Core concepts
@cosyte/transform borrows the Cosyte parser suite's disciplines: fail-safe on ambiguity, stable
typed diagnostics, immutable output, without being a byte parser. There is no wire format here; both
endpoints are typed models. What replaces Postel's Law is the fail-safe rule.
The fail-safe rule
A transformed message drives treatment, filing, and identity matching, so the converters refuse to guess. On any of these ambiguities:
- a v2 timestamp with a time-of-day but no timezone (FHIR forbids time without a zone),
- an assigning authority that can't be resolved to a system URI,
- a code with an unrecognized or absent coding system,
- a unit that isn't valid UCUM,
- a source component with no FHIR target,
the converter produces the value it can faithfully emit (often reduced in precision) and raises a typed diagnostic. It never silently defaults, never pads a truncated date, never guesses a timezone, never synthesizes an identifier system, and never coerces an unmapped code to a plausible neighbor.
The diagnostic channel is value-free
Every diagnostic is a TransformIssue: a stable code, a severity, the v2 location (a segment /
field / component index, never a value), and the FHIR path it concerns. Messages are static and
per-code, so no patient data can reach a log line: the same value-free OperationOutcome
discipline @cosyte/fhir proves. Render a list of issues as a real FHIR OperationOutcome with
toOperationOutcome(issues).
Codes are key === value entries in ISSUE_CODES (non-fatal) and FATAL_CODES. Consumers branch on
them, so a code's name is part of the public contract: renaming or removing one is a breaking
change, and new codes are additions only.
What the bundle did not represent
An issues list that says nothing about a segment used to mean one of two very different things: the segment reached the bundle, or nobody looked. Two codes now tell them apart, and both are raised once per segment occurrence that contributed nothing to a resource the returned bundle contains:
| Code | What it tells you | What to do with it |
|---|---|---|
TRANSFORM_SEGMENT_NOT_EMITTED | The IG publishes a segment map for this name, and nothing in the bundle carries what the segment held. | A gap in this library. Ask for it. |
TRANSFORM_SEGMENT_NO_IG_MAP | The IG publishes no segment map for this name, or the name could not be classified at all. | A gap in the standard, or a damaged line. Not fixable here. |
Both carry severity information and the FHIR issue type informational: they are an observation
about the bundle you were handed, never a reason to fail a transform. Neither changes a resource,
a value, or any other issue, and both are appended after every issue the assembly itself raised.
An occurrence counts as having reached a resource only if the assembly took a value or the identity
of it into a resource that is in the bundle. Being read and refused is not reaching: an RXE
this library counts rather than assembles is reported, and so is a resource the emit gate withheld.
A segment whose values were all dropped by a datatype or terminology step is not reported here,
because the resource built from it did reach the bundle.
Reading the location
The location is the only message-derived thing either code carries, and it comes in exactly two shapes:
NAME[k]when the segment name passed the HL7 v2 segment-identifier shape (three characters, a leading letter).kis 1-based among the occurrences of that name: a message with threeDG1gives youDG1[1],DG1[2],DG1[3], and the index is present even for a first occurrence.[#n]when it did not.nis the 1-based position of the segment among all the segments of the message, counting the empty positions a blank line produces so the number matches the line the sender wrote. No part of the name appears, because a name this library cannot recognize is a name it will not reproduce: an unescaped line break inside a narrative field can forge a "segment" whose name is clinical text.
Two index conventions now coexist on one issues list, and this is the one place that says so.
The locations these two codes emit are 1-based, as above. The per-occurrence locations the library
already emitted elsewhere (NK1[0], OBX[0], on the emit-gate and dropped-element codes) are
0-based, and they have not changed. If you correlate two issues about the same occurrence, the
same segment is NK1[0] on the older code and NK1[1] on these.
A damaged segment identifier reads as a standard gap, and the code therefore means two things. A
line whose identifier arrived as AL11 carries a name that could not be classified, so it takes
TRANSFORM_SEGMENT_NO_IG_MAP even though what the sender wrote was an IG-mapped AL1. That is
forced, not chosen: the name is never re-derived from the line, so a name that cannot be classified
stays unclassified, and a third code would only rename the same ignorance. Read the code as "the IG
publishes no map for this, or this name could not be classified", never as a claim about the IG.
The mapped-name set behind the split is transcribed by hand from the HL7 Version 2 to FHIR
Implementation Guide's Segment Maps index at version 1.0.0 (published 2025-10-07), retrieved
2026-08-22, and is exported as IG_MAPPED_SEGMENT_NAMES beside IG_SEGMENT_MAPS_VERSION,
IG_SEGMENT_MAPS_PUBLISHED, IG_SEGMENT_MAPS_RETRIEVED, and IG_SEGMENT_MAPS_SOURCE, so a later
release of the guide can be told apart from a defect here.
Two limits worth knowing. A flagged segment is still not transformed: you learn what is missing, not what it said. And issue volume is unbounded on purpose, because a summarized answer is one you cannot act on segment by segment: a message with five thousand segments and nothing emitted returns five thousand of these.
Grounded on the IG, never invented
Every mapping is grounded firsthand on the published HL7 Version 2 to FHIR Implementation Guide's datatype and table ConceptMaps (LOINC/SNOMED URIs from the FHIR core terminology systems). Where the IG has no target for a code (an unmapped Table 0200 name-type, an unmapped Table 0190 address-type), the value is surfaced, never guessed.
The six datatype converters
| Converter | v2 → FHIR | Key fail-safe |
|---|---|---|
toFhirDateTime | DTM/TS → dateTime | naked timestamp → date precision, never a guessed zone |
toFhirIdentifier | CX → Identifier | HD.1-only → value with no system, never synthesized |
toFhirCodeableConcept | CWE/CE → CodeableConcept | unmapped code → preserved, never coerced |
toFhirHumanName | XPN → HumanName | unmapped name-use → absent, never guessed |
toFhirAddress | XAD → Address | unmapped address-type → absent, never guessed |
toFhirQuantity | NM + units → Quantity | non-UCUM unit → verbatim, magnitude never converted |
Each returns { value, issues }; each output is designed to pass @cosyte/fhir's validateResource
when embedded in a resource: the transform's emit gate.
Immutability
Produced nodes are @cosyte/fhir immutable model nodes, and the input v2 composites are never
mutated. A converted value is safe to share across a pipeline without defensive copying.