@metriport/fhir-sdk 1.2.7 → 1.3.0

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

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+"use strict";
+Object.defineProperty(exports, "__esModule", { value: true });
+/* eslint-disable @typescript-eslint/no-explicit-any */
+const index_1 = require("../index");
+const fhir_bundles_1 = require("./fixtures/fhir-bundles");
+describe("Reverse References", () => {
+    describe("getResourcesReferencingId - basic functionality", () => {
+        it("should return all resources that reference a given resource ID", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // patient-123 is referenced by:
+            // - encounter-789 (subject)
+            // - observation-001 (subject)
+            // - diagnostic-report-002 (subject)
+            const referencingResources = sdk.getResourcesReferencingId("patient-123");
+            expect(referencingResources).toHaveLength(3);
+            const resourceTypes = referencingResources.map(r => r.resourceType).sort();
+            expect(resourceTypes).toEqual(["DiagnosticReport", "Encounter", "Observation"]);
+        });
+        it("should return empty array when no resources reference the given ID", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const referencingResources = sdk.getResourcesReferencingId("nonexistent-id");
+            expect(referencingResources).toEqual([]);
+        });
+        it("should handle resources referenced by multiple other resources", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // encounter-789 is referenced by:
+            // - observation-001 (encounter)
+            // - diagnostic-report-002 (encounter)
+            const referencingResources = sdk.getResourcesReferencingId("encounter-789");
+            expect(referencingResources).toHaveLength(2);
+            expect(referencingResources.every(r => r.resourceType === "Observation" || r.resourceType === "DiagnosticReport")).toBe(true);
+        });
+        it("should handle resources referenced by array fields", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // practitioner-456 is referenced by:
+            // - encounter-789 (participant array)
+            // - observation-001 (performer array)
+            // - diagnostic-report-002 (performer array)
+            const referencingResources = sdk.getResourcesReferencingId("practitioner-456");
+            expect(referencingResources).toHaveLength(3);
+        });
+    });
+    describe("getResourcesReferencingId - filtering by resource type", () => {
+        it("should filter by source resource type", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // Get only Observations that reference patient-123
+            const observations = sdk.getResourcesReferencingId("patient-123", {
+                resourceType: "Observation",
+            });
+            expect(observations).toHaveLength(1);
+            expect(observations[0]?.resourceType).toBe("Observation");
+            expect(observations[0]?.id).toBe("observation-001");
+        });
+        it("should return empty array when filtering by type with no matches", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // No Practitioners reference patient-123
+            const practitioners = sdk.getResourcesReferencingId("patient-123", {
+                resourceType: "Practitioner",
+            });
+            expect(practitioners).toEqual([]);
+        });
+        it("should handle multiple resources of same type referencing target", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.mixedResourceTypesBundle);
+            // patient-mix-1 is referenced by observation-mix-1 and observation-mix-2
+            const observations = sdk.getResourcesReferencingId("patient-mix-1", {
+                resourceType: "Observation",
+            });
+            expect(observations).toHaveLength(2);
+            expect(observations.every(o => o.resourceType === "Observation")).toBe(true);
+        });
+    });
+    describe("getResourcesReferencingId - filtering by reference field", () => {
+        it("should filter by specific reference field", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // Get only resources that reference patient-123 via "subject" field
+            const subjectReferences = sdk.getResourcesReferencingId("patient-123", {
+                referenceField: "subject",
+            });
+            expect(subjectReferences).toHaveLength(3);
+            expect(subjectReferences.every(r => {
+                const resource = r;
+                return resource.subject?.reference?.includes("patient-123");
+            })).toBe(true);
+        });
+        it("should filter by nested reference field", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // Get only resources that reference practitioner-456 via "performer" field
+            const performerReferences = sdk.getResourcesReferencingId("practitioner-456", {
+                referenceField: "performer",
+            });
+            expect(performerReferences.length).toBeGreaterThan(0);
+        });
+        it("should return empty array when field does not match", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // No resources reference patient-123 via "performer" field
+            const performerReferences = sdk.getResourcesReferencingId("patient-123", {
+                referenceField: "performer",
+            });
+            expect(performerReferences).toEqual([]);
+        });
+    });
+    describe("getResourcesReferencingId - combined filters", () => {
+        it("should apply both resourceType and referenceField filters", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            // Get only Observations that reference patient-123 via "subject"
+            const observations = sdk.getResourcesReferencingId("patient-123", {
+                resourceType: "Observation",
+                referenceField: "subject",
+            });
+            expect(observations).toHaveLength(1);
+            expect(observations[0]?.resourceType).toBe("Observation");
+            expect(observations[0]?.id).toBe("observation-001");
+        });
+    });
+    describe("Smart resource getReferencingResources method", () => {
+        it("should expose getReferencingResources on smart resources", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const patient = sdk.getPatientById("patient-123");
+            expect(patient).toBeDefined();
+            expect(typeof patient.getReferencingResources).toBe("function");
+        });
+        it("should return all resources referencing the smart resource", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const patient = sdk.getPatientById("patient-123");
+            const referencingResources = patient.getReferencingResources();
+            expect(referencingResources).toHaveLength(3);
+            const resourceTypes = referencingResources.map((r) => r.resourceType).sort();
+            expect(resourceTypes).toEqual(["DiagnosticReport", "Encounter", "Observation"]);
+        });
+        it("should support filtering options on smart resource method", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const patient = sdk.getPatientById("patient-123");
+            const observations = patient.getReferencingResources({
+                resourceType: "Observation",
+            });
+            expect(observations).toHaveLength(1);
+            expect(observations[0].resourceType).toBe("Observation");
+        });
+        it("should support referenceField filtering on smart resource method", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const patient = sdk.getPatientById("patient-123");
+            const subjectReferences = patient.getReferencingResources({
+                referenceField: "subject",
+            });
+            expect(subjectReferences).toHaveLength(3);
+        });
+        it("should return empty array when smart resource is not referenced", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const practitioner = sdk.getPractitionerById("practitioner-456");
+            // Check if the method exists and returns an array
+            const pracReferences = practitioner.getReferencingResources();
+            expect(Array.isArray(pracReferences)).toBe(true);
+        });
+        it("should work with resources that have no ID", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const observation = sdk.getObservationById("observation-001");
+            const referencingResources = observation.getReferencingResources();
+            // observation-001 is referenced by diagnostic-report-002 in the "result" field
+            expect(referencingResources).toHaveLength(1);
+            expect(referencingResources[0].resourceType).toBe("DiagnosticReport");
+        });
+    });
+    describe("Edge cases", () => {
+        it("should handle bundle with no references", async () => {
+            const bundle = {
+                resourceType: "Bundle",
+                type: "collection",
+                entry: [
+                    {
+                        resource: {
+                            resourceType: "Patient",
+                            id: "patient-solo",
+                            name: [{ family: "Solo" }],
+                        },
+                    },
+                ],
+            };
+            const sdk = await index_1.FhirBundleSdk.create(bundle);
+            const referencingResources = sdk.getResourcesReferencingId("patient-solo");
+            expect(referencingResources).toEqual([]);
+        });
+        it("should handle resources with fullUrl references", async () => {
+            const bundle = {
+                resourceType: "Bundle",
+                type: "collection",
+                entry: [
+                    {
+                        fullUrl: "urn:uuid:patient-fullurl-test",
+                        resource: {
+                            resourceType: "Patient",
+                            id: "patient-fullurl-test",
+                            name: [{ family: "FullUrl" }],
+                        },
+                    },
+                    {
+                        resource: {
+                            resourceType: "Observation",
+                            id: "observation-fullurl-test",
+                            status: "final",
+                            code: { text: "Test" },
+                            subject: {
+                                reference: "urn:uuid:patient-fullurl-test",
+                            },
+                        },
+                    },
+                ],
+            };
+            const sdk = await index_1.FhirBundleSdk.create(bundle);
+            // Should work with resource ID
+            const referencingById = sdk.getResourcesReferencingId("patient-fullurl-test");
+            expect(referencingById).toHaveLength(1);
+            // Should also work with fullUrl
+            const referencingByFullUrl = sdk.getResourcesReferencingId("urn:uuid:patient-fullurl-test");
+            expect(referencingByFullUrl).toHaveLength(1);
+        });
+        it("should return smart resources from reverse lookup", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const referencingResources = sdk.getResourcesReferencingId("patient-123");
+            // Check that returned resources are smart resources
+            expect(referencingResources.length).toBeGreaterThan(0);
+            expect(referencingResources[0].__isSmartResource).toBe(true);
+        });
+    });
+    describe("Performance", () => {
+        it("should perform reverse lookup in constant time", async () => {
+            const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+            const iterations = 100;
+            const times = [];
+            for (let i = 0; i < iterations; i++) {
+                const start = performance.now();
+                sdk.getResourcesReferencingId("patient-123");
+                const end = performance.now();
+                times.push(end - start);
+            }
+            const avgTime = times.reduce((a, b) => a + b) / times.length;
+            // Should be extremely fast (under 1ms on average)
+            expect(avgTime).toBeLessThan(1);
+        });
+    });
+});
+//# sourceMappingURL=reverse-references.test.js.map

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

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package/dist/demo-reverse-references.d.ts

@@ -0,0 +1,7 @@
+/**
+ * Demo script showcasing reverse reference functionality in FHIR SDK
+ *
+ * Run with: npx ts-node src/demo-reverse-references.ts
+ */
+export {};
+//# sourceMappingURL=demo-reverse-references.d.ts.map

package/dist/demo-reverse-references.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"demo-reverse-references.d.ts","sourceRoot":"","sources":["../src/demo-reverse-references.ts"],"names":[],"mappings":"AAAA;;;;GAIG"}

package/dist/demo-reverse-references.js

@@ -0,0 +1,207 @@
+"use strict";
+/**
+ * Demo script showcasing reverse reference functionality in FHIR SDK
+ *
+ * Run with: npx ts-node src/demo-reverse-references.ts
+ */
+Object.defineProperty(exports, "__esModule", { value: true });
+const index_1 = require("./index");
+const fhir_bundles_1 = require("./__tests__/fixtures/fhir-bundles");
+async function demonstrateReverseReferences() {
+  console.log("=".repeat(80));
+  console.log("FHIR SDK - Reverse Reference Lookup Demo");
+  console.log("=".repeat(80));
+  console.log();
+  // Create SDK instance with sample bundle
+  const sdk = await index_1.FhirBundleSdk.create(fhir_bundles_1.validCompleteBundle);
+  console.log(`📦 Loaded bundle with ${sdk.total} resources`);
+  console.log();
+  // ============================================================================
+  // DEMO 1: Find all resources that reference a patient
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 1: Find all resources that reference a specific patient");
+  console.log("─".repeat(80));
+  const patientId = "patient-123";
+  console.log(`\n🔍 Finding all resources that reference Patient/${patientId}...\n`);
+  const referencingPatient = sdk.getResourcesReferencingId(patientId);
+  console.log(`Found ${referencingPatient.length} resources:\n`);
+  for (const resource of referencingPatient) {
+    console.log(`  ✓ ${resource.resourceType}/${resource.id}`);
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 2: Filter by resource type
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 2: Filter reverse references by resource type");
+  console.log("─".repeat(80));
+  console.log(`\n🔍 Finding only Observations that reference Patient/${patientId}...\n`);
+  const observations = sdk.getResourcesReferencingId(patientId, {
+    resourceType: "Observation",
+  });
+  console.log(`Found ${observations.length} Observation(s):\n`);
+  for (const obs of observations) {
+    const obsData = obs;
+    console.log(`  ✓ Observation/${obs.id}`);
+    console.log(`    Code: ${obsData.code?.text || "N/A"}`);
+    console.log(
+      `    Value: ${obsData.valueQuantity?.value || "N/A"} ${obsData.valueQuantity?.unit || ""}`
+    );
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 3: Filter by reference field
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 3: Filter reverse references by field name");
+  console.log("─".repeat(80));
+  console.log(
+    `\n🔍 Finding resources that reference Patient/${patientId} via 'subject' field...\n`
+  );
+  const subjectReferences = sdk.getResourcesReferencingId(patientId, {
+    referenceField: "subject",
+  });
+  console.log(`Found ${subjectReferences.length} resource(s) with 'subject' reference:\n`);
+  for (const resource of subjectReferences) {
+    console.log(`  ✓ ${resource.resourceType}/${resource.id}`);
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 4: Combined filters
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 4: Combine resource type and field filters");
+  console.log("─".repeat(80));
+  const practitionerId = "practitioner-456";
+  console.log(
+    `\n🔍 Finding Observations that reference Practitioner/${practitionerId} via 'performer'...\n`
+  );
+  const performerObs = sdk.getResourcesReferencingId(practitionerId, {
+    resourceType: "Observation",
+    referenceField: "performer",
+  });
+  console.log(`Found ${performerObs.length} Observation(s):\n`);
+  for (const obs of performerObs) {
+    console.log(`  ✓ Observation/${obs.id}`);
+    console.log(`    Performed by: Practitioner/${practitionerId}`);
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 5: Smart resource method
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 5: Using smart resource getReferencingResources() method");
+  console.log("─".repeat(80));
+  const patient = sdk.getPatientById(patientId);
+  if (patient) {
+    console.log(`\n👤 Patient: ${patient.name?.[0]?.family}, ${patient.name?.[0]?.given?.[0]}`);
+    console.log(`   Gender: ${patient.gender}`);
+    console.log(`   Birth Date: ${patient.birthDate}\n`);
+    // Use the smart resource method
+    const referencingResources = patient.getReferencingResources();
+    console.log(`📊 This patient is referenced by ${referencingResources.length} resources:\n`);
+    // Group by resource type
+    const byType = referencingResources.reduce((acc, r) => {
+      acc[r.resourceType] = (acc[r.resourceType] || 0) + 1;
+      return acc;
+    }, {});
+    for (const [type, count] of Object.entries(byType)) {
+      console.log(`  • ${type}: ${count}`);
+    }
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 6: Discover related encounters
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 6: Discover what happened during an encounter");
+  console.log("─".repeat(80));
+  const encounterId = "encounter-789";
+  console.log(`\n🏥 Finding all clinical activities during Encounter/${encounterId}...\n`);
+  const encounterReferences = sdk.getResourcesReferencingId(encounterId, {
+    referenceField: "encounter",
+  });
+  console.log(`Found ${encounterReferences.length} clinical record(s) from this encounter:\n`);
+  for (const resource of encounterReferences) {
+    const data = resource;
+    console.log(`  📋 ${resource.resourceType}/${resource.id}`);
+    if (resource.resourceType === "Observation") {
+      console.log(`     Type: ${data.code?.text || "N/A"}`);
+      console.log(`     Status: ${data.status}`);
+    } else if (resource.resourceType === "DiagnosticReport") {
+      console.log(`     Type: ${data.code?.text || "N/A"}`);
+      console.log(`     Status: ${data.status}`);
+      console.log(`     Results: ${data.result?.length || 0} observation(s)`);
+    }
+  }
+  console.log();
+  // ============================================================================
+  // DEMO 7: Performance comparison
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 7: Performance - O(1) reverse lookup");
+  console.log("─".repeat(80));
+  console.log("\n⚡ Running 1000 reverse reference lookups...\n");
+  const iterations = 1000;
+  const startTime = performance.now();
+  for (let i = 0; i < iterations; i++) {
+    sdk.getResourcesReferencingId(patientId);
+  }
+  const endTime = performance.now();
+  const avgTime = (endTime - startTime) / iterations;
+  console.log(`  Total time: ${(endTime - startTime).toFixed(2)}ms`);
+  console.log(`  Average per lookup: ${avgTime.toFixed(4)}ms`);
+  console.log(
+    `  Performance: ${
+      avgTime < 0.1
+        ? "✅ Excellent (< 0.1ms)"
+        : avgTime < 1
+        ? "✅ Good (< 1ms)"
+        : "⚠️ Could be better"
+    }`
+  );
+  console.log();
+  // ============================================================================
+  // DEMO 8: Bi-directional reference navigation
+  // ============================================================================
+  console.log("─".repeat(80));
+  console.log("DEMO 8: Bi-directional reference navigation");
+  console.log("─".repeat(80));
+  console.log("\n🔄 Demonstrating forward and reverse reference navigation...\n");
+  const observation = sdk.getObservationById("observation-001");
+  if (observation) {
+    console.log(`Starting from: Observation/${observation.id}`);
+    console.log();
+    // Forward reference: Get the patient
+    console.log("➡️  Forward: observation.getSubject()");
+    const subject = observation.getSubject();
+    if (subject) {
+      console.log(`    Found: ${subject.resourceType}/${subject.id}`);
+      console.log();
+      // Reverse reference: Get all resources referencing this patient
+      console.log("⬅️  Reverse: patient.getReferencingResources()");
+      const backReferences = subject.getReferencingResources();
+      console.log(`    Found ${backReferences.length} resources referencing this patient:`);
+      for (const ref of backReferences) {
+        console.log(`      • ${ref.resourceType}/${ref.id}`);
+      }
+    }
+  }
+  console.log();
+  // ============================================================================
+  console.log("=".repeat(80));
+  console.log("✨ Demo complete! All reverse reference features showcased.");
+  console.log("=".repeat(80));
+}
+// Run the demo
+demonstrateReverseReferences()
+  .then(() => {
+    console.log("\n✅ Demo completed successfully\n");
+    process.exit(0);
+  })
+  .catch(error => {
+    console.error("\n❌ Demo failed:", error);
+    process.exit(1);
+  });
+//# sourceMappingURL=demo-reverse-references.js.map

package/dist/demo-reverse-references.js.map

@@ -0,0 +1 @@
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