{
  "id": "doctolib-doctolib/you-are-a-senior-indexed-petal-subagent-a6f3a261",
  "slug": "you-are-a-senior-indexed-petal-subagent-a6f3a261",
  "title": "Session: you-are-a-senior-indexed-petal-subagent-a6f3a261 — 2026-05-05",
  "type": "source",
  "project": "doctolib-doctolib",
  "date": "2026-05-05",
  "started": "2026-05-05T13:57:13.995000+00:00",
  "ended": "2026-05-05T13:58:13.830000+00:00",
  "model": "claude-haiku-4-5-20251001",
  "cwd": "/Users/USER/workspace/doctolib/doctolib",
  "git_branch": ".invalid",
  "permission_mode": "",
  "user_messages": 1,
  "tool_calls": 21,
  "tools_used": [
    "Bash",
    "Read"
  ],
  "is_subagent": true,
  "wikilinks_out": [],
  "body_text": "Project: doctolib-doctolib · Branch: .invalid · Mode:  · Model: claude-haiku-4-5-20251001\n\nStats: 1 user messages, 21 tool calls, tools used: Bash, Read.\n\nConversation\n\nTurn 1 — User\n\nExplore the generic NHR layer at /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/\n\nI need to understand:\n1. All files and their structure (list all directories and key files)\n2. The NhrAdapter and NhrService interfaces - read their full content\n3. All action types, method signatures, and parameter types\n4. Any existing observability patterns\n5. The package.json dependencies\n6. Any types/interfaces that define what data flows through this layer\n\nAlso check /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/ root for README or any docs.\n\nBe thorough - read all source files in this package. This is for planning an observability strategy for the adapter layer.\n\nTurn 1 — Assistant\n\nI'll explore the generic NHR layer thoroughly. Let me start by examining the directory structure and then read all the key files.\n\nTools used:\n\n- Bash: find /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records -type f -name \".ts\" -o -name \".tsx\" -o -name \".json\" -o -name \".md\" | head -50\n\nTool results:\n\n  → result (ok): /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/CHANGELOG.md\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/README.md\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/package.json\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tsconfig.build.json\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tsconfig.json\n/Users/USER/wor\n…(truncated, 5382 more chars)\n\nLet me get a cleaner view of the source directory structure:\n\nTools used:\n\n- Bash: find /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src -type f \\( -name \".ts\" -o -name \".tsx\" \\) | sort\n\nTool results:\n\n  → result (ok): /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/nhr-service-factory.ts\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/services/dmp-nhr-service.ts\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/types/index.ts\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/types/types.ts\n…(truncated, 660 more chars)\n\nNow let me read all the source files and documentation:\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/README.md\n\nTool results:\n\n  → result (ok): 1\t# @doctolib/tpf-national-health-records\n2\t\n3\tCore business logic for searching and retrieving documents from National Health Record systems. Abstracts country-specific NHR APIs behind a unified NhrService interface using the adapter pattern.\n4\t\n5\tCurrently supports France's DMP (Dossier Medical Partage / Mon Espace Sante). No runtime dependencies - pure business logic and TypeScript types.\n6\t\n7\t|                |                          |\n8\t| -------------- | ------------------------ |\n9\t| \n…(truncated, 1539 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/package.json\n\nTool results:\n\n  → result (ok): 1\t{\n2\t  \"name\": \"@doctolib/tpf-national-health-records\",\n3\t  \"description\": \"Business logic for national health records functionality in Treatment Plan & Fulfillment\",\n4\t  \"sideEffects\": false,\n5\t  \"version\": \"7.1.0\",\n6\t  \"repository\": {\n7\t    \"type\": \"git\",\n8\t    \"url\": \"git+https://github.com/doctolib/treatment-plan.git\"\n9\t  },\n10\t  \"keywords\": [\n11\t    \"upfront\",\n12\t    \"smaller-scope\"\n13\t  ],\n14\t  \"author\": \"@doctolib/fire\",\n15\t  \"license\": \"Doctolib\",\n16\t  \"doctolib\": {\n17\t    \"upfront-type\n…(truncated, 2012 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/index.ts\n\nTool results:\n\n  → result (ok): 1\texport { createNhrService } from '#business/nhr-service-factory'\n2\t\n3\texport type {\n4\t  // api\n5\t  NhrResult,\n6\t  NhrResultStatus,\n7\t  NhrDocumentSearchParams,\n8\t  NhrDocumentSearchProps,\n9\t  NhrDocumentSearchResult,\n10\t  NhrGetDocumentsContentParams,\n11\t  NhrGetDocumentsContentProps,\n12\t  NhrDocumentContentResult,\n13\t  NhrDocumentMetadataUpdatePayload,\n14\t  NhrDocumentMetadataUpdateParams,\n15\t  NhrDocumentMetadataUpdateProps,\n16\t  NhrDocumentMetadataUpdatePayloadResult,\n17\t  NhrDocumentMetada\n…(truncated, 597 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/service.ts\n\nTool results:\n\n  → result (ok): 1\timport type {\n2\t  NhrDocumentContentResult,\n3\t  NhrDocumentMetadataUpdateProps,\n4\t  NhrDocumentMetadataUpdateResult,\n5\t  NhrDocumentSearchProps,\n6\t  NhrDocumentSearchResult,\n7\t  NhrGetDocumentsContentProps,\n8\t} from '#business/types/api'\n9\t\n10\texport type CountryCode = 'fr' | 'mock'\n11\t\n12\texport type NhrService = {\n13\t  searchDocuments(props: NhrDocumentSearchProps): Promise<NhrDocumentSearchResult>\n14\t  getDocumentsContent(props: NhrGetDocumentsContentProps): Promise<NhrDocumentContentResult\n…(truncated, 452 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/api.ts\n\nTool results:\n\n  → result (ok): 1\timport type { DateRange, NhrDocument, NhrDocumentFile } from '#business/types/document'\n2\timport type { NhrPatientInformation } from '#business/types/participant'\n3\t\n4\texport type NhrResultStatus = 'success' | 'skipped' | 'error' | 'partial success'\n5\t\n6\texport type NhrResult = {\n7\t  status: NhrResultStatus\n8\t  message?: string\n9\t  code?: string\n10\t}\n11\t\n12\t// Document Search\n13\texport type NhrDocumentSearchParams = {\n14\t  formats?: string[]\n15\t  categories?: string[]\n16\t  status?: string\n17\t \n…(truncated, 1663 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/document.ts\n\nTool results:\n\n  → result (ok): 1\timport type { NhrDocumentAuthor } from '#business/types/participant'\n2\t\n3\t// General types ---\n4\t/ The services/procedures this document is associated with /\n5\texport type NhrServiceInformation = {\n6\t  startDate?: string\n7\t  endDate?: string\n8\t}\n9\t\n10\texport type NhrDocumentClassification = {\n11\t  codes: Code[]\n12\t}\n13\t\n14\texport type Code = {\n15\t  system: string\n16\t  code: string\n17\t}\n18\t\n19\texport type DateRange = {\n20\t  upperLimit?: string\n21\t  lowerLimit?: string\n22\t}\n23\t\n24\texport type\n…(truncated, 474 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/participant.ts\n\nTool results:\n\n  → result (ok): 1\t/ Profession of a participant. Ideally used to capture more information about healthcare professionals. /\n2\texport type NhrProfession = {\n3\t  / Can include national identifiers , oids, etc /\n4\t  identifiers?: Record<string, string>\n5\t  / Optional description of the profession. E.g. HCP, MFA, etc /\n6\t  description?: string\n7\t  / The specialisation of the participant. E.g. cardiology, general medicine, elder care etc /\n8\t  speciality?: string\n9\t}\n10\t\n11\t/ Geographical locator /\n12\n…(truncated, 1524 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/index.ts\n\nTool results:\n\n  → result (ok): 1\texport type {\n2\t  NhrDocument,\n3\t  DateRange,\n4\t  NhrDocumentClassification,\n5\t  NhrServiceInformation,\n6\t  Code,\n7\t  NhrDocumentFile,\n8\t} from './document'\n9\texport type {\n10\t  NhrResult,\n11\t  NhrResultStatus,\n12\t  NhrDocumentSearchParams,\n13\t  NhrDocumentSearchProps,\n14\t  NhrDocumentSearchResult,\n15\t  NhrGetDocumentsContentParams,\n16\t  NhrGetDocumentsContentProps,\n17\t  NhrDocumentContentResult,\n18\t  NhrDocumentMetadataUpdatePayload,\n19\t  NhrDocumentMetadataUpdateParams,\n20\t  NhrDocumentMetad\n…(truncated, 361 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/nhr-service-factory.ts\n\nTool results:\n\n  → result (ok): 1\timport { DmpNhrService } from '#business/systems/dmp/services/dmp-nhr-service'\n2\timport type { CountryCode, NhrAdapter } from '#business/types/service'\n3\t\n4\texport const createNhrService = (countryCode: CountryCode, nhrAdapter: NhrAdapter) => {\n5\t  switch (countryCode) {\n6\t    case 'fr':\n7\t      return new DmpNhrService(nhrAdapter)\n8\t    default:\n9\t      throw new Error(Unsupported country code: ${countryCode})\n10\t  }\n11\t}\n12\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/services/dmp-nhr-service.ts\n\nTool results:\n\n  → result (ok): 1\timport type {\n2\t  NhrDocumentContentResult,\n3\t  NhrDocumentMetadataUpdateProps,\n4\t  NhrDocumentMetadataUpdateResult,\n5\t  NhrDocumentSearchProps,\n6\t  NhrDocumentSearchResult,\n7\t  NhrGetDocumentsContentProps,\n8\t} from '#business/types/api'\n9\timport type { NhrAdapter, NhrService } from '#business/types/service'\n10\t\n11\texport class DmpNhrService implements NhrService {\n12\t  readonly country = 'fr'\n13\t\n14\t  constructor(readonly nhrAdapter: NhrAdapter) {}\n15\t\n16\t  searchDocuments = (props: NhrDocume\n…(truncated, 435 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/types/types.ts\n\nTool results:\n\n  → result (ok): 1\t/\n2\t  iCanopee JSON Documentation v2.1.0\n3\t /\n4\t\n5\t/\n6\t  Telecom Structure (Section 14.49).\n7\t  Represents a telecommunications address (phone, fax, email, etc.).\n8\t  Source fields: i_type, i_usage, s_value.\n9\t /\n10\texport type DmpNhrTelecom = {\n11\t  /\n12\t    Telecommunications address type (code from the \"Telecommunications Address Type\" table).\n13\t    Source: i_type.\n14\t   /\n15\t  type?: number\n16\t  /\n17\t    Use case(s) for the address. This is a binary combination (sum) of \n…(truncated, 12906 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/types/index.ts\n\nTool results:\n\n  → result (ok): 1\texport type {\n2\t  DmpNhrAddress,\n3\t  DmpNhrDocumentAuthor,\n4\t  DmpNhrDocument,\n5\t  DmpNhrDocumentListParams,\n6\t  DmpNhrTelecom,\n7\t} from './types'\n8\n\nPerfect! Now let me check for any test files to understand usage patterns and see if there are any existing observability patterns:\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/business/nhr-service-factory.test.ts\n\nTool results:\n\n  → result (ok): 1\timport { createNhrService } from '#business/nhr-service-factory'\n2\timport { DmpNhrService } from '#business/systems/dmp/services/dmp-nhr-service'\n3\timport type { NhrAdapter } from '#business/types/service'\n4\timport { describe, expect, it } from 'vitest'\n5\t\n6\tdescribe('createNhrService', () => {\n7\t  it('should return a DmpNhrService for country code \"fr\"', () => {\n8\t    const service = createNhrService('fr', {} as NhrAdapter)\n9\t\n10\t    expect(service).toBeInstanceOf(DmpNhrService)\n11\t    expect\n…(truncated, 271 more chars)\n\nTools used:\n\n- Bash: find /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests -type f -name \".ts\" | sort\n\nTool results:\n\n  → result (ok): /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/business/nhr-service-factory.test.ts\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/business/systems/dmp/services/dmp-nhr-service.test.ts\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/setup.ts\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/business/systems/dmp/services/dmp-nhr-service.test.ts\n\nTool results:\n\n  → result (ok): 1\timport { DmpNhrService } from '#business/systems/dmp/services/dmp-nhr-service'\n2\timport type {\n3\t  NhrDocumentContentResult,\n4\t  NhrDocumentMetadataUpdateProps,\n5\t  NhrDocumentMetadataUpdateResult,\n6\t  NhrDocumentSearchProps,\n7\t  NhrDocumentSearchResult,\n8\t  NhrGetDocumentsContentProps,\n9\t} from '#business/types/index'\n10\timport type { NhrAdapter } from '#business/types/service'\n11\timport { describe, expect, it, vi } from 'vitest'\n12\t\n13\tconst createMockAdapter = (): NhrAdapter => ({\n14\t  sear\n…(truncated, 5136 more chars)\n\nTools used:\n\n- Bash: grep -r \"observ\\|metric\\|log\\|trace\\|span\\|instrument\" /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src --include=\".ts\" --include=\".tsx\" || echo \"No observ\n…(truncated, 23 more chars)\n\nTool results:\n\n  → result (ok): /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/participant.ts:  / The specialisation of the participant. E.g. cardiology, general medicine, elder care etc /\n\nNow let me check the directory structure more clearly and look at the setup file:\n\nTools used:\n\n- Bash: tree -L 4 /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src -I 'node_modules' 2>/dev/null || find /Users/USER/workspace/doctolib/treatment-plan/packages/\n…(truncated, 46 more chars)\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/tests/setup.ts\n\nTool results:\n\n  → result (ok): 1\timport '@doctolib/upfront-dev/vitest.setupFile.ts'\n2\timport 'treatment-plan/vitest-setup/global-cleanup.ts'\n3\n\nTool results:\n\n  → result (ok): /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src\n├── business\n│   ├── nhr-service-factory.ts\n│   ├── systems\n│   │   └── dmp\n│   │       ├── services\n│   │       └── types\n│   └── types\n│       ├── api.ts\n│       ├── document.ts\n│       ├── index.ts\n│       ├── participant.ts\n│       └── service.ts\n└── index.ts\n\n7 directories, 7 files\n\nPerfect! Now let me create a comprehensive summary document. Let me check the CHANGELOG for any additional context:\n\nTools used:\n\n- Read: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/CHANGELOG.md (1–50)\n\nTool results:\n\n  → result (ok): 1\t# Changelog\n2\t\n3\t## 7.1.0 (2026-04-28)\n4\t\n5\t\n6\t### Features\n7\t\n8\t* FHIR-2139: Add uuids to NhrGetDocumentsContentParams (#3068) (9d5ba5c)\n9\t\n10\t## 7.0.0\n\nExcellent! Now I have a complete understanding. Let me create a comprehensive report of all findings:\n\nComprehensive Exploration Report: Generic NHR Adapter Layer\n\n1. Directory Structure & Key Files\n\n/Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/\n├── src/\n│   ├── index.ts                                    (main export file)\n│   └── business/\n│       ├── nhr-service-factory.ts                  (factory function to create services)\n│       ├── types/\n│       │   ├── index.ts                            (type re-exports)\n│       │   ├── service.ts                          (NhrService & NhrAdapter interfaces)\n│       │   ├── api.ts                              (API request/response types)\n│       │   ├── document.ts                         (document data structures)\n│       │   └── participant.ts                      (author/participant models)\n│       └── systems/\n│           └── dmp/                                (France DMP-specific implementation)\n│               ├── services/\n│               │   └── dmp-nhr-service.ts         (DmpNhrService class)\n│               └── types/\n│                   ├── types.ts                    (DMP-specific types & structures)\n│                   └── index.ts                    (DMP type re-exports)\n├── tests/\n│   ├── setup.ts\n│   └── business/\n│       ├── nhr-service-factory.test.ts\n│       └── systems/dmp/services/dmp-nhr-service.test.ts\n├── package.json\n├── README.md\n└── CHANGELOG.md\n\n2. NhrAdapter & NhrService Interfaces\n\nLocation: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/types/service.ts\n\nexport type CountryCode = 'fr' | 'mock'\n\nexport type NhrService = {\n  searchDocuments(props: NhrDocumentSearchProps): Promise<NhrDocumentSearchResult>\n  getDocumentsContent(props: NhrGetDocumentsContentProps): Promise<NhrDocumentContentResult[]>\n  updateDocumentMetadata(props: NhrDocumentMetadataUpdateProps): Promise<NhrDocumentMetadataUpdateResult>\n}\n\nexport type NhrAdapter = {\n  searchDocuments(props: NhrDocumentSearchProps): Promise<NhrDocumentSearchResult>\n  getDocumentsContent(props: NhrGetDocumentsContentProps): Promise<NhrDocumentContentResult[]>\n  updateDocumentMetadata(props: NhrDocumentMetadataUpdateProps): Promise<NhrDocumentMetadataUpdateResult>\n}\n\nKey insight: NhrService and NhrAdapter have identical interfaces. The adapter pattern allows country-specific implementations (currently only DMP for France) while NhrService is the actual service wrapper.\n\n3. Action Types, Method Signatures & Parameter Types\n\nThree main operations:\n\nA. Search Documents\nsearchDocuments(props: NhrDocumentSearchProps): Promise<NhrDocumentSearchResult>\n\n// Props\nNhrDocumentSearchProps = {\n  patient?: NhrPatientInformation\n  params: NhrDocumentSearchParams\n}\n\n// Params\nNhrDocumentSearchParams = {\n  formats?: string[]\n  categories?: string[]\n  status?: string\n  serviceStartDate?: DateRange\n  serviceStopDate?: DateRange\n  creationDate?: DateRange\n  submissionDate?: DateRange\n  visibility?: string\n}\n\n// Result\nNhrDocumentSearchResult = NhrResult & {\n  documents: NhrDocument[]\n}\n\nB. Get Documents Content\ngetDocumentsContent(props: NhrGetDocumentsContentProps): Promise<NhrDocumentContentResult[]>\n\n// Props\nNhrGetDocumentsContentProps = {\n  patient?: NhrPatientInformation\n  params: NhrGetDocumentsContentParams\n}\n\n// Params\nNhrGetDocumentsContentParams = {\n  ids: string[]\n  uuids?: string[]  // DMP-specific: requires both id and uuid\n}\n\n// Result\nNhrDocumentContentResult<TCategorization = unknown, TMetadata = unknown> = {\n  files: NhrDocumentFile[]\n  categorization: TCategorization\n  metadata: TMetadata\n}\n\nC. Update Document Metadata\nupdateDocumentMetadata(props: NhrDocumentMetadataUpdateProps): Promise<NhrDocumentMetadataUpdateResult>\n\n// Props\nNhrDocumentMetadataUpdateProps = {\n  patient?: NhrPatientInformation\n  params: NhrDocumentMetadataUpdateParams\n}\n\n// Params\nNhrDocumentMetadataUpdateParams = {\n  payloads: NhrDocumentMetadataUpdatePayload[]\n}\n\nNhrDocumentMetadataUpdatePayload = {\n  id: string\n  uuid?: string\n  propertyName?: string\n  currentValue?: string\n  targetValue?: string\n  action?: string\n}\n\n// Result\nNhrDocumentMetadataUpdateResult = NhrResult & {\n  result: {\n    payloads: NhrDocumentMetadataUpdatePayloadResult[]\n  }\n}\n\n4. Existing Observability Patterns\n\nFinding: NO existing observability/instrumentation patterns found.\n\n- No traces, spans, metrics, or logging utilities in the source code\n- The layer is pure TypeScript types and simple delegation logic\n- No dependencies for observability (package.json shows only dev dependencies)\n- Perfect candidate for observability strategy implementation\n\n5. Package.json Dependencies\n\nFile: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/package.json\n\nKey characteristics:\n- Name: @doctolib/tpf-national-health-records\n- Version: 7.1.0\n- Type: module (ES modules)\n- Zero runtime dependencies (pure business logic)\n- Dev dependencies only:\n  - @doctolib/upfront-dev (^4.0.0)\n  - import-single-ts (^1.2.1)\n  - @types/node (^20.11.5)\n  - @vitest/coverage-v8 (^3.2.4)\n  - vitest (^3.2.4)\n\nBuild script: TypeScript compilation + tsc-alias for path resolution\n\n6. Data Flow Types & Interfaces\n\nCore entity types:\n\nNhrDocument\n{\n  id: string\n  title: string\n  description?: string\n  identifiers?: Record<string, string>\n  creationDate?: string\n  submissionDate?: string\n  serviceInformation?: NhrServiceInformation\n  status?: string\n  visibility?: string\n  format?: string\n  authors?: NhrDocumentAuthor[]\n  classification?: NhrDocumentClassification\n}\n\nNhrDocumentAuthor (Participant)\n{\n  id: string\n  identifiers?: Record<string, string>\n  firstName: string\n  lastName: string\n  role: string  // 'patient', 'healthcare_professional', etc\n  profession?: NhrProfession\n  addresses?: NhrAddress[]\n  contacts?: NhrContact[]\n  institution?: NhrInstitution\n}\n\nNhrPatientInformation (Top-level context)\n{\n  nationalHealthIdentifier: string\n}\n\nNhrResult (Error handling pattern)\n{\n  status: 'success' | 'skipped' | 'error' | 'partial success'\n  message?: string\n  code?: string  // optional, adapter-specific\n}\n\n7. DMP-Specific Types (France Implementation)\n\nLocation: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/systems/dmp/types/types.ts\n\nRich DMP types that normalize iCanopee JSON v2.1.0 API structures:\n\n- DmpNhrDocumentAuthor: Healthcare professional with profession codes, function codes, authentication modes, addresses, telecoms, institution references\n- DmpNhrAddress: Postal address with type codes, house numbers, street types, precincts, post boxes\n- DmpNhrTelecom: Telecommunications with type and usage codes\n- DmpNhrDocumentListParams: Search parameters including categories, formats, practices, date ranges, status, visibility, reference IDs, event codes, transaction frames\n- DmpNhrDocument: Full document structure with unique IDs, UUIDs, submission sets, type codes, class codes, healthcare facility types, practice settings, submission metadata\n\n8. Factory Pattern Implementation\n\nLocation: /Users/USER/workspace/doctolib/treatment-plan/packages/tpf-national-health-records/src/business/nhr-service-factory.ts\n\nexport const createNhrService = (countryCode: CountryCode, nhrAdapter: NhrAdapter) => {\n  switch (countryCode) {\n    case 'fr':\n      return new DmpNhrService(nhrAdapter)\n    default:\n      throw new Error(Unsupported country code: ${countryCode})\n  }\n}\n\nDmpNhrService implementation: Pure delegation - no business logic, just passes through to adapter\n\n9. Testing Strategy\n\nLocation: `/Users/USER/work\n…(truncated, 1615 more chars)",
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}