mcode · plarocque4 · Jul 31, 2024 · Jul 26, 2024 · Jul 26, 2024 · Jul 31, 2024
diff --git a/.env b/.env
@@ -19,9 +19,10 @@ VITE_PIMS_SERVER = http://localhost:5051/doctorOrders/api/addRx
 VITE_PUBLIC_KEYS = http://localhost:3000/request-generator/.well-known/jwks.json
 VITE_REALM = ClientFhirServer
 VITE_RESPONSE_EXPIRATION_DAYS = 30
-VITE_SERVER = http://localhost:8090
 VITE_SMART_LAUNCH_URL = http://localhost:4040/
 VITE_URL = http://localhost:3000
 VITE_USER = alice
 VITE_HOOK_TO_SEND = patient-view
 VITE_URL_FILTER = http://localhost:3000/*
+VITE_USE_INTERMEDIARY = false
+VITE_INTERMEDIARY = http://localhost:3003
diff --git a/README.md b/README.md
@@ -129,7 +129,8 @@ Following are a list of modifiable paths:
 | VITE_PUBLIC_KEYS                                      | `http://localhost:3000/request-generator/.well-known/jwks.json`                                      | The endpoint which contains the public keys for authentication with the REMS admin.  Should be changed if the keys are moved elsewhere.                     |
 | VITE_REALM                                            | `ClientFhirServer`                                                                                   | The Keycloak realm to use. Only relevant is using Keycloak as an authentication server. This only affects direct logins like through the Patient Portal, not SMART launches like opening the app normally.                     |
 | VITE_RESPONSE_EXPIRATION_DAYS                         | `30`                                                                                                 | The number of days old a Questionnaire Response can be before it is ignored and filtered out.  This ensures the patient search excludes outdated or obsolete prior sessions from creating clutter.                     |
-| VITE_SERVER                                           | `http://localhost:8090`                                                                              | The default base URL of the CDS service. Typically this will be the base url of the REMS Admin.                     |
 | VITE_SMART_LAUNCH_URL                                 | `http://localhost:4040/`                                                                             | The base url of the SMART app. This is used for opening the app directly, rather than doing an EHR SMART launch.                     |
 | VITE_URL                                              | `http://localhost:3000`                                                                              | The base url of this app.  Should be modified if the port or domain change.                     |
-| VITE_USER                                             | `alice`                                                                                              | The default user to login as when opening the app.                      |
+| VITE_USER                                             | `alice`                                                                                              | The default user to login as when opening the app.                      |
+| VITE_USE_INTERMEDIARY                                 | false                                                                                                | When true, the app will send all CDS Hooks and REMS ETASU check calls to the intermediary defined in VITE_INTERMEDIARY.                      |
+| VITE_INTERMEDIARY                                     | `http://localhost:3030`                                                                              | The base url of the intermediary.                      |
diff --git a/src/components/Dashboard/ListSelections/NotificationsSection.jsx b/src/components/Dashboard/ListSelections/NotificationsSection.jsx
@@ -4,7 +4,7 @@ import { SettingsContext } from '../../../containers/ContextProvider/SettingsPro
 import { EtasuStatusComponent } from '../../EtasuStatus/EtasuStatusComponent';
 import axios from 'axios';
 import { createMedicationFromMedicationRequest } from '../../../util/fhir';
-import { standardsBasedGetEtasu } from '../../../util/util';
+import { standardsBasedGetEtasu, getMedicationSpecificEtasuUrl } from '../../../util/util';
 
 const NotificationsSection = () => {
   const [globalState, _] = useContext(SettingsContext);
@@ -49,7 +49,7 @@ const NotificationsSection = () => {
   const getAllEtasu = () => {
     medications.forEach(medication => {
       const body = makeBody(medication);
-      const standardEtasuUrl = `${globalState.remsAdminServer}/4_0_0/GuidanceResponse/$rems-etasu`;
+      const standardEtasuUrl = getMedicationSpecificEtasuUrl(medication?.code, globalState);
       standardsBasedGetEtasu(standardEtasuUrl, body, compileResponses);
     });
   };
@@ -81,6 +81,7 @@ const NotificationsSection = () => {
             display={display}
             remsAdminResponseInit={remsCase}
             data={remsCase.body}
+            medication={remsCase.body.parameter[1]?.resource}
           />
         );
       })}

diff --git a/src/components/DisplayBox/DisplayBox.jsx b/src/components/DisplayBox/DisplayBox.jsx
@@ -287,7 +287,7 @@ const DisplayBox = props => {
             card.links.map((link, ind) => {
               if (link.type === 'smart') {
                 linksSection.push(
-                  <ListItem sx={{ marginLeft: '-12px' }}>
+                  <ListItem key={ind} sx={{ marginLeft: '-12px' }}>
                     <Button
                       key={ind}
                       variant="outlined"
@@ -318,7 +318,7 @@ const DisplayBox = props => {
             card.links.map((link, ind) => {
               if (link.type === 'absolute') {
                 documentationSection.push(
-                  <ListItem>
+                  <ListItem key={ind}>
                     <Box key={ind}>
                       <Button
                         variant="text"

diff --git a/src/components/EtasuStatus/EtasuStatus.jsx b/src/components/EtasuStatus/EtasuStatus.jsx
@@ -1,7 +1,7 @@
 import { useState, useEffect, useContext } from 'react';
 import { SettingsContext } from '../../containers/ContextProvider/SettingsProvider.jsx';
 import { EtasuStatusComponent } from './EtasuStatusComponent.jsx';
-import { standardsBasedGetEtasu } from '../../util/util.js';
+import { standardsBasedGetEtasu, getMedicationSpecificEtasuUrl } from '../../util/util.js';
 import { createMedicationFromMedicationRequest, getDrugCodeableConceptFromMedicationRequest } from '../../util/fhir.js';
 
 // converts code into etasu for the component to render
@@ -12,6 +12,7 @@ export const EtasuStatus = props => {
   const { code, request } = props;
   const [remsAdminResponse, setRemsAdminResponse] = useState({});
   const [etasuData, setEtasuData] = useState({});
+  const [medication, setMedication] = useState({});
   const [display, setDisplay] = useState('');
 
   useEffect(() => {
@@ -22,9 +23,10 @@ export const EtasuStatus = props => {
   const getEtasuStatus = medication => {
     const body = makeBody(medication);
     setEtasuData(body);
+    setMedication(medication);
     const display = body.parameter[1]?.resource.code?.coding[0].display;
     setDisplay(display);
-    const standardEtasuUrl = `${globalState.remsAdminServer}/4_0_0/GuidanceResponse/$rems-etasu`;
+    const standardEtasuUrl = getMedicationSpecificEtasuUrl(medication?.code, globalState);
     standardsBasedGetEtasu(standardEtasuUrl, body, setRemsAdminResponse);
   };
 
@@ -52,6 +54,7 @@ export const EtasuStatus = props => {
           remsAdminResponseInit={remsAdminResponse}
           data={etasuData}
           display={display}
+          medication={medication}
         />
       ) : (
         ''

diff --git a/src/components/EtasuStatus/EtasuStatusComponent.jsx b/src/components/EtasuStatus/EtasuStatusComponent.jsx
@@ -3,12 +3,12 @@ import { EtasuStatusModal } from './EtasuStatusModal.jsx';
 import { useState, useEffect, useContext } from 'react';
 import { Card, Typography } from '@mui/material';
 import { SettingsContext } from '../../containers/ContextProvider/SettingsProvider.jsx';
-import { standardsBasedGetEtasu } from '../../util/util.js';
+import { standardsBasedGetEtasu, getMedicationSpecificEtasuUrl } from '../../util/util.js';
 
 export const EtasuStatusComponent = props => {
   const [globalState, _] = useContext(SettingsContext);
 
-  const { remsAdminResponseInit, data, display } = props;
+  const { remsAdminResponseInit, data, display, medication } = props;
 
   const [remsAdminResponse, setRemsAdminResponse] = useState(remsAdminResponseInit);
   const [lastCheckedEtasuTime, setLastCheckedEtasuTime] = useState(0);
@@ -28,7 +28,7 @@ export const EtasuStatusComponent = props => {
 
   const refreshEtasu = () => {
     if (remsAdminResponse) {
-      const standardEtasuUrl = `${globalState.remsAdminServer}/4_0_0/GuidanceResponse/$rems-etasu`;
+      const standardEtasuUrl = getMedicationSpecificEtasuUrl(medication?.code, globalState);
       standardsBasedGetEtasu(standardEtasuUrl, data, setRemsAdminResponse);
       setLastCheckedEtasuTime(Date.now());
     }

diff --git a/src/components/RequestBox/RequestBox.jsx b/src/components/RequestBox/RequestBox.jsx
@@ -6,8 +6,8 @@ import buildNewRxRequest from '../../util/buildScript.2017071.js';
 import MuiAlert from '@mui/material/Alert';
 import Snackbar from '@mui/material/Snackbar';
 import { shortNameMap, ORDER_SIGN, PATIENT_VIEW } from '../../util/data.js';
-import { getAge, createMedicationDispenseFromMedicationRequest, createMedicationFromMedicationRequest } from '../../util/fhir.js';
-import { retrieveLaunchContext, prepPrefetch } from '../../util/util.js';
+import { getAge, createMedicationDispenseFromMedicationRequest, createMedicationFromMedicationRequest, getDrugCodeableConceptFromMedicationRequest } from '../../util/fhir.js';
+import { retrieveLaunchContext, prepPrefetch, getMedicationSpecificEtasuUrl } from '../../util/util.js';
 import './request.css';
 import axios from 'axios';
 
@@ -217,16 +217,16 @@ const RequestBox = props => {
     console.log('Getting auth number ')
     const medication = createMedicationFromMedicationRequest(request);
     const body = makeBody(medication);
-    const standardEtasuUrl = `${globalState.remsAdminServer}/4_0_0/GuidanceResponse/$rems-etasu`;
+    const standardEtasuUrl = getMedicationSpecificEtasuUrl(getDrugCodeableConceptFromMedicationRequest(request), globalState);
     let authNumber = '';
     await axios({
       method: 'post',
       url: standardEtasuUrl,
       data: body
     }).then(
       response => {
-       if (response.data.parameter[0].resource && response.data.parameter[0].resource.contained) {
-        response.data.parameter[0].resource?.contained[0]?.parameter.map(metRequirements => {
+       if (response.data.parameter[0].resource && response.data.parameter?.[0].resource.contained) {
+        response.data.parameter?.[0].resource?.contained[0]?.parameter.map(metRequirements => {
           if (metRequirements.name === 'auth_number') {
             authNumber = metRequirements.valueString;
           }

diff --git a/src/components/RequestDashboard/SettingsSection.jsx b/src/components/RequestDashboard/SettingsSection.jsx
@@ -25,11 +25,11 @@ import AddIcon from '@mui/icons-material/Add';
 import env from 'env-var';
 import FHIR from 'fhirclient';
 
-import { headerDefinitions, medicationRequestToRemsAdmins, ORDER_SIGN, ORDER_SELECT, PATIENT_VIEW, ENCOUNTER_START } from '../../util/data';
+import { headerDefinitions, medicationRequestToRemsAdmins, ORDER_SIGN, ORDER_SELECT, PATIENT_VIEW, ENCOUNTER_START, REMS_ETASU } from '../../util/data';
 import { actionTypes, initialState } from '../../containers/ContextProvider/reducer';
 import { SettingsContext } from '../../containers/ContextProvider/SettingsProvider';
 
-const CDS_HOOKS = [ORDER_SIGN, ORDER_SELECT, PATIENT_VIEW, ENCOUNTER_START];
+const ENDPOINT = [ORDER_SIGN, ORDER_SELECT, PATIENT_VIEW, ENCOUNTER_START, REMS_ETASU];
 
 const SettingsSection = props => {
   const [state, dispatch] = React.useContext(SettingsContext);
@@ -299,13 +299,14 @@ const SettingsSection = props => {
             maxHeight: 440
           }}
         >
+          {!state['useIntermediary'] && (
           <Table stickyHeader aria-label="sticky table">
             <TableHead>
               <TableRow sx={{ th: { fontWeight: 'bold' } }}>
                 <TableCell width={500}>Medication Display</TableCell>
                 <TableCell width={200}>Medication RxNorm Code</TableCell>
-                <TableCell width={200}>CDS Hook</TableCell>
-                <TableCell width={500}>REMS Admin Endpoint</TableCell>
+                <TableCell width={200}>Hook / Endpoint</TableCell>
+                <TableCell width={500}>REMS Admin URL</TableCell>
                 {/* This empty TableCell corresponds to the add and delete 
                 buttons. It is used to fill up the sticky header which 
                 will appear over the gray/white table rows. */}
@@ -348,19 +349,19 @@ const SettingsSection = props => {
                       <Select
                         labelId="dropdown-label"
                         id="dropdown"
-                        value={row.hook}
+                        value={row.endpointType}
                         onChange={event =>
                           dispatch({
                             type: actionTypes.updateCdsHookSetting,
                             settingId: key,
-                            value: { hook: event.target.value }
+                            value: { endpointType: event.target.value }
                           })
                         }
                         sx={{ width: '100%' }}
                       >
-                        {CDS_HOOKS.map(hook => (
-                          <MenuItem key={hook} value={hook}>
-                            {hook}
+                        {ENDPOINT.map(endpointType => (
+                          <MenuItem key={endpointType} value={endpointType}>
+                            {endpointType}
                           </MenuItem>
                         ))}
                       </Select>
@@ -408,6 +409,7 @@ const SettingsSection = props => {
               })}
             </TableBody>
           </Table>
+          )}
         </TableContainer>
       </Grid>
 

diff --git a/src/containers/ContextProvider/reducer.js b/src/containers/ContextProvider/reducer.js
@@ -43,7 +43,7 @@ const getNewStateWithNewCdsHookSetting = (state, settingId) => {
   newState.medicationRequestToRemsAdmins[uuidv4()] = {
     rxnorm: 'Fill out Medication RxNorm Code',
     display: 'Fill out Medication Display Name',
-    hook: ORDER_SIGN,
+    endpointType: ORDER_SIGN,
     remsAdmin: 'REMS Admin URL for CDS Hook'
   };
 
@@ -108,10 +108,10 @@ export const initialState = (() => {
   });
 
   medicationRequestToRemsAdmins.forEach(row => {
-    const { rxnorm, display, hookEndpoints } = row;
-    hookEndpoints.forEach(({ hook, remsAdmin }) => {
-      const key = `${rxnorm}_${hook}`;
-      state.medicationRequestToRemsAdmins[key] = { rxnorm, display, hook, remsAdmin };
+    const { rxnorm, display, endpoints } = row;
+    endpoints.forEach(({ endpointType, remsAdmin }) => {
+      const key = `${rxnorm}_${endpointType}`;
+      state.medicationRequestToRemsAdmins[key] = { rxnorm, display, endpointType, remsAdmin };
     });
   });
   return state;

diff --git a/src/containers/RequestBuilder.jsx b/src/containers/RequestBuilder.jsx
@@ -8,7 +8,7 @@ import RequestBox from '../components/RequestBox/RequestBox.jsx';
 import buildRequest from '../util/buildRequest.js';
 import { types, PATIENT_VIEW } from '../util/data.js';
 import { createJwt } from '../util/auth.js';
-import { getMedicationSpecificRemsAdminUrl, prepPrefetch } from '../util/util.js';
+import { getMedicationSpecificCdsHooksUrl, prepPrefetch } from '../util/util.js';
 
 import Accordion from '@mui/material/Accordion';
 import AccordionSummary from '@mui/material/AccordionSummary';
@@ -121,7 +121,7 @@ const RequestBuilder = props => {
     let remsAdminUrls = [];
     // get all the remsAdminUrl for each MedicationRequest
     state.medicationRequests?.data?.forEach(request => {
-      const remsAdminUrl = getMedicationSpecificRemsAdminUrl(request, globalState, hook);
+      const remsAdminUrl = getMedicationSpecificCdsHooksUrl(request, globalState, hook);
       if (remsAdminUrl) {
         remsAdminUrls.push(remsAdminUrl);
       }
@@ -138,7 +138,7 @@ const RequestBuilder = props => {
     console.log('Initiating form submission ', types.info);
     let remsAdminUrl = null;
     if (request) {
-      remsAdminUrl = getMedicationSpecificRemsAdminUrl(request, globalState, hook);
+      remsAdminUrl = getMedicationSpecificCdsHooksUrl(request, globalState, hook);
       sendHook(prefetch, request, patient, hook, remsAdminUrl);
     } else {
       // get all MedicationRequests for the patient, then continue