feat(epic): Hanzo AI for Epic (SMART on FHIR)

Read+assist clinical copilot embedded in the EHR via SMART on FHIR. Loads the
launched patient's chart over FHIR R4 (problems, meds, allergies, labs/vitals,
notes) and runs four actions — summarize patient, draft SOAP note, extract
problems & meds, ask — through the api.hanzo.ai gateway via @hanzo/ai@^0.2.0.

PHI posture: the FHIR/PHI access token is confined server-side (server.ts);
the browser holds only an opaque HttpOnly session cookie and a Hanzo gateway
key. No PHI is ever logged; SMART is auth-code + PKCE (S256) with the
confidential secret read from the environment; the proxy is scoped to the six
read resources and the session's own FHIR base (SSRF/cross-tenant guards).
Read + assist only — no clinical write-back, no *.write scope.

Tests: 109 vitest across config/smart-oauth/fhir-client/chart/hanzo/auth/server.
Workspace-wired like every sibling: test/ dir, root pnpm-lock importer, no
package-level lock.
This commit is contained in:
Hanzo Dev
2026-07-04 01:45:59 -07:00
parent c62346e94c
commit 73370ce288
23 changed files with 3489 additions and 0 deletions
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// Build the Epic SMART-on-FHIR app into dist/: bundle the SPA (app.ts, browser)
// and the OAuth + FHIR-proxy service (server.ts, node), copy the static
// HTML/CSS/assets.
//
// node build.js → production (base https://epic.hanzo.ai)
// HANZO_EPIC_BASE=http://localhost:8791 node build.js → local dev
//
// The SMART app's PUBLIC client_id + redirect + a default FHIR base (for
// standalone launch) are stamped into the SPA via esbuild `define`. The
// client_id is public; the SECRET (confidential apps) is read from the
// environment by the running server, NEVER bundled — a bundled secret would ship
// to every browser.
import esbuild from 'esbuild';
import fs from 'node:fs';
import path from 'node:path';
import { fileURLToPath } from 'node:url';
const BASE = (process.env.HANZO_EPIC_BASE || 'https://epic.hanzo.ai').replace(/\/+$/, '');
const SMART_CLIENT_ID = process.env.SMART_CLIENT_ID || '';
const SMART_REDIRECT_URI = process.env.SMART_REDIRECT_URI || `${BASE}/oauth/callback`;
// Optional default FHIR base for STANDALONE launch (e.g. Epic's public sandbox).
// In an EHR launch the real `iss` arrives in the URL and overrides this.
const SMART_DEFAULT_ISS = process.env.SMART_DEFAULT_ISS || '';
const watch = process.argv.includes('--watch');
const root = path.dirname(fileURLToPath(import.meta.url));
const src = path.join(root, 'src');
const dist = path.join(root, 'dist');
async function build() {
fs.rmSync(dist, { recursive: true, force: true });
fs.mkdirSync(dist, { recursive: true });
// The browser SPA — public client_id/redirect/default-iss stamped via define.
// Secrets are NOT define-able here; server.ts reads them from process.env.
const spa = await esbuild.context({
entryPoints: [path.join(src, 'app.ts')],
outfile: path.join(dist, 'app.js'),
bundle: true,
format: 'iife',
platform: 'browser',
target: ['chrome90', 'edge90', 'safari14', 'firefox90'],
sourcemap: true,
minify: !watch,
define: {
SMART_CLIENT_ID: JSON.stringify(SMART_CLIENT_ID),
SMART_REDIRECT_URI: JSON.stringify(SMART_REDIRECT_URI),
SMART_DEFAULT_ISS: JSON.stringify(SMART_DEFAULT_ISS),
},
logLevel: 'info',
});
await spa.rebuild();
// The OAuth + FHIR-proxy service — a Node ESM bundle. No secrets baked in; it
// reads SMART_CLIENT_SECRET etc. from the environment when it runs.
const server = await esbuild.context({
entryPoints: [path.join(src, 'server.ts')],
outfile: path.join(dist, 'server.js'),
bundle: true,
format: 'esm',
platform: 'node',
target: ['node18'],
sourcemap: true,
minify: !watch,
banner: { js: '// Hanzo Epic SMART-on-FHIR service — run: node server.js' },
logLevel: 'info',
});
await server.rebuild();
// Static files.
for (const f of ['index.html', 'styles.css']) {
fs.copyFileSync(path.join(src, f), path.join(dist, f));
}
// assets/ (icons) — create the dir even if empty.
const assetsSrc = path.join(root, 'assets');
const assetsDst = path.join(dist, 'assets');
fs.mkdirSync(assetsDst, { recursive: true });
if (fs.existsSync(assetsSrc)) {
for (const f of fs.readdirSync(assetsSrc)) {
fs.copyFileSync(path.join(assetsSrc, f), path.join(assetsDst, f));
}
}
console.log(`✅ Epic SMART-on-FHIR app built → dist/ (base ${BASE})`);
console.log(' Serve dist/{index.html,app.js,styles.css,assets} as static; run dist/server.js for /oauth/* + /fhir.');
if (!SMART_CLIENT_ID) {
console.log(' ⚠ SMART_CLIENT_ID not set — set it (and SMART_CLIENT_SECRET on the server for a confidential app) before deploy.');
}
if (watch) {
await spa.watch();
await server.watch();
console.log('👀 watching…');
} else {
await spa.dispose();
await server.dispose();
}
}
build().catch((e) => {
console.error(e);
process.exit(1);
});
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{
"name": "@hanzo/epic",
"version": "0.1.0",
"description": "Hanzo AI for Epic (SMART on FHIR) — brings Hanzo AI into the clinician's EHR workflow. Reads the launched patient's chart over FHIR R4 (problems, meds, allergies, labs, notes) and assists: summarize the patient, draft a SOAP note, extract problems & meds, and ask about the patient. Read + assist only (no clinical write-back in v1). Model calls route through the api.hanzo.ai gateway via @hanzo/ai; SMART-on-FHIR OAuth2 (auth-code + PKCE) with server-side token exchange; PHI-bearing tokens stay server-side.",
"private": true,
"type": "module",
"scripts": {
"build": "node build.js",
"watch": "node build.js --watch",
"serve": "node dist/server.js",
"test": "vitest run",
"typecheck": "tsc --noEmit"
},
"dependencies": {
"@hanzo/ai": "^0.2.0",
"@hanzo/iam": "0.13.2"
},
"devDependencies": {
"@types/node": "^20.14.0",
"esbuild": "^0.25.8",
"typescript": "^5.8.3",
"vitest": "^3.2.6"
},
"engines": {
"node": ">=18.0.0"
},
"keywords": [
"hanzo",
"epic",
"smart-on-fhir",
"fhir",
"ehr",
"healthcare",
"clinical",
"ai",
"hipaa"
],
"author": "Hanzo AI",
"license": "MIT",
"repository": {
"type": "git",
"url": "https://github.com/hanzoai/extension.git",
"directory": "packages/epic"
}
}
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// The SMART app panel glue: the browser page that launches from Epic with a
// patient in context, loads that patient's chart through the server-side FHIR
// proxy (so no PHI token touches the browser), and drives the four Hanzo AI
// actions over the assembled chart. All the logic-heavy work — SMART/PKCE
// shaping, FHIR request wrappers, chart assembly, action prompts — lives in its
// own tested pure modules; this file is the one impure, browser-only entry point
// that binds them to the DOM.
//
// The launch dance (see README for the full flow):
// 1. EHR launch: Epic opens this page with `iss` + `launch`. Standalone: the
// page is opened with an `iss` (or the sandbox default) and no `launch`.
// 2. The page mints PKCE + state, asks the server (/oauth/prepare) to discover
// Epic's authorize/token endpoints, then redirects the browser to authorize.
// 3. Epic redirects back to /oauth/callback?code&state; the page posts them to
// the server, which exchanges (secret + PKCE server-side) and sets an opaque
// session cookie. The browser learns only the patient id + granted scope.
// 4. The page loads the chart via /fhir?path=… (proxied), assembles the
// context, and runs actions against api.hanzo.ai with the pasted Hanzo key.
//
// These build-time constants are stamped by build.js (the client id + redirect
// are PUBLIC; the secret is server-only and never bundled).
declare const SMART_CLIENT_ID: string;
declare const SMART_REDIRECT_URI: string;
declare const SMART_DEFAULT_ISS: string;
import {
createPkce,
authorizeUrl,
parseLaunch,
parseCallback,
} from './smart-oauth.js';
import {
getPatient,
searchConditions,
searchMedicationRequests,
searchAllergyIntolerances,
searchObservations,
searchDocumentReferences,
bundleEntries,
fetchAllPages,
type FhirResource,
type FhirRequest,
} from './fhir-client.js';
import { assembleChartContext, chartIsEmpty, emptyChart, type Chart } from './chart.js';
import { ACTIONS, isActionId, runAction, listModels } from './hanzo.js';
import { scopeString } from './config.js';
import { getApiKey, setApiKey, bearer, validateKey } from './auth.js';
const $ = <T extends HTMLElement = HTMLElement>(id: string) => document.getElementById(id) as T;
const STATE_KEY = 'hanzo.epic.oauthState';
const VERIFIER_KEY = 'hanzo.epic.pkceVerifier';
// The panel's live SMART context (non-PHI parts) once authenticated.
interface Session {
patient: string;
scope: string;
}
let controller: AbortController | null = null;
let session: Session | null = null;
let chartContext = '';
window.addEventListener('DOMContentLoaded', () => void boot());
// boot decides which phase of the launch we are in: a callback (we have a code),
// a launch (we have iss/launch — start authorize), or a cold open (show the
// standalone launcher). Then wires the UI.
async function boot(): Promise<void> {
wireApiKey();
wireActions();
void populateModels();
const search = window.location.search;
const cb = parseCallback(search);
const launch = parseLaunch(search);
if (cb.error) {
status(`Launch declined: ${cb.errorDescription || cb.error}`, 'error');
return;
}
if (cb.code) {
await completeCallback(cb.code, cb.state);
return;
}
if (launch.iss || SMART_DEFAULT_ISS) {
await beginAuthorize(launch.iss || SMART_DEFAULT_ISS, launch.launch);
return;
}
status('Open this app from Epic, or configure a FHIR server to launch standalone.', 'warn');
}
// beginAuthorize mints PKCE + state, asks the server to discover Epic's
// endpoints, stores the verifier/state, and redirects the browser to authorize.
async function beginAuthorize(iss: string, launchToken: string): Promise<void> {
status('Connecting to the EHR…');
const pkce = await createPkce();
const state = crypto.randomUUID();
sessionStorage.setItem(STATE_KEY, state);
sessionStorage.setItem(VERIFIER_KEY, pkce.verifier);
const prep = await postJson('/oauth/prepare', { iss, state, codeVerifier: pkce.verifier });
if (!prep.authorizationEndpoint) {
status('Could not discover the EHR OAuth endpoints.', 'error');
return;
}
window.location.href = authorizeUrl({
authorizationEndpoint: prep.authorizationEndpoint,
clientId: SMART_CLIENT_ID,
redirectUri: SMART_REDIRECT_URI,
aud: iss,
scope: scopeString(),
state,
codeChallenge: pkce.challenge,
launch: launchToken || undefined,
});
}
// completeCallback verifies state, posts code+state to the server (which does
// the secret+PKCE exchange and sets the session cookie), then loads the chart.
async function completeCallback(code: string, returnedState: string): Promise<void> {
const expected = sessionStorage.getItem(STATE_KEY) || '';
if (!expected || returnedState !== expected) {
status('OAuth state mismatch — refusing to continue.', 'error');
return;
}
sessionStorage.removeItem(STATE_KEY);
sessionStorage.removeItem(VERIFIER_KEY);
status('Completing sign-in…');
const out = await postJson('/oauth/callback', { code, state: returnedState });
if (out.error || !out.patient) {
status(`Sign-in failed: ${out.error || 'no patient context'}`, 'error');
return;
}
// Clean the code/state out of the URL bar (never leave an auth code in history).
window.history.replaceState({}, document.title, window.location.pathname);
session = { patient: out.patient, scope: out.scope || '' };
await loadChart();
}
// loadChart pulls the launched patient's chart through the proxy and assembles
// the clinical context. Every FHIR read goes through /fhir — the browser never
// holds the FHIR token. Reads run concurrently; each is independent.
async function loadChart(): Promise<void> {
if (!session) return;
status('Loading patient chart…');
const patientId = session.patient;
// The FHIR base/token live server-side; the request wrappers here shape a
// RELATIVE path the proxy resolves. token/base are placeholders the proxy
// replaces, so we pass empty strings and send only the resolved path.
const rel = (req: FhirRequest) => proxyPath(req.url);
const chart: Chart = emptyChart();
try {
const [patient, conditions, meds, allergies, obs, docs] = await Promise.all([
proxyGet(rel(getPatient('', '', patientId))),
proxyGetAll(searchConditions(sp(patientId))),
proxyGetAll(searchMedicationRequests(sp(patientId))),
proxyGetAll(searchAllergyIntolerances(sp(patientId))),
proxyGetAll(searchObservations(sp(patientId))),
proxyGetAll(searchDocumentReferences(sp(patientId))),
]);
chart.patient = (patient as FhirResource)?.resourceType === 'Patient' ? (patient as FhirResource) : undefined;
chart.conditions = conditions;
chart.medications = meds;
chart.allergies = allergies;
chart.observations = obs;
chart.documents = docs;
} catch (e: unknown) {
status(`Could not load the chart: ${(e as Error).message}`, 'error');
return;
}
chartContext = assembleChartContext(chart);
const label = chart.patient
? summarizeHeader(chart.patient)
: `Patient ${patientId}`;
$('patient-title').textContent = label;
status(chartIsEmpty(chart) ? 'Chart loaded (no clinical data recorded).' : 'Chart loaded.', 'ok');
setActionsEnabled(true);
}
// sp builds a patient-scoped SearchParams with empty base/token — the proxy
// supplies both. Only the relative path matters here.
function sp(patientId: string) {
return { base: '', token: '', patientId };
}
// proxyPath turns a FHIR request URL (which the wrappers built with an empty
// base, so it is like `/Condition?patient=…`) into the proxy query. The wrappers
// prepend the normalized base; with an empty base the URL is just the path.
function proxyPath(fhirUrl: string): string {
const path = fhirUrl.replace(/^\/+/, '');
return `/fhir?path=${encodeURIComponent(path)}`;
}
// proxyGet does one proxied FHIR read and returns the parsed resource/Bundle.
async function proxyGet(path: string): Promise<unknown> {
const resp = await fetch(path, { credentials: 'same-origin' });
if (!resp.ok) throw new Error(`FHIR proxy ${resp.status}`);
return resp.json();
}
// proxyGetAll pages a search to completion through the proxy, following the
// Bundle `next` links (rewritten as proxy paths). Returns the flattened
// resources. Uses fetchAllPages' Bundle logic via a proxy-backed fetch.
async function proxyGetAll(first: FhirRequest): Promise<FhirResource[]> {
const doFetch: typeof fetch = async (input) => {
const raw = typeof input === 'string' ? input : (input as Request).url;
// `raw` is either our first relative path or an absolute FHIR `next` URL;
// both go through the proxy by path.
return fetch(proxyPath(raw), { credentials: 'same-origin' }) as Promise<Response>;
};
return fetchAllPages({ ...first, url: first.url.replace(/^\/+/, '') }, '', { doFetch });
}
// summarizeHeader renders a short patient label for the panel header from a
// Patient resource (name only — the sensitive detail stays in the chart body).
function summarizeHeader(patient: FhirResource): string {
const p = patient as { name?: Array<{ text?: string; given?: string[]; family?: string }> };
const n = Array.isArray(p.name) ? p.name[0] : undefined;
if (n?.text) return n.text;
const given = Array.isArray(n?.given) ? n!.given!.join(' ') : '';
return `${given} ${n?.family ?? ''}`.trim() || 'Patient';
}
// ── Actions ────────────────────────────────────────────────────────────────
function wireActions(): void {
const chipRow = $('chips');
for (const a of ACTIONS) {
const b = document.createElement('button');
b.className = 'chip';
b.textContent = a.label;
b.dataset.action = a.id;
b.disabled = true;
b.onclick = () => void run(a.id);
chipRow.appendChild(b);
}
$<HTMLButtonElement>('stop').onclick = () => controller?.abort();
}
function setActionsEnabled(on: boolean): void {
for (const el of document.querySelectorAll<HTMLButtonElement>('.chip')) el.disabled = !on;
}
// run executes one action over the assembled chart context. Requires a loaded
// chart; a prompt-taking action reads the detail box.
async function run(id: string): Promise<void> {
if (!isActionId(id)) return;
if (!chartContext) {
status('Load a patient chart first (launch from Epic).', 'warn');
return;
}
const def = ACTIONS.find((a) => a.id === id)!;
const detail = $<HTMLTextAreaElement>('prompt').value.trim();
if (def.needsPrompt && id === 'ask' && !detail) {
status('Type a question about this patient.', 'warn');
return;
}
controller?.abort();
controller = new AbortController();
const outputEl = $<HTMLTextAreaElement>('output');
outputEl.value = '';
status(`Running “${def.label}”…`);
$<HTMLButtonElement>('stop').disabled = false;
setActionsEnabled(false);
const model = $<HTMLSelectElement>('model').value || undefined;
try {
const text = await runAction({
id,
detail,
chartContext,
opts: { token: bearer(), model, signal: controller.signal },
});
outputEl.value = text;
status('Done. Review before use — decision support, not a diagnosis.', 'ok');
} catch (e: unknown) {
if ((e as Error).name === 'AbortError') status('Stopped.', 'warn');
else status(`Error: ${(e as Error).message}`, 'error');
} finally {
$<HTMLButtonElement>('stop').disabled = true;
setActionsEnabled(true);
}
}
// ── Hanzo key + models ─────────────────────────────────────────────────────
function wireApiKey(): void {
const apiKeyEl = $<HTMLInputElement>('apikey');
apiKeyEl.value = getApiKey();
$<HTMLButtonElement>('savekey').onclick = async () => {
const key = apiKeyEl.value.trim();
try {
const models = await validateKey(key);
setApiKey(key);
fillModels(models);
status('Hanzo API key saved.', 'ok');
} catch (e: unknown) {
status(`Key rejected: ${(e as Error).message}`, 'error');
}
};
}
async function populateModels(): Promise<void> {
try {
fillModels(await listModels({ token: bearer() }));
} catch {
/* anonymous / offline — the picker stays with its default option */
}
}
function fillModels(ids: string[]): void {
const sel = $<HTMLSelectElement>('model');
const current = sel.value;
sel.innerHTML = '';
for (const id of ids) {
const o = document.createElement('option');
o.value = id;
o.textContent = id;
sel.appendChild(o);
}
if (current && ids.includes(current)) sel.value = current;
}
// ── Small helpers ──────────────────────────────────────────────────────────
async function postJson(path: string, body: unknown): Promise<any> {
const resp = await fetch(path, {
method: 'POST',
headers: { 'Content-Type': 'application/json' },
credentials: 'same-origin',
body: JSON.stringify(body),
});
return resp.json().catch(() => ({ error: `HTTP ${resp.status}` }));
}
function status(msg: string, kind: '' | 'ok' | 'warn' | 'error' = ''): void {
const el = $('status');
el.textContent = msg;
el.className = `status${kind ? ` ${kind}` : ''}`;
}
// Re-export a couple of pure helpers the panel uses so the module boundary is
// explicit (and so a smoke test can import this file under a DOM shim if needed).
export { bundleEntries };
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// The HANZO-gateway credential for the web panel — the zero-setup pasted-key
// path. This is ONLY the Hanzo model-gateway bearer (an `hk-…` key or an IAM
// token); it is emphatically NOT the FHIR/PHI token. The FHIR access token lives
// server-side (server.ts) and is never handled here — the panel holds only the
// opaque server session cookie for FHIR reads. So a leaked localStorage key
// exposes a Hanzo gateway key, never PHI.
//
// Mirrors @hanzo/docusign / @hanzo/pdf exactly (one way to hold a Hanzo key): a
// key pasted into the panel, validated by a real /v1/models call so a bad key is
// rejected at paste time.
import { APIKEY_STORAGE_KEY, pickBearer } from './config.js';
import { listModels } from './hanzo.js';
export function getApiKey(): string {
try {
return localStorage.getItem(APIKEY_STORAGE_KEY) || '';
} catch {
return '';
}
}
export function setApiKey(key: string): void {
try {
const k = key.trim();
if (k) localStorage.setItem(APIKEY_STORAGE_KEY, k);
else localStorage.removeItem(APIKEY_STORAGE_KEY);
} catch {
/* private-mode / storage disabled — the in-memory key still works this session */
}
}
export function hasApiKey(): boolean {
return !!getApiKey();
}
// bearer is the credential the chat call sends to the HANZO gateway: the pasted
// key, else empty (anonymous public models). When Hanzo IAM OAuth lands it slots
// in as the second argument to pickBearer with no change to callers.
export function bearer(): string {
return pickBearer(getApiKey(), '');
}
// validateKey confirms a pasted key works by listing models with it. Returns the
// model ids on success so the caller populates the picker in one round-trip;
// throws with the gateway's message on failure. Empty key → clear message.
export async function validateKey(key: string): Promise<string[]> {
const k = key.trim();
if (!k) throw new Error('Enter a Hanzo API key (hk-…).');
return listModels({ token: k });
}
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// Turning raw FHIR R4 resources into the clinical-context TEXT handed to Hanzo —
// PURE and fully unit-tested (no network, no DOM, no @hanzo/ai). This is the
// clinical-reasoning core: it reads the messy, deeply-nested FHIR shapes
// (CodeableConcepts, references, effective[x] polymorphism) and renders a
// compact, honest, human-readable chart that a model can reason over and a
// clinician can eyeball.
//
// Two responsibilities, kept separate:
// 1. per-resource extraction — one small pure function per resource type that
// pulls the clinically-relevant fields into a flat, display-ready row.
// 2. assembly + windowing — compose the sections into a single string capped
// at a character budget, truncating VISIBLY (never silently) and section by
// section so the most important sections (problems, meds, allergies)
// survive when a chart is huge.
//
// The model's context window is finite and a real chart can be enormous, so we
// window honestly: cap each section's row count and the whole assembled text,
// and mark every truncation so the model — and the reviewing clinician — know
// what was elided.
import type { FhirResource } from './fhir-client.js';
// ── FHIR primitive extractors (pure) ───────────────────────────────────────
// codeableText renders a FHIR CodeableConcept to a display string: prefer its
// `text`, else the first coding's `display`, else the first coding's `code`.
// This is the single place the CodeableConcept shape is decoded, so every
// section reads a code the same way. Pure.
export function codeableText(concept: unknown): string {
const c = concept as {
text?: unknown;
coding?: Array<{ display?: unknown; code?: unknown }>;
};
if (typeof c?.text === 'string' && c.text.trim()) return c.text.trim();
const coding = Array.isArray(c?.coding) ? c.coding[0] : undefined;
if (typeof coding?.display === 'string' && coding.display.trim()) return coding.display.trim();
if (typeof coding?.code === 'string' && coding.code.trim()) return coding.code.trim();
return '';
}
// effectiveDate pulls the clinically-relevant date off a resource's polymorphic
// effective[x]/onset[x]/authoredOn/recordedDate, tolerating the several field
// names FHIR uses across resource types. Returns '' when none is present. Pure.
export function effectiveDate(res: FhirResource): string {
const r = res as Record<string, unknown>;
const period = r.effectivePeriod as { start?: unknown } | undefined;
const candidates = [
r.effectiveDateTime,
period?.start,
r.onsetDateTime,
r.authoredOn,
r.recordedDate,
r.issued,
];
for (const v of candidates) {
if (typeof v === 'string' && v.trim()) return v.trim();
}
return '';
}
// ── Per-resource rows (pure) ───────────────────────────────────────────────
// summarizePatient renders a Patient into the demographic header lines. Reads
// the R4 name/gender/birthDate. Uses the FIRST official/usual name. Pure.
export function summarizePatient(patient: FhirResource | undefined): string[] {
if (!patient) return [];
const p = patient as {
name?: Array<{ text?: string; given?: string[]; family?: string; use?: string }>;
gender?: string;
birthDate?: string;
};
const lines: string[] = [];
const name = pickName(p.name);
if (name) lines.push(`Name: ${name}`);
if (typeof p.gender === 'string' && p.gender) lines.push(`Sex: ${p.gender}`);
if (typeof p.birthDate === 'string' && p.birthDate) lines.push(`DOB: ${p.birthDate}`);
return lines;
}
// pickName renders a HumanName[]: prefer a `text`, else "Given Family" from the
// first name that has parts. Pure.
function pickName(names: Array<{ text?: string; given?: string[]; family?: string }> | undefined): string {
if (!Array.isArray(names)) return '';
for (const n of names) {
if (typeof n.text === 'string' && n.text.trim()) return n.text.trim();
const given = Array.isArray(n.given) ? n.given.join(' ') : '';
const full = `${given} ${n.family ?? ''}`.trim();
if (full) return full;
}
return '';
}
// conditionRow renders a Condition (problem) to one line: its name, clinical
// status, and onset date. Pure.
export function conditionRow(res: FhirResource): string {
const r = res as { clinicalStatus?: unknown };
const name = codeableText((res as { code?: unknown }).code) || 'Unnamed condition';
const status = codeableText(r.clinicalStatus);
const onset = effectiveDate(res);
return joinRow([name, status && `(${status})`, onset && `onset ${onset}`]);
}
// medicationRow renders a MedicationRequest to one line: the drug (from
// medicationCodeableConcept, or the display of a contained/referenced
// Medication), status, and dosage text when present. Pure.
export function medicationRow(res: FhirResource): string {
const r = res as {
medicationCodeableConcept?: unknown;
medicationReference?: { display?: string };
status?: string;
dosageInstruction?: Array<{ text?: string }>;
};
const drug =
codeableText(r.medicationCodeableConcept) ||
(typeof r.medicationReference?.display === 'string' ? r.medicationReference.display : '') ||
'Unnamed medication';
const status = typeof r.status === 'string' ? r.status : '';
const dosage = Array.isArray(r.dosageInstruction)
? (r.dosageInstruction.find((d) => typeof d.text === 'string' && d.text)?.text ?? '')
: '';
return joinRow([drug, dosage && `${dosage}`, status && `(${status})`]);
}
// allergyRow renders an AllergyIntolerance to one line: the substance, clinical
// status, criticality, and the first reaction's manifestation when present.
// Pure.
export function allergyRow(res: FhirResource): string {
const r = res as {
clinicalStatus?: unknown;
criticality?: string;
reaction?: Array<{ manifestation?: unknown[] }>;
};
const substance = codeableText((res as { code?: unknown }).code) || 'Unknown allergen';
const status = codeableText(r.clinicalStatus);
const criticality = typeof r.criticality === 'string' ? r.criticality : '';
const manifestation =
Array.isArray(r.reaction) && Array.isArray(r.reaction[0]?.manifestation)
? codeableText(r.reaction[0]!.manifestation![0])
: '';
return joinRow([
substance,
manifestation && `${manifestation}`,
criticality && `[${criticality}]`,
status && `(${status})`,
]);
}
// observationRow renders an Observation (lab/vital) to one line: the test name,
// the value (valueQuantity with unit, or valueCodeableConcept / valueString),
// and the date. Pure.
export function observationRow(res: FhirResource): string {
const name = codeableText((res as { code?: unknown }).code) || 'Observation';
const value = observationValue(res);
const date = effectiveDate(res);
return joinRow([name, value && `= ${value}`, date && `(${date})`]);
}
// observationValue decodes an Observation's polymorphic value[x]: a
// valueQuantity ("7.2 mg/dL"), a valueCodeableConcept, or a valueString. Pure.
export function observationValue(res: FhirResource): string {
const r = res as {
valueQuantity?: { value?: unknown; unit?: unknown };
valueCodeableConcept?: unknown;
valueString?: unknown;
};
if (r.valueQuantity && r.valueQuantity.value !== undefined) {
const v = r.valueQuantity.value;
const unit = typeof r.valueQuantity.unit === 'string' ? r.valueQuantity.unit : '';
return unit ? `${v} ${unit}` : String(v);
}
const coded = codeableText(r.valueCodeableConcept);
if (coded) return coded;
if (typeof r.valueString === 'string' && r.valueString.trim()) return r.valueString.trim();
return '';
}
// documentRow renders a DocumentReference to one line: its type/description and
// date. The note BYTES are not inlined here (they may be large binaries or
// attachments requiring a separate fetch); the model gets the note's existence,
// type, and date so it can reference it honestly. Pure.
export function documentRow(res: FhirResource): string {
const r = res as { type?: unknown; description?: string; date?: string };
const type = codeableText(r.type) || (typeof r.description === 'string' ? r.description : '') || 'Clinical note';
const date = typeof r.date === 'string' ? r.date : effectiveDate(res);
return joinRow([type, date && `(${date})`]);
}
// joinRow joins the non-empty cells of a row with single spaces. Pure — the
// per-resource rows all funnel through it so falsy cells never leave gaps.
function joinRow(cells: Array<string | false | undefined>): string {
return cells.filter((c): c is string => typeof c === 'string' && c.length > 0).join(' ');
}
// ── The assembled chart ────────────────────────────────────────────────────
// A patient's chart as this app consumes it — the Patient plus the four/five
// resource lists pulled via the FHIR client. Any list may be empty.
export interface Chart {
patient?: FhirResource;
conditions: FhirResource[];
medications: FhirResource[];
allergies: FhirResource[];
observations: FhirResource[];
documents: FhirResource[];
}
// emptyChart — a zero-value Chart, so callers can build incrementally. Pure.
export function emptyChart(): Chart {
return { conditions: [], medications: [], allergies: [], observations: [], documents: [] };
}
// Windowing budgets. Per-section row caps keep any one section (e.g. hundreds of
// lab results) from crowding out the problem list; the total char cap fits the
// assembled chart into a model window alongside the response. Chosen honest, not
// optimal — we truncate VISIBLY.
export const MAX_ROWS_PER_SECTION = 40;
export const MAX_CONTEXT_CHARS = 48_000;
// A section: a heading, the resources, and the row renderer. Ordered most- to
// least- clinically-critical so truncation drops the least important first.
interface Section {
heading: string;
resources: FhirResource[];
row: (r: FhirResource) => string;
}
// renderSection renders one section's heading + capped rows. When the section has
// more resources than the cap, it appends a visible "…N more" line so the model
// knows the list was truncated. Empty sections render a single "none recorded"
// line so their ABSENCE is explicit (a blank problem list is clinically
// meaningful — don't let the model assume data was withheld). Pure.
export function renderSection(s: Section, maxRows = MAX_ROWS_PER_SECTION): string {
const lines: string[] = [`## ${s.heading}`];
if (s.resources.length === 0) {
lines.push('(none recorded)');
return lines.join('\n');
}
const shown = s.resources.slice(0, maxRows);
for (const r of shown) {
const row = s.row(r);
if (row) lines.push(`- ${row}`);
}
const extra = s.resources.length - shown.length;
if (extra > 0) lines.push(`- …and ${extra} more not shown`);
return lines.join('\n');
}
// assembleChartContext renders a Chart into the single clinical-context string
// handed to Hanzo. Demographics first, then the sections in clinical priority
// order; the whole thing is capped at `maxChars` with a VISIBLE truncation
// marker. Pure and deterministic — the exact text a test asserts is the exact
// text sent to the model. Contains PHI: it is assembled in memory and sent ONLY
// to api.hanzo.ai (never logged).
export function assembleChartContext(chart: Chart, maxChars = MAX_CONTEXT_CHARS): string {
const blocks: string[] = [];
const demo = summarizePatient(chart.patient);
blocks.push(['# Patient', ...(demo.length ? demo : ['(no demographics available)'])].join('\n'));
const sections: Section[] = [
{ heading: 'Problems', resources: chart.conditions, row: conditionRow },
{ heading: 'Medications', resources: chart.medications, row: medicationRow },
{ heading: 'Allergies', resources: chart.allergies, row: allergyRow },
{ heading: 'Recent labs & vitals', resources: chart.observations, row: observationRow },
{ heading: 'Clinical notes', resources: chart.documents, row: documentRow },
];
for (const s of sections) blocks.push(renderSection(s));
return truncate(blocks.join('\n\n'), maxChars);
}
// truncate cuts text to a max length, appending a visible marker so the model
// (and a reviewing clinician) know content was elided. Pure.
export function truncate(text: string, max: number): string {
if (text.length <= max) return text;
return text.slice(0, max) + `\n…[chart truncated: ${text.length - max} chars omitted]`;
}
// chartIsEmpty reports whether a chart has NOTHING beyond possibly a Patient —
// so the UI can say "no clinical data for this patient" instead of asking the
// model to summarize a blank chart. Pure.
export function chartIsEmpty(chart: Chart): boolean {
return (
chart.conditions.length === 0 &&
chart.medications.length === 0 &&
chart.allergies.length === 0 &&
chart.observations.length === 0 &&
chart.documents.length === 0
);
}
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// Epic / SMART-on-FHIR config — the two backends this app talks to and nothing
// else. Hanzo (the model gateway, api.hanzo.ai/v1, via @hanzo/ai) and the FHIR
// server (Epic or any SMART-on-FHIR EHR), whose OAuth + REST endpoints are
// DISCOVERED at runtime from the launch `iss` — never hard-coded, because a
// SMART app must run against whatever FHIR server launched it (an Epic org, the
// fhir.epic.com sandbox, or a non-Epic EHR).
//
// Rule: no `/api/` prefix on Hanzo (it IS api.hanzo.ai); the FHIR base comes
// from `iss`, appended with `/Patient`, `/Condition`, etc. Secrets never live
// here — the SMART app's client_secret (confidential apps) is read from the
// environment by server.ts, never bundled and never sent to the browser.
// ── Hanzo model gateway ───────────────────────────────────────────────────
// Where the Hanzo model gateway lives. `@hanzo/ai` defaults here too. /v1 only,
// never an /api/ prefix (api.hanzo.ai IS the api host).
export const HANZO_API_BASE_URL = 'https://api.hanzo.ai';
// Default model. A Zen model (qwen3+). Overridable per-request via the picker;
// the gateway routes it.
export const DEFAULT_MODEL = 'zen5';
// localStorage key for the pasted Hanzo API key (`hk-…`) in the web panel. The
// SMART app launches as a static web page (iframe/browser), not an EHR host with
// server-side storage, so the zero-setup Hanzo credential lives in localStorage —
// same as @hanzo/pdf and @hanzo/docusign. NOTE: this is the HANZO gateway key,
// NOT the FHIR/PHI token — the FHIR token stays server-side (see server.ts).
export const APIKEY_STORAGE_KEY = 'hanzo.epic.apiKey';
// pickBearer chooses the credential to send to the Hanzo gateway: a pasted API
// key wins over an IAM token (an explicit key is a deliberate override), else
// the token, else empty (anonymous — the gateway still serves public models).
// Pure — unit-tested.
export function pickBearer(apiKey: string, iamToken: string): string {
return (apiKey && apiKey.trim()) || (iamToken && iamToken.trim()) || '';
}
// ── SMART on FHIR ──────────────────────────────────────────────────────────
//
// SMART scopes this app requests. It is READ + ASSIST ONLY in v1 — there is NO
// `*.write` scope, so a bug can never mutate a patient's chart. `launch` is for
// the EHR-launch flow (Epic passes a `launch` token that carries the patient
// context); `launch/patient` is the standalone-launch equivalent that asks the
// user to pick a patient. `openid`+`fhirUser` identify the launching clinician;
// `patient/<Resource>.read` grants read of the launched patient's chart only.
//
// Kept as an ordered array so the scope string is deterministic (stable tests,
// stable authorize URLs). `offline_access` requests a refresh_token so a long
// review session survives the access token's ~1h lifetime.
export const SMART_SCOPES = [
'launch',
'launch/patient',
'openid',
'fhirUser',
'offline_access',
'patient/Patient.read',
'patient/Condition.read',
'patient/MedicationRequest.read',
'patient/Observation.read',
'patient/AllergyIntolerance.read',
'patient/DocumentReference.read',
] as const;
// scopeString renders the requested scopes into the space-delimited form the
// SMART authorize endpoint expects. Pure.
export function scopeString(scopes: readonly string[] = SMART_SCOPES): string {
return scopes.join(' ');
}
// The SMART discovery document path. A conformant SMART-on-FHIR server publishes
// its authorize/token endpoints (and capabilities) at
// `<iss>/.well-known/smart-configuration`. We NEVER guess these; we read them.
export const SMART_CONFIG_PATH = '.well-known/smart-configuration';
// smartConfigUrl derives the discovery URL from the FHIR base (`iss`). Trailing
// slashes on `iss` are normalized so the join is exact. Pure.
export function smartConfigUrl(iss: string): string {
return `${normalizeBase(iss)}/${SMART_CONFIG_PATH}`;
}
// normalizeBase strips trailing slashes from a base/iss so callers append
// `/<Resource>` or `/.well-known/...` without doubling the separator. Pure.
export function normalizeBase(base: string): string {
return base.replace(/\/+$/, '');
}
// The Epic App Orchard / sandbox FHIR bases, for documentation + a default in
// standalone launch. In an EHR launch the real `iss` arrives in the URL and
// overrides any default — this table is only a convenience for standalone
// testing against Epic's public sandbox.
export const EPIC_SANDBOX_FHIR_BASE =
'https://fhir.epic.com/interconnect-fhir-oauth/api/FHIR/R4';
// FHIR resource path segments this app reads. Named so the FHIR client and the
// tests reference ONE set of names (no drift between the request builder and the
// scope list above).
export const FHIR_RESOURCES = {
Patient: 'Patient',
Condition: 'Condition',
MedicationRequest: 'MedicationRequest',
Observation: 'Observation',
AllergyIntolerance: 'AllergyIntolerance',
DocumentReference: 'DocumentReference',
} as const;
export type FhirResourceType = keyof typeof FHIR_RESOURCES;
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// FHIR R4 client. Every wrapper is PURE request-shaping — it returns the
// { url, method, headers } a caller will fetch, so the wire contract (path,
// `patient=` scoping, `_count`, category filters) is unit-testable without a
// network. `fhirFetch` at the bottom is the one thin place that actually hits
// the FHIR server; `bundleEntries` / `nextPageUrl` are the pure Bundle helpers
// that drive pagination.
//
// FHIR R4 conventions this encodes:
// - Bearer token auth; Accept: application/fhir+json.
// - A patient-context read scopes EVERY search with `patient=<id>` so the app
// can only ever see the launched patient (defence-in-depth over the
// `patient/*.read` scope — the server enforces it too).
// - A search returns a `Bundle`; its resources are `entry[].resource`, and the
// NEXT page is the `link` whose `relation` is `next` (a full, absolute URL).
// - `_count` caps page size; we never over-fetch.
import { FHIR_RESOURCES, normalizeBase, type FhirResourceType } from './config.js';
export interface FhirRequest {
url: string;
method: 'GET';
headers: Record<string, string>;
}
// baseHeaders — auth + the FHIR JSON accept on every read. Reads only, so no
// content-type. Pure.
function baseHeaders(token: string): Record<string, string> {
return {
Authorization: `Bearer ${token}`,
Accept: 'application/fhir+json',
};
}
// buildQuery renders a query string from a params object, dropping undefined /
// empty values and joining array-valued params with commas (the form FHIR wants
// for multi-valued search params like `category`). Deterministic key order for
// stable tests. Pure.
function buildQuery(params: Record<string, string | number | string[] | undefined>): string {
const q = new URLSearchParams();
for (const key of Object.keys(params)) {
const v = params[key];
if (v === undefined || v === '') continue;
q.set(key, Array.isArray(v) ? v.join(',') : String(v));
}
const s = q.toString();
return s ? `?${s}` : '';
}
// resourceUrl builds `<base>/<ResourceType>` (a search root) or, with an id,
// `<base>/<ResourceType>/<id>` (a single-resource read). Pure.
export function resourceUrl(base: string, type: FhirResourceType, id?: string): string {
const root = `${normalizeBase(base)}/${FHIR_RESOURCES[type]}`;
return id ? `${root}/${encodeURIComponent(id)}` : root;
}
// A sensible default page size. The chart-review actions want breadth, not
// depth; a page of 50 with pagination covers a real patient without a giant
// single response.
export const DEFAULT_COUNT = 50;
// ── Single-patient read ────────────────────────────────────────────────────
// getPatient reads the launched patient by id — `Patient/<id>`. The one FHIR
// read that is NOT a search (it targets the resource directly). Pure.
export function getPatient(base: string, token: string, patientId: string): FhirRequest {
return {
url: resourceUrl(base, 'Patient', patientId),
method: 'GET',
headers: baseHeaders(token),
};
}
// ── Patient-scoped searches ────────────────────────────────────────────────
export interface SearchParams {
base: string;
token: string;
patientId: string;
count?: number;
// A cursor: the full `next` URL from a previous Bundle. When present it is
// used VERBATIM (it already carries the server's opaque paging state) and the
// other params are ignored — that is how FHIR pagination works.
pageUrl?: string;
// Optional resource-specific filters (e.g. Observation category). Merged into
// the query. Values are strings or string[] (comma-joined).
extra?: Record<string, string | string[] | undefined>;
}
// searchRequest is the shared shaper for every patient-scoped search: either the
// verbatim `pageUrl` (pagination) or `<base>/<Type>?patient=<id>&_count=…&…`.
// Every search is scoped by `patient=` — the app cannot search across patients.
// Pure.
function searchRequest(type: FhirResourceType, p: SearchParams): FhirRequest {
if (p.pageUrl) {
return { url: p.pageUrl, method: 'GET', headers: baseHeaders(p.token) };
}
const query = buildQuery({
patient: p.patientId,
_count: p.count ?? DEFAULT_COUNT,
...(p.extra ?? {}),
});
return {
url: `${resourceUrl(p.base, type)}${query}`,
method: 'GET',
headers: baseHeaders(p.token),
};
}
// searchConditions reads the patient's problem list (Condition). Pure.
export function searchConditions(p: SearchParams): FhirRequest {
return searchRequest('Condition', p);
}
// searchMedicationRequests reads the patient's medications (MedicationRequest).
// Pure.
export function searchMedicationRequests(p: SearchParams): FhirRequest {
return searchRequest('MedicationRequest', p);
}
// searchAllergyIntolerances reads the patient's allergies (AllergyIntolerance).
// Pure.
export function searchAllergyIntolerances(p: SearchParams): FhirRequest {
return searchRequest('AllergyIntolerance', p);
}
// searchObservations reads the patient's Observations (labs/vitals). `category`
// (e.g. 'laboratory', 'vital-signs') narrows the set — Epic wants a category on
// an Observation search, so it defaults to laboratory+vital-signs unless the
// caller overrides. Pure.
export function searchObservations(
p: SearchParams & { category?: string | string[] },
): FhirRequest {
const category = p.category ?? ['laboratory', 'vital-signs'];
return searchRequest('Observation', {
...p,
extra: { ...(p.extra ?? {}), category },
});
}
// searchDocumentReferences reads the patient's clinical notes (DocumentReference).
// Pure.
export function searchDocumentReferences(p: SearchParams): FhirRequest {
return searchRequest('DocumentReference', p);
}
// ── Bundle helpers (pure) ──────────────────────────────────────────────────
// A minimal FHIR R4 resource — everything carries `resourceType`; the rest is
// resource-specific and read by chart.ts.
export interface FhirResource {
resourceType: string;
id?: string;
[key: string]: unknown;
}
// A FHIR searchset Bundle (only the fields we read).
export interface FhirBundle {
resourceType: 'Bundle';
type?: string;
total?: number;
entry?: Array<{ resource?: FhirResource; fullUrl?: string }>;
link?: Array<{ relation?: string; url?: string }>;
}
// isOperationOutcome reports whether a payload is a FHIR error (OperationOutcome)
// rather than the expected resource/Bundle. Used to surface the server's real
// diagnostics. Pure.
export function isOperationOutcome(payload: unknown): boolean {
return (payload as { resourceType?: string })?.resourceType === 'OperationOutcome';
}
// operationOutcomeMessage renders an OperationOutcome's issues into one line so a
// failure is diagnosable. Pure.
export function operationOutcomeMessage(payload: unknown): string {
const issues = (payload as { issue?: Array<{ diagnostics?: string; details?: { text?: string }; code?: string }> })
?.issue;
if (!Array.isArray(issues) || issues.length === 0) return 'FHIR OperationOutcome';
return issues
.map((i) => i.diagnostics || i.details?.text || i.code || 'issue')
.join('; ');
}
// bundleEntries pulls the resources out of a searchset Bundle's `entry[]`,
// dropping entries without a resource. Returns [] for a non-Bundle (e.g. a
// single-resource read passes through unchanged via readResource, not here).
// Pure.
export function bundleEntries(bundle: unknown): FhirResource[] {
const b = bundle as FhirBundle;
if (!Array.isArray(b?.entry)) return [];
return b.entry
.map((e) => e.resource)
.filter((r): r is FhirResource => !!r && typeof r.resourceType === 'string');
}
// nextPageUrl returns the absolute URL of the Bundle's next page — the `link`
// whose relation is `next` — or '' when this is the last page. This is the ONLY
// correct pagination cursor in FHIR (never construct it by hand). Pure.
export function nextPageUrl(bundle: unknown): string {
const links = (bundle as FhirBundle)?.link;
if (!Array.isArray(links)) return '';
const next = links.find((l) => l?.relation === 'next');
return typeof next?.url === 'string' ? next.url : '';
}
// ── The one thin network place ─────────────────────────────────────────────
// fhirFetch executes a shaped FhirRequest and returns the parsed JSON (a Bundle
// or a resource). Throws on an OperationOutcome or a non-2xx with the server's
// diagnostics, so failures are diagnosable — WITHOUT logging the body (it is
// PHI). `doFetch` is injectable (tests / non-global-fetch runtimes). NEVER logs
// the response.
export async function fhirFetch(req: FhirRequest, doFetch: typeof fetch = fetch): Promise<unknown> {
const resp = await doFetch(req.url, { method: req.method, headers: req.headers });
const text = await resp.text();
let data: unknown;
try {
data = text ? JSON.parse(text) : {};
} catch {
// Do NOT echo the body — it may be PHI. Status + a length hint only.
throw new Error(`FHIR ${resp.status}: non-JSON response (${text.length} bytes)`);
}
if (isOperationOutcome(data)) {
throw new Error(`FHIR ${resp.status}: ${operationOutcomeMessage(data)}`);
}
if (!resp.ok) {
throw new Error(`FHIR ${resp.status}: request failed`);
}
return data;
}
// fetchAllPages walks a patient-scoped search to completion, following the
// Bundle `next` links, and returns the flattened resources. `firstRequest` is
// the initial FhirRequest (from a search* wrapper); each subsequent page reuses
// the same bearer via `token`. A `maxPages` guard (default 20) bounds a runaway
// or hostile server. `doFetch` is injectable. Returns resources only — the
// caller never touches Bundle plumbing.
export async function fetchAllPages(
firstRequest: FhirRequest,
token: string,
opts: { maxPages?: number; doFetch?: typeof fetch } = {},
): Promise<FhirResource[]> {
const maxPages = opts.maxPages ?? 20;
const doFetch = opts.doFetch ?? fetch;
const out: FhirResource[] = [];
let req: FhirRequest | null = firstRequest;
for (let page = 0; page < maxPages && req; page++) {
const bundle = await fhirFetch(req, doFetch);
for (const r of bundleEntries(bundle)) out.push(r);
const next = nextPageUrl(bundle);
req = next ? { url: next, method: 'GET', headers: baseHeaders(token) } : null;
}
return out;
}
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// The Hanzo call over a patient's CHART, and the four clinical AI actions — pure
// prompt/response shaping plus one thin async edge (the @hanzo/ai client). No
// DOM, no FHIR SDK, so the prompt builders and the response extraction are fully
// unit-testable without a network.
//
// This layers on the published headless SDK: `@hanzo/ai`'s `createAiClient`
// gives ONE call shape across every Hanzo surface —
// const ai = createAiClient({ token });
// const res = await ai.chat.completions.create({ model, messages });
// We import it directly (do NOT reimplement); the SDK defaults to
// https://api.hanzo.ai and `/v1/...`. `ai` is injectable so the four actions and
// their prompt builders are tested against a fake client with zero network.
//
// PHI posture: the assembled chart context (chart.ts) is PHI. It is sent ONLY to
// api.hanzo.ai as the model input and is NEVER logged here. There is no
// write-back to the EHR — these actions read the chart and return assistant text
// for the clinician to review.
import {
createAiClient,
type AiClient,
type ChatCompletion,
type ChatCompletionMessage,
} from '@hanzo/ai';
import { DEFAULT_MODEL, HANZO_API_BASE_URL } from './config.js';
// ── System prompt ──────────────────────────────────────────────────────────
// CLINICAL_SYSTEM_PROMPT frames Hanzo as a clinician's assistant working over a
// FHIR-derived chart. It FORBIDS inventing findings the chart doesn't support
// (the failure mode that makes a clinical assistant dangerous), demands honesty
// about a truncated chart, and states plainly that the output is decision
// SUPPORT the clinician reviews — not a diagnosis or an order.
export const CLINICAL_SYSTEM_PROMPT =
'You are Hanzo AI, a clinical assistant embedded in the clinician\'s EHR via ' +
'SMART on FHIR. You are given the launched patient\'s chart (problems, ' +
'medications, allergies, recent labs/vitals, and notes) as structured data. ' +
'Work ONLY from the chart provided — never invent diagnoses, medications, ' +
'allergies, lab values, or history that the chart does not support. When the ' +
'chart is marked truncated and a complete answer needs the omitted part, say ' +
'so plainly rather than guessing. Be precise, concise, and neutral, and use ' +
'standard clinical terminology. This is decision SUPPORT that the clinician ' +
'reviews and is responsible for — it is not a diagnosis, a treatment ' +
'recommendation to act on unreviewed, or a substitute for clinical judgment.';
// ── The four actions ───────────────────────────────────────────────────────
export type ActionId = 'summarize' | 'note' | 'extract' | 'ask';
// The action catalog — the single source of truth the UI chips and the prompt
// builder both read, so they never drift. `needsPrompt` flags the actions that
// take clinician-supplied detail (the note's reason-for-visit / the question).
export interface ActionDef {
id: ActionId;
label: string;
needsPrompt: boolean;
}
export const ACTIONS: readonly ActionDef[] = [
{ id: 'summarize', label: 'Summarize patient', needsPrompt: false },
{ id: 'note', label: 'Draft clinical note', needsPrompt: true },
{ id: 'extract', label: 'Extract problems & meds', needsPrompt: false },
{ id: 'ask', label: 'Ask about this patient', needsPrompt: true },
] as const;
// isActionId narrows an arbitrary string to an ActionId. Boundary guard. Pure.
export function isActionId(v: string): v is ActionId {
return ACTIONS.some((a) => a.id === v);
}
// actionTask renders an action's task instruction. `detail` is the
// clinician-supplied text for the two actions that need it (the note's
// reason-for-visit, the free-text question); the other two are fixed. Pure — the
// exact instruction a test asserts is the exact instruction sent to the model.
export function actionTask(id: ActionId, detail = ''): string {
const d = detail.trim();
switch (id) {
case 'summarize':
return (
'Write a concise clinical summary of this patient for a clinician ' +
'picking up their care. Cover the active problems, current medications, ' +
'allergies, and the most relevant recent labs/vitals, and flag anything ' +
'that stands out (e.g. an abnormal value, a high-risk allergy, a ' +
'medicationproblem mismatch). Do not invent anything not in the chart.'
);
case 'note':
return (
`Draft a clinical note in SOAP format (Subjective, Objective, ` +
`Assessment, Plan) for this encounter${
d ? `. Reason for visit / clinician input: ${d}` : ''
}. Populate Objective from the chart's labs, vitals, and active ` +
'problems; base the Assessment and Plan on the charted problems and ' +
'medications. Where the chart lacks information a real note needs (e.g. ' +
'the subjective history), write a clear placeholder for the clinician to ' +
'complete rather than fabricating it. The clinician reviews and signs ' +
'this note.'
);
case 'extract':
return (
'Extract this patient\'s active problems and current medications as two ' +
'structured lists. Problems: the condition and its status. Medications: ' +
'the drug, dose/route/frequency if stated, and status. Include only what ' +
'the chart contains; if a list is empty, say so plainly.'
);
case 'ask':
return d || 'What is the most important thing to know about this patient right now?';
}
}
// ── Message assembly (pure) ────────────────────────────────────────────────
// buildMessages composes the clinical system frame, the fenced chart context,
// and the task instruction into the OpenAI-compatible message list. The chart is
// FENCED so the model treats a patient's data as data, never as instructions
// (prompt-injection boundary — a note in the chart cannot redirect the model).
// Pure.
export function buildMessages(
task: string,
chartContext: string,
systemPrompt = CLINICAL_SYSTEM_PROMPT,
): ChatCompletionMessage[] {
const context = chartContext.trim();
const user: ChatCompletionMessage = {
role: 'user',
content: context
? `---- patient chart ----\n${context}\n---- end patient chart ----\n\n---- task ----\n${task}`
: task,
};
return [{ role: 'system', content: systemPrompt }, user];
}
// extractContent pulls the assistant text out of a ChatCompletion, tolerating an
// empty/odd shape. Throws on empty content so the caller surfaces a real failure
// rather than rendering a blank result. Pure.
export function extractContent(res: ChatCompletion): string {
const content = res?.choices?.[0]?.message?.content;
const text = typeof content === 'string' ? content : '';
if (!text) throw new Error('Hanzo API returned no content');
return text;
}
// ── The single call path ───────────────────────────────────────────────────
export interface AskOptions {
model?: string;
temperature?: number;
token?: string; // hk- key or IAM token; empty → anonymous/public models
baseUrl?: string;
/** Injected @hanzo/ai client (tests). Defaults to a real createAiClient. */
client?: AiClient;
signal?: AbortSignal;
system?: string;
}
// makeClient builds (or reuses an injected) @hanzo/ai client. One place decides
// how the SDK is configured, so every call is consistent. Pure but for the SDK
// construction.
function makeClient(opts: AskOptions): AiClient {
return (
opts.client ??
createAiClient({ token: opts.token, baseUrl: opts.baseUrl ?? HANZO_API_BASE_URL })
);
}
// ask runs ONE non-streaming completion over a chart and returns the assistant
// text. This is the single path from every Epic surface to the model — all four
// actions funnel through runAction → ask. Pure over the injected client.
export async function ask(task: string, chartContext: string, opts: AskOptions = {}): Promise<string> {
const client = makeClient(opts);
const res = await client.chat.completions.create({
model: opts.model ?? DEFAULT_MODEL,
messages: buildMessages(task, chartContext, opts.system),
stream: false,
...(opts.temperature !== undefined ? { temperature: opts.temperature } : {}),
}, { signal: opts.signal });
return extractContent(res);
}
export interface RunActionParams {
id: ActionId;
detail?: string; // note reason-for-visit / question
chartContext: string; // assembled by chart.assembleChartContext
opts?: AskOptions;
}
// runAction forms the task for an action and asks Hanzo over the chart. Returns
// the raw assistant text — there is NO write-back to the EHR (v1 is read +
// assist only), so the clinician reviews the output before it is used.
export async function runAction(p: RunActionParams): Promise<string> {
const task = actionTask(p.id, p.detail);
return ask(task, p.chartContext, p.opts);
}
// listModels returns the model ids the caller may route to, via the SDK's
// /v1/models. The catalog is org-scoped by the bearer; an empty token lists
// public models. Thin over the injected client.
export async function listModels(opts: AskOptions = {}): Promise<string[]> {
const client = makeClient(opts);
const models = await client.models.list({ signal: opts.signal });
return models.map((m) => m.id).filter((id): id is string => typeof id === 'string' && id.length > 0);
}
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1" />
<title>Hanzo AI for Epic</title>
<link rel="stylesheet" href="styles.css" />
</head>
<body>
<header>
<span class="title">Hanzo AI</span>
<select id="model" aria-label="Model"><option value="">default</option></select>
<span class="host" id="patient-title">Patient</span>
</header>
<!-- One-click clinical actions over the launched patient's chart. Chips are
built from the action catalog and enabled once the chart loads. -->
<div class="chips" id="chips"></div>
<label for="prompt">Ask about this patient · or add a reason-for-visit for the note</label>
<textarea id="prompt" placeholder="e.g. What are the abnormal recent labs? · 72yo for HTN follow-up · Any drug interactions to watch?"></textarea>
<div class="row">
<button id="stop" class="secondary" disabled>Stop</button>
<span class="spacer"></span>
</div>
<details>
<summary>Hanzo API key</summary>
<div class="row">
<input id="apikey" type="password" placeholder="hk-…" autocomplete="off" />
<button id="savekey" class="secondary">Save</button>
</div>
<div class="hint">The Hanzo model-gateway key. Not the FHIR token — patient data is read server-side and never leaves this app except to api.hanzo.ai.</div>
</details>
<div class="status" id="status">Launch this app from Epic to load a patient.</div>
<label for="output">Result</label>
<textarea id="output" placeholder="Hanzo's clinical assistance appears here." readonly></textarea>
<footer>Routed through api.hanzo.ai · grounded in the FHIR chart · decision support the clinician reviews — not a diagnosis. Read + assist only; no write-back to the EHR.</footer>
<script type="module" src="app.js"></script>
</body>
</html>
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// The SMART OAuth token-exchange + FHIR-proxy service. This is the ONLY place
// the confidential-app client_secret exists — it is read from the environment
// (never bundled, never sent to the browser). It is also where the PHI-bearing
// FHIR access token lives: the browser NEVER receives the FHIR token, so a PHI
// token can never leak into localStorage, a screenshot, or a browser log. The
// SPA holds only an opaque server session id; every FHIR read goes through the
// proxy here, which attaches the token server-side.
//
// A dependency-free Node http handler built on the pure modules (config,
// smart-oauth, fhir-client) so it deploys behind hanzoai/ingress as a small
// service at epic.hanzo.ai. Documented here; the PURE logic it wraps is what the
// tests cover (an http server is an integration concern, not a unit).
//
// node dist/server.js (after build.js bundles it)
//
// Required environment:
// SMART_CLIENT_ID — the SMART app's client id (public; also stamped into the SPA)
// SMART_REDIRECT_URI — e.g. https://epic.hanzo.ai/oauth/callback
// PORT — listen port (default 8791)
// Optional:
// SMART_CLIENT_SECRET — the confidential-app secret (SERVER ONLY). Omit for a
// public app (PKCE-only). Never bundled.
// SESSION_TTL_SECONDS — how long a server session lives (default 3600)
//
// PHI: this service NEVER logs a FHIR response body, an access token, a patient
// id, or any resource. It logs only non-PHI operational facts (a session id, a
// resource type, a status code).
import { createServer, type IncomingMessage, type ServerResponse } from 'node:http';
import { randomUUID } from 'node:crypto';
import { normalizeBase, smartConfigUrl } from './config.js';
import {
parseSmartConfiguration,
tokenExchange,
tokenRefresh,
parseTokenResponse,
isExpired,
type SmartContext,
type SmartConfiguration,
} from './smart-oauth.js';
// ── Environment ────────────────────────────────────────────────────────────
export interface ServerConfig {
/** SMART app client id (public). */
clientId: string;
/** Confidential-app secret (SERVER ONLY). Empty → public app (PKCE-only). */
clientSecret: string;
/** OAuth redirect registered on the app. */
redirectUri: string;
/** Server-session lifetime (ms). */
sessionTtlMs: number;
/** Listen port. */
port: number;
}
// readServerConfig fails fast (throws) if a required value is missing — a server
// that cannot exchange codes must not pretend to start. The client_secret is the
// one OPTIONAL field (a public app has none). Pure given an env map, so it is
// unit-tested without touching process.env.
export function readServerConfig(env: Record<string, string | undefined>): ServerConfig {
const clientId = env.SMART_CLIENT_ID;
const redirectUri = env.SMART_REDIRECT_URI;
const missing: string[] = [];
if (!clientId) missing.push('SMART_CLIENT_ID');
if (!redirectUri) missing.push('SMART_REDIRECT_URI');
if (missing.length > 0) {
throw new Error(`Missing required environment: ${missing.join(', ')}`);
}
return {
clientId: clientId!,
clientSecret: env.SMART_CLIENT_SECRET || '',
redirectUri: redirectUri!,
sessionTtlMs: (Number(env.SESSION_TTL_SECONDS) || 3600) * 1000,
port: Number(env.PORT) || 8791,
};
}
// ── Server sessions (PHI lives here, never in the browser) ────────────────
//
// A session binds the browser to a SMART context server-side. The browser holds
// ONLY the opaque `sid`; the FHIR access token + patient id stay in this map.
// In-memory is correct for a single-instance service; a multi-instance
// deployment swaps this for hanzoai/kv (Valkey) with the SAME interface, no call
// site changes. Kept behind a tiny interface so that swap is one file.
// A pending auth: the PKCE verifier + discovered token endpoint + FHIR base,
// stashed under `state` between the authorize redirect and the callback.
interface PendingAuth {
state: string;
codeVerifier: string;
tokenEndpoint: string;
fhirBase: string;
}
export interface SessionStore {
putPending(p: PendingAuth): void;
takePending(state: string): PendingAuth | undefined;
putSession(sid: string, ctx: SmartContext, fhirBase: string, tokenEndpoint: string): void;
getSession(sid: string): ServerSession | undefined;
updateSession(sid: string, ctx: SmartContext): void;
}
export interface ServerSession {
ctx: SmartContext;
fhirBase: string;
tokenEndpoint: string;
}
// memoryStore is the default in-memory SessionStore. One place; swap for Valkey
// in production by implementing the same interface.
export function memoryStore(): SessionStore {
const pending = new Map<string, PendingAuth>();
const sessions = new Map<string, ServerSession>();
return {
putPending: (p) => void pending.set(p.state, p),
takePending: (state) => {
const p = pending.get(state);
if (p) pending.delete(state);
return p;
},
putSession: (sid, ctx, fhirBase, tokenEndpoint) =>
void sessions.set(sid, { ctx, fhirBase, tokenEndpoint }),
getSession: (sid) => sessions.get(sid),
updateSession: (sid, ctx) => {
const s = sessions.get(sid);
if (s) sessions.set(sid, { ...s, ctx });
},
};
}
// ── Discovery + token exchange (server-side) ──────────────────────────────
// discoverSmart fetches and parses `<iss>/.well-known/smart-configuration`.
// `doFetch` is injectable for tests. The FHIR base is validated to be an http(s)
// URL before we ever talk to it (SSRF boundary guard — a hostile `iss` cannot
// point us at an internal host over a non-http scheme).
export async function discoverSmart(iss: string, doFetch: typeof fetch = fetch): Promise<SmartConfiguration> {
assertHttpUrl(iss, 'iss');
const resp = await doFetch(smartConfigUrl(iss), { headers: { Accept: 'application/json' } });
if (!resp.ok) throw new Error(`SMART discovery ${resp.status}`);
return parseSmartConfiguration(await resp.json());
}
// assertHttpUrl throws unless `u` is an absolute http(s) URL. Guards the two
// externally-influenced URLs (the launch `iss` and a FHIR request path) against
// scheme-based SSRF. Boundary guard.
function assertHttpUrl(u: string, label: string): void {
let parsed: URL;
try {
parsed = new URL(u);
} catch {
throw new Error(`${label} is not a valid URL`);
}
if (parsed.protocol !== 'https:' && parsed.protocol !== 'http:') {
throw new Error(`${label} must be http(s)`);
}
}
// exchangeCode runs the server-side code→token exchange with the confidential
// secret and the PKCE verifier, returning the parsed SmartContext. `doFetch` is
// injectable. NEVER logs the code, the tokens, or the patient id.
export async function exchangeCode(
cfg: ServerConfig,
pending: PendingAuth,
code: string,
doFetch: typeof fetch = fetch,
): Promise<SmartContext> {
const shape = tokenExchange({
tokenEndpoint: pending.tokenEndpoint,
clientId: cfg.clientId,
redirectUri: cfg.redirectUri,
code,
codeVerifier: pending.codeVerifier,
clientSecret: cfg.clientSecret || undefined,
});
const resp = await doFetch(shape.url, { method: 'POST', headers: shape.headers, body: shape.body });
const data = await resp.json().catch(() => ({}));
return parseTokenResponse(data);
}
// ensureFreshToken refreshes a session's access token when it is at/near expiry
// and a refresh_token is available, persisting the new context. Returns the live
// access token. Never logs it.
export async function ensureFreshToken(
cfg: ServerConfig,
store: SessionStore,
sid: string,
session: ServerSession,
doFetch: typeof fetch = fetch,
): Promise<string> {
if (!isExpired(session.ctx) || !session.ctx.refreshToken) return session.ctx.accessToken;
const shape = tokenRefresh({
tokenEndpoint: session.tokenEndpoint,
clientId: cfg.clientId,
refreshToken: session.ctx.refreshToken,
clientSecret: cfg.clientSecret || undefined,
});
const resp = await doFetch(shape.url, { method: 'POST', headers: shape.headers, body: shape.body });
const data = await resp.json().catch(() => ({}));
const refreshed = parseTokenResponse(data);
// A refresh may omit a new refresh_token — keep the old one.
const merged: SmartContext = {
...refreshed,
refreshToken: refreshed.refreshToken || session.ctx.refreshToken,
patient: refreshed.patient || session.ctx.patient,
};
store.updateSession(sid, merged);
return merged.accessToken;
}
// ── FHIR proxy path guard (pure) ──────────────────────────────────────────
// The resource types the proxy will forward — exactly the read scopes this app
// holds. A request for anything else is refused BEFORE a token is attached, so
// the proxy can never be turned into a general-purpose FHIR gateway.
const PROXY_ALLOWED = new Set([
'Patient',
'Condition',
'MedicationRequest',
'Observation',
'AllergyIntolerance',
'DocumentReference',
]);
// resolveProxyTarget validates a proxied FHIR path and returns the absolute URL
// to call, or throws. The SPA sends a RELATIVE FHIR path (e.g.
// `Condition?patient=123&_count=50`) OR a full same-origin `next` page URL; both
// must resolve under the session's FHIR base and hit an allowed resource type.
// This is the defence that a session can only ever read its own patient's
// allowed resources. Pure.
export function resolveProxyTarget(fhirBase: string, requestedPath: string): string {
const base = normalizeBase(fhirBase);
// Absolute URL (a pagination `next` link) must be under the same FHIR base.
const absolute = /^https?:\/\//i.test(requestedPath);
const url = absolute ? requestedPath : `${base}/${requestedPath.replace(/^\/+/, '')}`;
let parsed: URL;
try {
parsed = new URL(url);
} catch {
throw new Error('invalid FHIR path');
}
if (!url.startsWith(base)) throw new Error('FHIR path escapes the session base');
const segment = parsed.pathname.slice(base.length ? new URL(base).pathname.length : 0);
const resourceType = segment.replace(/^\/+/, '').split(/[/?]/)[0];
if (!PROXY_ALLOWED.has(resourceType)) {
throw new Error(`resource ${resourceType || '(none)'} not permitted`);
}
return url;
}
// ── HTTP glue ──────────────────────────────────────────────────────────────
async function readBody(req: IncomingMessage): Promise<string> {
const chunks: Buffer[] = [];
for await (const c of req) chunks.push(c as Buffer);
return Buffer.concat(chunks).toString('utf8');
}
function json(res: ServerResponse, status: number, body: unknown): void {
res.writeHead(status, { 'Content-Type': 'application/json' });
res.end(JSON.stringify(body));
}
// sessionCookie / readSid — the browser holds ONLY the opaque session id, in an
// HttpOnly, Secure, SameSite=Lax cookie so client JS (and any injected script)
// cannot read it and it is not exposed to localStorage.
function sessionCookie(sid: string, ttlMs: number): string {
const maxAge = Math.floor(ttlMs / 1000);
return `epic_sid=${sid}; HttpOnly; Secure; SameSite=Lax; Path=/; Max-Age=${maxAge}`;
}
export function readSid(cookieHeader: string | undefined): string {
if (!cookieHeader) return '';
for (const part of cookieHeader.split(';')) {
const [k, v] = part.split('=');
if (k?.trim() === 'epic_sid') return (v ?? '').trim();
}
return '';
}
// The request router. Each handler is a thin wrapper over the pure modules; the
// service state is the session store. NO PHI is ever logged.
export function createHandler(cfg: ServerConfig, store: SessionStore = memoryStore()) {
return async (req: IncomingMessage, res: ServerResponse): Promise<void> => {
const url = new URL(req.url || '/', `http://localhost:${cfg.port}`);
try {
// POST /oauth/prepare { iss, state, codeVerifier } → discover endpoints,
// stash the pending auth, return { authorizationEndpoint, tokenEndpoint }.
if (req.method === 'POST' && url.pathname === '/oauth/prepare') {
const { iss, state, codeVerifier } = JSON.parse((await readBody(req)) || '{}');
if (!iss || !state || !codeVerifier) return json(res, 400, { error: 'missing iss/state/codeVerifier' });
const smart = await discoverSmart(iss);
store.putPending({ state, codeVerifier, tokenEndpoint: smart.tokenEndpoint, fhirBase: normalizeBase(iss) });
return json(res, 200, { authorizationEndpoint: smart.authorizationEndpoint, tokenEndpoint: smart.tokenEndpoint });
}
// POST /oauth/callback { code, state } → exchange (secret + PKCE server-
// side), mint a server session, set the opaque cookie. The browser gets
// back ONLY the non-PHI context it needs to render (patient id + scope),
// never the FHIR token.
if (req.method === 'POST' && url.pathname === '/oauth/callback') {
const { code, state } = JSON.parse((await readBody(req)) || '{}');
if (!code || !state) return json(res, 400, { error: 'missing code/state' });
const pending = store.takePending(state);
if (!pending) return json(res, 400, { error: 'unknown or replayed state' });
const ctx = await exchangeCode(cfg, pending, code);
const sid = randomUUID();
const fhirBase = ctx.fhirBase || pending.fhirBase;
store.putSession(sid, ctx, fhirBase, pending.tokenEndpoint);
res.writeHead(200, { 'Content-Type': 'application/json', 'Set-Cookie': sessionCookie(sid, cfg.sessionTtlMs) });
res.end(JSON.stringify({ patient: ctx.patient, scope: ctx.scope }));
return;
}
// GET /fhir?path=<relative-or-next-url> → the PHI proxy. Reads the session
// from the cookie, refreshes the token if needed, attaches it server-side,
// and streams the FHIR JSON back. The token never touches the browser.
if (req.method === 'GET' && url.pathname === '/fhir') {
const sid = readSid(req.headers.cookie);
const session = sid ? store.getSession(sid) : undefined;
if (!session) return json(res, 401, { error: 'no session' });
const path = url.searchParams.get('path') || '';
let target: string;
try {
target = resolveProxyTarget(session.fhirBase, path);
} catch (e: unknown) {
return json(res, 400, { error: (e as Error).message });
}
const token = await ensureFreshToken(cfg, store, sid, session);
const upstream = await fetch(target, {
headers: { Authorization: `Bearer ${token}`, Accept: 'application/fhir+json' },
});
const text = await upstream.text();
// Pass through the FHIR JSON verbatim; do NOT log it (PHI).
res.writeHead(upstream.status, { 'Content-Type': 'application/fhir+json' });
res.end(text);
return;
}
if (req.method === 'GET' && url.pathname === '/healthz') return json(res, 200, { ok: true });
return json(res, 404, { error: 'not found' });
} catch (e: unknown) {
// Operational error only — never include a response body (may be PHI).
return json(res, 500, { error: (e as Error)?.message || 'internal error' });
}
};
}
// main boots the http server when run directly. Import-safe: only the direct
// entry starts listening, so tests import the pure handlers without a port.
export function main(): void {
const cfg = readServerConfig(process.env);
const server = createServer(createHandler(cfg));
server.listen(cfg.port, () => {
console.log(
JSON.stringify({
msg: 'epic smart-on-fhir service up',
port: cfg.port,
confidential: !!cfg.clientSecret,
}),
);
});
}
// ESM entry check: run main() only when this file is the process entry.
if (process.argv[1] && process.argv[1].endsWith('server.js')) {
main();
}
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// SMART-on-FHIR launch: discovery, PKCE, the authorize URL, the code→token
// exchange/refresh shaping, and pulling the patient context out of the token
// response. PURE request-shaping only — this module never does a network call
// and never sources the client_secret (server.ts holds it, from the
// environment), so it is trivially unit-testable and free of secrets.
//
// SMART App Launch (http://hl7.org/fhir/smart-app-launch): the app is launched
// EITHER by the EHR (Epic) with `iss` (the FHIR base) + `launch` (an opaque
// launch token carrying the patient/encounter context) in the URL, OR
// standalone (the app supplies its own `iss` and asks the user to pick a
// patient via the `launch/patient` scope). Both paths then:
// 1. discover authorize/token endpoints from `<iss>/.well-known/smart-configuration`
// 2. redirect the browser to `authorize` with auth-code + PKCE (+ the `launch`
// token and `aud=<iss>` — Epic REQUIRES `aud`)
// 3. exchange the returned `code` for tokens, which for a patient-context
// launch carry a `patient` id (the launched patient) alongside the tokens.
// Confidential apps (server-side secret) also send client_secret at step 3;
// public apps rely on PKCE alone. This module shapes 13; server.ts runs them.
// ── SMART discovery ────────────────────────────────────────────────────────
// The subset of `.well-known/smart-configuration` this app needs: the two OAuth
// endpoints and (informational) the capabilities/scopes the server advertises.
// Epic publishes the full document; we read only what we use.
export interface SmartConfiguration {
authorizationEndpoint: string;
tokenEndpoint: string;
// Optional, informational: what the server says it supports.
capabilities?: string[];
scopesSupported?: string[];
}
// parseSmartConfiguration validates the discovery document and extracts the two
// endpoints. Throws when either endpoint is missing — a SMART app that cannot
// find the authorize/token URLs must fail loudly, not guess Epic-specific paths.
// Pure — the fetch is server.ts's job. Boundary guard on an external response.
export function parseSmartConfiguration(data: unknown): SmartConfiguration {
const d = data as {
authorization_endpoint?: unknown;
token_endpoint?: unknown;
capabilities?: unknown;
scopes_supported?: unknown;
};
const authorizationEndpoint = d?.authorization_endpoint;
const tokenEndpoint = d?.token_endpoint;
if (typeof authorizationEndpoint !== 'string' || !authorizationEndpoint) {
throw new Error('SMART discovery: no authorization_endpoint');
}
if (typeof tokenEndpoint !== 'string' || !tokenEndpoint) {
throw new Error('SMART discovery: no token_endpoint');
}
return {
authorizationEndpoint,
tokenEndpoint,
capabilities: Array.isArray(d?.capabilities)
? (d.capabilities.filter((c) => typeof c === 'string') as string[])
: undefined,
scopesSupported: Array.isArray(d?.scopes_supported)
? (d.scopes_supported.filter((s) => typeof s === 'string') as string[])
: undefined,
};
}
// ── PKCE ───────────────────────────────────────────────────────────────────
//
// PKCE (RFC 7636) protects the auth-code exchange: the app sends a random
// `code_verifier`'s SHA-256 hash (`code_challenge`) at authorize time, then the
// raw verifier at token time — an intercepted code is useless without it. Epic
// requires PKCE (S256) for public apps and supports it for confidential ones.
// base64url encodes bytes without padding, per RFC 7636. Pure.
export function base64urlEncode(bytes: Uint8Array): string {
let bin = '';
for (const b of bytes) bin += String.fromCharCode(b);
// btoa in the browser; Buffer in node — both reachable here, prefer btoa.
const b64 =
typeof btoa === 'function'
? btoa(bin)
: Buffer.from(bytes).toString('base64');
return b64.replace(/\+/g, '-').replace(/\//g, '_').replace(/=+$/, '');
}
// A PKCE pair: the secret verifier (kept by the app across the redirect) and the
// challenge (sent to authorize). `method` is always S256 — the only method Epic
// and the SMART spec want; `plain` is never used.
export interface PkcePair {
verifier: string;
challenge: string;
method: 'S256';
}
// randomVerifier makes a high-entropy code_verifier: 32 random bytes → 43-char
// base64url (within the RFC's 43128 range). `random` is injectable so a test
// gets a deterministic verifier; it defaults to Web Crypto's CSPRNG.
export function randomVerifier(
random: (n: number) => Uint8Array = cryptoRandom,
): string {
return base64urlEncode(random(32));
}
// cryptoRandom fills n bytes from the platform CSPRNG (Web Crypto in the browser
// and in node ≥18). Never Math.random — this is security material.
function cryptoRandom(n: number): Uint8Array {
const out = new Uint8Array(n);
crypto.getRandomValues(out);
return out;
}
// challengeFromVerifier derives the S256 code_challenge = base64url(sha256(
// verifier)). `sha256` is injectable for tests; defaults to Web Crypto's
// subtle.digest (async). Returns the challenge string.
export async function challengeFromVerifier(
verifier: string,
sha256: (input: string) => Promise<Uint8Array> = subtleSha256,
): Promise<string> {
return base64urlEncode(await sha256(verifier));
}
async function subtleSha256(input: string): Promise<Uint8Array> {
const data = new TextEncoder().encode(input);
const digest = await crypto.subtle.digest('SHA-256', data);
return new Uint8Array(digest);
}
// createPkce mints a full PKCE pair (verifier + S256 challenge). The app stores
// `verifier` alongside the CSRF `state` before the redirect and replays it at
// token exchange. `random`/`sha256` are injectable for deterministic tests.
export async function createPkce(
random: (n: number) => Uint8Array = cryptoRandom,
sha256: (input: string) => Promise<Uint8Array> = subtleSha256,
): Promise<PkcePair> {
const verifier = randomVerifier(random);
const challenge = await challengeFromVerifier(verifier, sha256);
return { verifier, challenge, method: 'S256' };
}
// ── The authorize redirect ───────────────────────────────────────────────
export interface AuthorizeParams {
authorizationEndpoint: string; // discovered from smart-configuration
clientId: string;
redirectUri: string;
// The FHIR base (`iss`) — SMART/Epic REQUIRE it as `aud` so the token is
// audienced to the FHIR server the app will call.
aud: string;
scope: string;
state: string; // CSRF state the caller mints and verifies on the callback
codeChallenge: string; // PKCE S256 challenge
// The opaque `launch` token from an EHR launch. Present for EHR launch,
// absent (and omitted) for standalone launch.
launch?: string;
}
// authorizeUrl builds the exact URL to redirect the browser to. SMART's
// authorization request: response_type=code, client_id, redirect_uri, scope,
// state, aud, code_challenge(+method=S256), and `launch` when present. Pure.
export function authorizeUrl(p: AuthorizeParams): string {
const params = new URLSearchParams({
response_type: 'code',
client_id: p.clientId,
redirect_uri: p.redirectUri,
scope: p.scope,
state: p.state,
aud: p.aud,
code_challenge: p.codeChallenge,
code_challenge_method: 'S256',
});
if (p.launch) params.set('launch', p.launch);
return `${p.authorizationEndpoint}?${params.toString()}`;
}
// ── Token exchange / refresh shaping ──────────────────────────────────────
// The shape of the POST server.ts will make — separated from fetch so a test
// asserts URL, headers, and form body without a network call. Confidential apps
// authenticate with client_secret (in the body here — Epic accepts
// client_secret_post); public apps omit it and rely on PKCE.
export interface TokenRequest {
url: string;
headers: Record<string, string>;
body: string; // urlencoded form
}
export interface ExchangeParams {
tokenEndpoint: string; // discovered
clientId: string;
redirectUri: string;
code: string; // the authorization code from the callback
codeVerifier: string; // the PKCE verifier stored before the redirect
// Confidential-app secret (server-only). Omit for a public app.
clientSecret?: string;
}
// tokenExchange shapes the code→token POST. SMART/OAuth2:
// grant_type=authorization_code with code, redirect_uri, client_id,
// code_verifier, and client_secret for confidential apps. Pure.
export function tokenExchange(p: ExchangeParams): TokenRequest {
const body = new URLSearchParams({
grant_type: 'authorization_code',
code: p.code,
redirect_uri: p.redirectUri,
client_id: p.clientId,
code_verifier: p.codeVerifier,
});
if (p.clientSecret) body.set('client_secret', p.clientSecret);
return {
url: p.tokenEndpoint,
headers: {
'Content-Type': 'application/x-www-form-urlencoded',
Accept: 'application/json',
},
body: body.toString(),
};
}
export interface RefreshParams {
tokenEndpoint: string;
clientId: string;
refreshToken: string;
clientSecret?: string;
// A refresh MAY narrow scope; omit to keep the granted scopes.
scope?: string;
}
// tokenRefresh shapes the refresh POST. grant_type=refresh_token with the stored
// refresh_token (+ client_secret for confidential apps). Same endpoint/content
// type as exchange. Pure.
export function tokenRefresh(p: RefreshParams): TokenRequest {
const body = new URLSearchParams({
grant_type: 'refresh_token',
refresh_token: p.refreshToken,
client_id: p.clientId,
});
if (p.clientSecret) body.set('client_secret', p.clientSecret);
if (p.scope) body.set('scope', p.scope);
return {
url: p.tokenEndpoint,
headers: {
'Content-Type': 'application/x-www-form-urlencoded',
Accept: 'application/json',
},
body: body.toString(),
};
}
// ── The token response → SMART context ────────────────────────────────────
// A parsed SMART token response: the OAuth tokens PLUS the SMART launch context
// that rides in the token payload (`patient`, `encounter`, `id_token`, the
// granted `scope`, and the FHIR base to call). The `patient` id is what every
// subsequent FHIR read scopes to.
export interface SmartContext {
accessToken: string;
refreshToken: string;
tokenType: string;
// Absolute expiry (epoch ms) computed from expires_in at parse time, so
// callers compare against Date.now() without re-deriving.
expiresAt: number;
// The launched patient's FHIR id — present for a patient-context launch.
patient: string;
// The encounter id when the launch carries one (optional).
encounter: string;
// The granted scopes (may be narrower than requested).
scope: string;
// OpenID id_token identifying the clinician (`fhirUser`), when present.
idToken: string;
// Some servers echo the FHIR base in the token response; kept when present so
// the caller can prefer it over the launch `iss`.
fhirBase: string;
}
// parseTokenResponse turns a SMART token payload into a SmartContext, computing
// the absolute expiry. `now` is injectable so the derivation is unit-testable.
// Throws on an OAuth error payload so the caller surfaces the server's real
// reason. Boundary guard on an external response.
export function parseTokenResponse(data: unknown, now: number = Date.now()): SmartContext {
const d = data as Record<string, unknown>;
if (d && d.error) {
const desc = (d.error_description as string) || (d.error as string);
throw new Error(`SMART OAuth error: ${desc}`);
}
const accessToken = d?.access_token;
if (typeof accessToken !== 'string' || !accessToken) {
throw new Error('SMART OAuth: no access_token in response');
}
const expiresIn = Number(d?.expires_in ?? 0);
const str = (v: unknown): string => (typeof v === 'string' ? v : '');
return {
accessToken,
refreshToken: str(d?.refresh_token),
tokenType: str(d?.token_type) || 'Bearer',
expiresAt: now + expiresIn * 1000,
patient: str(d?.patient),
encounter: str(d?.encounter),
scope: str(d?.scope),
idToken: str(d?.id_token),
fhirBase: str(d?.fhirBase) || str((d as { serverUrl?: unknown })?.serverUrl),
};
}
// isExpired reports whether a context's access token is at/near expiry. A skew
// (default 60s) refreshes slightly early so an in-flight FHIR read never races
// the boundary. Pure.
export function isExpired(ctx: Pick<SmartContext, 'expiresAt'>, now: number = Date.now(), skewMs = 60_000): boolean {
return now >= ctx.expiresAt - skewMs;
}
// ── Launch-URL parsing (pure) ─────────────────────────────────────────────
// The launch parameters SMART puts on the app's launch URL. EHR launch carries
// `iss` (FHIR base) + `launch` (opaque token); standalone launch carries
// neither (the app supplies its own `iss`). Both may be absent when the page is
// opened cold.
export interface LaunchParams {
iss: string; // FHIR base from the EHR
launch: string; // opaque launch token
}
// parseLaunch reads the launch URL query into a LaunchParams. Pure — takes a
// query string so it is unit-tested without a DOM. Values are trimmed; absence
// is represented as ''.
export function parseLaunch(search: string): LaunchParams {
const q = new URLSearchParams(search);
return {
iss: (q.get('iss') || '').trim(),
launch: (q.get('launch') || '').trim(),
};
}
// The callback parameters SMART returns to redirect_uri: the auth `code` and the
// `state` (to verify against the mint), or an `error`(+description) when the
// user declines / the server rejects.
export interface CallbackParams {
code: string;
state: string;
error: string;
errorDescription: string;
}
// parseCallback reads the callback URL query. Pure. An `error` present means the
// grant failed — the caller surfaces errorDescription and does NOT exchange.
export function parseCallback(search: string): CallbackParams {
const q = new URLSearchParams(search);
return {
code: (q.get('code') || '').trim(),
state: (q.get('state') || '').trim(),
error: (q.get('error') || '').trim(),
errorDescription: (q.get('error_description') || '').trim(),
};
}
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:root {
color-scheme: light dark;
--fg: #1a1a1a; --muted: #666; --bg: #fff; --line: #e3e3e3; --accent: #111;
--ok: #1a7f37; --warn: #9a6700; --error: #cf222e;
}
@media (prefers-color-scheme: dark) {
:root {
--fg: #eaeaea; --muted: #9a9a9a; --bg: #1e1e1e; --line: #333; --accent: #fff;
--ok: #3fb950; --warn: #d29922; --error: #f85149;
}
}
* { box-sizing: border-box; }
body {
font: 14px/1.45 -apple-system, "Segoe UI", Roboto, sans-serif;
color: var(--fg); background: var(--bg); margin: 0 auto; padding: 14px;
max-width: 720px;
}
header { display: flex; align-items: center; gap: 8px; margin-bottom: 10px; }
header .title { font-weight: 600; font-size: 15px; }
header .host { color: var(--muted); font-size: 12px; margin-left: auto; max-width: 55%; overflow: hidden; text-overflow: ellipsis; white-space: nowrap; }
label { display: block; font-size: 12px; color: var(--muted); margin: 10px 0 4px; }
textarea, select, input {
width: 100%; font: inherit; color: var(--fg); background: var(--bg);
border: 1px solid var(--line); border-radius: 6px; padding: 8px;
}
textarea#prompt { min-height: 56px; resize: vertical; }
textarea#output { min-height: 260px; resize: vertical; }
.row { display: flex; gap: 8px; align-items: center; margin-top: 8px; }
button {
font: inherit; border: 1px solid var(--line); background: var(--accent);
color: var(--bg); border-radius: 6px; padding: 8px 14px; cursor: pointer;
}
button.secondary { background: transparent; color: var(--fg); }
button:disabled { opacity: .5; cursor: default; }
.spacer { flex: 1; }
.status { min-height: 18px; font-size: 12px; margin-top: 10px; color: var(--muted); }
.status.ok { color: var(--ok); } .status.warn { color: var(--warn); } .status.error { color: var(--error); }
.hint { font-size: 11px; color: var(--muted); margin-top: 4px; }
footer { margin-top: 12px; font-size: 11px; color: var(--muted); }
select#model { width: auto; max-width: 150px; padding: 4px 8px; font-size: 12px; }
.chips { display: flex; flex-wrap: wrap; gap: 6px; margin-top: 4px; }
.chip {
padding: 5px 10px; border-radius: 999px; font-size: 13px; cursor: pointer;
background: transparent; color: var(--fg); border: 1px solid var(--line);
}
.chip:hover:not(:disabled) { border-color: var(--accent); }
.chip:disabled { opacity: .5; cursor: default; }
details summary { cursor: pointer; font-size: 12px; color: var(--muted); margin-top: 10px; }
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import { describe, it, expect, beforeEach, vi } from 'vitest';
// A minimal localStorage stub so the browser-only auth module is testable in
// node. Installed before importing the module under test.
class MemStorage {
private m = new Map<string, string>();
getItem(k: string) {
return this.m.has(k) ? this.m.get(k)! : null;
}
setItem(k: string, v: string) {
this.m.set(k, v);
}
removeItem(k: string) {
this.m.delete(k);
}
}
beforeEach(() => {
(globalThis as { localStorage?: unknown }).localStorage = new MemStorage();
vi.resetModules();
});
describe('auth: pasted Hanzo key (NOT the FHIR/PHI token)', () => {
it('stores, reads, and clears the key', async () => {
const { getApiKey, setApiKey, hasApiKey, bearer } = await import('../src/auth.js');
expect(getApiKey()).toBe('');
expect(hasApiKey()).toBe(false);
setApiKey(' hk-abc ');
expect(getApiKey()).toBe('hk-abc'); // trimmed
expect(hasApiKey()).toBe(true);
expect(bearer()).toBe('hk-abc');
setApiKey('');
expect(getApiKey()).toBe('');
expect(hasApiKey()).toBe(false);
});
it('validateKey rejects an empty key before any network call', async () => {
const { validateKey } = await import('../src/auth.js');
await expect(validateKey(' ')).rejects.toThrow(/Hanzo API key/);
});
it('does not touch the FHIR/PHI storage — only the Hanzo gateway key', async () => {
const { setApiKey } = await import('../src/auth.js');
const { APIKEY_STORAGE_KEY } = await import('../src/config.js');
setApiKey('hk-x');
// The one and only key it writes is the Hanzo gateway key.
expect(localStorage.getItem(APIKEY_STORAGE_KEY)).toBe('hk-x');
});
});
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import { describe, it, expect } from 'vitest';
import {
codeableText,
effectiveDate,
summarizePatient,
conditionRow,
medicationRow,
allergyRow,
observationRow,
observationValue,
documentRow,
renderSection,
assembleChartContext,
truncate,
chartIsEmpty,
emptyChart,
MAX_ROWS_PER_SECTION,
type Chart,
} from '../src/chart.js';
import type { FhirResource } from '../src/fhir-client.js';
// ── Realistic R4 fixtures ──────────────────────────────────────────────────
const patient: FhirResource = {
resourceType: 'Patient',
id: 'p1',
name: [{ use: 'official', given: ['Jane', 'Q'], family: 'Doe' }],
gender: 'female',
birthDate: '1958-03-11',
};
const hypertension: FhirResource = {
resourceType: 'Condition',
id: 'c1',
clinicalStatus: { coding: [{ code: 'active', display: 'Active' }] },
code: { text: 'Essential hypertension', coding: [{ system: 'http://snomed.info/sct', code: '59621000' }] },
onsetDateTime: '2015-06-01',
};
const diabetes: FhirResource = {
resourceType: 'Condition',
id: 'c2',
clinicalStatus: { coding: [{ code: 'active' }] },
code: { coding: [{ display: 'Type 2 diabetes mellitus' }] },
};
const lisinopril: FhirResource = {
resourceType: 'MedicationRequest',
id: 'm1',
status: 'active',
medicationCodeableConcept: { text: 'Lisinopril 10 mg oral tablet' },
dosageInstruction: [{ text: 'Take 1 tablet by mouth once daily' }],
};
const metforminByRef: FhirResource = {
resourceType: 'MedicationRequest',
id: 'm2',
status: 'active',
medicationReference: { display: 'Metformin 500 mg' },
};
const penicillinAllergy: FhirResource = {
resourceType: 'AllergyIntolerance',
id: 'a1',
clinicalStatus: { coding: [{ code: 'active' }] },
criticality: 'high',
code: { text: 'Penicillin' },
reaction: [{ manifestation: [{ text: 'Anaphylaxis' }] }],
};
const a1c: FhirResource = {
resourceType: 'Observation',
id: 'o1',
code: { text: 'Hemoglobin A1c' },
valueQuantity: { value: 8.2, unit: '%' },
effectiveDateTime: '2026-05-20',
};
const bp: FhirResource = {
resourceType: 'Observation',
id: 'o2',
code: { text: 'Systolic blood pressure' },
valueQuantity: { value: 148, unit: 'mmHg' },
effectivePeriod: { start: '2026-06-01' },
};
const progressNote: FhirResource = {
resourceType: 'DocumentReference',
id: 'd1',
type: { text: 'Progress note' },
date: '2026-06-15',
};
describe('CodeableConcept decoding', () => {
it('prefers text, then coding.display, then coding.code', () => {
expect(codeableText({ text: 'Foo' })).toBe('Foo');
expect(codeableText({ coding: [{ display: 'Bar' }] })).toBe('Bar');
expect(codeableText({ coding: [{ code: 'baz' }] })).toBe('baz');
expect(codeableText({})).toBe('');
expect(codeableText(undefined)).toBe('');
});
});
describe('effectiveDate polymorphism', () => {
it('reads effectiveDateTime, effectivePeriod.start, onset, authoredOn', () => {
expect(effectiveDate({ resourceType: 'X', effectiveDateTime: '2026-01-01' })).toBe('2026-01-01');
expect(effectiveDate({ resourceType: 'X', effectivePeriod: { start: '2026-02-02' } })).toBe('2026-02-02');
expect(effectiveDate({ resourceType: 'X', onsetDateTime: '2026-03-03' })).toBe('2026-03-03');
expect(effectiveDate({ resourceType: 'X', authoredOn: '2026-04-04' })).toBe('2026-04-04');
expect(effectiveDate({ resourceType: 'X' })).toBe('');
});
});
describe('patient demographics', () => {
it('renders name, sex, DOB from a HumanName', () => {
expect(summarizePatient(patient)).toEqual(['Name: Jane Q Doe', 'Sex: female', 'DOB: 1958-03-11']);
});
it('prefers name.text when present', () => {
expect(summarizePatient({ resourceType: 'Patient', name: [{ text: 'John Smith' }] })).toEqual([
'Name: John Smith',
]);
});
it('is empty for no patient', () => {
expect(summarizePatient(undefined)).toEqual([]);
});
});
describe('per-resource rows', () => {
it('conditionRow — name, status, onset', () => {
expect(conditionRow(hypertension)).toBe('Essential hypertension (Active) onset 2015-06-01');
expect(conditionRow(diabetes)).toBe('Type 2 diabetes mellitus (active)');
});
it('medicationRow — from codeableConcept with dosage, and from a reference', () => {
expect(medicationRow(lisinopril)).toBe(
'Lisinopril 10 mg oral tablet — Take 1 tablet by mouth once daily (active)',
);
expect(medicationRow(metforminByRef)).toBe('Metformin 500 mg (active)');
});
it('allergyRow — substance, manifestation, criticality, status', () => {
expect(allergyRow(penicillinAllergy)).toBe('Penicillin → Anaphylaxis [high] (active)');
});
it('observationRow / observationValue — quantity with unit + date', () => {
expect(observationValue(a1c)).toBe('8.2 %');
expect(observationRow(a1c)).toBe('Hemoglobin A1c = 8.2 % (2026-05-20)');
expect(observationRow(bp)).toBe('Systolic blood pressure = 148 mmHg (2026-06-01)');
});
it('observationValue — codeable and string variants', () => {
expect(observationValue({ resourceType: 'Observation', valueCodeableConcept: { text: 'Positive' } })).toBe(
'Positive',
);
expect(observationValue({ resourceType: 'Observation', valueString: 'see report' })).toBe('see report');
expect(observationValue({ resourceType: 'Observation' })).toBe('');
});
it('documentRow — type and date, no bytes inlined', () => {
expect(documentRow(progressNote)).toBe('Progress note (2026-06-15)');
});
});
describe('renderSection', () => {
it('renders a heading + bulleted rows', () => {
const out = renderSection({ heading: 'Problems', resources: [hypertension, diabetes], row: conditionRow });
expect(out).toContain('## Problems');
expect(out).toContain('- Essential hypertension (Active) onset 2015-06-01');
expect(out).toContain('- Type 2 diabetes mellitus (active)');
});
it('marks an empty section explicitly (absence is meaningful)', () => {
expect(renderSection({ heading: 'Allergies', resources: [], row: allergyRow })).toBe(
'## Allergies\n(none recorded)',
);
});
it('caps rows and shows a visible "N more" marker', () => {
const many = Array.from({ length: MAX_ROWS_PER_SECTION + 5 }, (_, i) => ({
...diabetes,
code: { text: `Condition ${i}` },
}));
const out = renderSection({ heading: 'Problems', resources: many, row: conditionRow });
expect(out).toContain('- …and 5 more not shown');
// exactly MAX_ROWS_PER_SECTION data rows + heading + the "more" line
expect(out.split('\n').filter((l) => l.startsWith('- ')).length).toBe(MAX_ROWS_PER_SECTION + 1);
});
});
describe('assembleChartContext', () => {
const chart: Chart = {
patient,
conditions: [hypertension, diabetes],
medications: [lisinopril, metforminByRef],
allergies: [penicillinAllergy],
observations: [a1c, bp],
documents: [progressNote],
};
it('assembles demographics + all five sections in clinical priority order', () => {
const ctx = assembleChartContext(chart);
expect(ctx.indexOf('# Patient')).toBeLessThan(ctx.indexOf('## Problems'));
expect(ctx.indexOf('## Problems')).toBeLessThan(ctx.indexOf('## Medications'));
expect(ctx.indexOf('## Medications')).toBeLessThan(ctx.indexOf('## Allergies'));
expect(ctx.indexOf('## Allergies')).toBeLessThan(ctx.indexOf('## Recent labs & vitals'));
expect(ctx.indexOf('## Recent labs & vitals')).toBeLessThan(ctx.indexOf('## Clinical notes'));
expect(ctx).toContain('Jane Q Doe');
expect(ctx).toContain('Penicillin → Anaphylaxis [high]');
expect(ctx).toContain('Hemoglobin A1c = 8.2 %');
});
it('renders a usable chart even with no demographics', () => {
const ctx = assembleChartContext({ ...emptyChart(), conditions: [hypertension] });
expect(ctx).toContain('(no demographics available)');
expect(ctx).toContain('Essential hypertension');
});
it('caps the whole context and marks truncation visibly', () => {
const bigDoc: FhirResource = {
resourceType: 'DocumentReference',
type: { text: 'x'.repeat(2000) },
date: '2026-01-01',
};
const chartBig: Chart = { ...emptyChart(), documents: Array.from({ length: 50 }, () => bigDoc) };
const ctx = assembleChartContext(chartBig, 500);
expect(ctx.length).toBeLessThanOrEqual(500 + 60);
expect(ctx).toMatch(/chart truncated: \d+ chars omitted/);
});
});
describe('truncate + chartIsEmpty', () => {
it('truncate marks elision and passes short text through', () => {
expect(truncate('short', 100)).toBe('short');
expect(truncate('abcdef', 3)).toMatch(/^abc\n…\[chart truncated: 3 chars omitted\]$/);
});
it('chartIsEmpty is true only when all clinical lists are empty', () => {
expect(chartIsEmpty(emptyChart())).toBe(true);
expect(chartIsEmpty({ ...emptyChart(), patient })).toBe(true); // patient alone still empty
expect(chartIsEmpty({ ...emptyChart(), conditions: [hypertension] })).toBe(false);
});
});
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import { describe, it, expect } from 'vitest';
import {
HANZO_API_BASE_URL,
DEFAULT_MODEL,
pickBearer,
SMART_SCOPES,
scopeString,
smartConfigUrl,
normalizeBase,
FHIR_RESOURCES,
} from '../src/config.js';
describe('config: Hanzo gateway', () => {
it('points at api.hanzo.ai with no /api/ prefix', () => {
expect(HANZO_API_BASE_URL).toBe('https://api.hanzo.ai');
expect(HANZO_API_BASE_URL).not.toContain('/api/');
});
it('default model is a zen model', () => {
expect(DEFAULT_MODEL).toMatch(/^zen/);
});
});
describe('config: pickBearer', () => {
it('prefers the pasted key over the IAM token', () => {
expect(pickBearer('hk-key', 'iam-token')).toBe('hk-key');
});
it('falls back to the IAM token when no key', () => {
expect(pickBearer('', 'iam-token')).toBe('iam-token');
expect(pickBearer(' ', 'iam-token')).toBe('iam-token');
});
it('is empty (anonymous) when neither is present', () => {
expect(pickBearer('', '')).toBe('');
});
});
describe('config: SMART scopes', () => {
it('requests launch + patient read scopes and NO write scope', () => {
const s = scopeString();
expect(s).toContain('launch');
expect(s).toContain('openid');
expect(s).toContain('fhirUser');
expect(s).toContain('patient/Patient.read');
expect(s).toContain('patient/Condition.read');
expect(s).toContain('patient/MedicationRequest.read');
expect(s).toContain('patient/Observation.read');
expect(s).toContain('patient/AllergyIntolerance.read');
expect(s).toContain('patient/DocumentReference.read');
// Read + assist only — a write scope must never be requested in v1.
expect(s).not.toMatch(/\.write/);
expect(s).not.toMatch(/\*\/\*/);
});
it('scopeString is space-delimited and deterministic', () => {
expect(scopeString(['a', 'b', 'c'])).toBe('a b c');
expect(scopeString()).toBe(SMART_SCOPES.join(' '));
});
});
describe('config: discovery URL', () => {
it('derives the well-known discovery URL from iss', () => {
expect(smartConfigUrl('https://fhir.example.org/r4')).toBe(
'https://fhir.example.org/r4/.well-known/smart-configuration',
);
});
it('normalizes a trailing slash on iss', () => {
expect(smartConfigUrl('https://fhir.example.org/r4/')).toBe(
'https://fhir.example.org/r4/.well-known/smart-configuration',
);
expect(normalizeBase('https://x/')).toBe('https://x');
expect(normalizeBase('https://x///')).toBe('https://x');
});
});
describe('config: FHIR resource names', () => {
it('names the six read resources', () => {
expect(Object.keys(FHIR_RESOURCES).sort()).toEqual([
'AllergyIntolerance',
'Condition',
'DocumentReference',
'MedicationRequest',
'Observation',
'Patient',
]);
});
});
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import { describe, it, expect, vi } from 'vitest';
import {
resourceUrl,
getPatient,
searchConditions,
searchMedicationRequests,
searchAllergyIntolerances,
searchObservations,
searchDocumentReferences,
bundleEntries,
nextPageUrl,
isOperationOutcome,
operationOutcomeMessage,
fhirFetch,
fetchAllPages,
DEFAULT_COUNT,
type FhirRequest,
} from '../src/fhir-client.js';
const BASE = 'https://fhir.example.org/r4';
const TOKEN = 'AT-secret';
const PID = 'Patient-123';
function res(status: number, body: unknown): Response {
return new Response(JSON.stringify(body), { status, headers: { 'Content-Type': 'application/fhir+json' } });
}
describe('resourceUrl', () => {
it('builds a search root and a single-resource URL', () => {
expect(resourceUrl(BASE, 'Condition')).toBe(`${BASE}/Condition`);
expect(resourceUrl(BASE, 'Patient', PID)).toBe(`${BASE}/Patient/Patient-123`);
});
it('normalizes a trailing slash and encodes the id', () => {
expect(resourceUrl(`${BASE}/`, 'Patient', 'a/b')).toBe(`${BASE}/Patient/a%2Fb`);
});
});
describe('single-patient read', () => {
it('getPatient targets Patient/<id> with a bearer + fhir accept', () => {
const r = getPatient(BASE, TOKEN, PID);
expect(r.method).toBe('GET');
expect(r.url).toBe(`${BASE}/Patient/Patient-123`);
expect(r.headers.Authorization).toBe(`Bearer ${TOKEN}`);
expect(r.headers.Accept).toBe('application/fhir+json');
});
});
describe('patient-scoped searches', () => {
const sp = { base: BASE, token: TOKEN, patientId: PID };
it('scopes every search with patient=<id> and a default _count', () => {
for (const req of [
searchConditions(sp),
searchMedicationRequests(sp),
searchAllergyIntolerances(sp),
searchDocumentReferences(sp),
]) {
const u = new URL(req.url);
expect(u.searchParams.get('patient')).toBe(PID);
expect(u.searchParams.get('_count')).toBe(String(DEFAULT_COUNT));
}
});
it('hits the right resource path for each search', () => {
expect(new URL(searchConditions(sp).url).pathname).toMatch(/\/Condition$/);
expect(new URL(searchMedicationRequests(sp).url).pathname).toMatch(/\/MedicationRequest$/);
expect(new URL(searchAllergyIntolerances(sp).url).pathname).toMatch(/\/AllergyIntolerance$/);
expect(new URL(searchDocumentReferences(sp).url).pathname).toMatch(/\/DocumentReference$/);
});
it('observation search defaults to laboratory + vital-signs categories', () => {
const u = new URL(searchObservations(sp).url);
expect(u.pathname).toMatch(/\/Observation$/);
expect(u.searchParams.get('category')).toBe('laboratory,vital-signs');
});
it('observation category is overridable', () => {
const u = new URL(searchObservations({ ...sp, category: 'laboratory' }).url);
expect(u.searchParams.get('category')).toBe('laboratory');
});
it('a custom _count is honored', () => {
expect(new URL(searchConditions({ ...sp, count: 10 }).url).searchParams.get('_count')).toBe('10');
});
it('a pageUrl cursor is used verbatim (pagination), ignoring other params', () => {
const next = `${BASE}/Condition?patient=${PID}&_count=50&_getpages=abc&_getpagesoffset=50`;
const r = searchConditions({ ...sp, pageUrl: next, count: 999 });
expect(r.url).toBe(next);
expect(r.headers.Authorization).toBe(`Bearer ${TOKEN}`);
});
});
describe('Bundle helpers', () => {
const bundle = {
resourceType: 'Bundle',
type: 'searchset',
entry: [
{ resource: { resourceType: 'Condition', id: 'c1' } },
{ resource: { resourceType: 'Condition', id: 'c2' } },
{ fullUrl: 'no-resource-here' }, // dropped
],
link: [
{ relation: 'self', url: `${BASE}/Condition?patient=${PID}` },
{ relation: 'next', url: `${BASE}/Condition?_getpages=abc` },
],
};
it('bundleEntries returns only entries with a resource', () => {
const rs = bundleEntries(bundle);
expect(rs.map((r) => r.id)).toEqual(['c1', 'c2']);
});
it('bundleEntries returns [] for a non-Bundle', () => {
expect(bundleEntries({ resourceType: 'Condition' })).toEqual([]);
expect(bundleEntries(null)).toEqual([]);
});
it('nextPageUrl returns the next link, or empty on the last page', () => {
expect(nextPageUrl(bundle)).toBe(`${BASE}/Condition?_getpages=abc`);
expect(nextPageUrl({ resourceType: 'Bundle', link: [{ relation: 'self', url: 'x' }] })).toBe('');
expect(nextPageUrl({ resourceType: 'Bundle' })).toBe('');
});
});
describe('OperationOutcome handling', () => {
const oo = {
resourceType: 'OperationOutcome',
issue: [{ severity: 'error', code: 'forbidden', diagnostics: 'not authorized for this patient' }],
};
it('detects an OperationOutcome and renders its message', () => {
expect(isOperationOutcome(oo)).toBe(true);
expect(isOperationOutcome({ resourceType: 'Bundle' })).toBe(false);
expect(operationOutcomeMessage(oo)).toBe('not authorized for this patient');
});
});
describe('fhirFetch', () => {
it('returns the parsed Bundle on success', async () => {
const doFetch = vi.fn().mockResolvedValue(res(200, { resourceType: 'Bundle', entry: [] }));
const out = (await fhirFetch(getPatient(BASE, TOKEN, PID) as FhirRequest, doFetch)) as {
resourceType: string;
};
expect(out.resourceType).toBe('Bundle');
expect(doFetch).toHaveBeenCalledWith(`${BASE}/Patient/Patient-123`, {
method: 'GET',
headers: { Authorization: `Bearer ${TOKEN}`, Accept: 'application/fhir+json' },
});
});
it('throws the OperationOutcome diagnostics (not the raw body)', async () => {
const doFetch = vi.fn().mockResolvedValue(
res(403, { resourceType: 'OperationOutcome', issue: [{ diagnostics: 'access denied' }] }),
);
await expect(fhirFetch(getPatient(BASE, TOKEN, PID), doFetch)).rejects.toThrow(/access denied/);
});
it('throws on a non-2xx without echoing a PHI body', async () => {
const doFetch = vi.fn().mockResolvedValue(res(500, { resourceType: 'Bundle' }));
await expect(fhirFetch(getPatient(BASE, TOKEN, PID), doFetch)).rejects.toThrow(/FHIR 500/);
});
it('throws a length-only hint on non-JSON', async () => {
const doFetch = vi.fn().mockResolvedValue(new Response('<html>PHI leak</html>', { status: 502 }));
const err = await fhirFetch(getPatient(BASE, TOKEN, PID), doFetch).then(
() => new Error('expected a throw'),
(e: unknown) => e as Error,
);
expect(err.message).toMatch(/non-JSON/);
expect(err.message).not.toContain('PHI leak');
});
});
describe('fetchAllPages', () => {
it('walks Bundle next links and flattens resources', async () => {
const page1 = {
resourceType: 'Bundle',
entry: [{ resource: { resourceType: 'Condition', id: 'c1' } }],
link: [{ relation: 'next', url: `${BASE}/Condition?page=2` }],
};
const page2 = {
resourceType: 'Bundle',
entry: [{ resource: { resourceType: 'Condition', id: 'c2' } }],
link: [{ relation: 'self', url: `${BASE}/Condition?page=2` }],
};
const doFetch = vi
.fn()
.mockResolvedValueOnce(res(200, page1))
.mockResolvedValueOnce(res(200, page2));
const first = searchConditions({ base: BASE, token: TOKEN, patientId: PID });
const all = await fetchAllPages(first, TOKEN, { doFetch });
expect(all.map((r) => r.id)).toEqual(['c1', 'c2']);
expect(doFetch).toHaveBeenCalledTimes(2);
// The second call used the exact `next` URL, with the bearer re-attached.
expect(doFetch.mock.calls[1][0]).toBe(`${BASE}/Condition?page=2`);
expect(doFetch.mock.calls[1][1].headers.Authorization).toBe(`Bearer ${TOKEN}`);
});
it('stops at maxPages against an infinite pager', async () => {
const loop = {
resourceType: 'Bundle',
entry: [{ resource: { resourceType: 'Condition', id: 'c' } }],
link: [{ relation: 'next', url: `${BASE}/Condition?loop` }],
};
// A fresh Response per call — a Response body is single-use, so the same
// object cannot be returned twice (fhirFetch consumes it with .text()).
const doFetch = vi.fn().mockImplementation(async () => res(200, loop));
const first = searchConditions({ base: BASE, token: TOKEN, patientId: PID });
const all = await fetchAllPages(first, TOKEN, { doFetch, maxPages: 3 });
expect(doFetch).toHaveBeenCalledTimes(3);
expect(all).toHaveLength(3);
});
it('returns a single page when there is no next link', async () => {
const only = {
resourceType: 'Bundle',
entry: [{ resource: { resourceType: 'Condition', id: 'x' } }],
link: [{ relation: 'self', url: 'self' }],
};
const doFetch = vi.fn().mockResolvedValue(res(200, only));
const all = await fetchAllPages(searchConditions({ base: BASE, token: TOKEN, patientId: PID }), TOKEN, {
doFetch,
});
expect(all).toHaveLength(1);
expect(doFetch).toHaveBeenCalledTimes(1);
});
});
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import { describe, it, expect, vi } from 'vitest';
import type { AiClient, ChatCompletion, ChatCompletionCreateParams } from '@hanzo/ai';
import {
CLINICAL_SYSTEM_PROMPT,
ACTIONS,
isActionId,
actionTask,
buildMessages,
extractContent,
ask,
runAction,
listModels,
} from '../src/hanzo.js';
import { DEFAULT_MODEL } from '../src/config.js';
// A fake @hanzo/ai client that records the create() params and returns a canned
// completion, so we assert request shaping with zero network.
function fakeClient(text = 'AI OUTPUT') {
const create = vi.fn(
async (
_params: ChatCompletionCreateParams,
_options?: { signal?: AbortSignal },
): Promise<ChatCompletion> => ({
id: 'x',
object: 'chat.completion',
created: 0,
model: 'zen5',
choices: [{ index: 0, message: { role: 'assistant', content: text }, finish_reason: 'stop' }],
}),
);
const list = vi.fn(async (_options?: { signal?: AbortSignal }) => [
{ id: 'zen5', object: 'model' as const },
{ id: 'zen-eco', object: 'model' as const },
]);
const client = {
chat: { completions: { create } },
models: { list },
} as unknown as AiClient;
return { client, create, list };
}
describe('system prompt', () => {
it('grounds in the chart, forbids fabrication, and disclaims diagnosis', () => {
expect(CLINICAL_SYSTEM_PROMPT).toMatch(/SMART on FHIR/);
expect(CLINICAL_SYSTEM_PROMPT).toMatch(/never invent/i);
expect(CLINICAL_SYSTEM_PROMPT).toMatch(/not a diagnosis/i);
expect(CLINICAL_SYSTEM_PROMPT).toMatch(/clinician reviews/i);
});
});
describe('action catalog', () => {
it('exposes the four actions with prompt flags', () => {
expect(ACTIONS.map((a) => a.id)).toEqual(['summarize', 'note', 'extract', 'ask']);
expect(ACTIONS.find((a) => a.id === 'note')!.needsPrompt).toBe(true);
expect(ACTIONS.find((a) => a.id === 'ask')!.needsPrompt).toBe(true);
expect(ACTIONS.find((a) => a.id === 'summarize')!.needsPrompt).toBe(false);
expect(ACTIONS.find((a) => a.id === 'extract')!.needsPrompt).toBe(false);
});
it('isActionId is a strict boundary guard', () => {
expect(isActionId('summarize')).toBe(true);
expect(isActionId('delete')).toBe(false);
expect(isActionId('')).toBe(false);
});
});
describe('action prompt builders', () => {
it('summarize covers problems/meds/allergies/labs and forbids invention', () => {
const t = actionTask('summarize');
expect(t).toMatch(/active problems/i);
expect(t).toMatch(/medications/i);
expect(t).toMatch(/allergies/i);
expect(t).toMatch(/labs\/vitals/i);
expect(t).toMatch(/not in the chart/i);
});
it('note asks for SOAP and folds in the reason-for-visit', () => {
const t = actionTask('note', '72yo HTN follow-up');
expect(t).toMatch(/SOAP/);
expect(t).toMatch(/Subjective, Objective, Assessment, Plan/);
expect(t).toContain('72yo HTN follow-up');
// Without detail it still asks for SOAP but omits the input clause.
const bare = actionTask('note');
expect(bare).toMatch(/SOAP/);
expect(bare).not.toMatch(/clinician input:/);
});
it('extract asks for two structured lists (problems + meds)', () => {
const t = actionTask('extract');
expect(t).toMatch(/active problems/i);
expect(t).toMatch(/current medications/i);
expect(t).toMatch(/structured lists/i);
});
it('ask uses the question, or a sensible default', () => {
expect(actionTask('ask', 'Any drug interactions?')).toBe('Any drug interactions?');
expect(actionTask('ask')).toMatch(/most important thing/i);
});
});
describe('message assembly', () => {
it('fences the chart as data with a system + user turn', () => {
const msgs = buildMessages('SUMMARIZE', 'CHART TEXT');
expect(msgs).toHaveLength(2);
expect(msgs[0]).toEqual({ role: 'system', content: CLINICAL_SYSTEM_PROMPT });
expect(msgs[1].role).toBe('user');
const content = msgs[1].content as string;
expect(content).toContain('---- patient chart ----');
expect(content).toContain('CHART TEXT');
expect(content).toContain('---- end patient chart ----');
expect(content).toContain('---- task ----');
expect(content).toContain('SUMMARIZE');
});
it('with no chart, sends just the task', () => {
const content = buildMessages('ASK', '')[1].content as string;
expect(content).toBe('ASK');
});
it('honors a custom system prompt', () => {
expect(buildMessages('t', 'c', 'SYS')[0].content).toBe('SYS');
});
});
describe('extractContent', () => {
it('pulls the assistant message text', () => {
expect(
extractContent({
id: 'x',
object: 'chat.completion',
created: 0,
model: 'm',
choices: [{ index: 0, message: { role: 'assistant', content: 'hi' }, finish_reason: 'stop' }],
}),
).toBe('hi');
});
it('throws on empty content', () => {
expect(() =>
extractContent({
id: 'x',
object: 'chat.completion',
created: 0,
model: 'm',
choices: [{ index: 0, message: { role: 'assistant', content: '' }, finish_reason: 'stop' }],
}),
).toThrow(/no content/);
});
});
describe('ask over the SDK client', () => {
it('sends model + fenced messages, non-streaming, and returns the text', async () => {
const { client, create } = fakeClient('SUMMARY');
const out = await ask('SUMMARIZE', 'CHART', { client });
expect(out).toBe('SUMMARY');
const params = create.mock.calls[0][0];
expect(params.model).toBe(DEFAULT_MODEL);
expect(params.stream).toBe(false);
expect(params.messages[0].role).toBe('system');
expect((params.messages[1].content as string)).toContain('CHART');
});
it('passes a model override + temperature + abort signal', async () => {
const { client, create } = fakeClient();
const signal = new AbortController().signal;
await ask('t', 'c', { client, model: 'zen-eco', temperature: 0.2, signal });
expect(create.mock.calls[0][0].model).toBe('zen-eco');
expect(create.mock.calls[0][0].temperature).toBe(0.2);
expect(create.mock.calls[0][1]).toEqual({ signal });
});
it('omits temperature from the wire when unset', async () => {
const { client, create } = fakeClient();
await ask('t', 'c', { client });
expect('temperature' in create.mock.calls[0][0]).toBe(false);
});
});
describe('runAction', () => {
it('forms the action task and asks over the chart', async () => {
const { client, create } = fakeClient('NOTE');
const out = await runAction({ id: 'note', detail: 'HTN f/u', chartContext: 'CHART', opts: { client } });
expect(out).toBe('NOTE');
const userMsg = create.mock.calls[0][0].messages[1].content as string;
expect(userMsg).toContain('SOAP');
expect(userMsg).toContain('HTN f/u');
expect(userMsg).toContain('CHART');
});
});
describe('listModels', () => {
it('returns model ids from the SDK', async () => {
const { client, list } = fakeClient();
expect(await listModels({ client })).toEqual(['zen5', 'zen-eco']);
expect(list).toHaveBeenCalled();
});
});
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import { describe, it, expect, vi } from 'vitest';
import {
readServerConfig,
memoryStore,
discoverSmart,
exchangeCode,
ensureFreshToken,
resolveProxyTarget,
readSid,
type ServerConfig,
} from '../src/server.js';
import type { SmartContext } from '../src/smart-oauth.js';
function res(status: number, body: unknown): Response {
return new Response(JSON.stringify(body), { status, headers: { 'Content-Type': 'application/json' } });
}
const CFG: ServerConfig = {
clientId: 'my-client',
clientSecret: 'shh',
redirectUri: 'https://epic.hanzo.ai/oauth/callback',
sessionTtlMs: 3_600_000,
port: 8791,
};
const BASE = 'https://fhir.example.org/r4';
describe('readServerConfig', () => {
it('requires client id + redirect, secret optional', () => {
const cfg = readServerConfig({
SMART_CLIENT_ID: 'id',
SMART_REDIRECT_URI: 'https://x/cb',
});
expect(cfg.clientId).toBe('id');
expect(cfg.clientSecret).toBe(''); // public app
expect(cfg.port).toBe(8791);
});
it('reads the confidential secret when present', () => {
const cfg = readServerConfig({
SMART_CLIENT_ID: 'id',
SMART_REDIRECT_URI: 'https://x/cb',
SMART_CLIENT_SECRET: 's',
PORT: '9000',
SESSION_TTL_SECONDS: '600',
});
expect(cfg.clientSecret).toBe('s');
expect(cfg.port).toBe(9000);
expect(cfg.sessionTtlMs).toBe(600_000);
});
it('throws listing every missing required var', () => {
expect(() => readServerConfig({})).toThrow(/SMART_CLIENT_ID.*SMART_REDIRECT_URI/);
});
});
describe('discoverSmart', () => {
it('fetches the well-known and returns the endpoints', async () => {
const doFetch = vi.fn().mockResolvedValue(
res(200, { authorization_endpoint: `${BASE}/auth`, token_endpoint: `${BASE}/token` }),
);
const cfg = await discoverSmart(BASE, doFetch);
expect(cfg.authorizationEndpoint).toBe(`${BASE}/auth`);
expect(doFetch.mock.calls[0][0]).toBe(`${BASE}/.well-known/smart-configuration`);
});
it('rejects a non-http(s) iss (SSRF guard)', async () => {
await expect(discoverSmart('file:///etc/passwd')).rejects.toThrow(/http/);
await expect(discoverSmart('not-a-url')).rejects.toThrow(/valid URL/);
});
it('surfaces a discovery failure', async () => {
const doFetch = vi.fn().mockResolvedValue(res(404, {}));
await expect(discoverSmart(BASE, doFetch)).rejects.toThrow(/discovery 404/);
});
});
describe('exchangeCode (server-side secret + PKCE)', () => {
it('POSTs the exchange and parses the SMART context', async () => {
const doFetch = vi.fn().mockResolvedValue(
res(200, { access_token: 'AT', refresh_token: 'RT', expires_in: 3600, patient: 'P-1', scope: 's' }),
);
const pending = { state: 'st', codeVerifier: 'ver', tokenEndpoint: `${BASE}/token`, fhirBase: BASE };
const ctx = await exchangeCode(CFG, pending, 'the-code', doFetch);
expect(ctx.accessToken).toBe('AT');
expect(ctx.patient).toBe('P-1');
const [url, init] = doFetch.mock.calls[0];
expect(url).toBe(`${BASE}/token`);
const body = new URLSearchParams(init.body);
expect(body.get('code')).toBe('the-code');
expect(body.get('code_verifier')).toBe('ver');
expect(body.get('client_secret')).toBe('shh'); // confidential
});
it('surfaces an OAuth error from the token endpoint', async () => {
const doFetch = vi.fn().mockResolvedValue(res(400, { error: 'invalid_grant', error_description: 'bad code' }));
const pending = { state: 'st', codeVerifier: 'ver', tokenEndpoint: `${BASE}/token`, fhirBase: BASE };
await expect(exchangeCode(CFG, pending, 'x', doFetch)).rejects.toThrow(/bad code/);
});
});
describe('ensureFreshToken', () => {
const base = (expiresAt: number, refresh = 'RT'): SmartContext => ({
accessToken: 'OLD',
refreshToken: refresh,
tokenType: 'Bearer',
expiresAt,
patient: 'P-1',
encounter: '',
scope: 's',
idToken: '',
fhirBase: '',
});
it('returns the live token when not near expiry', async () => {
const store = memoryStore();
const sess = { ctx: base(Date.now() + 3_600_000), fhirBase: BASE, tokenEndpoint: `${BASE}/token` };
const doFetch = vi.fn();
expect(await ensureFreshToken(CFG, store, 'sid', sess, doFetch)).toBe('OLD');
expect(doFetch).not.toHaveBeenCalled();
});
it('refreshes an expired token and keeps the old refresh_token/patient', async () => {
const store = memoryStore();
store.putSession('sid', base(0), BASE, `${BASE}/token`);
const sess = store.getSession('sid')!;
const doFetch = vi.fn().mockResolvedValue(res(200, { access_token: 'NEW', expires_in: 3600 }));
const token = await ensureFreshToken(CFG, store, 'sid', sess, doFetch);
expect(token).toBe('NEW');
const updated = store.getSession('sid')!;
expect(updated.ctx.accessToken).toBe('NEW');
expect(updated.ctx.refreshToken).toBe('RT'); // preserved
expect(updated.ctx.patient).toBe('P-1'); // preserved
});
it('does not refresh when there is no refresh_token', async () => {
const store = memoryStore();
const sess = { ctx: base(0, ''), fhirBase: BASE, tokenEndpoint: `${BASE}/token` };
const doFetch = vi.fn();
expect(await ensureFreshToken(CFG, store, 'sid', sess, doFetch)).toBe('OLD');
expect(doFetch).not.toHaveBeenCalled();
});
});
describe('resolveProxyTarget (the PHI proxy guard)', () => {
it('resolves a relative allowed resource under the session base', () => {
expect(resolveProxyTarget(BASE, `Condition?patient=P-1&_count=50`)).toBe(
`${BASE}/Condition?patient=P-1&_count=50`,
);
expect(resolveProxyTarget(BASE, 'Patient/P-1')).toBe(`${BASE}/Patient/P-1`);
});
it('accepts an absolute next-page URL under the same base', () => {
const next = `${BASE}/Observation?patient=P-1&_getpages=abc`;
expect(resolveProxyTarget(BASE, next)).toBe(next);
});
it('refuses a resource type outside the read scopes', () => {
expect(() => resolveProxyTarget(BASE, 'Appointment?patient=P-1')).toThrow(/not permitted/);
expect(() => resolveProxyTarget(BASE, 'metadata')).toThrow(/not permitted/);
});
it('refuses a path that escapes the session FHIR base (SSRF / cross-tenant)', () => {
expect(() => resolveProxyTarget(BASE, 'https://evil.example.com/Condition')).toThrow(/escapes/);
expect(() => resolveProxyTarget(BASE, 'https://fhir.example.org/OTHER/Condition')).toThrow(/escapes/);
});
it('refuses a malformed path', () => {
expect(() => resolveProxyTarget(BASE, 'http://')).toThrow();
});
});
describe('session store + cookie', () => {
it('takePending is single-use (defends against state replay)', () => {
const store = memoryStore();
store.putPending({ state: 'st', codeVerifier: 'v', tokenEndpoint: 't', fhirBase: BASE });
expect(store.takePending('st')).toBeDefined();
expect(store.takePending('st')).toBeUndefined(); // replay yields nothing
});
it('readSid extracts the opaque session id from the cookie header', () => {
expect(readSid('foo=bar; epic_sid=abc123; baz=qux')).toBe('abc123');
expect(readSid('epic_sid=only')).toBe('only');
expect(readSid(undefined)).toBe('');
expect(readSid('no_session_here=1')).toBe('');
});
});
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import { describe, it, expect } from 'vitest';
import { createHash, createHmac } from 'node:crypto';
import {
parseSmartConfiguration,
base64urlEncode,
randomVerifier,
challengeFromVerifier,
createPkce,
authorizeUrl,
tokenExchange,
tokenRefresh,
parseTokenResponse,
isExpired,
parseLaunch,
parseCallback,
} from '../src/smart-oauth.js';
// A deterministic SHA-256 that matches the browser subtle.digest contract, so
// the PKCE challenge is verifiable in a plain node test.
const nodeSha256 = async (input: string): Promise<Uint8Array> =>
new Uint8Array(createHash('sha256').update(input, 'utf8').digest());
describe('smart discovery', () => {
it('extracts authorize + token endpoints', () => {
const cfg = parseSmartConfiguration({
authorization_endpoint: 'https://ehr/auth',
token_endpoint: 'https://ehr/token',
capabilities: ['launch-ehr', 'client-confidential-symmetric'],
scopes_supported: ['openid', 'patient/Patient.read'],
});
expect(cfg.authorizationEndpoint).toBe('https://ehr/auth');
expect(cfg.tokenEndpoint).toBe('https://ehr/token');
expect(cfg.capabilities).toContain('launch-ehr');
expect(cfg.scopesSupported).toContain('patient/Patient.read');
});
it('throws when the authorize endpoint is missing', () => {
expect(() => parseSmartConfiguration({ token_endpoint: 'https://ehr/token' })).toThrow(
/authorization_endpoint/,
);
});
it('throws when the token endpoint is missing', () => {
expect(() => parseSmartConfiguration({ authorization_endpoint: 'https://ehr/auth' })).toThrow(
/token_endpoint/,
);
});
});
describe('PKCE', () => {
it('base64url has no +/= characters', () => {
const enc = base64urlEncode(new Uint8Array([251, 255, 191, 0, 62, 63]));
expect(enc).not.toMatch(/[+/=]/);
});
it('randomVerifier uses the injected randomness and is base64url', () => {
const bytes = new Uint8Array(32).fill(7);
const v = randomVerifier(() => bytes);
expect(v).toBe(base64urlEncode(bytes));
expect(v).not.toMatch(/[+/=]/);
// 32 bytes → 43 base64url chars (within the RFC 7636 43..128 range).
expect(v.length).toBe(43);
});
it('challenge = base64url(sha256(verifier)) — S256', async () => {
const verifier = 'test-verifier-value';
const challenge = await challengeFromVerifier(verifier, nodeSha256);
const expected = base64urlEncode(await nodeSha256(verifier));
expect(challenge).toBe(expected);
// Cross-check against the RFC 7636 canonical construction.
const rfc = createHash('sha256')
.update(verifier)
.digest('base64')
.replace(/\+/g, '-')
.replace(/\//g, '_')
.replace(/=+$/, '');
expect(challenge).toBe(rfc);
});
it('createPkce returns a verifier + matching S256 challenge', async () => {
const bytes = new Uint8Array(32).fill(9);
const pkce = await createPkce(() => bytes, nodeSha256);
expect(pkce.method).toBe('S256');
expect(pkce.verifier).toBe(base64urlEncode(bytes));
expect(pkce.challenge).toBe(await challengeFromVerifier(pkce.verifier, nodeSha256));
});
});
describe('authorize URL', () => {
const base = {
authorizationEndpoint: 'https://ehr/auth',
clientId: 'my-client',
redirectUri: 'https://epic.hanzo.ai/oauth/callback',
aud: 'https://fhir/r4',
scope: 'launch openid patient/Patient.read',
state: 'st-123',
codeChallenge: 'chal-abc',
};
it('carries response_type, PKCE, aud and scope', () => {
const u = new URL(authorizeUrl(base));
expect(u.origin + u.pathname).toBe('https://ehr/auth');
const p = u.searchParams;
expect(p.get('response_type')).toBe('code');
expect(p.get('client_id')).toBe('my-client');
expect(p.get('redirect_uri')).toBe('https://epic.hanzo.ai/oauth/callback');
expect(p.get('aud')).toBe('https://fhir/r4');
expect(p.get('scope')).toBe('launch openid patient/Patient.read');
expect(p.get('state')).toBe('st-123');
expect(p.get('code_challenge')).toBe('chal-abc');
expect(p.get('code_challenge_method')).toBe('S256');
});
it('includes launch for an EHR launch and omits it standalone', () => {
expect(new URL(authorizeUrl({ ...base, launch: 'lt-9' })).searchParams.get('launch')).toBe('lt-9');
expect(new URL(authorizeUrl(base)).searchParams.has('launch')).toBe(false);
});
});
describe('token exchange shaping', () => {
it('shapes a confidential auth-code exchange with PKCE verifier + secret', () => {
const req = tokenExchange({
tokenEndpoint: 'https://ehr/token',
clientId: 'my-client',
redirectUri: 'https://epic.hanzo.ai/oauth/callback',
code: 'auth-code',
codeVerifier: 'the-verifier',
clientSecret: 'shh',
});
expect(req.url).toBe('https://ehr/token');
expect(req.headers['Content-Type']).toBe('application/x-www-form-urlencoded');
const body = new URLSearchParams(req.body);
expect(body.get('grant_type')).toBe('authorization_code');
expect(body.get('code')).toBe('auth-code');
expect(body.get('redirect_uri')).toBe('https://epic.hanzo.ai/oauth/callback');
expect(body.get('client_id')).toBe('my-client');
expect(body.get('code_verifier')).toBe('the-verifier');
expect(body.get('client_secret')).toBe('shh');
});
it('omits client_secret for a public (PKCE-only) app', () => {
const req = tokenExchange({
tokenEndpoint: 'https://ehr/token',
clientId: 'pub',
redirectUri: 'https://x/cb',
code: 'c',
codeVerifier: 'v',
});
expect(new URLSearchParams(req.body).has('client_secret')).toBe(false);
// PKCE verifier is ALWAYS present — a public app depends on it.
expect(new URLSearchParams(req.body).get('code_verifier')).toBe('v');
});
it('shapes a refresh with the stored refresh_token', () => {
const req = tokenRefresh({
tokenEndpoint: 'https://ehr/token',
clientId: 'my-client',
refreshToken: 'rt-1',
clientSecret: 'shh',
});
const body = new URLSearchParams(req.body);
expect(body.get('grant_type')).toBe('refresh_token');
expect(body.get('refresh_token')).toBe('rt-1');
expect(body.get('client_id')).toBe('my-client');
expect(body.get('client_secret')).toBe('shh');
});
});
describe('token response → SMART context', () => {
it('parses tokens + patient context and computes absolute expiry', () => {
const now = 1_000_000;
const ctx = parseTokenResponse(
{
access_token: 'AT',
refresh_token: 'RT',
token_type: 'Bearer',
expires_in: 3600,
scope: 'launch patient/Patient.read',
patient: 'Patient-42',
encounter: 'Enc-7',
id_token: 'IDT',
},
now,
);
expect(ctx.accessToken).toBe('AT');
expect(ctx.refreshToken).toBe('RT');
expect(ctx.tokenType).toBe('Bearer');
expect(ctx.expiresAt).toBe(now + 3600 * 1000);
expect(ctx.patient).toBe('Patient-42');
expect(ctx.encounter).toBe('Enc-7');
expect(ctx.scope).toBe('launch patient/Patient.read');
expect(ctx.idToken).toBe('IDT');
});
it('defaults missing optionals to empty strings', () => {
const ctx = parseTokenResponse({ access_token: 'AT', expires_in: 300 }, 0);
expect(ctx.refreshToken).toBe('');
expect(ctx.patient).toBe('');
expect(ctx.encounter).toBe('');
expect(ctx.tokenType).toBe('Bearer');
});
it('throws on an OAuth error payload with the real reason', () => {
expect(() =>
parseTokenResponse({ error: 'invalid_grant', error_description: 'code expired' }),
).toThrow(/code expired/);
});
it('throws when there is no access_token', () => {
expect(() => parseTokenResponse({ token_type: 'Bearer' })).toThrow(/no access_token/);
});
});
describe('isExpired', () => {
it('is true at/after expiry (minus skew) and false before', () => {
expect(isExpired({ expiresAt: 100_000 }, 0, 60_000)).toBe(false); // well before
expect(isExpired({ expiresAt: 100_000 }, 50_000, 60_000)).toBe(true); // within skew window
expect(isExpired({ expiresAt: 100_000 }, 100_001, 60_000)).toBe(true); // past expiry
expect(isExpired({ expiresAt: 100_000 }, 39_999, 60_000)).toBe(false); // just before the skew window
});
});
describe('launch + callback parsing', () => {
it('parses an EHR launch (iss + launch)', () => {
const l = parseLaunch('?iss=https%3A%2F%2Ffhir%2Fr4&launch=xyz');
expect(l.iss).toBe('https://fhir/r4');
expect(l.launch).toBe('xyz');
});
it('tolerates a cold open (no params)', () => {
const l = parseLaunch('');
expect(l.iss).toBe('');
expect(l.launch).toBe('');
});
it('parses a success callback', () => {
const c = parseCallback('?code=abc&state=st');
expect(c.code).toBe('abc');
expect(c.state).toBe('st');
expect(c.error).toBe('');
});
it('parses a declined callback with a reason', () => {
const c = parseCallback('?error=access_denied&error_description=user%20declined');
expect(c.error).toBe('access_denied');
expect(c.errorDescription).toBe('user declined');
expect(c.code).toBe('');
});
});
// Guard: the module must not accidentally depend on hmac/secret material for
// PKCE (a common wrong turn). PKCE is a plain hash — this asserts the intent.
describe('PKCE is a plain SHA-256, not an HMAC', () => {
it('challenge does not match an HMAC construction', async () => {
const verifier = 'v';
const challenge = await challengeFromVerifier(verifier, nodeSha256);
const hmac = createHmac('sha256', 'anykey').update(verifier).digest('base64url');
expect(challenge).not.toBe(hmac);
});
});
+15
View File
@@ -0,0 +1,15 @@
{
"compilerOptions": {
"target": "ES2020",
"module": "ESNext",
"moduleResolution": "bundler",
"lib": ["ES2020", "DOM", "DOM.Iterable"],
"types": ["node"],
"strict": true,
"noEmit": true,
"esModuleInterop": true,
"skipLibCheck": true,
"forceConsistentCasingInFileNames": true
},
"include": ["src/**/*.ts", "test/**/*.ts"]
}
+8
View File
@@ -0,0 +1,8 @@
import { defineConfig } from 'vitest/config';
export default defineConfig({
test: {
include: ['test/**/*.test.ts'],
environment: 'node',
},
});
+22
View File
@@ -338,6 +338,28 @@ importers:
specifier: ^7.0.1
version: 7.0.1
packages/epic:
dependencies:
'@hanzo/ai':
specifier: ^0.2.0
version: 0.2.0
'@hanzo/iam':
specifier: 0.13.2
version: 0.13.2(react@19.2.7)
devDependencies:
'@types/node':
specifier: ^20.14.0
version: 20.19.9
esbuild:
specifier: ^0.25.8
version: 0.25.8
typescript:
specifier: ^5.8.3
version: 5.8.3
vitest:
specifier: ^3.2.6
version: 3.2.6(@types/node@20.19.9)(jsdom@26.1.0)(sass@1.60.0)(terser@5.43.1)
packages/figma:
dependencies:
'@hanzo/ai':
+1
View File
@@ -7,6 +7,7 @@ packages:
- 'packages/clio'
- 'packages/desktop'
- 'packages/docusign'
- 'packages/epic'
- 'packages/dxt'
- 'packages/figma'
- 'packages/github'