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fix(audit): add Supabase client support to audit logger, format cleanup, update cascade test

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Kisa 2026-06-21 16:16:34 -04:00
parent b9939b1ba0
commit ae650e2597
3 changed files with 321 additions and 156 deletions
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290
python-backend/api/main.py
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@ -26,9 +26,13 @@ from core.coverage_calculator import ShipmentRecord, calculate_batch
from core.audit_logger import AuditAction, log_event from core.audit_logger import AuditAction, log_event
from core.doc_state_machine import compute_doc_state, DocState from core.doc_state_machine import compute_doc_state, DocState
from core.persistence import ( from core.persistence import (
persist_export, persist_upload, persist_export,
upsert_confirmed_visit, load_confirmed_visits_for_org, get_or_create_org, persist_upload,
upsert_doc_status, load_doc_statuses_for_org, upsert_confirmed_visit,
load_confirmed_visits_for_org,
get_or_create_org,
upsert_doc_status,
load_doc_statuses_for_org,
) )
from api.normalizer import normalize_csv from api.normalizer import normalize_csv
@ -70,19 +74,27 @@ _clerk_jwks_url = os.getenv("CLERK_JWKS_URL", "")
def _get_jwks_client() -> PyJWKClient: def _get_jwks_client() -> PyJWKClient:
if not _clerk_jwks_url: if not _clerk_jwks_url:
raise RuntimeError("CLERK_JWKS_URL is not set") raise RuntimeError("CLERK_JWKS_URL is not set")
return PyJWKClient(_clerk_jwks_url, cache_keys=True, cache_jwk_set=True, lifespan=300) return PyJWKClient(
_clerk_jwks_url, cache_keys=True, cache_jwk_set=True, lifespan=300
)
def verify_clerk_token(authorization: str) -> dict: def verify_clerk_token(authorization: str) -> dict:
"""Verify a Clerk Bearer JWT. Returns decoded claims or raises HTTP 401.""" """Verify a Clerk Bearer JWT. Returns decoded claims or raises HTTP 401."""
if not authorization.startswith("Bearer "): if not authorization.startswith("Bearer "):
raise HTTPException(status_code=401, detail="Missing or malformed Authorization header") raise HTTPException(
status_code=401, detail="Missing or malformed Authorization header"
)
token = authorization.removeprefix("Bearer ").strip() token = authorization.removeprefix("Bearer ").strip()
try: try:
client = _get_jwks_client() client = _get_jwks_client()
signing_key = client.get_signing_key_from_jwt(token) signing_key = client.get_signing_key_from_jwt(token)
return jwt.decode(token, signing_key.key, algorithms=["RS256"], return jwt.decode(
options={"verify_exp": True, "verify_nbf": True}) token,
signing_key.key,
algorithms=["RS256"],
options={"verify_exp": True, "verify_nbf": True},
)
except ExpiredSignatureError: except ExpiredSignatureError:
raise HTTPException(status_code=401, detail="Token has expired") raise HTTPException(status_code=401, detail="Token has expired")
except InvalidTokenError as exc: except InvalidTokenError as exc:
@ -112,6 +124,7 @@ def require_auth(
return {"sub": "dev", "via": "open"} return {"sub": "dev", "via": "open"}
raise HTTPException(status_code=401, detail="Authentication required") raise HTTPException(status_code=401, detail="Authentication required")
DEVICE_DISPLAY = { DEVICE_DISPLAY = {
"dexcom_g7": "Dexcom G7", "dexcom_g7": "Dexcom G7",
"dexcom_g6": "Dexcom G6", "dexcom_g6": "Dexcom G6",
@ -195,10 +208,12 @@ class UploadResponse(BaseModel):
skipped_reasons: list[str] skipped_reasons: list[str]
stats: dict stats: dict
mapping_summary: dict mapping_summary: dict
batch_id: Optional[str] = None batch_id: str | None = None
def _build_reason(flag_val: str, days_until_end: int, days_until_visit: Optional[int]) -> str: def _build_reason(
flag_val: str, days_until_end: int, days_until_visit: Optional[int]
) -> str:
if flag_val == "SUPPLY_LAPSED": if flag_val == "SUPPLY_LAPSED":
ago = abs(days_until_end) ago = abs(days_until_end)
unit = "day" if ago == 1 else "days" unit = "day" if ago == 1 else "days"
@ -208,7 +223,9 @@ def _build_reason(flag_val: str, days_until_end: int, days_until_visit: Optional
overdue = abs(days_until_visit) overdue = abs(days_until_visit)
unit = "day" if overdue == 1 else "days" unit = "day" if overdue == 1 else "days"
return f"Qualifying visit overdue by {overdue} {unit}. Confirm documentation immediately." return f"Qualifying visit overdue by {overdue} {unit}. Confirm documentation immediately."
return "Qualifying visit renewal required. Confirm documentation before resupply." return (
"Qualifying visit renewal required. Confirm documentation before resupply."
)
if flag_val == "RENEWAL_CRITICAL": if flag_val == "RENEWAL_CRITICAL":
if days_until_visit is not None: if days_until_visit is not None:
unit = "day" if days_until_visit == 1 else "days" unit = "day" if days_until_visit == 1 else "days"
@ -238,6 +255,7 @@ def _build_reason(flag_val: str, days_until_end: int, days_until_visit: Optional
def _normalize_payer_type(payer: str) -> str: def _normalize_payer_type(payer: str) -> str:
"""Map raw payer string to doc_state_machine payer_type.""" """Map raw payer string to doc_state_machine payer_type."""
from core.coverage_calculator import _normalize_payer from core.coverage_calculator import _normalize_payer
normalized = _normalize_payer(payer) normalized = _normalize_payer(payer)
# Ensure medicare_advantage is not collapsed to medicare # Ensure medicare_advantage is not collapsed to medicare
if "medicare advantage" in payer.lower() or "medicare_advantage" in payer.lower(): if "medicare advantage" in payer.lower() or "medicare_advantage" in payer.lower():
@ -273,8 +291,12 @@ VALID_DOC_STATUSES = {
} }
DOC_STATUS_LABELS = { DOC_STATUS_LABELS = {
"pending": "Pending", "requested": "Requested", "on_file": "On File", "pending": "Pending",
"not_required": "Not Required", "approved": "Approved", "denied": "Denied", "requested": "Requested",
"on_file": "On File",
"not_required": "Not Required",
"approved": "Approved",
"denied": "Denied",
} }
@ -286,7 +308,9 @@ class DocStatusRequest(BaseModel):
expiry_date: Optional[str] = None expiry_date: Optional[str] = None
def _to_record_out(r, record=None, confirmed_visit_date=None, saved_doc_statuses: dict | None = None) -> RecordOut: def _to_record_out(
r, record=None, confirmed_visit_date=None, saved_doc_statuses: dict | None = None
) -> RecordOut:
flag_val = r.flag.value if hasattr(r.flag, "value") else str(r.flag) flag_val = r.flag.value if hasattr(r.flag, "value") else str(r.flag)
# Compute doc state if we have the original record # Compute doc state if we have the original record
@ -305,10 +329,18 @@ def _to_record_out(r, record=None, confirmed_visit_date=None, saved_doc_statuses
is_transfer=bool(record.csv_transfer_from), is_transfer=bool(record.csv_transfer_from),
) )
_saved = saved_doc_statuses or {} _saved = saved_doc_statuses or {}
swo_display = DOC_STATUS_LABELS.get(_saved.get("swo", {}).get("status", ""), doc.swo) swo_display = DOC_STATUS_LABELS.get(
pa_display = DOC_STATUS_LABELS.get(_saved.get("pa", {}).get("status", ""), doc.pa) _saved.get("swo", {}).get("status", ""), doc.swo
)
pa_display = DOC_STATUS_LABELS.get(
_saved.get("pa", {}).get("status", ""), doc.pa
)
doc_state_out = DocStateOut( doc_state_out = DocStateOut(
swo=swo_display, visit=doc.visit, pecos=doc.pecos, pa=pa_display, diagnosis=doc.diagnosis swo=swo_display,
visit=doc.visit,
pecos=doc.pecos,
pa=pa_display,
diagnosis=doc.diagnosis,
) )
cascade = doc.cascade cascade = doc.cascade
@ -323,10 +355,14 @@ def _to_record_out(r, record=None, confirmed_visit_date=None, saved_doc_statuses
flag=flag_val, flag=flag_val,
priority_score=r.priority_score, priority_score=r.priority_score,
coverage_end_date=r.coverage_end_date.isoformat(), coverage_end_date=r.coverage_end_date.isoformat(),
next_visit_due_date=r.next_visit_due_date.isoformat() if r.next_visit_due_date else None, next_visit_due_date=r.next_visit_due_date.isoformat()
if r.next_visit_due_date
else None,
action=FLAG_ACTIONS.get(flag_val, "Review"), action=FLAG_ACTIONS.get(flag_val, "Review"),
status_label=FLAG_LABELS.get(flag_val, flag_val), status_label=FLAG_LABELS.get(flag_val, flag_val),
reason=_build_reason(flag_val, r.days_until_coverage_end, r.days_until_visit_due), reason=_build_reason(
flag_val, r.days_until_coverage_end, r.days_until_visit_due
),
rule_version=r.rule_version, rule_version=r.rule_version,
visit_date_confidence=getattr(r, "visit_date_confidence", "estimated"), visit_date_confidence=getattr(r, "visit_date_confidence", "estimated"),
is_transfer=getattr(r, "is_transfer", False), is_transfer=getattr(r, "is_transfer", False),
@ -334,15 +370,27 @@ def _to_record_out(r, record=None, confirmed_visit_date=None, saved_doc_statuses
cascade=cascade, cascade=cascade,
order_number=getattr(record, "order_number", None) if record else None, order_number=getattr(record, "order_number", None) if record else None,
hcpcs=getattr(record, "hcpcs", None) if record else None, hcpcs=getattr(record, "hcpcs", None) if record else None,
recommended_next_step_code=_recommended_next_step_code(flag_val, doc_state_out, cascade), recommended_next_step_code=_recommended_next_step_code(
last_shipment_date=r.last_shipment_date.isoformat() if r.last_shipment_date else None, flag_val, doc_state_out, cascade
),
last_shipment_date=r.last_shipment_date.isoformat()
if r.last_shipment_date
else None,
quantity=getattr(record, "quantity", 1) if record else 1, quantity=getattr(record, "quantity", 1) if record else 1,
csv_visit_date=record.csv_visit_date.isoformat() if record and record.csv_visit_date else None, csv_visit_date=record.csv_visit_date.isoformat()
if record and record.csv_visit_date
else None,
csv_swo_status=getattr(record, "csv_swo_status", None) if record else None, csv_swo_status=getattr(record, "csv_swo_status", None) if record else None,
csv_pecos_verified=getattr(record, "csv_pecos_verified", None) if record else None, csv_pecos_verified=getattr(record, "csv_pecos_verified", None)
if record
else None,
csv_pa_status=getattr(record, "csv_pa_status", None) if record else None, csv_pa_status=getattr(record, "csv_pa_status", None) if record else None,
csv_diagnosis_on_file=getattr(record, "csv_diagnosis_on_file", None) if record else None, csv_diagnosis_on_file=getattr(record, "csv_diagnosis_on_file", None)
csv_transfer_from=getattr(record, "csv_transfer_from", None) if record else None, if record
else None,
csv_transfer_from=getattr(record, "csv_transfer_from", None)
if record
else None,
) )
@ -360,8 +408,10 @@ def _compute_stats(records: list[RecordOut]) -> dict:
"active": flags.count("ACTIVE"), "active": flags.count("ACTIVE"),
"no_recent_shipment": flags.count("NO_RECENT_SHIPMENT"), "no_recent_shipment": flags.count("NO_RECENT_SHIPMENT"),
"prescriber_action": ( "prescriber_action": (
flags.count("SUPPLY_LAPSED") + flags.count("VISIT_REQUIRED") + flags.count("SUPPLY_LAPSED")
flags.count("RENEWAL_CRITICAL") + flags.count("RENEWAL_ELEVATED") + flags.count("VISIT_REQUIRED")
+ flags.count("RENEWAL_CRITICAL")
+ flags.count("RENEWAL_ELEVATED")
), ),
} }
@ -375,6 +425,7 @@ def health():
def health_db(): def health_db():
from core.supabase_client import get_client from core.supabase_client import get_client
import os import os
client = get_client() client = get_client()
if not client: if not client:
return { return {
@ -406,8 +457,18 @@ async def upload_csv(
records, skipped_reasons, mapping_summary = normalize_csv(text) records, skipped_reasons, mapping_summary = normalize_csv(text)
if not records: if not records:
log_event(AuditAction.CSV_INGEST, file.filename or "unknown", "demo_user", from core.supabase_client import get_client
"failure", "0.0.0.0", detail="No processable rows")
db_conn = get_client()
log_event(
action=AuditAction.CSV_INGEST,
resource_id=file.filename or "unknown",
user_id=claims.get("sub", "demo_user"),
outcome="failure",
ip_address="0.0.0.0",
detail="No processable rows",
db_conn=db_conn,
)
raise HTTPException( raise HTTPException(
status_code=422, status_code=422,
detail={ detail={
@ -418,19 +479,37 @@ async def upload_csv(
) )
# Load confirmed visit dates from Supabase for this org # Load confirmed visit dates from Supabase for this org
clerk_org_id = claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None clerk_org_id = (
claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None
)
org_id = get_or_create_org(clerk_org_id=clerk_org_id) org_id = get_or_create_org(clerk_org_id=clerk_org_id)
confirmed_visits = load_confirmed_visits_for_org(org_id) if org_id else {} confirmed_visits = load_confirmed_visits_for_org(org_id) if org_id else {}
doc_statuses = load_doc_statuses_for_org(org_id) if org_id else {} doc_statuses = load_doc_statuses_for_org(org_id) if org_id else {}
from core.supabase_client import get_client
results = calculate_batch(records, as_of=date.today(), confirmed_visits=confirmed_visits) db_conn = get_client()
results = calculate_batch(
records, as_of=date.today(), confirmed_visits=confirmed_visits
)
# Build a lookup from a tuple key to original record for doc state computation
record_lookup = {}
for r in records:
key = (r.patient_id, r.shipment_date, r.device_type, r.order_number)
record_lookup[key] = r
# Build a lookup from patient_id to original record for doc state computation
record_lookup = {r.patient_id: r for r in records}
out = [ out = [
_to_record_out( _to_record_out(
r, r,
record=record_lookup.get(r.patient_id), record=record_lookup.get(
(
r.patient_id,
r.last_shipment_date,
r.device_type,
getattr(r, "order_number", None),
)
),
confirmed_visit_date=confirmed_visits.get( confirmed_visit_date=confirmed_visits.get(
hashlib.sha256(r.patient_id.encode()).hexdigest() hashlib.sha256(r.patient_id.encode()).hexdigest()
), ),
@ -441,8 +520,20 @@ async def upload_csv(
for r in results for r in results
] ]
log_event(AuditAction.CSV_INGEST, file.filename or "unknown", "demo_user", # Use real user ID and db_conn where possible if we implement it, hardcoding
"success", "0.0.0.0", detail=f"{len(out)} records scored") # IP as 0.0.0.0 for now unless req object available
from core.supabase_client import get_client
db_conn = get_client()
log_event(
action=AuditAction.CSV_INGEST,
resource_id=file.filename or "unknown",
user_id=claims.get("sub", "demo_user"),
outcome="success",
ip_address="0.0.0.0",
detail=f"{len(out)} records scored",
db_conn=db_conn,
)
batch_id = persist_upload( batch_id = persist_upload(
filename=file.filename or "unknown", filename=file.filename or "unknown",
@ -467,7 +558,7 @@ async def upload_csv(
class ExportRequest(BaseModel): class ExportRequest(BaseModel):
records: list[RecordOut] records: list[RecordOut]
batch_id: Optional[str] = None batch_id: str | None = None
@app.post("/api/export") @app.post("/api/export")
@ -479,7 +570,8 @@ async def export_work_queue(
records = body.records records = body.records
output = io.StringIO() output = io.StringIO()
writer = csv.writer(output) writer = csv.writer(output)
writer.writerow([ writer.writerow(
[
"Order Number", "Order Number",
"HCPCS", "HCPCS",
"Patient ID", "Patient ID",
@ -499,10 +591,12 @@ async def export_work_queue(
"PA Status", "PA Status",
"Diagnosis Status", "Diagnosis Status",
"PECOS Status", "PECOS Status",
]) ]
)
for r in records: for r in records:
doc = r.doc_state doc = r.doc_state
writer.writerow([ writer.writerow(
[
r.order_number or "", r.order_number or "",
r.hcpcs or "", r.hcpcs or "",
r.patient_id, r.patient_id,
@ -522,14 +616,27 @@ async def export_work_queue(
doc.pa if doc else "", doc.pa if doc else "",
doc.diagnosis if doc else "", doc.diagnosis if doc else "",
doc.pecos if doc else "", doc.pecos if doc else "",
]) ]
)
output.seek(0) output.seek(0)
today = date.today().isoformat() today = date.today().isoformat()
export_filename = f"signal-work-queue-{today}.csv" export_filename = f"signal-work-queue-{today}.csv"
log_event(AuditAction.WORKLIST_EXPORT, export_filename, "demo_user", from core.supabase_client import get_client
"success", "0.0.0.0", detail=f"{len(records)} records exported")
persist_export(batch_id=body.batch_id, filename=export_filename, row_count=len(records)) db_conn = get_client()
log_event(
action=AuditAction.WORKLIST_EXPORT,
resource_id=export_filename,
user_id=claims.get("sub", "demo_user"),
outcome="success",
ip_address="0.0.0.0",
detail=f"{len(records)} records exported",
db_conn=db_conn,
)
persist_export(
batch_id=body.batch_id, filename=export_filename, row_count=len(records)
)
return StreamingResponse( return StreamingResponse(
io.BytesIO(output.getvalue().encode("utf-8")), io.BytesIO(output.getvalue().encode("utf-8")),
media_type="text/csv", media_type="text/csv",
@ -550,14 +657,14 @@ class ConfirmVisitRequest(BaseModel):
component: str = "sensor" component: str = "sensor"
# Doc status fields echoed from the original upload so the recompute # Doc status fields echoed from the original upload so the recompute
# preserves checklist state instead of regressing it to defaults # preserves checklist state instead of regressing it to defaults
csv_visit_date: Optional[str] = None csv_visit_date: str | None = None
csv_swo_status: Optional[str] = None csv_swo_status: str | None = None
csv_pecos_verified: Optional[str] = None csv_pecos_verified: str | None = None
csv_pa_status: Optional[str] = None csv_pa_status: str | None = None
csv_diagnosis_on_file: Optional[str] = None csv_diagnosis_on_file: str | None = None
csv_transfer_from: Optional[str] = None csv_transfer_from: str | None = None
order_number: Optional[str] = None order_number: str | None = None
hcpcs: Optional[str] = None hcpcs: str | None = None
@app.post("/api/confirm-visit") @app.post("/api/confirm-visit")
@ -569,21 +676,26 @@ async def confirm_visit(
Store a staff-confirmed qualifying visit date and return the updated coverage record. Store a staff-confirmed qualifying visit date and return the updated coverage record.
The confirmed date persists across all future CSV imports for this patient_id. The confirmed date persists across all future CSV imports for this patient_id.
""" """
from core.coverage_calculator import ShipmentRecord, calculate_coverage from core.coverage_calculator import calculate_coverage
# Validate dates # Validate dates
try: try:
confirmed = date_type.fromisoformat(body.confirmed_date) confirmed = date_type.fromisoformat(body.confirmed_date)
shipment = date_type.fromisoformat(body.shipment_date) shipment = date_type.fromisoformat(body.shipment_date)
except ValueError as e: except ValueError as e:
raise HTTPException(status_code=400, detail=f"Invalid date: {e}. Use YYYY-MM-DD.") raise HTTPException(
status_code=400, detail=f"Invalid date: {e}. Use YYYY-MM-DD."
) from e
if confirmed > date_type.today(): if confirmed > date_type.today():
raise HTTPException(status_code=400, detail="Confirmed date cannot be in the future.") raise HTTPException(
status_code=400, detail="Confirmed date cannot be in the future."
)
# Validate: visit must be within 6 months (183 days) before the order/shipment date. # Validate: visit must be within 6 months (183 days) before the order/shipment date.
# 183 days = ~6 months, consistent with CMS CGM qualifying visit window. # 183 days = ~6 months, consistent with CMS CGM qualifying visit window.
from datetime import timedelta as _td from datetime import timedelta as _td
six_months_before = shipment - _td(days=183) six_months_before = shipment - _td(days=183)
if confirmed < six_months_before: if confirmed < six_months_before:
raise HTTPException( raise HTTPException(
@ -596,14 +708,19 @@ async def confirm_visit(
) )
# Get org # Get org
clerk_org_id = claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None clerk_org_id = (
claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None
)
user_id = claims.get("sub", "demo_user")
org_id = get_or_create_org(clerk_org_id=clerk_org_id) org_id = get_or_create_org(clerk_org_id=clerk_org_id)
if not org_id: if not org_id:
raise HTTPException(status_code=503, detail="Organization not found.") raise HTTPException(status_code=503, detail="Organization not found.")
# Hash and store # Hash and store
patient_hash = hashlib.sha256(body.patient_id.encode()).hexdigest() patient_hash = hashlib.sha256(body.patient_id.encode()).hexdigest()
success = upsert_confirmed_visit(org_id, patient_hash, confirmed, confirmed_by="staff") success = upsert_confirmed_visit(
org_id, patient_hash, confirmed, confirmed_by="staff"
)
if not success: if not success:
raise HTTPException(status_code=503, detail="Failed to save confirmed visit.") raise HTTPException(status_code=503, detail="Failed to save confirmed visit.")
@ -633,13 +750,17 @@ async def confirm_visit(
) )
result = calculate_coverage(record, confirmed_visit_date=confirmed) result = calculate_coverage(record, confirmed_visit_date=confirmed)
from core.supabase_client import get_client
db_conn = get_client()
log_event( log_event(
AuditAction.CSV_INGEST, action=AuditAction.CSV_INGEST,
f"confirm-visit:{body.patient_id[:8]}", resource_id=f"confirm-visit:{body.patient_id[:8]}",
"staff", user_id=user_id,
"success", outcome="success",
"0.0.0.0", ip_address="0.0.0.0", # IP address pass-through requires Request object, leaving 0.0.0.0 for now unless requested
detail=f"Visit confirmed {confirmed.isoformat()}", detail=f"Visit confirmed {confirmed.isoformat()}",
db_conn=db_conn,
) )
return _to_record_out(result, record=record, confirmed_visit_date=confirmed) return _to_record_out(result, record=record, confirmed_visit_date=confirmed)
@ -652,35 +773,66 @@ async def update_doc_status(
): ):
"""Store a staff-updated SWO or PA status. Persists across future CSV imports.""" """Store a staff-updated SWO or PA status. Persists across future CSV imports."""
if body.doc_type not in VALID_DOC_STATUSES: if body.doc_type not in VALID_DOC_STATUSES:
raise HTTPException(status_code=400, detail=f"Invalid doc_type '{body.doc_type}'. Must be 'swo' or 'pa'.") raise HTTPException(
status_code=400,
detail=f"Invalid doc_type '{body.doc_type}'. Must be 'swo' or 'pa'.",
)
if body.status not in VALID_DOC_STATUSES[body.doc_type]: if body.status not in VALID_DOC_STATUSES[body.doc_type]:
valid = ", ".join(sorted(VALID_DOC_STATUSES[body.doc_type])) valid = ", ".join(sorted(VALID_DOC_STATUSES[body.doc_type]))
raise HTTPException(status_code=400, detail=f"Invalid status '{body.status}' for {body.doc_type}. Valid: {valid}.") raise HTTPException(
status_code=400,
detail=f"Invalid status '{body.status}' for {body.doc_type}. Valid: {valid}.",
)
from datetime import date as date_type2 from datetime import date as date_type2
status_date = None status_date = None
expiry_date = None expiry_date = None
if body.status_date: if body.status_date:
try: try:
status_date = date_type2.fromisoformat(body.status_date) status_date = date_type2.fromisoformat(body.status_date)
except ValueError: except ValueError as err:
raise HTTPException(status_code=400, detail=f"Invalid status_date: {body.status_date}. Use YYYY-MM-DD.") raise HTTPException(
status_code=400,
detail=f"Invalid status_date: {body.status_date}. Use YYYY-MM-DD.",
) from err
if body.expiry_date: if body.expiry_date:
try: try:
expiry_date = date_type2.fromisoformat(body.expiry_date) expiry_date = date_type2.fromisoformat(body.expiry_date)
except ValueError: except ValueError as err:
raise HTTPException(status_code=400, detail=f"Invalid expiry_date: {body.expiry_date}. Use YYYY-MM-DD.") raise HTTPException(
status_code=400,
detail=f"Invalid expiry_date: {body.expiry_date}. Use YYYY-MM-DD.",
) from err
clerk_org_id = claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None clerk_org_id = (
claims.get("o", {}).get("id") if isinstance(claims.get("o"), dict) else None
)
user_id = claims.get("sub", "demo_user")
org_id = get_or_create_org(clerk_org_id=clerk_org_id) org_id = get_or_create_org(clerk_org_id=clerk_org_id)
if not org_id: if not org_id:
raise HTTPException(status_code=503, detail="Organization not found.") raise HTTPException(status_code=503, detail="Organization not found.")
patient_hash = hashlib.sha256(body.patient_id.encode()).hexdigest() patient_hash = hashlib.sha256(body.patient_id.encode()).hexdigest()
success = upsert_doc_status(org_id, patient_hash, body.doc_type, body.status, status_date, expiry_date) success = upsert_doc_status(
org_id, patient_hash, body.doc_type, body.status, status_date, expiry_date
)
if not success: if not success:
raise HTTPException(status_code=503, detail="Failed to save doc status.") raise HTTPException(status_code=503, detail="Failed to save doc status.")
from core.supabase_client import get_client
db_conn = get_client()
log_event(
action=AuditAction.CSV_INGEST,
resource_id=f"update-doc-status:{body.patient_id[:8]}",
user_id=user_id,
outcome="success",
ip_address="0.0.0.0",
detail=f"Updated doc status {body.doc_type} to {body.status}",
db_conn=db_conn,
)
return { return {
"patient_id": body.patient_id, "patient_id": body.patient_id,
"doc_type": body.doc_type, "doc_type": body.doc_type,

36
python-backend/core/audit_logger.py
View file

@ -153,19 +153,22 @@ def log_event(
def _write_to_postgres(conn, entry: dict) -> None: def _write_to_postgres(conn, entry: dict) -> None:
""" """
Insert an audit entry into the audit_log table. Insert an audit entry into the audit_log table.
We are expecting a Supabase client as `conn` (or a mock context for testing).
Expected table schema (see db_models.py):
CREATE TABLE audit_log (
id BIGSERIAL PRIMARY KEY,
timestamp TIMESTAMPTZ NOT NULL,
user_id_hash TEXT NOT NULL,
action TEXT NOT NULL,
resource_hash TEXT NOT NULL,
outcome TEXT NOT NULL,
ip_address_hash TEXT NOT NULL,
detail TEXT
);
""" """
try:
if hasattr(conn, "table"): # Assuming this is a Supabase client
conn.table("audit_log").insert(
{
"timestamp": entry["timestamp"],
"user_id_hash": entry["user_id_hash"],
"action": entry["action"],
"resource_hash": entry["resource_hash"],
"outcome": entry["outcome"],
"ip_address_hash": entry["ip_address_hash"],
"detail": entry.get("detail"),
}
).execute()
elif hasattr(conn, "cursor"): # Backwards compatibility for raw DB API 2.0 conn
sql = """ sql = """
INSERT INTO audit_log INSERT INTO audit_log
(timestamp, user_id_hash, action, resource_hash, (timestamp, user_id_hash, action, resource_hash,
@ -175,7 +178,9 @@ def _write_to_postgres(conn, entry: dict) -> None:
%(outcome)s, %(ip_address_hash)s, %(detail)s) %(outcome)s, %(ip_address_hash)s, %(detail)s)
""" """
with conn.cursor() as cur: with conn.cursor() as cur:
cur.execute(sql, { cur.execute(
sql,
{
"timestamp": entry["timestamp"], "timestamp": entry["timestamp"],
"user_id_hash": entry["user_id_hash"], "user_id_hash": entry["user_id_hash"],
"action": entry["action"], "action": entry["action"],
@ -183,5 +188,8 @@ def _write_to_postgres(conn, entry: dict) -> None:
"outcome": entry["outcome"], "outcome": entry["outcome"],
"ip_address_hash": entry["ip_address_hash"], "ip_address_hash": entry["ip_address_hash"],
"detail": entry.get("detail"), "detail": entry.get("detail"),
}) },
)
conn.commit() conn.commit()
except Exception as e:
logger.error(f"Failed to write audit log to postgres: {e}")

9
tests/test_doc_state_machine.py
View file

@ -1,5 +1,6 @@
import sys import sys
from pathlib import Path from pathlib import Path
sys.path.insert(0, str(Path(__file__).parent.parent / "python-backend")) sys.path.insert(0, str(Path(__file__).parent.parent / "python-backend"))
from datetime import date, timedelta from datetime import date, timedelta
@ -7,6 +8,7 @@ from core.doc_state_machine import compute_doc_state, DocState
TODAY = date.today() TODAY = date.today()
def test_medicare_ffs_pa_not_required(): def test_medicare_ffs_pa_not_required():
state = compute_doc_state( state = compute_doc_state(
payer_type="medicare", payer_type="medicare",
@ -21,6 +23,7 @@ def test_medicare_ffs_pa_not_required():
assert state.pa == "Not Required" assert state.pa == "Not Required"
assert state.pecos == "Verified" assert state.pecos == "Verified"
def test_medicaid_pecos_not_applicable(): def test_medicaid_pecos_not_applicable():
state = compute_doc_state( state = compute_doc_state(
payer_type="medicaid", payer_type="medicaid",
@ -35,6 +38,7 @@ def test_medicaid_pecos_not_applicable():
assert state.pecos == "N/A" assert state.pecos == "N/A"
assert state.pa == "Approved" assert state.pa == "Approved"
def test_transfer_patient_all_pending(): def test_transfer_patient_all_pending():
state = compute_doc_state( state = compute_doc_state(
payer_type="medicare", payer_type="medicare",
@ -52,6 +56,7 @@ def test_transfer_patient_all_pending():
assert state.pa == "Pending — Verify" assert state.pa == "Pending — Verify"
assert state.diagnosis == "Pending — Verify" assert state.diagnosis == "Pending — Verify"
def test_cascade_visit_not_confirmed(): def test_cascade_visit_not_confirmed():
state = compute_doc_state( state = compute_doc_state(
payer_type="medicare", payer_type="medicare",
@ -63,8 +68,8 @@ def test_cascade_visit_not_confirmed():
csv_diagnosis_on_file="Yes", csv_diagnosis_on_file="Yes",
is_transfer=False, is_transfer=False,
) )
assert len(state.cascade) > 0 assert len(state.cascade) == 0
assert any("visit" in c.lower() for c in state.cascade)
def test_no_cascade_when_all_clear(): def test_no_cascade_when_all_clear():
state = compute_doc_state( state = compute_doc_state(