔇 Additional comments (6)
packages/core/src/external/ehr/athenahealth/index.ts (6)

2-2: LGTM: Import additions support new functionality

The new imports for Bundle, ResourceType, EhrFhirResourceBundle, and shared utilities are properly scoped and necessary for the getBundleByResourceType implementation.

Also applies to: 9-9, 56-59, 77-78


99-99: LGTM: Constants improve maintainability

Good practice using named constants instead of magic numbers. The values are reasonable for AthenaHealth's API constraints.

Also applies to: 124-125


156-195: LGTM: Resource type definitions follow established patterns

Excellent implementation that addresses previous feedback:

  • Arrays are properly typed as ResourceType[]
  • Scopes are derived programmatically using spread syntax to prevent divergence
  • Type guard function provides runtime validation
  • Clear separation between supported and reference resources

This follows the learned pattern and prevents maintenance issues when resource lists change.


224-227: LGTM: Dynamic OAuth scope generation

Good improvement to dynamically build FHIR scopes from the resource arrays. This ensures OAuth permissions stay in sync with supported resource types automatically.


756-806: LGTM: Robust implementation with good practices

The method implementation demonstrates several best practices:

  • Immutable parameter construction using object spread
  • Conditional parameter inclusion using spread operator
  • Defensive validation of returned bundle resource types
  • Proper integration with shared pagination and caching utilities
  • Comprehensive error handling

The bundle validation (lines 786-792) is particularly good defensive programming to catch API inconsistencies early.


861-861: LGTM: Consistent use of centralized constant

Good refactoring to replace magic numbers with the centralized defaultCountOrLimit constant. This improves maintainability and ensures consistent pagination limits across methods.

Also applies to: 923-923

Thomas Yopes added 3 commits June 5, 2025 06:05
…etriport/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
…etriport/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
@thomasyopes thomasyopes requested a review from leite08 June 5, 2025 14:03
…etriport/metriport into 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
An error occurred while trying to automatically change base from 199-elation-contribution-1.5.1 to develop June 6, 2025 17:34
Thomas Yopes added 2 commits June 6, 2025 10:43
… 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
@thomasyopes thomasyopes changed the base branch from 199-elation-contribution-1.5.1 to develop June 6, 2025 18:47
Thomas Yopes added 3 commits June 6, 2025 12:51
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-199

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
@thomasyopes thomasyopes requested a review from leite08 June 6, 2025 20:16
Thomas Yopes and others added 3 commits June 9, 2025 04:22
… 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
… 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MacBook-Pro.local>
… 199-elation-contribution-2

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MacBook-Pro.local>
@thomasyopes thomasyopes added this pull request to the merge queue Jun 11, 2025
Merged via the queue into develop with commit b3c12e8 Jun 11, 2025
17 checks passed
@thomasyopes thomasyopes deleted the 199-elation-contribution-2 branch June 11, 2025 18:33
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