8000 feat(healthie): supporting group sessions by thomasyopes · Pull Request #3773 · metriport/metriport · GitHub
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Merged
merged 6 commits into from
Jun 6, 2025
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@thomasyopes thomasyopes commented May 1, 2025

Ref: ENG-82

Ref: #1040

Issues:

Description

  • creating patients in metriport for all attendees

Testing

  • Local
    • multiple attendee appointment processes
  • Staging
    • multiple attendee appointment processes
  • Sandbox
    • N/A
  • Production
    • multiple attendee appointment processes

Release Plan

  • Merge this

Summary by CodeRabbit

  • New Features
    • Appointment handling now supports multiple patients per appointment, ensuring all attendees are processed individually.
  • Bug Fixes
    • Improved accuracy by updating quick notes and patient sync for each attendee, rather than only the first.
  • Refactor
    • Updated internal logic to return arrays of patient IDs and process each attendee in appointment-related workflows.
    • Enhanced appointment data to include all attendees while preserving their order.
  • Chores
    • Increased alarm threshold for message age in a specific processing queue from 2 to 12 hours.

Thomas Yopes added 2 commits May 1, 2025 10:52
Ref: ENG-82

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-82

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
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linear bot commented May 1, 2025

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coderabbitai bot commented May 1, 2025

Walkthrough

The changes update the handling of appointment attendees across several modules to support multiple patients per appointment, rather than just a single patient. The function for retrieving patients from an appointment now returns all attendee IDs as an array. Downstream logic in the appointment processing and webhook handler modules is updated to iterate over all patients from each appointment, applying updates and synchronization per patient. Additionally, internal logic for constructing attendee arrays in the Healthie API integration is modified to prepend the first attendee to the list, preserving all attendees. A queue alarm threshold is also increased from 2 to 12 hours.

Changes

File(s) Change Summary
packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts Renamed function to getHealthiePatientsFromAppointment, updated return type to Promise<string[]>, and changed logic to return all attendee IDs as an array (empty if none), instead of a single ID or undefined.
packages/api/src/external/ehr/healthie/command/process-patients-from-appointments.ts Modified mapping of appointments to output one object per attendee (using flatMap), resulting in multiple patient entries per appointment instead of just the first attendee.
packages/api/src/routes/ehr/healthie/appointment-webhook.ts Updated webhook handler to support multiple patients per appointment: fetches all patient IDs, iterates over each, and applies update/sync logic per patient instead of handling only the first patient.
packages/core/src/external/ehr/healthie/index.ts Changed attendee array construction in getAppointments and getAppointment to prepend the first attendee to the full list (preserving all attendees), and removed the cursor property from returned appointment objects in pagination.
packages/infra/lib/ehr-nested-stack.ts Increased alarmMaxAgeOfOldestMessage duration for the computeResourceDiffBundles queue from 2 hours to 12 hours, extending the allowable message age before an alarm triggers.

Sequence Diagram(s)

sequenceDiagram
    participant Webhook as Appointment Webhook
    participant HealthieAPI as Healthie API
    participant PatientUpdater as Patient Quick Note Updater
    participant SyncHandler as Patient Sync Handler

    Webhook->>HealthieAPI: getHealthiePatientsFromAppointment(appointmentId)
    HealthieAPI-->>Webhook: [patientId1, patientId2, ...]
    alt No patients
        Webhook-->>Webhook: Return early, no action
    else Patients found
        loop For each patientId
            Webhook->>PatientUpdater: updateQuickNote(patientId)
            alt Patient processing enabled
                Webhook->>SyncHandler: buildSyncHandler()
                Webhook->>SyncHandler: processPatientSync(patientId, ...)
            end
        end
    end
Loading
sequenceDiagram
    participant Processor as Appointment Processor
    participant HealthieAPI as Healthie API

    Processor->>HealthieAPI: getAppointments()
    HealthieAPI-->>Processor: [appointment1, appointment2, ...]
    loop For each appointment
        loop For each attendee in appointment.attendees
            Processor-->>Processor: Map to { cxId, practiceId, patientId: attendee.id }
        end
    end
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  • packages/api/src/external/ehr/healthie/command/process-patients-from-appointments.ts (1 hunks)
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Actionable comments posted: 1

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

346-346: Same duplication pattern applied in getAppointment method.

This implements the same pattern of duplicating the first attendee at the beginning of the array as seen in the getAppointments method. Consider if this duplication is necessary or if it would be cleaner to have a distinct array without duplicates.

If backward compatibility isn't a concern, consider returning a deduplicated array:

-return { ...appointment, attendees: [attendee, ...appointment.attendees] };
+return { ...appointment, attendees: [...new Set([attendee, ...appointment.attendees].map(a => a.id))].map(id => 
+  appointment.attendees.find(a => a.id === id)!) 
+};
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📒 Files selected for processing (4)
  • packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts (1 hunks)
  • packages/api/src/external/ehr/healthie/command/process-patients-from-appointments.ts (1 hunks)
  • packages/api/src/routes/ehr/healthie/appointment-webhook.ts (2 hunks)
  • packages/core/src/external/ehr/healthie/index.ts (2 hunks)
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`**/*.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

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  • packages/core/src/external/ehr/healthie/index.ts
  • packages/api/src/routes/ehr/healthie/appointment-webhook.ts
  • packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts
  • packages/api/src/external/ehr/healthie/command/process-patients-from-appointments.ts
🧬 Code Graph Analysis (2)
packages/api/src/routes/ehr/healthie/appointment-webhook.ts (2)
packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts (1)
  • getHealthiePatientsFromAppointment (11-24)
packages/api/src/external/ehr/healthie/command/sync-patient.ts (1)
  • updateHealthiePatientQuickNotes (187-200)
packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts (1)
packages/api/src/external/ehr/healthie/shared.ts (1)
  • createHealthieClient (100-109)
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🔇 Additional comments (6)
packages/api/src/external/ehr/healthie/command/process-patients-from-appointments.ts (1)

188-191: Great implementation for supporting multiple attendees per appointment.

The change from processing only the first attendee to mapping across all attendees aligns perfectly with the PR objective of supporting group sessions. The use of flatMap followed by map is a clean functional approach that produces one object per attendee, enabling patient record creation for all group session participants.

packages/api/src/external/ehr/healthie/command/get-patients-from-appointment.ts (2)

11-16: Good function renaming to reflect multiple patients.

The renaming from getHealthiePatientFromAppointment to getHealthiePatientsFromAppointment and the return type change to Promise<string[]> clearly communicate that multiple patients are now being returned, improving code readability.


22-23: Clean implementation for returning all patient IDs.

The change correctly returns an empty array when no appointment is found and maps all attendees to extract their IDs when an appointment exists. This approach is concise and aligns well with functional programming principles recommended in the coding guidelines.

packages/api/src/routes/ehr/healthie/appointment-webhook.ts (3)

10-10: Updated import to use new multiple patients function.

The import change correctly reflects the renamed function that now returns multiple patient IDs.


46-51: Good pattern for fetching and validating multiple patients.

The implementation now correctly retrieves an array of patient IDs and checks if the array is empty before proceeding, adapting well to the new multi-patient model.


52-69: Well-structured loop for processing multiple patients.

The for-loop implementation efficiently processes each patient individually, applying the same logic (updating quick notes and optional sync) to each patient. The use of continue when patient processing is disabled is a clean way to skip unnecessary operations while maintaining the loop structure.

One minor observation: This implementation processes patients sequentially. If the number of patients in group sessions could be large, consider using a parallel processing approach similar to how executeAsynchronously is used elsewhere in the codebase.

Thomas Yopes added 2 commits May 1, 2025 12:08
Ref: ENG-82

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-82

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Thomas Yopes added 2 commits June 6, 2025 15:30
… 1040-patch-healthie

Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
Ref: ENG-00

Ref: #1040
Signed-off-by: Thomas Yopes <thomasyopes@Thomass-MBP.attlocal.net>
@thomasyopes thomasyopes enabled auto-merge June 6, 2025 22:44
@thomasyopes thomasyopes added this pull request to the merge queue Jun 6, 2025
Merged via the queue into develop with commit 2200456 Jun 6, 2025
15 checks passed
@thomasyopes thomasyopes deleted the 1040-patch-healthie branch June 6, 2025 22:46
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