triqura-ecd/app/api/cortex/intake/diagnose/route.ts

/**
 * Intake Diagnosis API
 *
 * GET /api/cortex/intake/diagnose?patientId=xxx&intakeId=xxx
 *
 * Returns diagnoses for an intake.
 * Used by DiagnoseBlock in Cortex Command Center.
 */

import { NextRequest, NextResponse } from 'next/server';
import { createClient } from '@/lib/auth/server';
import { z } from 'zod';

// Query parameter schema
const QuerySchema = z.object({
  patientId: z.string().uuid({ message: 'patientId moet een geldige UUID zijn' }),
  intakeId: z.string().uuid({ message: 'intakeId moet een geldige UUID zijn' }).optional(),
});

// Clinical status type
type ClinicalStatus = 'active' | 'recurrence' | 'relapse' | 'inactive' | 'remission' | 'resolved';

export interface DiagnosisItem {
  id: string;
  code: string;
  description: string;
  codeSystem: string;
  clinicalStatus: ClinicalStatus;
  severity: string | null;
  isPrimary: boolean;
  notes: string | null;
  recordedDate: string;
}

export interface IntakeDiagnoseResponse {
  intakeId: string;
  patientId: string;
  diagnoses: DiagnosisItem[];
  summary: {
    total: number;
    primaryDiagnosis: DiagnosisItem | null;
    secondaryCount: number;
    hasActiveConditions: boolean;
  };
  lastUpdated: string | null;
}

// Dutch labels for clinical status (not exported - Route files can only export route handlers)
const CLINICAL_STATUS_LABELS: Record<ClinicalStatus, string> = {
  active: 'Actief',
  recurrence: 'Recidief',
  relapse: 'Terugval',
  inactive: 'Inactief',
  remission: 'Remissie',
  resolved: 'Hersteld',
};

export async function GET(request: NextRequest) {
  try {
    // Auth check
    const supabase = await createClient();
    const {
      data: { user },
      error: authError,
    } = await supabase.auth.getUser();

    if (authError || !user) {
      return NextResponse.json(
        { error: 'Niet geautoriseerd. Log opnieuw in.' },
        { status: 401 }
      );
    }

    // Parse and validate query parameters
    const searchParams = request.nextUrl.searchParams;
    const patientId = searchParams.get('patientId');
    const intakeId = searchParams.get('intakeId') || undefined; // Convert null to undefined for Zod

    if (!patientId) {
      return NextResponse.json(
        { error: 'Query parameter "patientId" is verplicht' },
        { status: 400 }
      );
    }

    const validation = QuerySchema.safeParse({ patientId, intakeId });
    if (!validation.success) {
      const errorMessage = validation.error.issues
        .map((e) => e.message)
        .join(', ');
      return NextResponse.json({ error: errorMessage }, { status: 400 });
    }

    // If no intakeId provided, get the most recent active intake for this patient
    let targetIntakeId = validation.data.intakeId;

    if (!targetIntakeId) {
      const { data: latestIntake, error: intakeError } = await supabase
        .from('intakes')
        .select('id')
        .eq('patient_id', patientId)
        .eq('status', 'bezig')
        .order('start_date', { ascending: false })
        .limit(1)
        .maybeSingle();

      if (intakeError) {
        console.error('Error fetching latest intake:', intakeError);
        return NextResponse.json(
          { error: 'Fout bij ophalen intake' },
          { status: 500 }
        );
      }

      if (!latestIntake) {
        return NextResponse.json(
          { error: 'Geen actieve intake gevonden voor deze patiënt' },
          { status: 404 }
        );
      }

      targetIntakeId = latestIntake.id;
    }

    // Fetch diagnoses (conditions linked to intake via encounter_id)
    const { data: conditionsData, error: conditionsError } = await supabase
      .from('conditions')
      .select('*')
      .eq('encounter_id', targetIntakeId)
      .order('recorded_date', { ascending: false });

    if (conditionsError) {
      console.error('Error fetching diagnoses:', conditionsError);
      return NextResponse.json(
        { error: 'Fout bij ophalen diagnoses' },
        { status: 500 }
      );
    }

    const diagnoses: DiagnosisItem[] = (conditionsData || []).map((condition) => ({
      id: condition.id,
      code: condition.code_code || '',
      description: condition.code_display || 'Onbekende diagnose',
      codeSystem: condition.code_system || 'ICD-10',
      clinicalStatus: (condition.clinical_status as ClinicalStatus) || 'active',
      severity: condition.severity_display,
      isPrimary: condition.category === 'primary-diagnosis',
      notes: condition.note,
      recordedDate: condition.recorded_date || '',
    }));

    // Build summary
    const primaryDiagnosis = diagnoses.find((d) => d.isPrimary) || null;
    const secondaryCount = diagnoses.filter((d) => !d.isPrimary).length;
    const hasActiveConditions = diagnoses.some(
      (d) => d.clinicalStatus === 'active' || d.clinicalStatus === 'recurrence' || d.clinicalStatus === 'relapse'
    );

    // Get last updated timestamp
    const lastUpdated = diagnoses.length > 0 ? diagnoses[0].recordedDate : null;

    const response: IntakeDiagnoseResponse = {
      intakeId: targetIntakeId,
      patientId,
      diagnoses,
      summary: {
        total: diagnoses.length,
        primaryDiagnosis,
        secondaryCount,
        hasActiveConditions,
      },
      lastUpdated,
    };

    return NextResponse.json(response, { status: 200 });
  } catch (error) {
    console.error('Error in intake diagnosis API:', error);
    return NextResponse.json(
      { error: 'Er ging iets mis bij het ophalen van de diagnoses.' },
      { status: 500 }
    );
  }
}