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requires Node 18+.** It uses native `fetch`, `AbortController`, and `URLSearchParams`.\n> CommonJS (`require`) is not supported. See the [migration guide](#migrating-from-v1) if upgrading.\n\n## Features\n\n- Full TypeScript source — types included, no `@types/fhir-kit-client` needed\n- All FHIR REST interactions (read, vread, create, update, patch, delete, history)\n- FHIR search: resource, compartment, system (GET and POST forms)\n- FHIR operations (`$everything`, `$validate`, etc.)\n- Batch and transaction bundles\n- Reference resolution: absolute, relative, in-bundle, and contained (`#`)\n- SMART App Launch — authorization URL discovery via capability statement or `.well-known`\n- Capability-checking tool (`CapabilityTool`)\n- Pagination helpers (`nextPage` / `prevPage`)\n- Custom request signer hook (AWS SigV4, HMAC, etc.)\n- Bearer token support\n- Debug logging via the [`debug`](https://www.npmjs.com/package/debug) package\n- Minimal dependencies (only `agentkeepalive` and `debug`)\n\n## Installation\n\n```sh\nnpm install fhir-kit-client\n```\n\n### Optional: TypeScript type packages\n\n```sh\n# Ambient FHIR R4/R4B/R5 namespace types (fhir4.Patient, fhir4.Bundle, …)\nnpm install --save-dev @types/fhir\n\n# Runtime Zod schemas + inferred TypeScript types\nnpm install @reasonhealth/fhir-zod zod\n```\n\n## Quick Start\n\n```ts\nimport { Client } from 'fhir-kit-client';\n\nconst client = new Client({ baseUrl: 'https://r4.smarthealthit.org' });\n\n// Read a patient\nconst patient = await client.read({ resourceType: 'Patient', id: '123' });\nconsole.log(patient.resourceType); // 'Patient'\n\n// Search\nconst bundle = await client.search({\n  resourceType: 'Patient',\n  searchParams: { name: 'Smith', _count: '10' },\n});\n```\n\n## TypeScript Types\n\n### With `@types/fhir` (ambient namespace types)\n\n`@types/fhir` adds ambient globals like `fhir4.Patient`, `fhir4.Bundle`, etc.\nUse a type guard to narrow the generic `FhirResource` returned by the client:\n\n```ts\nimport { Client } from 'fhir-kit-client';\n\nconst client = new Client({ baseUrl: 'https://r4.smarthealthit.org' });\n\nfunction isPatient(r: fhir4.Resource): r is fhir4.Patient {\n  return r.resourceType === 'Patient';\n}\n\nfunction isBundle(r: fhir4.Resource): r is fhir4.Bundle {\n  return r.resourceType === 'Bundle';\n}\n\n// Read and narrow\nconst resource = await client.read({ resourceType: 'Patient', id: '123' });\nif (isPatient(resource)) {\n  // resource is now fhir4.Patient\n  console.log(resource.name?.[0]?.family);\n}\n\n// Search and iterate bundle entries\nconst result = await client.search({\n  resourceType: 'Observation',\n  searchParams: { patient: '123', _count: '20' },\n});\nif (isBundle(result)) {\n  for (const entry of result.entry ?? []) {\n    console.log(entry.resource?.resourceType, entry.resource?.id);\n  }\n}\n```\n\n### With `@reasonhealth/fhir-zod` (runtime validation + inferred types)\n\n`@reasonhealth/fhir-zod` provides Zod schemas generated from official FHIR StructureDefinitions.\nUse them to validate server responses at runtime and get fully-typed resources without `@types/fhir`.\n\n```ts\nimport { Client } from 'fhir-kit-client';\nimport { PatientSchema, BundleSchema, ObservationSchema } from '@reasonhealth/fhir-zod/r4';\nimport type { z } from 'zod';\n\ntype Patient = z.infer<typeof PatientSchema>;\ntype Bundle  = z.infer<typeof BundleSchema>;\n\nconst client = new Client({ baseUrl: 'https://r4.smarthealthit.org' });\n\n// Parse and validate — throws ZodError if the response doesn't conform\nconst raw = await client.read({ resourceType: 'Patient', id: '123' });\nconst patient: Patient = PatientSchema.parse(raw);\nconsole.log(patient.name?.[0]?.family);\n\n// Safe parse — inspect errors without throwing\nconst result = ObservationSchema.safeParse(\n  await client.read({ resourceType: 'Observation', id: 'obs-1' })\n);\nif (result.success) {\n  console.log('Status:', result.data.status);\n} else {\n  console.error('Invalid Observation:', result.error.flatten());\n}\n```\n\n#### Validate a search Bundle\n\n```ts\nimport { BundleSchema, PatientSchema } from '@reasonhealth/fhir-zod/r4';\n\nconst raw = await client.search({ resourceType: 'Patient', searchParams: { name: 'Smith' } });\nconst bundle = BundleSchema.parse(raw);\n\nconst patients = (bundle.entry ?? [])\n  .map(e => e.resource)\n  .filter((r): r is NonNullable<typeof r> => r?.resourceType === 'Patient')\n  .map(r => PatientSchema.parse(r));\n\nconsole.log(`Found ${patients.length} patient(s)`);\n```\n\n#### Discriminated union across resource types\n\n```ts\nimport { z } from 'zod';\nimport { PatientSchema, PractitionerSchema, RelatedPersonSchema } from '@reasonhealth/fhir-zod/r4';\n\nconst SubjectSchema = z.discriminatedUnion('resourceType', [\n  PatientSchema,\n  PractitionerSchema,\n  RelatedPersonSchema,\n]);\ntype Subject = z.infer<typeof SubjectSchema>;\n\nfunction parseSubject(raw: unknown): Subject {\n  return SubjectSchema.parse(raw);\n}\n```\n\n#### Using both `@types/fhir` and `@reasonhealth/fhir-zod` together\n\nUse the Zod schema as a type guard that bridges to the ambient `fhir4` namespace types:\n\n```ts\nimport { PatientSchema } from '@reasonhealth/fhir-zod/r4';\n\nfunction isValidPatient(resource: fhir4.Resource): resource is fhir4.Patient {\n  return PatientSchema.safeParse(resource).success;\n}\n```\n\n## API Reference\n\n### `new Client(config)`\n\n```ts\nimport { Client } from 'fhir-kit-client';\nimport type { ClientConfig } from 'fhir-kit-client';\n\nconst client = new Client({\n  baseUrl: 'https://r4.smarthealthit.org',   // required\n  bearerToken: 'eyJ...',                      // optional, sets Authorization header\n  customHeaders: { 'X-Tenant': 'acme' },      // optional, sent with every request\n  requestSigner: (url, init) => {             // optional, for custom auth (e.g. AWS SigV4)\n    init.headers = { ...init.headers, 'X-Custom-Sig': sign(url) };\n  },\n});\n```\n\nProperties can be updated after construction:\n\n```ts\nclient.baseUrl = 'https://other-server.org/fhir';\nclient.bearerToken = newToken;\nclient.customHeaders = { 'X-Tenant': 'new-tenant' };\n```\n\n#### Per-request `fetch` options\n\nEvery read/write/search method accepts an optional `options` object that is\nforwarded to the underlying `RequestInit`. This lets you override library\ndefaults on a single call — most notably `keepalive`, which defaults to `true`\nso in-flight requests survive page unload. Because the Fetch spec caps\n`keepalive` request bodies at 64 KiB, large Bundles must opt out:\n\n```ts\n// Send a large transaction Bundle without keepalive\nawait client.transaction({ body: bundle, options: { keepalive: false } });\n```\n\nOther `RequestInit` fields (`redirect`, `mode`, `credentials`, etc.) are\nforwarded the same way.\n\n### Read\n\n```ts\n// Read a resource by type and id\nconst patient = await client.read({ resourceType: 'Patient', id: '123' });\n\n// Read a specific version\nconst v1 = await client.vread({ resourceType: 'Patient', id: '123', version: '1' });\n```\n\n### Create\n\n```ts\nconst created = await client.create({\n  resourceType: 'Patient',\n  body: { resourceType: 'Patient', name: [{ family: 'Smith', given: ['Jane'] }] },\n});\n\n// With Prefer: return=minimal (server returns 201 with empty body)\nconst minimal = await client.create({\n  resourceType: 'Patient',\n  body: { resourceType: 'Patient', name: [{ family: 'Smith' }] },\n  options: { headers: { Prefer: 'return=minimal' } },\n});\nconst { response } = Client.httpFor(minimal);\nconsole.log(response?.status);          // 201\nconsole.log(response?.headers.get('Location')); // Location header\n```\n\n### Update\n\n```ts\n// Update by id\nawait client.update({ resourceType: 'Patient', id: '123', body: updatedPatient });\n\n// Conditional update\nawait client.update({\n  resourceType: 'Patient',\n  searchParams: { identifier: 'system|value' },\n  body: updatedPatient,\n});\n```\n\n### Patch (JSON Patch, RFC 6902)\n\n```ts\nawait client.patch({\n  resourceType: 'Patient',\n  id: '123',\n  jsonPatch: [\n    { op: 'replace', path: '/active', value: false },\n    { op: 'add', path: '/name/-', value: { use: 'nickname', text: 'Jay' } },\n  ],\n});\n```\n\n### Delete\n\n```ts\nawait client.delete({ resourceType: 'Patient', id: '123' });\n```\n\n### Search\n\n```ts\n// Resource-type search (GET)\nconst bundle = await client.search({\n  resourceType: 'Patient',\n  searchParams: { name: 'Smith', birthdate: 'lt1990-01-01', _count: '20' },\n});\n\n// System-wide search\nconst all = await client.search({ searchParams: { _type: 'Patient,Practitioner' } });\n\n// Compartment search\nconst conditions = await client.search({\n  resourceType: 'Condition',\n  compartment: { resourceType: 'Patient', id: '123' },\n});\n\n// POST-based search (when params exceed URL length)\nconst postResult = await client.search({\n  resourceType: 'Patient',\n  searchParams: { identifier: longList },\n  options: { postSearch: true },\n});\n```\n\n### Direct methods: `resourceSearch`, `compartmentSearch`, `systemSearch`\n\n```ts\nawait client.resourceSearch({ resourceType: 'Observation', searchParams: { patient: '123' } });\nawait client.systemSearch({ searchParams: { _type: 'Patient' } });\nawait client.compartmentSearch({\n  resourceType: 'MedicationRequest',\n  compartment: { resourceType: 'Patient', id: '123' },\n});\n```\n\n### Operations\n\n```ts\n// System operation (POST)\nawait client.operation({ name: 'convert', input: bundle });\n\n// Type-level operation (GET with params)\nawait client.operation({\n  name: 'translate',\n  resourceType: 'ConceptMap',\n  method: 'GET',\n  input: { url: 'http://example.com/map', code: '73211009', system: 'http://snomed.info/sct' },\n});\n\n// Instance-level operation\nawait client.operation({ name: 'everything', resourceType: 'Patient', id: '123' });\nawait client.operation({ name: 'apply',      resourceType: 'PlanDefinition', id: 'pd-1' });\nawait client.operation({ name: 'validate',   resourceType: 'Patient', input: rawPatient });\n```\n\n### Batch and Transaction\n\n```ts\nconst batchBundle = {\n  resourceType: 'Bundle',\n  type: 'batch',\n  entry: [\n    { request: { method: 'GET', url: 'Patient/123' } },\n    { request: { method: 'GET', url: 'Observation?patient=123&_count=5' } },\n  ],\n};\nconst batchResult = await client.batch({ body: batchBundle });\n\nconst txBundle = { resourceType: 'Bundle', type: 'transaction', entry: [...] };\nconst txResult  = await client.transaction({ body: txBundle });\n```\n\n### History\n\n```ts\n// Instance history\nawait client.history({ resourceType: 'Patient', id: '123' });\n\n// Type history\nawait client.history({ resourceType: 'Patient' });\n\n// System history\nawait client.history();\n```\n\n### Pagination\n\n```ts\nlet bundle = await client.search({\n  resourceType: 'Patient',\n  searchParams: { _count: '10' },\n});\n\n// Walk forward through all pages\nwhile (bundle) {\n  processBatch(bundle);\n  bundle = await client.nextPage({ bundle }) ?? null;\n}\n\n// Or go backwards\nconst prevBundle = await client.prevPage({ bundle });\n```\n\n### SMART App Launch — `smartAuthMetadata`\n\nDiscovers SMART authorization URLs from the `.well-known/smart-configuration` endpoint,\nthe capability statement, or `.well-known/openid-configuration`. The first successful\nresponse wins (race).\n\n```ts\nimport { Client } from 'fhir-kit-client';\nimport type { SmartAuthMetadata } from 'fhir-kit-client';\n\nconst client = new Client({ baseUrl: 'https://launch.smarthealthit.org/v/r4/fhir' });\nconst { authorizeUrl, tokenUrl, registerUrl } = await client.smartAuthMetadata();\n\nconsole.log(authorizeUrl?.toString()); // 'https://.../authorize'\nconsole.log(tokenUrl?.toString());     // 'https://.../token'\n```\n\n### CapabilityStatement & CapabilityTool\n\n```ts\nimport { Client, CapabilityTool } from 'fhir-kit-client';\n\nconst client = new Client({ baseUrl: 'https://r4.smarthealthit.org' });\nconst cs = await client.capabilityStatement();\nconst tool = new CapabilityTool(cs);\n\n// Server-level\ntool.serverCan('transaction');                          // boolean\ntool.serverSearch('_id');                               // boolean\ntool.supportFor({ capabilityType: 'interaction', where: { code: 'history-system' } });\n\n// Resource-level\ntool.resourceCan('Patient', 'create');                  // boolean\ntool.resourceSearch('Patient', 'birthdate');            // boolean\ntool.interactionsFor({ resourceType: 'Patient' });      // string[]\ntool.searchParamsFor({ resourceType: 'Patient' });      // string[]\ntool.resourceCapabilities({ resourceType: 'Patient' }); // raw capability object\ntool.capabilityContents({ resourceType: 'Patient', capabilityType: 'conditionalDelete' });\n```\n\n### Reference Resolution\n\n```ts\n// Absolute, relative, and in-bundle references\nconst referenced = await client.resolve({ reference: 'Patient/123' });\nconst absolute   = await client.resolve({ reference: 'https://server.org/fhir/Patient/456' });\n\n// In-bundle or contained — supply the context bundle/resource\nconst contained = await client.resolve({\n  reference: '#condition-1',\n  context: patient,\n});\nconst bundleRef = await client.resolve({\n  reference: 'Patient/123',\n  context: bundle,\n});\n```\n\n### Raw Request\n\n```ts\nconst patient   = await client.request('Patient/123');\nconst deleted   = await client.request('Patient/123', { method: 'DELETE' });\nconst created   = await client.request('Patient', { method: 'POST', body: newPatient });\n```\n\n### Inspecting the HTTP Request/Response\n\nEvery FHIR response object carries hidden `__request` and `__response` properties\nthat expose the underlying `Request` and `Response` objects.\n\n```ts\nimport { Client } from 'fhir-kit-client';\n\nconst result = await client.read({ resourceType: 'Patient', id: '123' });\nconst { request, response } = Client.httpFor(result);\n\nconsole.log(request?.url);         // 'https://server.org/fhir/Patient/123'\nconsole.log(response?.status);     // 200\nconsole.log(response?.headers.get('etag'));\n```\n\n### Custom Request Signer (AWS SigV4, HMAC, etc.)\n\n```ts\nimport { Client } from 'fhir-kit-client';\nimport { SignatureV4 } from '@smithy/signature-v4';\nimport { Sha256 } from '@aws-crypto/sha256-browser';\n\nconst signer = new SignatureV4({\n  credentials: fromNodeProviderChain(),\n  region: 'us-east-1',\n  service: 'healthlake',\n  sha256: Sha256,\n});\n\nconst client = new Client({\n  baseUrl: 'https://healthlake.us-east-1.amazonaws.com/datastore/<id>/r4',\n  requestSigner: async (url, options) => {\n    const signed = await signer.sign({\n      method: options.method ?? 'GET',\n      headers: options.headers as Record<string, string>,\n      hostname: new URL(url).hostname,\n      path: new URL(url).pathname,\n      protocol: 'https',\n      body: options.body as string | undefined,\n    });\n    Object.assign(options.headers!, signed.headers);\n  },\n});\n```\n\n## Logging\n\nUses the [`debug`](https://www.npmjs.com/package/debug) package.\n\n| Namespace | Content |\n|---|---|\n| `fhir-kit-client:info` | Every request URL and response status |\n| `fhir-kit-client:error` | Errors |\n\n```sh\n# Enable all logging during development\nDEBUG=fhir-kit-client:* node app.js\n\n# Requests/responses only\nDEBUG=fhir-kit-client:info node app.js\n```\n\n## Migrating from v1\n\n| v1 | v2 |\n|---|---|\n| `require('fhir-kit-client')` | `import { Client } from 'fhir-kit-client'` |\n| Node 12+ | Node 18+ required |\n| `cross-fetch`, `node-abort-controller` polyfills | Native `fetch`, `AbortController` |\n| `client.read({…, headers: {…}})` | `client.read({…, options: { headers: {…} }})` |\n| `client.nextPage(bundle)` | `client.nextPage({ bundle })` |\n| `query-string` (alpha sort) | `URLSearchParams` (insertion order) |\n| `fhir-kit-client` default export | Named export `Client` |\n\n## Examples\n\nSee the [examples directory](./examples/) for runnable SMART App Launch and CDS Hooks examples.\n\n## Contributing\n\nFHIRKit Client welcomes community contributions.\nAll participants must follow the [Code of Conduct](./CODE_OF_CONDUCT.md).\nSee [CONTRIBUTING.md](./CONTRIBUTING.md) for details.\n\n## License\n\nMIT — Copyright (c) 2018 Vermonster LLC\n\n","readmeFilename":"README.md"}