@fhirfly-io/shl 0.4.0 → 0.6.0

package/README.md

@@ -90,6 +90,7 @@ const result = await SHL.create({
   storage,
   passcode: "1234",
   label: "Maria's Health Summary",
+  expiresAt: "travel", // 90 days — or use "point-of-care" (15min), "appointment" (24h), "permanent"
 });
 
 console.log(result.url);      // shlink:/eyJ1cmwiOiJodHRwczovL...
@@ -97,6 +98,35 @@ console.log(result.qrCode);   // data:image/png;base64,...
 console.log(result.passcode); // "1234"
 ```
 
+### Expiration Presets
+
+Instead of calculating `Date` objects, use named presets:
+
+```typescript
+await SHL.create({ bundle, storage, expiresAt: "point-of-care" }); // 15 minutes
+await SHL.create({ bundle, storage, expiresAt: "appointment" });    // 24 hours
+await SHL.create({ bundle, storage, expiresAt: "travel" });         // 90 days
+await SHL.create({ bundle, storage, expiresAt: "permanent" });      // no expiration
+await SHL.create({ bundle, storage, expiresAt: new Date(...) });    // raw Date still works
+```
+
+### PSHD Compliance
+
+For CMS-aligned patient-to-provider sharing at the point of care:
+
+```typescript
+const fhirBundle = await bundle.build({ profile: "pshd" }); // strips meta.profile, uses collection bundle
+
+const result = await SHL.create({
+  bundle: fhirBundle,
+  storage,
+  compliance: "pshd",
+  expiresAt: "point-of-care",
+});
+```
+
+See the [PSHD Guide](https://fhirfly.io/docs/shl/pshd) for full details.
+
 ## Storage Adapters
 
 ```typescript
@@ -171,6 +201,29 @@ app.listen(3000);
 
 Also available for Fastify (`@fhirfly-io/shl/fastify`) and Lambda (`@fhirfly-io/shl/lambda`).
 
+### Audit Logging
+
+Use `AuditableStorage` to capture access events at the storage level — plug in any logging backend:
+
+```typescript
+import { AuditableStorage, SHLServerStorage, AccessEvent } from "@fhirfly-io/shl/server";
+
+class MyAuditStorage extends ServerLocalStorage implements AuditableStorage {
+  async onAccess(shlId: string, event: AccessEvent): Promise<void> {
+    await db.auditLog.insert({
+      shlId,
+      recipient: event.recipient,
+      ip: event.ip,
+      timestamp: event.timestamp,
+    });
+  }
+}
+
+app.use("/shl", expressMiddleware({ storage: new MyAuditStorage({ ... }) }));
+```
+
+The server handler detects `AuditableStorage` at runtime via `isAuditableStorage()` — existing storage implementations work unchanged.
+
 ## Live Exercise
 
 Run the comprehensive integration test against the live API to exercise every SDK path:

package/dist/{chunk-SK77O3SG.cjs → chunk-CN44QKWJ.cjs}

@@ -1564,6 +1564,15 @@ var Bundle = class {
       ...resultEntries,
       ...docEntries
     ];
+    for (const entry of entries) {
+      const meta = entry.resource.meta;
+      if (meta?.profile) {
+        delete meta.profile;
+        if (Object.keys(meta).length === 0) {
+          delete entry.resource.meta;
+        }
+      }
+    }
     return {
       resourceType: "Bundle",
       id: bundleId,
@@ -1704,6 +1713,7 @@ function generateUuid() {
 var shl_exports = {};
 chunkQ7SFCCGT_cjs.__export(shl_exports, {
   AzureStorage: () => chunkUDS6UJAL_cjs.AzureStorage,
+  EXPIRATION_PRESETS: () => EXPIRATION_PRESETS,
   FhirflyStorage: () => chunkUDS6UJAL_cjs.FhirflyStorage,
   GCSStorage: () => chunkUDS6UJAL_cjs.GCSStorage,
   LocalStorage: () => chunkUDS6UJAL_cjs.LocalStorage,
@@ -1715,6 +1725,18 @@ chunkQ7SFCCGT_cjs.__export(shl_exports, {
   getEntryContent: () => getEntryContent,
   revoke: () => revoke
 });
+
+// src/shl/types.ts
+var EXPIRATION_PRESETS = {
+  "point-of-care": 15 * 60 * 1e3,
+  // 15 minutes
+  "appointment": 24 * 60 * 60 * 1e3,
+  // 24 hours
+  "travel": 90 * 24 * 60 * 60 * 1e3,
+  // 90 days
+  "permanent": 0
+  // no expiration
+};
 function base64url(data) {
   return data.toString("base64url");
 }
@@ -1802,7 +1824,18 @@ async function generateQRCode(url) {
   });
 }
 async function create(options) {
-  const { bundle, passcode, expiresAt, maxAccesses, label, storage, debug } = options;
+  const { bundle, passcode, maxAccesses, label, storage, debug } = options;
+  let expiresAt;
+  if (typeof options.expiresAt === "string") {
+    const preset = options.expiresAt;
+    const durationMs = EXPIRATION_PRESETS[preset];
+    if (durationMs === void 0) {
+      throw new chunkUDS6UJAL_cjs.ValidationError(`Unknown expiration preset: "${preset}"`);
+    }
+    expiresAt = durationMs > 0 ? new Date(Date.now() + durationMs) : void 0;
+  } else {
+    expiresAt = options.expiresAt;
+  }
   if (!bundle || typeof bundle !== "object") {
     throw new chunkUDS6UJAL_cjs.ValidationError("bundle is required and must be an object");
   }
@@ -1817,7 +1850,7 @@ async function create(options) {
         "PSHD compliance forbids passcode (flag U is incompatible with flag P)"
       );
     }
-    if (!expiresAt) {
+    if (!expiresAt && options.expiresAt !== "permanent") {
       throw new chunkUDS6UJAL_cjs.ValidationError(
         "PSHD compliance requires expiresAt (short-lived links for point-of-care)"
       );
@@ -2064,5 +2097,5 @@ async function revoke(shlId, storage) {
 
 exports.ips_exports = ips_exports;
 exports.shl_exports = shl_exports;
-//# sourceMappingURL=chunk-SK77O3SG.cjs.map
-//# sourceMappingURL=chunk-SK77O3SG.cjs.map
+//# sourceMappingURL=chunk-CN44QKWJ.cjs.map
+//# sourceMappingURL=chunk-CN44QKWJ.cjs.map

package/dist/chunk-CN44QKWJ.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  BundleProfile,\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  ResultOptions,\n  ResultByLOINC,\n  ResultFromResource,\n  ResultManual,\n  ObservationStatus,\n  DocumentOptions,\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: ${esc(occurrenceDate)}</p>`);\n  return wrap(lines);\n}\n\nexport function resultNarrative(\n  displayText: string | undefined,\n  value: number | undefined,\n  valueString: string | undefined,\n  unit: string | undefined,\n  effectiveDate: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(displayText ?? \"Lab Result\")}</b></p>`);\n  if (value !== undefined && unit) {\n    lines.push(`<p>Value: ${esc(String(value))} ${esc(unit)}</p>`);\n  } else if (value !== undefined) {\n    lines.push(`<p>Value: ${esc(String(value))}</p>`);\n  } else if (valueString !== undefined) {\n    lines.push(`<p>Value: ${esc(valueString)}</p>`);\n  }\n  if (effectiveDate) lines.push(`<p>Date: ${esc(effectiveDate)}</p>`);\n  return wrap(lines);\n}\n\nexport function documentNarrative(\n  title: string,\n  contentType: string,\n  date: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${esc(title)}</b></p>`);\n  lines.push(`<p>Type: ${esc(contentType)}</p>`);\n  if (date) lines.push(`<p>Date: ${esc(date)}</p>`);\n  return wrap(lines);\n}\n\nexport function patientNarrative(\n  name: string | undefined,\n  birthDate: string,\n  gender: string | undefined,\n): string {\n  const lines: string[] = [];\n  lines.push(`<p><b>${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, BundleProfile } 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: BundleProfile,\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: BundleProfile,\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: BundleProfile,\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  /** CMS Patient-Shared Health Document category code system */\n  CMS_PATIENT_SHARED_CATEGORY: \"https://cms.gov/fhir/CodeSystem/patient-shared-category\",\n  /** V3 ActCode security label for patient-asserted data */\n  SECURITY_PATAST: \"PATAST\",\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  BundleProfile,\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: BundleProfile,\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: BundleProfile,\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  BundleProfile,\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: BundleProfile,\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: BundleProfile,\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  BundleProfile,\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: BundleProfile,\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: BundleProfile,\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  BundleProfile,\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: BundleProfile,\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: BundleProfile,\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.\n/**\n * Internal result resolution — converts result input variants\n * into resolved results and then into FHIR Observation resources.\n */\n\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport { resultNarrative } from \"./narrative.js\";\nimport type {\n  ResultOptions,\n  ResultByLOINC,\n  ResultFromResource,\n  ResultManual,\n  ResolvedResult,\n  ResolvedCoding,\n  ValidationIssue,\n  BundleProfile,\n} from \"./types.js\";\n\n/** Result of resolving all results — includes build-time warnings. */\nexport interface ResultResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n  warnings: ValidationIssue[];\n}\n\n/**\n * Resolve all result inputs into FHIR Observation Bundle entries.\n */\nexport async function resolveResults(\n  results: ResultOptions[],\n  patientRef: string,\n  profile: BundleProfile,\n  generateUuid: () => string,\n): Promise<ResultResolutionResult> {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n  const warnings: ValidationIssue[] = [];\n\n  for (const result of results) {\n    const resolved = await resolveSingle(result, 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/Observation-results-laboratory-uv-ips\"],\n        };\n      }\n\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    } else {\n      const id = generateUuid();\n      const resource = buildObservation(resolved, id, patientRef, profile);\n      entries.push({ fullUrl: `urn:uuid:${id}`, resource });\n    }\n  }\n\n  return { entries, warnings };\n}\n\nasync function resolveSingle(\n  result: ResultOptions,\n  warnings: ValidationIssue[],\n): Promise<ResolvedResult> {\n  if (\"byLOINC\" in result && result.byLOINC !== undefined) {\n    return resolveLOINC(result as ResultByLOINC, warnings);\n  }\n  if (\"fromResource\" in result && result.fromResource !== undefined) {\n    return resolvePassthrough(result as ResultFromResource, warnings);\n  }\n  return resolveManual(result as ResultManual);\n}\n\nasync function resolveLOINC(\n  result: ResultByLOINC,\n  warnings: ValidationIssue[],\n): Promise<ResolvedResult> {\n  const codings: ResolvedCoding[] = [{ system: CODE_SYSTEMS.LOINC, code: result.byLOINC }];\n  let text: string | undefined;\n\n  try {\n    const apiResult = await result.fhirfly.loinc.lookup(result.byLOINC, { shape: \"standard\" });\n    const data = apiResult.data;\n\n    codings[0]!.display = data.long_common_name;\n    text = data.long_common_name;\n  } catch {\n    warnings.push({\n      severity: \"warning\",\n      message: `LOINC lookup failed for \"${result.byLOINC}\" — included with bare code`,\n      path: \"Observation.code\",\n    });\n  }\n\n  return {\n    codings,\n    text,\n    status: result.status ?? \"final\",\n    value: result.value,\n    valueString: result.valueString,\n    unit: result.unit,\n    unitCode: result.unitCode,\n    referenceRange: result.referenceRange,\n    effectiveDate: result.effectiveDate,\n  };\n}\n\nfunction resolveManual(result: ResultManual): ResolvedResult {\n  return {\n    codings: [{ system: result.system, code: result.code, display: result.display }],\n    text: result.display,\n    status: result.status ?? \"final\",\n    value: result.value,\n    valueString: result.valueString,\n    unit: result.unit,\n    unitCode: result.unitCode,\n    referenceRange: result.referenceRange,\n    effectiveDate: result.effectiveDate,\n  };\n}\n\nasync function resolvePassthrough(\n  result: ResultFromResource,\n  warnings: ValidationIssue[],\n): Promise<ResolvedResult> {\n  const resource = result.fromResource;\n\n  validateResultFromResource(resource);\n\n  if (!resource.status) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"status\" — will default to \"final\"`,\n      path: \"Observation.status\",\n    });\n  }\n\n  if (!resource.code) {\n    warnings.push({\n      severity: \"warning\",\n      message: `fromResource missing \"code\"`,\n      path: \"Observation.code\",\n    });\n  }\n\n  return {\n    codings: [],\n    status: \"final\",\n    originalResource: resource,\n  };\n}\n\n/** Throws if resourceType is not Observation. */\nexport function validateResultFromResource(resource: Record<string, unknown>): void {\n  const rt = resource.resourceType;\n  if (rt !== \"Observation\") {\n    throw new Error(\n      `fromResource requires resourceType \"Observation\", got \"${String(rt)}\"`,\n    );\n  }\n}\n\n/** Assemble a FHIR Observation resource from a resolved result. */\nfunction buildObservation(\n  resolved: ResolvedResult,\n  id: string,\n  patientRef: string,\n  profile: BundleProfile,\n): Record<string, unknown> {\n  const resource: Record<string, unknown> = {\n    resourceType: \"Observation\",\n    id,\n    status: resolved.status,\n    category: [\n      {\n        coding: [\n          {\n            system: \"http://terminology.hl7.org/CodeSystem/observation-category\",\n            code: \"laboratory\",\n            display: \"Laboratory\",\n          },\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/Observation-results-laboratory-uv-ips\"],\n    };\n  }\n\n  // Value — numeric or string\n  if (resolved.value !== undefined && resolved.unit) {\n    resource.valueQuantity = {\n      value: resolved.value,\n      unit: resolved.unit,\n      system: \"http://unitsofmeasure.org\",\n      code: resolved.unitCode ?? resolved.unit,\n    };\n  } else if (resolved.valueString !== undefined) {\n    resource.valueString = resolved.valueString;\n  }\n\n  // Reference range\n  if (resolved.referenceRange) {\n    const range: Record<string, unknown> = {};\n    const rangeUnit = resolved.referenceRange.unit ?? resolved.unit;\n    if (resolved.referenceRange.low !== undefined) {\n      range.low = {\n        value: resolved.referenceRange.low,\n        ...(rangeUnit ? { unit: rangeUnit, system: \"http://unitsofmeasure.org\", code: rangeUnit } : {}),\n      };\n    }\n    if (resolved.referenceRange.high !== undefined) {\n      range.high = {\n        value: resolved.referenceRange.high,\n        ...(rangeUnit ? { unit: rangeUnit, system: \"http://unitsofmeasure.org\", code: rangeUnit } : {}),\n      };\n    }\n    resource.referenceRange = [range];\n  }\n\n  // Effective date\n  if (resolved.effectiveDate) {\n    resource.effectiveDateTime = resolved.effectiveDate;\n  }\n\n  resource.text = {\n    status: \"generated\",\n    div: resultNarrative(\n      resolved.text,\n      resolved.value,\n      resolved.valueString,\n      resolved.unit,\n      resolved.effectiveDate,\n    ),\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 document resolution — wraps binary content (PDF, TIFF, JPG, etc.)\n * as FHIR DocumentReference + Binary resource pairs.\n */\n\nimport { documentNarrative } from \"./narrative.js\";\nimport { CODE_SYSTEMS } from \"./code-systems.js\";\nimport type { DocumentOptions, BundleProfile } from \"./types.js\";\n\n/** Result of resolving all documents. */\nexport interface DocumentResolutionResult {\n  entries: Array<{ fullUrl: string; resource: Record<string, unknown> }>;\n}\n\n/**\n * Resolve all document inputs into FHIR DocumentReference + Binary Bundle entries.\n */\nexport function resolveDocuments(\n  documents: DocumentOptions[],\n  patientRef: string,\n  profile: BundleProfile,\n  generateUuid: () => string,\n): DocumentResolutionResult {\n  const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [];\n\n  for (const doc of documents) {\n    const binaryId = generateUuid();\n    const docRefId = generateUuid();\n    const binaryFullUrl = `urn:uuid:${binaryId}`;\n    const docRefFullUrl = `urn:uuid:${docRefId}`;\n\n    const contentType = doc.contentType ?? \"application/pdf\";\n    const date = doc.date ?? new Date().toISOString().split(\"T\")[0]!;\n\n    // Build Binary resource\n    const base64Content = bufferToBase64(doc.content);\n    const binaryResource: Record<string, unknown> = {\n      resourceType: \"Binary\",\n      id: binaryId,\n      contentType,\n      data: base64Content,\n    };\n\n    // Build DocumentReference resource\n    // PSHD overrides: type 60591-5, category patient-shared, author=Patient, security PATAST\n    const isPshd = profile === \"pshd\";\n    const typeCode = isPshd ? \"60591-5\" : (doc.typeCode ?? \"34133-9\");\n    const typeDisplay = isPshd ? \"Patient summary Document\" : (doc.typeDisplay ?? \"Summarization of episode note\");\n\n    const docRefResource: Record<string, unknown> = {\n      resourceType: \"DocumentReference\",\n      id: docRefId,\n      status: \"current\",\n      type: {\n        coding: [\n          {\n            system: \"http://loinc.org\",\n            code: typeCode,\n            display: typeDisplay,\n          },\n        ],\n      },\n      subject: { reference: patientRef },\n      date,\n      content: [\n        {\n          attachment: {\n            contentType,\n            url: binaryFullUrl,\n            title: doc.title,\n          },\n        },\n      ],\n    };\n\n    if (isPshd) {\n      // PSHD: no meta.profile, add category + security + author\n      docRefResource.category = [\n        {\n          coding: [\n            {\n              system: CODE_SYSTEMS.CMS_PATIENT_SHARED_CATEGORY,\n              code: \"patient-shared\",\n              display: \"Patient Shared\",\n            },\n          ],\n        },\n      ];\n      docRefResource.author = [{ reference: patientRef }];\n      docRefResource.meta = {\n        security: [\n          {\n            system: \"http://terminology.hl7.org/CodeSystem/v3-ActCode\",\n            code: CODE_SYSTEMS.SECURITY_PATAST,\n            display: \"patient asserted\",\n          },\n        ],\n      };\n    } else if (profile === \"ips\") {\n      docRefResource.meta = {\n        profile: [\"http://hl7.org/fhir/uv/ips/StructureDefinition/DocumentReference-uv-ips\"],\n      };\n    }\n\n    docRefResource.text = {\n      status: \"generated\",\n      div: documentNarrative(doc.title, contentType, doc.date),\n    };\n\n    // DocumentReference first, then Binary\n    entries.push({ fullUrl: docRefFullUrl, resource: docRefResource });\n    entries.push({ fullUrl: binaryFullUrl, resource: binaryResource });\n  }\n\n  return { entries };\n}\n\n/** Convert Buffer or Uint8Array to base64 string. */\nfunction bufferToBase64(data: Buffer | Uint8Array): string {\n  if (Buffer.isBuffer(data)) {\n    return data.toString(\"base64\");\n  }\n  return Buffer.from(data).toString(\"base64\");\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  BundleProfile,\n  ValidationResult,\n  ValidationIssue,\n  MedicationOptions,\n  AllergyOptions,\n  ConditionOptions,\n  ImmunizationOptions,\n  ResultOptions,\n  DocumentOptions,\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\";\nimport { resolveResults, validateResultFromResource } from \"./result.js\";\nimport { resolveDocuments } from \"./document.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 _results: ResultOptions[] = [];\n  private readonly _documents: DocumentOptions[] = [];\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   * Add a lab result (Observation) to the IPS bundle.\n   *\n   * Throws immediately for `fromResource` with wrong resourceType.\n   */\n  addResult(result: ResultOptions): this {\n    if (\"fromResource\" in result && result.fromResource !== undefined) {\n      validateResultFromResource(result.fromResource);\n\n      const resource = result.fromResource;\n      if (!resource.status) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"status\" — will default to \"final\"`,\n          path: \"Observation.status\",\n        });\n      }\n      if (!resource.code) {\n        this._warnings.push({\n          severity: \"warning\",\n          message: `fromResource missing \"code\"`,\n          path: \"Observation.code\",\n        });\n      }\n    }\n\n    this._results.push(result);\n    return this;\n  }\n\n  /**\n   * Add a document (PDF, TIFF, etc.) to the IPS bundle.\n   *\n   * The document is wrapped as a DocumentReference + Binary resource pair.\n   */\n  addDocument(document: DocumentOptions): this {\n    this._documents.push(document);\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 patientId = generateUuid();\n    const timestamp = options?.compositionDate ?? new Date().toISOString();\n    const patientFullUrl = `urn:uuid:${patientId}`;\n\n    // Build Patient resource\n    const patientResource = normalizePatient(this._patient, patientId, profile);\n\n    // Resolve all resource types\n    const [medResult, condResult, allergyResult, immResult, resultResult] = await Promise.all([\n      resolveMedications(this._medications, patientFullUrl, profile, generateUuid),\n      resolveConditions(this._conditions, patientFullUrl, profile, generateUuid),\n      resolveAllergies(this._allergies, patientFullUrl, profile, generateUuid),\n      resolveImmunizations(this._immunizations, patientFullUrl, profile, generateUuid),\n      resolveResults(this._results, patientFullUrl, profile, generateUuid),\n    ]);\n\n    // Resolve documents (synchronous — no API calls)\n    const docResult = resolveDocuments(this._documents, patientFullUrl, profile, generateUuid);\n\n    this._buildWarnings = [\n      ...medResult.warnings,\n      ...condResult.warnings,\n      ...allergyResult.warnings,\n      ...immResult.warnings,\n      ...resultResult.warnings,\n    ];\n\n    // PSHD profile: collection bundle, no Composition\n    if (profile === \"pshd\") {\n      return this.buildPshdBundle(\n        bundleId,\n        timestamp,\n        patientFullUrl,\n        patientResource,\n        medResult.entries,\n        condResult.entries,\n        allergyResult.entries,\n        immResult.entries,\n        resultResult.entries,\n        docResult.entries,\n      );\n    }\n\n    // IPS / R4 profiles: document bundle with Composition\n    const compositionId = generateUuid();\n    const compositionFullUrl = `urn:uuid:${compositionId}`;\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    const resultRefs = resultResult.entries.map((e) => ({ reference: e.fullUrl }));\n\n    // Build Composition resource\n    const composition = this.buildComposition(\n      compositionId,\n      patientFullUrl,\n      timestamp,\n      profile,\n      medRefs,\n      allergyRefs,\n      condRefs,\n      immRefs,\n      resultRefs,\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      ...resultResult.entries,\n      ...docResult.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:${bundleId}`,\n      },\n      type: \"document\",\n      timestamp,\n      entry: entries,\n    };\n\n    return bundle;\n  }\n\n  /**\n   * Validate the bundle against the specified profile.\n   *\n   * @returns Validation result with any issues found\n   */\n  validate(options?: BuildOptions): ValidationResult {\n    const profile = options?.profile ?? \"ips\";\n    const issues: ValidationIssue[] = [];\n\n    // Check birthDate format (YYYY-MM-DD)\n    if (!/^\\d{4}-\\d{2}-\\d{2}$/.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    // PSHD-specific checks\n    if (profile === \"pshd\") {\n      if (this._documents.length === 0) {\n        issues.push({\n          severity: \"error\",\n          message: \"PSHD requires at least one DocumentReference (1..1)\",\n          path: \"Bundle.entry:DocumentReference\",\n        });\n      } else {\n        const hasPdf = this._documents.some(\n          (d) => (d.contentType ?? \"application/pdf\") === \"application/pdf\",\n        );\n        if (!hasPdf) {\n          issues.push({\n            severity: \"error\",\n            message: \"PSHD requires at least one PDF document (contentType application/pdf)\",\n            path: \"DocumentReference.content.attachment.contentType\",\n          });\n        }\n      }\n\n      if (!this._patient.gender) {\n        issues.push({\n          severity: \"warning\",\n          message: \"Patient.gender recommended for PSHD demographic matching\",\n          path: \"Patient.gender\",\n        });\n      }\n\n      return {\n        valid: issues.filter((i) => i.severity === \"error\").length === 0,\n        issues,\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      // Check results for missing effectiveDate\n      for (const result of this._results) {\n        if (!(\"fromResource\" in result && result.fromResource !== undefined) && !(\"effectiveDate\" in result && result.effectiveDate)) {\n          issues.push({\n            severity: \"information\",\n            message: \"Result has no effectiveDate — recommended by IPS but not required\",\n            path: \"Observation.effectiveDateTime\",\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 buildPshdBundle(\n    bundleId: string,\n    timestamp: string,\n    patientFullUrl: string,\n    patientResource: Record<string, unknown>,\n    medEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n    condEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n    allergyEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n    immEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n    resultEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n    docEntries: Array<{ fullUrl: string; resource: Record<string, unknown> }>,\n  ): Record<string, unknown> {\n    // PSHD: collection bundle, no Composition, Patient first, then clinical, then documents\n    const entries: Array<{ fullUrl: string; resource: Record<string, unknown> }> = [\n      { fullUrl: patientFullUrl, resource: patientResource },\n      ...medEntries,\n      ...condEntries,\n      ...allergyEntries,\n      ...immEntries,\n      ...resultEntries,\n      ...docEntries,\n    ];\n\n    // PSHD spec: strip meta.profile from all resources — recipients must not require it\n    for (const entry of entries) {\n      const meta = entry.resource.meta as Record<string, unknown> | undefined;\n      if (meta?.profile) {\n        delete meta.profile;\n        // Remove empty meta object to keep output clean\n        if (Object.keys(meta).length === 0) {\n          delete entry.resource.meta;\n        }\n      }\n    }\n\n    return {\n      resourceType: \"Bundle\",\n      id: bundleId,\n      identifier: {\n        system: \"urn:ietf:rfc:3986\",\n        value: `urn:uuid:${bundleId}`,\n      },\n      type: \"collection\",\n      timestamp,\n      entry: entries,\n    };\n  }\n\n  private buildComposition(\n    id: string,\n    patientRef: string,\n    date: string,\n    profile: BundleProfile,\n    medRefs: Array<{ reference: string }>,\n    allergyRefs: Array<{ reference: string }>,\n    condRefs: Array<{ reference: string }>,\n    immRefs: Array<{ reference: string }>,\n    resultRefs: 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      // Results section is only included when there are entries\n      if (resultRefs.length > 0) {\n        sections.push(this.buildResultSection(resultRefs));\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 buildResultSection(\n    resultRefs: Array<{ reference: string }>,\n  ): Record<string, unknown> {\n    return this.buildDynamicSection(\n      \"Results\",\n      \"http://loinc.org\",\n      \"30954-2\",\n      \"Relevant diagnostic tests/laboratory data Narrative\",\n      resultRefs,\n      \"result\",\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\nfunction generateUuid(): string {\n  return crypto.randomUUID();\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, getEntryContent } from \"./decode.js\";\nexport { revoke } from \"./revoke.js\";\nexport type { DecodedSHL } from \"./decode.js\";\nexport { S3Storage, LocalStorage, AzureStorage, GCSStorage, FhirflyStorage } from \"./storage.js\";\nexport type { S3StorageConfig, LocalStorageConfig, AzureStorageConfig, GCSStorageConfig, FhirflyStorageConfig } from \"./storage.js\";\nexport type {\n  SHLOptions,\n  SHLResult,\n  SHLStorage,\n  SHLMetadata,\n  SHLAttachment,\n  ManifestEntry,\n  Manifest,\n  ExpirationPreset,\n} from \"./types.js\";\nexport { EXPIRATION_PRESETS } 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.\n/**\n * Named expiration presets for common SHL use cases.\n *\n * - `\"point-of-care\"` — 15 minutes (in-person sharing at a clinic or pharmacy)\n * - `\"appointment\"` — 24 hours (share before a scheduled visit)\n * - `\"travel\"` — 90 days (carry health records while traveling)\n * - `\"permanent\"` — no expiration (long-lived link)\n */\nexport type ExpirationPreset = \"point-of-care\" | \"appointment\" | \"travel\" | \"permanent\";\n\n/** Duration in milliseconds for each expiration preset. 0 = no expiration. */\nexport const EXPIRATION_PRESETS: Record<ExpirationPreset, number> = {\n  \"point-of-care\": 15 * 60 * 1000,          // 15 minutes\n  \"appointment\": 24 * 60 * 60 * 1000,        // 24 hours\n  \"travel\": 90 * 24 * 60 * 60 * 1000,        // 90 days\n  \"permanent\": 0,                             // no expiration\n};\n\n/**\n * Options for creating a SMART Health Link.\n */\nexport interface SHLOptions {\n  /** The FHIR Bundle to share (as a JSON object) */\n  bundle: Record<string, unknown>;\n  /** Additional files to include (e.g., PDF documents, SMART Health Cards) */\n  attachments?: SHLAttachment[];\n  /** Optional passcode to protect the link */\n  passcode?: string;\n  /**\n   * Expiration for the link. Accepts a `Date` for an exact time,\n   * or an `ExpirationPreset` string for a named duration from now.\n   */\n  expiresAt?: Date | ExpirationPreset;\n  /** Maximum number of times the link can be accessed */\n  maxAccesses?: number;\n  /** Label for the SHL (shown in viewer apps, max 80 chars) */\n  label?: string;\n  /** Storage backend to use */\n  storage: SHLStorage;\n  /** Save unencrypted bundle alongside encrypted JWE (development only — do not use in production) */\n  debug?: boolean;\n  /**\n   * High-level compliance preset. `\"pshd\"` enforces:\n   * - Direct retrieval mode (flag U, no manifest)\n   * - Expiration required\n   * - Passcode forbidden (incompatible with flag U)\n   */\n  compliance?: \"pshd\";\n  /**\n   * Low-level retrieval mode. `\"direct\"` uses flag U (GET retrieval, no manifest).\n   * `\"manifest\"` (default) uses flag L (POST to get manifest).\n   */\n  mode?: \"manifest\" | \"direct\";\n}\n\n/**\n * An additional file to include in the SHL manifest.\n */\nexport interface SHLAttachment {\n  /** MIME content type (e.g., \"application/pdf\") */\n  contentType: string;\n  /** File content — string for text, Uint8Array for binary */\n  content: string | Uint8Array;\n}\n\n/**\n * Result of creating a SMART Health Link.\n */\nexport interface SHLResult {\n  /** The full SHL URL (shlink:/ protocol) */\n  url: string;\n  /** QR code as a PNG data URI (data:image/png;base64,...) */\n  qrCode: string;\n  /** The passcode (if one was set) */\n  passcode?: string;\n  /** Unique identifier for the SHL */\n  id: string;\n  /** When the link expires */\n  expiresAt?: Date;\n  /** Path to the unencrypted bundle (only set when debug mode is enabled) */\n  debugBundlePath?: string;\n}\n\n/**\n * SHL manifest file entry.\n *\n * Entries may use `location` (URL to fetch content) or `embedded` (inline JWE).\n * Use `SHL.getEntryContent()` to handle both patterns transparently.\n */\nexport interface ManifestEntry {\n  /** MIME type of the content (e.g., \"application/fhir+json\", \"application/pdf\") */\n  contentType: string;\n  /** URL to retrieve the content */\n  location?: string;\n  /** Embedded content (base64url-encoded if encrypted) */\n  embedded?: string;\n}\n\n/**\n * SHL manifest file.\n */\nexport interface Manifest {\n  /** Array of files available via this SHL */\n  files: ManifestEntry[];\n  /** Manifest status per SHL spec: \"finalized\", \"can-change\", or \"no-longer-valid\" */\n  status?: \"finalized\" | \"can-change\" | \"no-longer-valid\";\n  /** ISO 8601 timestamp of when the manifest was last updated */\n  lastUpdated?: string;\n}\n\n/**\n * Metadata stored alongside an SHL for access control.\n */\nexport interface SHLMetadata {\n  /** Passcode required to access the link */\n  passcode?: string;\n  /** Maximum number of times the link can be accessed */\n  maxAccesses?: number;\n  /** Number of times the link has been accessed */\n  accessCount?: number;\n  /** ISO 8601 expiration date */\n  expiresAt?: string;\n  /** ISO 8601 creation date */\n  createdAt: string;\n  /** Retrieval mode: \"direct\" (flag U) or \"manifest\" (flag L, default) */\n  mode?: \"manifest\" | \"direct\";\n}\n\n/**\n * Interface for SHL storage backends.\n *\n * Storage backends write files to a location (filesystem, S3, etc.).\n * The user configures their own server to serve these files via `baseUrl`.\n */\nexport interface SHLStorage {\n  /** Base URL of the user's SHL server. Used to compute manifest and content URLs. */\n  readonly baseUrl: string;\n\n  /** Store content at the given key path. */\n  store(key: string, content: string | Uint8Array): Promise<void>;\n\n  /** Delete all files for an SHL by prefix. */\n  delete(prefix: string): Promise<void>;\n}\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, ExpirationPreset } from \"./types.js\";\nimport { EXPIRATION_PRESETS } from \"./types.js\";\nimport { ValidationError, StorageError, EncryptionError } from \"../errors.js\";\nimport { generateKey, generateShlId, encryptBundle, encryptContent, base64url } from \"./crypto.js\";\nimport { generateQRCode } from \"./qrcode.js\";\nimport { createHash } from \"node:crypto\";\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, maxAccesses, label, storage, debug } = options;\n\n  // Resolve expiration preset to a Date\n  let expiresAt: Date | undefined;\n  if (typeof options.expiresAt === \"string\") {\n    const preset = options.expiresAt as ExpirationPreset;\n    const durationMs = EXPIRATION_PRESETS[preset];\n    if (durationMs === undefined) {\n      throw new ValidationError(`Unknown expiration preset: \"${preset}\"`);\n    }\n    expiresAt = durationMs > 0 ? new Date(Date.now() + durationMs) : undefined;\n  } else {\n    expiresAt = options.expiresAt;\n  }\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  // Resolve mode: compliance preset overrides explicit mode\n  let mode = options.mode ?? \"manifest\";\n  if (options.compliance === \"pshd\") {\n    mode = \"direct\";\n    if (passcode) {\n      throw new ValidationError(\n        \"PSHD compliance forbids passcode (flag U is incompatible with flag P)\",\n      );\n    }\n    if (!expiresAt && options.expiresAt !== \"permanent\") {\n      throw new ValidationError(\n        \"PSHD compliance requires expiresAt (short-lived links for point-of-care)\",\n      );\n    }\n  }\n\n  // Direct mode validation (with or without compliance preset)\n  if (mode === \"direct\" && passcode) {\n    throw new ValidationError(\n      \"Direct mode (flag U) is incompatible with passcode (flag P)\",\n    );\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: ${err instanceof Error ? err.message : String(err)}`,\n      \"store\",\n    );\n  }\n\n  // Store unencrypted bundle for debugging (development only)\n  if (debug) {\n    if (typeof process !== \"undefined\" && process.env?.NODE_ENV === \"production\") {\n      throw new ValidationError(\n        \"debug mode is not allowed when NODE_ENV=production — it stores unencrypted PHI\",\n      );\n    }\n    const debugPath = `${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}: ${err instanceof Error ? err.message : String(err)}`,\n        \"store\",\n      );\n    }\n  }\n\n  // Build and store manifest (skip for direct mode — no manifest needed)\n  if (mode === \"manifest\") {\n    const manifest: Manifest = {\n      files: [\n        {\n          contentType: \"application/fhir+json;fhirVersion=4.0.1\",\n          location: `${baseUrl}/${shlId}/content`,\n        },\n        ...attachments.map((att, i) => ({\n          contentType: att.contentType,\n          location: `${baseUrl}/${shlId}/attachment/${i}`,\n        })),\n      ],\n      status: \"finalized\",\n      lastUpdated: new Date().toISOString(),\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: ${err instanceof Error ? err.message : String(err)}`,\n        \"store\",\n      );\n    }\n  }\n\n  // Build and store metadata\n  const metadata: SHLMetadata = {\n    createdAt: new Date().toISOString(),\n  };\n  if (mode === \"direct\") metadata.mode = \"direct\";\n  if (passcode) {\n    metadata.passcode = createHash(\"sha256\").update(passcode).digest(\"hex\");\n  }\n  if (maxAccesses !== undefined) metadata.maxAccesses = maxAccesses;\n  if (expiresAt) metadata.expiresAt = expiresAt.toISOString();\n\n  try {\n    await storage.store(`${shlId}/metadata.json`, JSON.stringify(metadata));\n  } catch (err) {\n    throw new StorageError(\n      `Failed to store metadata: ${err instanceof Error ? err.message : String(err)}`,\n      \"store\",\n    );\n  }\n\n  // Build SHL payload\n  const flags = buildFlags(mode, passcode);\n  const shlPayload: Record<string, unknown> = {\n    url: `${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 * `U` for direct mode, `L` for manifest mode. `P` is set if a passcode is provided.\n */\nfunction buildFlags(mode: \"manifest\" | \"direct\", passcode?: string): string {\n  const flags: string[] = [mode === \"direct\" ? \"U\" : \"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\";\nimport type { ManifestEntry } from \"./types.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\n/**\n * Retrieve the JWE string from a manifest entry.\n *\n * Handles both delivery modes defined by the SHL spec:\n * - **`location`** — fetches the JWE from the URL\n * - **`embedded`** — returns the inline JWE directly\n *\n * Combine with `decrypt()` or `decryptContent()` for a complete consumption flow.\n *\n * @example\n * ```ts\n * const decoded = SHL.decode(shlUrl);\n * const manifest = await fetch(decoded.url, {\n *   method: \"POST\",\n *   body: JSON.stringify({ passcode: \"1234\" }),\n * }).then(r => r.json());\n *\n * for (const entry of manifest.files) {\n *   const jwe = await SHL.getEntryContent(entry);\n *   const { contentType, data } = SHL.decryptContent(jwe, decoded.key);\n * }\n * ```\n */\nexport async function getEntryContent(entry: ManifestEntry): Promise<string> {\n  if (entry.embedded) {\n    return entry.embedded;\n  }\n  if (!entry.location) {\n    throw new ValidationError(\n      \"Manifest entry has neither location nor embedded content\",\n    );\n  }\n  const res = await globalThis.fetch(entry.location);\n  if (!res.ok) {\n    throw new EncryptionError(`Failed to fetch content: HTTP ${res.status}`);\n  }\n  return res.text();\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"]}