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[Flussi Sanitari](#flussi-sanitari)\n  - [Servizi NAR / Tessera Sanitaria](#servizi-nar--tessera-sanitaria)\n  - [Indicatori](#indicatori)\n  - [Configurazione](#configurazione)\n- [API Reference](#api-reference)\n- [Struttura del Progetto](#struttura-del-progetto)\n- [Dipendenze Principali](#dipendenze-principali)\n- [Licenza](#licenza)\n\n---\n\n## Installazione\n\n```bash\nnpm install aziendasanitaria-utils\n```\n\n> **Requisiti:** Node.js >= 14.0.0 | ES Modules (`\"type\": \"module\"`)\n\n---\n\n## Quick Start\n\n```javascript\nimport { flussiRegioneSicilia } from \"aziendasanitaria-utils\";\nimport { struttureDistrettiMap, distretti, comuniDistretti } from \"aziendasanitaria-utils/src/config/sicilia/messina.js\";\n\n// Configurazione strutture territoriali\nconst strutture = new flussiRegioneSicilia.StruttureDistrettiPerProvincia(\n    distretti, comuniDistretti, struttureDistrettiMap\n);\n\n// Impostazioni Flusso M\nconst impostazioni = new flussiRegioneSicilia.ImpostazioniFlussoM(\n    \"205\",                          // codice ASL\n    \"190\",                          // codice Regione\n    \"/path/to/input\",               // cartella input\n    \"/path/to/output\",              // cartella output\n    \"/path/to/FlowLook.mdb\",       // database FlowLook\n    strutture\n);\n\n// Elaborazione\nconst flussoM = new flussiRegioneSicilia.FlussoM(impostazioni);\n```\n\n---\n\n## Architettura\n\n```\naziendasanitaria-utils\n|\n|-- Flussi Sanitari           Elaborazione file a record fisso (TXT 381 char)\n|   |-- FlussoM               Prestazioni specialistiche ambulatoriali\n|   |-- FlussoSIAD            Sistema Informativo Assistenza Domiciliare\n|   |-- FlussoHOSPICE         Cure palliative\n|   |-- FlussoARSFAR          Assistenza Residenziale Semiresidenziale\n|   `-- FlussoRSA             Residenze Sanitarie Assistenziali\n|\n|-- Servizi Esterni           Integrazione con portali istituzionali\n|   |-- Ts                    Tessera Sanitaria (HTTP headless + Puppeteer)\n|   |-- Nar / Nar2            Nuova Anagrafe Regionale (Puppeteer + REST API)\n|   |-- Assistiti             Gestione completa dati assistiti\n|   `-- Medici                Gestione dati medici MMG/PLS\n|\n|-- Indicatori                Calcolo indicatori LEA (D33ZA, D30Z)\n|\n`-- Config                    Configurazione territoriale e credenziali\n```\n\n---\n\n## Moduli\n\n### Flussi Sanitari\n\n#### FlussoM - Prestazioni Specialistiche\n\nIl modulo principale per l'elaborazione del flusso M (prestazioni ambulatoriali).\n\n| Funzionalita | Stato |\n|---|:---:|\n| Verifica formale record | ✅ |\n| Acquisizione dati da DB FlowLook | ✅ |\n| Unione file TXT | ✅ |\n| Verifica duplicati (anche milioni di record) | ✅ |\n| Controllo date, nomi file, distretti | ✅ |\n| Elaborazione informazioni finanziarie | ✅ |\n| Verifica strutture su portale Sogei/TS | ✅ |\n| Calcolo differenze e congruita TS | ✅ |\n| Report HTML ed Excel | ✅ |\n| Invio report via mail per distretto | ✅ |\n| Calcolo volumi | ✅ |\n\n#### FlussoSIAD - Assistenza Domiciliare\n\n| Funzionalita | Stato |\n|---|:---:|\n| Conteggio prestazioni | ✅ |\n\n#### FlussoHOSPICE - Cure Palliative\n\n| Funzionalita | Stato |\n|---|:---:|\n| Calcolo giornate di degenza | ✅ |\n\n#### FlussoARSFAR - Assistenza Residenziale\n\n| Funzionalita | Stato |\n|---|:---:|\n| Calcolo ammissioni | ✅ |\n\n#### FlussoRSA - Residenze Sanitarie\n\n| Funzionalita | Stato |\n|---|:---:|\n| Elaborazione dati RSA | ✅ |\n\n---\n\n### Servizi NAR / Tessera Sanitaria\n\n#### Ts - Tessera Sanitaria\n\nIntegrazione con il portale [SistemaTS](https://sistemats4.sanita.finanze.it) per la verifica e la ricerca di dati sanitari.\n\n**Modalita headless (senza browser)** - usa `axios` + `cheerio`:\n\n```javascript\nimport { Ts } from \"aziendasanitaria-utils/src/narTsServices/Ts.js\";\nimport { ImpostazioniServiziTerzi } from \"aziendasanitaria-utils/src/config/ImpostazioniServiziTerzi.js\";\n\nconst config = new ImpostazioniServiziTerzi({\n    ts_username: \"CODICE_FISCALE\",\n    ts_password: \"PASSWORD\"\n});\nconst ts = new Ts(config);\n\n// Ricerca STP/ENI per codice\nconst risultato = await ts.ricercaStpPerCodice({\n    prefisso: 'STP',       // 'STP' o 'ENI'\n    codiceAsl: '205',\n    suffissoCodiceStp: '0000001'\n});\n// => { error: false, data: { codice_stp_eni, cognome, nome, genere, ... } }\n\n// Ricerca STP/ENI per range\nconst elenco = await ts.ricercaStpPerRange({\n    prefisso: 'STP',\n    codiceAsl: '205',\n    dal: '0000000',\n    al: '9999999'\n});\n// => { error: false, data: [{ codice_stp_eni, cognome, nome, genere, nazionalita }, ...] }\n\n// Ricerca STP/ENI per dati anagrafici\nconst ricerca = await ts.ricercaStpPerDati({\n    prefisso: 'STP',\n    codiceAsl: '205',\n    cognome: 'ROSSI',\n    genere: 'M'\n});\n\n// Dettaglio da link nella lista\nconst dettaglio = await ts.getDettaglioStp(elenco.data[0]._detailLink);\n\n// Parsing file forniture assistiti TS (offline, no login)\nconst { data, stats } = Ts.getDataFromTSFile(\"/path/to/file.txt\");\n\n// --- Cambio medico di base (modulo Gestione Assistiti) ---\n\n// Aggiornamento medico: crea un nuovo periodo di assistenza per l'assistito.\n// Vincolo: la data deve essere > data inizio assistenza esistente e <= oggi.\nconst agg = await ts.aggiornaMedicoAssistito({\n    cfAssistito: 'RSSMRA80A01F158X',\n    cfMedico: 'BTASLV97B46F158J',   // CF del medico (value della select)\n    dataAggiornamento: null          // opzionale, default = oggi (gg/mm/aaaa)\n});\n// => { error: false, data: { cfAssistito, cfMedico, dataInizioValidita, codDescRegioneAsl,\n//      medicoPrecedente: \"NOME - CF\", medicoPrecedenteCf: \"CF\", medicoAttuale: \"NOME - CF\" } }\n\n// Rettifica medico: corregge in place l'associazione corrente (NESSUN vincolo di data).\n// Utile per fixare un aggiornamento errato senza creare un nuovo periodo.\nconst ret = await ts.rettificaMedicoAssistito({\n    cfAssistito: 'RSSMRA80A01F158X',\n    cfMedico: 'PRSNNN56B22F158D'\n});\n// => { error: false, data: { ..., medicoPrecedente, medicoPrecedenteCf, medicoAttuale } }\n// In caso di errore: { error: true, data: null, message: \"<messaggio dal portale>\" }\n\n// --- Copia (PDF) della Tessera Sanitaria ---\n// Scarica la copia provvisoria della tessera dato il CF dell'assistito.\nconst tessera = await ts.getCopiaTesseraSanitaria({\n    cfAssistito: 'RSSMRA80A01F158X',\n    filePath: '/tmp/tessera.pdf'    // opzionale: se valorizzato salva il PDF su disco\n});\n// => { error: false, data: { cfAssistito, numeroTessera, dataScadenza, stato,\n//      pdf: <Buffer>, filePath? } }\n// Il PDF è restituito come Buffer (utilizzabile lato server senza UI).\n\nts.closeHttpSession();\n```\n\n> Note cambio medico: la tessera viene sempre impostata a **CNS** e la valenza **TEAM \"Si\"**.\n> Il portale richiede una doppia conferma (recap + commit), gestita internamente dalle\n> funzioni con due POST sequenziali; il medico precedente viene sempre letto e restituito.\n\n**Modalita browser** (Puppeteer) - per operazioni legacy:\n\n```javascript\nconst page = await ts.getWorkingPage(true); // true = visibile\n// ... operazioni con Puppeteer\nawait ts.doLogout();\n```\n\n#### Nar2 - Nuova Anagrafe Regionale (REST API)\n\n```javascript\nimport { Nar2 } from \"aziendasanitaria-utils/src/narTsServices/Nar2.js\";\n\nconst nar2 = new Nar2(impostazioniServiziTerzi);\nconst token = await nar2.getToken();\n\n// Ricerca assistiti con parametri\nconst assistiti = await nar2.getAssistitiFromParams({\n    [Nar2.PARAMS.COGNOME]: 'ROSSI',\n    [Nar2.PARAMS.NOME]: 'MARIO',\n    [Nar2.PARAMS.AZIENDA]: '205'\n});\n\n// Elenco medici MMG/PLS, con dati dei rapporti individuali e degli indirizzi\nconst medici = await nar2.getMediciFromNar2({\n    soloAttivi: true,\n    aggiungiDatiRapporti: true,   // allega `rapporti` e `indirizzi` a ogni medico\n    parallelsRapporti: 10         // richieste eseguite in parallelo\n});\n\n// Solo i rapporti / gli indirizzi di un medico dato il suo pf_id\nconst rapporti = await nar2.getRapportiMedicoFromId(5860, 'ME');\nconst indirizzi = await nar2.getIndirizziMedicoFromId(5860, 'ME');\n\n// Lookup comuni (cm_id NAR2) per nome/CAP/ISTAT/catastale, con filtro esatto\n// e fallback CAP generico per le città multi-CAP (98167 → 98100)\nconst {comune, candidati} = await nar2.getComuneNar2({cap: '98167'}); // → MESSINA (id 83)\n\n// Aggiornamento residenza/domicilio (PUT /pazienti/{id}, dryRun default true).\n// Sorgenti combinabili: daTs (entrambi dal Sistema TS), residenzaDaTs/domicilioDaTs\n// (singola sezione da TS), residenza/domicilio personalizzati {via, civico, cap, comuneId|criterio}\nconst dry = await nar2.aggiornaIndirizziAssistito(cf, {daTs: true});            // ispeziona dry.diff/warnings\nconst sent = await nar2.aggiornaIndirizziAssistito(cf, {\n    residenzaDaTs: true,\n    domicilio: {via: 'VIA ROMA', civico: '10', cap: '98057'},                   // comune risolto dal CAP\n    dryRun: false\n});\n// Vedi docs/CAMBIO_MEDICO_NAR2.md §5.b — la verifica indirizzi è lo step standard\n// che precede il cambio medico (test interattivo: node ./test-cambio-medico.js)\n\n// ── Inserimento nuovo assistito (fonte: Sistema TS) ──\n// Vedi docs/INSERIMENTO_ASSISTITO_NAR2.md. Input minimo: solo il codice fiscale.\n\n// Dati separati TS/NAR2 + esistenza per fonte (pre-check inserimento)\nconst check = await nar2.verificaAssistitoTsNar2(cf);\n// → {ts: {esiste, dati, errore}, nar2: {esiste, dati, errore}, inseribileSuNar2}\n\n// Indirizzo di residenza dal recapito dell'ULTIMA tessera sanitaria (Sistema TS,\n// modulo Gestione Assistiti; REGOLA: sempre la più recente, qualunque stato)\nconst ts = new Ts(impostazioni);\nconst tessera = await ts.getIndirizzoUltimaTessera({codiceFiscale: cf});\n// → {indirizzo, numero_tessera, stato, data_scadenza, regione, asl, ...}\n\n// Orchestratore completo (Assistiti): verifica → indirizzo tessera → POST /pazienti\nconst assistiti = new Assistiti(configData);\nconst dryIns = await assistiti.inserisciNuovoAssistitoDaTs(cf);                 // dryRun default: payload+derivazioni\nconst ins = await assistiti.inserisciNuovoAssistitoDaTs(cf, {dryRun: false});   // creazione reale → ins.pzId\n// (test interattivo: node ./test-cambio-medico.js — se il CF non esiste su NAR2\n//  propone l'inserimento; modalità [V] verifica TS/NAR2, [T] recapito tessera)\n```\n\nOgni rapporto è normalizzato così (include anche i rapporti non attivi; `attivo` è `true` solo se manca la data di fine):\n\n```javascript\n{\n    id: \"75337\",\n    categoria: \"mmg\",                 // \"mmg\" | \"pls\"\n    tipoRapporto: \"MDB\",\n    descrizioneRapporto: \"Medico di base\",\n    email: \"...\",\n    telefoni: [\"3780818127\", \"3403896880\"],   // array, scarta i valori nulli\n    dataInizio: \"25/05/2026\",         // dd/MM/yyyy\n    dataFine: null,                   // null = rapporto attivo\n    attivo: true,\n    domicilio: {                      // indirizzo studio; null se NAR non fornisce il link\n        comune: \"MESSINA\",\n        provincia: \"ME\",\n        cap: \"98100\",\n        indirizzo: \"VIA CENTONZE\",\n        numeroCivico: \"72\"\n    }\n}\n```\n\nGli indirizzi del medico (legati al medico, non al rapporto) sono restituiti tutti in array, normalizzati così:\n\n```javascript\n{\n    progressivo: \"1\",\n    descrizione: \"RESIDENZA\",          // può essere null\n    comune: \"CANICATTI'\",\n    provincia: \"AG\",\n    cap: \"92024\",\n    indirizzo: \"VIA S. CORAZZINI, 9\",\n    numeroCivico: \"1\",\n    dataAttivazione: \"21/03/2065\",     // dd/MM/yyyy\n    dataDisattivazione: null,\n    residenza: true,                   // true se è l'indirizzo di residenza\n    telefoni: [],\n    email: null\n}\n```\n\n#### Assistiti - Gestione Dati Assistiti\n\nOrchestratore che combina dati da TS, NAR e NAR2.\n\n```javascript\nimport { Assistiti } from \"aziendasanitaria-utils/src/narTsServices/Assistiti.js\";\n\nconst assistiti = new Assistiti(configServiziTerzi);\nconst dati = await assistiti.apriMMGAssistiti(codiceMMG, listaCF);\n```\n\n| Funzionalita | Stato |\n|---|:---:|\n| Verifica data decesso da TS | ✅ |\n| Recupero dati da NAR/NAR2 | ✅ |\n| Generazione documenti DOCX | ✅ |\n| Elaborazione batch parallela | ✅ |\n\n#### Medici - Gestione Dati Medici\n\n```javascript\nimport { Medici } from \"aziendasanitaria-utils/src/narTsServices/Medici.js\";\n\nconst medici = new Medici(impostazioni, true);\n```\n\n| Funzionalita | Stato |\n|---|:---:|\n| Ricerca medici MMG/PLS | ✅ |\n| Integrazione NAR | ✅ |\n| Report PDF/Excel | ✅ |\n\n---\n\n### Indicatori\n\nCalcolo degli indicatori LEA (Livelli Essenziali di Assistenza).\n\n| Indicatore | Descrizione |\n|---|---|\n| **D33ZA** | Identificazione anziani >75 anni con patologie specifiche (da file ARS) |\n| **D30Z** | Indicatore composito SIAD/Hospice |\n\n---\n\n### Configurazione\n\n#### ImpostazioniServiziTerzi\n\nCredenziali per i servizi esterni:\n\n```javascript\nconst config = new ImpostazioniServiziTerzi({\n    ts_username: \"\",    // Codice Fiscale per Tessera Sanitaria\n    ts_password: \"\",    // Password TS\n    nar_username: \"\",   // Username NAR\n    nar_password: \"\",   // Password NAR\n    nar2_username: \"\",  // Username NAR2\n    nar2_password: \"\"   // Password NAR2\n});\n```\n\n#### StruttureDistrettiPerProvincia\n\nConfigurazione territoriale con distretti, comuni e strutture sanitarie. Include configurazione preconfigurata per **Messina**.\n\n```javascript\nimport { struttureDistrettiMap, distretti, comuniDistretti } from \"aziendasanitaria-utils/src/config/sicilia/messina.js\";\n```\n\n---\n\n## API Reference\n\n### Exports principali\n\n```javascript\nimport { flussiRegioneSicilia } from \"aziendasanitaria-utils\";\n\nconst {\n    // Flussi\n    FlussoM,\n    FlussoSIAD,\n    FlussoHOSPICE,\n    FlussoARSFAR,\n    FlussoRSA,\n\n    // Configurazione\n    ImpostazioniFlussoM,\n    ImpostazioniFlussoRSA,\n    ImpostazioniFlussoHOSPICE,\n    ImpostazioniFlussoARSFAR,\n    ImpostazioniMail,\n    ImpostazioniServiziTerzi,\n    StruttureDistrettiPerProvincia,\n\n    // Servizi\n    Assistiti,\n    Medici,\n    Indicatori,\n\n    // Dati regionali\n    Messina\n} = flussiRegioneSicilia;\n```\n\n### Ts - Metodi STP/ENI (headless)\n\n| Metodo | Parametri | Ritorno |\n|---|---|---|\n| `ricercaStpPerCodice()` | `{ prefisso, codiceAsl, suffissoCodiceStp }` | `{ error, data, message? }` |\n| `ricercaStpPerRange()` | `{ prefisso, codiceAsl, dal, al }` | `{ error, data[], message? }` |\n| `ricercaStpPerDati()` | `{ prefisso, codiceAsl, cognome, genere }` | `{ error, data[], message? }` |\n| `getDettaglioStp()` | `detailLink` | `{ error, data, message? }` |\n| `closeHttpSession()` | - | `void` |\n| `Ts.getDataFromTSFile()` | `filePath` | `{ data[], stats }` |\n\n**Campi restituiti (dettaglio singolo):**\n\n| Campo | Esempio |\n|---|---|\n| `codice_stp_eni` | `STP1902050000001` |\n| `cognome` | `ROSSI` |\n| `nome` | `MARIO` |\n| `genere` | `M` |\n| `data_nascita` | `01/01/1990` |\n| `nazionalita` | `ROMANIA` |\n| `indirizzo` | `VIA ROMA 1` |\n| `cap` | `98100` |\n| `comune` | `MESSINA` |\n| `provincia` | `ME` |\n| `medico` | `BIANCHI LUIGI` |\n| `asl_ao` | `205 - ASP MESSINA` |\n| `regione` | `Sicilia` |\n| `tipo_assistito` | `assistito STP` |\n| `data_inizio_assistenza` | `01/01/2024` |\n| `data_fine_assistenza` | `01/07/2024` |\n| `motivazione_fine_assistenza` | `FINE ASSISTENZA (DA PARTE DEL SSN)` |\n\n**Campi restituiti (elenco):**\n\n| Campo | Descrizione |\n|---|---|\n| `codice_stp_eni` | Codice identificativo |\n| `cognome` | Cognome |\n| `nome` | Nome |\n| `genere` | M/F |\n| `nazionalita` | Nazionalita |\n| `_detailLink` | Link per `getDettaglioStp()` |\n\n---\n\n## Struttura del Progetto\n\n```\naziendasanitaria-utils/\n├── index.js                         # Entry point - export principale\n├── package.json\n│\n├── src/\n│   ├── m/\n│   │   ├── FlussoM.js               # Flusso M - Prestazioni specialistiche\n│   │   └── DatiStruttureProgettoTs.js\n│   │\n│   ├── siad/\n│   │   └── FlussoSIAD.js            # Flusso SIAD - Assistenza domiciliare\n│   │\n│   ├── hospice/\n│   │   └── FlussoHOSPICE.js         # Flusso Hospice\n│   │\n│   ├── ars-far/\n│   │   └── FlussoARSFAR.js          # Flusso ARS ex FAR\n│   │\n│   ├── rsa/\n│   │   └── FlussoRSA.js             # Flusso RSA\n│   │\n│   ├── narTsServices/\n│   │   ├── Ts.js                    # Tessera Sanitaria (HTTP + Puppeteer)\n│   │   ├── Nar.js                   # NAR legacy (Puppeteer)\n│   │   ├── Nar2.js                  # NAR2 REST API\n│   │   ├── Assistiti.js             # Gestione assistiti\n│   │   └── Medici.js                # Gestione medici\n│   │\n│   ├── config/\n│   │   ├── ImpostazioniServiziTerzi.js\n│   │   ├── ImpostazioniFlussoM.js\n│   │   ├── ImpostazioniFlussoSIAD.js\n│   │   ├── ImpostazioniFlussoHOSPICE.js\n│   │   ├── ImpostazioniFlussoARSFAR.js\n│   │   ├── ImpostazioniFlussoRSA.js\n│   │   ├── ImpostazioniMail.js\n│   │   ├── StruttureDistrettiPerProvincia.js\n│   │   └── sicilia/\n│   │       └── messina.js           # Config preconfigurata Messina\n│   │\n│   ├── classi/\n│   │   └── Assistito.js             # Classe dati assistito\n│   │\n│   ├── db/\n│   │   ├── DBHelper.js\n│   │   └── asp_esenzioni.sql\n│   │\n│   ├── grid/                        # Template report HTML\n│   │\n│   ├── Utils.js                     # Utility comuni\n│   ├── Indicatori.js                # Indicatori LEA\n│   ├── Procedure.js\n│   ├── Stipendi.js\n│   ├── CryptHelper.js\n│   └── api/\n│       └── APIHelper.js\n│\n├── config/\n│   └── config_example.json          # Template configurazione\n│\n└── example.js                       # Esempio di utilizzo\n```\n\n---\n\n## Dipendenze Principali\n\n| Categoria | Librerie |\n|---|---|\n| **HTTP / Scraping** | axios, cheerio, puppeteer, puppeteer-extra |\n| **Database** | sqlite3, mysql, knex, mdb-reader, lokijs, ioredis |\n| **Documenti** | exceljs, xlsx, docx, pdf-lib, libreoffice-convert |\n| **Email** | nodemailer, eml-format, @freiraum/msgreader |\n| **Sicurezza** | openpgp, argon2, passport, passport-spid |\n| **File** | fs-extra, adm-zip, archiver, unzipper, chokidar |\n| **Utilita** | lodash, moment-timezone, xml2js, stream-json, winston |\n| **AI** | @google/generative-ai |\n\n---\n\n## Configurazione\n\nCreare un file `config/config.json` partendo dal template:\n\n```json\n{\n    \"ts_username\": \"\",\n    \"ts_password\": \"\",\n    \"nar_username\": \"\",\n    \"nar_password\": \"\",\n    \"nar2_username\": \"\",\n    \"nar2_password\": \"\"\n}\n```\n\n---\n\n## Licenza\n\n[MIT](LICENSE) - Roberto De Domenico\n","readmeFilename":"README.md"}