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LAB - Pisar cdas de protocolos de labos sil1 #2234

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LAB - Pisar cdas de protocolos de labos sil1 #2234

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1 change: 0 additions & 1 deletion modules/cda/controller/CDAPatient.ts
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Original file line number Diff line number Diff line change
Expand Up @@ -429,7 +429,6 @@ export function findByMetadata(conds) {
export async function CDAExists(id, fecha, orgId) {
const existe = await findByMetadata({
'metadata.extras.id': id,
'metadata.fecha': fecha,
'metadata.extras.organizacion': Types.ObjectId(orgId),
});
return existe;
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27 changes: 22 additions & 5 deletions modules/cda/routes/cda.ts
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Expand Up @@ -112,14 +112,23 @@ router.post('/', async (req: any, res, next) => {
cdaData.paciente.sexo = cdaData.paciente.sexo === 'M' ? 'masculino' : 'femenino';

const yaExiste = await cdaCtr.CDAExists(cdaData.id, cdaData.fecha, orgId);
const prestacion = await cdaCtr.matchCodeByLoinc(cdaData.loinc);

if (yaExiste) {
return next({ error: 'prestacion_existente' });
const esLaboratorio = prestacion?.snomed?.semanticTag === 'procedimiento';
const fechaCda = moment(yaExiste.metadata.fecha);
const haceUnMes = moment().subtract(1, 'month');

if (esLaboratorio && fechaCda.isAfter(haceUnMes)) {
await cdaCtr.deleteCda(yaExiste._id, null);
} else {
return next({ error: 'prestacion_existente' });
}
}

const organizacion = await Organizacion.findById(orgId);
const dataProfesional = req.body.profesional;

const prestacion = await cdaCtr.matchCodeByLoinc(cdaData.loinc);
if (!prestacion) {
// Es obligatorio que posea prestación
return next({ error: 'prestacion_invalida' });
Expand Down Expand Up @@ -344,15 +353,23 @@ async function createCDA(req, res, next) {
orgId = req.body.organizacion;
}
const yaExiste = await cdaCtr.CDAExists(idPrestacion, fecha, orgId);
const prestacion = await cdaCtr.matchCode(req.body.tipoPrestacion);

if (yaExiste) {
return res.json({ cda: yaExiste._id, paciente: yaExiste.paciente?._id });
const esLaboratorio = prestacion?.snomed?.semanticTag === 'procedimiento';
const fechaCda = moment(yaExiste.metadata.fecha);
const haceUnMes = moment().subtract(1, 'month');

if (esLaboratorio && fechaCda.isAfter(haceUnMes)) {
await cdaCtr.deleteCda(yaExiste._id, null);
} else {
return res.json({ cda: yaExiste._id, paciente: yaExiste.paciente?._id });
}
}

const dataPaciente = req.body.paciente;
const dataProfesional = req.body.profesional;

// Devuelve un Loinc asociado al código SNOMED
const prestacion = await cdaCtr.matchCode(req.body.tipoPrestacion);
if (!prestacion) {
// Es obligatorio que posea prestación
return next(`prestacion_invalida ${req.body.tipoPrestacion}`);
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