phenoml 17.2.0 → 17.4.0

package/dist/cjs/BaseClient.js

@@ -43,8 +43,8 @@ function normalizeClientOptions(options) {
     const headers = (0, headers_js_1.mergeHeaders)({
         "X-Fern-Language": "JavaScript",
         "X-Fern-SDK-Name": "phenoml",
-        "X-Fern-SDK-Version": "17.2.0",
-        "User-Agent": "phenoml/17.2.0",
+        "X-Fern-SDK-Version": "17.4.0",
+        "User-Agent": "phenoml/17.4.0",
         "X-Fern-Runtime": core.RUNTIME.type,
         "X-Fern-Runtime-Version": core.RUNTIME.version,
     }, options === null || options === void 0 ? void 0 : options.headers);

package/dist/cjs/api/resources/fhir2Omop/client/Client.d.ts

@@ -11,30 +11,26 @@ export declare class Fhir2OmopClient {
     protected readonly _options: NormalizedClientOptionsWithAuth<Fhir2OmopClient.Options>;
     constructor(options?: Fhir2OmopClient.Options);
     /**
-     * Shapes a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
+     * Maps a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
      * (person, visit_occurrence, condition_occurrence, drug_exposure,
      * procedure_occurrence, measurement, observation).
      *
-     * **Two resolution modes, reported in `mode`.** `mode` reflects which
-     * resolver is wired, not the path an individual coding took. With a
-     * concept-resolver configured (the default), `mode` is `"resolved"` and the
-     * resource's primary clinical coding is resolved to a real OMOP `concept_id`;
-     * with no resolver configured, `mode` is `"structural"` and every clinical
-     * and source `concept_id` is `0`. In `"resolved"` mode individual codings can
-     * still land at `concept_id` `0` without changing the mode: a coding the
-     * service finds no match for is `UNMAPPED`, and a coding that fell back to the
-     * structural tier (the resolver was briefly unavailable, or the resource was
-     * text-only) is surfaced in `scan_summary` (`concept_resolver_note`,
-     * `construe_resolutions`). A `concept_id` of `0` is "no matching concept" per
-     * OMOP semantics, deliberately not omitted. Only the primary clinical coding
-     * is resolved — `gender`/`race`/`ethnicity`/`visit`/`value`/`unit`
-     * `concept_id`s are always `0`.
+     * Each resource's primary clinical coding is resolved to a standard OMOP
+     * `concept_id`. Alongside the OMOP rows grouped by table (`tables`), the
+     * response carries `mappings` (how each source coding resolved, linked back
+     * to the row it produced), `dropped` (resources that could not be shaped
+     * into a row), `vocab_version` (the OMOP vocabulary release codes were
+     * resolved against), and a small `summary` of the resolution outcomes.
      *
-     * In every mode each `*_source_value` carries the verbatim FHIR coding
-     * (`system#code`), `*_type_concept_id` is set to `32817` (EHR), and the
-     * response `report` lists one Usagi-shaped entry per source coding describing
-     * how it resolved (`ALREADY_STANDARD`, `MAPPED`, an `UNCHECKED` suggestion,
-     * or `UNMAPPED`).
+     * A `concept_id` of `0` is reported, not omitted (OMOP "no matching
+     * concept" semantics): it covers both a coding with no standard match
+     * (`UNMAPPED`) and an unverified suggestion for a text-only resource
+     * (`UNCHECKED`). Only the primary clinical coding is resolved, so
+     * `gender`/`race`/`ethnicity`/`visit`/`value`/`unit` `concept_id`s are
+     * always `0`; the one populated non-resolved concept is measurement
+     * `operator_concept_id`, set from a value comparator (`<`, `<=`, `>`, `>=`)
+     * rather than the resolver. Each `*_source_value` carries the verbatim FHIR
+     * coding (`system#code`), and `*_type_concept_id` is set to `32817` (EHR).
      *
      * Medication codes are resolved whether they appear inline
      * (`medicationCodeableConcept`) or via a `medicationReference` to a contained,
@@ -42,7 +38,7 @@ export declare class Fhir2OmopClient {
      * Resources that cannot be shaped into a row — a medication with no usable
      * code, resolvable reference, or display, or any clinical resource whose
      * subject/patient reference cannot be tied to a person — are reported under
-     * `scan_summary.dropped_resources` rather than emitted as blank rows. The
+     * `dropped` rather than emitted as blank rows. The
      * bundle must contain at least one Patient resource.
      *
      * @param {phenoml.fhir2Omop.CreateOmopRequest} request
@@ -51,6 +47,7 @@ export declare class Fhir2OmopClient {
      * @throws {@link phenoml.fhir2Omop.BadRequestError}
      * @throws {@link phenoml.fhir2Omop.UnauthorizedError}
      * @throws {@link phenoml.fhir2Omop.InternalServerError}
+     * @throws {@link phenoml.fhir2Omop.ServiceUnavailableError}
      *
      * @example
      *     await client.fhir2Omop.create({

package/dist/cjs/api/resources/fhir2Omop/client/Client.js

@@ -56,30 +56,26 @@ class Fhir2OmopClient {
         this._options = (0, BaseClient_js_1.normalizeClientOptionsWithAuth)(options);
     }
     /**
-     * Shapes a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
+     * Maps a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
      * (person, visit_occurrence, condition_occurrence, drug_exposure,
      * procedure_occurrence, measurement, observation).
      *
-     * **Two resolution modes, reported in `mode`.** `mode` reflects which
-     * resolver is wired, not the path an individual coding took. With a
-     * concept-resolver configured (the default), `mode` is `"resolved"` and the
-     * resource's primary clinical coding is resolved to a real OMOP `concept_id`;
-     * with no resolver configured, `mode` is `"structural"` and every clinical
-     * and source `concept_id` is `0`. In `"resolved"` mode individual codings can
-     * still land at `concept_id` `0` without changing the mode: a coding the
-     * service finds no match for is `UNMAPPED`, and a coding that fell back to the
-     * structural tier (the resolver was briefly unavailable, or the resource was
-     * text-only) is surfaced in `scan_summary` (`concept_resolver_note`,
-     * `construe_resolutions`). A `concept_id` of `0` is "no matching concept" per
-     * OMOP semantics, deliberately not omitted. Only the primary clinical coding
-     * is resolved — `gender`/`race`/`ethnicity`/`visit`/`value`/`unit`
-     * `concept_id`s are always `0`.
+     * Each resource's primary clinical coding is resolved to a standard OMOP
+     * `concept_id`. Alongside the OMOP rows grouped by table (`tables`), the
+     * response carries `mappings` (how each source coding resolved, linked back
+     * to the row it produced), `dropped` (resources that could not be shaped
+     * into a row), `vocab_version` (the OMOP vocabulary release codes were
+     * resolved against), and a small `summary` of the resolution outcomes.
      *
-     * In every mode each `*_source_value` carries the verbatim FHIR coding
-     * (`system#code`), `*_type_concept_id` is set to `32817` (EHR), and the
-     * response `report` lists one Usagi-shaped entry per source coding describing
-     * how it resolved (`ALREADY_STANDARD`, `MAPPED`, an `UNCHECKED` suggestion,
-     * or `UNMAPPED`).
+     * A `concept_id` of `0` is reported, not omitted (OMOP "no matching
+     * concept" semantics): it covers both a coding with no standard match
+     * (`UNMAPPED`) and an unverified suggestion for a text-only resource
+     * (`UNCHECKED`). Only the primary clinical coding is resolved, so
+     * `gender`/`race`/`ethnicity`/`visit`/`value`/`unit` `concept_id`s are
+     * always `0`; the one populated non-resolved concept is measurement
+     * `operator_concept_id`, set from a value comparator (`<`, `<=`, `>`, `>=`)
+     * rather than the resolver. Each `*_source_value` carries the verbatim FHIR
+     * coding (`system#code`), and `*_type_concept_id` is set to `32817` (EHR).
      *
      * Medication codes are resolved whether they appear inline
      * (`medicationCodeableConcept`) or via a `medicationReference` to a contained,
@@ -87,7 +83,7 @@ class Fhir2OmopClient {
      * Resources that cannot be shaped into a row — a medication with no usable
      * code, resolvable reference, or display, or any clinical resource whose
      * subject/patient reference cannot be tied to a person — are reported under
-     * `scan_summary.dropped_resources` rather than emitted as blank rows. The
+     * `dropped` rather than emitted as blank rows. The
      * bundle must contain at least one Patient resource.
      *
      * @param {phenoml.fhir2Omop.CreateOmopRequest} request
@@ -96,6 +92,7 @@ class Fhir2OmopClient {
      * @throws {@link phenoml.fhir2Omop.BadRequestError}
      * @throws {@link phenoml.fhir2Omop.UnauthorizedError}
      * @throws {@link phenoml.fhir2Omop.InternalServerError}
+     * @throws {@link phenoml.fhir2Omop.ServiceUnavailableError}
      *
      * @example
      *     await client.fhir2Omop.create({
@@ -196,6 +193,8 @@ class Fhir2OmopClient {
                         throw new phenoml.fhir2Omop.UnauthorizedError(_response.error.body, _response.rawResponse);
                     case 500:
                         throw new phenoml.fhir2Omop.InternalServerError(_response.error.body, _response.rawResponse);
+                    case 503:
+                        throw new phenoml.fhir2Omop.ServiceUnavailableError(_response.error.body, _response.rawResponse);
                     default:
                         throw new errors.phenomlError({
                             statusCode: _response.error.statusCode,

package/dist/cjs/api/resources/fhir2Omop/errors/ServiceUnavailableError.d.ts

@@ -0,0 +1,5 @@
+import type * as core from "../../../../core/index.js";
+import * as errors from "../../../../errors/index.js";
+export declare class ServiceUnavailableError extends errors.phenomlError {
+    constructor(body?: unknown, rawResponse?: core.RawResponse);
+}

package/dist/cjs/api/resources/fhir2Omop/errors/ServiceUnavailableError.js

@@ -0,0 +1,54 @@
+"use strict";
+// This file was auto-generated by Fern from our API Definition.
+var __createBinding = (this && this.__createBinding) || (Object.create ? (function(o, m, k, k2) {
+    if (k2 === undefined) k2 = k;
+    var desc = Object.getOwnPropertyDescriptor(m, k);
+    if (!desc || ("get" in desc ? !m.__esModule : desc.writable || desc.configurable)) {
+      desc = { enumerable: true, get: function() { return m[k]; } };
+    }
+    Object.defineProperty(o, k2, desc);
+}) : (function(o, m, k, k2) {
+    if (k2 === undefined) k2 = k;
+    o[k2] = m[k];
+}));
+var __setModuleDefault = (this && this.__setModuleDefault) || (Object.create ? (function(o, v) {
+    Object.defineProperty(o, "default", { enumerable: true, value: v });
+}) : function(o, v) {
+    o["default"] = v;
+});
+var __importStar = (this && this.__importStar) || (function () {
+    var ownKeys = function(o) {
+        ownKeys = Object.getOwnPropertyNames || function (o) {
+            var ar = [];
+            for (var k in o) if (Object.prototype.hasOwnProperty.call(o, k)) ar[ar.length] = k;
+            return ar;
+        };
+        return ownKeys(o);
+    };
+    return function (mod) {
+        if (mod && mod.__esModule) return mod;
+        var result = {};
+        if (mod != null) for (var k = ownKeys(mod), i = 0; i < k.length; i++) if (k[i] !== "default") __createBinding(result, mod, k[i]);
+        __setModuleDefault(result, mod);
+        return result;
+    };
+})();
+Object.defineProperty(exports, "__esModule", { value: true });
+exports.ServiceUnavailableError = void 0;
+const errors = __importStar(require("../../../../errors/index.js"));
+class ServiceUnavailableError extends errors.phenomlError {
+    constructor(body, rawResponse) {
+        super({
+            message: "ServiceUnavailableError",
+            statusCode: 503,
+            body: body,
+            rawResponse: rawResponse,
+        });
+        Object.setPrototypeOf(this, new.target.prototype);
+        if (Error.captureStackTrace) {
+            Error.captureStackTrace(this, this.constructor);
+        }
+        this.name = this.constructor.name;
+    }
+}
+exports.ServiceUnavailableError = ServiceUnavailableError;

package/dist/cjs/api/resources/fhir2Omop/errors/index.d.ts

@@ -1,3 +1,4 @@
 export * from "./BadRequestError.js";
 export * from "./InternalServerError.js";
+export * from "./ServiceUnavailableError.js";
 export * from "./UnauthorizedError.js";

package/dist/cjs/api/resources/fhir2Omop/errors/index.js

@@ -16,4 +16,5 @@ var __exportStar = (this && this.__exportStar) || function(m, exports) {
 Object.defineProperty(exports, "__esModule", { value: true });
 __exportStar(require("./BadRequestError.js"), exports);
 __exportStar(require("./InternalServerError.js"), exports);
+__exportStar(require("./ServiceUnavailableError.js"), exports);
 __exportStar(require("./UnauthorizedError.js"), exports);

package/dist/cjs/api/resources/fhir2Omop/types/ConditionOccurrenceRow.d.ts

@@ -6,6 +6,7 @@ export interface ConditionOccurrenceRow {
     condition_start_datetime?: string | undefined;
     condition_end_date?: string | undefined;
     condition_type_concept_id?: number | undefined;
+    visit_occurrence_id?: number | undefined;
     condition_source_value?: string | undefined;
     condition_source_concept_id?: number | undefined;
     condition_status_source_value?: string | undefined;

package/dist/cjs/api/resources/fhir2Omop/types/CreateOmopResponse.d.ts

@@ -2,16 +2,16 @@ import type * as phenoml from "../../../index.js";
 export interface CreateOmopResponse {
     success?: boolean | undefined;
     message?: string | undefined;
+    tables?: phenoml.fhir2Omop.OmopTables | undefined;
+    /** One entry per source coding (or one entry for a text-only resource with no coding), describing how it resolved and linking back to the row it produced. */
+    mappings?: phenoml.fhir2Omop.MappingEntry[] | undefined;
+    /** Resources that could not be shaped into an OMOP row (rather than emitted as blank rows). */
+    dropped?: phenoml.fhir2Omop.DroppedResource[] | undefined;
     /**
-     * Resolution mode. `resolved` (default) means clinical `concept_id`s were
-     * filled by the concept-resolver service; `structural` means no resolver
-     * was configured, so all clinical `concept_id`s are `0`. Reflects which
-     * resolver is wired, not the path an individual coding took — per-coding
-     * degradation is surfaced in `scan_summary`, not the mode.
+     * The OMOP vocabulary release the clinical codes were resolved against
+     * (e.g. "v20240229"), for reproducibility. Present when at least one
+     * coded concept was resolved.
      */
-    mode?: string | undefined;
-    tables?: phenoml.fhir2Omop.OmopTables | undefined;
-    /** One Usagi-shaped entry per source coding routed through concept resolution. */
-    report?: phenoml.fhir2Omop.MappingReportEntry[] | undefined;
-    scan_summary?: phenoml.fhir2Omop.ScanSummary | undefined;
+    vocab_version?: string | undefined;
+    summary?: phenoml.fhir2Omop.Summary | undefined;
 }

package/dist/cjs/api/resources/fhir2Omop/types/DrugExposureRow.d.ts

@@ -8,6 +8,7 @@ export interface DrugExposureRow {
     drug_type_concept_id?: number | undefined;
     stop_reason?: string | undefined;
     sig?: string | undefined;
+    visit_occurrence_id?: number | undefined;
     drug_source_value?: string | undefined;
     drug_source_concept_id?: number | undefined;
 }

package/dist/cjs/api/resources/fhir2Omop/types/MappingEntry.d.ts

@@ -0,0 +1,35 @@
+/**
+ * How one source coding (or a text-only resource's free text) resolved to an OMOP standard concept.
+ */
+export interface MappingEntry {
+    resource_type?: string | undefined;
+    resource_id?: string | undefined;
+    omop_table?: string | undefined;
+    /**
+     * The id of the OMOP row this coding produced (e.g. `condition_occurrence_id`),
+     * within `omop_table`. A resource with multiple codings yields one entry
+     * per coding, all sharing this id.
+     */
+    omop_id?: number | undefined;
+    source_system?: string | undefined;
+    source_code?: string | undefined;
+    source_name?: string | undefined;
+    target_vocabulary?: string | undefined;
+    /**
+     * The standard concept's own code: the source code itself for an
+     * ALREADY_STANDARD row, the standard concept's code for a MAPPED row,
+     * or the suggested code for an UNCHECKED row. Omitted for UNMAPPED
+     * rows.
+     */
+    target_code?: string | undefined;
+    target_name?: string | undefined;
+    /**
+     * ALREADY_STANDARD (source coding is already a standard OMOP concept),
+     * MAPPED (source coding was mapped to a standard concept), UNCHECKED (a
+     * standard code was suggested — e.g. for a text-only resource — but not
+     * verified against the OMOP vocabulary, so `concept_id` stays `0`), or
+     * UNMAPPED (no standard concept found).
+     */
+    mapping_status?: string | undefined;
+    note?: string | undefined;
+}

package/dist/cjs/api/resources/fhir2Omop/types/MeasurementRow.d.ts

@@ -6,10 +6,13 @@ export interface MeasurementRow {
     measurement_datetime?: string | undefined;
     measurement_type_concept_id?: number | undefined;
     value_as_number?: number | undefined;
+    /** OMOP "Meas Value Operator" standard concept qualifying value_as_number (<, <=, >, >=), parsed from a numeric-string value or a FHIR valueQuantity.comparator. 0 when no operator (a bare number). */
+    operator_concept_id?: number | undefined;
     value_as_concept_id?: number | undefined;
     unit_concept_id?: number | undefined;
     range_low?: number | undefined;
     range_high?: number | undefined;
+    visit_occurrence_id?: number | undefined;
     measurement_source_value?: string | undefined;
     measurement_source_concept_id?: number | undefined;
     unit_source_value?: string | undefined;

package/dist/cjs/api/resources/fhir2Omop/types/ObservationRow.d.ts

@@ -9,6 +9,7 @@ export interface ObservationRow {
     value_as_string?: string | undefined;
     value_as_concept_id?: number | undefined;
     unit_concept_id?: number | undefined;
+    visit_occurrence_id?: number | undefined;
     observation_source_value?: string | undefined;
     observation_source_concept_id?: number | undefined;
     unit_source_value?: string | undefined;

package/dist/cjs/api/resources/fhir2Omop/types/ProcedureOccurrenceRow.d.ts

@@ -5,6 +5,7 @@ export interface ProcedureOccurrenceRow {
     procedure_date?: string | undefined;
     procedure_datetime?: string | undefined;
     procedure_type_concept_id?: number | undefined;
+    visit_occurrence_id?: number | undefined;
     procedure_source_value?: string | undefined;
     procedure_source_concept_id?: number | undefined;
 }

package/dist/cjs/api/resources/fhir2Omop/types/Summary.d.ts

@@ -0,0 +1,17 @@
+/**
+ * The request's data-quality headline: how the coded concepts split across
+ * resolution outcomes, and the share that was not already in a target
+ * standard vocabulary. Each coded resource is counted once (per resolved
+ * concept), even when it carried several codings — unlike `mappings`, which
+ * has one entry per coding.
+ */
+export interface Summary {
+    /** Coded concepts already a standard OMOP concept (ALREADY_STANDARD). */
+    codes_already_standard?: number | undefined;
+    /** Coded concepts mapped or suggested to a standard concept (MAPPED or UNCHECKED). */
+    codes_normalized?: number | undefined;
+    /** Coded concepts with no standard concept found (UNMAPPED). */
+    codes_unmapped?: number | undefined;
+    /** Share of coded concepts not already standard ((normalized + unmapped) / total). */
+    off_vocab_rate?: number | undefined;
+}

package/dist/cjs/api/resources/fhir2Omop/types/index.d.ts

@@ -2,11 +2,11 @@ export * from "./ConditionOccurrenceRow.js";
 export * from "./CreateOmopResponse.js";
 export * from "./DroppedResource.js";
 export * from "./DrugExposureRow.js";
-export * from "./MappingReportEntry.js";
+export * from "./MappingEntry.js";
 export * from "./MeasurementRow.js";
 export * from "./ObservationRow.js";
 export * from "./OmopTables.js";
 export * from "./PersonRow.js";
 export * from "./ProcedureOccurrenceRow.js";
-export * from "./ScanSummary.js";
+export * from "./Summary.js";
 export * from "./VisitOccurrenceRow.js";

package/dist/cjs/api/resources/fhir2Omop/types/index.js

@@ -18,11 +18,11 @@ __exportStar(require("./ConditionOccurrenceRow.js"), exports);
 __exportStar(require("./CreateOmopResponse.js"), exports);
 __exportStar(require("./DroppedResource.js"), exports);
 __exportStar(require("./DrugExposureRow.js"), exports);
-__exportStar(require("./MappingReportEntry.js"), exports);
+__exportStar(require("./MappingEntry.js"), exports);
 __exportStar(require("./MeasurementRow.js"), exports);
 __exportStar(require("./ObservationRow.js"), exports);
 __exportStar(require("./OmopTables.js"), exports);
 __exportStar(require("./PersonRow.js"), exports);
 __exportStar(require("./ProcedureOccurrenceRow.js"), exports);
-__exportStar(require("./ScanSummary.js"), exports);
+__exportStar(require("./Summary.js"), exports);
 __exportStar(require("./VisitOccurrenceRow.js"), exports);

package/dist/cjs/core/fetcher/signals.js

@@ -14,11 +14,19 @@ function anySignal(...args) {
     for (const signal of signals) {
         if (signal.aborted) {
             controller.abort(signal === null || signal === void 0 ? void 0 : signal.reason);
-            break;
+            return controller.signal;
         }
         signal.addEventListener("abort", () => controller.abort(signal === null || signal === void 0 ? void 0 : signal.reason), {
             signal: controller.signal,
         });
+        // Re-check after adding listener: the signal may have aborted
+        // between the initial `signal.aborted` check and the `addEventListener`
+        // call above. If it did, the abort event was already dispatched and
+        // the listener will never fire — we must manually abort.
+        if (signal.aborted) {
+            controller.abort(signal === null || signal === void 0 ? void 0 : signal.reason);
+            return controller.signal;
+        }
     }
     return controller.signal;
 }

package/dist/cjs/version.d.ts

@@ -1 +1 @@
-export declare const SDK_VERSION = "17.2.0";
+export declare const SDK_VERSION = "17.4.0";

package/dist/cjs/version.js

@@ -1,4 +1,4 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
 exports.SDK_VERSION = void 0;
-exports.SDK_VERSION = "17.2.0";
+exports.SDK_VERSION = "17.4.0";

package/dist/esm/BaseClient.mjs

@@ -6,8 +6,8 @@ export function normalizeClientOptions(options) {
     const headers = mergeHeaders({
         "X-Fern-Language": "JavaScript",
         "X-Fern-SDK-Name": "phenoml",
-        "X-Fern-SDK-Version": "17.2.0",
-        "User-Agent": "phenoml/17.2.0",
+        "X-Fern-SDK-Version": "17.4.0",
+        "User-Agent": "phenoml/17.4.0",
         "X-Fern-Runtime": core.RUNTIME.type,
         "X-Fern-Runtime-Version": core.RUNTIME.version,
     }, options === null || options === void 0 ? void 0 : options.headers);

package/dist/esm/api/resources/fhir2Omop/client/Client.d.mts

@@ -11,30 +11,26 @@ export declare class Fhir2OmopClient {
     protected readonly _options: NormalizedClientOptionsWithAuth<Fhir2OmopClient.Options>;
     constructor(options?: Fhir2OmopClient.Options);
     /**
-     * Shapes a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
+     * Maps a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
      * (person, visit_occurrence, condition_occurrence, drug_exposure,
      * procedure_occurrence, measurement, observation).
      *
-     * **Two resolution modes, reported in `mode`.** `mode` reflects which
-     * resolver is wired, not the path an individual coding took. With a
-     * concept-resolver configured (the default), `mode` is `"resolved"` and the
-     * resource's primary clinical coding is resolved to a real OMOP `concept_id`;
-     * with no resolver configured, `mode` is `"structural"` and every clinical
-     * and source `concept_id` is `0`. In `"resolved"` mode individual codings can
-     * still land at `concept_id` `0` without changing the mode: a coding the
-     * service finds no match for is `UNMAPPED`, and a coding that fell back to the
-     * structural tier (the resolver was briefly unavailable, or the resource was
-     * text-only) is surfaced in `scan_summary` (`concept_resolver_note`,
-     * `construe_resolutions`). A `concept_id` of `0` is "no matching concept" per
-     * OMOP semantics, deliberately not omitted. Only the primary clinical coding
-     * is resolved — `gender`/`race`/`ethnicity`/`visit`/`value`/`unit`
-     * `concept_id`s are always `0`.
+     * Each resource's primary clinical coding is resolved to a standard OMOP
+     * `concept_id`. Alongside the OMOP rows grouped by table (`tables`), the
+     * response carries `mappings` (how each source coding resolved, linked back
+     * to the row it produced), `dropped` (resources that could not be shaped
+     * into a row), `vocab_version` (the OMOP vocabulary release codes were
+     * resolved against), and a small `summary` of the resolution outcomes.
      *
-     * In every mode each `*_source_value` carries the verbatim FHIR coding
-     * (`system#code`), `*_type_concept_id` is set to `32817` (EHR), and the
-     * response `report` lists one Usagi-shaped entry per source coding describing
-     * how it resolved (`ALREADY_STANDARD`, `MAPPED`, an `UNCHECKED` suggestion,
-     * or `UNMAPPED`).
+     * A `concept_id` of `0` is reported, not omitted (OMOP "no matching
+     * concept" semantics): it covers both a coding with no standard match
+     * (`UNMAPPED`) and an unverified suggestion for a text-only resource
+     * (`UNCHECKED`). Only the primary clinical coding is resolved, so
+     * `gender`/`race`/`ethnicity`/`visit`/`value`/`unit` `concept_id`s are
+     * always `0`; the one populated non-resolved concept is measurement
+     * `operator_concept_id`, set from a value comparator (`<`, `<=`, `>`, `>=`)
+     * rather than the resolver. Each `*_source_value` carries the verbatim FHIR
+     * coding (`system#code`), and `*_type_concept_id` is set to `32817` (EHR).
      *
      * Medication codes are resolved whether they appear inline
      * (`medicationCodeableConcept`) or via a `medicationReference` to a contained,
@@ -42,7 +38,7 @@ export declare class Fhir2OmopClient {
      * Resources that cannot be shaped into a row — a medication with no usable
      * code, resolvable reference, or display, or any clinical resource whose
      * subject/patient reference cannot be tied to a person — are reported under
-     * `scan_summary.dropped_resources` rather than emitted as blank rows. The
+     * `dropped` rather than emitted as blank rows. The
      * bundle must contain at least one Patient resource.
      *
      * @param {phenoml.fhir2Omop.CreateOmopRequest} request
@@ -51,6 +47,7 @@ export declare class Fhir2OmopClient {
      * @throws {@link phenoml.fhir2Omop.BadRequestError}
      * @throws {@link phenoml.fhir2Omop.UnauthorizedError}
      * @throws {@link phenoml.fhir2Omop.InternalServerError}
+     * @throws {@link phenoml.fhir2Omop.ServiceUnavailableError}
      *
      * @example
      *     await client.fhir2Omop.create({

package/dist/esm/api/resources/fhir2Omop/client/Client.mjs

@@ -20,30 +20,26 @@ export class Fhir2OmopClient {
         this._options = normalizeClientOptionsWithAuth(options);
     }
     /**
-     * Shapes a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
+     * Maps a FHIR R4 resource or Bundle into OMOP Common Data Model v5.4 rows
      * (person, visit_occurrence, condition_occurrence, drug_exposure,
      * procedure_occurrence, measurement, observation).
      *
-     * **Two resolution modes, reported in `mode`.** `mode` reflects which
-     * resolver is wired, not the path an individual coding took. With a
-     * concept-resolver configured (the default), `mode` is `"resolved"` and the
-     * resource's primary clinical coding is resolved to a real OMOP `concept_id`;
-     * with no resolver configured, `mode` is `"structural"` and every clinical
-     * and source `concept_id` is `0`. In `"resolved"` mode individual codings can
-     * still land at `concept_id` `0` without changing the mode: a coding the
-     * service finds no match for is `UNMAPPED`, and a coding that fell back to the
-     * structural tier (the resolver was briefly unavailable, or the resource was
-     * text-only) is surfaced in `scan_summary` (`concept_resolver_note`,
-     * `construe_resolutions`). A `concept_id` of `0` is "no matching concept" per
-     * OMOP semantics, deliberately not omitted. Only the primary clinical coding
-     * is resolved — `gender`/`race`/`ethnicity`/`visit`/`value`/`unit`
-     * `concept_id`s are always `0`.
+     * Each resource's primary clinical coding is resolved to a standard OMOP
+     * `concept_id`. Alongside the OMOP rows grouped by table (`tables`), the
+     * response carries `mappings` (how each source coding resolved, linked back
+     * to the row it produced), `dropped` (resources that could not be shaped
+     * into a row), `vocab_version` (the OMOP vocabulary release codes were
+     * resolved against), and a small `summary` of the resolution outcomes.
      *
-     * In every mode each `*_source_value` carries the verbatim FHIR coding
-     * (`system#code`), `*_type_concept_id` is set to `32817` (EHR), and the
-     * response `report` lists one Usagi-shaped entry per source coding describing
-     * how it resolved (`ALREADY_STANDARD`, `MAPPED`, an `UNCHECKED` suggestion,
-     * or `UNMAPPED`).
+     * A `concept_id` of `0` is reported, not omitted (OMOP "no matching
+     * concept" semantics): it covers both a coding with no standard match
+     * (`UNMAPPED`) and an unverified suggestion for a text-only resource
+     * (`UNCHECKED`). Only the primary clinical coding is resolved, so
+     * `gender`/`race`/`ethnicity`/`visit`/`value`/`unit` `concept_id`s are
+     * always `0`; the one populated non-resolved concept is measurement
+     * `operator_concept_id`, set from a value comparator (`<`, `<=`, `>`, `>=`)
+     * rather than the resolver. Each `*_source_value` carries the verbatim FHIR
+     * coding (`system#code`), and `*_type_concept_id` is set to `32817` (EHR).
      *
      * Medication codes are resolved whether they appear inline
      * (`medicationCodeableConcept`) or via a `medicationReference` to a contained,
@@ -51,7 +47,7 @@ export class Fhir2OmopClient {
      * Resources that cannot be shaped into a row — a medication with no usable
      * code, resolvable reference, or display, or any clinical resource whose
      * subject/patient reference cannot be tied to a person — are reported under
-     * `scan_summary.dropped_resources` rather than emitted as blank rows. The
+     * `dropped` rather than emitted as blank rows. The
      * bundle must contain at least one Patient resource.
      *
      * @param {phenoml.fhir2Omop.CreateOmopRequest} request
@@ -60,6 +56,7 @@ export class Fhir2OmopClient {
      * @throws {@link phenoml.fhir2Omop.BadRequestError}
      * @throws {@link phenoml.fhir2Omop.UnauthorizedError}
      * @throws {@link phenoml.fhir2Omop.InternalServerError}
+     * @throws {@link phenoml.fhir2Omop.ServiceUnavailableError}
      *
      * @example
      *     await client.fhir2Omop.create({
@@ -160,6 +157,8 @@ export class Fhir2OmopClient {
                         throw new phenoml.fhir2Omop.UnauthorizedError(_response.error.body, _response.rawResponse);
                     case 500:
                         throw new phenoml.fhir2Omop.InternalServerError(_response.error.body, _response.rawResponse);
+                    case 503:
+                        throw new phenoml.fhir2Omop.ServiceUnavailableError(_response.error.body, _response.rawResponse);
                     default:
                         throw new errors.phenomlError({
                             statusCode: _response.error.statusCode,

package/dist/esm/api/resources/fhir2Omop/errors/ServiceUnavailableError.d.mts

@@ -0,0 +1,5 @@
+import type * as core from "../../../../core/index.mjs";
+import * as errors from "../../../../errors/index.mjs";
+export declare class ServiceUnavailableError extends errors.phenomlError {
+    constructor(body?: unknown, rawResponse?: core.RawResponse);
+}

package/dist/esm/api/resources/fhir2Omop/errors/ServiceUnavailableError.mjs

@@ -0,0 +1,17 @@
+// This file was auto-generated by Fern from our API Definition.
+import * as errors from "../../../../errors/index.mjs";
+export class ServiceUnavailableError extends errors.phenomlError {
+    constructor(body, rawResponse) {
+        super({
+            message: "ServiceUnavailableError",
+            statusCode: 503,
+            body: body,
+            rawResponse: rawResponse,
+        });
+        Object.setPrototypeOf(this, new.target.prototype);
+        if (Error.captureStackTrace) {
+            Error.captureStackTrace(this, this.constructor);
+        }
+        this.name = this.constructor.name;
+    }
+}

package/dist/esm/api/resources/fhir2Omop/errors/index.d.mts

@@ -1,3 +1,4 @@
 export * from "./BadRequestError.mjs";
 export * from "./InternalServerError.mjs";
+export * from "./ServiceUnavailableError.mjs";
 export * from "./UnauthorizedError.mjs";

package/dist/esm/api/resources/fhir2Omop/errors/index.mjs

@@ -1,3 +1,4 @@
 export * from "./BadRequestError.mjs";
 export * from "./InternalServerError.mjs";
+export * from "./ServiceUnavailableError.mjs";
 export * from "./UnauthorizedError.mjs";