fhir-persistence 0.3.0 → 0.5.0

package/dist/cjs/index.d.ts

@@ -324,7 +324,7 @@ export declare function buildWhereClauseV2(params: ParsedSearchParam[], registry
  * - SQLite: json_each() for array columns
  * - PostgreSQL: native ARRAY operators
  */
-export declare function buildWhereFragmentV2(impl: SearchParameterImpl, param: ParsedSearchParam, dialect?: SqlDialect): WhereFragment | null;
+export declare function buildWhereFragmentV2(impl: SearchParameterImpl, param: ParsedSearchParam, dialect?: SqlDialect, resourceType?: string): WhereFragment | null;
 
 declare interface BundleLink {
     relation: string;
@@ -1194,6 +1194,8 @@ export declare interface IndexingPipelineOptions {
     enableReferences?: boolean;
     /** Optional RuntimeProvider for FHIRPath-driven extraction (B3). */
     runtimeProvider?: RuntimeProvider;
+    /** SQL dialect for lookup table DDL (default: 'sqlite'). */
+    dialect?: DDLDialect;
 }
 
 /**
@@ -1306,7 +1308,8 @@ declare type LookupTableType = 'HumanName' | 'Address' | 'ContactPoint' | 'Ident
 export declare class LookupTableWriter {
     private readonly adapter;
     private initialized;
-    constructor(adapter: StorageAdapter);
+    private readonly ddl;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Create all 4 lookup tables + indexes if they don't exist.
      */
@@ -1390,7 +1393,8 @@ export declare interface MigrationResultV2 {
 export declare class MigrationRunnerV2 {
     private readonly adapter;
     private readonly migrations;
-    constructor(adapter: StorageAdapter, migrations?: MigrationV2[]);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, migrations?: MigrationV2[], dialect?: DDLDialect);
     /**
      * Ensure the tracking table exists.
      */
@@ -1481,7 +1485,8 @@ export declare interface OperationContext {
 
 export declare class PackageRegistryRepo {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the packages tracking table exists.
      */
@@ -1513,6 +1518,10 @@ export declare class PackageRegistryRepo {
      * Uses INSERT OR REPLACE (SQLite UPSERT) to handle both new and upgraded packages.
      */
     upsertPackage(pkg: Omit<InstalledPackage, 'installedAt' | 'status'>): Promise<void>;
+    /**
+     * Generate dialect-aware UPSERT SQL.
+     */
+    private upsertSQL;
     /**
      * Remove all versions of a package.
      */
@@ -1900,7 +1909,8 @@ declare interface ReindexResultV2 {
 
 export declare class ReindexScheduler {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the reindex jobs table exists.
      */
@@ -3199,7 +3209,8 @@ declare interface ValueSetInput {
 
 export declare class ValueSetRepo {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the terminology_valuesets table exists.
      */

package/dist/esm/index.d.ts

@@ -324,7 +324,7 @@ export declare function buildWhereClauseV2(params: ParsedSearchParam[], registry
  * - SQLite: json_each() for array columns
  * - PostgreSQL: native ARRAY operators
  */
-export declare function buildWhereFragmentV2(impl: SearchParameterImpl, param: ParsedSearchParam, dialect?: SqlDialect): WhereFragment | null;
+export declare function buildWhereFragmentV2(impl: SearchParameterImpl, param: ParsedSearchParam, dialect?: SqlDialect, resourceType?: string): WhereFragment | null;
 
 declare interface BundleLink {
     relation: string;
@@ -1194,6 +1194,8 @@ export declare interface IndexingPipelineOptions {
     enableReferences?: boolean;
     /** Optional RuntimeProvider for FHIRPath-driven extraction (B3). */
     runtimeProvider?: RuntimeProvider;
+    /** SQL dialect for lookup table DDL (default: 'sqlite'). */
+    dialect?: DDLDialect;
 }
 
 /**
@@ -1306,7 +1308,8 @@ declare type LookupTableType = 'HumanName' | 'Address' | 'ContactPoint' | 'Ident
 export declare class LookupTableWriter {
     private readonly adapter;
     private initialized;
-    constructor(adapter: StorageAdapter);
+    private readonly ddl;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Create all 4 lookup tables + indexes if they don't exist.
      */
@@ -1390,7 +1393,8 @@ export declare interface MigrationResultV2 {
 export declare class MigrationRunnerV2 {
     private readonly adapter;
     private readonly migrations;
-    constructor(adapter: StorageAdapter, migrations?: MigrationV2[]);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, migrations?: MigrationV2[], dialect?: DDLDialect);
     /**
      * Ensure the tracking table exists.
      */
@@ -1481,7 +1485,8 @@ export declare interface OperationContext {
 
 export declare class PackageRegistryRepo {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the packages tracking table exists.
      */
@@ -1513,6 +1518,10 @@ export declare class PackageRegistryRepo {
      * Uses INSERT OR REPLACE (SQLite UPSERT) to handle both new and upgraded packages.
      */
     upsertPackage(pkg: Omit<InstalledPackage, 'installedAt' | 'status'>): Promise<void>;
+    /**
+     * Generate dialect-aware UPSERT SQL.
+     */
+    private upsertSQL;
     /**
      * Remove all versions of a package.
      */
@@ -1900,7 +1909,8 @@ declare interface ReindexResultV2 {
 
 export declare class ReindexScheduler {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the reindex jobs table exists.
      */
@@ -3199,7 +3209,8 @@ declare interface ValueSetInput {
 
 export declare class ValueSetRepo {
     private readonly adapter;
-    constructor(adapter: StorageAdapter);
+    private readonly dialect;
+    constructor(adapter: StorageAdapter, dialect?: DDLDialect);
     /**
      * Ensure the terminology_valuesets table exists.
      */

package/dist/esm/index.mjs

@@ -5077,12 +5077,12 @@ function arrayContainsLikeV2(col, value, dialect) {
   }
   return { sql: `EXISTS (SELECT 1 FROM json_each(${col}) WHERE json_each.value LIKE ?)`, values: [value] };
 }
-function buildWhereFragmentV2(impl, param, dialect) {
+function buildWhereFragmentV2(impl, param, dialect, resourceType) {
   if (param.modifier === "missing") {
     return buildMissingFragmentV2(impl, param);
   }
   if (impl.strategy === "lookup-table") {
-    return buildLookupTableFragmentV2(impl, param);
+    return buildLookupTableFragmentV2(impl, param, resourceType ?? "Resource");
   }
   if (impl.strategy === "token-column") {
     return buildTokenColumnFragmentV2(impl, param, dialect);
@@ -5110,7 +5110,7 @@ function buildMissingFragmentV2(impl, param) {
   const col = quoteColumn(impl.columnName);
   return { sql: isMissing ? `${col} IS NULL` : `${col} IS NOT NULL`, values: [] };
 }
-function buildLookupTableFragmentV2(impl, param) {
+function buildLookupTableFragmentV2(impl, param, resourceType) {
   const mapping = LOOKUP_TABLE_MAP[impl.code];
   if (!mapping) {
     const sortCol = quoteColumn(`__${impl.columnName}Sort`);
@@ -5120,25 +5120,26 @@ function buildLookupTableFragmentV2(impl, param) {
   }
   const { table, column } = mapping;
   const colRef = `__lookup."${column}"`;
+  const outerIdRef = `"${resourceType}"."id"`;
   if (param.modifier === "exact") {
     if (param.values.length === 1) {
-      return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND ${colRef} = ?)`, values: [param.values[0]] };
+      return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND ${colRef} = ?)`, values: [param.values[0]] };
     }
     const conds2 = param.values.map(() => `${colRef} = ?`);
-    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND (${conds2.join(" OR ")}))`, values: [...param.values] };
+    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND (${conds2.join(" OR ")}))`, values: [...param.values] };
   }
   if (param.modifier === "contains") {
     if (param.values.length === 1) {
-      return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND LOWER(${colRef}) LIKE ?)`, values: [`%${param.values[0].toLowerCase()}%`] };
+      return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND LOWER(${colRef}) LIKE ?)`, values: [`%${param.values[0].toLowerCase()}%`] };
     }
     const conds2 = param.values.map(() => `LOWER(${colRef}) LIKE ?`);
-    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND (${conds2.join(" OR ")}))`, values: param.values.map((v) => `%${v.toLowerCase()}%`) };
+    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND (${conds2.join(" OR ")}))`, values: param.values.map((v) => `%${v.toLowerCase()}%`) };
   }
   if (param.values.length === 1) {
-    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND LOWER(${colRef}) LIKE ?)`, values: [`${param.values[0].toLowerCase()}%`] };
+    return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND LOWER(${colRef}) LIKE ?)`, values: [`${param.values[0].toLowerCase()}%`] };
   }
   const conds = param.values.map(() => `LOWER(${colRef}) LIKE ?`);
-  return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = "id" AND (${conds.join(" OR ")}))`, values: param.values.map((v) => `${v.toLowerCase()}%`) };
+  return { sql: `EXISTS (SELECT 1 FROM "${table}" __lookup WHERE __lookup."resourceId" = ${outerIdRef} AND (${conds.join(" OR ")}))`, values: param.values.map((v) => `${v.toLowerCase()}%`) };
 }
 function buildStringFragmentV2(impl, param) {
   const col = quoteColumn(impl.columnName);
@@ -5307,7 +5308,7 @@ function buildWhereClauseV2(params, registry, resourceType, dialect) {
     }
     const impl = resolveImplV2(param, registry, resourceType);
     if (!impl) continue;
-    const fragment = buildWhereFragmentV2(impl, param, dialect);
+    const fragment = buildWhereFragmentV2(impl, param, dialect, resourceType);
     if (fragment) {
       fragments.push(fragment);
     }
@@ -6435,16 +6436,18 @@ var FhirStore = class {
 import { randomUUID as randomUUID4 } from "node:crypto";
 
 // src/repo/lookup-table-writer.ts
-var LOOKUP_TABLE_DDL = {
-  HumanName: `CREATE TABLE IF NOT EXISTS "HumanName" (
-  "id" INTEGER PRIMARY KEY AUTOINCREMENT,
+function buildLookupTableDDL(dialect) {
+  const pk = dialect === "postgres" ? '"id" SERIAL PRIMARY KEY' : '"id" INTEGER PRIMARY KEY AUTOINCREMENT';
+  return {
+    HumanName: `CREATE TABLE IF NOT EXISTS "HumanName" (
+  ${pk},
   "resourceId" TEXT NOT NULL,
   "name" TEXT,
   "given" TEXT,
   "family" TEXT
 )`,
-  Address: `CREATE TABLE IF NOT EXISTS "Address" (
-  "id" INTEGER PRIMARY KEY AUTOINCREMENT,
+    Address: `CREATE TABLE IF NOT EXISTS "Address" (
+  ${pk},
   "resourceId" TEXT NOT NULL,
   "address" TEXT,
   "city" TEXT,
@@ -6453,20 +6456,21 @@ var LOOKUP_TABLE_DDL = {
   "state" TEXT,
   "use" TEXT
 )`,
-  ContactPoint: `CREATE TABLE IF NOT EXISTS "ContactPoint" (
-  "id" INTEGER PRIMARY KEY AUTOINCREMENT,
+    ContactPoint: `CREATE TABLE IF NOT EXISTS "ContactPoint" (
+  ${pk},
   "resourceId" TEXT NOT NULL,
   "system" TEXT,
   "value" TEXT,
   "use" TEXT
 )`,
-  Identifier: `CREATE TABLE IF NOT EXISTS "Identifier" (
-  "id" INTEGER PRIMARY KEY AUTOINCREMENT,
+    Identifier: `CREATE TABLE IF NOT EXISTS "Identifier" (
+  ${pk},
   "resourceId" TEXT NOT NULL,
   "system" TEXT,
   "value" TEXT
 )`
-};
+  };
+}
 var LOOKUP_TABLE_INDEXES = {
   HumanName: [
     'CREATE INDEX IF NOT EXISTS "HumanName_resourceId_idx" ON "HumanName" ("resourceId")',
@@ -6492,10 +6496,12 @@ var LOOKUP_COLUMNS = {
   Identifier: ["resourceId", "system", "value"]
 };
 var LookupTableWriter = class {
-  constructor(adapter) {
+  constructor(adapter, dialect = "sqlite") {
     this.adapter = adapter;
+    this.ddl = buildLookupTableDDL(dialect);
   }
   initialized = false;
+  ddl;
   // ---------------------------------------------------------------------------
   // DDL
   // ---------------------------------------------------------------------------
@@ -6504,8 +6510,8 @@ var LookupTableWriter = class {
    */
   async ensureTables() {
     if (this.initialized) return;
-    for (const table of Object.keys(LOOKUP_TABLE_DDL)) {
-      await this.adapter.execute(LOOKUP_TABLE_DDL[table]);
+    for (const table of Object.keys(this.ddl)) {
+      await this.adapter.execute(this.ddl[table]);
       for (const idx of LOOKUP_TABLE_INDEXES[table]) {
         await this.adapter.execute(idx);
       }
@@ -6554,7 +6560,7 @@ var LookupTableWriter = class {
    */
   async deleteRows(resourceId) {
     await this.ensureTables();
-    for (const table of Object.keys(LOOKUP_TABLE_DDL)) {
+    for (const table of Object.keys(this.ddl)) {
       await this.adapter.execute(
         `DELETE FROM "${table}" WHERE "resourceId" = ?`,
         [resourceId]
@@ -6580,7 +6586,7 @@ var LookupTableWriter = class {
 var IndexingPipeline = class {
   constructor(adapter, options) {
     this.adapter = adapter;
-    this.lookupWriter = new LookupTableWriter(adapter);
+    this.lookupWriter = new LookupTableWriter(adapter, options?.dialect ?? "sqlite");
     this.runtimeProvider = options?.runtimeProvider;
     this.options = {
       enableLookupTables: options?.enableLookupTables ?? true,
@@ -7150,6 +7156,14 @@ function generateMigration(deltas, dialect) {
   const down = [];
   const reindexDeltas = [];
   const descriptions = [];
+  const needsPgExtensions = deltas.some((d) => d.kind === "ADD_TABLE" || d.kind === "ADD_INDEX");
+  if (dialect === "postgres" && needsPgExtensions) {
+    up.push("CREATE EXTENSION IF NOT EXISTS pg_trgm;");
+    up.push("CREATE EXTENSION IF NOT EXISTS btree_gin;");
+    up.push(
+      `CREATE OR REPLACE FUNCTION token_array_to_text(arr text[]) RETURNS text LANGUAGE sql IMMUTABLE AS $$ SELECT array_to_string(arr, ' ') $$;`
+    );
+  }
   for (const delta of deltas) {
     switch (delta.kind) {
       case "ADD_TABLE": {
@@ -7278,35 +7292,43 @@ function mapColumnTypeForDialect(type, dialect) {
 
 // src/registry/package-registry-repo.ts
 var PACKAGES_TABLE = "_packages";
-var CREATE_PACKAGES_TABLE = `
+var SCHEMA_VERSION_TABLE = "_schema_version";
+function createPackagesTableDDL(dialect) {
+  const ts = dialect === "postgres" ? "TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP" : "TEXT NOT NULL DEFAULT (datetime('now'))";
+  return `
 CREATE TABLE IF NOT EXISTS "${PACKAGES_TABLE}" (
   "name" TEXT NOT NULL,
   "version" TEXT NOT NULL,
   "checksum" TEXT NOT NULL,
   "schemaSnapshot" TEXT,
-  "installedAt" TEXT NOT NULL DEFAULT (datetime('now')),
+  "installedAt" ${ts},
   "status" TEXT NOT NULL DEFAULT 'active',
   PRIMARY KEY ("name", "version")
 );
 `;
-var SCHEMA_VERSION_TABLE = "_schema_version";
-var CREATE_SCHEMA_VERSION_TABLE = `
+}
+function createSchemaVersionTableDDL(dialect) {
+  const ts = dialect === "postgres" ? "TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP" : "TEXT NOT NULL DEFAULT (datetime('now'))";
+  return `
 CREATE TABLE IF NOT EXISTS "${SCHEMA_VERSION_TABLE}" (
   "version" INTEGER NOT NULL PRIMARY KEY,
   "packageList" TEXT NOT NULL,
   "description" TEXT NOT NULL DEFAULT '',
-  "appliedAt" TEXT NOT NULL DEFAULT (datetime('now'))
+  "appliedAt" ${ts}
 );
 `;
+}
 var PackageRegistryRepo = class {
-  constructor(adapter) {
+  constructor(adapter, dialect = "sqlite") {
     this.adapter = adapter;
+    this.dialect = dialect;
   }
+  dialect;
   /**
    * Ensure the packages tracking table exists.
    */
   async ensureTable() {
-    await this.adapter.execute(CREATE_PACKAGES_TABLE);
+    await this.adapter.execute(createPackagesTableDDL(this.dialect));
   }
   /**
    * Get the active version of a package by name.
@@ -7351,7 +7373,7 @@ var PackageRegistryRepo = class {
       [pkg.name]
     );
     await this.adapter.execute(
-      `INSERT OR REPLACE INTO "${PACKAGES_TABLE}" ("name", "version", "checksum", "schemaSnapshot", "status") VALUES (?, ?, ?, ?, 'active')`,
+      this.upsertSQL(),
       [pkg.name, pkg.version, pkg.checksum, pkg.schemaSnapshot ?? null]
     );
     await this.recordSchemaVersion(description ?? `Register ${pkg.name}@${pkg.version}`);
@@ -7368,10 +7390,19 @@ var PackageRegistryRepo = class {
       [pkg.name]
     );
     await this.adapter.execute(
-      `INSERT OR REPLACE INTO "${PACKAGES_TABLE}" ("name", "version", "checksum", "schemaSnapshot", "status") VALUES (?, ?, ?, ?, 'active')`,
+      this.upsertSQL(),
       [pkg.name, pkg.version, pkg.checksum, pkg.schemaSnapshot ?? null]
     );
   }
+  /**
+   * Generate dialect-aware UPSERT SQL.
+   */
+  upsertSQL() {
+    if (this.dialect === "postgres") {
+      return `INSERT INTO "${PACKAGES_TABLE}" ("name", "version", "checksum", "schemaSnapshot", "status") VALUES (?, ?, ?, ?, 'active') ON CONFLICT ("name", "version") DO UPDATE SET "checksum" = EXCLUDED."checksum", "schemaSnapshot" = EXCLUDED."schemaSnapshot", "status" = 'active'`;
+    }
+    return `INSERT OR REPLACE INTO "${PACKAGES_TABLE}" ("name", "version", "checksum", "schemaSnapshot", "status") VALUES (?, ?, ?, ?, 'active')`;
+  }
   /**
    * Remove all versions of a package.
    */
@@ -7403,7 +7434,7 @@ var PackageRegistryRepo = class {
    * Ensure the schema version table exists.
    */
   async ensureSchemaVersionTable() {
-    await this.adapter.execute(CREATE_SCHEMA_VERSION_TABLE);
+    await this.adapter.execute(createSchemaVersionTableDDL(this.dialect));
   }
   /**
    * Record a schema version with the current active package list.
@@ -7453,12 +7484,25 @@ CREATE TABLE IF NOT EXISTS "${TRACKING_TABLE_V2}" (
   "applied_at" TEXT NOT NULL DEFAULT (datetime('now'))
 );
 `;
+var CREATE_TRACKING_TABLE_V2_POSTGRES = `
+CREATE TABLE IF NOT EXISTS "${TRACKING_TABLE_V2}" (
+  "version" INTEGER PRIMARY KEY,
+  "description" TEXT NOT NULL,
+  "type" TEXT NOT NULL DEFAULT 'file',
+  "applied_at" TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP
+);
+`;
+function createTrackingDDL(dialect) {
+  return dialect === "postgres" ? CREATE_TRACKING_TABLE_V2_POSTGRES : CREATE_TRACKING_TABLE_V2_SQLITE;
+}
 var MigrationRunnerV2 = class {
   adapter;
   migrations;
-  constructor(adapter, migrations = []) {
+  dialect;
+  constructor(adapter, migrations = [], dialect = "sqlite") {
     this.adapter = adapter;
     this.migrations = [...migrations].sort((a, b) => a.version - b.version);
+    this.dialect = dialect;
   }
   // ---------------------------------------------------------------------------
   // Public API
@@ -7467,7 +7511,7 @@ var MigrationRunnerV2 = class {
    * Ensure the tracking table exists.
    */
   async ensureTrackingTable() {
-    await this.adapter.execute(CREATE_TRACKING_TABLE_V2_SQLITE);
+    await this.adapter.execute(createTrackingDDL(this.dialect));
   }
   /**
    * Apply all pending migrations (or up to a target version).
@@ -7643,7 +7687,23 @@ var MigrationRunnerV2 = class {
 
 // src/migration/reindex-scheduler.ts
 var REINDEX_JOBS_TABLE = "_reindex_jobs";
-var CREATE_REINDEX_JOBS_TABLE = `
+function createReindexJobsTableDDL(dialect) {
+  if (dialect === "postgres") {
+    return `
+CREATE TABLE IF NOT EXISTS "${REINDEX_JOBS_TABLE}" (
+  "id" SERIAL PRIMARY KEY,
+  "resourceType" TEXT NOT NULL,
+  "searchParamCode" TEXT NOT NULL,
+  "expression" TEXT NOT NULL,
+  "status" TEXT NOT NULL DEFAULT 'pending',
+  "cursor" TEXT,
+  "processedCount" INTEGER NOT NULL DEFAULT 0,
+  "createdAt" TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP,
+  "updatedAt" TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP
+);
+`;
+  }
+  return `
 CREATE TABLE IF NOT EXISTS "${REINDEX_JOBS_TABLE}" (
   "id" INTEGER PRIMARY KEY AUTOINCREMENT,
   "resourceType" TEXT NOT NULL,
@@ -7656,15 +7716,21 @@ CREATE TABLE IF NOT EXISTS "${REINDEX_JOBS_TABLE}" (
   "updatedAt" TEXT NOT NULL DEFAULT (datetime('now'))
 );
 `;
+}
+function nowExpression(dialect) {
+  return dialect === "postgres" ? "CURRENT_TIMESTAMP" : "datetime('now')";
+}
 var ReindexScheduler = class {
-  constructor(adapter) {
+  constructor(adapter, dialect = "sqlite") {
     this.adapter = adapter;
+    this.dialect = dialect;
   }
+  dialect;
   /**
    * Ensure the reindex jobs table exists.
    */
   async ensureTable() {
-    await this.adapter.execute(CREATE_REINDEX_JOBS_TABLE);
+    await this.adapter.execute(createReindexJobsTableDDL(this.dialect));
   }
   /**
    * Schedule reindex jobs from REINDEX deltas.
@@ -7731,7 +7797,7 @@ var ReindexScheduler = class {
       sets.push('"processedCount" = ?');
       values.push(update.processedCount);
     }
-    sets.push(`"updatedAt" = datetime('now')`);
+    sets.push(`"updatedAt" = ${nowExpression(this.dialect)}`);
     values.push(id);
     await this.adapter.execute(
       `UPDATE "${REINDEX_JOBS_TABLE}" SET ${sets.join(", ")} WHERE "id" = ?`,
@@ -7764,9 +7830,9 @@ var IGPersistenceManager = class {
   reindexScheduler;
   constructor(adapter, dialect = "sqlite") {
     this.dialect = dialect;
-    this.packageRepo = new PackageRegistryRepo(adapter);
-    this.migrationRunner = new MigrationRunnerV2(adapter);
-    this.reindexScheduler = new ReindexScheduler(adapter);
+    this.packageRepo = new PackageRegistryRepo(adapter, dialect);
+    this.migrationRunner = new MigrationRunnerV2(adapter, [], dialect);
+    this.reindexScheduler = new ReindexScheduler(adapter, dialect);
   }
   /**
    * Initialize an IG package — the main entry point.
@@ -7947,25 +8013,30 @@ var TerminologyCodeRepo = class {
 
 // src/terminology/valueset-repo.ts
 var VALUESETS_TABLE = "terminology_valuesets";
-var CREATE_VALUESETS_TABLE = `
+function createValuesetsTableDDL(dialect) {
+  const ts = dialect === "postgres" ? "TIMESTAMPTZ NOT NULL DEFAULT CURRENT_TIMESTAMP" : "TEXT NOT NULL DEFAULT (datetime('now'))";
+  return `
 CREATE TABLE IF NOT EXISTS "${VALUESETS_TABLE}" (
   "url" TEXT NOT NULL,
   "version" TEXT NOT NULL,
   "name" TEXT,
   "content" TEXT NOT NULL,
-  "storedAt" TEXT NOT NULL DEFAULT (datetime('now')),
+  "storedAt" ${ts},
   PRIMARY KEY ("url", "version")
 );
 `;
+}
 var ValueSetRepo = class {
-  constructor(adapter) {
+  constructor(adapter, dialect = "sqlite") {
     this.adapter = adapter;
+    this.dialect = dialect;
   }
+  dialect;
   /**
    * Ensure the terminology_valuesets table exists.
    */
   async ensureTable() {
-    await this.adapter.execute(CREATE_VALUESETS_TABLE);
+    await this.adapter.execute(createValuesetsTableDDL(this.dialect));
   }
   /**
    * Insert or update a ValueSet.
@@ -7973,10 +8044,8 @@ var ValueSetRepo = class {
    */
   async upsert(input) {
     await this.ensureTable();
-    await this.adapter.execute(
-      `INSERT OR REPLACE INTO "${VALUESETS_TABLE}" ("url", "version", "name", "content") VALUES (?, ?, ?, ?)`,
-      [input.url, input.version, input.name ?? null, input.content]
-    );
+    const sql = this.dialect === "postgres" ? `INSERT INTO "${VALUESETS_TABLE}" ("url", "version", "name", "content") VALUES (?, ?, ?, ?) ON CONFLICT ("url", "version") DO UPDATE SET "name" = EXCLUDED."name", "content" = EXCLUDED."content"` : `INSERT OR REPLACE INTO "${VALUESETS_TABLE}" ("url", "version", "name", "content") VALUES (?, ?, ?, ?)`;
+    await this.adapter.execute(sql, [input.url, input.version, input.name ?? null, input.content]);
   }
   /**
    * Get a specific ValueSet by url and version.
@@ -8435,7 +8504,8 @@ var FhirSystem = class {
       indexing: {
         enableLookupTables: this.options.enableLookupTables,
         enableReferences: this.options.enableReferences,
-        runtimeProvider: this.options.runtimeProvider
+        runtimeProvider: this.options.runtimeProvider,
+        dialect: this.dialect
       }
     });
     return {