Merge branch 'dev' into communication-forwarding

Author: smalho01

.env

@@ -21,6 +21,7 @@ REMS_ADMIN_NCPDP_PATH=http://localhost:8090/4_0_0
 FRONTEND_PORT = 9080
 BACKEND_API_BASE = http://localhost:3003
 EHR_URL = http://localhost:8080/test-ehr/r4
+EHR_BASE_URL = http://localhost:8080/test-ehr
 DIRECTORY_SERVICE_URL=http://localhost:3323
 DIRECTORY_API_PATH = /drug/ndc.json
 DIRECTORY_SPL_PATH = /drugs/spl.zip

src/config.ts

@@ -25,6 +25,7 @@ export type Config = {
     remsAdminFhirEtasuPath: string;
     remsAdminNcpdpPath: string;
     ehrUrl: string | undefined;
+    ehrBaseUrl: string | undefined;
     discoveryBaseUrl: string | undefined;
     discoveryApiUrl: string | undefined;
     discoverySplZipUrl: string | undefined;
@@ -94,6 +95,7 @@ const config: Config = {
     remsAdminFhirEtasuPath: env.get('REMS_ADMIN_FHIR_PATH').asString() + '/GuidanceResponse/$rems-etasu',
     remsAdminNcpdpPath: env.get('REMS_ADMIN_NCPDP_PATH').asString() + '/ncpdp/scripts',
     ehrUrl: env.get('EHR_URL').asString(),
+    ehrBaseUrl: env.get('EHR_BASE_URL').asString(),
   },
   database: {
     selected: 'mongo',

src/lib/ncpdpHelpers.ts

@@ -14,6 +14,67 @@ interface NcpdpDrugInfo {
   description?: string;
 }
 
+export enum Qualifier {
+  Pharmacy = "P",                       // Pharmacy
+  Clinic = "C",                         // Clinic
+  Mailbox = "M",                        // Mailbox
+  Prescriber = "P",                     // Prescriber
+  CentralFillFacility = "CF",           // Central Fill Facility
+  MutuallyDefined = "ZZZ",              // Mutually Defined
+  Payer = "PY",                         // Payer
+  DirectIDSecureEmailAddress = "DIRECT",// Direct ID secure email address
+  REMSAdministrator="REMS",             // REMS Administrator
+  Unknown="?"                           // Unknown / Error
+}
+
+/**
+ * 
+ * Determine the to:qualifier from the NCPDP message xml
+ */
+export function getToQualifier(xmlData: string | any): Qualifier {
+  try {
+    let parsedXml;
+
+    if (typeof xmlData === 'object') {
+      parsedXml = xmlData;
+    } else {
+      const parser = new XMLParser(XML_PARSER_OPTIONS);
+      parsedXml = parser.parse(xmlData);
+    }
+
+    const message = parsedXml?.Message || parsedXml?.message;
+    if (!message) {
+      console.log('Error: NCPDP XML missing Message')
+      return Qualifier.Unknown;
+    }
+
+    const header = message?.Header || message?.header;
+    if (!header) {
+      console.log('Error: NCPDP XML missing Header')
+      return Qualifier.Unknown;
+    }
+
+    const to = header?.To || header?.to;
+    if (!to) {
+      console.log('Error: NCPDP XML missing To')
+      return Qualifier.Unknown;
+    }
+
+    const qualifier = to['@_Qualifier'];
+
+    if (!qualifier) {
+      console.log('Error: NCPDP XML missing Qualifier')
+      return Qualifier.Unknown;
+    }
+
+    return qualifier;
+
+  } catch (error) {
+    console.error('Error determining NCPDP To Qualifier:', error);
+    return Qualifier.Unknown;
+  }
+}
+
 /**
  * Determine NCPDP message type from parsed XML
  */

src/server.ts

@@ -19,7 +19,7 @@ import path from 'path';
 import { Connection } from './lib/schemas/Phonebook';
 import { EHRWhitelist, loadPhonebook } from './hooks/hookProxy';
 import cookieParser from 'cookie-parser';
-import  { extractDrugFromNcpdp, ndcToCoding, getMessageType} from './lib/ncpdpHelpers';
+import  { extractDrugFromNcpdp, ndcToCoding, getMessageType, Qualifier, getToQualifier } from './lib/ncpdpHelpers';
 import { getServiceConnection } from './hooks/hookProxy';
 import { HookSession } from './lib/schemas/HookSession';
 import { Communication } from 'fhir/r4';
@@ -305,14 +305,15 @@ class REMSIntermediary extends Server {
     return this;
   }
 
-  registerNcpdpScript({ ncpdpScriptForwardUrl, ehrUrl }: Config['general']) {
+
+  registerNcpdpScript({ ncpdpScriptForwardUrl, ehrBaseUrl }: Config['general']) {
     console.log('Registering NCPDP SCRIPT endpoint with intelligent routing');
 
     this.app.post('/ncpdp/script', async (req: any, res: any) => {
       try {
         console.log('Processing NCPDP SCRIPT message');
 
-        const ehrEndpoint = ehrUrl + '/script'
+        const ehrEndpoint = ehrBaseUrl + '/ncpdp/script'
 
         // Determine message type
         const messageType = getMessageType(req.body);
@@ -368,38 +369,35 @@ class REMSIntermediary extends Server {
           console.log('Processing RxFill message');
 
           const drugInfo = extractDrugFromNcpdp(req.body);
-          const promises = [];
 
-          // Send to EHR
- 
-          console.log(`Sending RxFill to EHR: ${ehrEndpoint}`);
-          promises.push(
-            axios.post(ehrEndpoint, req.body, { headers: req.headers })
-              .then(() => console.log('✓ RxFill sent to EHR'))
-              .catch(err => console.error('✗ Error sending RxFill to EHR:', err.message))
-          );
-      
+          // grab the qualifier from the to
+          const qualifier = getToQualifier(req.body);
 
-          // Send to REMS Admin if REMS drug
-          if (drugInfo && drugInfo.ndc) {
-            const coding = ndcToCoding(drugInfo.ndc);
-            const serviceConnection = await getServiceConnection(coding, undefined);
-            
-            if (serviceConnection && serviceConnection.toNcpdp) {
-              console.log(`Sending RxFill to REMS Admin: ${serviceConnection.toNcpdp}`);
-              console.log(`  Drug: ${drugInfo.description || 'Unknown'} (${drugInfo.ndc})`);
+          if (qualifier == Qualifier.Clinic || qualifier == Qualifier.Prescriber) {
+            // Send to EHR
+            console.log(`Sending RxFill to EHR: ${ehrEndpoint}`);
+
+            await axios.post(ehrEndpoint, req.body, { headers: req.headers })
+                .then(() => console.log('✓ RxFill sent to EHR'))
+                .catch(err => console.error('✗ Error sending RxFill to EHR:', err.message));
+
+          } else if (qualifier == Qualifier.REMSAdministrator) {
+            // Send to REMS Admin if REMS drug
+            if (drugInfo && drugInfo.ndc) {
+              const coding = ndcToCoding(drugInfo.ndc);
+              const serviceConnection = await getServiceConnection(coding, undefined);
 
-              promises.push(
-                axios.post(serviceConnection.toNcpdp, req.body, { headers: req.headers })
-                  .then(() => console.log('✓ RxFill sent to REMS Admin'))
-                  .catch(err => console.error('✗ Error sending RxFill to REMS Admin:', err.message))
-              );
+              if (serviceConnection && serviceConnection.toNcpdp) {
+                console.log(`Sending RxFill to REMS Admin: ${serviceConnection.toNcpdp}`);
+                console.log(`  Drug: ${drugInfo.description || 'Unknown'} (${drugInfo.ndc})`);
+                
+                await axios.post(serviceConnection.toNcpdp, req.body, { headers: req.headers })
+                    .then(() => console.log('✓ RxFill sent to REMS Admin'))
+                    .catch(err => console.error('✗ Error sending RxFill to REMS Admin:', err.message));
+              }
             }
           }
 
-          // Wait for all sends to complete
-          await Promise.all(promises);
-          
           // Return success status
           return res.send({ status: 'success', message: 'RxFill processed' });
         }