@medplum/core 2.0.7 → 2.0.9

package/dist/esm/client.mjs.map

@@ -1 +1 @@
-{"version":3,"file":"client.mjs","sources":["../../src/client.ts"],"sourcesContent":["// PKCE auth based on:\n// https://aws.amazon.com/blogs/security/how-to-add-authentication-single-page-web-application-with-amazon-cognito-oauth2-implementation/\n\nimport {\n  Binary,\n  Bundle,\n  BundleEntry,\n  Communication,\n  Device,\n  Encounter,\n  ExtractResource,\n  OperationOutcome,\n  Patient,\n  Project,\n  ProjectMembership,\n  ProjectSecret,\n  Reference,\n  Resource,\n  ResourceType,\n  SearchParameter,\n  StructureDefinition,\n  UserConfiguration,\n  ValueSet,\n} from '@medplum/fhirtypes';\n// eslint-disable-next-line @typescript-eslint/ban-ts-comment\n/** @ts-ignore */\nimport type { CustomTableLayout, TDocumentDefinitions, TFontDictionary } from 'pdfmake/interfaces';\nimport { LRUCache } from './cache';\nimport { encryptSHA256, getRandomString } from './crypto';\nimport { EventTarget } from './eventtarget';\nimport { Hl7Message } from './hl7';\nimport { parseJWTPayload } from './jwt';\nimport { isOk, normalizeOperationOutcome, OperationOutcomeError } from './outcomes';\nimport { ReadablePromise } from './readablepromise';\nimport { ClientStorage } from './storage';\nimport { globalSchema, IndexedStructureDefinition, indexSearchParameter, indexStructureDefinition } from './types';\nimport { arrayBufferToBase64, createReference, ProfileResource } from './utils';\n\nexport const MEDPLUM_VERSION = process.env.MEDPLUM_VERSION;\n\nconst DEFAULT_BASE_URL = 'https://api.medplum.com/';\nconst DEFAULT_RESOURCE_CACHE_SIZE = 1000;\nconst DEFAULT_CACHE_TIME = 60000; // 60 seconds\nconst JSON_CONTENT_TYPE = 'application/json';\nconst FHIR_CONTENT_TYPE = 'application/fhir+json';\nconst PATCH_CONTENT_TYPE = 'application/json-patch+json';\n\nconst system: Device = { resourceType: 'Device', id: 'system', deviceName: [{ name: 'System' }] };\n\n/**\n * The MedplumClientOptions interface defines configuration options for MedplumClient.\n *\n * All configuration settings are optional.\n */\nexport interface MedplumClientOptions {\n  /**\n   * Base server URL.\n   *\n   * Default value is https://api.medplum.com/\n   *\n   * Use this to point to a custom Medplum deployment.\n   */\n  baseUrl?: string;\n\n  /**\n   * OAuth2 authorize URL.\n   *\n   * Default value is baseUrl + \"/oauth2/authorize\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  authorizeUrl?: string;\n\n  /**\n   * OAuth2 token URL.\n   *\n   * Default value is baseUrl + \"/oauth2/token\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  tokenUrl?: string;\n\n  /**\n   * OAuth2 logout URL.\n   *\n   * Default value is baseUrl + \"/oauth2/logout\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  logoutUrl?: string;\n\n  /**\n   * The client ID.\n   *\n   * Client ID can be used for SMART-on-FHIR customization.\n   */\n  clientId?: string;\n\n  /**\n   * Number of resources to store in the cache.\n   *\n   * Default value is 1000.\n   *\n   * Consider using this for performance of displaying Patient or Practitioner resources.\n   */\n  resourceCacheSize?: number;\n\n  /**\n   * The length of time in milliseconds to cache resources.\n   *\n   * Default value is 10000 (10 seconds).\n   *\n   * Cache time of zero disables all caching.\n   *\n   * For any individual request, the cache behavior can be overridden by setting the cache property on request options.\n   *\n   * See: https://developer.mozilla.org/en-US/docs/Web/API/Request/cache\n   */\n  cacheTime?: number;\n\n  /**\n   * The length of time in milliseconds to delay requests for auto batching.\n   *\n   * Auto batching attempts to group multiple requests together into a single batch request.\n   *\n   * Default value is 0, which disables auto batching.\n   */\n  autoBatchTime?: number;\n\n  /**\n   * Fetch implementation.\n   *\n   * Default is window.fetch (if available).\n   *\n   * For Node.js applications, consider the 'node-fetch' package.\n   */\n  fetch?: FetchLike;\n\n  /**\n   * Create PDF implementation.\n   *\n   * Default is none, and PDF generation is disabled.\n   *\n   * In browser environments, import the client-side pdfmake library.\n   *\n   * ```html\n   * <script src=\"pdfmake.min.js\"></script>\n   * <script>\n   * async function createPdf(docDefinition, tableLayouts, fonts) {\n   *   return new Promise((resolve) => {\n   *     pdfMake.createPdf(docDefinition, tableLayouts, fonts).getBlob(resolve);\n   *   });\n   * }\n   * </script>\n   * ```\n   *\n   * In Node.js applications:\n   *\n   * ```ts\n   * import type { CustomTableLayout, TDocumentDefinitions, TFontDictionary } from 'pdfmake/interfaces';\n   * function createPdf(\n   *   docDefinition: TDocumentDefinitions,\n   *   tableLayouts?: { [name: string]: CustomTableLayout },\n   *   fonts?: TFontDictionary\n   * ): Promise<Buffer> {\n   *   return new Promise((resolve, reject) => {\n   *     const printer = new PdfPrinter(fonts || {});\n   *     const pdfDoc = printer.createPdfKitDocument(docDefinition, { tableLayouts });\n   *     const chunks: Uint8Array[] = [];\n   *     pdfDoc.on('data', (chunk: Uint8Array) => chunks.push(chunk));\n   *     pdfDoc.on('end', () => resolve(Buffer.concat(chunks)));\n   *     pdfDoc.on('error', reject);\n   *     pdfDoc.end();\n   *   });\n   * }\n   * ```\n   */\n  createPdf?: CreatePdfFunction;\n\n  /**\n   * Callback for when the client is unauthenticated.\n   *\n   * Default is do nothing.\n   *\n   * For client side applications, consider redirecting to a sign in page.\n   */\n  onUnauthenticated?: () => void;\n}\n\nexport interface FetchLike {\n  (url: string, options?: any): Promise<any>;\n}\n\n/**\n * QueryTypes defines the different ways to specify FHIR search parameters.\n *\n * Can be any valid input to the URLSearchParams() constructor.\n *\n * TypeScript definitions for URLSearchParams do not match runtime behavior.\n * The official spec only accepts string values.\n * Web browsers and Node.js automatically coerce values to strings.\n * See: https://github.com/microsoft/TypeScript/issues/32951\n */\nexport type QueryTypes = URLSearchParams | string[][] | Record<string, any> | string | undefined;\n\nexport interface CreatePdfFunction {\n  (\n    docDefinition: TDocumentDefinitions,\n    tableLayouts?:\n      | {\n          [name: string]: CustomTableLayout;\n        }\n      | undefined,\n    fonts?: TFontDictionary | undefined\n  ): Promise<any>;\n}\n\nexport interface BaseLoginRequest {\n  readonly projectId?: string;\n  readonly clientId?: string;\n  readonly resourceType?: string;\n  readonly scope?: string;\n  readonly nonce?: string;\n  readonly codeChallenge?: string;\n  readonly codeChallengeMethod?: string;\n  readonly googleClientId?: string;\n  readonly launch?: string;\n  readonly redirectUri?: string;\n}\n\nexport interface EmailPasswordLoginRequest extends BaseLoginRequest {\n  readonly email: string;\n  readonly password: string;\n  readonly remember?: boolean;\n}\n\nexport interface NewUserRequest {\n  readonly firstName: string;\n  readonly lastName: string;\n  readonly email: string;\n  readonly password: string;\n  readonly recaptchaToken: string;\n  readonly recaptchaSiteKey?: string;\n  readonly remember?: boolean;\n  readonly projectId?: string;\n}\n\nexport interface NewProjectRequest {\n  readonly login: string;\n  readonly projectName: string;\n}\n\nexport interface NewPatientRequest {\n  readonly login: string;\n  readonly projectId: string;\n}\n\nexport interface GoogleCredentialResponse {\n  readonly clientId: string;\n  readonly credential: string;\n}\n\nexport interface GoogleLoginRequest extends BaseLoginRequest {\n  readonly googleClientId: string;\n  readonly googleCredential: string;\n  readonly createUser?: boolean;\n}\n\nexport interface LoginAuthenticationResponse {\n  readonly login: string;\n  readonly mfaRequired?: boolean;\n  readonly code?: string;\n  readonly memberships?: ProjectMembership[];\n}\n\nexport interface LoginProfileResponse {\n  readonly login: string;\n  readonly scope: string;\n}\n\nexport interface LoginScopeResponse {\n  readonly login: string;\n  readonly code: string;\n}\n\nexport interface LoginState {\n  readonly project: Reference<Project>;\n  readonly profile: Reference<ProfileResource>;\n  readonly accessToken: string;\n  readonly refreshToken: string;\n}\n\nexport interface TokenResponse {\n  readonly token_type: string;\n  readonly id_token: string;\n  readonly access_token: string;\n  readonly refresh_token: string;\n  readonly expires_in: number;\n  readonly project: Reference<Project>;\n  readonly profile: Reference<ProfileResource>;\n}\n\nexport interface BotEvent<T = Resource | Hl7Message | string | Record<string, any>> {\n  readonly contentType: string;\n  readonly input: T;\n  readonly secrets: Record<string, ProjectSecret>;\n}\n\n/**\n * JSONPatch patch operation.\n * Compatible with fast-json-patch and rfc6902 Operation.\n */\nexport interface PatchOperation {\n  readonly op: 'add' | 'remove' | 'replace' | 'copy' | 'move' | 'test';\n  readonly path: string;\n  readonly value?: any;\n}\n\n/**\n * Email address definition.\n * Compatible with nodemailer Mail.Address.\n */\nexport interface MailAddress {\n  readonly name: string;\n  readonly address: string;\n}\n\n/**\n * Email attachment definition.\n * Compatible with nodemailer Mail.Options.\n */\nexport interface MailAttachment {\n  /** String, Buffer or a Stream contents for the attachmentent */\n  readonly content?: string;\n  /** path to a file or an URL (data uris are allowed as well) if you want to stream the file instead of including it (better for larger attachments) */\n  readonly path?: string;\n  /** filename to be reported as the name of the attached file, use of unicode is allowed. If you do not want to use a filename, set this value as false, otherwise a filename is generated automatically */\n  readonly filename?: string | false;\n  /** optional content type for the attachment, if not set will be derived from the filename property */\n  readonly contentType?: string;\n}\n\n/**\n * Email message definition.\n * Compatible with nodemailer Mail.Options.\n */\nexport interface MailOptions {\n  /** The e-mail address of the sender. All e-mail addresses can be plain 'sender@server.com' or formatted 'Sender Name <sender@server.com>' */\n  readonly from?: string | MailAddress;\n  /** An e-mail address that will appear on the Sender: field */\n  readonly sender?: string | MailAddress;\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the To: field */\n  readonly to?: string | MailAddress | string[] | MailAddress[];\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the Cc: field */\n  readonly cc?: string | MailAddress | string[] | MailAddress[];\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the Bcc: field */\n  readonly bcc?: string | MailAddress | string[] | MailAddress[];\n  /** An e-mail address that will appear on the Reply-To: field */\n  readonly replyTo?: string | MailAddress;\n  /** The subject of the e-mail */\n  readonly subject?: string;\n  /** The plaintext version of the message */\n  readonly text?: string;\n  /** The HTML version of the message */\n  readonly html?: string;\n  /** An array of attachment objects */\n  readonly attachments?: MailAttachment[];\n}\n\ninterface SchemaGraphQLResponse {\n  readonly data: {\n    readonly StructureDefinitionList: StructureDefinition[];\n    readonly SearchParameterList: SearchParameter[];\n  };\n}\n\ninterface RequestCacheEntry {\n  readonly requestTime: number;\n  readonly value: ReadablePromise<any>;\n}\n\ninterface AutoBatchEntry<T = any> {\n  readonly method: string;\n  readonly url: string;\n  readonly options: RequestInit;\n  readonly resolve: (value: T) => void;\n  readonly reject: (reason: any) => void;\n}\n\n/**\n * The MedplumClient class provides a client for the Medplum FHIR server.\n *\n * The client can be used in the browser, in a Node.js application, or in a Medplum Bot.\n *\n * The client provides helpful methods for common operations such as:\n *   1) Authenticating\n *   2) Creating resources\n *   2) Reading resources\n *   3) Updating resources\n *   5) Deleting resources\n *   6) Searching\n *   7) Making GraphQL queries\n *\n * Here is a quick example of how to use the client:\n *\n * ```typescript\n * import { MedplumClient } from '@medplum/core';\n * const medplum = new MedplumClient();\n * ```\n *\n * Create a `Patient`:\n *\n * ```typescript\n * const patient = await medplum.createResource({\n *   resourceType: 'Patient',\n *   name: [{\n *     given: ['Alice'],\n *     family: 'Smith'\n *   }]\n * });\n * ```\n *\n * Read a `Patient` by ID:\n *\n * ```typescript\n * const patient = await medplum.readResource('Patient', '123');\n * console.log(patient.name[0].given[0]);\n * ```\n *\n * Search for a `Patient` by name:\n *\n * ```typescript\n * const bundle = await medplum.search('Patient', 'name=Alice');\n * console.log(bundle.total);\n * ```\n *\n *  <head>\n *    <meta name=\"algolia:pageRank\" content=\"100\" />\n *  </head>\n\n */\nexport class MedplumClient extends EventTarget {\n  readonly #fetch: FetchLike;\n  readonly #createPdf?: CreatePdfFunction;\n  readonly #storage: ClientStorage;\n  readonly #requestCache: LRUCache<RequestCacheEntry>;\n  readonly #cacheTime: number;\n  readonly #baseUrl: string;\n  readonly #fhirBaseUrl: string;\n  readonly #authorizeUrl: string;\n  readonly #tokenUrl: string;\n  readonly #logoutUrl: string;\n  readonly #onUnauthenticated?: () => void;\n  readonly #autoBatchTime: number;\n  readonly #autoBatchQueue: AutoBatchEntry[];\n  #clientId?: string;\n  #clientSecret?: string;\n  #autoBatchTimerId?: any;\n  #accessToken?: string;\n  #refreshToken?: string;\n  #refreshPromise?: Promise<any>;\n  #profilePromise?: Promise<any>;\n  #profile?: ProfileResource;\n  #config?: UserConfiguration;\n\n  constructor(options?: MedplumClientOptions) {\n    super();\n\n    if (options?.baseUrl) {\n      if (!options.baseUrl.startsWith('http')) {\n        throw new Error('Base URL must start with http or https');\n      }\n    }\n\n    this.#fetch = options?.fetch || getDefaultFetch();\n    this.#createPdf = options?.createPdf;\n    this.#storage = new ClientStorage();\n    this.#requestCache = new LRUCache(options?.resourceCacheSize ?? DEFAULT_RESOURCE_CACHE_SIZE);\n    this.#cacheTime = options?.cacheTime ?? DEFAULT_CACHE_TIME;\n    this.#baseUrl = ensureTrailingSlash(options?.baseUrl) || DEFAULT_BASE_URL;\n    this.#fhirBaseUrl = this.#baseUrl + 'fhir/R4/';\n    this.#clientId = options?.clientId || '';\n    this.#authorizeUrl = options?.authorizeUrl || this.#baseUrl + 'oauth2/authorize';\n    this.#tokenUrl = options?.tokenUrl || this.#baseUrl + 'oauth2/token';\n    this.#logoutUrl = options?.logoutUrl || this.#baseUrl + 'oauth2/logout';\n    this.#onUnauthenticated = options?.onUnauthenticated;\n    this.#autoBatchTime = options?.autoBatchTime ?? 0;\n    this.#autoBatchQueue = [];\n\n    const activeLogin = this.getActiveLogin();\n    if (activeLogin) {\n      this.#accessToken = activeLogin.accessToken;\n      this.#refreshToken = activeLogin.refreshToken;\n      this.#refreshProfile().catch(console.log);\n    }\n\n    this.#setupStorageListener();\n  }\n\n  /**\n   * Returns the current base URL for all API requests.\n   * By default, this is set to `https://api.medplum.com/`.\n   * This can be overridden by setting the `baseUrl` option when creating the client.\n   * @category HTTP\n   * @returns The current base URL for all API requests.\n   */\n  getBaseUrl(): string {\n    return this.#baseUrl;\n  }\n\n  /**\n   * Clears all auth state including local storage and session storage.\n   * @category Authentication\n   */\n  clear(): void {\n    this.#storage.clear();\n    this.clearActiveLogin();\n  }\n\n  /**\n   * Clears the active login from local storage.\n   * Does not clear all local storage (such as other logins).\n   * @category Authentication\n   */\n  clearActiveLogin(): void {\n    this.#storage.setString('activeLogin', undefined);\n    this.#requestCache.clear();\n    this.#accessToken = undefined;\n    this.#refreshToken = undefined;\n    this.#profile = undefined;\n    this.#config = undefined;\n    this.dispatchEvent({ type: 'change' });\n  }\n\n  /**\n   * Invalidates any cached values or cached requests for the given URL.\n   * @category Caching\n   * @param url The URL to invalidate.\n   */\n  invalidateUrl(url: URL | string): void {\n    url = url.toString();\n    this.#requestCache.delete(url);\n  }\n\n  /**\n   * Invalidates all cached search results or cached requests for the given resourceType.\n   * @category Caching\n   * @param resourceType The resource type to invalidate.\n   */\n  invalidateSearches<K extends ResourceType>(resourceType: K): void {\n    const url = 'fhir/R4/' + resourceType;\n    for (const key of this.#requestCache.keys()) {\n      if (key.endsWith(url) || key.includes(url + '?')) {\n        this.#requestCache.delete(key);\n      }\n    }\n  }\n\n  /**\n   * Makes an HTTP GET request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `readResource()`, `search()`, etc.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  get<T = any>(url: URL | string, options: RequestInit = {}): ReadablePromise<T> {\n    url = url.toString();\n    const cached = this.#getCacheEntry(url, options);\n    if (cached) {\n      return cached.value;\n    }\n\n    let promise: Promise<T>;\n\n    if (url.startsWith(this.#fhirBaseUrl) && this.#autoBatchTime > 0) {\n      promise = new Promise<T>((resolve, reject) => {\n        this.#autoBatchQueue.push({\n          method: 'GET',\n          url: (url as string).replace(this.#fhirBaseUrl, ''),\n          options,\n          resolve,\n          reject,\n        });\n        if (!this.#autoBatchTimerId) {\n          this.#autoBatchTimerId = setTimeout(() => this.#executeAutoBatch(), this.#autoBatchTime);\n        }\n      });\n    } else {\n      promise = this.#request<T>('GET', url, options);\n    }\n\n    const readablePromise = new ReadablePromise(promise);\n    this.#setCacheEntry(url, readablePromise);\n    return readablePromise;\n  }\n\n  /**\n   * Makes an HTTP POST request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `createResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param body The content body. Strings and `File` objects are passed directly. Other objects are converted to JSON.\n   * @param contentType The content type to be included in the \"Content-Type\" header.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  post(url: URL | string, body: any, contentType?: string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    if (body) {\n      this.#setRequestBody(options, body);\n    }\n    if (contentType) {\n      this.#setRequestContentType(options, contentType);\n    }\n    this.invalidateUrl(url);\n    return this.#request('POST', url, options);\n  }\n\n  /**\n   * Makes an HTTP PUT request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `updateResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param body The content body. Strings and `File` objects are passed directly. Other objects are converted to JSON.\n   * @param contentType The content type to be included in the \"Content-Type\" header.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  put(url: URL | string, body: any, contentType?: string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    if (body) {\n      this.#setRequestBody(options, body);\n    }\n    if (contentType) {\n      this.#setRequestContentType(options, contentType);\n    }\n    this.invalidateUrl(url);\n    return this.#request('PUT', url, options);\n  }\n\n  /**\n   * Makes an HTTP PATCH request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `patchResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param operations Array of JSONPatch operations.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  patch(url: URL | string, operations: PatchOperation[], options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    this.#setRequestBody(options, operations);\n    this.#setRequestContentType(options, PATCH_CONTENT_TYPE);\n    this.invalidateUrl(url);\n    return this.#request('PATCH', url, options);\n  }\n\n  /**\n   * Makes an HTTP DELETE request to the specified URL.\n   *\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `deleteResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  delete(url: URL | string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    this.invalidateUrl(url);\n    return this.#request('DELETE', url, options);\n  }\n\n  /**\n   * Initiates a new user flow.\n   *\n   * This method is part of the two different user registration flows:\n   * 1) New Practitioner and new Project\n   * 2) New Patient registration\n   *\n   * @category Authentication\n   * @param newUserRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewUser(newUserRequest: NewUserRequest): Promise<LoginAuthenticationResponse> {\n    const { codeChallengeMethod, codeChallenge } = await this.startPkce();\n    return this.post('auth/newuser', {\n      ...newUserRequest,\n      codeChallengeMethod,\n      codeChallenge,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a new project flow.\n   *\n   * This requires a partial login from `startNewUser` or `startNewGoogleUser`.\n   *\n   * @param newProjectRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewProject(newProjectRequest: NewProjectRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/newproject', newProjectRequest) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a new patient flow.\n   *\n   * This requires a partial login from `startNewUser` or `startNewGoogleUser`.\n   *\n   * @param newPatientRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewPatient(newPatientRequest: NewPatientRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/newpatient', newPatientRequest) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a user login flow.\n   * @category Authentication\n   * @param loginRequest Login request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startLogin(loginRequest: EmailPasswordLoginRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/login', {\n      ...(await this.ensureCodeChallenge(loginRequest)),\n      clientId: loginRequest.clientId ?? this.#clientId,\n      scope: loginRequest.scope,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Tries to sign in with Google authentication.\n   * The response parameter is the result of a Google authentication.\n   * See: https://developers.google.com/identity/gsi/web/guides/handle-credential-responses-js-functions\n   * @category Authentication\n   * @param loginRequest Login request including Google credential response.\n   * @returns Promise to the authentication response.\n   */\n  async startGoogleLogin(loginRequest: GoogleLoginRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/google', {\n      ...(await this.ensureCodeChallenge(loginRequest)),\n      clientId: loginRequest.clientId ?? this.#clientId,\n      scope: loginRequest.scope,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Returns the PKCE code challenge and method.\n   * If the login request already includes a code challenge, it is returned.\n   * Otherwise, a new PKCE code challenge is generated.\n   * @category Authentication\n   * @param loginRequest The original login request.\n   * @returns The PKCE code challenge and method.\n   */\n  async ensureCodeChallenge<T extends BaseLoginRequest>(loginRequest: T): Promise<T> {\n    if (loginRequest.codeChallenge) {\n      return loginRequest;\n    }\n    return { ...loginRequest, ...(await this.startPkce()) };\n  }\n\n  /**\n   * Signs out locally.\n   * Does not invalidate tokens with the server.\n   * @category Authentication\n   */\n  async signOut(): Promise<void> {\n    await this.post(this.#logoutUrl, {});\n    this.clear();\n  }\n\n  /**\n   * Tries to sign in the user.\n   * Returns true if the user is signed in.\n   * This may result in navigating away to the sign in page.\n   * @category Authentication\n   * @param loginParams Optional login parameters.\n   */\n  async signInWithRedirect(loginParams?: Partial<BaseLoginRequest>): Promise<ProfileResource | void> {\n    const urlParams = new URLSearchParams(window.location.search);\n    const code = urlParams.get('code');\n    if (!code) {\n      await this.#requestAuthorization(loginParams);\n      return undefined;\n    } else {\n      return this.processCode(code);\n    }\n  }\n\n  /**\n   * Tries to sign out the user.\n   * See: https://docs.aws.amazon.com/cognito/latest/developerguide/logout-endpoint.html\n   * @category Authentication\n   */\n  signOutWithRedirect(): void {\n    window.location.assign(this.#logoutUrl);\n  }\n\n  /**\n   * Initiates sign in with an external identity provider.\n   * @param authorizeUrl The external authorization URL.\n   * @param clientId The external client ID.\n   * @param redirectUri The external identity provider redirect URI.\n   * @param baseLogin The Medplum login request.\n   * @category Authentication\n   */\n  async signInWithExternalAuth(\n    authorizeUrl: string,\n    clientId: string,\n    redirectUri: string,\n    baseLogin: BaseLoginRequest\n  ): Promise<void> {\n    const loginRequest = await this.ensureCodeChallenge(baseLogin);\n    window.location.assign(this.getExternalAuthRedirectUri(authorizeUrl, clientId, redirectUri, loginRequest));\n  }\n\n  /**\n   * Builds the external identity provider redirect URI.\n   * @param authorizeUrl The external authorization URL.\n   * @param clientId The external client ID.\n   * @param redirectUri The external identity provider redirect URI.\n   * @param loginRequest  The Medplum login request.\n   * @returns The external identity provider redirect URI.\n   * @category Authentication\n   */\n  getExternalAuthRedirectUri(\n    authorizeUrl: string,\n    clientId: string,\n    redirectUri: string,\n    loginRequest: BaseLoginRequest\n  ): string {\n    const url = new URL(authorizeUrl);\n    url.searchParams.set('response_type', 'code');\n    url.searchParams.set('client_id', clientId);\n    url.searchParams.set('redirect_uri', redirectUri);\n    url.searchParams.set('scope', 'openid profile email');\n    url.searchParams.set('state', JSON.stringify(loginRequest));\n    return url.toString();\n  }\n\n  /**\n   * Builds a FHIR URL from a collection of URL path components.\n   * For example, `buildUrl('/Patient', '123')` returns `fhir/R4/Patient/123`.\n   * @category HTTP\n   * @param path The path component of the URL.\n   * @returns The well-formed FHIR URL.\n   */\n  fhirUrl(...path: string[]): URL {\n    return new URL(this.#fhirBaseUrl + path.join('/'));\n  }\n\n  /**\n   * Builds a FHIR search URL from a search query or structured query object.\n   * @category HTTP\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query The FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @returns The well-formed FHIR URL.\n   */\n  fhirSearchUrl(resourceType: ResourceType, query: QueryTypes): URL {\n    const url = this.fhirUrl(resourceType);\n    if (query) {\n      url.search = new URLSearchParams(query).toString();\n    }\n    return url;\n  }\n\n  /**\n   * Sends a FHIR search request.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const bundle = await client.search('Patient', 'name=Alice');\n   * console.log(bundle);\n   * ```\n   *\n   * The return value is a FHIR bundle:\n   *\n   * ```json\n   * {\n   *    \"resourceType\": \"Bundle\",\n   *    \"type\": \"searchset\",\n   *    \"entry\": [\n   *       {\n   *          \"resource\": {\n   *             \"resourceType\": \"Patient\",\n   *             \"name\": [\n   *                {\n   *                   \"given\": [\n   *                      \"George\"\n   *                   ],\n   *                   \"family\": \"Washington\"\n   *                }\n   *             ],\n   *          }\n   *       }\n   *    ]\n   * }\n   * ```\n   *\n   * To query the count of a search, use the summary feature like so:\n   *\n   * ```typescript\n   * const patients = medplum.search('Patient', '_summary=count');\n   * ```\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  search<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<Bundle<ExtractResource<K>>> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    const cacheKey = url.toString() + '-search';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      (async () => {\n        const bundle = await this.get<Bundle<ExtractResource<K>>>(url, options);\n        if (bundle.entry) {\n          for (const entry of bundle.entry) {\n            this.#cacheResource(entry.resource);\n          }\n        }\n        return bundle;\n      })()\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Sends a FHIR search request for a single resource.\n   *\n   * This is a convenience method for `search()` that returns the first resource rather than a `Bundle`.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const patient = await client.searchOne('Patient', 'identifier=123');\n   * console.log(patient);\n   * ```\n   *\n   * The return value is the resource, if available; otherwise, undefined.\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  searchOne<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K> | undefined> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    url.searchParams.set('_count', '1');\n    url.searchParams.sort();\n    const cacheKey = url.toString() + '-searchOne';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      this.search<K>(resourceType, url.searchParams, options).then((b) => b.entry?.[0]?.resource)\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Sends a FHIR search request for an array of resources.\n   *\n   * This is a convenience method for `search()` that returns the resources as an array rather than a `Bundle`.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const patients = await client.searchResources('Patient', 'name=Alice');\n   * console.log(patients);\n   * ```\n   *\n   * The return value is an array of resources.\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  searchResources<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>[]> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    const cacheKey = url.toString() + '-searchResources';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      this.search<K>(resourceType, query, options).then(\n        (b) => b.entry?.map((e) => e.resource as ExtractResource<K>) ?? []\n      )\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Searches a ValueSet resource using the \"expand\" operation.\n   * See: https://www.hl7.org/fhir/operation-valueset-expand.html\n   *\n   * @category Search\n   * @param system The ValueSet system url.\n   * @param filter The search string.\n   * @param options Optional fetch options.\n   * @returns Promise to expanded ValueSet.\n   */\n  searchValueSet(system: string, filter: string, options: RequestInit = {}): ReadablePromise<ValueSet> {\n    const url = this.fhirUrl('ValueSet', '$expand');\n    url.searchParams.set('url', system);\n    url.searchParams.set('filter', filter);\n    return this.get(url.toString(), options);\n  }\n\n  /**\n   * Returns a cached resource if it is available.\n   * @category Caching\n   * @param resourceType The FHIR resource type.\n   * @param id The FHIR resource ID.\n   * @returns The resource if it is available in the cache; undefined otherwise.\n   */\n  getCached<K extends ResourceType>(resourceType: K, id: string): ExtractResource<K> | undefined {\n    const cached = this.#requestCache.get(this.fhirUrl(resourceType, id).toString())?.value;\n    return cached && cached.isOk() ? (cached.read() as ExtractResource<K>) : undefined;\n  }\n\n  /**\n   * Returns a cached resource if it is available.\n   * @category Caching\n   * @param resourceType The FHIR resource type.\n   * @param id The FHIR resource ID.\n   * @returns The resource if it is available in the cache; undefined otherwise.\n   */\n  getCachedReference<T extends Resource>(reference: Reference<T>): T | undefined {\n    const refString = reference.reference as string;\n    if (!refString) {\n      return undefined;\n    }\n    if (refString === 'system') {\n      return system as T;\n    }\n    const [resourceType, id] = refString.split('/');\n    if (!resourceType || !id) {\n      return undefined;\n    }\n    return this.getCached(resourceType as ResourceType, id) as T | undefined;\n  }\n\n  /**\n   * Reads a resource by resource type and ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const patient = await medplum.readResource('Patient', '123');\n   * console.log(patient);\n   * ```\n   *\n   * See the FHIR \"read\" operation for full details: https://www.hl7.org/fhir/http.html#read\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readResource<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>> {\n    return this.get<ExtractResource<K>>(this.fhirUrl(resourceType, id), options);\n  }\n\n  /**\n   * Reads a resource by `Reference`.\n   *\n   * This is a convenience method for `readResource()` that accepts a `Reference` object.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const serviceRequest = await medplum.readResource('ServiceRequest', '123');\n   * const patient = await medplum.readReference(serviceRequest.subject);\n   * console.log(patient);\n   * ```\n   *\n   * See the FHIR \"read\" operation for full details: https://www.hl7.org/fhir/http.html#read\n   *\n   * @category Read\n   * @param reference The FHIR reference object.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readReference<T extends Resource>(reference: Reference<T>, options: RequestInit = {}): ReadablePromise<T> {\n    const refString = reference?.reference;\n    if (!refString) {\n      return new ReadablePromise(Promise.reject(new Error('Missing reference')));\n    }\n    if (refString === 'system') {\n      return new ReadablePromise(Promise.resolve(system as unknown as T));\n    }\n    const [resourceType, id] = refString.split('/');\n    if (!resourceType || !id) {\n      return new ReadablePromise(Promise.reject(new Error('Invalid reference')));\n    }\n    return this.readResource(resourceType as ResourceType, id, options) as ReadablePromise<T>;\n  }\n\n  /**\n   * Returns a cached schema for a resource type.\n   * If the schema is not cached, returns undefined.\n   * It is assumed that a client will call requestSchema before using this method.\n   * @category Schema\n   * @returns The schema if immediately available, undefined otherwise.\n   * @deprecated Use globalSchema instead.\n   */\n  getSchema(): IndexedStructureDefinition {\n    return globalSchema;\n  }\n\n  /**\n   * Requests the schema for a resource type.\n   * If the schema is already cached, the promise is resolved immediately.\n   * @category Schema\n   * @param resourceType The FHIR resource type.\n   * @returns Promise to a schema with the requested resource type.\n   */\n  requestSchema(resourceType: string): Promise<IndexedStructureDefinition> {\n    if (resourceType in globalSchema.types) {\n      return Promise.resolve(globalSchema);\n    }\n\n    const cacheKey = resourceType + '-requestSchema';\n    const cached = this.#getCacheEntry(cacheKey, undefined);\n    if (cached) {\n      return cached.value;\n    }\n\n    const promise = new ReadablePromise<IndexedStructureDefinition>(\n      (async () => {\n        const query = `{\n      StructureDefinitionList(name: \"${resourceType}\") {\n        name,\n        description,\n        snapshot {\n          element {\n            id,\n            path,\n            min,\n            max,\n            type {\n              code,\n              targetProfile\n            },\n            binding {\n              valueSet\n            },\n            definition\n          }\n        }\n      }\n      SearchParameterList(base: \"${resourceType}\", _count: 100) {\n        base,\n        code,\n        type,\n        expression,\n        target\n      }\n    }`.replace(/\\s+/g, ' ');\n\n        const response = (await this.graphql(query)) as SchemaGraphQLResponse;\n\n        for (const structureDefinition of response.data.StructureDefinitionList) {\n          indexStructureDefinition(structureDefinition);\n        }\n\n        for (const searchParameter of response.data.SearchParameterList) {\n          indexSearchParameter(searchParameter);\n        }\n\n        return globalSchema;\n      })()\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Reads resource history by resource type and ID.\n   *\n   * The return value is a bundle of all versions of the resource.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const history = await medplum.readHistory('Patient', '123');\n   * console.log(history);\n   * ```\n   *\n   * See the FHIR \"history\" operation for full details: https://www.hl7.org/fhir/http.html#history\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param options Optional fetch options.\n   * @returns Promise to the resource history.\n   */\n  readHistory<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    options: RequestInit = {}\n  ): ReadablePromise<Bundle<ExtractResource<K>>> {\n    return this.get(this.fhirUrl(resourceType, id, '_history'), options);\n  }\n\n  /**\n   * Reads a specific version of a resource by resource type, ID, and version ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const version = await medplum.readVersion('Patient', '123', '456');\n   * console.log(version);\n   * ```\n   *\n   * See the FHIR \"vread\" operation for full details: https://www.hl7.org/fhir/http.html#vread\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param vid The version ID.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readVersion<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    vid: string,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>> {\n    return this.get(this.fhirUrl(resourceType, id, '_history', vid), options);\n  }\n\n  /**\n   * Executes the Patient \"everything\" operation for a patient.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const bundle = await medplum.readPatientEverything('123');\n   * console.log(bundle);\n   * ```\n   *\n   * See the FHIR \"patient-everything\" operation for full details: https://hl7.org/fhir/operation-patient-everything.html\n   *\n   * @category Read\n   * @param id The Patient Id\n   * @param options Optional fetch options.\n   * @returns A Bundle of all Resources related to the Patient\n   */\n  readPatientEverything(id: string, options: RequestInit = {}): ReadablePromise<Bundle> {\n    return this.get(this.fhirUrl('Patient', id, '$everything'), options);\n  }\n\n  /**\n   * Creates a new FHIR resource.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createResource({\n   *   resourceType: 'Patient',\n   *   name: [{\n   *    family: 'Smith',\n   *    given: ['John']\n   *   }]\n   * });\n   * console.log(result.id);\n   * ```\n   *\n   * See the FHIR \"create\" operation for full details: https://www.hl7.org/fhir/http.html#create\n   *\n   * @category Create\n   * @param resource The FHIR resource to create.\n   * @returns The result of the create operation.\n   */\n  createResource<T extends Resource>(resource: T): Promise<T> {\n    if (!resource.resourceType) {\n      throw new Error('Missing resourceType');\n    }\n    this.invalidateSearches(resource.resourceType);\n    return this.post(this.fhirUrl(resource.resourceType), resource);\n  }\n\n  /**\n   * Conditionally create a new FHIR resource only if some equivalent resource does not already exist on the server.\n   *\n   * The return value is the existing resource or the newly created resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createResourceIfNoneExist(\n   *   {\n   *     resourceType: 'Patient',\n   *     identifier: [{\n   *      system: 'http://example.com/mrn',\n   *      value: '123'\n   *     }]\n   *     name: [{\n   *      family: 'Smith',\n   *      given: ['John']\n   *     }]\n   *   },\n   *   'identifier=123'\n   * );\n   * console.log(result.id);\n   * ```\n   *\n   * This method is syntactic sugar for:\n   *\n   * ```typescript\n   * return searchOne(resourceType, query) ?? createResource(resource);\n   * ```\n   *\n   * The query parameter only contains the search parameters (what would be in the URL following the \"?\").\n   *\n   * See the FHIR \"conditional create\" operation for full details: https://www.hl7.org/fhir/http.html#ccreate\n   *\n   * @category Create\n   * @param resource The FHIR resource to create.\n   * @param query The search query for an equivalent resource (should not include resource type or \"?\").\n   * @returns The result of the create operation.\n   */\n  async createResourceIfNoneExist<T extends Resource>(resource: T, query: string): Promise<T> {\n    return ((await this.searchOne(resource.resourceType, query)) ?? this.createResource(resource)) as Promise<T>;\n  }\n\n  /**\n   * Creates a FHIR `Binary` resource with the provided data content.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * The `data` parameter can be a string or a `File` object.\n   *\n   * A `File` object often comes from a `<input type=\"file\">` element.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createBinary(myFile, 'test.jpg', 'image/jpeg');\n   * console.log(result.id);\n   * ```\n   *\n   * See the FHIR \"create\" operation for full details: https://www.hl7.org/fhir/http.html#create\n   *\n   * @category Create\n   * @param data The binary data to upload.\n   * @param filename Optional filename for the binary.\n   * @param contentType Content type for the binary.\n   * @returns The result of the create operation.\n   */\n  createBinary(\n    data: string | File | Blob | Uint8Array,\n    filename: string | undefined,\n    contentType: string,\n    onProgress?: (e: ProgressEvent) => void\n  ): Promise<Binary> {\n    const url = this.fhirUrl('Binary');\n    if (filename) {\n      url.searchParams.set('_filename', filename);\n    }\n\n    if (onProgress) {\n      return this.uploadwithProgress(url, data, contentType, onProgress);\n    } else {\n      return this.post(url, data, contentType);\n    }\n  }\n\n  uploadwithProgress(\n    url: URL,\n    data: string | File | Blob | Uint8Array,\n    contentType: string,\n    onProgress: (e: ProgressEvent) => void\n  ): Promise<any> {\n    return new Promise((resolve, reject) => {\n      const xhr = new XMLHttpRequest();\n      xhr.responseType = 'json';\n      xhr.onabort = () => reject(new Error('Request aborted'));\n      xhr.onerror = () => reject(new Error('Request error'));\n\n      if (onProgress) {\n        xhr.upload.onprogress = (e) => onProgress(e);\n        xhr.upload.onload = (e) => onProgress(e);\n      }\n\n      xhr.onload = () => {\n        if (xhr.status >= 200 && xhr.status < 300) {\n          resolve(xhr.response);\n        } else {\n          reject(new Error(xhr.statusText));\n        }\n      };\n\n      xhr.open('POST', url);\n      xhr.withCredentials = true;\n      xhr.setRequestHeader('Authorization', 'Bearer ' + this.#accessToken);\n      xhr.setRequestHeader('Cache-Control', 'no-cache, no-store, max-age=0');\n      xhr.setRequestHeader('Content-Type', contentType);\n      xhr.setRequestHeader('X-Medplum', 'extended');\n      xhr.send(data);\n    });\n  }\n\n  /**\n   * Creates a PDF as a FHIR `Binary` resource based on pdfmake document definition.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * The `docDefinition` parameter is a pdfmake document definition.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createPdf({\n   *   content: ['Hello world']\n   * });\n   * console.log(result.id);\n   * ```\n   *\n   * See the pdfmake document definition for full details: https://pdfmake.github.io/docs/0.1/document-definition-object/\n   *\n   * @category Media\n   * @param docDefinition The PDF document definition.\n   * @returns The result of the create operation.\n   */\n  async createPdf(\n    docDefinition: TDocumentDefinitions,\n    filename?: string,\n    tableLayouts?: { [name: string]: CustomTableLayout },\n    fonts?: TFontDictionary\n  ): Promise<Binary> {\n    if (!this.#createPdf) {\n      throw new Error('PDF creation not enabled');\n    }\n    const blob = await this.#createPdf(docDefinition, tableLayouts, fonts);\n    return this.createBinary(blob, filename, 'application/pdf');\n  }\n\n  /**\n   * Creates a FHIR `Communication` resource with the provided data content.\n   *\n   * This is a convenience method to handle commmon cases where a `Communication` resource is created with a `payload`.\n   *\n   * @category Create\n   * @param resource The FHIR resource to comment on.\n   * @param text The text of the comment.\n   * @returns The result of the create operation.\n   */\n  createComment(resource: Resource, text: string): Promise<Communication> {\n    const profile = this.getProfile();\n    let encounter: Reference<Encounter> | undefined = undefined;\n    let subject: Reference<Patient> | undefined = undefined;\n\n    if (resource.resourceType === 'Encounter') {\n      encounter = createReference(resource);\n      subject = resource.subject as Reference<Patient> | undefined;\n    }\n\n    if (resource.resourceType === 'ServiceRequest') {\n      encounter = resource.encounter;\n      subject = resource.subject as Reference<Patient> | undefined;\n    }\n\n    if (resource.resourceType === 'Patient') {\n      subject = createReference(resource);\n    }\n\n    return this.createResource<Communication>({\n      resourceType: 'Communication',\n      basedOn: [createReference(resource)],\n      encounter,\n      subject,\n      sender: profile ? createReference(profile) : undefined,\n      sent: new Date().toISOString(),\n      payload: [{ contentString: text }],\n    });\n  }\n\n  /**\n   * Updates a FHIR resource.\n   *\n   * The return value is the updated resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.updateResource({\n   *   resourceType: 'Patient',\n   *   id: '123',\n   *   name: [{\n   *    family: 'Smith',\n   *    given: ['John']\n   *   }]\n   * });\n   * console.log(result.meta.versionId);\n   * ```\n   *\n   * See the FHIR \"update\" operation for full details: https://www.hl7.org/fhir/http.html#update\n   *\n   * @category Write\n   * @param resource The FHIR resource to update.\n   * @returns The result of the update operation.\n   */\n  async updateResource<T extends Resource>(resource: T): Promise<T> {\n    if (!resource.resourceType) {\n      throw new Error('Missing resourceType');\n    }\n    if (!resource.id) {\n      throw new Error('Missing id');\n    }\n    this.invalidateSearches(resource.resourceType);\n    let result = await this.put(this.fhirUrl(resource.resourceType, resource.id), resource);\n    if (!result) {\n      // On 304 not modified, result will be undefined\n      // Return the user input instead\n      // return result ?? resource;\n      result = resource;\n    }\n    this.#cacheResource(result);\n    return result;\n  }\n\n  /**\n   * Updates a FHIR resource using JSONPatch operations.\n   *\n   * The return value is the updated resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.patchResource('Patient', '123', [\n   *   {op: 'replace', path: '/name/0/family', value: 'Smith'},\n   * ]);\n   * console.log(result.meta.versionId);\n   * ```\n   *\n   * See the FHIR \"update\" operation for full details: https://www.hl7.org/fhir/http.html#patch\n   *\n   * See the JSONPatch specification for full details: https://tools.ietf.org/html/rfc6902\n   *\n   * @category Write\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param operations The JSONPatch operations.\n   * @returns The result of the patch operations.\n   */\n  patchResource<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    operations: PatchOperation[]\n  ): Promise<ExtractResource<K>> {\n    this.invalidateSearches(resourceType);\n    return this.patch(this.fhirUrl(resourceType, id), operations);\n  }\n\n  /**\n   * Deletes a FHIR resource by resource type and ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * await medplum.deleteResource('Patient', '123');\n   * ```\n   *\n   * See the FHIR \"delete\" operation for full details: https://www.hl7.org/fhir/http.html#delete\n   *\n   * @category Delete\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @returns The result of the delete operation.\n   */\n  deleteResource(resourceType: ResourceType, id: string): Promise<any> {\n    this.#deleteCacheEntry(this.fhirUrl(resourceType, id).toString());\n    this.invalidateSearches(resourceType);\n    return this.delete(this.fhirUrl(resourceType, id));\n  }\n\n  /**\n   * Executes the validate operation with the provided resource.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.validateResource({\n   *   resourceType: 'Patient',\n   *   name: [{ given: ['Alice'], family: 'Smith' }],\n   * });\n   * ```\n   *\n   * See the FHIR \"$validate\" operation for full details: https://www.hl7.org/fhir/resource-operation-validate.html\n   *\n   * @param resource The FHIR resource.\n   * @returns The validate operation outcome.\n   */\n  validateResource<T extends Resource>(resource: T): Promise<OperationOutcome> {\n    return this.post(this.fhirUrl(resource.resourceType, '$validate'), resource);\n  }\n\n  /**\n   * Executes a batch or transaction of FHIR operations.\n   *\n   * Example:\n   *\n   * ```typescript\n   * await medplum.executeBatch({\n   *   \"resourceType\": \"Bundle\",\n   *   \"type\": \"transaction\",\n   *   \"entry\": [\n   *     {\n   *       \"fullUrl\": \"urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a\",\n   *       \"resource\": {\n   *         \"resourceType\": \"Patient\",\n   *         \"name\": [{ \"use\": \"official\", \"given\": [\"Alice\"], \"family\": \"Smith\" }],\n   *         \"gender\": \"female\",\n   *         \"birthDate\": \"1974-12-25\"\n   *       },\n   *       \"request\": {\n   *         \"method\": \"POST\",\n   *         \"url\": \"Patient\"\n   *       }\n   *     },\n   *     {\n   *       \"fullUrl\": \"urn:uuid:88f151c0-a954-468a-88bd-5ae15c08e059\",\n   *       \"resource\": {\n   *         \"resourceType\": \"Patient\",\n   *         \"identifier\": [{ \"system\": \"http:/example.org/fhir/ids\", \"value\": \"234234\" }],\n   *         \"name\": [{ \"use\": \"official\", \"given\": [\"Bob\"], \"family\": \"Jones\" }],\n   *         \"gender\": \"male\",\n   *         \"birthDate\": \"1974-12-25\"\n   *       },\n   *       \"request\": {\n   *         \"method\": \"POST\",\n   *         \"url\": \"Patient\",\n   *         \"ifNoneExist\": \"identifier=http:/example.org/fhir/ids|234234\"\n   *       }\n   *     }\n   *   ]\n   * });\n   * ```\n   *\n   * See The FHIR \"batch/transaction\" section for full details: https://hl7.org/fhir/http.html#transaction\n   * @category Batch\n   * @param bundle The FHIR batch/transaction bundle.\n   * @returns The FHIR batch/transaction response bundle.\n   */\n  executeBatch(bundle: Bundle): Promise<Bundle> {\n    return this.post('fhir/R4', bundle);\n  }\n\n  /**\n   * Sends an email using the Medplum Email API.\n   *\n   * Builds the email using nodemailer MailComposer.\n   *\n   * Examples:\n   *\n   * Send a simple text email:\n   *\n   * ```typescript\n   * await medplum.sendEmail({\n   *   to: 'alice@example.com',\n   *   cc: 'bob@example.com',\n   *   subject: 'Hello',\n   *   text: 'Hello Alice',\n   * });\n   * ```\n   *\n   * Send an email with a `Binary` attachment:\n   *\n   * ```typescript\n   * await medplum.sendEmail({\n   *   to: 'alice@example.com',\n   *   subject: 'Email with attachment',\n   *   text: 'See the attached report',\n   *   attachments: [{\n   *     filename: 'report.pdf',\n   *     path: \"Binary/\" + binary.id\n   *   }]\n   * });\n   * ```\n   *\n   * See options here: https://nodemailer.com/extras/mailcomposer/\n   * @category Media\n   * @param options The MailComposer options.\n   * @returns Promise to the operation outcome.\n   */\n  sendEmail(email: MailOptions): Promise<OperationOutcome> {\n    return this.post('email/v1/send', email, 'application/json');\n  }\n\n  /**\n   * Executes a GraphQL query.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.graphql(`{\n   *   Patient(id: \"123\") {\n   *     resourceType\n   *     id\n   *     name {\n   *       given\n   *       family\n   *     }\n   *   }\n   * }`);\n   * ```\n   *\n   * Advanced queries such as named operations and variable substitution are supported:\n   *\n   * ```typescript\n   * const result = await medplum.graphql(\n   *   `query GetPatientById($patientId: ID!) {\n   *     Patient(id: $patientId) {\n   *       resourceType\n   *       id\n   *       name {\n   *         given\n   *         family\n   *       }\n   *     }\n   *   }`,\n   *   'GetPatientById',\n   *   { patientId: '123' }\n   * );\n   * ```\n   *\n   * See the GraphQL documentation for more details: https://graphql.org/learn/\n   *\n   * See the FHIR GraphQL documentation for FHIR specific details: https://www.hl7.org/fhir/graphql.html\n   *\n   * @category Read\n   * @param query The GraphQL query.\n   * @param operationName Optional GraphQL operation name.\n   * @param variables Optional GraphQL variables.\n   * @param options Optional fetch options.\n   * @returns The GraphQL result.\n   */\n  graphql(query: string, operationName?: string | null, variables?: any, options?: RequestInit): Promise<any> {\n    return this.post(this.fhirUrl('$graphql'), { query, operationName, variables }, JSON_CONTENT_TYPE, options);\n  }\n\n  /**\n   *\n   * Executes the $graph operation on this resource to fetch a Bundle of resources linked to the target resource\n   * according to a graph definition\n\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param graphName `name` parameter of the GraphDefinition\n   * @returns A Bundle\n   */\n  readResourceGraph<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    graphName: string\n  ): ReadablePromise<Bundle<Resource>> {\n    return this.get<Bundle<Resource>>(`${this.fhirUrl(resourceType, id)}/$graph?graph=${graphName}`);\n  }\n\n  /**\n   * @category Authentication\n   * @returns The Login State\n   */\n  getActiveLogin(): LoginState | undefined {\n    return this.#storage.getObject('activeLogin');\n  }\n\n  /**\n   * @category Authentication\n   */\n  async setActiveLogin(login: LoginState): Promise<void> {\n    this.clearActiveLogin();\n    this.#accessToken = login.accessToken;\n    this.#refreshToken = login.refreshToken;\n    this.#storage.setObject('activeLogin', login);\n    this.#addLogin(login);\n    this.#refreshPromise = undefined;\n    await this.#refreshProfile();\n  }\n\n  /**\n   * @category Authentication\n   */\n  getAccessToken(): string | undefined {\n    return this.#accessToken;\n  }\n\n  /**\n   * @category Authentication\n   */\n  setAccessToken(accessToken: string): void {\n    this.#accessToken = accessToken;\n    this.#refreshToken = undefined;\n    this.#profile = undefined;\n    this.#config = undefined;\n  }\n\n  /**\n   * @category Authentication\n   */\n  getLogins(): LoginState[] {\n    return this.#storage.getObject<LoginState[]>('logins') ?? [];\n  }\n\n  #addLogin(newLogin: LoginState): void {\n    const logins = this.getLogins().filter((login) => login.profile?.reference !== newLogin.profile?.reference);\n    logins.push(newLogin);\n    this.#storage.setObject('logins', logins);\n  }\n\n  async #refreshProfile(): Promise<ProfileResource | undefined> {\n    this.#profilePromise = new Promise((resolve, reject) => {\n      this.get('auth/me')\n        .then((result) => {\n          this.#profilePromise = undefined;\n          this.#profile = result.profile;\n          this.#config = result.config;\n          this.dispatchEvent({ type: 'change' });\n          resolve(this.#profile);\n        })\n        .catch(reject);\n    });\n\n    return this.#profilePromise;\n  }\n\n  /**\n   * @category Authentication\n   */\n  isLoading(): boolean {\n    return !!this.#profilePromise;\n  }\n\n  /**\n   * @category User Profile\n   */\n  getProfile(): ProfileResource | undefined {\n    return this.#profile;\n  }\n\n  /**\n   * @category User Profile\n   */\n  async getProfileAsync(): Promise<ProfileResource | undefined> {\n    if (this.#profilePromise) {\n      await this.#profilePromise;\n    }\n    return this.getProfile();\n  }\n\n  /**\n   * @category User Profile\n   */\n  getUserConfiguration(): UserConfiguration | undefined {\n    return this.#config;\n  }\n\n  /**\n   * Downloads the URL as a blob.\n   *\n   * @category Read\n   * @param url The URL to request.\n   * @returns Promise to the response body as a blob.\n   */\n  async download(url: URL | string, options: RequestInit = {}): Promise<Blob> {\n    if (this.#refreshPromise) {\n      await this.#refreshPromise;\n    }\n    this.#addFetchOptionsDefaults(options);\n    const response = await this.#fetch(url.toString(), options);\n    return response.blob();\n  }\n\n  //\n  // Private helpers\n  //\n\n  /**\n   * Returns the cache entry if available and not expired.\n   * @param key The cache key to retrieve.\n   * @param options Optional fetch options for cache settings.\n   * @returns The cached entry if found.\n   */\n  #getCacheEntry(key: string, options: RequestInit | undefined): RequestCacheEntry | undefined {\n    if (this.#cacheTime <= 0 || options?.cache === 'no-cache' || options?.cache === 'reload') {\n      return undefined;\n    }\n    const entry = this.#requestCache.get(key);\n    if (!entry || entry.requestTime + this.#cacheTime < Date.now()) {\n      return undefined;\n    }\n    return entry;\n  }\n\n  /**\n   * Adds a readable promise to the cache.\n   * @param key The cache key to store.\n   * @param value The readable promise to store.\n   */\n  #setCacheEntry(key: string, value: ReadablePromise<any>): void {\n    if (this.#cacheTime > 0) {\n      this.#requestCache.set(key, { requestTime: Date.now(), value });\n    }\n  }\n\n  /**\n   * Adds a concrete value as the cache entry for the given resource.\n   * This is used in cases where the resource is loaded indirectly.\n   * For example, when a resource is loaded as part of a Bundle.\n   * @param resource The resource to cache.\n   */\n  #cacheResource(resource: Resource | undefined): void {\n    if (resource?.id) {\n      this.#setCacheEntry(\n        this.fhirUrl(resource.resourceType, resource.id).toString(),\n        new ReadablePromise(Promise.resolve(resource))\n      );\n    }\n  }\n\n  /**\n   * Deletes a cache entry.\n   * @param key The cache key to delete.\n   */\n  #deleteCacheEntry(key: string): void {\n    if (this.#cacheTime > 0) {\n      this.#requestCache.delete(key);\n    }\n  }\n\n  /**\n   * Makes an HTTP request.\n   * @param {string} method\n   * @param {string} url\n   * @param {string=} contentType\n   * @param {Object=} body\n   */\n  async #request<T>(method: string, url: string, options: RequestInit = {}): Promise<T> {\n    if (this.#refreshPromise) {\n      await this.#refreshPromise;\n    }\n\n    if (!url.startsWith('http')) {\n      url = this.#baseUrl + url;\n    }\n\n    options.method = method;\n    this.#addFetchOptionsDefaults(options);\n\n    const response = await this.#fetchWithRetry(url, options);\n    if (response.status === 401) {\n      // Refresh and try again\n      return this.#handleUnauthenticated(method, url, options);\n    }\n\n    if (response.status === 204 || response.status === 304) {\n      // No content or change\n      return undefined as unknown as T;\n    }\n\n    let obj: any = undefined;\n    try {\n      obj = await response.json();\n    } catch (err) {\n      console.error('Error parsing response', response.status, err);\n      throw err;\n    }\n\n    if (response.status >= 400) {\n      throw new OperationOutcomeError(normalizeOperationOutcome(obj));\n    }\n    return obj;\n  }\n\n  async #fetchWithRetry(url: string, options: RequestInit): Promise<Response> {\n    const maxRetries = 3;\n    const retryDelay = 200;\n    let response: Response | undefined = undefined;\n    for (let retry = 0; retry < maxRetries; retry++) {\n      response = (await this.#fetch(url, options)) as Response;\n      if (response.status < 500) {\n        return response;\n      }\n      await new Promise((resolve) => setTimeout(resolve, retryDelay));\n    }\n    return response as Response;\n  }\n\n  /**\n   * Executes a batch of requests that were automatically batched together.\n   */\n  async #executeAutoBatch(): Promise<void> {\n    // Get the current queue\n    const entries = [...this.#autoBatchQueue];\n\n    // Clear the queue\n    this.#autoBatchQueue.length = 0;\n\n    // Clear the timer\n    this.#autoBatchTimerId = undefined;\n\n    // If there is only one request in the batch, just execute it\n    if (entries.length === 1) {\n      const entry = entries[0];\n      entry.resolve(await this.#request(entry.method, this.#fhirBaseUrl + entry.url, entry.options));\n      return;\n    }\n\n    // Build the batch request\n    const batch: Bundle = {\n      resourceType: 'Bundle',\n      type: 'batch',\n      entry: entries.map(\n        (e) =>\n          ({\n            request: {\n              method: e.method,\n              url: e.url,\n            },\n            resource: e.options.body ? (JSON.parse(e.options.body as string) as Resource) : undefined,\n          } as BundleEntry)\n      ),\n    };\n\n    // Execute the batch request\n    const response = (await this.post('fhir/R4', batch)) as Bundle;\n\n    // Process the response\n    for (let i = 0; i < entries.length; i++) {\n      const entry = entries[i];\n      const responseEntry = response.entry?.[i];\n      if (responseEntry?.response?.outcome && !isOk(responseEntry.response.outcome)) {\n        entry.reject(new OperationOutcomeError(responseEntry.response.outcome));\n      } else {\n        entry.resolve(responseEntry?.resource);\n      }\n    }\n  }\n\n  /**\n   * Adds default options to the fetch options.\n   * @param options The options to add defaults to.\n   */\n  #addFetchOptionsDefaults(options: RequestInit): void {\n    if (!options.headers) {\n      options.headers = {};\n    }\n\n    const headers = options.headers as Record<string, string>;\n    headers['X-Medplum'] = 'extended';\n\n    if (!headers['Content-Type']) {\n      headers['Content-Type'] = FHIR_CONTENT_TYPE;\n    }\n\n    if (this.#accessToken) {\n      headers['Authorization'] = 'Bearer ' + this.#accessToken;\n    }\n\n    if (!options.cache) {\n      options.cache = 'no-cache';\n    }\n\n    if (!options.credentials) {\n      options.credentials = 'include';\n    }\n  }\n\n  /**\n   * Sets the \"Content-Type\" header on fetch options.\n   * @param options The fetch options.\n   * @param contentType The new content type to set.\n   */\n  #setRequestContentType(options: RequestInit, contentType: string): void {\n    if (!options.headers) {\n      options.headers = {};\n    }\n    const headers = options.headers as Record<string, string>;\n    headers['Content-Type'] = contentType;\n  }\n\n  /**\n   * Sets the body on fetch options.\n   * @param options The fetch options.\n   * @param data The new content body.\n   */\n  #setRequestBody(options: RequestInit, data: any): void {\n    if (\n      typeof data === 'string' ||\n      (typeof Blob !== 'undefined' && data instanceof Blob) ||\n      (typeof File !== 'undefined' && data instanceof File) ||\n      (typeof Uint8Array !== 'undefined' && data instanceof Uint8Array)\n    ) {\n      options.body = data;\n    } else if (data) {\n      options.body = JSON.stringify(data);\n    }\n  }\n\n  /**\n   * Handles an unauthenticated response from the server.\n   * First, tries to refresh the access token and retry the request.\n   * Otherwise, calls unauthenticated callbacks and rejects.\n   * @param method The HTTP method of the original request.\n   * @param url The URL of the original request.\n   * @param contentType The content type of the original request.\n   * @param body The body of the original request.\n   */\n  #handleUnauthenticated(method: string, url: string, options: RequestInit): Promise<any> {\n    if (this.#refresh()) {\n      return this.#request(method, url, options);\n    }\n    this.clearActiveLogin();\n    if (this.#onUnauthenticated) {\n      this.#onUnauthenticated();\n    }\n    return Promise.reject(new Error('Unauthenticated'));\n  }\n\n  /**\n   * Starts a new PKCE flow.\n   * These PKCE values are stateful, and must survive redirects and page refreshes.\n   * @category Authentication\n   */\n  async startPkce(): Promise<{ codeChallengeMethod: string; codeChallenge: string }> {\n    const pkceState = getRandomString();\n    sessionStorage.setItem('pkceState', pkceState);\n\n    const codeVerifier = getRandomString();\n    sessionStorage.setItem('codeVerifier', codeVerifier);\n\n    const arrayHash = await encryptSHA256(codeVerifier);\n    const codeChallenge = arrayBufferToBase64(arrayHash).replace(/\\+/g, '-').replace(/\\//g, '_').replace(/=/g, '');\n    sessionStorage.setItem('codeChallenge', codeChallenge);\n\n    return { codeChallengeMethod: 'S256', codeChallenge };\n  }\n\n  /**\n   * Redirects the user to the login screen for authorization.\n   * Clears all auth state including local storage and session storage.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#AuthorizationEndpoint\n   */\n  async #requestAuthorization(loginParams?: Partial<BaseLoginRequest>): Promise<void> {\n    const loginRequest = await this.ensureCodeChallenge(loginParams || {});\n    const url = new URL(this.#authorizeUrl);\n    url.searchParams.set('response_type', 'code');\n    url.searchParams.set('state', sessionStorage.getItem('pkceState') as string);\n    url.searchParams.set('client_id', loginRequest.clientId || (this.#clientId as string));\n    url.searchParams.set('redirect_uri', loginRequest.redirectUri || getWindowOrigin());\n    url.searchParams.set('code_challenge_method', loginRequest.codeChallengeMethod as string);\n    url.searchParams.set('code_challenge', loginRequest.codeChallenge as string);\n    url.searchParams.set('scope', loginRequest.scope || 'openid profile');\n    window.location.assign(url.toString());\n  }\n\n  /**\n   * Processes an OAuth 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this.#refreshPromise;\n    }\n\n    if (this.#refreshToken) {\n      const formBody = new URLSearchParams();\n      formBody.set('grant_type', 'refresh_token');\n      formBody.set('client_id', this.#clientId as string);\n      formBody.set('refresh_token', this.#refreshToken);\n      this.#refreshPromise = this.#fetchTokens(formBody);\n      return this.#refreshPromise;\n    }\n\n    if (this.#clientId && this.#clientSecret) {\n      this.#refreshPromise = this.startClientLogin(this.#clientId, this.#clientSecret);\n      return this.#refreshPromise;\n    }\n\n    return undefined;\n  }\n\n  /**\n   * Starts a new OAuth2 client credentials flow.\n   * See: https://datatracker.ietf.org/doc/html/rfc6749#section-4.4\n   * @category Authentication\n   * @param clientId The client ID.\n   * @param clientSecret The client secret.\n   * @returns Promise that resolves to the client profile.\n   */\n  async startClientLogin(clientId: string, clientSecret: string): Promise<ProfileResource> {\n   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this.#verifyTokens(tokens);\n    return this.getProfile() as ProfileResource;\n  }\n\n  /**\n   * Verifies the tokens received from the auth server.\n   * Validates the JWT against the JWKS.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#TokenEndpoint\n   * @param tokens\n   */\n  async #verifyTokens(tokens: TokenResponse): Promise<void> {\n    const token = tokens.access_token;\n\n    // Verify token has not expired\n    const tokenPayload = parseJWTPayload(token);\n    if (Date.now() >= (tokenPayload.exp as number) * 1000) {\n      this.clearActiveLogin();\n      throw new Error('Token expired');\n    }\n\n    // Verify app_client_id\n    if (this.#clientId && tokenPayload.client_id !== this.#clientId) {\n      this.clearActiveLogin();\n      throw new Error('Token was not issued for this audience');\n    }\n\n    return this.setActiveLogin({\n      accessToken: token,\n      refreshToken: tokens.refresh_token,\n      project: tokens.project,\n      profile: tokens.profile,\n    });\n  }\n\n  /**\n   * Sets up a listener for window storage events.\n   * This synchronizes state across browser windows and browser tabs.\n   */\n  #setupStorageListener(): void {\n    try {\n      window.addEventListener('storage', (e: StorageEvent) => {\n        if (e.key === null || e.key === 'activeLogin') {\n          // Storage events fire when different tabs make changes.\n          // On storage clear (key === null) or activeLogin change (key === 'activeLogin')\n          // Refresh the page to ensure the active login is up to date.\n          window.location.reload();\n        }\n      });\n    } catch (err) {\n      // Silently ignore if this environment does not support storage events\n    }\n  }\n}\n\n/**\n * Returns the default fetch method.\n * The default fetch is currently only available in browser environments.\n * If you want to use SSR such as Next.js, you should pass a custom fetch function.\n * @returns The default fetch function for the 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+{"version":3,"file":"client.mjs","sources":["../../src/client.ts"],"sourcesContent":["// PKCE auth based on:\n// https://aws.amazon.com/blogs/security/how-to-add-authentication-single-page-web-application-with-amazon-cognito-oauth2-implementation/\n\nimport {\n  Binary,\n  Bundle,\n  BundleEntry,\n  Communication,\n  Device,\n  Encounter,\n  ExtractResource,\n  OperationOutcome,\n  Patient,\n  Project,\n  ProjectMembership,\n  ProjectSecret,\n  Reference,\n  Resource,\n  ResourceType,\n  SearchParameter,\n  StructureDefinition,\n  UserConfiguration,\n  ValueSet,\n} from '@medplum/fhirtypes';\n// eslint-disable-next-line @typescript-eslint/ban-ts-comment\n/** @ts-ignore */\nimport type { CustomTableLayout, TDocumentDefinitions, TFontDictionary } from 'pdfmake/interfaces';\nimport { LRUCache } from './cache';\nimport { encryptSHA256, getRandomString } from './crypto';\nimport { EventTarget } from './eventtarget';\nimport { Hl7Message } from './hl7';\nimport { parseJWTPayload } from './jwt';\nimport { isOk, normalizeOperationOutcome, OperationOutcomeError } from './outcomes';\nimport { ReadablePromise } from './readablepromise';\nimport { ClientStorage } from './storage';\nimport { globalSchema, IndexedStructureDefinition, indexSearchParameter, indexStructureDefinition } from './types';\nimport { arrayBufferToBase64, createReference, ProfileResource } from './utils';\n\nexport const MEDPLUM_VERSION = process.env.MEDPLUM_VERSION;\n\nconst DEFAULT_BASE_URL = 'https://api.medplum.com/';\nconst DEFAULT_RESOURCE_CACHE_SIZE = 1000;\nconst DEFAULT_CACHE_TIME = 60000; // 60 seconds\nconst JSON_CONTENT_TYPE = 'application/json';\nconst FHIR_CONTENT_TYPE = 'application/fhir+json';\nconst PATCH_CONTENT_TYPE = 'application/json-patch+json';\n\nconst system: Device = { resourceType: 'Device', id: 'system', deviceName: [{ name: 'System' }] };\n\n/**\n * The MedplumClientOptions interface defines configuration options for MedplumClient.\n *\n * All configuration settings are optional.\n */\nexport interface MedplumClientOptions {\n  /**\n   * Base server URL.\n   *\n   * Default value is https://api.medplum.com/\n   *\n   * Use this to point to a custom Medplum deployment.\n   */\n  baseUrl?: string;\n\n  /**\n   * OAuth2 authorize URL.\n   *\n   * Default value is baseUrl + \"/oauth2/authorize\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  authorizeUrl?: string;\n\n  /**\n   * OAuth2 token URL.\n   *\n   * Default value is baseUrl + \"/oauth2/token\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  tokenUrl?: string;\n\n  /**\n   * OAuth2 logout URL.\n   *\n   * Default value is baseUrl + \"/oauth2/logout\".\n   *\n   * Use this if you want to use a separate OAuth server.\n   */\n  logoutUrl?: string;\n\n  /**\n   * The client ID.\n   *\n   * Client ID can be used for SMART-on-FHIR customization.\n   */\n  clientId?: string;\n\n  /**\n   * Number of resources to store in the cache.\n   *\n   * Default value is 1000.\n   *\n   * Consider using this for performance of displaying Patient or Practitioner resources.\n   */\n  resourceCacheSize?: number;\n\n  /**\n   * The length of time in milliseconds to cache resources.\n   *\n   * Default value is 10000 (10 seconds).\n   *\n   * Cache time of zero disables all caching.\n   *\n   * For any individual request, the cache behavior can be overridden by setting the cache property on request options.\n   *\n   * See: https://developer.mozilla.org/en-US/docs/Web/API/Request/cache\n   */\n  cacheTime?: number;\n\n  /**\n   * The length of time in milliseconds to delay requests for auto batching.\n   *\n   * Auto batching attempts to group multiple requests together into a single batch request.\n   *\n   * Default value is 0, which disables auto batching.\n   */\n  autoBatchTime?: number;\n\n  /**\n   * Fetch implementation.\n   *\n   * Default is window.fetch (if available).\n   *\n   * For Node.js applications, consider the 'node-fetch' package.\n   */\n  fetch?: FetchLike;\n\n  /**\n   * Storage implementation.\n   *\n   * Default is window.localStorage (if available), or an in-memory storage implementation.\n   */\n  storage?: ClientStorage;\n\n  /**\n   * Create PDF implementation.\n   *\n   * Default is none, and PDF generation is disabled.\n   *\n   * In browser environments, import the client-side pdfmake library.\n   *\n   * ```html\n   * <script src=\"pdfmake.min.js\"></script>\n   * <script>\n   * async function createPdf(docDefinition, tableLayouts, fonts) {\n   *   return new Promise((resolve) => {\n   *     pdfMake.createPdf(docDefinition, tableLayouts, fonts).getBlob(resolve);\n   *   });\n   * }\n   * </script>\n   * ```\n   *\n   * In Node.js applications:\n   *\n   * ```ts\n   * import type { CustomTableLayout, TDocumentDefinitions, TFontDictionary } from 'pdfmake/interfaces';\n   * function createPdf(\n   *   docDefinition: TDocumentDefinitions,\n   *   tableLayouts?: { [name: string]: CustomTableLayout },\n   *   fonts?: TFontDictionary\n   * ): Promise<Buffer> {\n   *   return new Promise((resolve, reject) => {\n   *     const printer = new PdfPrinter(fonts || {});\n   *     const pdfDoc = printer.createPdfKitDocument(docDefinition, { tableLayouts });\n   *     const chunks: Uint8Array[] = [];\n   *     pdfDoc.on('data', (chunk: Uint8Array) => chunks.push(chunk));\n   *     pdfDoc.on('end', () => resolve(Buffer.concat(chunks)));\n   *     pdfDoc.on('error', reject);\n   *     pdfDoc.end();\n   *   });\n   * }\n   * ```\n   */\n  createPdf?: CreatePdfFunction;\n\n  /**\n   * Callback for when the client is unauthenticated.\n   *\n   * Default is do nothing.\n   *\n   * For client side applications, consider redirecting to a sign in page.\n   */\n  onUnauthenticated?: () => void;\n}\n\nexport interface FetchLike {\n  (url: string, options?: any): Promise<any>;\n}\n\n/**\n * QueryTypes defines the different ways to specify FHIR search parameters.\n *\n * Can be any valid input to the URLSearchParams() constructor.\n *\n * TypeScript definitions for URLSearchParams do not match runtime behavior.\n * The official spec only accepts string values.\n * Web browsers and Node.js automatically coerce values to strings.\n * See: https://github.com/microsoft/TypeScript/issues/32951\n */\nexport type QueryTypes = URLSearchParams | string[][] | Record<string, any> | string | undefined;\n\nexport interface CreatePdfFunction {\n  (\n    docDefinition: TDocumentDefinitions,\n    tableLayouts?:\n      | {\n          [name: string]: CustomTableLayout;\n        }\n      | undefined,\n    fonts?: TFontDictionary | undefined\n  ): Promise<any>;\n}\n\nexport interface BaseLoginRequest {\n  readonly projectId?: string;\n  readonly clientId?: string;\n  readonly resourceType?: string;\n  readonly scope?: string;\n  readonly nonce?: string;\n  readonly codeChallenge?: string;\n  readonly codeChallengeMethod?: string;\n  readonly googleClientId?: string;\n  readonly launch?: string;\n  readonly redirectUri?: string;\n}\n\nexport interface EmailPasswordLoginRequest extends BaseLoginRequest {\n  readonly email: string;\n  readonly password: string;\n  readonly remember?: boolean;\n}\n\nexport interface NewUserRequest {\n  readonly firstName: string;\n  readonly lastName: string;\n  readonly email: string;\n  readonly password: string;\n  readonly recaptchaToken: string;\n  readonly recaptchaSiteKey?: string;\n  readonly remember?: boolean;\n  readonly projectId?: string;\n}\n\nexport interface NewProjectRequest {\n  readonly login: string;\n  readonly projectName: string;\n}\n\nexport interface NewPatientRequest {\n  readonly login: string;\n  readonly projectId: string;\n}\n\nexport interface GoogleCredentialResponse {\n  readonly clientId: string;\n  readonly credential: string;\n}\n\nexport interface GoogleLoginRequest extends BaseLoginRequest {\n  readonly googleClientId: string;\n  readonly googleCredential: string;\n  readonly createUser?: boolean;\n}\n\nexport interface LoginAuthenticationResponse {\n  readonly login: string;\n  readonly mfaRequired?: boolean;\n  readonly code?: string;\n  readonly memberships?: ProjectMembership[];\n}\n\nexport interface LoginProfileResponse {\n  readonly login: string;\n  readonly scope: string;\n}\n\nexport interface LoginScopeResponse {\n  readonly login: string;\n  readonly code: string;\n}\n\nexport interface LoginState {\n  readonly project: Reference<Project>;\n  readonly profile: Reference<ProfileResource>;\n  readonly accessToken: string;\n  readonly refreshToken: string;\n}\n\nexport interface TokenResponse {\n  readonly token_type: string;\n  readonly id_token: string;\n  readonly access_token: string;\n  readonly refresh_token: string;\n  readonly expires_in: number;\n  readonly project: Reference<Project>;\n  readonly profile: Reference<ProfileResource>;\n}\n\nexport interface BotEvent<T = Resource | Hl7Message | string | Record<string, any>> {\n  readonly contentType: string;\n  readonly input: T;\n  readonly secrets: Record<string, ProjectSecret>;\n}\n\n/**\n * JSONPatch patch operation.\n * Compatible with fast-json-patch and rfc6902 Operation.\n */\nexport interface PatchOperation {\n  readonly op: 'add' | 'remove' | 'replace' | 'copy' | 'move' | 'test';\n  readonly path: string;\n  readonly value?: any;\n}\n\n/**\n * Email address definition.\n * Compatible with nodemailer Mail.Address.\n */\nexport interface MailAddress {\n  readonly name: string;\n  readonly address: string;\n}\n\n/**\n * Email attachment definition.\n * Compatible with nodemailer Mail.Options.\n */\nexport interface MailAttachment {\n  /** String, Buffer or a Stream contents for the attachmentent */\n  readonly content?: string;\n  /** path to a file or an URL (data uris are allowed as well) if you want to stream the file instead of including it (better for larger attachments) */\n  readonly path?: string;\n  /** filename to be reported as the name of the attached file, use of unicode is allowed. If you do not want to use a filename, set this value as false, otherwise a filename is generated automatically */\n  readonly filename?: string | false;\n  /** optional content type for the attachment, if not set will be derived from the filename property */\n  readonly contentType?: string;\n}\n\n/**\n * Email message definition.\n * Compatible with nodemailer Mail.Options.\n */\nexport interface MailOptions {\n  /** The e-mail address of the sender. All e-mail addresses can be plain 'sender@server.com' or formatted 'Sender Name <sender@server.com>' */\n  readonly from?: string | MailAddress;\n  /** An e-mail address that will appear on the Sender: field */\n  readonly sender?: string | MailAddress;\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the To: field */\n  readonly to?: string | MailAddress | string[] | MailAddress[];\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the Cc: field */\n  readonly cc?: string | MailAddress | string[] | MailAddress[];\n  /** Comma separated list or an array of recipients e-mail addresses that will appear on the Bcc: field */\n  readonly bcc?: string | MailAddress | string[] | MailAddress[];\n  /** An e-mail address that will appear on the Reply-To: field */\n  readonly replyTo?: string | MailAddress;\n  /** The subject of the e-mail */\n  readonly subject?: string;\n  /** The plaintext version of the message */\n  readonly text?: string;\n  /** The HTML version of the message */\n  readonly html?: string;\n  /** An array of attachment objects */\n  readonly attachments?: MailAttachment[];\n}\n\ninterface SchemaGraphQLResponse {\n  readonly data: {\n    readonly StructureDefinitionList: StructureDefinition[];\n    readonly SearchParameterList: SearchParameter[];\n  };\n}\n\ninterface RequestCacheEntry {\n  readonly requestTime: number;\n  readonly value: ReadablePromise<any>;\n}\n\ninterface AutoBatchEntry<T = any> {\n  readonly method: string;\n  readonly url: string;\n  readonly options: RequestInit;\n  readonly resolve: (value: T) => void;\n  readonly reject: (reason: any) => void;\n}\n\n/**\n * The MedplumClient class provides a client for the Medplum FHIR server.\n *\n * The client can be used in the browser, in a Node.js application, or in a Medplum Bot.\n *\n * The client provides helpful methods for common operations such as:\n *   1) Authenticating\n *   2) Creating resources\n *   2) Reading resources\n *   3) Updating resources\n *   5) Deleting resources\n *   6) Searching\n *   7) Making GraphQL queries\n *\n * Here is a quick example of how to use the client:\n *\n * ```typescript\n * import { MedplumClient } from '@medplum/core';\n * const medplum = new MedplumClient();\n * ```\n *\n * Create a `Patient`:\n *\n * ```typescript\n * const patient = await medplum.createResource({\n *   resourceType: 'Patient',\n *   name: [{\n *     given: ['Alice'],\n *     family: 'Smith'\n *   }]\n * });\n * ```\n *\n * Read a `Patient` by ID:\n *\n * ```typescript\n * const patient = await medplum.readResource('Patient', '123');\n * console.log(patient.name[0].given[0]);\n * ```\n *\n * Search for a `Patient` by name:\n *\n * ```typescript\n * const bundle = await medplum.search('Patient', 'name=Alice');\n * console.log(bundle.total);\n * ```\n *\n *  <head>\n *    <meta name=\"algolia:pageRank\" content=\"100\" />\n *  </head>\n\n */\nexport class MedplumClient extends EventTarget {\n  readonly #fetch: FetchLike;\n  readonly #createPdf?: CreatePdfFunction;\n  readonly #storage: ClientStorage;\n  readonly #requestCache: LRUCache<RequestCacheEntry>;\n  readonly #cacheTime: number;\n  readonly #baseUrl: string;\n  readonly #fhirBaseUrl: string;\n  readonly #authorizeUrl: string;\n  readonly #tokenUrl: string;\n  readonly #logoutUrl: string;\n  readonly #onUnauthenticated?: () => void;\n  readonly #autoBatchTime: number;\n  readonly #autoBatchQueue: AutoBatchEntry[];\n  #clientId?: string;\n  #clientSecret?: string;\n  #autoBatchTimerId?: any;\n  #accessToken?: string;\n  #refreshToken?: string;\n  #refreshPromise?: Promise<any>;\n  #profilePromise?: Promise<any>;\n  #profile?: ProfileResource;\n  #config?: UserConfiguration;\n\n  constructor(options?: MedplumClientOptions) {\n    super();\n\n    if (options?.baseUrl) {\n      if (!options.baseUrl.startsWith('http')) {\n        throw new Error('Base URL must start with http or https');\n      }\n    }\n\n    this.#fetch = options?.fetch || getDefaultFetch();\n    this.#storage = options?.storage || new ClientStorage();\n    this.#createPdf = options?.createPdf;\n    this.#requestCache = new LRUCache(options?.resourceCacheSize ?? DEFAULT_RESOURCE_CACHE_SIZE);\n    this.#cacheTime = options?.cacheTime ?? DEFAULT_CACHE_TIME;\n    this.#baseUrl = ensureTrailingSlash(options?.baseUrl) || DEFAULT_BASE_URL;\n    this.#fhirBaseUrl = this.#baseUrl + 'fhir/R4/';\n    this.#clientId = options?.clientId || '';\n    this.#authorizeUrl = options?.authorizeUrl || this.#baseUrl + 'oauth2/authorize';\n    this.#tokenUrl = options?.tokenUrl || this.#baseUrl + 'oauth2/token';\n    this.#logoutUrl = options?.logoutUrl || this.#baseUrl + 'oauth2/logout';\n    this.#onUnauthenticated = options?.onUnauthenticated;\n    this.#autoBatchTime = options?.autoBatchTime ?? 0;\n    this.#autoBatchQueue = [];\n\n    const activeLogin = this.getActiveLogin();\n    if (activeLogin) {\n      this.#accessToken = activeLogin.accessToken;\n      this.#refreshToken = activeLogin.refreshToken;\n      this.#refreshProfile().catch(console.log);\n    }\n\n    this.#setupStorageListener();\n  }\n\n  /**\n   * Returns the current base URL for all API requests.\n   * By default, this is set to `https://api.medplum.com/`.\n   * This can be overridden by setting the `baseUrl` option when creating the client.\n   * @category HTTP\n   * @returns The current base URL for all API requests.\n   */\n  getBaseUrl(): string {\n    return this.#baseUrl;\n  }\n\n  /**\n   * Clears all auth state including local storage and session storage.\n   * @category Authentication\n   */\n  clear(): void {\n    this.#storage.clear();\n    this.clearActiveLogin();\n  }\n\n  /**\n   * Clears the active login from local storage.\n   * Does not clear all local storage (such as other logins).\n   * @category Authentication\n   */\n  clearActiveLogin(): void {\n    this.#storage.setString('activeLogin', undefined);\n    this.#requestCache.clear();\n    this.#accessToken = undefined;\n    this.#refreshToken = undefined;\n    this.#profile = undefined;\n    this.#config = undefined;\n    this.dispatchEvent({ type: 'change' });\n  }\n\n  /**\n   * Invalidates any cached values or cached requests for the given URL.\n   * @category Caching\n   * @param url The URL to invalidate.\n   */\n  invalidateUrl(url: URL | string): void {\n    url = url.toString();\n    this.#requestCache.delete(url);\n  }\n\n  /**\n   * Invalidates all cached search results or cached requests for the given resourceType.\n   * @category Caching\n   * @param resourceType The resource type to invalidate.\n   */\n  invalidateSearches<K extends ResourceType>(resourceType: K): void {\n    const url = 'fhir/R4/' + resourceType;\n    for (const key of this.#requestCache.keys()) {\n      if (key.endsWith(url) || key.includes(url + '?')) {\n        this.#requestCache.delete(key);\n      }\n    }\n  }\n\n  /**\n   * Makes an HTTP GET request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `readResource()`, `search()`, etc.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  get<T = any>(url: URL | string, options: RequestInit = {}): ReadablePromise<T> {\n    url = url.toString();\n    const cached = this.#getCacheEntry(url, options);\n    if (cached) {\n      return cached.value;\n    }\n\n    let promise: Promise<T>;\n\n    if (url.startsWith(this.#fhirBaseUrl) && this.#autoBatchTime > 0) {\n      promise = new Promise<T>((resolve, reject) => {\n        this.#autoBatchQueue.push({\n          method: 'GET',\n          url: (url as string).replace(this.#fhirBaseUrl, ''),\n          options,\n          resolve,\n          reject,\n        });\n        if (!this.#autoBatchTimerId) {\n          this.#autoBatchTimerId = setTimeout(() => this.#executeAutoBatch(), this.#autoBatchTime);\n        }\n      });\n    } else {\n      promise = this.#request<T>('GET', url, options);\n    }\n\n    const readablePromise = new ReadablePromise(promise);\n    this.#setCacheEntry(url, readablePromise);\n    return readablePromise;\n  }\n\n  /**\n   * Makes an HTTP POST request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `createResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param body The content body. Strings and `File` objects are passed directly. Other objects are converted to JSON.\n   * @param contentType The content type to be included in the \"Content-Type\" header.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  post(url: URL | string, body: any, contentType?: string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    if (body) {\n      this.#setRequestBody(options, body);\n    }\n    if (contentType) {\n      this.#setRequestContentType(options, contentType);\n    }\n    this.invalidateUrl(url);\n    return this.#request('POST', url, options);\n  }\n\n  /**\n   * Makes an HTTP PUT request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `updateResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param body The content body. Strings and `File` objects are passed directly. Other objects are converted to JSON.\n   * @param contentType The content type to be included in the \"Content-Type\" header.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  put(url: URL | string, body: any, contentType?: string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    if (body) {\n      this.#setRequestBody(options, body);\n    }\n    if (contentType) {\n      this.#setRequestContentType(options, contentType);\n    }\n    this.invalidateUrl(url);\n    return this.#request('PUT', url, options);\n  }\n\n  /**\n   * Makes an HTTP PATCH request to the specified URL.\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `patchResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param operations Array of JSONPatch operations.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  patch(url: URL | string, operations: PatchOperation[], options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    this.#setRequestBody(options, operations);\n    this.#setRequestContentType(options, PATCH_CONTENT_TYPE);\n    this.invalidateUrl(url);\n    return this.#request('PATCH', url, options);\n  }\n\n  /**\n   * Makes an HTTP DELETE request to the specified URL.\n   *\n   *\n   * This is a lower level method for custom requests.\n   * For common operations, we recommend using higher level methods\n   * such as `deleteResource()`.\n   *\n   * @category HTTP\n   * @param url The target URL.\n   * @param options Optional fetch options.\n   * @returns Promise to the response content.\n   */\n  delete(url: URL | string, options: RequestInit = {}): Promise<any> {\n    url = url.toString();\n    this.invalidateUrl(url);\n    return this.#request('DELETE', url, options);\n  }\n\n  /**\n   * Initiates a new user flow.\n   *\n   * This method is part of the two different user registration flows:\n   * 1) New Practitioner and new Project\n   * 2) New Patient registration\n   *\n   * @category Authentication\n   * @param newUserRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewUser(newUserRequest: NewUserRequest): Promise<LoginAuthenticationResponse> {\n    const { codeChallengeMethod, codeChallenge } = await this.startPkce();\n    return this.post('auth/newuser', {\n      ...newUserRequest,\n      codeChallengeMethod,\n      codeChallenge,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a new project flow.\n   *\n   * This requires a partial login from `startNewUser` or `startNewGoogleUser`.\n   *\n   * @param newProjectRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewProject(newProjectRequest: NewProjectRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/newproject', newProjectRequest) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a new patient flow.\n   *\n   * This requires a partial login from `startNewUser` or `startNewGoogleUser`.\n   *\n   * @param newPatientRequest Register request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startNewPatient(newPatientRequest: NewPatientRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/newpatient', newPatientRequest) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Initiates a user login flow.\n   * @category Authentication\n   * @param loginRequest Login request including email and password.\n   * @returns Promise to the authentication response.\n   */\n  async startLogin(loginRequest: EmailPasswordLoginRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/login', {\n      ...(await this.ensureCodeChallenge(loginRequest)),\n      clientId: loginRequest.clientId ?? this.#clientId,\n      scope: loginRequest.scope,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Tries to sign in with Google authentication.\n   * The response parameter is the result of a Google authentication.\n   * See: https://developers.google.com/identity/gsi/web/guides/handle-credential-responses-js-functions\n   * @category Authentication\n   * @param loginRequest Login request including Google credential response.\n   * @returns Promise to the authentication response.\n   */\n  async startGoogleLogin(loginRequest: GoogleLoginRequest): Promise<LoginAuthenticationResponse> {\n    return this.post('auth/google', {\n      ...(await this.ensureCodeChallenge(loginRequest)),\n      clientId: loginRequest.clientId ?? this.#clientId,\n      scope: loginRequest.scope,\n    }) as Promise<LoginAuthenticationResponse>;\n  }\n\n  /**\n   * Returns the PKCE code challenge and method.\n   * If the login request already includes a code challenge, it is returned.\n   * Otherwise, a new PKCE code challenge is generated.\n   * @category Authentication\n   * @param loginRequest The original login request.\n   * @returns The PKCE code challenge and method.\n   */\n  async ensureCodeChallenge<T extends BaseLoginRequest>(loginRequest: T): Promise<T> {\n    if (loginRequest.codeChallenge) {\n      return loginRequest;\n    }\n    return { ...loginRequest, ...(await this.startPkce()) };\n  }\n\n  /**\n   * Signs out locally.\n   * Does not invalidate tokens with the server.\n   * @category Authentication\n   */\n  async signOut(): Promise<void> {\n    await this.post(this.#logoutUrl, {});\n    this.clear();\n  }\n\n  /**\n   * Tries to sign in the user.\n   * Returns true if the user is signed in.\n   * This may result in navigating away to the sign in page.\n   * @category Authentication\n   * @param loginParams Optional login parameters.\n   */\n  async signInWithRedirect(loginParams?: Partial<BaseLoginRequest>): Promise<ProfileResource | void> {\n    const urlParams = new URLSearchParams(window.location.search);\n    const code = urlParams.get('code');\n    if (!code) {\n      await this.#requestAuthorization(loginParams);\n      return undefined;\n    } else {\n      return this.processCode(code);\n    }\n  }\n\n  /**\n   * Tries to sign out the user.\n   * See: https://docs.aws.amazon.com/cognito/latest/developerguide/logout-endpoint.html\n   * @category Authentication\n   */\n  signOutWithRedirect(): void {\n    window.location.assign(this.#logoutUrl);\n  }\n\n  /**\n   * Initiates sign in with an external identity provider.\n   * @param authorizeUrl The external authorization URL.\n   * @param clientId The external client ID.\n   * @param redirectUri The external identity provider redirect URI.\n   * @param baseLogin The Medplum login request.\n   * @category Authentication\n   */\n  async signInWithExternalAuth(\n    authorizeUrl: string,\n    clientId: string,\n    redirectUri: string,\n    baseLogin: BaseLoginRequest\n  ): Promise<void> {\n    const loginRequest = await this.ensureCodeChallenge(baseLogin);\n    window.location.assign(this.getExternalAuthRedirectUri(authorizeUrl, clientId, redirectUri, loginRequest));\n  }\n\n  /**\n   * Builds the external identity provider redirect URI.\n   * @param authorizeUrl The external authorization URL.\n   * @param clientId The external client ID.\n   * @param redirectUri The external identity provider redirect URI.\n   * @param loginRequest  The Medplum login request.\n   * @returns The external identity provider redirect URI.\n   * @category Authentication\n   */\n  getExternalAuthRedirectUri(\n    authorizeUrl: string,\n    clientId: string,\n    redirectUri: string,\n    loginRequest: BaseLoginRequest\n  ): string {\n    const url = new URL(authorizeUrl);\n    url.searchParams.set('response_type', 'code');\n    url.searchParams.set('client_id', clientId);\n    url.searchParams.set('redirect_uri', redirectUri);\n    url.searchParams.set('scope', 'openid profile email');\n    url.searchParams.set('state', JSON.stringify(loginRequest));\n    return url.toString();\n  }\n\n  /**\n   * Builds a FHIR URL from a collection of URL path components.\n   * For example, `buildUrl('/Patient', '123')` returns `fhir/R4/Patient/123`.\n   * @category HTTP\n   * @param path The path component of the URL.\n   * @returns The well-formed FHIR URL.\n   */\n  fhirUrl(...path: string[]): URL {\n    return new URL(this.#fhirBaseUrl + path.join('/'));\n  }\n\n  /**\n   * Builds a FHIR search URL from a search query or structured query object.\n   * @category HTTP\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query The FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @returns The well-formed FHIR URL.\n   */\n  fhirSearchUrl(resourceType: ResourceType, query: QueryTypes): URL {\n    const url = this.fhirUrl(resourceType);\n    if (query) {\n      url.search = new URLSearchParams(query).toString();\n    }\n    return url;\n  }\n\n  /**\n   * Sends a FHIR search request.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const bundle = await client.search('Patient', 'name=Alice');\n   * console.log(bundle);\n   * ```\n   *\n   * The return value is a FHIR bundle:\n   *\n   * ```json\n   * {\n   *    \"resourceType\": \"Bundle\",\n   *    \"type\": \"searchset\",\n   *    \"entry\": [\n   *       {\n   *          \"resource\": {\n   *             \"resourceType\": \"Patient\",\n   *             \"name\": [\n   *                {\n   *                   \"given\": [\n   *                      \"George\"\n   *                   ],\n   *                   \"family\": \"Washington\"\n   *                }\n   *             ],\n   *          }\n   *       }\n   *    ]\n   * }\n   * ```\n   *\n   * To query the count of a search, use the summary feature like so:\n   *\n   * ```typescript\n   * const patients = medplum.search('Patient', '_summary=count');\n   * ```\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  search<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<Bundle<ExtractResource<K>>> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    const cacheKey = url.toString() + '-search';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      (async () => {\n        const bundle = await this.get<Bundle<ExtractResource<K>>>(url, options);\n        if (bundle.entry) {\n          for (const entry of bundle.entry) {\n            this.#cacheResource(entry.resource);\n          }\n        }\n        return bundle;\n      })()\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Sends a FHIR search request for a single resource.\n   *\n   * This is a convenience method for `search()` that returns the first resource rather than a `Bundle`.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const patient = await client.searchOne('Patient', 'identifier=123');\n   * console.log(patient);\n   * ```\n   *\n   * The return value is the resource, if available; otherwise, undefined.\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  searchOne<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K> | undefined> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    url.searchParams.set('_count', '1');\n    url.searchParams.sort();\n    const cacheKey = url.toString() + '-searchOne';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      this.search<K>(resourceType, url.searchParams, options).then((b) => b.entry?.[0]?.resource)\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Sends a FHIR search request for an array of resources.\n   *\n   * This is a convenience method for `search()` that returns the resources as an array rather than a `Bundle`.\n   *\n   * Example using a FHIR search string:\n   *\n   * ```typescript\n   * const patients = await client.searchResources('Patient', 'name=Alice');\n   * console.log(patients);\n   * ```\n   *\n   * The return value is an array of resources.\n   *\n   * See FHIR search for full details: https://www.hl7.org/fhir/search.html\n   *\n   * @category Search\n   * @param resourceType The FHIR resource type.\n   * @param query Optional FHIR search query or structured query object. Can be any valid input to the URLSearchParams() constructor.\n   * @param options Optional fetch options.\n   * @returns Promise to the search result bundle.\n   */\n  searchResources<K extends ResourceType>(\n    resourceType: K,\n    query?: QueryTypes,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>[]> {\n    const url = this.fhirSearchUrl(resourceType, query);\n    const cacheKey = url.toString() + '-searchResources';\n    const cached = this.#getCacheEntry(cacheKey, options);\n    if (cached) {\n      return cached.value;\n    }\n    const promise = new ReadablePromise(\n      this.search<K>(resourceType, query, options).then(\n        (b) => b.entry?.map((e) => e.resource as ExtractResource<K>) ?? []\n      )\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Searches a ValueSet resource using the \"expand\" operation.\n   * See: https://www.hl7.org/fhir/operation-valueset-expand.html\n   *\n   * @category Search\n   * @param system The ValueSet system url.\n   * @param filter The search string.\n   * @param options Optional fetch options.\n   * @returns Promise to expanded ValueSet.\n   */\n  searchValueSet(system: string, filter: string, options: RequestInit = {}): ReadablePromise<ValueSet> {\n    const url = this.fhirUrl('ValueSet', '$expand');\n    url.searchParams.set('url', system);\n    url.searchParams.set('filter', filter);\n    return this.get(url.toString(), options);\n  }\n\n  /**\n   * Returns a cached resource if it is available.\n   * @category Caching\n   * @param resourceType The FHIR resource type.\n   * @param id The FHIR resource ID.\n   * @returns The resource if it is available in the cache; undefined otherwise.\n   */\n  getCached<K extends ResourceType>(resourceType: K, id: string): ExtractResource<K> | undefined {\n    const cached = this.#requestCache.get(this.fhirUrl(resourceType, id).toString())?.value;\n    return cached && cached.isOk() ? (cached.read() as ExtractResource<K>) : undefined;\n  }\n\n  /**\n   * Returns a cached resource if it is available.\n   * @category Caching\n   * @param resourceType The FHIR resource type.\n   * @param id The FHIR resource ID.\n   * @returns The resource if it is available in the cache; undefined otherwise.\n   */\n  getCachedReference<T extends Resource>(reference: Reference<T>): T | undefined {\n    const refString = reference.reference as string;\n    if (!refString) {\n      return undefined;\n    }\n    if (refString === 'system') {\n      return system as T;\n    }\n    const [resourceType, id] = refString.split('/');\n    if (!resourceType || !id) {\n      return undefined;\n    }\n    return this.getCached(resourceType as ResourceType, id) as T | undefined;\n  }\n\n  /**\n   * Reads a resource by resource type and ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const patient = await medplum.readResource('Patient', '123');\n   * console.log(patient);\n   * ```\n   *\n   * See the FHIR \"read\" operation for full details: https://www.hl7.org/fhir/http.html#read\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readResource<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>> {\n    return this.get<ExtractResource<K>>(this.fhirUrl(resourceType, id), options);\n  }\n\n  /**\n   * Reads a resource by `Reference`.\n   *\n   * This is a convenience method for `readResource()` that accepts a `Reference` object.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const serviceRequest = await medplum.readResource('ServiceRequest', '123');\n   * const patient = await medplum.readReference(serviceRequest.subject);\n   * console.log(patient);\n   * ```\n   *\n   * See the FHIR \"read\" operation for full details: https://www.hl7.org/fhir/http.html#read\n   *\n   * @category Read\n   * @param reference The FHIR reference object.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readReference<T extends Resource>(reference: Reference<T>, options: RequestInit = {}): ReadablePromise<T> {\n    const refString = reference?.reference;\n    if (!refString) {\n      return new ReadablePromise(Promise.reject(new Error('Missing reference')));\n    }\n    if (refString === 'system') {\n      return new ReadablePromise(Promise.resolve(system as unknown as T));\n    }\n    const [resourceType, id] = refString.split('/');\n    if (!resourceType || !id) {\n      return new ReadablePromise(Promise.reject(new Error('Invalid reference')));\n    }\n    return this.readResource(resourceType as ResourceType, id, options) as ReadablePromise<T>;\n  }\n\n  /**\n   * Returns a cached schema for a resource type.\n   * If the schema is not cached, returns undefined.\n   * It is assumed that a client will call requestSchema before using this method.\n   * @category Schema\n   * @returns The schema if immediately available, undefined otherwise.\n   * @deprecated Use globalSchema instead.\n   */\n  getSchema(): IndexedStructureDefinition {\n    return globalSchema;\n  }\n\n  /**\n   * Requests the schema for a resource type.\n   * If the schema is already cached, the promise is resolved immediately.\n   * @category Schema\n   * @param resourceType The FHIR resource type.\n   * @returns Promise to a schema with the requested resource type.\n   */\n  requestSchema(resourceType: string): Promise<IndexedStructureDefinition> {\n    if (resourceType in globalSchema.types) {\n      return Promise.resolve(globalSchema);\n    }\n\n    const cacheKey = resourceType + '-requestSchema';\n    const cached = this.#getCacheEntry(cacheKey, undefined);\n    if (cached) {\n      return cached.value;\n    }\n\n    const promise = new ReadablePromise<IndexedStructureDefinition>(\n      (async () => {\n        const query = `{\n      StructureDefinitionList(name: \"${resourceType}\") {\n        name,\n        description,\n        snapshot {\n          element {\n            id,\n            path,\n            min,\n            max,\n            type {\n              code,\n              targetProfile\n            },\n            binding {\n              valueSet\n            },\n            definition\n          }\n        }\n      }\n      SearchParameterList(base: \"${resourceType}\", _count: 100) {\n        base,\n        code,\n        type,\n        expression,\n        target\n      }\n    }`.replace(/\\s+/g, ' ');\n\n        const response = (await this.graphql(query)) as SchemaGraphQLResponse;\n\n        for (const structureDefinition of response.data.StructureDefinitionList) {\n          indexStructureDefinition(structureDefinition);\n        }\n\n        for (const searchParameter of response.data.SearchParameterList) {\n          indexSearchParameter(searchParameter);\n        }\n\n        return globalSchema;\n      })()\n    );\n    this.#setCacheEntry(cacheKey, promise);\n    return promise;\n  }\n\n  /**\n   * Reads resource history by resource type and ID.\n   *\n   * The return value is a bundle of all versions of the resource.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const history = await medplum.readHistory('Patient', '123');\n   * console.log(history);\n   * ```\n   *\n   * See the FHIR \"history\" operation for full details: https://www.hl7.org/fhir/http.html#history\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param options Optional fetch options.\n   * @returns Promise to the resource history.\n   */\n  readHistory<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    options: RequestInit = {}\n  ): ReadablePromise<Bundle<ExtractResource<K>>> {\n    return this.get(this.fhirUrl(resourceType, id, '_history'), options);\n  }\n\n  /**\n   * Reads a specific version of a resource by resource type, ID, and version ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const version = await medplum.readVersion('Patient', '123', '456');\n   * console.log(version);\n   * ```\n   *\n   * See the FHIR \"vread\" operation for full details: https://www.hl7.org/fhir/http.html#vread\n   *\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param vid The version ID.\n   * @param options Optional fetch options.\n   * @returns The resource if available; undefined otherwise.\n   */\n  readVersion<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    vid: string,\n    options: RequestInit = {}\n  ): ReadablePromise<ExtractResource<K>> {\n    return this.get(this.fhirUrl(resourceType, id, '_history', vid), options);\n  }\n\n  /**\n   * Executes the Patient \"everything\" operation for a patient.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const bundle = await medplum.readPatientEverything('123');\n   * console.log(bundle);\n   * ```\n   *\n   * See the FHIR \"patient-everything\" operation for full details: https://hl7.org/fhir/operation-patient-everything.html\n   *\n   * @category Read\n   * @param id The Patient Id\n   * @param options Optional fetch options.\n   * @returns A Bundle of all Resources related to the Patient\n   */\n  readPatientEverything(id: string, options: RequestInit = {}): ReadablePromise<Bundle> {\n    return this.get(this.fhirUrl('Patient', id, '$everything'), options);\n  }\n\n  /**\n   * Creates a new FHIR resource.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createResource({\n   *   resourceType: 'Patient',\n   *   name: [{\n   *    family: 'Smith',\n   *    given: ['John']\n   *   }]\n   * });\n   * console.log(result.id);\n   * ```\n   *\n   * See the FHIR \"create\" operation for full details: https://www.hl7.org/fhir/http.html#create\n   *\n   * @category Create\n   * @param resource The FHIR resource to create.\n   * @returns The result of the create operation.\n   */\n  createResource<T extends Resource>(resource: T): Promise<T> {\n    if (!resource.resourceType) {\n      throw new Error('Missing resourceType');\n    }\n    this.invalidateSearches(resource.resourceType);\n    return this.post(this.fhirUrl(resource.resourceType), resource);\n  }\n\n  /**\n   * Conditionally create a new FHIR resource only if some equivalent resource does not already exist on the server.\n   *\n   * The return value is the existing resource or the newly created resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createResourceIfNoneExist(\n   *   {\n   *     resourceType: 'Patient',\n   *     identifier: [{\n   *      system: 'http://example.com/mrn',\n   *      value: '123'\n   *     }]\n   *     name: [{\n   *      family: 'Smith',\n   *      given: ['John']\n   *     }]\n   *   },\n   *   'identifier=123'\n   * );\n   * console.log(result.id);\n   * ```\n   *\n   * This method is syntactic sugar for:\n   *\n   * ```typescript\n   * return searchOne(resourceType, query) ?? createResource(resource);\n   * ```\n   *\n   * The query parameter only contains the search parameters (what would be in the URL following the \"?\").\n   *\n   * See the FHIR \"conditional create\" operation for full details: https://www.hl7.org/fhir/http.html#ccreate\n   *\n   * @category Create\n   * @param resource The FHIR resource to create.\n   * @param query The search query for an equivalent resource (should not include resource type or \"?\").\n   * @returns The result of the create operation.\n   */\n  async createResourceIfNoneExist<T extends Resource>(resource: T, query: string): Promise<T> {\n    return ((await this.searchOne(resource.resourceType, query)) ?? this.createResource(resource)) as Promise<T>;\n  }\n\n  /**\n   * Creates a FHIR `Binary` resource with the provided data content.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * The `data` parameter can be a string or a `File` object.\n   *\n   * A `File` object often comes from a `<input type=\"file\">` element.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createBinary(myFile, 'test.jpg', 'image/jpeg');\n   * console.log(result.id);\n   * ```\n   *\n   * See the FHIR \"create\" operation for full details: https://www.hl7.org/fhir/http.html#create\n   *\n   * @category Create\n   * @param data The binary data to upload.\n   * @param filename Optional filename for the binary.\n   * @param contentType Content type for the binary.\n   * @returns The result of the create operation.\n   */\n  createBinary(\n    data: string | File | Blob | Uint8Array,\n    filename: string | undefined,\n    contentType: string,\n    onProgress?: (e: ProgressEvent) => void\n  ): Promise<Binary> {\n    const url = this.fhirUrl('Binary');\n    if (filename) {\n      url.searchParams.set('_filename', filename);\n    }\n\n    if (onProgress) {\n      return this.uploadwithProgress(url, data, contentType, onProgress);\n    } else {\n      return this.post(url, data, contentType);\n    }\n  }\n\n  uploadwithProgress(\n    url: URL,\n    data: string | File | Blob | Uint8Array,\n    contentType: string,\n    onProgress: (e: ProgressEvent) => void\n  ): Promise<any> {\n    return new Promise((resolve, reject) => {\n      const xhr = new XMLHttpRequest();\n      xhr.responseType = 'json';\n      xhr.onabort = () => reject(new Error('Request aborted'));\n      xhr.onerror = () => reject(new Error('Request error'));\n\n      if (onProgress) {\n        xhr.upload.onprogress = (e) => onProgress(e);\n        xhr.upload.onload = (e) => onProgress(e);\n      }\n\n      xhr.onload = () => {\n        if (xhr.status >= 200 && xhr.status < 300) {\n          resolve(xhr.response);\n        } else {\n          reject(new Error(xhr.statusText));\n        }\n      };\n\n      xhr.open('POST', url);\n      xhr.withCredentials = true;\n      xhr.setRequestHeader('Authorization', 'Bearer ' + this.#accessToken);\n      xhr.setRequestHeader('Cache-Control', 'no-cache, no-store, max-age=0');\n      xhr.setRequestHeader('Content-Type', contentType);\n      xhr.setRequestHeader('X-Medplum', 'extended');\n      xhr.send(data);\n    });\n  }\n\n  /**\n   * Creates a PDF as a FHIR `Binary` resource based on pdfmake document definition.\n   *\n   * The return value is the newly created resource, including the ID and meta.\n   *\n   * The `docDefinition` parameter is a pdfmake document definition.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.createPdf({\n   *   content: ['Hello world']\n   * });\n   * console.log(result.id);\n   * ```\n   *\n   * See the pdfmake document definition for full details: https://pdfmake.github.io/docs/0.1/document-definition-object/\n   *\n   * @category Media\n   * @param docDefinition The PDF document definition.\n   * @returns The result of the create operation.\n   */\n  async createPdf(\n    docDefinition: TDocumentDefinitions,\n    filename?: string,\n    tableLayouts?: { [name: string]: CustomTableLayout },\n    fonts?: TFontDictionary\n  ): Promise<Binary> {\n    if (!this.#createPdf) {\n      throw new Error('PDF creation not enabled');\n    }\n    const blob = await this.#createPdf(docDefinition, tableLayouts, fonts);\n    return this.createBinary(blob, filename, 'application/pdf');\n  }\n\n  /**\n   * Creates a FHIR `Communication` resource with the provided data content.\n   *\n   * This is a convenience method to handle commmon cases where a `Communication` resource is created with a `payload`.\n   *\n   * @category Create\n   * @param resource The FHIR resource to comment on.\n   * @param text The text of the comment.\n   * @returns The result of the create operation.\n   */\n  createComment(resource: Resource, text: string): Promise<Communication> {\n    const profile = this.getProfile();\n    let encounter: Reference<Encounter> | undefined = undefined;\n    let subject: Reference<Patient> | undefined = undefined;\n\n    if (resource.resourceType === 'Encounter') {\n      encounter = createReference(resource);\n      subject = resource.subject as Reference<Patient> | undefined;\n    }\n\n    if (resource.resourceType === 'ServiceRequest') {\n      encounter = resource.encounter;\n      subject = resource.subject as Reference<Patient> | undefined;\n    }\n\n    if (resource.resourceType === 'Patient') {\n      subject = createReference(resource);\n    }\n\n    return this.createResource<Communication>({\n      resourceType: 'Communication',\n      basedOn: [createReference(resource)],\n      encounter,\n      subject,\n      sender: profile ? createReference(profile) : undefined,\n      sent: new Date().toISOString(),\n      payload: [{ contentString: text }],\n    });\n  }\n\n  /**\n   * Updates a FHIR resource.\n   *\n   * The return value is the updated resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.updateResource({\n   *   resourceType: 'Patient',\n   *   id: '123',\n   *   name: [{\n   *    family: 'Smith',\n   *    given: ['John']\n   *   }]\n   * });\n   * console.log(result.meta.versionId);\n   * ```\n   *\n   * See the FHIR \"update\" operation for full details: https://www.hl7.org/fhir/http.html#update\n   *\n   * @category Write\n   * @param resource The FHIR resource to update.\n   * @returns The result of the update operation.\n   */\n  async updateResource<T extends Resource>(resource: T): Promise<T> {\n    if (!resource.resourceType) {\n      throw new Error('Missing resourceType');\n    }\n    if (!resource.id) {\n      throw new Error('Missing id');\n    }\n    this.invalidateSearches(resource.resourceType);\n    let result = await this.put(this.fhirUrl(resource.resourceType, resource.id), resource);\n    if (!result) {\n      // On 304 not modified, result will be undefined\n      // Return the user input instead\n      // return result ?? resource;\n      result = resource;\n    }\n    this.#cacheResource(result);\n    return result;\n  }\n\n  /**\n   * Updates a FHIR resource using JSONPatch operations.\n   *\n   * The return value is the updated resource, including the ID and meta.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.patchResource('Patient', '123', [\n   *   {op: 'replace', path: '/name/0/family', value: 'Smith'},\n   * ]);\n   * console.log(result.meta.versionId);\n   * ```\n   *\n   * See the FHIR \"update\" operation for full details: https://www.hl7.org/fhir/http.html#patch\n   *\n   * See the JSONPatch specification for full details: https://tools.ietf.org/html/rfc6902\n   *\n   * @category Write\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param operations The JSONPatch operations.\n   * @returns The result of the patch operations.\n   */\n  patchResource<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    operations: PatchOperation[]\n  ): Promise<ExtractResource<K>> {\n    this.invalidateSearches(resourceType);\n    return this.patch(this.fhirUrl(resourceType, id), operations);\n  }\n\n  /**\n   * Deletes a FHIR resource by resource type and ID.\n   *\n   * Example:\n   *\n   * ```typescript\n   * await medplum.deleteResource('Patient', '123');\n   * ```\n   *\n   * See the FHIR \"delete\" operation for full details: https://www.hl7.org/fhir/http.html#delete\n   *\n   * @category Delete\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @returns The result of the delete operation.\n   */\n  deleteResource(resourceType: ResourceType, id: string): Promise<any> {\n    this.#deleteCacheEntry(this.fhirUrl(resourceType, id).toString());\n    this.invalidateSearches(resourceType);\n    return this.delete(this.fhirUrl(resourceType, id));\n  }\n\n  /**\n   * Executes the validate operation with the provided resource.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.validateResource({\n   *   resourceType: 'Patient',\n   *   name: [{ given: ['Alice'], family: 'Smith' }],\n   * });\n   * ```\n   *\n   * See the FHIR \"$validate\" operation for full details: https://www.hl7.org/fhir/resource-operation-validate.html\n   *\n   * @param resource The FHIR resource.\n   * @returns The validate operation outcome.\n   */\n  validateResource<T extends Resource>(resource: T): Promise<OperationOutcome> {\n    return this.post(this.fhirUrl(resource.resourceType, '$validate'), resource);\n  }\n\n  /**\n   * Executes a batch or transaction of FHIR operations.\n   *\n   * Example:\n   *\n   * ```typescript\n   * await medplum.executeBatch({\n   *   \"resourceType\": \"Bundle\",\n   *   \"type\": \"transaction\",\n   *   \"entry\": [\n   *     {\n   *       \"fullUrl\": \"urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a\",\n   *       \"resource\": {\n   *         \"resourceType\": \"Patient\",\n   *         \"name\": [{ \"use\": \"official\", \"given\": [\"Alice\"], \"family\": \"Smith\" }],\n   *         \"gender\": \"female\",\n   *         \"birthDate\": \"1974-12-25\"\n   *       },\n   *       \"request\": {\n   *         \"method\": \"POST\",\n   *         \"url\": \"Patient\"\n   *       }\n   *     },\n   *     {\n   *       \"fullUrl\": \"urn:uuid:88f151c0-a954-468a-88bd-5ae15c08e059\",\n   *       \"resource\": {\n   *         \"resourceType\": \"Patient\",\n   *         \"identifier\": [{ \"system\": \"http:/example.org/fhir/ids\", \"value\": \"234234\" }],\n   *         \"name\": [{ \"use\": \"official\", \"given\": [\"Bob\"], \"family\": \"Jones\" }],\n   *         \"gender\": \"male\",\n   *         \"birthDate\": \"1974-12-25\"\n   *       },\n   *       \"request\": {\n   *         \"method\": \"POST\",\n   *         \"url\": \"Patient\",\n   *         \"ifNoneExist\": \"identifier=http:/example.org/fhir/ids|234234\"\n   *       }\n   *     }\n   *   ]\n   * });\n   * ```\n   *\n   * See The FHIR \"batch/transaction\" section for full details: https://hl7.org/fhir/http.html#transaction\n   * @category Batch\n   * @param bundle The FHIR batch/transaction bundle.\n   * @returns The FHIR batch/transaction response bundle.\n   */\n  executeBatch(bundle: Bundle): Promise<Bundle> {\n    return this.post('fhir/R4', bundle);\n  }\n\n  /**\n   * Sends an email using the Medplum Email API.\n   *\n   * Builds the email using nodemailer MailComposer.\n   *\n   * Examples:\n   *\n   * Send a simple text email:\n   *\n   * ```typescript\n   * await medplum.sendEmail({\n   *   to: 'alice@example.com',\n   *   cc: 'bob@example.com',\n   *   subject: 'Hello',\n   *   text: 'Hello Alice',\n   * });\n   * ```\n   *\n   * Send an email with a `Binary` attachment:\n   *\n   * ```typescript\n   * await medplum.sendEmail({\n   *   to: 'alice@example.com',\n   *   subject: 'Email with attachment',\n   *   text: 'See the attached report',\n   *   attachments: [{\n   *     filename: 'report.pdf',\n   *     path: \"Binary/\" + binary.id\n   *   }]\n   * });\n   * ```\n   *\n   * See options here: https://nodemailer.com/extras/mailcomposer/\n   * @category Media\n   * @param options The MailComposer options.\n   * @returns Promise to the operation outcome.\n   */\n  sendEmail(email: MailOptions): Promise<OperationOutcome> {\n    return this.post('email/v1/send', email, 'application/json');\n  }\n\n  /**\n   * Executes a GraphQL query.\n   *\n   * Example:\n   *\n   * ```typescript\n   * const result = await medplum.graphql(`{\n   *   Patient(id: \"123\") {\n   *     resourceType\n   *     id\n   *     name {\n   *       given\n   *       family\n   *     }\n   *   }\n   * }`);\n   * ```\n   *\n   * Advanced queries such as named operations and variable substitution are supported:\n   *\n   * ```typescript\n   * const result = await medplum.graphql(\n   *   `query GetPatientById($patientId: ID!) {\n   *     Patient(id: $patientId) {\n   *       resourceType\n   *       id\n   *       name {\n   *         given\n   *         family\n   *       }\n   *     }\n   *   }`,\n   *   'GetPatientById',\n   *   { patientId: '123' }\n   * );\n   * ```\n   *\n   * See the GraphQL documentation for more details: https://graphql.org/learn/\n   *\n   * See the FHIR GraphQL documentation for FHIR specific details: https://www.hl7.org/fhir/graphql.html\n   *\n   * @category Read\n   * @param query The GraphQL query.\n   * @param operationName Optional GraphQL operation name.\n   * @param variables Optional GraphQL variables.\n   * @param options Optional fetch options.\n   * @returns The GraphQL result.\n   */\n  graphql(query: string, operationName?: string | null, variables?: any, options?: RequestInit): Promise<any> {\n    return this.post(this.fhirUrl('$graphql'), { query, operationName, variables }, JSON_CONTENT_TYPE, options);\n  }\n\n  /**\n   *\n   * Executes the $graph operation on this resource to fetch a Bundle of resources linked to the target resource\n   * according to a graph definition\n\n   * @category Read\n   * @param resourceType The FHIR resource type.\n   * @param id The resource ID.\n   * @param graphName `name` parameter of the GraphDefinition\n   * @returns A Bundle\n   */\n  readResourceGraph<K extends ResourceType>(\n    resourceType: K,\n    id: string,\n    graphName: string\n  ): ReadablePromise<Bundle<Resource>> {\n    return this.get<Bundle<Resource>>(`${this.fhirUrl(resourceType, id)}/$graph?graph=${graphName}`);\n  }\n\n  /**\n   * @category Authentication\n   * @returns The Login State\n   */\n  getActiveLogin(): LoginState | undefined {\n    return this.#storage.getObject('activeLogin');\n  }\n\n  /**\n   * @category Authentication\n   */\n  async setActiveLogin(login: LoginState): Promise<void> {\n    this.clearActiveLogin();\n    this.#accessToken = login.accessToken;\n    this.#refreshToken = login.refreshToken;\n    this.#storage.setObject('activeLogin', login);\n    this.#addLogin(login);\n    this.#refreshPromise = undefined;\n    await this.#refreshProfile();\n  }\n\n  /**\n   * Returns the current access token.\n   * @category Authentication\n   */\n  getAccessToken(): string | undefined {\n    return this.#accessToken;\n  }\n\n  /**\n   * Sets the current access token.\n   * @category Authentication\n   */\n  setAccessToken(accessToken: string): void {\n    this.#accessToken = accessToken;\n    this.#refreshToken = undefined;\n    this.#profile = undefined;\n    this.#config = undefined;\n  }\n\n  /**\n   * @category Authentication\n   */\n  getLogins(): LoginState[] {\n    return this.#storage.getObject<LoginState[]>('logins') ?? [];\n  }\n\n  #addLogin(newLogin: LoginState): void {\n    const logins = this.getLogins().filter((login) => login.profile?.reference !== newLogin.profile?.reference);\n    logins.push(newLogin);\n    this.#storage.setObject('logins', logins);\n  }\n\n  async #refreshProfile(): Promise<ProfileResource | undefined> {\n    this.#profilePromise = new Promise((resolve, reject) => {\n      this.get('auth/me')\n        .then((result) => {\n          this.#profilePromise = undefined;\n          this.#profile = result.profile;\n          this.#config = result.config;\n          this.dispatchEvent({ type: 'change' });\n          resolve(this.#profile);\n        })\n        .catch(reject);\n    });\n\n    return this.#profilePromise;\n  }\n\n  /**\n   * @category Authentication\n   */\n  isLoading(): boolean {\n    return !!this.#profilePromise;\n  }\n\n  /**\n   * @category User Profile\n   */\n  getProfile(): ProfileResource | undefined {\n    return this.#profile;\n  }\n\n  /**\n   * @category User Profile\n   */\n  async getProfileAsync(): Promise<ProfileResource | undefined> {\n    if (this.#profilePromise) {\n      await this.#profilePromise;\n    }\n    return this.getProfile();\n  }\n\n  /**\n   * @category User Profile\n   */\n  getUserConfiguration(): UserConfiguration | undefined {\n    return this.#config;\n  }\n\n  /**\n   * Downloads the URL as a blob.\n   *\n   * @category Read\n   * @param url The URL to request.\n   * @returns Promise to the response body as a blob.\n   */\n  async download(url: URL | string, options: RequestInit = {}): Promise<Blob> {\n    if (this.#refreshPromise) {\n      await this.#refreshPromise;\n    }\n    this.#addFetchOptionsDefaults(options);\n    const response = await this.#fetch(url.toString(), options);\n    return response.blob();\n  }\n\n  //\n  // Private helpers\n  //\n\n  /**\n   * Returns the cache entry if available and not expired.\n   * @param key The cache key to retrieve.\n   * @param options Optional fetch options for cache settings.\n   * @returns The cached entry if found.\n   */\n  #getCacheEntry(key: string, options: RequestInit | undefined): RequestCacheEntry | undefined {\n    if (this.#cacheTime <= 0 || options?.cache === 'no-cache' || options?.cache === 'reload') {\n      return undefined;\n    }\n    const entry = this.#requestCache.get(key);\n    if (!entry || entry.requestTime + this.#cacheTime < Date.now()) {\n      return undefined;\n    }\n    return entry;\n  }\n\n  /**\n   * Adds a readable promise to the cache.\n   * @param key The cache key to store.\n   * @param value The readable promise to store.\n   */\n  #setCacheEntry(key: string, value: ReadablePromise<any>): void {\n    if (this.#cacheTime > 0) {\n      this.#requestCache.set(key, { requestTime: Date.now(), value });\n    }\n  }\n\n  /**\n   * Adds a concrete value as the cache entry for the given resource.\n   * This is used in cases where the resource is loaded indirectly.\n   * For example, when a resource is loaded as part of a Bundle.\n   * @param resource The resource to cache.\n   */\n  #cacheResource(resource: Resource | undefined): void {\n    if (resource?.id) {\n      this.#setCacheEntry(\n        this.fhirUrl(resource.resourceType, resource.id).toString(),\n        new ReadablePromise(Promise.resolve(resource))\n      );\n    }\n  }\n\n  /**\n   * Deletes a cache entry.\n   * @param key The cache key to delete.\n   */\n  #deleteCacheEntry(key: string): void {\n    if (this.#cacheTime > 0) {\n      this.#requestCache.delete(key);\n    }\n  }\n\n  /**\n   * Makes an HTTP request.\n   * @param {string} method\n   * @param {string} url\n   * @param {string=} contentType\n   * @param {Object=} body\n   */\n  async #request<T>(method: string, url: string, options: RequestInit = {}): Promise<T> {\n    if (this.#refreshPromise) {\n      await this.#refreshPromise;\n    }\n\n    if (!url.startsWith('http')) {\n      url = this.#baseUrl + url;\n    }\n\n    options.method = method;\n    this.#addFetchOptionsDefaults(options);\n\n    const response = await this.#fetchWithRetry(url, options);\n    if (response.status === 401) {\n      // Refresh and try again\n      return this.#handleUnauthenticated(method, url, options);\n    }\n\n    if (response.status === 204 || response.status === 304) {\n      // No content or change\n      return undefined as unknown as T;\n    }\n\n    let obj: any = undefined;\n    try {\n      obj = await response.json();\n    } catch (err) {\n      console.error('Error parsing response', response.status, err);\n      throw err;\n    }\n\n    if (response.status >= 400) {\n      throw new OperationOutcomeError(normalizeOperationOutcome(obj));\n    }\n    return obj;\n  }\n\n  async #fetchWithRetry(url: string, options: RequestInit): Promise<Response> {\n    const maxRetries = 3;\n    const retryDelay = 200;\n    let response: Response | undefined = undefined;\n    for (let retry = 0; retry < maxRetries; retry++) {\n      response = (await this.#fetch(url, options)) as Response;\n      if (response.status < 500) {\n        return response;\n      }\n      await new Promise((resolve) => setTimeout(resolve, retryDelay));\n    }\n    return response as Response;\n  }\n\n  /**\n   * Executes a batch of requests that were automatically batched together.\n   */\n  async #executeAutoBatch(): Promise<void> {\n    // Get the current queue\n    const entries = [...this.#autoBatchQueue];\n\n    // Clear the queue\n    this.#autoBatchQueue.length = 0;\n\n    // Clear the timer\n    this.#autoBatchTimerId = undefined;\n\n    // If there is only one request in the batch, just execute it\n    if (entries.length === 1) {\n      const entry = entries[0];\n      entry.resolve(await this.#request(entry.method, this.#fhirBaseUrl + entry.url, entry.options));\n      return;\n    }\n\n    // Build the batch request\n    const batch: Bundle = {\n      resourceType: 'Bundle',\n      type: 'batch',\n      entry: entries.map(\n        (e) =>\n          ({\n            request: {\n              method: e.method,\n              url: e.url,\n            },\n            resource: e.options.body ? (JSON.parse(e.options.body as string) as Resource) : undefined,\n          } as BundleEntry)\n      ),\n    };\n\n    // Execute the batch request\n    const response = (await this.post('fhir/R4', batch)) as Bundle;\n\n    // Process the response\n    for (let i = 0; i < entries.length; i++) {\n      const entry = entries[i];\n      const responseEntry = response.entry?.[i];\n      if (responseEntry?.response?.outcome && !isOk(responseEntry.response.outcome)) {\n        entry.reject(new OperationOutcomeError(responseEntry.response.outcome));\n      } else {\n        entry.resolve(responseEntry?.resource);\n      }\n    }\n  }\n\n  /**\n   * Adds default options to the fetch options.\n   * @param options The options to add defaults to.\n   */\n  #addFetchOptionsDefaults(options: RequestInit): void {\n    if (!options.headers) {\n      options.headers = {};\n    }\n\n    const headers = options.headers as Record<string, string>;\n    headers['X-Medplum'] = 'extended';\n\n    if (!headers['Content-Type']) {\n      headers['Content-Type'] = FHIR_CONTENT_TYPE;\n    }\n\n    if (this.#accessToken) {\n      headers['Authorization'] = 'Bearer ' + this.#accessToken;\n    }\n\n    if (!options.cache) {\n      options.cache = 'no-cache';\n    }\n\n    if (!options.credentials) {\n      options.credentials = 'include';\n    }\n  }\n\n  /**\n   * Sets the \"Content-Type\" header on fetch options.\n   * @param options The fetch options.\n   * @param contentType The new content type to set.\n   */\n  #setRequestContentType(options: RequestInit, contentType: string): void {\n    if (!options.headers) {\n      options.headers = {};\n    }\n    const headers = options.headers as Record<string, string>;\n    headers['Content-Type'] = contentType;\n  }\n\n  /**\n   * Sets the body on fetch options.\n   * @param options The fetch options.\n   * @param data The new content body.\n   */\n  #setRequestBody(options: RequestInit, data: any): void {\n    if (\n      typeof data === 'string' ||\n      (typeof Blob !== 'undefined' && data instanceof Blob) ||\n      (typeof File !== 'undefined' && data instanceof File) ||\n      (typeof Uint8Array !== 'undefined' && data instanceof Uint8Array)\n    ) {\n      options.body = data;\n    } else if (data) {\n      options.body = JSON.stringify(data);\n    }\n  }\n\n  /**\n   * Handles an unauthenticated response from the server.\n   * First, tries to refresh the access token and retry the request.\n   * Otherwise, calls unauthenticated callbacks and rejects.\n   * @param method The HTTP method of the original request.\n   * @param url The URL of the original request.\n   * @param contentType The content type of the original request.\n   * @param body The body of the original request.\n   */\n  #handleUnauthenticated(method: string, url: string, options: RequestInit): Promise<any> {\n    if (this.#refresh()) {\n      return this.#request(method, url, options);\n    }\n    this.clearActiveLogin();\n    if (this.#onUnauthenticated) {\n      this.#onUnauthenticated();\n    }\n    return Promise.reject(new Error('Unauthenticated'));\n  }\n\n  /**\n   * Starts a new PKCE flow.\n   * These PKCE values are stateful, and must survive redirects and page refreshes.\n   * @category Authentication\n   */\n  async startPkce(): Promise<{ codeChallengeMethod: string; codeChallenge: string }> {\n    const pkceState = getRandomString();\n    sessionStorage.setItem('pkceState', pkceState);\n\n    const codeVerifier = getRandomString();\n    sessionStorage.setItem('codeVerifier', codeVerifier);\n\n    const arrayHash = await encryptSHA256(codeVerifier);\n    const codeChallenge = arrayBufferToBase64(arrayHash).replace(/\\+/g, '-').replace(/\\//g, '_').replace(/=/g, '');\n    sessionStorage.setItem('codeChallenge', codeChallenge);\n\n    return { codeChallengeMethod: 'S256', codeChallenge };\n  }\n\n  /**\n   * Redirects the user to the login screen for authorization.\n   * Clears all auth state including local storage and session storage.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#AuthorizationEndpoint\n   */\n  async #requestAuthorization(loginParams?: Partial<BaseLoginRequest>): Promise<void> {\n    const loginRequest = await this.ensureCodeChallenge(loginParams || {});\n    const url = new URL(this.#authorizeUrl);\n    url.searchParams.set('response_type', 'code');\n    url.searchParams.set('state', sessionStorage.getItem('pkceState') as string);\n    url.searchParams.set('client_id', loginRequest.clientId || (this.#clientId as string));\n    url.searchParams.set('redirect_uri', loginRequest.redirectUri || getWindowOrigin());\n    url.searchParams.set('code_challenge_method', loginRequest.codeChallengeMethod as string);\n    url.searchParams.set('code_challenge', loginRequest.codeChallenge as string);\n    url.searchParams.set('scope', loginRequest.scope || 'openid profile');\n    window.location.assign(url.toString());\n  }\n\n  /**\n   * Processes an OAuth authorization code.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#TokenRequest\n   * @param code The authorization code received by URL parameter.\n   * @param loginParams Optional login parameters.\n   * @category Authentication\n   */\n  processCode(code: string, loginParams?: Partial<BaseLoginRequest>): Promise<ProfileResource> {\n    const formBody = new URLSearchParams();\n    formBody.set('grant_type', 'authorization_code');\n    formBody.set('code', code);\n    formBody.set('client_id', loginParams?.clientId || (this.#clientId as string));\n    formBody.set('redirect_uri', loginParams?.redirectUri || getWindowOrigin());\n\n    if (typeof sessionStorage !== 'undefined') {\n      const codeVerifier = sessionStorage.getItem('codeVerifier');\n      if (codeVerifier) {\n        formBody.set('code_verifier', codeVerifier);\n      }\n    }\n\n    return this.#fetchTokens(formBody);\n  }\n\n  /**\n   * Tries to refresh the auth tokens.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#RefreshTokens\n   */\n  #refresh(): Promise<void> | undefined {\n    if (this.#refreshPromise) {\n      return this.#refreshPromise;\n    }\n\n    if (this.#refreshToken) {\n      const formBody = new URLSearchParams();\n      formBody.set('grant_type', 'refresh_token');\n      formBody.set('client_id', this.#clientId as string);\n      formBody.set('refresh_token', this.#refreshToken);\n      this.#refreshPromise = this.#fetchTokens(formBody);\n      return this.#refreshPromise;\n    }\n\n    if (this.#clientId && this.#clientSecret) {\n      this.#refreshPromise = this.startClientLogin(this.#clientId, this.#clientSecret);\n      return this.#refreshPromise;\n    }\n\n    return undefined;\n  }\n\n  /**\n   * Starts a new OAuth2 client credentials flow.\n   * See: https://datatracker.ietf.org/doc/html/rfc6749#section-4.4\n   * @category Authentication\n   * @param clientId The client ID.\n   * @param clientSecret The client secret.\n   * @returns Promise that resolves to the client profile.\n   */\n  async startClientLogin(clientId: string, clientSecret: string): Promise<ProfileResource> {\n    this.#clientId = clientId;\n    this.#clientSecret = clientSecret;\n\n    const formBody = new URLSearchParams();\n    formBody.set('grant_type', 'client_credentials');\n    formBody.set('client_id', clientId);\n    formBody.set('client_secret', clientSecret);\n    return this.#fetchTokens(formBody);\n  }\n\n  /**\n   * Makes a POST request to the tokens endpoint.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#TokenEndpoint\n   * @param formBody Token parameters in URL encoded format.\n   */\n  async #fetchTokens(formBody: URLSearchParams): Promise<ProfileResource> {\n    const response = await this.#fetch(this.#tokenUrl, {\n      method: 'POST',\n      headers: { 'Content-Type': 'application/x-www-form-urlencoded' },\n      body: formBody,\n      credentials: 'include',\n    });\n    if (!response.ok) {\n      this.clearActiveLogin();\n      throw new Error('Failed to fetch tokens');\n    }\n    const tokens = await response.json();\n    await this.#verifyTokens(tokens);\n    return this.getProfile() as ProfileResource;\n  }\n\n  /**\n   * Verifies the tokens received from the auth server.\n   * Validates the JWT against the JWKS.\n   * See: https://openid.net/specs/openid-connect-core-1_0.html#TokenEndpoint\n   * @param tokens\n   */\n  async #verifyTokens(tokens: TokenResponse): Promise<void> {\n    const token = tokens.access_token;\n\n    // Verify token has not expired\n    const tokenPayload = parseJWTPayload(token);\n    if (Date.now() >= (tokenPayload.exp as number) * 1000) {\n      this.clearActiveLogin();\n      throw new Error('Token expired');\n    }\n\n    // Verify app_client_id\n    if (this.#clientId && tokenPayload.client_id !== this.#clientId) {\n      this.clearActiveLogin();\n      throw new Error('Token was not issued for this audience');\n    }\n\n    return this.setActiveLogin({\n      accessToken: token,\n      refreshToken: tokens.refresh_token,\n      project: tokens.project,\n      profile: tokens.profile,\n    });\n  }\n\n  /**\n   * Sets up a listener for window storage events.\n   * This synchronizes state across browser windows and browser tabs.\n   */\n  #setupStorageListener(): void {\n    try {\n      window.addEventListener('storage', (e: StorageEvent) => {\n        if (e.key === null || e.key === 'activeLogin') {\n          // Storage events fire when different tabs make changes.\n          // On storage clear (key === null) or activeLogin change (key === 'activeLogin')\n          // Refresh the page to ensure the active login is up to date.\n          window.location.reload();\n        }\n      });\n    } catch (err) {\n      // Silently ignore if this environment does not support storage events\n    }\n  }\n}\n\n/**\n * Returns the default fetch method.\n * The default fetch is currently only available in browser environments.\n * If you want to use SSR such as Next.js, you should pass a custom fetch function.\n * @returns The default fetch function for the current environment.\n */\nfunction getDefaultFetch(): FetchLike {\n  if (!globalThis.fetch) {\n    throw new Error('Fetch not available in this environment');\n  }\n  return globalThis.fetch.bind(globalThis);\n}\n\n/**\n * Returns the base URL for the current page.\n * @category HTTP\n */\nfunction getWindowOrigin(): string {\n  if (typeof window === 'undefined') {\n    return '';\n  }\n  return window.location.protocol + '//' + window.location.host + '/';\n}\n\nfunction ensureTrailingSlash(url: string | undefined): string | undefined {\n  if (!url) {\n    return url;\n  }\n  return url.endsWith('/') ? url : url + 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