@openhi/constructs 0.0.0 → 0.0.1

package/lib/rest-api-lambda.handler.js.map

@@ -0,0 +1 @@
+{"version":3,"sources":["../src/data/lambda/rest-api-lambda.handler.ts","../src/data/rest-api/rest-api.ts","../src/data/middleware/open-hi-context.ts","../src/data/rest-api/ehr/r4/Patient.ts","../src/lib/compression.ts","../src/data/dynamo/ehr/r4/ehr-r4-data-service.ts","../src/data/dynamo/ehr/r4/Patient.ts","../src/data/import-patient.ts"],"sourcesContent":["import serverlessExpress from \"@codegenie/serverless-express\";\nimport { app } from \"../rest-api/rest-api\";\n\nexport const handler = serverlessExpress({ app });\n","import path from \"path\";\nimport cors from \"cors\";\nimport express, { Express, Request, Response } from \"express\";\nimport { openHiContextMiddleware } from \"../middleware/open-hi-context\";\nimport { patientRouter } from \"./ehr/r4/Patient\";\n\nconst app: Express = express();\n\napp.set(\"view engine\", \"ejs\");\napp.set(\"views\", path.join(__dirname, \"views\"));\n\napp.use(cors());\napp.use(express.json());\napp.use(express.urlencoded({ extended: true }));\n\napp.get(\"/\", (_req: Request, res: Response) => {\n  return res.status(200).json({ message: \"POC App is running\" });\n});\n\n// Tenant/workspace resolved from headers/env (or JWT when implemented); attached to req for /ehr routes\napp.use(\"/ehr\", openHiContextMiddleware);\n\n// FHIR R4 EHR endpoints: path structure mirrors folder structure (ehr/r4/Patient.ts → /ehr/r4/Patient)\napp.use(\"/ehr/r4/Patient\", patientRouter);\n\nexport { app };\n","import type { Request, Response, NextFunction } from \"express\";\n\n/** Static context used until JWT claims are implemented. */\nconst STATIC_TENANT_ID = \"tenant-1\";\nconst STATIC_WORKSPACE_ID = \"ws-1\";\nconst STATIC_USER_ID = \"rest-api\";\nconst STATIC_USER_NAME = \"REST API\";\n\n/**\n * Express middleware that sets req.openhiContext for /ehr (and other domain API)\n * routes. Context includes tenantId, workspaceId, and the three standard audit\n * fields (date, userId, username) for audit records and for merging into FHIR\n * data on mutations.\n *\n * **TODO: A future task will populate context from JWT claims** (e.g. after\n * verifying the token). For now, static values are used.\n *\n * @see sites/www-docs/content/packages/@openhi/constructs/rest-api.md — Middleware\n */\nexport function openHiContextMiddleware(\n  req: Request,\n  _res: Response,\n  next: NextFunction,\n): void {\n  const now = new Date().toISOString();\n  req.openhiContext = {\n    tenantId: STATIC_TENANT_ID,\n    workspaceId: STATIC_WORKSPACE_ID,\n    date: now,\n    userId: STATIC_USER_ID,\n    username: STATIC_USER_NAME,\n  };\n  next();\n}\n","import express, { Request, Response } from \"express\";\nimport {\n  compressResource,\n  decompressResource,\n} from \"../../../../lib/compression\";\nimport { getEhrR4DataService } from \"../../../dynamo/ehr/r4/ehr-r4-data-service\";\nimport {\n  mergeAuditIntoMeta,\n  patientToPutAttrs,\n  type ImportPatientOptions,\n} from \"../../../import-patient\";\n\nconst BASE_PATH = \"/ehr/r4/Patient\";\nconst router: express.Router = express.Router();\nconst SK = \"CURRENT\";\n\nconst TABLE_NAME = process.env.DYNAMO_TABLE_NAME ?? \"jesttesttable\";\n\n/**\n * GET /ehr/r4/Patient — search/list: returns a FHIR Bundle (searchset) from the data store.\n * Uses GSI4 (Resource Type Index) to list all Patients in the workspace without a table scan.\n * @see {@link https://github.com/codedrifters/openhi/blob/main/sites/www-docs/content/architecture/dynamodb-single-table-design.md | DynamoDB Single-Table Design} — GSI4, Query and Access Rules (no scans).\n */\nexport async function listPatients(\n  req: Request,\n  res: Response,\n): Promise<Response> {\n  const { tenantId, workspaceId } = req.openhiContext!;\n  const service = getEhrR4DataService(TABLE_NAME);\n\n  try {\n    const result = await service.entities.patient.query\n      .gsi4({ tenantId, workspaceId })\n      .go();\n\n    const entries = (result.data ?? []).map((item) => {\n      const resource = JSON.parse(decompressResource(item.resource)) as Record<\n        string,\n        unknown\n      >;\n      return {\n        fullUrl: `${BASE_PATH}/${item.id}`,\n        resource: { ...resource, id: item.id },\n      };\n    });\n    const bundle = {\n      resourceType: \"Bundle\",\n      type: \"searchset\",\n      total: entries.length,\n      link: [{ relation: \"self\", url: BASE_PATH }],\n      entry: entries,\n    };\n    return res.json(bundle);\n  } catch (err: unknown) {\n    console.error(\"GET /Patient list error:\", err);\n    return res.status(500).json({\n      resourceType: \"OperationOutcome\",\n      issue: [\n        {\n          severity: \"error\",\n          code: \"exception\",\n          diagnostics: String(err),\n        },\n      ],\n    });\n  }\n}\n\nrouter.get(\"/\", listPatients);\n\nexport async function getPatientById(\n  req: Request,\n  res: Response,\n): Promise<Response> {\n  const id = String(req.params.id);\n  const { tenantId, workspaceId } = req.openhiContext!;\n  const service = getEhrR4DataService(TABLE_NAME);\n\n  try {\n    const result = await service.entities.patient\n      .get({ tenantId, workspaceId, id, sk: \"CURRENT\" })\n      .go();\n\n    if (!result.data) {\n      return res.status(404).json({\n        resourceType: \"OperationOutcome\",\n        issue: [\n          {\n            severity: \"error\",\n            code: \"not-found\",\n            diagnostics: `Patient ${id} not found`,\n          },\n        ],\n      });\n    }\n\n    const resource = JSON.parse(\n      decompressResource(result.data.resource),\n    ) as Record<string, unknown>;\n    return res.json({ ...resource, id: result.data.id });\n  } catch (err: unknown) {\n    console.error(\"GET Patient error:\", err);\n    return res.status(500).json({\n      resourceType: \"OperationOutcome\",\n      issue: [\n        {\n          severity: \"error\",\n          code: \"exception\",\n          diagnostics: String(err),\n        },\n      ],\n    });\n  }\n}\n\n/** GET /ehr/r4/Patient/:id — read: returns a single Patient resource from the data store or 404. */\nrouter.get(\"/:id\", getPatientById);\n\n/** POST /ehr/r4/Patient — create: accepts Patient in body, persists via data store, returns 201. */\nexport async function createPatient(\n  req: Request,\n  res: Response,\n): Promise<Response> {\n  const ctx = req.openhiContext!;\n  const { tenantId, workspaceId, date, userId, username } = ctx;\n  const body = req.body as Record<string, unknown>;\n  const id = (body?.id as string) ?? `patient-${Date.now()}`;\n  const patient = {\n    ...body,\n    resourceType: \"Patient\",\n    id,\n    meta: {\n      ...((body?.meta as object) ?? {}),\n      lastUpdated: date,\n      versionId: \"1\",\n    },\n  } as { resourceType: string; id: string; meta?: { lastUpdated?: string } };\n  const options: ImportPatientOptions = {\n    tenantId,\n    workspaceId,\n    createdDate: date,\n    createdById: userId,\n    createdByName: username,\n    modifiedDate: date,\n    modifiedById: userId,\n    modifiedByName: username,\n  };\n  const service = getEhrR4DataService(TABLE_NAME);\n\n  try {\n    const attrs = patientToPutAttrs(patient, options);\n    await service.entities.patient\n      .put(\n        attrs as unknown as Parameters<typeof service.entities.patient.put>[0],\n      )\n      .go();\n    return res.status(201).location(`${BASE_PATH}/${id}`).json(patient);\n  } catch (err: unknown) {\n    console.error(\"POST Patient error:\", err);\n    return res.status(500).json({\n      resourceType: \"OperationOutcome\",\n      issue: [\n        { severity: \"error\", code: \"exception\", diagnostics: String(err) },\n      ],\n    });\n  }\n}\n\nrouter.post(\"/\", createPatient);\n\n/** PUT /ehr/r4/Patient/:id — update: accepts Patient in body, persists via data store, returns 200. */\nexport async function updatePatient(\n  req: Request,\n  res: Response,\n): Promise<Response> {\n  const id = String(req.params.id);\n  const ctx = req.openhiContext!;\n  const { tenantId, workspaceId, date, userId, username } = ctx;\n  const body = req.body as Record<string, unknown>;\n  const patient = {\n    ...body,\n    resourceType: \"Patient\",\n    id,\n    meta: {\n      ...((body?.meta as object) ?? {}),\n      lastUpdated: date,\n      versionId: \"2\",\n    },\n  };\n  const service = getEhrR4DataService(TABLE_NAME);\n\n  try {\n    const existing = await service.entities.patient\n      .get({ tenantId, workspaceId, id, sk: SK })\n      .go();\n    if (!existing.data) {\n      return res.status(404).json({\n        resourceType: \"OperationOutcome\",\n        issue: [\n          {\n            severity: \"error\",\n            code: \"not-found\",\n            diagnostics: `Patient ${id} not found`,\n          },\n        ],\n      });\n    }\n    const existingMeta =\n      existing.data.resource != null\n        ? (\n            JSON.parse(decompressResource(existing.data.resource)) as {\n              meta?: Record<string, unknown>;\n            }\n          ).meta\n        : undefined;\n    const patientWithMeta = {\n      ...patient,\n      meta: mergeAuditIntoMeta(\n        (patient.meta as Record<string, unknown> | undefined) ?? existingMeta,\n        {\n          modifiedDate: date,\n          modifiedById: userId,\n          modifiedByName: username,\n        },\n      ),\n    };\n    await service.entities.patient\n      .patch({ tenantId, workspaceId, id, sk: SK })\n      .set({\n        resource: compressResource(JSON.stringify(patientWithMeta)),\n        lastUpdated: date,\n      })\n      .go();\n    return res.json(patientWithMeta);\n  } catch (err: unknown) {\n    console.error(\"PUT Patient error:\", err);\n    return res.status(500).json({\n      resourceType: \"OperationOutcome\",\n      issue: [\n        { severity: \"error\", code: \"exception\", diagnostics: String(err) },\n      ],\n    });\n  }\n}\n\nrouter.put(\"/:id\", updatePatient);\n\n/** DELETE /ehr/r4/Patient/:id — delete: removes from data store, returns 204. */\nexport async function deletePatient(\n  req: Request,\n  res: Response,\n): Promise<Response> {\n  const id = String(req.params.id);\n  const { tenantId, workspaceId } = req.openhiContext!;\n  const service = getEhrR4DataService(TABLE_NAME);\n\n  try {\n    await service.entities.patient\n      .delete({ tenantId, workspaceId, id, sk: SK })\n      .go();\n    return res.status(204).send();\n  } catch (err: unknown) {\n    console.error(\"DELETE Patient error:\", err);\n    return res.status(500).json({\n      resourceType: \"OperationOutcome\",\n      issue: [\n        { severity: \"error\", code: \"exception\", diagnostics: String(err) },\n      ],\n    });\n  }\n}\n\nrouter.delete(\"/:id\", deletePatient);\n\nexport { router as patientRouter };\n","import { gzipSync, gunzipSync } from \"node:zlib\";\n\n/** Envelope format version. See ADR 2026-02-15-02 (data layer compression). */\nconst ENVELOPE_VERSION = 1;\n\n/**\n * Compression algorithm identifiers supported by the envelope (string values).\n * Only algos that Node.js supports out of the box (zlib): gzip, brotli, deflate.\n * \"none\" = uncompressed payload. zstd was considered in the ADR but requires native addon/WASM.\n */\nexport const COMPRESSION_ALGOS = {\n  NONE: \"none\",\n  GZIP: \"gzip\",\n  BROTLI: \"brotli\",\n  DEFLATE: \"deflate\",\n} as const;\n\n/** Algorithm value for envelope `algo`; only gzip and none are implemented today. */\nexport type CompressionAlgo =\n  (typeof COMPRESSION_ALGOS)[keyof typeof COMPRESSION_ALGOS];\n\n/** Stored value is a JSON string of this envelope. */\ninterface CompressionEnvelope {\n  v: number;\n  algo: string;\n  payload: string;\n}\n\nfunction isEnvelope(obj: unknown): obj is CompressionEnvelope {\n  return (\n    typeof obj === \"object\" &&\n    obj !== null &&\n    \"v\" in obj &&\n    \"algo\" in obj &&\n    \"payload\" in obj &&\n    typeof (obj as CompressionEnvelope).payload === \"string\"\n  );\n}\n\n/**\n * Compresses a JSON string (e.g. serialized FHIR resource) for storage in DynamoDB.\n * Uses a versioned envelope: { v, algo, payload } with gzip+base64 in payload.\n * Used by the data layer on write; see REST API docs (compression in data layer).\n * Optional compression: pass `{ algo: COMPRESSION_ALGOS.NONE }` to store in envelope without compressing.\n */\nexport function compressResource(\n  jsonString: string,\n  options?: { algo?: CompressionAlgo },\n): string {\n  const algo = options?.algo ?? COMPRESSION_ALGOS.GZIP;\n  if (algo === COMPRESSION_ALGOS.NONE) {\n    const envelope: CompressionEnvelope = {\n      v: ENVELOPE_VERSION,\n      algo: COMPRESSION_ALGOS.NONE,\n      payload: jsonString,\n    };\n    return JSON.stringify(envelope);\n  }\n  const buf = Buffer.from(jsonString, \"utf-8\");\n  const payload = gzipSync(buf).toString(\"base64\");\n  const envelope: CompressionEnvelope = {\n    v: ENVELOPE_VERSION,\n    algo: COMPRESSION_ALGOS.GZIP,\n    payload,\n  };\n  return JSON.stringify(envelope);\n}\n\n/**\n * Decompresses a stored value: versioned envelope (v, algo, payload) or legacy gzip+base64 / raw.\n * If the value is not valid envelope JSON, falls back to legacy: try gzip magic on base64, else return as-is.\n */\nexport function decompressResource(compressedOrRaw: string): string {\n  try {\n    const parsed = JSON.parse(compressedOrRaw) as unknown;\n    if (isEnvelope(parsed)) {\n      if (parsed.algo === COMPRESSION_ALGOS.GZIP) {\n        const buf = Buffer.from(parsed.payload, \"base64\");\n        return gunzipSync(buf).toString(\"utf-8\");\n      }\n      if (parsed.algo === COMPRESSION_ALGOS.NONE) {\n        return parsed.payload;\n      }\n      // Unknown algo: return payload as-is (safe fallback per ADR)\n      return parsed.payload;\n    }\n  } catch {\n    // Not valid envelope JSON — legacy path\n  }\n\n  // Legacy: pre-envelope gzip+base64 or raw\n  try {\n    const buf = Buffer.from(compressedOrRaw, \"base64\");\n    if (buf.length >= 2 && buf[0] === 0x1f && buf[1] === 0x8b) {\n      return gunzipSync(buf).toString(\"utf-8\");\n    }\n  } catch {\n    // not base64 or gunzip failed\n  }\n  return compressedOrRaw;\n}\n","import { DynamoDBClient } from \"@aws-sdk/client-dynamodb\";\nimport { Service } from \"electrodb\";\nimport { Patient } from \"./Patient\";\n\n/**\n * DynamoDB table name for the data store. Set via DYNAMO_TABLE_NAME at runtime\n * (e.g. from Lambda env); defaults for local/test.\n */\nconst table = process.env.DYNAMO_TABLE_NAME ?? \"jesttesttable\";\n\n/**\n * DynamoDB client. When MOCK_DYNAMODB_ENDPOINT is set (e.g. local DynamoDB or\n * jest-dynalite), uses that endpoint with no SSL and region \"local\".\n */\nconst client = new DynamoDBClient({\n  ...(process.env.MOCK_DYNAMODB_ENDPOINT && {\n    endpoint: process.env.MOCK_DYNAMODB_ENDPOINT,\n    sslEnabled: false,\n    region: \"local\",\n  }),\n});\n\nconst entities = { patient: Patient };\n\n/**\n * ElectroDB Service for the single-table data store. Provides access to Patient\n * and other entities; use with the data store table (PK, SK, GSI1, GSI2, GSI3, GSI4).\n */\nexport const EhrR4DataService = new Service(entities, { table, client });\n\n/**\n * Returns an ElectroDB Service for the data store using the given table name.\n * Use in tests with a dedicated table (e.g. \"data-store-test\" in jest-dynalite).\n */\nexport function getEhrR4DataService(\n  tableName: string,\n): typeof EhrR4DataService {\n  return new Service(entities, { table: tableName, client });\n}\n","import { Entity } from \"electrodb\";\n\n/**\n * Patient data-store entity based on FHIR (single-table store).\n *\n * Key structure: PK = TID#<tenantId>#WID#<workspaceId>#RT#Patient#ID#<id>, SK = CURRENT.\n * Standard attributes (FHIR source and entity purpose) are documented in the Data-Store Entity Standards (FHIR).\n *\n * @see sites/www-docs/content/reference/data-store-entities.md — Standard attributes (all FHIR domain resources)\n * @see sites/www-docs/content/architecture/dynamodb-single-table-design.md\n */\nexport const Patient = new Entity({\n  model: {\n    entity: \"patient\",\n    service: \"fhir\",\n    version: \"01\",\n  },\n  attributes: {\n    /** Sort key. \"CURRENT\" for current version; version history in S3. */\n    sk: {\n      type: \"string\",\n      required: true,\n      default: \"CURRENT\",\n    },\n    tenantId: {\n      type: \"string\",\n      required: true,\n    },\n    workspaceId: {\n      type: \"string\",\n      required: true,\n    },\n    /** FHIR Resource.id; logical id in URL and PK. */\n    id: {\n      type: \"string\",\n      required: true,\n    },\n    /** FHIR resource as JSON string. JSON.stringify(resource) on write; JSON.parse(item.resource) on read. */\n    resource: {\n      type: \"string\",\n      required: true,\n    },\n    /** Version id (e.g. ULID). Tracks current version; S3 history key. */\n    vid: {\n      type: \"string\",\n      required: true,\n    },\n    lastUpdated: {\n      type: \"string\",\n      required: true,\n    },\n    deleted: {\n      type: \"boolean\",\n      required: false,\n    },\n    bundleId: {\n      type: \"string\",\n      required: false,\n    },\n    msgId: {\n      type: \"string\",\n      required: false,\n    },\n    // Audit is in FHIR resource meta (meta.extension), not item attributes. See data-store-entities.md.\n    // --- GSI2 (Identifier Lookup): optional; set when indexing this patient by identifier (e.g. MRN)\n    /** Identifier system (e.g. MRN system URI). When set with identifierValue, item is written to GSI2. */\n    identifierSystem: {\n      type: \"string\",\n      required: false,\n    },\n    /** Identifier value (e.g. MRN). When set with identifierSystem, item is written to GSI2. */\n    identifierValue: {\n      type: \"string\",\n      required: false,\n    },\n    /** For GSI2/GSI3 projection: base table PK/SK so GetItem can be used after query. */\n    resourcePk: {\n      type: \"string\",\n      required: false,\n    },\n    resourceSk: {\n      type: \"string\",\n      required: false,\n    },\n    /** For GSI2 projection: display name for roster/lookup. */\n    display: {\n      type: \"string\",\n      required: false,\n    },\n    /** For GSI2 projection: resource status if applicable. */\n    status: {\n      type: \"string\",\n      required: false,\n    },\n    // --- GSI3 (Facility Ops): optional; set when indexing this patient on a facility roster\n    /** Facility id. When set with normalizedName, item is written to GSI3. */\n    facilityId: {\n      type: \"string\",\n      required: false,\n    },\n    /** Normalized display name for roster sort. When set with facilityId, item is written to GSI3. */\n    normalizedName: {\n      type: \"string\",\n      required: false,\n    },\n  },\n  indexes: {\n    /** Base table: PK, SK (data store key names). PK is built from tenantId, workspaceId, id; do not supply PK from outside. */\n    record: {\n      pk: {\n        field: \"PK\",\n        composite: [\"tenantId\", \"workspaceId\", \"id\"],\n        template: \"TID#${tenantId}#WID#${workspaceId}#RT#Patient#ID#${id}\",\n      },\n      sk: {\n        field: \"SK\",\n        composite: [\"sk\"],\n      },\n    },\n\n    /**\n     * GSI1 — Reverse Reference: query \"what references this patient?\".\n     * Patient items are never written to GSI1 (condition: false); reference index items\n     * are written by other resources. This index enables querying GSI1 by REFTO#RT#Patient#ID#<id>.\n     */\n    gsi1: {\n      index: \"GSI1\",\n      condition: () => false,\n      pk: {\n        field: \"GSI1PK\",\n        composite: [\"tenantId\", \"workspaceId\", \"id\"],\n        template:\n          \"TID#${tenantId}#WID#${workspaceId}#REFTO#RT#Patient#ID#${id}\",\n      },\n      sk: {\n        field: \"GSI1SK\",\n        composite: [],\n      },\n    },\n\n    /** GSI2 — Identifier Lookup: MRN, NPI, member ID, etc. Keys built from identifier components. */\n    gsi2: {\n      index: \"GSI2\",\n      condition: (attr) =>\n        attr.identifierSystem != null && attr.identifierValue != null,\n      pk: {\n        field: \"GSI2PK\",\n        composite: [\n          \"tenantId\",\n          \"workspaceId\",\n          \"identifierSystem\",\n          \"identifierValue\",\n        ],\n        template:\n          \"TID#${tenantId}#WID#${workspaceId}#IDENT#${identifierSystem}#${identifierValue}\",\n      },\n      sk: {\n        field: \"GSI2SK\",\n        composite: [\"id\"],\n        template: \"RT#Patient#ID#${id}\",\n      },\n    },\n    /** GSI3 — Facility Ops: facility roster, worklists. Keys built from facility + name. */\n    gsi3: {\n      index: \"GSI3\",\n      condition: (attr) =>\n        attr.facilityId != null && attr.normalizedName != null,\n      pk: {\n        field: \"GSI3PK\",\n        composite: [\"tenantId\", \"workspaceId\", \"facilityId\"],\n        template: \"TID#${tenantId}#WID#${workspaceId}#FAC#${facilityId}\",\n      },\n      sk: {\n        field: \"GSI3SK\",\n        composite: [\"id\", \"normalizedName\"],\n        template: \"TYPE#PATIENT#PAT#${id}#NAME#${normalizedName}\",\n      },\n    },\n    /** GSI4 — Resource Type Index: list all Patients in workspace (no scan). */\n    gsi4: {\n      index: \"GSI4\",\n      condition: () => true,\n      pk: {\n        field: \"GSI4PK\",\n        composite: [\"tenantId\", \"workspaceId\"],\n        template: \"TID#${tenantId}#WID#${workspaceId}#RT#Patient\",\n      },\n      sk: {\n        field: \"GSI4SK\",\n        composite: [\"id\"],\n        template: \"ID#${id}\",\n      },\n    },\n  },\n});\n","import { readFileSync } from \"node:fs\";\nimport { resolve } from \"node:path\";\nimport { compressResource } from \"../lib/compression\";\nimport { getEhrR4DataService } from \"./dynamo/ehr/r4/ehr-r4-data-service\";\n\n/** OpenHI extension URLs for audit in resource meta (per ADR 2026-01-13-06). */\nconst OPENHI_EXT = \"http://openhi.org/fhir/StructureDefinition\";\n\n/** Audit fields stored in FHIR resource meta.extension. */\nexport interface AuditFields {\n  createdDate?: string;\n  createdById?: string;\n  createdByName?: string;\n  modifiedDate?: string;\n  modifiedById?: string;\n  modifiedByName?: string;\n  deletedDate?: string;\n  deletedById?: string;\n  deletedByName?: string;\n}\n\n/** Builds meta.extension entries for audit; merges with existing meta. */\nexport function mergeAuditIntoMeta(\n  meta: Record<string, unknown> | undefined,\n  audit: AuditFields,\n): Record<string, unknown> {\n  const existing = meta ?? {};\n  const ext: Array<{\n    url: string;\n    valueString?: string;\n    valueDateTime?: string;\n  }> = [\n    ...(Array.isArray(existing.extension)\n      ? (existing.extension as Array<{\n          url: string;\n          valueString?: string;\n          valueDateTime?: string;\n        }>)\n      : []),\n  ];\n  const byUrl = new Map(ext.map((e) => [e.url, e]));\n  function set(\n    url: string,\n    value: string | undefined,\n    type: \"valueString\" | \"valueDateTime\",\n  ) {\n    if (value == null) return;\n    byUrl.set(url, { url, [type]: value });\n  }\n  set(`${OPENHI_EXT}/created-date`, audit.createdDate, \"valueDateTime\");\n  set(`${OPENHI_EXT}/created-by-id`, audit.createdById, \"valueString\");\n  set(`${OPENHI_EXT}/created-by-name`, audit.createdByName, \"valueString\");\n  set(`${OPENHI_EXT}/modified-date`, audit.modifiedDate, \"valueDateTime\");\n  set(`${OPENHI_EXT}/modified-by-id`, audit.modifiedById, \"valueString\");\n  set(`${OPENHI_EXT}/modified-by-name`, audit.modifiedByName, \"valueString\");\n  set(`${OPENHI_EXT}/deleted-date`, audit.deletedDate, \"valueDateTime\");\n  set(`${OPENHI_EXT}/deleted-by-id`, audit.deletedById, \"valueString\");\n  set(`${OPENHI_EXT}/deleted-by-name`, audit.deletedByName, \"valueString\");\n  return { ...existing, extension: Array.from(byUrl.values()) };\n}\n\n/** Minimal FHIR Patient shape needed for import (id and resourceType required). */\ninterface FhirPatientLike {\n  resourceType: string;\n  id: string;\n  meta?: Record<string, unknown>;\n}\n\n/** FHIR Bundle entry (e.g. Synthea transaction bundle). */\ninterface BundleEntry {\n  fullUrl?: string;\n  resource?: {\n    resourceType?: string;\n    id?: string;\n    meta?: { lastUpdated?: string };\n  };\n}\n\n/**\n * Extracts a Patient from parsed JSON. Accepts either:\n * - A standalone Patient resource (root has resourceType \"Patient\"), or\n * - A FHIR Bundle (e.g. Synthea transaction) — uses the first entry whose resource is a Patient.\n */\nfunction extractPatient(parsed: unknown): FhirPatientLike {\n  if (parsed && typeof parsed === \"object\" && \"resourceType\" in parsed) {\n    const root = parsed as {\n      resourceType?: string;\n      id?: string;\n      meta?: { lastUpdated?: string };\n    };\n    if (root.resourceType === \"Patient\" && root.id) {\n      return root as FhirPatientLike;\n    }\n    if (root.resourceType === \"Bundle\" && \"entry\" in parsed) {\n      const entries = (parsed as { entry?: BundleEntry[] }).entry;\n      if (Array.isArray(entries)) {\n        const patientEntry = entries.find(\n          (e) => e?.resource?.resourceType === \"Patient\" && e.resource.id,\n        );\n        if (patientEntry?.resource) {\n          return patientEntry.resource as FhirPatientLike;\n        }\n      }\n    }\n  }\n  throw new Error(\n    \"File must be a FHIR Patient resource or a Bundle containing at least one Patient entry\",\n  );\n}\n\nconst SK = \"CURRENT\";\n\n/** Default audit values for create/modify when importing. */\nconst defaultAudit = {\n  createdDate: new Date().toISOString(),\n  createdById: \"import\",\n  createdByName: \"Bulk import\",\n  modifiedDate: new Date().toISOString(),\n  modifiedById: \"import\",\n  modifiedByName: \"Bulk import\",\n};\n\nexport interface ImportPatientOptions {\n  tenantId: string;\n  workspaceId: string;\n  tableName?: string;\n  /** Audit fields at same level as tenantId/workspaceId; merged with defaults. */\n  createdDate?: string;\n  createdById?: string;\n  createdByName?: string;\n  modifiedDate?: string;\n  modifiedById?: string;\n  modifiedByName?: string;\n}\n\n/**\n * Maps a FHIR Patient (from JSON) to the attributes required for Patient.put().\n * Uses placeholder GSI2/GSI3 fields so ElectroDB index conditions are satisfied.\n */\nexport function patientToPutAttrs(\n  patient: FhirPatientLike,\n  options: ImportPatientOptions,\n): Record<string, unknown> {\n  const {\n    tenantId,\n    workspaceId,\n    createdDate,\n    createdById,\n    createdByName,\n    modifiedDate,\n    modifiedById,\n    modifiedByName,\n  } = options;\n  const lastUpdated =\n    (patient.meta?.lastUpdated as string | undefined) ??\n    modifiedDate ??\n    defaultAudit.modifiedDate ??\n    new Date().toISOString();\n  const auditMerged: AuditFields = {\n    ...defaultAudit,\n    ...(createdDate != null && { createdDate }),\n    ...(createdById != null && { createdById }),\n    ...(createdByName != null && { createdByName }),\n    ...(modifiedDate != null && { modifiedDate }),\n    ...(modifiedById != null && { modifiedById }),\n    ...(modifiedByName != null && { modifiedByName }),\n  };\n\n  const patientWithMeta = {\n    ...patient,\n    meta: mergeAuditIntoMeta(patient.meta, auditMerged),\n  };\n  if (lastUpdated && !patientWithMeta.meta.lastUpdated) {\n    (patientWithMeta.meta as Record<string, unknown>).lastUpdated = lastUpdated;\n  }\n\n  return {\n    sk: SK,\n    tenantId,\n    workspaceId,\n    id: patient.id,\n    resource: compressResource(JSON.stringify(patientWithMeta)),\n    vid:\n      lastUpdated.replace(/[-:T.Z]/g, \"\").slice(0, 12) ||\n      Date.now().toString(36),\n    lastUpdated,\n    identifierSystem: \"\",\n    identifierValue: \"\",\n    facilityId: \"\",\n    normalizedName: \"\",\n  };\n}\n\n/**\n * Reads a single Patient JSON file and imports it into the FHIR store.\n * Table name: options.tableName ?? process.env.DYNAMO_TABLE_NAME ?? \"jesttesttable\".\n */\nexport async function importPatientFromFile(\n  filePath: string,\n  options: ImportPatientOptions,\n): Promise<{ id: string; tenantId: string; workspaceId: string }> {\n  const resolved = resolve(filePath);\n  const raw = readFileSync(resolved, \"utf-8\");\n  const parsed: unknown = JSON.parse(raw);\n  const patient = extractPatient(parsed);\n\n  const tableName =\n    options.tableName ?? process.env.DYNAMO_TABLE_NAME ?? \"jesttesttable\";\n  const service = getEhrR4DataService(tableName);\n  const attrs = patientToPutAttrs(patient, options);\n\n  const result = await service.entities.patient\n    .put(attrs as unknown as Parameters<typeof service.entities.patient.put>[0])\n    .go();\n\n  const data = (\n    result as { data?: { id: string; tenantId: string; workspaceId: string } }\n  ).data;\n  if (!data) {\n    throw new Error(`Put failed for Patient ${patient.id}`);\n  }\n\n  return {\n    id: data.id,\n    tenantId: data.tenantId,\n    workspaceId: data.workspaceId,\n  };\n}\n\n/** Run as script: node/ts-node import-patient.ts <path-to-patient.json> [tenantId] [workspaceId] */\nasync function main(): Promise<void> {\n  const [, , fileArg, tenantId = \"tenant-1\", workspaceId = \"ws-1\"] =\n    process.argv;\n\n  if (!fileArg) {\n    console.error(\n      \"Usage: import-patient.ts <path-to-patient.json> [tenantId] [workspaceId]\",\n    );\n    process.exit(1);\n  }\n\n  try {\n    const result = await importPatientFromFile(fileArg, {\n      tenantId,\n      workspaceId,\n    });\n    console.log(\n      `Imported Patient ${result.id} (tenant=${result.tenantId}, workspace=${result.workspaceId})`,\n    );\n  } catch (err) {\n    console.error(err);\n    process.exit(1);\n  }\n}\n\nif (require.main === module) {\n  void 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