@medplum/agent 5.1.14 → 5.1.15

package/dist/cjs/index.cjs

@@ -8946,7 +8946,7 @@ var require_stream = __commonJS({
         this.emit("error", err2);
       }
     }
-    function createWebSocketStream2(ws, options) {
+    function createWebSocketStream2(ws2, options) {
       let terminateOnDestroy = true;
       const duplex = new Duplex({
         ...options,
@@ -8955,65 +8955,65 @@ var require_stream = __commonJS({
         objectMode: false,
         writableObjectMode: false
       });
-      ws.on("message", function message(msg, isBinary) {
+      ws2.on("message", function message(msg, isBinary) {
         const data2 = !isBinary && duplex._readableState.objectMode ? msg.toString() : msg;
-        if (!duplex.push(data2)) ws.pause();
+        if (!duplex.push(data2)) ws2.pause();
       });
-      ws.once("error", function error(err2) {
+      ws2.once("error", function error(err2) {
         if (duplex.destroyed) return;
         terminateOnDestroy = false;
         duplex.destroy(err2);
       });
-      ws.once("close", function close() {
+      ws2.once("close", function close() {
         if (duplex.destroyed) return;
         duplex.push(null);
       });
       duplex._destroy = function(err2, callback) {
-        if (ws.readyState === ws.CLOSED) {
+        if (ws2.readyState === ws2.CLOSED) {
           callback(err2);
           process.nextTick(emitClose, duplex);
           return;
         }
         let called = false;
-        ws.once("error", function error(err3) {
+        ws2.once("error", function error(err3) {
           called = true;
           callback(err3);
         });
-        ws.once("close", function close() {
+        ws2.once("close", function close() {
           if (!called) callback(err2);
           process.nextTick(emitClose, duplex);
         });
-        if (terminateOnDestroy) ws.terminate();
+        if (terminateOnDestroy) ws2.terminate();
       };
       duplex._final = function(callback) {
-        if (ws.readyState === ws.CONNECTING) {
-          ws.once("open", function open() {
+        if (ws2.readyState === ws2.CONNECTING) {
+          ws2.once("open", function open() {
             duplex._final(callback);
           });
           return;
         }
-        if (ws._socket === null) return;
-        if (ws._socket._writableState.finished) {
+        if (ws2._socket === null) return;
+        if (ws2._socket._writableState.finished) {
           callback();
           if (duplex._readableState.endEmitted) duplex.destroy();
         } else {
-          ws._socket.once("finish", function finish() {
+          ws2._socket.once("finish", function finish() {
             callback();
           });
-          ws.close();
+          ws2.close();
         }
       };
       duplex._read = function() {
-        if (ws.isPaused) ws.resume();
+        if (ws2.isPaused) ws2.resume();
       };
       duplex._write = function(chunk, encoding, callback) {
-        if (ws.readyState === ws.CONNECTING) {
-          ws.once("open", function open() {
+        if (ws2.readyState === ws2.CONNECTING) {
+          ws2.once("open", function open() {
             duplex._write(chunk, encoding, callback);
           });
           return;
         }
-        ws.send(chunk, callback);
+        ws2.send(chunk, callback);
       };
       duplex.on("end", duplexOnEnd);
       duplex.on("error", duplexOnError);
@@ -9389,12 +9389,12 @@ var require_websocket_server = __commonJS({
           "Connection: Upgrade",
           `Sec-WebSocket-Accept: ${digest}`
         ];
-        const ws = new this.options.WebSocket(null, void 0, this.options);
+        const ws2 = new this.options.WebSocket(null, void 0, this.options);
         if (protocols.size) {
           const protocol = this.options.handleProtocols ? this.options.handleProtocols(protocols, req) : protocols.values().next().value;
           if (protocol) {
             headers.push(`Sec-WebSocket-Protocol: ${protocol}`);
-            ws._protocol = protocol;
+            ws2._protocol = protocol;
           }
         }
         if (extensions[PerMessageDeflate2.extensionName]) {
@@ -9403,12 +9403,12 @@ var require_websocket_server = __commonJS({
             [PerMessageDeflate2.extensionName]: [params]
           });
           headers.push(`Sec-WebSocket-Extensions: ${value}`);
-          ws._extensions = extensions;
+          ws2._extensions = extensions;
         }
         this.emit("headers", headers, req);
         socket.write(headers.concat("\r\n").join("\r\n"));
         socket.removeListener("error", socketOnError);
-        ws.setSocket(socket, head, {
+        ws2.setSocket(socket, head, {
           allowSynchronousEvents: this.options.allowSynchronousEvents,
           maxBufferedChunks: this.options.maxBufferedChunks,
           maxFragments: this.options.maxFragments,
@@ -9416,15 +9416,15 @@ var require_websocket_server = __commonJS({
           skipUTF8Validation: this.options.skipUTF8Validation
         });
         if (this.clients) {
-          this.clients.add(ws);
-          ws.on("close", () => {
-            this.clients.delete(ws);
+          this.clients.add(ws2);
+          ws2.on("close", () => {
+            this.clients.delete(ws2);
             if (this._shouldEmitClose && !this.clients.size) {
               process.nextTick(emitClose, this);
             }
           });
         }
-        cb(ws, req);
+        cb(ws2, req);
       }
     };
     module2.exports = WebSocketServer2;
@@ -17324,8 +17324,8 @@ var require_dcmjs = __commonJS({
           key: "writeBytes",
           value: function writeBytes(stream, value, writeOptions) {
             var _this11 = this;
-            var val = Array.isArray(value) ? value.map(function(is2) {
-              return _this11.convertToString(is2);
+            var val = Array.isArray(value) ? value.map(function(is) {
+              return _this11.convertToString(is);
             }) : [this.convertToString(value)];
             return _get2(_getPrototypeOf2(IntegerString3.prototype), "writeBytes", this).call(this, stream, val, writeOptions);
           }
@@ -19219,7 +19219,7 @@ var require_dcmjs = __commonJS({
           }
         }, {
           key: "is",
-          value: function is2(t) {
+          value: function is(t) {
             return this.value == t;
           }
           /**
@@ -34541,11 +34541,11 @@ var require_decorator = __commonJS({
       };
     };
     var mergeDecorators = (d1, d2) => {
-      var _a, _b, _c, _d, _e2, _f;
+      var _a, _b, _c, _d, _e, _f;
       return {
         class: (0, util_1.unique)([...(_a = d1 === null || d1 === void 0 ? void 0 : d1.class) !== null && _a !== void 0 ? _a : [], ...(_b = d2 === null || d2 === void 0 ? void 0 : d2.class) !== null && _b !== void 0 ? _b : []]),
         static: mergePropertyAndMethodDecorators((_c = d1 === null || d1 === void 0 ? void 0 : d1.static) !== null && _c !== void 0 ? _c : {}, (_d = d2 === null || d2 === void 0 ? void 0 : d2.static) !== null && _d !== void 0 ? _d : {}),
-        instance: mergePropertyAndMethodDecorators((_e2 = d1 === null || d1 === void 0 ? void 0 : d1.instance) !== null && _e2 !== void 0 ? _e2 : {}, (_f = d2 === null || d2 === void 0 ? void 0 : d2.instance) !== null && _f !== void 0 ? _f : {})
+        instance: mergePropertyAndMethodDecorators((_e = d1 === null || d1 === void 0 ? void 0 : d1.instance) !== null && _e !== void 0 ? _e : {}, (_f = d2 === null || d2 === void 0 ? void 0 : d2.instance) !== null && _f !== void 0 ? _f : {})
       };
     };
     var decorators = /* @__PURE__ */ new Map();
@@ -49121,8 +49121,8 @@ var require_moment = __commonJS({
         }
         return isNaN(input) ? null : input;
       }
-      function shiftWeekdays(ws, n) {
-        return ws.slice(n, 7).concat(ws.slice(0, n));
+      function shiftWeekdays(ws2, n) {
+        return ws2.slice(n, 7).concat(ws2.slice(0, n));
       }
       var defaultLocaleWeekdays = "Sunday_Monday_Tuesday_Wednesday_Thursday_Friday_Saturday".split("_"), defaultLocaleWeekdaysShort = "Sun_Mon_Tue_Wed_Thu_Fri_Sat".split("_"), defaultLocaleWeekdaysMin = "Su_Mo_Tu_We_Th_Fr_Sa".split("_"), defaultWeekdaysRegex = matchWord, defaultWeekdaysShortRegex = matchWord, defaultWeekdaysMinRegex = matchWord;
       function localeWeekdays(m3, format2) {
@@ -52757,9 +52757,9 @@ __export(main_exports, {
 module.exports = __toCommonJS(main_exports);
 
 // ../core/dist/esm/index.mjs
-var _o = Object.defineProperty;
-var Lo = (r6, e, t) => e in r6 ? _o(r6, e, { enumerable: true, configurable: true, writable: true, value: t }) : r6[e] = t;
-var c = (r6, e, t) => Lo(r6, typeof e != "symbol" ? e + "" : e, t);
+var Lo = Object.defineProperty;
+var No = (r6, e, t) => e in r6 ? Lo(r6, e, { enumerable: true, configurable: true, writable: true, value: t }) : r6[e] = t;
+var c = (r6, e, t) => No(r6, typeof e != "symbol" ? e + "" : e, t);
 var K = class {
   constructor(e = 10) {
     c(this, "max");
@@ -52896,9 +52896,9 @@ var xr = "not-found";
 var Tr = "unauthorized";
 var gt = "accepted";
 var Fn = { resourceType: "OperationOutcome", id: xr, issue: [{ severity: "error", code: "not-found", details: { text: "Not found" } }] };
-var _e = { resourceType: "OperationOutcome", id: Tr, issue: [{ severity: "error", code: "login", details: { text: "Unauthorized" } }] };
-var Un = { ..._e, issue: [..._e.issue, { severity: "error", code: "expired", details: { text: "Token expired" } }] };
-var Sr = { ..._e, issue: [..._e.issue, { severity: "error", code: "invalid", details: { text: "Token not issued for this audience" } }] };
+var Le = { resourceType: "OperationOutcome", id: Tr, issue: [{ severity: "error", code: "login", details: { text: "Unauthorized" } }] };
+var Un = { ...Le, issue: [...Le.issue, { severity: "error", code: "expired", details: { text: "Token expired" } }] };
+var Sr = { ...Le, issue: [...Le.issue, { severity: "error", code: "invalid", details: { text: "Token not issued for this audience" } }] };
 function P(r6, e) {
   return { resourceType: "OperationOutcome", issue: [{ severity: "error", code: "invalid", details: { text: r6 }, ...e ? { expression: oe(e) } : void 0 }] };
 }
@@ -52908,7 +52908,7 @@ function T(r6, e, t, n) {
 function br(r6) {
   return !r6 || typeof r6 != "object" ? false : r6 instanceof Error || typeof DOMException < "u" && r6 instanceof DOMException ? true : Object.prototype.toString.call(r6) === "[object Error]";
 }
-function Qe(r6) {
+function ze(r6) {
   return typeof r6 == "object" && r6 !== null && r6.resourceType === "OperationOutcome";
 }
 function Er(r6) {
@@ -52922,26 +52922,26 @@ var f = class extends Error {
   }
 };
 function yt(r6) {
-  return r6 instanceof f ? r6.outcome : Qe(r6) ? r6 : P(Le(r6));
+  return r6 instanceof f ? r6.outcome : ze(r6) ? r6 : P(Ne(r6));
 }
-function Le(r6) {
-  return r6 ? typeof r6 == "string" ? r6 : br(r6) ? r6.message : Qe(r6) ? Bn(r6) : typeof r6 == "object" && "code" in r6 && typeof r6.code == "string" ? r6.code : JSON.stringify(r6) : "Unknown error";
+function Ne(r6) {
+  return r6 ? typeof r6 == "string" ? r6 : br(r6) ? r6.message : ze(r6) ? Bn(r6) : typeof r6 == "object" && "code" in r6 && typeof r6.code == "string" ? r6.code : JSON.stringify(r6) : "Unknown error";
 }
 function Bn(r6) {
-  let e = r6.issue?.map(Fo) ?? [];
+  let e = r6.issue?.map(Uo) ?? [];
   return e.length > 0 ? e.join("; ") : "Unknown error";
 }
-function Fo(r6) {
+function Uo(r6) {
   let e;
   return r6.details?.text ? r6.diagnostics ? e = `${r6.details.text} (${r6.diagnostics})` : e = r6.details.text : r6.diagnostics ? e = r6.diagnostics : e = "Unknown error", r6.expression?.length && (e += ` (${r6.expression.join(", ")})`), e;
 }
-function Bo(r6, e) {
+function Wo(r6, e) {
   let t = e.max && e.max === Number.MAX_SAFE_INTEGER ? Number.POSITIVE_INFINITY : e.max;
   return { path: r6, description: "", type: e.type ?? [], min: e.min ?? 0, max: t ?? 1, isArray: !!t && t > 1, constraints: [] };
 }
 function jn(r6) {
   let e = /* @__PURE__ */ Object.create(null);
-  for (let [t, n] of Object.entries(r6)) e[t] = { name: t, type: t, path: t, elements: Object.fromEntries(Object.entries(n.elements).map(([i, o2]) => [i, Bo(i, o2)])), constraints: [], innerTypes: [] };
+  for (let [t, n] of Object.entries(r6)) e[t] = { name: t, type: t, path: t, elements: Object.fromEntries(Object.entries(n.elements).map(([i, o2]) => [i, Wo(i, o2)])), constraints: [], innerTypes: [] };
   return e;
 }
 var $n = { Element: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] } } }, BackboneElement: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] } } }, Address: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, use: { type: [{ code: "code" }] }, type: { type: [{ code: "code" }] }, text: { type: [{ code: "string" }] }, line: { max: 9007199254740991, type: [{ code: "string" }] }, city: { type: [{ code: "string" }] }, district: { type: [{ code: "string" }] }, state: { type: [{ code: "string" }] }, postalCode: { type: [{ code: "string" }] }, country: { type: [{ code: "string" }] }, period: { type: [{ code: "Period" }] } } }, Age: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, Annotation: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, "author[x]": { type: [{ code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization"] }, { code: "string" }] }, time: { type: [{ code: "dateTime" }] }, text: { min: 1, type: [{ code: "markdown" }] } } }, Attachment: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, contentType: { type: [{ code: "code" }] }, language: { type: [{ code: "code" }] }, data: { type: [{ code: "base64Binary" }] }, url: { type: [{ code: "url" }] }, size: { type: [{ code: "unsignedInt" }] }, hash: { type: [{ code: "base64Binary" }] }, title: { type: [{ code: "string" }] }, creation: { type: [{ code: "dateTime" }] } } }, CodeableConcept: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, coding: { max: 9007199254740991, type: [{ code: "Coding" }] }, text: { type: [{ code: "string" }] } } }, Coding: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, system: { type: [{ code: "uri" }] }, version: { type: [{ code: "string" }] }, code: { type: [{ code: "code" }] }, display: { type: [{ code: "string" }] }, userSelected: { type: [{ code: "boolean" }] } } }, ContactDetail: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, name: { type: [{ code: "string" }] }, telecom: { max: 9007199254740991, type: [{ code: "ContactPoint" }] } } }, ContactPoint: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, system: { type: [{ code: "code" }] }, value: { type: [{ code: "string" }] }, use: { type: [{ code: "code" }] }, rank: { type: [{ code: "positiveInt" }] }, period: { type: [{ code: "Period" }] } } }, Contributor: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, type: [{ code: "code" }] }, name: { min: 1, type: [{ code: "string" }] }, contact: { max: 9007199254740991, type: [{ code: "ContactDetail" }] } } }, Count: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, DataRequirement: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, type: [{ code: "code" }] }, profile: { max: 9007199254740991, type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"] }] }, "subject[x]": { type: [{ code: "CodeableConcept" }, { code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Group"] }] }, mustSupport: { max: 9007199254740991, type: [{ code: "string" }] }, codeFilter: { max: 9007199254740991, type: [{ code: "DataRequirementCodeFilter" }] }, dateFilter: { max: 9007199254740991, type: [{ code: "DataRequirementDateFilter" }] }, limit: { type: [{ code: "positiveInt" }] }, sort: { max: 9007199254740991, type: [{ code: "DataRequirementSort" }] } } }, DataRequirementCodeFilter: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, path: { type: [{ code: "string" }] }, searchParam: { type: [{ code: "string" }] }, valueSet: { type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/ValueSet"] }] }, code: { max: 9007199254740991, type: [{ code: "Coding" }] } } }, DataRequirementDateFilter: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, path: { type: [{ code: "string" }] }, searchParam: { type: [{ code: "string" }] }, "value[x]": { type: [{ code: "dateTime" }, { code: "Period" }, { code: "Duration" }] } } }, DataRequirementSort: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, path: { min: 1, type: [{ code: "string" }] }, direction: { min: 1, type: [{ code: "code" }] } } }, Distance: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, Dosage: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, sequence: { type: [{ code: "integer" }] }, text: { type: [{ code: "string" }] }, additionalInstruction: { max: 9007199254740991, type: [{ code: "CodeableConcept" }] }, patientInstruction: { type: [{ code: "string" }] }, timing: { type: [{ code: "Timing" }] }, "asNeeded[x]": { type: [{ code: "boolean" }, { code: "CodeableConcept" }] }, site: { type: [{ code: "CodeableConcept" }] }, route: { type: [{ code: "CodeableConcept" }] }, method: { type: [{ code: "CodeableConcept" }] }, doseAndRate: { max: 9007199254740991, type: [{ code: "DosageDoseAndRate" }] }, maxDosePerPeriod: { type: [{ code: "Ratio" }] }, maxDosePerAdministration: { type: [{ code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] }, maxDosePerLifetime: { type: [{ code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] } } }, DosageDoseAndRate: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { type: [{ code: "CodeableConcept" }] }, "dose[x]": { type: [{ code: "Range" }, { code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] }, "rate[x]": { type: [{ code: "Ratio" }, { code: "Range" }, { code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] } } }, Duration: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, ElementDefinition: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, path: { min: 1, type: [{ code: "string" }] }, representation: { max: 9007199254740991, type: [{ code: "code" }] }, sliceName: { type: [{ code: "string" }] }, sliceIsConstraining: { type: [{ code: "boolean" }] }, label: { type: [{ code: "string" }] }, code: { max: 9007199254740991, type: [{ code: "Coding" }] }, slicing: { type: [{ code: "ElementDefinitionSlicing" }] }, short: { type: [{ code: "string" }] }, definition: { type: [{ code: "markdown" }] }, comment: { type: [{ code: "markdown" }] }, requirements: { type: [{ code: "markdown" }] }, alias: { max: 9007199254740991, type: [{ code: "string" }] }, min: { type: [{ code: "unsignedInt" }] }, max: { type: [{ code: "string" }] }, base: { type: [{ code: "ElementDefinitionBase" }] }, contentReference: { type: [{ code: "uri" }] }, type: { max: 9007199254740991, type: [{ code: "ElementDefinitionType" }] }, "defaultValue[x]": { type: [{ code: "base64Binary" }, { code: "boolean" }, { code: "canonical" }, { code: "code" }, { code: "date" }, { code: "dateTime" }, { code: "decimal" }, { code: "id" }, { code: "instant" }, { code: "integer" }, { code: "markdown" }, { code: "oid" }, { code: "positiveInt" }, { code: "string" }, { code: "time" }, { code: "unsignedInt" }, { code: "uri" }, { code: "url" }, { code: "uuid" }, { code: "Address" }, { code: "Age" }, { code: "Annotation" }, { code: "Attachment" }, { code: "CodeableConcept" }, { code: "Coding" }, { code: "ContactPoint" }, { code: "Count" }, { code: "Distance" }, { code: "Duration" }, { code: "HumanName" }, { code: "Identifier" }, { code: "Money" }, { code: "Period" }, { code: "Quantity" }, { code: "Range" }, { code: "Ratio" }, { code: "Reference" }, { code: "SampledData" }, { code: "Signature" }, { code: "Timing" }, { code: "ContactDetail" }, { 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"http://hl7.org/fhir/StructureDefinition/InsurancePlan", "http://hl7.org/fhir/StructureDefinition/HealthcareService", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Location", "http://hl7.org/fhir/StructureDefinition/Organization"] }] } } }, MoneyQuantity: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, SimpleQuantity: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, comparator: { max: 0, type: [{ code: "code" }] }, unit: { type: [{ code: "string" }] }, system: { type: [{ code: "uri" }] }, code: { type: [{ code: "code" }] } } }, IdentityProvider: { elements: { authorizeUrl: { min: 1, type: [{ code: "string" }] }, tokenUrl: { min: 1, type: [{ code: "string" }] }, tokenAuthMethod: { type: [{ code: "code" }] }, userInfoUrl: { min: 1, type: [{ code: "string" }] }, clientId: { min: 1, type: [{ code: "string" }] }, clientSecret: { min: 1, type: [{ code: "string" }] }, usePkce: { type: [{ code: "boolean" }] }, useSubject: { type: [{ code: "boolean" }] }, identitySource: { type: [{ code: "code" }] }, identityMappingMode: { type: [{ code: "code" }] } } } };
@@ -52951,7 +52951,7 @@ function Ar(r6) {
 var be = jn($n);
 var wr = /* @__PURE__ */ Object.create(null);
 var Hn = /* @__PURE__ */ Object.create(null);
-var qo = { "http://hl7.org/fhir/StructureDefinition/MoneyQuantity": "MoneyQuantity", "http://hl7.org/fhir/StructureDefinition/SimpleQuantity": "SimpleQuantity", "http://hl7.org/fhir/uv/sql-on-fhir/StructureDefinition/ViewDefinition": "ViewDefinition" };
+var jo = { "http://hl7.org/fhir/StructureDefinition/MoneyQuantity": "MoneyQuantity", "http://hl7.org/fhir/StructureDefinition/SimpleQuantity": "SimpleQuantity", "http://hl7.org/fhir/uv/sql-on-fhir/StructureDefinition/ViewDefinition": "ViewDefinition" };
 function Jn(r6) {
   let e;
   return e = Hn[r6], e || (e = Hn[r6] = /* @__PURE__ */ Object.create(null)), e;
@@ -52964,7 +52964,7 @@ function Or(r6) {
 function Ir(r6) {
   if (!r6?.name) throw new Error("Failed loading StructureDefinition from bundle");
   if (r6.resourceType !== "StructureDefinition") return;
-  let e = Ar(r6), t = qo[r6.url], n, i;
+  let e = Ar(r6), t = jo[r6.url], n, i;
   t ? (n = be, i = t) : r6.url === `http://hl7.org/fhir/StructureDefinition/${r6.type}` || r6.url === `https://medplum.com/fhir/StructureDefinition/${r6.type}` || r6.type?.startsWith("http://") || r6.type?.startsWith("https://") ? (n = be, i = r6.type) : (n = Jn(r6.url), i = r6.type), n[i] = e;
   for (let o2 of e.innerTypes) o2.parentType = e, n[o2.name] = o2;
   wr[r6.url] = e;
@@ -52972,7 +52972,7 @@ function Ir(r6) {
 function Yn(r6) {
   return !!be[r6];
 }
-function ze(r6, e) {
+function Ee(r6, e) {
   if (e) {
     let t = Jn(e)[r6];
     if (t) return t;
@@ -52993,7 +52993,7 @@ var Cr = class {
     c(this, "innerTypes");
     c(this, "backboneContext");
     if (!e.snapshot?.element || e.snapshot.element.length === 0) throw new Error(`No snapshot defined for StructureDefinition '${e.name}'`);
-    this.root = e.snapshot.element[0], this.elements = e.snapshot.element.slice(1), this.elementIndex = /* @__PURE__ */ Object.create(null), this.index = 0, this.resourceSchema = { name: e.name, path: this.root.path, title: e.title, type: e.type, url: e.url, version: e.version, kind: e.kind, description: Go(e), elements: {}, constraints: this.parseElementDefinition(this.root).constraints, innerTypes: [], summaryProperties: /* @__PURE__ */ new Set(), mandatoryProperties: /* @__PURE__ */ new Set() }, this.innerTypes = [];
+    this.root = e.snapshot.element[0], this.elements = e.snapshot.element.slice(1), this.elementIndex = /* @__PURE__ */ Object.create(null), this.index = 0, this.resourceSchema = { name: e.name, path: this.root.path, title: e.title, type: e.type, url: e.url, version: e.version, kind: e.kind, description: Qo(e), elements: {}, constraints: this.parseElementDefinition(this.root).constraints, innerTypes: [], summaryProperties: /* @__PURE__ */ new Set(), mandatoryProperties: /* @__PURE__ */ new Set() }, this.innerTypes = [];
   }
   parse() {
     let e = this.next();
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     return this.checkFieldExit(), this.innerTypes.length > 0 && (this.resourceSchema.innerTypes = this.innerTypes), this.resourceSchema;
   }
   checkFieldEnter(e, t) {
-    this.isInnerType(e) && this.enterInnerType(e), this.slicingContext && !Ne(this.slicingContext.path, e?.path) && (this.slicingContext = void 0), e.slicing && !this.slicingContext && this.enterSlice(e, t);
+    this.isInnerType(e) && this.enterInnerType(e), this.slicingContext && !Fe(this.slicingContext.path, e?.path) && (this.slicingContext = void 0), e.slicing && !this.slicingContext && this.enterSlice(e, t);
   }
   enterInnerType(e) {
-    for (; this.backboneContext && !Ne(this.backboneContext?.path, e.path); ) this.innerTypes.push(this.backboneContext.type), this.backboneContext = this.backboneContext.parent;
+    for (; this.backboneContext && !Fe(this.backboneContext?.path, e.path); ) this.innerTypes.push(this.backboneContext.type), this.backboneContext = this.backboneContext.parent;
     let t = Pr(e);
-    this.backboneContext = { type: { name: t, type: t, path: e.path, title: e.label, description: e.definition, elements: {}, constraints: this.parseElementDefinition(e).constraints, innerTypes: [] }, path: e.path, parent: Ne(this.backboneContext?.path, e.path) ? this.backboneContext : this.backboneContext?.parent };
+    this.backboneContext = { type: { name: t, type: t, path: e.path, title: e.label, description: e.definition, elements: {}, constraints: this.parseElementDefinition(e).constraints, innerTypes: [] }, path: e.path, parent: Fe(this.backboneContext?.path, e.path) ? this.backboneContext : this.backboneContext?.parent };
   }
   enterSlice(e, t) {
-    Ho(e) && !this.peek()?.sliceName || (t.slicing = { discriminator: (e.slicing?.discriminator ?? []).map((n) => {
+    Go(e) && !this.peek()?.sliceName || (t.slicing = { discriminator: (e.slicing?.discriminator ?? []).map((n) => {
       if (n.type !== "value" && n.type !== "pattern" && n.type !== "type") throw new Error(`Unsupported slicing discriminator type: ${n.type}`);
       return { path: n.path, type: n.type };
     }), slices: [], ordered: e.slicing?.ordered ?? false, rule: e.slicing?.rules }, this.slicingContext = { field: t.slicing, path: e.path ?? "" });
   }
   checkFieldExit(e = void 0) {
-    if (this.backboneContext && !Ne(this.backboneContext.path, e?.path)) if (this.backboneContext.parent) do
+    if (this.backboneContext && !Fe(this.backboneContext.path, e?.path)) if (this.backboneContext.parent) do
       this.innerTypes.push(this.backboneContext.type), this.backboneContext = this.backboneContext.parent;
-    while (this.backboneContext && !Ne(this.backboneContext.path, e?.path));
+    while (this.backboneContext && !Fe(this.backboneContext.path, e?.path));
     else this.innerTypes.push(this.backboneContext.type), this.backboneContext = void 0;
   }
   next() {
@@ -53061,7 +53061,7 @@ var Cr = class {
   }
   isInnerType(e) {
     let t = this.peek();
-    return !!(Ne(e?.path, t?.path) && e.type?.some((n) => ["BackboneElement", "Element"].includes(n.code)));
+    return !!(Fe(e?.path, t?.path) && e.type?.some((n) => ["BackboneElement", "Element"].includes(n.code)));
   }
   parseSliceStart(e) {
     if (!this.slicingContext) throw new Error(`Invalid slice start before discriminator: ${e.sliceName} (${e.id})`);
@@ -53082,34 +53082,34 @@ function Qn(r6) {
   return r6 === "*" ? Number.POSITIVE_INFINITY : Number.parseInt(r6, 10);
 }
 function Rr(r6, e = "") {
-  return $o(r6.path, e);
+  return Ho(r6.path, e);
 }
-function $o(r6, e) {
+function Ho(r6, e) {
   return r6 ? e && r6.startsWith(e) ? r6.substring(e.length + 1) : r6 : "";
 }
-function Ne(r6, e) {
+function Fe(r6, e) {
   return !r6 || !e ? false : e.startsWith(r6 + ".") || e === r6;
 }
 function zn(r6) {
   return Array.isArray(r6) && r6.length > 0 ? r6[0] : A(r6) ? void 0 : r6;
 }
-function Ho(r6) {
+function Go(r6) {
   let e = r6.slicing?.discriminator;
   return !!(r6.type?.some((t) => t.code === "Extension") && e?.length === 1 && e[0].type === "value" && e[0].path === "url");
 }
-function Go(r6) {
+function Qo(r6) {
   let e = r6.description;
   return e?.startsWith(`Base StructureDefinition for ${r6.name} Type: `) && (e = e.substring(`Base StructureDefinition for ${r6.name} Type: `.length)), e;
 }
 function _r(r6, e, t) {
   let n = r6.path;
-  return Qo(L(r6, e, t), n, e);
+  return zo(L(r6, e, t), n, e);
 }
-function Qo(r6, e, t) {
+function zo(r6, e, t) {
   let n = e ? e + "." : "";
   return r6 === void 0 ? { type: "undefined", value: void 0, path: `${n}${t}` } : Array.isArray(r6) ? r6.map((i, o2) => ({ ...i, path: `${n}${t}[${o2}]` })) : { ...r6, path: `${n}${t}` };
 }
-var zo = new K(1e3);
+var Jo = new K(1e3);
 var Tt = { canonical: /^\S*$/, code: /^[^\s]+( [^\s]+)*$/, date: /^(\d(\d(\d[1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2]\d|3[0-1]))?)?$/, dateTime: /^(\d(\d(\d[1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2]\d|3[0-1])(T([01]\d|2[0-3])(:[0-5]\d:([0-5]\d|60)(\.\d{1,9})?)?)?)?(Z|[+-]((0\d|1[0-3]):[0-5]\d|14:00)?)?)?$/, id: /^[A-Za-z0-9\-.]{1,64}$/, instant: /^(\d(\d(\d[1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2]\d|3[0-1])T([01]\d|2[0-3]):[0-5]\d:([0-5]\d|60)(\.\d{1,9})?(Z|[+-]((0\d|1[0-3]):[0-5]\d|14:00))$/, markdown: /^[\r\n\t\u0020-\uFFFF]+$/, oid: /^urn:oid:[0-2](\.(0|[1-9]\d*))+$/, string: /^[\r\n\t\u0020-\uFFFF]+$/, time: /^([01]\d|2[0-3]):[0-5]\d:([0-5]\d|60)(\.\d{1,9})?$/, uri: /^\S*$/, url: /^\S*$/, uuid: /^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$/, xhtml: /.*/ };
 function h(r6) {
   return [{ type: d.boolean, value: r6 }];
@@ -53129,9 +53129,9 @@ function D(r6, e) {
 function L(r6, e, t) {
   if (!r6.value) return;
   let n = Ct(r6.type, e, t?.profileUrl);
-  return n ? is(r6, e, n) : os(r6, e);
+  return n ? os(r6, e, n) : ss(r6, e);
 }
-function is(r6, e, t) {
+function os(r6, e, t) {
   let n = r6.value, i = t.type;
   if (!i || i.length === 0) return;
   let o2, s = "undefined", a, u2 = t.path.lastIndexOf("."), l = t.path.substring(u2 + 1), p2 = l, g2 = false;
@@ -53155,7 +53155,7 @@ function is(r6, e, t) {
 function ti(r6, e) {
   return e === "Resource" && I(r6) && (e = r6.resourceType), { type: e, value: r6 };
 }
-function os(r6, e) {
+function ss(r6, e) {
   let t = r6.value;
   if (!t || typeof t != "object") return;
   let n;
@@ -53204,9 +53204,9 @@ function Ke(r6, e) {
   return typeof t == "number" && typeof n == "number" ? h(Math.abs(t - n) < 1e-8) : V(t) && V(n) ? h(ui(t, n)) : h(typeof t == "object" && typeof n == "object" ? qr(r6, e) : t === n);
 }
 function Wr(r6, e) {
-  return r6.length === 0 && e.length === 0 ? h(true) : r6.length !== e.length ? h(false) : (r6.sort(ri), e.sort(ri), h(r6.every((t, n) => j(ss(t, e[n])))));
+  return r6.length === 0 && e.length === 0 ? h(true) : r6.length !== e.length ? h(false) : (r6.sort(ri), e.sort(ri), h(r6.every((t, n) => j(as(t, e[n])))));
 }
-function ss(r6, e) {
+function as(r6, e) {
   let { type: t, value: n } = r6, { type: i, value: o2 } = e, s = n?.valueOf(), a = o2?.valueOf();
   return typeof s == "number" && typeof a == "number" ? h(Math.abs(s - a) < 0.01) : V(s) && V(a) ? h(ui(s, a)) : h(t === "Coding" && i === "Coding" ? typeof s != "object" || typeof a != "object" ? false : s.code === a.code && s.system === a.system : typeof s == "object" && typeof a == "object" ? qr({ ...s, id: void 0 }, { ...a, id: void 0 }) : typeof s == "string" && typeof a == "string" ? s.toLowerCase() === a.toLowerCase() : s === a);
 }
@@ -53227,7 +53227,7 @@ function Et(r6, e) {
     case "Date":
       return ai(t);
     case "DateTime":
-      return Ue(t);
+      return Be(t);
     case "Time":
       return typeof t == "string" && !!/^T\d/.exec(t);
     case "Period":
@@ -53241,11 +53241,11 @@ function Et(r6, e) {
 function ai(r6) {
   return typeof r6 == "string" && !!Tt.date.exec(r6);
 }
-function Ue(r6) {
+function Be(r6) {
   return typeof r6 == "string" && !!Tt.dateTime.exec(r6);
 }
 function ci(r6) {
-  return !!(r6 && typeof r6 == "object" && ("start" in r6 && Ue(r6.start) || "end" in r6 && Ue(r6.end)));
+  return !!(r6 && typeof r6 == "object" && ("start" in r6 && Be(r6.start) || "end" in r6 && Be(r6.end)));
 }
 function V(r6) {
   return !!(r6 && typeof r6 == "object" && "value" in r6 && typeof r6.value == "number");
@@ -53270,37 +53270,37 @@ function ni(r6) {
 function Br(r6, e) {
   if (e) {
     if (typeof e != "object") throw new Error("Primitive extension must be an object");
-    return as(r6 ?? {}, e);
+    return cs(r6 ?? {}, e);
   }
   return r6;
 }
-function as(r6, e) {
+function cs(r6, e) {
   return delete e.__proto__, delete e.constructor, Object.assign(r6, e);
 }
 function Xe(r6, e) {
   return I(r6, e) && "id" in r6 && typeof r6.id == "string";
 }
-function Ee(r6) {
-  let e = O(r6) ?? "undefined/undefined", t = us(r6);
+function Re(r6) {
+  let e = O(r6) ?? "undefined/undefined", t = ls(r6);
   return t === e ? { reference: e } : { reference: e, display: t };
 }
 function O(r6) {
   if (Q(r6)) return r6.reference;
   if (Xe(r6)) return `${r6.resourceType}/${r6.id}`;
 }
-function Re(r6) {
+function Ce(r6) {
   if (r6) return Q(r6) ? r6.reference.split("/")[1] : r6.id;
 }
-function cs(r6) {
+function us(r6) {
   return r6.resourceType === "Patient" || r6.resourceType === "Practitioner" || r6.resourceType === "RelatedPerson";
 }
-function us(r6) {
-  if (cs(r6)) {
-    let e = ls(r6);
+function ls(r6) {
+  if (us(r6)) {
+    let e = ds(r6);
     if (e) return e;
   }
   if (r6.resourceType === "Device") {
-    let e = ds(r6);
+    let e = ps(r6);
     if (e) return e;
   }
   if (r6.resourceType === "MedicationRequest" && r6.medicationCodeableConcept) return Ye(r6.medicationCodeableConcept);
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   if ("code" in r6 && r6.code) {
     let e = r6.code;
     if (Array.isArray(e) && (e = e[0]), $r(e)) return Ye(e);
-    if (vs(e)) return e.text;
+    if (Ts(e)) return e.text;
   }
   return O(r6) ?? "";
 }
-function ls(r6) {
+function ds(r6) {
   let e = r6.name;
   if (e && e.length > 0) return Ze(e[0]);
 }
-function ds(r6) {
+function ps(r6) {
   let e = r6.deviceName;
   if (e && e.length > 0) return e[0].name;
 }
@@ -53344,9 +53344,9 @@ function At(r6, e) {
   return JSON.stringify(t, null, e ? 2 : void 0) ?? "";
 }
 function Jr(r6) {
-  if (!(r6 == null || r6 === "")) return typeof r6 == "object" ? Array.isArray(r6) ? ps(r6) : fs2(r6) : r6;
+  if (!(r6 == null || r6 === "")) return typeof r6 == "object" ? Array.isArray(r6) ? fs2(r6) : ms(r6) : r6;
 }
-function ps(r6) {
+function fs2(r6) {
   let e = r6.length;
   if (e === 0) return;
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@@ -53356,7 +53356,7 @@ function ps(r6) {
   }
   if (n !== 0) return t ?? r6;
 }
-function fs2(r6) {
+function ms(r6) {
   let e, t = 0;
   for (let n in r6) {
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 }
 function fe(r6, e, t) {
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+  return r6 === e || A(r6) && A(e) ? true : A(r6) || A(e) ? false : Array.isArray(r6) && Array.isArray(e) ? hs(r6, e) : Array.isArray(r6) || Array.isArray(e) ? false : C(r6) && C(e) ? gs(r6, e, t) : (C(r6) || C(e), false);
 }
-function ms(r6, e) {
+function hs(r6, e) {
   if (r6.length !== e.length) return false;
   for (let t = 0; t < r6.length; t++) if (!fe(r6[t], e[t])) return false;
   return true;
 }
-function hs(r6, e, t) {
+function gs(r6, e, t) {
   let n = /* @__PURE__ */ new Set();
   for (let i of Object.keys(r6)) n.add(i);
   for (let i of Object.keys(e)) n.add(i);
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 function $r(r6) {
   return C(r6) && "coding" in r6 && Array.isArray(r6.coding) && r6.coding.every(jr);
 }
-function vs(r6) {
+function Ts(r6) {
   return C(r6) && "text" in r6 && typeof r6.text == "string";
 }
 var fi = [];
@@ -53430,7 +53430,7 @@ var Yr = (r6, e) => new Promise((t, n) => {
     clearTimeout(i), n(e.signal?.reason);
   }, { once: true });
 });
-function We(r6, e, t) {
+function qe(r6, e, t) {
   let n = [];
   for (let i = 0; i < t - 1; i++) {
     let o2 = r6.indexOf(e);
@@ -53445,11 +53445,11 @@ function wt(r6) {
 function Xr(r6) {
   return r6.endsWith("/") ? r6 : r6 + "/";
 }
-function Ps(r6) {
+function As(r6) {
   return r6.startsWith("/") ? r6.slice(1) : r6;
 }
 function U(r6, e) {
-  return new URL(Ps(e), Xr(r6.toString())).toString();
+  return new URL(As(e), Xr(r6.toString())).toString();
 }
 function Ti(r6, e) {
   return U(r6, e).toString().replace("http://", "ws://").replace("https://", "wss://");
@@ -53457,34 +53457,34 @@ function Ti(r6, e) {
 function Si(r6) {
   return typeof r6 == "object" && !Array.isArray(r6) && !(r6 instanceof URLSearchParams) && (r6 = Object.fromEntries(Object.entries(r6).filter((e) => e[1] !== void 0))), new URLSearchParams(r6).toString();
 }
-var As = /^(([a-zA-Z0-9]|[a-zA-Z0-9][a-zA-Z0-9\-_]*[a-zA-Z0-9])\.)*([A-Za-z0-9]|[A-Za-z0-9][A-Za-z0-9\-_]*[A-Za-z0-9])$/;
+var ws = /^(([a-zA-Z0-9]|[a-zA-Z0-9][a-zA-Z0-9\-_]*[a-zA-Z0-9])\.)*([A-Za-z0-9]|[A-Za-z0-9][A-Za-z0-9\-_]*[A-Za-z0-9])$/;
 function Cd(r6) {
-  return As.test(r6);
+  return ws.test(r6);
 }
 var y = Object.freeze([]);
 function Ze(r6, e) {
   if (!r6) return "";
   let t = [];
   if (r6.prefix && e?.prefix !== false && t.push(...r6.prefix), r6.given && t.push(...r6.given), r6.family && t.push(r6.family), r6.suffix && e?.suffix !== false && t.push(...r6.suffix), r6.use && (e?.all || e?.use) && t.push("[" + r6.use + "]"), t.length === 0) {
-    let n = Pe(r6.text);
+    let n = Ae(r6.text);
     if (n) return n;
   }
   return t.join(" ").trim();
 }
 function Ye(r6) {
   if (!r6) return "";
-  let e = Pe(r6.text);
+  let e = Ae(r6.text);
   return e || (r6.coding ? r6.coding.map((t) => Ei(t)).join(", ") : "");
 }
 function Ei(r6, e) {
-  let t = Pe(r6?.display);
+  let t = Ae(r6?.display);
   if (t) {
-    let n = e ? Pe(r6?.code) : void 0;
+    let n = e ? Ae(r6?.code) : void 0;
     return `${t}${n ? " (" + n + ")" : ""}`;
   }
-  return Pe(r6?.code) ?? "";
+  return Ae(r6?.code) ?? "";
 }
-function Pe(r6) {
+function Ae(r6) {
   return typeof r6 == "string" ? r6 : void 0;
 }
 var d = { Address: "Address", Age: "Age", Annotation: "Annotation", Attachment: "Attachment", BackboneElement: "BackboneElement", CodeableConcept: "CodeableConcept", Coding: "Coding", ContactDetail: "ContactDetail", ContactPoint: "ContactPoint", Contributor: "Contributor", Count: "Count", DataRequirement: "DataRequirement", Distance: "Distance", Dosage: "Dosage", Duration: "Duration", Element: "Element", ElementDefinition: "ElementDefinition", Expression: "Expression", Extension: "Extension", HumanName: "HumanName", Identifier: "Identifier", MarketingStatus: "MarketingStatus", Meta: "Meta", Money: "Money", MoneyQuantity: "MoneyQuantity", Narrative: "Narrative", ParameterDefinition: "ParameterDefinition", Period: "Period", Population: "Population", ProdCharacteristic: "ProdCharacteristic", ProductShelfLife: "ProductShelfLife", Quantity: "Quantity", Range: "Range", Ratio: "Ratio", Reference: "Reference", RelatedArtifact: "RelatedArtifact", SampledData: "SampledData", Signature: "Signature", SimpleQuantity: "SimpleQuantity", SubstanceAmount: "SubstanceAmount", SystemString: "http://hl7.org/fhirpath/System.String", Timing: "Timing", TriggerDefinition: "TriggerDefinition", UsageContext: "UsageContext", base64Binary: "base64Binary", boolean: "boolean", canonical: "canonical", code: "code", date: "date", dateTime: "dateTime", decimal: "decimal", id: "id", instant: "instant", integer: "integer", markdown: "markdown", oid: "oid", positiveInt: "positiveInt", string: "string", time: "time", unsignedInt: "unsignedInt", uri: "uri", url: "url", uuid: "uuid", xhtml: "xhtml" };
@@ -53504,16 +53504,16 @@ function en(r6) {
 }
 function Pr(r6) {
   let e = r6.type?.[0]?.code;
-  return e === "BackboneElement" || e === "Element" ? Fs((r6.base?.path ?? r6.path)?.split(".")) : e;
+  return e === "BackboneElement" || e === "Element" ? Us((r6.base?.path ?? r6.path)?.split(".")) : e;
 }
-function Fs(r6) {
+function Us(r6) {
   return r6.length === 1 ? r6[0] : r6.map(N).join("");
 }
 function Ct(r6, e, t) {
-  let n = ze(r6, t);
-  if (n) return qs(n.elements, e);
+  let n = Ee(r6, t);
+  if (n) return Ai(n.elements, e);
 }
-function qs(r6, e) {
+function Ai(r6, e) {
   let t = r6[e] ?? r6[e + "[x]"];
   if (t) return t;
   for (let n = 0; n < e.length; n++) {
@@ -53531,7 +53531,7 @@ function Q(r6, e) {
   return r6 && typeof r6 == "object" && "reference" in r6 && typeof r6.reference == "string" ? e ? r6.reference.match(new RegExp(`^${e}(/|\\?)`)) !== null : true : false;
 }
 var $ = { types: {} };
-function qe(r6) {
+function je(r6) {
   if (r6.startsWith("T")) return r6 + "T00:00:00.000Z".substring(r6.length);
   if (r6.length <= 10) return r6;
   try {
@@ -53555,10 +53555,10 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
   return h(false);
 }, subsetOf: (r6, e, t) => {
   if (e.length === 0) return h(true);
-  let n = t.eval(r6, Ae(r6));
+  let n = t.eval(r6, we(r6));
   return n.length === 0 ? h(false) : h(e.every((i) => n.some((o2) => o2.value === i.value)));
 }, supersetOf: (r6, e, t) => {
-  let n = t.eval(r6, Ae(r6));
+  let n = t.eval(r6, we(r6));
   return n.length === 0 ? h(true) : e.length === 0 ? h(false) : h(n.every((i) => e.some((o2) => o2.value === i.value)));
 }, count: (r6, e) => [{ type: d.integer, value: e.length }], distinct: (r6, e) => {
   let t = [];
@@ -53577,21 +53577,21 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
   return n <= 0 ? [] : e.slice(0, n);
 }, intersect: (r6, e, t) => {
   if (!t) return e;
-  let n = t.eval(r6, Ae(r6)), i = [];
+  let n = t.eval(r6, we(r6)), i = [];
   for (let o2 of e) !i.some((s) => s.value === o2.value) && n.some((s) => s.value === o2.value) && i.push(o2);
   return i;
 }, exclude: (r6, e, t) => {
   if (!t) return e;
-  let n = t.eval(r6, Ae(r6)), i = [];
+  let n = t.eval(r6, we(r6)), i = [];
   for (let o2 of e) n.some((s) => s.value === o2.value) || i.push(o2);
   return i;
 }, union: (r6, e, t) => {
   if (!t) return e;
-  let n = t.eval(r6, Ae(r6));
+  let n = t.eval(r6, we(r6));
   return bt([...e, ...n]);
 }, combine: (r6, e, t) => {
   if (!t) return e;
-  let n = t.eval(r6, Ae(r6));
+  let n = t.eval(r6, we(r6));
   return [...e, ...n];
 }, htmlChecks: (r6, e, t) => [b(true)], iif: (r6, e, t, n, i) => {
   let o2 = t.eval(r6, e);
@@ -53615,11 +53615,11 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
 }, convertsToInteger: (r6, e) => e.length === 0 ? [] : h(_.toInteger(r6, e).length === 1), toDate: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = ee(e, 1);
-  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: d.date, value: qe(t) }] : [];
+  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: d.date, value: je(t) }] : [];
 }, convertsToDate: (r6, e) => e.length === 0 ? [] : h(_.toDate(r6, e).length === 1), toDateTime: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = ee(e, 1);
-  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: d.dateTime, value: qe(t) }] : [];
+  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: d.dateTime, value: je(t) }] : [];
 }, convertsToDateTime: (r6, e) => e.length === 0 ? [] : h(_.toDateTime(r6, e).length === 1), toDecimal: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = ee(e, 1);
@@ -53637,14 +53637,14 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
   let [{ value: t }] = ee(e, 1);
   if (typeof t == "string") {
     let n = /^T?(\d{2}(:\d{2}(:\d{2})?)?)/.exec(t);
-    if (n) return [{ type: d.time, value: qe("T" + n[1]) }];
+    if (n) return [{ type: d.time, value: je("T" + n[1]) }];
   }
   return [];
 }, convertsToTime: (r6, e) => e.length === 0 ? [] : h(_.toTime(r6, e).length === 1), indexOf: (r6, e, t) => H((n, i) => n.indexOf(i), r6, e, t), substring: (r6, e, t, n) => H((i, o2, s) => {
   let a = o2, u2 = s ? a + s : i.length;
   return a < 0 || a >= i.length ? void 0 : i.substring(a, u2);
 }, r6, e, t, n), startsWith: (r6, e, t) => H((n, i) => n.startsWith(i), r6, e, t), endsWith: (r6, e, t) => H((n, i) => n.endsWith(i), r6, e, t), contains: (r6, e, t) => H((n, i) => n.includes(i), r6, e, t), upper: (r6, e) => H((t) => t.toUpperCase(), r6, e), lower: (r6, e) => H((t) => t.toLowerCase(), r6, e), replace: (r6, e, t, n) => H((i, o2, s) => i.replaceAll(o2, s), r6, e, t, n), matches: (r6, e, t) => H((n, i) => !!new RegExp(i).exec(n), r6, e, t), replaceMatches: (r6, e, t, n) => H((i, o2, s) => i.replaceAll(new RegExp(o2, "g"), s.replaceAll(/\$\{(\w+)\}/g, "$<$1>")), r6, e, t, n), length: (r6, e) => H((t) => t.length, r6, e), toChars: (r6, e) => H((t) => t ? t.split("") : void 0, r6, e), encode: ae, decode: ae, escape: ae, unescape: ae, trim: ae, split: ae, join: (r6, e, t) => {
-  let n = t?.eval(r6, Ae(r6))[0]?.value ?? "";
+  let n = t?.eval(r6, we(r6))[0]?.value ?? "";
   if (typeof n != "string") throw new TypeError("Separator must be a string.");
   return [{ type: d.string, value: e.map((i) => i.value?.toString() ?? "").join(n) }];
 }, abs: (r6, e) => Z(Math.abs, r6, e), ceiling: (r6, e) => Z(Math.ceil, r6, e), exp: (r6, e) => Z(Math.exp, r6, e), floor: (r6, e) => Z(Math.floor, r6, e), ln: (r6, e) => Z(Math.log, r6, e), log: (r6, e, t) => Z((n, i) => Math.log(n) / Math.log(i), r6, e, t), power: (r6, e, t) => Z(Math.pow, r6, e, t), round: (r6, e, ...t) => Z((n, i = 0) => {
@@ -53695,7 +53695,7 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
   let n = e[0].value;
   if (!n?.reference) return [];
   let i = "";
-  return t instanceof B && (i = t.name), i && !n.reference.startsWith(i + "/") ? [] : [{ type: d.id, value: Re(n) }];
+  return t instanceof B && (i = t.name), i && !n.reference.startsWith(i + "/") ? [] : [{ type: d.id, value: Ce(n) }];
 }, extension: (r6, e, t) => {
   let n = t.eval(r6, e)[0].value, i = e?.[0]?.value;
   if (i) {
@@ -53723,7 +53723,7 @@ function ee(r6, e) {
   for (let t of r6) if (t == null) throw new Error("Expected non-null argument");
   return r6;
 }
-function Ae(r6) {
+function we(r6) {
   let e = r6;
   for (; e.parent?.variables.$this; ) e = e.parent;
   return [e.variables.$this];
@@ -53760,7 +53760,7 @@ var B = class {
   }
   evalValue(e) {
     let t = e.value;
-    if (!(!t || typeof t != "object")) return I(t, this.name) ? e : _r(e, this.name);
+    if (!(!t || typeof t != "object")) return I(t, this.name) ? ("path" in e || (e.path = t.resourceType), e) : _r(e, this.name);
   }
   toString() {
     return this.name;
@@ -53808,13 +53808,13 @@ var F = class extends R {
     return typeof p2 == "boolean" ? h(p2) : V(s) ? [{ type: d.Quantity, value: { ...s, value: p2 } }] : [b(p2)];
   }
 };
-var wi = Object.freeze({ type: "string", value: "" });
+var Oi = Object.freeze({ type: "string", value: "" });
 var Vt = class extends R {
   constructor(e, t) {
     super("&", e, t);
   }
   eval(e, t) {
-    let n = D(this.left.eval(e, t)) ?? wi, i = D(this.right.eval(e, t)) ?? wi;
+    let n = D(this.left.eval(e, t)) ?? Oi, i = D(this.right.eval(e, t)) ?? Oi;
     if (typeof n.value != "string") throw new Error(`Expected string operand for &, but got ${n.type}`);
     if (typeof i.value != "string") throw new Error(`Expected string operand for &, but got ${i.type}`);
     return [{ type: d.string, value: n.value + i.value }];
@@ -53849,7 +53849,7 @@ var te = class extends R {
     return `${this.left.toString()}.${this.right.toString()}`;
   }
 };
-var we = class extends R {
+var Oe = class extends R {
   constructor(e, t) {
     super("|", e, t);
   }
@@ -53894,7 +53894,7 @@ var Ft = class extends R {
     return ii(Wr(n, i));
   }
 };
-var Oe = class extends R {
+var Ie = class extends R {
   constructor(e, t) {
     super("is", e, t);
   }
@@ -53956,7 +53956,7 @@ var re = class {
     return `${this.name}(${this.args.map((e) => e.toString()).join(", ")})`;
   }
 };
-var Ie = class {
+var ke = class {
   constructor(e, t) {
     c(this, "left");
     c(this, "expr");
@@ -53984,7 +53984,7 @@ var Gs = { parse(r6) {
 var Qs = { parse(r6, e) {
   let t = r6.consumeAndParse();
   if (!r6.match("]")) throw new Error("Parse error: expected `]`");
-  return new Ie(e, t);
+  return new ke(e, t);
 }, precedence: S.Indexer };
 var zs = { parse(r6, e) {
   if (!(e instanceof B)) throw new Error("Unexpected parentheses");
@@ -53997,7 +53997,7 @@ function Js(r6) {
   return n?.startsWith("'") && n.endsWith("'") ? n = n.substring(1, n.length - 1) : n = "{" + n + "}", { value: t, unit: n };
 }
 function rt() {
-  return new pt().registerPrefix("String", { parse: (r6, e) => new G({ type: d.string, value: e.value }) }).registerPrefix("DateTime", { parse: (r6, e) => new G({ type: d.dateTime, value: qe(e.value) }) }).registerPrefix("Quantity", { parse: (r6, e) => new G({ type: d.Quantity, value: Js(e.value) }) }).registerPrefix("Number", { parse: (r6, e) => new G({ type: e.value.includes(".") ? d.decimal : d.integer, value: Number.parseFloat(e.value) }) }).registerPrefix("true", { parse: () => new G({ type: d.boolean, value: true }) }).registerPrefix("false", { parse: () => new G({ type: d.boolean, value: false }) }).registerPrefix("Symbol", { parse: (r6, e) => new B(e.value) }).registerPrefix("{}", { parse: () => new It() }).registerPrefix("(", Gs).registerInfix("[", Qs).registerInfix("(", zs).prefix("+", S.UnaryAdd, (r6, e) => new kt("+", e, (t) => t)).prefix("-", S.UnarySubtract, (r6, e) => new F("-", e, e, (t, n) => -n)).infixLeft(".", S.Dot, (r6, e, t) => new te(r6, t)).infixLeft("/", S.Divide, (r6, e, t) => new F("/", r6, t, (n, i) => n / i)).infixLeft("*", S.Multiply, (r6, e, t) => new F("*", r6, t, (n, i) => n * i)).infixLeft("+", S.Add, (r6, e, t) => new F("+", r6, t, (n, i) => n + i)).infixLeft("-", S.Subtract, (r6, e, t) => new F("-", r6, t, (n, i) => n - i)).infixLeft("|", S.Union, (r6, e, t) => new we(r6, t)).infixLeft("=", S.Equals, (r6, e, t) => new _t(r6, t)).infixLeft("!=", S.NotEquals, (r6, e, t) => new Lt(r6, t)).infixLeft("~", S.Equivalent, (r6, e, t) => new Nt(r6, t)).infixLeft("!~", S.NotEquivalent, (r6, e, t) => new Ft(r6, t)).infixLeft("<", S.LessThan, (r6, e, t) => new F("<", r6, t, (n, i) => n < i)).infixLeft("<=", S.LessThanOrEquals, (r6, e, t) => new F("<=", r6, t, (n, i) => n <= i)).infixLeft(">", S.GreaterThan, (r6, e, t) => new F(">", r6, t, (n, i) => n > i)).infixLeft(">=", S.GreaterThanOrEquals, (r6, e, t) => new F(">=", r6, t, (n, i) => n >= i)).infixLeft("&", S.Ampersand, (r6, e, t) => new Vt(r6, t)).infixLeft("and", S.And, (r6, e, t) => new Ut(r6, t)).infixLeft("as", S.As, (r6, e, t) => new ye(r6, t)).infixLeft("contains", S.Contains, (r6, e, t) => new Dt(r6, t)).infixLeft("div", S.Divide, (r6, e, t) => new F("div", r6, t, (n, i) => Math.trunc(n / i))).infixLeft("in", S.In, (r6, e, t) => new Mt(r6, t)).infixLeft("is", S.Is, (r6, e, t) => new Oe(r6, t)).infixLeft("mod", S.Modulo, (r6, e, t) => new F("mod", r6, t, (n, i) => n % i)).infixLeft("or", S.Or, (r6, e, t) => new Bt(r6, t)).infixLeft("xor", S.Xor, (r6, e, t) => new Wt(r6, t)).infixLeft("implies", S.Implies, (r6, e, t) => new qt(r6, t));
+  return new pt().registerPrefix("String", { parse: (r6, e) => new G({ type: d.string, value: e.value }) }).registerPrefix("DateTime", { parse: (r6, e) => new G({ type: d.dateTime, value: je(e.value) }) }).registerPrefix("Quantity", { parse: (r6, e) => new G({ type: d.Quantity, value: Js(e.value) }) }).registerPrefix("Number", { parse: (r6, e) => new G({ type: e.value.includes(".") ? d.decimal : d.integer, value: Number.parseFloat(e.value) }) }).registerPrefix("true", { parse: () => new G({ type: d.boolean, value: true }) }).registerPrefix("false", { parse: () => new G({ type: d.boolean, value: false }) }).registerPrefix("Symbol", { parse: (r6, e) => new B(e.value) }).registerPrefix("{}", { parse: () => new It() }).registerPrefix("(", Gs).registerInfix("[", Qs).registerInfix("(", zs).prefix("+", S.UnaryAdd, (r6, e) => new kt("+", e, (t) => t)).prefix("-", S.UnarySubtract, (r6, e) => new F("-", e, e, (t, n) => -n)).infixLeft(".", S.Dot, (r6, e, t) => new te(r6, t)).infixLeft("/", S.Divide, (r6, e, t) => new F("/", r6, t, (n, i) => n / i)).infixLeft("*", S.Multiply, (r6, e, t) => new F("*", r6, t, (n, i) => n * i)).infixLeft("+", S.Add, (r6, e, t) => new F("+", r6, t, (n, i) => n + i)).infixLeft("-", S.Subtract, (r6, e, t) => new F("-", r6, t, (n, i) => n - i)).infixLeft("|", S.Union, (r6, e, t) => new Oe(r6, t)).infixLeft("=", S.Equals, (r6, e, t) => new _t(r6, t)).infixLeft("!=", S.NotEquals, (r6, e, t) => new Lt(r6, t)).infixLeft("~", S.Equivalent, (r6, e, t) => new Nt(r6, t)).infixLeft("!~", S.NotEquivalent, (r6, e, t) => new Ft(r6, t)).infixLeft("<", S.LessThan, (r6, e, t) => new F("<", r6, t, (n, i) => n < i)).infixLeft("<=", S.LessThanOrEquals, (r6, e, t) => new F("<=", r6, t, (n, i) => n <= i)).infixLeft(">", S.GreaterThan, (r6, e, t) => new F(">", r6, t, (n, i) => n > i)).infixLeft(">=", S.GreaterThanOrEquals, (r6, e, t) => new F(">=", r6, t, (n, i) => n >= i)).infixLeft("&", S.Ampersand, (r6, e, t) => new Vt(r6, t)).infixLeft("and", S.And, (r6, e, t) => new Ut(r6, t)).infixLeft("as", S.As, (r6, e, t) => new ye(r6, t)).infixLeft("contains", S.Contains, (r6, e, t) => new Dt(r6, t)).infixLeft("div", S.Divide, (r6, e, t) => new F("div", r6, t, (n, i) => Math.trunc(n / i))).infixLeft("in", S.In, (r6, e, t) => new Mt(r6, t)).infixLeft("is", S.Is, (r6, e, t) => new Ie(r6, t)).infixLeft("mod", S.Modulo, (r6, e, t) => new F("mod", r6, t, (n, i) => n % i)).infixLeft("or", S.Or, (r6, e, t) => new Bt(r6, t)).infixLeft("xor", S.Xor, (r6, e, t) => new Wt(r6, t)).infixLeft("implies", S.Implies, (r6, e, t) => new qt(r6, t));
 }
 var Ks = rt();
 var m = { EQUALS: "eq", NOT_EQUALS: "ne", GREATER_THAN: "gt", LESS_THAN: "lt", GREATER_THAN_OR_EQUALS: "ge", LESS_THAN_OR_EQUALS: "le", STARTS_AFTER: "sa", ENDS_BEFORE: "eb", APPROXIMATELY: "ap", CONTAINS: "contains", STARTS_WITH: "sw", EXACT: "exact", TEXT: "text", NOT: "not", ABOVE: "above", BELOW: "below", IN: "in", NOT_IN: "not-in", OF_TYPE: "of-type", MISSING: "missing", PRESENT: "present", IDENTIFIER: "identifier", ITERATE: "iterate" };
@@ -54005,9 +54005,9 @@ var tn = { contains: m.CONTAINS, exact: m.EXACT, above: m.ABOVE, below: m.BELOW,
 var rn = { eq: m.EQUALS, ne: m.NOT_EQUALS, lt: m.LESS_THAN, le: m.LESS_THAN_OR_EQUALS, gt: m.GREATER_THAN, ge: m.GREATER_THAN_OR_EQUALS, sa: m.STARTS_AFTER, eb: m.ENDS_BEFORE, ap: m.APPROXIMATELY, sw: m.STARTS_WITH };
 var ia = [m.MISSING, m.PRESENT];
 var fa = new K(1e3);
-var Ve = { READ: "read", VREAD: "vread", UPDATE: "update", DELETE: "delete", HISTORY: "history", CREATE: "create", SEARCH: "search" };
-var Pa = [Ve.READ, Ve.VREAD, Ve.HISTORY, Ve.SEARCH];
-var sf = { FIRST: "first", APPLICATION: "application" };
+var De = { READ: "read", VREAD: "vread", UPDATE: "update", DELETE: "delete", HISTORY: "history", CREATE: "create", SEARCH: "search" };
+var Pa = [De.READ, De.VREAD, De.HISTORY, De.SEARCH];
+var af = { FIRST: "first", APPLICATION: "application" };
 function z() {
   return typeof window < "u";
 }
@@ -54045,7 +54045,7 @@ function Gt(r6) {
   if (e) return e.from(r6, "utf8").toString("base64");
   throw new Error("Unable to encode base64");
 }
-function Bi(r6) {
+function Wi(r6) {
   r6 = r6.padEnd(r6.length + (4 - r6.length % 4) % 4, "=");
   let e = r6.replaceAll("-", "+").replaceAll("_", "/");
   return Oa(e);
@@ -54054,7 +54054,7 @@ function on() {
   let r6 = new Uint32Array(28);
   return crypto.getRandomValues(r6), mi(r6.buffer);
 }
-async function Wi(r6) {
+async function qi(r6) {
   return crypto.subtle.digest("SHA-256", new TextEncoder().encode(r6));
 }
 function ne() {
@@ -54116,30 +54116,30 @@ var ie = class {
 var an = { "Patient-open": "Patient-open", "Patient-close": "Patient-close", "ImagingStudy-open": "ImagingStudy-open", "ImagingStudy-close": "ImagingStudy-close", "Encounter-open": "Encounter-open", "Encounter-close": "Encounter-close", "DiagnosticReport-open": "DiagnosticReport-open", "DiagnosticReport-close": "DiagnosticReport-close", "DiagnosticReport-select": "DiagnosticReport-select", "DiagnosticReport-update": "DiagnosticReport-update", syncerror: "syncerror" };
 var Ba = ["Patient", "Encounter", "ImagingStudy", "DiagnosticReport", "OperationOutcome", "Bundle"];
 var cn = ["DiagnosticReport-update"];
-function ji(r6) {
+function $i(r6) {
   return cn.includes(r6);
 }
-function $i(r6) {
+function Hi(r6) {
   if (cn.includes(r6)) throw new f(T(`'context.version' is required for '${r6}'.`));
 }
 var Wa = { "Patient-open": { patient: { resourceType: "Patient" }, encounter: { resourceType: "Encounter", optional: true } }, "Patient-close": { patient: { resourceType: "Patient" }, encounter: { resourceType: "Encounter", optional: true } }, "ImagingStudy-open": { study: { resourceType: "ImagingStudy" }, encounter: { resourceType: "Encounter", optional: true }, patient: { resourceType: "Patient", optional: true } }, "ImagingStudy-close": { study: { resourceType: "ImagingStudy" }, encounter: { resourceType: "Encounter", optional: true }, patient: { resourceType: "Patient", optional: true } }, "Encounter-open": { encounter: { resourceType: "Encounter" }, patient: { resourceType: "Patient" } }, "Encounter-close": { encounter: { resourceType: "Encounter" }, patient: { resourceType: "Patient" } }, "DiagnosticReport-open": { report: { resourceType: "DiagnosticReport" }, encounter: { resourceType: "Encounter", optional: true }, study: { resourceType: "ImagingStudy", optional: true, manyAllowed: true }, patient: { resourceType: "Patient" } }, "DiagnosticReport-close": { report: { resourceType: "DiagnosticReport" }, encounter: { resourceType: "Encounter", optional: true }, study: { resourceType: "ImagingStudy", optional: true, manyAllowed: true }, patient: { resourceType: "Patient" } }, "DiagnosticReport-select": { report: { resourceType: "DiagnosticReport", reference: true }, patient: { resourceType: "Patient", optional: true, reference: true }, select: { resourceType: "*", reference: true, manyAllowed: true } }, "DiagnosticReport-update": { report: { resourceType: "DiagnosticReport", reference: true }, patient: { resourceType: "Patient", optional: true, reference: true }, updates: { resourceType: "Bundle" } }, syncerror: { operationoutcome: { resourceType: "OperationOutcome" } } };
 function qa(r6) {
   return Ba.includes(r6);
 }
-function Hi(r6) {
+function Gi(r6) {
   return !!r6.endpoint;
 }
 function un(r6) {
   if (!zt(r6)) throw new f(T("subscriptionRequest must be an object conforming to SubscriptionRequest type."));
   let { channelType: e, mode: t, topic: n, events: i } = r6, o2 = { "hub.channel.type": e, "hub.mode": t, "hub.topic": n, "hub.events": i.join(",") };
-  return Hi(r6) && (o2.endpoint = r6.endpoint), new URLSearchParams(o2).toString();
+  return Gi(r6) && (o2.endpoint = r6.endpoint), new URLSearchParams(o2).toString();
 }
 function zt(r6) {
   if (typeof r6 != "object") return false;
   let { channelType: e, mode: t, topic: n, events: i } = r6;
   if (!(e && t && n && i) || typeof n != "string" || typeof i != "object" || !Array.isArray(i) || i.length < 1 || e !== "websocket" || t !== "subscribe" && t !== "unsubscribe") return false;
   for (let o2 of i) if (!an[o2]) return false;
-  return !(Hi(r6) && !(typeof r6.endpoint == "string" && r6.endpoint.startsWith("ws")));
+  return !(Gi(r6) && !(typeof r6.endpoint == "string" && r6.endpoint.startsWith("ws")));
 }
 function ja(r6, e, t, n) {
   if (typeof e != "object") throw new f(T(`context[${t}] is invalid. Context must contain a single valid FHIR resource! Resource is not an object.`));
@@ -54200,23 +54200,23 @@ var Qt = class extends ie {
   }
 };
 function Ga(r6) {
-  return JSON.parse(Bi(r6));
+  return JSON.parse(Wi(r6));
 }
-function Gi(r6) {
+function Qi(r6) {
   return r6.split(".").length === 3;
 }
 function Jt(r6) {
   let [e, t, n] = r6.split(".");
   return Ga(t);
 }
-function Qi(r6) {
+function zi(r6) {
   try {
     return typeof Jt(r6).login_id == "string";
   } catch {
     return false;
   }
 }
-function zi(r6) {
+function Ji(r6) {
   try {
     let t = Jt(r6).exp;
     return typeof t == "number" ? t * 1e3 : void 0;
@@ -54239,11 +54239,11 @@ var Kt = class {
     await this.medplum.delete(`keyvalue/v1/${e}`);
   }
 };
-var Ji;
-Ji = Symbol.toStringTag;
+var Ki;
+Ki = Symbol.toStringTag;
 var W = class {
   constructor(e) {
-    c(this, Ji, "ReadablePromise");
+    c(this, Ki, "ReadablePromise");
     c(this, "suspender");
     c(this, "status", "pending");
     c(this, "response");
@@ -54330,18 +54330,18 @@ var dn = class {
     return Array.from(this.data.keys())[e];
   }
 };
-var $e = { Event: typeof globalThis.Event < "u" ? globalThis.Event : void 0, ErrorEvent: void 0, CloseEvent: void 0 };
-var Yi = false;
+var He = { Event: typeof globalThis.Event < "u" ? globalThis.Event : void 0, ErrorEvent: void 0, CloseEvent: void 0 };
+var Xi = false;
 function Qa() {
   if (typeof globalThis.Event > "u") throw new Error("Unable to lazy init events for ReconnectingWebSocket. globalThis.Event is not defined yet");
-  $e.Event = globalThis.Event, $e.ErrorEvent = class extends Event {
+  He.Event = globalThis.Event, He.ErrorEvent = class extends Event {
     constructor(t, n) {
       super("error", n);
       c(this, "message");
       c(this, "error");
       this.message = t.message, this.error = t;
     }
-  }, $e.CloseEvent = class extends Event {
+  }, He.CloseEvent = class extends Event {
     constructor(t = 1e3, n = "", i) {
       super("close", i);
       c(this, "code");
@@ -54357,11 +54357,11 @@ function za(r6, e) {
 function Yt(r6) {
   return new r6.constructor(r6.type, r6);
 }
-var De = { maxReconnectionDelay: 1e4, minReconnectionDelay: 1e3 + Math.random() * 4e3, minUptime: 5e3, reconnectionDelayGrowFactor: 1.3, connectionTimeout: 4e3, maxRetries: 1 / 0, maxEnqueuedMessages: 1 / 0, startClosed: false, debug: false };
-var Xi = false;
+var Me = { maxReconnectionDelay: 1e4, minReconnectionDelay: 1e3 + Math.random() * 4e3, minUptime: 5e3, reconnectionDelayGrowFactor: 1.3, connectionTimeout: 4e3, maxRetries: 1 / 0, maxEnqueuedMessages: 1 / 0, startClosed: false, debug: false };
+var Zi = false;
 var Xt = class r extends ie {
   constructor(t, n, i = {}) {
-    Yi || (Qa(), Yi = true);
+    Xi || (Qa(), Xi = true);
     super();
     c(this, "_ws");
     c(this, "_retryCount", -1);
@@ -54382,7 +54382,7 @@ var Xt = class r extends ie {
     c(this, "onopen", null);
     c(this, "_handleOpen", (t2) => {
       this._debug("open event");
-      let { minUptime: n2 = De.minUptime } = this._options;
+      let { minUptime: n2 = Me.minUptime } = this._options;
       clearTimeout(this._connectTimeout), this._uptimeTimeout = setTimeout(() => this._acceptOpen(), n2), za(this._ws, "WebSocket is not defined"), this._ws.binaryType = this._binaryType, this._messageQueue.forEach((i2) => this._ws?.send(i2)), this._messageQueue = [], this.onopen && this.onopen(t2), this.dispatchEvent(Yt(t2));
     });
     c(this, "_handleMessage", (t2) => {
@@ -54464,7 +54464,7 @@ var Xt = class r extends ie {
   send(t) {
     if (this._ws?.readyState === this.OPEN) this._debug("send", t), this._ws.send(t);
     else {
-      let { maxEnqueuedMessages: n = De.maxEnqueuedMessages } = this._options;
+      let { maxEnqueuedMessages: n = Me.maxEnqueuedMessages } = this._options;
       this._messageQueue.length < n && (this._debug("enqueue", t), this._messageQueue.push(t));
     }
   }
@@ -54472,7 +54472,7 @@ var Xt = class r extends ie {
     this._options.debug && this._debugLogger("RWS>", ...t);
   }
   _getNextDelay() {
-    let { reconnectionDelayGrowFactor: t = De.reconnectionDelayGrowFactor, minReconnectionDelay: n = De.minReconnectionDelay, maxReconnectionDelay: i = De.maxReconnectionDelay } = this._options, o2 = 0;
+    let { reconnectionDelayGrowFactor: t = Me.reconnectionDelayGrowFactor, minReconnectionDelay: n = Me.minReconnectionDelay, maxReconnectionDelay: i = Me.maxReconnectionDelay } = this._options, o2 = 0;
     return this._retryCount > 0 && (o2 = n * Math.pow(t, this._retryCount - 1), o2 > i && (o2 = i)), this._debug("next delay", o2), o2;
   }
   _wait() {
@@ -54483,7 +54483,7 @@ var Xt = class r extends ie {
   _connect() {
     if (this._connectLock || !this._shouldReconnect) return;
     this._connectLock = true;
-    let { maxRetries: t = De.maxRetries, connectionTimeout: n = De.connectionTimeout } = this._options;
+    let { maxRetries: t = Me.maxRetries, connectionTimeout: n = Me.connectionTimeout } = this._options;
     if (this._retryCount >= t) {
       this._debug("max retries reached", this._retryCount, ">=", t);
       return;
@@ -54493,21 +54493,21 @@ var Xt = class r extends ie {
         this._connectLock = false;
         return;
       }
-      !this._options.WebSocket && typeof WebSocket > "u" && !Xi && (console.error("\u203C\uFE0F No WebSocket implementation available. You should define options.WebSocket."), Xi = true);
+      !this._options.WebSocket && typeof WebSocket > "u" && !Zi && (console.error("\u203C\uFE0F No WebSocket implementation available. You should define options.WebSocket."), Zi = true);
       let i = this._options.WebSocket || WebSocket;
       this._debug("connect", { url: this._url, protocols: this._protocols }), this._ws = this._protocols ? new i(this._url, this._protocols) : new i(this._url), this._ws.binaryType = this._binaryType, this._connectLock = false, this._addListeners(), this._connectTimeout = setTimeout(() => this._handleTimeout(), n);
     }).catch((i) => {
-      this._connectLock = false, this._handleError(new $e.ErrorEvent(Error(i.message), this));
+      this._connectLock = false, this._handleError(new He.ErrorEvent(Error(i.message), this));
     });
   }
   _handleTimeout() {
-    this._debug("timeout event"), this._handleError(new $e.ErrorEvent(Error("TIMEOUT"), this));
+    this._debug("timeout event"), this._handleError(new He.ErrorEvent(Error("TIMEOUT"), this));
   }
   _disconnect(t = 1e3, n) {
     if (this._clearTimeouts(), !!this._ws) {
       this._removeListeners();
       try {
-        this._ws.close(t, n), this._handleClose(new $e.CloseEvent(t, n, this));
+        this._ws.close(t, n), this._handleClose(new He.CloseEvent(t, n, this));
       } catch {
       }
     }
@@ -54598,7 +54598,7 @@ var Zt = class {
           return;
         }
         if (o2.type === "handshake") {
-          let a = Re(o2.subscription), u2 = { type: "connect", payload: { subscriptionId: a } };
+          let a = Ce(o2.subscription), u2 = { type: "connect", payload: { subscriptionId: a } };
           this.masterSubEmitter?.dispatchEvent(u2);
           let l = this.criteriaEntriesBySubscriptionId.get(a);
           if (!l) {
@@ -54609,7 +54609,7 @@ var Zt = class {
           return;
         }
         this.masterSubEmitter?.dispatchEvent({ type: "message", payload: i });
-        let s = this.criteriaEntriesBySubscriptionId.get(Re(o2.subscription));
+        let s = this.criteriaEntriesBySubscriptionId.get(Ce(o2.subscription));
         if (!s) {
           console.warn("Received notification for criteria the SubscriptionManager is not listening for");
           return;
@@ -54714,7 +54714,7 @@ var Zt = class {
       if (this.isStale(e, t)) return;
       e.token = i, e.tokenExpiry = new Date(s).getTime(), this.criteriaEntriesBySubscriptionId.set(e.subscriptionId, e), this.sendBind(i);
     } catch (n) {
-      console.error(Le(n)), e.generation === t && !this.isEntryGettingRemoved(e) && (e.state = e.state === "refreshing" ? "active" : "idle"), this.emitError(e, n);
+      console.error(Ne(n)), e.generation === t && !this.isEntryGettingRemoved(e) && (e.state = e.state === "refreshing" ? "active" : "idle"), this.emitError(e, n);
     }
   }
   checkTokenExpirations() {
@@ -54779,7 +54779,7 @@ function st(r6) {
   return r6.bareCriteria ? [r6.bareCriteria, ...r6.criteriaWithProps] : r6.criteriaWithProps;
 }
 var Ka = new K(1e3);
-var fn = "5.1.14-a19ab66";
+var fn = "5.1.15-088bfde";
 var Za = k.FHIR_JSON + ", */*; q=0.1";
 var ec = "https://api.medplum.com/";
 var tc = 1e3;
@@ -54787,8 +54787,8 @@ var rc = 6e4;
 var nc = 0;
 var ic = 3e5;
 var oc = "Binary/";
-var Zi = { resourceType: "Device", id: "system", deviceName: [{ type: "model-name", name: "System" }] };
-var He = { ClientCredentials: "client_credentials", AuthorizationCode: "authorization_code", RefreshToken: "refresh_token", JwtBearer: "urn:ietf:params:oauth:grant-type:jwt-bearer", TokenExchange: "urn:ietf:params:oauth:grant-type:token-exchange", PreAuthorizedCode: "urn:ietf:params:oauth:grant-type:pre-authorized_code" };
+var eo = { resourceType: "Device", id: "system", deviceName: [{ type: "model-name", name: "System" }] };
+var Ge = { ClientCredentials: "client_credentials", AuthorizationCode: "authorization_code", RefreshToken: "refresh_token", JwtBearer: "urn:ietf:params:oauth:grant-type:jwt-bearer", TokenExchange: "urn:ietf:params:oauth:grant-type:token-exchange", PreAuthorizedCode: "urn:ietf:params:oauth:grant-type:pre-authorized_code" };
 var sc = { AccessToken: "urn:ietf:params:oauth:token-type:access_token", RefreshToken: "urn:ietf:params:oauth:token-type:refresh_token", IdToken: "urn:ietf:params:oauth:token-type:id_token", Saml1Token: "urn:ietf:params:oauth:token-type:saml1", Saml2Token: "urn:ietf:params:oauth:token-type:saml2" };
 var ac = { JwtBearer: "urn:ietf:params:oauth:client-assertion-type:jwt-bearer" };
 var er = class extends ie {
@@ -54951,7 +54951,7 @@ var er = class extends ie {
   }
   async exchangeExternalAccessToken(t, n, i) {
     if (n = n ?? this.clientId, !n) throw new Error("MedplumClient is missing clientId");
-    let o2 = { grant_type: He.TokenExchange, subject_token_type: sc.AccessToken, client_id: n, subject_token: t };
+    let o2 = { grant_type: Ge.TokenExchange, subject_token_type: sc.AccessToken, client_id: n, subject_token: t };
     return i && (o2.membership_id = i), this.fetchTokens(o2);
   }
   getExternalAuthRedirectUri(t, n, i, o2, s = true) {
@@ -54988,7 +54988,7 @@ var er = class extends ie {
   searchResources(t, n, i) {
     let s = "searchResources-" + this.fhirSearchUrl(t, n).toString(), a = this.getCacheEntry(s, i);
     if (a) return a.value;
-    let u2 = new W(this.search(t, n, i).then(to));
+    let u2 = new W(this.search(t, n, i).then(ro));
     return this.setCacheEntry(s, u2, i), u2;
   }
   async *searchResourcePages(t, n, i) {
@@ -54998,7 +54998,7 @@ var er = class extends ie {
       s.has("_count") || s.set("_count", "1000");
       let a = await this.search(t, s, i), u2 = a.link?.find((l) => l.relation === "next");
       if (!a.entry?.length && !u2) break;
-      yield to(a), o2 = u2?.url ? new URL(u2.url) : void 0;
+      yield ro(a), o2 = u2?.url ? new URL(u2.url) : void 0;
     }
   }
   valueSetExpand(t, n) {
@@ -55012,7 +55012,7 @@ var er = class extends ie {
   getCachedReference(t) {
     let n = t.reference;
     if (!n) return;
-    if (n === "system") return Zi;
+    if (n === "system") return eo;
     let [i, o2] = n.split("/");
     if (!(!i || !o2)) return this.getCached(i, o2);
   }
@@ -55023,7 +55023,7 @@ var er = class extends ie {
   readReference(t, n) {
     let i = t.reference;
     if (!i) return new W(Promise.reject(new Error("Missing reference")));
-    if (i === "system") return new W(Promise.resolve(Zi));
+    if (i === "system") return new W(Promise.resolve(eo));
     let [o2, s] = i.split("/");
     return !o2 || !s ? new W(Promise.reject(new Error("Invalid reference"))) : this.readResource(o2, s, n);
   }
@@ -55130,7 +55130,7 @@ var er = class extends ie {
     return s || (s = t), this.cacheResource(s, i), this.invalidateUrl(this.fhirUrl(t.resourceType, t.id, "_history")), this.invalidateSearches(t.resourceType), s;
   }
   async createAttachment(t, n, i, o2, s) {
-    let a = ro(t, n, i, o2);
+    let a = no(t, n, i, o2);
     if (a.contentType === k.XML) {
       let p2 = a.data, g2;
       p2 instanceof Blob ? g2 = await new Promise((v2, M2) => {
@@ -55148,7 +55148,7 @@ var er = class extends ie {
     return { contentType: a.contentType, url: l.url, title: a.filename };
   }
   createBinary(t, n, i, o2, s) {
-    let a = ro(t, n, i, o2), u2 = s ?? (typeof n == "object" ? n : {}), { data: l, contentType: p2, filename: g2, securityContext: v2, onProgress: M2 } = a, J = this.fhirUrl("Binary");
+    let a = no(t, n, i, o2), u2 = s ?? (typeof n == "object" ? n : {}), { data: l, contentType: p2, filename: g2, securityContext: v2, onProgress: M2 } = a, J = this.fhirUrl("Binary");
     return g2 && J.searchParams.set("_filename", g2), v2?.reference && this.setRequestHeader(u2, "X-Security-Context", v2.reference), M2 ? this.uploadwithProgress(J, l, p2, M2, u2) : this.post(J, l, p2, u2);
   }
   uploadwithProgress(t, n, i, o2, s) {
@@ -55174,7 +55174,7 @@ var er = class extends ie {
   }
   createComment(t, n, i) {
     let o2 = this.getProfile(), s, a;
-    return t.resourceType === "Encounter" && (s = Ee(t), a = t.subject), t.resourceType === "ServiceRequest" && (s = t.encounter, a = t.subject), t.resourceType === "Patient" && (a = Ee(t)), this.createResource({ resourceType: "Communication", status: "completed", basedOn: [Ee(t)], encounter: s, subject: a, sender: o2 ? Ee(o2) : void 0, sent: (/* @__PURE__ */ new Date()).toISOString(), payload: [{ contentString: n }] }, i);
+    return t.resourceType === "Encounter" && (s = Re(t), a = t.subject), t.resourceType === "ServiceRequest" && (s = t.encounter, a = t.subject), t.resourceType === "Patient" && (a = Re(t)), this.createResource({ resourceType: "Communication", status: "completed", basedOn: [Re(t)], encounter: s, subject: a, sender: o2 ? Re(o2) : void 0, sent: (/* @__PURE__ */ new Date()).toISOString(), payload: [{ contentString: n }] }, i);
   }
   async updateResource(t, n) {
     if (!t.resourceType) throw new Error("Missing resourceType");
@@ -55217,7 +55217,7 @@ var er = class extends ie {
   }
   pushToAgent(t, n, i, o2, s, a) {
     let { waitTimeout: u2, returnAck: l, ...p2 } = a ?? {};
-    return this.post(this.fhirUrl("Agent", Re(t), "$push"), { destination: typeof n == "string" ? n : O(n), body: i, contentType: o2, waitForResponse: s, ...u2 !== void 0 ? { waitTimeout: u2 } : void 0, ...l !== void 0 ? { returnAck: l } : void 0 }, k.FHIR_JSON, p2);
+    return this.post(this.fhirUrl("Agent", Ce(t), "$push"), { destination: typeof n == "string" ? n : O(n), body: i, contentType: o2, waitForResponse: s, ...u2 !== void 0 ? { waitTimeout: u2 } : void 0, ...l !== void 0 ? { returnAck: l } : void 0 }, k.FHIR_JSON, p2);
   }
   getCdsServices(t) {
     return this.get(this.cdsServicesUrl, t);
@@ -55238,7 +55238,7 @@ var er = class extends ie {
     return this.accessTokenExpires !== void 0 && Date.now() < this.accessTokenExpires - (t ?? this.refreshGracePeriod);
   }
   setAccessToken(t, n) {
-    this.accessToken = t, this.refreshToken = n, this.accessTokenExpires = zi(t), this.medplumServer = Qi(t);
+    this.accessToken = t, this.refreshToken = n, this.accessTokenExpires = Ji(t), this.medplumServer = zi(t);
   }
   getLogins() {
     return this.storage.getObject("logins") ?? [];
@@ -55295,7 +55295,7 @@ var er = class extends ie {
   }
   async createMedia(t, n) {
     let { additionalFields: i, ...o2 } = t, s = await this.createResource({ resourceType: "Media", status: "preparation", content: { contentType: t.contentType }, ...i });
-    o2.securityContext || (o2.securityContext = Ee(s));
+    o2.securityContext || (o2.securityContext = Re(s));
     let a = await this.createAttachment(o2, n);
     return this.updateResource({ ...s, status: "completed", content: a });
   }
@@ -55304,7 +55304,7 @@ var er = class extends ie {
   }
   async createDocumentReference(t, n) {
     let { additionalFields: i, ...o2 } = t, s = await this.createResource({ resourceType: "DocumentReference", status: "current", content: [{ attachment: { contentType: t.contentType } }], ...i });
-    o2.securityContext || (o2.securityContext = Ee(s));
+    o2.securityContext || (o2.securityContext = Re(s));
     let a = await this.createAttachment(o2, n);
     return this.updateResource({ ...s, content: [{ attachment: a }] });
   }
@@ -55357,11 +55357,11 @@ var er = class extends ie {
     if (o2.status === 404 && !a) throw new f(Fn);
     let u2 = await this.parseBody(o2, a);
     if (o2.status === 200 && n.followRedirectOnOk || o2.status === 201 && n.followRedirectOnCreated) {
-      let l = await eo(o2, u2);
+      let l = await to(o2, u2);
       if (l) return this.request(l, { ...n, method: "GET", body: void 0 });
     }
     if (o2.status === 202 && n.pollStatusOnAccepted) {
-      let p2 = await eo(o2, u2) ?? i.statusUrl;
+      let p2 = await to(o2, u2) ?? i.statusUrl;
       if (p2) return this.pollStatus(p2, n, i);
     }
     if (o2.status >= 400) throw new f(yt(u2));
@@ -55479,7 +55479,7 @@ var er = class extends ie {
   }
   handleUnauthenticated(t, n) {
     if (this.refresh()) return this.request(t, n);
-    throw this.clear(), this.onUnauthenticated?.(), new f(_e);
+    throw this.clear(), this.onUnauthenticated?.(), new f(Le);
   }
   async startPkce() {
     let t = on();
@@ -55487,7 +55487,7 @@ var er = class extends ie {
     let n = on().slice(0, 128);
     this.storage.setString("codeVerifier", n);
     try {
-      let i = await Wi(n);
+      let i = await qi(n);
       return { codeChallengeMethod: "S256", codeChallenge: hi(i).replaceAll("+", "-").replaceAll("/", "_").replaceAll("=", "") };
     } catch (i) {
       return console.warn("Failed to hash code verifier. Falling back to 'plain' code challenge method", i), { codeChallengeMethod: "plain", codeChallenge: n };
@@ -55498,7 +55498,7 @@ var er = class extends ie {
     i.searchParams.set("response_type", "code"), i.searchParams.set("state", this.storage.getString("pkceState")), i.searchParams.set("client_id", n.clientId ?? this.clientId), i.searchParams.set("redirect_uri", n.redirectUri ?? ce.getOrigin()), i.searchParams.set("code_challenge_method", n.codeChallengeMethod), i.searchParams.set("code_challenge", n.codeChallenge), i.searchParams.set("scope", n.scope ?? "openid profile"), ce.assign(i.toString());
   }
   processCode(t, n) {
-    let i = { grant_type: He.AuthorizationCode, code: t, client_id: n?.clientId ?? this.clientId ?? "", redirect_uri: n?.redirectUri ?? ce.getOrigin() }, o2 = this.storage.getString("codeVerifier");
+    let i = { grant_type: Ge.AuthorizationCode, code: t, client_id: n?.clientId ?? this.clientId ?? "", redirect_uri: n?.redirectUri ?? ce.getOrigin() }, o2 = this.storage.getString("codeVerifier");
     return o2 && (i.code_verifier = o2), this.fetchTokens(i);
   }
   refreshIfExpired(t) {
@@ -55511,20 +55511,20 @@ var er = class extends ie {
   async runRefreshWithLock(t) {
     let n = () => {
       let s = this.getActiveLogin();
-      return s?.accessToken && s.accessToken !== this.accessToken && this.setAccessToken(s.accessToken, s.refreshToken), this.isAuthenticated(t) ? Promise.resolve(this.getProfile()) : this.refreshToken ? this.fetchTokens({ grant_type: He.RefreshToken, client_id: this.clientId ?? "", refresh_token: this.refreshToken }) : this.clientId && this.clientSecret ? this.startClientLogin(this.clientId, this.clientSecret) : Promise.resolve(void 0);
+      return s?.accessToken && s.accessToken !== this.accessToken && this.setAccessToken(s.accessToken, s.refreshToken), this.isAuthenticated(t) ? Promise.resolve(this.getProfile()) : this.refreshToken ? this.fetchTokens({ grant_type: Ge.RefreshToken, client_id: this.clientId ?? "", refresh_token: this.refreshToken }) : this.clientId && this.clientSecret ? this.startClientLogin(this.clientId, this.clientSecret) : Promise.resolve(void 0);
     }, i = typeof navigator < "u" ? navigator.locks : void 0;
     if (!i?.request) return n();
     let o2 = `medplum-refresh:${this.storage.makeKey("activeLogin")}`;
     return i.request(o2, n);
   }
   async startClientLogin(t, n) {
-    return this.clientId = t, this.clientSecret = n, this.fetchTokens({ grant_type: He.ClientCredentials, client_id: t, client_secret: n });
+    return this.clientId = t, this.clientSecret = n, this.fetchTokens({ grant_type: Ge.ClientCredentials, client_id: t, client_secret: n });
   }
   async startJwtBearerLogin(t, n, i) {
-    return this.clientId = t, this.fetchTokens({ grant_type: He.JwtBearer, client_id: t, assertion: n, scope: i });
+    return this.clientId = t, this.fetchTokens({ grant_type: Ge.JwtBearer, client_id: t, assertion: n, scope: i });
   }
   async startJwtAssertionLogin(t) {
-    return this.fetchTokens({ grant_type: He.ClientCredentials, client_assertion_type: ac.JwtBearer, client_assertion: t });
+    return this.fetchTokens({ grant_type: Ge.ClientCredentials, client_assertion_type: ac.JwtBearer, client_assertion: t });
   }
   setBasicAuth(t, n) {
     this.clientId = t, this.clientSecret = n, this.basicAuth = Gt(t + ":" + n);
@@ -55554,7 +55554,7 @@ var er = class extends ie {
     return new Qt(t);
   }
   async fhircastPublish(t, n, i, o2) {
-    return ji(n) ? this.post(this.fhircastHubUrl, ln(t, n, i, o2), k.JSON) : ($i(n), this.post(this.fhircastHubUrl, ln(t, n, i), k.JSON));
+    return $i(n) ? this.post(this.fhircastHubUrl, ln(t, n, i, o2), k.JSON) : (Hi(n), this.post(this.fhircastHubUrl, ln(t, n, i), k.JSON));
   }
   async fhircastGetContext(t) {
     return this.get(`${this.fhircastHubUrl}/${t}`, { cache: "no-cache" });
@@ -55565,7 +55565,7 @@ var er = class extends ie {
   async handleTokenError(t) {
     try {
       let n = await t.json();
-      throw Qe(n) ? new f(n) : n.error_description ? new f(P(n.error_description)) : new Error(JSON.stringify(n));
+      throw ze(n) ? new f(n) : n.error_description ? new f(P(n.error_description)) : new Error(JSON.stringify(n));
     } catch (n) {
       throw n instanceof f ? (n.message = `Failed to fetch tokens: ${n.message}`, n) : new f(P("Failed to fetch tokens"), { cause: n });
     }
@@ -55585,7 +55585,7 @@ var er = class extends ie {
   }
   async verifyTokens(t) {
     let n = t.access_token;
-    if (Gi(n)) {
+    if (Qi(n)) {
       let i = Jt(n);
       if (Date.now() >= i.exp * 1e3) throw this.clearActiveLogin(), new f(Un);
       if (i.cid) {
@@ -55626,21 +55626,21 @@ function cc() {
   if (!globalThis.fetch) throw new Error("Fetch not available in this environment");
   return globalThis.fetch.bind(globalThis);
 }
-async function eo(r6, e) {
+async function to(r6, e) {
   let t = r6.headers.get("content-location");
   if (t) return t;
   let n = r6.headers.get("location");
   if (n) return n;
-  if (Qe(e) && e.issue?.[0]?.diagnostics) return e.issue[0].diagnostics;
+  if (ze(e) && e.issue?.[0]?.diagnostics) return e.issue[0].diagnostics;
 }
-function to(r6) {
+function ro(r6) {
   let e = r6.entry?.map((t) => t.resource) ?? [];
   return Object.assign(e, { bundle: r6 });
 }
 function uc(r6) {
   return C(r6) && "data" in r6 && "contentType" in r6;
 }
-function ro(r6, e, t, n) {
+function no(r6, e, t, n) {
   return uc(r6) ? r6 : { data: r6, filename: e, contentType: t, onProgress: n };
 }
 function lc(r6) {
@@ -55676,14 +55676,14 @@ var Te = class {
     return this.componentSeparator + this.repetitionSeparator + this.escapeCharacter + this.subcomponentSeparator;
   }
 };
-var Eo = class r2 {
+var Ro = class r2 {
   constructor(e, t = new Te()) {
     c(this, "context");
     c(this, "_segments");
     c(this, "segmentsByName");
     c(this, "cachedString");
     c(this, "allSegmentsParsed");
-    this.context = t, this._segments = e, this.segmentsByName = Ro(e), this.allSegmentsParsed = e.every((n) => typeof n != "string"), this.bindSegments();
+    this.context = t, this._segments = e, this.segmentsByName = Co(e), this.allSegmentsParsed = e.every((n) => typeof n != "string"), this.bindSegments();
   }
   get segments() {
     if (!this.allSegmentsParsed) {
@@ -55754,7 +55754,7 @@ var Eo = class r2 {
     return this.segmentsByName.get(e)?.[0] ?? -1;
   }
   invalidateCache() {
-    this.segmentsByName = Ro(this._segments), this.cachedString = void 0, this.bindSegments();
+    this.segmentsByName = Co(this._segments), this.cachedString = void 0, this.bindSegments();
   }
   bindSegments() {
     let e = () => {
@@ -55763,7 +55763,7 @@ var Eo = class r2 {
     for (let t of this._segments) typeof t != "string" && (t.onModified = e);
   }
 };
-function Ro(r6) {
+function Co(r6) {
   let e = /* @__PURE__ */ new Map();
   for (let t = 0; t < r6.length; t++) {
     let n = r6[t], i = typeof n == "string" ? n.slice(0, 3) : n.name, o2 = e.get(i);
@@ -55890,10 +55890,10 @@ function Zc(r6) {
   let e = r6 instanceof Date ? r6 : new Date(r6), n = e.toISOString().replaceAll(/[-:T]/g, "").replace(/(\.\d+)?Z$/, ""), i = e.getUTCMilliseconds();
   return i > 0 && (n += "." + i.toString()), n;
 }
-var Ge = { NONE: 0, ERROR: 1, WARN: 2, INFO: 3, DEBUG: 4 };
+var Qe = { NONE: 0, ERROR: 1, WARN: 2, INFO: 3, DEBUG: 4 };
 var eu = ["NONE", "ERROR", "WARN", "INFO", "DEBUG"];
-var Co = class r5 {
-  constructor(e, t = {}, n = Ge.INFO, i = {}) {
+var Po = class r5 {
+  constructor(e, t = {}, n = Qe.INFO, i = {}) {
     c(this, "write");
     c(this, "metadata");
     c(this, "options");
@@ -55910,16 +55910,16 @@ var Co = class r5 {
     return { write: e, metadata: t, level: n, options: i };
   }
   error(e, t) {
-    this.log(Ge.ERROR, e, t);
+    this.log(Qe.ERROR, e, t);
   }
   warn(e, t) {
-    this.log(Ge.WARN, e, t);
+    this.log(Qe.WARN, e, t);
   }
   info(e, t) {
-    this.log(Ge.INFO, e, t);
+    this.log(Qe.INFO, e, t);
   }
   debug(e, t) {
-    this.log(Ge.DEBUG, e, t);
+    this.log(Qe.DEBUG, e, t);
   }
   log(e, t, n) {
     if (e > this.level) return;
@@ -55932,8 +55932,8 @@ var Co = class r5 {
     this.write(JSON.stringify({ level: eu[e], timestamp: (/* @__PURE__ */ new Date()).toISOString(), msg: this.prefix ? `${this.prefix}${t}` : t, ...i, ...this.metadata }));
   }
 };
-function zh(r6) {
-  let e = Ge[r6.toUpperCase()];
+function Jh(r6) {
+  let e = Qe[r6.toUpperCase()];
   if (e === void 0) throw new Error(`Invalid log level: ${r6}`);
   return e;
 }
@@ -55974,7 +55974,7 @@ async function wn(r6, e, t) {
       try {
         u2 = (await s.json()).message;
       } catch (l) {
-        console.error(`Failed to parse message from body: ${Le(l)}`);
+        console.error(`Failed to parse message from body: ${Ne(l)}`);
       }
       throw new Error(`Received status code ${s.status} while fetching manifest for version '${e ?? "latest"}'. Message: ${u2}`);
     }
@@ -55986,7 +55986,7 @@ async function wn(r6, e, t) {
 function Ru(r6) {
   return /^\d+\.\d+\.\d+(-[0-9a-z]{7})?$/.test(r6);
 }
-async function Hg(r6, e) {
+async function Gg(r6, e) {
   if (!Ru(e)) return false;
   try {
     await wn(r6, e);
@@ -55995,7 +55995,7 @@ async function Hg(r6, e) {
   }
   return true;
 }
-async function Gg(r6) {
+async function Qg(r6) {
   let e = await wn(r6);
   if (!e.tag_name.startsWith("v")) throw new Error(`Invalid release name found. Release tag '${e.tag_name}' did not start with 'v'`);
   return e.tag_name.slice(1);
@@ -56107,7 +56107,7 @@ var v = class extends m2 {
         return;
       }
       let l = c2.message.getSegment("MSA")?.getField(1)?.toString()?.toUpperCase();
-      l && (h2.returnAck === sf.APPLICATION && l === "CA" || (h2.timer && clearTimeout(h2.timer), h2.resolve(c2.message), this.deletePendingMessage(a)));
+      l && (h2.returnAck === af.APPLICATION && l === "CA" || (h2.timer && clearTimeout(h2.timer), h2.resolve(c2.message), this.deletePendingMessage(a)));
     });
   }
   isClosed() {
@@ -56142,7 +56142,7 @@ var v = class extends m2 {
         break;
       }
       if (n === -1) break;
-      let r6 = t.subarray(s, n + 1).subarray(1, -2), a = import_iconv_lite.default.decode(r6, this.encoding), h2 = Eo.parse(a);
+      let r6 = t.subarray(s, n + 1).subarray(1, -2), a = import_iconv_lite.default.decode(r6, this.encoding), h2 = Ro.parse(a);
       e.push(h2), s = n + 1;
     }
     return this.chunks = s < t.length ? [t.subarray(s)] : [], e;
@@ -56160,7 +56160,7 @@ var v = class extends m2 {
       let r6;
       t?.timeoutMs && (r6 = setTimeout(() => {
         this.deletePendingMessage(c2), n(new f({ resourceType: "OperationOutcome", issue: [{ severity: "error", code: "timeout", details: { text: "Client timeout" }, diagnostics: `Request timed out after waiting ${t.timeoutMs} milliseconds for response` }] }));
-      }, t.timeoutMs)), this.setPendingMessage(c2, { message: e, resolve: s, reject: n, returnAck: t?.returnAck ?? sf.APPLICATION, timer: r6 }), this.sendImpl(e);
+      }, t.timeoutMs)), this.setPendingMessage(c2, { message: e, resolve: s, reject: n, returnAck: t?.returnAck ?? af.APPLICATION, timer: r6 }), this.sendImpl(e);
     });
   }
   async close() {
@@ -56608,7 +56608,7 @@ var ByteStreamChannelConnection = class {
       }
     } catch (err2) {
       this.channel.log.error(`Byte stream error occurred - check channel logs`);
-      this.channel.channelLog.error(`Byte stream error: ${Le(err2)}`);
+      this.channel.channelLog.error(`Byte stream error: ${Ne(err2)}`);
     }
   }
   write(data2) {
@@ -63908,8 +63908,8 @@ var IntegerString = /* @__PURE__ */ (function(_NumericStringReprese2) {
     key: "writeBytes",
     value: function writeBytes(stream, value, writeOptions) {
       var _this11 = this;
-      var val = Array.isArray(value) ? value.map(function(is2) {
-        return _this11.convertToString(is2);
+      var val = Array.isArray(value) ? value.map(function(is) {
+        return _this11.convertToString(is);
       }) : [this.convertToString(value)];
       return _get(_getPrototypeOf(IntegerString2.prototype), "writeBytes", this).call(this, stream, val, writeOptions);
     }
@@ -65803,7 +65803,7 @@ var Tag = /* @__PURE__ */ (function() {
     }
   }, {
     key: "is",
-    value: function is2(t) {
+    value: function is(t) {
       return this.value == t;
     }
     /**
@@ -73306,7 +73306,7 @@ var AgentDicomChannel = class extends BaseChannel {
               calledAeTitle: this.association?.getCalledAeTitle()
             },
             dataset: dicomJson2,
-            binary: binary ? Ee(binary) : void 0
+            binary: binary ? Re(binary) : void 0
           };
           App.instance.addToWebSocketQueue({
             type: "agent:transmit:request",
@@ -73320,7 +73320,7 @@ var AgentDicomChannel = class extends BaseChannel {
           response2.setStatus(dimse.constants.Status.Success);
         } catch (err2) {
           _DcmjsDimseScp.channel.log.error(`DICOM error - check channel logs`);
-          _DcmjsDimseScp.channel.channelLog.error(`DICOM error: ${Le(err2)}`);
+          _DcmjsDimseScp.channel.channelLog.error(`DICOM error: ${Ne(err2)}`);
           response2.setStatus(dimse.constants.Status.ProcessingFailure);
         }
         return response2;
@@ -73633,7 +73633,7 @@ var AgentHl7Channel = class extends BaseChannel {
   sendToRemote(msg) {
     const connection = this.connections.get(msg.remote);
     if (connection) {
-      const hl7Message = Eo.parse(msg.body);
+      const hl7Message = Ro.parse(msg.body);
       const msgControlId = hl7Message.getSegment("MSA")?.getField(2)?.toString();
       const ackCode = hl7Message.getSegment("MSA")?.getField(1)?.toString()?.toUpperCase();
       if (ackCode && isAppLevelAckCode(ackCode) && !shouldSendAppLevelAck({
@@ -73647,7 +73647,7 @@ var AgentHl7Channel = class extends BaseChannel {
         return;
       }
       this.channelLog.info(`[Sending ACK -- ID: ${msgControlId}]: ${hl7Message.toString().replaceAll("\r", "\n")}`);
-      connection.hl7Connection.send(Eo.parse(msg.body));
+      connection.hl7Connection.send(Ro.parse(msg.body));
       if (msgControlId) {
         this.stats.recordAckReceived(msgControlId);
       }
@@ -73760,12 +73760,12 @@ var AgentHl7ChannelConnection = class {
       }
     } catch (err2) {
       this.channel.log.error(`HL7 error occurred - check channel logs`);
-      this.channel.channelLog.error(`HL7 error: ${Le(err2)}`);
+      this.channel.channelLog.error(`HL7 error: ${Ne(err2)}`);
     }
   }
   async handleError(event) {
-    this.channel.log.error(`HL7 connection error: ${Le(event.error)}`);
-    this.channel.channelLog.error(`HL7 connection error: ${Le(event.error)}`);
+    this.channel.log.error(`HL7 connection error: ${Ne(event.error)}`);
+    this.channel.channelLog.error(`HL7 connection error: ${Ne(event.error)}`);
   }
   handleEnhancedAckSent(event) {
     const hl7Message = event.message;
@@ -74160,13 +74160,13 @@ var Hl7ClientPool = class {
       this.closeAndRemoveClient(client);
       if (this.keepAlive) {
         this.log.error(
-          `Persistent connection to remote 'mllp://${this.host}:${this.port}' encountered error: '${Le(event.error)}' - Closing connection...`
+          `Persistent connection to remote 'mllp://${this.host}:${this.port}' encountered error: '${Ne(event.error)}' - Closing connection...`
         );
       }
     });
     client.addEventListener("warning", (event) => {
       this.log.warn(
-        `Connection to remote 'mllp://${this.host}:${this.port}' warning: '${Le(event.error)}'`
+        `Connection to remote 'mllp://${this.host}:${this.port}' warning: '${Ne(event.error)}'`
       );
     });
     return client;
@@ -74199,7 +74199,7 @@ var DEFAULT_LOGGER_CONFIG = {
   logDir: __dirname,
   maxFileSizeMb: 10,
   filesToKeep: 10,
-  logLevel: Ge.INFO
+  logLevel: Qe.INFO
 };
 var LOGGER_CONFIG_INTEGER_KEYS = ["maxFileSizeMb", "filesToKeep"];
 var LEVELS_TO_UPPERCASE = {
@@ -74266,16 +74266,16 @@ function parseLoggerConfigFromArgs(args) {
     if (!propName.startsWith("logger.") || propVal === void 0) {
       continue;
     }
-    const [_2, configType, settingName] = We(propName, ".", 3);
+    const [_2, configType, settingName] = qe(propName, ".", 3);
     if (!LOGGER_CONFIG_KEYS.includes(settingName)) {
       warnings.push(`${propName} is not a valid setting name`);
     }
     let configValue;
     if (settingName === "logLevel") {
       try {
-        configValue = zh(propVal);
+        configValue = Jh(propVal);
       } catch (err2) {
-        warnings.push(`Error while parsing ${propName}: ${Le(err2)}`);
+        warnings.push(`Error while parsing ${propName}: ${Ne(err2)}`);
       }
     } else if (LOGGER_CONFIG_INTEGER_KEYS.includes(settingName)) {
       try {
@@ -74301,14 +74301,14 @@ function parseLoggerConfigFromArgs(args) {
 function getWinstonLevelFromMedplumLevel(level) {
   switch (level) {
     // Return error for NONE since we are going to turn silent on anyways
-    case Ge.NONE:
-    case Ge.ERROR:
+    case Qe.NONE:
+    case Qe.ERROR:
       return "error";
-    case Ge.WARN:
+    case Qe.WARN:
       return "warn";
-    case Ge.INFO:
+    case Qe.INFO:
       return "info";
-    case Ge.DEBUG:
+    case Qe.DEBUG:
       return "debug";
     default:
       throw new Error("Invalid log level");
@@ -74318,7 +74318,7 @@ function createWinstonFromLoggerConfig(config, loggerType) {
   const level = getWinstonLevelFromMedplumLevel(config.logLevel);
   const logger = import_winston.default.createLogger({
     level,
-    silent: config.logLevel === Ge.NONE,
+    silent: config.logLevel === Qe.NONE,
     format: import_winston.default.format.combine(
       import_winston.default.format.timestamp(),
       // Custom transform to match previous Medplum logger output
@@ -74372,16 +74372,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     this.prefix = options?.prefix;
   }
   debug(msg, data2) {
-    this.log(Ge.DEBUG, msg, data2);
+    this.log(Qe.DEBUG, msg, data2);
   }
   info(msg, data2) {
-    this.log(Ge.INFO, msg, data2);
+    this.log(Qe.INFO, msg, data2);
   }
   warn(msg, data2) {
-    this.log(Ge.WARN, msg, data2);
+    this.log(Qe.WARN, msg, data2);
   }
   error(msg, data2) {
-    this.log(Ge.ERROR, msg, data2);
+    this.log(Qe.ERROR, msg, data2);
   }
   log(level, msg, data2) {
     if (level > this.level) {
@@ -74396,16 +74396,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     const dataToLog = { ...data2, ...this.metadata };
     const msgToLog = this.prefix ? `${this.prefix}${msg}` : msg;
     switch (level) {
-      case Ge.DEBUG:
+      case Qe.DEBUG:
         this.winston.debug(msgToLog, dataToLog);
         return;
-      case Ge.INFO:
+      case Qe.INFO:
         this.winston.info(msgToLog, dataToLog);
         return;
-      case Ge.WARN:
+      case Qe.WARN:
         this.winston.warn(msgToLog, dataToLog);
         return;
-      case Ge.ERROR:
+      case Qe.ERROR:
         this.winston.error(msgToLog, dataToLog);
     }
   }
@@ -74447,7 +74447,7 @@ var import_node_os2 = require("node:os");
 var import_node_path3 = __toESM(require("node:path"));
 var import_node_process = __toESM(require("node:process"));
 var EXIT_SIGNALS = ["SIGINT", "SIGTERM", "SIGHUP"];
-var pidLogger = new Co((msg) => `[PID]: ${msg}`);
+var pidLogger = new Po((msg) => `[PID]: ${msg}`);
 var pidFileApps = /* @__PURE__ */ new Set();
 var processExitListener = () => {
   removeAllPidFiles();
@@ -74686,21 +74686,29 @@ var _App = class _App {
     __publicField(this, "logStatsTimer");
     __publicField(this, "config");
     __publicField(this, "lastHeartbeatSentTime", -1);
+    // Whether this process owns the `medplum-agent` PID, i.e. it is the sole agent that should
+    // touch the data plane. A normally-started agent is primary from the outset (main.ts creates
+    // the PID before start()). An upgrading agent stays non-primary until it wins the PID from the
+    // outgoing agent, so that the two overlapping processes don't both send to the same remote.
+    __publicField(this, "isPrimary", false);
     _App.instance = this;
     this.medplum = medplum;
     this.agentId = agentId;
-    this.log = options?.mainLogger ?? new Co((msg) => console.log(msg), void 0, logLevel);
-    this.channelLog = options?.channelLogger ?? new Co((msg) => console.log(msg), void 0, logLevel);
+    this.log = options?.mainLogger ?? new Po((msg) => console.log(msg), void 0, logLevel);
+    this.channelLog = options?.channelLogger ?? new Po((msg) => console.log(msg), void 0, logLevel);
   }
   async start() {
     this.log.info("Medplum service starting...");
+    this.isPrimary = !(0, import_node_fs4.existsSync)(UPGRADE_MANIFEST_PATH);
     await this.startWebSocket();
-    await this.reloadConfig();
-    await this.maybeFinalizeUpgrade();
+    const { listenersStarted } = await this.beginReloadConfig();
+    const upgradeManifest = this.consumeUpgradeManifest();
+    await listenersStarted;
+    await this.maybeFinalizeUpgrade(upgradeManifest);
     this.medplum.addEventListener("change", () => {
       if (!this.webSocket) {
         this.connectWebSocket().catch((err2) => {
-          this.log.error(Le(err2));
+          this.log.error(Ne(err2));
         });
       } else {
         this.startWebSocketWorker();
@@ -74708,47 +74716,65 @@ var _App = class _App {
     });
     this.log.info("Medplum service started successfully");
   }
-  async maybeFinalizeUpgrade() {
-    if ((0, import_node_fs4.existsSync)(UPGRADE_MANIFEST_PATH)) {
-      const upgradeFile = (0, import_node_fs4.readFileSync)(UPGRADE_MANIFEST_PATH, { encoding: "utf-8" });
-      const upgradeDetails = JSON.parse(upgradeFile);
-      if (fn.startsWith(upgradeDetails.targetVersion)) {
-        await this.sendToWebSocket({
-          type: "agent:upgrade:response",
-          statusCode: 200,
-          callback: upgradeDetails.callback ?? void 0
-        });
-        this.log.info(`Successfully upgraded to version ${upgradeDetails.targetVersion}`);
-      } else {
-        const errMsg = `Failed to upgrade to version ${upgradeDetails.targetVersion}. Agent still running with version ${fn}`;
-        await this.sendToWebSocket({
-          type: "agent:error",
-          body: errMsg,
-          callback: upgradeDetails.callback ?? void 0
-        });
-        this.log.error(errMsg);
-      }
-      (0, import_node_fs4.unlinkSync)(UPGRADE_MANIFEST_PATH);
-      await this.tryToCreateAgentPidFile();
-      await waitForPidFile("medplum-upgrading-agent");
-      removePidFile("medplum-upgrading-agent");
+  /**
+   * Reads and deletes the upgrade manifest if one is present.
+   *
+   * Deleting the manifest is intentionally decoupled from {@link App.maybeFinalizeUpgrade}: removing
+   * the file is the signal the installer waits on before stopping the previous agent (which frees the
+   * ports the new agent is binding to), so it must happen BEFORE we await the channel binds. Reporting
+   * upgrade status and taking over the agent PID file happen afterwards in {@link App.maybeFinalizeUpgrade}.
+   *
+   * @returns The parsed manifest, or undefined if no upgrade is in progress.
+   */
+  consumeUpgradeManifest() {
+    if (!(0, import_node_fs4.existsSync)(UPGRADE_MANIFEST_PATH)) {
+      return void 0;
+    }
+    const upgradeFile = (0, import_node_fs4.readFileSync)(UPGRADE_MANIFEST_PATH, { encoding: "utf-8" });
+    const upgradeDetails = JSON.parse(upgradeFile);
+    (0, import_node_fs4.unlinkSync)(UPGRADE_MANIFEST_PATH);
+    return upgradeDetails;
+  }
+  async maybeFinalizeUpgrade(upgradeDetails) {
+    if (!upgradeDetails) {
+      return;
+    }
+    if (fn.startsWith(upgradeDetails.targetVersion)) {
+      await this.sendToWebSocket({
+        type: "agent:upgrade:response",
+        statusCode: 200,
+        callback: upgradeDetails.callback ?? void 0
+      });
+      this.log.info(`Successfully upgraded to version ${upgradeDetails.targetVersion}`);
+    } else {
+      const errMsg = `Failed to upgrade to version ${upgradeDetails.targetVersion}. Agent still running with version ${fn}`;
+      await this.sendToWebSocket({
+        type: "agent:error",
+        body: errMsg,
+        callback: upgradeDetails.callback ?? void 0
+      });
+      this.log.error(errMsg);
     }
+    await this.tryToCreateAgentPidFile();
+    await waitForPidFile("medplum-upgrading-agent");
+    removePidFile("medplum-upgrading-agent");
   }
   async tryToCreateAgentPidFile() {
-    const maxAttempts = 1e3;
+    const maxAttempts = 1e4;
     let attempt = 0;
     let success = false;
     while (!success) {
       try {
         createPidFile("medplum-agent");
         success = true;
+        this.isPrimary = true;
       } catch (_err) {
         this.log.info("Unable to create agent PID file, trying again...");
         attempt++;
         if (attempt === maxAttempts) {
           throw new Error("Too many unsuccessful attempts to create agent PID file");
         }
-        await Yr(500);
+        await Yr(50);
       }
     }
   }
@@ -74761,7 +74787,7 @@ var _App = class _App {
     if (!this.webSocket) {
       this.log.warn("WebSocket not connected");
       this.connectWebSocket().catch((err2) => {
-        this.log.error(Le(err2));
+        this.log.error(Ne(err2));
       });
       return;
     }
@@ -74830,6 +74856,10 @@ var _App = class _App {
           // @ts-expect-error - Deprecated message type
           case "transmit":
           case "agent:transmit:response": {
+            if (!this.isPrimary) {
+              this.log.debug("Ignoring transmit response while not primary");
+              break;
+            }
             if (!command.callback) {
               this.log.warn("Transmit response missing callback");
             }
@@ -74845,6 +74875,10 @@ var _App = class _App {
           // @ts-expect-error - Deprecated message type
           case "push":
           case "agent:transmit:request":
+            if (!this.isPrimary) {
+              this.log.debug("Ignoring transmit request while not primary");
+              break;
+            }
             if (this.config?.status !== "active") {
               this.sendAgentDisabledError(command);
             } else if (command.contentType === k.PING) {
@@ -74865,7 +74899,7 @@ var _App = class _App {
             } catch (err2) {
               await this.sendToWebSocket({
                 type: "agent:error",
-                body: Le(err2),
+                body: Ne(err2),
                 callback: command.callback
               });
             }
@@ -74893,7 +74927,7 @@ var _App = class _App {
           }
         }
       } catch (err2) {
-        const errMsg = `WebSocket error on incoming message: ${Le(err2)}`;
+        const errMsg = `WebSocket error on incoming message: ${Ne(err2)}`;
         this.log.error(errMsg);
         try {
           await this.sendToWebSocket({
@@ -74902,7 +74936,7 @@ var _App = class _App {
             callback: command?.callback
           });
         } catch (sendErr) {
-          this.log.error(`Failed to send agent:error response: ${Le(sendErr)}`);
+          this.log.error(`Failed to send agent:error response: ${Ne(sendErr)}`);
         }
       }
     });
@@ -74915,6 +74949,21 @@ var _App = class _App {
     });
   }
   async reloadConfig() {
+    const { listenersStarted } = await this.beginReloadConfig();
+    await listenersStarted;
+  }
+  /**
+   * Reloads the agent config and begins (re)starting channel listeners, resolving as soon as the
+   * listeners have been *kicked off* -- it does NOT wait for them to finish binding to their ports.
+   * The returned `listenersStarted` promise resolves once all listeners have bound, or rejects with
+   * the aggregated bind errors.
+   *
+   * This split exists for the zero-downtime upgrade flow; see {@link App.start} and
+   * {@link App.consumeUpgradeManifest} for why binding must be deferred past manifest deletion.
+   *
+   * @returns An object whose `listenersStarted` promise resolves once all channel listeners have bound.
+   */
+  async beginReloadConfig() {
     const agent = await this.medplum.readResource("Agent", this.agentId, { cache: "no-cache" });
     const keepAlive = agent?.setting?.find((setting) => setting.name === "keepAlive")?.valueBoolean;
     const maxClientsPerRemote = agent?.setting?.find((setting) => setting.name === "maxClientsPerRemote")?.valueInteger;
@@ -74923,7 +74972,7 @@ var _App = class _App {
       const results = await Promise.allSettled(Array.from(this.hl7Clients.values()).map((pool) => pool.closeAll()));
       for (const result of results) {
         if (result.status === "rejected") {
-          this.log.error(Le(result.reason));
+          this.log.error(Ne(result.reason));
         }
       }
       this.hl7Clients.clear();
@@ -74949,7 +74998,8 @@ var _App = class _App {
       this.log.info(`Stats logging enabled. Logging stats every ${this.logStatsFreqSecs} seconds...`);
       this.logStatsTimer ??= setInterval(() => this.logStats(), this.logStatsFreqSecs * 1e3);
     }
-    await this.hydrateListeners();
+    const startPromises = await this.hydrateListeners();
+    return { listenersStarted: this.waitForChannelsToStart(startPromises) };
   }
   getStats() {
     const stats = getCurrentStats();
@@ -74984,7 +75034,13 @@ var _App = class _App {
     this.log.info("Agent stats", { stats: this.getStats() });
   }
   /**
-   * This method should only be called by {@link App.reloadConfig}
+   * This method should only be called by {@link App.beginReloadConfig}.
+   *
+   * Channel listener start promises are returned rather than awaited here, so the caller can delete
+   * the upgrade manifest before waiting for the listeners to bind. See {@link App.start} for the
+   * zero-downtime upgrade rationale.
+   *
+   * @returns The channel listener start promises for the caller to await.
    */
   async hydrateListeners() {
     const config = this.config;
@@ -75024,6 +75080,7 @@ var _App = class _App {
       this.channels.delete(leftover);
     }
     const errors = [];
+    const startPromises = [];
     for (let i = 0; i < filteredChannels.length; i++) {
       const definition = filteredChannels[i];
       const endpoint = filteredEndpoints[i];
@@ -75031,10 +75088,17 @@ var _App = class _App {
         this.log.warn(`Ignoring empty endpoint address: ${definition.name}`);
       }
       try {
-        await this.startOrReloadChannel(definition, endpoint);
+        const newChannel = await this.reloadOrCreateChannel(definition, endpoint);
+        if (newChannel) {
+          startPromises.push(
+            newChannel.start().then(() => {
+              this.channels.set(definition.name, newChannel);
+            })
+          );
+        }
       } catch (err2) {
         errors.push(err2);
-        this.log.error(Le(err2));
+        this.log.error(Ne(err2));
       }
     }
     if (errors.length) {
@@ -75052,12 +75116,48 @@ var _App = class _App {
             (err2) => ({
               severity: "error",
               code: "invalid",
-              details: { text: Le(err2) }
+              details: { text: Ne(err2) }
             })
           )
         ]
       });
     }
+    return startPromises;
+  }
+  /**
+   * Awaits the channel listener start promises returned by {@link App.hydrateListeners},
+   * aggregating any bind failures into a single error (mirroring {@link App.hydrateListeners}).
+   *
+   * @param startPromises - The channel listener start promises to await.
+   */
+  async waitForChannelsToStart(startPromises) {
+    const results = await Promise.allSettled(startPromises);
+    const errors = results.filter((result) => result.status === "rejected").map((result) => result.reason);
+    if (!errors.length) {
+      return;
+    }
+    for (const err2 of errors) {
+      this.log.error(Ne(err2));
+    }
+    throw new f({
+      resourceType: "OperationOutcome",
+      issue: [
+        {
+          severity: "error",
+          code: "invalid",
+          details: {
+            text: `${errors.length} error(s) occurred while starting channel listeners`
+          }
+        },
+        ...errors.map(
+          (err2) => ({
+            severity: "error",
+            code: "invalid",
+            details: { text: Ne(err2) }
+          })
+        )
+      ]
+    });
   }
   /**
    * Validates whether all endpoints are valid. Also ensures that there are no conflicting ports between any endpoints in the group.
@@ -75081,7 +75181,7 @@ var _App = class _App {
         parsedEndpoint = new URL(endpoint.address);
       } catch (err2) {
         throw new Error(
-          `Error while validating endpoint address for channel '${channel.name}': ${Le(err2)}`
+          `Error while validating endpoint address for channel '${channel.name}': ${Ne(err2)}`
         );
       }
       if (seenPorts.has(parsedEndpoint.port)) {
@@ -75094,28 +75194,37 @@ var _App = class _App {
       portToChannelMap.set(parsedEndpoint.port, [channel.name, endpoint.address]);
     }
   }
-  async startOrReloadChannel(definition, endpoint) {
+  /**
+   * Reloads the config of an existing channel, or creates a new (unstarted) one.
+   *
+   * Starting the new channel is intentionally left to the caller ({@link App.hydrateListeners}),
+   * which collects the unawaited `start()` promises so binding can be deferred past upgrade
+   * manifest deletion. See {@link App.start} for the zero-downtime upgrade rationale.
+   *
+   * @param definition - The channel definition from the agent config.
+   * @param endpoint - The endpoint for the channel.
+   * @returns The newly created channel for the caller to start, or `undefined` if no new channel
+   * was needed (config reload) or creating it failed.
+   */
+  async reloadOrCreateChannel(definition, endpoint) {
     const existingChannel = this.channels.get(definition.name);
     if (existingChannel) {
       const previousType = getChannelType(existingChannel.getEndpoint());
       const nextType = getChannelType(endpoint);
       if (previousType === nextType) {
         await existingChannel.reloadConfig(definition, endpoint);
-        return;
+        return void 0;
       }
       await existingChannel.stop();
       this.channels.delete(definition.name);
     }
-    let channel;
     try {
       const channelType = getChannelType(endpoint);
-      channel = this.createChannel(channelType, definition, endpoint);
+      return this.createChannel(channelType, definition, endpoint);
     } catch (err2) {
-      this.log.error(Le(err2));
-      return;
+      this.log.error(Ne(err2));
+      return void 0;
     }
-    await channel.start();
-    this.channels.set(definition.name, channel);
   }
   createChannel(channelType, definition, endpoint) {
     switch (channelType) {
@@ -75186,7 +75295,7 @@ var _App = class _App {
           try {
             await this.sendToWebSocket(msg);
           } catch (err2) {
-            this.log.error(`WebSocket error while attempting to send message: ${Le(err2)}`);
+            this.log.error(`WebSocket error while attempting to send message: ${Ne(err2)}`);
             this.webSocketQueue.unshift(msg);
             throw err2;
           }
@@ -75262,7 +75371,7 @@ ${result}`);
         body: result
       });
     } catch (err2) {
-      this.log.error(`Error during ping attempt to ${message.remote ?? "NO_HOST_GIVEN"}: ${Le(err2)}`);
+      this.log.error(`Error during ping attempt to ${message.remote ?? "NO_HOST_GIVEN"}: ${Ne(err2)}`);
       this.addToWebSocketQueue({
         type: "agent:transmit:response",
         channel: message.channel,
@@ -75270,7 +75379,7 @@ ${result}`);
         remote: message.remote,
         callback: message.callback,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
     }
   }
@@ -75298,7 +75407,7 @@ ${result}`);
       return;
     }
     let child;
-    if (message.version && !await Hg("agent-upgrader", message.version)) {
+    if (message.version && !await Gg("agent-upgrader", message.version)) {
       const versionTag = message.version ? `v${message.version}` : "latest";
       const errMsg = `Error during upgrading to version '${versionTag}'. '${message.version}' is not a valid version`;
       this.log.error(errMsg);
@@ -75309,7 +75418,7 @@ ${result}`);
       });
       return;
     }
-    const targetVersion = message.version ?? await Gg("agent-upgrader");
+    const targetVersion = message.version ?? await Qg("agent-upgrader");
     if (fn.startsWith(targetVersion)) {
       if (!message?.force) {
         this.log.info(`Attempted to upgrade to version ${targetVersion}, but agent is already on that version`);
@@ -75347,7 +75456,7 @@ ${result}`);
       parseDownloadUrl(release, (0, import_node_os4.platform)());
     } catch (err2) {
       const versionTag = message.version ? `v${message.version}` : "latest";
-      const errMsg = `Error during upgrading to version '${versionTag}': ${Le(err2)}`;
+      const errMsg = `Error during upgrading to version '${versionTag}': ${Ne(err2)}`;
       this.log.error(errMsg);
       await this.sendToWebSocket({
         type: "agent:error",
@@ -75381,13 +75490,13 @@ ${result}`);
           }
         });
         child.on("error", (err2) => {
-          this.log.error(Le(err2));
+          this.log.error(Ne(err2));
           reject(err2);
         });
       });
     } catch (err2) {
       const versionTag = message.version ? `v${message.version}` : "latest";
-      const errMsg = `Error during upgrading to version '${versionTag}': ${Le(err2)}`;
+      const errMsg = `Error during upgrading to version '${versionTag}': ${Ne(err2)}`;
       this.log.error(errMsg);
       await this.sendToWebSocket({
         type: "agent:error",
@@ -75411,7 +75520,7 @@ ${result}`);
       child.disconnect();
     } catch (err2) {
       this.log.error(
-        `Error while stopping agent or messaging child process as part of upgrade: ${Le(err2)}`
+        `Error while stopping agent or messaging child process as part of upgrade: ${Ne(err2)}`
       );
       import_node_process2.default.exit(1);
     }
@@ -75425,10 +75534,10 @@ ${result}`);
         callback: command.callback
       });
     } catch (err2) {
-      this.log.error(Le(err2));
+      this.log.error(Ne(err2));
       await this.sendToWebSocket({
         type: "agent:error",
-        body: Le(err2),
+        body: Ne(err2),
         callback: command.callback
       });
     }
@@ -75453,10 +75562,10 @@ ${result}`);
         callback: command.callback
       });
     } catch (err2) {
-      this.log.error(Le(err2));
+      this.log.error(Ne(err2));
       await this.sendToWebSocket({
         type: "agent:error",
-        body: Le(err2),
+        body: Ne(err2),
         callback: command.callback
       });
     }
@@ -75497,7 +75606,7 @@ ${result}`);
     try {
       msgReturnAck = this.parseReturnAck(message.returnAck);
     } catch (err2) {
-      this.log.error(Le(err2));
+      this.log.error(Ne(err2));
       this.addToWebSocketQueue({
         type: "agent:transmit:response",
         channel: message.channel,
@@ -75505,7 +75614,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       return;
     }
@@ -75513,9 +75622,9 @@ ${result}`);
     try {
       defaultReturnAck = this.parseReturnAck(address.searchParams.get("defaultReturnAck"));
     } catch (err2) {
-      this.log.warn(`${Le(err2)} - falling back to default return ACK behavior of 'first'.`);
+      this.log.warn(`${Ne(err2)} - falling back to default return ACK behavior of 'first'.`);
     }
-    const returnAck = msgReturnAck ?? defaultReturnAck ?? sf.FIRST;
+    const returnAck = msgReturnAck ?? defaultReturnAck ?? af.FIRST;
     let pool;
     if (this.hl7Clients.has(message.remote)) {
       pool = this.hl7Clients.get(message.remote);
@@ -75536,7 +75645,7 @@ ${result}`);
         encoding
       });
     }
-    const requestMsg = Eo.parse(message.body);
+    const requestMsg = Ro.parse(message.body);
     const msh10 = requestMsg.getSegment("MSH")?.getField(10);
     if (!msh10) {
       const errMsg = "MSH.10 is missing but required";
@@ -75558,7 +75667,7 @@ ${result}`);
     try {
       client = pool.getClient();
     } catch (err2) {
-      this.log.error(`Failed to get client from pool: ${Le(err2)}`);
+      this.log.error(`Failed to get client from pool: ${Ne(err2)}`);
       this.addToWebSocketQueue({
         type: "agent:transmit:response",
         channel: message.channel,
@@ -75566,7 +75675,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       return;
     }
@@ -75582,7 +75691,7 @@ ${result}`);
         body: response2.toString()
       });
     }).catch((err2) => {
-      this.log.error(`HL7 error: ${Le(err2)}`);
+      this.log.error(`HL7 error: ${Ne(err2)}`);
       this.addToWebSocketQueue({
         type: "agent:transmit:response",
         channel: message.channel,
@@ -75590,7 +75699,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       forceClose = true;
     }).finally(() => {
@@ -75618,10 +75727,10 @@ ${result}`);
     }
     const normalizedValue = rawValue.toLowerCase();
     if (normalizedValue === "application") {
-      return sf.APPLICATION;
+      return af.APPLICATION;
     }
     if (normalizedValue === "first") {
-      return sf.FIRST;
+      return af.FIRST;
     }
     throw new Error(`Invalid value for returnAck; expected: 'first' or 'application', received: ${rawValue}`);
   }
@@ -75669,7 +75778,7 @@ async function agentMain(argv) {
       await medplum.startClientLogin(clientId, clientSecret);
       loggedIn = true;
     } catch (err2) {
-      console.error("Failed to login", { err: Le(err2) });
+      console.error("Failed to login", { err: Ne(err2) });
       console.log("Retrying login in 10 seconds...");
       await Yr(RETRY_WAIT_DURATION_MS);
     }
@@ -75684,7 +75793,7 @@ async function agentMain(argv) {
   for (const warning of warnings) {
     mainLogger.warn(warning);
   }
-  const app = new App(medplum, agentId, args.logLevel ? zh(args.logLevel) : void 0, {
+  const app = new App(medplum, agentId, args.logLevel ? Jh(args.logLevel) : void 0, {
     mainLogger,
     channelLogger
   });
@@ -75716,7 +75825,7 @@ async function upgraderMain(argv) {
   if ((0, import_node_os5.platform)() !== "win32") {
     throw new Error(`Unsupported platform: ${(0, import_node_os5.platform)()}. Agent upgrader currently only supports Windows`);
   }
-  const globalLogger = new Co((msg) => console.log(msg));
+  const globalLogger = new Po((msg) => console.log(msg));
   if (!import_node_process3.default.send) {
     globalLogger.error("Upgrader not started as a child process with Node IPC enabled. Aborting...");
     import_node_process3.default.exit(1);
@@ -75733,7 +75842,7 @@ async function upgraderMain(argv) {
     if (argv[3] && !Ru(argv[3])) {
       throw new Error("Invalid version specified");
     }
-    version = argv[3] ?? await Gg("agent-upgrader");
+    version = argv[3] ?? await Qg("agent-upgrader");
     binPath = getReleaseBinPath(version);
     if (!(0, import_node_fs6.existsSync)(binPath)) {
       globalLogger.info(`Could not find binary at "${binPath}". Downloading release from GitHub...`);
@@ -75741,7 +75850,7 @@ async function upgraderMain(argv) {
       globalLogger.info("Release successfully downloaded");
     }
   } catch (err2) {
-    import_node_process3.default.send({ type: "ERROR", err: Le(err2) });
+    import_node_process3.default.send({ type: "ERROR", err: Ne(err2) });
     throw err2;
   }
   import_node_process3.default.send({ type: "STARTED" });
@@ -75762,7 +75871,7 @@ async function upgraderMain(argv) {
     (0, import_node_child_process2.spawnSync)(`"${binPath}" /S`, { windowsHide: true, shell: true });
     globalLogger.info(`Agent version ${version} successfully installed`);
   } catch (err2) {
-    globalLogger.error(`Error while attempting to run installer: ${Le(err2)}`);
+    globalLogger.error(`Error while attempting to run installer: ${Ne(err2)}`);
     globalLogger.error("Failed to run installer, attempting to restart agent service...");
     try {
       (0, import_node_child_process2.execSync)('net start "Medplum Agent"');
@@ -75812,10 +75921,10 @@ ${allAgentServices.join("\r\n")}\r
       } catch (err2) {
         (0, import_node_fs7.appendFileSync)(logFileFd, `Failed to stop service: ${serviceName}\r
 `, { encoding: "utf-8" });
-        (0, import_node_fs7.appendFileSync)(logFileFd, `${Le(err2)}\r
+        (0, import_node_fs7.appendFileSync)(logFileFd, `${Ne(err2)}\r
 `, { encoding: "utf-8" });
         console.error(`Failed to stop service: ${serviceName}`);
-        console.error(Le(err2));
+        console.error(Ne(err2));
       }
       try {
         (0, import_node_child_process3.execSync)(`sc.exe delete ${serviceName}`);
@@ -75825,10 +75934,10 @@ ${allAgentServices.join("\r\n")}\r
       } catch (err2) {
         (0, import_node_fs7.appendFileSync)(logFileFd, `Failed to delete service: ${serviceName}\r
 `, { encoding: "utf-8" });
-        (0, import_node_fs7.appendFileSync)(logFileFd, `${Le(err2)}\r
+        (0, import_node_fs7.appendFileSync)(logFileFd, `${Ne(err2)}\r
 `, { encoding: "utf-8" });
         console.error(`Failed to delete service: ${serviceName}`);
-        console.error(Le(err2));
+        console.error(Ne(err2));
       }
     }
     (0, import_node_fs7.closeSync)(logFileFd);