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Version: v0.1.6

@cosyte/synth

@cosyte/synth generates synthetic healthcare test fixtures for Node.js and TypeScript: HL7 v2, FHIR R4 and US Core, C-CDA, X12, NCPDP, and ASTM. A seed decides every byte, so a fixture set regenerates the same way on any machine, and every name, identifier, date, phone number, and address comes from a reserved range or a shipped pool of invented names, so no fixture holds a real person's data.

import { generateAdt, roundTrip } from "@cosyte/synth/hl7";

// The same seed gives the same message, on any machine and any run.
const message = generateAdt({ seed: 12345, trigger: "A01" });

// It reads back through @cosyte/hl7 with no warnings.
roundTrip(message).specClean; // => true

Who it is for​

  • Teams that test an HL7 v2, FHIR, C-CDA, X12, NCPDP, or ASTM integration and cannot put patient data in a repository, a CI log, or a bug report.
  • Parser and interface authors who want golden files that stay stable, plus fixtures that carry a known vendor deviation and the exact warning it should raise.
  • Anyone checking a de-identifier: the @cosyte/synth/deid subpath plants synthetic identifiers, runs @cosyte/deid, and reports anything left behind.

How it works, in short​

  • Built through the parser. Each format is built by its sibling Cosyte parser's own builder or serializer (@cosyte/hl7, @cosyte/fhir, @cosyte/ccda, @cosyte/x12, @cosyte/ncpdp, @cosyte/astm), and the round-trip helpers feed the output back to that parser. We never write wire bytes by hand.
  • Synthetic by construction. No code path emits a value from anywhere but a reserved range or the invented-name pool. What it does and does not do names the source for each kind of value.
  • Deterministic. A seeded generator (sfc32, seeded by splitmix32) drives every choice; nothing reads the clock or Math.random.
  • No third-party runtime dependencies. The parsers are optional peer dependencies, one per subpath, and the package root loads none of them.

How it works explains each of these in more depth.

What it is not​

  • Not a clinical simulator. It does not model disease or a patient's history; a generated lab result pairs a code and a value with no claim that they make clinical sense. Synthea is the tool for clinically coherent records.
  • Not a parser. It generates; the @cosyte/* parsers read.
  • Not a source of real-world distributions. A generated set is not representative of any population.
  • No bundled terminology. Codes come from a small example pool, never a full LOINC, SNOMED CT, or CPT table.

What it does and does not do is the full list.

Status​

The 0.1 line, published to npm. The npm package page shows the version that is live; this page never repeats it.

Where to go next​