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@cosyte

Cosyte

Open-source parsers and tooling for healthcare data. HL7 v2, C-CDA, X12, DICOM, NCPDP, FHIR - in TypeScript
Cosyte: a plus mark set in two overlapping rounded squares, one solid and one outlined, beside the Cosyte wordmark

We build open-source TypeScript libraries for healthcare data: HL7 v2, FHIR, C-CDA, X12, NCPDP, ASTM, DICOM, MLLP, terminology and de-identification. We also build and run integrations on them.

npm install @cosyte/hl7
import { parseHL7 } from "@cosyte/hl7";

const msg = parseHL7(raw); // raw: an HL7 v2 message as a string
console.log(msg.patient?.mrn, msg.patient?.fullName); // MRN12345 John Q Doe

No segment or field numbers to look up: the parser accepts vendor-quirky messages as they arrive and hands back fields by name. The quickstart runs the same lines on a synthetic message.

Libraries

All 14 are MIT licensed and run on Node.js 22 or later.

Package What it does Links
@cosyte/hl7 Parse, build and serialize HL7 v2 messages, and read fields by name npm · docs · repo
@cosyte/mllp Send and receive HL7 v2 over MLLP: framing, ACK correlation, reconnects and TLS npm · docs · repo
@cosyte/fhir Read, write and validate FHIR R4 resources, in JSON and XML npm · docs · repo
@cosyte/ccda Parse, build and serialize C-CDA documents, with typed problems, medications and allergies npm · docs · repo
@cosyte/x12 Parse and build X12 005010 healthcare transactions (837, 835, 270/271, 834, 999 and more) with exact decimal amounts npm · docs · repo
@cosyte/ncpdp Parse and build NCPDP SCRIPT ePrescriptions and Telecom pharmacy claims npm · docs · repo
@cosyte/astm Parse and build ASTM E1394 lab-instrument records and E1381 checksummed frames npm · docs · repo
@cosyte/dicom Read and write DICOM Part 10 metadata, with metadata-level de-identification (PS3.15 Basic Profile) npm · docs · repo
@cosyte/terminology Run FHIR $lookup, $validate-code, $translate and $expand over code systems you supply npm · docs · repo
@cosyte/deid Apply a HIPAA Safe Harbor policy to HL7 v2, C-CDA, FHIR, X12, NCPDP Telecom and DICOM, failing closed npm · docs · repo
@cosyte/transform Convert HL7 v2 messages to FHIR R4, following the HL7 v2-to-FHIR implementation guide npm · docs · repo
@cosyte/synth Generate seeded, reproducible synthetic test data in HL7 v2, FHIR, C-CDA, X12, NCPDP and ASTM npm · docs · repo
@cosyte/dates Validate and convert healthcare dates without losing precision or guessing a timezone npm · docs · repo
@cosyte/cli Parse, validate, convert and redact from the terminal with the cosyte command, or from an agent over MCP npm · docs · repo

Examples

cosyte/examples holds runnable end-to-end starters. Every message, document and image in it is synthetic.

How we build them

  • Lenient on parse, spec-clean on emit. Real vendor traffic parses, and each deviation we tolerate comes back as a stable warning code.
  • No confident wrong values. When input contradicts itself, we withhold the value and flag it rather than guess. A wrong dose or a missed allergy is the failure we design against.
  • Synthetic data only. No repository holds real patient data, and the parsers' CI runs a PHI scan on every change.
  • Few dependencies. Most packages have no third-party runtime dependency, and none has more than one.

Need it integrated? Talk to us.

cosyte.com · docs.cosyte.com

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