@murphai/murph 1.3.0 → 1.3.2

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

@@ -1,4 +1,4 @@
-import { z } from "zod";
+import * as z from "@murphai/contracts/zod-runtime";
 export { CLINICAL_FHIR_MAX_RETRIEVAL_SLICES, } from "./retrieval-limits.ts";
 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", "Device", "FamilyMemberHistory", "MedicationDispense", "MedicationRequest", "MedicationStatement", "Observation", "DiagnosticReport", "DocumentReference", "Encounter", "Procedure", "Immunization", "CarePlan", "CareTeam", "Goal", "ServiceRequest"];
@@ -9,13 +9,13 @@ 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<{
+export declare const clinicalSourceSystemSchema: import("zod/v4").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<{
+export declare const clinicalFhirResourceTypeSchema: import("zod/v4").ZodEnum<{
     AllergyIntolerance: "AllergyIntolerance";
     CarePlan: "CarePlan";
     CareTeam: "CareTeam";
@@ -43,7 +43,7 @@ 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<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -68,11 +68,11 @@ export declare const clinicalRawManifestResourceFileSchema: z.ZodObject<{
     sha256: z.ZodString;
     pageUrlHash: z.ZodOptional<z.ZodString>;
     nextPageUrlHash: z.ZodOptional<z.ZodString>;
-}, z.core.$strict>;
-export declare const clinicalFhirRetrievalScopeSchema: z.ZodDiscriminatedUnion<[z.ZodObject<{
-    coverage: z.ZodLiteral<"whole-family">;
+}, import("zod/v4/core").$strict>;
+export declare const clinicalFhirRetrievalScopeSchema: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+    coverage: import("zod/v4").ZodLiteral<"whole-family">;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -92,11 +92,11 @@ export declare const clinicalFhirRetrievalScopeSchema: z.ZodDiscriminatedUnion<[
         Procedure: "Procedure";
         ServiceRequest: "ServiceRequest";
     }>;
-}, z.core.$strict>, z.ZodObject<{
-    coverage: z.ZodLiteral<"bounded-window">;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    coverage: import("zod/v4").ZodLiteral<"bounded-window">;
     from: z.ZodString;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -117,11 +117,11 @@ export declare const clinicalFhirRetrievalScopeSchema: z.ZodDiscriminatedUnion<[
         ServiceRequest: "ServiceRequest";
     }>;
     to: z.ZodString;
-}, z.core.$strict>], "coverage">;
-export declare const clinicalFhirRetrievalScopesSchema: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
-    coverage: z.ZodLiteral<"whole-family">;
+}, import("zod/v4/core").$strict>], "coverage">;
+export declare const clinicalFhirRetrievalScopesSchema: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+    coverage: import("zod/v4").ZodLiteral<"whole-family">;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -141,11 +141,11 @@ export declare const clinicalFhirRetrievalScopesSchema: z.ZodArray<z.ZodDiscrimi
         Procedure: "Procedure";
         ServiceRequest: "ServiceRequest";
     }>;
-}, z.core.$strict>, z.ZodObject<{
-    coverage: z.ZodLiteral<"bounded-window">;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    coverage: import("zod/v4").ZodLiteral<"bounded-window">;
     from: z.ZodString;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -166,17 +166,17 @@ export declare const clinicalFhirRetrievalScopesSchema: z.ZodArray<z.ZodDiscrimi
         ServiceRequest: "ServiceRequest";
     }>;
     to: z.ZodString;
-}, z.core.$strict>], "coverage">>;
+}, import("zod/v4/core").$strict>], "coverage">>;
 export declare const clinicalFhirRetrievalSliceRefSchema: z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-}, z.core.$strict>;
-export declare const clinicalFhirRetrievalSliceSchema: z.ZodDiscriminatedUnion<[z.ZodObject<{
+}, import("zod/v4/core").$strict>;
+export declare const clinicalFhirRetrievalSliceSchema: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-    coverage: z.ZodLiteral<"whole-family">;
+    coverage: import("zod/v4").ZodLiteral<"whole-family">;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -196,13 +196,13 @@ export declare const clinicalFhirRetrievalSliceSchema: z.ZodDiscriminatedUnion<[
         Procedure: "Procedure";
         ServiceRequest: "ServiceRequest";
     }>;
-}, z.core.$strict>, z.ZodObject<{
+}, import("zod/v4/core").$strict>, z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-    coverage: z.ZodLiteral<"bounded-window">;
+    coverage: import("zod/v4").ZodLiteral<"bounded-window">;
     from: z.ZodString;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -223,13 +223,13 @@ export declare const clinicalFhirRetrievalSliceSchema: z.ZodDiscriminatedUnion<[
         ServiceRequest: "ServiceRequest";
     }>;
     to: z.ZodString;
-}, z.core.$strict>], "coverage">;
-export declare const clinicalFhirRetrievalSlicesSchema: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+}, import("zod/v4/core").$strict>], "coverage">;
+export declare const clinicalFhirRetrievalSlicesSchema: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-    coverage: z.ZodLiteral<"whole-family">;
+    coverage: import("zod/v4").ZodLiteral<"whole-family">;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -249,13 +249,13 @@ export declare const clinicalFhirRetrievalSlicesSchema: z.ZodArray<z.ZodDiscrimi
         Procedure: "Procedure";
         ServiceRequest: "ServiceRequest";
     }>;
-}, z.core.$strict>, z.ZodObject<{
+}, import("zod/v4/core").$strict>, z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-    coverage: z.ZodLiteral<"bounded-window">;
+    coverage: import("zod/v4").ZodLiteral<"bounded-window">;
     from: z.ZodString;
     queryFingerprint: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -276,15 +276,15 @@ export declare const clinicalFhirRetrievalSlicesSchema: z.ZodArray<z.ZodDiscrimi
         ServiceRequest: "ServiceRequest";
     }>;
     to: z.ZodString;
-}, z.core.$strict>], "coverage">>;
+}, import("zod/v4/core").$strict>], "coverage">>;
 export declare const clinicalFhirRetrievalPlanSchema: z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-retrieval-plan.v1">;
-    slices: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-retrieval-plan.v1">;
+    slices: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"whole-family">;
+        coverage: import("zod/v4").ZodLiteral<"whole-family">;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -304,13 +304,13 @@ export declare const clinicalFhirRetrievalPlanSchema: z.ZodObject<{
             Procedure: "Procedure";
             ServiceRequest: "ServiceRequest";
         }>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"bounded-window">;
+        coverage: import("zod/v4").ZodLiteral<"bounded-window">;
         from: z.ZodString;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -331,10 +331,10 @@ export declare const clinicalFhirRetrievalPlanSchema: z.ZodObject<{
             ServiceRequest: "ServiceRequest";
         }>;
         to: z.ZodString;
-    }, z.core.$strict>], "coverage">>;
-}, z.core.$strict>;
+    }, import("zod/v4/core").$strict>], "coverage">>;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalRawManifestErrorSchema: z.ZodObject<{
-    resourceType: z.ZodOptional<z.ZodEnum<{
+    resourceType: z.ZodOptional<import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -356,14 +356,14 @@ export declare const clinicalRawManifestErrorSchema: z.ZodObject<{
     }>>;
     code: z.ZodString;
     message: z.ZodString;
-}, z.core.$strict>;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalRawManifestV2Schema: z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-raw-manifest.v2">;
-    kind: z.ZodLiteral<"clinical_fhir_retrieval">;
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-raw-manifest.v2">;
+    kind: import("zod/v4").ZodLiteral<"clinical_fhir_retrieval">;
     connectionId: z.ZodString;
     retrievalJobId: z.ZodString;
     providerDirectoryEntryId: z.ZodOptional<z.ZodString>;
-    sourceSystem: z.ZodEnum<{
+    sourceSystem: import("zod/v4").ZodEnum<{
         "athena-fhir": "athena-fhir";
         "cerner-fhir": "cerner-fhir";
         "epic-fhir": "epic-fhir";
@@ -373,7 +373,7 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
     patientIdHash: z.ZodString;
     fetchedAt: z.ZodString;
     resourceFiles: z.ZodArray<z.ZodObject<{
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -398,11 +398,11 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
         sha256: z.ZodString;
         pageUrlHash: z.ZodOptional<z.ZodString>;
         nextPageUrlHash: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>;
-    retrievalScopes: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
-        coverage: z.ZodLiteral<"whole-family">;
+    }, import("zod/v4/core").$strict>>;
+    retrievalScopes: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+        coverage: import("zod/v4").ZodLiteral<"whole-family">;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -422,11 +422,11 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
             Procedure: "Procedure";
             ServiceRequest: "ServiceRequest";
         }>;
-    }, z.core.$strict>, z.ZodObject<{
-        coverage: z.ZodLiteral<"bounded-window">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        coverage: import("zod/v4").ZodLiteral<"bounded-window">;
         from: z.ZodString;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -447,8 +447,8 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
             ServiceRequest: "ServiceRequest";
         }>;
         to: z.ZodString;
-    }, z.core.$strict>], "coverage">>;
-    completedResourceTypes: z.ZodArray<z.ZodEnum<{
+    }, import("zod/v4/core").$strict>], "coverage">>;
+    completedResourceTypes: z.ZodArray<import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -471,7 +471,7 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
     requestedScopes: z.ZodArray<z.ZodString>;
     grantedScopes: z.ZodArray<z.ZodString>;
     errors: z.ZodOptional<z.ZodArray<z.ZodObject<{
-        resourceType: z.ZodOptional<z.ZodEnum<{
+        resourceType: z.ZodOptional<import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -493,12 +493,12 @@ export declare const clinicalRawManifestV2Schema: z.ZodObject<{
         }>>;
         code: z.ZodString;
         message: z.ZodString;
-    }, z.core.$strict>>>;
-}, z.core.$strict>;
+    }, import("zod/v4/core").$strict>>>;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalRawManifestV3ResourceFileSchema: z.ZodObject<{
     queryScopeId: z.ZodString;
     sliceId: z.ZodString;
-    resourceType: z.ZodEnum<{
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -523,14 +523,14 @@ export declare const clinicalRawManifestV3ResourceFileSchema: z.ZodObject<{
     sha256: z.ZodString;
     pageUrlHash: z.ZodOptional<z.ZodString>;
     nextPageUrlHash: z.ZodOptional<z.ZodString>;
-}, z.core.$strict>;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalRawManifestV3Schema: z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-raw-manifest.v3">;
-    kind: z.ZodLiteral<"clinical_fhir_retrieval">;
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-raw-manifest.v3">;
+    kind: import("zod/v4").ZodLiteral<"clinical_fhir_retrieval">;
     connectionId: z.ZodString;
     retrievalJobId: z.ZodString;
     providerDirectoryEntryId: z.ZodOptional<z.ZodString>;
-    sourceSystem: z.ZodEnum<{
+    sourceSystem: import("zod/v4").ZodEnum<{
         "athena-fhir": "athena-fhir";
         "cerner-fhir": "cerner-fhir";
         "epic-fhir": "epic-fhir";
@@ -542,7 +542,7 @@ export declare const clinicalRawManifestV3Schema: z.ZodObject<{
     resourceFiles: z.ZodArray<z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -567,13 +567,13 @@ export declare const clinicalRawManifestV3Schema: z.ZodObject<{
         sha256: z.ZodString;
         pageUrlHash: z.ZodOptional<z.ZodString>;
         nextPageUrlHash: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>;
-    retrievalSlices: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+    }, import("zod/v4/core").$strict>>;
+    retrievalSlices: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"whole-family">;
+        coverage: import("zod/v4").ZodLiteral<"whole-family">;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -593,13 +593,13 @@ export declare const clinicalRawManifestV3Schema: z.ZodObject<{
             Procedure: "Procedure";
             ServiceRequest: "ServiceRequest";
         }>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"bounded-window">;
+        coverage: import("zod/v4").ZodLiteral<"bounded-window">;
         from: z.ZodString;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -620,21 +620,21 @@ export declare const clinicalRawManifestV3Schema: z.ZodObject<{
             ServiceRequest: "ServiceRequest";
         }>;
         to: z.ZodString;
-    }, z.core.$strict>], "coverage">>;
+    }, import("zod/v4/core").$strict>], "coverage">>;
     completedRetrievalSlices: z.ZodArray<z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-    }, z.core.$strict>>;
+    }, import("zod/v4/core").$strict>>;
     requestedScopes: z.ZodArray<z.ZodString>;
     grantedScopes: z.ZodArray<z.ZodString>;
-    errors: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    errors: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         code: z.ZodString;
         message: z.ZodString;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         code: z.ZodString;
         message: z.ZodString;
         queryScopeId: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -655,15 +655,15 @@ export declare const clinicalRawManifestV3Schema: z.ZodObject<{
             ServiceRequest: "ServiceRequest";
         }>;
         sliceId: z.ZodString;
-    }, z.core.$strict>]>>>;
-}, z.core.$strict>;
-export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-raw-manifest.v3">;
-    kind: z.ZodLiteral<"clinical_fhir_retrieval">;
+    }, import("zod/v4/core").$strict>]>>>;
+}, import("zod/v4/core").$strict>;
+export declare const clinicalRawManifestSchema: import("zod/v4").ZodUnion<readonly [z.ZodObject<{
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-raw-manifest.v3">;
+    kind: import("zod/v4").ZodLiteral<"clinical_fhir_retrieval">;
     connectionId: z.ZodString;
     retrievalJobId: z.ZodString;
     providerDirectoryEntryId: z.ZodOptional<z.ZodString>;
-    sourceSystem: z.ZodEnum<{
+    sourceSystem: import("zod/v4").ZodEnum<{
         "athena-fhir": "athena-fhir";
         "cerner-fhir": "cerner-fhir";
         "epic-fhir": "epic-fhir";
@@ -675,7 +675,7 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
     resourceFiles: z.ZodArray<z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -700,13 +700,13 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
         sha256: z.ZodString;
         pageUrlHash: z.ZodOptional<z.ZodString>;
         nextPageUrlHash: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>;
-    retrievalSlices: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
+    }, import("zod/v4/core").$strict>>;
+    retrievalSlices: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"whole-family">;
+        coverage: import("zod/v4").ZodLiteral<"whole-family">;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -726,13 +726,13 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
             Procedure: "Procedure";
             ServiceRequest: "ServiceRequest";
         }>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-        coverage: z.ZodLiteral<"bounded-window">;
+        coverage: import("zod/v4").ZodLiteral<"bounded-window">;
         from: z.ZodString;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -753,21 +753,21 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
             ServiceRequest: "ServiceRequest";
         }>;
         to: z.ZodString;
-    }, z.core.$strict>], "coverage">>;
+    }, import("zod/v4/core").$strict>], "coverage">>;
     completedRetrievalSlices: z.ZodArray<z.ZodObject<{
         queryScopeId: z.ZodString;
         sliceId: z.ZodString;
-    }, z.core.$strict>>;
+    }, import("zod/v4/core").$strict>>;
     requestedScopes: z.ZodArray<z.ZodString>;
     grantedScopes: z.ZodArray<z.ZodString>;
-    errors: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    errors: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         code: z.ZodString;
         message: z.ZodString;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         code: z.ZodString;
         message: z.ZodString;
         queryScopeId: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -788,14 +788,14 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
             ServiceRequest: "ServiceRequest";
         }>;
         sliceId: z.ZodString;
-    }, z.core.$strict>]>>>;
-}, z.core.$strict>, z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-raw-manifest.v2">;
-    kind: z.ZodLiteral<"clinical_fhir_retrieval">;
+    }, import("zod/v4/core").$strict>]>>>;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-raw-manifest.v2">;
+    kind: import("zod/v4").ZodLiteral<"clinical_fhir_retrieval">;
     connectionId: z.ZodString;
     retrievalJobId: z.ZodString;
     providerDirectoryEntryId: z.ZodOptional<z.ZodString>;
-    sourceSystem: z.ZodEnum<{
+    sourceSystem: import("zod/v4").ZodEnum<{
         "athena-fhir": "athena-fhir";
         "cerner-fhir": "cerner-fhir";
         "epic-fhir": "epic-fhir";
@@ -805,7 +805,7 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
     patientIdHash: z.ZodString;
     fetchedAt: z.ZodString;
     resourceFiles: z.ZodArray<z.ZodObject<{
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -830,11 +830,11 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
         sha256: z.ZodString;
         pageUrlHash: z.ZodOptional<z.ZodString>;
         nextPageUrlHash: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>;
-    retrievalScopes: z.ZodArray<z.ZodDiscriminatedUnion<[z.ZodObject<{
-        coverage: z.ZodLiteral<"whole-family">;
+    }, import("zod/v4/core").$strict>>;
+    retrievalScopes: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+        coverage: import("zod/v4").ZodLiteral<"whole-family">;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -854,11 +854,11 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
             Procedure: "Procedure";
             ServiceRequest: "ServiceRequest";
         }>;
-    }, z.core.$strict>, z.ZodObject<{
-        coverage: z.ZodLiteral<"bounded-window">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        coverage: import("zod/v4").ZodLiteral<"bounded-window">;
         from: z.ZodString;
         queryFingerprint: z.ZodString;
-        resourceType: z.ZodEnum<{
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -879,8 +879,8 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
             ServiceRequest: "ServiceRequest";
         }>;
         to: z.ZodString;
-    }, z.core.$strict>], "coverage">>;
-    completedResourceTypes: z.ZodArray<z.ZodEnum<{
+    }, import("zod/v4/core").$strict>], "coverage">>;
+    completedResourceTypes: z.ZodArray<import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -903,7 +903,7 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
     requestedScopes: z.ZodArray<z.ZodString>;
     grantedScopes: z.ZodArray<z.ZodString>;
     errors: z.ZodOptional<z.ZodArray<z.ZodObject<{
-        resourceType: z.ZodOptional<z.ZodEnum<{
+        resourceType: z.ZodOptional<import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -925,23 +925,23 @@ export declare const clinicalRawManifestSchema: z.ZodUnion<readonly [z.ZodObject
         }>>;
         code: z.ZodString;
         message: z.ZodString;
-    }, z.core.$strict>>>;
-}, z.core.$strict>]>;
+    }, import("zod/v4/core").$strict>>>;
+}, import("zod/v4/core").$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]>>;
+    version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+}, import("zod/v4/core").$strict>;
+export declare const clinicalImportUpsertPayloadSchema: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+    occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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<{
+    note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+    kind: import("zod/v4").ZodLiteral<"clinical_assertion">;
+    assertion: import("zod/v4").ZodEnum<{
         absence_asserted: "absence_asserted";
         denial_asserted: "denial_asserted";
         negative_screening: "negative_screening";
@@ -955,7 +955,7 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
         not_applicable: "not_applicable";
         not_pregnant: "not_pregnant";
     }>;
-    domain: z.ZodOptional<z.ZodEnum<{
+    domain: z.ZodOptional<import("zod/v4").ZodEnum<{
         allergy: "allergy";
         condition: "condition";
         exam: "exam";
@@ -968,7 +968,7 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
         symptom: "symptom";
         test: "test";
     }>>;
-    polarity: z.ZodOptional<z.ZodEnum<{
+    polarity: z.ZodOptional<import("zod/v4").ZodEnum<{
         absent: "absent";
         denied: "denied";
         negative: "negative";
@@ -980,53 +980,53 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
     bodySite: z.ZodOptional<z.ZodString>;
     code: z.ZodOptional<z.ZodString>;
     codeSystem: z.ZodOptional<z.ZodString>;
-    assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+    assertedOn: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
     sourceLabel: z.ZodOptional<z.ZodString>;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+    source: import("zod/v4").ZodLiteral<"import">;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+    note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+    kind: import("zod/v4").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]>>>;
+        qualifiers: z.ZodOptional<import("zod/v4").ZodRecord<z.ZodString, import("zod/v4").ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, import("zod/v4").ZodBoolean]>>>;
         note: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>;
+    }, import("zod/v4/core").$strict>>;
     media: z.ZodOptional<z.ZodArray<z.ZodObject<{
-        kind: z.ZodEnum<{
+        kind: import("zod/v4").ZodEnum<{
             gif: "gif";
             image: "image";
             other: "other";
@@ -1036,54 +1036,54 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
         relativePath: z.ZodString;
         mediaType: z.ZodOptional<z.ZodString>;
         caption: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>>>;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    }, import("zod/v4/core").$strict>>>;
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+    source: import("zod/v4").ZodLiteral<"import">;
+}, import("zod/v4/core").$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]>>;
+    occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+    note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+    tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+    kind: import("zod/v4").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>>>;
+    authoredAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+    signedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$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<{
+        kind: z.ZodOptional<import("zod/v4").ZodEnum<{
             assessment: "assessment";
             chief_complaint: "chief_complaint";
             exam: "exam";
@@ -1096,45 +1096,45 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
         }>>;
         heading: z.ZodString;
         text: z.ZodString;
-    }, z.core.$strict>>>;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    }, import("zod/v4/core").$strict>>>;
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+    source: import("zod/v4").ZodLiteral<"import">;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+    recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+    note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+    tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+    timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+    kind: import("zod/v4").ZodLiteral<"test">;
     testName: z.ZodString;
-    resultStatus: z.ZodEnum<{
+    resultStatus: import("zod/v4").ZodEnum<{
         abnormal: "abnormal";
         mixed: "mixed";
         normal: "normal";
@@ -1146,25 +1146,25 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
     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<{
+    collectedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+    reportedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+    fastingStatus: z.ZodOptional<import("zod/v4").ZodEnum<{
         fasting: "fasting";
         non_fasting: "non_fasting";
         unknown: "unknown";
     }>>;
-    results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    results: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         analyte: z.ZodString;
-        slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
         textValue: z.ZodOptional<z.ZodString>;
-        comparator: z.ZodOptional<z.ZodEnum<{
+        comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
             "<": "<";
             "<=": "<=";
             ">": ">";
             ">=": ">=";
         }>>;
         unit: z.ZodOptional<z.ZodString>;
-        flag: z.ZodOptional<z.ZodEnum<{
+        flag: z.ZodOptional<import("zod/v4").ZodEnum<{
             abnormal: "abnormal";
             critical: "critical";
             high: "high";
@@ -1172,34 +1172,34 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
             normal: "normal";
             unknown: "unknown";
         }>>;
-        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-        referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             high: z.ZodOptional<z.ZodNumber>;
             text: z.ZodOptional<z.ZodString>;
             low: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             low: z.ZodOptional<z.ZodNumber>;
             text: z.ZodOptional<z.ZodString>;
             high: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             low: z.ZodOptional<z.ZodNumber>;
             high: z.ZodOptional<z.ZodNumber>;
             text: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$strict>]>>;
         note: z.ZodOptional<z.ZodString>;
         value: z.ZodNumber;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         analyte: z.ZodString;
-        slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+        slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
         value: z.ZodOptional<z.ZodNumber>;
-        comparator: z.ZodOptional<z.ZodEnum<{
+        comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
             "<": "<";
             "<=": "<=";
             ">": ">";
             ">=": ">=";
         }>>;
         unit: z.ZodOptional<z.ZodString>;
-        flag: z.ZodOptional<z.ZodEnum<{
+        flag: z.ZodOptional<import("zod/v4").ZodEnum<{
             abnormal: "abnormal";
             critical: "critical";
             high: "high";
@@ -1207,63 +1207,63 @@ export declare const clinicalImportUpsertPayloadSchema: z.ZodDiscriminatedUnion<
             normal: "normal";
             unknown: "unknown";
         }>>;
-        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-        referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+        biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             high: z.ZodOptional<z.ZodNumber>;
             text: z.ZodOptional<z.ZodString>;
             low: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             low: z.ZodOptional<z.ZodNumber>;
             text: z.ZodOptional<z.ZodString>;
             high: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             low: z.ZodOptional<z.ZodNumber>;
             high: z.ZodOptional<z.ZodNumber>;
             text: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$strict>]>>;
         note: z.ZodOptional<z.ZodString>;
         textValue: z.ZodString;
-    }, z.core.$strict>]>>>;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    }, import("zod/v4/core").$strict>]>>>;
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$strict>], "kind">;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+    source: import("zod/v4").ZodLiteral<"import">;
+}, import("zod/v4/core").$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]>>;
+    action: import("zod/v4").ZodLiteral<"upsert">;
+    payload: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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<{
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").ZodLiteral<"clinical_assertion">;
+        assertion: import("zod/v4").ZodEnum<{
             absence_asserted: "absence_asserted";
             denial_asserted: "denial_asserted";
             negative_screening: "negative_screening";
@@ -1277,7 +1277,7 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
             not_applicable: "not_applicable";
             not_pregnant: "not_pregnant";
         }>;
-        domain: z.ZodOptional<z.ZodEnum<{
+        domain: z.ZodOptional<import("zod/v4").ZodEnum<{
             allergy: "allergy";
             condition: "condition";
             exam: "exam";
@@ -1290,7 +1290,7 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
             symptom: "symptom";
             test: "test";
         }>>;
-        polarity: z.ZodOptional<z.ZodEnum<{
+        polarity: z.ZodOptional<import("zod/v4").ZodEnum<{
             absent: "absent";
             denied: "denied";
             negative: "negative";
@@ -1302,53 +1302,53 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
         bodySite: z.ZodOptional<z.ZodString>;
         code: z.ZodOptional<z.ZodString>;
         codeSystem: z.ZodOptional<z.ZodString>;
-        assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        assertedOn: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
         sourceLabel: z.ZodOptional<z.ZodString>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").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]>>>;
+            qualifiers: z.ZodOptional<import("zod/v4").ZodRecord<z.ZodString, import("zod/v4").ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, import("zod/v4").ZodBoolean]>>>;
             note: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>>;
+        }, import("zod/v4/core").$strict>>;
         media: z.ZodOptional<z.ZodArray<z.ZodObject<{
-            kind: z.ZodEnum<{
+            kind: import("zod/v4").ZodEnum<{
                 gif: "gif";
                 image: "image";
                 other: "other";
@@ -1358,54 +1358,54 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
             relativePath: z.ZodString;
             mediaType: z.ZodOptional<z.ZodString>;
             caption: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$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]>>;
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").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>>>;
+        authoredAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        signedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$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<{
+            kind: z.ZodOptional<import("zod/v4").ZodEnum<{
                 assessment: "assessment";
                 chief_complaint: "chief_complaint";
                 exam: "exam";
@@ -1418,45 +1418,45 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
             }>>;
             heading: z.ZodString;
             text: z.ZodString;
-        }, z.core.$strict>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").ZodLiteral<"test">;
         testName: z.ZodString;
-        resultStatus: z.ZodEnum<{
+        resultStatus: import("zod/v4").ZodEnum<{
             abnormal: "abnormal";
             mixed: "mixed";
             normal: "normal";
@@ -1468,25 +1468,25 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
         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<{
+        collectedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        reportedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        fastingStatus: z.ZodOptional<import("zod/v4").ZodEnum<{
             fasting: "fasting";
             non_fasting: "non_fasting";
             unknown: "unknown";
         }>>;
-        results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        results: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             analyte: z.ZodString;
-            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
             textValue: z.ZodOptional<z.ZodString>;
-            comparator: z.ZodOptional<z.ZodEnum<{
+            comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                 "<": "<";
                 "<=": "<=";
                 ">": ">";
                 ">=": ">=";
             }>>;
             unit: z.ZodOptional<z.ZodString>;
-            flag: z.ZodOptional<z.ZodEnum<{
+            flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                 abnormal: "abnormal";
                 critical: "critical";
                 high: "high";
@@ -1494,34 +1494,34 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
                 normal: "normal";
                 unknown: "unknown";
             }>>;
-            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 low: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 high: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$strict>]>>;
             note: z.ZodOptional<z.ZodString>;
             value: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             analyte: z.ZodString;
-            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
             value: z.ZodOptional<z.ZodNumber>;
-            comparator: z.ZodOptional<z.ZodEnum<{
+            comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                 "<": "<";
                 "<=": "<=";
                 ">": ">";
                 ">=": ">=";
             }>>;
             unit: z.ZodOptional<z.ZodString>;
-            flag: z.ZodOptional<z.ZodEnum<{
+            flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                 abnormal: "abnormal";
                 critical: "critical";
                 high: "high";
@@ -1529,87 +1529,87 @@ export declare const clinicalImportUpsertDecisionSchema: z.ZodObject<{
                 normal: "normal";
                 unknown: "unknown";
             }>>;
-            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 low: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 high: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$strict>]>>;
             note: z.ZodOptional<z.ZodString>;
             textValue: z.ZodString;
-        }, z.core.$strict>]>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>]>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>], "kind">;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalImportRetractDecisionSchema: z.ZodObject<{
-    action: z.ZodLiteral<"retract">;
+    action: import("zod/v4").ZodLiteral<"retract">;
     reason: z.ZodString;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$strict>;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+}, import("zod/v4/core").$strict>;
 export declare const clinicalImportReviewDecisionSchema: z.ZodObject<{
-    action: z.ZodLiteral<"review">;
-    resourceType: z.ZodEnum<{
+    action: import("zod/v4").ZodLiteral<"review">;
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -1634,42 +1634,42 @@ export declare const clinicalImportReviewDecisionSchema: z.ZodObject<{
         system: z.ZodString;
         resourceType: z.ZodString;
         resourceId: z.ZodString;
-        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
-    }, z.core.$strict>>;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>>;
     reason: z.ZodString;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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]>>;
+    }, import("zod/v4/core").$strict>]>>;
+}, import("zod/v4/core").$strict>;
+export declare const clinicalImportDecisionSchema: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+    action: import("zod/v4").ZodLiteral<"upsert">;
+    payload: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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<{
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").ZodLiteral<"clinical_assertion">;
+        assertion: import("zod/v4").ZodEnum<{
             absence_asserted: "absence_asserted";
             denial_asserted: "denial_asserted";
             negative_screening: "negative_screening";
@@ -1683,7 +1683,7 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
             not_applicable: "not_applicable";
             not_pregnant: "not_pregnant";
         }>;
-        domain: z.ZodOptional<z.ZodEnum<{
+        domain: z.ZodOptional<import("zod/v4").ZodEnum<{
             allergy: "allergy";
             condition: "condition";
             exam: "exam";
@@ -1696,7 +1696,7 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
             symptom: "symptom";
             test: "test";
         }>>;
-        polarity: z.ZodOptional<z.ZodEnum<{
+        polarity: z.ZodOptional<import("zod/v4").ZodEnum<{
             absent: "absent";
             denied: "denied";
             negative: "negative";
@@ -1708,53 +1708,53 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
         bodySite: z.ZodOptional<z.ZodString>;
         code: z.ZodOptional<z.ZodString>;
         codeSystem: z.ZodOptional<z.ZodString>;
-        assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+        assertedOn: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
         sourceLabel: z.ZodOptional<z.ZodString>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").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]>>>;
+            qualifiers: z.ZodOptional<import("zod/v4").ZodRecord<z.ZodString, import("zod/v4").ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, import("zod/v4").ZodBoolean]>>>;
             note: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>>;
+        }, import("zod/v4/core").$strict>>;
         media: z.ZodOptional<z.ZodArray<z.ZodObject<{
-            kind: z.ZodEnum<{
+            kind: import("zod/v4").ZodEnum<{
                 gif: "gif";
                 image: "image";
                 other: "other";
@@ -1764,54 +1764,54 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
             relativePath: z.ZodString;
             mediaType: z.ZodOptional<z.ZodString>;
             caption: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$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]>>;
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").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>>>;
+        authoredAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        signedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$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<{
+            kind: z.ZodOptional<import("zod/v4").ZodEnum<{
                 assessment: "assessment";
                 chief_complaint: "chief_complaint";
                 exam: "exam";
@@ -1824,45 +1824,45 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
             }>>;
             heading: z.ZodString;
             text: z.ZodString;
-        }, z.core.$strict>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+        recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+        note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+        tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+        timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+        kind: import("zod/v4").ZodLiteral<"test">;
         testName: z.ZodString;
-        resultStatus: z.ZodEnum<{
+        resultStatus: import("zod/v4").ZodEnum<{
             abnormal: "abnormal";
             mixed: "mixed";
             normal: "normal";
@@ -1874,25 +1874,25 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
         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<{
+        collectedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        reportedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+        fastingStatus: z.ZodOptional<import("zod/v4").ZodEnum<{
             fasting: "fasting";
             non_fasting: "non_fasting";
             unknown: "unknown";
         }>>;
-        results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        results: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             analyte: z.ZodString;
-            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
             textValue: z.ZodOptional<z.ZodString>;
-            comparator: z.ZodOptional<z.ZodEnum<{
+            comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                 "<": "<";
                 "<=": "<=";
                 ">": ">";
                 ">=": ">=";
             }>>;
             unit: z.ZodOptional<z.ZodString>;
-            flag: z.ZodOptional<z.ZodEnum<{
+            flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                 abnormal: "abnormal";
                 critical: "critical";
                 high: "high";
@@ -1900,34 +1900,34 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
                 normal: "normal";
                 unknown: "unknown";
             }>>;
-            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 low: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 high: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$strict>]>>;
             note: z.ZodOptional<z.ZodString>;
             value: z.ZodNumber;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             analyte: z.ZodString;
-            slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+            slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
             value: z.ZodOptional<z.ZodNumber>;
-            comparator: z.ZodOptional<z.ZodEnum<{
+            comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                 "<": "<";
                 "<=": "<=";
                 ">": ">";
                 ">=": ">=";
             }>>;
             unit: z.ZodOptional<z.ZodString>;
-            flag: z.ZodOptional<z.ZodEnum<{
+            flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                 abnormal: "abnormal";
                 critical: "critical";
                 high: "high";
@@ -1935,85 +1935,85 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
                 normal: "normal";
                 unknown: "unknown";
             }>>;
-            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-            referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+            biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 low: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodOptional<z.ZodString>;
                 high: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 low: z.ZodOptional<z.ZodNumber>;
                 high: z.ZodOptional<z.ZodNumber>;
                 text: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$strict>]>>;
             note: z.ZodOptional<z.ZodString>;
             textValue: z.ZodString;
-        }, z.core.$strict>]>>>;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        }, import("zod/v4/core").$strict>]>>>;
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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">;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+        source: import("zod/v4").ZodLiteral<"import">;
+    }, import("zod/v4/core").$strict>], "kind">;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    action: import("zod/v4").ZodLiteral<"retract">;
     reason: z.ZodString;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodOptional<z.ZodString>;
         rawRef: z.ZodString;
-    }, z.core.$strict>]>>;
+    }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
-    action: z.ZodLiteral<"review">;
-    resourceType: z.ZodEnum<{
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>;
+}, import("zod/v4/core").$strict>, z.ZodObject<{
+    action: import("zod/v4").ZodLiteral<"review">;
+    resourceType: import("zod/v4").ZodEnum<{
         AllergyIntolerance: "AllergyIntolerance";
         CarePlan: "CarePlan";
         CareTeam: "CareTeam";
@@ -2038,37 +2038,37 @@ export declare const clinicalImportDecisionSchema: z.ZodDiscriminatedUnion<[z.Zo
         system: z.ZodString;
         resourceType: z.ZodString;
         resourceId: z.ZodString;
-        version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
-    }, z.core.$strict>>;
+        version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+    }, import("zod/v4/core").$strict>>;
     reason: z.ZodString;
-    evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+    evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
         excerpt: z.ZodOptional<z.ZodString>;
         confidence: z.ZodOptional<z.ZodNumber>;
         sourceDocumentId: z.ZodString;
         rawRef: z.ZodOptional<z.ZodString>;
-    }, z.core.$strict>, z.ZodObject<{
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
         sourceLabel: z.ZodOptional<z.ZodString>;
-        page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+        page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+        spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+        spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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">;
+    }, import("zod/v4/core").$strict>]>>;
+}, import("zod/v4/core").$strict>], "action">;
 export declare const clinicalImportPlanSchema: z.ZodObject<{
-    schemaVersion: z.ZodLiteral<"murph.clinical-import-plan.v1">;
+    schemaVersion: import("zod/v4").ZodLiteral<"murph.clinical-import-plan.v1">;
     source: z.ZodObject<{
-        kind: z.ZodLiteral<"fhir">;
+        kind: import("zod/v4").ZodLiteral<"fhir">;
         rawManifestPath: z.ZodString;
-        sourceSystem: z.ZodEnum<{
+        sourceSystem: import("zod/v4").ZodEnum<{
             "athena-fhir": "athena-fhir";
             "cerner-fhir": "cerner-fhir";
             "epic-fhir": "epic-fhir";
@@ -2076,18 +2076,18 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
         }>;
         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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+    }, import("zod/v4/core").$strict>;
+    decisions: z.ZodArray<import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+        action: import("zod/v4").ZodLiteral<"upsert">;
+        payload: import("zod/v4").ZodDiscriminatedUnion<[z.ZodObject<{
+            occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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<{
+            note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+            kind: import("zod/v4").ZodLiteral<"clinical_assertion">;
+            assertion: import("zod/v4").ZodEnum<{
                 absence_asserted: "absence_asserted";
                 denial_asserted: "denial_asserted";
                 negative_screening: "negative_screening";
@@ -2101,7 +2101,7 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                 not_applicable: "not_applicable";
                 not_pregnant: "not_pregnant";
             }>;
-            domain: z.ZodOptional<z.ZodEnum<{
+            domain: z.ZodOptional<import("zod/v4").ZodEnum<{
                 allergy: "allergy";
                 condition: "condition";
                 exam: "exam";
@@ -2114,7 +2114,7 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                 symptom: "symptom";
                 test: "test";
             }>>;
-            polarity: z.ZodOptional<z.ZodEnum<{
+            polarity: z.ZodOptional<import("zod/v4").ZodEnum<{
                 absent: "absent";
                 denied: "denied";
                 negative: "negative";
@@ -2126,53 +2126,53 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
             bodySite: z.ZodOptional<z.ZodString>;
             code: z.ZodOptional<z.ZodString>;
             codeSystem: z.ZodOptional<z.ZodString>;
-            assertedOn: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
+            assertedOn: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
             sourceLabel: z.ZodOptional<z.ZodString>;
-            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodString;
                 rawRef: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodOptional<z.ZodString>;
                 rawRef: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+                version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+            }, import("zod/v4/core").$strict>;
+            source: import("zod/v4").ZodLiteral<"import">;
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
+            occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+            note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+            kind: import("zod/v4").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]>>>;
+                qualifiers: z.ZodOptional<import("zod/v4").ZodRecord<z.ZodString, import("zod/v4").ZodUnion<readonly [z.ZodString, z.ZodString, z.ZodNumber, import("zod/v4").ZodBoolean]>>>;
                 note: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>>;
+            }, import("zod/v4/core").$strict>>;
             media: z.ZodOptional<z.ZodArray<z.ZodObject<{
-                kind: z.ZodEnum<{
+                kind: import("zod/v4").ZodEnum<{
                     gif: "gif";
                     image: "image";
                     other: "other";
@@ -2182,54 +2182,54 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                 relativePath: z.ZodString;
                 mediaType: z.ZodOptional<z.ZodString>;
                 caption: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>>>;
-            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            }, import("zod/v4/core").$strict>>>;
+            evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodString;
                 rawRef: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodOptional<z.ZodString>;
                 rawRef: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
+                version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+            }, import("zod/v4/core").$strict>;
+            source: import("zod/v4").ZodLiteral<"import">;
+        }, import("zod/v4/core").$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]>>;
+            occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+            note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>> & z.ZodString;
+            tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+            kind: import("zod/v4").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>>>;
+            authoredAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            signedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$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<{
+                kind: z.ZodOptional<import("zod/v4").ZodEnum<{
                     assessment: "assessment";
                     chief_complaint: "chief_complaint";
                     exam: "exam";
@@ -2242,45 +2242,45 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                 }>>;
                 heading: z.ZodString;
                 text: z.ZodString;
-            }, z.core.$strict>>>;
-            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            }, import("zod/v4/core").$strict>>>;
+            evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodString;
                 rawRef: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodOptional<z.ZodString>;
                 rawRef: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$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.$ZodTypeInternals<string, unknown>>]>, z.ZodNull]>>;
+                version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+            }, import("zod/v4/core").$strict>;
+            source: import("zod/v4").ZodLiteral<"import">;
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
+            occurredAt: import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>;
+            recordedAt: z.ZodOptional<import("zod/v4").ZodUnion<readonly [import("zod/v4").ZodUnion<readonly [z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>, z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>]>, import("zod/v4").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">;
+            note: z.ZodType<string | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string | null | undefined, unknown>>;
+            tags: z.ZodType<string[] | null | undefined, unknown, import("zod/v4/core").$ZodTypeInternals<string[] | null | undefined, unknown>>;
+            timeZone: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodString, import("zod/v4").ZodNull]>>;
+            kind: import("zod/v4").ZodLiteral<"test">;
             testName: z.ZodString;
-            resultStatus: z.ZodEnum<{
+            resultStatus: import("zod/v4").ZodEnum<{
                 abnormal: "abnormal";
                 mixed: "mixed";
                 normal: "normal";
@@ -2292,25 +2292,25 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
             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<{
+            collectedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            reportedAt: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+            fastingStatus: z.ZodOptional<import("zod/v4").ZodEnum<{
                 fasting: "fasting";
                 non_fasting: "non_fasting";
                 unknown: "unknown";
             }>>;
-            results: z.ZodOptional<z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            results: z.ZodOptional<z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 analyte: z.ZodString;
-                slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
                 textValue: z.ZodOptional<z.ZodString>;
-                comparator: z.ZodOptional<z.ZodEnum<{
+                comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                     "<": "<";
                     "<=": "<=";
                     ">": ">";
                     ">=": ">=";
                 }>>;
                 unit: z.ZodOptional<z.ZodString>;
-                flag: z.ZodOptional<z.ZodEnum<{
+                flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                     abnormal: "abnormal";
                     critical: "critical";
                     high: "high";
@@ -2318,34 +2318,34 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                     normal: "normal";
                     unknown: "unknown";
                 }>>;
-                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-                referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+                referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                     high: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodOptional<z.ZodString>;
                     low: z.ZodNumber;
-                }, z.core.$strict>, z.ZodObject<{
+                }, import("zod/v4/core").$strict>, z.ZodObject<{
                     low: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodOptional<z.ZodString>;
                     high: z.ZodNumber;
-                }, z.core.$strict>, z.ZodObject<{
+                }, import("zod/v4/core").$strict>, z.ZodObject<{
                     low: z.ZodOptional<z.ZodNumber>;
                     high: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodString;
-                }, z.core.$strict>]>>;
+                }, import("zod/v4/core").$strict>]>>;
                 note: z.ZodOptional<z.ZodString>;
                 value: z.ZodNumber;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 analyte: z.ZodString;
-                slug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
+                slug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
                 value: z.ZodOptional<z.ZodNumber>;
-                comparator: z.ZodOptional<z.ZodEnum<{
+                comparator: z.ZodOptional<import("zod/v4").ZodEnum<{
                     "<": "<";
                     "<=": "<=";
                     ">": ">";
                     ">=": ">=";
                 }>>;
                 unit: z.ZodOptional<z.ZodString>;
-                flag: z.ZodOptional<z.ZodEnum<{
+                flag: z.ZodOptional<import("zod/v4").ZodEnum<{
                     abnormal: "abnormal";
                     critical: "critical";
                     high: "high";
@@ -2353,85 +2353,85 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
                     normal: "normal";
                     unknown: "unknown";
                 }>>;
-                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>>;
-                referenceRange: z.ZodOptional<z.ZodUnion<readonly [z.ZodObject<{
+                biomarkerSlug: z.ZodOptional<z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>>;
+                referenceRange: z.ZodOptional<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                     high: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodOptional<z.ZodString>;
                     low: z.ZodNumber;
-                }, z.core.$strict>, z.ZodObject<{
+                }, import("zod/v4/core").$strict>, z.ZodObject<{
                     low: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodOptional<z.ZodString>;
                     high: z.ZodNumber;
-                }, z.core.$strict>, z.ZodObject<{
+                }, import("zod/v4/core").$strict>, z.ZodObject<{
                     low: z.ZodOptional<z.ZodNumber>;
                     high: z.ZodOptional<z.ZodNumber>;
                     text: z.ZodString;
-                }, z.core.$strict>]>>;
+                }, import("zod/v4/core").$strict>]>>;
                 note: z.ZodOptional<z.ZodString>;
                 textValue: z.ZodString;
-            }, z.core.$strict>]>>>;
-            evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+            }, import("zod/v4/core").$strict>]>>>;
+            evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodString;
                 rawRef: z.ZodOptional<z.ZodString>;
-            }, z.core.$strict>, z.ZodObject<{
+            }, import("zod/v4/core").$strict>, z.ZodObject<{
                 sourceLabel: z.ZodOptional<z.ZodString>;
-                page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+                page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+                spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+                spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
                 excerpt: z.ZodOptional<z.ZodString>;
                 confidence: z.ZodOptional<z.ZodNumber>;
                 sourceDocumentId: z.ZodOptional<z.ZodString>;
                 rawRef: z.ZodString;
-            }, z.core.$strict>]>>;
+            }, import("zod/v4/core").$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">;
+                version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+            }, import("zod/v4/core").$strict>;
+            source: import("zod/v4").ZodLiteral<"import">;
+        }, import("zod/v4/core").$strict>], "kind">;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        action: import("zod/v4").ZodLiteral<"retract">;
         reason: z.ZodString;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodOptional<z.ZodString>;
             rawRef: z.ZodString;
-        }, z.core.$strict>]>>;
+        }, import("zod/v4/core").$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.$strict>, z.ZodObject<{
-        action: z.ZodLiteral<"review">;
-        resourceType: z.ZodEnum<{
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>;
+    }, import("zod/v4/core").$strict>, z.ZodObject<{
+        action: import("zod/v4").ZodLiteral<"review">;
+        resourceType: import("zod/v4").ZodEnum<{
             AllergyIntolerance: "AllergyIntolerance";
             CarePlan: "CarePlan";
             CareTeam: "CareTeam";
@@ -2456,32 +2456,32 @@ export declare const clinicalImportPlanSchema: z.ZodObject<{
             system: z.ZodString;
             resourceType: z.ZodString;
             resourceId: z.ZodString;
-            version: z.ZodType<string, unknown, z.core.$ZodTypeInternals<string, unknown>>;
-        }, z.core.$strict>>;
+            version: z.ZodType<string, unknown, import("zod/v4/core").$ZodTypeInternals<string, unknown>>;
+        }, import("zod/v4/core").$strict>>;
         reason: z.ZodString;
-        evidence: z.ZodArray<z.ZodUnion<readonly [z.ZodObject<{
+        evidence: z.ZodArray<import("zod/v4").ZodUnion<readonly [z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
             excerpt: z.ZodOptional<z.ZodString>;
             confidence: z.ZodOptional<z.ZodNumber>;
             sourceDocumentId: z.ZodString;
             rawRef: z.ZodOptional<z.ZodString>;
-        }, z.core.$strict>, z.ZodObject<{
+        }, import("zod/v4/core").$strict>, z.ZodObject<{
             sourceLabel: z.ZodOptional<z.ZodString>;
-            page: z.ZodOptional<z.ZodType<number, unknown, z.core.$ZodTypeInternals<number, unknown>>>;
+            page: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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>>>;
+            spanStart: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$ZodTypeInternals<number, unknown>>>;
+            spanEnd: z.ZodOptional<z.ZodType<number, unknown, import("zod/v4/core").$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.$strict>;
+        }, import("zod/v4/core").$strict>]>>;
+    }, import("zod/v4/core").$strict>], "action">>;
+}, import("zod/v4/core").$strict>;
 export type ClinicalSourceSystem = z.infer<typeof clinicalSourceSystemSchema>;
 export type ClinicalRawManifest = z.infer<typeof clinicalRawManifestSchema>;
 export type ClinicalRawManifestResourceFile = z.infer<typeof clinicalRawManifestResourceFileSchema> | z.infer<typeof clinicalRawManifestV3ResourceFileSchema>;