@metriport/fhir-sdk 1.2.7 → 1.3.1

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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package/dist/fhir-bundle-sdk.d.ts

@@ -0,0 +1,222 @@
+import { AllergyIntolerance, Bundle, BundleEntry, Composition, Condition, Coverage, DiagnosticReport, DocumentReference, Encounter, FamilyMemberHistory, Immunization, Location, Medication, MedicationAdministration, MedicationDispense, MedicationRequest, MedicationStatement, Observation, Organization, Patient, Practitioner, Procedure, RelatedPerson, Resource, RiskAssessment, ServiceRequest } from "@medplum/fhirtypes";
+import { Smart } from "./types/smart-resources";
+import { ValidationResult, BundleDiffResult, WalkOptions, LLMContextOptions, WalkResult, ReverseReferenceOptions, DateRangeSearchOptions } from "./types/sdk-types";
+/**
+ * FHIR Bundle SDK for parsing, querying, and manipulating FHIR bundles with reference resolution
+ */
+export declare class FhirBundleSdk {
+    private bundle;
+    private resourcesById;
+    private resourcesByFullUrl;
+    private resourcesByType;
+    private reverseReferencesById;
+    private dateRangeIndex;
+    private smartResourceCache;
+    private smartResourceArrayCache;
+    private resolutionStack;
+    /**
+     * Configuration for dynamically generated resource getter methods.
+     *
+     * Each entry in this array automatically generates both single and collection getter methods.
+     *
+     * **Example:**
+     * ```typescript
+     * {
+     *   resourceType: 'Patient',
+     *   singleGetterMethodName: 'getPatientById',
+     *   collectionGetterMethodName: 'getPatients'
+     * }
+     * ```
+     *
+     * **Generates the equivalent of:**
+     * ```typescript
+     * // Single resource getter
+     * getPatientById(id: string): Smart<Patient> | undefined {
+     *   return this.getResourceByIdAndType<Patient>(id, 'Patient');
+     * }
+     *
+     * // Collection getter
+     * getPatients(): Smart<Patient>[] {
+     *   return this.getResourcesByType<Patient>('Patient');
+     * }
+     * ```
+     *
+     * **Usage:**
+     * ```typescript
+     * const sdk = await FhirBundleSdk.create(bundle);
+     * const patient = sdk.getPatientById('patient-123'); // Smart<Patient> | undefined
+     * const allPatients = sdk.getPatients(); // Smart<Patient>[]
+     * ```
+     *
+     * To add a new resource type, simply add a new entry to this array and declare
+     * the corresponding method signatures in the class body.
+     */
+    private static readonly RESOURCE_METHODS;
+    private constructor();
+    get total(): number;
+    get entry(): BundleEntry[];
+    toObject(): Bundle;
+    /**
+     * Strip non-clinical metadata from a FHIR resource to reduce noise for LLM consumption.
+     * Removes: meta, extension, modifierExtension, text
+     * Returns an immutable copy without mutating the original.
+     */
+    static stripNonClinicalData<T extends Resource>(resource: T): T;
+    /**
+     * Create a new FhirBundleSdk instance (async for backwards compatibility)
+     * FR-1.2: Validate bundle resourceType
+     */
+    static create(bundle: Bundle): Promise<FhirBundleSdk>;
+    /**
+     * Create a new FhirBundleSdk instance synchronously
+     * FR-1.2: Validate bundle resourceType
+     */
+    static createSync(bundle: Bundle): FhirBundleSdk;
+    /**
+     * Create a smart resource with reference resolution methods
+     * FR-5.1: Resources returned by SDK have additional getter methods for each Reference field
+     * FR-5.7: Reference resolution operates in O(1) time complexity per reference
+     * FR-5.8: Original reference fields remain unchanged
+     */
+    private createSmartResource;
+    /**
+     * FR-2.1: Validate all references in the bundle
+     * FR-2.2: Identifies references by Resource/id pattern and fullUrl references
+     * FR-2.3: Handles both relative and absolute references
+     * FR-2.4: Returns validation result with broken reference details
+     */
+    lookForBrokenReferences(): ValidationResult;
+    /**
+     * FR-3.1: Get resource by ID with type parameter support
+     * FR-3.2: Method searches both resource.id and entry.fullUrl for matches
+     * FR-3.4: Method returns undefined if resource not found
+     * FR-3.5: Lookup operates in O(1) time complexity
+     * FR-5.1: Returns smart resource with reference resolution methods
+     */
+    getResourceById<T extends Resource>(id: string): Smart<T> | undefined;
+    /**
+     * Generic helper method to get a resource by ID with type validation
+     */
+    private getResourceByIdAndType;
+    getPatientById: (id: string) => Smart<Patient> | undefined;
+    getObservationById: (id: string) => Smart<Observation> | undefined;
+    getEncounterById: (id: string) => Smart<Encounter> | undefined;
+    getAllergyIntoleranceById: (id: string) => Smart<AllergyIntolerance> | undefined;
+    getConditionById: (id: string) => Smart<Condition> | undefined;
+    getOrganizationById: (id: string) => Smart<Organization> | undefined;
+    getLocationById: (id: string) => Smart<Location> | undefined;
+    getPractitionerById: (id: string) => Smart<Practitioner> | undefined;
+    getDiagnosticReportById: (id: string) => Smart<DiagnosticReport> | undefined;
+    getCompositionById: (id: string) => Smart<Composition> | undefined;
+    getCoverageById: (id: string) => Smart<Coverage> | undefined;
+    getDocumentReferenceById: (id: string) => Smart<DocumentReference> | undefined;
+    getImmunizationById: (id: string) => Smart<Immunization> | undefined;
+    getMedicationById: (id: string) => Smart<Medication> | undefined;
+    getMedicationRequestById: (id: string) => Smart<MedicationRequest> | undefined;
+    getProcedureById: (id: string) => Smart<Procedure> | undefined;
+    getFamilyMemberHistoryById: (id: string) => Smart<FamilyMemberHistory> | undefined;
+    getMedicationAdministrationById: (id: string) => Smart<MedicationAdministration> | undefined;
+    getMedicationDispenseById: (id: string) => Smart<MedicationDispense> | undefined;
+    getMedicationStatementById: (id: string) => Smart<MedicationStatement> | undefined;
+    getRelatedPersonById: (id: string) => Smart<RelatedPerson> | undefined;
+    getRiskAssessmentById: (id: string) => Smart<RiskAssessment> | undefined;
+    getServiceRequestById: (id: string) => Smart<ServiceRequest> | undefined;
+    /**
+     * Generic helper method to get all resources of a specific type
+     * FR-10.1: Returns references to cached objects, not copies
+     */
+    private getResourcesByType;
+    getPatients: () => Smart<Patient>[];
+    getObservations: () => Smart<Observation>[];
+    getEncounters: () => Smart<Encounter>[];
+    getPractitioners: () => Smart<Practitioner>[];
+    getDiagnosticReports: () => Smart<DiagnosticReport>[];
+    getAllergyIntolerances: () => Smart<AllergyIntolerance>[];
+    getConditions: () => Smart<Condition>[];
+    getOrganizations: () => Smart<Organization>[];
+    getLocations: () => Smart<Location>[];
+    getCompositions: () => Smart<Composition>[];
+    getCoverages: () => Smart<Coverage>[];
+    getDocumentReferences: () => Smart<DocumentReference>[];
+    getImmunizations: () => Smart<Immunization>[];
+    getMedications: () => Smart<Medication>[];
+    getMedicationRequests: () => Smart<MedicationRequest>[];
+    getProcedures: () => Smart<Procedure>[];
+    getFamilyMemberHistories: () => Smart<FamilyMemberHistory>[];
+    getMedicationAdministrations: () => Smart<MedicationAdministration>[];
+    getMedicationDispenses: () => Smart<MedicationDispense>[];
+    getMedicationStatements: () => Smart<MedicationStatement>[];
+    getRelatedPersons: () => Smart<RelatedPerson>[];
+    getRiskAssessments: () => Smart<RiskAssessment>[];
+    getServiceRequests: () => Smart<ServiceRequest>[];
+    /**
+     * FR-6.1: Export subset of resources by their IDs
+     * FR-6.4: Exported bundles maintain original bundle metadata but update total count
+     * FR-6.5: Exported bundles include only resources that exist in the original bundle
+     * FR-6.6: Exported bundles preserve original entry.fullUrl values
+     */
+    exportSubset(resourceIds: string[]): Bundle;
+    /**
+     * FR-6.2: Export all resources of a specific type
+     * FR-6.4: Exported bundles maintain original bundle metadata but update total count
+     * FR-6.6: Exported bundles preserve original entry.fullUrl values
+     */
+    exportByType(resourceType: string): Bundle;
+    /**
+     * FR-6.3: Export all resources of specified types
+     * FR-6.4: Exported bundles maintain original bundle metadata but update total count
+     * FR-6.6: Exported bundles preserve original entry.fullUrl values
+     */
+    exportByTypes(resourceTypes: string[]): Bundle;
+    /**
+     * Concatenate entries from another FhirBundleSdk with this bundle
+     * Returns a new bundle with combined entries while preserving original metadata
+     */
+    concatEntries(otherSdk: FhirBundleSdk): Promise<FhirBundleSdk>;
+    /**
+     * Diff this bundle with another FHIR Bundle by comparing resource ids.
+     * Returns three FhirBundleSdk instances: common, baseOnly, parameterOnly.
+     */
+    diff(other: Bundle): Promise<BundleDiffResult>;
+    /**
+     * Diff this bundle with another FhirBundleSdk by comparing resource ids.
+     * Returns three FhirBundleSdk instances: common, baseOnly, parameterOnly.
+     */
+    diff(other: FhirBundleSdk): Promise<BundleDiffResult>;
+    /**
+     * Walk references from a starting resource using BFS traversal.
+     * Discovers all reachable resources up to maxDepth levels.
+     *
+     * @param startResource - The smart resource to start traversal from
+     * @param options - Walk options including maxDepth and includeStartResource
+     * @returns WalkResult containing all discovered resources organized by depth
+     */
+    walkReferences<T extends Resource>(startResource: Smart<T>, options?: WalkOptions): WalkResult<T>;
+    /**
+     * Generate LLM-friendly context from a starting resource and its related resources.
+     * Uses BFS to discover related resources, strips non-clinical data, and formats output.
+     *
+     * @param startResource - The smart resource to start traversal from
+     * @param options - Options for depth, inclusion, and format
+     * @returns Formatted string suitable for LLM context
+     */
+    generateLLMContext<T extends Resource>(startResource: Smart<T>, options?: LLMContextOptions): string;
+    /**
+     * Get all resources that reference a given resource ID (reverse reference lookup).
+     * Operates in O(1) time complexity.
+     *
+     * @param targetId - The ID of the resource to find references to
+     * @param options - Optional filters for resourceType and referenceField
+     * @returns Array of smart resources that reference the target resource
+     */
+    getResourcesReferencingId<T extends Resource = Resource>(targetId: string, options?: ReverseReferenceOptions): Smart<T>[];
+    /**
+     * Search for resources by date range using interval tree.
+     * Operates in O(log n + k) time complexity, where k is the number of matching intervals.
+     *
+     * @param options - Search options including date range and optional filters
+     * @returns Array of smart resources that match the date range criteria
+     */
+    searchByDateRange<T extends Resource = Resource>(options: DateRangeSearchOptions): Smart<T>[];
+}
+//# sourceMappingURL=fhir-bundle-sdk.d.ts.map

package/dist/fhir-bundle-sdk.d.ts.map

@@ -0,0 +1 @@
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