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HTTP para a RNDS (Rede Nacional de Dados em Saúde) — API FHIR R4 do DATASUS","maintainers":[{"name":"rafael-precisa","email":"admin@precisa-saude.com.br"}],"readme":"# @precisa-saude/fhir-rnds\n\nCliente HTTP para a RNDS (Rede Nacional de Dados em Saúde) — API FHIR R4 do DATASUS com autenticação mTLS, cache de token JWT e zero dependências runtime externas.\n\n## Status de Produção\n\n> **Este pacote foi testado exclusivamente contra um servidor mock** com fixtures realistas baseadas na documentação da RNDS. A validação contra a infraestrutura real da RNDS (ambientes de homologação e produção do DATASUS) **ainda não foi realizada**, pois requer:\n>\n> - Certificado digital **ICP-Brasil** (tipo A1 ou A3) emitido para um estabelecimento de saúde\n> - **Credenciamento ativo** no Portal de Serviços DATASUS\n> - CNES e CNS válidos vinculados ao certificado\n>\n> Se você testou este pacote contra a RNDS real, por favor [abra uma issue](https://github.com/Precisa-Saude/fhir-brasil/issues/new?template=rnds-teste-real.md) com os resultados — isso ajuda a comunidade inteira.\n\n---\n\n## Instalação\n\n```bash\nnpm install @precisa-saude/fhir-rnds\n```\n\n> **Nota:** Requer Node.js >= 20 (fetch nativo) e `@precisa-saude/fhir` como peer dependency.\n\n## Pré-requisitos\n\nPara utilizar a RNDS, é necessário:\n\n1. **Certificado digital ICP-Brasil** — arquivo `.pfx` emitido para o estabelecimento de saúde\n2. **CNES** — código do Cadastro Nacional de Estabelecimentos de Saúde (7 dígitos)\n3. **CNS** — Cartão Nacional de Saúde do profissional responsável (15 dígitos)\n4. **Credenciamento no Portal de Serviços DATASUS** — via conta gov.br\n\nConsulte o [guia oficial da RNDS](https://rnds-guia.saude.gov.br/docs/publico-alvo/ti/conhecer) para detalhes sobre o processo de credenciamento.\n\n## Uso rápido\n\n### Configurar o cliente\n\n```ts\nimport { RNDSClient } from '@precisa-saude/fhir-rnds';\n\nconst client = new RNDSClient({\n  certificate: './certificado.pfx', // caminho ou Buffer\n  certificatePassword: process.env.RNDS_CERT_PASSWORD!,\n  cnes: '1234567',\n  cns: '123456789012345',\n  environment: 'homologation', // ou 'production'\n});\n```\n\n### Consultar paciente\n\n```ts\n// Por CPF\nconst patient = await client.getPatientByCpf('12345678900');\nconsole.log(patient?.name);\n// [{ family: 'Silva', given: ['João'] }]\n\n// Por CNS\nconst patient2 = await client.getPatientByCns('123456789012345');\n```\n\n### Consultar estabelecimento e profissional\n\n```ts\nconst org = await client.getOrganizationByCnes('1234567');\nconsole.log(org?.name);\n// 'Hospital São Paulo'\n\nconst practitioner = await client.getPractitionerByCns('123456789012345');\nconsole.log(practitioner?.name);\n// [{ family: 'Santos', given: ['Maria'] }]\n```\n\n### Enviar resultados laboratoriais\n\n```ts\nimport { labResultToFHIRBundle } from '@precisa-saude/fhir';\n\nconst bundle = labResultToFHIRBundle(report, observations, profile);\nconst result = await client.submitBundle(bundle);\n```\n\n## Autenticação\n\nO cliente gerencia a autenticação automaticamente:\n\n1. Apresenta o certificado `.pfx` via mutual TLS ao endpoint de autenticação\n2. Recebe um token JWT (válido por 30 minutos)\n3. Cacheia o token e renova automaticamente antes de expirar\n4. Deduplica requisições de renovação concorrentes\n\n## Ambientes\n\n| Ambiente       | Autenticação                | API                             |\n| -------------- | --------------------------- | ------------------------------- |\n| `homologation` | `ehr-auth-hmg.saude.gov.br` | `ehr-services.hmg.saude.gov.br` |\n| `production`   | `ehr-auth.saude.gov.br`     | `ehr-services.saude.gov.br`     |\n\n## API\n\n### `RNDSClient`\n\n| Método                        | Retorno                    | Descrição                                          |\n| ----------------------------- | -------------------------- | -------------------------------------------------- |\n| `getPatientByCpf(cpf)`        | `FHIRPatient \\| null`      | Busca paciente por CPF                             |\n| `getPatientByCns(cns)`        | `FHIRPatient \\| null`      | Busca paciente por CNS                             |\n| `getOrganizationByCnes(cnes)` | `FHIROrganization \\| null` | Busca estabelecimento por CNES                     |\n| `getPractitionerByCns(cns)`   | `FHIRPractitioner \\| null` | Busca profissional por CNS                         |\n| `submitBundle(bundle)`        | `FHIRBundle`               | Envia bundle FHIR (resultados laboratoriais, etc.) |\n\n### Erros\n\n| Classe                | Quando                                                  |\n| --------------------- | ------------------------------------------------------- |\n| `RNDSAuthError`       | Falha de autenticação (401, 403, certificado inválido)  |\n| `RNDSValidationError` | Erro de validação FHIR (422), inclui `OperationOutcome` |\n| `RNDSNotFoundError`   | Recurso não encontrado (404)                            |\n| `RNDSError`           | Outros erros HTTP                                       |\n\n### Tipos FHIR adicionais\n\nO pacote exporta tipos FHIR R4 que ainda não existem no core:\n\n- `FHIROrganization`, `FHIRPractitioner`, `FHIRIdentifier`\n- `FHIROperationOutcome`, `FHIROperationOutcomeIssue`\n- `RNDSSearchBundle<T>`, `RNDSTokenResponse`\n\n## Referências\n\n- [Guia oficial RNDS — DATASUS](https://rnds-guia.saude.gov.br/docs/conector)\n- [kyriosdata/rnds](https://github.com/kyriosdata/rnds) — implementação de referência\n\n## Aviso médico\n\nEste pacote é uma ferramenta de integração técnica com a RNDS. Os dados acessados ou enviados **não constituem diagnóstico médico** e não substituem avaliação profissional. Consulte o [DISCLAIMER.md](../../DISCLAIMER.md) na raiz do repositório para detalhes completos.\n\n## Licença\n\n[Apache-2.0](../../LICENSE)\n","readmeFilename":"README.md"}