ezmedicationinput 0.1.44 → 0.1.46

package/dist/format.js

@@ -1,1034 +0,0 @@
-"use strict";
-Object.defineProperty(exports, "__esModule", { value: true });
-exports.formatCanonicalClause = formatCanonicalClause;
-exports.formatInternal = formatInternal;
-const prn_1 = require("./prn");
-const types_1 = require("./types");
-const timing_summary_1 = require("./timing-summary");
-const ROUTE_SHORT = {
-    [types_1.RouteCode["Oral route"]]: "PO",
-    [types_1.RouteCode["Sublingual route"]]: "SL",
-    [types_1.RouteCode["Buccal route"]]: "BUC",
-    [types_1.RouteCode["Respiratory tract route (qualifier value)"]]: "INH",
-    [types_1.RouteCode["Nasal route"]]: "IN",
-    [types_1.RouteCode["Topical route"]]: "TOP",
-    [types_1.RouteCode["Transdermal route"]]: "TD",
-    [types_1.RouteCode["Subcutaneous route"]]: "SC",
-    [types_1.RouteCode["Intramuscular route"]]: "IM",
-    [types_1.RouteCode["Intravenous route"]]: "IV",
-    [types_1.RouteCode["Per rectum"]]: "PR",
-    [types_1.RouteCode["Per vagina"]]: "PV",
-    [types_1.RouteCode["Ophthalmic route"]]: "OPH",
-    [types_1.RouteCode["Intravitreal route (qualifier value)"]]: "IVT"
-};
-const WHEN_TEXT = {
-    [types_1.EventTiming["Before Sleep"]]: "at bedtime",
-    [types_1.EventTiming["Before Meal"]]: "before meals",
-    [types_1.EventTiming["Before Breakfast"]]: "before breakfast",
-    [types_1.EventTiming["Before Lunch"]]: "before lunch",
-    [types_1.EventTiming["Before Dinner"]]: "before dinner",
-    [types_1.EventTiming["After Meal"]]: "after meals",
-    [types_1.EventTiming["After Breakfast"]]: "after breakfast",
-    [types_1.EventTiming["After Lunch"]]: "after lunch",
-    [types_1.EventTiming["After Dinner"]]: "after dinner",
-    [types_1.EventTiming.Meal]: "with meals",
-    [types_1.EventTiming.Breakfast]: "with breakfast",
-    [types_1.EventTiming.Lunch]: "with lunch",
-    [types_1.EventTiming.Dinner]: "with dinner",
-    [types_1.EventTiming.Morning]: "in the morning",
-    [types_1.EventTiming["Early Morning"]]: "in the early morning",
-    [types_1.EventTiming["Late Morning"]]: "in the late morning",
-    [types_1.EventTiming.Noon]: "at noon",
-    [types_1.EventTiming.Afternoon]: "in the afternoon",
-    [types_1.EventTiming["Early Afternoon"]]: "in the early afternoon",
-    [types_1.EventTiming["Late Afternoon"]]: "in the late afternoon",
-    [types_1.EventTiming.Evening]: "in the evening",
-    [types_1.EventTiming["Early Evening"]]: "in the early evening",
-    [types_1.EventTiming["Late Evening"]]: "in the late evening",
-    [types_1.EventTiming.Night]: "at night",
-    [types_1.EventTiming.Wake]: "after waking",
-    [types_1.EventTiming["After Sleep"]]: "after sleep",
-    [types_1.EventTiming.Immediate]: "immediately"
-};
-const DAY_NAMES = {
-    mon: "Monday",
-    tue: "Tuesday",
-    wed: "Wednesday",
-    thu: "Thursday",
-    fri: "Friday",
-    sat: "Saturday",
-    sun: "Sunday"
-};
-const EN_TIMES_PER_DAY = {
-    1: "once daily",
-    2: "twice daily",
-    3: "three times daily",
-    4: "four times daily"
-};
-const SLOWLY_QUALIFIER_CODE = "419443000";
-const EMPTY_STOMACH_QUALIFIER_CODE = "717154004";
-const DEFAULT_ROUTE_GRAMMAR = { verb: "Use" };
-const ROUTE_GRAMMAR = {
-    [types_1.RouteCode["Oral route"]]: { verb: "Take", routePhrase: "orally" },
-    [types_1.RouteCode["Ophthalmic route"]]: {
-        verb: "Instill",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "in the eye"),
-        sitePreposition: "in"
-    },
-    [types_1.RouteCode["Intravitreal route (qualifier value)"]]: {
-        verb: "Inject",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "into the eye"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Per rectum"]]: {
-        verb: "Use",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "rectally"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Per vagina"]]: {
-        verb: "Insert",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "vaginally"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Topical route"]]: {
-        verb: "Apply",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "topically"),
-        sitePreposition: "to"
-    },
-    [types_1.RouteCode["Transdermal route"]]: {
-        verb: "Apply",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "transdermally"),
-        sitePreposition: "to"
-    },
-    [types_1.RouteCode["Subcutaneous route"]]: {
-        verb: "Inject",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "subcutaneously"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Intramuscular route"]]: {
-        verb: "Inject",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "intramuscularly"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Intravenous route"]]: {
-        verb: "Inject",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "intravenously"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Nasal route"]]: {
-        verb: "Use",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "via nasal route"),
-        sitePreposition: "into"
-    },
-    [types_1.RouteCode["Respiratory tract route (qualifier value)"]]: {
-        verb: "Use",
-        routePhrase: ({ hasSite }) => (hasSite ? undefined : "via inhalation"),
-        sitePreposition: "into"
-    }
-};
-function scheduleOf(clause) {
-    var _a;
-    return (_a = clause.schedule) !== null && _a !== void 0 ? _a : {};
-}
-function grammarFromRouteText(text) {
-    if (!text) {
-        return undefined;
-    }
-    const normalized = text.trim().toLowerCase();
-    if (!normalized) {
-        return undefined;
-    }
-    if (normalized.includes("mouth") || normalized.includes("oral")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Oral route"]];
-    }
-    if (normalized.includes("ophthalm")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Ophthalmic route"]];
-    }
-    if (normalized.includes("intravitreal")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Intravitreal route (qualifier value)"]];
-    }
-    if (normalized.includes("topical")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Topical route"]];
-    }
-    if (normalized.includes("transdermal")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Transdermal route"]];
-    }
-    if (normalized.includes("subcutaneous") || normalized === "sc" || normalized === "sq") {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Subcutaneous route"]];
-    }
-    if (normalized.includes("intramuscular") || normalized === "im") {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Intramuscular route"]];
-    }
-    if (normalized.includes("intravenous") || normalized === "iv") {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Intravenous route"]];
-    }
-    if (normalized.includes("rectal") || normalized.includes("rectum")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Per rectum"]];
-    }
-    if (normalized.includes("vagin")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Per vagina"]];
-    }
-    if (normalized.includes("nasal")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Nasal route"]];
-    }
-    if (normalized.includes("inhal")) {
-        return ROUTE_GRAMMAR[types_1.RouteCode["Respiratory tract route (qualifier value)"]];
-    }
-    return undefined;
-}
-function resolveRouteGrammar(clause) {
-    var _a, _b, _c, _d;
-    const routeCode = (_a = clause.route) === null || _a === void 0 ? void 0 : _a.code;
-    if (routeCode && ROUTE_GRAMMAR[routeCode]) {
-        return (_b = ROUTE_GRAMMAR[routeCode]) !== null && _b !== void 0 ? _b : DEFAULT_ROUTE_GRAMMAR;
-    }
-    return (_d = grammarFromRouteText((_c = clause.route) === null || _c === void 0 ? void 0 : _c.text)) !== null && _d !== void 0 ? _d : DEFAULT_ROUTE_GRAMMAR;
-}
-function resolveMethodVerb(clause, grammar) {
-    var _a, _b;
-    const methodText = (_b = (_a = clause.method) === null || _a === void 0 ? void 0 : _a.text) === null || _b === void 0 ? void 0 : _b.trim();
-    if (methodText) {
-        return methodText;
-    }
-    return grammar.verb;
-}
-function pluralize(unit, value) {
-    if (Math.abs(value) === 1) {
-        switch (unit) {
-            case "tab":
-                return "tablet";
-            case "cap":
-                return "capsule";
-            default:
-                return unit;
-        }
-    }
-    if (unit.endsWith(" ribbon")) {
-        return unit;
-    }
-    switch (unit) {
-        case "tab":
-        case "tablet":
-            return "tablets";
-        case "cap":
-        case "capsule":
-            return "capsules";
-        case "mL":
-        case "mg":
-            return unit;
-        case "puff":
-            return "puffs";
-        case "patch":
-            return "patches";
-        case "drop":
-            return "drops";
-        case "suppository":
-            return "suppositories";
-        case "pump":
-            return "pumps";
-        case "squeeze":
-            return "squeezes";
-        case "applicatorful":
-            return "applicatorfuls";
-        case "capful":
-            return "capfuls";
-        case "scoop":
-            return "scoops";
-        case "application":
-            return "applications";
-        case "fingertip unit":
-            return "fingertip units";
-        case "finger length":
-            return "finger lengths";
-        default:
-            return unit;
-    }
-}
-function formatPatientInstructionSentence(text) {
-    const trimmed = text === null || text === void 0 ? void 0 : text.trim();
-    if (!trimmed) {
-        return undefined;
-    }
-    const sentence = /^[.!?]$/.test(trimmed.slice(-1)) ? trimmed : `${trimmed}.`;
-    return sentence.charAt(0).toUpperCase() + sentence.slice(1);
-}
-function describeFrequency(schedule) {
-    const frequency = schedule === null || schedule === void 0 ? void 0 : schedule.frequency;
-    const frequencyMax = schedule === null || schedule === void 0 ? void 0 : schedule.frequencyMax;
-    const period = schedule === null || schedule === void 0 ? void 0 : schedule.period;
-    const periodMax = schedule === null || schedule === void 0 ? void 0 : schedule.periodMax;
-    const periodUnit = schedule === null || schedule === void 0 ? void 0 : schedule.periodUnit;
-    const timingCode = schedule === null || schedule === void 0 ? void 0 : schedule.timingCode;
-    if (frequency !== undefined &&
-        frequencyMax !== undefined &&
-        periodUnit === types_1.FhirPeriodUnit.Day &&
-        (!period || period === 1)) {
-        if (frequency === 1 && frequencyMax === 1) {
-            return "once daily";
-        }
-        if (frequency === 1 && frequencyMax === 2) {
-            return "one to two times daily";
-        }
-        return `${stripTrailingZero(frequency)} to ${stripTrailingZero(frequencyMax)} times daily`;
-    }
-    if (frequency && periodUnit === types_1.FhirPeriodUnit.Day && (!period || period === 1)) {
-        const dailyText = EN_TIMES_PER_DAY[frequency];
-        if (dailyText) {
-            return dailyText;
-        }
-        return `${stripTrailingZero(frequency)} times daily`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Minute && period) {
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} minutes`;
-        }
-        return `every ${stripTrailingZero(period)} minute${period === 1 ? "" : "s"}`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Hour && period) {
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} hours`;
-        }
-        return `every ${stripTrailingZero(period)} hour${period === 1 ? "" : "s"}`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Day && period && period !== 1) {
-        if (period === 2 && (!periodMax || periodMax === 2)) {
-            return "every other day";
-        }
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} days`;
-        }
-        return `every ${stripTrailingZero(period)} days`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Week && period) {
-        if (period === 1 && (!periodMax || periodMax === 1)) {
-            return "once weekly";
-        }
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} weeks`;
-        }
-        return `every ${stripTrailingZero(period)} weeks`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Month && period) {
-        if (period === 1 && (!periodMax || periodMax === 1)) {
-            return "once monthly";
-        }
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} months`;
-        }
-        return `every ${stripTrailingZero(period)} months`;
-    }
-    if (periodUnit === types_1.FhirPeriodUnit.Year && period) {
-        if (period === 1 && (!periodMax || periodMax === 1)) {
-            return "once yearly";
-        }
-        if (periodMax && periodMax !== period) {
-            return `every ${stripTrailingZero(period)} to ${stripTrailingZero(periodMax)} years`;
-        }
-        return `every ${stripTrailingZero(period)} years`;
-    }
-    if (timingCode) {
-        if (timingCode === "WK") {
-            return "once weekly";
-        }
-        if (timingCode === "MO") {
-            return "once monthly";
-        }
-        const map = {
-            BID: "twice daily",
-            TID: "three times daily",
-            QID: "four times daily",
-            QD: "once daily",
-            QOD: "every other day",
-            Q6H: "every 6 hours",
-            Q8H: "every 8 hours"
-        };
-        if (map[timingCode]) {
-            return map[timingCode];
-        }
-    }
-    if (frequency && periodUnit === undefined && period === undefined) {
-        if (frequency === 1) {
-            return "once";
-        }
-        return `${stripTrailingZero(frequency)} times`;
-    }
-    return undefined;
-}
-function describeFrequencyCount(count) {
-    if (!count || count <= 0) {
-        return undefined;
-    }
-    const dailyText = EN_TIMES_PER_DAY[count];
-    if (dailyText) {
-        return dailyText;
-    }
-    return `${stripTrailingZero(count)} times daily`;
-}
-function describeStandaloneOccurrenceCount(schedule) {
-    var _a, _b, _c;
-    const count = schedule === null || schedule === void 0 ? void 0 : schedule.count;
-    if (!count || count <= 0) {
-        return undefined;
-    }
-    if ((schedule === null || schedule === void 0 ? void 0 : schedule.frequency) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.frequencyMax) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.period) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.periodMax) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.periodUnit) !== undefined ||
-        ((_a = schedule === null || schedule === void 0 ? void 0 : schedule.dayOfWeek) === null || _a === void 0 ? void 0 : _a.length) ||
-        ((_b = schedule === null || schedule === void 0 ? void 0 : schedule.when) === null || _b === void 0 ? void 0 : _b.length) ||
-        ((_c = schedule === null || schedule === void 0 ? void 0 : schedule.timeOfDay) === null || _c === void 0 ? void 0 : _c.length) ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.duration) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.durationMax) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.durationUnit) !== undefined ||
-        (schedule === null || schedule === void 0 ? void 0 : schedule.timingCode)) {
-        return undefined;
-    }
-    switch (count) {
-        case 1:
-            return "once";
-        case 2:
-            return "twice";
-        default:
-            return `${stripTrailingZero(count)} times`;
-    }
-}
-function formatDoseShort(dose) {
-    if (!dose) {
-        return undefined;
-    }
-    if (dose.range) {
-        if (dose.range.low !== undefined && dose.range.high !== undefined) {
-            const base = `${stripTrailingZero(dose.range.low)}-${stripTrailingZero(dose.range.high)}`;
-            if (dose.unit) {
-                return `${base} ${dose.unit}`;
-            }
-            return base;
-        }
-        if (dose.range.low !== undefined) {
-            const base = `>=${stripTrailingZero(dose.range.low)}`;
-            if (dose.unit) {
-                return `${base} ${dose.unit}`;
-            }
-            return base;
-        }
-        if (dose.range.high !== undefined) {
-            const base = `<=${stripTrailingZero(dose.range.high)}`;
-            if (dose.unit) {
-                return `${base} ${dose.unit}`;
-            }
-            return base;
-        }
-    }
-    if (dose.value !== undefined) {
-        if (dose.unit) {
-            return `${stripTrailingZero(dose.value)} ${dose.unit}`;
-        }
-        return `${stripTrailingZero(dose.value)}`;
-    }
-    return undefined;
-}
-function formatDoseLong(dose) {
-    if (!dose) {
-        return undefined;
-    }
-    if (dose.range) {
-        if (dose.range.low !== undefined && dose.range.high !== undefined) {
-            if (dose.unit) {
-                return `${stripTrailingZero(dose.range.low)} to ${stripTrailingZero(dose.range.high)} ${pluralize(dose.unit, dose.range.high)}`;
-            }
-            return `${stripTrailingZero(dose.range.low)} to ${stripTrailingZero(dose.range.high)}`;
-        }
-        if (dose.range.low !== undefined) {
-            if (dose.unit) {
-                return `at least ${stripTrailingZero(dose.range.low)} ${pluralize(dose.unit, dose.range.low)}`;
-            }
-            return `at least ${stripTrailingZero(dose.range.low)}`;
-        }
-        if (dose.range.high !== undefined) {
-            if (dose.unit) {
-                return `up to ${stripTrailingZero(dose.range.high)} ${pluralize(dose.unit, dose.range.high)}`;
-            }
-            return `up to ${stripTrailingZero(dose.range.high)}`;
-        }
-    }
-    if (dose.value !== undefined) {
-        if (dose.unit) {
-            return `${stripTrailingZero(dose.value)} ${pluralize(dose.unit, dose.value)}`;
-        }
-        return `${stripTrailingZero(dose.value)}`;
-    }
-    return undefined;
-}
-function summarizeMealTimingGroup(group) {
-    let relationText = "with";
-    if (group.relation === "before") {
-        relationText = "before";
-    }
-    else if (group.relation === "after") {
-        relationText = "after";
-    }
-    return `${relationText} ${joinWithAnd(group.meals)}`;
-}
-function collectWhenPhrases(schedule, options) {
-    var _a, _b, _c;
-    const when = (_a = schedule === null || schedule === void 0 ? void 0 : schedule.when) !== null && _a !== void 0 ? _a : [];
-    if (!when.length) {
-        return [];
-    }
-    const unique = [];
-    const seen = new Set();
-    let hasSpecificAfter = false;
-    let hasSpecificBefore = false;
-    let hasSpecificWith = false;
-    for (const code of when) {
-        if (!seen.has(code)) {
-            seen.add(code);
-            unique.push(code);
-            if (code === types_1.EventTiming["After Breakfast"] ||
-                code === types_1.EventTiming["After Lunch"] ||
-                code === types_1.EventTiming["After Dinner"]) {
-                hasSpecificAfter = true;
-            }
-            if (code === types_1.EventTiming["Before Breakfast"] ||
-                code === types_1.EventTiming["Before Lunch"] ||
-                code === types_1.EventTiming["Before Dinner"]) {
-                hasSpecificBefore = true;
-            }
-            if (code === types_1.EventTiming.Breakfast || code === types_1.EventTiming.Lunch || code === types_1.EventTiming.Dinner) {
-                hasSpecificWith = true;
-            }
-        }
-    }
-    const filtered = [];
-    for (const code of unique) {
-        if (code === types_1.EventTiming["After Meal"] && hasSpecificAfter) {
-            continue;
-        }
-        if (code === types_1.EventTiming["Before Meal"] && hasSpecificBefore) {
-            continue;
-        }
-        if (code === types_1.EventTiming.Meal && hasSpecificWith) {
-            continue;
-        }
-        filtered.push(code);
-    }
-    const mealGroup = (0, timing_summary_1.getMealTimingGroup)(filtered, options);
-    if (!mealGroup) {
-        const phrases = [];
-        for (const code of filtered) {
-            const text = (_b = WHEN_TEXT[code]) !== null && _b !== void 0 ? _b : code;
-            if (text) {
-                phrases.push(text);
-            }
-        }
-        return phrases;
-    }
-    const groupedCodes = new Set(mealGroup.codes);
-    const phrases = [];
-    let insertedGroup = false;
-    for (const code of filtered) {
-        if (groupedCodes.has(code)) {
-            if (!insertedGroup) {
-                phrases.push(summarizeMealTimingGroup(mealGroup));
-                insertedGroup = true;
-            }
-            continue;
-        }
-        const text = (_c = WHEN_TEXT[code]) !== null && _c !== void 0 ? _c : code;
-        if (text) {
-            phrases.push(text);
-        }
-    }
-    return phrases;
-}
-function joinWithAnd(parts) {
-    if (!parts.length) {
-        return "";
-    }
-    if (parts.length === 1) {
-        return parts[0];
-    }
-    if (parts.length === 2) {
-        return `${parts[0]} and ${parts[1]}`;
-    }
-    return `${parts.slice(0, -1).join(", ")} and ${parts[parts.length - 1]}`;
-}
-function combineFrequencyAndEvents(frequency, events) {
-    if (!frequency) {
-        if (!events.length) {
-            return {};
-        }
-        return { event: joinWithAnd(events) };
-    }
-    if (!events.length) {
-        return { frequency };
-    }
-    if (events.length === 1 && events[0] === "at bedtime") {
-        const lowerFrequency = frequency.toLowerCase();
-        if (lowerFrequency === "twice daily" ||
-            lowerFrequency === "three times daily" ||
-            lowerFrequency === "four times daily") {
-            return { frequency: `${frequency} and ${events[0]}` };
-        }
-    }
-    return { frequency, event: joinWithAnd(events) };
-}
-function buildRoutePhrase(clause, grammar, hasSite) {
-    var _a, _b;
-    if (typeof grammar.routePhrase === "function") {
-        return grammar.routePhrase({ hasSite, clause });
-    }
-    if (typeof grammar.routePhrase === "string") {
-        return grammar.routePhrase;
-    }
-    const text = (_b = (_a = clause.route) === null || _a === void 0 ? void 0 : _a.text) === null || _b === void 0 ? void 0 : _b.trim();
-    if (!text) {
-        return undefined;
-    }
-    const normalized = text.toLowerCase();
-    if (normalized.startsWith("by ") || normalized.startsWith("per ") || normalized.startsWith("via ")) {
-        return text;
-    }
-    if (normalized === "oral") {
-        return "orally";
-    }
-    if (normalized === "intravenous") {
-        return "intravenously";
-    }
-    if (normalized === "intramuscular") {
-        return "intramuscularly";
-    }
-    if (normalized === "subcutaneous") {
-        return "subcutaneously";
-    }
-    if (normalized === "topical") {
-        return "topically";
-    }
-    if (normalized === "transdermal") {
-        return "transdermally";
-    }
-    if (normalized === "intranasal" || normalized === "nasal") {
-        return "via nasal route";
-    }
-    if (normalized.includes("inhal")) {
-        return "via inhalation";
-    }
-    return `via ${text}`;
-}
-function formatSite(clause, grammar) {
-    var _a, _b, _c, _d, _e, _f, _g, _h, _j, _k, _l, _m;
-    let text = (_b = (_a = clause.site) === null || _a === void 0 ? void 0 : _a.text) === null || _b === void 0 ? void 0 : _b.trim();
-    if (!text) {
-        const display = (_e = (_d = (_c = clause.site) === null || _c === void 0 ? void 0 : _c.coding) === null || _d === void 0 ? void 0 : _d.display) === null || _e === void 0 ? void 0 : _e.trim();
-        if (display) {
-            text = display.charAt(0).toLowerCase() + display.slice(1);
-        }
-        else {
-            text = (_h = (_g = (_f = clause.site) === null || _f === void 0 ? void 0 : _f.coding) === null || _g === void 0 ? void 0 : _g.code) === null || _h === void 0 ? void 0 : _h.trim();
-        }
-    }
-    if (!text) {
-        return undefined;
-    }
-    const lower = text.toLowerCase();
-    const routeText = (_k = (_j = clause.route) === null || _j === void 0 ? void 0 : _j.text) === null || _k === void 0 ? void 0 : _k.trim().toLowerCase();
-    const isRectalRoute = ((_l = clause.route) === null || _l === void 0 ? void 0 : _l.code) === types_1.RouteCode["Per rectum"] ||
-        routeText === "rectum" ||
-        routeText === "rectal";
-    const isVaginalRoute = ((_m = clause.route) === null || _m === void 0 ? void 0 : _m.code) === types_1.RouteCode["Per vagina"] ||
-        routeText === "vagina" ||
-        routeText === "vaginal";
-    if (isRectalRoute && (lower === "rectum" || lower === "rectal")) {
-        return undefined;
-    }
-    if (isVaginalRoute && (lower === "vagina" || lower === "vaginal")) {
-        return undefined;
-    }
-    let preposition = grammar.sitePreposition;
-    if (!preposition) {
-        if (lower.includes("eye")) {
-            preposition = "in";
-        }
-        else if (lower.includes("nostril") || lower.includes("nose")) {
-            preposition = "into";
-        }
-        else if (lower.includes("lung") || lower.includes("airway") || lower.includes("bronch")) {
-            preposition = "into";
-        }
-        else if (lower.includes("ear")) {
-            preposition = "in";
-        }
-        else if (/(skin|head|temple|arm|leg|thigh|abdomen|shoulder|elbow|wrist|ankle|knee|hand|foot|cheek|forearm|back|chest|breast|axilla|armpit|groin|lip|buttock|hip|face|hair|scalp|forehead|eyelid|chin|neck)/.test(lower)) {
-            preposition = "to";
-        }
-        else {
-            preposition = "at";
-        }
-    }
-    const noun = formatSiteNoun(text, preposition);
-    return `${preposition} ${noun}`.trim();
-}
-function formatSiteNoun(site, preposition) {
-    const trimmed = site.trim();
-    const lower = trimmed.toLowerCase();
-    const skipArticlePrefixes = ["the ", "both ", "each ", "either ", "every ", "all ", "bilateral "];
-    for (const prefix of skipArticlePrefixes) {
-        if (lower.startsWith(prefix)) {
-            return trimmed;
-        }
-    }
-    const needsArticle = /^(left|right|upper|lower|inner|outer|mid|middle|posterior|anterior|proximal|distal|medial|lateral|dorsal|ventral)\b/.test(lower);
-    if (needsArticle || preposition === "at") {
-        return `the ${trimmed}`;
-    }
-    return `the ${trimmed}`;
-}
-function describeDayOfWeek(schedule) {
-    var _a, _b;
-    const dayOfWeek = (_a = schedule === null || schedule === void 0 ? void 0 : schedule.dayOfWeek) !== null && _a !== void 0 ? _a : [];
-    if (!dayOfWeek.length) {
-        return undefined;
-    }
-    const days = [];
-    for (const day of dayOfWeek) {
-        days.push((_b = DAY_NAMES[day]) !== null && _b !== void 0 ? _b : day);
-    }
-    return days.length ? `on ${joinWithAnd(days)}` : undefined;
-}
-function formatDurationShort(schedule) {
-    if (schedule.duration === undefined || !schedule.durationUnit) {
-        return undefined;
-    }
-    const base = stripTrailingZero(schedule.duration);
-    const qualifier = schedule.durationMax !== undefined && schedule.durationMax !== schedule.duration
-        ? `${base}-${stripTrailingZero(schedule.durationMax)}`
-        : base;
-    return `x${qualifier}${schedule.durationUnit}`;
-}
-function describeDuration(schedule) {
-    if (!schedule || schedule.duration === undefined || !schedule.durationUnit) {
-        return undefined;
-    }
-    const unit = schedule.durationUnit;
-    const label = (value) => {
-        switch (unit) {
-            case types_1.FhirPeriodUnit.Minute:
-                return value === 1 ? "minute" : "minutes";
-            case types_1.FhirPeriodUnit.Hour:
-                return value === 1 ? "hour" : "hours";
-            case types_1.FhirPeriodUnit.Day:
-                return value === 1 ? "day" : "days";
-            case types_1.FhirPeriodUnit.Week:
-                return value === 1 ? "week" : "weeks";
-            case types_1.FhirPeriodUnit.Month:
-                return value === 1 ? "month" : "months";
-            case types_1.FhirPeriodUnit.Year:
-                return value === 1 ? "year" : "years";
-            default:
-                return value === 1 ? "unit" : "units";
-        }
-    };
-    if (schedule.durationMax !== undefined && schedule.durationMax !== schedule.duration) {
-        return `for ${stripTrailingZero(schedule.duration)} to ${stripTrailingZero(schedule.durationMax)} ${label(schedule.durationMax)}`;
-    }
-    return `for ${stripTrailingZero(schedule.duration)} ${label(schedule.duration)}`;
-}
-function shouldUseGenericMedicationObject(clause) {
-    var _a, _b;
-    const methodText = (_b = (_a = clause.method) === null || _a === void 0 ? void 0 : _a.text) === null || _b === void 0 ? void 0 : _b.trim();
-    switch (methodText) {
-        case "Apply sunscreen":
-        case "Reapply sunscreen":
-        case "Use shampoo":
-            return false;
-        default:
-            return true;
-    }
-}
-function shouldSuppressRoutePhrase(clause, grammar, verb) {
-    var _a;
-    if (((_a = clause.route) === null || _a === void 0 ? void 0 : _a.code) !== types_1.RouteCode["Oral route"]) {
-        return false;
-    }
-    if (grammar.routePhrase !== "orally") {
-        return false;
-    }
-    switch (verb) {
-        case "Drink":
-        case "Swallow":
-            return true;
-        default:
-            return false;
-    }
-}
-function formatShort(clause) {
-    var _a, _b, _c, _d, _e, _f;
-    const schedule = scheduleOf(clause);
-    const parts = [];
-    const dosePart = formatDoseShort(clause.dose);
-    if (dosePart) {
-        parts.push(dosePart);
-    }
-    const routeCode = (_a = clause.route) === null || _a === void 0 ? void 0 : _a.code;
-    const routeText = (_b = clause.route) === null || _b === void 0 ? void 0 : _b.text;
-    if (routeCode) {
-        const short = ROUTE_SHORT[routeCode];
-        if (short) {
-            parts.push(short);
-        }
-        else if (routeText) {
-            parts.push(routeText);
-        }
-    }
-    else if (routeText) {
-        parts.push(routeText);
-    }
-    if (schedule.timingCode) {
-        parts.push(schedule.timingCode);
-    }
-    else if (schedule.frequency !== undefined &&
-        schedule.frequencyMax !== undefined &&
-        schedule.periodUnit === types_1.FhirPeriodUnit.Day &&
-        (!schedule.period || schedule.period === 1)) {
-        parts.push(`${stripTrailingZero(schedule.frequency)}-${stripTrailingZero(schedule.frequencyMax)}x/d`);
-    }
-    else if (schedule.frequency &&
-        schedule.periodUnit === types_1.FhirPeriodUnit.Day &&
-        (!schedule.period || schedule.period === 1)) {
-        parts.push(`${stripTrailingZero(schedule.frequency)}x/d`);
-    }
-    else if (schedule.period && schedule.periodUnit) {
-        const base = stripTrailingZero(schedule.period);
-        const qualifier = schedule.periodMax && schedule.periodMax !== schedule.period
-            ? `${base}-${stripTrailingZero(schedule.periodMax)}`
-            : base;
-        parts.push(`Q${qualifier}${schedule.periodUnit.toUpperCase()}`);
-    }
-    if ((_c = schedule.when) === null || _c === void 0 ? void 0 : _c.length) {
-        parts.push(schedule.when.join(" "));
-    }
-    if ((_d = schedule.dayOfWeek) === null || _d === void 0 ? void 0 : _d.length) {
-        const days = [];
-        for (const day of schedule.dayOfWeek) {
-            days.push(day.charAt(0).toUpperCase() + day.slice(1, 3));
-        }
-        parts.push(days.join(","));
-    }
-    if ((_e = schedule.timeOfDay) === null || _e === void 0 ? void 0 : _e.length) {
-        const times = [];
-        for (const time of schedule.timeOfDay) {
-            times.push(time.slice(0, 5));
-        }
-        parts.push(times.join(","));
-    }
-    if (schedule.count !== undefined) {
-        parts.push(`x${stripTrailingZero(schedule.count)}`);
-    }
-    const durationShort = formatDurationShort(schedule);
-    if (durationShort) {
-        parts.push(durationShort);
-    }
-    if ((_f = clause.prn) === null || _f === void 0 ? void 0 : _f.enabled) {
-        const reason = (0, prn_1.getPreferredCanonicalPrnReasonText)(clause.prn.reason, clause.prn.reasons);
-        if (reason) {
-            parts.push(`PRN ${reason}`);
-        }
-        else {
-            parts.push("PRN");
-        }
-    }
-    return parts.filter(Boolean).join(" ");
-}
-function formatLong(clause, options) {
-    var _a, _b, _c, _d, _e, _f;
-    const schedule = scheduleOf(clause);
-    const grammar = resolveRouteGrammar(clause);
-    const verb = resolveMethodVerb(clause, grammar);
-    const explicitDosePart = formatDoseLong(clause.dose);
-    const dosePart = explicitDosePart !== null && explicitDosePart !== void 0 ? explicitDosePart : (shouldUseGenericMedicationObject(clause) ? "the medication" : undefined);
-    const sitePart = formatSite(clause, grammar);
-    const routePart = shouldSuppressRoutePhrase(clause, grammar, verb)
-        ? undefined
-        : buildRoutePhrase(clause, grammar, Boolean(sitePart));
-    const standaloneOccurrenceCount = describeStandaloneOccurrenceCount(schedule);
-    const frequencyPart = (_b = (_a = describeFrequency(schedule)) !== null && _a !== void 0 ? _a : standaloneOccurrenceCount) !== null && _b !== void 0 ? _b : describeFrequencyCount((0, timing_summary_1.inferDailyOccurrenceCount)(schedule, options));
-    const eventParts = collectWhenPhrases(schedule, options);
-    if ((_c = schedule.timeOfDay) === null || _c === void 0 ? void 0 : _c.length) {
-        const timeStrings = [];
-        for (const time of schedule.timeOfDay) {
-            const parts = time.split(":");
-            const hours = Number(parts[0]);
-            const minutes = Number(parts[1]);
-            if (!Number.isFinite(hours) || !Number.isFinite(minutes)) {
-                continue;
-            }
-            const isAm = hours < 12;
-            const displayHours = hours % 12 || 12;
-            const displayMinutes = minutes < 10 ? `0${minutes}` : `${minutes}`;
-            timeStrings.push(`${displayHours}:${displayMinutes}${isAm ? " am" : " pm"}`);
-        }
-        if (timeStrings.length) {
-            eventParts.push(`at ${timeStrings.join(", ")}`);
-        }
-    }
-    const timing = combineFrequencyAndEvents(frequencyPart, eventParts);
-    const dayPart = describeDayOfWeek(schedule);
-    const countPart = schedule.count !== undefined && !standaloneOccurrenceCount
-        ? `for ${stripTrailingZero(schedule.count)} ${schedule.count === 1 ? "dose" : "doses"}`
-        : undefined;
-    const durationPart = describeDuration(schedule);
-    const reason = (0, prn_1.getPreferredCanonicalPrnReasonText)((_d = clause.prn) === null || _d === void 0 ? void 0 : _d.reason, (_e = clause.prn) === null || _e === void 0 ? void 0 : _e.reasons);
-    const asNeededPart = ((_f = clause.prn) === null || _f === void 0 ? void 0 : _f.enabled) ? (reason ? `as needed for ${reason}` : "as needed") : undefined;
-    const segments = [];
-    if (dosePart) {
-        segments.push(dosePart);
-    }
-    if (routePart) {
-        segments.push(routePart);
-    }
-    if (timing.frequency) {
-        segments.push(timing.frequency);
-    }
-    if (timing.event) {
-        segments.push(timing.event);
-    }
-    if (dayPart) {
-        segments.push(dayPart);
-    }
-    if (countPart) {
-        segments.push(countPart);
-    }
-    if (durationPart) {
-        segments.push(durationPart);
-    }
-    if (asNeededPart) {
-        segments.push(asNeededPart);
-    }
-    if (sitePart) {
-        segments.push(sitePart);
-    }
-    const body = segments.filter(Boolean).join(" ").replace(/\s+/g, " ").trim();
-    const instructionPhrases = [];
-    const instructionText = formatAdditionalInstructions(clause);
-    if (instructionText) {
-        instructionPhrases.push(instructionText);
-    }
-    const patientInstruction = formatPatientInstructionSentence(clause.patientInstruction);
-    if (patientInstruction) {
-        instructionPhrases.push(patientInstruction);
-    }
-    const trailingInstructionText = instructionPhrases.join(" ").trim() || undefined;
-    if (!body) {
-        if (!trailingInstructionText) {
-            return `${verb}.`;
-        }
-        return `${verb}. ${trailingInstructionText}`.trim();
-    }
-    const baseSentence = `${verb} ${body}.`;
-    return trailingInstructionText ? `${baseSentence} ${trailingInstructionText}` : baseSentence;
-}
-function formatAdditionalInstructions(clause) {
-    var _a, _b, _c, _d, _e, _f;
-    const instructions = (_a = clause.additionalInstructions) !== null && _a !== void 0 ? _a : [];
-    if (!instructions.length) {
-        return undefined;
-    }
-    const phrases = [];
-    const grammar = resolveRouteGrammar(clause);
-    const verb = resolveMethodVerb(clause, grammar);
-    for (const instruction of instructions) {
-        if (((_b = instruction.coding) === null || _b === void 0 ? void 0 : _b.code) === SLOWLY_QUALIFIER_CODE) {
-            const contextual = verb ? `${verb} slowly` : "Slowly";
-            phrases.push(contextual);
-            continue;
-        }
-        if (((_c = instruction.coding) === null || _c === void 0 ? void 0 : _c.code) === EMPTY_STOMACH_QUALIFIER_CODE ||
-            ((_d = instruction.frames) === null || _d === void 0 ? void 0 : _d.some((frame) => frame.relation === types_1.AdviceRelation.On &&
-                frame.args.some((arg) => arg.role === types_1.AdviceArgumentRole.MealState &&
-                    arg.conceptId === "empty_stomach")))) {
-            phrases.push("On an empty stomach");
-            continue;
-        }
-        const text = (_e = instruction.text) !== null && _e !== void 0 ? _e : (_f = instruction.coding) === null || _f === void 0 ? void 0 : _f.display;
-        if (!text) {
-            continue;
-        }
-        const trimmed = text.trim();
-        if (trimmed) {
-            phrases.push(trimmed);
-        }
-    }
-    if (!phrases.length) {
-        return undefined;
-    }
-    return phrases.map((phrase) => (/[.!?]$/.test(phrase) ? phrase : `${phrase}.`)).join(" ").trim();
-}
-function firstCanonicalClause(internal) {
-    const clauses = internal.clauses;
-    if (clauses.length > 0) {
-        return clauses[0];
-    }
-    return {
-        kind: "administration",
-        rawText: internal.input,
-        raw: { start: 0, end: internal.input.length, text: internal.input },
-        leftovers: [],
-        evidence: [],
-        confidence: 0
-    };
-}
-function formatCanonicalClause(clause, style, localization, options) {
-    let shortDefault;
-    let longDefault;
-    const formatDefault = (target) => {
-        switch (target) {
-            case "short":
-                if (shortDefault === undefined) {
-                    shortDefault = formatShort(clause);
-                }
-                return shortDefault;
-            case "long":
-                if (longDefault === undefined) {
-                    longDefault = formatLong(clause, options);
-                }
-                return longDefault;
-        }
-    };
-    if (!localization) {
-        return formatDefault(style);
-    }
-    if (style === "short" && localization.formatShort) {
-        const context = {
-            style: "short",
-            clause,
-            defaultText: formatDefault("short"),
-            groupMealTimingsByRelation: Boolean(options === null || options === void 0 ? void 0 : options.groupMealTimingsByRelation),
-            includeTimesPerDaySummary: Boolean(options === null || options === void 0 ? void 0 : options.includeTimesPerDaySummary),
-            formatDefault
-        };
-        return localization.formatShort(context);
-    }
-    if (style === "long" && localization.formatLong) {
-        const context = {
-            style: "long",
-            clause,
-            defaultText: formatDefault("long"),
-            groupMealTimingsByRelation: Boolean(options === null || options === void 0 ? void 0 : options.groupMealTimingsByRelation),
-            includeTimesPerDaySummary: Boolean(options === null || options === void 0 ? void 0 : options.includeTimesPerDaySummary),
-            formatDefault
-        };
-        return localization.formatLong(context);
-    }
-    return formatDefault(style);
-}
-function formatInternal(internal, style, localization, options) {
-    return formatCanonicalClause(firstCanonicalClause(internal), style, localization, options);
-}
-function stripTrailingZero(value) {
-    const text = value.toString();
-    if (text.includes(".")) {
-        return text.replace(/\.0+$/, "").replace(/0+$/, "");
-    }
-    return text;
-}