@peerbits/fhir-validator 1.0.0
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- package/LICENSE +105 -0
- package/README.md +211 -0
- package/package.json +49 -0
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package/README.md
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# @peerbits/fhir-validator
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> Fast, lightweight structural, cardinality, and reference validation for FHIR R4 resources.
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[](https://github.com/PeerbitsSolution/fhir-validator/actions)
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[](https://github.com/PeerbitsSolution/fhir-validator/actions)
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[](LICENSE)
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> [!IMPORTANT]
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> **Scope & Positioning**: `@peerbits/fhir-validator` is a fast in-memory **structural and reference validator** for FHIR R4 resources. It is **not** a full FHIR profile conformance engine, does not evaluate FHIRPath invariant expressions, and is not an ONC certification test kit.
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>
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> **Read our [Known Limitations](docs/KNOWN_LIMITATIONS.md)** for a clear overview of supported checks vs. out-of-scope capabilities and recommended full-conformance alternatives.
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---
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## The Peerbits HealthTech Toolkit Narrative
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`@peerbits/fhir-validator` works seamlessly alongside the rest of the Peerbits Open Source healthcare stack:
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1. **[`@peerbits/smart-launch`](../smart-launch)** — Performs EHR SMART-on-FHIR OAuth2 / OIDC discovery and authorization.
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2. **[`@peerbits/fhir-client`](../fhir-client)** — Connects to FHIR servers and executes type-safe CRUD, searches, and batch bundles.
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3. **`@peerbits/fhir-validator`** — Inspects and verifies payload integrity at runtime, catching missing fields, invalid references, and malformed codings before requests hit the wire or database.
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---
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## Features
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- **Zero-Dependency & In-Memory**: Pure TypeScript with zero runtime dependencies. Runs in Node.js, browsers, Edge workers, and Lambda functions.
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- **7 Core Resource Types**: Base structural rules and cardinality checks for:
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- `Patient`
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- `Observation`
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- `Encounter`
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- `Condition`
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- `Coverage`
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- `Claim`
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- `ClaimResponse`
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- **Reference Target-Type Enforcement**: Checks that `Reference` elements target allowed resource types per the FHIR R4 specification.
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- **Coding & CodeableConcept Shape Verification**: Structural validation of `code` and URI `system` fields without heavy external network calls.
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- **Pluggable Profile Constraints**: Declaratively enforce additional required fields, cardinality minimums, and fixed values on top of base specifications (includes illustrative `USCorePatientProfile` and `USCoreObservationVitalsProfile`).
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- **OperationOutcome-Aligned Output**: Returns `{ valid: boolean, issues: ValidationIssue[] }` with diagnostic severities (`error`, `warning`, `information`).
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---
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## Installation
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```bash
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npm install @peerbits/fhir-validator
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```
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---
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## Quick Start
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### 1. Validating a Resource
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```typescript
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import { validate } from "@peerbits/fhir-validator";
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const observation = {
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resourceType: "Observation",
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id: "heart-rate-001",
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status: "final",
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code: {
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coding: [
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{
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system: "http://loinc.org",
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code: "8867-4",
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display: "Heart rate",
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},
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],
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},
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subject: {
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reference: "Patient/synthetic-patient-001",
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},
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valueQuantity: {
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value: 72,
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unit: "/min",
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system: "http://unitsofmeasure.org",
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code: "/min",
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},
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};
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const result = validate(observation);
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console.log(result.valid); // true
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console.log(result.issues); // []
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```
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### 2. Catching Structural Errors (Before / After)
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When passed a resource with deliberate errors:
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```typescript
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import { validate } from "@peerbits/fhir-validator";
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const malformedObservation = {
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resourceType: "Observation",
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// 1. Missing required 'status'
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code: {
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coding: [
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{
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// 2. Missing required 'system' URI
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code: "8867-4",
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},
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],
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},
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subject: {
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// 3. Disallowed target resource type for Observation.subject
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reference: "Claim/claim-999",
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},
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};
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const result = validate(malformedObservation);
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console.log(result.valid); // false
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console.log(result.issues);
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```
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**Result Output (`ValidationIssue[]`):**
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```json
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{
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"valid": false,
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"issues": [
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{
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"severity": "error",
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"path": "Observation.status",
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"code": "required",
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"message": "Missing required 'status' in 'Observation'."
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},
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{
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"severity": "error",
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"path": "Observation.code.coding[0].system",
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"code": "required",
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"message": "Missing required 'system' URI in 'Observation.code.coding[0]'."
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},
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{
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"severity": "error",
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"path": "Observation.subject",
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"code": "invalid-reference-type",
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"message": "Reference at 'Observation.subject' targets disallowed resource type 'Claim'. Allowed types: Patient, Group, Device, Location."
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}
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]
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}
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```
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---
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## Applying Profile Constraints
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You can pass profile constraints to enforce additional requirements beyond base FHIR:
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```typescript
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import { validate, USCorePatientProfile } from "@peerbits/fhir-validator";
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const minimalPatient = {
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resourceType: "Patient",
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id: "patient-1",
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gender: "female",
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};
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// Base validation passes (since name & identifier are optional in base FHIR R4)
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const baseResult = validate(minimalPatient);
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console.log(baseResult.valid); // true
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// US Core Patient requires name and identifier
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const profileResult = validate(minimalPatient, { profile: USCorePatientProfile });
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console.log(profileResult.valid); // false
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console.log(profileResult.issues);
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// => Issues flagging missing 'Patient.identifier' and 'Patient.name'
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```
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---
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## API Reference
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### `validate(resource: unknown, options?: ValidateOptions): ValidationResult`
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Validates any JSON object against base FHIR R4 rules and optional profile constraints.
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#### `ValidationResult`
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- `valid: boolean` — `true` if zero issues with `severity: "error"` were found.
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- `issues: ValidationIssue[]` — List of validation issues.
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#### `ValidationIssue`
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- `severity: "error" | "warning" | "information"`
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- `path: string` — Dot-notated element path (e.g. `Observation.code.coding[0].system`).
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- `code: string` — Machine-readable issue code (e.g. `required`, `invalid-type`, `invalid-reference-type`).
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- `message: string` — Human-readable description.
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---
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## Contributing & Development
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```bash
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# Install dependencies
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npm install
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# Run test suite
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npm test
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# Type check
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npm run typecheck
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# Build bundle
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npm run build
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```
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---
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## License
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[Apache 2.0](LICENSE) © Peerbits
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package/package.json
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{
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"name": "@peerbits/fhir-validator",
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"version": "1.0.0",
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"description": "Structural, cardinality, and reference validation for FHIR R4 resources — a fast base-spec validator with a pluggable illustrative-profile mechanism (not a full conformance engine)",
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"license": "Apache-2.0",
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"publishConfig": {
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"access": "public"
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},
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"type": "module",
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"main": "dist/index.js",
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"types": "dist/index.d.ts",
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"exports": {
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".": {
|
|
14
|
+
"types": "./dist/index.d.ts",
|
|
15
|
+
"import": "./dist/index.js",
|
|
16
|
+
"default": "./dist/index.js"
|
|
17
|
+
}
|
|
18
|
+
},
|
|
19
|
+
"files": [
|
|
20
|
+
"dist"
|
|
21
|
+
],
|
|
22
|
+
"scripts": {
|
|
23
|
+
"build": "tsc -p tsconfig.json",
|
|
24
|
+
"lint": "eslint .",
|
|
25
|
+
"typecheck": "tsc --noEmit",
|
|
26
|
+
"test": "vitest run"
|
|
27
|
+
},
|
|
28
|
+
"repository": {
|
|
29
|
+
"type": "git",
|
|
30
|
+
"url": "git+https://github.com/PeerbitsSolution/fhir-validator.git"
|
|
31
|
+
},
|
|
32
|
+
"keywords": [
|
|
33
|
+
"fhir",
|
|
34
|
+
"fhir-validation",
|
|
35
|
+
"healthcare",
|
|
36
|
+
"typescript",
|
|
37
|
+
"conformance"
|
|
38
|
+
],
|
|
39
|
+
"devDependencies": {
|
|
40
|
+
"@typescript-eslint/eslint-plugin": "^8.0.0",
|
|
41
|
+
"@typescript-eslint/parser": "^8.0.0",
|
|
42
|
+
"eslint": "^9.0.0",
|
|
43
|
+
"typescript": "^5.5.0",
|
|
44
|
+
"vitest": "^2.0.0"
|
|
45
|
+
},
|
|
46
|
+
"engines": {
|
|
47
|
+
"node": ">=18"
|
|
48
|
+
}
|
|
49
|
+
}
|