feat: add immunizations to condition summary section

containers/ecr-viewer/src/app/api/fhirPath.yml

@@ -142,3 +142,6 @@ travelHistoryStartDate: "effectivePeriod.start"
 travelHistoryEndDate: "effectivePeriod.end"
 travelHistoryLocation: "component.where(code.coding.code='LOC').valueCodeableConcept.text"
 travelHistoryPurpose: "component.where(code.coding.code='280147009').valueCodeableConcept.coding.display"
+
+# Stamped
+stampedImmunizations: "entry.resource.where(extension('https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code').coding.code = %snomedCode and resourceType = 'Immunization')"

containers/ecr-viewer/src/app/services/ecrSummaryService.tsx

@@ -12,7 +12,10 @@ import {
   evaluateEncounterDiagnosis,
 } from "./evaluateFhirDataService";
 import { DisplayDataProps } from "@/app/view-data/components/DataDisplay";
-import { returnProblemsTable } from "@/app/view-data/components/common";
+import {
+  returnImmunizations,
+  returnProblemsTable,
+} from "@/app/view-data/components/common";
 import {
   LabReport,
   evaluateLabInfoData,
@@ -207,7 +210,7 @@ export const evaluateEcrSummaryConditionSummary = (
 
   const conditionSummaries: ConditionSummary[] = [];
   for (let conditionsListKey in conditionsList) {
-    const conditionSummary = {
+    const conditionSummary: ConditionSummary = {
       title: conditionsList[conditionsListKey].snomedDisplay,
       snomed: conditionsListKey,
       conditionDetails: [
@@ -226,6 +229,11 @@ export const evaluateEcrSummaryConditionSummary = (
           ),
         },
       ],
+      immunizationDetails: evaluateEcrSummaryRelevantImmunizations(
+        fhirBundle,
+        fhirPathMappings,
+        conditionsListKey,
+      ),
       clinicalDetails: evaluateEcrSummaryRelevantClinicalDetails(
         fhirBundle,
         fhirPathMappings,
@@ -401,3 +409,28 @@ const evaluateEncounterDate = (fhirBundle: Bundle, mappings: PathMappings) => {
     evaluate(fhirBundle, mappings.encounterEndDate).join(""),
   );
 };
+
+const evaluateEcrSummaryRelevantImmunizations = (
+  fhirBundle: Bundle,
+  mappings: PathMappings,
+  snomedCode: string,
+): DisplayDataProps[] => {
+  const immunizations = evaluate(fhirBundle, mappings.stampedImmunizations, {
+    snomedCode,
+  });
+  const immunizationTable = returnImmunizations(
+    fhirBundle,
+    immunizations,
+    mappings,
+    "Immunizations Relevant to Reportable Condition",
+    "caption-data-title caption-width-full",
+  );
+  return immunizationTable
+    ? [
+        {
+          value: immunizationTable,
+          dividerLine: true,
+        },
+      ]
+    : [];
+};

containers/ecr-viewer/src/app/tests/assets/BundleEcrSummary.json

@@ -1029,6 +1029,58 @@
         "method": "PUT",
         "url": "Condition/38e833d1-1001-9e83-4167-2684381498ac"
       }
+    },
+    {
+      "fullUrl": "urn:uuid:6689c3f5-f256-9c28-bd98-89905630f28d",
+      "resource": {
+        "resourceType": "Immunization",
+        "id": "6689c3f5-f256-9c28-bd98-89905630f28d",
+        "identifier": [
+          {
+            "system": "urn:ietf:rfc:3986",
+            "value": "urn:uuid:66d08d45-ab7b-11ec-81e0-9e7eef92c510"
+          }
+        ],
+        "protocolApplied": [
+          {
+            "doseNumberPositiveInt": "2"
+          }
+        ],
+        "occurrenceDateTime": "2022-03-24T09:34:00-04:00",
+        "vaccineCode": {
+          "coding": [
+            {
+              "code": "24",
+              "system": "urn:oid:2.16.840.1.113883.12.292",
+              "display": "SARS-CoV-2 PCR Vaccine"
+            }
+          ]
+        },
+        "lotNumber": "LOT942X",
+        "status": "completed",
+        "primarySource": true,
+        "patient": {
+          "reference": "Patient/9745ad43-ad53-4928-ac88-1a2dce1f5777"
+        },
+        "meta": {
+          "source": "ecr"
+        },
+        "extension": [
+          {
+            "url": "https://reportstream.cdc.gov/fhir/StructureDefinition/condition-code",
+            "coding": [
+              {
+                "code": "840539006",
+                "system": "http://snomed.info/sct"
+              }
+            ]
+          }
+        ]
+      },
+      "request": {
+        "method": "PUT",
+        "url": "Immunization/6689c3f5-f256-9c28-bd98-89905630f28d"
+      }
     }
   ]
 }

containers/ecr-viewer/src/app/tests/components/EcrSummary.test.tsx

@@ -68,6 +68,13 @@ describe("EcrSummary", () => {
           value: "covid lab",
         },
       ],
+      immunizationDetails: [
+        {
+          title: "Relevant immmunizations",
+          value: "table would be here",
+          dividerLine: true,
+        },
+      ],
     },
   ];
   const hepConditionDetails: ConditionSummary[] = [
@@ -92,6 +99,7 @@ describe("EcrSummary", () => {
           value: "hep c lab",
         },
       ],
+      immunizationDetails: [],
     },
   ];
 

containers/ecr-viewer/src/app/tests/components/Immunizations.test.tsx

@@ -165,6 +165,7 @@ describe("Immunizations Table", () => {
         BundleClinicalInfo as unknown as Bundle,
         immunizationsData,
         fhirPathMappings,
+        "Immunization History",
       )!,
     ).container;
   });

containers/ecr-viewer/src/app/tests/components/__snapshots__/EcrSummary.test.tsx.snap

@@ -272,6 +272,22 @@ End: 05/13/2022 9:57 AM UTC
                 class="section__line_gray"
               />
             </div>
+            <div
+              class="margin-top-0"
+            >
+              <div
+                class="grid-row"
+              >
+                <div
+                  class="grid-col-auto width-full text-pre-line"
+                >
+                  table would be here
+                </div>
+              </div>
+              <div
+                class="section__line_gray"
+              />
+            </div>
             <div
               class="text-bold margin-top-0 margin-bottom-1"
               id="relevant-clinical"

containers/ecr-viewer/src/app/tests/services/ecrSummaryService.test.tsx

@@ -200,6 +200,19 @@ describe("Evaluate eCR Summary Condition Summary", () => {
     ).not.toBeInTheDocument();
     expect(screen.getByText("SARS-CoV-2 PCR")).toBeInTheDocument();
   });
+  it("should return immunization details based on snomed code", () => {
+    const actual = evaluateEcrSummaryConditionSummary(
+      BundleEcrSummary as unknown as Bundle,
+      mappings,
+    );
+    render(
+      actual[1].immunizationDetails.map((detail) => (
+        <React.Fragment key={Math.random()}>{detail.value}</React.Fragment>
+      )),
+    );
+
+    expect(screen.getByText("SARS-CoV-2 PCR Vaccine")).toBeInTheDocument();
+  });
   it("should return empty array if none found", () => {
     const actual = evaluateEcrSummaryConditionSummary({} as Bundle, mappings);
 

containers/ecr-viewer/src/app/view-data/components/EcrSummary.tsx

@@ -21,6 +21,7 @@ export interface ConditionSummary {
   conditionDetails: DisplayDataProps[];
   clinicalDetails: DisplayDataProps[];
   labDetails: DisplayDataProps[];
+  immunizationDetails: DisplayDataProps[];
 }
 
 /**
@@ -51,6 +52,13 @@ const EcrSummary: React.FC<EcrSummaryProps> = ({
             {condition.conditionDetails.map((item) => (
               <DataDisplay item={item} key={item.title} />
             ))}
+            {condition.immunizationDetails.length > 0 && (
+              <div className={"margin-top-0"}>
+                {condition.immunizationDetails.map((item, index) => (
+                  <DataTableDisplay item={item} key={index} />
+                ))}
+              </div>
+            )}
             <div
               className="text-bold margin-top-0 margin-bottom-1"
               id={"relevant-clinical"}

containers/ecr-viewer/src/app/view-data/components/common.tsx

@@ -114,12 +114,16 @@ export const returnCareTeamTable = (
  * @param fhirBundle - The FHIR bundle containing patient and immunizations information.
  * @param immunizationsArray - An array containing the list of immunizations.
  * @param mappings - An object containing the FHIR path mappings.
+ * @param caption - The string to display above the table
+ * @param className - Optional. The css class to be added to the table.
  * @returns - A formatted table React element representing the list of immunizations, or undefined if the immunizations array is empty.
  */
 export const returnImmunizations = (
   fhirBundle: Bundle,
   immunizationsArray: Immunization[],
   mappings: PathMappings,
+  caption: string,
+  className?: string,
 ): React.JSX.Element | undefined => {
   if (immunizationsArray.length === 0) {
     return undefined;
@@ -159,8 +163,8 @@ export const returnImmunizations = (
       resources={immunizationsArray}
       mappings={mappings}
       columns={columnInfo}
-      caption={"Immunization History"}
-      className={"margin-y-0"}
+      caption={caption}
+      className={classNames("margin-y-0", className)}
     />
   );
 };
@@ -580,6 +584,7 @@ export const evaluateClinicalData = (
         fhirBundle,
         evaluate(fhirBundle, mappings["immunizations"]),
         mappings,
+        "Immunization History",
       ),
     },
   ];

containers/ecr-viewer/src/styles/custom-styles.scss

@@ -423,6 +423,12 @@ td {
   }
 }
 
+.caption-width-full {
+  caption {
+    width: 100%
+  }
+}
+
 .usa-sidenav__item a:not(.usa-sidenav__sublist a) {
   font-weight: bold;
 }

containers/trigger-code-reference/app/main.py

@@ -19,7 +19,7 @@
 RESOURCE_TO_SERVICE_TYPES = {
     "Observation": ["dxtc", "ostc", "lotc", "lrtc", "mrtc", "sdtc"],
     "Condition": ["dxtc", "sdtc"],
-    "Immunization": ["ostc", "lotc", "lrtc"],
+    "Immunization": ["ostc", "lotc", "lrtc", "mrtc"],
     "DiagnosticReport": ["dxtc", "ostc", "lotc", "lrtc", "mrtc", "sdtc"],
 }