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picorules-compiler-js-core

v1.1.1

Published

Pure JavaScript/TypeScript compiler and runtime evaluator for Picorules clinical decision support language

Readme

Picorules Compiler JS Core

A pure JavaScript/TypeScript compiler and runtime evaluator for the Picorules clinical decision support language. Compiles ruleblocks to optimized SQL (Oracle, SQL Server, PostgreSQL) or evaluates them directly in JavaScript for single-patient use — in the browser, Node.js, or edge environments.

npm version License: MIT

Status

v1.1.0 - Production Ready

Features

  • Pure TypeScript: Full type safety and IDE support
  • Multi-Dialect SQL: Compiles to Oracle PL/SQL, SQL Server T-SQL, and PostgreSQL
  • JavaScript Runtime Evaluator: Evaluate ruleblocks directly in JS without a database
  • 26 Functions: Complete Picorules function library
  • Cross-Ruleblock References: Automatic dependency resolution via topological sort
  • Transformation Pipeline: Subset selection and pruning
  • Pluggable Data Adapters: EADV built-in, extensible for FHIR and other data models
  • Zero Runtime Dependencies: Only Zod for input validation
  • Tree-Shakeable: ESM and CJS builds
  • Fully Tested: 406 tests, all 85 first-order ruleblocks validated

Installation

npm install picorules-compiler-js-core

Two Execution Modes

Mode 1: Compile to SQL (Population-scale, batch)

Compile ruleblocks to SQL for execution against an EADV database. Best for processing thousands to millions of patients in batch.

import { compile, Dialect } from 'picorules-compiler-js-core';

const result = compile(
  [{ name: 'ckd', text: ruleblockSource, isActive: true }],
  { dialect: Dialect.ORACLE }
);

if (result.success) {
  console.log(result.sql[0]); // Optimized Oracle SQL
}

Mode 2: Evaluate in JavaScript (Single-patient, real-time)

Evaluate ruleblocks directly against in-memory data. No database required. Best for point-of-care CDS, SMART on FHIR apps, and browser-based tools.

import { parse, evaluate, EadvDataAdapter } from 'picorules-compiler-js-core';

// 1. Parse the ruleblock
const parsed = parse([{ name: 'ckd', text: ruleblockSource, isActive: true }]);

// 2. Load patient data
const adapter = new EadvDataAdapter([
  { eid: 1, att: 'lab_bld_egfr', dt: '2024-06-01', val: 44 },
  { eid: 1, att: 'lab_bld_egfr', dt: '2024-01-15', val: 48 },
  { eid: 1, att: 'lab_bld_egfr', dt: '2023-06-01', val: 52 },
]);

// 3. Evaluate
const result = evaluate(parsed[0], adapter);
console.log(result);
// { egfr_last: 44, has_ckd: 1, ... }

Performance: Parse + evaluate completes in ~1ms per ruleblock.

Quick Start: JS Evaluator

Single Ruleblock

import { parse, evaluate, EadvDataAdapter } from 'picorules-compiler-js-core';

const prbSource = `
  #define_ruleblock(cd_obesity, {
    description: "BMI assessment",
    is_active: 2
  });

  ht => eadv.obs_height.val.lastdv();
  wt => eadv.obs_weight.val.lastdv();

  bmi : { ht_val!? and wt_val!? => round(wt_val / power(ht_val / 100, 2), 1) };
  is_obese : { bmi > 30 => 1 }, { => 0 };
`;

const parsed = parse([{ name: 'cd_obesity', text: prbSource, isActive: true }]);

const adapter = new EadvDataAdapter([
  { eid: 1, att: 'obs_height', dt: '2024-06-01', val: 170 },
  { eid: 1, att: 'obs_weight', dt: '2024-06-01', val: 95 },
]);

const result = evaluate(parsed[0], adapter);
// result = { ht_val: 170, ht_dt: Date, wt_val: 95, wt_dt: Date, bmi: 32.9, is_obese: 1 }

Multiple Ruleblocks with Dependencies

import { parse, evaluateAll, EadvDataAdapter } from 'picorules-compiler-js-core';

// Ruleblock 1: base metrics
const baseSrc = `
  #define_ruleblock(base, { description: "Base", is_active: 2 });
  egfr_last => eadv.lab_bld_egfr.val.last();
  hb_last => eadv.lab_bld_haemoglobin.val.last();
`;

// Ruleblock 2: depends on base via bind
const derivedSrc = `
  #define_ruleblock(flags, { description: "Flags", is_active: 2 });
  egfr => rout_base.egfr_last.val.bind();
  hb => rout_base.hb_last.val.bind();
  has_ckd : { egfr < 60 => 1 }, { => 0 };
  has_anaemia : { hb < 120 => 1 }, { => 0 };
`;

const parsed = parse([
  { name: 'base', text: baseSrc, isActive: true },
  { name: 'flags', text: derivedSrc, isActive: true },
]);

const adapter = new EadvDataAdapter([
  { eid: 1, att: 'lab_bld_egfr', dt: '2024-06-01', val: 44 },
  { eid: 1, att: 'lab_bld_haemoglobin', dt: '2024-06-01', val: 118 },
]);

// evaluateAll handles dependency ordering automatically
const results = evaluateAll(parsed, adapter);
// results.get('base')  = { egfr_last: 44, hb_last: 118 }
// results.get('flags') = { egfr: 44, hb: 118, has_ckd: 1, has_anaemia: 1 }

Custom Data Adapter

Implement the DataAdapter interface to evaluate against any data source:

import { DataAdapter, DataRecord } from 'picorules-compiler-js-core';

class MyFhirAdapter implements DataAdapter {
  constructor(private bundle: FhirBundle) {}

  getRecords(attributeList: string[]): DataRecord[] {
    // Map FHIR resources to DataRecords
    // attributeList may contain wildcards: ["icd_E11%"]
    return this.bundle.entry
      .filter(e => matchesCodes(e.resource, attributeList))
      .map(e => ({
        val: extractValue(e.resource),
        dt: extractDate(e.resource),
      }));
  }
}

Supported Functions

Basic (3): last(), first(), count()

Aggregation (6): sum(), avg(), min(), max(), median(), distinct_count()

Date-Value Window (4): lastdv(), firstdv(), maxldv(), minldv()

Positional Window (2): nth(n), minfdv()

String (4): serialize(delimiter), serialize2(delimiter), serializedv(delimiter), serializedv2(delimiter)

Statistical (4): regr_slope(), regr_intercept(), regr_r2(), stats_mode()

Existence (1): exists()

Advanced (2): max_neg_delta_dv(), temporal_regularity()

Expression Functions (JS Evaluator)

The following SQL functions are supported in conditional expressions:

| Category | Functions | |----------|-----------| | Math | round(), ln(), exp(), power(), abs(), ceil(), log(), sqrt() | | Null handling | nvl(), coalesce() | | Comparison | greatest(), least(), greatest_date(), least_date() | | String | substr(), to_number(), to_char() | | Date | sysdate, extract(year/month/day from date), to_date() | | Date arithmetic | date - date (days), date ± number (new date) | | Operators | and, or, not, in, not in, between, is null, is not null, !?, ? |

SQL Compilation

Cross-Ruleblock References

const ruleblocks = [
  {
    name: 'base',
    text: 'egfr_last => eadv.lab_bld_egfr.val.last();',
    isActive: true,
  },
  {
    name: 'derived',
    text: `
      egfr => rout_base.egfr_last.val.bind();
      has_ckd : {egfr < 60 => 1}, {=> 0};
    `,
    isActive: true,
  },
];

const result = compile(ruleblocks, { dialect: Dialect.ORACLE });
// Automatically orders: base first, then derived

Subset Selection

compile(ruleblocks, {
  dialect: Dialect.ORACLE,
  subset: ['ckd', 'anemia'], // Only compile these
});

Pruning Transformations

Output Pruning - Keep only ancestors:

compile(ruleblocks, {
  dialect: Dialect.ORACLE,
  pruneOutputs: ['dashboard'], // Keep dashboard + its dependencies
});

Input Pruning - Keep only descendants:

compile(ruleblocks, {
  dialect: Dialect.ORACLE,
  pruneInputs: ['source'], // Keep source + what depends on it
});

API Reference

SQL Compilation

compile(ruleblocks, options)

Full pipeline: parse, link, transform, generate SQL.

  • ruleblocks: RuleblockInput[] - Array of { name, text, isActive }
  • options: CompilerOptions - { dialect, subset?, pruneInputs?, pruneOutputs? }
  • Returns: CompilationResult - { success, sql, errors, warnings, metrics }

parse(ruleblocks)

Parse ruleblocks to AST without generating SQL.

  • Returns: ParsedRuleblock[]

generateSql(ruleblocks, dialect)

Generate SQL from already-parsed ruleblocks.

  • Returns: string[]

JS Runtime Evaluation

evaluate(ruleblock, data, bindings?)

Evaluate a single parsed ruleblock against a data adapter.

  • ruleblock: ParsedRuleblock - From parse()
  • data: DataAdapter - Data source (e.g., EadvDataAdapter)
  • bindings?: Bindings - Results from previously evaluated ruleblocks
  • Returns: EvaluationResult - Record<string, number | string | Date | null>

evaluateAll(ruleblocks, data)

Evaluate multiple ruleblocks in dependency order.

  • ruleblocks: ParsedRuleblock[] - From parse(), any order
  • data: DataAdapter - Data source
  • Returns: Map<string, EvaluationResult>

EadvDataAdapter

Built-in data adapter for EADV (Entity-Attribute-Date-Value) records.

const adapter = new EadvDataAdapter([
  { eid: 1, att: 'lab_bld_egfr', dt: '2024-06-01', val: 44 },
]);

Supports exact attribute matching and wildcard patterns (icd_E11%).

evaluateExpression(expression, context)

Evaluate a standalone expression (for advanced use).

import { evaluateExpression } from 'picorules-compiler-js-core';

const age = evaluateExpression('round((sysdate - dob) / 365.25, 0)', {
  sysdate: new Date(),
  dob: new Date('1957-05-20'),
});

pico (Runtime Library)

Null-safe function library, usable independently:

import { pico } from 'picorules-compiler-js-core';

pico.round(12.345, 2);         // 12.35
pico.nvl(null, 0);             // 0
pico.daysBetween(d1, d2);      // days between dates
pico.least_date(d1, d2, d3);   // earliest non-null date

SQL Dialect Support

| Feature | Oracle | SQL Server | PostgreSQL | |---------|--------|------------|------------| | Table creation | CREATE TABLE AS | SELECT INTO | CREATE TABLE AS | | String aggregation | LISTAGG | STRING_AGG | STRING_AGG | | Median | MEDIAN() | PERCENTILE_CONT | PERCENTILE_CONT | | Regression | REGR_* built-in | Manual formulas | Manual formulas | | Join syntax | USING (eid) | ON ... = | USING (eid) | | Current date | SYSDATE | GETDATE() | CURRENT_DATE |

Architecture

                    ┌──────────────────────┐
                    │   .prb source file    │
                    └──────────┬───────────┘
                               │
                    ┌──────────▼───────────┐
                    │    Parse → AST        │
                    │    Link → Sort deps   │
                    │    Transform → Filter │
                    └──────────┬───────────┘
                               │
               ┌───────────────┴───────────────┐
               │                               │
    ┌──────────▼──────────┐         ┌──────────▼──────────┐
    │   Generate SQL       │         │   Evaluate in JS     │
    │                      │         │                      │
    │   Oracle / MSSQL /   │         │   Browser / Node /   │
    │   PostgreSQL         │         │   Edge               │
    │                      │         │                      │
    │   Population batch   │         │   Single-patient     │
    │   analytics          │         │   real-time CDS      │
    └──────────────────────┘         └──────────────────────┘

Development

npm install          # Install dependencies
npm run build        # Build CJS + ESM + types
npm test             # Run 406 tests
npm run test:watch   # Watch mode
npm run lint         # ESLint

Performance

SQL Compilation:

  • Single ruleblock: < 1ms
  • 10 ruleblocks: < 10ms
  • 100 ruleblocks: < 100ms

JS Evaluation (single patient):

  • Parse + evaluate: ~1ms per ruleblock
  • Evaluate only (pre-parsed): ~0.3ms per ruleblock
  • All 85 first-order ruleblocks: validated against mock data

License

MIT

Credits

Developed for The Kidney Centre (TKC) clinical decision support system.