@metriport/fhir-sdk 1.12.0 → 2.0.0

package/dist/__tests__/reverse-references.test.js

@@ -221,6 +221,249 @@ describe("Reverse References", () => {
             expect(referencingResources[0].__isSmartResource).toBe(true);
         });
     });
+    describe("Nested reference field filtering", () => {
+        describe("Array-based nesting (e.g., diagnosis.condition)", () => {
+            it("should filter by diagnosis.condition nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+                // condition-222 is referenced by encounter-789 via diagnosis[].condition
+                const referencingResources = sdk.getResourcesReferencingId("condition-222", {
+                    referenceField: "diagnosis.condition",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("Encounter");
+                expect(referencingResources[0]?.id).toBe("encounter-789");
+            });
+            it("should filter by participant.individual nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+                // practitioner-456 is referenced by encounter-789 via participant[].individual
+                const referencingResources = sdk.getResourcesReferencingId("practitioner-456", {
+                    referenceField: "participant.individual",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("Encounter");
+                expect(referencingResources[0]?.id).toBe("encounter-789");
+            });
+            it("should filter by location.location nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+                // location-111 is referenced by encounter-789 via location[].location
+                const referencingResources = sdk.getResourcesReferencingId("location-111", {
+                    referenceField: "location.location",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("Encounter");
+            });
+        });
+        describe("Non-array based nesting (e.g., hospitalization.origin)", () => {
+            it("should filter by hospitalization.origin nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+                // location-111 is referenced by encounter-789 via hospitalization.origin
+                const referencingResources = sdk.getResourcesReferencingId("location-111", {
+                    referenceField: "hospitalization.origin",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("Encounter");
+                expect(referencingResources[0]?.id).toBe("encounter-789");
+            });
+            it("should filter by hospitalization.destination nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+                // location-111 is referenced by encounter-789 via hospitalization.destination
+                const referencingResources = sdk.getResourcesReferencingId("location-111", {
+                    referenceField: "hospitalization.destination",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("Encounter");
+                expect(referencingResources[0]?.id).toBe("encounter-789");
+            });
+        });
+        describe("Doubly nested arrays (e.g., activity.detail.goal)", () => {
+            const bundleWithDoublyNestedRefs = {
+                resourceType: "Bundle",
+                type: "collection",
+                entry: [
+                    {
+                        resource: {
+                            resourceType: "Goal",
+                            id: "goal-1",
+                            lifecycleStatus: "active",
+                            description: { text: "Test Goal 1" },
+                            subject: { reference: "Patient/patient-123" },
+                        },
+                    },
+                    {
+                        resource: {
+                            resourceType: "Goal",
+                            id: "goal-2",
+                            lifecycleStatus: "active",
+                            description: { text: "Test Goal 2" },
+                            subject: { reference: "Patient/patient-123" },
+                        },
+                    },
+                    {
+                        resource: {
+                            resourceType: "CarePlan",
+                            id: "careplan-1",
+                            status: "active",
+                            intent: "plan",
+                            subject: { reference: "Patient/patient-123" },
+                            activity: [
+                                {
+                                    detail: {
+                                        status: "in-progress",
+                                        goal: [{ reference: "Goal/goal-1" }, { reference: "Goal/goal-2" }],
+                                    },
+                                },
+                            ],
+                        },
+                    },
+                    {
+                        resource: {
+                            resourceType: "CarePlan",
+                            id: "careplan-2",
+                            status: "active",
+                            intent: "plan",
+                            subject: { reference: "Patient/patient-123" },
+                            activity: [
+                                {
+                                    detail: {
+                                        status: "scheduled",
+                                        goal: [{ reference: "Goal/goal-1" }],
+                                    },
+                                },
+                            ],
+                        },
+                    },
+                ],
+            };
+            it("should filter by activity.detail.goal doubly nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(bundleWithDoublyNestedRefs);
+                // goal-1 is referenced by both careplan-1 and careplan-2 via activity[].detail.goal[]
+                const referencingResources = sdk.getResourcesReferencingId("goal-1", {
+                    referenceField: "activity.detail.goal",
+                });
+                expect(referencingResources).toHaveLength(2);
+                expect(referencingResources.every(r => r.resourceType === "CarePlan")).toBe(true);
+                const ids = referencingResources.map(r => r.id).sort();
+                expect(ids).toEqual(["careplan-1", "careplan-2"]);
+            });
+            it("should find only CarePlans that reference a specific goal via doubly nested path", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(bundleWithDoublyNestedRefs);
+                // goal-2 is only referenced by careplan-1
+                const referencingResources = sdk.getResourcesReferencingId("goal-2", {
+                    referenceField: "activity.detail.goal",
+                });
+                expect(referencingResources).toHaveLength(1);
+                expect(referencingResources[0]?.resourceType).toBe("CarePlan");
+                expect(referencingResources[0]?.id).toBe("careplan-1");
+            });
+        });
+        describe("Questionnaire item nested paths", () => {
+            it("should filter by item.enableWhen.answerReference", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+                const refs = sdk.getResourcesReferencingId("patient-q-enable", {
+                    resourceType: "Questionnaire",
+                    referenceField: "item.enableWhen.answerReference",
+                });
+                expect(refs).toHaveLength(1);
+                expect(refs[0]?.id).toBe("questionnaire-nested-1");
+            });
+            it("should filter by item.answerOption.valueReference", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+                const refs = sdk.getResourcesReferencingId("patient-q-answer", {
+                    resourceType: "Questionnaire",
+                    referenceField: "item.answerOption.valueReference",
+                });
+                expect(refs).toHaveLength(1);
+                expect(refs[0]?.id).toBe("questionnaire-nested-1");
+            });
+            it("should filter by item.initial.valueReference", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+                const refs = sdk.getResourcesReferencingId("patient-q-initial", {
+                    resourceType: "Questionnaire",
+                    referenceField: "item.initial.valueReference",
+                });
+                expect(refs).toHaveLength(1);
+                expect(refs[0]?.id).toBe("questionnaire-nested-1");
+            });
+            it("should filter by item.item.initial.valueReference for nested groups", async () => {
+                const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+                const refs = sdk.getResourcesReferencingId("patient-q-nested", {
+                    resourceType: "Questionnaire",
+                    referenceField: "item.item.initial.valueReference",
+                });
+                expect(refs).toHaveLength(1);
+                expect(refs[0]?.id).toBe("questionnaire-nested-1");
+            });
+        });
+        describe("Filtering should not match partial paths", () => {
+            it("should not match diagnosis when filtering for diagnosis.condition", async () => {
+                // Create a bundle where diagnosis field alone doesn't match
+                const bundleWithMultipleRefs = {
+                    resourceType: "Bundle",
+                    type: "collection",
+                    entry: [
+                        {
+                            resource: {
+                                resourceType: "Location",
+                                id: "location-test",
+                                name: "Test Location",
+                            },
+                        },
+                        {
+                            resource: {
+                                resourceType: "Encounter",
+                                id: "encounter-test",
+                                status: "finished",
+                                class: { code: "AMB" },
+                                location: [
+                                    {
+                                        location: { reference: "Location/location-test" },
+                                    },
+                                ],
+                            },
+                        },
+                    ],
+                };
+                const sdk = await index_1.FhirBundleSdk.create(bundleWithMultipleRefs);
+                // Should match location.location
+                const locationRefs = sdk.getResourcesReferencingId("location-test", {
+                    referenceField: "location.location",
+                });
+                expect(locationRefs).toHaveLength(1);
+                // Should NOT match just "location" since it's stored as "location.location"
+                const partialRefs = sdk.getResourcesReferencingId("location-test", {
+                    referenceField: "location",
+                });
+                expect(partialRefs).toHaveLength(0);
+            });
+        });
+    });
+    describe("Questionnaire nested item references", () => {
+        it("should index reverse references from item.enableWhen.answerReference", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+            const refs = sdk.getResourcesReferencingId("patient-q-enable");
+            expect(refs).toHaveLength(1);
+            expect(refs[0]?.resourceType).toBe("Questionnaire");
+            expect(refs[0]?.id).toBe("questionnaire-nested-1");
+        });
+        it("should index reverse references from item.answerOption.valueReference", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+            const refs = sdk.getResourcesReferencingId("patient-q-answer");
+            expect(refs).toHaveLength(1);
+            expect(refs[0]?.id).toBe("questionnaire-nested-1");
+        });
+        it("should index reverse references from item.initial.valueReference", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+            const refs = sdk.getResourcesReferencingId("patient-q-initial");
+            expect(refs).toHaveLength(1);
+            expect(refs[0]?.id).toBe("questionnaire-nested-1");
+        });
+        it("should index reverse references from nested item.item initial.valueReference", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.questionnaireTraversalBundle);
+            const refs = sdk.getResourcesReferencingId("patient-q-nested");
+            expect(refs).toHaveLength(1);
+            expect(refs[0]?.id).toBe("questionnaire-nested-1");
+        });
+    });
     describe("Performance", () => {
         it("should perform reverse lookup in constant time", async () => {
             const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);

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package/dist/index.d.ts

@@ -1,5 +1,5 @@
 export { FhirBundleSdk } from "./fhir-bundle-sdk";
-export { Smart, SmartCoding, SmartCodeableConcept } from "./types/smart-resources";
+export { Smart, SmartCoding, SmartCodeableConcept, KnownReferenceField, } from "./types/smart-resources";
 export { ValidationResult, BrokenReference, BundleDiffResult, WalkOptions, LLMContextOptions, WalkResult, ReverseReferenceOptions, DateRangeSearchOptions, } from "./types/sdk-types";
 export type { ObservationCodingFields, ConditionCodingFields, ProcedureCodingFields, AllergyIntoleranceCodingFields, EncounterCodingFields, DiagnosticReportCodingFields, ImmunizationCodingFields, MedicationCodingFields, MedicationRequestCodingFields, MedicationAdministrationCodingFields, MedicationDispenseCodingFields, MedicationStatementCodingFields, FamilyMemberHistoryCodingFields, RelatedPersonCodingFields, RiskAssessmentCodingFields, ServiceRequestCodingFields, CarePlanCodingFields, PatientCodingFields, PractitionerCodingFields, OrganizationCodingFields, LocationCodingFields, CompositionCodingFields, CoverageCodingFields, DocumentReferenceCodingFields, SmartObservation, SmartCondition, SmartProcedure, SmartAllergyIntolerance, SmartEncounter, SmartDiagnosticReport, SmartImmunization, SmartMedication, SmartMedicationRequest, SmartMedicationAdministration, SmartMedicationDispense, SmartMedicationStatement, SmartFamilyMemberHistory, SmartRelatedPerson, SmartRiskAssessment, SmartServiceRequest, SmartCarePlan, SmartPatient, SmartPractitioner, SmartOrganization, SmartLocation, SmartComposition, SmartCoverage, SmartDocumentReference, } from "./types/coding-fields";
 export { getClinicalDateRange, ResourceDateRange } from "./clinical-dates";

package/dist/index.d.ts.map

@@ -1 +1 @@
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package/dist/index.js.map

@@ -1 +1 @@
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+{"version":3,"file":"index.js","sourceRoot":"","sources":["../src/index.ts"],"names":[],"mappings":";;;;;;;;;;;;;;;;;AAAA,qDAAkD;AAAzC,gHAAA,aAAa,OAAA;AAqEtB,mDAA2E;AAAlE,sHAAA,oBAAoB,OAAA;AAiC7B,gDAA8B"}

package/dist/internal/reference-utils.d.ts

@@ -11,9 +11,10 @@ export declare function findAllReferences(resource: Resource): Array<{
  */
 export declare function extractTargetIdFromReference(reference: string): string | undefined;
 /**
- * Normalize reference field path to base field name
- * e.g., "participant.individual" -> "participant"
+ * Normalize reference field path by removing array indices but preserving nested paths.
+ * e.g., "diagnosis[0].condition" -> "diagnosis.condition"
  *       "performer[0]" -> "performer"
+ *       "participant[0].individual" -> "participant.individual"
  */
 export declare function normalizeReferenceField(field: string): string;
 /**

package/dist/internal/reference-utils.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"reference-utils.d.ts","sourceRoot":"","sources":["../../src/internal/reference-utils.ts"],"names":[],"mappings":"AAAA,OAAO,EAAE,QAAQ,EAAE,MAAM,oBAAoB,CAAC;AAE9C;;GAEG;AACH,wBAAgB,iBAAiB,CAAC,QAAQ,EAAE,QAAQ,GAAG,KAAK,CAAC;IAAE,KAAK,EAAE,MAAM,CAAC;IAAC,SAAS,EAAE,MAAM,CAAA;CAAE,CAAC,CAkCjG;AAED;;GAEG;AACH,wBAAgB,4BAA4B,CAAC,SAAS,EAAE,MAAM,GAAG,MAAM,GAAG,SAAS,CAalF;AAED;;;;;GAKG;AACH,wBAAgB,uBAAuB,CAAC,KAAK,EAAE,MAAM,GAAG,MAAM,CAG7D;AAED;;;;;GAKG;AACH,wBAAgB,mBAAmB,CACjC,SAAS,EAAE,MAAM,EACjB,aAAa,EAAE,GAAG,CAAC,MAAM,EAAE,QAAQ,CAAC,EACpC,kBAAkB,EAAE,GAAG,CAAC,MAAM,EAAE,QAAQ,CAAC,GACxC,OAAO,CAeT"}

package/dist/internal/reference-utils.js

@@ -53,16 +53,14 @@ function extractTargetIdFromReference(reference) {
 }
 exports.extractTargetIdFromReference = extractTargetIdFromReference;
 /**
- * Normalize reference field path to base field name
- * e.g., "participant.individual" -> "participant"
+ * Normalize reference field path by removing array indices but preserving nested paths.
+ * e.g., "diagnosis[0].condition" -> "diagnosis.condition"
  *       "performer[0]" -> "performer"
+ *       "participant[0].individual" -> "participant.individual"
  */
 function normalizeReferenceField(field) {
-    // Remove array indices
-    const withoutIndices = field.replace(/\[\d+\]/g, "");
-    // Take first part of dotted path
-    const parts = withoutIndices.split(".");
-    return parts[0] ?? field;
+    // Remove array indices while preserving the full nested path
+    return field.replace(/\[\d+\]/g, "");
 }
 exports.normalizeReferenceField = normalizeReferenceField;
 /**

package/dist/internal/reference-utils.js.map

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+{"version":3,"file":"reference-utils.js","sourceRoot":"","sources":["../../src/internal/reference-utils.ts"],"names":[],"mappings":";;;AAEA;;GAEG;AACH,SAAgB,iBAAiB,CAAC,QAAkB;IAClD,MAAM,UAAU,GAAgD,EAAE,CAAC;IAEnE,8DAA8D;IAC9D,SAAS,YAAY,CAAC,GAAQ,EAAE,IAAI,GAAG,EAAE;QACvC,IAAI,CAAC,GAAG,IAAI,OAAO,GAAG,KAAK,QAAQ,EAAE;YACnC,OAAO;SACR;QAED,sCAAsC;QACtC,IAAI,GAAG,CAAC,SAAS,IAAI,OAAO,GAAG,CAAC,SAAS,KAAK,QAAQ,EAAE;YACtD,UAAU,CAAC,IAAI,CAAC;gBACd,KAAK,EAAE,IAAI,IAAI,WAAW;gBAC1B,SAAS,EAAE,GAAG,CAAC,SAAS;aACzB,CAAC,CAAC;YACH,OAAO;SACR;QAED,uCAAuC;QACvC,KAAK,MAAM,CAAC,GAAG,EAAE,KAAK,CAAC,IAAI,MAAM,CAAC,OAAO,CAAC,GAAG,CAAC,EAAE;YAC9C,MAAM,WAAW,GAAG,IAAI,CAAC,CAAC,CAAC,GAAG,IAAI,IAAI,GAAG,EAAE,CAAC,CAAC,CAAC,GAAG,CAAC;YAElD,IAAI,KAAK,CAAC,OAAO,CAAC,KAAK,CAAC,EAAE;gBACxB,KAAK,CAAC,OAAO,CAAC,CAAC,IAAI,EAAE,KAAK,EAAE,EAAE;oBAC5B,YAAY,CAAC,IAAI,EAAE,GAAG,WAAW,IAAI,KAAK,GAAG,CAAC,CAAC;gBACjD,CAAC,CAAC,CAAC;aACJ;iBAAM,IAAI,KAAK,IAAI,OAAO,KAAK,KAAK,QAAQ,EAAE;gBAC7C,YAAY,CAAC,KAAK,EAAE,WAAW,CAAC,CAAC;aAClC;SACF;IACH,CAAC;IAED,YAAY,CAAC,QAAQ,CAAC,CAAC;IACvB,OAAO,UAAU,CAAC;AACpB,CAAC;AAlCD,8CAkCC;AAED;;GAEG;AACH,SAAgB,4BAA4B,CAAC,SAAiB;IAC5D,IAAI,CAAC,SAAS,EAAE;QACd,OAAO,SAAS,CAAC;KAClB;IAED,mCAAmC;IACnC,IAAI,SAAS,CAAC,QAAQ,CAAC,GAAG,CAAC,EAAE;QAC3B,MAAM,KAAK,GAAG,SAAS,CAAC,KAAK,CAAC,GAAG,CAAC,CAAC;QACnC,OAAO,KAAK,CAAC,KAAK,CAAC,MAAM,GAAG,CAAC,CAAC,CAAC;KAChC;IAED,yDAAyD;IACzD,OAAO,SAAS,CAAC;AACnB,CAAC;AAbD,oEAaC;AAED;;;;;GAKG;AACH,SAAgB,uBAAuB,CAAC,KAAa;IACnD,6DAA6D;IAC7D,OAAO,KAAK,CAAC,OAAO,CAAC,UAAU,EAAE,EAAE,CAAC,CAAC;AACvC,CAAC;AAHD,0DAGC;AAED;;;;;GAKG;AACH,SAAgB,mBAAmB,CACjC,SAAiB,EACjB,aAAoC,EACpC,kBAAyC;IAEzC,sDAAsD;IACtD,IAAI,SAAS,CAAC,QAAQ,CAAC,GAAG,CAAC,EAAE;QAC3B,MAAM,CAAC,EAAE,UAAU,CAAC,GAAG,SAAS,CAAC,KAAK,CAAC,GAAG,CAAC,CAAC;QAC5C,IAAI,UAAU,IAAI,aAAa,CAAC,GAAG,CAAC,UAAU,CAAC,EAAE;YAC/C,OAAO,IAAI,CAAC;SACb;KACF;IAED,mDAAmD;IACnD,IAAI,kBAAkB,CAAC,GAAG,CAAC,SAAS,CAAC,EAAE;QACrC,OAAO,IAAI,CAAC;KACb;IAED,OAAO,KAAK,CAAC;AACf,CAAC;AAnBD,kDAmBC"}

package/dist/types/sdk-types.d.ts

@@ -1,5 +1,5 @@
 import { Resource, BundleEntry } from "@medplum/fhirtypes";
-import { Smart } from "./smart-resources";
+import { Smart, KnownReferenceField } from "./smart-resources";
 import { Interval } from "../utils/interval-tree";
 import type { FhirBundleSdk } from "../fhir-bundle-sdk";
 /**
@@ -76,8 +76,12 @@ export interface ReverseReference {
 export interface ReverseReferenceOptions {
     /** Filter by source resource type */
     resourceType?: string;
-    /** Filter by specific reference field */
-    referenceField?: string;
+    /**
+     * Filter by specific reference field path.
+     * Use KnownReferenceField values for IDE autocomplete of valid paths.
+     * Examples: "subject", "encounter", "diagnosis.condition", "activity.detail.goal"
+     */
+    referenceField?: KnownReferenceField;
 }
 /**
  * Date index record for interval tree

package/dist/types/sdk-types.d.ts.map

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package/dist/types/sdk-types.js.map

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