@murphai/murph 1.2.0 → 1.2.4

package/node_modules/@murphai/clinical-records/dist/index.d.ts

@@ -0,0 +1,1865 @@
+import { z } from "zod";
+export declare const CLINICAL_SOURCE_SYSTEMS: readonly ["epic-fhir", "cerner-fhir", "athena-fhir", "generic-smart-fhir"];
+export declare const CLINICAL_FHIR_RESOURCE_TYPES: readonly ["Patient", "AllergyIntolerance", "Condition", "MedicationRequest", "MedicationStatement", "Observation", "DiagnosticReport", "DocumentReference", "Encounter", "Procedure", "Immunization", "CarePlan", "CareTeam", "Goal"];
+export declare const CLINICAL_RAW_MANIFEST_MAX_RESOURCE_FILES = 500;
+export declare const CLINICAL_RAW_MANIFEST_MAX_RESOURCES_PER_FILE = 1000;
+export declare const CLINICAL_RAW_MANIFEST_MAX_TOTAL_RESOURCES = 5000;
+export declare const CLINICAL_IMPORT_PLAN_MAX_DECISIONS: number;
+export declare const CLINICAL_RAW_MANIFEST_MAX_BYTES: number;
+export declare const CLINICAL_RAW_RESOURCE_FILE_MAX_BYTES: number;
+export declare const CLINICAL_RAW_RESOURCE_FILES_MAX_TOTAL_BYTES: number;
+export declare const clinicalSourceSystemSchema: z.ZodEnum<{
+    "athena-fhir": "athena-fhir";
+    "cerner-fhir": "cerner-fhir";
+    "epic-fhir": "epic-fhir";
+    "generic-smart-fhir": "generic-smart-fhir";
+}>;
+export declare const clinicalFhirResourceTypeSchema: z.ZodEnum<{
+    AllergyIntolerance: "AllergyIntolerance";
+    CarePlan: "CarePlan";
+    CareTeam: "CareTeam";
+    Condition: "Condition";
+    DiagnosticReport: "DiagnosticReport";
+    DocumentReference: "DocumentReference";
+    Encounter: "Encounter";
+    Goal: "Goal";
+    Immunization: "Immunization";
+    MedicationRequest: "MedicationRequest";
+    MedicationStatement: "MedicationStatement";
+    Observation: "Observation";
+    Patient: "Patient";
+    Procedure: "Procedure";
+}>;
+export declare const clinicalRawRelativePathSchema: z.ZodString;
+export declare const clinicalRawPathSchema: z.ZodString;
+export declare const clinicalFhirManifestPathSchema: z.ZodString;
+export declare const fhirResourceTypeSlugSchema: z.ZodString;
+export declare const clinicalIsoDateTimeSchema: z.ZodString;
+export declare const clinicalRawManifestResourceFileSchema: z.ZodObject<{
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+    relativePath: z.ZodString;
+    count: z.ZodNumber;
+    sha256: z.ZodString;
+    pageUrlHash: z.ZodOptional<z.ZodString>;
+    nextPageUrlHash: z.ZodOptional<z.ZodString>;
+}, z.core.$strict>;
+export declare const clinicalFhirRetrievalScopeSchema: z.ZodDiscriminatedUnion<[z.ZodObject<{
+    coverage: z.ZodLiteral<"whole-family">;
+    queryFingerprint: z.ZodString;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+}, z.core.$strict>, z.ZodObject<{
+    coverage: z.ZodLiteral<"bounded-window">;
+    from: z.ZodString;
+    queryFingerprint: z.ZodString;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+    to: z.ZodString;
+}, z.core.$strict>], "coverage">;
+export declare const clinicalFhirRetrievalScopesSchema: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+    coverage: z.ZodLiteral<"whole-family">;
+    queryFingerprint: z.ZodString;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+}, z.core.$strict>, z.ZodObject<{
+    coverage: z.ZodLiteral<"bounded-window">;
+    from: z.ZodString;
+    queryFingerprint: z.ZodString;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+    to: z.ZodString;
+}, z.core.$strict>], "coverage">>;
+export declare const clinicalRawManifestErrorSchema: z.ZodObject<{
+    resourceType: z.ZodOptional<z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>>;
+    code: z.ZodString;
+    message: z.ZodString;
+}, z.core.$strict>;
+export declare const clinicalRawManifestSchema: z.ZodObject<{
+    schemaVersion: z.ZodLiteral<"murph.clinical-raw-manifest.v2">;
+    kind: z.ZodLiteral<"clinical_fhir_retrieval">;
+    connectionId: z.ZodString;
+    retrievalJobId: z.ZodString;
+    providerDirectoryEntryId: z.ZodOptional<z.ZodString>;
+    sourceSystem: z.ZodEnum<{
+        "athena-fhir": "athena-fhir";
+        "cerner-fhir": "cerner-fhir";
+        "epic-fhir": "epic-fhir";
+        "generic-smart-fhir": "generic-smart-fhir";
+    }>;
+    fhirBaseUrlHash: z.ZodString;
+    patientIdHash: z.ZodString;
+    fetchedAt: z.ZodString;
+    resourceFiles: z.ZodArray<z.ZodObject<{
+        resourceType: z.ZodEnum<{
+            AllergyIntolerance: "AllergyIntolerance";
+            CarePlan: "CarePlan";
+            CareTeam: "CareTeam";
+            Condition: "Condition";
+            DiagnosticReport: "DiagnosticReport";
+            DocumentReference: "DocumentReference";
+            Encounter: "Encounter";
+            Goal: "Goal";
+            Immunization: "Immunization";
+            MedicationRequest: "MedicationRequest";
+            MedicationStatement: "MedicationStatement";
+            Observation: "Observation";
+            Patient: "Patient";
+            Procedure: "Procedure";
+        }>;
+        relativePath: z.ZodString;
+        count: z.ZodNumber;
+        sha256: z.ZodString;
+        pageUrlHash: z.ZodOptional<z.ZodString>;
+        nextPageUrlHash: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>>;
+    retrievalScopes: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+        coverage: z.ZodLiteral<"whole-family">;
+        queryFingerprint: z.ZodString;
+        resourceType: z.ZodEnum<{
+            AllergyIntolerance: "AllergyIntolerance";
+            CarePlan: "CarePlan";
+            CareTeam: "CareTeam";
+            Condition: "Condition";
+            DiagnosticReport: "DiagnosticReport";
+            DocumentReference: "DocumentReference";
+            Encounter: "Encounter";
+            Goal: "Goal";
+            Immunization: "Immunization";
+            MedicationRequest: "MedicationRequest";
+            MedicationStatement: "MedicationStatement";
+            Observation: "Observation";
+            Patient: "Patient";
+            Procedure: "Procedure";
+        }>;
+    }, z.core.$strict>, z.ZodObject<{
+        coverage: z.ZodLiteral<"bounded-window">;
+        from: z.ZodString;
+        queryFingerprint: z.ZodString;
+        resourceType: z.ZodEnum<{
+            AllergyIntolerance: "AllergyIntolerance";
+            CarePlan: "CarePlan";
+            CareTeam: "CareTeam";
+            Condition: "Condition";
+            DiagnosticReport: "DiagnosticReport";
+            DocumentReference: "DocumentReference";
+            Encounter: "Encounter";
+            Goal: "Goal";
+            Immunization: "Immunization";
+            MedicationRequest: "MedicationRequest";
+            MedicationStatement: "MedicationStatement";
+            Observation: "Observation";
+            Patient: "Patient";
+            Procedure: "Procedure";
+        }>;
+        to: z.ZodString;
+    }, z.core.$strict>], "coverage">>;
+    completedResourceTypes: z.ZodArray<z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>>;
+    requestedScopes: z.ZodArray<z.ZodString>;
+    grantedScopes: z.ZodArray<z.ZodString>;
+    errors: z.ZodOptional<z.ZodArray<z.ZodObject<{
+        resourceType: z.ZodOptional<z.ZodEnum<{
+            AllergyIntolerance: "AllergyIntolerance";
+            CarePlan: "CarePlan";
+            CareTeam: "CareTeam";
+            Condition: "Condition";
+            DiagnosticReport: "DiagnosticReport";
+            DocumentReference: "DocumentReference";
+            Encounter: "Encounter";
+            Goal: "Goal";
+            Immunization: "Immunization";
+            MedicationRequest: "MedicationRequest";
+            MedicationStatement: "MedicationStatement";
+            Observation: "Observation";
+            Patient: "Patient";
+            Procedure: "Procedure";
+        }>>;
+        code: z.ZodString;
+        message: z.ZodString;
+    }, z.core.$strict>>>;
+}, z.core.$strict>;
+export declare const clinicalFhirExternalRefSchema: z.ZodObject<{
+    system: z.ZodString;
+    resourceType: z.ZodString;
+    resourceId: z.ZodString;
+    version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+}, z.core.$strict>;
+export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<[z.ZodObject<{
+    occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+    title: z.ZodString;
+    note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+    kind: z.ZodLiteral<"clinical_assertion">;
+    assertion: z.ZodEnum<{
+        absence_asserted: "absence_asserted";
+        denial_asserted: "denial_asserted";
+        negative_screening: "negative_screening";
+        no_known_allergies: "no_known_allergies";
+        no_known_conditions: "no_known_conditions";
+        no_known_drug_allergies: "no_known_drug_allergies";
+        no_known_family_history: "no_known_family_history";
+        no_known_food_allergies: "no_known_food_allergies";
+        no_known_medications: "no_known_medications";
+        normality_asserted: "normality_asserted";
+        not_applicable: "not_applicable";
+        not_pregnant: "not_pregnant";
+    }>;
+    domain: z.ZodOptional<z.ZodEnum<{
+        allergy: "allergy";
+        condition: "condition";
+        exam: "exam";
+        family: "family";
+        medication: "medication";
+        other: "other";
+        pregnancy: "pregnancy";
+        screening: "screening";
+        social: "social";
+        symptom: "symptom";
+        test: "test";
+    }>>;
+    polarity: z.ZodOptional<z.ZodEnum<{
+        absent: "absent";
+        denied: "denied";
+        negative: "negative";
+        normal: "normal";
+        not_applicable: "not_applicable";
+    }>>;
+    subject: z.ZodOptional<z.ZodString>;
+    assertionText: z.ZodOptional<z.ZodString>;
+    bodySite: z.ZodOptional<z.ZodString>;
+    code: z.ZodOptional<z.ZodString>;
+    codeSystem: z.ZodOptional<z.ZodString>;
+    assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    sourceLabel: z.ZodOptional<z.ZodString>;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+    source: z.ZodLiteral<"import">;
+}, z.core.$strict>, z.ZodObject<{
+    occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+    title: z.ZodString;
+    note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+    kind: z.ZodLiteral<"measurement">;
+    measurements: z.ZodArray<z.ZodObject<{
+        metric: z.ZodString;
+        value: z.ZodNumber;
+        unit: z.ZodString;
+        qualifiers: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, z.ZodBoolean]>>>;
+        note: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>>;
+    media: z.ZodOptional<z.ZodArray<z.ZodObject<{
+        kind: z.ZodEnum<{
+            gif: "gif";
+            image: "image";
+            other: "other";
+            photo: "photo";
+            video: "video";
+        }>;
+        relativePath: z.ZodString;
+        mediaType: z.ZodOptional<z.ZodString>;
+        caption: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>>>;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+    source: z.ZodLiteral<"import">;
+}, z.core.$strict>, z.ZodObject<{
+    experimentId: z.ZodOptional<z.ZodString>;
+    experimentSlug: z.ZodOptional<z.ZodString>;
+    occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+    title: z.ZodString;
+    note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+    tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+    kind: z.ZodLiteral<"note">;
+    noteType: z.ZodOptional<z.ZodString>;
+    authoredAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+    signedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+    author: z.ZodOptional<z.ZodString>;
+    providerId: z.ZodOptional<z.ZodString>;
+    facility: z.ZodOptional<z.ZodString>;
+    encounterId: z.ZodOptional<z.ZodString>;
+    sections: z.ZodOptional<z.ZodArray<z.ZodObject<{
+        kind: z.ZodOptional<z.ZodEnum<{
+            assessment: "assessment";
+            chief_complaint: "chief_complaint";
+            exam: "exam";
+            hpi: "hpi";
+            instructions: "instructions";
+            other: "other";
+            plan: "plan";
+            results: "results";
+            ros: "ros";
+        }>>;
+        heading: z.ZodString;
+        text: z.ZodString;
+    }, z.core.$strict>>>;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+    source: z.ZodLiteral<"import">;
+}, z.core.$strict>, z.ZodObject<{
+    occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+    title: z.ZodString;
+    note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+    kind: z.ZodLiteral<"test">;
+    testName: z.ZodString;
+    resultStatus: z.ZodEnum<{
+        abnormal: "abnormal";
+        mixed: "mixed";
+        normal: "normal";
+        pending: "pending";
+        unknown: "unknown";
+    }>;
+    summary: z.ZodOptional<z.ZodString>;
+    testCategory: z.ZodOptional<z.ZodString>;
+    specimenType: z.ZodOptional<z.ZodString>;
+    labName: z.ZodOptional<z.ZodString>;
+    labPanelId: z.ZodOptional<z.ZodString>;
+    collectedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+    reportedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+    fastingStatus: z.ZodOptional<z.ZodEnum<{
+        fasting: "fasting";
+        non_fasting: "non_fasting";
+        unknown: "unknown";
+    }>>;
+    results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        analyte: z.ZodString;
+        slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        textValue: z.ZodOptional<z.ZodString>;
+        comparator: z.ZodOptional<z.ZodEnum<{
+            "<": "<";
+            "<=": "<=";
+            ">": ">";
+            ">=": ">=";
+        }>>;
+        unit: z.ZodOptional<z.ZodString>;
+        flag: z.ZodOptional<z.ZodEnum<{
+            abnormal: "abnormal";
+            critical: "critical";
+            high: "high";
+            low: "low";
+            normal: "normal";
+            unknown: "unknown";
+        }>>;
+        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            high: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodOptional<z.ZodString>;
+            low: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            low: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodOptional<z.ZodString>;
+            high: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            low: z.ZodOptional<z.ZodNumber>;
+            high: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodString;
+        }, z.core.$strict>]>>;
+        note: z.ZodOptional<z.ZodString>;
+        value: z.ZodNumber;
+    }, z.core.$strict>, z.ZodObject<{
+        analyte: z.ZodString;
+        slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        value: z.ZodOptional<z.ZodNumber>;
+        comparator: z.ZodOptional<z.ZodEnum<{
+            "<": "<";
+            "<=": "<=";
+            ">": ">";
+            ">=": ">=";
+        }>>;
+        unit: z.ZodOptional<z.ZodString>;
+        flag: z.ZodOptional<z.ZodEnum<{
+            abnormal: "abnormal";
+            critical: "critical";
+            high: "high";
+            low: "low";
+            normal: "normal";
+            unknown: "unknown";
+        }>>;
+        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            high: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodOptional<z.ZodString>;
+            low: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            low: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodOptional<z.ZodString>;
+            high: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            low: z.ZodOptional<z.ZodNumber>;
+            high: z.ZodOptional<z.ZodNumber>;
+            text: z.ZodString;
+        }, z.core.$strict>]>>;
+        note: z.ZodOptional<z.ZodString>;
+        textValue: z.ZodString;
+    }, z.core.$strict>]>>>;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+    source: z.ZodLiteral<"import">;
+}, z.core.$strict>], "kind">;
+export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
+    action: z.ZodLiteral<"upsert">;
+    payload: z.ZodDiscriminatedUnion<[z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"clinical_assertion">;
+        assertion: z.ZodEnum<{
+            absence_asserted: "absence_asserted";
+            denial_asserted: "denial_asserted";
+            negative_screening: "negative_screening";
+            no_known_allergies: "no_known_allergies";
+            no_known_conditions: "no_known_conditions";
+            no_known_drug_allergies: "no_known_drug_allergies";
+            no_known_family_history: "no_known_family_history";
+            no_known_food_allergies: "no_known_food_allergies";
+            no_known_medications: "no_known_medications";
+            normality_asserted: "normality_asserted";
+            not_applicable: "not_applicable";
+            not_pregnant: "not_pregnant";
+        }>;
+        domain: z.ZodOptional<z.ZodEnum<{
+            allergy: "allergy";
+            condition: "condition";
+            exam: "exam";
+            family: "family";
+            medication: "medication";
+            other: "other";
+            pregnancy: "pregnancy";
+            screening: "screening";
+            social: "social";
+            symptom: "symptom";
+            test: "test";
+        }>>;
+        polarity: z.ZodOptional<z.ZodEnum<{
+            absent: "absent";
+            denied: "denied";
+            negative: "negative";
+            normal: "normal";
+            not_applicable: "not_applicable";
+        }>>;
+        subject: z.ZodOptional<z.ZodString>;
+        assertionText: z.ZodOptional<z.ZodString>;
+        bodySite: z.ZodOptional<z.ZodString>;
+        code: z.ZodOptional<z.ZodString>;
+        codeSystem: z.ZodOptional<z.ZodString>;
+        assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"measurement">;
+        measurements: z.ZodArray<z.ZodObject<{
+            metric: z.ZodString;
+            value: z.ZodNumber;
+            unit: z.ZodString;
+            qualifiers: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, z.ZodBoolean]>>>;
+            note: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>>;
+        media: z.ZodOptional<z.ZodArray<z.ZodObject<{
+            kind: z.ZodEnum<{
+                gif: "gif";
+                image: "image";
+                other: "other";
+                photo: "photo";
+                video: "video";
+            }>;
+            relativePath: z.ZodString;
+            mediaType: z.ZodOptional<z.ZodString>;
+            caption: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        experimentId: z.ZodOptional<z.ZodString>;
+        experimentSlug: z.ZodOptional<z.ZodString>;
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"note">;
+        noteType: z.ZodOptional<z.ZodString>;
+        authoredAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        signedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        author: z.ZodOptional<z.ZodString>;
+        providerId: z.ZodOptional<z.ZodString>;
+        facility: z.ZodOptional<z.ZodString>;
+        encounterId: z.ZodOptional<z.ZodString>;
+        sections: z.ZodOptional<z.ZodArray<z.ZodObject<{
+            kind: z.ZodOptional<z.ZodEnum<{
+                assessment: "assessment";
+                chief_complaint: "chief_complaint";
+                exam: "exam";
+                hpi: "hpi";
+                instructions: "instructions";
+                other: "other";
+                plan: "plan";
+                results: "results";
+                ros: "ros";
+            }>>;
+            heading: z.ZodString;
+            text: z.ZodString;
+        }, z.core.$strict>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"test">;
+        testName: z.ZodString;
+        resultStatus: z.ZodEnum<{
+            abnormal: "abnormal";
+            mixed: "mixed";
+            normal: "normal";
+            pending: "pending";
+            unknown: "unknown";
+        }>;
+        summary: z.ZodOptional<z.ZodString>;
+        testCategory: z.ZodOptional<z.ZodString>;
+        specimenType: z.ZodOptional<z.ZodString>;
+        labName: z.ZodOptional<z.ZodString>;
+        labPanelId: z.ZodOptional<z.ZodString>;
+        collectedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        reportedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        fastingStatus: z.ZodOptional<z.ZodEnum<{
+            fasting: "fasting";
+            non_fasting: "non_fasting";
+            unknown: "unknown";
+        }>>;
+        results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            analyte: z.ZodString;
+            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            textValue: z.ZodOptional<z.ZodString>;
+            comparator: z.ZodOptional<z.ZodEnum<{
+                "<": "<";
+                "<=": "<=";
+                ">": ">";
+                ">=": ">=";
+            }>>;
+            unit: z.ZodOptional<z.ZodString>;
+            flag: z.ZodOptional<z.ZodEnum<{
+                abnormal: "abnormal";
+                critical: "critical";
+                high: "high";
+                low: "low";
+                normal: "normal";
+                unknown: "unknown";
+            }>>;
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                low: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                high: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodString;
+            }, z.core.$strict>]>>;
+            note: z.ZodOptional<z.ZodString>;
+            value: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            analyte: z.ZodString;
+            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            value: z.ZodOptional<z.ZodNumber>;
+            comparator: z.ZodOptional<z.ZodEnum<{
+                "<": "<";
+                "<=": "<=";
+                ">": ">";
+                ">=": ">=";
+            }>>;
+            unit: z.ZodOptional<z.ZodString>;
+            flag: z.ZodOptional<z.ZodEnum<{
+                abnormal: "abnormal";
+                critical: "critical";
+                high: "high";
+                low: "low";
+                normal: "normal";
+                unknown: "unknown";
+            }>>;
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                low: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                high: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodString;
+            }, z.core.$strict>]>>;
+            note: z.ZodOptional<z.ZodString>;
+            textValue: z.ZodString;
+        }, z.core.$strict>]>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>], "kind">;
+}, z.core.$strict>;
+export declare const clinicalImportRetractDecisionSchema: z.ZodObject<{
+    action: z.ZodLiteral<"retract">;
+    reason: z.ZodString;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+}, z.core.$strict>;
+export declare const clinicalImportReviewDecisionSchema: z.ZodObject<{
+    action: z.ZodLiteral<"review">;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+    resourceId: z.ZodOptional<z.ZodString>;
+    externalRef: z.ZodOptional<z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>>;
+    reason: z.ZodString;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+}, z.core.$strict>;
+export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.ZodObject<{
+    action: z.ZodLiteral<"upsert">;
+    payload: z.ZodDiscriminatedUnion<[z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"clinical_assertion">;
+        assertion: z.ZodEnum<{
+            absence_asserted: "absence_asserted";
+            denial_asserted: "denial_asserted";
+            negative_screening: "negative_screening";
+            no_known_allergies: "no_known_allergies";
+            no_known_conditions: "no_known_conditions";
+            no_known_drug_allergies: "no_known_drug_allergies";
+            no_known_family_history: "no_known_family_history";
+            no_known_food_allergies: "no_known_food_allergies";
+            no_known_medications: "no_known_medications";
+            normality_asserted: "normality_asserted";
+            not_applicable: "not_applicable";
+            not_pregnant: "not_pregnant";
+        }>;
+        domain: z.ZodOptional<z.ZodEnum<{
+            allergy: "allergy";
+            condition: "condition";
+            exam: "exam";
+            family: "family";
+            medication: "medication";
+            other: "other";
+            pregnancy: "pregnancy";
+            screening: "screening";
+            social: "social";
+            symptom: "symptom";
+            test: "test";
+        }>>;
+        polarity: z.ZodOptional<z.ZodEnum<{
+            absent: "absent";
+            denied: "denied";
+            negative: "negative";
+            normal: "normal";
+            not_applicable: "not_applicable";
+        }>>;
+        subject: z.ZodOptional<z.ZodString>;
+        assertionText: z.ZodOptional<z.ZodString>;
+        bodySite: z.ZodOptional<z.ZodString>;
+        code: z.ZodOptional<z.ZodString>;
+        codeSystem: z.ZodOptional<z.ZodString>;
+        assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"measurement">;
+        measurements: z.ZodArray<z.ZodObject<{
+            metric: z.ZodString;
+            value: z.ZodNumber;
+            unit: z.ZodString;
+            qualifiers: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, z.ZodBoolean]>>>;
+            note: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>>;
+        media: z.ZodOptional<z.ZodArray<z.ZodObject<{
+            kind: z.ZodEnum<{
+                gif: "gif";
+                image: "image";
+                other: "other";
+                photo: "photo";
+                video: "video";
+            }>;
+            relativePath: z.ZodString;
+            mediaType: z.ZodOptional<z.ZodString>;
+            caption: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        experimentId: z.ZodOptional<z.ZodString>;
+        experimentSlug: z.ZodOptional<z.ZodString>;
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"note">;
+        noteType: z.ZodOptional<z.ZodString>;
+        authoredAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        signedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        author: z.ZodOptional<z.ZodString>;
+        providerId: z.ZodOptional<z.ZodString>;
+        facility: z.ZodOptional<z.ZodString>;
+        encounterId: z.ZodOptional<z.ZodString>;
+        sections: z.ZodOptional<z.ZodArray<z.ZodObject<{
+            kind: z.ZodOptional<z.ZodEnum<{
+                assessment: "assessment";
+                chief_complaint: "chief_complaint";
+                exam: "exam";
+                hpi: "hpi";
+                instructions: "instructions";
+                other: "other";
+                plan: "plan";
+                results: "results";
+                ros: "ros";
+            }>>;
+            heading: z.ZodString;
+            text: z.ZodString;
+        }, z.core.$strict>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>, z.ZodObject<{
+        occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        title: z.ZodString;
+        note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+        kind: z.ZodLiteral<"test">;
+        testName: z.ZodString;
+        resultStatus: z.ZodEnum<{
+            abnormal: "abnormal";
+            mixed: "mixed";
+            normal: "normal";
+            pending: "pending";
+            unknown: "unknown";
+        }>;
+        summary: z.ZodOptional<z.ZodString>;
+        testCategory: z.ZodOptional<z.ZodString>;
+        specimenType: z.ZodOptional<z.ZodString>;
+        labName: z.ZodOptional<z.ZodString>;
+        labPanelId: z.ZodOptional<z.ZodString>;
+        collectedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        reportedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        fastingStatus: z.ZodOptional<z.ZodEnum<{
+            fasting: "fasting";
+            non_fasting: "non_fasting";
+            unknown: "unknown";
+        }>>;
+        results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            analyte: z.ZodString;
+            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            textValue: z.ZodOptional<z.ZodString>;
+            comparator: z.ZodOptional<z.ZodEnum<{
+                "<": "<";
+                "<=": "<=";
+                ">": ">";
+                ">=": ">=";
+            }>>;
+            unit: z.ZodOptional<z.ZodString>;
+            flag: z.ZodOptional<z.ZodEnum<{
+                abnormal: "abnormal";
+                critical: "critical";
+                high: "high";
+                low: "low";
+                normal: "normal";
+                unknown: "unknown";
+            }>>;
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                low: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                high: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodString;
+            }, z.core.$strict>]>>;
+            note: z.ZodOptional<z.ZodString>;
+            value: z.ZodNumber;
+        }, z.core.$strict>, z.ZodObject<{
+            analyte: z.ZodString;
+            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            value: z.ZodOptional<z.ZodNumber>;
+            comparator: z.ZodOptional<z.ZodEnum<{
+                "<": "<";
+                "<=": "<=";
+                ">": ">";
+                ">=": ">=";
+            }>>;
+            unit: z.ZodOptional<z.ZodString>;
+            flag: z.ZodOptional<z.ZodEnum<{
+                abnormal: "abnormal";
+                critical: "critical";
+                high: "high";
+                low: "low";
+                normal: "normal";
+                unknown: "unknown";
+            }>>;
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                low: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodOptional<z.ZodString>;
+                high: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                low: z.ZodOptional<z.ZodNumber>;
+                high: z.ZodOptional<z.ZodNumber>;
+                text: z.ZodString;
+            }, z.core.$strict>]>>;
+            note: z.ZodOptional<z.ZodString>;
+            textValue: z.ZodString;
+        }, z.core.$strict>]>>>;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+        source: z.ZodLiteral<"import">;
+    }, z.core.$strict>], "kind">;
+}, z.core.$strict>, z.ZodObject<{
+    action: z.ZodLiteral<"retract">;
+    reason: z.ZodString;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+    externalRef: z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>;
+}, z.core.$strict>, z.ZodObject<{
+    action: z.ZodLiteral<"review">;
+    resourceType: z.ZodEnum<{
+        AllergyIntolerance: "AllergyIntolerance";
+        CarePlan: "CarePlan";
+        CareTeam: "CareTeam";
+        Condition: "Condition";
+        DiagnosticReport: "DiagnosticReport";
+        DocumentReference: "DocumentReference";
+        Encounter: "Encounter";
+        Goal: "Goal";
+        Immunization: "Immunization";
+        MedicationRequest: "MedicationRequest";
+        MedicationStatement: "MedicationStatement";
+        Observation: "Observation";
+        Patient: "Patient";
+        Procedure: "Procedure";
+    }>;
+    resourceId: z.ZodOptional<z.ZodString>;
+    externalRef: z.ZodOptional<z.ZodObject<{
+        system: z.ZodString;
+        resourceType: z.ZodString;
+        resourceId: z.ZodString;
+        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    }, z.core.$strict>>;
+    reason: z.ZodString;
+    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodString;
+        rawRef: z.ZodOptional<z.ZodString>;
+    }, z.core.$strict>, z.ZodObject<{
+        sourceLabel: z.ZodOptional<z.ZodString>;
+        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        chunkId: z.ZodOptional<z.ZodString>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        excerpt: z.ZodOptional<z.ZodString>;
+        confidence: z.ZodOptional<z.ZodNumber>;
+        sourceDocumentId: z.ZodOptional<z.ZodString>;
+        rawRef: z.ZodString;
+    }, z.core.$strict>]>>;
+}, z.core.$strict>], "action">;
+export declare const clinicalImportPlanSchema: z.ZodObject<{
+    schemaVersion: z.ZodLiteral<"murph.clinical-import-plan.v1">;
+    source: z.ZodObject<{
+        kind: z.ZodLiteral<"fhir">;
+        rawManifestPath: z.ZodString;
+        sourceSystem: z.ZodEnum<{
+            "athena-fhir": "athena-fhir";
+            "cerner-fhir": "cerner-fhir";
+            "epic-fhir": "epic-fhir";
+            "generic-smart-fhir": "generic-smart-fhir";
+        }>;
+        connectionId: z.ZodString;
+        retrievalJobId: z.ZodString;
+    }, z.core.$strict>;
+    decisions: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+        action: z.ZodLiteral<"upsert">;
+        payload: z.ZodDiscriminatedUnion<[z.ZodObject<{
+            occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            title: z.ZodString;
+            note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+            kind: z.ZodLiteral<"clinical_assertion">;
+            assertion: z.ZodEnum<{
+                absence_asserted: "absence_asserted";
+                denial_asserted: "denial_asserted";
+                negative_screening: "negative_screening";
+                no_known_allergies: "no_known_allergies";
+                no_known_conditions: "no_known_conditions";
+                no_known_drug_allergies: "no_known_drug_allergies";
+                no_known_family_history: "no_known_family_history";
+                no_known_food_allergies: "no_known_food_allergies";
+                no_known_medications: "no_known_medications";
+                normality_asserted: "normality_asserted";
+                not_applicable: "not_applicable";
+                not_pregnant: "not_pregnant";
+            }>;
+            domain: z.ZodOptional<z.ZodEnum<{
+                allergy: "allergy";
+                condition: "condition";
+                exam: "exam";
+                family: "family";
+                medication: "medication";
+                other: "other";
+                pregnancy: "pregnancy";
+                screening: "screening";
+                social: "social";
+                symptom: "symptom";
+                test: "test";
+            }>>;
+            polarity: z.ZodOptional<z.ZodEnum<{
+                absent: "absent";
+                denied: "denied";
+                negative: "negative";
+                normal: "normal";
+                not_applicable: "not_applicable";
+            }>>;
+            subject: z.ZodOptional<z.ZodString>;
+            assertionText: z.ZodOptional<z.ZodString>;
+            bodySite: z.ZodOptional<z.ZodString>;
+            code: z.ZodOptional<z.ZodString>;
+            codeSystem: z.ZodOptional<z.ZodString>;
+            assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodString;
+                rawRef: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>, z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodOptional<z.ZodString>;
+                rawRef: z.ZodString;
+            }, z.core.$strict>]>>;
+            externalRef: z.ZodObject<{
+                system: z.ZodString;
+                resourceType: z.ZodString;
+                resourceId: z.ZodString;
+                version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            }, z.core.$strict>;
+            source: z.ZodLiteral<"import">;
+        }, z.core.$strict>, z.ZodObject<{
+            occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            title: z.ZodString;
+            note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+            kind: z.ZodLiteral<"measurement">;
+            measurements: z.ZodArray<z.ZodObject<{
+                metric: z.ZodString;
+                value: z.ZodNumber;
+                unit: z.ZodString;
+                qualifiers: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, z.ZodBoolean]>>>;
+                note: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>>;
+            media: z.ZodOptional<z.ZodArray<z.ZodObject<{
+                kind: z.ZodEnum<{
+                    gif: "gif";
+                    image: "image";
+                    other: "other";
+                    photo: "photo";
+                    video: "video";
+                }>;
+                relativePath: z.ZodString;
+                mediaType: z.ZodOptional<z.ZodString>;
+                caption: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>>>;
+            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodString;
+                rawRef: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>, z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodOptional<z.ZodString>;
+                rawRef: z.ZodString;
+            }, z.core.$strict>]>>;
+            externalRef: z.ZodObject<{
+                system: z.ZodString;
+                resourceType: z.ZodString;
+                resourceId: z.ZodString;
+                version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            }, z.core.$strict>;
+            source: z.ZodLiteral<"import">;
+        }, z.core.$strict>, z.ZodObject<{
+            experimentId: z.ZodOptional<z.ZodString>;
+            experimentSlug: z.ZodOptional<z.ZodString>;
+            occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            title: z.ZodString;
+            note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+            tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+            kind: z.ZodLiteral<"note">;
+            noteType: z.ZodOptional<z.ZodString>;
+            authoredAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            signedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            author: z.ZodOptional<z.ZodString>;
+            providerId: z.ZodOptional<z.ZodString>;
+            facility: z.ZodOptional<z.ZodString>;
+            encounterId: z.ZodOptional<z.ZodString>;
+            sections: z.ZodOptional<z.ZodArray<z.ZodObject<{
+                kind: z.ZodOptional<z.ZodEnum<{
+                    assessment: "assessment";
+                    chief_complaint: "chief_complaint";
+                    exam: "exam";
+                    hpi: "hpi";
+                    instructions: "instructions";
+                    other: "other";
+                    plan: "plan";
+                    results: "results";
+                    ros: "ros";
+                }>>;
+                heading: z.ZodString;
+                text: z.ZodString;
+            }, z.core.$strict>>>;
+            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodString;
+                rawRef: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>, z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodOptional<z.ZodString>;
+                rawRef: z.ZodString;
+            }, z.core.$strict>]>>;
+            externalRef: z.ZodObject<{
+                system: z.ZodString;
+                resourceType: z.ZodString;
+                resourceId: z.ZodString;
+                version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            }, z.core.$strict>;
+            source: z.ZodLiteral<"import">;
+        }, z.core.$strict>, z.ZodObject<{
+            occurredAt: z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<z.ZodUnion<readonly [z.ZodUnion<readonly [z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            title: z.ZodString;
+            note: z.ZodType<string | null | undefined, unknown, z.core.$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, z.core.$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodNull]>>;
+            kind: z.ZodLiteral<"test">;
+            testName: z.ZodString;
+            resultStatus: z.ZodEnum<{
+                abnormal: "abnormal";
+                mixed: "mixed";
+                normal: "normal";
+                pending: "pending";
+                unknown: "unknown";
+            }>;
+            summary: z.ZodOptional<z.ZodString>;
+            testCategory: z.ZodOptional<z.ZodString>;
+            specimenType: z.ZodOptional<z.ZodString>;
+            labName: z.ZodOptional<z.ZodString>;
+            labPanelId: z.ZodOptional<z.ZodString>;
+            collectedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            reportedAt: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            fastingStatus: z.ZodOptional<z.ZodEnum<{
+                fasting: "fasting";
+                non_fasting: "non_fasting";
+                unknown: "unknown";
+            }>>;
+            results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+                analyte: z.ZodString;
+                slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                textValue: z.ZodOptional<z.ZodString>;
+                comparator: z.ZodOptional<z.ZodEnum<{
+                    "<": "<";
+                    "<=": "<=";
+                    ">": ">";
+                    ">=": ">=";
+                }>>;
+                unit: z.ZodOptional<z.ZodString>;
+                flag: z.ZodOptional<z.ZodEnum<{
+                    abnormal: "abnormal";
+                    critical: "critical";
+                    high: "high";
+                    low: "low";
+                    normal: "normal";
+                    unknown: "unknown";
+                }>>;
+                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                    high: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodOptional<z.ZodString>;
+                    low: z.ZodNumber;
+                }, z.core.$strict>, z.ZodObject<{
+                    low: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodOptional<z.ZodString>;
+                    high: z.ZodNumber;
+                }, z.core.$strict>, z.ZodObject<{
+                    low: z.ZodOptional<z.ZodNumber>;
+                    high: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodString;
+                }, z.core.$strict>]>>;
+                note: z.ZodOptional<z.ZodString>;
+                value: z.ZodNumber;
+            }, z.core.$strict>, z.ZodObject<{
+                analyte: z.ZodString;
+                slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                value: z.ZodOptional<z.ZodNumber>;
+                comparator: z.ZodOptional<z.ZodEnum<{
+                    "<": "<";
+                    "<=": "<=";
+                    ">": ">";
+                    ">=": ">=";
+                }>>;
+                unit: z.ZodOptional<z.ZodString>;
+                flag: z.ZodOptional<z.ZodEnum<{
+                    abnormal: "abnormal";
+                    critical: "critical";
+                    high: "high";
+                    low: "low";
+                    normal: "normal";
+                    unknown: "unknown";
+                }>>;
+                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                    high: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodOptional<z.ZodString>;
+                    low: z.ZodNumber;
+                }, z.core.$strict>, z.ZodObject<{
+                    low: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodOptional<z.ZodString>;
+                    high: z.ZodNumber;
+                }, z.core.$strict>, z.ZodObject<{
+                    low: z.ZodOptional<z.ZodNumber>;
+                    high: z.ZodOptional<z.ZodNumber>;
+                    text: z.ZodString;
+                }, z.core.$strict>]>>;
+                note: z.ZodOptional<z.ZodString>;
+                textValue: z.ZodString;
+            }, z.core.$strict>]>>>;
+            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodString;
+                rawRef: z.ZodOptional<z.ZodString>;
+            }, z.core.$strict>, z.ZodObject<{
+                sourceLabel: z.ZodOptional<z.ZodString>;
+                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                chunkId: z.ZodOptional<z.ZodString>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                excerpt: z.ZodOptional<z.ZodString>;
+                confidence: z.ZodOptional<z.ZodNumber>;
+                sourceDocumentId: z.ZodOptional<z.ZodString>;
+                rawRef: z.ZodString;
+            }, z.core.$strict>]>>;
+            externalRef: z.ZodObject<{
+                system: z.ZodString;
+                resourceType: z.ZodString;
+                resourceId: z.ZodString;
+                version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            }, z.core.$strict>;
+            source: z.ZodLiteral<"import">;
+        }, z.core.$strict>], "kind">;
+    }, z.core.$strict>, z.ZodObject<{
+        action: z.ZodLiteral<"retract">;
+        reason: z.ZodString;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+        externalRef: z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>;
+    }, z.core.$strict>, z.ZodObject<{
+        action: z.ZodLiteral<"review">;
+        resourceType: z.ZodEnum<{
+            AllergyIntolerance: "AllergyIntolerance";
+            CarePlan: "CarePlan";
+            CareTeam: "CareTeam";
+            Condition: "Condition";
+            DiagnosticReport: "DiagnosticReport";
+            DocumentReference: "DocumentReference";
+            Encounter: "Encounter";
+            Goal: "Goal";
+            Immunization: "Immunization";
+            MedicationRequest: "MedicationRequest";
+            MedicationStatement: "MedicationStatement";
+            Observation: "Observation";
+            Patient: "Patient";
+            Procedure: "Procedure";
+        }>;
+        resourceId: z.ZodOptional<z.ZodString>;
+        externalRef: z.ZodOptional<z.ZodObject<{
+            system: z.ZodString;
+            resourceType: z.ZodString;
+            resourceId: z.ZodString;
+            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        }, z.core.$strict>>;
+        reason: z.ZodString;
+        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodString;
+            rawRef: z.ZodOptional<z.ZodString>;
+        }, z.core.$strict>, z.ZodObject<{
+            sourceLabel: z.ZodOptional<z.ZodString>;
+            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            chunkId: z.ZodOptional<z.ZodString>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            excerpt: z.ZodOptional<z.ZodString>;
+            confidence: z.ZodOptional<z.ZodNumber>;
+            sourceDocumentId: z.ZodOptional<z.ZodString>;
+            rawRef: z.ZodString;
+        }, z.core.$strict>]>>;
+    }, z.core.$strict>], "action">>;
+}, z.core.$strict>;
+export type ClinicalSourceSystem = z.infer<typeof clinicalSourceSystemSchema>;
+export type ClinicalRawManifest = z.infer<typeof clinicalRawManifestSchema>;
+export type ClinicalRawManifestResourceFile = z.infer<typeof clinicalRawManifestResourceFileSchema>;
+export type ClinicalFhirRetrievalScope = z.infer<typeof clinicalFhirRetrievalScopeSchema>;
+export type ClinicalFhirExternalRef = z.infer<typeof clinicalFhirExternalRefSchema>;
+export type ClinicalImportUpsertPayload = z.infer<typeof clinicalImportUpsertPayloadSchema>;
+export type ClinicalImportDecision = z.infer<typeof clinicalImportDecisionSchema>;
+export type ClinicalImportPlan = z.infer<typeof clinicalImportPlanSchema>;
+export declare function fhirResourceTypeToSlug(resourceType: string): string;
+export declare function clinicalFacetSlug(value: string): string;
+export declare function normalizeClinicalFhirPatientId(value: string): string | null;
+export declare function hashClinicalFhirPatientId(value: string): string;
+export declare function hashClinicalFhirBaseUrl(value: string): string;
+export declare function normalizeClinicalFhirPatientReference(input: {
+    fhirBaseUrlHash: string;
+    reference: string;
+}): string | null;
+export declare function isClinicalFhirUrlWithinBase(input: {
+    fhirBaseUrlHash: string;
+    url: string;
+}): boolean;
+export declare function hashClinicalFhirPageUrl(value: string): string;
+export declare function externalRefForFhir(input: {
+    fhirBaseUrlHash: string;
+    patientIdHash: string;
+    sourceSystem: ClinicalSourceSystem;
+    resourceType: string;
+    resourceId: string;
+    version: string;
+}): {
+    system: string;
+    resourceType: string;
+    resourceId: string;
+    version: string;
+};
+export declare function rawRefForClinicalManifestFile(input: {
+    manifestPath: string;
+    resourceFile: ClinicalRawManifestResourceFile;
+}): string;
+export declare function hasWholeFamilyClinicalFhirRetrievalScope(manifest: Pick<ClinicalRawManifest, "retrievalScopes">, resourceType: string): boolean;
+export declare function countClinicalFhirPageResources(content: string): number;
+//# sourceMappingURL=index.d.ts.map