Patient Match

This commit is contained in:
2026-02-24 00:26:55 -05:00
parent c25b6e0c80
commit 51115c9a64
9 changed files with 884 additions and 0 deletions

205
app/handlers/match.go Normal file
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// Package handlers — match.go implements the patient match API endpoint.
//
// POST /api/patient-match
//
// This endpoint accepts demographic identifiers (first_name, last_name,
// email, dob, sex) and returns a list of patients in the FHIR Sandbox
// that match ≥ 2 fields exactly. Auth is via X-Api-Key header.
package handlers
import (
"encoding/json"
"log"
"net/http"
"sort"
"strings"
"github.com/AmanTahiliani/FHIR-Sandbox/app/models"
)
// patientMatchRequest is the inbound JSON shape for a match query.
type patientMatchRequest struct {
FirstName string `json:"first_name"`
LastName string `json:"last_name"`
Email string `json:"email"`
DOB string `json:"dob"`
Sex string `json:"sex"`
}
// fieldResult describes whether a single field matched and what the
// remote system's value is.
type fieldResult struct {
Value string `json:"value"`
Match bool `json:"match"`
}
// matchResult is one potential patient match in the response.
type matchResult struct {
PatientRef string `json:"patient_ref"`
Score int `json:"score"`
Fields map[string]fieldResult `json:"fields"`
}
// patientMatchResponse is the top-level response shape.
type patientMatchResponse struct {
SourceSystem string `json:"source_system"`
Matches []matchResult `json:"matches"`
}
// Minimum number of exact field matches required to include a patient.
const minMatchScore = 2
// sexNormMap normalises FHIR/Provider gender codes → canonical M/F/O/U.
var sexNormMap = map[string]string{
"m": "M",
"f": "F",
"o": "O",
"u": "U",
"male": "M",
"female": "F",
"other": "O",
"unknown": "U",
}
// normName lowercases and trims a name string.
func normName(s string) string { return strings.ToLower(strings.TrimSpace(s)) }
// normSex normalises a sex/gender value to M/F/O/U.
func normSex(s string) string {
v, ok := sexNormMap[strings.ToLower(strings.TrimSpace(s))]
if !ok {
return ""
}
return v
}
// normDOB trims and returns the DOB string (expected YYYY-MM-DD).
func normDOB(s string) string { return strings.TrimSpace(s) }
// computeMatchScore compares normalised criteria against a candidate user.
// Returns the score (05) and per-field report.
func computeMatchScore(criteria, candidate map[string]string) (int, map[string]fieldResult) {
fields := make(map[string]fieldResult, 5)
score := 0
for _, f := range []string{"first_name", "last_name", "email", "dob", "sex"} {
cVal := criteria[f]
pVal := candidate[f]
isMatch := cVal != "" && pVal != "" && cVal == pVal
if isMatch {
score++
}
fields[f] = fieldResult{Value: pVal, Match: isMatch}
}
return score, fields
}
// normaliseUser converts a User model into a normalised string map.
func normaliseUser(u *models.User) map[string]string {
return map[string]string{
"first_name": normName(u.FirstName),
"last_name": normName(u.LastName),
"email": normName(u.Email),
"dob": normDOB(u.DOB),
"sex": normSex(u.Gender),
}
}
// normaliseCriteria converts a match request into a normalised string map.
func normaliseCriteria(req *patientMatchRequest) map[string]string {
return map[string]string{
"first_name": normName(req.FirstName),
"last_name": normName(req.LastName),
"email": normName(req.Email),
"dob": normDOB(req.DOB),
"sex": normSex(req.Sex),
}
}
// HandlePatientMatch processes POST /api/patient-match requests.
func (h *Handler) HandlePatientMatch(w http.ResponseWriter, r *http.Request) {
if r.Method != http.MethodPost {
http.Error(w, `{"error":"method not allowed"}`, http.StatusMethodNotAllowed)
return
}
// ── Decode request body ─────────────────────────────────────────
var req patientMatchRequest
if err := json.NewDecoder(r.Body).Decode(&req); err != nil {
http.Error(w, `{"error":"invalid JSON body"}`, http.StatusBadRequest)
return
}
// ── Validate required fields ────────────────────────────────────
var missing []string
if strings.TrimSpace(req.FirstName) == "" {
missing = append(missing, "first_name")
}
if strings.TrimSpace(req.LastName) == "" {
missing = append(missing, "last_name")
}
if strings.TrimSpace(req.DOB) == "" {
missing = append(missing, "dob")
}
if strings.TrimSpace(req.Sex) == "" {
missing = append(missing, "sex")
}
if len(missing) > 0 {
w.Header().Set("Content-Type", "application/json")
w.WriteHeader(http.StatusBadRequest)
json.NewEncoder(w).Encode(map[string]string{
"error": "Missing required fields: " + strings.Join(missing, ", "),
})
return
}
criteria := normaliseCriteria(&req)
// ── Load all patients from the database ─────────────────────────
patients, err := h.store.ListAllPatients()
if err != nil {
log.Printf("handlers: HandlePatientMatch ListAllPatients failed: %v", err)
http.Error(w, `{"error":"internal server error"}`, http.StatusInternalServerError)
return
}
// ── Match loop ──────────────────────────────────────────────────
var matches []matchResult
for i := range patients {
candidate := normaliseUser(&patients[i])
score, fields := computeMatchScore(criteria, candidate)
if score >= minMatchScore {
matches = append(matches, matchResult{
PatientRef: patients[i].ID, // internal UUID — opaque to caller
Score: score,
Fields: fields,
})
}
}
// Sort by score descending, then patient_ref for deterministic order.
sort.Slice(matches, func(i, j int) bool {
if matches[i].Score != matches[j].Score {
return matches[i].Score > matches[j].Score
}
return matches[i].PatientRef < matches[j].PatientRef
})
log.Printf("handlers: patient-match candidates=%d matches=%d", len(patients), len(matches))
// ── Write response ──────────────────────────────────────────────
resp := patientMatchResponse{
SourceSystem: "hrs",
Matches: matches,
}
// Ensure matches is never null in JSON
if resp.Matches == nil {
resp.Matches = []matchResult{}
}
w.Header().Set("Content-Type", "application/json")
w.WriteHeader(http.StatusOK)
json.NewEncoder(w).Encode(resp)
}

152
app/handlers/match_proxy.go Normal file
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// Package handlers — match_proxy.go implements the browser-facing
// "Find in Rimidi" proxy endpoint.
//
// POST /api/patient-match-proxy
//
// This endpoint is session-protected. It reads the current patient's
// demographics from the local database, calls the remote Rimidi patient
// match API, and returns the response to the browser.
package handlers
import (
"bytes"
"encoding/json"
"fmt"
"io"
"log"
"net/http"
"time"
"github.com/AmanTahiliani/FHIR-Sandbox/app/middleware"
)
// proxyTimeout is the HTTP client timeout for the outbound match call.
const proxyTimeout = 10 * time.Second
// matchProxyResponse wraps the remote response and adds the local patient's
// demographics so the UI can render a side-by-side diff.
type matchProxyResponse struct {
SourceSystem string `json:"source_system"`
Matches []matchResult `json:"matches"`
LocalPatient map[string]string `json:"local_patient"`
Raw map[string]interface{} `json:"-"` // internal only
}
// HandlePatientMatchProxy handles POST /api/patient-match-proxy.
// It requires a valid session and reads the patient from session context.
func (h *Handler) HandlePatientMatchProxy(w http.ResponseWriter, r *http.Request) {
if r.Method != http.MethodPost {
http.Error(w, `{"error":"method not allowed"}`, http.StatusMethodNotAllowed)
return
}
sess := middleware.SessionFromContext(r.Context())
if sess == nil {
http.Error(w, `{"error":"unauthorized"}`, http.StatusUnauthorized)
return
}
// ── Resolve patient from the session or query param ─────────────
patientFHIRID := sess.PatientFHIRID
if override := r.URL.Query().Get("patient_id"); override != "" {
patientFHIRID = override
}
if patientFHIRID == "" {
http.Error(w, `{"error":"no patient in context"}`, http.StatusBadRequest)
return
}
// Fetch patient demographics from the local database.
patient, err := h.store.GetUserByFHIRID(patientFHIRID, sess.EHRURL)
if err != nil {
log.Printf("handlers: match-proxy GetUserByFHIRID(%s): %v", patientFHIRID, err)
http.Error(w, `{"error":"patient not found in local database"}`, http.StatusNotFound)
return
}
// ── Build outbound payload ──────────────────────────────────────
payload := patientMatchRequest{
FirstName: patient.FirstName,
LastName: patient.LastName,
Email: patient.Email,
DOB: patient.DOB,
Sex: patient.Gender,
}
body, err := json.Marshal(payload)
if err != nil {
log.Printf("handlers: match-proxy marshal payload: %v", err)
http.Error(w, `{"error":"internal error"}`, http.StatusInternalServerError)
return
}
// ── Call remote Rimidi match API ─────────────────────────────────
remoteURL := h.cfg.PatientMatchRemoteURL
remoteKey := h.cfg.PatientMatchRemoteAPIKey
if remoteURL == "" || remoteKey == "" {
log.Printf("handlers: match-proxy remote URL/key not configured")
http.Error(w, `{"error":"remote patient match not configured"}`, http.StatusServiceUnavailable)
return
}
client := &http.Client{Timeout: proxyTimeout}
req, err := http.NewRequest(http.MethodPost, remoteURL, bytes.NewReader(body))
if err != nil {
log.Printf("handlers: match-proxy new request: %v", err)
http.Error(w, `{"error":"internal error"}`, http.StatusInternalServerError)
return
}
req.Header.Set("Content-Type", "application/json")
req.Header.Set("X-Api-Key", remoteKey)
resp, err := client.Do(req)
if err != nil {
log.Printf("handlers: match-proxy remote call failed: %v", err)
http.Error(w, `{"error":"could not reach remote system"}`, http.StatusBadGateway)
return
}
defer resp.Body.Close()
respBody, err := io.ReadAll(resp.Body)
if err != nil {
log.Printf("handlers: match-proxy read response: %v", err)
http.Error(w, `{"error":"failed to read remote response"}`, http.StatusBadGateway)
return
}
if resp.StatusCode != http.StatusOK {
log.Printf("handlers: match-proxy remote returned %d: %s", resp.StatusCode, string(respBody[:min(len(respBody), 500)]))
http.Error(w, fmt.Sprintf(`{"error":"remote system returned HTTP %d"}`, resp.StatusCode), http.StatusBadGateway)
return
}
// ── Parse remote response and augment with local demographics ───
var remoteData map[string]interface{}
if err := json.Unmarshal(respBody, &remoteData); err != nil {
log.Printf("handlers: match-proxy unmarshal response: %v", err)
http.Error(w, `{"error":"invalid response from remote system"}`, http.StatusBadGateway)
return
}
// Attach local patient demographics for side-by-side diff rendering.
remoteData["local_patient"] = map[string]string{
"first_name": patient.FirstName,
"last_name": patient.LastName,
"email": patient.Email,
"dob": patient.DOB,
"sex": patient.Gender,
}
w.Header().Set("Content-Type", "application/json")
w.WriteHeader(http.StatusOK)
json.NewEncoder(w).Encode(remoteData)
}
func min(a, b int) int {
if a < b {
return a
}
return b
}

136
app/handlers/match_test.go Normal file
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package handlers
import (
"testing"
)
func TestNormName(t *testing.T) {
tests := []struct {
input, want string
}{
{" Jane ", "jane"},
{"SMITH", "smith"},
{"", ""},
{" Bob ", "bob"},
}
for _, tt := range tests {
got := normName(tt.input)
if got != tt.want {
t.Errorf("normName(%q) = %q, want %q", tt.input, got, tt.want)
}
}
}
func TestNormSex(t *testing.T) {
tests := []struct {
input, want string
}{
{"M", "M"},
{"F", "F"},
{"m", "M"},
{"male", "M"},
{"female", "F"},
{"other", "O"},
{"unknown", "U"},
{"MALE", "M"},
{"X", ""},
{"", ""},
}
for _, tt := range tests {
got := normSex(tt.input)
if got != tt.want {
t.Errorf("normSex(%q) = %q, want %q", tt.input, got, tt.want)
}
}
}
func TestComputeMatchScore_AllMatch(t *testing.T) {
a := map[string]string{
"first_name": "jane",
"last_name": "smith",
"email": "j@test.com",
"dob": "1990-04-22",
"sex": "F",
}
score, fields := computeMatchScore(a, a)
if score != 5 {
t.Errorf("expected score=5, got %d", score)
}
for k, f := range fields {
if !f.Match {
t.Errorf("expected field %q to match", k)
}
}
}
func TestComputeMatchScore_NoneMatch(t *testing.T) {
a := map[string]string{
"first_name": "jane",
"last_name": "smith",
"email": "j@test.com",
"dob": "1990-04-22",
"sex": "F",
}
b := map[string]string{
"first_name": "bob",
"last_name": "jones",
"email": "b@test.com",
"dob": "1985-01-01",
"sex": "M",
}
score, _ := computeMatchScore(a, b)
if score != 0 {
t.Errorf("expected score=0, got %d", score)
}
}
func TestComputeMatchScore_EmptyDoesNotMatch(t *testing.T) {
a := map[string]string{
"first_name": "jane",
"last_name": "smith",
"email": "",
"dob": "",
"sex": "",
}
b := map[string]string{
"first_name": "jane",
"last_name": "smith",
"email": "",
"dob": "",
"sex": "",
}
score, _ := computeMatchScore(a, b)
if score != 2 {
t.Errorf("expected score=2 (only name fields), got %d", score)
}
}
func TestComputeMatchScore_PartialMatch(t *testing.T) {
a := map[string]string{
"first_name": "jane",
"last_name": "smith",
"email": "a@test.com",
"dob": "1990-04-22",
"sex": "F",
}
b := map[string]string{
"first_name": "john",
"last_name": "smith",
"email": "b@test.com",
"dob": "1990-04-22",
"sex": "M",
}
score, fields := computeMatchScore(a, b)
if score != 2 {
t.Errorf("expected score=2 (last_name + dob), got %d", score)
}
if !fields["last_name"].Match {
t.Error("expected last_name to match")
}
if !fields["dob"].Match {
t.Error("expected dob to match")
}
if fields["first_name"].Match {
t.Error("expected first_name to NOT match")
}
}