request-my-ehi

# Request My EHI Export ## First-Time Setup **Before using any scripts**, install dependencies in the skill's scripts directory: ```bash cd <skill-dir>/scripts && bun install ``` This installs `pdf-lib` for PDF generation/manipulation. All scripts in this skill use **Bun** (not Node.js). Optional: `pdftoppm` from **poppler-utils** (`apt install poppler-utils`) is useful for rendering PDFs to images for visual verification. **Script usage pattern:** ```bash bun <skill-dir>/scripts/<script-name>.ts [arguments] ``` ## Background: What Is an EHI Export and Why Does It Matter? Every patient has a right to their complete medical record. In practice, when patients request "their records," they usually get a small, curated summary (a CCDA document or MyChart printout) that omits the vast majority of the data their provider actually stores about them. The **EHI Export** is different. It's a certified feature (ONC § 170.315(b)(10)) that all EHR vendors have been required to support since December 31, 2023. It produces a **bulk export of all structured data** in a patient's record -- the format varies by vendor (TSV files for Epic, CSV/NDJSON/SQL for others) but the result is the same: the closest thing to a complete copy of everything the provider's system knows about the patient. Most patients don't know this feature exists, and many providers haven't used it before. Your job is to be a knowledgeable, patient, and supportive guide -- helping the patient understand what they'...