@medplum/agent 5.1.3 → 5.1.4

package/dist/cjs/index.cjs

@@ -17092,8 +17092,8 @@ var require_dcmjs = __commonJS({
           key: "writeBytes",
           value: function writeBytes(stream, value, writeOptions) {
             var _this8 = this;
-            var val = Array.isArray(value) ? value.map(function(ds2) {
-              return _this8.convertToString(ds2);
+            var val = Array.isArray(value) ? value.map(function(ds) {
+              return _this8.convertToString(ds);
             }) : [this.convertToString(value)];
             return _get2(_getPrototypeOf2(DecimalString3.prototype), "writeBytes", this).call(this, stream, val, writeOptions);
           }
@@ -21715,8 +21715,8 @@ var require_dcmjs = __commonJS({
         }, {
           key: "isMultiframeDataset",
           value: function isMultiframeDataset() {
-            var ds2 = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
-            var sopClassUID = ds2.SOPClassUID.replace(/[^0-9.]/g, "");
+            var ds = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
+            var sopClassUID = ds.SOPClassUID.replace(/[^0-9.]/g, "");
             return Normalizer3.isMultiframeSOPClassUID(sopClassUID);
           }
         }, {
@@ -21756,16 +21756,16 @@ var require_dcmjs = __commonJS({
             }
             this.derivation = new DerivedImage2(this.datasets);
             this.dataset = this.derivation.dataset;
-            var ds2 = this.dataset;
+            var ds = this.dataset;
             var referenceDataset = this.datasets[0];
-            ds2.NumberOfFrames = this.datasets.length;
-            ds2.SOPClassUID = referenceDataset.SOPClassUID;
-            ds2.Rows = referenceDataset.Rows;
-            ds2.Columns = referenceDataset.Columns;
-            ds2.BitsAllocated = referenceDataset.BitsAllocated;
-            ds2.PixelRepresentation = referenceDataset.PixelRepresentation;
-            ds2.RescaleSlope = referenceDataset.RescaleSlope || "1";
-            ds2.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
+            ds.NumberOfFrames = this.datasets.length;
+            ds.SOPClassUID = referenceDataset.SOPClassUID;
+            ds.Rows = referenceDataset.Rows;
+            ds.Columns = referenceDataset.Columns;
+            ds.BitsAllocated = referenceDataset.BitsAllocated;
+            ds.PixelRepresentation = referenceDataset.PixelRepresentation;
+            ds.RescaleSlope = referenceDataset.RescaleSlope || "1";
+            ds.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
             var referencePosition = referenceDataset.ImagePositionPatient;
             var rowVector = referenceDataset.ImageOrientationPatient.slice(0, 3);
             var columnVector = referenceDataset.ImageOrientationPatient.slice(3, 6);
@@ -21780,43 +21780,43 @@ var require_dcmjs = __commonJS({
             distanceDatasetPairs.sort(function(a, b3) {
               return b3[0] - a[0];
             });
-            if (ds2.BitsAllocated !== 16) {
+            if (ds.BitsAllocated !== 16) {
               log3.error("Only works with 16 bit data, not " + String(this.dataset.BitsAllocated));
             }
             if (referenceDataset._vrMap && !referenceDataset._vrMap.PixelData) {
               log3.warn("No vr map given for pixel data, using OW");
-              ds2._vrMap = {
+              ds._vrMap = {
                 PixelData: "OW"
               };
             } else {
-              ds2._vrMap = {
+              ds._vrMap = {
                 PixelData: referenceDataset._vrMap.PixelData
               };
             }
             var frameSize = referenceDataset.PixelData.byteLength;
-            ds2.PixelData = new ArrayBuffer(ds2.NumberOfFrames * frameSize);
+            ds.PixelData = new ArrayBuffer(ds.NumberOfFrames * frameSize);
             var frame = 0;
             distanceDatasetPairs.forEach(function(pair) {
               var dataset = pair[1];
               var pixels = new Uint16Array(dataset.PixelData);
-              var frameView = new Uint16Array(ds2.PixelData, frame * frameSize, frameSize / 2);
+              var frameView = new Uint16Array(ds.PixelData, frame * frameSize, frameSize / 2);
               try {
                 frameView.set(pixels);
               } catch (e) {
                 if (e instanceof RangeError) {
-                  var message2 = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds2.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
+                  var message2 = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
                   log3.error(message2);
                 }
               }
               frame++;
             });
-            if (ds2.NumberOfFrames < 2) {
+            if (ds.NumberOfFrames < 2) {
               log3.error("Cannot populate shared groups uniquely without multiple frames");
             }
             var _distanceDatasetPairs = _slicedToArray2(distanceDatasetPairs[0], 2), distance0 = _distanceDatasetPairs[0], dataset0 = _distanceDatasetPairs[1];
             var distance1 = distanceDatasetPairs[1][0];
             var SpacingBetweenSlices = Math.abs(distance1 - distance0);
-            ds2.SharedFunctionalGroupsSequence = {
+            ds.SharedFunctionalGroupsSequence = {
               PlaneOrientationSequence: {
                 ImageOrientationPatient: dataset0.ImageOrientationPatient
               },
@@ -21826,14 +21826,14 @@ var require_dcmjs = __commonJS({
                 SliceThickness: SpacingBetweenSlices
               }
             };
-            ds2.ReferencedSeriesSequence = {
+            ds.ReferencedSeriesSequence = {
               SeriesInstanceUID: dataset0.SeriesInstanceUID,
               ReferencedInstanceSequence: []
             };
-            ds2.PerFrameFunctionalGroupsSequence = [];
+            ds.PerFrameFunctionalGroupsSequence = [];
             distanceDatasetPairs.forEach(function(pair) {
               var dataset = pair[1];
-              ds2.PerFrameFunctionalGroupsSequence.push({
+              ds.PerFrameFunctionalGroupsSequence.push({
                 PlanePositionSequence: {
                   ImagePositionPatient: dataset.ImagePositionPatient
                 },
@@ -21842,7 +21842,7 @@ var require_dcmjs = __commonJS({
                   WindowWidth: dataset.WindowWidth
                 }
               });
-              ds2.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
+              ds.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
                 ReferencedSOPClassUID: dataset.SOPClassUID,
                 ReferencedSOPInstanceUID: dataset.SOPInstanceUID
               });
@@ -21862,29 +21862,29 @@ var require_dcmjs = __commonJS({
         }, {
           key: "normalizeMultiframe",
           value: function normalizeMultiframe() {
-            var ds2 = this.dataset;
-            if (!ds2.NumberOfFrames) {
+            var ds = this.dataset;
+            if (!ds.NumberOfFrames) {
               log3.error("Missing number or frames not supported");
               return;
             }
-            if (!ds2.PixelRepresentation) {
-              ds2.PixelRepresentation = 1;
+            if (!ds.PixelRepresentation) {
+              ds.PixelRepresentation = 1;
             }
-            if (!ds2.StudyID || ds2.StudyID === "") {
-              ds2.StudyID = "No Study ID";
+            if (!ds.StudyID || ds.StudyID === "") {
+              ds.StudyID = "No Study ID";
             }
             var validLateralities = ["R", "L"];
-            if (validLateralities.indexOf(ds2.Laterality) === -1) {
-              delete ds2.Laterality;
+            if (validLateralities.indexOf(ds.Laterality) === -1) {
+              delete ds.Laterality;
             }
-            if (!ds2.PresentationLUTShape) {
-              ds2.PresentationLUTShape = "IDENTITY";
+            if (!ds.PresentationLUTShape) {
+              ds.PresentationLUTShape = "IDENTITY";
             }
-            if (!ds2.SharedFunctionalGroupsSequence) {
+            if (!ds.SharedFunctionalGroupsSequence) {
               log3.error("Can only process multiframe data with SharedFunctionalGroupsSequence");
             }
-            if (ds2.BodyPartExamined === "PROSTATE") {
-              ds2.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
+            if (ds.BodyPartExamined === "PROSTATE") {
+              ds.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
                 AnatomicRegionSequence: {
                   CodeValue: "T-9200B",
                   CodingSchemeDesignator: "SRT",
@@ -21893,17 +21893,17 @@ var require_dcmjs = __commonJS({
                 FrameLaterality: "U"
               };
             }
-            var rescaleIntercept = ds2.RescaleIntercept || 0;
-            var rescaleSlope = ds2.RescaleSlope || 1;
-            ds2.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
+            var rescaleIntercept = ds.RescaleIntercept || 0;
+            var rescaleSlope = ds.RescaleSlope || 1;
+            ds.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
               RescaleIntercept: rescaleIntercept,
               RescaleSlope: rescaleSlope,
               RescaleType: "US"
             };
             var frameNumber = 1;
             this.datasets.forEach(function(dataset) {
-              if (ds2.NumberOfFrames === 1) ds2.PerFrameFunctionalGroupsSequence = [ds2.PerFrameFunctionalGroupsSequence];
-              ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
+              if (ds.NumberOfFrames === 1) ds.PerFrameFunctionalGroupsSequence = [ds.PerFrameFunctionalGroupsSequence];
+              ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
                 FrameAcquisitionDuration: 0,
                 StackID: 1,
                 InStackPositionNumber: frameNumber,
@@ -21911,30 +21911,30 @@ var require_dcmjs = __commonJS({
               };
               var frameTime = dataset.AcquisitionDate + dataset.AcquisitionTime;
               if (!isNaN(frameTime)) {
-                var frameContentSequence = ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
+                var frameContentSequence = ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
                 frameContentSequence.FrameAcquisitionDateTime = frameTime;
                 frameContentSequence.FrameReferenceDateTime = frameTime;
               }
               frameNumber++;
             });
-            if (ds2.WindowCenter && ds2.WindowWidth) {
-              if (!Array.isArray(ds2.WindowCenter)) {
-                ds2.WindowCenter = [ds2.WindowCenter];
+            if (ds.WindowCenter && ds.WindowWidth) {
+              if (!Array.isArray(ds.WindowCenter)) {
+                ds.WindowCenter = [ds.WindowCenter];
               }
-              if (!Array.isArray(ds2.WindowWidth)) {
-                ds2.WindowWidth = [ds2.WindowWidth];
+              if (!Array.isArray(ds.WindowWidth)) {
+                ds.WindowWidth = [ds.WindowWidth];
               }
             }
-            if (!ds2.WindowCenter || !ds2.WindowWidth) {
-              ds2.WindowCenter = [];
-              ds2.WindowWidth = [];
-              if (ds2.PerFrameFunctionalGroupsSequence) {
+            if (!ds.WindowCenter || !ds.WindowWidth) {
+              ds.WindowCenter = [];
+              ds.WindowWidth = [];
+              if (ds.PerFrameFunctionalGroupsSequence) {
                 var wcww = {
                   center: 0,
                   width: 0,
                   count: 0
                 };
-                ds2.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
+                ds.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
                   if (functionalGroup.FrameVOILUT) {
                     var wc = functionalGroup.FrameVOILUTSequence.WindowCenter;
                     var ww = functionalGroup.FrameVOILUTSequence.WindowWidth;
@@ -21952,26 +21952,26 @@ var require_dcmjs = __commonJS({
                   }
                 });
                 if (wcww.count > 0) {
-                  ds2.WindowCenter.push(String(wcww.center / wcww.count));
-                  ds2.WindowWidth.push(String(wcww.width / wcww.count));
+                  ds.WindowCenter.push(String(wcww.center / wcww.count));
+                  ds.WindowWidth.push(String(wcww.width / wcww.count));
                 }
               }
             }
-            if (ds2.WindowCenter.length === 0) {
-              ds2.WindowCenter = [300];
+            if (ds.WindowCenter.length === 0) {
+              ds.WindowCenter = [300];
             }
-            if (ds2.WindowWidth.length === 0) {
-              ds2.WindowWidth = [500];
+            if (ds.WindowWidth.length === 0) {
+              ds.WindowWidth = [500];
             }
           }
         }], [{
           key: "vec3CrossProduct",
           value: function vec3CrossProduct(a, b3) {
-            var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
+            var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
             var out = [];
-            out[0] = ay2 * bz - az * by;
+            out[0] = ay * bz - az * by;
             out[1] = az * bx - ax * bz;
-            out[2] = ax * by - ay2 * bx;
+            out[2] = ax * by - ay * bx;
             return out;
           }
         }, {
@@ -22007,12 +22007,12 @@ var require_dcmjs = __commonJS({
           key: "normalizeMultiframe",
           value: function normalizeMultiframe() {
             _get2(_getPrototypeOf2(MRImageNormalizer3.prototype), "normalizeMultiframe", this).call(this);
-            var ds2 = this.dataset;
-            if (!ds2.ImageType || !ds2.ImageType.constructor || ds2.ImageType.constructor.name != "Array" || ds2.ImageType.length != 4) {
-              ds2.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
+            var ds = this.dataset;
+            if (!ds.ImageType || !ds.ImageType.constructor || ds.ImageType.constructor.name != "Array" || ds.ImageType.length != 4) {
+              ds.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
             }
-            ds2.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
-              FrameType: ds2.ImageType,
+            ds.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
+              FrameType: ds.ImageType,
               PixelPresentation: "MONOCHROME",
               VolumetricProperties: "VOLUME",
               VolumeBasedCalculationTechnique: "NONE",
@@ -22137,9 +22137,9 @@ var require_dcmjs = __commonJS({
           key: "normalize",
           value: function normalize3() {
             _get2(_getPrototypeOf2(PMImageNormalizer3.prototype), "normalize", this).call(this);
-            var ds2 = this.datasets[0];
-            if (ds2.BitsAllocated !== 32) {
-              log3.error("Only works with 32 bit data, not " + String(ds2.BitsAllocated));
+            var ds = this.datasets[0];
+            if (ds.BitsAllocated !== 32) {
+              log3.error("Only works with 32 bit data, not " + String(ds.BitsAllocated));
             }
           }
         }]);
@@ -26389,8 +26389,8 @@ var require_dcmjs = __commonJS({
           key: "getCornerstoneLabelFromDefaultState",
           value: function getCornerstoneLabelFromDefaultState(defaultState) {
             var _defaultState$finding = defaultState.findingSites, findingSites = _defaultState$finding === void 0 ? [] : _defaultState$finding, finding = defaultState.finding;
-            var freeTextLabel = findingSites.find(function(fs3) {
-              return isFreeTextCodeValue3(fs3.CodeValue) || isLegacyFreeTextCodeValue3(fs3.CodeValue);
+            var freeTextLabel = findingSites.find(function(fs4) {
+              return isFreeTextCodeValue3(fs4.CodeValue) || isLegacyFreeTextCodeValue3(fs4.CodeValue);
             });
             if (freeTextLabel) {
               return freeTextLabel.CodeMeaning;
@@ -26969,19 +26969,19 @@ var require_dcmjs = __commonJS({
         return a[0] * b3[0] + a[1] * b3[1] + a[2] * b3[2];
       }
       function cross$12(out, a, b3) {
-        var ax = a[0], ay2 = a[1], az = a[2];
+        var ax = a[0], ay = a[1], az = a[2];
         var bx = b3[0], by = b3[1], bz = b3[2];
-        out[0] = ay2 * bz - az * by;
+        out[0] = ay * bz - az * by;
         out[1] = az * bx - ax * bz;
-        out[2] = ax * by - ay2 * bx;
+        out[2] = ax * by - ay * bx;
         return out;
       }
       function lerp2(out, a, b3, t) {
         var ax = a[0];
-        var ay2 = a[1];
+        var ay = a[1];
         var az = a[2];
         out[0] = ax + t * (b3[0] - ax);
-        out[1] = ay2 + t * (b3[1] - ay2);
+        out[1] = ay + t * (b3[1] - ay);
         out[2] = az + t * (b3[2] - az);
         return out;
       }
@@ -27092,7 +27092,7 @@ var require_dcmjs = __commonJS({
         return out;
       }
       function angle2(a, b3) {
-        var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay2 * ay2 + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot2(a, b3) / mag;
+        var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay * ay + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot2(a, b3) / mag;
         return Math.acos(Math.min(Math.max(cosine, -1), 1));
       }
       function zero2(out) {
@@ -37890,8 +37890,8 @@ var require_dcmjs2 = __commonJS({
           key: "writeBytes",
           value: function writeBytes(stream, value, writeOptions) {
             var _this8 = this;
-            var val = Array.isArray(value) ? value.map(function(ds2) {
-              return _this8.convertToString(ds2);
+            var val = Array.isArray(value) ? value.map(function(ds) {
+              return _this8.convertToString(ds);
             }) : [this.convertToString(value)];
             return _get2(_getPrototypeOf2(DecimalString3.prototype), "writeBytes", this).call(this, stream, val, writeOptions);
           }
@@ -39664,8 +39664,8 @@ var require_dcmjs2 = __commonJS({
         }, {
           key: "isMultiframeDataset",
           value: function isMultiframeDataset() {
-            var ds2 = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
-            var sopClassUID = ds2.SOPClassUID.replace(/[^0-9.]/g, "");
+            var ds = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
+            var sopClassUID = ds.SOPClassUID.replace(/[^0-9.]/g, "");
             return Normalizer3.isMultiframeSOPClassUID(sopClassUID);
           }
         }, {
@@ -39705,16 +39705,16 @@ var require_dcmjs2 = __commonJS({
             }
             this.derivation = new DerivedImage2(this.datasets);
             this.dataset = this.derivation.dataset;
-            var ds2 = this.dataset;
+            var ds = this.dataset;
             var referenceDataset = this.datasets[0];
-            ds2.NumberOfFrames = this.datasets.length;
-            ds2.SOPClassUID = referenceDataset.SOPClassUID;
-            ds2.Rows = referenceDataset.Rows;
-            ds2.Columns = referenceDataset.Columns;
-            ds2.BitsAllocated = referenceDataset.BitsAllocated;
-            ds2.PixelRepresentation = referenceDataset.PixelRepresentation;
-            ds2.RescaleSlope = referenceDataset.RescaleSlope || "1";
-            ds2.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
+            ds.NumberOfFrames = this.datasets.length;
+            ds.SOPClassUID = referenceDataset.SOPClassUID;
+            ds.Rows = referenceDataset.Rows;
+            ds.Columns = referenceDataset.Columns;
+            ds.BitsAllocated = referenceDataset.BitsAllocated;
+            ds.PixelRepresentation = referenceDataset.PixelRepresentation;
+            ds.RescaleSlope = referenceDataset.RescaleSlope || "1";
+            ds.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
             var referencePosition = referenceDataset.ImagePositionPatient;
             var rowVector = referenceDataset.ImageOrientationPatient.slice(0, 3);
             var columnVector = referenceDataset.ImageOrientationPatient.slice(3, 6);
@@ -39729,43 +39729,43 @@ var require_dcmjs2 = __commonJS({
             distanceDatasetPairs.sort(function(a, b3) {
               return b3[0] - a[0];
             });
-            if (ds2.BitsAllocated !== 16) {
+            if (ds.BitsAllocated !== 16) {
               log3.error("Only works with 16 bit data, not " + String(this.dataset.BitsAllocated));
             }
             if (referenceDataset._vrMap && !referenceDataset._vrMap.PixelData) {
               log3.warn("No vr map given for pixel data, using OW");
-              ds2._vrMap = {
+              ds._vrMap = {
                 PixelData: "OW"
               };
             } else {
-              ds2._vrMap = {
+              ds._vrMap = {
                 PixelData: referenceDataset._vrMap.PixelData
               };
             }
             var frameSize = referenceDataset.PixelData.byteLength;
-            ds2.PixelData = new ArrayBuffer(ds2.NumberOfFrames * frameSize);
+            ds.PixelData = new ArrayBuffer(ds.NumberOfFrames * frameSize);
             var frame = 0;
             distanceDatasetPairs.forEach(function(pair) {
               var dataset = pair[1];
               var pixels = new Uint16Array(dataset.PixelData);
-              var frameView = new Uint16Array(ds2.PixelData, frame * frameSize, frameSize / 2);
+              var frameView = new Uint16Array(ds.PixelData, frame * frameSize, frameSize / 2);
               try {
                 frameView.set(pixels);
               } catch (e) {
                 if (e instanceof RangeError) {
-                  var message2 = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds2.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
+                  var message2 = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
                   log3.error(message2);
                 }
               }
               frame++;
             });
-            if (ds2.NumberOfFrames < 2) {
+            if (ds.NumberOfFrames < 2) {
               log3.error("Cannot populate shared groups uniquely without multiple frames");
             }
             var _distanceDatasetPairs = _slicedToArray2(distanceDatasetPairs[0], 2), distance0 = _distanceDatasetPairs[0], dataset0 = _distanceDatasetPairs[1];
             var distance1 = distanceDatasetPairs[1][0];
             var SpacingBetweenSlices = Math.abs(distance1 - distance0);
-            ds2.SharedFunctionalGroupsSequence = {
+            ds.SharedFunctionalGroupsSequence = {
               PlaneOrientationSequence: {
                 ImageOrientationPatient: dataset0.ImageOrientationPatient
               },
@@ -39775,14 +39775,14 @@ var require_dcmjs2 = __commonJS({
                 SliceThickness: SpacingBetweenSlices
               }
             };
-            ds2.ReferencedSeriesSequence = {
+            ds.ReferencedSeriesSequence = {
               SeriesInstanceUID: dataset0.SeriesInstanceUID,
               ReferencedInstanceSequence: []
             };
-            ds2.PerFrameFunctionalGroupsSequence = [];
+            ds.PerFrameFunctionalGroupsSequence = [];
             distanceDatasetPairs.forEach(function(pair) {
               var dataset = pair[1];
-              ds2.PerFrameFunctionalGroupsSequence.push({
+              ds.PerFrameFunctionalGroupsSequence.push({
                 PlanePositionSequence: {
                   ImagePositionPatient: dataset.ImagePositionPatient
                 },
@@ -39791,7 +39791,7 @@ var require_dcmjs2 = __commonJS({
                   WindowWidth: dataset.WindowWidth
                 }
               });
-              ds2.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
+              ds.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
                 ReferencedSOPClassUID: dataset.SOPClassUID,
                 ReferencedSOPInstanceUID: dataset.SOPInstanceUID
               });
@@ -39811,29 +39811,29 @@ var require_dcmjs2 = __commonJS({
         }, {
           key: "normalizeMultiframe",
           value: function normalizeMultiframe() {
-            var ds2 = this.dataset;
-            if (!ds2.NumberOfFrames) {
+            var ds = this.dataset;
+            if (!ds.NumberOfFrames) {
               log3.error("Missing number or frames not supported");
               return;
             }
-            if (!ds2.PixelRepresentation) {
-              ds2.PixelRepresentation = 1;
+            if (!ds.PixelRepresentation) {
+              ds.PixelRepresentation = 1;
             }
-            if (!ds2.StudyID || ds2.StudyID === "") {
-              ds2.StudyID = "No Study ID";
+            if (!ds.StudyID || ds.StudyID === "") {
+              ds.StudyID = "No Study ID";
             }
             var validLateralities = ["R", "L"];
-            if (validLateralities.indexOf(ds2.Laterality) === -1) {
-              delete ds2.Laterality;
+            if (validLateralities.indexOf(ds.Laterality) === -1) {
+              delete ds.Laterality;
             }
-            if (!ds2.PresentationLUTShape) {
-              ds2.PresentationLUTShape = "IDENTITY";
+            if (!ds.PresentationLUTShape) {
+              ds.PresentationLUTShape = "IDENTITY";
             }
-            if (!ds2.SharedFunctionalGroupsSequence) {
+            if (!ds.SharedFunctionalGroupsSequence) {
               log3.error("Can only process multiframe data with SharedFunctionalGroupsSequence");
             }
-            if (ds2.BodyPartExamined === "PROSTATE") {
-              ds2.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
+            if (ds.BodyPartExamined === "PROSTATE") {
+              ds.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
                 AnatomicRegionSequence: {
                   CodeValue: "T-9200B",
                   CodingSchemeDesignator: "SRT",
@@ -39842,17 +39842,17 @@ var require_dcmjs2 = __commonJS({
                 FrameLaterality: "U"
               };
             }
-            var rescaleIntercept = ds2.RescaleIntercept || 0;
-            var rescaleSlope = ds2.RescaleSlope || 1;
-            ds2.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
+            var rescaleIntercept = ds.RescaleIntercept || 0;
+            var rescaleSlope = ds.RescaleSlope || 1;
+            ds.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
               RescaleIntercept: rescaleIntercept,
               RescaleSlope: rescaleSlope,
               RescaleType: "US"
             };
             var frameNumber = 1;
             this.datasets.forEach(function(dataset) {
-              if (ds2.NumberOfFrames === 1) ds2.PerFrameFunctionalGroupsSequence = [ds2.PerFrameFunctionalGroupsSequence];
-              ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
+              if (ds.NumberOfFrames === 1) ds.PerFrameFunctionalGroupsSequence = [ds.PerFrameFunctionalGroupsSequence];
+              ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
                 FrameAcquisitionDuration: 0,
                 StackID: 1,
                 InStackPositionNumber: frameNumber,
@@ -39860,30 +39860,30 @@ var require_dcmjs2 = __commonJS({
               };
               var frameTime = dataset.AcquisitionDate + dataset.AcquisitionTime;
               if (!isNaN(frameTime)) {
-                var frameContentSequence = ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
+                var frameContentSequence = ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
                 frameContentSequence.FrameAcquisitionDateTime = frameTime;
                 frameContentSequence.FrameReferenceDateTime = frameTime;
               }
               frameNumber++;
             });
-            if (ds2.WindowCenter && ds2.WindowWidth) {
-              if (!Array.isArray(ds2.WindowCenter)) {
-                ds2.WindowCenter = [ds2.WindowCenter];
+            if (ds.WindowCenter && ds.WindowWidth) {
+              if (!Array.isArray(ds.WindowCenter)) {
+                ds.WindowCenter = [ds.WindowCenter];
               }
-              if (!Array.isArray(ds2.WindowWidth)) {
-                ds2.WindowWidth = [ds2.WindowWidth];
+              if (!Array.isArray(ds.WindowWidth)) {
+                ds.WindowWidth = [ds.WindowWidth];
               }
             }
-            if (!ds2.WindowCenter || !ds2.WindowWidth) {
-              ds2.WindowCenter = [];
-              ds2.WindowWidth = [];
-              if (ds2.PerFrameFunctionalGroupsSequence) {
+            if (!ds.WindowCenter || !ds.WindowWidth) {
+              ds.WindowCenter = [];
+              ds.WindowWidth = [];
+              if (ds.PerFrameFunctionalGroupsSequence) {
                 var wcww = {
                   center: 0,
                   width: 0,
                   count: 0
                 };
-                ds2.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
+                ds.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
                   if (functionalGroup.FrameVOILUT) {
                     var wc = functionalGroup.FrameVOILUTSequence.WindowCenter;
                     var ww = functionalGroup.FrameVOILUTSequence.WindowWidth;
@@ -39901,26 +39901,26 @@ var require_dcmjs2 = __commonJS({
                   }
                 });
                 if (wcww.count > 0) {
-                  ds2.WindowCenter.push(String(wcww.center / wcww.count));
-                  ds2.WindowWidth.push(String(wcww.width / wcww.count));
+                  ds.WindowCenter.push(String(wcww.center / wcww.count));
+                  ds.WindowWidth.push(String(wcww.width / wcww.count));
                 }
               }
             }
-            if (ds2.WindowCenter.length === 0) {
-              ds2.WindowCenter = [300];
+            if (ds.WindowCenter.length === 0) {
+              ds.WindowCenter = [300];
             }
-            if (ds2.WindowWidth.length === 0) {
-              ds2.WindowWidth = [500];
+            if (ds.WindowWidth.length === 0) {
+              ds.WindowWidth = [500];
             }
           }
         }], [{
           key: "vec3CrossProduct",
           value: function vec3CrossProduct(a, b3) {
-            var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
+            var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
             var out = [];
-            out[0] = ay2 * bz - az * by;
+            out[0] = ay * bz - az * by;
             out[1] = az * bx - ax * bz;
-            out[2] = ax * by - ay2 * bx;
+            out[2] = ax * by - ay * bx;
             return out;
           }
         }, {
@@ -39956,12 +39956,12 @@ var require_dcmjs2 = __commonJS({
           key: "normalizeMultiframe",
           value: function normalizeMultiframe() {
             _get2(_getPrototypeOf2(MRImageNormalizer3.prototype), "normalizeMultiframe", this).call(this);
-            var ds2 = this.dataset;
-            if (!ds2.ImageType || !ds2.ImageType.constructor || ds2.ImageType.constructor.name != "Array" || ds2.ImageType.length != 4) {
-              ds2.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
+            var ds = this.dataset;
+            if (!ds.ImageType || !ds.ImageType.constructor || ds.ImageType.constructor.name != "Array" || ds.ImageType.length != 4) {
+              ds.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
             }
-            ds2.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
-              FrameType: ds2.ImageType,
+            ds.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
+              FrameType: ds.ImageType,
               PixelPresentation: "MONOCHROME",
               VolumetricProperties: "VOLUME",
               VolumeBasedCalculationTechnique: "NONE",
@@ -40086,9 +40086,9 @@ var require_dcmjs2 = __commonJS({
           key: "normalize",
           value: function normalize3() {
             _get2(_getPrototypeOf2(PMImageNormalizer3.prototype), "normalize", this).call(this);
-            var ds2 = this.datasets[0];
-            if (ds2.BitsAllocated !== 32) {
-              log3.error("Only works with 32 bit data, not " + String(ds2.BitsAllocated));
+            var ds = this.datasets[0];
+            if (ds.BitsAllocated !== 32) {
+              log3.error("Only works with 32 bit data, not " + String(ds.BitsAllocated));
             }
           }
         }]);
@@ -44366,8 +44366,8 @@ var require_dcmjs2 = __commonJS({
           value: function getCornerstoneLabelFromDefaultState(defaultState) {
             var _defaultState$finding = defaultState.findingSites, findingSites = _defaultState$finding === void 0 ? [] : _defaultState$finding, finding = defaultState.finding;
             var cornersoneFreeTextCodingValue = CodingScheme2.codeValues.CORNERSTONEFREETEXT;
-            var freeTextLabel = findingSites.find(function(fs3) {
-              return fs3.CodeValue === cornersoneFreeTextCodingValue;
+            var freeTextLabel = findingSites.find(function(fs4) {
+              return fs4.CodeValue === cornersoneFreeTextCodingValue;
             });
             if (freeTextLabel) {
               return freeTextLabel.CodeMeaning;
@@ -44946,19 +44946,19 @@ var require_dcmjs2 = __commonJS({
         return a[0] * b3[0] + a[1] * b3[1] + a[2] * b3[2];
       }
       function cross$12(out, a, b3) {
-        var ax = a[0], ay2 = a[1], az = a[2];
+        var ax = a[0], ay = a[1], az = a[2];
         var bx = b3[0], by = b3[1], bz = b3[2];
-        out[0] = ay2 * bz - az * by;
+        out[0] = ay * bz - az * by;
         out[1] = az * bx - ax * bz;
-        out[2] = ax * by - ay2 * bx;
+        out[2] = ax * by - ay * bx;
         return out;
       }
       function lerp2(out, a, b3, t) {
         var ax = a[0];
-        var ay2 = a[1];
+        var ay = a[1];
         var az = a[2];
         out[0] = ax + t * (b3[0] - ax);
-        out[1] = ay2 + t * (b3[1] - ay2);
+        out[1] = ay + t * (b3[1] - ay);
         out[2] = az + t * (b3[2] - az);
         return out;
       }
@@ -45069,7 +45069,7 @@ var require_dcmjs2 = __commonJS({
         return out;
       }
       function angle2(a, b3) {
-        var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay2 * ay2 + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot2(a, b3) / mag;
+        var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay * ay + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot2(a, b3) / mag;
         return Math.acos(Math.min(Math.max(cosine, -1), 1));
       }
       function zero2(out) {
@@ -52259,17 +52259,17 @@ var require_decorator = __commonJS({
       return mergedObject;
     };
     var mergePropertyAndMethodDecorators = (d1, d2) => {
-      var _a2, _b, _c, _d2;
+      var _a2, _b, _c, _d;
       return {
         property: mergeObjectsOfDecorators((_a2 = d1 === null || d1 === void 0 ? void 0 : d1.property) !== null && _a2 !== void 0 ? _a2 : {}, (_b = d2 === null || d2 === void 0 ? void 0 : d2.property) !== null && _b !== void 0 ? _b : {}),
-        method: mergeObjectsOfDecorators((_c = d1 === null || d1 === void 0 ? void 0 : d1.method) !== null && _c !== void 0 ? _c : {}, (_d2 = d2 === null || d2 === void 0 ? void 0 : d2.method) !== null && _d2 !== void 0 ? _d2 : {})
+        method: mergeObjectsOfDecorators((_c = d1 === null || d1 === void 0 ? void 0 : d1.method) !== null && _c !== void 0 ? _c : {}, (_d = d2 === null || d2 === void 0 ? void 0 : d2.method) !== null && _d !== void 0 ? _d : {})
       };
     };
     var mergeDecorators = (d1, d2) => {
-      var _a2, _b, _c, _d2, _e2, _f;
+      var _a2, _b, _c, _d, _e2, _f;
       return {
         class: (0, util_1.unique)([...(_a2 = d1 === null || d1 === void 0 ? void 0 : d1.class) !== null && _a2 !== void 0 ? _a2 : [], ...(_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 : {}, (_d2 = d2 === null || d2 === void 0 ? void 0 : d2.static) !== null && _d2 !== void 0 ? _d2 : {}),
+        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 : {})
       };
     };
@@ -61456,9 +61456,9 @@ var require_index_cjs = __commonJS({
       const mp = Math.cbrt(0.2119034982 * r6 + 0.6806995451 * g3 + 0.1073969566 * b3);
       const sp = Math.cbrt(0.0883024619 * r6 + 0.2817188376 * g3 + 0.6299787005 * b3);
       const l2 = 0.2104542553 * lp + 0.793617785 * mp - 0.0040720468 * sp;
-      const aa = 1.9779984951 * lp - 2.428592205 * mp + 0.4505937099 * sp;
+      const aa2 = 1.9779984951 * lp - 2.428592205 * mp + 0.4505937099 * sp;
       const bb = 0.0259040371 * lp + 0.7827717662 * mp - 0.808675766 * sp;
-      return [l2 * 100, aa * 100, bb * 100];
+      return [l2 * 100, aa2 * 100, bb * 100];
     };
     convert$1.rgb.cmyk = function(rgb) {
       const r6 = rgb[0] / 255;
@@ -61742,11 +61742,11 @@ var require_index_cjs = __commonJS({
     };
     convert$1.oklab.rgb = function(oklab) {
       const ll = oklab[0] / 100;
-      const aa = oklab[1] / 100;
+      const aa2 = oklab[1] / 100;
       const bb = oklab[2] / 100;
-      const l2 = (ll + 0.3963377774 * aa + 0.2158037573 * bb) ** 3;
-      const m3 = (ll - 0.1055613458 * aa - 0.0638541728 * bb) ** 3;
-      const s = (ll - 0.0894841775 * aa - 1.291485548 * bb) ** 3;
+      const l2 = (ll + 0.3963377774 * aa2 + 0.2158037573 * bb) ** 3;
+      const m3 = (ll - 0.1055613458 * aa2 - 0.0638541728 * bb) ** 3;
+      const s = (ll - 0.0894841775 * aa2 - 1.291485548 * bb) ** 3;
       const r6 = srgbNonlinearTransform(4.0767416621 * l2 - 3.3077115913 * m3 + 0.2309699292 * s);
       const g3 = srgbNonlinearTransform(-1.2684380046 * l2 + 2.6097574011 * m3 - 0.3413193965 * s);
       const b3 = srgbNonlinearTransform(-0.0041960863 * l2 - 0.7034186147 * m3 + 1.707614701 * s);
@@ -62730,7 +62730,7 @@ var require_node2 = __commonJS({
 var require_tail_file = __commonJS({
   "../../node_modules/winston/lib/winston/tail-file.js"(exports2, module2) {
     "use strict";
-    var fs3 = require("fs");
+    var fs4 = require("fs");
     var { StringDecoder } = require("string_decoder");
     var { Stream } = require_readable();
     function noop() {
@@ -62751,7 +62751,7 @@ var require_tail_file = __commonJS({
         stream.emit("end");
         stream.emit("close");
       };
-      fs3.open(options.file, "a+", "0644", (err2, fd) => {
+      fs4.open(options.file, "a+", "0644", (err2, fd) => {
         if (err2) {
           if (!iter) {
             stream.emit("error", err2);
@@ -62763,10 +62763,10 @@ var require_tail_file = __commonJS({
         }
         (function read() {
           if (stream.destroyed) {
-            fs3.close(fd, noop);
+            fs4.close(fd, noop);
             return;
           }
-          return fs3.read(fd, buffer2, 0, buffer2.length, pos, (error, bytes) => {
+          return fs4.read(fd, buffer2, 0, buffer2.length, pos, (error, bytes) => {
             if (error) {
               if (!iter) {
                 stream.emit("error", error);
@@ -62825,7 +62825,7 @@ var require_tail_file = __commonJS({
 var require_file = __commonJS({
   "../../node_modules/winston/lib/winston/transports/file.js"(exports2, module2) {
     "use strict";
-    var fs3 = require("fs");
+    var fs4 = require("fs");
     var path4 = require("path");
     var asyncSeries = require_series();
     var zlib = require("zlib");
@@ -63030,7 +63030,7 @@ var require_file = __commonJS({
         let buff = "";
         let results = [];
         let row = 0;
-        const stream = fs3.createReadStream(file, {
+        const stream = fs4.createReadStream(file, {
           encoding: "utf8"
         });
         stream.on("error", (err2) => {
@@ -63182,7 +63182,7 @@ var require_file = __commonJS({
       stat(callback) {
         const target = this._getFile();
         const fullpath = path4.join(this.dirname, target);
-        fs3.stat(fullpath, (err2, stat) => {
+        fs4.stat(fullpath, (err2, stat) => {
           if (err2 && err2.code === "ENOENT") {
             debug("ENOENT\xA0ok", fullpath);
             this.filename = target;
@@ -63287,7 +63287,7 @@ var require_file = __commonJS({
       _createStream(source) {
         const fullpath = path4.join(this.dirname, this.filename);
         debug("create stream start", fullpath, this.options);
-        const dest = fs3.createWriteStream(fullpath, this.options).on("error", (err2) => debug(err2)).on("close", () => debug("close", dest.path, dest.bytesWritten)).on("open", () => {
+        const dest = fs4.createWriteStream(fullpath, this.options).on("error", (err2) => debug(err2)).on("close", () => debug("close", dest.path, dest.bytesWritten)).on("open", () => {
           debug("file open ok", fullpath);
           this.emit("open", fullpath);
           source.pipe(dest);
@@ -63366,7 +63366,7 @@ var require_file = __commonJS({
         const isZipped = this.zippedArchive ? ".gz" : "";
         const filePath = `${basename}${isOldest}${ext}${isZipped}`;
         const target = path4.join(this.dirname, filePath);
-        fs3.unlink(target, callback);
+        fs4.unlink(target, callback);
       }
       /**
        * Roll files forward based on integer, up to maxFiles. e.g. if base if
@@ -63389,17 +63389,17 @@ var require_file = __commonJS({
           tasks.push(function(i, cb) {
             let fileName = `${basename}${i - 1}${ext}${isZipped}`;
             const tmppath = path4.join(this.dirname, fileName);
-            fs3.exists(tmppath, (exists) => {
+            fs4.exists(tmppath, (exists) => {
               if (!exists) {
                 return cb(null);
               }
               fileName = `${basename}${i}${ext}${isZipped}`;
-              fs3.rename(tmppath, path4.join(this.dirname, fileName), cb);
+              fs4.rename(tmppath, path4.join(this.dirname, fileName), cb);
             });
           }.bind(this, x2));
         }
         asyncSeries(tasks, () => {
-          fs3.rename(
+          fs4.rename(
             path4.join(this.dirname, `${basename}${ext}${isZipped}`),
             path4.join(this.dirname, `${basename}1${ext}${isZipped}`),
             callback
@@ -63415,22 +63415,22 @@ var require_file = __commonJS({
        * @private
        */
       _compressFile(src, dest, callback) {
-        fs3.access(src, fs3.F_OK, (err2) => {
+        fs4.access(src, fs4.F_OK, (err2) => {
           if (err2) {
             return callback();
           }
           var gzip2 = zlib.createGzip();
-          var inp = fs3.createReadStream(src);
-          var out = fs3.createWriteStream(dest);
+          var inp = fs4.createReadStream(src);
+          var out = fs4.createWriteStream(dest);
           out.on("finish", () => {
-            fs3.unlink(src, callback);
+            fs4.unlink(src, callback);
           });
           inp.pipe(gzip2).pipe(out);
         });
       }
       _createLogDirIfNotExist(dirPath) {
-        if (!fs3.existsSync(dirPath)) {
-          fs3.mkdirSync(dirPath, { recursive: true });
+        if (!fs4.existsSync(dirPath)) {
+          fs4.mkdirSync(dirPath, { recursive: true });
         }
       }
     };
@@ -69714,7 +69714,7 @@ var require_moment = __commonJS({
 var require_FileStreamRotator = __commonJS({
   "../../node_modules/file-stream-rotator/FileStreamRotator.js"(exports2, module2) {
     "use strict";
-    var fs3 = require("fs");
+    var fs4 = require("fs");
     var path4 = require("path");
     var moment = require_moment();
     var crypto2 = require("crypto");
@@ -69764,15 +69764,15 @@ var require_FileStreamRotator = __commonJS({
     };
     FileStreamRotator.parseFileSize = function(size) {
       if (size && typeof size == "string") {
-        var _s2 = size.toLowerCase().match(/^((?:0\.)?\d+)([kmg])$/);
-        if (_s2) {
-          switch (_s2[2]) {
+        var _s = size.toLowerCase().match(/^((?:0\.)?\d+)([kmg])$/);
+        if (_s) {
+          switch (_s[2]) {
             case "k":
-              return _s2[1] * 1024;
+              return _s[1] * 1024;
             case "m":
-              return _s2[1] * 1024 * 1024;
+              return _s[1] * 1024 * 1024;
             case "g":
-              return _s2[1] * 1024 * 1024 * 1024;
+              return _s[1] * 1024 * 1024 * 1024;
           }
         }
       }
@@ -69809,10 +69809,10 @@ var require_FileStreamRotator = __commonJS({
           try {
             if (audit_file) {
               var full_path = path4.resolve(audit_file);
-              _rtn = JSON.parse(fs3.readFileSync(full_path, { encoding: "utf-8" }));
+              _rtn = JSON.parse(fs4.readFileSync(full_path, { encoding: "utf-8" }));
             } else {
               var full_path = path4.resolve(baseLog + "/.audit.json");
-              _rtn = JSON.parse(fs3.readFileSync(full_path, { encoding: "utf-8" }));
+              _rtn = JSON.parse(fs4.readFileSync(full_path, { encoding: "utf-8" }));
             }
           } catch (e) {
             if (e.code !== "ENOENT") {
@@ -69838,7 +69838,7 @@ var require_FileStreamRotator = __commonJS({
     FileStreamRotator.writeAuditLog = function(audit, verbose) {
       try {
         mkDirForFile(audit.auditLog);
-        fs3.writeFileSync(audit.auditLog, JSON.stringify(audit, null, 4));
+        fs4.writeFileSync(audit.auditLog, JSON.stringify(audit, null, 4));
       } catch (e) {
         if (verbose) {
           console.error(/* @__PURE__ */ new Date(), "[FileStreamRotator] Failed to store log audit at:", audit.auditLog, "Error:", e);
@@ -69848,8 +69848,8 @@ var require_FileStreamRotator = __commonJS({
     function removeFile(file, verbose) {
       if (file.hash === crypto2.createHash(file.hashType).update(file.name + "LOG_FILE" + file.date).digest("hex")) {
         try {
-          if (fs3.existsSync(file.name)) {
-            fs3.unlinkSync(file.name);
+          if (fs4.existsSync(file.name)) {
+            fs4.unlinkSync(file.name);
           }
         } catch (e) {
           if (verbose) {
@@ -69864,15 +69864,15 @@ var require_FileStreamRotator = __commonJS({
       let logfileName = path4.basename(logfile);
       let current = logPath + "/" + symLinkName;
       try {
-        let stats = fs3.lstatSync(current);
+        let stats = fs4.lstatSync(current);
         if (stats.isSymbolicLink()) {
-          fs3.unlinkSync(current);
-          fs3.symlinkSync(logfileName, current);
+          fs4.unlinkSync(current);
+          fs4.symlinkSync(logfileName, current);
         }
       } catch (err2) {
         if (err2 && err2.code == "ENOENT") {
           try {
-            fs3.symlinkSync(logfileName, current);
+            fs4.symlinkSync(logfileName, current);
           } catch (e) {
             if (verbose) {
               console.error(/* @__PURE__ */ new Date(), "[FileStreamRotator] Could not create symlink file: ", current, " -> ", logfileName);
@@ -69884,11 +69884,11 @@ var require_FileStreamRotator = __commonJS({
     function createLogWatcher(logfile, verbose, cb) {
       if (!logfile) return null;
       try {
-        let stats = fs3.lstatSync(logfile);
-        return fs3.watch(logfile, function(event, filename) {
+        let stats = fs4.lstatSync(logfile);
+        return fs4.watch(logfile, function(event, filename) {
           if (event == "rename") {
             try {
-              let stats2 = fs3.lstatSync(logfile);
+              let stats2 = fs4.lstatSync(logfile);
             } catch (err2) {
               cb(err2, logfile);
             }
@@ -70004,13 +70004,13 @@ var require_FileStreamRotator = __commonJS({
         if (fileCount == 0 && t_log == logfile) {
           t_log += options.extension;
         }
-        while (f2 = fs3.existsSync(t_log)) {
+        while (f2 = fs4.existsSync(t_log)) {
           lastLogFile = t_log;
           fileCount++;
           t_log = logfile + "." + fileCount + options.extension;
         }
         if (lastLogFile) {
-          var lastLogFileStats = fs3.statSync(lastLogFile);
+          var lastLogFileStats = fs4.statSync(lastLogFile);
           if (lastLogFileStats.size < fileSize) {
             t_log = lastLogFile;
             fileCount--;
@@ -70026,7 +70026,7 @@ var require_FileStreamRotator = __commonJS({
       }
       mkDirForFile(logfile);
       var file_options = options.file_options || { flags: "a" };
-      var rotateStream = fs3.createWriteStream(logfile, file_options);
+      var rotateStream = fs4.createWriteStream(logfile, file_options);
       if (curDate && frequencyMetaData && staticFrequency.indexOf(frequencyMetaData.type) > -1 || fileSize > 0) {
         if (self2.verbose) {
           console.log(/* @__PURE__ */ new Date(), "[FileStreamRotator] Rotating file: ", frequencyMetaData ? frequencyMetaData.type : "", fileSize ? "size: " + fileSize : "");
@@ -70065,12 +70065,12 @@ var require_FileStreamRotator = __commonJS({
         });
         stream.on("createLog", function(file) {
           try {
-            let stats = fs3.lstatSync(file);
+            let stats = fs4.lstatSync(file);
           } catch (err2) {
             if (rotateStream && rotateStream.end == "function") {
               rotateStream.end();
             }
-            rotateStream = fs3.createWriteStream(file, file_options);
+            rotateStream = fs4.createWriteStream(file, file_options);
             stream.emit("new", file);
             BubbleEvents(rotateStream, stream);
           }
@@ -70102,7 +70102,7 @@ var require_FileStreamRotator = __commonJS({
               rotateStream.destroy();
             }
             mkDirForFile(logfile);
-            rotateStream = fs3.createWriteStream(newLogfile, file_options);
+            rotateStream = fs4.createWriteStream(newLogfile, file_options);
             stream.emit("new", newLogfile);
             stream.emit("rotate", oldFile, newLogfile);
             BubbleEvents(rotateStream, stream);
@@ -70130,9 +70130,9 @@ var require_FileStreamRotator = __commonJS({
       _path.split(path4.sep).reduce(
         function(fullPath, folder) {
           fullPath += folder + path4.sep;
-          if (!fs3.existsSync(fullPath)) {
+          if (!fs4.existsSync(fullPath)) {
             try {
-              fs3.mkdirSync(fullPath);
+              fs4.mkdirSync(fullPath);
             } catch (e) {
               if (e.code !== "EEXIST") {
                 throw e;
@@ -70165,7 +70165,7 @@ var require_FileStreamRotator = __commonJS({
 var require_daily_rotate_file = __commonJS({
   "../../node_modules/winston-daily-rotate-file/daily-rotate-file.js"(exports2, module2) {
     "use strict";
-    var fs3 = require("fs");
+    var fs4 = require("fs");
     var os = require("os");
     var path4 = require("path");
     var util = require("util");
@@ -70257,7 +70257,7 @@ var require_daily_rotate_file = __commonJS({
           if (options.zippedArchive) {
             const gzName = params.name + ".gz";
             try {
-              fs3.unlinkSync(gzName);
+              fs4.unlinkSync(gzName);
             } catch (err2) {
               if (err2.code !== "ENOENT") {
                 err2.message = `Error occurred while removing ${gzName}: ${err2.message}`;
@@ -70273,7 +70273,7 @@ var require_daily_rotate_file = __commonJS({
         if (options.zippedArchive) {
           this.logStream.on("rotate", (oldFile) => {
             try {
-              if (!fs3.existsSync(oldFile)) {
+              if (!fs4.existsSync(oldFile)) {
                 return;
               }
             } catch (err2) {
@@ -70282,7 +70282,7 @@ var require_daily_rotate_file = __commonJS({
               return;
             }
             try {
-              if (fs3.existsSync(`${oldFile}.gz`)) {
+              if (fs4.existsSync(`${oldFile}.gz`)) {
                 return;
               }
             } catch (err2) {
@@ -70291,19 +70291,19 @@ var require_daily_rotate_file = __commonJS({
               return;
             }
             const gzip2 = zlib.createGzip();
-            const inp = fs3.createReadStream(oldFile);
+            const inp = fs4.createReadStream(oldFile);
             inp.on("error", (err2) => {
               err2.message = `Error occurred while reading ${oldFile}: ${err2.message}`;
               this.emit("error", err2);
             });
-            const out = fs3.createWriteStream(oldFile + ".gz");
+            const out = fs4.createWriteStream(oldFile + ".gz");
             out.on("error", (err2) => {
               err2.message = `Error occurred while writing ${oldFile}.gz: ${err2.message}`;
               this.emit("error", err2);
             });
             inp.pipe(gzip2).pipe(out).on("finish", () => {
               try {
-                fs3.unlinkSync(oldFile);
+                fs4.unlinkSync(oldFile);
               } catch (err2) {
                 if (err2.code !== "ENOENT") {
                   err2.message = `Error occurred while removing ${oldFile}: ${err2.message}`;
@@ -70368,7 +70368,7 @@ var require_daily_rotate_file = __commonJS({
       options.order = options.order || "desc";
       const logFiles = (() => {
         const fileRegex = new RegExp(this.filename.replace("%DATE%", ".*"), "i");
-        return fs3.readdirSync(this.dirname).filter((file) => path4.basename(file).match(fileRegex));
+        return fs4.readdirSync(this.dirname).filter((file) => path4.basename(file).match(fileRegex));
       })();
       if (logFiles.length === 0 && callback) {
         callback(null, results);
@@ -70382,14 +70382,14 @@ var require_daily_rotate_file = __commonJS({
         let stream;
         if (file.endsWith(".gz")) {
           stream = new PassThrough();
-          const inp = fs3.createReadStream(logFile);
+          const inp = fs4.createReadStream(logFile);
           inp.on("error", (err2) => {
             err2.message = `Error occurred while reading ${logFile}: ${err2.message}`;
             stream.emit("error", err2);
           });
           inp.pipe(zlib.createGunzip()).pipe(stream);
         } else {
-          stream = fs3.createReadStream(logFile, {
+          stream = fs4.createReadStream(logFile, {
             encoding: "utf8"
           });
         }
@@ -70632,7 +70632,7 @@ function _n(r6) {
 function Tr(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 Ge(r6) {
+function Qe(r6) {
   return typeof r6 == "object" && r6 !== null && r6.resourceType === "OperationOutcome";
 }
 function br(r6) {
@@ -70646,10 +70646,10 @@ var f = class extends Error {
   }
 };
 function ht(r6) {
-  return r6 instanceof f ? r6.outcome : Ge(r6) ? r6 : R(_e(r6));
+  return r6 instanceof f ? r6.outcome : Qe(r6) ? r6 : R(_e(r6));
 }
 function _e(r6) {
-  return r6 ? typeof r6 == "string" ? r6 : Tr(r6) ? r6.message : Ge(r6) ? Ln(r6) : typeof r6 == "object" && "code" in r6 && typeof r6.code == "string" ? r6.code : JSON.stringify(r6) : "Unknown error";
+  return r6 ? typeof r6 == "string" ? r6 : Tr(r6) ? r6.message : Qe(r6) ? Ln(r6) : typeof r6 == "object" && "code" in r6 && typeof r6.code == "string" ? r6.code : JSON.stringify(r6) : "Unknown error";
 }
 function Ln(r6) {
   let e = r6.issue?.map(ko) ?? [];
@@ -70696,7 +70696,7 @@ function wr(r6) {
 function Qn(r6) {
   return !!be[r6];
 }
-function Qe(r6, e) {
+function ze(r6, e) {
   if (e) {
     let t = Hn(e)[r6];
     if (t) return t;
@@ -70906,7 +70906,7 @@ function Tt(r6) {
   let e = [];
   for (let t of r6) {
     let n = false;
-    for (let i of e) if (q(Je(t, i))) {
+    for (let i of e) if (q(Ke(t, i))) {
       n = true;
       break;
     }
@@ -70918,12 +70918,12 @@ function ei(r6) {
   return h(!q(r6));
 }
 function ti(r6, e) {
-  return r6.length === 0 || e.length === 0 ? [] : r6.length !== e.length ? h(false) : h(r6.every((t, n) => q(Je(t, e[n]))));
+  return r6.length === 0 || e.length === 0 ? [] : r6.length !== e.length ? h(false) : h(r6.every((t, n) => q(Ke(t, e[n]))));
 }
 function ri(r6, e) {
-  return r6.length === 0 || e.length === 0 ? [] : r6.length !== e.length ? h(true) : h(r6.some((t, n) => !q(Je(t, e[n]))));
+  return r6.length === 0 || e.length === 0 ? [] : r6.length !== e.length ? h(true) : h(r6.some((t, n) => !q(Ke(t, e[n]))));
 }
-function Je(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) : I(t) && I(n) ? h(oi(t, n)) : h(typeof t == "object" && typeof n == "object" ? Br(r6, e) : t === n);
 }
@@ -71001,7 +71001,7 @@ function Nr(r6, e) {
 function es(r6, e) {
   return delete e.__proto__, delete e.constructor, Object.assign(r6, e);
 }
-function Ye(r6, e) {
+function Xe(r6, e) {
   return V(r6, e) && "id" in r6 && typeof r6.id == "string";
 }
 function Se(r6) {
@@ -71010,7 +71010,7 @@ function Se(r6) {
 }
 function A(r6) {
   if (G(r6)) return r6.reference;
-  if (Ye(r6)) return `${r6.resourceType}/${r6.id}`;
+  if (Xe(r6)) return `${r6.resourceType}/${r6.id}`;
 }
 function Ee(r6) {
   if (r6) return G(r6) ? r6.reference.split("/")[1] : r6.id;
@@ -71027,14 +71027,14 @@ function rs(r6) {
     let e = is(r6);
     if (e) return e;
   }
-  if (r6.resourceType === "MedicationRequest" && r6.medicationCodeableConcept) return Ke(r6.medicationCodeableConcept);
+  if (r6.resourceType === "MedicationRequest" && r6.medicationCodeableConcept) return Ye(r6.medicationCodeableConcept);
   if (r6.resourceType === "Subscription" && r6.criteria) return r6.criteria;
   if (r6.resourceType === "User" && r6.email) return r6.email;
   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]), Wr(e)) return Ke(e);
-    if (ds(e)) return e.text;
+    if (Array.isArray(e) && (e = e[0]), Wr(e)) return Ye(e);
+    if (fs2(e)) return e.text;
   }
   return A(r6) ?? "";
 }
@@ -71132,7 +71132,7 @@ function qr(r6) {
 function Wr(r6) {
   return E(r6) && "coding" in r6 && Array.isArray(r6.coding) && r6.coding.every(qr);
 }
-function ds(r6) {
+function fs2(r6) {
   return E(r6) && "text" in r6 && typeof r6.text == "string";
 }
 var li = [];
@@ -71160,7 +71160,7 @@ var Qr = (r6, e) => new Promise((t, n) => {
     clearTimeout(i), n(e.signal?.reason);
   }, { once: true });
 });
-function Xe(r6, e, t) {
+function qe(r6, e, t) {
   let n = [];
   for (let i = 0; i < t - 1; i++) {
     let o2 = r6.indexOf(e);
@@ -71175,11 +71175,11 @@ function Pt(r6) {
 function zr(r6) {
   return r6.endsWith("/") ? r6 : r6 + "/";
 }
-function vs(r6) {
+function Ts(r6) {
   return r6.startsWith("/") ? r6.slice(1) : r6;
 }
 function F(r6, e) {
-  return new URL(vs(e), zr(r6.toString())).toString();
+  return new URL(Ts(e), zr(r6.toString())).toString();
 }
 function gi(r6, e) {
   return F(r6, e).toString().replace("http://", "ws://").replace("https://", "wss://");
@@ -71187,9 +71187,9 @@ function gi(r6, e) {
 function xi(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 Ts = /^(([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 rp(r6) {
-  return Ts.test(r6);
+var bs = /^(([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])$/;
+function ip(r6) {
+  return bs.test(r6);
 }
 var g = Object.freeze([]);
 function Ze(r6, e) {
@@ -71201,7 +71201,7 @@ function Ze(r6, e) {
   }
   return t.join(" ").trim();
 }
-function Ke(r6) {
+function Ye(r6) {
   if (!r6) return "";
   let e = Ce(r6.text);
   return e || (r6.coding ? r6.coding.map((t) => Ti(t)).join(", ") : "");
@@ -71234,16 +71234,16 @@ function Kr(r6) {
 }
 function Rr(r6) {
   let e = r6.type?.[0]?.code;
-  return e === "BackboneElement" || e === "Element" ? ks((r6.base?.path ?? r6.path)?.split(".")) : e;
+  return e === "BackboneElement" || e === "Element" ? Vs((r6.base?.path ?? r6.path)?.split(".")) : e;
 }
-function ks(r6) {
+function Vs(r6) {
   return r6.length === 1 ? r6[0] : r6.map(_).join("");
 }
 function Et(r6, e, t) {
-  let n = Qe(r6, t);
-  if (n) return _s(n.elements, e);
+  let n = ze(r6, t);
+  if (n) return Ls(n.elements, e);
 }
-function _s(r6, e) {
+function Ls(r6, e) {
   let t = r6[e] ?? r6[e + "[x]"];
   if (t) return t;
   for (let n = 0; n < e.length; n++) {
@@ -71261,7 +71261,7 @@ function G(r6, e) {
   return r6 && typeof r6 == "object" && "reference" in r6 && typeof r6.reference == "string" ? e ? r6.reference.match(new RegExp(`^${e}(/|\\?)`)) !== null : true : false;
 }
 var W = { types: {} };
-function qe(r6) {
+function We(r6) {
   if (r6.startsWith("T")) return r6 + "T00:00:00.000Z".substring(r6.length);
   if (r6.length <= 10) return r6;
   try {
@@ -71345,11 +71345,11 @@ var D = { empty: (r6, e) => h(e.every((t) => C(t.value))), hasValue: (r6, e) =>
 }, convertsToInteger: (r6, e) => e.length === 0 ? [] : h(D.toInteger(r6, e).length === 1), toDate: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = Z(e, 1);
-  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: p.date, value: qe(t) }] : [];
+  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: p.date, value: We(t) }] : [];
 }, convertsToDate: (r6, e) => e.length === 0 ? [] : h(D.toDate(r6, e).length === 1), toDateTime: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = Z(e, 1);
-  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: p.dateTime, value: qe(t) }] : [];
+  return typeof t == "string" && /^\d{4}(-\d{2}(-\d{2})?)?/.exec(t) ? [{ type: p.dateTime, value: We(t) }] : [];
 }, convertsToDateTime: (r6, e) => e.length === 0 ? [] : h(D.toDateTime(r6, e).length === 1), toDecimal: (r6, e) => {
   if (e.length === 0) return [];
   let [{ value: t }] = Z(e, 1);
@@ -71367,7 +71367,7 @@ var D = { empty: (r6, e) => h(e.every((t) => C(t.value))), hasValue: (r6, e) =>
   let [{ value: t }] = Z(e, 1);
   if (typeof t == "string") {
     let n = /^T?(\d{2}(:\d{2}(:\d{2})?)?)/.exec(t);
-    if (n) return [{ type: p.time, value: qe("T" + n[1]) }];
+    if (n) return [{ type: p.time, value: We("T" + n[1]) }];
   }
   return [];
 }, convertsToTime: (r6, e) => e.length === 0 ? [] : h(D.toTime(r6, e).length === 1), indexOf: (r6, e, t) => j((n, i) => n.indexOf(i), r6, e, t), substring: (r6, e, t, n) => j((i, o2, s) => {
@@ -71563,7 +71563,7 @@ var Vt = class extends w {
   }
   eval(e, t) {
     let n = K(this.left.eval(e, t)), i = this.right.eval(e, t);
-    return n ? h(i.some((o2) => Je(n, o2)[0].value)) : [];
+    return n ? h(i.some((o2) => Ke(n, o2)[0].value)) : [];
   }
 };
 var ee = class extends ue {
@@ -71704,38 +71704,38 @@ var Oe = class {
 };
 var tt = ["!=", "!~", "<=", ">=", "{}", "->"];
 var T = { FunctionCall: 0, Dot: 1, Indexer: 2, UnaryAdd: 3, UnarySubtract: 3, Multiply: 4, Divide: 4, IntegerDivide: 4, Modulo: 4, Add: 5, Subtract: 5, Ampersand: 5, Is: 6, As: 6, Union: 7, GreaterThan: 8, GreaterThanOrEquals: 8, LessThan: 8, LessThanOrEquals: 8, Equals: 9, Equivalent: 9, NotEquals: 9, NotEquivalent: 9, In: 10, Contains: 10, And: 11, Xor: 12, Or: 12, Implies: 13, Arrow: 100, Semicolon: 200 };
-var Us = { parse(r6) {
+var Bs = { parse(r6) {
   let e = r6.consumeAndParse();
   if (!r6.match(")")) throw new Error("Parse error: expected `)` got `" + r6.peek()?.value + "`");
   return e;
 } };
-var Bs = { parse(r6, e) {
+var qs = { parse(r6, e) {
   let t = r6.consumeAndParse();
   if (!r6.match("]")) throw new Error("Parse error: expected `]`");
   return new Oe(e, t);
 }, precedence: T.Indexer };
-var qs = { parse(r6, e) {
+var Ws = { parse(r6, e) {
   if (!(e instanceof N)) throw new Error("Unexpected parentheses");
   let t = [];
   for (; !r6.match(")"); ) t.push(r6.consumeAndParse()), r6.match(",");
   return new oe(e.name, t);
 }, precedence: T.FunctionCall };
-function Ws(r6) {
+function js(r6) {
   let e = r6.split(" "), t = Number.parseFloat(e[0]), n = e[1];
   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 $({ type: p.string, value: e.value }) }).registerPrefix("DateTime", { parse: (r6, e) => new $({ type: p.dateTime, value: qe(e.value) }) }).registerPrefix("Quantity", { parse: (r6, e) => new $({ type: p.Quantity, value: Ws(e.value) }) }).registerPrefix("Number", { parse: (r6, e) => new $({ type: e.value.includes(".") ? p.decimal : p.integer, value: Number.parseFloat(e.value) }) }).registerPrefix("true", { parse: () => new $({ type: p.boolean, value: true }) }).registerPrefix("false", { parse: () => new $({ type: p.boolean, value: false }) }).registerPrefix("Symbol", { parse: (r6, e) => new N(e.value) }).registerPrefix("{}", { parse: () => new wt() }).registerPrefix("(", Us).registerInfix("[", Bs).registerInfix("(", qs).prefix("+", T.UnaryAdd, (r6, e) => new Ot("+", e, (t) => t)).prefix("-", T.UnarySubtract, (r6, e) => new L("-", e, e, (t, n) => -n)).infixLeft(".", T.Dot, (r6, e, t) => new ee(r6, t)).infixLeft("/", T.Divide, (r6, e, t) => new L("/", r6, t, (n, i) => n / i)).infixLeft("*", T.Multiply, (r6, e, t) => new L("*", r6, t, (n, i) => n * i)).infixLeft("+", T.Add, (r6, e, t) => new L("+", r6, t, (n, i) => n + i)).infixLeft("-", T.Subtract, (r6, e, t) => new L("-", r6, t, (n, i) => n - i)).infixLeft("|", T.Union, (r6, e, t) => new Ae(r6, t)).infixLeft("=", T.Equals, (r6, e, t) => new Dt(r6, t)).infixLeft("!=", T.NotEquals, (r6, e, t) => new Mt(r6, t)).infixLeft("~", T.Equivalent, (r6, e, t) => new _t(r6, t)).infixLeft("!~", T.NotEquivalent, (r6, e, t) => new Lt(r6, t)).infixLeft("<", T.LessThan, (r6, e, t) => new L("<", r6, t, (n, i) => n < i)).infixLeft("<=", T.LessThanOrEquals, (r6, e, t) => new L("<=", r6, t, (n, i) => n <= i)).infixLeft(">", T.GreaterThan, (r6, e, t) => new L(">", r6, t, (n, i) => n > i)).infixLeft(">=", T.GreaterThanOrEquals, (r6, e, t) => new L(">=", r6, t, (n, i) => n >= i)).infixLeft("&", T.Ampersand, (r6, e, t) => new It(r6, t)).infixLeft("and", T.And, (r6, e, t) => new Ft(r6, t)).infixLeft("as", T.As, (r6, e, t) => new ye(r6, t)).infixLeft("contains", T.Contains, (r6, e, t) => new kt(r6, t)).infixLeft("div", T.Divide, (r6, e, t) => new L("div", r6, t, (n, i) => Math.trunc(n / i))).infixLeft("in", T.In, (r6, e, t) => new Vt(r6, t)).infixLeft("is", T.Is, (r6, e, t) => new we(r6, t)).infixLeft("mod", T.Modulo, (r6, e, t) => new L("mod", r6, t, (n, i) => n % i)).infixLeft("or", T.Or, (r6, e, t) => new Nt(r6, t)).infixLeft("xor", T.Xor, (r6, e, t) => new Ut(r6, t)).infixLeft("implies", T.Implies, (r6, e, t) => new Bt(r6, t));
+  return new pt().registerPrefix("String", { parse: (r6, e) => new $({ type: p.string, value: e.value }) }).registerPrefix("DateTime", { parse: (r6, e) => new $({ type: p.dateTime, value: We(e.value) }) }).registerPrefix("Quantity", { parse: (r6, e) => new $({ type: p.Quantity, value: js(e.value) }) }).registerPrefix("Number", { parse: (r6, e) => new $({ type: e.value.includes(".") ? p.decimal : p.integer, value: Number.parseFloat(e.value) }) }).registerPrefix("true", { parse: () => new $({ type: p.boolean, value: true }) }).registerPrefix("false", { parse: () => new $({ type: p.boolean, value: false }) }).registerPrefix("Symbol", { parse: (r6, e) => new N(e.value) }).registerPrefix("{}", { parse: () => new wt() }).registerPrefix("(", Bs).registerInfix("[", qs).registerInfix("(", Ws).prefix("+", T.UnaryAdd, (r6, e) => new Ot("+", e, (t) => t)).prefix("-", T.UnarySubtract, (r6, e) => new L("-", e, e, (t, n) => -n)).infixLeft(".", T.Dot, (r6, e, t) => new ee(r6, t)).infixLeft("/", T.Divide, (r6, e, t) => new L("/", r6, t, (n, i) => n / i)).infixLeft("*", T.Multiply, (r6, e, t) => new L("*", r6, t, (n, i) => n * i)).infixLeft("+", T.Add, (r6, e, t) => new L("+", r6, t, (n, i) => n + i)).infixLeft("-", T.Subtract, (r6, e, t) => new L("-", r6, t, (n, i) => n - i)).infixLeft("|", T.Union, (r6, e, t) => new Ae(r6, t)).infixLeft("=", T.Equals, (r6, e, t) => new Dt(r6, t)).infixLeft("!=", T.NotEquals, (r6, e, t) => new Mt(r6, t)).infixLeft("~", T.Equivalent, (r6, e, t) => new _t(r6, t)).infixLeft("!~", T.NotEquivalent, (r6, e, t) => new Lt(r6, t)).infixLeft("<", T.LessThan, (r6, e, t) => new L("<", r6, t, (n, i) => n < i)).infixLeft("<=", T.LessThanOrEquals, (r6, e, t) => new L("<=", r6, t, (n, i) => n <= i)).infixLeft(">", T.GreaterThan, (r6, e, t) => new L(">", r6, t, (n, i) => n > i)).infixLeft(">=", T.GreaterThanOrEquals, (r6, e, t) => new L(">=", r6, t, (n, i) => n >= i)).infixLeft("&", T.Ampersand, (r6, e, t) => new It(r6, t)).infixLeft("and", T.And, (r6, e, t) => new Ft(r6, t)).infixLeft("as", T.As, (r6, e, t) => new ye(r6, t)).infixLeft("contains", T.Contains, (r6, e, t) => new kt(r6, t)).infixLeft("div", T.Divide, (r6, e, t) => new L("div", r6, t, (n, i) => Math.trunc(n / i))).infixLeft("in", T.In, (r6, e, t) => new Vt(r6, t)).infixLeft("is", T.Is, (r6, e, t) => new we(r6, t)).infixLeft("mod", T.Modulo, (r6, e, t) => new L("mod", r6, t, (n, i) => n % i)).infixLeft("or", T.Or, (r6, e, t) => new Nt(r6, t)).infixLeft("xor", T.Xor, (r6, e, t) => new Ut(r6, t)).infixLeft("implies", T.Implies, (r6, e, t) => new Bt(r6, t));
 }
-var js = rt();
+var $s = 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 Yr = { 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 Xr = { 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 Ys = [m.MISSING, m.PRESENT];
-var sa = new z(1e3);
+var Xs = [m.MISSING, m.PRESENT];
+var aa = new z(1e3);
 var ke = { READ: "read", VREAD: "vread", UPDATE: "update", DELETE: "delete", HISTORY: "history", CREATE: "create", SEARCH: "search" };
-var va = [ke.READ, ke.VREAD, ke.HISTORY, ke.SEARCH];
-var _d = { FIRST: "first", APPLICATION: "application" };
+var Ta = [ke.READ, ke.VREAD, ke.HISTORY, ke.SEARCH];
+var Fd = { FIRST: "first", APPLICATION: "application" };
 function H() {
   return typeof window < "u";
 }
@@ -71755,7 +71755,7 @@ var se = { assign(r6) {
 }, getOrigin() {
   return H() ? globalThis.location.protocol + "//" + globalThis.location.host + "/" : "";
 } };
-function Sa(r6) {
+function Ea(r6) {
   if (H()) {
     let t = window.atob(r6), n = Uint8Array.from(t, (i) => i.codePointAt(0));
     return new window.TextDecoder().decode(n);
@@ -71776,7 +71776,7 @@ function $t(r6) {
 function Li(r6) {
   r6 = r6.padEnd(r6.length + (4 - r6.length % 4) % 4, "=");
   let e = r6.replaceAll("-", "+").replaceAll("_", "/");
-  return Sa(e);
+  return Ea(e);
 }
 function en() {
   let r6 = new Uint32Array(28);
@@ -71842,7 +71842,7 @@ var te = class {
   }
 };
 var rn = { "Patient-open": "Patient-open", "Patient-close": "Patient-close", "ImagingStudy-open": "ImagingStudy-open", "ImagingStudy-close": "ImagingStudy-close", "Encounter-open": "Encounter-open", "Encounter-close": "Encounter-close", "DiagnosticReport-open": "DiagnosticReport-open", "DiagnosticReport-close": "DiagnosticReport-close", "DiagnosticReport-select": "DiagnosticReport-select", "DiagnosticReport-update": "DiagnosticReport-update", syncerror: "syncerror" };
-var Da = ["Patient", "Encounter", "ImagingStudy", "DiagnosticReport", "OperationOutcome", "Bundle"];
+var Ma = ["Patient", "Encounter", "ImagingStudy", "DiagnosticReport", "OperationOutcome", "Bundle"];
 var nn = ["DiagnosticReport-update"];
 function Ui(r6) {
   return nn.includes(r6);
@@ -71850,9 +71850,9 @@ function Ui(r6) {
 function Bi(r6) {
   if (nn.includes(r6)) throw new f(v(`'context.version' is required for '${r6}'.`));
 }
-var Ma = { "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 _a(r6) {
-  return Da.includes(r6);
+var _a = { "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 La(r6) {
+  return Ma.includes(r6);
 }
 function qi(r6) {
   return !!r6.endpoint;
@@ -71869,27 +71869,27 @@ function Gt(r6) {
   for (let o2 of i) if (!rn[o2]) return false;
   return !(qi(r6) && !(typeof r6.endpoint == "string" && r6.endpoint.startsWith("ws")));
 }
-function La(r6, e, t, n) {
+function Fa(r6, e, t, n) {
   if (typeof e != "object") throw new f(v(`context[${t}] is invalid. Context must contain a single valid FHIR resource! Resource is not an object.`));
   if (!(e.id && typeof e.id == "string")) throw new f(v(`context[${t}] is invalid. Resource must contain a valid string ID.`));
   if (!e.resourceType) throw new f(v(`context[${t}] is invalid. Resource must contain a resource type. No resource type found.`));
   let i = n.resourceType;
   if (i !== "*") {
-    if (!_a(e.resourceType)) throw new f(v(`context[${t}] is invalid. Resource must contain a valid FHIRcast resource type. Resource type is not a known resource type.`));
+    if (!La(e.resourceType)) throw new f(v(`context[${t}] is invalid. Resource must contain a valid FHIRcast resource type. Resource type is not a known resource type.`));
     if (i && e.resourceType !== i) throw new f(v(`context[${t}] is invalid. context[${t}] for the '${r6}' event should contain resource of type ${i}.`));
   }
 }
-function Fa(r6, e, t, n, i) {
+function Na(r6, e, t, n, i) {
   if (i.set(e.key, (i.get(e.key) ?? 0) + 1), n.reference) {
     if (!G(e.reference)) throw new f(v(`context[${t}] is invalid. Expected key '${e.key}' to be a reference.`));
-  } else La(r6, e.resource, t, n);
+  } else Fa(r6, e.resource, t, n);
 }
-function Na(r6, e) {
-  let t = /* @__PURE__ */ new Map(), n = Ma[r6];
+function Ua(r6, e) {
+  let t = /* @__PURE__ */ new Map(), n = _a[r6];
   for (let i = 0; i < e.length; i++) {
     let o2 = e[i].key;
     if (!n[o2]) throw new f(v(`Key '${o2}' not found for event '${r6}'. Make sure to add only valid keys.`));
-    Fa(r6, e[i], i, n[o2], t);
+    Na(r6, e[i], i, n[o2], t);
   }
   for (let [i, o2] of Object.entries(n)) {
     if (!(o2.optional || t.has(i))) throw new f(v(`Missing required key '${i}' on context for '${r6}' event.`));
@@ -71902,7 +71902,7 @@ function sn(r6, e, t, n) {
   if (typeof t != "object") throw new f(v("context must be a context object or array of context objects."));
   if (nn.includes(e) && !n) throw new f(v(`The '${e}' event must contain a 'context.versionId'.`));
   let i = Array.isArray(t) ? t : [t];
-  return Na(e, i), { timestamp: (/* @__PURE__ */ new Date()).toISOString(), id: ae(), event: { "hub.topic": r6, "hub.event": e, context: i, ...n ? { "context.versionId": n } : {} } };
+  return Ua(e, i), { timestamp: (/* @__PURE__ */ new Date()).toISOString(), id: ae(), event: { "hub.topic": r6, "hub.event": e, context: i, ...n ? { "context.versionId": n } : {} } };
 }
 var Ht = class extends te {
   constructor(t) {
@@ -71927,7 +71927,7 @@ var Ht = class extends te {
     this.websocket.close();
   }
 };
-function Ua(r6) {
+function Ba(r6) {
   return JSON.parse(Li(r6));
 }
 function Wi(r6) {
@@ -71935,7 +71935,7 @@ function Wi(r6) {
 }
 function Qt(r6) {
   let [e, t, n] = r6.split(".");
-  return Ua(t);
+  return Ba(t);
 }
 function ji(r6) {
   try {
@@ -72058,18 +72058,18 @@ var an = class {
     return Array.from(this.data.keys())[e];
   }
 };
-var je = { Event: typeof globalThis.Event < "u" ? globalThis.Event : void 0, ErrorEvent: void 0, CloseEvent: void 0 };
+var $e = { Event: typeof globalThis.Event < "u" ? globalThis.Event : void 0, ErrorEvent: void 0, CloseEvent: void 0 };
 var Qi = false;
-function Ba() {
+function qa() {
   if (typeof globalThis.Event > "u") throw new Error("Unable to lazy init events for ReconnectingWebSocket. globalThis.Event is not defined yet");
-  je.Event = globalThis.Event, je.ErrorEvent = class extends Event {
+  $e.Event = globalThis.Event, $e.ErrorEvent = class extends Event {
     constructor(t, n) {
       super("error", n);
       c(this, "message");
       c(this, "error");
       this.message = t.message, this.error = t;
     }
-  }, je.CloseEvent = class extends Event {
+  }, $e.CloseEvent = class extends Event {
     constructor(t = 1e3, n = "", i) {
       super("close", i);
       c(this, "code");
@@ -72079,7 +72079,7 @@ function Ba() {
     }
   };
 }
-function qa(r6, e) {
+function Wa(r6, e) {
   if (!r6) throw new Error(e);
 }
 function Jt(r6) {
@@ -72089,7 +72089,7 @@ var Ve = { maxReconnectionDelay: 1e4, minReconnectionDelay: 1e3 + Math.random()
 var zi = false;
 var Kt = class r extends te {
   constructor(t, n, i = {}) {
-    Qi || (Ba(), Qi = true);
+    Qi || (qa(), Qi = true);
     super();
     c(this, "_ws");
     c(this, "_retryCount", -1);
@@ -72111,7 +72111,7 @@ var Kt = class r extends te {
     c(this, "_handleOpen", (t2) => {
       this._debug("open event");
       let { minUptime: n2 = Ve.minUptime } = this._options;
-      clearTimeout(this._connectTimeout), this._uptimeTimeout = setTimeout(() => this._acceptOpen(), n2), qa(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(Jt(t2));
+      clearTimeout(this._connectTimeout), this._uptimeTimeout = setTimeout(() => this._acceptOpen(), n2), Wa(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(Jt(t2));
     });
     c(this, "_handleMessage", (t2) => {
       this._debug("message event"), this.onmessage && this.onmessage(t2), this.dispatchEvent(Jt(t2));
@@ -72225,17 +72225,17 @@ var Kt = class r extends te {
       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 je.ErrorEvent(Error(i.message), this));
+      this._connectLock = false, this._handleError(new $e.ErrorEvent(Error(i.message), this));
     });
   }
   _handleTimeout() {
-    this._debug("timeout event"), this._handleError(new je.ErrorEvent(Error("TIMEOUT"), this));
+    this._debug("timeout event"), this._handleError(new $e.ErrorEvent(Error("TIMEOUT"), this));
   }
   _disconnect(t = 1e3, n) {
     if (this._clearTimeouts(), !!this._ws) {
       this._removeListeners();
       try {
-        this._ws.close(t, n), this._handleClose(new je.CloseEvent(t, n, this));
+        this._ws.close(t, n), this._handleClose(new $e.CloseEvent(t, n, this));
       } catch {
       }
     }
@@ -72253,7 +72253,7 @@ var Kt = class r extends te {
     clearTimeout(this._connectTimeout), clearTimeout(this._uptimeTimeout);
   }
 };
-var Wa = [WebSocket.CLOSING, WebSocket.CLOSED];
+var ja = [WebSocket.CLOSING, WebSocket.CLOSED];
 var st = class extends te {
   constructor(...t) {
     super();
@@ -72388,7 +72388,7 @@ var Yt = class {
   async getTokenForCriteria(e) {
     let t = e?.subscriptionId;
     t || (t = (await this.medplum.createResource({ ...e.subscriptionProps, resourceType: "Subscription", status: "active", reason: `WebSocket subscription for ${A(this.medplum.getProfile())}`, channel: { type: "websocket" }, criteria: e.criteria })).id);
-    let { parameter: n } = await this.medplum.get(`fhir/R4/Subscription/${t}/$get-ws-binding-token`), i = n?.find((a) => a.name === "token")?.valueString, o2 = n?.find((a) => a.name === "websocket-url")?.valueUrl, s = n?.find((a) => a.name === "expiration")?.valueDateTime;
+    let { parameter: n } = await this.medplum.get(`fhir/R4/Subscription/${t}/$get-ws-binding-token`, { cache: "no-cache" }), i = n?.find((a) => a.name === "token")?.valueString, o2 = n?.find((a) => a.name === "websocket-url")?.valueUrl, s = n?.find((a) => a.name === "expiration")?.valueDateTime;
     if (!i) throw new f(v("Failed to get token"));
     if (!o2) throw new f(v("Failed to get URL from $get-ws-binding-token"));
     if (!s) throw new f(v("Failed to get expiration from $get-ws-binding-token"));
@@ -72477,7 +72477,7 @@ var Yt = class {
     return this.masterSubEmitter || (this.masterSubEmitter = new st(...Array.from(this.criteriaEntries.keys()))), this.masterSubEmitter;
   }
   async reconnectIfNeeded() {
-    Wa.includes(this.getWebSocket().readyState) && await new Promise((e) => {
+    ja.includes(this.getWebSocket().readyState) && await new Promise((e) => {
       let t = () => {
         this.getWebSocket().removeEventListener("open", t), e();
       };
@@ -72485,19 +72485,19 @@ var Yt = class {
     });
   }
 };
-var ja = new z(1e3);
-var un = "5.1.3-2dacd53";
-var Ga = O.FHIR_JSON + ", */*; q=0.1";
-var Qa = "https://api.medplum.com/";
-var za = 1e3;
-var Ja = 6e4;
-var Ka = 0;
-var Ya = 3e5;
-var Xa = "Binary/";
+var $a = new z(1e3);
+var un = "5.1.4-1e14b88";
+var Qa = O.FHIR_JSON + ", */*; q=0.1";
+var za = "https://api.medplum.com/";
+var Ja = 1e3;
+var Ka = 6e4;
+var Ya = 0;
+var Xa = 3e5;
+var Za = "Binary/";
 var Ji = { resourceType: "Device", id: "system", deviceName: [{ type: "model-name", name: "System" }] };
-var $e = { 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" };
-var Za = { 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 ec = { JwtBearer: "urn:ietf:params:oauth:client-assertion-type:jwt-bearer" };
+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" };
+var ec = { 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 tc = { JwtBearer: "urn:ietf:params:oauth:client-assertion-type:jwt-bearer" };
 var Xt = class extends te {
   constructor(t) {
     super();
@@ -72518,6 +72518,7 @@ var Xt = class extends te {
     c(this, "onUnauthenticated");
     c(this, "autoBatchTime");
     c(this, "autoBatchQueue");
+    c(this, "maxRetries");
     c(this, "maxRetryTime");
     c(this, "refreshGracePeriod");
     c(this, "subscriptionManager");
@@ -72539,7 +72540,7 @@ var Xt = class extends te {
     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 ?? tc(), this.storage = t?.storage ?? new ot(void 0, t?.storagePrefix), this.createPdfImpl = t?.createPdf, this.baseUrl = zr(t?.baseUrl ?? Qa), this.fhirBaseUrl = F(this.baseUrl, t?.fhirUrlPath ?? "fhir/R4"), this.authorizeUrl = F(this.baseUrl, t?.authorizeUrl ?? "oauth2/authorize"), this.tokenUrl = F(this.baseUrl, t?.tokenUrl ?? "oauth2/token"), this.logoutUrl = F(this.baseUrl, t?.logoutUrl ?? "oauth2/logout"), this.fhircastHubUrl = F(this.baseUrl, t?.fhircastHubUrl ?? "fhircast/STU3"), this.cdsServicesUrl = F(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 ?? Ya, this.logLevel = this.initializeLogLevel(t), this.maxRetryTime = t?.maxRetryTime ?? 2e3, this.cacheTime = t?.cacheTime ?? (H() ? Ja : Ka), this.cacheTime > 0 ? this.requestCache = new z(t?.resourceCacheSize ?? za) : 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 ?? rc(), this.storage = t?.storage ?? new ot(void 0, t?.storagePrefix), this.createPdfImpl = t?.createPdf, this.baseUrl = zr(t?.baseUrl ?? za), this.fhirBaseUrl = F(this.baseUrl, t?.fhirUrlPath ?? "fhir/R4"), this.authorizeUrl = F(this.baseUrl, t?.authorizeUrl ?? "oauth2/authorize"), this.tokenUrl = F(this.baseUrl, t?.tokenUrl ?? "oauth2/token"), this.logoutUrl = F(this.baseUrl, t?.logoutUrl ?? "oauth2/logout"), this.fhircastHubUrl = F(this.baseUrl, t?.fhircastHubUrl ?? "fhircast/STU3"), this.cdsServicesUrl = F(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 ?? Xa, this.logLevel = this.initializeLogLevel(t), this.maxRetries = t?.maxRetries ?? 2, this.maxRetryTime = t?.maxRetryTime ?? 2e3, this.cacheTime = t?.cacheTime ?? (H() ? Ka : Ya), this.cacheTime > 0 ? this.requestCache = new z(t?.resourceCacheSize ?? Ja) : 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 } });
@@ -72657,7 +72658,7 @@ var Xt = class extends te {
   }
   async exchangeExternalAccessToken(t, n, i) {
     if (n = n ?? this.clientId, !n) throw new Error("MedplumClient is missing clientId");
-    let o2 = { grant_type: $e.TokenExchange, subject_token_type: Za.AccessToken, client_id: n, subject_token: t };
+    let o2 = { grant_type: He.TokenExchange, subject_token_type: ec.AccessToken, client_id: n, subject_token: t };
     return i && (o2.membership_id = i), this.fetchTokens(o2);
   }
   getExternalAuthRedirectUri(t, n, i, o2, s = true) {
@@ -72875,7 +72876,7 @@ var Xt = class extends te {
   }
   async createPdf(t, n, i, o2) {
     if (!this.createPdfImpl) throw new Error("PDF creation not enabled");
-    let s = ic(t, n, i, o2), a = typeof n == "object" ? n : {}, { docDefinition: u2, tableLayouts: l2, fonts: d, ...y2 } = s, x2 = await this.createPdfImpl(u2, l2, d), k = { ...y2, data: x2, contentType: "application/pdf" };
+    let s = oc(t, n, i, o2), a = typeof n == "object" ? n : {}, { docDefinition: u2, tableLayouts: l2, fonts: d, ...y2 } = s, x2 = await this.createPdfImpl(u2, l2, d), k = { ...y2, data: x2, contentType: "application/pdf" };
     return this.createBinary(k, a);
   }
   createComment(t, n, i) {
@@ -72992,7 +72993,7 @@ var Xt = class extends te {
   async download(t, n = {}) {
     this.refreshPromise && await this.refreshPromise;
     let i = t.toString();
-    i.startsWith(Xa) && (t = this.fhirUrl(i));
+    i.startsWith(Za) && (t = this.fhirUrl(i));
     let o2 = n.headers;
     return o2 || (o2 = {}, n.headers = o2), o2.Accept || (o2.Accept = "*/*"), this.addFetchOptionsDefaults(n), (await this.fetchWithRetry(t.toString(), n)).blob();
   }
@@ -73082,11 +73083,11 @@ var Xt = class extends te {
   }
   async fetchWithRetry(t, n) {
     t.startsWith("http") || (t = F(this.baseUrl, t));
-    let i = n?.maxRetries ?? 2;
+    let i = n?.maxRetries ?? this.maxRetries;
     for (let o2 = 0; o2 <= i; o2++) try {
       this.logLevel !== "none" && this.logRequest(t, n);
       let s = await this.fetch(t, n);
-      if (this.logLevel !== "none" && this.logResponse(s), this.setCurrentRateLimit(s), o2 >= i || !oc(s)) return s;
+      if (this.logLevel !== "none" && this.logResponse(s), this.setCurrentRateLimit(s), o2 >= i || !sc(s)) return s;
       let a = this.getRetryDelay(o2), u2 = n.maxRetryTime ?? this.maxRetryTime;
       if (a > u2) return s;
       await Qr(a, { signal: n.signal });
@@ -73155,7 +73156,7 @@ var Xt = class extends te {
   addFetchOptionsDefaults(t) {
     Object.entries(this.defaultHeaders).forEach(([n, i]) => {
       this.setRequestHeader(t, n, i);
-    }), this.setRequestHeader(t, "Accept", Ga, true), this.options.extendedMode !== false && this.setRequestHeader(t, "X-Medplum", "extended"), t.body && this.setRequestHeader(t, "Content-Type", O.FHIR_JSON, true), this.accessToken ? this.setRequestHeader(t, "Authorization", "Bearer " + this.accessToken) : this.basicAuth && this.setRequestHeader(t, "Authorization", "Basic " + this.basicAuth), t.cache || (t.cache = "no-cache"), t.credentials || (t.credentials = "include");
+    }), this.setRequestHeader(t, "Accept", Qa, true), this.options.extendedMode !== false && this.setRequestHeader(t, "X-Medplum", "extended"), t.body && this.setRequestHeader(t, "Content-Type", O.FHIR_JSON, true), this.accessToken ? this.setRequestHeader(t, "Authorization", "Bearer " + this.accessToken) : this.basicAuth && this.setRequestHeader(t, "Authorization", "Basic " + this.basicAuth), t.cache || (t.cache = "no-cache"), t.credentials || (t.credentials = "include");
   }
   setRequestContentType(t, n) {
     this.setRequestHeader(t, "Content-Type", n);
@@ -73199,7 +73200,7 @@ var Xt = class extends te {
     i.searchParams.set("response_type", "code"), i.searchParams.set("state", sessionStorage.getItem("pkceState")), i.searchParams.set("client_id", n.clientId ?? this.clientId), i.searchParams.set("redirect_uri", n.redirectUri ?? se.getOrigin()), i.searchParams.set("code_challenge_method", n.codeChallengeMethod), i.searchParams.set("code_challenge", n.codeChallenge), i.searchParams.set("scope", n.scope ?? "openid profile"), se.assign(i.toString());
   }
   processCode(t, n) {
-    let i = { grant_type: $e.AuthorizationCode, code: t, client_id: n?.clientId ?? this.clientId ?? "", redirect_uri: n?.redirectUri ?? se.getOrigin() };
+    let i = { grant_type: He.AuthorizationCode, code: t, client_id: n?.clientId ?? this.clientId ?? "", redirect_uri: n?.redirectUri ?? se.getOrigin() };
     if (typeof sessionStorage < "u") {
       let o2 = sessionStorage.getItem("codeVerifier");
       o2 && (i.code_verifier = o2);
@@ -73211,17 +73212,17 @@ var Xt = class extends te {
   }
   refresh() {
     if (this.refreshPromise) return this.refreshPromise;
-    if (this.refreshToken) return this.refreshPromise = this.fetchTokens({ grant_type: $e.RefreshToken, client_id: this.clientId ?? "", refresh_token: this.refreshToken }), this.refreshPromise;
+    if (this.refreshToken) return this.refreshPromise = this.fetchTokens({ grant_type: He.RefreshToken, client_id: this.clientId ?? "", refresh_token: this.refreshToken }), this.refreshPromise;
     if (this.clientId && this.clientSecret) return this.refreshPromise = this.startClientLogin(this.clientId, this.clientSecret), this.refreshPromise;
   }
   async startClientLogin(t, n) {
-    return this.clientId = t, this.clientSecret = n, this.fetchTokens({ grant_type: $e.ClientCredentials, client_id: t, client_secret: n });
+    return this.clientId = t, this.clientSecret = n, this.fetchTokens({ grant_type: He.ClientCredentials, client_id: t, client_secret: n });
   }
   async startJwtBearerLogin(t, n, i) {
-    return this.clientId = t, this.fetchTokens({ grant_type: $e.JwtBearer, client_id: t, assertion: n, scope: i });
+    return this.clientId = t, this.fetchTokens({ grant_type: He.JwtBearer, client_id: t, assertion: n, scope: i });
   }
   async startJwtAssertionLogin(t) {
-    return this.fetchTokens({ grant_type: $e.ClientCredentials, client_assertion_type: ec.JwtBearer, client_assertion: t });
+    return this.fetchTokens({ grant_type: He.ClientCredentials, client_assertion_type: tc.JwtBearer, client_assertion: t });
   }
   setBasicAuth(t, n) {
     this.clientId = t, this.clientSecret = n, this.basicAuth = $t(t + ":" + n);
@@ -73262,7 +73263,7 @@ var Xt = class extends te {
   async handleTokenError(t) {
     try {
       let n = await t.json();
-      throw Ge(n) ? new f(n) : n.error_description ? new f(R(n.error_description)) : new Error(JSON.stringify(n));
+      throw Qe(n) ? new f(n) : n.error_description ? new f(R(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(R("Failed to fetch tokens"), { cause: n });
     }
@@ -73319,7 +73320,7 @@ var Xt = class extends te {
     return this.getSubscriptionManager().getMasterEmitter();
   }
 };
-function tc() {
+function rc() {
   if (!globalThis.fetch) throw new Error("Fetch not available in this environment");
   return globalThis.fetch.bind(globalThis);
 }
@@ -73328,34 +73329,34 @@ async function Ki(r6, e) {
   if (t) return t;
   let n = r6.headers.get("location");
   if (n) return n;
-  if (Ge(e) && e.issue?.[0]?.diagnostics) return e.issue[0].diagnostics;
+  if (Qe(e) && e.issue?.[0]?.diagnostics) return e.issue[0].diagnostics;
 }
 function Yi(r6) {
   let e = r6.entry?.map((t) => t.resource) ?? [];
   return Object.assign(e, { bundle: r6 });
 }
-function rc(r6) {
+function nc(r6) {
   return E(r6) && "data" in r6 && "contentType" in r6;
 }
 function Xi(r6, e, t, n) {
-  return rc(r6) ? r6 : { data: r6, filename: e, contentType: t, onProgress: n };
+  return nc(r6) ? r6 : { data: r6, filename: e, contentType: t, onProgress: n };
 }
-function nc(r6) {
+function ic(r6) {
   return E(r6) && "docDefinition" in r6;
 }
-function ic(r6, e, t, n) {
-  return nc(r6) ? r6 : { docDefinition: r6, filename: e, tableLayouts: t, fonts: n };
+function oc(r6, e, t, n) {
+  return ic(r6) ? r6 : { docDefinition: r6, filename: e, tableLayouts: t, fonts: n };
 }
-function oc(r6) {
+function sc(r6) {
   return r6.status === 429 || r6.status >= 500;
 }
-var gc = [...tt, "->", "<<", ">>", "=="];
-var Tc = rt().registerInfix("->", { precedence: T.Arrow }).registerInfix(";", { precedence: T.Semicolon });
-var Nc = " ".repeat(2);
-var Bc = [...tt, "eq", "ne", "co"];
-var qc = { eq: m.EXACT, ne: m.NOT_EQUALS, co: m.CONTAINS, sw: m.STARTS_WITH, ew: void 0, gt: m.GREATER_THAN, lt: m.LESS_THAN, ge: m.GREATER_THAN_OR_EQUALS, le: m.LESS_THAN_OR_EQUALS, ap: m.APPROXIMATELY, sa: m.STARTS_AFTER, eb: m.ENDS_BEFORE, pr: m.PRESENT, po: void 0, ss: void 0, sb: void 0, in: m.IN, ni: m.NOT_IN, re: m.EQUALS, identifier: m.IDENTIFIER };
-var jc = rt();
-var $c = { AA: "OK", AE: "Application Error", AR: "Application Reject", CA: "Commit Accept", CE: "Commit Error", CR: "Commit Reject" };
+var xc = [...tt, "->", "<<", ">>", "=="];
+var bc = rt().registerInfix("->", { precedence: T.Arrow }).registerInfix(";", { precedence: T.Semicolon });
+var Uc = " ".repeat(2);
+var qc = [...tt, "eq", "ne", "co"];
+var Wc = { eq: m.EXACT, ne: m.NOT_EQUALS, co: m.CONTAINS, sw: m.STARTS_WITH, ew: void 0, gt: m.GREATER_THAN, lt: m.LESS_THAN, ge: m.GREATER_THAN_OR_EQUALS, le: m.LESS_THAN_OR_EQUALS, ap: m.APPROXIMATELY, sa: m.STARTS_AFTER, eb: m.ENDS_BEFORE, pr: m.PRESENT, po: void 0, ss: void 0, sb: void 0, in: m.IN, ni: m.NOT_IN, re: m.EQUALS, identifier: m.IDENTIFIER };
+var $c = rt();
+var Hc = { AA: "OK", AE: "Application Error", AR: "Application Reject", CA: "Commit Accept", CE: "Commit Error", CR: "Commit Reject" };
 var ve = class {
   constructor(e = "\r", t = "|", n = "^", i = "~", o2 = "\\", s = "&") {
     c(this, "segmentSeparator");
@@ -73399,7 +73400,7 @@ var vo = class r2 {
   }
   buildAck(e) {
     let t = /* @__PURE__ */ new Date(), n = this.getSegment("MSH"), i = n?.getField(3)?.toString() ?? "", o2 = n?.getField(4)?.toString() ?? "", s = n?.getField(5)?.toString() ?? "", a = n?.getField(6)?.toString() ?? "", u2 = n?.getField(10)?.toString() ?? "", l2 = n?.getField(12)?.toString() ?? "2.5.1", d = e?.ackCode ?? "AA";
-    return new r2([new ut(["MSH", this.context.getMsh2(), s, a, i, o2, Gc(t), "", this.buildAckMessageType(n), t.getTime().toString(), "P", l2], this.context), new ut(["MSA", d, u2, $c[d]], this.context), ...e?.errSegment ? [e.errSegment] : []]);
+    return new r2([new ut(["MSH", this.context.getMsh2(), s, a, i, o2, Qc(t), "", this.buildAckMessageType(n), t.getTime().toString(), "P", l2], this.context), new ut(["MSA", d, u2, Hc[d]], this.context), ...e?.errSegment ? [e.errSegment] : []]);
   }
   buildAckMessageType(e) {
     let t = e?.getField(9), n = t?.getComponent(2), i = t?.getComponent(3), o2 = "ACK";
@@ -73499,14 +73500,14 @@ var re = class r4 {
     return true;
   }
 };
-function Gc(r6) {
+function Qc(r6) {
   let e = r6 instanceof Date ? r6 : new Date(r6), n = e.toISOString().replaceAll(/[-:T]/g, "").replace(/(\.\d+)?Z$/, ""), i = e.getUTCMilliseconds();
   return i > 0 && (n += "." + i.toString()), n;
 }
-var He = { NONE: 0, ERROR: 1, WARN: 2, INFO: 3, DEBUG: 4 };
-var Qc = ["NONE", "ERROR", "WARN", "INFO", "DEBUG"];
+var Ge = { NONE: 0, ERROR: 1, WARN: 2, INFO: 3, DEBUG: 4 };
+var zc = ["NONE", "ERROR", "WARN", "INFO", "DEBUG"];
 var To = class r5 {
-  constructor(e, t = {}, n = He.INFO, i = {}) {
+  constructor(e, t = {}, n = Ge.INFO, i = {}) {
     c(this, "write");
     c(this, "metadata");
     c(this, "options");
@@ -73523,16 +73524,16 @@ var To = class r5 {
     return { write: e, metadata: t, level: n, options: i };
   }
   error(e, t) {
-    this.log(He.ERROR, e, t);
+    this.log(Ge.ERROR, e, t);
   }
   warn(e, t) {
-    this.log(He.WARN, e, t);
+    this.log(Ge.WARN, e, t);
   }
   info(e, t) {
-    this.log(He.INFO, e, t);
+    this.log(Ge.INFO, e, t);
   }
   debug(e, t) {
-    this.log(He.DEBUG, e, t);
+    this.log(Ge.DEBUG, e, t);
   }
   log(e, t, n) {
     if (e > this.level) return;
@@ -73542,11 +73543,11 @@ var To = class r5 {
       i = { ...n };
       for (let [o2, s] of Object.entries(i)) s instanceof Error && (i[o2] = cr(s));
     }
-    this.write(JSON.stringify({ level: Qc[e], timestamp: (/* @__PURE__ */ new Date()).toISOString(), msg: this.prefix ? `${this.prefix}${t}` : t, ...i, ...this.metadata }));
+    this.write(JSON.stringify({ level: zc[e], timestamp: (/* @__PURE__ */ new Date()).toISOString(), msg: this.prefix ? `${this.prefix}${t}` : t, ...i, ...this.metadata }));
   }
 };
-function Rh(r6) {
-  let e = He[r6.toUpperCase()];
+function Ph(r6) {
+  let e = Ge[r6.toUpperCase()];
   if (e === void 0) throw new Error(`Invalid log level: ${r6}`);
   return e;
 }
@@ -73564,9 +73565,9 @@ function cr(r6, e = 0, t = 10) {
   return n;
 }
 var Sn = `${dt}/fhir/StructureDefinition/patient-preferredPharmacy`;
-var au = "https://meta.medplum.com/releases";
+var cu = "https://meta.medplum.com/releases";
 var pr = /* @__PURE__ */ new Map();
-function cu(r6) {
+function uu(r6) {
   let e = r6;
   if (!e.tag_name) throw new Error("Manifest missing tag_name");
   let t = e.assets;
@@ -73579,7 +73580,7 @@ function cu(r6) {
 async function Rn(r6, e, t) {
   let n = pr.get(e ?? "latest");
   if (!n) {
-    let i = e ? `v${e}` : "latest", o2 = new URL(`${au}/${i}.json`);
+    let i = e ? `v${e}` : "latest", o2 = new URL(`${cu}/${i}.json`);
     if (o2.searchParams.set("a", r6), o2.searchParams.set("c", un), t) for (let [u2, l2] of Object.entries(t)) o2.searchParams.set(u2, l2);
     let s = await fetch(o2.toString());
     if (s.status !== 200) {
@@ -73592,15 +73593,15 @@ async function Rn(r6, e, t) {
       throw new Error(`Received status code ${s.status} while fetching manifest for version '${e ?? "latest"}'. Message: ${u2}`);
     }
     let a = await s.json();
-    cu(a), n = a, pr.set(e ?? "latest", n), e || pr.set(n.tag_name.slice(1), n);
+    uu(a), n = a, pr.set(e ?? "latest", n), e || pr.set(n.tag_name.slice(1), n);
   }
   return n;
 }
-function uu(r6) {
+function lu(r6) {
   return /^\d+\.\d+\.\d+(-[0-9a-z]{7})?$/.test(r6);
 }
-async function sy(r6, e) {
-  if (!uu(e)) return false;
+async function cy(r6, e) {
+  if (!lu(e)) return false;
   try {
     await Rn(r6, e);
   } catch {
@@ -73608,7 +73609,7 @@ async function sy(r6, e) {
   }
   return true;
 }
-async function ay(r6) {
+async function uy(r6) {
   let e = await Rn(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);
@@ -73706,7 +73707,7 @@ var g2 = class extends m2 {
         return;
       }
       let p2 = c2.message.getSegment("MSA")?.getField(1)?.toString()?.toUpperCase();
-      p2 && (h2.returnAck === _d.APPLICATION && p2 === "CA" || (h2.resolve(c2.message), this.pendingMessages.delete(a)));
+      p2 && (h2.returnAck === Fd.APPLICATION && p2 === "CA" || (h2.resolve(c2.message), this.pendingMessages.delete(a)));
     });
   }
   isClosed() {
@@ -73759,7 +73760,7 @@ var g2 = class extends m2 {
       let r6;
       t?.timeoutMs && (r6 = setTimeout(() => {
         this.pendingMessages.delete(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.pendingMessages.set(c2, { message: e, resolve: s, reject: n, returnAck: t?.returnAck ?? _d.APPLICATION, timer: r6 }), this.sendImpl(e);
+      }, t.timeoutMs)), this.pendingMessages.set(c2, { message: e, resolve: s, reject: n, returnAck: t?.returnAck ?? Fd.APPLICATION, timer: r6 }), this.sendImpl(e);
     });
   }
   async close() {
@@ -81359,8 +81360,8 @@ var DecimalString = /* @__PURE__ */ (function(_NumericStringReprese) {
     key: "writeBytes",
     value: function writeBytes(stream, value, writeOptions) {
       var _this8 = this;
-      var val = Array.isArray(value) ? value.map(function(ds2) {
-        return _this8.convertToString(ds2);
+      var val = Array.isArray(value) ? value.map(function(ds) {
+        return _this8.convertToString(ds);
       }) : [this.convertToString(value)];
       return _get(_getPrototypeOf(DecimalString2.prototype), "writeBytes", this).call(this, stream, val, writeOptions);
     }
@@ -85845,8 +85846,8 @@ var Normalizer = /* @__PURE__ */ (function() {
   }, {
     key: "isMultiframeDataset",
     value: function isMultiframeDataset() {
-      var ds2 = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
-      var sopClassUID = ds2.SOPClassUID.replace(/[^0-9.]/g, "");
+      var ds = arguments.length > 0 && arguments[0] !== void 0 ? arguments[0] : this.dataset;
+      var sopClassUID = ds.SOPClassUID.replace(/[^0-9.]/g, "");
       return Normalizer2.isMultiframeSOPClassUID(sopClassUID);
     }
   }, {
@@ -85886,16 +85887,16 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
       }
       this.derivation = new DerivedImage(this.datasets);
       this.dataset = this.derivation.dataset;
-      var ds2 = this.dataset;
+      var ds = this.dataset;
       var referenceDataset = this.datasets[0];
-      ds2.NumberOfFrames = this.datasets.length;
-      ds2.SOPClassUID = referenceDataset.SOPClassUID;
-      ds2.Rows = referenceDataset.Rows;
-      ds2.Columns = referenceDataset.Columns;
-      ds2.BitsAllocated = referenceDataset.BitsAllocated;
-      ds2.PixelRepresentation = referenceDataset.PixelRepresentation;
-      ds2.RescaleSlope = referenceDataset.RescaleSlope || "1";
-      ds2.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
+      ds.NumberOfFrames = this.datasets.length;
+      ds.SOPClassUID = referenceDataset.SOPClassUID;
+      ds.Rows = referenceDataset.Rows;
+      ds.Columns = referenceDataset.Columns;
+      ds.BitsAllocated = referenceDataset.BitsAllocated;
+      ds.PixelRepresentation = referenceDataset.PixelRepresentation;
+      ds.RescaleSlope = referenceDataset.RescaleSlope || "1";
+      ds.RescaleIntercept = referenceDataset.RescaleIntercept || "0";
       var referencePosition = referenceDataset.ImagePositionPatient;
       var rowVector = referenceDataset.ImageOrientationPatient.slice(0, 3);
       var columnVector = referenceDataset.ImageOrientationPatient.slice(3, 6);
@@ -85910,43 +85911,43 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
       distanceDatasetPairs.sort(function(a, b3) {
         return b3[0] - a[0];
       });
-      if (ds2.BitsAllocated !== 16) {
+      if (ds.BitsAllocated !== 16) {
         log2.error("Only works with 16 bit data, not " + String(this.dataset.BitsAllocated));
       }
       if (referenceDataset._vrMap && !referenceDataset._vrMap.PixelData) {
         log2.warn("No vr map given for pixel data, using OW");
-        ds2._vrMap = {
+        ds._vrMap = {
           PixelData: "OW"
         };
       } else {
-        ds2._vrMap = {
+        ds._vrMap = {
           PixelData: referenceDataset._vrMap.PixelData
         };
       }
       var frameSize = referenceDataset.PixelData.byteLength;
-      ds2.PixelData = new ArrayBuffer(ds2.NumberOfFrames * frameSize);
+      ds.PixelData = new ArrayBuffer(ds.NumberOfFrames * frameSize);
       var frame = 0;
       distanceDatasetPairs.forEach(function(pair) {
         var dataset = pair[1];
         var pixels = new Uint16Array(dataset.PixelData);
-        var frameView = new Uint16Array(ds2.PixelData, frame * frameSize, frameSize / 2);
+        var frameView = new Uint16Array(ds.PixelData, frame * frameSize, frameSize / 2);
         try {
           frameView.set(pixels);
         } catch (e) {
           if (e instanceof RangeError) {
-            var message = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds2.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
+            var message = "Error inserting pixels in PixelData\n" + "frameSize ".concat(frameSize, "\n") + "NumberOfFrames ".concat(ds.NumberOfFrames, "\n") + "pair ".concat(pair, "\n") + "dataset PixelData size ".concat(dataset.PixelData.length);
             log2.error(message);
           }
         }
         frame++;
       });
-      if (ds2.NumberOfFrames < 2) {
+      if (ds.NumberOfFrames < 2) {
         log2.error("Cannot populate shared groups uniquely without multiple frames");
       }
       var _distanceDatasetPairs = _slicedToArray(distanceDatasetPairs[0], 2), distance0 = _distanceDatasetPairs[0], dataset0 = _distanceDatasetPairs[1];
       var distance1 = distanceDatasetPairs[1][0];
       var SpacingBetweenSlices = Math.abs(distance1 - distance0);
-      ds2.SharedFunctionalGroupsSequence = {
+      ds.SharedFunctionalGroupsSequence = {
         PlaneOrientationSequence: {
           ImageOrientationPatient: dataset0.ImageOrientationPatient
         },
@@ -85956,14 +85957,14 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
           SliceThickness: SpacingBetweenSlices
         }
       };
-      ds2.ReferencedSeriesSequence = {
+      ds.ReferencedSeriesSequence = {
         SeriesInstanceUID: dataset0.SeriesInstanceUID,
         ReferencedInstanceSequence: []
       };
-      ds2.PerFrameFunctionalGroupsSequence = [];
+      ds.PerFrameFunctionalGroupsSequence = [];
       distanceDatasetPairs.forEach(function(pair) {
         var dataset = pair[1];
-        ds2.PerFrameFunctionalGroupsSequence.push({
+        ds.PerFrameFunctionalGroupsSequence.push({
           PlanePositionSequence: {
             ImagePositionPatient: dataset.ImagePositionPatient
           },
@@ -85972,7 +85973,7 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
             WindowWidth: dataset.WindowWidth
           }
         });
-        ds2.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
+        ds.ReferencedSeriesSequence.ReferencedInstanceSequence.push({
           ReferencedSOPClassUID: dataset.SOPClassUID,
           ReferencedSOPInstanceUID: dataset.SOPInstanceUID
         });
@@ -85992,29 +85993,29 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
   }, {
     key: "normalizeMultiframe",
     value: function normalizeMultiframe() {
-      var ds2 = this.dataset;
-      if (!ds2.NumberOfFrames) {
+      var ds = this.dataset;
+      if (!ds.NumberOfFrames) {
         log2.error("Missing number or frames not supported");
         return;
       }
-      if (!ds2.PixelRepresentation) {
-        ds2.PixelRepresentation = 1;
+      if (!ds.PixelRepresentation) {
+        ds.PixelRepresentation = 1;
       }
-      if (!ds2.StudyID || ds2.StudyID === "") {
-        ds2.StudyID = "No Study ID";
+      if (!ds.StudyID || ds.StudyID === "") {
+        ds.StudyID = "No Study ID";
       }
       var validLateralities = ["R", "L"];
-      if (validLateralities.indexOf(ds2.Laterality) === -1) {
-        delete ds2.Laterality;
+      if (validLateralities.indexOf(ds.Laterality) === -1) {
+        delete ds.Laterality;
       }
-      if (!ds2.PresentationLUTShape) {
-        ds2.PresentationLUTShape = "IDENTITY";
+      if (!ds.PresentationLUTShape) {
+        ds.PresentationLUTShape = "IDENTITY";
       }
-      if (!ds2.SharedFunctionalGroupsSequence) {
+      if (!ds.SharedFunctionalGroupsSequence) {
         log2.error("Can only process multiframe data with SharedFunctionalGroupsSequence");
       }
-      if (ds2.BodyPartExamined === "PROSTATE") {
-        ds2.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
+      if (ds.BodyPartExamined === "PROSTATE") {
+        ds.SharedFunctionalGroupsSequence.FrameAnatomySequence = {
           AnatomicRegionSequence: {
             CodeValue: "T-9200B",
             CodingSchemeDesignator: "SRT",
@@ -86023,17 +86024,17 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
           FrameLaterality: "U"
         };
       }
-      var rescaleIntercept = ds2.RescaleIntercept || 0;
-      var rescaleSlope = ds2.RescaleSlope || 1;
-      ds2.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
+      var rescaleIntercept = ds.RescaleIntercept || 0;
+      var rescaleSlope = ds.RescaleSlope || 1;
+      ds.SharedFunctionalGroupsSequence.PixelValueTransformationSequence = {
         RescaleIntercept: rescaleIntercept,
         RescaleSlope: rescaleSlope,
         RescaleType: "US"
       };
       var frameNumber = 1;
       this.datasets.forEach(function(dataset) {
-        if (ds2.NumberOfFrames === 1) ds2.PerFrameFunctionalGroupsSequence = [ds2.PerFrameFunctionalGroupsSequence];
-        ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
+        if (ds.NumberOfFrames === 1) ds.PerFrameFunctionalGroupsSequence = [ds.PerFrameFunctionalGroupsSequence];
+        ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence = {
           FrameAcquisitionDuration: 0,
           StackID: 1,
           InStackPositionNumber: frameNumber,
@@ -86041,30 +86042,30 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
         };
         var frameTime = dataset.AcquisitionDate + dataset.AcquisitionTime;
         if (!isNaN(frameTime)) {
-          var frameContentSequence = ds2.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
+          var frameContentSequence = ds.PerFrameFunctionalGroupsSequence[frameNumber - 1].FrameContentSequence;
           frameContentSequence.FrameAcquisitionDateTime = frameTime;
           frameContentSequence.FrameReferenceDateTime = frameTime;
         }
         frameNumber++;
       });
-      if (ds2.WindowCenter && ds2.WindowWidth) {
-        if (!Array.isArray(ds2.WindowCenter)) {
-          ds2.WindowCenter = [ds2.WindowCenter];
+      if (ds.WindowCenter && ds.WindowWidth) {
+        if (!Array.isArray(ds.WindowCenter)) {
+          ds.WindowCenter = [ds.WindowCenter];
         }
-        if (!Array.isArray(ds2.WindowWidth)) {
-          ds2.WindowWidth = [ds2.WindowWidth];
+        if (!Array.isArray(ds.WindowWidth)) {
+          ds.WindowWidth = [ds.WindowWidth];
         }
       }
-      if (!ds2.WindowCenter || !ds2.WindowWidth) {
-        ds2.WindowCenter = [];
-        ds2.WindowWidth = [];
-        if (ds2.PerFrameFunctionalGroupsSequence) {
+      if (!ds.WindowCenter || !ds.WindowWidth) {
+        ds.WindowCenter = [];
+        ds.WindowWidth = [];
+        if (ds.PerFrameFunctionalGroupsSequence) {
           var wcww = {
             center: 0,
             width: 0,
             count: 0
           };
-          ds2.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
+          ds.PerFrameFunctionalGroupsSequence.forEach(function(functionalGroup) {
             if (functionalGroup.FrameVOILUT) {
               var wc = functionalGroup.FrameVOILUTSequence.WindowCenter;
               var ww = functionalGroup.FrameVOILUTSequence.WindowWidth;
@@ -86082,26 +86083,26 @@ var ImageNormalizer = /* @__PURE__ */ (function(_Normalizer) {
             }
           });
           if (wcww.count > 0) {
-            ds2.WindowCenter.push(String(wcww.center / wcww.count));
-            ds2.WindowWidth.push(String(wcww.width / wcww.count));
+            ds.WindowCenter.push(String(wcww.center / wcww.count));
+            ds.WindowWidth.push(String(wcww.width / wcww.count));
           }
         }
       }
-      if (ds2.WindowCenter.length === 0) {
-        ds2.WindowCenter = [300];
+      if (ds.WindowCenter.length === 0) {
+        ds.WindowCenter = [300];
       }
-      if (ds2.WindowWidth.length === 0) {
-        ds2.WindowWidth = [500];
+      if (ds.WindowWidth.length === 0) {
+        ds.WindowWidth = [500];
       }
     }
   }], [{
     key: "vec3CrossProduct",
     value: function vec3CrossProduct(a, b3) {
-      var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
+      var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2];
       var out = [];
-      out[0] = ay2 * bz - az * by;
+      out[0] = ay * bz - az * by;
       out[1] = az * bx - ax * bz;
-      out[2] = ax * by - ay2 * bx;
+      out[2] = ax * by - ay * bx;
       return out;
     }
   }, {
@@ -86137,12 +86138,12 @@ var MRImageNormalizer = /* @__PURE__ */ (function(_ImageNormalizer) {
     key: "normalizeMultiframe",
     value: function normalizeMultiframe() {
       _get(_getPrototypeOf(MRImageNormalizer2.prototype), "normalizeMultiframe", this).call(this);
-      var ds2 = this.dataset;
-      if (!ds2.ImageType || !ds2.ImageType.constructor || ds2.ImageType.constructor.name != "Array" || ds2.ImageType.length != 4) {
-        ds2.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
+      var ds = this.dataset;
+      if (!ds.ImageType || !ds.ImageType.constructor || ds.ImageType.constructor.name != "Array" || ds.ImageType.length != 4) {
+        ds.ImageType = ["ORIGINAL", "PRIMARY", "OTHER", "NONE"];
       }
-      ds2.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
-        FrameType: ds2.ImageType,
+      ds.SharedFunctionalGroupsSequence.MRImageFrameTypeSequence = {
+        FrameType: ds.ImageType,
         PixelPresentation: "MONOCHROME",
         VolumetricProperties: "VOLUME",
         VolumeBasedCalculationTechnique: "NONE",
@@ -86267,9 +86268,9 @@ var PMImageNormalizer = /* @__PURE__ */ (function(_ImageNormalizer9) {
     key: "normalize",
     value: function normalize2() {
       _get(_getPrototypeOf(PMImageNormalizer2.prototype), "normalize", this).call(this);
-      var ds2 = this.datasets[0];
-      if (ds2.BitsAllocated !== 32) {
-        log2.error("Only works with 32 bit data, not " + String(ds2.BitsAllocated));
+      var ds = this.datasets[0];
+      if (ds.BitsAllocated !== 32) {
+        log2.error("Only works with 32 bit data, not " + String(ds.BitsAllocated));
       }
     }
   }]);
@@ -89065,8 +89066,8 @@ var MeasurementReport$2 = /* @__PURE__ */ (function() {
     key: "getCornerstoneLabelFromDefaultState",
     value: function getCornerstoneLabelFromDefaultState(defaultState) {
       var _defaultState$finding = defaultState.findingSites, findingSites = _defaultState$finding === void 0 ? [] : _defaultState$finding, finding = defaultState.finding;
-      var freeTextLabel = findingSites.find(function(fs3) {
-        return isFreeTextCodeValue(fs3.CodeValue) || isLegacyFreeTextCodeValue(fs3.CodeValue);
+      var freeTextLabel = findingSites.find(function(fs4) {
+        return isFreeTextCodeValue(fs4.CodeValue) || isLegacyFreeTextCodeValue(fs4.CodeValue);
       });
       if (freeTextLabel) {
         return freeTextLabel.CodeMeaning;
@@ -89645,19 +89646,19 @@ function dot(a, b3) {
   return a[0] * b3[0] + a[1] * b3[1] + a[2] * b3[2];
 }
 function cross$1(out, a, b3) {
-  var ax = a[0], ay2 = a[1], az = a[2];
+  var ax = a[0], ay = a[1], az = a[2];
   var bx = b3[0], by = b3[1], bz = b3[2];
-  out[0] = ay2 * bz - az * by;
+  out[0] = ay * bz - az * by;
   out[1] = az * bx - ax * bz;
-  out[2] = ax * by - ay2 * bx;
+  out[2] = ax * by - ay * bx;
   return out;
 }
 function lerp(out, a, b3, t) {
   var ax = a[0];
-  var ay2 = a[1];
+  var ay = a[1];
   var az = a[2];
   out[0] = ax + t * (b3[0] - ax);
-  out[1] = ay2 + t * (b3[1] - ay2);
+  out[1] = ay + t * (b3[1] - ay);
   out[2] = az + t * (b3[2] - az);
   return out;
 }
@@ -89768,7 +89769,7 @@ function rotateZ(out, a, b3, rad) {
   return out;
 }
 function angle(a, b3) {
-  var ax = a[0], ay2 = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay2 * ay2 + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot(a, b3) / mag;
+  var ax = a[0], ay = a[1], az = a[2], bx = b3[0], by = b3[1], bz = b3[2], mag1 = Math.sqrt(ax * ax + ay * ay + az * az), mag2 = Math.sqrt(bx * bx + by * by + bz * bz), mag = mag1 * mag2, cosine = mag && dot(a, b3) / mag;
   return Math.acos(Math.min(Math.max(cosine, -1), 1));
 }
 function zero(out) {
@@ -91701,7 +91702,7 @@ var DEFAULT_LOGGER_CONFIG = {
   logDir: __dirname,
   maxFileSizeMb: 10,
   filesToKeep: 10,
-  logLevel: He.INFO
+  logLevel: Ge.INFO
 };
 var LOGGER_CONFIG_INTEGER_KEYS = ["maxFileSizeMb", "filesToKeep"];
 var LEVELS_TO_UPPERCASE = {
@@ -91730,7 +91731,7 @@ function cleanupLoggerConfig(config, configPathRoot = "config") {
     warnings.push(`${configPathRoot}.filesToKeep must be a valid integer`);
     config.filesToKeep = void 0;
   }
-  if (typeof config.logLevel !== "undefined" && !(typeof config.logLevel === "number" && Qc[config.logLevel] !== void 0)) {
+  if (typeof config.logLevel !== "undefined" && !(typeof config.logLevel === "number" && zc[config.logLevel] !== void 0)) {
     warnings.push(`${configPathRoot}.logLevel must be a valid log level between LogLevel.NONE and LogLevel.DEBUG`);
     config.logLevel = void 0;
   }
@@ -91768,14 +91769,14 @@ function parseLoggerConfigFromArgs(args) {
     if (!propName.startsWith("logger.") || propVal === void 0) {
       continue;
     }
-    const [_2, configType, settingName] = Xe(propName, ".", 3);
+    const [_2, configType, settingName] = qe(propName, ".", 3);
     if (!LOGGER_CONFIG_KEYS.includes(settingName)) {
       warnings.push(`${propName} is not a valid setting name`);
     }
     let configValue;
     if (settingName === "logLevel") {
       try {
-        configValue = Rh(propVal);
+        configValue = Ph(propVal);
       } catch (err2) {
         warnings.push(`Error while parsing ${propName}: ${_e(err2)}`);
       }
@@ -91803,14 +91804,14 @@ function parseLoggerConfigFromArgs(args) {
 function getWinstonLevelFromMedplumLevel(level) {
   switch (level) {
     // Return error for NONE since we are going to turn silent on anyways
-    case He.NONE:
-    case He.ERROR:
+    case Ge.NONE:
+    case Ge.ERROR:
       return "error";
-    case He.WARN:
+    case Ge.WARN:
       return "warn";
-    case He.INFO:
+    case Ge.INFO:
       return "info";
-    case He.DEBUG:
+    case Ge.DEBUG:
       return "debug";
     default:
       throw new Error("Invalid log level");
@@ -91820,7 +91821,7 @@ function createWinstonFromLoggerConfig(config, loggerType) {
   const level = getWinstonLevelFromMedplumLevel(config.logLevel);
   const logger = import_winston.default.createLogger({
     level,
-    silent: config.logLevel === He.NONE,
+    silent: config.logLevel === Ge.NONE,
     format: import_winston.default.format.combine(
       import_winston.default.format.timestamp(),
       // Custom transform to match previous Medplum logger output
@@ -91874,16 +91875,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     this.prefix = options?.prefix;
   }
   debug(msg, data2) {
-    this.log(He.DEBUG, msg, data2);
+    this.log(Ge.DEBUG, msg, data2);
   }
   info(msg, data2) {
-    this.log(He.INFO, msg, data2);
+    this.log(Ge.INFO, msg, data2);
   }
   warn(msg, data2) {
-    this.log(He.WARN, msg, data2);
+    this.log(Ge.WARN, msg, data2);
   }
   error(msg, data2) {
-    this.log(He.ERROR, msg, data2);
+    this.log(Ge.ERROR, msg, data2);
   }
   log(level, msg, data2) {
     if (level > this.level) {
@@ -91898,16 +91899,16 @@ var WinstonWrapperLogger = class _WinstonWrapperLogger {
     const dataToLog = { ...data2, ...this.metadata };
     const msgToLog = this.prefix ? `${this.prefix}${msg}` : msg;
     switch (level) {
-      case He.DEBUG:
+      case Ge.DEBUG:
         this.winston.debug(msgToLog, dataToLog);
         return;
-      case He.INFO:
+      case Ge.INFO:
         this.winston.info(msgToLog, dataToLog);
         return;
-      case He.WARN:
+      case Ge.WARN:
         this.winston.warn(msgToLog, dataToLog);
         return;
-      case He.ERROR:
+      case Ge.ERROR:
         this.winston.error(msgToLog, dataToLog);
     }
   }
@@ -92702,7 +92703,7 @@ IPv6 is currently unsupported.`;
         this.log.error(errMsg);
         throw new Error(errMsg);
       }
-      if (!((0, import_node_net4.isIPv4)(message.remote) || rp(message.remote))) {
+      if (!((0, import_node_net4.isIPv4)(message.remote) || ip(message.remote))) {
         const errMsg = `Attempted to ping an invalid host.
 
 "${message.remote}" is not a valid IPv4 address or a resolvable hostname.`;
@@ -92777,7 +92778,7 @@ ${result}`);
       return;
     }
     let child;
-    if (message.version && !await sy("agent-upgrader", message.version)) {
+    if (message.version && !await cy("agent-upgrader", message.version)) {
       const versionTag = message.version ? `v${message.version}` : "latest";
       const errMsg = `Error during upgrading to version '${versionTag}'. '${message.version}' is not a valid version`;
       this.log.error(errMsg);
@@ -92788,7 +92789,7 @@ ${result}`);
       });
       return;
     }
-    const targetVersion = message.version ?? await ay("agent-upgrader");
+    const targetVersion = message.version ?? await uy("agent-upgrader");
     if (un.startsWith(targetVersion)) {
       if (!message?.force) {
         this.log.info(`Attempted to upgrade to version ${targetVersion}, but agent is already on that version`);
@@ -92954,7 +92955,7 @@ ${result}`);
     } catch (err2) {
       this.log.warn(`${_e(err2)} - falling back to default return ACK behavior of 'first'.`);
     }
-    const returnAck = msgReturnAck ?? defaultReturnAck ?? _d.FIRST;
+    const returnAck = msgReturnAck ?? defaultReturnAck ?? Fd.FIRST;
     let pool;
     if (this.hl7Clients.has(message.remote)) {
       pool = this.hl7Clients.get(message.remote);
@@ -93052,10 +93053,10 @@ ${result}`);
     }
     const normalizedValue = rawValue.toLowerCase();
     if (normalizedValue === "application") {
-      return _d.APPLICATION;
+      return Fd.APPLICATION;
     }
     if (normalizedValue === "first") {
-      return _d.FIRST;
+      return Fd.FIRST;
     }
     throw new Error(`Invalid value for returnAck; expected: 'first' or 'application', received: ${rawValue}`);
   }
@@ -93118,7 +93119,7 @@ async function agentMain(argv) {
   for (const warning of warnings) {
     mainLogger.warn(warning);
   }
-  const app = new App(medplum, agentId, args.logLevel ? Rh(args.logLevel) : void 0, {
+  const app = new App(medplum, agentId, args.logLevel ? Ph(args.logLevel) : void 0, {
     mainLogger,
     channelLogger
   });
@@ -93160,10 +93161,10 @@ async function upgraderMain(argv) {
     rejectOnTimeout = () => reject(new Error("Timed out while waiting for IPC to disconnect"));
     import_node_process3.default.once("disconnect", resolve2);
   });
-  if (argv[3] && !uu(argv[3])) {
+  if (argv[3] && !lu(argv[3])) {
     throw new Error("Invalid version specified");
   }
-  const version = argv[3] ?? await ay("agent-upgrader");
+  const version = argv[3] ?? await uy("agent-upgrader");
   const binPath = getReleaseBinPath(version);
   if (!(0, import_node_fs6.existsSync)(binPath)) {
     globalLogger.info(`Could not find binary at "${binPath}". Downloading release from GitHub...`);