@imranq2/fhirpatientsummary 1.0.39 → 1.0.41

package/dist/index.cjs

@@ -229,6 +229,23 @@ var RESULT_SUMMARY_OBSERVATION_DATE_FILTER = 2 * 365 * 24 * 60 * 60 * 1e3;
 var IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM = "https://fhir.icanbwell.com/4_0_0/CodeSystem/composition/";
 
 // src/structures/ips_section_resource_map.ts
+var IPSSectionResourcesMap = {
+  ["Patient" /* PATIENT */]: ["Patient"],
+  ["AllergyIntoleranceSection" /* ALLERGIES */]: ["AllergyIntolerance"],
+  ["MedicationSummarySection" /* MEDICATIONS */]: ["MedicationRequest", "MedicationStatement", "Medication"],
+  ["ProblemSection" /* PROBLEMS */]: ["Condition"],
+  ["ImmunizationSection" /* IMMUNIZATIONS */]: ["Immunization", "Organization"],
+  ["VitalSignsSection" /* VITAL_SIGNS */]: ["Observation"],
+  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: ["DeviceUseStatement", "Device"],
+  ["ResultsSection" /* DIAGNOSTIC_REPORTS */]: ["DiagnosticReport", "Observation"],
+  ["HistoryOfProceduresSection" /* PROCEDURES */]: ["Procedure"],
+  ["SocialHistorySection" /* SOCIAL_HISTORY */]: ["Observation"],
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: ["Observation", "Patient"],
+  ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: ["Condition", "ClinicalImpression"],
+  ["HistoryOfPastIllnessSection" /* MEDICAL_HISTORY */]: ["Condition"],
+  ["PlanOfCareSection" /* CARE_PLAN */]: ["CarePlan"],
+  ["AdvanceDirectivesSection" /* ADVANCE_DIRECTIVES */]: ["Consent"]
+};
 var IPSSectionResourceFilters = {
   // Patient section: only Patient resource
   ["Patient" /* PATIENT */]: (resource) => resource.resourceType === "Patient",
@@ -251,7 +268,7 @@ var IPSSectionResourceFilters = {
   // Only include social history Observations
   ["SocialHistorySection" /* SOCIAL_HISTORY */]: (resource) => resource.resourceType === "Observation" && codeableConceptMatches(resource.code, Object.keys(SOCIAL_HISTORY_LOINC_CODES), "http://loinc.org"),
   // Only include pregnancy history Observations or relevant Conditions
-  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Observation" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.valueCodeableConcept, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct") || codingMatches(resource.valueCodeableConcept?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")) || resource.resourceType === "Condition" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")),
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Observation" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.valueCodeableConcept, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct") || codingMatches(resource.valueCodeableConcept?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")) || resource.resourceType === "Patient" && resource.gender !== "male",
   // Only include Condition with Functional Status LOINC and SNOMED codes, category code 'problem-list-item', and completed ClinicalImpressions
   ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: (resource) => resource.resourceType === "Condition" && ((codeableConceptMatches(resource.code, Object.keys(FUNCTIONAL_STATUS_ASSESSMENT_LOINC_CODES), "http://loinc.org") || codeableConceptMatches(resource.code, Object.keys(FUNCTIONAL_STATUS_SNOMED_CODES), "http://snomed.info/sct")) && resource.clinicalStatus?.coding?.some((c) => c.code === "active") && resource.category?.some(
     (cat) => cat.coding?.some((c) => c.code === "problem-list-item")
@@ -280,7 +297,9 @@ var IPSSectionSummaryIPSCompositionFilter = {
   ["AdvanceDirectivesSection" /* ADVANCE_DIRECTIVES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_advanced_directives_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
   ["SocialHistorySection" /* SOCIAL_HISTORY */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_social_history_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
   ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, ["ips_functional_status_condition_summary_document", "ips_functional_status_clinical_impression_summary_document"], IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
-  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_medical_device_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM))
+  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_medical_device_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_pregnancy_history_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
+  ["ResultsSection" /* DIAGNOSTIC_REPORTS */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, ["ips_diagnosticreportlab_summary_document", "ips_lab_summary_document"], IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM))
 };
 var IPSSectionResourceHelper = class {
   static getResourceFilterForSection(section) {
@@ -291,6 +310,9 @@ var IPSSectionResourceHelper = class {
     if (!filter) return [];
     return resources.filter(filter);
   }
+  static getResourceTypesForSection(section) {
+    return IPSSectionResourcesMap[section] || [];
+  }
   static getSummaryCompositionFilterForSection(section) {
     const sectionCompositionEnabled = process.env.SUMMARY_COMPOSITION_SECTIONS ? process.env.SUMMARY_COMPOSITION_SECTIONS.split(",").some(
       (s) => s.trim().toLowerCase() === section.toString().toLowerCase() || s.trim().toLowerCase() === "all"
@@ -934,6 +956,57 @@ var TemplateUtilities = class {
     }
     return "";
   }
+  /**
+   * Extracts and formats reference range data including low/high values and age ranges.
+   * @param listItems - Array of reference range objects
+   * @returns Formatted reference range string
+   */
+  extractObservationReferenceRange(listItems) {
+    if (!listItems || !Array.isArray(listItems) || listItems.length === 0) {
+      return "";
+    }
+    const referenceRange = listItems[0];
+    let result = "";
+    const low = referenceRange.low;
+    const high = referenceRange.high;
+    if (low) {
+      if (low.value != void 0 && low.value !== null) {
+        result += this.formatFloatValue(low.value);
+        if (low.unit) {
+          result += ` ${low.unit}`;
+        }
+      }
+    }
+    if (high) {
+      if (result && (high.value !== void 0 && high.value !== null)) {
+        result += " - ";
+      }
+      result += this.formatFloatValue(high.value);
+      if (high.unit) {
+        result += ` ${high.unit}`;
+      }
+    }
+    const age = referenceRange.age;
+    if (age) {
+      const ageParts = [];
+      const ageLow = age.low;
+      const ageHigh = age.high;
+      if (ageLow && ageLow.value != void 0 && ageLow.value !== null) {
+        ageParts.push(`${this.formatFloatValue(ageLow.value)}${ageLow.unit ? ` ${ageLow.unit}` : ""}`);
+      }
+      if (ageHigh && ageHigh.value != void 0 && ageHigh.value !== null) {
+        ageParts.push(`${this.formatFloatValue(ageHigh.value)}${ageHigh.unit ? ` ${ageHigh.unit}` : ""}`);
+      }
+      if (ageParts.length > 0) {
+        if (result) {
+          result += ` (Age: ${ageParts.join(" - ")})`;
+        } else {
+          result = `Age: ${ageParts.join(" - ")}`;
+        }
+      }
+    }
+    return result;
+  }
   extractObservationSummaryReferenceRange(data) {
     let referenceRange = "";
     if (data["referenceRange.low.value"]) {
@@ -3664,7 +3737,7 @@ var DiagnosticResultsTemplate = class _DiagnosticResultsTemplate {
             <td>${templateUtilities.capitalizeFirstLetter(obsCodeDisplay)}</td>
             <td>${templateUtilities.codeableConceptCoding(obs.code)}</td>
             <td>${templateUtilities.extractObservationValue(obs)}</td>
-            <td>${templateUtilities.concatReferenceRange(obs.referenceRange)}</td>
+            <td>${templateUtilities.extractObservationReferenceRange(obs.referenceRange)}</td>
             <td>${obs.effectiveDateTime ? templateUtilities.renderTime(obs.effectiveDateTime, timezone) : obs.effectivePeriod ? templateUtilities.renderPeriod(obs.effectivePeriod, timezone) : ""}</td>
             <td>${templateUtilities.getOwnerTag(obs)}</td>
           </tr>`;
@@ -4555,6 +4628,67 @@ var PregnancyTemplate = class _PregnancyTemplate {
   generateNarrative(resources, timezone) {
     return _PregnancyTemplate.generateStaticNarrative(resources, timezone);
   }
+  /**
+   * Generate HTML narrative for pregnancy using summary
+   * @param resources - FHIR Composition resources
+   * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+   * @returns HTML string for rendering
+   */
+  generateSummaryNarrative(resources, timezone) {
+    const templateUtilities = new TemplateUtilities(resources);
+    let isSummaryCreated = false;
+    let html = `<p>This list includes all information about the patient's pregnancy history, sorted by effective date (most recent first).</p>
+`;
+    html += `
+      <div>
+        <table>
+          <thead>
+            <tr>
+              <th>Result</th>
+              <th>Code (System)</th>
+              <th>Comments</th>
+              <th>Date</th>
+              <th>Source</th>
+            </tr>
+          </thead>
+          <tbody>`;
+    for (const resourceItem of resources) {
+      for (const rowData of resourceItem.section ?? []) {
+        const sectionCodeableConcept = rowData.code;
+        const rowTitle = rowData.title;
+        const data = {};
+        data["codeSystem"] = templateUtilities.codeableConceptCoding(sectionCodeableConcept);
+        for (const columnData of rowData.section ?? []) {
+          const columnTitle = columnData.title;
+          if (columnTitle) {
+            data[columnTitle] = templateUtilities.renderTextAsHtml(columnData.text?.div ?? "");
+          }
+        }
+        if (rowTitle === "Expected Delivery Date") {
+          data["Result"] = "Estimated Delivery Date: " + templateUtilities.renderTextAsHtml(templateUtilities.extractObservationSummaryValue(data, timezone));
+        } else {
+          data["Result"] = data["Pregnancy Result"];
+        }
+        if (data["Result"]?.toLowerCase() === "unknown") {
+          continue;
+        }
+        isSummaryCreated = true;
+        html += `
+            <tr>
+              <td class="Result">${data["Result"] ? templateUtilities.capitalizeFirstLetter(data["Result"]) : ""}</td>
+              <td class="CodeSystem">${data["codeSystem"]}</td>
+              <td class="Comments">${data["Comments"] ?? ""}</td>
+              <td class="Date">${templateUtilities.extractObservationSummaryEffectiveTime(data, timezone) ?? ""}</td>
+              <td class="Source">${data["Source"] ?? ""}</td>
+            </tr>`;
+      }
+    }
+    html += `
+          </tbody>
+        </table>
+      </div>`;
+    return isSummaryCreated ? html : void 0;
+  }
   /**
    * Internal static implementation that actually generates the narrative
    * @param resources - FHIR Observation resources
@@ -4563,10 +4697,13 @@ var PregnancyTemplate = class _PregnancyTemplate {
    */
   static generateStaticNarrative(resources, timezone) {
     const templateUtilities = new TemplateUtilities(resources);
+    const patients = resources.filter((r) => r.resourceType === "Patient");
+    if (patients.length === 0) {
+      return;
+    }
     const pregnancyHistoryFilter = IPSSectionResourceFilters["HistoryOfPregnancySection"];
     const filteredResources = pregnancyHistoryFilter ? resources.filter(pregnancyHistoryFilter) : resources;
     const observations = filteredResources.filter((r) => r.resourceType === "Observation");
-    const conditions = filteredResources.filter((r) => r.resourceType === "Condition");
     const EDD_LOINC = "11778-8";
     const pregnancyStatusCodes = Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS);
     const pregnancyOutcomeCodes = Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME);
@@ -4587,10 +4724,10 @@ var PregnancyTemplate = class _PregnancyTemplate {
       const dateB = b.effectiveDateTime || b.effectivePeriod?.start;
       return dateB && dateA ? new Date(dateB).getTime() - new Date(dateA).getTime() : 0;
     });
-    if (!pregnancyStatusObs && !eddObs && historyObs.length === 0 && conditions.length === 0) {
-      return `<p>No history of pregnancy found.</p>`;
+    if (!pregnancyStatusObs && !eddObs && historyObs.length === 0) {
+      return;
     }
-    let html = `<p>This list includes Observation and Condition resources relevant to pregnancy, sorted by date (most recent first).</p>`;
+    let html = `<p>This list includes Observation resources relevant to pregnancy, sorted by date (most recent first).</p>`;
     html += `
             <table>
               <thead>
@@ -4629,11 +4766,6 @@ var PregnancyTemplate = class _PregnancyTemplate {
       const date = obs.effectiveDateTime || obs.effectivePeriod?.start;
       rowResources.push({ resource: obs, date, type: "history" });
     }
-    for (const cond of conditions) {
-      const condition = cond;
-      const date = condition.onsetDateTime || condition.onsetPeriod?.start;
-      rowResources.push({ resource: condition, date, type: "condition" });
-    }
     rowResources.sort((a, b) => {
       if (!a.date && !b.date) return 0;
       if (!a.date) return 1;
@@ -4649,7 +4781,7 @@ var PregnancyTemplate = class _PregnancyTemplate {
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
       } else if (type === "edd") {
-        result = "Estimated Delivery Date: " + templateUtilities.renderTextAsHtml(templateUtilities.extractObservationSummaryValue(resource, timezone));
+        result = "Estimated Delivery Date: " + (templateUtilities.extractObservationValue(resource) ?? "");
         comments = templateUtilities.renderNotes(resource.note, timezone);
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
@@ -4658,11 +4790,6 @@ var PregnancyTemplate = class _PregnancyTemplate {
         comments = templateUtilities.renderNotes(resource.note, timezone);
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
-      } else if (type === "condition") {
-        result = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptDisplay(resource.code));
-        comments = templateUtilities.renderNotes(resource.note, timezone);
-        dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
-        codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
       }
       const rowKey = `${result}|${codeSystem}`;
       if (!addedRows.has(rowKey)) {
@@ -5075,16 +5202,33 @@ var ComprehensiveIPSCompositionBuilder = class {
     this.addSectionAsync(narrative, sectionType, validResources);
     return this;
   }
-  async makeSectionFromSummaryAsync(sectionType, summaryCompositions, resources, timezone) {
+  async makeSectionFromSummaryAsync(sectionType, summaryCompositions, resources, timezone, includeSummaryCompositionOnly = false) {
     const sectionResources = [];
     for (const summaryComposition of summaryCompositions) {
       const resourceEntries = summaryComposition?.section?.flatMap((sec) => sec.entry || []) ?? [];
-      resources.forEach((resource) => {
-        if (resourceEntries?.some((entry) => entry.reference === `${resource.resourceType}/${resource.id}`)) {
-          this.resources.add(resource);
-          sectionResources.push(resource);
-        }
-      });
+      if (includeSummaryCompositionOnly) {
+        const addedEntries = /* @__PURE__ */ new Set();
+        resourceEntries.forEach((entry) => {
+          if (entry.reference && !addedEntries.has(entry.reference)) {
+            const reference = entry.reference.split("/");
+            if (reference.length === 2) {
+              const resource = {
+                id: reference[1],
+                resourceType: reference[0]
+              };
+              sectionResources.push(resource);
+              addedEntries.add(entry.reference);
+            }
+          }
+        });
+      } else {
+        resources.forEach((resource) => {
+          if (resourceEntries?.some((entry) => entry.reference === `${resource.resourceType}/${resource.id}`)) {
+            this.resources.add(resource);
+            sectionResources.push(resource);
+          }
+        });
+      }
     }
     let narrative = await NarrativeGenerator.generateNarrativeAsync(
       sectionType,
@@ -5109,8 +5253,10 @@ var ComprehensiveIPSCompositionBuilder = class {
    * @param bundle - FHIR Bundle containing resources
    * @param timezone - Optional timezone to use for date formatting
    * @param useSummaryCompositions - Whether to use summary compositions (default: false)
+   * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
+   * @param consoleLogger - Optional console logger for logging (default: console)
    */
-  async readBundleAsync(bundle, timezone, useSummaryCompositions = false, consoleLogger = console) {
+  async readBundleAsync(bundle, timezone, useSummaryCompositions = false, includeSummaryCompositionOnly = false, consoleLogger = console) {
     if (!bundle.entry) {
       return this;
     }
@@ -5134,14 +5280,14 @@ var ComprehensiveIPSCompositionBuilder = class {
       const sectionIPSSummary = summaryIPSCompositionFilter ? resources.filter((resource) => summaryIPSCompositionFilter(resource)) : [];
       if (sectionIPSSummary.length > 0) {
         consoleLogger.info(`Using IPS summary composition for section: ${sectionType}`);
-        await this.makeSectionFromSummaryAsync(sectionType, sectionIPSSummary, resources, timezone);
+        await this.makeSectionFromSummaryAsync(sectionType, sectionIPSSummary, resources, timezone, includeSummaryCompositionOnly);
         continue;
       }
       const summaryCompositionFilter = useSummaryCompositions ? IPSSectionResourceHelper.getSummaryCompositionFilterForSection(sectionType) : void 0;
       const sectionSummary = summaryCompositionFilter ? resources.filter((resource) => summaryCompositionFilter(resource)) : [];
       if (sectionSummary.length > 0) {
         consoleLogger.info(`Using summary composition for section: ${sectionType}`);
-        await this.makeSectionFromSummaryAsync(sectionType, sectionSummary, resources, timezone);
+        await this.makeSectionFromSummaryAsync(sectionType, sectionSummary, resources, timezone, includeSummaryCompositionOnly);
       } else {
         consoleLogger.info(`Using individual resources for section: ${sectionType}`);
         const sectionFilter = IPSSectionResourceHelper.getResourceFilterForSection(sectionType);
@@ -5157,10 +5303,11 @@ var ComprehensiveIPSCompositionBuilder = class {
    * @param authorOrganizationName - Name of the authoring organization
    * @param baseUrl - Base URL for the FHIR server (e.g., 'https://example.com/fhir')
    * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+   * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
    * @param patientId - Optional patient ID to use as primary patient for composition reference
    * @param now - Optional current date to use for composition date (defaults to new Date())
    */
-  async buildBundleAsync(authorOrganizationId, authorOrganizationName, baseUrl, timezone, patientId, now) {
+  async buildBundleAsync(authorOrganizationId, authorOrganizationName, baseUrl, timezone, includeSummaryCompositionOnly = false, patientId, now) {
     if (baseUrl.endsWith("/")) {
       baseUrl = baseUrl.slice(0, -1);
     }
@@ -5209,30 +5356,32 @@ var ComprehensiveIPSCompositionBuilder = class {
       fullUrl: `${baseUrl}/Composition/${composition.id}`,
       resource: composition
     });
-    this.patients.forEach((patient) => {
+    if (!includeSummaryCompositionOnly) {
+      this.patients.forEach((patient) => {
+        bundle.entry?.push({
+          fullUrl: `${baseUrl}/Patient/${patient.id}`,
+          resource: patient
+        });
+      });
+      this.resources.forEach((resource) => {
+        if (resource.resourceType !== "Patient") {
+          bundle.entry?.push(
+            {
+              fullUrl: `${baseUrl}/${resource.resourceType}/${resource.id}`,
+              resource
+            }
+          );
+        }
+      });
       bundle.entry?.push({
-        fullUrl: `${baseUrl}/Patient/${patient.id}`,
-        resource: patient
+        fullUrl: `${baseUrl}/Organization/${authorOrganizationId}`,
+        resource: {
+          resourceType: "Organization",
+          id: authorOrganizationId,
+          name: authorOrganizationName
+        }
       });
-    });
-    this.resources.forEach((resource) => {
-      if (resource.resourceType !== "Patient") {
-        bundle.entry?.push(
-          {
-            fullUrl: `${baseUrl}/${resource.resourceType}/${resource.id}`,
-            resource
-          }
-        );
-      }
-    });
-    bundle.entry?.push({
-      fullUrl: `${baseUrl}/Organization/${authorOrganizationId}`,
-      resource: {
-        resourceType: "Organization",
-        id: authorOrganizationId,
-        name: authorOrganizationName
-      }
-    });
+    }
     return bundle;
   }
   /**
@@ -5242,6 +5391,35 @@ var ComprehensiveIPSCompositionBuilder = class {
   getSections() {
     return this.sections;
   }
+  /**
+   * Identifies remaining resource types that are missing from the composition bundle.
+   * @param bundle - FHIR Bundle containing resources
+   * @returns Array of missing resource type strings
+   */
+  getRemainingResourcesFromCompositionBundle(bundle) {
+    const resources = [];
+    bundle.entry?.forEach((e) => {
+      if (e.resource) {
+        resources.push(e.resource);
+      }
+    });
+    const remainingResources = /* @__PURE__ */ new Set();
+    for (const sectionType of Object.values(IPSSections)) {
+      const summaryIPSCompositionFilter = IPSSectionResourceHelper.getSummaryIPSCompositionFilterForSection(sectionType);
+      const sectionIPSSummary = summaryIPSCompositionFilter ? resources.filter((resource) => summaryIPSCompositionFilter(resource)) : [];
+      const summaryCompositionFilter = IPSSectionResourceHelper.getSummaryCompositionFilterForSection(sectionType);
+      const sectionSummary = summaryCompositionFilter ? resources.filter((resource) => summaryCompositionFilter(resource)) : [];
+      if (sectionSummary.length === 0 && sectionIPSSummary.length === 0) {
+        const resourcesForSection = IPSSectionResourceHelper.getResourceTypesForSection(sectionType);
+        resourcesForSection.forEach((resourceType) => {
+          if (!remainingResources.has(resourceType) && !resources.some((r) => r.resourceType === resourceType)) {
+            remainingResources.add(resourceType);
+          }
+        });
+      }
+    }
+    return Array.from(remainingResources);
+  }
 };
 
 // src/index.ts

package/dist/index.d.cts

@@ -709,29 +709,38 @@ declare class ComprehensiveIPSCompositionBuilder {
      * @param timezone - Optional timezone to use for date formatting
      */
     makeSectionAsync<T extends TDomainResource>(sectionType: IPSSections, validResources: T[], timezone: string | undefined): Promise<this>;
-    makeSectionFromSummaryAsync(sectionType: IPSSections, summaryCompositions: TComposition[], resources: TDomainResource[], timezone: string | undefined): Promise<this>;
+    makeSectionFromSummaryAsync(sectionType: IPSSections, summaryCompositions: TComposition[], resources: TDomainResource[], timezone: string | undefined, includeSummaryCompositionOnly?: boolean): Promise<this>;
     /**
      * Reads a FHIR Bundle and extracts resources for each section defined in IPSSections.
      * @param bundle - FHIR Bundle containing resources
      * @param timezone - Optional timezone to use for date formatting
      * @param useSummaryCompositions - Whether to use summary compositions (default: false)
+     * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
+     * @param consoleLogger - Optional console logger for logging (default: console)
      */
-    readBundleAsync(bundle: TBundle, timezone: string | undefined, useSummaryCompositions?: boolean, consoleLogger?: Console): Promise<this>;
+    readBundleAsync(bundle: TBundle, timezone: string | undefined, useSummaryCompositions?: boolean, includeSummaryCompositionOnly?: boolean, consoleLogger?: Console): Promise<this>;
     /**
      * Builds a complete FHIR Bundle containing the Composition and all resources.
      * @param authorOrganizationId - ID of the authoring organization (e.g., hospital or clinic)
      * @param authorOrganizationName - Name of the authoring organization
      * @param baseUrl - Base URL for the FHIR server (e.g., 'https://example.com/fhir')
      * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+     * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
      * @param patientId - Optional patient ID to use as primary patient for composition reference
      * @param now - Optional current date to use for composition date (defaults to new Date())
      */
-    buildBundleAsync(authorOrganizationId: string, authorOrganizationName: string, baseUrl: string, timezone: string | undefined, patientId?: string, now?: Date): Promise<TBundle>;
+    buildBundleAsync(authorOrganizationId: string, authorOrganizationName: string, baseUrl: string, timezone: string | undefined, includeSummaryCompositionOnly?: boolean, patientId?: string, now?: Date): Promise<TBundle>;
     /**
      * Returns the Composition sections without creating a full bundle.
      * @returns Array of TCompositionSection
      */
     getSections(): TCompositionSection[];
+    /**
+     * Identifies remaining resource types that are missing from the composition bundle.
+     * @param bundle - FHIR Bundle containing resources
+     * @returns Array of missing resource type strings
+     */
+    getRemainingResourcesFromCompositionBundle(bundle: TBundle): string[];
 }
 
 interface Narrative {

package/dist/index.d.ts

@@ -709,29 +709,38 @@ declare class ComprehensiveIPSCompositionBuilder {
      * @param timezone - Optional timezone to use for date formatting
      */
     makeSectionAsync<T extends TDomainResource>(sectionType: IPSSections, validResources: T[], timezone: string | undefined): Promise<this>;
-    makeSectionFromSummaryAsync(sectionType: IPSSections, summaryCompositions: TComposition[], resources: TDomainResource[], timezone: string | undefined): Promise<this>;
+    makeSectionFromSummaryAsync(sectionType: IPSSections, summaryCompositions: TComposition[], resources: TDomainResource[], timezone: string | undefined, includeSummaryCompositionOnly?: boolean): Promise<this>;
     /**
      * Reads a FHIR Bundle and extracts resources for each section defined in IPSSections.
      * @param bundle - FHIR Bundle containing resources
      * @param timezone - Optional timezone to use for date formatting
      * @param useSummaryCompositions - Whether to use summary compositions (default: false)
+     * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
+     * @param consoleLogger - Optional console logger for logging (default: console)
      */
-    readBundleAsync(bundle: TBundle, timezone: string | undefined, useSummaryCompositions?: boolean, consoleLogger?: Console): Promise<this>;
+    readBundleAsync(bundle: TBundle, timezone: string | undefined, useSummaryCompositions?: boolean, includeSummaryCompositionOnly?: boolean, consoleLogger?: Console): Promise<this>;
     /**
      * Builds a complete FHIR Bundle containing the Composition and all resources.
      * @param authorOrganizationId - ID of the authoring organization (e.g., hospital or clinic)
      * @param authorOrganizationName - Name of the authoring organization
      * @param baseUrl - Base URL for the FHIR server (e.g., 'https://example.com/fhir')
      * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+     * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
      * @param patientId - Optional patient ID to use as primary patient for composition reference
      * @param now - Optional current date to use for composition date (defaults to new Date())
      */
-    buildBundleAsync(authorOrganizationId: string, authorOrganizationName: string, baseUrl: string, timezone: string | undefined, patientId?: string, now?: Date): Promise<TBundle>;
+    buildBundleAsync(authorOrganizationId: string, authorOrganizationName: string, baseUrl: string, timezone: string | undefined, includeSummaryCompositionOnly?: boolean, patientId?: string, now?: Date): Promise<TBundle>;
     /**
      * Returns the Composition sections without creating a full bundle.
      * @returns Array of TCompositionSection
      */
     getSections(): TCompositionSection[];
+    /**
+     * Identifies remaining resource types that are missing from the composition bundle.
+     * @param bundle - FHIR Bundle containing resources
+     * @returns Array of missing resource type strings
+     */
+    getRemainingResourcesFromCompositionBundle(bundle: TBundle): string[];
 }
 
 interface Narrative {

package/dist/index.js

@@ -201,6 +201,23 @@ var RESULT_SUMMARY_OBSERVATION_DATE_FILTER = 2 * 365 * 24 * 60 * 60 * 1e3;
 var IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM = "https://fhir.icanbwell.com/4_0_0/CodeSystem/composition/";
 
 // src/structures/ips_section_resource_map.ts
+var IPSSectionResourcesMap = {
+  ["Patient" /* PATIENT */]: ["Patient"],
+  ["AllergyIntoleranceSection" /* ALLERGIES */]: ["AllergyIntolerance"],
+  ["MedicationSummarySection" /* MEDICATIONS */]: ["MedicationRequest", "MedicationStatement", "Medication"],
+  ["ProblemSection" /* PROBLEMS */]: ["Condition"],
+  ["ImmunizationSection" /* IMMUNIZATIONS */]: ["Immunization", "Organization"],
+  ["VitalSignsSection" /* VITAL_SIGNS */]: ["Observation"],
+  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: ["DeviceUseStatement", "Device"],
+  ["ResultsSection" /* DIAGNOSTIC_REPORTS */]: ["DiagnosticReport", "Observation"],
+  ["HistoryOfProceduresSection" /* PROCEDURES */]: ["Procedure"],
+  ["SocialHistorySection" /* SOCIAL_HISTORY */]: ["Observation"],
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: ["Observation", "Patient"],
+  ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: ["Condition", "ClinicalImpression"],
+  ["HistoryOfPastIllnessSection" /* MEDICAL_HISTORY */]: ["Condition"],
+  ["PlanOfCareSection" /* CARE_PLAN */]: ["CarePlan"],
+  ["AdvanceDirectivesSection" /* ADVANCE_DIRECTIVES */]: ["Consent"]
+};
 var IPSSectionResourceFilters = {
   // Patient section: only Patient resource
   ["Patient" /* PATIENT */]: (resource) => resource.resourceType === "Patient",
@@ -223,7 +240,7 @@ var IPSSectionResourceFilters = {
   // Only include social history Observations
   ["SocialHistorySection" /* SOCIAL_HISTORY */]: (resource) => resource.resourceType === "Observation" && codeableConceptMatches(resource.code, Object.keys(SOCIAL_HISTORY_LOINC_CODES), "http://loinc.org"),
   // Only include pregnancy history Observations or relevant Conditions
-  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Observation" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.valueCodeableConcept, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct") || codingMatches(resource.valueCodeableConcept?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")) || resource.resourceType === "Condition" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")),
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Observation" && (codeableConceptMatches(resource.code, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS), "http://loinc.org") || codeableConceptMatches(resource.valueCodeableConcept, Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME), "http://loinc.org") || codingMatches(resource.code?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct") || codingMatches(resource.valueCodeableConcept?.coding?.[0], PREGNANCY_SNOMED_CODES, "http://snomed.info/sct")) || resource.resourceType === "Patient" && resource.gender !== "male",
   // Only include Condition with Functional Status LOINC and SNOMED codes, category code 'problem-list-item', and completed ClinicalImpressions
   ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: (resource) => resource.resourceType === "Condition" && ((codeableConceptMatches(resource.code, Object.keys(FUNCTIONAL_STATUS_ASSESSMENT_LOINC_CODES), "http://loinc.org") || codeableConceptMatches(resource.code, Object.keys(FUNCTIONAL_STATUS_SNOMED_CODES), "http://snomed.info/sct")) && resource.clinicalStatus?.coding?.some((c) => c.code === "active") && resource.category?.some(
     (cat) => cat.coding?.some((c) => c.code === "problem-list-item")
@@ -252,7 +269,9 @@ var IPSSectionSummaryIPSCompositionFilter = {
   ["AdvanceDirectivesSection" /* ADVANCE_DIRECTIVES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_advanced_directives_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
   ["SocialHistorySection" /* SOCIAL_HISTORY */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_social_history_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
   ["FunctionalStatusSection" /* FUNCTIONAL_STATUS */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, ["ips_functional_status_condition_summary_document", "ips_functional_status_clinical_impression_summary_document"], IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
-  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_medical_device_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM))
+  ["MedicalDeviceSection" /* MEDICAL_DEVICES */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_medical_device_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
+  ["HistoryOfPregnancySection" /* PREGNANCY_HISTORY */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, "ips_pregnancy_history_summary_document", IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM)),
+  ["ResultsSection" /* DIAGNOSTIC_REPORTS */]: (resource) => resource.resourceType === "Composition" && resource.type?.coding?.some((c) => codingMatches(c, ["ips_diagnosticreportlab_summary_document", "ips_lab_summary_document"], IPS_SUMMARY_COMPOSITION_TYPE_SYSTEM))
 };
 var IPSSectionResourceHelper = class {
   static getResourceFilterForSection(section) {
@@ -263,6 +282,9 @@ var IPSSectionResourceHelper = class {
     if (!filter) return [];
     return resources.filter(filter);
   }
+  static getResourceTypesForSection(section) {
+    return IPSSectionResourcesMap[section] || [];
+  }
   static getSummaryCompositionFilterForSection(section) {
     const sectionCompositionEnabled = process.env.SUMMARY_COMPOSITION_SECTIONS ? process.env.SUMMARY_COMPOSITION_SECTIONS.split(",").some(
       (s) => s.trim().toLowerCase() === section.toString().toLowerCase() || s.trim().toLowerCase() === "all"
@@ -906,6 +928,57 @@ var TemplateUtilities = class {
     }
     return "";
   }
+  /**
+   * Extracts and formats reference range data including low/high values and age ranges.
+   * @param listItems - Array of reference range objects
+   * @returns Formatted reference range string
+   */
+  extractObservationReferenceRange(listItems) {
+    if (!listItems || !Array.isArray(listItems) || listItems.length === 0) {
+      return "";
+    }
+    const referenceRange = listItems[0];
+    let result = "";
+    const low = referenceRange.low;
+    const high = referenceRange.high;
+    if (low) {
+      if (low.value != void 0 && low.value !== null) {
+        result += this.formatFloatValue(low.value);
+        if (low.unit) {
+          result += ` ${low.unit}`;
+        }
+      }
+    }
+    if (high) {
+      if (result && (high.value !== void 0 && high.value !== null)) {
+        result += " - ";
+      }
+      result += this.formatFloatValue(high.value);
+      if (high.unit) {
+        result += ` ${high.unit}`;
+      }
+    }
+    const age = referenceRange.age;
+    if (age) {
+      const ageParts = [];
+      const ageLow = age.low;
+      const ageHigh = age.high;
+      if (ageLow && ageLow.value != void 0 && ageLow.value !== null) {
+        ageParts.push(`${this.formatFloatValue(ageLow.value)}${ageLow.unit ? ` ${ageLow.unit}` : ""}`);
+      }
+      if (ageHigh && ageHigh.value != void 0 && ageHigh.value !== null) {
+        ageParts.push(`${this.formatFloatValue(ageHigh.value)}${ageHigh.unit ? ` ${ageHigh.unit}` : ""}`);
+      }
+      if (ageParts.length > 0) {
+        if (result) {
+          result += ` (Age: ${ageParts.join(" - ")})`;
+        } else {
+          result = `Age: ${ageParts.join(" - ")}`;
+        }
+      }
+    }
+    return result;
+  }
   extractObservationSummaryReferenceRange(data) {
     let referenceRange = "";
     if (data["referenceRange.low.value"]) {
@@ -3636,7 +3709,7 @@ var DiagnosticResultsTemplate = class _DiagnosticResultsTemplate {
             <td>${templateUtilities.capitalizeFirstLetter(obsCodeDisplay)}</td>
             <td>${templateUtilities.codeableConceptCoding(obs.code)}</td>
             <td>${templateUtilities.extractObservationValue(obs)}</td>
-            <td>${templateUtilities.concatReferenceRange(obs.referenceRange)}</td>
+            <td>${templateUtilities.extractObservationReferenceRange(obs.referenceRange)}</td>
             <td>${obs.effectiveDateTime ? templateUtilities.renderTime(obs.effectiveDateTime, timezone) : obs.effectivePeriod ? templateUtilities.renderPeriod(obs.effectivePeriod, timezone) : ""}</td>
             <td>${templateUtilities.getOwnerTag(obs)}</td>
           </tr>`;
@@ -4527,6 +4600,67 @@ var PregnancyTemplate = class _PregnancyTemplate {
   generateNarrative(resources, timezone) {
     return _PregnancyTemplate.generateStaticNarrative(resources, timezone);
   }
+  /**
+   * Generate HTML narrative for pregnancy using summary
+   * @param resources - FHIR Composition resources
+   * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+   * @returns HTML string for rendering
+   */
+  generateSummaryNarrative(resources, timezone) {
+    const templateUtilities = new TemplateUtilities(resources);
+    let isSummaryCreated = false;
+    let html = `<p>This list includes all information about the patient's pregnancy history, sorted by effective date (most recent first).</p>
+`;
+    html += `
+      <div>
+        <table>
+          <thead>
+            <tr>
+              <th>Result</th>
+              <th>Code (System)</th>
+              <th>Comments</th>
+              <th>Date</th>
+              <th>Source</th>
+            </tr>
+          </thead>
+          <tbody>`;
+    for (const resourceItem of resources) {
+      for (const rowData of resourceItem.section ?? []) {
+        const sectionCodeableConcept = rowData.code;
+        const rowTitle = rowData.title;
+        const data = {};
+        data["codeSystem"] = templateUtilities.codeableConceptCoding(sectionCodeableConcept);
+        for (const columnData of rowData.section ?? []) {
+          const columnTitle = columnData.title;
+          if (columnTitle) {
+            data[columnTitle] = templateUtilities.renderTextAsHtml(columnData.text?.div ?? "");
+          }
+        }
+        if (rowTitle === "Expected Delivery Date") {
+          data["Result"] = "Estimated Delivery Date: " + templateUtilities.renderTextAsHtml(templateUtilities.extractObservationSummaryValue(data, timezone));
+        } else {
+          data["Result"] = data["Pregnancy Result"];
+        }
+        if (data["Result"]?.toLowerCase() === "unknown") {
+          continue;
+        }
+        isSummaryCreated = true;
+        html += `
+            <tr>
+              <td class="Result">${data["Result"] ? templateUtilities.capitalizeFirstLetter(data["Result"]) : ""}</td>
+              <td class="CodeSystem">${data["codeSystem"]}</td>
+              <td class="Comments">${data["Comments"] ?? ""}</td>
+              <td class="Date">${templateUtilities.extractObservationSummaryEffectiveTime(data, timezone) ?? ""}</td>
+              <td class="Source">${data["Source"] ?? ""}</td>
+            </tr>`;
+      }
+    }
+    html += `
+          </tbody>
+        </table>
+      </div>`;
+    return isSummaryCreated ? html : void 0;
+  }
   /**
    * Internal static implementation that actually generates the narrative
    * @param resources - FHIR Observation resources
@@ -4535,10 +4669,13 @@ var PregnancyTemplate = class _PregnancyTemplate {
    */
   static generateStaticNarrative(resources, timezone) {
     const templateUtilities = new TemplateUtilities(resources);
+    const patients = resources.filter((r) => r.resourceType === "Patient");
+    if (patients.length === 0) {
+      return;
+    }
     const pregnancyHistoryFilter = IPSSectionResourceFilters["HistoryOfPregnancySection"];
     const filteredResources = pregnancyHistoryFilter ? resources.filter(pregnancyHistoryFilter) : resources;
     const observations = filteredResources.filter((r) => r.resourceType === "Observation");
-    const conditions = filteredResources.filter((r) => r.resourceType === "Condition");
     const EDD_LOINC = "11778-8";
     const pregnancyStatusCodes = Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_STATUS);
     const pregnancyOutcomeCodes = Object.keys(PREGNANCY_LOINC_CODES.PREGNANCY_OUTCOME);
@@ -4559,10 +4696,10 @@ var PregnancyTemplate = class _PregnancyTemplate {
       const dateB = b.effectiveDateTime || b.effectivePeriod?.start;
       return dateB && dateA ? new Date(dateB).getTime() - new Date(dateA).getTime() : 0;
     });
-    if (!pregnancyStatusObs && !eddObs && historyObs.length === 0 && conditions.length === 0) {
-      return `<p>No history of pregnancy found.</p>`;
+    if (!pregnancyStatusObs && !eddObs && historyObs.length === 0) {
+      return;
     }
-    let html = `<p>This list includes Observation and Condition resources relevant to pregnancy, sorted by date (most recent first).</p>`;
+    let html = `<p>This list includes Observation resources relevant to pregnancy, sorted by date (most recent first).</p>`;
     html += `
             <table>
               <thead>
@@ -4601,11 +4738,6 @@ var PregnancyTemplate = class _PregnancyTemplate {
       const date = obs.effectiveDateTime || obs.effectivePeriod?.start;
       rowResources.push({ resource: obs, date, type: "history" });
     }
-    for (const cond of conditions) {
-      const condition = cond;
-      const date = condition.onsetDateTime || condition.onsetPeriod?.start;
-      rowResources.push({ resource: condition, date, type: "condition" });
-    }
     rowResources.sort((a, b) => {
       if (!a.date && !b.date) return 0;
       if (!a.date) return 1;
@@ -4621,7 +4753,7 @@ var PregnancyTemplate = class _PregnancyTemplate {
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
       } else if (type === "edd") {
-        result = "Estimated Delivery Date: " + templateUtilities.renderTextAsHtml(templateUtilities.extractObservationSummaryValue(resource, timezone));
+        result = "Estimated Delivery Date: " + (templateUtilities.extractObservationValue(resource) ?? "");
         comments = templateUtilities.renderNotes(resource.note, timezone);
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
@@ -4630,11 +4762,6 @@ var PregnancyTemplate = class _PregnancyTemplate {
         comments = templateUtilities.renderNotes(resource.note, timezone);
         dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
         codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
-      } else if (type === "condition") {
-        result = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptDisplay(resource.code));
-        comments = templateUtilities.renderNotes(resource.note, timezone);
-        dateStr = date ? templateUtilities.renderTextAsHtml(templateUtilities.renderTime(date, timezone)) : "";
-        codeSystem = templateUtilities.renderTextAsHtml(templateUtilities.codeableConceptCoding(resource.code));
       }
       const rowKey = `${result}|${codeSystem}`;
       if (!addedRows.has(rowKey)) {
@@ -5047,16 +5174,33 @@ var ComprehensiveIPSCompositionBuilder = class {
     this.addSectionAsync(narrative, sectionType, validResources);
     return this;
   }
-  async makeSectionFromSummaryAsync(sectionType, summaryCompositions, resources, timezone) {
+  async makeSectionFromSummaryAsync(sectionType, summaryCompositions, resources, timezone, includeSummaryCompositionOnly = false) {
     const sectionResources = [];
     for (const summaryComposition of summaryCompositions) {
       const resourceEntries = summaryComposition?.section?.flatMap((sec) => sec.entry || []) ?? [];
-      resources.forEach((resource) => {
-        if (resourceEntries?.some((entry) => entry.reference === `${resource.resourceType}/${resource.id}`)) {
-          this.resources.add(resource);
-          sectionResources.push(resource);
-        }
-      });
+      if (includeSummaryCompositionOnly) {
+        const addedEntries = /* @__PURE__ */ new Set();
+        resourceEntries.forEach((entry) => {
+          if (entry.reference && !addedEntries.has(entry.reference)) {
+            const reference = entry.reference.split("/");
+            if (reference.length === 2) {
+              const resource = {
+                id: reference[1],
+                resourceType: reference[0]
+              };
+              sectionResources.push(resource);
+              addedEntries.add(entry.reference);
+            }
+          }
+        });
+      } else {
+        resources.forEach((resource) => {
+          if (resourceEntries?.some((entry) => entry.reference === `${resource.resourceType}/${resource.id}`)) {
+            this.resources.add(resource);
+            sectionResources.push(resource);
+          }
+        });
+      }
     }
     let narrative = await NarrativeGenerator.generateNarrativeAsync(
       sectionType,
@@ -5081,8 +5225,10 @@ var ComprehensiveIPSCompositionBuilder = class {
    * @param bundle - FHIR Bundle containing resources
    * @param timezone - Optional timezone to use for date formatting
    * @param useSummaryCompositions - Whether to use summary compositions (default: false)
+   * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
+   * @param consoleLogger - Optional console logger for logging (default: console)
    */
-  async readBundleAsync(bundle, timezone, useSummaryCompositions = false, consoleLogger = console) {
+  async readBundleAsync(bundle, timezone, useSummaryCompositions = false, includeSummaryCompositionOnly = false, consoleLogger = console) {
     if (!bundle.entry) {
       return this;
     }
@@ -5106,14 +5252,14 @@ var ComprehensiveIPSCompositionBuilder = class {
       const sectionIPSSummary = summaryIPSCompositionFilter ? resources.filter((resource) => summaryIPSCompositionFilter(resource)) : [];
       if (sectionIPSSummary.length > 0) {
         consoleLogger.info(`Using IPS summary composition for section: ${sectionType}`);
-        await this.makeSectionFromSummaryAsync(sectionType, sectionIPSSummary, resources, timezone);
+        await this.makeSectionFromSummaryAsync(sectionType, sectionIPSSummary, resources, timezone, includeSummaryCompositionOnly);
         continue;
       }
       const summaryCompositionFilter = useSummaryCompositions ? IPSSectionResourceHelper.getSummaryCompositionFilterForSection(sectionType) : void 0;
       const sectionSummary = summaryCompositionFilter ? resources.filter((resource) => summaryCompositionFilter(resource)) : [];
       if (sectionSummary.length > 0) {
         consoleLogger.info(`Using summary composition for section: ${sectionType}`);
-        await this.makeSectionFromSummaryAsync(sectionType, sectionSummary, resources, timezone);
+        await this.makeSectionFromSummaryAsync(sectionType, sectionSummary, resources, timezone, includeSummaryCompositionOnly);
       } else {
         consoleLogger.info(`Using individual resources for section: ${sectionType}`);
         const sectionFilter = IPSSectionResourceHelper.getResourceFilterForSection(sectionType);
@@ -5129,10 +5275,11 @@ var ComprehensiveIPSCompositionBuilder = class {
    * @param authorOrganizationName - Name of the authoring organization
    * @param baseUrl - Base URL for the FHIR server (e.g., 'https://example.com/fhir')
    * @param timezone - Optional timezone to use for date formatting (e.g., 'America/New_York', 'Europe/London')
+   * @param includeSummaryCompositionOnly - Whether to include only summary composition resources (default: false)
    * @param patientId - Optional patient ID to use as primary patient for composition reference
    * @param now - Optional current date to use for composition date (defaults to new Date())
    */
-  async buildBundleAsync(authorOrganizationId, authorOrganizationName, baseUrl, timezone, patientId, now) {
+  async buildBundleAsync(authorOrganizationId, authorOrganizationName, baseUrl, timezone, includeSummaryCompositionOnly = false, patientId, now) {
     if (baseUrl.endsWith("/")) {
       baseUrl = baseUrl.slice(0, -1);
     }
@@ -5181,30 +5328,32 @@ var ComprehensiveIPSCompositionBuilder = class {
       fullUrl: `${baseUrl}/Composition/${composition.id}`,
       resource: composition
     });
-    this.patients.forEach((patient) => {
+    if (!includeSummaryCompositionOnly) {
+      this.patients.forEach((patient) => {
+        bundle.entry?.push({
+          fullUrl: `${baseUrl}/Patient/${patient.id}`,
+          resource: patient
+        });
+      });
+      this.resources.forEach((resource) => {
+        if (resource.resourceType !== "Patient") {
+          bundle.entry?.push(
+            {
+              fullUrl: `${baseUrl}/${resource.resourceType}/${resource.id}`,
+              resource
+            }
+          );
+        }
+      });
       bundle.entry?.push({
-        fullUrl: `${baseUrl}/Patient/${patient.id}`,
-        resource: patient
+        fullUrl: `${baseUrl}/Organization/${authorOrganizationId}`,
+        resource: {
+          resourceType: "Organization",
+          id: authorOrganizationId,
+          name: authorOrganizationName
+        }
       });
-    });
-    this.resources.forEach((resource) => {
-      if (resource.resourceType !== "Patient") {
-        bundle.entry?.push(
-          {
-            fullUrl: `${baseUrl}/${resource.resourceType}/${resource.id}`,
-            resource
-          }
-        );
-      }
-    });
-    bundle.entry?.push({
-      fullUrl: `${baseUrl}/Organization/${authorOrganizationId}`,
-      resource: {
-        resourceType: "Organization",
-        id: authorOrganizationId,
-        name: authorOrganizationName
-      }
-    });
+    }
     return bundle;
   }
   /**
@@ -5214,6 +5363,35 @@ var ComprehensiveIPSCompositionBuilder = class {
   getSections() {
     return this.sections;
   }
+  /**
+   * Identifies remaining resource types that are missing from the composition bundle.
+   * @param bundle - FHIR Bundle containing resources
+   * @returns Array of missing resource type strings
+   */
+  getRemainingResourcesFromCompositionBundle(bundle) {
+    const resources = [];
+    bundle.entry?.forEach((e) => {
+      if (e.resource) {
+        resources.push(e.resource);
+      }
+    });
+    const remainingResources = /* @__PURE__ */ new Set();
+    for (const sectionType of Object.values(IPSSections)) {
+      const summaryIPSCompositionFilter = IPSSectionResourceHelper.getSummaryIPSCompositionFilterForSection(sectionType);
+      const sectionIPSSummary = summaryIPSCompositionFilter ? resources.filter((resource) => summaryIPSCompositionFilter(resource)) : [];
+      const summaryCompositionFilter = IPSSectionResourceHelper.getSummaryCompositionFilterForSection(sectionType);
+      const sectionSummary = summaryCompositionFilter ? resources.filter((resource) => summaryCompositionFilter(resource)) : [];
+      if (sectionSummary.length === 0 && sectionIPSSummary.length === 0) {
+        const resourcesForSection = IPSSectionResourceHelper.getResourceTypesForSection(sectionType);
+        resourcesForSection.forEach((resourceType) => {
+          if (!remainingResources.has(resourceType) && !resources.some((r) => r.resourceType === resourceType)) {
+            remainingResources.add(resourceType);
+          }
+        });
+      }
+    }
+    return Array.from(remainingResources);
+  }
 };
 
 // src/index.ts

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@imranq2/fhirpatientsummary",
-  "version": "1.0.39",
+  "version": "1.0.41",
   "description": "A template for creating npm packages using TypeScript and VSCode",
   "main": "./dist/index.js",
   "module": "./dist/index.mjs",