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install uma-healthcare-api\n# o\nyarn add uma-healthcare-api\n```\n\n## Configuración Requerida ⚙️\n\n1. **Variables de entorno** (en tu `.env`):\n```env\nPROJECT_ID=tu-project-id\nHEALTHCARE_FHIR_STORE=projects/{project-id}/locations/{region}/datasets/{dataset-id}/fhirStores/{fhir-store-id}\n```\n\n2. **Importar módulo** (en tu app.module.ts):\n```typescript\nimport { HealthcareModule } from 'uma-healthcare-api';\n\n@Module({\n  imports: [\n    HealthcareModule.forRoot({\n      fhirStore: process.env.HEALTHCARE_FHIR_STORE,\n      projectId: process.env.PROJECT_ID\n    }),\n  ],\n})\nexport class AppModule {}\n```\n\n## Uso Básico 🚀\n\n### Crear Recurso\n```typescript\nconst newPatient: FhirPatient = {\n  resourceType: 'Patient',\n  name: [{ given: ['John'], family: 'Doe' }],\n  // ...otros campos\n};\n\nawait this.healthcareService.create(newPatient);\n```\n\n### Obtener Recurso\n```typescript\n// Obtener por ID\nconst patient = await this.healthcareService.findOne<Patient>('123', 'Patient');\n\n// Buscar con filtros\nconst results = await this.healthcareService.findAll<Patient>(\n  'Patient',\n  'name=Doe'\n);\n```\n\n### Actualizar Recurso (JSON Patch)\n```typescript\nconst updates: OpPatch[] = [\n  { op: 'replace', path: '/name/0/family', value: 'Smith' }\n];\n\nawait this.healthcareService.update('123', 'Patient', updates);\n```\n\n## Estructura del Módulo 📂\n```\nhealthcare-api/\n├── src/\n│   ├── interfaces/       # Interfaces\n│   ├── types/       # Tipos\n│   ├── utils/            # Herramientas de conversión\n│   ├── healthcare.module.ts\n│   └── healthcare.service.ts\n```\n\n## Manejo de Errores ⚠️\nEl módulo incluye:\n- Logs detallados de operaciones\n- Tipado específico para errores de GCP\n- Reconocimiento automático de errores 404\n- Transformación de respuestas binarias a JSON\n\nEjemplo de manejo:\n```typescript\ntry {\n  await this.healthcareService.create(resource);\n} catch (error) {\n  if (error instanceof HealthcareErrorResponse) {\n    console.error('Error específico de GCP:', error.response.data);\n  }\n  // Manejo personalizado\n}\n```\n\n## Requisitos del Sistema 📋\n- Node.js 16+\n- NestJS 8+\n- Cuenta de Google Cloud Platform\n- Permisos de Cloud Healthcare API habilitados\n- Credenciales de GCP configuradas (GOOGLE_APPLICATION_CREDENTIALS)\n\n## Mejores Prácticas 🛡️\n1. Usar tipos FHIR validados\n2. Implementar paginación para resultados grandes\n3. Utilizar transacciones para operaciones en lote\n4. Monitorear quotas de GCP Healthcare API\n5. Cachear respuestas para recursos estáticos\n\n## Documentación Adicional 📚\n- [FHIR Specification R4](https://www.hl7.org/fhir/)\n- [GCP Healthcare API Docs](https://cloud.google.com/healthcare-api/docs)\n- [NestJS Dynamic Modules](https://docs.nestjs.com/modules#dynamic-modules)\n","readmeFilename":"README.md"}