const searchResponse = await fetch(
  'https://api.medirecords.com/fhir/v1/Patient?email=patient@example.com',
  {
    headers: {
      'Authorization': `Bearer ${FHIR_TOKEN}`,
      'Content-Type': 'application/fhir+json'
    }
  }
);
const patientData = await searchResponse.json();
const patientId = patientData.entry[0].resource.id;

const encounterResponse = await fetch(
  'https://api.medirecords.com/fhir/v1/Encounter',
  {
    method: 'POST',
    headers: {
      'Authorization': `Bearer ${FHIR_TOKEN}`,
      'Content-Type': 'application/fhir+json'
    },
    body: JSON.stringify({
      resourceType: 'Encounter',
      status: 'finished',  // ✅ MUST be "finished"
      class: {
        system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode',
        code: 'AMB',
        display: 'ambulatory'
      },
      subject: { reference: `Patient/${patientId}` },
      participant: [{
        individual: { reference: `Practitioner/${DR_SOPHIA_ID}` }
      }],
      serviceProvider: {  // ✅ REQUIRED!
        reference: `Organization/${PRACTICE_ID}`
      },
      period: {
        start: new Date(Date.now() - 30*60000).toISOString(),
        end: new Date().toISOString()
      }
    })
  }
);
const encounter = await encounterResponse.json();
const encounterId = encounter.id;

const soapNotes = `
<div id="stamp">
  <div><strong>${new Date().toLocaleString('en-AU')}</strong></div>
  <div><strong>Dr. Sophia AI - Consultation Notes</strong></div>
</div>
<p><strong>Chief Complaint:</strong> Headaches for 3 months</p>
<p><strong>Subjective:</strong> Patient reports...</p>
<p><strong>Objective:</strong> BP 145/92...</p>
<p><strong>Assessment:</strong> Uncontrolled hypertension</p>
<p><strong>Plan:</strong> Adjust medication...</p>
`;

const noteResponse = await fetch(
  `https://api.medirecords.com/v1/patients/${patientId}/consults/${encounterId}/consultnote/append`,
  {
    method: 'POST',
    headers: {
      'Authorization': `Bearer ${REST_TOKEN}`,  // ✅ Different token!
      'Content-Type': 'application/json'
    },
    body: JSON.stringify({ consultNote: soapNotes })
  }
);

cd .claude/skills/medirecords-integration
./scripts/test-consultation.sh willie@adaptation.io

✅ Encounter created: [encounter-id]
✅ Notes appended: [note-id]
✅ Consultation visible in MediRecords UI

// After consultation completes and SOAP notes extracted
if (req.body.patientIdentifier && shouldSaveToMedirecords(aiResponse)) {
  try {
    const consultationData = {
      chiefComplaint: extractedData.chiefComplaint,
      subjective: extractedData.subjective,
      objective: extractedData.objective,
      assessment: extractedData.assessment,
      plan: extractedData.plan,
      prescriptions: extractedData.prescriptions
    };

    const result = await createDrSophiaConsultationWithNotes(
      req.body.patientIdentifier,
      consultationData
    );

    console.log(`✅ Consultation saved: ${result.encounterId}`);
  } catch (error) {
    console.error('❌ Failed to save consultation:', error);
    // Don't fail the response - consultation still worked
  }
}