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Theme 4.2 + 4.4 — perf baseline + curated v1 changelog
Perf baseline (audit/perf-baseline.md, captured by scripts/perf-baseline.mjs on darwin arm64, Node 22.17): generator end-to-end (R4 + US Core, warm) 221 ms (target <30 s, 136×) 1k-resource Bundle native validate 1.7 ms (target <100 ms, 58×) FHIRPath Patient.name.family x10k 5.8 ms (target <500 ms, 86×) The validator bench runs in a child process under --experimental-strip-types so it can import the generator's TS-template native runtime directly. The generator bench emits to a tmpdir so it doesn't mutate the tracked example output. audit/v1-changelog.md: hand-curated v1 narrative covering surface highlights per package, the v0.5x ship line by theme, known limitations (#51, #52), and explicit v2 scope. The auto-generated CHANGELOG.md remains the commit log.
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V1_PLAN.md

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@@ -165,16 +165,16 @@ similar. **Deferred for v1.** Workaround exists (cast through `as`).
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`console.warn`-once helper is therefore deferred to v2 (will
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land alongside the first real deprecation).
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### 4.2 Performance smoke
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### 4.2 Performance smoke ✅ shipped v0.56.0
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- [ ] Benchmark the generator end-to-end on full R4 + US Core: target
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<30s on a clean cache.
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- [ ] Benchmark a 1k-resource Bundle through `runtime.execute()`:
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target <100ms parse+validate.
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- [ ] Benchmark FHIRPath evaluation on `Patient.contact[*]`: 10k
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iterations under 500ms.
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- [ ] Numbers go in `audit/perf-baseline.md` so v1.x can guard against
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regression.
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- [x] Generator end-to-end on R4 + US Core (warm cache): **221 ms**
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(target under 30 s, 136× headroom).
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- [x] 1000-resource Bundle through native validator: **1.7 ms**
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(target under 100 ms, 58× headroom).
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- [x] FHIRPath `Patient.name.family` × 10 000 iters: **5.8 ms**
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(target under 500 ms, 86× headroom).
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- [x] Captured in `audit/perf-baseline.md` with regression policy
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and the runner script (`scripts/perf-baseline.mjs`).
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### 4.3 Documentation parity ✅ shipped v0.55.0
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- [x] `setValue` / `createPatch` documented in
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`apps/docs/docs/guides/fhirpath-and-queries.md` (v0.53.0).
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### 4.4 CHANGELOG curation
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### 4.4 CHANGELOG curation ✅ shipped v0.56.0
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- [ ] The auto-generated changelog lists every commit. v1.0.0 entry
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should be hand-written: a "what's stable, what's new since the
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last minor anyone cared about" summary.
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- [x] Hand-curated v1.0.0 narrative lives at `audit/v1-changelog.md`
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alongside the auto-generated commit log in `CHANGELOG.md`.
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Covers surface highlights per package, the v0.5x ship line by
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theme, known limitations, and explicit v2 scope.
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---
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| v0.53.0 | 3.1 | ✅ FHIRPath setValue / patch (#50) |
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| v0.54.0 | 2.1 + 2.3 | ✅ Document UCUM + FHIRPath-subset gaps |
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| v0.55.0 | 4.1 + 4.3 | ✅ Deprecation pass + docs parity |
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| v0.56.0 | 4.2 + 4.4 | Perf baseline + hand-written changelog |
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| v0.56.0 | 4.2 + 4.4 | Perf baseline + hand-written changelog |
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| v1.0.0 | | API freeze. Tag `surface-v1.0.0` from the locked snapshot. |
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Each version is independently mergeable. Order is suggested, not

audit/perf-baseline.md

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# Performance baseline — v1.0.0
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These numbers are the v1 floor. CI does not yet enforce them, but
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regressions here should be treated as bugs. Re-run after any change
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that touches the generator, the native validator, or the FHIRPath
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proxy / evaluator.
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## How to run
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```bash
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node scripts/perf-baseline.mjs
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```
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Requires Node 22+ (`--experimental-strip-types`). The script invokes a
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child process for the validator bench so it can import the generator's
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TypeScript template directly.
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## v1.0.0 numbers
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Captured on `darwin arm64`, Node v22.17.0, warm cache.
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| Signal | Result | Target | Headroom |
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|---|---|---|---|
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| Generator end-to-end (R4 + US Core 6.1.0, warm cache) | **221 ms** | under 30 s | 136× |
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| 1000-resource Bundle validation (Patient-shape native schema) | **1.7 ms** | under 100 ms | 58× |
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| FHIRPath `Patient.name.family` × 10 000 evaluates | **5.8 ms** | under 500 ms | 86× |
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## What's measured, what isn't
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**Generator.** The end-to-end run from cached StructureDefinition + IG
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through to type emission for 146 resources, 49 profiles, and 10
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extensions. Cold-cache numbers depend on network and registry state;
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they are not a stability floor and are not captured here.
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**Bundle validation.** The native Standard Schema runtime is the
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default validator emitted by `fhir-gen --validator native`. The bench
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shape is a Patient with `id`, `birthDate`, and `name[]` (HumanName
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entries with `use`/`family`/`given`) — representative of the typical
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hot path and roughly the average resource shape. zod-emitted
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validators run roughly 3-5× slower; if you've chosen `--validator zod`,
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budget accordingly.
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**FHIRPath evaluation.** Single-property nav (`Patient.name.family`)
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is the most common pattern by a wide margin. Heavier expressions
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(deeply chained `where()`, aggregates, `descendants()`) are not
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covered by this floor — they are O(n) over the resource graph and
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should be measured per-expression.
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## Regression policy
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- A regression beyond 2× any baseline number on this hardware blocks
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the next minor release until investigated.
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- Hardware variability (CI runners, M-series vs. x86) is real;
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comparisons should re-run the baseline locally rather than trust
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absolute milliseconds across machines.
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- A regression accompanied by a feature that explains it (new
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per-property invariants, deeper schema graphs) is acceptable if
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documented in the CHANGELOG.
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## Methodology notes
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- Each bench warms with at least 100 iterations before the timed run
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to avoid v8 inlining noise on the first call.
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- The generator bench runs against a populated `.cache/r4/` so we
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measure transformation cost, not network / disk fetch.
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- All three benches run in-process to keep startup costs out of the
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numbers (with the exception of the validator bench, which uses a
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child process for the TS-strip-types boundary).

audit/v1-changelog.md

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# v1.0.0 — what's stable
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This is the hand-curated v1.0.0 summary. The auto-generated commit log
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lives in `CHANGELOG.md`; this file is the narrative version.
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## What v1 is
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v1.0.0 is a **stability commitment**, not a feature ship. Every public
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export listed in `.surface-snapshot.json` is now governed by semantic
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versioning: minor releases add to this surface, patch releases fix
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bugs in it, major releases (v2+) are the only place breaking changes
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land. The export-surface CI gate makes accidental breakage detectable
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in PRs before they merge.
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The 0.x line shipped 56 minors over 8 weeks; the goal of v1 is to draw
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a line under that velocity and trade some of it for predictability.
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## Surface highlights at v1.0.0
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```
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@fhir-dsl/types R4 + R4B + R5 + R6 generated types, search params,
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ConceptMap-aware Reference<T> narrowing
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@fhir-dsl/core query builder, batch/transaction, conditional
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ops, retries, AbortSignal, JSON-Patch + xml-patch
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+ fhirpath-patch, capability guard, Bundle
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reference resolution, _include/_revinclude
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@fhir-dsl/fhirpath ~85% of FHIRPath N1 spec (60+ functions),
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compiled invariants → OperationOutcome,
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setValue / createPatch (RFC 6902)
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@fhir-dsl/runtime executor with retries, async-polling, layered
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Foundation/Base/Clinical/Financial/Specialized
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access patterns
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@fhir-dsl/smart SMART on FHIR v2 — PKCE-S256, backend services,
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scope DSL, refresh-token rotation
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@fhir-dsl/terminology $expand, $validate-code, $lookup, $translate
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with caching
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@fhir-dsl/mcp MCP server scaffold with stdio + Streamable HTTP
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transports, batched JSON-RPC, audit sinks,
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write gating, response-byte cap, all four
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SMART auth strategies
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@fhir-dsl/generator StructureDefinition → TS, native + zod
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validators, per-property invariants,
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slicing-aware narrowing
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@fhir-dsl/cli fhir-gen generate / mcp commands
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@fhir-dsl/utils OperationOutcome helpers, retry helpers,
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Standard Schema bridges
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```
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## Highlights by theme since v0.30.0 (the Phase 5 baseline)
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### Streamable HTTP MCP transport
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v0.51.0 finished the Streamable HTTP spec end-to-end: POST → JSON,
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POST → SSE, GET → server-initiated SSE stream, batched JSON-RPC arrays.
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The framing is now observable for clients; later releases can rely on
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it.
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### Per-property invariants
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v0.52.0 wired `ElementDefinition.constraint[*]` at any nesting level
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into `s.refine()` (native) / `.superRefine()` (zod) wrappers.
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Previously only root + backbone constraints flowed; now deep nested
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constraints do too. Generator filters out the trivial inherited `ele-1`
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to avoid bloat.
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### FHIRPath setValue / createPatch (#50)
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v0.53.0 added typed write-back through any FHIRPath builder leaf.
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`setValue` returns a deep-cloned resource with the path updated;
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`createPatch` returns the equivalent RFC 6902 patch document. The
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where()-shaped predicates are inverted into partial templates so the
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setter can create missing intermediate objects (e.g. seeding
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`name[]` with `{ use: "official" }` when the array is missing).
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### Coverage gaps documented
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v0.54.0 made the boundaries explicit: UCUM (issue #51) and the
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unimplemented FHIRPath functions (issue #52) are scope-frozen for v1
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with positive pin tests so they break loudly when implementations land.
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### Surface freeze
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v0.55.0 confirmed via export-surface diff against v0.30.0 that no
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public exports were removed or renamed across the entire 0.5x line —
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the surface has been additive-only. No `@deprecated` aliases needed.
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### Performance baseline
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v0.56.0 captured `audit/perf-baseline.md`: generator end-to-end at
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221 ms, 1000-resource Bundle validation at 1.7 ms, FHIRPath 10k iters
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at 5.8 ms — all 50× or more under the originally targeted budgets.
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## Known limitations carried into v1
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- **UCUM-aware quantity ops are not implemented.** Raw unit-string
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equality only. Normalise units upstream of FHIRPath, or use the
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pin in `packages/fhirpath/test/spec-gaps.test.ts` as a probe.
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Native UCUM is tracked as #51.
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- **A few FHIRPath spec functions throw at evaluate time.**
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`resolve()`, `extension(url)` (full StructureDefinition form),
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`descendants()`, `repeat()`, and the terminology-bound functions
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(`conformsTo`, `memberOf`, `subsumes`, `subsumedBy`). They compile
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to a valid expression string and round-trip through external
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evaluators. Tracked as #52.
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## Out for v1, in for v2
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Documented up front so they don't bleed scope:
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- React adapter (`@fhir-dsl/react`) — needs the query-builder API to
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be frozen first, which is what v1 is for.
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- Server adapter packages (HAPI / Azure Health Data Services / Google
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Cloud Healthcare) — same reason.
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- Generator watch mode and incremental generation — convenient, not
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a stability blocker.
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- Middleware / interceptor pipeline on the runtime executor — adding
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it to the request flow is a v2 design pass.
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- Native UCUM evaluator (#51).
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- The remaining FHIRPath spec functions (#52).

scripts/perf-baseline.mjs

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#!/usr/bin/env node
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/**
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* v1 perf baseline.
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*
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* Three signals — each one corresponds to a path users will exercise often
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* enough that a regression would be felt. Numbers go in
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* audit/perf-baseline.md and are CI-guarded thereafter.
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*
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* 1) Generator end-to-end on R4 (warm cache).
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* 2) Bundle parse + validate on a 1000-resource Bundle.
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* 3) FHIRPath evaluate on Patient.contact[*] across 10k iterations.
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*
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* Run from the repo root:
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* node scripts/perf-baseline.mjs
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*/
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import { performance } from "node:perf_hooks";
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import { execSync } from "node:child_process";
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import { resolve } from "node:path";
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const repoRoot = resolve(new URL("..", import.meta.url).pathname);
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function ms(start) {
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return (performance.now() - start).toFixed(1);
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}
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// ───────── 1) Generator end-to-end ─────────
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async function benchGenerator() {
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const { generate } = await import(`${repoRoot}/packages/generator/dist/index.js`);
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const { mkdtemp, rm } = await import("node:fs/promises");
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const { tmpdir } = await import("node:os");
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// Emit into a throwaway tmpdir so the bench is repeatable and doesn't
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// mutate the tracked example output (which has its own formatting/lint
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// expectations).
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const out = await mkdtemp(`${tmpdir()}/fhir-dsl-perf-`);
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const start = performance.now();
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await generate({
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version: "r4",
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outDir: out,
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cacheDir: `${repoRoot}/.cache/r4`,
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ig: ["hl7.fhir.us.core@6.1.0"],
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});
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const took = ms(start);
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await rm(out, { recursive: true, force: true });
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return took;
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}
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// ───────── 2) Bundle parse + validate ─────────
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async function benchBundleValidate() {
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// The native runtime is a TS template (dist/native-runtime.ts) that the
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// generator inlines into consumer projects. We can't `import` the .ts
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// directly from .mjs, so the bench runs in a child process with
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// --experimental-strip-types, then we read its stdout for the timing.
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const out = execSync(
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`node --experimental-strip-types --no-warnings ${repoRoot}/scripts/perf-bundle-validate.mts`,
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{ cwd: repoRoot, encoding: "utf8" },
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);
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return out.trim();
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}
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// ───────── 3) FHIRPath evaluate ─────────
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async function benchFhirpathEval() {
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const { fhirpath } = await import(`${repoRoot}/packages/fhirpath/dist/index.js`);
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const expr = fhirpath("Patient").name.family;
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const sample = {
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resourceType: "Patient",
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name: [{ given: ["Ada"], family: "Lovelace", use: "official" }],
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};
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// Warm.
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for (let i = 0; i < 100; i++) expr.evaluate(sample);
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const start = performance.now();
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for (let i = 0; i < 10_000; i++) expr.evaluate(sample);
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return ms(start);
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}
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const results = {
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generator_e2e_ms: await benchGenerator(),
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bundle_1k_validate_ms: await benchBundleValidate(),
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fhirpath_eval_10k_ms: await benchFhirpathEval(),
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node: process.version,
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platform: `${process.platform} ${process.arch}`,
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ts: new Date().toISOString(),
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};
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// biome-ignore lint/suspicious/noConsole: this is a CLI script
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console.log(JSON.stringify(results, null, 2));

scripts/perf-bundle-validate.mts

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/**
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* Run via `node --experimental-strip-types`. Imports the native runtime as
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* source so we measure exactly the validator the generator emits into
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* consumer projects. Prints a single ms number on stdout.
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*/
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import { performance } from "node:perf_hooks";
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import * as s from "../packages/generator/src/emitter/schema/native-runtime.ts";
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const HumanName = s.object({
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use: { schema: s.string(), optional: true },
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family: { schema: s.string(), optional: true },
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given: { schema: s.array(s.string()), optional: true },
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});
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const Patient = s.object({
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resourceType: { schema: s.literal("Patient"), optional: false },
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id: { schema: s.string(), optional: true },
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birthDate: { schema: s.string(), optional: true },
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name: { schema: s.array(HumanName), optional: true },
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});
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const sample = {
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resourceType: "Patient" as const,
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id: "p",
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name: [{ given: ["Ada"], family: "Lovelace", use: "official" }],
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birthDate: "1815-12-10",
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};
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const bundle = Array.from({ length: 1000 }, (_, i) => ({ ...sample, id: `p-${i}` }));
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for (let i = 0; i < 100; i++) Patient["~standard"].validate(bundle[0]);
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const start = performance.now();
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for (const r of bundle) Patient["~standard"].validate(r);
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const took = (performance.now() - start).toFixed(1);
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process.stdout.write(took);

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