@medplum/agent 5.1.14 → 5.1.16

package/dist/cjs/index.cjs

@@ -3997,6 +3997,18 @@ var require_semver = __commonJS({
     var { safeRe: re2, t } = require_re();
     var parseOptions = require_parse_options();
     var { compareIdentifiers } = require_identifiers();
+    var isPrereleaseIdentifier = (prerelease, identifier) => {
+      const identifiers = identifier.split(".");
+      if (identifiers.length > prerelease.length) {
+        return false;
+      }
+      for (let i = 0; i < identifiers.length; i++) {
+        if (compareIdentifiers(prerelease[i], identifiers[i]) !== 0) {
+          return false;
+        }
+      }
+      return true;
+    };
     var SemVer = class _SemVer {
       constructor(version, options) {
         options = parseOptions(options);
@@ -4243,8 +4255,9 @@ var require_semver = __commonJS({
               if (identifierBase === false) {
                 prerelease = [identifier];
               }
-              if (compareIdentifiers(this.prerelease[0], identifier) === 0) {
-                if (isNaN(this.prerelease[1])) {
+              if (isPrereleaseIdentifier(this.prerelease, identifier)) {
+                const prereleaseBase = this.prerelease[identifier.split(".").length];
+                if (isNaN(prereleaseBase)) {
                   this.prerelease = prerelease;
                 }
               } else {
@@ -4803,8 +4816,8 @@ var require_range = __commonJS({
           return cached;
         }
         const loose = this.options.loose;
-        const hr = loose ? re2[t.HYPHENRANGELOOSE] : re2[t.HYPHENRANGE];
-        range = range.replace(hr, hyphenReplace(this.options.includePrerelease));
+        const hr2 = loose ? re2[t.HYPHENRANGELOOSE] : re2[t.HYPHENRANGE];
+        range = range.replace(hr2, hyphenReplace(this.options.includePrerelease));
         debug("hyphen replace", range);
         range = range.replace(re2[t.COMPARATORTRIM], comparatorTrimReplace);
         debug("comparator trim", range);
@@ -8946,7 +8959,7 @@ 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 +8968,65 @@ 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 +9402,12 @@ 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 +9416,12 @@ 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 +9429,15 @@ 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;
@@ -10653,11 +10666,11 @@ var require_dcmjs = __commonJS({
           Promise.resolve(value).then(_next, _throw);
         }
       }
-      function _asyncToGenerator2(fn2) {
+      function _asyncToGenerator2(fn) {
         return function() {
           var self2 = this, args = arguments;
           return new Promise(function(resolve2, reject) {
-            var gen = fn2.apply(self2, args);
+            var gen = fn.apply(self2, args);
             function _next(value) {
               asyncGeneratorStep2(gen, resolve2, reject, _next, _throw, "next", value);
             }
@@ -10733,11 +10746,11 @@ var require_dcmjs = __commonJS({
         };
         return _setPrototypeOf2(o2, p2);
       }
-      function _isNativeFunction(fn2) {
+      function _isNativeFunction(fn) {
         try {
-          return Function.toString.call(fn2).indexOf("[native code]") !== -1;
+          return Function.toString.call(fn).indexOf("[native code]") !== -1;
         } catch (e) {
-          return typeof fn2 === "function";
+          return typeof fn === "function";
         }
       }
       function _wrapNativeSuper(Class) {
@@ -15772,9 +15785,9 @@ var require_dcmjs = __commonJS({
         }, {
           key: "readVR",
           value: function readVR() {
-            var vr = String.fromCharCode(this.view.getUint8(this.offset)) + String.fromCharCode(this.view.getUint8(this.offset + 1));
+            var vr2 = String.fromCharCode(this.view.getUint8(this.offset)) + String.fromCharCode(this.view.getUint8(this.offset + 1));
             this.increment(2);
-            return vr;
+            return vr2;
           }
         }, {
           key: "readEncodedString",
@@ -16785,20 +16798,20 @@ var require_dcmjs = __commonJS({
         }, {
           key: "createByTypeString",
           value: function createByTypeString(type) {
-            var vr = VRinstances2[type];
-            if (vr === void 0) {
+            var vr2 = VRinstances2[type];
+            if (vr2 === void 0) {
               if (type == "ox") {
                 validationLog2.error("Invalid vr type", type, "- using OW");
-                vr = VRinstances2["OW"];
+                vr2 = VRinstances2["OW"];
               } else if (type == "xs") {
                 validationLog2.error("Invalid vr type", type, "- using US");
-                vr = VRinstances2["US"];
+                vr2 = VRinstances2["US"];
               } else {
                 validationLog2.error("Invalid vr type", type, "- using UN");
-                vr = VRinstances2["UN"];
+                vr2 = VRinstances2["UN"];
               }
             }
-            return vr;
+            return vr2;
           }
         }, {
           key: "parseUnknownVr",
@@ -17324,8 +17337,8 @@ 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);
           }
@@ -17884,10 +17897,10 @@ var require_dcmjs = __commonJS({
       })(BinaryRepresentation2);
       var ParsedUnknownValue2 = /* @__PURE__ */ (function(_BinaryRepresentation2) {
         _inherits2(ParsedUnknownValue3, _BinaryRepresentation2);
-        function ParsedUnknownValue3(vr) {
+        function ParsedUnknownValue3(vr2) {
           var _this28;
           _classCallCheck2(this, ParsedUnknownValue3);
-          _this28 = _callSuper2(this, ParsedUnknownValue3, [vr]);
+          _this28 = _callSuper2(this, ParsedUnknownValue3, [vr2]);
           _this28.maxLength = null;
           _this28.padByte = 0;
           _this28.noMultiple = true;
@@ -17902,13 +17915,13 @@ var require_dcmjs = __commonJS({
           value: function read(stream, length3, syntax, readOptions) {
             var arrayBuffer = this.readBytes(stream, length3, syntax)[0];
             var streamFromBuffer = new ReadBufferStream2(arrayBuffer, true);
-            var vr = ValueRepresentation2.createByTypeString(this.type);
-            if (vr.isBinary() && length3 > vr.maxLength && !vr.noMultiple) {
+            var vr2 = ValueRepresentation2.createByTypeString(this.type);
+            if (vr2.isBinary() && length3 > vr2.maxLength && !vr2.noMultiple) {
               var values = [];
               var rawValues = [];
-              var times = length3 / vr.maxLength, i = 0;
+              var times = length3 / vr2.maxLength, i = 0;
               while (i++ < times) {
-                var _vr$read = vr.read(streamFromBuffer, vr.maxLength, syntax, readOptions), rawValue = _vr$read.rawValue, value = _vr$read.value;
+                var _vr$read = vr2.read(streamFromBuffer, vr2.maxLength, syntax, readOptions), rawValue = _vr$read.rawValue, value = _vr$read.value;
                 rawValues.push(rawValue);
                 values.push(value);
               }
@@ -17917,7 +17930,7 @@ var require_dcmjs = __commonJS({
                 value: values
               };
             } else {
-              return vr.read(streamFromBuffer, length3, syntax, readOptions);
+              return vr2.read(streamFromBuffer, length3, syntax, readOptions);
             }
           }
         }]);
@@ -18017,12 +18030,12 @@ var require_dcmjs = __commonJS({
         }
         _createClass2(DicomDict3, [{
           key: "upsertTag",
-          value: function upsertTag(tag, vr, values) {
+          value: function upsertTag(tag, vr2, values) {
             if (this.dict[tag]) {
               this.dict[tag].Value = values;
             } else {
               this.dict[tag] = ValueRepresentation2.addTagAccessors({
-                vr
+                vr: vr2
               });
               this.dict[tag].Value = values;
             }
@@ -18637,13 +18650,13 @@ var require_dcmjs = __commonJS({
         var end = gi2 + 1 < groupStart.length ? groupStart[gi2 + 1] : elems.length;
         var ei2 = _binSearchU162(elems, start, end, elem);
         if (ei2 < 0) return void 0;
-        var vr = vrTable$12[vrCode[ei2]];
+        var vr2 = vrTable$12[vrCode[ei2]];
         var vm = vmTable$12[vmCode[ei2]];
         var off = nameOff[ei2];
         var len3 = nameLen[ei2];
         var name = nameBlob$12.slice(off, off + len3);
         return {
-          vr,
+          vr: vr2,
           vm,
           name
         };
@@ -18680,14 +18693,14 @@ var require_dcmjs = __commonJS({
             var elem = elems[ei2];
             var eHex = _pad42(elem.toString(16).toUpperCase());
             var tag = "(" + gHex + "," + eHex + ")";
-            var vr = vrTable$12[vrCode[ei2]];
+            var vr2 = vrTable$12[vrCode[ei2]];
             var vm = vmTable$12[vmCode[ei2]];
             var off = nameOff[ei2];
             var len3 = nameLen[ei2];
             var name = nameBlob$12.slice(off, off + len3);
             out.push({
               tag,
-              vr,
+              vr: vr2,
               vm,
               name
             });
@@ -19011,9 +19024,9 @@ var require_dcmjs = __commonJS({
                 if (dataValue === void 0) {
                   return;
                 }
-                var vr = dataset._vrMap && dataset._vrMap[naturalName] ? dataset._vrMap[naturalName] : entry.vr;
+                var vr2 = dataset._vrMap && dataset._vrMap[naturalName] ? dataset._vrMap[naturalName] : entry.vr;
                 var dataItem = ValueRepresentation2.addTagAccessors({
-                  vr
+                  vr: vr2
                 });
                 dataItem.Value = dataset[naturalName];
                 if (dataValue !== null) {
@@ -19219,7 +19232,7 @@ var require_dcmjs = __commonJS({
           }
         }, {
           key: "is",
-          value: function is2(t) {
+          value: function is(t) {
             return this.value == t;
           }
           /**
@@ -19267,7 +19280,7 @@ var require_dcmjs = __commonJS({
         }, {
           key: "write",
           value: function write(stream, vrType, values, syntax, writeOptions) {
-            var vr = ValueRepresentation2.createByTypeString(vrType);
+            var vr2 = ValueRepresentation2.createByTypeString(vrType);
             var useSyntax = DicomMessage$12._normalizeSyntax(syntax);
             var implicit = useSyntax === IMPLICIT_LITTLE_ENDIAN2;
             var isLittleEndian = useSyntax === IMPLICIT_LITTLE_ENDIAN2 || useSyntax === EXPLICIT_LITTLE_ENDIAN$12;
@@ -19279,11 +19292,11 @@ var require_dcmjs = __commonJS({
             var tagStream = new WriteBufferStream2(256), valueLength;
             tagStream.setEndian(isLittleEndian);
             if (vrType == "OW" || vrType == "OB" || vrType == "UN") {
-              valueLength = vr.writeBytes(tagStream, values, useSyntax, isEncapsulated, writeOptions);
+              valueLength = vr2.writeBytes(tagStream, values, useSyntax, isEncapsulated, writeOptions);
             } else if (vrType == "SQ") {
-              valueLength = vr.writeBytes(tagStream, values, useSyntax, writeOptions);
+              valueLength = vr2.writeBytes(tagStream, values, useSyntax, writeOptions);
             } else {
-              valueLength = vr.writeBytes(tagStream, values, writeOptions);
+              valueLength = vr2.writeBytes(tagStream, values, writeOptions);
             }
             if (vrType == "SQ") {
               valueLength = UNDEFINED_LENGTH2;
@@ -19293,14 +19306,14 @@ var require_dcmjs = __commonJS({
               stream.writeUint32(valueLength);
               written += 4;
             } else {
-              var isBig16Length = !vr.isLength32() && valueLength >= 65536 && valueLength !== UNDEFINED_LENGTH2;
-              if (vr.isLength32() || isBig16Length) {
-                stream.writeAsciiString(isBig16Length ? "UN" : vr.type);
+              var isBig16Length = !vr2.isLength32() && valueLength >= 65536 && valueLength !== UNDEFINED_LENGTH2;
+              if (vr2.isLength32() || isBig16Length) {
+                stream.writeAsciiString(isBig16Length ? "UN" : vr2.type);
                 stream.writeUint16(0);
                 stream.writeUint32(valueLength);
                 written += 8;
               } else {
-                stream.writeAsciiString(vr.type);
+                stream.writeAsciiString(vr2.type);
                 stream.writeUint16(valueLength);
                 written += 4;
               }
@@ -19535,9 +19548,9 @@ var require_dcmjs = __commonJS({
           }
         }, {
           key: "writeTagObject",
-          value: function writeTagObject(stream, tagString, vr, values, syntax, writeOptions) {
+          value: function writeTagObject(stream, tagString, vr2, values, syntax, writeOptions) {
             var tag = Tag2.fromString(tagString);
-            tag.write(stream, vr, values, syntax, writeOptions);
+            tag.write(stream, vr2, values, syntax, writeOptions);
           }
         }, {
           key: "write",
@@ -19557,14 +19570,14 @@ var require_dcmjs = __commonJS({
             if (!tagObject._rawValue) {
               return tagObject.Value;
             }
-            var vr = ValueRepresentation2.createByTypeString(vrType);
+            var vr2 = ValueRepresentation2.createByTypeString(vrType);
             var originalValue;
             if (Array.isArray(tagObject._rawValue)) {
               originalValue = tagObject._rawValue.map(function(val) {
-                return vr.applyFormatting(val);
+                return vr2.applyFormatting(val);
               });
             } else {
-              originalValue = vr.applyFormatting(tagObject._rawValue);
+              originalValue = vr2.applyFormatting(tagObject._rawValue);
             }
             if (deepEqual2(tagObject.Value, originalValue)) {
               return tagObject._rawValue;
@@ -19593,7 +19606,7 @@ var require_dcmjs = __commonJS({
                 };
               }
             }
-            var length3 = null, vr = null, vrType;
+            var length3 = null, vr2 = null, vrType;
             if (implicit) {
               length3 = stream.readUint32();
               var elementData = DicomMessage3.lookupTag(tag);
@@ -19612,16 +19625,16 @@ var require_dcmjs = __commonJS({
                   vrType = "UN";
                 }
               }
-              vr = ValueRepresentation2.createByTypeString(vrType);
+              vr2 = ValueRepresentation2.createByTypeString(vrType);
             } else {
               vrType = stream.readVR();
               if (vrType === "UN" && DicomMessage3.lookupTag(tag) && DicomMessage3.lookupTag(tag).vr) {
                 vrType = DicomMessage3.lookupTag(tag).vr;
-                vr = ValueRepresentation2.parseUnknownVr(vrType);
+                vr2 = ValueRepresentation2.parseUnknownVr(vrType);
               } else {
-                vr = ValueRepresentation2.createByTypeString(vrType);
+                vr2 = ValueRepresentation2.createByTypeString(vrType);
               }
-              if (vr.isLength32()) {
+              if (vr2.isLength32()) {
                 stream.increment(2);
                 length3 = stream.readUint32();
               } else {
@@ -19630,27 +19643,27 @@ var require_dcmjs = __commonJS({
             }
             var values = [];
             var rawValues = [];
-            if (vr.isBinary() && length3 > vr.maxLength && !vr.noMultiple) {
-              var times = length3 / vr.maxLength, i = 0;
+            if (vr2.isBinary() && length3 > vr2.maxLength && !vr2.noMultiple) {
+              var times = length3 / vr2.maxLength, i = 0;
               while (i++ < times) {
-                var _vr$read = vr.read(stream, vr.maxLength, syntax, options), rawValue = _vr$read.rawValue, value = _vr$read.value;
+                var _vr$read = vr2.read(stream, vr2.maxLength, syntax, options), rawValue = _vr$read.rawValue, value = _vr$read.value;
                 rawValues.push(rawValue);
                 values.push(value);
               }
             } else {
-              var _ref = vr.read(stream, length3, syntax, options) || {}, _rawValue = _ref.rawValue, _value2 = _ref.value;
-              if (!vr.isBinary() && singleVRs2.indexOf(vr.type) == -1) {
+              var _ref = vr2.read(stream, length3, syntax, options) || {}, _rawValue = _ref.rawValue, _value2 = _ref.value;
+              if (!vr2.isBinary() && singleVRs2.indexOf(vr2.type) == -1) {
                 rawValues = _rawValue;
                 values = _value2;
                 if (typeof _value2 === "string") {
                   var delimiterChar = String.fromCharCode(VM_DELIMITER2);
-                  rawValues = vr.dropPadByte(_rawValue.split(delimiterChar));
-                  values = vr.dropPadByte(_value2.split(delimiterChar));
+                  rawValues = vr2.dropPadByte(_rawValue.split(delimiterChar));
+                  values = vr2.dropPadByte(_value2.split(delimiterChar));
                 }
-              } else if (vr.type == "SQ") {
+              } else if (vr2.type == "SQ") {
                 rawValues = _rawValue;
                 values = _value2;
-              } else if (vr.type == "OW" || vr.type == "OB") {
+              } else if (vr2.type == "OW" || vr2.type == "OB") {
                 rawValues = _rawValue;
                 values = _value2;
               } else {
@@ -19661,7 +19674,7 @@ var require_dcmjs = __commonJS({
             stream.setEndian(oldEndian);
             var retObj = ValueRepresentation2.addTagAccessors({
               tag,
-              vr
+              vr: vr2
             });
             retObj.values = values;
             retObj.rawValues = rawValues;
@@ -19732,13 +19745,13 @@ var require_dcmjs = __commonJS({
           if (keyStr < candidate) hi2 = mid - 1;
           else if (keyStr > candidate) lo = mid + 1;
           else {
-            var vr = vrTable2[vrCode[mid]];
+            var vr2 = vrTable2[vrCode[mid]];
             var vm = vmTable2[vmCode[mid]];
             var off = nameOff[mid];
             var nlen = nameLen[mid];
             var name = nameBlob2.slice(off, off + nlen);
             return {
-              vr,
+              vr: vr2,
               vm,
               name
             };
@@ -20084,8 +20097,8 @@ var require_dcmjs = __commonJS({
              *
              * @param {(() => Promise<void>) | null} fn - Function that returns a Promise, or null to clear
              */
-            function setDrain(fn2) {
-              this._drain = typeof fn2 === "function" ? fn2 : null;
+            function setDrain(fn) {
+              this._drain = typeof fn === "function" ? fn : null;
             }
           )
           /**
@@ -21078,8 +21091,8 @@ var require_dcmjs = __commonJS({
         }, {
           key: "isSequence",
           value: function isSequence(tagInfo) {
-            var vr = tagInfo.vr, length3 = tagInfo.length;
-            return vr === "SQ" || vr === "UN" && length3 === UNDEFINED_LENGTH_FIX2;
+            var vr2 = tagInfo.vr, length3 = tagInfo.length;
+            return vr2 === "SQ" || vr2 === "UN" && length3 === UNDEFINED_LENGTH_FIX2;
           }
           /**
            * Reads a tag header.
@@ -21110,12 +21123,12 @@ var require_dcmjs = __commonJS({
               }
             }
             var length3 = null;
-            var vr = null;
+            var vr2 = null;
             var vrType;
             var isCommand = tagObj.group() === 0;
             if (tagObj.isInstruction()) {
               length3 = stream.readUint32();
-              vr = ValueRepresentation2.createByTypeString("UN");
+              vr2 = ValueRepresentation2.createByTypeString("UN");
             } else if (implicit && !isCommand) {
               length3 = stream.readUint32();
               var elementData = DicomMessage2.lookupTag(tagObj);
@@ -21136,17 +21149,17 @@ var require_dcmjs = __commonJS({
                   vrType = "UN";
                 }
               }
-              vr = ValueRepresentation2.createByTypeString(vrType);
+              vr2 = ValueRepresentation2.createByTypeString(vrType);
             } else {
               var _DicomMessage$lookupT;
               vrType = stream.readVR();
               if (vrType === "UN" && (_DicomMessage$lookupT = DicomMessage2.lookupTag(tagObj)) !== null && _DicomMessage$lookupT !== void 0 && _DicomMessage$lookupT.vr) {
                 vrType = DicomMessage2.lookupTag(tagObj).vr;
-                vr = ValueRepresentation2.parseUnknownVr(vrType);
+                vr2 = ValueRepresentation2.parseUnknownVr(vrType);
               } else {
-                vr = ValueRepresentation2.createByTypeString(vrType);
+                vr2 = ValueRepresentation2.createByTypeString(vrType);
               }
-              if (vr.isLength32()) {
+              if (vr2.isLength32()) {
                 stream.increment(2);
                 length3 = stream.readUint32();
               } else {
@@ -21156,8 +21169,8 @@ var require_dcmjs = __commonJS({
             var punctuatedTag = DicomMetaDictionary2.punctuateTag(tag);
             var entry = DicomMetaDictionary2.dictionary[punctuatedTag];
             var header = {
-              vrObj: vr,
-              vr: vr.type,
+              vrObj: vr2,
+              vr: vr2.type,
               tag,
               tagObj,
               vm: entry === null || entry === void 0 ? void 0 : entry.vm,
@@ -21176,7 +21189,7 @@ var require_dcmjs = __commonJS({
           key: "readSingle",
           value: (function() {
             var _readSingle = _asyncToGenerator2(/* @__PURE__ */ _regeneratorRuntime2().mark(function _callee11(tagInfo, listener, options) {
-              var length3, stream, syntax, vr, values, times, i, _vr$read, value, _vr$read2, _value2, delimiterChar, _values, _values2, coding2;
+              var length3, stream, syntax, vr2, values, times, i, _vr$read, value, _vr$read2, _value2, delimiterChar, _values, _values2, coding2;
               return _regeneratorRuntime2().wrap(function _callee11$(_context11) {
                 while (1) switch (_context11.prev = _context11.next) {
                   case 0:
@@ -21185,25 +21198,25 @@ var require_dcmjs = __commonJS({
                     _context11.next = 4;
                     return this.stream.ensureAvailable(length3);
                   case 4:
-                    vr = ValueRepresentation2.createByTypeString(tagInfo.vr);
+                    vr2 = ValueRepresentation2.createByTypeString(tagInfo.vr);
                     values = [];
-                    if (vr.isBinary() && length3 > vr.maxLength && !vr.noMultiple) {
-                      times = length3 / vr.maxLength;
+                    if (vr2.isBinary() && length3 > vr2.maxLength && !vr2.noMultiple) {
+                      times = length3 / vr2.maxLength;
                       i = 0;
                       while (i++ < times) {
                         readLog2.trace("readSingle multi-value loop", i, times);
-                        _vr$read = vr.read(stream, vr.maxLength, syntax), value = _vr$read.value;
+                        _vr$read = vr2.read(stream, vr2.maxLength, syntax), value = _vr$read.value;
                         values.push(value);
                       }
                     } else {
-                      _value2 = (_vr$read2 = vr.read(stream, length3, syntax)) === null || _vr$read2 === void 0 ? void 0 : _vr$read2.value;
-                      if (!vr.isBinary() && singleVRs2.indexOf(vr.type) == -1) {
+                      _value2 = (_vr$read2 = vr2.read(stream, length3, syntax)) === null || _vr$read2 === void 0 ? void 0 : _vr$read2.value;
+                      if (!vr2.isBinary() && singleVRs2.indexOf(vr2.type) == -1) {
                         values = _value2;
                         if (typeof _value2 === "string") {
                           delimiterChar = String.fromCharCode(VM_DELIMITER2);
-                          values = vr.dropPadByte(_value2.split(delimiterChar));
+                          values = vr2.dropPadByte(_value2.split(delimiterChar));
                         }
-                      } else if (vr.type == "OW" || vr.type == "OB") {
+                      } else if (vr2.type == "OW" || vr2.type == "OB") {
                         values = _value2;
                       } else {
                         Array.isArray(_value2) ? values = _value2 : values.push(_value2);
@@ -27232,7 +27245,7 @@ var require_dcmjs = __commonJS({
       var sqrLen2 = squaredLength2;
       var forEach2 = (function() {
         var vec = create2();
-        return function(a, stride, offset, count, fn2, arg) {
+        return function(a, stride, offset, count, fn, arg) {
           var i, l;
           if (!stride) {
             stride = 3;
@@ -27249,7 +27262,7 @@ var require_dcmjs = __commonJS({
             vec[0] = a[i];
             vec[1] = a[i + 1];
             vec[2] = a[i + 2];
-            fn2(vec, vec, arg);
+            fn(vec, vec, arg);
             a[i] = vec[0];
             a[i + 1] = vec[1];
             a[i + 2] = vec[2];
@@ -34541,11 +34554,11 @@ 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();
@@ -40693,11 +40706,11 @@ var require_from = __commonJS({
         Promise.resolve(value).then(_next, _throw);
       }
     }
-    function _asyncToGenerator2(fn2) {
+    function _asyncToGenerator2(fn) {
       return function() {
         var self2 = this, args = arguments;
         return new Promise(function(resolve2, reject) {
-          var gen = fn2.apply(self2, args);
+          var gen = fn.apply(self2, args);
           function _next(value) {
             asyncGeneratorStep2(gen, resolve2, reject, _next, _throw, "next", value);
           }
@@ -40840,11 +40853,11 @@ var require_stream_readable = __commonJS({
     require_inherits()(Readable2, Stream);
     var errorOrDestroy = destroyImpl.errorOrDestroy;
     var kProxyEvents = ["error", "close", "destroy", "pause", "resume"];
-    function prependListener(emitter, event, fn2) {
-      if (typeof emitter.prependListener === "function") return emitter.prependListener(event, fn2);
-      if (!emitter._events || !emitter._events[event]) emitter.on(event, fn2);
-      else if (Array.isArray(emitter._events[event])) emitter._events[event].unshift(fn2);
-      else emitter._events[event] = [fn2, emitter._events[event]];
+    function prependListener(emitter, event, fn) {
+      if (typeof emitter.prependListener === "function") return emitter.prependListener(event, fn);
+      if (!emitter._events || !emitter._events[event]) emitter.on(event, fn);
+      else if (Array.isArray(emitter._events[event])) emitter._events[event].unshift(fn);
+      else emitter._events[event] = [fn, emitter._events[event]];
     }
     function ReadableState(options, stream, isDuplex) {
       Duplex = Duplex || require_stream_duplex();
@@ -41292,8 +41305,8 @@ var require_stream_readable = __commonJS({
       dest.emit("unpipe", this, unpipeInfo);
       return this;
     };
-    Readable2.prototype.on = function(ev, fn2) {
-      var res = Stream.prototype.on.call(this, ev, fn2);
+    Readable2.prototype.on = function(ev, fn) {
+      var res = Stream.prototype.on.call(this, ev, fn);
       var state = this._readableState;
       if (ev === "data") {
         state.readableListening = this.listenerCount("readable") > 0;
@@ -41314,8 +41327,8 @@ var require_stream_readable = __commonJS({
       return res;
     };
     Readable2.prototype.addListener = Readable2.prototype.on;
-    Readable2.prototype.removeListener = function(ev, fn2) {
-      var res = Stream.prototype.removeListener.call(this, ev, fn2);
+    Readable2.prototype.removeListener = function(ev, fn) {
+      var res = Stream.prototype.removeListener.call(this, ev, fn);
       if (ev === "readable") {
         process.nextTick(updateReadableListening, this);
       }
@@ -42391,10 +42404,10 @@ var require_initialParams = __commonJS({
     Object.defineProperty(exports2, "__esModule", {
       value: true
     });
-    exports2.default = function(fn2) {
+    exports2.default = function(fn) {
       return function(...args) {
         var callback = args.pop();
-        return fn2.call(this, args, callback);
+        return fn.call(this, args, callback);
       };
     };
     module2.exports = exports2.default;
@@ -42413,11 +42426,11 @@ var require_setImmediate = __commonJS({
     var hasQueueMicrotask = exports2.hasQueueMicrotask = typeof queueMicrotask === "function" && queueMicrotask;
     var hasSetImmediate = exports2.hasSetImmediate = typeof setImmediate === "function" && setImmediate;
     var hasNextTick = exports2.hasNextTick = typeof process === "object" && typeof process.nextTick === "function";
-    function fallback(fn2) {
-      setTimeout(fn2, 0);
+    function fallback(fn) {
+      setTimeout(fn, 0);
     }
     function wrap(defer) {
-      return (fn2, ...args) => defer(() => fn2(...args));
+      return (fn, ...args) => defer(() => fn(...args));
     }
     var _defer;
     if (hasQueueMicrotask) {
@@ -42504,11 +42517,11 @@ var require_wrapAsync = __commonJS({
     function _interopRequireDefault(obj) {
       return obj && obj.__esModule ? obj : { default: obj };
     }
-    function isAsync(fn2) {
-      return fn2[Symbol.toStringTag] === "AsyncFunction";
+    function isAsync(fn) {
+      return fn[Symbol.toStringTag] === "AsyncFunction";
     }
-    function isAsyncGenerator(fn2) {
-      return fn2[Symbol.toStringTag] === "AsyncGenerator";
+    function isAsyncGenerator(fn) {
+      return fn[Symbol.toStringTag] === "AsyncGenerator";
     }
     function isAsyncIterable(obj) {
       return typeof obj[Symbol.asyncIterator] === "function";
@@ -42593,14 +42606,14 @@ var require_once = __commonJS({
       value: true
     });
     exports2.default = once;
-    function once(fn2) {
+    function once(fn) {
       function wrapper(...args) {
-        if (fn2 === null) return;
-        var callFn = fn2;
-        fn2 = null;
+        if (fn === null) return;
+        var callFn = fn;
+        fn = null;
         callFn.apply(this, args);
       }
-      Object.assign(wrapper, fn2);
+      Object.assign(wrapper, fn);
       return wrapper;
     }
     module2.exports = exports2.default;
@@ -42683,11 +42696,11 @@ var require_onlyOnce = __commonJS({
       value: true
     });
     exports2.default = onlyOnce;
-    function onlyOnce(fn2) {
+    function onlyOnce(fn) {
       return function(...args) {
-        if (fn2 === null) throw new Error("Callback was already called.");
-        var callFn = fn2;
-        fn2 = null;
+        if (fn === null) throw new Error("Callback was already called.");
+        var callFn = fn;
+        fn = null;
         callFn.apply(this, args);
       };
     }
@@ -43086,8 +43099,8 @@ var require_pipeline = __commonJS({
         callback(err2 || new ERR_STREAM_DESTROYED("pipe"));
       };
     }
-    function call(fn2) {
-      fn2();
+    function call(fn) {
+      fn();
     }
     function pipe(from, to2) {
       return from.pipe(to2);
@@ -43175,17 +43188,17 @@ var require_diagnostics = __commonJS({
       if (!async.length) return false;
       return new Promise(function pinky(resolve2) {
         Promise.all(
-          async.map(function prebind(fn2) {
-            return fn2(namespace);
+          async.map(function prebind(fn) {
+            return fn(namespace);
           })
         ).then(function resolved(values) {
           resolve2(values.some(Boolean));
         });
       });
     }
-    function modify(fn2) {
-      if (~modifiers.indexOf(fn2)) return false;
-      modifiers.push(fn2);
+    function modify(fn) {
+      if (~modifiers.indexOf(fn)) return false;
+      modifiers.push(fn);
       return true;
     }
     function write() {
@@ -43197,14 +43210,14 @@ var require_diagnostics = __commonJS({
       }
       return message;
     }
-    function introduce(fn2, options) {
+    function introduce(fn, options) {
       var has2 = Object.prototype.hasOwnProperty;
       for (var key in options) {
         if (has2.call(options, key)) {
-          fn2[key] = options[key];
+          fn[key] = options[key];
         }
       }
-      return fn2;
+      return fn;
     }
     function nope(options) {
       options.enabled = false;
@@ -44056,8 +44069,8 @@ var require_index_cjs = __commonJS({
       const a = lab[1];
       const b3 = lab[2];
       let h2;
-      const hr = Math.atan2(b3, a);
-      h2 = hr * 360 / 2 / Math.PI;
+      const hr2 = Math.atan2(b3, a);
+      h2 = hr2 * 360 / 2 / Math.PI;
       if (h2 < 0) {
         h2 += 360;
       }
@@ -44068,9 +44081,9 @@ var require_index_cjs = __commonJS({
       const l = lch[0];
       const c2 = lch[1];
       const h2 = lch[2];
-      const hr = h2 / 360 * 2 * Math.PI;
-      const a = c2 * Math.cos(hr);
-      const b3 = c2 * Math.sin(hr);
+      const hr2 = h2 / 360 * 2 * Math.PI;
+      const a = c2 * Math.cos(hr2);
+      const b3 = c2 * Math.sin(hr2);
       return [l, a, b3];
     };
     convert$1.rgb.ansi16 = function(args, saturation = null) {
@@ -44362,15 +44375,15 @@ var require_index_cjs = __commonJS({
     }
     function wrapConversion(toModel, graph) {
       const path4 = [graph[toModel].parent, toModel];
-      let fn2 = convert$1[graph[toModel].parent][toModel];
+      let fn = convert$1[graph[toModel].parent][toModel];
       let cur = graph[toModel].parent;
       while (graph[cur].parent) {
         path4.unshift(graph[cur].parent);
-        fn2 = link(convert$1[graph[cur].parent][cur], fn2);
+        fn = link(convert$1[graph[cur].parent][cur], fn);
         cur = graph[cur].parent;
       }
-      fn2.conversion = path4;
-      return fn2;
+      fn.conversion = path4;
+      return fn;
     }
     function route(fromModel) {
       const graph = deriveBFS(fromModel);
@@ -44388,7 +44401,7 @@ var require_index_cjs = __commonJS({
     }
     var convert = {};
     var models = Object.keys(convert$1);
-    function wrapRaw(fn2) {
+    function wrapRaw(fn) {
       const wrappedFn = function(...args) {
         const arg0 = args[0];
         if (arg0 === void 0 || arg0 === null) {
@@ -44397,14 +44410,14 @@ var require_index_cjs = __commonJS({
         if (arg0.length > 1) {
           args = arg0;
         }
-        return fn2(args);
+        return fn(args);
       };
-      if ("conversion" in fn2) {
-        wrappedFn.conversion = fn2.conversion;
+      if ("conversion" in fn) {
+        wrappedFn.conversion = fn.conversion;
       }
       return wrappedFn;
     }
-    function wrapRounded(fn2) {
+    function wrapRounded(fn) {
       const wrappedFn = function(...args) {
         const arg0 = args[0];
         if (arg0 === void 0 || arg0 === null) {
@@ -44413,7 +44426,7 @@ var require_index_cjs = __commonJS({
         if (arg0.length > 1) {
           args = arg0;
         }
-        const result = fn2(args);
+        const result = fn(args);
         if (typeof result === "object") {
           for (let { length: length2 } = result, i = 0; i < length2; i++) {
             result[i] = Math.round(result[i]);
@@ -44421,8 +44434,8 @@ var require_index_cjs = __commonJS({
         }
         return result;
       };
-      if ("conversion" in fn2) {
-        wrappedFn.conversion = fn2.conversion;
+      if ("conversion" in fn) {
+        wrappedFn.conversion = fn.conversion;
       }
       return wrappedFn;
     }
@@ -44433,9 +44446,9 @@ var require_index_cjs = __commonJS({
       const routes = route(fromModel);
       const routeModels = Object.keys(routes);
       for (const toModel of routeModels) {
-        const fn2 = routes[toModel];
-        convert[fromModel][toModel] = wrapRounded(fn2);
-        convert[fromModel][toModel].raw = wrapRaw(fn2);
+        const fn = routes[toModel];
+        convert[fromModel][toModel] = wrapRounded(fn);
+        convert[fromModel][toModel].raw = wrapRaw(fn);
       }
     }
     var skippedModels = [
@@ -44929,10 +44942,10 @@ var require_adapters = __commonJS({
   "../../node_modules/@dabh/diagnostics/adapters/index.js"(exports2, module2) {
     "use strict";
     var enabled = require_enabled();
-    module2.exports = function create2(fn2) {
+    module2.exports = function create2(fn) {
       return function adapter(namespace) {
         try {
-          return enabled(namespace, fn2());
+          return enabled(namespace, fn());
         } catch (e) {
         }
         return false;
@@ -46143,14 +46156,14 @@ var require_fn = __commonJS({
   "../../node_modules/fn.name/index.js"(exports2, module2) {
     "use strict";
     var toString2 = Object.prototype.toString;
-    module2.exports = function name(fn2) {
-      if ("string" === typeof fn2.displayName && fn2.constructor.name) {
-        return fn2.displayName;
-      } else if ("string" === typeof fn2.name && fn2.name) {
-        return fn2.name;
-      }
-      if ("object" === typeof fn2 && fn2.constructor && "string" === typeof fn2.constructor.name) return fn2.constructor.name;
-      var named = fn2.toString(), type = toString2.call(fn2).slice(8, -1);
+    module2.exports = function name(fn) {
+      if ("string" === typeof fn.displayName && fn.constructor.name) {
+        return fn.displayName;
+      } else if ("string" === typeof fn.name && fn.name) {
+        return fn.name;
+      }
+      if ("object" === typeof fn && fn.constructor && "string" === typeof fn.constructor.name) return fn.constructor.name;
+      var named = fn.toString(), type = toString2.call(fn).slice(8, -1);
       if ("Function" === type) {
         named = named.substring(named.indexOf("(") + 1, named.indexOf(")"));
       } else {
@@ -46166,16 +46179,16 @@ var require_one_time = __commonJS({
   "../../node_modules/one-time/index.js"(exports2, module2) {
     "use strict";
     var name = require_fn();
-    module2.exports = function one(fn2) {
+    module2.exports = function one(fn) {
       var called = 0, value;
       function onetime() {
         if (called) return value;
         called = 1;
-        value = fn2.apply(this, arguments);
-        fn2 = null;
+        value = fn.apply(this, arguments);
+        fn = null;
         return value;
       }
-      onetime.displayName = name(fn2);
+      onetime.displayName = name(fn);
       return onetime;
     };
   }
@@ -47815,18 +47828,18 @@ var require_object_hash = __commonJS({
           write("string:" + string.length + ":");
           write(string.toString());
         },
-        _function: function(fn2) {
+        _function: function(fn) {
           write("fn:");
-          if (isNativeFunction(fn2)) {
+          if (isNativeFunction(fn)) {
             this.dispatch("[native]");
           } else {
-            this.dispatch(fn2.toString());
+            this.dispatch(fn.toString());
           }
           if (options.respectFunctionNames !== false) {
-            this.dispatch("function-name:" + String(fn2.name));
+            this.dispatch("function-name:" + String(fn.name));
           }
           if (options.respectFunctionProperties) {
-            this._object(fn2);
+            this._object(fn);
           }
         },
         _number: function(number) {
@@ -48030,10 +48043,10 @@ var require_moment = __commonJS({
       function isDate(input) {
         return input instanceof Date || Object.prototype.toString.call(input) === "[object Date]";
       }
-      function map(arr, fn2) {
+      function map(arr, fn) {
         var res = [], i, arrLen = arr.length;
         for (i = 0; i < arrLen; ++i) {
-          res.push(fn2(arr[i], i));
+          res.push(fn(arr[i], i));
         }
         return res;
       }
@@ -48186,7 +48199,7 @@ var require_moment = __commonJS({
           console.warn("Deprecation warning: " + msg);
         }
       }
-      function deprecate(msg, fn2) {
+      function deprecate(msg, fn) {
         var firstTime = true;
         return extend(function() {
           if (hooks.deprecationHandler != null) {
@@ -48214,8 +48227,8 @@ var require_moment = __commonJS({
             );
             firstTime = false;
           }
-          return fn2.apply(this, arguments);
-        }, fn2);
+          return fn.apply(this, arguments);
+        }, fn);
       }
       var deprecations = {};
       function deprecateSimple(name, msg) {
@@ -49121,8 +49134,8 @@ 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) {
@@ -50182,7 +50195,7 @@ var require_moment = __commonJS({
           }
         }
       );
-      function pickBy(fn2, moments) {
+      function pickBy(fn, moments) {
         var res, i;
         if (moments.length === 1 && isArray(moments[0])) {
           moments = moments[0];
@@ -50192,7 +50205,7 @@ var require_moment = __commonJS({
         }
         res = moments[0];
         for (i = 1; i < moments.length; ++i) {
-          if (!moments[i].isValid() || moments[i][fn2](res)) {
+          if (!moments[i].isValid() || moments[i][fn](res)) {
             res = moments[i];
           }
         }
@@ -52757,9 +52770,9 @@ __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");
@@ -52831,10 +52844,10 @@ var pt = class {
     }, precedence: t });
   }
   construct(e) {
-    return new mr(e, this.prefixParselets, this.infixParselets);
+    return new fr(e, this.prefixParselets, this.infixParselets);
   }
 };
-var mr = class {
+var fr = class {
   constructor(e, t, n) {
     c(this, "tokens");
     c(this, "prefixParselets");
@@ -52891,28 +52904,28 @@ function oe(r6) {
 var ft = "http://hl7.org";
 var mt = "ok";
 var ht = "created";
-var gr = "not-modified";
-var xr = "not-found";
-var Tr = "unauthorized";
+var hr = "not-modified";
+var yr = "not-found";
+var vr = "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 Fn = { resourceType: "OperationOutcome", id: yr, issue: [{ severity: "error", code: "not-found", details: { text: "Not found" } }] };
+var Le = { resourceType: "OperationOutcome", id: vr, issue: [{ severity: "error", code: "login", details: { text: "Unauthorized" } }] };
+var Un = { ...Le, issue: [...Le.issue, { severity: "error", code: "expired", details: { text: "Token expired" } }] };
+var Tr = { ...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 }] };
 }
 function T(r6, e, t, n) {
   return { resourceType: "OperationOutcome", issue: [{ severity: "error", code: t ?? "structure", details: { text: r6 }, ...e ? { expression: e } : void 0, ...n ? { diagnostics: n } : void 0 }] };
 }
-function br(r6) {
+function Sr(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) {
-  return r6.id === mt || r6.id === ht || r6.id === gr || r6.id === gt;
+function br(r6) {
+  return r6.id === mt || r6.id === ht || r6.id === hr || r6.id === gt;
 }
 var f = class extends Error {
   constructor(t, n) {
@@ -52922,57 +52935,57 @@ 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 : Sr(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;
 }
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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: 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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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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" }, { code: "Contributor" }, { code: "DataRequirement" }, { code: "Expression" }, { code: "ParameterDefinition" }, { code: "RelatedArtifact" }, { code: "TriggerDefinition" }, { code: "UsageContext" }, { code: "Dosage" }, { code: "Meta" }] }, example: { max: 9007199254740991, type: [{ code: "ElementDefinitionExample" }] }, "minValue[x]": { type: [{ code: "date" }, { code: "dateTime" }, { code: "instant" }, { code: "time" }, { code: "decimal" }, { code: "integer" }, { code: "positiveInt" }, { code: "unsignedInt" }, { code: "Quantity" }] }, "maxValue[x]": { type: [{ code: "date" }, { code: "dateTime" }, { code: "instant" }, { code: "time" }, { code: "decimal" }, { code: "integer" }, { code: "positiveInt" }, { code: "unsignedInt" }, { code: "Quantity" }] }, maxLength: { type: [{ code: "integer" }] }, condition: { max: 9007199254740991, type: [{ code: "id" }] }, constraint: { max: 9007199254740991, type: [{ code: "ElementDefinitionConstraint" }] }, mustSupport: { type: [{ code: "boolean" }] }, isModifier: { type: [{ code: "boolean" }] }, isModifierReason: { type: [{ code: "string" }] }, isSummary: { type: [{ code: "boolean" }] }, binding: { type: [{ code: "ElementDefinitionBinding" }] }, mapping: { max: 9007199254740991, type: [{ code: "ElementDefinitionMapping" }] } } }, ElementDefinitionSlicingDiscriminator: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, type: [{ code: "code" }] }, path: { min: 1, type: [{ code: "string" }] } } }, ElementDefinitionSlicing: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, discriminator: { max: 9007199254740991, type: [{ code: "ElementDefinitionSlicingDiscriminator" }] }, description: { type: [{ code: "string" }] }, ordered: { type: [{ code: "boolean" }] }, rules: { min: 1, type: [{ code: "code" }] } } }, ElementDefinitionBase: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, path: { min: 1, type: [{ code: "string" }] }, min: { min: 1, type: [{ code: "unsignedInt" }] }, max: { min: 1, type: [{ code: "string" }] } } }, ElementDefinitionType: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, code: { min: 1, type: [{ code: "uri" }] }, profile: { max: 9007199254740991, type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/StructureDefinition", "http://hl7.org/fhir/StructureDefinition/ImplementationGuide"] }] }, targetProfile: { max: 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description: { type: [{ code: "string" }] }, name: { type: [{ code: "id" }] }, language: { min: 1, type: [{ code: "code" }] }, expression: { type: [{ code: "string" }] }, reference: { type: [{ code: "uri" }] } } }, Extension: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, url: { min: 1, type: [{ code: "uri" }] }, "value[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" }, { code: "Contributor" }, { code: "DataRequirement" }, { code: "Expression" }, { code: "ParameterDefinition" }, { code: "RelatedArtifact" }, { code: "TriggerDefinition" }, { code: "UsageContext" }, { code: "Dosage" }, { code: "Meta" }] } } }, HumanName: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, use: { type: [{ code: "code" }] }, text: { type: [{ code: "string" }] }, family: { type: [{ code: "string" }] }, given: { max: 9007199254740991, type: [{ code: "string" }] }, prefix: { max: 9007199254740991, type: [{ code: "string" }] }, suffix: { max: 9007199254740991, type: [{ code: "string" }] }, period: { type: [{ code: "Period" }] } } }, Identifier: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, use: { type: [{ code: "code" }] }, type: { type: [{ code: "CodeableConcept" }] }, system: { type: [{ code: "uri" }] }, value: { type: [{ code: "string" }] }, period: { type: [{ code: "Period" }] }, assigner: { type: [{ code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Organization"] }] } } }, MarketingStatus: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, country: { min: 1, type: [{ code: "CodeableConcept" }] }, jurisdiction: { type: [{ code: "CodeableConcept" }] }, status: { min: 1, type: [{ code: "CodeableConcept" }] }, dateRange: { min: 1, type: [{ code: "Period" }] }, restoreDate: { type: [{ code: "dateTime" }] } } }, Meta: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, versionId: { type: [{ code: "id" }] }, lastUpdated: { type: [{ code: "instant" }] }, source: { type: [{ code: "uri" }] }, profile: { max: 9007199254740991, type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"] }] }, security: { max: 9007199254740991, type: [{ code: "Coding" }] }, tag: { max: 9007199254740991, type: [{ code: "Coding" }] }, project: { type: [{ code: "uri" }] }, author: { type: [{ code: "Reference" }] }, onBehalfOf: { type: [{ code: "Reference" }] }, account: { type: [{ code: "Reference" }] }, accounts: { max: 9007199254740991, type: [{ code: "Reference" }] }, compartment: { max: 9007199254740991, type: [{ code: "Reference" }] } } }, Money: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, value: { type: [{ code: "decimal" }] }, currency: { type: [{ code: "code" }] } } }, Narrative: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, status: { min: 1, type: [{ code: "code" }] }, div: { min: 1, type: [{ code: "xhtml" }] } } }, ParameterDefinition: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, name: { type: [{ code: "code" }] }, use: { min: 1, type: [{ code: "code" }] }, min: { type: [{ code: "integer" }] }, max: { type: [{ code: "string" }] }, documentation: { type: [{ code: "string" }] }, type: { min: 1, type: [{ code: "code" }] }, profile: { type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"] }] } } }, Period: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, start: { type: [{ code: "dateTime" }] }, end: { type: [{ code: "dateTime" }] } } }, Population: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, "age[x]": { type: [{ code: "Range" }, { code: "CodeableConcept" }] }, gender: { type: [{ code: "CodeableConcept" }] }, race: { type: [{ code: "CodeableConcept" }] }, physiologicalCondition: { type: [{ code: "CodeableConcept" }] } } }, ProdCharacteristic: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, height: { type: [{ code: "Quantity" }] }, width: { type: [{ code: "Quantity" }] }, depth: { type: [{ code: "Quantity" }] }, weight: { type: [{ code: "Quantity" }] }, nominalVolume: { type: [{ code: "Quantity" }] }, externalDiameter: { type: [{ code: "Quantity" }] }, shape: { type: [{ code: "string" }] }, color: { max: 9007199254740991, type: [{ code: "string" }] }, imprint: { max: 9007199254740991, type: [{ code: "string" }] }, image: { max: 9007199254740991, type: [{ code: "Attachment" }] }, scoring: { type: [{ code: "CodeableConcept" }] } } }, ProductShelfLife: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, identifier: { type: [{ code: "Identifier" }] }, type: { min: 1, type: [{ code: "CodeableConcept" }] }, period: { min: 1, type: [{ code: "Quantity" }] }, specialPrecautionsForStorage: { max: 9007199254740991, type: [{ code: "CodeableConcept" }] } } }, Quantity: { 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" }] } } }, Range: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, low: { type: [{ code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] }, high: { type: [{ code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] } } }, Ratio: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, numerator: { type: [{ code: "Quantity" }] }, denominator: { type: [{ code: "Quantity" }] } } }, Reference: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, reference: { type: [{ code: "string" }] }, type: { type: [{ code: "uri" }] }, identifier: { type: [{ code: "Identifier" }] }, display: { type: [{ code: "string" }] } } }, RelatedArtifact: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, type: [{ code: "code" }] }, label: { type: [{ code: "string" }] }, display: { type: [{ code: "string" }] }, citation: { type: [{ code: "markdown" }] }, url: { type: [{ code: "url" }] }, document: { type: [{ code: "Attachment" }] }, resource: { type: [{ code: "canonical", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Resource"] }] } } }, SampledData: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, origin: { min: 1, type: [{ code: "Quantity", profile: ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }] }, period: { min: 1, type: [{ code: "decimal" }] }, factor: { type: [{ code: "decimal" }] }, lowerLimit: { type: [{ code: "decimal" }] }, upperLimit: { type: [{ code: "decimal" }] }, dimensions: { min: 1, type: [{ code: "positiveInt" }] }, data: { type: [{ code: "string" }] } } }, Signature: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, max: 9007199254740991, type: [{ code: "Coding" }] }, when: { min: 1, type: [{ code: "instant" }] }, who: { min: 1, type: [{ code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization"] }] }, onBehalfOf: { type: [{ code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization"] }] }, targetFormat: { type: [{ code: "code" }] }, sigFormat: { type: [{ code: "code" }] }, data: { type: [{ code: "base64Binary" }] } } }, SubstanceAmount: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, "amount[x]": { type: [{ code: "Quantity" }, { code: "Range" }, { code: "string" }] }, amountType: { type: [{ code: "CodeableConcept" }] }, amountText: { type: [{ code: "string" }] }, referenceRange: { type: [{ code: "SubstanceAmountReferenceRange" }] } } }, SubstanceAmountReferenceRange: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, lowLimit: { type: [{ code: "Quantity" }] }, highLimit: { type: [{ code: "Quantity" }] } } }, Timing: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, modifierExtension: { max: 9007199254740991, type: [{ code: "Extension" }] }, event: { max: 9007199254740991, type: [{ code: "dateTime" }] }, repeat: { type: [{ code: "TimingRepeat" }] }, code: { type: [{ code: "CodeableConcept" }] } } }, TimingRepeat: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, "bounds[x]": { type: [{ code: "Duration" }, { code: "Range" }, { code: "Period" }] }, count: { type: [{ code: "positiveInt" }] }, countMax: { type: [{ code: "positiveInt" }] }, duration: { type: [{ code: "decimal" }] }, durationMax: { type: [{ code: "decimal" }] }, durationUnit: { type: [{ code: "code" }] }, frequency: { type: [{ code: "positiveInt" }] }, frequencyMax: { type: [{ code: "positiveInt" }] }, period: { type: [{ code: "decimal" }] }, periodMax: { type: [{ code: "decimal" }] }, periodUnit: { type: [{ code: "code" }] }, dayOfWeek: { max: 9007199254740991, type: [{ code: "code" }] }, timeOfDay: { max: 9007199254740991, type: [{ code: "time" }] }, when: { max: 9007199254740991, type: [{ code: "code" }] }, offset: { type: [{ code: "unsignedInt" }] } } }, TriggerDefinition: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, type: { min: 1, type: [{ code: "code" }] }, name: { type: [{ code: "string" }] }, "timing[x]": { type: [{ code: "Timing" }, { code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/Schedule"] }, { code: "date" }, { code: "dateTime" }] }, data: { max: 9007199254740991, type: [{ code: "DataRequirement" }] }, condition: { type: [{ code: "Expression" }] } } }, UsageContext: { elements: { id: { type: [{ code: "string" }] }, extension: { max: 9007199254740991, type: [{ code: "Extension" }] }, code: { min: 1, type: [{ code: "Coding" }] }, "value[x]": { min: 1, type: [{ code: "CodeableConcept" }, { code: "Quantity" }, { code: "Range" }, { code: "Reference", targetProfile: ["http://hl7.org/fhir/StructureDefinition/PlanDefinition", "http://hl7.org/fhir/StructureDefinition/ResearchStudy", "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" }] } } } };
-function Ar(r6) {
-  return new Cr(r6).parse();
+function Pr(r6) {
+  return new Rr(r6).parse();
 }
 var be = jn($n);
-var wr = /* @__PURE__ */ Object.create(null);
+var Ar = /* @__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;
 }
-function Or(r6) {
+function wr(r6) {
   let t = (Array.isArray(r6) ? r6 : r6.entry?.map((n) => n.resource) ?? []).filter((n) => n?.resourceType === "StructureDefinition");
   ei(t);
-  for (let n of t) Ir(n);
+  for (let n of t) Or(n);
 }
-function Ir(r6) {
+function Or(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 = Pr(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;
+  Ar[r6.url] = e;
 }
 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;
@@ -52980,9 +52993,9 @@ function ze(r6, e) {
   return be[r6];
 }
 function Xn(r6) {
-  return !!wr[r6];
+  return !!Ar[r6];
 }
-var Cr = class {
+var Rr = class {
   constructor(e) {
     c(this, "root");
     c(this, "elements");
@@ -52993,7 +53006,7 @@ 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();
@@ -53001,7 +53014,7 @@ var Cr = class {
       if (e.sliceName) this.parseSliceStart(e);
       else if (e.id?.includes(":")) {
         if (this.slicingContext?.current) {
-          let t = Rr(e, this.slicingContext.path);
+          let t = Er(e, this.slicingContext.path);
           this.slicingContext.current.elements[t] = this.parseElementDefinition(e);
         }
       } else {
@@ -53010,13 +53023,13 @@ var Cr = class {
         let n = this.backboneContext;
         for (; n; ) {
           if (e.path?.startsWith(n.path + ".")) {
-            n.type.elements[Rr(e, n.path)] = t;
+            n.type.elements[Er(e, n.path)] = t;
             break;
           }
           n = n.parent;
         }
         if (!n) {
-          let i = Rr(e, this.root.path);
+          let i = Er(e, this.root.path);
           e.isSummary && this.resourceSchema.summaryProperties?.add(i.replace("[x]", "")), t.min > 0 && this.resourceSchema.mandatoryProperties?.add(i.replace("[x]", "")), this.resourceSchema.elements[i] = t;
         }
         this.checkFieldExit(e);
@@ -53026,23 +53039,23 @@ var Cr = class {
     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;
-    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 };
+    for (; this.backboneContext && !Fe(this.backboneContext?.path, e.path); ) this.innerTypes.push(this.backboneContext.type), this.backboneContext = this.backboneContext.parent;
+    let t = Cr(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: 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 +53074,7 @@ 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})`);
@@ -53070,7 +53083,7 @@ var Cr = class {
   parseElementDefinitionType(e) {
     return (e.type ?? []).map((t) => {
       let n;
-      return (t.code === "BackboneElement" || t.code === "Element") && (n = Pr(e)), n || (n = pe(t, "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type")?.valueUrl), n || (n = t.code ?? ""), { code: n, targetProfile: t.targetProfile, profile: t.profile };
+      return (t.code === "BackboneElement" || t.code === "Element") && (n = Cr(e)), n || (n = pe(t, "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type")?.valueUrl), n || (n = t.code ?? ""), { code: n, targetProfile: t.targetProfile, profile: t.profile };
     });
   }
   parseElementDefinition(e) {
@@ -53081,41 +53094,41 @@ var Cr = class {
 function Qn(r6) {
   return r6 === "*" ? Number.POSITIVE_INFINITY : Number.parseInt(r6, 10);
 }
-function Rr(r6, e = "") {
-  return $o(r6.path, e);
+function Er(r6, 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 ${r6.name} Type: `.length)), e;
 }
-function _r(r6, e, t) {
+function Mr(r6, e, t) {
   let n = r6.path;
-  return Qo(L(r6, e, t), n, e);
+  return zo(L(r6, e, t), n, e);
 }
-function Qo(r6, e, t) {
+function zo(r6, e, t) {
   let n = e ? e + "." : "";
   return r6 === void 0 ? { type: "undefined", value: void 0, path: `${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 }];
 }
 function b(r6) {
-  return r6 == null ? { type: "undefined", value: void 0 } : Number.isSafeInteger(r6) ? { type: d.integer, value: r6 } : typeof r6 == "number" ? { type: d.decimal, value: r6 } : typeof r6 == "boolean" ? { type: d.boolean, value: r6 } : typeof r6 == "string" ? { type: d.string, value: r6 } : V(r6) ? { type: d.Quantity, value: r6 } : I(r6) ? { type: r6.resourceType, value: r6 } : $r(r6) ? { type: d.CodeableConcept, value: r6 } : jr(r6) ? { type: d.Coding, value: r6 } : { type: d.BackboneElement, value: r6 };
+  return r6 == null ? { type: "undefined", value: void 0 } : Number.isSafeInteger(r6) ? { type: d.integer, value: r6 } : typeof r6 == "number" ? { type: d.decimal, value: r6 } : typeof r6 == "boolean" ? { type: d.boolean, value: r6 } : typeof r6 == "string" ? { type: d.string, value: r6 } : V(r6) ? { type: d.Quantity, value: r6 } : I(r6) ? { type: r6.resourceType, value: r6 } : jr(r6) ? { type: d.CodeableConcept, value: r6 } : qr(r6) ? { type: d.Coding, value: r6 } : { type: d.BackboneElement, value: r6 };
 }
 function j(r6) {
   return r6.length === 0 ? false : !!r6[0].value;
@@ -53129,9 +53142,9 @@ 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;
@@ -53145,17 +53158,17 @@ function is(r6, e, t) {
   }
   if (a) if (Array.isArray(o2)) {
     o2 = o2.slice();
-    for (let v2 = 0; v2 < Math.max(o2.length, a.length); v2++) o2[v2] = Br(o2[v2], a[v2]);
+    for (let v2 = 0; v2 < Math.max(o2.length, a.length); v2++) o2[v2] = Ur(o2[v2], a[v2]);
   } else if (!o2 && Array.isArray(a)) {
     o2 = a.slice();
-    for (let v2 = 0; v2 < a.length; v2++) o2[v2] = Br(void 0, a[v2]);
-  } else o2 = Br(o2, a);
+    for (let v2 = 0; v2 < a.length; v2++) o2[v2] = Ur(void 0, a[v2]);
+  } else o2 = Ur(o2, a);
   if (!A(o2)) return (s === "Element" || s === "BackboneElement") && (s = t.type[0].code), Array.isArray(o2) ? o2.map((v2) => ti(v2, s)) : ti(o2, s);
 }
 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;
@@ -53201,14 +53214,14 @@ function si(r6, e) {
 }
 function Ke(r6, e) {
   let t = r6.value?.valueOf(), n = e.value?.valueOf();
-  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);
+  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" ? Wr(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])))));
+function Br(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(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);
+  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" ? Wr({ ...s, id: void 0 }, { ...a, id: void 0 }) : typeof s == "string" && typeof a == "string" ? s.toLowerCase() === a.toLowerCase() : s === a);
 }
 function ri(r6, e) {
   let t = r6.value?.valueOf(), n = e.value?.valueOf();
@@ -53227,7 +53240,7 @@ 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 +53254,11 @@ 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");
@@ -53253,13 +53266,13 @@ function V(r6) {
 function ui(r6, e) {
   return Math.abs(r6.value - e.value) < 0.01 && (r6.unit === e.unit || r6.code === e.code || r6.unit === e.code || r6.code === e.unit);
 }
-function qr(r6, e) {
+function Wr(r6, e) {
   let t = Object.keys(r6), n = Object.keys(e);
   if (t.length !== n.length) return false;
   for (let i of t) {
     let o2 = r6[i], s = e[i];
     if (ni(o2) && ni(s)) {
-      if (!qr(o2, s)) return false;
+      if (!Wr(o2, s)) return false;
     } else if (o2 !== s) return false;
   }
   return true;
@@ -53267,40 +53280,40 @@ function qr(r6, e) {
 function ni(r6) {
   return r6 !== null && typeof r6 == "object";
 }
-function Br(r6, e) {
+function Ur(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);
@@ -53309,16 +53322,16 @@ function us(r6) {
   if ("name" in r6 && r6.name && typeof r6.name == "string") return r6.name;
   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 (Array.isArray(e) && (e = e[0]), jr(e)) return Ye(e);
+    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;
 }
@@ -53340,26 +53353,26 @@ function pe(r6, ...e) {
   return t;
 }
 function At(r6, e) {
-  let t = Jr(r6);
+  let t = zr(r6);
   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;
+function zr(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;
   let t, n = 0;
   for (let i = 0; i < e; i++) {
-    let o2 = r6[i], s = Jr(o2);
+    let o2 = r6[i], s = zr(o2);
     s !== o2 && !t && (t = Array.from(r6)), s === void 0 ? t && (t[i] = null) : (t && (t[i] = s), n++);
   }
   if (n !== 0) return t ?? r6;
 }
-function fs2(r6) {
+function ms(r6) {
   let e, t = 0;
   for (let n in r6) {
-    let i = r6[n], o2 = Jr(i);
+    let i = r6[n], o2 = zr(i);
     o2 !== i && !e && (e = { ...r6 }), o2 === void 0 ? e && delete e[n] : (e && (e[n] = o2), t++);
   }
   if (t !== 0) return e ?? r6;
@@ -53375,14 +53388,14 @@ function se(r6) {
   return e === "string" && r6 !== "" || e === "object" && ("length" in r6 && r6.length > 0 || Object.keys(r6).length > 0);
 }
 function fe(r6, e, t) {
-  return r6 === e || A(r6) && A(e) ? true : A(r6) || A(e) ? false : Array.isArray(r6) && Array.isArray(e) ? ms(r6, e) : Array.isArray(r6) || Array.isArray(e) ? false : C(r6) && C(e) ? hs(r6, e, t) : (C(r6) || C(e), false);
+  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);
@@ -53396,13 +53409,13 @@ function hs(r6, e, t) {
 function C(r6) {
   return r6 !== null && typeof r6 == "object";
 }
-function jr(r6) {
+function qr(r6) {
   return C(r6) && "code" in r6 && typeof r6.code == "string";
 }
-function $r(r6) {
-  return C(r6) && "coding" in r6 && Array.isArray(r6.coding) && r6.coding.every(jr);
+function jr(r6) {
+  return C(r6) && "coding" in r6 && Array.isArray(r6.coding) && r6.coding.every(qr);
 }
-function vs(r6) {
+function Ts(r6) {
   return C(r6) && "text" in r6 && typeof r6.text == "string";
 }
 var fi = [];
@@ -53423,14 +53436,14 @@ function gi(r6) {
 function N(r6) {
   return r6 ? r6.charAt(0).toUpperCase() + r6.substring(1) : "";
 }
-var Yr = (r6, e) => new Promise((t, n) => {
+var Kr = (r6, e) => new Promise((t, n) => {
   e?.signal?.throwIfAborted();
   let i = setTimeout(t, r6);
   e?.signal?.addEventListener("abort", () => {
     clearTimeout(i), n(e.signal?.reason);
   }, { once: true });
 });
-function We(r6, e, t) {
+function qe(r6, e, t) {
   let n = [];
   for (let i = 0; i < t - 1; i++) {
     let o2 = r6.indexOf(e);
@@ -53442,14 +53455,14 @@ function We(r6, e, t) {
 function wt(r6) {
   return r6.sort((e, t) => e.localeCompare(t));
 }
-function Xr(r6) {
+function Yr(r6) {
   return r6.endsWith("/") ? r6 : r6 + "/";
 }
-function Ps(r6) {
+function As(r6) {
   return r6.startsWith("/") ? r6.slice(1) : r6;
 }
 function U(r6, e) {
-  return new URL(Ps(e), Xr(r6.toString())).toString();
+  return new URL(As(e), Yr(r6.toString())).toString();
 }
 function Ti(r6, e) {
   return U(r6, e).toString().replace("http://", "ws://").replace("https://", "wss://");
@@ -53457,34 +53470,34 @@ function Ti(r6, e) {
 function Si(r6) {
   return typeof r6 == "object" && !Array.isArray(r6) && !(r6 instanceof URLSearchParams) && (r6 = Object.fromEntries(Object.entries(r6).filter((e) => e[1] !== void 0))), new URLSearchParams(r6).toString();
 }
-var As = /^(([a-zA-Z0-9]|[a-zA-Z0-9][a-zA-Z0-9\-_]*[a-zA-Z0-9])\.)*([A-Za-z0-9]|[A-Za-z0-9][A-Za-z0-9\-_]*[A-Za-z0-9])$/;
+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" };
@@ -53496,24 +53509,24 @@ function Pi(r6) {
   let e = $.types[r6];
   return e || (e = { searchParamsDetails: {} }, $.types[r6] = e), !e.searchParams && r6 !== "Binary" && (e.searchParams = { _id: { base: [r6], code: "_id", type: "token", expression: r6 + ".id" }, _lastUpdated: { base: [r6], code: "_lastUpdated", type: "date", expression: r6 + ".meta.lastUpdated" }, _compartment: { base: [r6], code: "_compartment", type: "reference", expression: r6 + ".meta.compartment" }, _profile: { base: [r6], code: "_profile", type: "uri", expression: r6 + ".meta.profile" }, _security: { base: [r6], code: "_security", type: "token", expression: r6 + ".meta.security" }, _source: { base: [r6], code: "_source", type: "uri", expression: r6 + ".meta.source" }, _tag: { base: [r6], code: "_tag", type: "token", expression: r6 + ".meta.tag" }, _project: { base: [r6], code: "_project", type: "token", expression: r6 + ".meta.project" } }), e;
 }
-function en(r6) {
+function Zr(r6) {
   for (let e of r6.base ?? y) {
     let t = Pi(e);
     t.searchParams || (t.searchParams = {}), t.searchParams[r6.code] = r6;
   }
 }
-function Pr(r6) {
+function Cr(r6) {
   let e = r6.type?.[0]?.code;
-  return e === "BackboneElement" || e === "Element" ? Fs((r6.base?.path ?? r6.path)?.split(".")) : e;
+  return e === "BackboneElement" || e === "Element" ? Us((r6.base?.path ?? r6.path)?.split(".")) : e;
 }
-function Fs(r6) {
+function Us(r6) {
   return r6.length === 1 ? r6[0] : r6.map(N).join("");
 }
 function Ct(r6, e, t) {
-  let n = ze(r6, t);
-  if (n) return qs(n.elements, e);
+  let n = Ee(r6, t);
+  if (n) return Ai(n.elements, e);
 }
-function qs(r6, e) {
+function Ai(r6, e) {
   let t = r6[e] ?? r6[e + "[x]"];
   if (t) return t;
   for (let n = 0; n < e.length; n++) {
@@ -53531,7 +53544,7 @@ function Q(r6, e) {
   return r6 && typeof r6 == "object" && "reference" in r6 && typeof r6.reference == "string" ? e ? r6.reference.match(new RegExp(`^${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 +53568,10 @@ 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 +53590,21 @@ 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 +53628,11 @@ 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 +53650,14 @@ 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, "$<$1>")), r6, e, t, n), length: (r6, e) => H((t) => t.length, r6, e), toChars: (r6, e) => H((t) => t ? t.split("") : void 0, r6, e), encode: ae, decode: ae, escape: ae, unescape: ae, trim: ae, split: ae, join: (r6, e, t) => {
-  let n = t?.eval(r6, Ae(r6))[0]?.value ?? "";
+  let n = t?.eval(r6, we(r6))[0]?.value ?? "";
   if (typeof n != "string") throw new TypeError("Separator must be a string.");
   return [{ type: d.string, value: e.map((i) => i.value?.toString() ?? "").join(n) }];
 }, abs: (r6, e) => Z(Math.abs, r6, e), ceiling: (r6, e) => Z(Math.ceil, r6, e), exp: (r6, e) => Z(Math.exp, r6, e), floor: (r6, e) => Z(Math.floor, r6, e), ln: (r6, e) => Z(Math.log, r6, e), log: (r6, e, t) => Z((n, i) => Math.log(n) / Math.log(i), r6, e, t), power: (r6, e, t) => Z(Math.pow, r6, e, t), round: (r6, e, ...t) => Z((n, i = 0) => {
@@ -53695,7 +53708,7 @@ var _ = { empty: (r6, e) => h(e.every((t) => A(t.value))), hasValue: (r6, e) =>
   let n = e[0].value;
   if (!n?.reference) return [];
   let i = "";
-  return t instanceof B && (i = t.name), i && !n.reference.startsWith(i + "/") ? [] : [{ type: d.id, value: Re(n) }];
+  return t instanceof B && (i = t.name), i && !n.reference.startsWith(i + "/") ? [] : [{ type: d.id, value: Ce(n) }];
 }, extension: (r6, e, t) => {
   let n = t.eval(r6, e)[0].value, i = e?.[0]?.value;
   if (i) {
@@ -53723,7 +53736,7 @@ function ee(r6, e) {
   for (let t of r6) if (t == null) throw new Error("Expected non-null argument");
   return r6;
 }
-function Ae(r6) {
+function we(r6) {
   let e = r6;
   for (; e.parent?.variables.$this; ) e = e.parent;
   return [e.variables.$this];
@@ -53760,7 +53773,7 @@ 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) : Mr(e, this.name);
   }
   toString() {
     return this.name;
@@ -53808,13 +53821,13 @@ 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 ${i.type}`);
     return [{ type: d.string, value: n.value + i.value }];
@@ -53849,7 +53862,7 @@ var te = class extends R {
     return `${this.left.toString()}.${this.right.toString()}`;
   }
 };
-var we = class extends R {
+var Oe = class extends R {
   constructor(e, t) {
     super("|", e, t);
   }
@@ -53882,7 +53895,7 @@ var Nt = class extends R {
   }
   eval(e, t) {
     let n = this.left.eval(e, t), i = this.right.eval(e, t);
-    return Wr(n, i);
+    return Br(n, i);
   }
 };
 var Ft = class extends R {
@@ -53891,10 +53904,10 @@ var Ft = class extends R {
   }
   eval(e, t) {
     let n = this.left.eval(e, t), i = this.right.eval(e, t);
-    return ii(Wr(n, i));
+    return ii(Br(n, i));
   }
 };
-var Oe = class extends R {
+var Ie = class extends R {
   constructor(e, t) {
     super("is", e, t);
   }
@@ -53956,7 +53969,7 @@ var re = class {
     return `${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 +53997,7 @@ 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");
@@ -53997,21 +54010,21 @@ 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" };
-var tn = { contains: m.CONTAINS, exact: m.EXACT, above: m.ABOVE, below: m.BELOW, text: m.TEXT, not: m.NOT, in: m.IN, "not-in": m.NOT_IN, "of-type": m.OF_TYPE, missing: m.MISSING, identifier: m.IDENTIFIER, iterate: m.ITERATE };
-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 en = { contains: m.CONTAINS, exact: m.EXACT, above: m.ABOVE, below: m.BELOW, text: m.TEXT, not: m.NOT, in: m.IN, "not-in": m.NOT_IN, "of-type": m.OF_TYPE, missing: m.MISSING, identifier: m.IDENTIFIER, iterate: m.ITERATE };
+var tn = { 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";
 }
-function nn() {
+function rn() {
   return typeof Buffer < "u" ? Buffer : void 0;
 }
 var ce = { assign(r6) {
@@ -54032,7 +54045,7 @@ function Oa(r6) {
     let t = window.atob(r6), n = Uint8Array.from(t, (i) => i.codePointAt(0));
     return new window.TextDecoder().decode(n);
   }
-  let e = nn();
+  let e = rn();
   if (e) return e.from(r6, "base64").toString("utf-8");
   throw new Error("Unable to decode base64");
 }
@@ -54041,20 +54054,20 @@ function Gt(r6) {
     let t = new window.TextEncoder().encode(r6), n = String.fromCodePoint.apply(null, t);
     return window.btoa(n);
   }
-  let e = nn();
+  let e = rn();
   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);
 }
-function on() {
+function nn() {
   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() {
@@ -54064,7 +54077,7 @@ function ne() {
   });
 }
 var k = { CSS: "text/css", DICOM: "application/dicom", FAVICON: "image/vnd.microsoft.icon", FHIR_JSON: "application/fhir+json", FORM_URL_ENCODED: "application/x-www-form-urlencoded", HL7_V2: "x-application/hl7-v2+er7", HTML: "text/html", JAVASCRIPT: "text/javascript", JSON: "application/json", JSON_PATCH: "application/json-patch+json", JWT: "application/jwt", MULTIPART_FORM_DATA: "multipart/form-data", PNG: "image/png", SCIM_JSON: "application/scim+json", SVG: "image/svg+xml", TEXT: "text/plain", TYPESCRIPT: "text/typescript", PING: "x-application/ping", XML: "text/xml", CDA_XML: "application/cda+xml", OCTET_STREAM: "application/octet-stream" };
-var sn = class {
+var on = class {
   constructor() {
     c(this, "listeners");
     this.listeners = {};
@@ -54095,7 +54108,7 @@ var sn = class {
 };
 var ie = class {
   constructor() {
-    c(this, "emitter", new sn());
+    c(this, "emitter", new on());
   }
   dispatchEvent(e) {
     this.emitter.dispatchEvent(e);
@@ -54113,33 +54126,33 @@ var ie = class {
     return this.emitter.listenerCount(e);
   }
 };
-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 sn = { "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) {
-  return cn.includes(r6);
-}
+var an = ["DiagnosticReport-update"];
 function $i(r6) {
-  if (cn.includes(r6)) throw new f(T(`'context.version' is required for '${r6}'.`));
+  return an.includes(r6);
+}
+function Hi(r6) {
+  if (an.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) {
+function cn(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")));
+  for (let o2 of i) if (!sn[o2]) return false;
+  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.`));
@@ -54168,11 +54181,11 @@ function Ha(r6, e) {
     if (!o2.manyAllowed && (t.get(i) ?? 0) > 1) throw new f(T(`${t.get(i)} context entries with key '${i}' found for the '${r6}' event when schema only allows for 1.`));
   }
 }
-function ln(r6, e, t, n) {
+function un(r6, e, t, n) {
   if (!(r6 && typeof r6 == "string")) throw new f(T("Must provide a topic."));
-  if (!an[e]) throw new f(T(`Must provide a valid FHIRcast event name. Supported events: ${Object.keys(an).join(", ")}`));
+  if (!sn[e]) throw new f(T(`Must provide a valid FHIRcast event name. Supported events: ${Object.keys(sn).join(", ")}`));
   if (typeof t != "object") throw new f(T("context must be a context object or array of context objects."));
-  if (cn.includes(e) && !n) throw new f(T(`The '${e}' event must contain a 'context.versionId'.`));
+  if (an.includes(e) && !n) throw new f(T(`The '${e}' event must contain a 'context.versionId'.`));
   let i = Array.isArray(t) ? t : [t];
   return Ha(e, i), { timestamp: (/* @__PURE__ */ new Date()).toISOString(), id: ne(), event: { "hub.topic": r6, "hub.event": e, context: i, ...n ? { "context.versionId": n } : {} } };
 }
@@ -54200,23 +54213,23 @@ var Qt = class extends ie {
   }
 };
 function Ga(r6) {
-  return JSON.parse(Bi(r6));
+  return JSON.parse(Wi(r6));
 }
-function Gi(r6) {
+function Qi(r6) {
   return r6.split(".").length === 3;
 }
 function Jt(r6) {
   let [e, t, n] = r6.split(".");
   return Ga(t);
 }
-function Qi(r6) {
+function zi(r6) {
   try {
     return typeof Jt(r6).login_id == "string";
   } catch {
     return false;
   }
 }
-function zi(r6) {
+function Ji(r6) {
   try {
     let t = Jt(r6).exp;
     return typeof t == "number" ? t * 1e3 : void 0;
@@ -54239,11 +54252,11 @@ var Kt = class {
     await this.medplum.delete(`keyvalue/v1/${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");
@@ -54282,7 +54295,7 @@ var ot = class {
   constructor(e, t = "") {
     c(this, "storage");
     c(this, "prefix", "");
-    this.storage = e ?? globalThis.localStorage ?? new dn(), this.prefix = t;
+    this.storage = e ?? globalThis.localStorage ?? new ln(), this.prefix = t;
   }
   makeKey(e) {
     return this.prefix + e;
@@ -54306,7 +54319,7 @@ var ot = class {
     this.setString(e, t ? At(t) : void 0);
   }
 };
-var dn = class {
+var ln = class {
   constructor() {
     c(this, "data");
     this.data = /* @__PURE__ */ new Map();
@@ -54330,18 +54343,18 @@ 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 +54370,11 @@ 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 +54395,7 @@ 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 +54477,7 @@ 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 +54485,7 @@ 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 +54496,7 @@ 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 +54506,21 @@ 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 {
       }
     }
@@ -54542,7 +54555,7 @@ var at = class extends ie {
     this.criteria.delete(t);
   }
 };
-var pn = class {
+var dn = class {
   constructor(e, t) {
     c(this, "criteria");
     c(this, "emitter");
@@ -54598,7 +54611,7 @@ 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 +54622,7 @@ 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 +54727,7 @@ 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() {
@@ -54728,7 +54741,7 @@ var Zt = class {
     this.masterSubEmitter && this.masterSubEmitter._addCriteria(e);
     let n = this.maybeGetCriteriaEntry(e, t);
     if (n) return n.refCount === 0 && (n.lastUnrefTime = void 0, n.generation++, n.state !== "active" && (n.state = n.token ? "active" : "idle")), n.refCount += 1, n.state === "idle" && this.subscribeToCriteria(n).catch(console.error), n.emitter;
-    let i = new pn(e, t);
+    let i = new dn(e, t);
     return this.addCriteriaEntry(i), this.subscribeToCriteria(i).catch(console.error), i.emitter;
   }
   removeCriteria(e, t) {
@@ -54779,7 +54792,7 @@ function st(r6) {
   return r6.bareCriteria ? [r6.bareCriteria, ...r6.criteriaWithProps] : r6.criteriaWithProps;
 }
 var Ka = new K(1e3);
-var fn = "5.1.14-a19ab66";
+var pn = "5.1.16-2197100";
 var Za = k.FHIR_JSON + ", */*; q=0.1";
 var ec = "https://api.medplum.com/";
 var tc = 1e3;
@@ -54787,8 +54800,8 @@ 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 {
@@ -54833,7 +54846,7 @@ var er = class extends ie {
     c(this, "keyValueClient");
     c(this, "logLevel");
     if (t?.baseUrl && !t.baseUrl.startsWith("http")) throw new Error("Base URL must start with http or https");
-    this.options = t ?? {}, this.fetch = t?.fetch ?? cc(), this.storage = t?.storage ?? new ot(void 0, t?.storagePrefix), this.createPdfImpl = t?.createPdf, this.baseUrl = Xr(t?.baseUrl ?? ec), this.fhirBaseUrl = U(this.baseUrl, t?.fhirUrlPath ?? "fhir/R4"), this.authorizeUrl = U(this.baseUrl, t?.authorizeUrl ?? "oauth2/authorize"), this.tokenUrl = U(this.baseUrl, t?.tokenUrl ?? "oauth2/token"), this.logoutUrl = U(this.baseUrl, t?.logoutUrl ?? "oauth2/logout"), this.fhircastHubUrl = U(this.baseUrl, t?.fhircastHubUrl ?? "fhircast/STU3"), this.cdsServicesUrl = U(this.baseUrl, t?.cdsServicesUrl ?? "cds-services"), this.clientId = t?.clientId ?? "", this.clientSecret = t?.clientSecret ?? "", this.credentialsInHeader = t?.authCredentialsMethod === "header", this.defaultHeaders = t?.defaultHeaders ?? {}, this.onUnauthenticated = t?.onUnauthenticated, this.refreshGracePeriod = t?.refreshGracePeriod ?? ic, this.logLevel = this.initializeLogLevel(t), this.maxRetries = t?.maxRetries ?? 2, this.maxRetryTime = t?.maxRetryTime ?? 2e3, this.cacheTime = t?.cacheTime ?? (z() ? rc : nc), this.cacheTime > 0 ? this.requestCache = new K(t?.resourceCacheSize ?? tc) : this.requestCache = void 0, t?.autoBatchTime ? (this.autoBatchTime = t.autoBatchTime, this.autoBatchQueue = []) : (this.autoBatchTime = 0, this.autoBatchQueue = void 0), t?.accessToken && this.setAccessToken(t.accessToken), this.storage.getInitPromise === void 0 ? (t?.accessToken || this.attemptResumeActiveLogin().catch(console.error), this.initPromise = Promise.resolve(), this.dispatchEvent({ type: "storageInitialized" })) : (this.initComplete = false, this.initPromise = this.storage.getInitPromise(), this.initPromise.then(() => {
+    this.options = t ?? {}, this.fetch = t?.fetch ?? cc(), this.storage = t?.storage ?? new ot(void 0, t?.storagePrefix), this.createPdfImpl = t?.createPdf, this.baseUrl = Yr(t?.baseUrl ?? ec), this.fhirBaseUrl = U(this.baseUrl, t?.fhirUrlPath ?? "fhir/R4"), this.authorizeUrl = U(this.baseUrl, t?.authorizeUrl ?? "oauth2/authorize"), this.tokenUrl = U(this.baseUrl, t?.tokenUrl ?? "oauth2/token"), this.logoutUrl = U(this.baseUrl, t?.logoutUrl ?? "oauth2/logout"), this.fhircastHubUrl = U(this.baseUrl, t?.fhircastHubUrl ?? "fhircast/STU3"), this.cdsServicesUrl = U(this.baseUrl, t?.cdsServicesUrl ?? "cds-services"), this.clientId = t?.clientId ?? "", this.clientSecret = t?.clientSecret ?? "", this.credentialsInHeader = t?.authCredentialsMethod === "header", this.defaultHeaders = t?.defaultHeaders ?? {}, this.onUnauthenticated = t?.onUnauthenticated, this.refreshGracePeriod = t?.refreshGracePeriod ?? ic, this.logLevel = this.initializeLogLevel(t), this.maxRetries = t?.maxRetries ?? 2, this.maxRetryTime = t?.maxRetryTime ?? 2e3, this.cacheTime = t?.cacheTime ?? (z() ? rc : nc), this.cacheTime > 0 ? this.requestCache = new K(t?.resourceCacheSize ?? tc) : this.requestCache = void 0, t?.autoBatchTime ? (this.autoBatchTime = t.autoBatchTime, this.autoBatchQueue = []) : (this.autoBatchTime = 0, this.autoBatchQueue = void 0), t?.accessToken && this.setAccessToken(t.accessToken), this.storage.getInitPromise === void 0 ? (t?.accessToken || this.attemptResumeActiveLogin().catch(console.error), this.initPromise = Promise.resolve(), this.dispatchEvent({ type: "storageInitialized" })) : (this.initComplete = false, this.initPromise = this.storage.getInitPromise(), this.initPromise.then(() => {
       t?.accessToken || this.attemptResumeActiveLogin().catch(console.error), this.initComplete = true, this.dispatchEvent({ type: "storageInitialized" });
     }).catch((n) => {
       console.error(n), this.initComplete = true, this.dispatchEvent({ type: "storageInitFailed", payload: { error: n } });
@@ -54951,7 +54964,7 @@ 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 +55001,7 @@ 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 +55011,7 @@ 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 +55025,7 @@ 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 +55036,7 @@ 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);
   }
@@ -55076,8 +55089,8 @@ var er = class extends ie {
         target
       }
     }`.replaceAll(/\s+/g, " "), u2 = await this.graphql(a);
-      Or(u2.data.StructureDefinitionList);
-      for (let l of u2.data.SearchParameterList) en(l);
+      wr(u2.data.StructureDefinitionList);
+      for (let l of u2.data.SearchParameterList) Zr(l);
     })());
     return this.setCacheEntry(i, s, n), s;
   }
@@ -55090,14 +55103,14 @@ var er = class extends ie {
         let a = this.fhirUrl("StructureDefinition", "$expand-profile");
         a.search = new URLSearchParams({ url: t }).toString();
         let u2 = await this.post(a.toString(), {});
-        Or(u2);
+        wr(u2);
       } else {
         let a = await this.searchOne("StructureDefinition", { url: t, _sort: "-_lastUpdated" });
         if (!a) {
           console.warn(`No StructureDefinition found for ${t}!`);
           return;
         }
-        Ir(a);
+        Or(a);
       }
     })());
     return this.setCacheEntry(i, s, n), s;
@@ -55130,7 +55143,7 @@ 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 +55161,7 @@ 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 +55187,7 @@ 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 +55230,7 @@ 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 +55251,7 @@ 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") ?? [];
@@ -55252,10 +55265,16 @@ var er = class extends ie {
       this.get("auth/me", { cache: "no-cache" }).then((i) => {
         this.profilePromise = void 0;
         let o2 = this.sessionDetails?.profile?.id !== i.profile.id;
-        this.sessionDetails = i, o2 && this.dispatchEvent({ type: "change" }), t(i.profile), this.dispatchEvent({ type: "profileRefreshed" });
+        this.sessionDetails = i, this.syncStoredLoginProject(), o2 && this.dispatchEvent({ type: "change" }), t(i.profile), this.dispatchEvent({ type: "profileRefreshed" });
       }).catch(n);
     }), this.dispatchEvent({ type: "profileRefreshing" }), this.profilePromise;
   }
+  syncStoredLoginProject() {
+    let t = this.getActiveLogin(), n = this.sessionDetails?.project?.name;
+    if (!t || !n || t.project.display === n) return;
+    let i = { ...t, project: { ...t.project, display: n } };
+    this.storage.setObject("activeLogin", i), this.addLogin(i);
+  }
   isLoading() {
     return !this.isInitialized || !!this.profilePromise && !this.sessionDetails?.profile;
   }
@@ -55295,7 +55314,7 @@ 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 +55323,7 @@ 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 +55376,11 @@ 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));
@@ -55388,7 +55407,7 @@ var er = class extends ie {
       if (this.logLevel !== "none" && this.logResponse(s), this.setCurrentRateLimit(s), o2 >= i || !pc(s)) return s;
       let a = this.getRetryDelay(o2), u2 = n.maxRetryTime ?? this.maxRetryTime;
       if (a > u2) return s;
-      await Yr(a, { signal: n.signal });
+      await Kr(a, { signal: n.signal });
     } catch (s) {
       if (s.message === "Failed to fetch" && o2 === 0 && this.dispatchEvent({ type: "offline" }), s.name === "AbortError" || o2 === i) throw s;
     }
@@ -55429,7 +55448,7 @@ var er = class extends ie {
     if (i.pollCount === void 0) n.headers && typeof n.headers == "object" && "Prefer" in n.headers && (o2.headers = { ...n.headers }, delete o2.headers.Prefer), i.statusUrl = t, i.pollCount = 1;
     else {
       let s = n.pollStatusPeriod ?? 1e3;
-      await Yr(s, { signal: n.signal }), i.pollCount++;
+      await Kr(s, { signal: n.signal }), i.pollCount++;
     }
     return this.request(t, { ...n, method: "GET" }, i);
   }
@@ -55448,7 +55467,7 @@ var er = class extends ie {
     let n = { resourceType: "Bundle", type: "batch", entry: t.map((o2) => ({ request: { method: o2.method, url: o2.url }, resource: o2.options.body ? JSON.parse(o2.options.body) : void 0 })) }, i = await this.post(this.fhirBaseUrl, n);
     for (let o2 = 0; o2 < t.length; o2++) {
       let s = t[o2], a = i.entry?.[o2];
-      a?.response?.outcome && !Er(a.response.outcome) ? s.reject(new f(a.response.outcome)) : s.resolve(a?.resource);
+      a?.response?.outcome && !br(a.response.outcome) ? s.reject(new f(a.response.outcome)) : s.resolve(a?.resource);
     }
   }
   addFetchOptionsDefaults(t) {
@@ -55479,15 +55498,15 @@ 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();
+    let t = nn();
     this.storage.setString("pkceState", t);
-    let n = on().slice(0, 128);
+    let n = nn().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 +55517,7 @@ 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 +55530,20 @@ 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);
@@ -55541,20 +55560,20 @@ var er = class extends ie {
   async fhircastSubscribe(t, n) {
     if (!(typeof t == "string" && t !== "")) throw new f(T("Invalid topic provided. Topic must be a valid string."));
     if (!(typeof n == "object" && Array.isArray(n) && n.length > 0)) throw new f(T("Invalid events provided. Events must be an array of event names containing at least one event."));
-    let i = { channelType: "websocket", mode: "subscribe", topic: t, events: n }, s = (await this.post(this.fhircastHubUrl, un(i), k.FORM_URL_ENCODED))["hub.channel.endpoint"];
+    let i = { channelType: "websocket", mode: "subscribe", topic: t, events: n }, s = (await this.post(this.fhircastHubUrl, cn(i), k.FORM_URL_ENCODED))["hub.channel.endpoint"];
     if (!s) throw new Error("Invalid response!");
     return i.endpoint = s, i;
   }
   async fhircastUnsubscribe(t) {
     if (!zt(t)) throw new f(T("Invalid topic or subscriptionRequest. SubscriptionRequest must be an object."));
     if (!(t.endpoint && typeof t.endpoint == "string" && t.endpoint.startsWith("ws"))) throw new f(T("Provided subscription request must have an endpoint in order to unsubscribe."));
-    t.mode = "unsubscribe", await this.post(this.fhircastHubUrl, un(t), k.FORM_URL_ENCODED);
+    t.mode = "unsubscribe", await this.post(this.fhircastHubUrl, cn(t), k.FORM_URL_ENCODED);
   }
   fhircastConnect(t) {
     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 $i(n) ? this.post(this.fhircastHubUrl, un(t, n, i, o2), k.JSON) : (Hi(n), this.post(this.fhircastHubUrl, un(t, n, i), k.JSON));
   }
   async fhircastGetContext(t) {
     return this.get(`${this.fhircastHubUrl}/${t}`, { cache: "no-cache" });
@@ -55565,7 +55584,7 @@ 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 });
     }
@@ -55585,12 +55604,12 @@ 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) {
-        if (i.cid !== this.clientId) throw this.clearActiveLogin(), new f(Sr);
-      } else if (this.clientId && i.client_id !== this.clientId) throw this.clearActiveLogin(), new f(Sr);
+        if (i.cid !== this.clientId) throw this.clearActiveLogin(), new f(Tr);
+      } else if (this.clientId && i.client_id !== this.clientId) throw this.clearActiveLogin(), new f(Tr);
     }
     return this.setActiveLogin({ accessToken: n, refreshToken: t.refresh_token, project: t.project, profile: t.profile });
   }
@@ -55626,21 +55645,21 @@ 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 +55695,14 @@ 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 +55773,7 @@ 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 +55782,7 @@ 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 +55909,10 @@ 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");
@@ -55910,21 +55929,21 @@ 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;
     let i;
-    if (br(n)) i = lr(n);
+    if (Sr(n)) i = lr(n);
     else if (n) {
       i = { ...n };
       for (let [o2, s] of Object.entries(i)) s instanceof Error && (i[o2] = lr(s));
@@ -55932,8 +55951,8 @@ 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: ${r6}`);
   return e;
 }
@@ -55950,12 +55969,12 @@ function lr(r6, e = 0, t = 10) {
   }
   return n;
 }
-var Pn = `${ft}/fhir/StructureDefinition/patient-preferredPharmacy`;
+var Cn = `${ft}/fhir/StructureDefinition/patient-preferredPharmacy`;
 var bu = "https://meta.medplum.com/releases";
-var fr = /* @__PURE__ */ new Map();
+var An = /* @__PURE__ */ new Map();
 function Eu(r6) {
   let e = r6;
-  if (!e.tag_name) throw new Error("Manifest missing tag_name");
+  if (!e.tag_name?.startsWith("v")) throw new Error("Manifest missing valid tag_name starting with a 'v' (eg. v5.1.15)");
   let t = e.assets;
   if (!t?.length) throw new Error("Manifest missing assets list");
   for (let n of t) {
@@ -55964,29 +55983,29 @@ function Eu(r6) {
   }
 }
 async function wn(r6, e, t) {
-  let n = fr.get(e ?? "latest");
+  let n = e ? An.get(e) : void 0;
   if (!n) {
     let i = e ? `v${e}` : "latest", o2 = new URL(`${bu}/${i}.json`);
-    if (o2.searchParams.set("a", r6), o2.searchParams.set("c", fn), t) for (let [u2, l] of Object.entries(t)) o2.searchParams.set(u2, l);
+    if (o2.searchParams.set("a", r6), o2.searchParams.set("c", pn), t) for (let [u2, l] of Object.entries(t)) o2.searchParams.set(u2, l);
     let s = await fetch(o2.toString());
     if (s.status !== 200) {
       let u2;
       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: ${u2}`);
     }
     let a = await s.json();
-    Eu(a), n = a, fr.set(e ?? "latest", n), e || fr.set(n.tag_name.slice(1), n);
+    Eu(a), n = a, An.set(n.tag_name.slice(1), n);
   }
   return n;
 }
 function Ru(r6) {
   return /^\d+\.\d+\.\d+(-[0-9a-z]{7})?$/.test(r6);
 }
-async function Hg(r6, e) {
+async function Gg(r6, e) {
   if (!Ru(e)) return false;
   try {
     await wn(r6, e);
@@ -55995,7 +56014,7 @@ 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 +56126,7 @@ 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() {
@@ -56122,7 +56141,7 @@ var v = class extends m2 {
       for (this.responseQueueProcessing = true; this.responseQueue.length; ) {
         if (this.messagesPerMin) {
           let t = B2 / this.messagesPerMin, s = Date.now() - this.lastMessageDispatchedTime;
-          t > s && await Yr(t - s);
+          t > s && await Kr(t - s);
         }
         let e = this.responseQueue.shift();
         e && this.dispatchEvent(e), this.lastMessageDispatchedTime = Date.now();
@@ -56142,7 +56161,7 @@ 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 +56179,7 @@ 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() {
@@ -56334,7 +56353,7 @@ var x = class {
           c2(T2);
         });
       }, h2 = (l) => {
-        l?.code === "EADDRINUSE" ? n.close(() => Yr(50).then(() => a(i))) : r6(l);
+        l?.code === "EADDRINUSE" ? n.close(() => Kr(50).then(() => a(i))) : r6(l);
       };
       n.on("error", h2), n.once("listening", () => {
         n.off("error", h2);
@@ -56608,7 +56627,7 @@ 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) {
@@ -57337,11 +57356,11 @@ function asyncGeneratorStep(gen, resolve2, reject, _next, _throw, key, arg) {
     Promise.resolve(value).then(_next, _throw);
   }
 }
-function _asyncToGenerator(fn2) {
+function _asyncToGenerator(fn) {
   return function() {
     var self2 = this, args = arguments;
     return new Promise(function(resolve2, reject) {
-      var gen = fn2.apply(self2, args);
+      var gen = fn.apply(self2, args);
       function _next(value) {
         asyncGeneratorStep(gen, resolve2, reject, _next, _throw, "next", value);
       }
@@ -62424,9 +62443,9 @@ var BufferStream = /* @__PURE__ */ (function() {
   }, {
     key: "readVR",
     value: function readVR() {
-      var vr = String.fromCharCode(this.view.getUint8(this.offset)) + String.fromCharCode(this.view.getUint8(this.offset + 1));
+      var vr2 = String.fromCharCode(this.view.getUint8(this.offset)) + String.fromCharCode(this.view.getUint8(this.offset + 1));
       this.increment(2);
-      return vr;
+      return vr2;
     }
   }, {
     key: "readEncodedString",
@@ -63369,20 +63388,20 @@ var ValueRepresentation = /* @__PURE__ */ (function() {
   }, {
     key: "createByTypeString",
     value: function createByTypeString(type) {
-      var vr = VRinstances[type];
-      if (vr === void 0) {
+      var vr2 = VRinstances[type];
+      if (vr2 === void 0) {
         if (type == "ox") {
           validationLog.error("Invalid vr type", type, "- using OW");
-          vr = VRinstances["OW"];
+          vr2 = VRinstances["OW"];
         } else if (type == "xs") {
           validationLog.error("Invalid vr type", type, "- using US");
-          vr = VRinstances["US"];
+          vr2 = VRinstances["US"];
         } else {
           validationLog.error("Invalid vr type", type, "- using UN");
-          vr = VRinstances["UN"];
+          vr2 = VRinstances["UN"];
         }
       }
-      return vr;
+      return vr2;
     }
   }, {
     key: "parseUnknownVr",
@@ -63908,8 +63927,8 @@ 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);
     }
@@ -64468,10 +64487,10 @@ var UnknownValue = /* @__PURE__ */ (function(_BinaryRepresentation) {
 })(BinaryRepresentation);
 var ParsedUnknownValue = /* @__PURE__ */ (function(_BinaryRepresentation2) {
   _inherits(ParsedUnknownValue2, _BinaryRepresentation2);
-  function ParsedUnknownValue2(vr) {
+  function ParsedUnknownValue2(vr2) {
     var _this28;
     _classCallCheck(this, ParsedUnknownValue2);
-    _this28 = _callSuper(this, ParsedUnknownValue2, [vr]);
+    _this28 = _callSuper(this, ParsedUnknownValue2, [vr2]);
     _this28.maxLength = null;
     _this28.padByte = 0;
     _this28.noMultiple = true;
@@ -64486,13 +64505,13 @@ var ParsedUnknownValue = /* @__PURE__ */ (function(_BinaryRepresentation2) {
     value: function read(stream, length2, syntax, readOptions) {
       var arrayBuffer = this.readBytes(stream, length2, syntax)[0];
       var streamFromBuffer = new ReadBufferStream(arrayBuffer, true);
-      var vr = ValueRepresentation.createByTypeString(this.type);
-      if (vr.isBinary() && length2 > vr.maxLength && !vr.noMultiple) {
+      var vr2 = ValueRepresentation.createByTypeString(this.type);
+      if (vr2.isBinary() && length2 > vr2.maxLength && !vr2.noMultiple) {
         var values = [];
         var rawValues = [];
-        var times = length2 / vr.maxLength, i = 0;
+        var times = length2 / vr2.maxLength, i = 0;
         while (i++ < times) {
-          var _vr$read = vr.read(streamFromBuffer, vr.maxLength, syntax, readOptions), rawValue = _vr$read.rawValue, value = _vr$read.value;
+          var _vr$read = vr2.read(streamFromBuffer, vr2.maxLength, syntax, readOptions), rawValue = _vr$read.rawValue, value = _vr$read.value;
           rawValues.push(rawValue);
           values.push(value);
         }
@@ -64501,7 +64520,7 @@ var ParsedUnknownValue = /* @__PURE__ */ (function(_BinaryRepresentation2) {
           value: values
         };
       } else {
-        return vr.read(streamFromBuffer, length2, syntax, readOptions);
+        return vr2.read(streamFromBuffer, length2, syntax, readOptions);
       }
     }
   }]);
@@ -64601,12 +64620,12 @@ var DicomDict = /* @__PURE__ */ (function() {
   }
   _createClass(DicomDict2, [{
     key: "upsertTag",
-    value: function upsertTag(tag, vr, values) {
+    value: function upsertTag(tag, vr2, values) {
       if (this.dict[tag]) {
         this.dict[tag].Value = values;
       } else {
         this.dict[tag] = ValueRepresentation.addTagAccessors({
-          vr
+          vr: vr2
         });
         this.dict[tag].Value = values;
       }
@@ -65221,13 +65240,13 @@ function lookupTagHex(hex8) {
   var end = gi2 + 1 < groupStart.length ? groupStart[gi2 + 1] : elems.length;
   var ei2 = _binSearchU16(elems, start, end, elem);
   if (ei2 < 0) return void 0;
-  var vr = vrTable$1[vrCode[ei2]];
+  var vr2 = vrTable$1[vrCode[ei2]];
   var vm = vmTable$1[vmCode[ei2]];
   var off = nameOff[ei2];
   var len2 = nameLen[ei2];
   var name = nameBlob$1.slice(off, off + len2);
   return {
-    vr,
+    vr: vr2,
     vm,
     name
   };
@@ -65264,14 +65283,14 @@ function getAllStandardTagEntries() {
       var elem = elems[ei2];
       var eHex = _pad4(elem.toString(16).toUpperCase());
       var tag = "(" + gHex + "," + eHex + ")";
-      var vr = vrTable$1[vrCode[ei2]];
+      var vr2 = vrTable$1[vrCode[ei2]];
       var vm = vmTable$1[vmCode[ei2]];
       var off = nameOff[ei2];
       var len2 = nameLen[ei2];
       var name = nameBlob$1.slice(off, off + len2);
       out.push({
         tag,
-        vr,
+        vr: vr2,
         vm,
         name
       });
@@ -65595,9 +65614,9 @@ var DicomMetaDictionary = /* @__PURE__ */ (function() {
           if (dataValue === void 0) {
             return;
           }
-          var vr = dataset._vrMap && dataset._vrMap[naturalName] ? dataset._vrMap[naturalName] : entry.vr;
+          var vr2 = dataset._vrMap && dataset._vrMap[naturalName] ? dataset._vrMap[naturalName] : entry.vr;
           var dataItem = ValueRepresentation.addTagAccessors({
-            vr
+            vr: vr2
           });
           dataItem.Value = dataset[naturalName];
           if (dataValue !== null) {
@@ -65803,7 +65822,7 @@ var Tag = /* @__PURE__ */ (function() {
     }
   }, {
     key: "is",
-    value: function is2(t) {
+    value: function is(t) {
       return this.value == t;
     }
     /**
@@ -65851,7 +65870,7 @@ var Tag = /* @__PURE__ */ (function() {
   }, {
     key: "write",
     value: function write(stream, vrType, values, syntax, writeOptions) {
-      var vr = ValueRepresentation.createByTypeString(vrType);
+      var vr2 = ValueRepresentation.createByTypeString(vrType);
       var useSyntax = DicomMessage$1._normalizeSyntax(syntax);
       var implicit = useSyntax === IMPLICIT_LITTLE_ENDIAN;
       var isLittleEndian = useSyntax === IMPLICIT_LITTLE_ENDIAN || useSyntax === EXPLICIT_LITTLE_ENDIAN$1;
@@ -65863,11 +65882,11 @@ var Tag = /* @__PURE__ */ (function() {
       var tagStream = new WriteBufferStream(256), valueLength;
       tagStream.setEndian(isLittleEndian);
       if (vrType == "OW" || vrType == "OB" || vrType == "UN") {
-        valueLength = vr.writeBytes(tagStream, values, useSyntax, isEncapsulated, writeOptions);
+        valueLength = vr2.writeBytes(tagStream, values, useSyntax, isEncapsulated, writeOptions);
       } else if (vrType == "SQ") {
-        valueLength = vr.writeBytes(tagStream, values, useSyntax, writeOptions);
+        valueLength = vr2.writeBytes(tagStream, values, useSyntax, writeOptions);
       } else {
-        valueLength = vr.writeBytes(tagStream, values, writeOptions);
+        valueLength = vr2.writeBytes(tagStream, values, writeOptions);
       }
       if (vrType == "SQ") {
         valueLength = UNDEFINED_LENGTH;
@@ -65877,14 +65896,14 @@ var Tag = /* @__PURE__ */ (function() {
         stream.writeUint32(valueLength);
         written += 4;
       } else {
-        var isBig16Length = !vr.isLength32() && valueLength >= 65536 && valueLength !== UNDEFINED_LENGTH;
-        if (vr.isLength32() || isBig16Length) {
-          stream.writeAsciiString(isBig16Length ? "UN" : vr.type);
+        var isBig16Length = !vr2.isLength32() && valueLength >= 65536 && valueLength !== UNDEFINED_LENGTH;
+        if (vr2.isLength32() || isBig16Length) {
+          stream.writeAsciiString(isBig16Length ? "UN" : vr2.type);
           stream.writeUint16(0);
           stream.writeUint32(valueLength);
           written += 8;
         } else {
-          stream.writeAsciiString(vr.type);
+          stream.writeAsciiString(vr2.type);
           stream.writeUint16(valueLength);
           written += 4;
         }
@@ -66119,9 +66138,9 @@ var DicomMessage = /* @__PURE__ */ (function() {
     }
   }, {
     key: "writeTagObject",
-    value: function writeTagObject(stream, tagString, vr, values, syntax, writeOptions) {
+    value: function writeTagObject(stream, tagString, vr2, values, syntax, writeOptions) {
       var tag = Tag.fromString(tagString);
-      tag.write(stream, vr, values, syntax, writeOptions);
+      tag.write(stream, vr2, values, syntax, writeOptions);
     }
   }, {
     key: "write",
@@ -66141,14 +66160,14 @@ var DicomMessage = /* @__PURE__ */ (function() {
       if (!tagObject._rawValue) {
         return tagObject.Value;
       }
-      var vr = ValueRepresentation.createByTypeString(vrType);
+      var vr2 = ValueRepresentation.createByTypeString(vrType);
       var originalValue;
       if (Array.isArray(tagObject._rawValue)) {
         originalValue = tagObject._rawValue.map(function(val) {
-          return vr.applyFormatting(val);
+          return vr2.applyFormatting(val);
         });
       } else {
-        originalValue = vr.applyFormatting(tagObject._rawValue);
+        originalValue = vr2.applyFormatting(tagObject._rawValue);
       }
       if (deepEqual(tagObject.Value, originalValue)) {
         return tagObject._rawValue;
@@ -66177,7 +66196,7 @@ var DicomMessage = /* @__PURE__ */ (function() {
           };
         }
       }
-      var length2 = null, vr = null, vrType;
+      var length2 = null, vr2 = null, vrType;
       if (implicit) {
         length2 = stream.readUint32();
         var elementData = DicomMessage2.lookupTag(tag);
@@ -66196,16 +66215,16 @@ var DicomMessage = /* @__PURE__ */ (function() {
             vrType = "UN";
           }
         }
-        vr = ValueRepresentation.createByTypeString(vrType);
+        vr2 = ValueRepresentation.createByTypeString(vrType);
       } else {
         vrType = stream.readVR();
         if (vrType === "UN" && DicomMessage2.lookupTag(tag) && DicomMessage2.lookupTag(tag).vr) {
           vrType = DicomMessage2.lookupTag(tag).vr;
-          vr = ValueRepresentation.parseUnknownVr(vrType);
+          vr2 = ValueRepresentation.parseUnknownVr(vrType);
         } else {
-          vr = ValueRepresentation.createByTypeString(vrType);
+          vr2 = ValueRepresentation.createByTypeString(vrType);
         }
-        if (vr.isLength32()) {
+        if (vr2.isLength32()) {
           stream.increment(2);
           length2 = stream.readUint32();
         } else {
@@ -66214,27 +66233,27 @@ var DicomMessage = /* @__PURE__ */ (function() {
       }
       var values = [];
       var rawValues = [];
-      if (vr.isBinary() && length2 > vr.maxLength && !vr.noMultiple) {
-        var times = length2 / vr.maxLength, i = 0;
+      if (vr2.isBinary() && length2 > vr2.maxLength && !vr2.noMultiple) {
+        var times = length2 / vr2.maxLength, i = 0;
         while (i++ < times) {
-          var _vr$read = vr.read(stream, vr.maxLength, syntax, options), rawValue = _vr$read.rawValue, value = _vr$read.value;
+          var _vr$read = vr2.read(stream, vr2.maxLength, syntax, options), rawValue = _vr$read.rawValue, value = _vr$read.value;
           rawValues.push(rawValue);
           values.push(value);
         }
       } else {
-        var _ref = vr.read(stream, length2, syntax, options) || {}, _rawValue = _ref.rawValue, _value = _ref.value;
-        if (!vr.isBinary() && singleVRs.indexOf(vr.type) == -1) {
+        var _ref = vr2.read(stream, length2, syntax, options) || {}, _rawValue = _ref.rawValue, _value = _ref.value;
+        if (!vr2.isBinary() && singleVRs.indexOf(vr2.type) == -1) {
           rawValues = _rawValue;
           values = _value;
           if (typeof _value === "string") {
             var delimiterChar = String.fromCharCode(VM_DELIMITER);
-            rawValues = vr.dropPadByte(_rawValue.split(delimiterChar));
-            values = vr.dropPadByte(_value.split(delimiterChar));
+            rawValues = vr2.dropPadByte(_rawValue.split(delimiterChar));
+            values = vr2.dropPadByte(_value.split(delimiterChar));
           }
-        } else if (vr.type == "SQ") {
+        } else if (vr2.type == "SQ") {
           rawValues = _rawValue;
           values = _value;
-        } else if (vr.type == "OW" || vr.type == "OB") {
+        } else if (vr2.type == "OW" || vr2.type == "OB") {
           rawValues = _rawValue;
           values = _value;
         } else {
@@ -66245,7 +66264,7 @@ var DicomMessage = /* @__PURE__ */ (function() {
       stream.setEndian(oldEndian);
       var retObj = ValueRepresentation.addTagAccessors({
         tag,
-        vr
+        vr: vr2
       });
       retObj.values = values;
       retObj.rawValues = rawValues;
@@ -66316,13 +66335,13 @@ function lookupPrivateTag(keyStr) {
     if (keyStr < candidate) hi2 = mid - 1;
     else if (keyStr > candidate) lo = mid + 1;
     else {
-      var vr = vrTable[vrCode[mid]];
+      var vr2 = vrTable[vrCode[mid]];
       var vm = vmTable[vmCode[mid]];
       var off = nameOff[mid];
       var nlen = nameLen[mid];
       var name = nameBlob.slice(off, off + nlen);
       return {
-        vr,
+        vr: vr2,
         vm,
         name
       };
@@ -66550,8 +66569,8 @@ var DicomMetadataListener = /* @__PURE__ */ (function() {
        *
        * @param {(() => Promise<void>) | null} fn - Function that returns a Promise, or null to clear
        */
-      function setDrain(fn2) {
-        this._drain = typeof fn2 === "function" ? fn2 : null;
+      function setDrain(fn) {
+        this._drain = typeof fn === "function" ? fn : null;
       }
     )
     /**
@@ -67544,8 +67563,8 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
   }, {
     key: "isSequence",
     value: function isSequence(tagInfo) {
-      var vr = tagInfo.vr, length2 = tagInfo.length;
-      return vr === "SQ" || vr === "UN" && length2 === UNDEFINED_LENGTH_FIX;
+      var vr2 = tagInfo.vr, length2 = tagInfo.length;
+      return vr2 === "SQ" || vr2 === "UN" && length2 === UNDEFINED_LENGTH_FIX;
     }
     /**
      * Reads a tag header.
@@ -67576,12 +67595,12 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
         }
       }
       var length2 = null;
-      var vr = null;
+      var vr2 = null;
       var vrType;
       var isCommand = tagObj.group() === 0;
       if (tagObj.isInstruction()) {
         length2 = stream.readUint32();
-        vr = ValueRepresentation.createByTypeString("UN");
+        vr2 = ValueRepresentation.createByTypeString("UN");
       } else if (implicit && !isCommand) {
         length2 = stream.readUint32();
         var elementData = DicomMessage.lookupTag(tagObj);
@@ -67602,17 +67621,17 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
             vrType = "UN";
           }
         }
-        vr = ValueRepresentation.createByTypeString(vrType);
+        vr2 = ValueRepresentation.createByTypeString(vrType);
       } else {
         var _DicomMessage$lookupT;
         vrType = stream.readVR();
         if (vrType === "UN" && (_DicomMessage$lookupT = DicomMessage.lookupTag(tagObj)) !== null && _DicomMessage$lookupT !== void 0 && _DicomMessage$lookupT.vr) {
           vrType = DicomMessage.lookupTag(tagObj).vr;
-          vr = ValueRepresentation.parseUnknownVr(vrType);
+          vr2 = ValueRepresentation.parseUnknownVr(vrType);
         } else {
-          vr = ValueRepresentation.createByTypeString(vrType);
+          vr2 = ValueRepresentation.createByTypeString(vrType);
         }
-        if (vr.isLength32()) {
+        if (vr2.isLength32()) {
           stream.increment(2);
           length2 = stream.readUint32();
         } else {
@@ -67622,8 +67641,8 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
       var punctuatedTag = DicomMetaDictionary.punctuateTag(tag);
       var entry = DicomMetaDictionary.dictionary[punctuatedTag];
       var header = {
-        vrObj: vr,
-        vr: vr.type,
+        vrObj: vr2,
+        vr: vr2.type,
         tag,
         tagObj,
         vm: entry === null || entry === void 0 ? void 0 : entry.vm,
@@ -67642,7 +67661,7 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
     key: "readSingle",
     value: (function() {
       var _readSingle = _asyncToGenerator(/* @__PURE__ */ _regeneratorRuntime().mark(function _callee11(tagInfo, listener, options) {
-        var length2, stream, syntax, vr, values, times, i, _vr$read, value, _vr$read2, _value, delimiterChar, _values, _values2, coding;
+        var length2, stream, syntax, vr2, values, times, i, _vr$read, value, _vr$read2, _value, delimiterChar, _values, _values2, coding;
         return _regeneratorRuntime().wrap(function _callee11$(_context11) {
           while (1) switch (_context11.prev = _context11.next) {
             case 0:
@@ -67651,25 +67670,25 @@ var AsyncDicomReader = /* @__PURE__ */ (function() {
               _context11.next = 4;
               return this.stream.ensureAvailable(length2);
             case 4:
-              vr = ValueRepresentation.createByTypeString(tagInfo.vr);
+              vr2 = ValueRepresentation.createByTypeString(tagInfo.vr);
               values = [];
-              if (vr.isBinary() && length2 > vr.maxLength && !vr.noMultiple) {
-                times = length2 / vr.maxLength;
+              if (vr2.isBinary() && length2 > vr2.maxLength && !vr2.noMultiple) {
+                times = length2 / vr2.maxLength;
                 i = 0;
                 while (i++ < times) {
                   readLog.trace("readSingle multi-value loop", i, times);
-                  _vr$read = vr.read(stream, vr.maxLength, syntax), value = _vr$read.value;
+                  _vr$read = vr2.read(stream, vr2.maxLength, syntax), value = _vr$read.value;
                   values.push(value);
                 }
               } else {
-                _value = (_vr$read2 = vr.read(stream, length2, syntax)) === null || _vr$read2 === void 0 ? void 0 : _vr$read2.value;
-                if (!vr.isBinary() && singleVRs.indexOf(vr.type) == -1) {
+                _value = (_vr$read2 = vr2.read(stream, length2, syntax)) === null || _vr$read2 === void 0 ? void 0 : _vr$read2.value;
+                if (!vr2.isBinary() && singleVRs.indexOf(vr2.type) == -1) {
                   values = _value;
                   if (typeof _value === "string") {
                     delimiterChar = String.fromCharCode(VM_DELIMITER);
-                    values = vr.dropPadByte(_value.split(delimiterChar));
+                    values = vr2.dropPadByte(_value.split(delimiterChar));
                   }
-                } else if (vr.type == "OW" || vr.type == "OB") {
+                } else if (vr2.type == "OW" || vr2.type == "OB") {
                   values = _value;
                 } else {
                   Array.isArray(_value) ? values = _value : values.push(_value);
@@ -72225,7 +72244,7 @@ var len = length;
 var sqrLen = squaredLength;
 var forEach = (function() {
   var vec = create();
-  return function(a, stride, offset, count, fn2, arg) {
+  return function(a, stride, offset, count, fn, arg) {
     var i, l;
     if (!stride) {
       stride = 3;
@@ -72242,7 +72261,7 @@ var forEach = (function() {
       vec[0] = a[i];
       vec[1] = a[i + 1];
       vec[2] = a[i + 2];
-      fn2(vec, vec, arg);
+      fn(vec, vec, arg);
       a[i] = vec[0];
       a[i + 1] = vec[1];
       a[i + 2] = vec[2];
@@ -73306,7 +73325,7 @@ 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 +73339,7 @@ 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;
@@ -73367,7 +73386,7 @@ var AgentDicomChannel = class extends BaseChannel {
       this.server.on("networkError", async (err2) => {
         this.log.error("Network error: ", { err: err2 });
         if (err2?.code === "EADDRINUSE") {
-          await Yr(50);
+          await Kr(50);
           this.server.close();
           this.server.listen(port);
         }
@@ -73633,7 +73652,7 @@ 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({
@@ -73644,10 +73663,13 @@ var AgentHl7Channel = class extends BaseChannel {
         this.channelLog.debug(
           `[Skipping ACK -- Mode: ${this.appLevelAckMode} -- ID: ${msgControlId ?? "not provided"} -- ACK: ${ackCode ?? "unknown"}]`
         );
+        if (msgControlId) {
+          this.stats.recordAckReceived(msgControlId);
+        }
         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 +73782,12 @@ 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: ${Ne(event.error)}`);
   }
   handleEnhancedAckSent(event) {
     const hl7Message = event.message;
@@ -74160,13 +74182,13 @@ var Hl7ClientPool = class {
       this.closeAndRemoveClient(client);
       if (this.keepAlive) {
         this.log.error(
-          `Persistent connection to remote 'mllp://${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: '${Ne(event.error)}'`
       );
     });
     return client;
@@ -74199,7 +74221,7 @@ var DEFAULT_LOGGER_CONFIG = {
   logDir: __dirname,
   maxFileSizeMb: 10,
   filesToKeep: 10,
-  logLevel: Ge.INFO
+  logLevel: Qe.INFO
 };
 var LOGGER_CONFIG_INTEGER_KEYS = ["maxFileSizeMb", "filesToKeep"];
 var LEVELS_TO_UPPERCASE = {
@@ -74266,16 +74288,16 @@ function parseLoggerConfigFromArgs(args) {
     if (!propName.startsWith("logger.") || propVal === void 0) {
       continue;
     }
-    const [_2, configType, settingName] = We(propName, ".", 3);
+    const [_2, configType, settingName] = qe(propName, ".", 3);
     if (!LOGGER_CONFIG_KEYS.includes(settingName)) {
       warnings.push(`${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}: ${Ne(err2)}`);
       }
     } else if (LOGGER_CONFIG_INTEGER_KEYS.includes(settingName)) {
       try {
@@ -74301,14 +74323,14 @@ function parseLoggerConfigFromArgs(args) {
 function getWinstonLevelFromMedplumLevel(level) {
   switch (level) {
     // Return error for NONE since we are going to turn silent on anyways
-    case Ge.NONE:
-    case Ge.ERROR:
+    case Qe.NONE:
+    case Qe.ERROR:
       return "error";
-    case Ge.WARN:
+    case Qe.WARN:
       return "warn";
-    case Ge.INFO:
+    case Qe.INFO:
       return "info";
-    case Ge.DEBUG:
+    case Qe.DEBUG:
       return "debug";
     default:
       throw new Error("Invalid log level");
@@ -74318,7 +74340,7 @@ function createWinstonFromLoggerConfig(config, loggerType) {
   const level = getWinstonLevelFromMedplumLevel(config.logLevel);
   const logger = import_winston.default.createLogger({
     level,
-    silent: config.logLevel === Ge.NONE,
+    silent: config.logLevel === Qe.NONE,
     format: import_winston.default.format.combine(
       import_winston.default.format.timestamp(),
       // Custom transform to match previous Medplum logger output
@@ -74372,16 +74394,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     this.prefix = options?.prefix;
   }
   debug(msg, data2) {
-    this.log(Ge.DEBUG, msg, data2);
+    this.log(Qe.DEBUG, msg, data2);
   }
   info(msg, data2) {
-    this.log(Ge.INFO, msg, data2);
+    this.log(Qe.INFO, msg, data2);
   }
   warn(msg, data2) {
-    this.log(Ge.WARN, msg, data2);
+    this.log(Qe.WARN, msg, data2);
   }
   error(msg, data2) {
-    this.log(Ge.ERROR, msg, data2);
+    this.log(Qe.ERROR, msg, data2);
   }
   log(level, msg, data2) {
     if (level > this.level) {
@@ -74396,16 +74418,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     const dataToLog = { ...data2, ...this.metadata };
     const msgToLog = this.prefix ? `${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 +74469,7 @@ 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();
@@ -74565,7 +74587,7 @@ async function waitForPidFile(appName, timeoutMs = 3e3) {
     if (Date.now() - startTime > timeoutMs) {
       throw new Error("Timeout while waiting for PID file");
     }
-    await Yr(0);
+    await Kr(0);
   }
 }
 function removeAllPidFiles() {
@@ -74610,7 +74632,9 @@ async function downloadRelease(version, path4) {
   try {
     await (0, import_promises.pipeline)(readable, (0, import_node_fs3.createWriteStream)(path4));
   } catch (err2) {
-    (0, import_node_fs3.unlinkSync)(path4);
+    if ((0, import_node_fs3.existsSync)(path4)) {
+      (0, import_node_fs3.unlinkSync)(path4);
+    }
     throw new Error(`Error while downloading release version ${version} to ${path4}`, { cause: err2 });
   }
 }
@@ -74686,21 +74710,29 @@ 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 +74740,65 @@ 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 (pn.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 ${pn}`;
+      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 Kr(50);
       }
     }
   }
@@ -74761,7 +74811,7 @@ 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;
     }
@@ -74821,7 +74871,7 @@ var _App = class _App {
             break;
           case "agent:heartbeat:request":
             this.outstandingHeartbeats = 0;
-            await this.sendToWebSocket({ type: "agent:heartbeat:response", version: fn });
+            await this.sendToWebSocket({ type: "agent:heartbeat:response", version: pn });
             break;
           case "agent:heartbeat:response":
             this.outstandingHeartbeats = 0;
@@ -74830,6 +74880,10 @@ 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 +74899,10 @@ 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 +74923,7 @@ var _App = class _App {
             } catch (err2) {
               await this.sendToWebSocket({
                 type: "agent:error",
-                body: Le(err2),
+                body: Ne(err2),
                 callback: command.callback
               });
             }
@@ -74893,7 +74951,7 @@ 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 +74960,7 @@ 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 +74973,21 @@ 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 +74996,7 @@ 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 +75022,8 @@ 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 +75058,13 @@ 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 +75104,7 @@ 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 +75112,17 @@ var _App = class _App {
         this.log.warn(`Ignoring empty endpoint address: ${definition.name}`);
       }
       try {
-        await this.startOrReloadChannel(definition, endpoint);
+        const newChannel = await this.reloadOrCreateChannel(definition, endpoint);
+        if (newChannel) {
+          startPromises.push(
+            newChannel.start().then(() => {
+              this.channels.set(definition.name, newChannel);
+            })
+          );
+        }
       } catch (err2) {
         errors.push(err2);
-        this.log.error(Le(err2));
+        this.log.error(Ne(err2));
       }
     }
     if (errors.length) {
@@ -75052,12 +75140,48 @@ var _App = class _App {
             (err2) => ({
               severity: "error",
               code: "invalid",
-              details: { text: Le(err2) }
+              details: { text: Ne(err2) }
             })
           )
         ]
       });
     }
+    return startPromises;
+  }
+  /**
+   * Awaits the channel listener start promises returned by {@link App.hydrateListeners},
+   * aggregating any bind failures into a single error (mirroring {@link App.hydrateListeners}).
+   *
+   * @param startPromises - The channel listener start promises to await.
+   */
+  async waitForChannelsToStart(startPromises) {
+    const results = await Promise.allSettled(startPromises);
+    const errors = results.filter((result) => result.status === "rejected").map((result) => result.reason);
+    if (!errors.length) {
+      return;
+    }
+    for (const err2 of errors) {
+      this.log.error(Ne(err2));
+    }
+    throw new f({
+      resourceType: "OperationOutcome",
+      issue: [
+        {
+          severity: "error",
+          code: "invalid",
+          details: {
+            text: `${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 +75205,7 @@ 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 +75218,37 @@ 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 +75319,7 @@ 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 +75395,7 @@ ${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,
@@ -75270,12 +75403,12 @@ ${result}`);
         remote: message.remote,
         callback: message.callback,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
     }
   }
   async tryUpgradeAgent(message) {
-    this.log.info(`Attempting to upgrade from ${fn} to ${message.version ?? "latest"}...`);
+    this.log.info(`Attempting to upgrade from ${pn} to ${message.version ?? "latest"}...`);
     if ((0, import_node_os4.platform)() !== "win32") {
       const errMsg = "Auto-upgrading is currently only supported on Windows";
       this.log.error(errMsg);
@@ -75298,7 +75431,7 @@ ${result}`);
       return;
     }
     let child;
-    if (message.version && !await Hg("agent-upgrader", message.version)) {
+    if (message.version && !await Gg("agent-upgrader", message.version)) {
       const versionTag = message.version ? `v${message.version}` : "latest";
       const errMsg = `Error during upgrading to version '${versionTag}'. '${message.version}' is not a valid version`;
       this.log.error(errMsg);
@@ -75309,8 +75442,8 @@ ${result}`);
       });
       return;
     }
-    const targetVersion = message.version ?? await Gg("agent-upgrader");
-    if (fn.startsWith(targetVersion)) {
+    const targetVersion = message.version ?? await Qg("agent-upgrader");
+    if (pn.startsWith(targetVersion)) {
       if (!message?.force) {
         this.log.info(`Attempted to upgrade to version ${targetVersion}, but agent is already on that version`);
         await this.sendToWebSocket({
@@ -75320,7 +75453,7 @@ ${result}`);
         });
         return;
       }
-      this.log.info(`Forcing upgrade from ${fn} to ${targetVersion}`);
+      this.log.info(`Forcing upgrade from ${pn} to ${targetVersion}`);
     }
     if (semver.lt(targetVersion, "4.2.4") && !message.force) {
       const errMsg = `WARNING: ${targetVersion} predates the zero-downtime upgrade feature. Downgrading to this version will 1) incur downtime during the downgrade process, as the current agent must stop itself before installing the older agent, and 2) incur downtime on any subsequent upgrade to a later version. We recommend against downgrading to this version, but if you must, reissue the command with force set to true to downgrade.`;
@@ -75340,14 +75473,16 @@ ${result}`);
         forceKillApp("medplum-agent-upgrader");
         removePidFile("medplum-agent-upgrader");
       }
-      (0, import_node_fs4.unlinkSync)(UPGRADE_MANIFEST_PATH);
+      if ((0, import_node_fs4.existsSync)(UPGRADE_MANIFEST_PATH)) {
+        (0, import_node_fs4.unlinkSync)(UPGRADE_MANIFEST_PATH);
+      }
     }
     try {
       const release = await wn("agent-upgrader", targetVersion);
       parseDownloadUrl(release, (0, import_node_os4.platform)());
     } catch (err2) {
       const versionTag = message.version ? `v${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 +75516,13 @@ ${result}`);
           }
         });
         child.on("error", (err2) => {
-          this.log.error(Le(err2));
+          this.log.error(Ne(err2));
           reject(err2);
         });
       });
     } catch (err2) {
       const versionTag = message.version ? `v${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",
@@ -75397,11 +75532,11 @@ ${result}`);
       return;
     }
     try {
-      this.log.info("Writing upgrade manifest...", { previousVersion: fn, targetVersion });
+      this.log.info("Writing upgrade manifest...", { previousVersion: pn, targetVersion });
       (0, import_node_fs4.writeFileSync)(
         UPGRADE_MANIFEST_PATH,
         JSON.stringify({
-          previousVersion: fn,
+          previousVersion: pn,
           targetVersion,
           callback: message.callback ?? null
         }),
@@ -75411,7 +75546,7 @@ ${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 +75560,10 @@ ${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 +75588,10 @@ ${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 +75632,7 @@ ${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 +75640,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       return;
     }
@@ -75513,9 +75648,9 @@ ${result}`);
     try {
       defaultReturnAck = this.parseReturnAck(address.searchParams.get("defaultReturnAck"));
     } catch (err2) {
-      this.log.warn(`${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 +75671,7 @@ ${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 +75693,7 @@ ${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 +75701,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       return;
     }
@@ -75582,7 +75717,7 @@ ${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 +75725,7 @@ ${result}`);
         callback: message.callback,
         contentType: k.TEXT,
         statusCode: 400,
-        body: Le(err2)
+        body: Ne(err2)
       });
       forceClose = true;
     }).finally(() => {
@@ -75618,10 +75753,10 @@ ${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}`);
   }
@@ -75669,9 +75804,9 @@ 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);
+      await Kr(RETRY_WAIT_DURATION_MS);
     }
   }
   if (args.logLevel) {
@@ -75684,7 +75819,7 @@ 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 +75851,7 @@ async function upgraderMain(argv) {
   if ((0, import_node_os5.platform)() !== "win32") {
     throw new Error(`Unsupported platform: ${(0, import_node_os5.platform)()}. Agent upgrader currently only supports Windows`);
   }
-  const globalLogger = new Co((msg) => console.log(msg));
+  const globalLogger = new Po((msg) => console.log(msg));
   if (!import_node_process3.default.send) {
     globalLogger.error("Upgrader not started as a child process with Node IPC enabled. Aborting...");
     import_node_process3.default.exit(1);
@@ -75733,7 +75868,7 @@ async function upgraderMain(argv) {
     if (argv[3] && !Ru(argv[3])) {
       throw new Error("Invalid version specified");
     }
-    version = argv[3] ?? await Gg("agent-upgrader");
+    version = argv[3] ?? await Qg("agent-upgrader");
     binPath = getReleaseBinPath(version);
     if (!(0, import_node_fs6.existsSync)(binPath)) {
       globalLogger.info(`Could not find binary at "${binPath}". Downloading release from GitHub...`);
@@ -75741,7 +75876,7 @@ 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 +75897,7 @@ 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: ${Ne(err2)}`);
     globalLogger.error("Failed to run installer, attempting to restart agent service...");
     try {
       (0, import_node_child_process2.execSync)('net start "Medplum Agent"');
@@ -75788,7 +75923,7 @@ async function main(argv) {
   } else if (argv[2] === "--remove-old-services") {
     const logFileFd = (0, import_node_fs7.openSync)(TEMP_LOG_FILE, "a");
     let allAgentServices = [];
-    const currentServiceName = `MedplumAgent_${fn}`;
+    const currentServiceName = `MedplumAgent_${pn}`;
     while (!allAgentServices.includes(currentServiceName)) {
       const output = (0, import_node_child_process3.execSync)('cmd.exe /c sc query type= service state= all | findstr /i "SERVICE_NAME.*MedplumAgent"');
       (0, import_node_fs7.appendFileSync)(logFileFd, `${output}\r
@@ -75798,8 +75933,8 @@ async function main(argv) {
 ${allAgentServices.join("\r\n")}\r
 `, { encoding: "utf-8" });
     }
-    const servicesToRemove = argv[3] === "--all" ? allAgentServices : allAgentServices.filter((serviceName) => serviceName !== `MedplumAgent_${fn}`);
-    (0, import_node_fs7.appendFileSync)(logFileFd, `Medplum agent service to filter out: MedplumAgent_${fn}\r
+    const servicesToRemove = argv[3] === "--all" ? allAgentServices : allAgentServices.filter((serviceName) => serviceName !== `MedplumAgent_${pn}`);
+    (0, import_node_fs7.appendFileSync)(logFileFd, `Medplum agent service to filter out: MedplumAgent_${pn}\r
 `, {
       encoding: "utf-8"
     });
@@ -75812,10 +75947,10 @@ ${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 +75960,10 @@ ${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);