@fhirfly-io/shl 0.1.0

package/dist/index.cjs.map

@@ -0,0 +1 @@
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Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nexport { Bundle } from \"./bundle.js\";\n\n// Code system constants\nexport { CODE_SYSTEMS } from \"./code-systems.js\";\n\n// Patient input types\nexport type {\n  PatientDemographics,\n  PatientShorthand,\n  PatientFull,\n  PatientCommunication,\n  PatientContact,\n} from \"./types.js\";\n\n// Build & validation types\nexport type {\n  BuildOptions,\n  ValidationResult,\n  ValidationIssue,\n} from \"./types.js\";\n\n// Clinical entry option types\nexport type {\n  MedicationOptions,\n  MedicationByNDC,\n  MedicationByRxNorm,\n  MedicationBySNOMED,\n  MedicationFromResource,\n  MedicationManual,\n  MedicationStatus,\n  FhirflyClient,\n  ConditionOptions,\n  ConditionByICD10,\n  ConditionBySNOMED,\n  ConditionFromResource,\n  ConditionManual,\n  ConditionClinicalStatus,\n  AllergyOptions,\n  AllergyBySNOMED,\n  AllergyFromResource,\n  AllergyManual,\n  AllergyClinicalStatus,\n  ImmunizationOptions,\n  ImmunizationByCVX,\n  ImmunizationFromResource,\n  ImmunizationManual,\n} from \"./types.js\";\n\n// FHIR R4 datatypes (re-exported for users building PatientFull input)\nexport type {\n  HumanName,\n  Address,\n  ContactPoint,\n  Identifier,\n  CodeableConcept,\n  Reference,\n  Coding,\n  Period,\n  AdministrativeGender,\n} from \"./fhir-types.js\";\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nconst XHTML_NS = \"http://www.w3.org/1999/xhtml\";\n\nfunction esc(s: string): string {\n  return s.replace(/&/g, \"&amp;\").replace(/</g, \"&lt;\").replace(/>/g, \"&gt;\");\n}\n\nfunction wrap(lines: string[]): string {\n  const body = lines.join(\"\");\n  return `<div xmlns=\"${XHTML_NS}\">${body}</div>`;\n}\n\nexport function medicationNarrative(\n  displayText: string | undefined,\n  dosageText: string | undefined,\n  effectiveDate: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(displayText ?? \"Medication\")}</b></p>`);\n  if (dosageText) lines.push(`<p>Dosage: ${esc(dosageText)}</p>`);\n  if (effectiveDate) lines.push(`<p>Effective: ${esc(effectiveDate)}</p>`);\n  return wrap(lines);\n}\n\nexport function conditionNarrative(\n  displayText: string | undefined,\n  clinicalStatus: string,\n  onsetDate: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(displayText ?? \"Condition\")}</b></p>`);\n  lines.push(`<p>Clinical Status: ${esc(clinicalStatus)}</p>`);\n  if (onsetDate) lines.push(`<p>Onset: ${esc(onsetDate)}</p>`);\n  return wrap(lines);\n}\n\nexport function allergyNarrative(\n  displayText: string | undefined,\n  clinicalStatus: string,\n  criticality: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(displayText ?? \"Allergy\")}</b></p>`);\n  lines.push(`<p>Clinical Status: ${esc(clinicalStatus)}</p>`);\n  if (criticality) lines.push(`<p>Criticality: ${esc(criticality)}</p>`);\n  return wrap(lines);\n}\n\nexport function immunizationNarrative(\n  displayText: string | undefined,\n  status: string,\n  occurrenceDate: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(displayText ?? \"Immunization\")}</b></p>`);\n  lines.push(`<p>Status: ${esc(status)}</p>`);\n  if (occurrenceDate) lines.push(`<p>Date: ${esc(occurrenceDate)}</p>`);\n  return wrap(lines);\n}\n\nexport function patientNarrative(\n  name: string | undefined,\n  birthDate: string,\n  gender: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(name ?? \"Patient\")}</b></p>`);\n  lines.push(`<p>DOB: ${esc(birthDate)}</p>`);\n  if (gender) lines.push(`<p>Gender: ${esc(gender)}</p>`);\n  return wrap(lines);\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/**\n * Internal patient normalization — converts shorthand or full FHIR-shaped\n * patient input into a FHIR R4 Patient resource object.\n */\n\nimport type { PatientDemographics, PatientFull, PatientShorthand } from \"./types.js\";\nimport type { HumanName, ContactPoint, Identifier } from \"./fhir-types.js\";\nimport { patientNarrative } from \"./narrative.js\";\n\n/**\n * Type guard: returns true if the input is a full FHIR-shaped patient.\n * Discriminant: `Array.isArray(input.name)`.\n */\nexport function isPatientFull(input: PatientDemographics): input is PatientFull {\n  return Array.isArray((input as PatientFull).name);\n}\n\n/**\n * Convert either patient input form to a FHIR R4 Patient resource object.\n */\nexport function normalizePatient(\n  input: PatientDemographics,\n  id: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  if (isPatientFull(input)) {\n    return buildFromFull(input, id, profile);\n  }\n  return buildFromShorthand(input, id, profile);\n}\n\nfunction buildFromShorthand(\n  input: PatientShorthand,\n  id: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const patient: Record<string, unknown> = {\n    resourceType: \"Patient\",\n    id,\n  };\n\n  if (profile === \"ips\") {\n    patient.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips\"],\n    };\n  }\n\n  // Name: given/family or text\n  const name: HumanName = {};\n  if (input.given) name.given = [input.given];\n  if (input.family) name.family = input.family;\n  if (input.name) name.text = input.name;\n  if (name.given || name.family || name.text) {\n    patient.name = [name];\n  }\n\n  patient.birthDate = input.birthDate;\n\n  if (input.gender) {\n    patient.gender = input.gender;\n  }\n\n  // Telecom: phone, email\n  const telecom: ContactPoint[] = [];\n  if (input.phone) {\n    telecom.push({ system: \"phone\", value: input.phone });\n  }\n  if (input.email) {\n    telecom.push({ system: \"email\", value: input.email });\n  }\n  if (telecom.length > 0) {\n    patient.telecom = telecom;\n  }\n\n  // Identifier\n  if (input.identifier) {\n    const ident: Identifier = typeof input.identifier === \"string\"\n      ? { value: input.identifier }\n      : { system: input.identifier.system, value: input.identifier.value };\n    patient.identifier = [ident];\n  }\n\n  const displayName = (input.name\n    ?? [input.given, input.family].filter(Boolean).join(\" \"))\n    || undefined;\n  patient.text = {\n    status: \"generated\",\n    div: patientNarrative(displayName, input.birthDate, input.gender),\n  };\n\n  return patient;\n}\n\nfunction buildFromFull(\n  input: PatientFull,\n  id: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const patient: Record<string, unknown> = {\n    resourceType: \"Patient\",\n    id,\n  };\n\n  if (profile === \"ips\") {\n    patient.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips\"],\n    };\n  }\n\n  patient.name = input.name;\n  patient.birthDate = input.birthDate;\n\n  if (input.gender) patient.gender = input.gender;\n  if (input.identifier) patient.identifier = input.identifier;\n  if (input.telecom) patient.telecom = input.telecom;\n  if (input.address) patient.address = input.address;\n  if (input.active !== undefined) patient.active = input.active;\n  if (input.maritalStatus) patient.maritalStatus = input.maritalStatus;\n  if (input.generalPractitioner) patient.generalPractitioner = input.generalPractitioner;\n  if (input.communication) patient.communication = input.communication;\n  if (input.contact) patient.contact = input.contact;\n\n  // Deceased polymorphism: boolean → deceasedBoolean, string → deceasedDateTime\n  if (input.deceased !== undefined) {\n    if (typeof input.deceased === \"boolean\") {\n      patient.deceasedBoolean = input.deceased;\n    } else {\n      patient.deceasedDateTime = input.deceased;\n    }\n  }\n\n  const first = input.name[0];\n  const displayName = first\n    ? (first.text ?? [first.given?.join(\" \"), first.family].filter(Boolean).join(\" \")) || undefined\n    : undefined;\n  patient.text = {\n    status: \"generated\",\n    div: patientNarrative(displayName, input.birthDate, input.gender),\n  };\n\n  return patient;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/** Well-known FHIR code system URIs used across IPS resource generation. */\nexport const CODE_SYSTEMS = {\n  NDC: \"http://hl7.org/fhir/sid/ndc\",\n  RXNORM: \"http://www.nlm.nih.gov/research/umls/rxnorm\",\n  SNOMED: \"http://snomed.info/sct\",\n  LOINC: \"http://loinc.org\",\n  CVX: \"http://hl7.org/fhir/sid/cvx\",\n  ICD10CM: \"http://hl7.org/fhir/sid/icd-10-cm\",\n  CONDITION_CLINICAL: \"http://terminology.hl7.org/CodeSystem/condition-clinical\",\n  ALLERGY_CLINICAL: \"http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical\",\n} as const;\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/**\n * Internal medication resolution — converts the 5 medication input variants\n * into resolved medications and then into FHIR MedicationStatement resources.\n */\n\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport { medicationNarrative } from \"./narrative.js\";\nimport type {\n  MedicationOptions,\n  MedicationByNDC,\n  MedicationByRxNorm,\n  MedicationBySNOMED,\n  MedicationFromResource,\n  MedicationManual,\n  ResolvedMedication,\n  ResolvedCoding,\n  ValidationIssue,\n  FhirflyClient,\n} from \"./types.js\";\n\n/** Result of resolving all medications — includes build-time warnings. */\nexport interface MedicationResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n  warnings: ValidationIssue[];\n}\n\n/**\n * Resolve all medication inputs into FHIR MedicationStatement Bundle entries.\n */\nexport async function resolveMedications(\n  meds: MedicationOptions[],\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n  generateUuid: () => string,\n): Promise<MedicationResolutionResult> {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n  const warnings: ValidationIssue[] = [];\n\n  for (const med of meds) {\n    const resolved = await resolveSingle(med, warnings);\n\n    if (resolved.originalResource) {\n      // fromResource passthrough — rewrite subject and assign ID\n      const id = generateUuid();\n      const resource = { ...resolved.originalResource };\n      resource.id = id;\n      resource.subject = { reference: patientRef };\n\n      if (profile === \"ips\" && resource.resourceType === \"MedicationStatement\") {\n        resource.meta = {\n          profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips\"],\n        };\n      }\n\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    } else {\n      const id = generateUuid();\n      const resource = buildMedicationStatement(resolved, id, patientRef, profile);\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    }\n  }\n\n  return { entries, warnings };\n}\n\nasync function resolveSingle(\n  med: MedicationOptions,\n  warnings: ValidationIssue[],\n): Promise<ResolvedMedication> {\n  if (\"byNDC\" in med && med.byNDC !== undefined) {\n    return resolveNDC(med as MedicationByNDC, warnings);\n  }\n  if (\"byRxNorm\" in med && med.byRxNorm !== undefined) {\n    return resolveRxNorm(med as MedicationByRxNorm, warnings);\n  }\n  if (\"bySNOMED\" in med && med.bySNOMED !== undefined) {\n    return resolveSNOMED(med as MedicationBySNOMED, warnings);\n  }\n  if (\"fromResource\" in med && med.fromResource !== undefined) {\n    return resolvePassthrough(med as MedicationFromResource, warnings);\n  }\n  return resolveManual(med as MedicationManual);\n}\n\nasync function resolveNDC(\n  med: MedicationByNDC,\n  warnings: ValidationIssue[],\n): Promise<ResolvedMedication> {\n  const codings: ResolvedCoding[] = [{ system: CODE_SYSTEMS.NDC, code: med.byNDC }];\n  let text: string | undefined;\n\n  try {\n    const result = await med.fhirfly.ndc.lookup(med.byNDC, { shape: \"full\" });\n    const data = result.data;\n\n    codings[0]!.display = data.product_name;\n    text = data.product_name;\n\n    // Add SNOMED codings if available (only equivalent mappings for IPS)\n    if (data.snomed) {\n      for (const s of data.snomed) {\n        if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n        codings.push({\n          system: CODE_SYSTEMS.SNOMED,\n          code: s.concept_id,\n          display: s.display,\n        });\n      }\n    }\n  } catch {\n    warnings.push({\n      severity: \"warning\",\n      message: `NDC lookup failed for \"${med.byNDC}\" — included with bare code`,\n      path: \"MedicationStatement.medicationCodeableConcept\",\n    });\n  }\n\n  return {\n    codings,\n    text,\n    status: med.status ?? \"active\",\n    dosageText: med.dosageText,\n    effectiveDate: med.effectiveDate,\n  };\n}\n\nasync function resolveRxNorm(\n  med: MedicationByRxNorm,\n  warnings: ValidationIssue[],\n): Promise<ResolvedMedication> {\n  const codings: ResolvedCoding[] = [{ system: CODE_SYSTEMS.RXNORM, code: med.byRxNorm }];\n  let text: string | undefined;\n\n  try {\n    const result = await med.fhirfly.rxnorm.lookup(med.byRxNorm, { shape: \"full\" });\n    const data = result.data;\n\n    codings[0]!.display = data.name;\n    text = data.name;\n\n    // Add SNOMED codings if available (only equivalent mappings for IPS)\n    if (data.snomed) {\n      for (const s of data.snomed) {\n        if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n        codings.push({\n          system: CODE_SYSTEMS.SNOMED,\n          code: s.concept_id,\n          display: s.display,\n        });\n      }\n    }\n  } catch {\n    warnings.push({\n      severity: \"warning\",\n      message: `RxNorm lookup failed for \"${med.byRxNorm}\" — included with bare code`,\n      path: \"MedicationStatement.medicationCodeableConcept\",\n    });\n  }\n\n  return {\n    codings,\n    text,\n    status: med.status ?? \"active\",\n    dosageText: med.dosageText,\n    effectiveDate: med.effectiveDate,\n  };\n}\n\nasync function resolveSNOMED(\n  med: MedicationBySNOMED,\n  warnings: ValidationIssue[],\n): Promise<ResolvedMedication> {\n  let display = med.display;\n\n  // If fhirfly provided, look up preferred_term\n  if (med.fhirfly) {\n    try {\n      const result = await med.fhirfly.snomed.lookup(med.bySNOMED);\n      if (result.data.preferred_term) {\n        display = result.data.preferred_term;\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `SNOMED lookup failed for \"${med.bySNOMED}\" — using provided display`,\n        path: \"MedicationStatement.medicationCodeableConcept\",\n      });\n    }\n  }\n\n  if (!display) {\n    warnings.push({\n      severity: \"warning\",\n      message: `No display name for SNOMED code \"${med.bySNOMED}\"`,\n      path: \"MedicationStatement.medicationCodeableConcept\",\n    });\n  }\n\n  return {\n    codings: [{ system: CODE_SYSTEMS.SNOMED, code: med.bySNOMED, display }],\n    text: display,\n    status: med.status ?? \"active\",\n    dosageText: med.dosageText,\n    effectiveDate: med.effectiveDate,\n  };\n}\n\nfunction resolveManual(med: MedicationManual): ResolvedMedication {\n  return {\n    codings: [{ system: med.system, code: med.code, display: med.display }],\n    text: med.display,\n    status: med.status ?? \"active\",\n    dosageText: med.dosageText,\n    effectiveDate: med.effectiveDate,\n  };\n}\n\nasync function resolvePassthrough(\n  med: MedicationFromResource,\n  warnings: ValidationIssue[],\n): Promise<ResolvedMedication> {\n  const resource = med.fromResource;\n\n  // Validate resourceType — error at resolve time\n  validateFromResource(resource);\n\n  // Warn on missing status\n  if (!resource.status) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"status\" — will default to \"active\"`,\n      path: `${String(resource.resourceType)}.status`,\n    });\n  }\n\n  // Warn on missing medicationCodeableConcept\n  if (!resource.medicationCodeableConcept) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"medicationCodeableConcept\"`,\n      path: `${String(resource.resourceType)}.medicationCodeableConcept`,\n    });\n  }\n\n  // If fhirfly provided, try to add SNOMED codings from existing NDC/RxNorm codes\n  if (med.fhirfly && resource.medicationCodeableConcept) {\n    await enrichPassthroughWithSNOMED(resource, med.fhirfly, warnings);\n  }\n\n  return {\n    codings: [],\n    status: (resource.status as string as ResolvedMedication[\"status\"]) ?? \"active\",\n    originalResource: resource,\n  };\n}\n\n/** Throws if resourceType is not MedicationStatement or MedicationRequest. */\nexport function validateFromResource(resource: Record<string, unknown>): void {\n  const rt = resource.resourceType;\n  if (rt !== \"MedicationStatement\" && rt !== \"MedicationRequest\") {\n    throw new Error(\n      `fromResource requires resourceType \"MedicationStatement\" or \"MedicationRequest\", got \"${String(rt)}\"`,\n    );\n  }\n}\n\nasync function enrichPassthroughWithSNOMED(\n  resource: Record<string, unknown>,\n  fhirfly: FhirflyClient,\n  warnings: ValidationIssue[],\n): Promise<void> {\n  const medCC = resource.medicationCodeableConcept as\n    | { coding?: Array<{ system?: string; code?: string; display?: string }>; text?: string }\n    | undefined;\n  if (!medCC?.coding) return;\n\n  // Check if SNOMED coding already exists\n  const hasSNOMED = medCC.coding.some((c) => c.system === CODE_SYSTEMS.SNOMED);\n  if (hasSNOMED) return;\n\n  // Find NDC or RxNorm codes to look up\n  const ndcCoding = medCC.coding.find((c) => c.system === CODE_SYSTEMS.NDC);\n  const rxnormCoding = medCC.coding.find((c) => c.system === CODE_SYSTEMS.RXNORM);\n\n  const newCodings: Array<{ system: string; code: string; display?: string }> = [];\n\n  if (ndcCoding?.code) {\n    try {\n      const result = await fhirfly.ndc.lookup(ndcCoding.code, { shape: \"full\" });\n      if (result.data.snomed) {\n        for (const s of result.data.snomed) {\n          if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n          newCodings.push({ system: CODE_SYSTEMS.SNOMED, code: s.concept_id, display: s.display });\n        }\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `NDC→SNOMED enrichment failed for \"${ndcCoding.code}\" on fromResource`,\n        path: \"MedicationStatement.medicationCodeableConcept\",\n      });\n    }\n  } else if (rxnormCoding?.code) {\n    try {\n      const result = await fhirfly.rxnorm.lookup(rxnormCoding.code, { shape: \"full\" });\n      if (result.data.snomed) {\n        for (const s of result.data.snomed) {\n          if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n          newCodings.push({ system: CODE_SYSTEMS.SNOMED, code: s.concept_id, display: s.display });\n        }\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `RxNorm→SNOMED enrichment failed for \"${rxnormCoding.code}\" on fromResource`,\n        path: \"MedicationStatement.medicationCodeableConcept\",\n      });\n    }\n  }\n\n  if (newCodings.length > 0) {\n    medCC.coding.push(...newCodings);\n  }\n}\n\n/** Assemble a FHIR MedicationStatement resource from a resolved medication. */\nfunction buildMedicationStatement(\n  resolved: ResolvedMedication,\n  id: string,\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const resource: Record<string, unknown> = {\n    resourceType: \"MedicationStatement\",\n    id,\n    status: resolved.status,\n    medicationCodeableConcept: {\n      coding: resolved.codings.map((c) => {\n        const coding: Record<string, string> = { system: c.system, code: c.code };\n        if (c.display) coding.display = c.display;\n        return coding;\n      }),\n      ...(resolved.text ? { text: resolved.text } : {}),\n    },\n    subject: { reference: patientRef },\n    effectiveDateTime: resolved.effectiveDate ?? new Date().toISOString().split(\"T\")[0],\n  };\n\n  if (profile === \"ips\") {\n    resource.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips\"],\n    };\n  }\n\n  if (resolved.dosageText) {\n    resource.dosage = [{ text: resolved.dosageText }];\n  }\n\n  resource.text = {\n    status: \"generated\",\n    div: medicationNarrative(resolved.text, resolved.dosageText, resolved.effectiveDate),\n  };\n\n  return resource;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/**\n * Internal condition resolution — converts condition input variants\n * into resolved conditions and then into FHIR Condition resources.\n */\n\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport { conditionNarrative } from \"./narrative.js\";\nimport type {\n  ConditionOptions,\n  ConditionByICD10,\n  ConditionBySNOMED,\n  ConditionFromResource,\n  ConditionManual,\n  ResolvedCondition,\n  ResolvedCoding,\n  ValidationIssue,\n  FhirflyClient,\n} from \"./types.js\";\n\n/** Result of resolving all conditions — includes build-time warnings. */\nexport interface ConditionResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n  warnings: ValidationIssue[];\n}\n\n/**\n * Resolve all condition inputs into FHIR Condition Bundle entries.\n */\nexport async function resolveConditions(\n  conditions: ConditionOptions[],\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n  generateUuid: () => string,\n): Promise<ConditionResolutionResult> {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n  const warnings: ValidationIssue[] = [];\n\n  for (const cond of conditions) {\n    const resolved = await resolveSingle(cond, warnings);\n\n    if (resolved.originalResource) {\n      const id = generateUuid();\n      const resource = { ...resolved.originalResource };\n      resource.id = id;\n      resource.subject = { reference: patientRef };\n\n      if (profile === \"ips\") {\n        resource.meta = {\n          profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips\"],\n        };\n      }\n\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    } else {\n      const id = generateUuid();\n      const resource = buildCondition(resolved, id, patientRef, profile);\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    }\n  }\n\n  return { entries, warnings };\n}\n\nasync function resolveSingle(\n  cond: ConditionOptions,\n  warnings: ValidationIssue[],\n): Promise<ResolvedCondition> {\n  if (\"byICD10\" in cond && cond.byICD10 !== undefined) {\n    return resolveICD10(cond as ConditionByICD10, warnings);\n  }\n  if (\"bySNOMED\" in cond && cond.bySNOMED !== undefined) {\n    return resolveSNOMED(cond as ConditionBySNOMED, warnings);\n  }\n  if (\"fromResource\" in cond && cond.fromResource !== undefined) {\n    return resolvePassthrough(cond as ConditionFromResource, warnings);\n  }\n  return resolveManual(cond as ConditionManual);\n}\n\nasync function resolveICD10(\n  cond: ConditionByICD10,\n  warnings: ValidationIssue[],\n): Promise<ResolvedCondition> {\n  const codings: ResolvedCoding[] = [{ system: CODE_SYSTEMS.ICD10CM, code: cond.byICD10 }];\n  let text: string | undefined;\n\n  try {\n    const result = await cond.fhirfly.icd10.lookup(cond.byICD10, { shape: \"standard\" });\n    const data = result.data;\n\n    codings[0]!.display = data.display;\n    text = data.display;\n\n    if (data.snomed) {\n      for (const s of data.snomed) {\n        if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n        codings.push({\n          system: CODE_SYSTEMS.SNOMED,\n          code: s.concept_id,\n          display: s.display,\n        });\n      }\n    }\n  } catch {\n    warnings.push({\n      severity: \"warning\",\n      message: `ICD-10 lookup failed for \"${cond.byICD10}\" — included with bare code`,\n      path: \"Condition.code\",\n    });\n  }\n\n  return {\n    codings,\n    text,\n    clinicalStatus: cond.clinicalStatus ?? \"active\",\n    onsetDate: cond.onsetDate,\n  };\n}\n\nasync function resolveSNOMED(\n  cond: ConditionBySNOMED,\n  warnings: ValidationIssue[],\n): Promise<ResolvedCondition> {\n  let display = cond.display;\n\n  if (cond.fhirfly) {\n    try {\n      const result = await cond.fhirfly.snomed.lookup(cond.bySNOMED);\n      if (result.data.preferred_term) {\n        display = result.data.preferred_term;\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `SNOMED lookup failed for \"${cond.bySNOMED}\" — using provided display`,\n        path: \"Condition.code\",\n      });\n    }\n  }\n\n  if (!display) {\n    warnings.push({\n      severity: \"warning\",\n      message: `No display name for SNOMED code \"${cond.bySNOMED}\"`,\n      path: \"Condition.code\",\n    });\n  }\n\n  return {\n    codings: [{ system: CODE_SYSTEMS.SNOMED, code: cond.bySNOMED, display }],\n    text: display,\n    clinicalStatus: cond.clinicalStatus ?? \"active\",\n    onsetDate: cond.onsetDate,\n  };\n}\n\nfunction resolveManual(cond: ConditionManual): ResolvedCondition {\n  return {\n    codings: [{ system: cond.system, code: cond.code, display: cond.display }],\n    text: cond.display,\n    clinicalStatus: cond.clinicalStatus ?? \"active\",\n    onsetDate: cond.onsetDate,\n  };\n}\n\nasync function resolvePassthrough(\n  cond: ConditionFromResource,\n  warnings: ValidationIssue[],\n): Promise<ResolvedCondition> {\n  const resource = cond.fromResource;\n\n  validateConditionFromResource(resource);\n\n  if (!resource.clinicalStatus) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"clinicalStatus\" — will default to \"active\"`,\n      path: \"Condition.clinicalStatus\",\n    });\n  }\n\n  if (!resource.code) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"code\"`,\n      path: \"Condition.code\",\n    });\n  }\n\n  // If fhirfly provided, try to enrich with SNOMED from existing ICD-10 codes\n  if (cond.fhirfly && resource.code) {\n    await enrichPassthroughWithSNOMED(resource, cond.fhirfly, warnings);\n  }\n\n  return {\n    codings: [],\n    clinicalStatus: \"active\",\n    originalResource: resource,\n  };\n}\n\n/** Throws if resourceType is not Condition. */\nexport function validateConditionFromResource(resource: Record<string, unknown>): void {\n  const rt = resource.resourceType;\n  if (rt !== \"Condition\") {\n    throw new Error(\n      `fromResource requires resourceType \"Condition\", got \"${String(rt)}\"`,\n    );\n  }\n}\n\nasync function enrichPassthroughWithSNOMED(\n  resource: Record<string, unknown>,\n  fhirfly: FhirflyClient,\n  warnings: ValidationIssue[],\n): Promise<void> {\n  const codeCC = resource.code as\n    | { coding?: Array<{ system?: string; code?: string; display?: string }>; text?: string }\n    | undefined;\n  if (!codeCC?.coding) return;\n\n  const hasSNOMED = codeCC.coding.some((c) => c.system === CODE_SYSTEMS.SNOMED);\n  if (hasSNOMED) return;\n\n  const icd10Coding = codeCC.coding.find((c) => c.system === CODE_SYSTEMS.ICD10CM);\n\n  if (icd10Coding?.code) {\n    try {\n      const result = await fhirfly.icd10.lookup(icd10Coding.code, { shape: \"standard\" });\n      if (result.data.snomed) {\n        const newCodings: Array<{ system: string; code: string; display?: string }> = [];\n        for (const s of result.data.snomed) {\n          if (s.map_type && s.map_type.toLowerCase() !== \"equivalent\") continue;\n          newCodings.push({ system: CODE_SYSTEMS.SNOMED, code: s.concept_id, display: s.display });\n        }\n        if (newCodings.length > 0) {\n          codeCC.coding.push(...newCodings);\n        }\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `ICD-10→SNOMED enrichment failed for \"${icd10Coding.code}\" on fromResource`,\n        path: \"Condition.code\",\n      });\n    }\n  }\n}\n\n/** Assemble a FHIR Condition resource from a resolved condition. */\nfunction buildCondition(\n  resolved: ResolvedCondition,\n  id: string,\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const resource: Record<string, unknown> = {\n    resourceType: \"Condition\",\n    id,\n    clinicalStatus: {\n      coding: [\n        {\n          system: CODE_SYSTEMS.CONDITION_CLINICAL,\n          code: resolved.clinicalStatus,\n        },\n      ],\n    },\n    code: {\n      coding: resolved.codings.map((c) => {\n        const coding: Record<string, string> = { system: c.system, code: c.code };\n        if (c.display) coding.display = c.display;\n        return coding;\n      }),\n      ...(resolved.text ? { text: resolved.text } : {}),\n    },\n    subject: { reference: patientRef },\n  };\n\n  if (profile === \"ips\") {\n    resource.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips\"],\n    };\n  }\n\n  if (resolved.onsetDate) {\n    resource.onsetDateTime = resolved.onsetDate;\n  }\n\n  resource.text = {\n    status: \"generated\",\n    div: conditionNarrative(resolved.text, resolved.clinicalStatus, resolved.onsetDate),\n  };\n\n  return resource;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/**\n * Internal allergy resolution — converts allergy input variants\n * into resolved allergies and then into FHIR AllergyIntolerance resources.\n */\n\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport { allergyNarrative } from \"./narrative.js\";\nimport type {\n  AllergyOptions,\n  AllergyBySNOMED,\n  AllergyFromResource,\n  AllergyManual,\n  ResolvedAllergy,\n  ValidationIssue,\n} from \"./types.js\";\n\n/** Result of resolving all allergies — includes build-time warnings. */\nexport interface AllergyResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n  warnings: ValidationIssue[];\n}\n\n/**\n * Resolve all allergy inputs into FHIR AllergyIntolerance Bundle entries.\n */\nexport async function resolveAllergies(\n  allergies: AllergyOptions[],\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n  generateUuid: () => string,\n): Promise<AllergyResolutionResult> {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n  const warnings: ValidationIssue[] = [];\n\n  for (const allergy of allergies) {\n    const resolved = await resolveSingle(allergy, warnings);\n\n    if (resolved.originalResource) {\n      const id = generateUuid();\n      const resource = { ...resolved.originalResource };\n      resource.id = id;\n      resource.patient = { reference: patientRef };\n\n      if (profile === \"ips\") {\n        resource.meta = {\n          profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips\"],\n        };\n      }\n\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    } else {\n      const id = generateUuid();\n      const resource = buildAllergyIntolerance(resolved, id, patientRef, profile);\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    }\n  }\n\n  return { entries, warnings };\n}\n\nasync function resolveSingle(\n  allergy: AllergyOptions,\n  warnings: ValidationIssue[],\n): Promise<ResolvedAllergy> {\n  if (\"bySNOMED\" in allergy && allergy.bySNOMED !== undefined) {\n    return resolveSNOMED(allergy as AllergyBySNOMED, warnings);\n  }\n  if (\"fromResource\" in allergy && allergy.fromResource !== undefined) {\n    return resolvePassthrough(allergy as AllergyFromResource, warnings);\n  }\n  return resolveManual(allergy as AllergyManual);\n}\n\nasync function resolveSNOMED(\n  allergy: AllergyBySNOMED,\n  warnings: ValidationIssue[],\n): Promise<ResolvedAllergy> {\n  let display = allergy.display;\n\n  if (allergy.fhirfly) {\n    try {\n      const result = await allergy.fhirfly.snomed.lookup(allergy.bySNOMED);\n      if (result.data.preferred_term) {\n        display = result.data.preferred_term;\n      }\n    } catch {\n      warnings.push({\n        severity: \"warning\",\n        message: `SNOMED lookup failed for \"${allergy.bySNOMED}\" — using provided display`,\n        path: \"AllergyIntolerance.code\",\n      });\n    }\n  }\n\n  if (!display) {\n    warnings.push({\n      severity: \"warning\",\n      message: `No display name for SNOMED code \"${allergy.bySNOMED}\"`,\n      path: \"AllergyIntolerance.code\",\n    });\n  }\n\n  return {\n    codings: [{ system: CODE_SYSTEMS.SNOMED, code: allergy.bySNOMED, display }],\n    text: display,\n    clinicalStatus: allergy.clinicalStatus ?? \"active\",\n    criticality: allergy.criticality,\n  };\n}\n\nfunction resolveManual(allergy: AllergyManual): ResolvedAllergy {\n  return {\n    codings: [{ system: allergy.system, code: allergy.code, display: allergy.display }],\n    text: allergy.display,\n    clinicalStatus: allergy.clinicalStatus ?? \"active\",\n    criticality: allergy.criticality,\n  };\n}\n\nasync function resolvePassthrough(\n  allergy: AllergyFromResource,\n  warnings: ValidationIssue[],\n): Promise<ResolvedAllergy> {\n  const resource = allergy.fromResource;\n\n  validateAllergyFromResource(resource);\n\n  if (!resource.clinicalStatus) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"clinicalStatus\" — will default to \"active\"`,\n      path: \"AllergyIntolerance.clinicalStatus\",\n    });\n  }\n\n  if (!resource.code) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"code\"`,\n      path: \"AllergyIntolerance.code\",\n    });\n  }\n\n  return {\n    codings: [],\n    clinicalStatus: \"active\",\n    originalResource: resource,\n  };\n}\n\n/** Throws if resourceType is not AllergyIntolerance. */\nexport function validateAllergyFromResource(resource: Record<string, unknown>): void {\n  const rt = resource.resourceType;\n  if (rt !== \"AllergyIntolerance\") {\n    throw new Error(\n      `fromResource requires resourceType \"AllergyIntolerance\", got \"${String(rt)}\"`,\n    );\n  }\n}\n\n/** Assemble a FHIR AllergyIntolerance resource from a resolved allergy. */\nfunction buildAllergyIntolerance(\n  resolved: ResolvedAllergy,\n  id: string,\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const resource: Record<string, unknown> = {\n    resourceType: \"AllergyIntolerance\",\n    id,\n    clinicalStatus: {\n      coding: [\n        {\n          system: CODE_SYSTEMS.ALLERGY_CLINICAL,\n          code: resolved.clinicalStatus,\n        },\n      ],\n    },\n    code: {\n      coding: resolved.codings.map((c) => {\n        const coding: Record<string, string> = { system: c.system, code: c.code };\n        if (c.display) coding.display = c.display;\n        return coding;\n      }),\n      ...(resolved.text ? { text: resolved.text } : {}),\n    },\n    patient: { reference: patientRef },\n  };\n\n  if (profile === \"ips\") {\n    resource.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips\"],\n    };\n  }\n\n  if (resolved.criticality) {\n    resource.criticality = resolved.criticality;\n  }\n\n  resource.text = {\n    status: \"generated\",\n    div: allergyNarrative(resolved.text, resolved.clinicalStatus, resolved.criticality),\n  };\n\n  return resource;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\n/**\n * Internal immunization resolution — converts immunization input variants\n * into resolved immunizations and then into FHIR Immunization resources.\n */\n\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport { immunizationNarrative } from \"./narrative.js\";\nimport type {\n  ImmunizationOptions,\n  ImmunizationByCVX,\n  ImmunizationFromResource,\n  ImmunizationManual,\n  ResolvedImmunization,\n  ResolvedCoding,\n  ValidationIssue,\n} from \"./types.js\";\n\n/** Result of resolving all immunizations — includes build-time warnings. */\nexport interface ImmunizationResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n  warnings: ValidationIssue[];\n}\n\n/**\n * Resolve all immunization inputs into FHIR Immunization Bundle entries.\n */\nexport async function resolveImmunizations(\n  immunizations: ImmunizationOptions[],\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n  generateUuid: () => string,\n): Promise<ImmunizationResolutionResult> {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n  const warnings: ValidationIssue[] = [];\n\n  for (const imm of immunizations) {\n    const resolved = await resolveSingle(imm, warnings);\n\n    if (resolved.originalResource) {\n      const id = generateUuid();\n      const resource = { ...resolved.originalResource };\n      resource.id = id;\n      resource.patient = { reference: patientRef };\n\n      if (profile === \"ips\") {\n        resource.meta = {\n          profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips\"],\n        };\n      }\n\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    } else {\n      const id = generateUuid();\n      const resource = buildImmunization(resolved, id, patientRef, profile);\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    }\n  }\n\n  return { entries, warnings };\n}\n\nasync function resolveSingle(\n  imm: ImmunizationOptions,\n  warnings: ValidationIssue[],\n): Promise<ResolvedImmunization> {\n  if (\"byCVX\" in imm && imm.byCVX !== undefined) {\n    return resolveCVX(imm as ImmunizationByCVX, warnings);\n  }\n  if (\"fromResource\" in imm && imm.fromResource !== undefined) {\n    return resolvePassthrough(imm as ImmunizationFromResource, warnings);\n  }\n  return resolveManual(imm as ImmunizationManual);\n}\n\nasync function resolveCVX(\n  imm: ImmunizationByCVX,\n  warnings: ValidationIssue[],\n): Promise<ResolvedImmunization> {\n  const codings: ResolvedCoding[] = [{ system: CODE_SYSTEMS.CVX, code: imm.byCVX }];\n  let text: string | undefined;\n\n  try {\n    const result = await imm.fhirfly.cvx.lookup(imm.byCVX);\n    const data = result.data;\n\n    codings[0]!.display = data.display;\n    text = data.display;\n  } catch {\n    warnings.push({\n      severity: \"warning\",\n      message: `CVX lookup failed for \"${imm.byCVX}\" — included with bare code`,\n      path: \"Immunization.vaccineCode\",\n    });\n  }\n\n  return {\n    codings,\n    text,\n    status: imm.status ?? \"completed\",\n    occurrenceDate: imm.occurrenceDate,\n  };\n}\n\nfunction resolveManual(imm: ImmunizationManual): ResolvedImmunization {\n  return {\n    codings: [{ system: imm.system, code: imm.code, display: imm.display }],\n    text: imm.display,\n    status: imm.status ?? \"completed\",\n    occurrenceDate: imm.occurrenceDate,\n  };\n}\n\nasync function resolvePassthrough(\n  imm: ImmunizationFromResource,\n  warnings: ValidationIssue[],\n): Promise<ResolvedImmunization> {\n  const resource = imm.fromResource;\n\n  validateImmunizationFromResource(resource);\n\n  if (!resource.status) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"status\" — will default to \"completed\"`,\n      path: \"Immunization.status\",\n    });\n  }\n\n  if (!resource.vaccineCode) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"vaccineCode\"`,\n      path: \"Immunization.vaccineCode\",\n    });\n  }\n\n  return {\n    codings: [],\n    status: \"completed\",\n    originalResource: resource,\n  };\n}\n\n/** Throws if resourceType is not Immunization. */\nexport function validateImmunizationFromResource(resource: Record<string, unknown>): void {\n  const rt = resource.resourceType;\n  if (rt !== \"Immunization\") {\n    throw new Error(\n      `fromResource requires resourceType \"Immunization\", got \"${String(rt)}\"`,\n    );\n  }\n}\n\n/** Assemble a FHIR Immunization resource from a resolved immunization. */\nfunction buildImmunization(\n  resolved: ResolvedImmunization,\n  id: string,\n  patientRef: string,\n  profile: \"ips\" | \"r4\",\n): Record<string, unknown> {\n  const resource: Record<string, unknown> = {\n    resourceType: \"Immunization\",\n    id,\n    status: resolved.status,\n    vaccineCode: {\n      coding: resolved.codings.map((c) => {\n        const coding: Record<string, string> = { system: c.system, code: c.code };\n        if (c.display) coding.display = c.display;\n        return coding;\n      }),\n      ...(resolved.text ? { text: resolved.text } : {}),\n    },\n    patient: { reference: patientRef },\n  };\n\n  if (profile === \"ips\") {\n    resource.meta = {\n      profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips\"],\n    };\n  }\n\n  if (resolved.occurrenceDate) {\n    resource.occurrenceDateTime = resolved.occurrenceDate;\n  }\n\n  resource.text = {\n    status: \"generated\",\n    div: immunizationNarrative(resolved.text, resolved.status, resolved.occurrenceDate),\n  };\n\n  return resource;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport type {\n  PatientDemographics,\n  BuildOptions,\n  ValidationResult,\n  ValidationIssue,\n  MedicationOptions,\n  AllergyOptions,\n  ConditionOptions,\n  ImmunizationOptions,\n} from \"./types.js\";\nimport { normalizePatient, isPatientFull } from \"./patient.js\";\nimport { resolveMedications, validateFromResource } from \"./medication.js\";\nimport { resolveConditions, validateConditionFromResource } from \"./condition.js\";\nimport { resolveAllergies, validateAllergyFromResource } from \"./allergy.js\";\nimport { resolveImmunizations, validateImmunizationFromResource } from \"./immunization.js\";\n\n/**\n * Builder for creating IPS (International Patient Summary) FHIR bundles.\n *\n * @example\n * ```ts\n * const bundle = new IPS.Bundle({\n *   given: \"Jane\",\n *   family: \"Doe\",\n *   birthDate: \"1990-01-15\",\n *   gender: \"female\",\n * });\n *\n * bundle.addMedication({\n *   code: \"860975\",\n *   system: \"http://www.nlm.nih.gov/research/umls/rxnorm\",\n *   display: \"Metformin 500 MG Oral Tablet\",\n *   status: \"active\",\n * });\n *\n * const fhirBundle = await bundle.build({ profile: \"ips\" });\n * ```\n */\nexport class Bundle {\n  private readonly _patient: PatientDemographics;\n  private readonly _medications: MedicationOptions[] = [];\n  private readonly _allergies: AllergyOptions[] = [];\n  private readonly _conditions: ConditionOptions[] = [];\n  private readonly _immunizations: ImmunizationOptions[] = [];\n  private readonly _warnings: ValidationIssue[] = [];\n  private _buildWarnings: ValidationIssue[] = [];\n\n  constructor(patient: PatientDemographics) {\n    this._patient = patient;\n  }\n\n  /** Returns the patient demographics for this bundle. */\n  get patient(): PatientDemographics {\n    return this._patient;\n  }\n\n  /** Returns all warnings collected from add-time and build-time. */\n  get warnings(): readonly ValidationIssue[] {\n    return [...this._warnings, ...this._buildWarnings];\n  }\n\n  /**\n   * Add a medication statement to the IPS bundle.\n   *\n   * Throws immediately for `fromResource` with wrong resourceType.\n   * All other validation happens at build time.\n   */\n  addMedication(medication: MedicationOptions): this {\n    // Eagerly validate fromResource resourceType\n    if (\"fromResource\" in medication && medication.fromResource !== undefined) {\n      validateFromResource(medication.fromResource);\n\n      // Warn on missing fields (collected, not thrown)\n      const resource = medication.fromResource;\n      if (!resource.status) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"status\" — will default to \"active\"`,\n          path: `${String(resource.resourceType)}.status`,\n        });\n      }\n      if (!resource.medicationCodeableConcept) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"medicationCodeableConcept\"`,\n          path: `${String(resource.resourceType)}.medicationCodeableConcept`,\n        });\n      }\n    }\n\n    this._medications.push(medication);\n    return this;\n  }\n\n  /**\n   * Add an allergy/intolerance to the IPS bundle.\n   *\n   * Throws immediately for `fromResource` with wrong resourceType.\n   */\n  addAllergy(allergy: AllergyOptions): this {\n    if (\"fromResource\" in allergy && allergy.fromResource !== undefined) {\n      validateAllergyFromResource(allergy.fromResource);\n\n      const resource = allergy.fromResource;\n      if (!resource.clinicalStatus) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"clinicalStatus\" — will default to \"active\"`,\n          path: \"AllergyIntolerance.clinicalStatus\",\n        });\n      }\n      if (!resource.code) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"code\"`,\n          path: \"AllergyIntolerance.code\",\n        });\n      }\n    }\n\n    this._allergies.push(allergy);\n    return this;\n  }\n\n  /**\n   * Add a condition/problem to the IPS bundle.\n   *\n   * Throws immediately for `fromResource` with wrong resourceType.\n   */\n  addCondition(condition: ConditionOptions): this {\n    if (\"fromResource\" in condition && condition.fromResource !== undefined) {\n      validateConditionFromResource(condition.fromResource);\n\n      const resource = condition.fromResource;\n      if (!resource.clinicalStatus) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"clinicalStatus\" — will default to \"active\"`,\n          path: \"Condition.clinicalStatus\",\n        });\n      }\n      if (!resource.code) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"code\"`,\n          path: \"Condition.code\",\n        });\n      }\n    }\n\n    this._conditions.push(condition);\n    return this;\n  }\n\n  /**\n   * Add an immunization to the IPS bundle.\n   *\n   * Throws immediately for `fromResource` with wrong resourceType.\n   */\n  addImmunization(immunization: ImmunizationOptions): this {\n    if (\"fromResource\" in immunization && immunization.fromResource !== undefined) {\n      validateImmunizationFromResource(immunization.fromResource);\n\n      const resource = immunization.fromResource;\n      if (!resource.status) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"status\" — will default to \"completed\"`,\n          path: \"Immunization.status\",\n        });\n      }\n      if (!resource.vaccineCode) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"vaccineCode\"`,\n          path: \"Immunization.vaccineCode\",\n        });\n      }\n    }\n\n    this._immunizations.push(immunization);\n    return this;\n  }\n\n  /**\n   * Build the IPS FHIR Bundle resource.\n   *\n   * Async because `byNDC`, `byRxNorm`, `byICD10`, and `byCVX` require API enrichment.\n   * If no enrichment is needed, the Promise resolves immediately.\n   *\n   * @returns A FHIR Bundle resource object\n   */\n  async build(options?: BuildOptions): Promise<Record<string, unknown>> {\n    const profile = options?.profile ?? \"ips\";\n    const bundleId = options?.bundleId ?? generateUuid();\n    const compositionId = generateUuid();\n    const patientId = generateUuid();\n    const compositionDate = options?.compositionDate ?? new Date().toISOString();\n\n    const patientFullUrl = `urn:uuid:${patientId}`;\n    const compositionFullUrl = `urn:uuid:${compositionId}`;\n\n    // Build Patient resource\n    const patientResource = normalizePatient(this._patient, patientId, profile);\n\n    // Resolve all resource types\n    const [medResult, condResult, allergyResult, immResult] = await Promise.all([\n      resolveMedications(this._medications, patientFullUrl, profile, generateUuid),\n      resolveConditions(this._conditions, patientFullUrl, profile, generateUuid),\n      resolveAllergies(this._allergies, patientFullUrl, profile, generateUuid),\n      resolveImmunizations(this._immunizations, patientFullUrl, profile, generateUuid),\n    ]);\n\n    this._buildWarnings = [\n      ...medResult.warnings,\n      ...condResult.warnings,\n      ...allergyResult.warnings,\n      ...immResult.warnings,\n    ];\n\n    // Build section references for the Composition\n    const medRefs = medResult.entries.map((e) => ({ reference: e.fullUrl }));\n    const condRefs = condResult.entries.map((e) => ({ reference: e.fullUrl }));\n    const allergyRefs = allergyResult.entries.map((e) => ({ reference: e.fullUrl }));\n    const immRefs = immResult.entries.map((e) => ({ reference: e.fullUrl }));\n\n    // Build Composition resource\n    const composition = this.buildComposition(\n      compositionId,\n      patientFullUrl,\n      compositionDate,\n      profile,\n      medRefs,\n      allergyRefs,\n      condRefs,\n      immRefs,\n    );\n\n    // Assemble Bundle: Composition, Patient, then clinical entries\n    const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [\n      { fullUrl: compositionFullUrl, resource: composition },\n      { fullUrl: patientFullUrl, resource: patientResource },\n      ...medResult.entries,\n      ...condResult.entries,\n      ...allergyResult.entries,\n      ...immResult.entries,\n    ];\n\n    const bundle: Record<string, unknown> = {\n      resourceType: \"Bundle\",\n      id: bundleId,\n      identifier: {\n        system: \"urn:ietf:rfc:3986\",\n        value: `urn:uuid:${bundleId}`,\n      },\n      type: \"document\",\n      timestamp: compositionDate,\n      entry: entries,\n    };\n\n    return bundle;\n  }\n\n  /**\n   * Validate the bundle against the specified profile.\n   *\n   * @returns Validation result with any issues found\n   */\n  validate(options?: BuildOptions): ValidationResult {\n    const profile = options?.profile ?? \"ips\";\n    const issues: ValidationIssue[] = [];\n\n    // Check birthDate format (YYYY-MM-DD)\n    if (!/^\\d{4}-\\d{2}-\\d{2}$/.test(this._patient.birthDate)) {\n      issues.push({\n        severity: \"error\",\n        message: \"birthDate must be in YYYY-MM-DD format\",\n        path: \"Patient.birthDate\",\n      });\n    }\n\n    // IPS-specific checks\n    if (profile === \"ips\") {\n      // ips-pat-1: name must have given, family, or text\n      if (!this.hasValidName()) {\n        issues.push({\n          severity: \"error\",\n          message: \"Patient.name must have at least a given, family, or text (ips-pat-1)\",\n          path: \"Patient.name\",\n        });\n      }\n\n      // Gender recommended by IPS\n      if (!this._patient.gender) {\n        issues.push({\n          severity: \"warning\",\n          message: \"Patient.gender is recommended by the IPS profile\",\n          path: \"Patient.gender\",\n        });\n      }\n\n      // Check medications for missing effectiveDate\n      for (const med of this._medications) {\n        if (\"fromResource\" in med && med.fromResource !== undefined) {\n          const r = med.fromResource;\n          if (!r.effectiveDateTime && !r.effectivePeriod) {\n            issues.push({\n              severity: \"warning\",\n              message: \"fromResource MedicationStatement missing effective[x] — IPS requires effectiveDateTime or effectivePeriod\",\n              path: \"MedicationStatement.effective[x]\",\n            });\n          }\n        } else if (!(\"fromResource\" in med) && !(\"effectiveDate\" in med && med.effectiveDate)) {\n          issues.push({\n            severity: \"information\",\n            message: \"Medication has no effectiveDate — the SDK will default to today's date\",\n            path: \"MedicationStatement.effectiveDateTime\",\n          });\n        }\n      }\n\n      // Check conditions for missing onsetDate\n      for (const cond of this._conditions) {\n        if (!(\"fromResource\" in cond && cond.fromResource !== undefined) && !(\"onsetDate\" in cond && cond.onsetDate)) {\n          issues.push({\n            severity: \"information\",\n            message: \"Condition has no onsetDate — recommended by IPS but not required\",\n            path: \"Condition.onsetDateTime\",\n          });\n        }\n      }\n\n      // Check immunizations for missing occurrenceDate\n      for (const imm of this._immunizations) {\n        if (!(\"fromResource\" in imm && imm.fromResource !== undefined) && !(\"occurrenceDate\" in imm && imm.occurrenceDate)) {\n          issues.push({\n            severity: \"information\",\n            message: \"Immunization has no occurrenceDate — recommended by IPS but not required\",\n            path: \"Immunization.occurrenceDateTime\",\n          });\n        }\n      }\n    }\n\n    return {\n      valid: issues.filter((i) => i.severity === \"error\").length === 0,\n      issues,\n    };\n  }\n\n  private hasValidName(): boolean {\n    if (isPatientFull(this._patient)) {\n      // Full: at least one name entry with given, family, or text\n      return this._patient.name.some(\n        (n) => n.text || n.family || (n.given && n.given.length > 0),\n      );\n    }\n    // Shorthand: has given, family, or name (text)\n    const s = this._patient;\n    return !!(s.given || s.family || s.name);\n  }\n\n  private buildComposition(\n    id: string,\n    patientRef: string,\n    date: string,\n    profile: \"ips\" | \"r4\",\n    medRefs: Array<{ reference: string }>,\n    allergyRefs: Array<{ reference: string }>,\n    condRefs: Array<{ reference: string }>,\n    immRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    const composition: Record<string, unknown> = {\n      resourceType: \"Composition\",\n      id,\n      status: \"final\",\n      type: {\n        coding: [\n          {\n            system: \"http://loinc.org\",\n            code: \"60591-5\",\n            display: \"Patient summary Document\",\n          },\n        ],\n      },\n      subject: { reference: patientRef },\n      date,\n      author: [{ display: \"FHIRfly SHL SDK\" }],\n      title: \"International Patient Summary\",\n    };\n\n    if (profile === \"ips\") {\n      composition.meta = {\n        profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips\"],\n      };\n    }\n\n    // Required IPS sections\n    if (profile === \"ips\") {\n      const sections: Array<Record<string, unknown>> = [\n        this.buildMedicationSection(medRefs),\n        this.buildAllergySection(allergyRefs),\n        this.buildConditionSection(condRefs),\n      ];\n\n      // Immunization section is only included when there are entries\n      // (it's not one of the 3 required IPS sections)\n      if (immRefs.length > 0) {\n        sections.push(this.buildImmunizationSection(immRefs));\n      }\n\n      composition.section = sections;\n    }\n\n    return composition;\n  }\n\n  private buildMedicationSection(\n    medRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    return this.buildDynamicSection(\n      \"Medication Summary\",\n      \"http://loinc.org\",\n      \"10160-0\",\n      \"History of Medication use Narrative\",\n      medRefs,\n      \"medication\",\n    );\n  }\n\n  private buildAllergySection(\n    allergyRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    return this.buildDynamicSection(\n      \"Allergies and Intolerances\",\n      \"http://loinc.org\",\n      \"48765-2\",\n      \"Allergies and adverse reactions Document\",\n      allergyRefs,\n      \"allergy\",\n    );\n  }\n\n  private buildConditionSection(\n    condRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    return this.buildDynamicSection(\n      \"Problem List\",\n      \"http://loinc.org\",\n      \"11450-4\",\n      \"Problem list - Reported\",\n      condRefs,\n      \"condition\",\n    );\n  }\n\n  private buildImmunizationSection(\n    immRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    return this.buildDynamicSection(\n      \"History of Immunizations\",\n      \"http://loinc.org\",\n      \"11369-6\",\n      \"History of Immunization note\",\n      immRefs,\n      \"immunization\",\n    );\n  }\n\n  private buildDynamicSection(\n    title: string,\n    system: string,\n    code: string,\n    display: string,\n    refs: Array<{ reference: string }>,\n    resourceLabel: string,\n  ): Record<string, unknown> {\n    const section: Record<string, unknown> = {\n      title,\n      code: {\n        coding: [{ system, code, display }],\n      },\n    };\n\n    if (refs.length > 0) {\n      section.text = {\n        status: \"generated\",\n        div: `<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>${refs.length} ${resourceLabel}(s)</p></div>`,\n      };\n      section.entry = refs;\n    } else {\n      section.text = {\n        status: \"empty\",\n        div: '<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No information available</p></div>',\n      };\n      section.emptyReason = {\n        coding: [\n          {\n            system: \"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\n            code: \"notasked\",\n          },\n        ],\n      };\n    }\n\n    return section;\n  }\n}\n\n/** Generate a v4-style UUID using Math.random (no crypto dependency). */\nfunction generateUuid(): string {\n  return \"xxxxxxxx-xxxx-4xxx-yxxx-xxxxxxxxxxxx\".replace(/[xy]/g, (c) => {\n    const r = (Math.random() * 16) | 0;\n    const v = c === \"x\" ? r : (r & 0x3) | 0x8;\n    return v.toString(16);\n  });\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nexport { create } from \"./create.js\";\nexport { decode, decrypt, decryptContent } from \"./decode.js\";\nexport { revoke } from \"./revoke.js\";\nexport type { DecodedSHL } from \"./decode.js\";\nexport { S3Storage, LocalStorage } from \"./storage.js\";\nexport type { S3StorageConfig, LocalStorageConfig } from \"./storage.js\";\nexport type {\n  SHLOptions,\n  SHLResult,\n  SHLStorage,\n  SHLMetadata,\n  SHLAttachment,\n  ManifestEntry,\n  Manifest,\n} from \"./types.js\";\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport { randomBytes, createCipheriv, createDecipheriv } from \"node:crypto\";\nimport { deflateRawSync, inflateRawSync } from \"node:zlib\";\n\n/** Encode a Buffer as base64url (RFC 4648). */\nexport function base64url(data: Buffer): string {\n  return data.toString(\"base64url\");\n}\n\n/** Decode a base64url string to a Buffer. */\nexport function base64urlDecode(str: string): Buffer {\n  return Buffer.from(str, \"base64url\");\n}\n\n/** Generate a 32-byte AES-256 key. */\nexport function generateKey(): Buffer {\n  return randomBytes(32);\n}\n\n/** Generate an SHL ID: 32 random bytes encoded as base64url (43 chars). */\nexport function generateShlId(): string {\n  return base64url(randomBytes(32));\n}\n\n/**\n * Encrypt a FHIR bundle as a JWE compact serialization.\n *\n * Uses `alg: \"dir\"`, `enc: \"A256GCM\"`, `zip: \"DEF\"` as specified by the\n * SMART Health Links specification. The key is used directly as the Content\n * Encryption Key (no key wrapping).\n *\n * Pipeline: JSON.stringify → deflateRaw → AES-256-GCM → JWE compact\n *\n * JWE compact format: `header..iv.ciphertext.tag`\n * (empty encrypted key segment for alg: \"dir\")\n */\nexport function encryptBundle(\n  bundle: Record<string, unknown>,\n  key: Buffer,\n): string {\n  // 1. Serialize\n  const json = JSON.stringify(bundle);\n\n  // 2. Compress (raw DEFLATE, RFC 1951)\n  const compressed = deflateRawSync(Buffer.from(json, \"utf8\"));\n\n  // 3. Build JWE protected header\n  const header = {\n    alg: \"dir\",\n    enc: \"A256GCM\",\n    cty: \"application/fhir+json\",\n    zip: \"DEF\",\n  };\n  const headerB64 = base64url(Buffer.from(JSON.stringify(header), \"utf8\"));\n\n  // 4. Encrypt with AES-256-GCM\n  const iv = randomBytes(12);\n  const cipher = createCipheriv(\"aes-256-gcm\", key, iv);\n  // AAD is the base64url-encoded protected header (ASCII bytes)\n  cipher.setAAD(Buffer.from(headerB64, \"ascii\"));\n\n  const ciphertext = Buffer.concat([cipher.update(compressed), cipher.final()]);\n  const tag = cipher.getAuthTag();\n\n  // 5. JWE compact serialization: header..iv.ciphertext.tag\n  // Empty segment for encrypted key (alg: \"dir\" — key is used directly)\n  return `${headerB64}..${base64url(iv)}.${base64url(ciphertext)}.${base64url(tag)}`;\n}\n\n/**\n * Encrypt arbitrary content as a JWE compact serialization.\n *\n * Uses `alg: \"dir\"`, `enc: \"A256GCM\"`, `zip: \"DEF\"`.\n * The `contentType` is stored in the JWE `cty` header so the\n * recipient knows how to interpret the decrypted payload.\n *\n * Pipeline: content bytes → deflateRaw → AES-256-GCM → JWE compact\n */\nexport function encryptContent(\n  data: Buffer,\n  key: Buffer,\n  contentType: string,\n): string {\n  const compressed = deflateRawSync(data);\n  const header = { alg: \"dir\", enc: \"A256GCM\", cty: contentType, zip: \"DEF\" };\n  const headerB64 = base64url(Buffer.from(JSON.stringify(header), \"utf8\"));\n  const iv = randomBytes(12);\n  const cipher = createCipheriv(\"aes-256-gcm\", key, iv);\n  cipher.setAAD(Buffer.from(headerB64, \"ascii\"));\n  const ciphertext = Buffer.concat([cipher.update(compressed), cipher.final()]);\n  const tag = cipher.getAuthTag();\n  return `${headerB64}..${base64url(iv)}.${base64url(ciphertext)}.${base64url(tag)}`;\n}\n\n/**\n * Decrypt a JWE compact serialization to raw bytes and content type.\n *\n * Pipeline: parse JWE → AES-256-GCM decrypt → inflateRaw → Buffer\n */\nexport function decryptContent(\n  jwe: string,\n  key: Buffer,\n): { contentType: string; data: Buffer } {\n  const parts = jwe.split(\".\");\n  if (parts.length !== 5) {\n    throw new Error(`Invalid JWE compact serialization: expected 5 parts, got ${parts.length}`);\n  }\n  const [headerB64, , ivB64, ciphertextB64, tagB64] = parts as [string, string, string, string, string];\n  const header = JSON.parse(base64urlDecode(headerB64!).toString(\"utf8\")) as Record<string, string>;\n  if (header[\"alg\"] !== \"dir\" || header[\"enc\"] !== \"A256GCM\") {\n    throw new Error(`Unsupported JWE: alg=${header[\"alg\"]}, enc=${header[\"enc\"]}`);\n  }\n  const iv = base64urlDecode(ivB64!);\n  const ciphertext = base64urlDecode(ciphertextB64!);\n  const tag = base64urlDecode(tagB64!);\n  const decipher = createDecipheriv(\"aes-256-gcm\", key, iv);\n  decipher.setAAD(Buffer.from(headerB64!, \"ascii\"));\n  decipher.setAuthTag(tag);\n  const compressed = Buffer.concat([decipher.update(ciphertext), decipher.final()]);\n  const data = header[\"zip\"] === \"DEF\" ? inflateRawSync(compressed) : compressed;\n  return { contentType: header[\"cty\"] ?? \"application/octet-stream\", data: Buffer.from(data) };\n}\n\n/**\n * Decrypt a JWE compact serialization back to a FHIR bundle.\n *\n * Pipeline: parse JWE → AES-256-GCM decrypt → inflateRaw → JSON.parse\n */\nexport function decryptBundle(\n  jwe: string,\n  key: Buffer,\n): Record<string, unknown> {\n  const parts = jwe.split(\".\");\n  if (parts.length !== 5) {\n    throw new Error(`Invalid JWE compact serialization: expected 5 parts, got ${parts.length}`);\n  }\n\n  const [headerB64, , ivB64, ciphertextB64, tagB64] = parts as [string, string, string, string, string];\n\n  // Verify header\n  const header = JSON.parse(base64urlDecode(headerB64!).toString(\"utf8\")) as Record<string, string>;\n  if (header[\"alg\"] !== \"dir\" || header[\"enc\"] !== \"A256GCM\") {\n    throw new Error(`Unsupported JWE: alg=${header[\"alg\"]}, enc=${header[\"enc\"]}`);\n  }\n\n  const iv = base64urlDecode(ivB64!);\n  const ciphertext = base64urlDecode(ciphertextB64!);\n  const tag = base64urlDecode(tagB64!);\n\n  const decipher = createDecipheriv(\"aes-256-gcm\", key, iv);\n  decipher.setAAD(Buffer.from(headerB64!, \"ascii\"));\n  decipher.setAuthTag(tag);\n\n  const compressed = Buffer.concat([decipher.update(ciphertext), decipher.final()]);\n\n  // Decompress if zip: \"DEF\"\n  const json = header[\"zip\"] === \"DEF\"\n    ? inflateRawSync(compressed).toString(\"utf8\")\n    : compressed.toString(\"utf8\");\n\n  return JSON.parse(json) as Record<string, unknown>;\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport QRCode from \"qrcode\";\n\n/**\n * Generate a QR code PNG as a data URI from a URL string.\n *\n * Uses error correction level L (7%) which is sufficient for\n * machine-scanned SHL URLs.\n */\nexport async function generateQRCode(url: string): Promise<string> {\n  return QRCode.toDataURL(url, {\n    errorCorrectionLevel: \"L\",\n    margin: 2,\n  });\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport type { SHLOptions, SHLResult, Manifest, SHLMetadata } from \"./types.js\";\nimport { ValidationError, StorageError, EncryptionError } from \"../errors.js\";\nimport { generateKey, generateShlId, encryptBundle, encryptContent, base64url } from \"./crypto.js\";\nimport { generateQRCode } from \"./qrcode.js\";\n\n/**\n * Create a SMART Health Link from a FHIR Bundle.\n *\n * Encrypts the bundle, stores it using the provided storage backend,\n * and returns a SHL URL with an embedded QR code.\n *\n * This implements manifest mode only (`L` flag always set).\n * The user's server is responsible for serving the manifest and content\n * files from the storage backend.\n *\n * @example\n * ```ts\n * const result = await SHL.create({\n *   bundle: fhirBundle,\n *   passcode: \"1234\",\n *   expiresAt: new Date(\"2025-12-31\"),\n *   storage: new SHL.LocalStorage({\n *     directory: \"./shl-data\",\n *     baseUrl: \"https://shl.example.com\",\n *   }),\n * });\n *\n * console.log(result.url);    // shlink:/...\n * console.log(result.qrCode); // data:image/png;base64,...\n * ```\n */\nexport async function create(options: SHLOptions): Promise<SHLResult> {\n  const { bundle, passcode, expiresAt, maxAccesses, label, storage, debug } = options;\n\n  // Validate inputs\n  if (!bundle || typeof bundle !== \"object\") {\n    throw new ValidationError(\"bundle is required and must be an object\");\n  }\n  if (!storage?.baseUrl) {\n    throw new ValidationError(\"storage with baseUrl is required\");\n  }\n\n  // Generate key and ID\n  const key = generateKey();\n  const shlId = generateShlId();\n\n  // Encrypt bundle → JWE compact\n  let jwe: string;\n  try {\n    jwe = encryptBundle(bundle, key);\n  } catch (err) {\n    throw new EncryptionError(\n      `Failed to encrypt bundle: ${err instanceof Error ? err.message : String(err)}`,\n    );\n  }\n\n  // Strip trailing slashes from baseUrl\n  const baseUrl = storage.baseUrl.replace(/\\/+$/, \"\");\n\n  // Store content.jwe\n  try {\n    await storage.store(`${shlId}/content.jwe`, jwe);\n  } catch (err) {\n    throw new StorageError(\n      `Failed to store content: ${err instanceof Error ? err.message : String(err)}`,\n      \"store\",\n    );\n  }\n\n  // Store unencrypted bundle for debugging (development only)\n  if (debug) {\n    const debugPath = `${shlId}/bundle.json`;\n    try {\n      await storage.store(debugPath, JSON.stringify(bundle, null, 2));\n    } catch (err) {\n      throw new StorageError(\n        `Failed to store debug bundle: ${err instanceof Error ? err.message : String(err)}`,\n        \"store\",\n      );\n    }\n    console.warn(\n      `[SHL] Debug mode: unencrypted bundle saved to ${debugPath} — do not use in production`,\n    );\n  }\n\n  // Encrypt and store attachments\n  const attachments = options.attachments ?? [];\n  for (let i = 0; i < attachments.length; i++) {\n    const att = attachments[i]!;\n    const attData = typeof att.content === \"string\"\n      ? Buffer.from(att.content, \"utf8\")\n      : Buffer.from(att.content);\n    let attJwe: string;\n    try {\n      attJwe = encryptContent(attData, key, att.contentType);\n    } catch (err) {\n      throw new EncryptionError(\n        `Failed to encrypt attachment ${i}: ${err instanceof Error ? err.message : String(err)}`,\n      );\n    }\n    try {\n      await storage.store(`${shlId}/attachment-${i}.jwe`, attJwe);\n    } catch (err) {\n      throw new StorageError(\n        `Failed to store attachment ${i}: ${err instanceof Error ? err.message : String(err)}`,\n        \"store\",\n      );\n    }\n  }\n\n  // Build and store manifest\n  const manifest: Manifest = {\n    files: [\n      {\n        contentType: \"application/fhir+json\",\n        location: `${baseUrl}/${shlId}/content`,\n      },\n      ...attachments.map((att, i) => ({\n        contentType: att.contentType,\n        location: `${baseUrl}/${shlId}/attachment/${i}`,\n      })),\n    ],\n  };\n\n  try {\n    await storage.store(`${shlId}/manifest.json`, JSON.stringify(manifest));\n  } catch (err) {\n    throw new StorageError(\n      `Failed to store manifest: ${err instanceof Error ? err.message : String(err)}`,\n      \"store\",\n    );\n  }\n\n  // Build and store metadata\n  const metadata: SHLMetadata = {\n    createdAt: new Date().toISOString(),\n  };\n  if (passcode) metadata.passcode = passcode;\n  if (maxAccesses !== undefined) metadata.maxAccesses = maxAccesses;\n  if (expiresAt) metadata.expiresAt = expiresAt.toISOString();\n\n  try {\n    await storage.store(`${shlId}/metadata.json`, JSON.stringify(metadata));\n  } catch (err) {\n    throw new StorageError(\n      `Failed to store metadata: ${err instanceof Error ? err.message : String(err)}`,\n      \"store\",\n    );\n  }\n\n  // Build SHL payload\n  const flags = buildFlags(passcode);\n  const shlPayload: Record<string, unknown> = {\n    url: `${baseUrl}/${shlId}`,\n    key: base64url(key),\n    flag: flags,\n    v: 1,\n  };\n\n  if (expiresAt) {\n    shlPayload[\"exp\"] = Math.floor(expiresAt.getTime() / 1000);\n  }\n\n  if (label) {\n    shlPayload[\"label\"] = label.length > 80 ? label.slice(0, 80) : label;\n  }\n\n  // Build shlink:/ URL\n  const payloadJson = JSON.stringify(shlPayload);\n  const payloadB64 = base64url(Buffer.from(payloadJson, \"utf8\"));\n  const shlUrl = `shlink:/${payloadB64}`;\n\n  // Generate QR code\n  const qrCode = await generateQRCode(shlUrl);\n\n  const result: SHLResult = {\n    url: shlUrl,\n    qrCode,\n    id: shlId,\n  };\n\n  if (passcode) result.passcode = passcode;\n  if (expiresAt) result.expiresAt = expiresAt;\n  if (debug) result.debugBundlePath = `${shlId}/bundle.json`;\n\n  return result;\n}\n\n/**\n * Build the SHL flags string. Flags are alphabetically sorted.\n * `L` is always set (manifest mode). `P` is set if a passcode is provided.\n */\nfunction buildFlags(passcode?: string): string {\n  const flags: string[] = [\"L\"];\n  if (passcode) flags.push(\"P\");\n  return flags.sort().join(\"\");\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport { base64urlDecode, decryptBundle, decryptContent as rawDecryptContent } from \"./crypto.js\";\nimport { ValidationError, EncryptionError } from \"../errors.js\";\n\n/**\n * A decoded SMART Health Link payload.\n *\n * Contains all fields from the shlink:/ URL payload,\n * parsed and ready for use.\n */\nexport interface DecodedSHL {\n  /** Manifest URL — POST here to retrieve the manifest */\n  url: string;\n  /** Decryption key (32 bytes) */\n  key: Buffer;\n  /** SHL flags (e.g., \"L\", \"LP\") */\n  flag: string;\n  /** SHL version (currently always 1) */\n  v: number;\n  /** Expiration as epoch seconds (undefined if no expiration) */\n  exp?: number;\n  /** Human-readable label (max 80 chars) */\n  label?: string;\n}\n\n/**\n * Decode a `shlink:/` URL into its constituent parts.\n *\n * Extracts the manifest URL, decryption key, flags, version,\n * optional expiration, and optional label from the SHL payload.\n *\n * @example\n * ```ts\n * const decoded = SHL.decode(\"shlink:/eyJ1cmw...\");\n * // decoded.url   → \"https://shl.example.com/{shlId}\"\n * // decoded.key   → Buffer (32 bytes)\n * // decoded.flag  → \"LP\"\n * // decoded.exp   → 1798761600 (or undefined)\n * // decoded.label → \"Jane's IPS\" (or undefined)\n * ```\n */\nexport function decode(url: string): DecodedSHL {\n  if (!url || typeof url !== \"string\") {\n    throw new ValidationError(\"url is required and must be a string\");\n  }\n\n  if (!url.startsWith(\"shlink:/\")) {\n    throw new ValidationError(\n      `Invalid SHL URL: must start with \"shlink:/\", got \"${url.slice(0, 20)}...\"`,\n    );\n  }\n\n  const b64 = url.slice(\"shlink:/\".length);\n  if (!b64) {\n    throw new ValidationError(\"Invalid SHL URL: empty payload\");\n  }\n\n  let payload: Record<string, unknown>;\n  try {\n    const json = base64urlDecode(b64).toString(\"utf8\");\n    payload = JSON.parse(json) as Record<string, unknown>;\n  } catch {\n    throw new ValidationError(\"Invalid SHL URL: could not decode payload\");\n  }\n\n  // Validate required fields\n  if (!payload[\"url\"] || typeof payload[\"url\"] !== \"string\") {\n    throw new ValidationError(\"Invalid SHL payload: missing or invalid 'url'\");\n  }\n  if (!payload[\"key\"] || typeof payload[\"key\"] !== \"string\") {\n    throw new ValidationError(\"Invalid SHL payload: missing or invalid 'key'\");\n  }\n  if (!payload[\"flag\"] || typeof payload[\"flag\"] !== \"string\") {\n    throw new ValidationError(\"Invalid SHL payload: missing or invalid 'flag'\");\n  }\n\n  const key = base64urlDecode(payload[\"key\"] as string);\n  if (key.length !== 32) {\n    throw new ValidationError(\n      `Invalid SHL payload: key must be 32 bytes, got ${key.length}`,\n    );\n  }\n\n  return {\n    url: payload[\"url\"] as string,\n    key,\n    flag: payload[\"flag\"] as string,\n    v: typeof payload[\"v\"] === \"number\" ? payload[\"v\"] : 1,\n    exp: typeof payload[\"exp\"] === \"number\" ? payload[\"exp\"] : undefined,\n    label: typeof payload[\"label\"] === \"string\" ? payload[\"label\"] : undefined,\n  };\n}\n\n/**\n * Decrypt a JWE compact serialization back to a FHIR bundle.\n *\n * This is a convenience wrapper around the internal `decryptBundle` function,\n * exposed as a public API for consuming SHLs.\n *\n * @param jwe - JWE compact serialization string (5 dot-separated parts)\n * @param key - 32-byte AES-256 key (from `SHL.decode().key`)\n * @returns The decrypted FHIR bundle as a JSON object\n *\n * @example\n * ```ts\n * const decoded = SHL.decode(\"shlink:/eyJ1cmw...\");\n * const manifest = await fetch(decoded.url, {\n *   method: \"POST\",\n *   headers: { \"content-type\": \"application/json\" },\n *   body: JSON.stringify({ passcode: \"1234\" }),\n * }).then(r => r.json());\n *\n * const jwe = await fetch(manifest.files[0].location).then(r => r.text());\n * const bundle = SHL.decrypt(jwe, decoded.key);\n * ```\n */\nexport function decrypt(\n  jwe: string,\n  key: Buffer,\n): Record<string, unknown> {\n  if (!jwe || typeof jwe !== \"string\") {\n    throw new EncryptionError(\"jwe is required and must be a string\");\n  }\n  if (!Buffer.isBuffer(key) || key.length !== 32) {\n    throw new EncryptionError(\"key must be a 32-byte Buffer\");\n  }\n\n  try {\n    return decryptBundle(jwe, key);\n  } catch (err) {\n    if (err instanceof EncryptionError) throw err;\n    throw new EncryptionError(\n      `Failed to decrypt: ${err instanceof Error ? err.message : String(err)}`,\n    );\n  }\n}\n\n/**\n * Decrypt a JWE compact serialization to raw bytes and content type.\n *\n * Use this for non-FHIR content (PDFs, images, etc.) where the result\n * is binary data rather than a JSON object.\n *\n * @param jwe - JWE compact serialization string\n * @param key - 32-byte AES-256 key (from `SHL.decode().key`)\n * @returns Object with `contentType` (from JWE header) and `data` (Buffer)\n */\nexport function decryptContent(\n  jwe: string,\n  key: Buffer,\n): { contentType: string; data: Buffer } {\n  if (!jwe || typeof jwe !== \"string\") {\n    throw new EncryptionError(\"jwe is required and must be a string\");\n  }\n  if (!Buffer.isBuffer(key) || key.length !== 32) {\n    throw new EncryptionError(\"key must be a 32-byte Buffer\");\n  }\n  try {\n    return rawDecryptContent(jwe, key);\n  } catch (err) {\n    if (err instanceof EncryptionError) throw err;\n    throw new EncryptionError(\n      `Failed to decrypt content: ${err instanceof Error ? err.message : String(err)}`,\n    );\n  }\n}\n","// Copyright 2026 FHIRfly.io LLC. All rights reserved.\n// Licensed under the MIT License. See LICENSE file in the project root.\nimport type { SHLStorage } from \"./types.js\";\n\n/**\n * Revoke a SMART Health Link by deleting all stored files.\n *\n * Removes the encrypted content, manifest, and metadata from storage.\n * After revocation, the SHL URL and QR code will no longer work —\n * viewers will receive a 404 when attempting to access the manifest.\n *\n * @param shlId - The SHL identifier (from `SHLResult.id`)\n * @param storage - The storage backend where the SHL files are stored\n */\nexport async function revoke(\n  shlId: string,\n  storage: SHLStorage\n): Promise<void> {\n  if (!shlId) {\n    throw new Error(\"shlId is required\");\n  }\n  await storage.delete(shlId);\n}\n"]}