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Receta: Mejoras en la suspensión #2139

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Receta: Mejoras en la suspensión #2139

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d307fa7
feat(REC-138):ANDES: Mejoras en la suspencion de recetas
aldoEMatamala Nov 5, 2025
778f8d7
feat(recetas): estado suspendida en al menos una receta
MCele Feb 20, 2026
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2 changes: 1 addition & 1 deletion modules/recetas/receta-schema.ts
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Original file line number Diff line number Diff line change
Expand Up @@ -19,7 +19,7 @@ export const motivosRecetaSchema = new mongoose.Schema({
const estadosSchema = new mongoose.Schema({
tipo: {
type: String,
enum: ['pendiente', 'vigente', 'finalizada', 'vencida', 'suspendida', 'rechazada'],
enum: ['pendiente', 'vigente', 'finalizada', 'vencida', 'suspendida', 'rechazada','eliminada'],
required: true,
default: 'vigente'
},
Expand Down
4 changes: 2 additions & 2 deletions modules/recetas/recetas.routes.ts
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Original file line number Diff line number Diff line change
Expand Up @@ -46,13 +46,13 @@ export const patch = async (req, res) => {
let result, status;
const { recetaId, recetas, dataDispensa } = req.body;
const app = req.user.app?.nombre ? req.user.app.nombre.toLowerCase() : '';
if (!recetaId && !recetas) {
if ((!recetaId && !recetas)) {
const error = new ParamsIncorrect();
res.status(error.status).json(error);
} else {
switch (operacion) {
case 'suspender':
result = await suspender(recetas, req);
result = await suspender(recetaId, req);
break;
case 'dispensar':
case 'dispensa-parcial':
Expand Down
136 changes: 43 additions & 93 deletions modules/recetas/recetasController.ts
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Original file line number Diff line number Diff line change
Expand Up @@ -155,10 +155,12 @@ export async function buscarRecetas(req) {
optOtros['estadoActual.tipo'] = { $in: includeOtros };
}
options['$or'] = [optPendientes, optVigentes, optOtros].filter(o => o.hasOwnProperty('estadoActual.tipo'));
} else if (user.type === 'app-token') {
options['fechaRegistro'] = { $gte: fechaInicio, $lte: fechaFin };
} else {
options['estadoActual.tipo'] = { $nin: ['eliminada'] };
if (user.type === 'app-token') {
options['fechaRegistro'] = { $gte: fechaInicio, $lte: fechaFin };
}
}

let recetas: any = await Receta.find(options);
if (!recetas.length) {
return [];
Expand Down Expand Up @@ -188,102 +190,52 @@ export async function buscarRecetas(req) {
}
}

/**
* Groups recetas by idRegistro and selects the one with the smallest ordenTratamiento from each group
* @param recetaIds Array of receta IDs
* @returns Array of selected recetas (one per group)
*/
export async function obtenerRecetasPorGrupo(recetaIds) {
try {
const recetasPromises = recetaIds.map(async (recetaId) => {
const receta: any = await Receta.findById(recetaId);
return receta;
});
const recetas = await Promise.all(recetasPromises);
const grupos = {};
recetas.forEach(receta => {
if (receta) {
const idRegistro = receta.idRegistro;
if (!grupos[idRegistro]) {
grupos[idRegistro] = [];
}
grupos[idRegistro].push(receta);
}
});

const recetasASuspender = [];
Object.values(grupos).forEach((grupo: any[]) => {
if (grupo.length > 0) {
const recetaMenorOrden = grupo.reduce((min, receta) =>
receta.medicamento.ordenTratamiento < min.medicamento.ordenTratamiento ? receta : min
);
recetasASuspender.push(recetaMenorOrden);
}
});

return recetasASuspender;
} catch (error) {
await updateLog.error('obtenerRecetasPorGrupo', { recetaIds }, error);
throw error;
}
}

export async function suspender(recetas, req) {
export async function suspender(recetaId, req) {
const motivo = req.body.motivo;
const observacion = req.body.observacion;
const profesional = req.body.profesional;
try {
if (!recetas) {
throw new ParamsIncorrect();
}
const recetasASuspender = await obtenerRecetasPorGrupo(recetas);
const promises = recetas.map(async (recetaId) => {

const receta: any = await Receta.findById(recetaId);

if (!receta) {
throw new RecetaNotFound();
const recetaR: any = await Receta.findById(recetaId);
const recetasASuspender = await Receta.find({
'medicamento.concepto.conceptId': recetaR.medicamento.concepto.conceptId,
idRegistro: recetaR.idRegistro,
'estadoActual.tipo': { $nin: ['vencida', 'finalizada'] }
}).sort({ fechaRegistro: -1 });


if (recetasASuspender.length) {
const recetasSuspender = recetasASuspender.filter((r: any) => (r.estadoActual.tipo === 'vigente') || (r.estadoDispensaActual.tipo === 'dispensa-parcial' && r.estadoActual.tipo === 'pendiente'));
const recetasEliminar = recetasASuspender.filter((r: any) => (r.estadoDispensaActual.tipo === 'sin-dispensa' && r.estadoActual.tipo === 'pendiente'));
if (recetasSuspender.length === 0 && recetasEliminar.length !== 0) {
// en el tratamiento prolongado, al menos una receta debe quedar en estado suspendido
const recetaSusp = recetasEliminar.pop();
recetasSuspender.push(recetaSusp);
}
if (!receta.medicamento.tratamientoProlongado) {
receta.estados.push({
tipo: 'suspendida',
motivo,
observacion,
profesional,
fecha: new Date()
});
Auth.audit(receta, req);
await receta.save();
const recSusp = await Promise.all(await recetasUpdate(recetasSuspender, 'suspendida', motivo, observacion, profesional, req));

const idRegistro = receta.idRegistro;
const medicamento = receta.medicamento?.concepto.conceptId;
await Receta.deleteMany({ idRegistro, 'medicamento.concepto.conceptId': medicamento, 'estadoActual.tipo': 'pendiente', 'estadoDispensaActual.tipo': 'sin-dispensa' });
} else {
if (recetasASuspender.some(r => r.id.toString() === receta.id.toString())) {
receta.estados.push({
tipo: 'suspendida',
motivo,
observacion,
profesional,
fecha: new Date()
});
Auth.audit(receta, req);
await receta.save();
} else {
const _id = receta.id;
const medicamento = receta.medicamento?.concepto.conceptId;
await Receta.deleteOne({ _id });
}
}
});
await Promise.all(promises);
return { success: true };
const rec = recSusp.concat(await Promise.all(await recetasUpdate(recetasEliminar, 'eliminada', motivo, observacion, profesional, req)));

return rec;
}
return recetasASuspender;
} catch (error) {
await updateLog.error('suspender', { motivo, observacion, profesional, recetas }, error);
await updateLog.error('suspender', { motivo, observacion, profesional, recetaId }, error);
return error;
}
}

async function recetasUpdate(recetas, estado, motivo, observacion, profesional, req) {
return recetas.map(async (receta: any) => {
receta.estados.push({
tipo: estado,
motivo,
observacion,
profesional,
});
Auth.audit(receta, req);
return await receta.save();
});
};

export async function getMotivosReceta(res) {
try {
Expand Down Expand Up @@ -695,7 +647,7 @@ export async function buscarRecetasPorProfesional(req) {
filter['origenExterno.app'] = origenExternoApp;
}
if (excluirEstado) {
filter['estadoActual.tipo'] = { $ne: excluirEstado };
filter['estadoActual.tipo'] = { $nin: excluirEstado };
}
const recetas = await Receta.find(filter);
return recetas;
Expand Down Expand Up @@ -735,8 +687,7 @@ export async function actualizarEstadosRecetas(done) {
for (const receta of recetasPendientes) {
try {
receta.estados.push({
tipo: 'vigente',
fecha: moment().toDate(),
tipo: 'vigente'
});
totalRecetasAVigentes++;
Auth.audit(receta, userScheduler as any);
Expand All @@ -758,8 +709,7 @@ export async function actualizarEstadosRecetas(done) {
for (const receta of recetasVigentes) {
try {
receta.estados.push({
tipo: 'vencida',
fecha: moment().toDate()
tipo: 'vencida'
});
Auth.audit(receta, userScheduler as any);
await receta.save();
Expand Down