@medplum/ccda 3.3.0 → 4.0.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/cjs/index.cjs +2 -2
- package/dist/cjs/index.cjs.map +3 -3
- package/dist/cjs/index.d.ts +39 -22
- package/dist/esm/index.d.ts +39 -22
- package/dist/esm/index.mjs +2 -2
- package/dist/esm/index.mjs.map +3 -3
- package/package.json +5 -5
package/dist/esm/index.mjs
CHANGED
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I=class{constructor(e,i,n,r){this.systemName=e,this.ccdaSystemOid=i,this.fhirSystemUrl=n,this.entries=r,this.ccdaToFhirMap={},this.fhirToCcdaMap={};for(let o of r)this.ccdaToFhirMap[o.ccdaValue]||(this.ccdaToFhirMap[o.ccdaValue]=o),this.fhirToCcdaMap[o.fhirValue]||(this.fhirToCcdaMap[o.fhirValue]=o)}getEntryByFhir(e){return this.fhirToCcdaMap[e]}mapCcdaToFhir(e){return this.ccdaToFhirMap[e]?.fhirValue}mapCcdaToFhirWithDefault(e,i){return e?this.mapCcdaToFhir(e)??i:i}mapFhirToCcdaWithDefault(e,i){return e?this.mapFhirToCcda(e)??i:i}mapCcdaToFhirCodeableConcept(e){let i=this.ccdaToFhirMap[e];if(i)return{coding:[{system:this.fhirSystemUrl,code:i.fhirValue,display:i.displayName}],text:i.displayName}}mapFhirToCcda(e){if(e)return this.fhirToCcdaMap[e]?.ccdaValue}mapFhirToCcdaCode(e){if(!e)return;let i=this.fhirToCcdaMap[e];if(i)return{"@_code":i.ccdaValue,"@_displayName":i.displayName,"@_codeSystem":this.ccdaSystemOid,"@_codeSystemName":this.systemName}}},U="http:",Xe=`${E}/CodeSystem/condition-clinical`,Bi=`${E}/CodeSystem/condition-verification`,jo=`${E}/CodeSystem/v3-LanguageAbilityMode`,qo=`${E}/CodeSystem/v3-LanguageAbilityProficiency`,Wo=`${E}/CodeSystem/v3-Race`,Fi=`${E}/CodeSystem/condition-category`,Je=`${E}/CodeSystem/condition-ver-status`,Ke=`${E}/CodeSystem/allergyintolerance-clinical`,et=`${E}/CodeSystem/allergyintolerance-verification`,Gi=`${E}/CodeSystem/v3-ActCode`,Yi=`${E}/CodeSystem/v3-ParticipationType`,$i=`${E}/CodeSystem/diagnosis-role`,Or=`${E}/CodeSystem/v3-Confidentiality`,Sr=`${E}/CodeSystem/observation-category`,yr=`${f}/fhir/ValueSet/address-use`,Cr=`${f}/fhir/ValueSet/name-use`,gr=`${f}/fhir/ValueSet/administrative-gender`,Ar=`${f}/fhir/ValueSet/contactentity-use`,Rr=`${f}/fhir/ValueSet/medicationrequest-status`,Qo=`${f}/fhir/StructureDefinition/language-mode`,zo=`${f}/fhir/StructureDefinition/language-proficiency`,Zo=`${f}/fhir/us/core/StructureDefinition/us-core-patient`,_e=`${f}/fhir/us/core/StructureDefinition/us-core-race`,me=`${f}/fhir/us/core/StructureDefinition/us-core-ethnicity`,Hi=`${f}/fhir/us/core/StructureDefinition/us-core-condition`,ji=`${f}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,J=`${f}/cda/template`,Nr=`${U}//ncithesaurus-stage.nci.nih.gov`,Dr=`${f}/fhir/sid/us-ssn`,xr=`${f}/fhir/sid/us-dln`,vr=`${f}/fhir/sid/us-npi`,Pr=`${U}//fdasis.nlm.nih.gov`,br=`${U}//nucc.org/provider-taxonomy`,Ur=`${U}//va.gov/terminology/medrt`,Lr=`${U}//hl7.org/fhir/ndfrt`,wr=`${U}//nucc.org/cvx`,Vr=`${f}/fhir/sid/cvx`,qi=`${U}//www.w3.org/2001/XMLSchema-instance`,Ee="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",tt=new I("System","","",[{ccdaValue:Nt,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:Dt,fhirValue:Nr,displayName:"NCI Thesaurus"},{ccdaValue:xt,fhirValue:Dr,displayName:"SSN"},{ccdaValue:vt,fhirValue:xr,displayName:"DLN"},{ccdaValue:Pt,fhirValue:vr,displayName:"NPI"},{ccdaValue:bt,fhirValue:Pr,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:H,fhirValue:re,displayName:"LOINC"},{ccdaValue:wt,fhirValue:pt,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:Vt,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:Mt,fhirValue:ht,displayName:"National Drug Code (NDC)"},{ccdaValue:kt,fhirValue:dt,displayName:"RxNorm"},{ccdaValue:M,fhirValue:Ne,displayName:"SNOMED CT"},{ccdaValue:Bt,fhirValue:br,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:Gt,fhirValue:Ur,displayName:"Medication Reference Terminology (MED-RT)"},{ccdaValue:Ft,fhirValue:Lr,displayName:"National Drug File Reference Terminology (NDF-RT)"},{ccdaValue:Ze,fhirValue:wr,displayName:"CVX"},{ccdaValue:Ze,fhirValue:Vr,displayName:"Vaccine Administered Code Set (CVX)"}]);function Ie(t){if(t)return tt.mapCcdaToFhir(t)??`urn:oid:${t}`}function Wi(t){if(t)return t.startsWith("urn:oid:")?t.replace("urn:oid:",""):tt.mapFhirToCcda(t)}function h(t){if(!t)return;let e=t.coding?.[0]?.system?tt.getEntryByFhir(t.coding[0].system):void 0,i=e?.ccdaValue,n=e?.displayName;return{"@_code":t?.coding?.[0]?.code,"@_displayName":t?.coding?.[0]?.display,"@_codeSystem":i,"@_codeSystemName":n}}function K(t){let e=h(t);if(e)return{"@_xsi:type":"CD",...e}}var Qi=new I("Confidentiality",Lt,Or,[{ccdaValue:"U",fhirValue:"U",displayName:"unrestricted"},{ccdaValue:"L",fhirValue:"L",displayName:"low"},{ccdaValue:"M",fhirValue:"M",displayName:"moderate"},{ccdaValue:"N",fhirValue:"N",displayName:"normal"},{ccdaValue:"R",fhirValue:"R",displayName:"restricted"},{ccdaValue:"V",fhirValue:"V",displayName:"very restricted"}]),Te=new I("HumanNameUse","",Cr,[{ccdaValue:"C",fhirValue:"usual",displayName:"Common/Called by"},{ccdaValue:"L",fhirValue:"official",displayName:"Legal"},{ccdaValue:"TEMP",fhirValue:"temp",displayName:"Temporary"},{ccdaValue:"N",fhirValue:"nickname",displayName:"Nickname"},{ccdaValue:"ANON",fhirValue:"anonymous",displayName:"Anonymous"},{ccdaValue:"M",fhirValue:"maiden",displayName:"Maiden"},{ccdaValue:"M",fhirValue:"old",displayName:"Old"}]),zi=new I("Gender","",gr,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Oe=new I("AddressUse","",yr,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),Se=new I("TelecomUse","",Ar,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"}]),Zi=new I("AllergyStatus","",et,[{ccdaValue:"unconfirmed",fhirValue:"unconfirmed",displayName:"Unconfirmed"},{ccdaValue:"provisional",fhirValue:"provisional",displayName:"Provisional"},{ccdaValue:"differential",fhirValue:"differential",displayName:"Differential"},{ccdaValue:"confirmed",fhirValue:"confirmed",displayName:"Confirmed"},{ccdaValue:"refuted",fhirValue:"refuted",displayName:"Refuted"},{ccdaValue:"entered-in-error",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),ye=new I("AllergySeverity",Ne,Ke,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),Xi=new I("ProblemStatus","",Je,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"inactive",fhirValue:"inactive",displayName:"Inactive"},{ccdaValue:"resolved",fhirValue:"inactive",displayName:"Resolved"},{ccdaValue:"remission",fhirValue:"inactive",displayName:"In Remission"},{ccdaValue:"relapse",fhirValue:"active",displayName:"Relapse"},{ccdaValue:"resolved relapse",fhirValue:"inactive",displayName:"Resolved Relapse"},{ccdaValue:"aborted",fhirValue:"aborted",displayName:"Aborted"}]),Ji=new I("EncounterStatus","","",[{ccdaValue:"active",fhirValue:"in-progress",displayName:"In Progress"},{ccdaValue:"completed",fhirValue:"finished",displayName:"Finished"},{ccdaValue:"aborted",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Ki=new I("ProcedureStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Not Done"},{ccdaValue:"new",fhirValue:"not-done",displayName:"Draft"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Ce=new I("MedicationStatus","",Rr,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"aborted",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"active",fhirValue:"draft",displayName:"Draft"},{ccdaValue:"cancelled",fhirValue:"unknown",displayName:"Unknown"}]),ge=new I("ObservationCategory","",Sr,[{ccdaValue:si,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:ai,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:_i,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:mi,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:Ei,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:Ui,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:Li,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:bi,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:Vi,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:Ai,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:Ri,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:Yt,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:wi,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:Z,fhirValue:"vital-signs",displayName:"Vital Signs Organizer"},{ccdaValue:ni,fhirValue:"vital-signs",displayName:"Vital Signs Organizer V2"},{ccdaValue:X,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:ri,fhirValue:"vital-signs",displayName:"Vital Signs Observation V2"},{ccdaValue:ki,fhirValue:"vital-signs",displayName:"Average Blood Pressure Organizer"},{ccdaValue:Qt,fhirValue:"laboratory",displayName:"Result Organizer"},{ccdaValue:zt,fhirValue:"laboratory",displayName:"Result Organizer V2"},{ccdaValue:Zt,fhirValue:"laboratory",displayName:"Result Observation"},{ccdaValue:Xt,fhirValue:"laboratory",displayName:"Result Observation V2"},{ccdaValue:xi,fhirValue:"laboratory",displayName:"Laboratory Battery (ID)"},{ccdaValue:vi,fhirValue:"laboratory",displayName:"Laboratory Observation (ID)"},{ccdaValue:Pi,fhirValue:"laboratory",displayName:"Laboratory Result Organizer (ID)"},{ccdaValue:di,fhirValue:"survey",displayName:"Assessment Scale Observation"},{ccdaValue:Ii,fhirValue:"survey",displayName:"Assessment Scale Supporting Observation"},{ccdaValue:hi,fhirValue:"survey",displayName:"Cognitive Status Result Observation"},{ccdaValue:fi,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:li,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:ui,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:Q,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:Jt,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:pi,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:Ti,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Ci,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:k,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Kt,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:Mi,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:yi,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Ni,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Di,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]);import{XMLBuilder as en,XMLParser as tn}from"fast-xml-parser";var Mr=["ClinicalDocument.recordTarget",".id",".templateId",".name",".addr",".telecom",".streetAddressLine",".author",".effectiveTime","name.given","name.suffix","name.prefix","patient.raceCode","patient.ethnicGroupCode","patient.languageCommunication","component.structuredBody.component","component.structuredBody.component.section","component.section","component.observation","component.act","section.entry","entry.act","entry.organizer","entry.substanceAdministration","entry.observation","entry.encounter","entry.procedure","encounter.performer","encounter.participant","encounter.entryRelationship","entryRelationship.observation","entryRelationship.substanceAdministration","entryRelationship.act","organizer.component","substanceAdministration.consumable.manufacturedProduct","substanceAdministration.entryRelationship","substanceAdministration.performer","act.entryRelationship","act.performer","observation.participant","observation.entryRelationship","observation.referenceRange","consumable.manufacturedProduct","manufacturedProduct.manufacturedMaterial","manufacturedProduct.manufacturerOrganization","manufacturedProduct.manufacturedLabeledDrug","manufacturedMaterial.code","manufacturedMaterial.lotNumberText"];function es(t){return new tn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Mr.some(a=>r.endsWith(a))}).parse(t).ClinicalDocument}function ts(t){return new en({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!0,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build({"?xml":{"@_version":"1.0","@_encoding":"UTF-8"},"?xml-stylesheet":{"@_type":"text/xsl","@_href":"CDA.xsl"},ClinicalDocument:{"@_xmlns":"urn:hl7-org:v3","@_xmlns:xsi":qi,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function nn(t){return new tn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function rn(t){return t?typeof t=="string"?t:new en({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
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`).map(n=>n.trim()).join(""):""}function cs(t){return new it(t).convert()}var it=class{constructor(e){this.resources=[];this.ccda=e}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(i=>({resource:i}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e))}createPatient(e){let i=e.patient,n=[];return i.raceCode&&i.raceCode.length>0&&n.push({url:_e,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&n.push({url:me,extension:i.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.name),gender:this.mapGenderCode(i.administrativeGenderCode?.["@_code"]),birthDate:Ue(i.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:n.length>0?n:void 0}}mapId(e){let i=e?.find(n=>!n["@_extension"]&&n["@_root"]&&ve(n["@_root"]));return i?i["@_root"]:At()}mapIdentifiers(e){if(!e)return;let i=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&ve(n["@_root"])||i.push({system:Ie(n["@_root"]),value:n["@_extension"]});return i}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(i=>this.mapCcdaNameToFhirHumanName(i)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let i={},n=e["@_use"]?Te.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(ee)?.filter(Boolean)),e.family&&(i.family=ee(e.family)),e.given&&(i.given=e.given.map(ee)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(ee)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({"@_use":i["@_use"]?Oe.mapCcdaToFhir(i["@_use"]):void 0,line:i.streetAddressLine,city:i.city,state:i.state,postalCode:i.postalCode,country:i.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({"@_use":i["@_use"]?Se.mapCcdaToFhir(i["@_use"]):void 0,system:this.getTelecomSystem(i["@_value"]),value:this.getTelecomValue(i["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],i=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);i.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${rn(r.text)}</div>`},entry:o.map(p)}),this.resources.push(...o)}return{resourceType:"Composition",id:this.mapId(this.ccda.id),language:this.ccda.languageCode?.["@_code"],status:"final",type:this.ccda.code?this.mapCode(this.ccda.code):{coding:[{system:re,code:"34133-9"}]},confidentiality:this.ccda.confidentialityCode?.["@_code"],author:this.ccda.author?.[0]?[this.mapAuthorToReference(this.ccda.author?.[0])]:[{display:"Medplum"}],custodian:this.mapCustodianToReference(this.ccda.custodian),event:this.mapDocumentationOfToEvent(this.ccda.documentationOf),date:_(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:i}}processSection(e){let i=[];if(e.entry)for(let n of e.entry)this.processEntry(e,n,i);return i}processEntry(e,i,n){for(let r of i.act??[]){let o=this.processAct(e,r);o&&n.push(o)}for(let r of i.substanceAdministration??[]){let o=this.processSubstanceAdministration(e,r);o&&n.push(o)}for(let r of i.organizer??[])n.push(this.processOrganizer(e,r));for(let r of i.observation??[])n.push(this.processObservation(e,r));for(let r of i.encounter??[])n.push(this.processEncounter(e,r));for(let r of i.procedure??[])n.push(this.processProcedure(e,r))}processAct(e,i){let n=e.templateId[0]["@_root"];switch(n){case le:return this.processAllergyIntoleranceAct(i);case ue:return this.processConditionAct(i);case v:return this.processCarePlanAct(i);case pe:return this.processConditionAct(i);case k:return this.processProcedureAct(i);case se:return;case he:return;case de:return;default:throw new Error("Unhandled act templateId: "+n)}}processAllergyIntoleranceAct(e){let i=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:p(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(i.effectiveTime?.[0])};i.value?.["@_code"]==="414285001"&&(n.category=["food"]),n.extension=this.mapTextReference(i.text);let r=i.participant?.[0]?.participantRole?.playingEntity?.code;r&&(n.code=this.mapCode(r),n.code&&r.originalText?.reference?.["@_value"]&&(n.code.extension=this.mapTextReference(r.originalText)));let o=i.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(n.reaction=o.map(s=>this.processReaction(s))),n.asserter=this.mapAuthorToReference(i.author?.[0]),n}processConditionAct(e){let i=e.entryRelationship?.find(r=>r["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(i.id)),meta:{profile:[Hi]},clinicalStatus:{coding:[{system:Xe,code:this.mapStatus(e.statusCode["@_code"])}]},verificationStatus:{coding:[{system:Bi,code:"confirmed"}]},category:[{coding:[{system:Fi,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(i.value),subject:p(this.patient),onsetDateTime:_(i.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:_(i.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(i.author?.[0]),asserter:this.mapAuthorToReference(i.author?.[0])};return n.extension=this.mapTextReference(i.text),n}processCarePlanAct(e){return{resourceType:"CarePlan",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"active",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:p(this.patient),description:ee(e.text)}}processProcedureAct(e){return{resourceType:"Procedure",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",code:this.mapCode(e.code),subject:p(this.patient),performedDateTime:_(e.effectiveTime?.[0]?.["@_value"]),recorder:this.mapAuthorToReference(e.author?.[0]),asserter:this.mapAuthorToReference(e.author?.[0]),extension:this.mapTextReference(e.text)}}processSubstanceAdministration(e,i){let n=e.templateId[0]["@_root"];switch(n){case ce:case v:return this.processMedicationSubstanceAdministration(i);case j:case q:return this.processImmunizationSubstanceAdministration(i);default:throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let i=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a,d;return s?a={resourceType:"Medication",id:"med-"+i,code:this.mapCode(n),extension:this.mapTextReference(n?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:d={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:i,contained:a?[a]:void 0,meta:{profile:[ji]},status:Ce.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:a?{reference:"#med-"+i}:void 0,medicationCodeableConcept:d,subject:p(this.patient),authoredOn:_(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:_(e.effectiveTime?.[0]?.low?.["@_value"]),end:_(e.effectiveTime?.[0]?.high?.["@_value"])}}:void 0,dosageInstruction:[{text:e.text?.reference?.["@_value"],extension:this.mapTextReference(e.text),route:r?this.mapCode(r):void 0,timing:{repeat:{when:["HS"]}},doseAndRate:o?[{doseQuantity:{system:Re,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let i=e.consumable;if(!i)return;let n={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",vaccineCode:this.mapCode(i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:p(this.patient),occurrenceDateTime:_(e.effectiveTime?.[0]?.["@_value"]),lotNumber:i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(n.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),n.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(n.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),n}processReaction(e){let i={id:this.mapId(e.id),manifestation:[this.mapCode(e.value)],onset:_(e.effectiveTime?.[0]?.low?.["@_value"])};return this.processSeverity(e,i),i.manifestation&&i.manifestation.length>0&&e.text?.reference?.["@_value"]&&(i.manifestation[0].extension=this.mapTextReference(e.text)),i}processSeverity(e,i){let n=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!n)return;let r=n.value?.["@_code"];r&&(i.severity=ye.mapCcdaToFhir(r)),i.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return _(e["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:_(e?.low?.["@_value"]),end:_(e?.high?.["@_value"])}}mapGenderCode(e){return e?{F:"female",M:"male",UN:"unknown"}[e]:void 0}getTelecomSystem(e){if(e)return e.startsWith("tel:")?"phone":e.startsWith("mailto:")?"email":"other"}getTelecomValue(e){if(e)return e.replace(/^(tel:|mailto:)/,"")}mapStatus(e){return{active:"active",suspended:"inactive",aborted:"inactive",completed:"resolved"}[e]??"active"}mapCode(e){if(e)return{coding:[{system:Ie(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]}}mapCodeToCoding(e){if(e)return{system:Ie(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Ke,code:this.mapStatus(e.statusCode["@_code"])}]}}createVerificationStatus(){return{coding:[{system:et,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let i={resourceType:"Practitioner",id:this.mapId(e.assignedAuthor?.id),identifier:this.mapIdentifiers(e.assignedAuthor?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(e.assignedAuthor?.assignedPerson?.name),address:this.mapAddresses(e.assignedAuthor?.addr),telecom:this.mapTelecom(e.assignedAuthor?.telecom),qualification:e.assignedAuthor?.code?[this.mapCode(e.assignedAuthor?.code)]:void 0};return this.resources.push(i),p(i)}mapAssignedEntityToReference(e){if(!e)return;let i=e.assignedPerson,n=e.representedOrganization,r={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(r);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(n?.id),name:n?.name?.[0],address:this.mapAddresses(n?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:p(r),organization:p(o)};return this.resources.push(s),p(s)}mapCustodianToReference(e){if(!e)return;let i={resourceType:"Organization",id:this.mapId(e.assignedCustodian.representedCustodianOrganization.id),identifier:this.mapIdentifiers(e.assignedCustodian.representedCustodianOrganization.id),name:e.assignedCustodian.representedCustodianOrganization.name?.[0],address:this.mapAddresses(e.assignedCustodian.representedCustodianOrganization.addr),telecom:this.mapTelecom(e.assignedCustodian.representedCustodianOrganization.telecom)};return this.resources.push(i),p(i)}mapDocumentationOfToEvent(e){if(!e)return;let i=e.serviceEvent;if(i)return[{code:i.code?[this.mapCode(i.code)]:void 0,period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}]}concatArrays(e,i){return e?i?[...e,...i]:e:i}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let i=[];for(let n of e){let r=n.assignedEntity,o=this.mapAssignedEntityToReference(r);o&&i.push({actor:o})}return i}processOrganizer(e,i){return e.templateId[0]["@_root"]===fe?this.processCareTeamOrganizer(i):this.processVitalsOrganizer(i)}processCareTeamOrganizer(e){let i=[];if(e.component)for(let r of e.component){let o=this.processCareTeamMember(r);o&&i.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:i.length>0?i:void 0}}processCareTeamMember(e){let i=e.act?.[0];if(!i)return;let n=i.performer?.[0];if(n)return{role:n.functionCode?[this.mapCode(n.functionCode)]:void 0,member:this.mapAssignedEntityToReference(n.assignedEntity),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}}processVitalsOrganizer(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:p(this.patient)};if(e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=_(e.effectiveTime?.[0]?.["@_value"])),e.component){let n=[];for(let r of e.component)n.push(...this.processVitalsComponent(r));n.length>0&&(i.hasMember=n)}return i}processVitalsComponent(e){let i=[];if(e.observation)for(let n of e.observation){let r=this.processVitalsObservation(n);i.push(p(r)),this.resources.push(r)}return i}processObservation(e,i){let n=i.templateId[0]["@_root"];if(n===W||n===Si)return this.processGoalObservation(i);switch(e.templateId[0]["@_root"]){case v:case W:return this.processGoalObservation(i);default:return this.processVitalsObservation(i)}}processGoalObservation(e){let i={resourceType:"Goal",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),lifecycleStatus:this.mapGoalLifecycleStatus(e),description:this.mapCode(e.code),subject:p(this.patient),startDate:Ue(e.effectiveTime?.[0]?.["@_value"])};return i.target=e.entryRelationship?.map(n=>({measure:this.mapCode(n.act?.[0]?.code),detailCodeableConcept:this.mapCode(n.act?.[0]?.code),dueDate:_(n.act?.[0]?.effectiveTime?.[0]?.low?.["@_value"])})),i.extension=this.mapTextReference(e.text),i}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:p(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(n=>this.mapAuthorToReference(n)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":i.valueQuantity={value:e.value["@_value"]?parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:Re,code:e.value["@_unit"]};break;case"CD":case"CE":i.valueCodeableConcept=this.mapCode(e.value);break;case"ST":i.valueString=e.value["#text"]??"";break;default:console.warn(`Unhandled observation value type: ${e.value["@_xsi:type"]}`)}return e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=_(e.effectiveTime?.[0]?.["@_value"])),i.extension=this.mapTextReference(e.text),i}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let i=new Set,n=[];for(let r of e){let o=ge.mapCcdaToFhirCodeableConcept(r["@_root"]);o?.coding?.[0]?.code&&!i.has(o.coding[0].code)&&(i.add(o.coding[0].code),n.push(o))}for(let r of e)n.push({coding:[{system:J,code:r["@_root"],version:r["@_extension"]}]});return Array.from(n.values())}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(i=>this.mapReferenceRange(i)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let i=e.observationRange;if(!i)return;let n={};return n.extension=this.mapTextReference(i.text),n}processEncounter(e,i){let n={resourceType:"Encounter",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:Ji.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"unknown"),class:{system:Gi,code:i.code?.["@_code"]??"AMB",display:i.code?.["@_displayName"]??"Ambulatory"},type:i.code?[this.mapCode(i.code)]:void 0,subject:p(this.patient),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])};if(i.performer&&(n.participant=i.performer.map(r=>({type:[{coding:[{system:Yi,code:r["@_typeCode"]??"PPRF",display:"Primary Performer"}]}],individual:this.mapAssignedEntityToReference(r.assignedEntity)}))),i.entryRelationship){let r=i.entryRelationship.filter(o=>o["@_typeCode"]==="RSON").map(o=>{let s=o.observation?.[0];if(!s)return;let a={resourceType:"Condition",id:this.mapId(s.id),identifier:this.mapIdentifiers(s.id),clinicalStatus:{coding:[{system:Xe,code:"active"}]},verificationStatus:{coding:[{system:Je,code:"confirmed"}]},code:this.mapCode(s.value),subject:p(this.patient),onsetDateTime:_(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(a),{condition:p(a),use:{coding:[{system:$i,code:"AD",display:"Admission diagnosis"}]}}}).filter(Boolean);r.length>0&&(n.diagnosis=r)}return n.extension=this.mapTextReference(i.text),n}processProcedure(e,i){return{resourceType:"Procedure",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:Ki.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"completed"),code:this.mapCode(i.code),subject:p(this.patient),performedDateTime:this.mapEffectiveTimeToDateTime(i.effectiveTime?.[0]),performedPeriod:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0]),bodySite:i.targetSiteCode?[this.mapCode(i.targetSiteCode)]:void 0,extension:this.mapTextReference(i.text)}}mapTextReference(e){if(e?.reference?.["@_value"])return[{url:Ee,valueString:e.reference?.["@_value"]}]}};function ee(t){if(t){if(typeof t=="string")return t;if(typeof t=="object"&&"#text"in t)return t["#text"]}}var on=[{"@_root":Ve,"@_extension":"2015-08-01"},{"@_root":Ve},{"@_root":Me,"@_extension":"2015-08-01"},{"@_root":Me}],kr=[{"@_root":le,"@_extension":"2015-08-01"}],Br=[{"@_root":ce,"@_extension":"2014-06-09"}],Fr=[{"@_root":ue,"@_extension":"2015-08-01"}],nt=[{"@_root":j},{"@_root":j,"@_extension":"2015-08-01"},{"@_root":q},{"@_root":q,"@_extension":"2015-08-01"}],Gr=[{"@_root":$t,"@_extension":"2015-08-01"}],Yr=[{"@_root":Be},{"@_root":Be,"@_extension":"2015-08-01"}],$r=[{"@_root":k,"@_extension":"2014-06-09"}],ds=[{"@_root":v,"@_extension":"2014-06-09"}],ps=[{"@_root":ke,"@_extension":"2015-08-01"}],Hr=[{"@_root":ke,"@_extension":"2015-08-01"}],hs=[{"@_root":qt,"@_extension":"2015-08-01"}],jr=[{"@_root":Ht}],qr=[{"@_root":v},{"@_root":v,"@_extension":"2014-06-09"}],Wr=[{"@_root":jt,"@_extension":"2015-08-01"}],Qr=[{"@_root":W}],zr=[{"@_root":pe,"@_extension":"2015-08-01"}],Zr=[{"@_root":se,"@_extension":"2014-06-09"}],Xr=[{"@_root":Wt,"@_extension":"2015-08-01"}],Jr=[{"@_root":he,"@_extension":"2016-11-01"}],Kr=[{"@_root":fe,"@_extension":"2022-06-01"}],eo=[{"@_root":de,"@_extension":"2015-08-01"}],sn={"48765-2":kr,"10160-0":Br,"11450-4":Fr,"11369-6":nt,"11348-0":nt,"9176-8":nt,"8716-3":Gr,"29762-2":Yr,"47519-4":$r,"30954-2":Hr,"51848-0":jr,"18776-5":qr,"46240-8":Wr,"61146-7":Qr,"75310-3":zr,"42349-1":Zr,"10190-7":Xr,"11488-4":Jr,"85847-2":Kr,"48768-6":eo};function Ss(t){return new rt(t).convert()}var rt=class{constructor(e){this.bundle=e;let i=this.findResource("Composition");if(!i)throw new Error("Composition not found");let n=this.findResource("Patient");if(!n)throw new Error("Patient not found");this.composition=i,this.patient=n}convert(){let e=this.createSections();return{realmCode:{"@_code":"US"},typeId:{"@_root":Rt,"@_extension":"POCD_HD000040"},templateId:on,id:this.mapIdentifiers(this.composition.id,void 0),code:{"@_code":"34133-9","@_displayName":"Summarization of Episode Note","@_codeSystem":H,"@_codeSystemName":"LOINC"},title:this.composition.title,effectiveTime:this.mapEffectiveTime(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Qi.mapFhirToCcdaCode(this.composition.confidentiality):void 0,languageCode:{"@_code":this.composition.language??"en-US"},recordTarget:this.createRecordTarget(),author:this.mapAuthor(this.composition.author?.[0],this.composition.date),custodian:this.mapCustodian(this.composition.custodian),documentationOf:this.mapDocumentationOf(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(i=>({section:[i]}))}}:void 0}}findResource(e){return this.bundle.entry?.find(i=>i.resource?.resourceType===e)?.resource}findResourceByReference(e){if(!e?.reference)return;let[i,n]=e.reference.split("/");if(!(!i||!n))return this.bundle.entry?.find(r=>r.resource?.resourceType===i&&r.resource?.id===n)?.resource}findResourcesByReferences(e){return e?e.map(i=>this.findResourceByReference(i)).filter(i=>!!i):[]}createRecordTarget(){if(!this.patient)throw new Error("Patient not found");return[{patientRole:{id:this.mapIdentifiers(this.patient.id,this.patient.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(this.patient.address),telecom:this.mapTelecom(this.patient.telecom),patient:this.mapPatient(this.patient)}}]}mapPatient(e){return{name:this.mapNames(e.name),administrativeGenderCode:this.mapGender(e.gender),birthTime:this.mapBirthDate(e.birthDate),raceCode:this.mapRace(e.extension),ethnicGroupCode:this.mapEthnicity(e.extension),languageCommunication:this.mapLanguageCommunication(e.communication)}}mapNames(e){return e?.map(i=>({"@_use":i.use?Te.mapFhirToCcdaWithDefault(i.use,"L"):void 0,prefix:i.prefix,family:i.family,given:i.given,suffix:i.suffix}))}mapGender(e){if(e)return{"@_xsi:type":"CE","@_code":zi.mapFhirToCcda(e),"@_displayName":e?$(e):"Unknown","@_codeSystem":Ut,"@_codeSystemName":"AdministrativeGender"}}mapBirthDate(e){if(e)return{"@_value":e.replace(/-/g,"")}}mapFhirAddressArrayToCcdaAddressArray(e){return!e||e.length===0?[{"@_nullFlavor":"UNK"}]:e.map(i=>this.mapFhirAddressToCcdaAddress(i)).filter(Boolean)}mapFhirAddressToCcdaAddress(e){return e?{"@_use":e.use?Oe.mapFhirToCcda(e.use):void 0,streetAddressLine:e.line||[],city:e.city,state:e.state,postalCode:e.postalCode,country:e.country}:void 0}mapRace(e){let n=e?.find(r=>r.url===_e)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":we,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===me)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":we,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapLanguageCommunication(e){if(e?.length)return[{"@_languageCode":e[0].language?.coding?.[0]?.code}]}createSections(){let e=[];if(this.composition.section)for(let i of this.composition.section)e.push(this.createSection(i));return e}createSection(e){let i=e.code?.coding?.[0]?.code;if(!i)throw new Error(`Missing section code: ${JSON.stringify(e.code)}`);let n=sn[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return{templateId:n,code:h(e.code),title:e.title,text:this.mapFhirTextDivToCcdaSectionText(e.text),entry:r.map(o=>this.createEntry(e,o)),"@_nullFlavor":r.length===0?"NI":void 0}}createEntry(e,i){switch(i.resourceType){case"AllergyIntolerance":return this.createAllergyEntry(i);case"CarePlan":return this.createPlanOfTreatmentCarePlanEntry(i);case"CareTeam":return this.createCareTeamEntry(i);case"Condition":return this.createProblemEntry(i);case"Encounter":return this.createEncounterEntry(i);case"Goal":return this.createPlanOfTreatmentGoalEntry(i);case"Immunization":return this.createImmunizationEntry(i);case"MedicationRequest":return this.createMedicationEntry(i);case"Procedure":return this.createHistoryOfProceduresEntry(i);case"Observation":return this.createObservationEntry(i);default:throw new Error(`Unknown resource type: ${i.resourceType}`)}}mapFhirTextDivToCcdaSectionText(e){if(!e)return;let i=nn(e.div)?.div;return i?.["@_xmlns"]&&delete i["@_xmlns"],i}createAllergyEntry(e){let i=e.reaction?.[0];return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":je},{"@_root":je,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":Le},statusCode:{"@_code":Zi.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectiveTime(e.recordedDate,void 0),author:this.mapAuthor(e.recorder,e.recordedDate),text:this.createTextFromExtensions(e.extension),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Ge},{"@_root":Ge,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":ae},statusCode:{"@_code":"completed"},author:this.mapAuthor(e.asserter,e.recordedDate),effectiveTime:this.mapEffectiveDate(e.onsetDateTime,void 0),value:this.mapAllergyCategory(e.category),text:this.createTextFromExtensions(e.extension),participant:[{"@_typeCode":"CSM",participantRole:{"@_classCode":"MANU",playingEntity:{"@_classCode":"MMAT",code:{...h(e.code),originalText:{reference:this.getNarrativeReference(e.code?.extension)}}}}}],entryRelationship:i?[{"@_typeCode":"MFST","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":$e},{"@_root":$e,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(i.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":ae},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:K(i.manifestation?.[0]),text:this.createTextFromExtensions(i.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Ye},{"@_root":Ye,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":ae,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":ye.mapFhirToCcdaWithDefault(i.severity,"M"),"@_displayName":i.severity?$(i.severity):void 0,"@_codeSystem":M,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(i.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){if(e&&e.length===1&&e[0]==="food")return{"@_xsi:type":"CD","@_code":"414285001","@_displayName":"Allergy to food (finding)","@_codeSystem":M,"@_codeSystemName":"SNOMED CT"}}mapAuthor(e,i){if(!e)return;let n=this.findResourceByReference(e);if(n?.resourceType==="Practitioner")return[{templateId:[{"@_root":Oi}],time:i?{"@_value":R(i)}:void 0,assignedAuthor:{id:this.mapIdentifiers(n.id,n.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(n.address),telecom:this.mapTelecom(n.telecom),code:h(n.qualification?.[0]),assignedPerson:{name:this.mapNames(n.name)}}}]}mapCustodian(e){if(!e)return;let i=this.findResourceByReference(e);if(i)return{assignedCustodian:{representedCustodianOrganization:{id:this.mapIdentifiers(i.id,i.identifier),name:i.name?[i.name]:void 0,telecom:this.mapTelecom(i.telecom),addr:this.mapFhirAddressArrayToCcdaAddressArray(i.address)}}}}mapDocumentationOf(e){if(!e||e.length===0)return;let i=e[0];if(!(!i||!i.code&&!i.period))return{serviceEvent:{"@_classCode":"PCPR",code:h(i.code?.[0]),effectiveTime:this.mapEffectiveDate(void 0,i.period)}}}createMedicationEntry(e){let i=e.contained?.find(d=>d.resourceType==="Medication"),n=i?.code||e.medicationCodeableConcept,r=i?.manufacturer;return{substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":ei,"@_extension":"2014-06-09"}],id:[{"@_root":e.id||crypto.randomUUID()}],text:{reference:{"@_value":"#Medication_6"}},statusCode:{"@_code":Ce.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:this.mapEffectiveDate(void 0,e.dispenseRequest?.validityPeriod),routeCode:this.mapMedicationRoute(e.dosageInstruction?.[0]?.route),doseQuantity:this.mapDoseQuantity(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":ii,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[{...h(n),originalText:{reference:{"@_value":"#MedicationName_6"}}}]}],manufacturerOrganization:r?[{id:this.mapIdentifiers(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]},entryRelationship:[{"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":gi}],code:{"@_code":"76662-6","@_codeSystem":H,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:{reference:{"@_value":"#MedicationSig_6"}},consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}]}]}}mapMedicationRoute(e){if(e)return h(e)}mapDoseQuantity(e){if(e?.doseQuantity)return{"@_xsi:type":"PQ","@_value":e.doseQuantity.value?.toString(),"@_unit":e.doseQuantity.unit}}mapTelecom(e){return!e||e.length===0?[{"@_nullFlavor":"UNK"}]:e?.map(i=>({"@_use":i.use?Se.mapFhirToCcda(i.use):void 0,"@_value":`${this.mapTelecomSystemToPrefix(i.system)}${i.value}`}))}mapTelecomSystemToPrefix(e){return e==="email"?"mailto:":e==="phone"?"tel:":e==="fax"?"fax:":""}mapIdentifiers(e,i){let n=[];if(e&&n.push({"@_root":e}),i)for(let r of i){let o=Wi(r.system);o&&n.push({"@_root":o,"@_extension":r.value})}return n}getNarrativeReference(e){let i=e?.find(n=>n.url===Ee)?.valueString;return i?{"@_value":i}:void 0}createTextFromExtensions(e){let i=this.getNarrativeReference(e);return i?{reference:i}:void 0}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Fe},{"@_root":Fe,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":Le},statusCode:{"@_code":Xi.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectiveTime(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Q},{"@_root":Q,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(void 0,e.identifier),text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":M,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem"},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":V(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":R(e.abatementDateTime)}:void 0}],value:K(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createImmunizationEntry(e){let i=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":We},{"@_root":We,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":V(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Qe},{"@_root":Qe,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[h(e.vaccineCode)],lotNumberText:e.lotNumber?[e.lotNumber]:void 0}],manufacturerOrganization:i?[{id:this.mapIdentifiers(i.id,i.identifier?[i.identifier]:void 0),name:[i.display]}]:void 0}]}}]};return e.performer&&(n.substanceAdministration[0].performer=e.performer.map(r=>this.mapImmunizationPerformerToCcdaPerformer(r)).filter(Boolean)),n}mapImmunizationPerformerToCcdaPerformer(e){if(!e)return;let i=this.findResourceByReference(e.actor);if(!i)return;let n,r;return i.resourceType==="PractitionerRole"?(n=this.findResourceByReference(i.practitioner),r=this.findResourceByReference(i.organization)):i.resourceType==="Practitioner"?n=i:i.resourceType==="Organization"&&(r=i),{assignedEntity:{id:this.mapIdentifiers(i.id,i.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(n?.address),telecom:this.mapTelecom(i.telecom),assignedPerson:n?{id:this.mapIdentifiers(n.id,n.identifier),name:this.mapNames(n.name)}:void 0,representedOrganization:r?{id:this.mapIdentifiers(r.id,r.identifier),name:r.name?[r.name]:void 0,addr:this.mapFhirAddressArrayToCcdaAddressArray(r.address),telecom:this.mapTelecom(r.telecom)}:void 0}}}createObservationEntry(e){return e.hasMember?{organizer:[this.createVitalSignsOrganizer(e)]}:{observation:[this.createVitalSignObservation(e)]}}createPlanOfTreatmentCarePlanEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"INT",id:this.mapIdentifiers(e.id,e.identifier),code:K(e.category?.[0]),templateId:[{"@_root":ti}],statusCode:{"@_code":"completed"},text:e.description?{"#text":e.description}:this.createTextFromExtensions(e.extension)}]}}createPlanOfTreatmentGoalEntry(e){return{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:[{"@_root":ci}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.description),statusCode:{"@_code":this.mapGoalStatus(e.lifecycleStatus)},effectiveTime:[{"@_value":R(e.startDate)}],text:this.createTextFromExtensions(e.extension),entryRelationship:e.target?.map(n=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":z},{"@_root":z,"@_extension":"2014-06-09"}],code:h(n.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":R(e.startDate)}]}]}))}]}}mapGoalStatus(e){switch(e){case"achieved":return"completed";case"cancelled":return"cancelled";default:return"active"}}createVitalSignsOrganizer(e){let i=[];if(e.hasMember)for(let r of e.hasMember){let o=this.findResourceByReference(r);o&&i.push({observation:[this.createVitalSignObservation(o)]})}return{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Z},{"@_root":Z,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":R(e.effectiveDateTime)}],component:i}}createVitalSignObservation(e){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":R(e.effectiveDateTime)}],value:this.mapObservationValue(e),referenceRange:this.mapReferenceRangeArray(e.referenceRange),text:this.createTextFromExtensions(e.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}mapObservationTemplateId(e){let i=e.category?.filter(n=>n.coding?.some(r=>r.system===J)).map(n=>n.coding?.find(r=>r.system===J)).filter(n=>n?.code);if(i&&i.length>0)return i.map(n=>n.version?{"@_root":n.code,"@_extension":n.version}:{"@_root":n.code});if(e.category?.[0]?.coding?.[0]?.code){let n=ge.getEntryByFhir(e.category?.[0]?.coding?.[0]?.code);if(n)return[{"@_root":n.ccdaValue},{"@_root":n.ccdaValue,"@_extension":"2014-06-09"}]}return[{"@_root":X},{"@_root":X,"@_extension":"2014-06-09"}]}mapObservationValue(e){if(e.valueQuantity)return{"@_xsi:type":"PQ","@_unit":e.valueQuantity.unit,"@_value":e.valueQuantity.value?.toString()};if(e.valueCodeableConcept)return K(e.valueCodeableConcept)}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(i=>this.mapReferenceRange(i)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let i=this.getNarrativeReference(e.extension);return i?{observationRange:{text:{reference:i},value:{"@_xsi:type":"ED",reference:i}}}:{observationRange:{text:this.createTextFromExtensions(e.extension)}}}createHistoryOfProceduresEntry(e){if(e.resourceType==="Procedure"){let i=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],n=e.code?.coding?.[0]?.code;return n&&i.includes(n)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":z},{"@_root":z,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":He},{"@_root":He,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension),targetSiteCode:h(e.bodySite?.[0])}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),value:this.mapObservationValue(e),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.effectiveDateTime,e.effectivePeriod),text:this.createTextFromExtensions(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}mapEffectiveTime(e,i){if(i)return[{"@_xsi:type":"IVL_TS",low:{"@_value":R(i.start)},high:{"@_value":R(i.end)}}];if(e)return[{"@_xsi:type":"TS","@_value":R(e)}]}mapEffectiveDate(e,i){if(i)return[{"@_xsi:type":"IVL_TS",low:i.start?{"@_value":V(i.start)}:void 0,high:i.end?{"@_value":V(i.end)}:void 0}];if(e)return[{"@_xsi:type":"TS","@_value":V(e)}]}createEncounterEntry(e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":qe},{"@_root":qe,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.type?.[0]),text:this.createTextFromExtensions(e.extension),effectiveTime:this.mapEffectiveTime(void 0,e.period),entryRelationship:e.participant?.map(i=>({"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":oi}],code:h(i.type?.[0])}}))}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":ze,"@_extension":"2022-07-01"},{"@_root":ze,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,e.identifier),component:e.participant?.map(i=>({"@_typeCode":"PRF",role:i.role}))}]}}};export{Gi as ACT_CODE_SYSTEM,Oe as ADDRESS_USE_MAPPER,yr as ADDRESS_USE_VALUE_SET,gr as ADMINISTRATIVE_GENDER_VALUE_SET,kr as ALLERGIES_SECTION_TEMPLATE_IDS,Ke as ALLERGY_CLINICAL_CODE_SYSTEM,ye as ALLERGY_SEVERITY_MAPPER,Zi as ALLERGY_STATUS_MAPPER,et as ALLERGY_VERIFICATION_CODE_SYSTEM,jr as ASSESSMENTS_SECTION_TEMPLATE_IDS,Kr as CARE_TEAM_SECTION_TEMPLATE_IDS,Ee as CCDA_NARRATIVE_REFERENCE_URL,J as CCDA_TEMPLATE_CODE_SYSTEM,on as CCDA_TEMPLATE_IDS,Xe as CLINICAL_CONDITION_CODE_SYSTEM,ds as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,Fi as CONDITION_CATEGORY_CODE_SYSTEM,Bi as CONDITION_VERIFICATION_CODE_SYSTEM,Je as CONDITION_VER_STATUS_CODE_SYSTEM,Or as CONFIDENTIALITY_CODE_SYSTEM,Qi as CONFIDENTIALITY_MAPPER,Ar as CONTACT_ENTITY_USE_VALUE_SET,wr as CVX_URL,hs as DEVICES_SECTION_TEMPLATE_IDS,$i as DIAGNOSIS_ROLE_CODE_SYSTEM,Wr as ENCOUNTERS_SECTION_TEMPLATE_IDS,Ji as ENCOUNTER_STATUS_MAPPER,I as EnumMapper,Vr as FHIR_CVX_URL,zi as GENDER_MAPPER,Qr as GOALS_SECTION_TEMPLATE_IDS,zr as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,U as HTTP,Te as HUMAN_NAME_USE_MAPPER,nt as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,eo as INSURANCE_SECTION_TEMPLATE_IDS,ps as LAB_TESTS_SECTION_TEMPLATE_IDS,jo as LANGUAGE_MODE_CODE_SYSTEM,Qo as LANGUAGE_MODE_URL,qo as LANGUAGE_PROFICIENCY_CODE_SYSTEM,zo as LANGUAGE_PROFICIENCY_URL,sn as LOINC_TO_TEMPLATE_IDS,Br as MEDICATIONS_SECTION_TEMPLATE_IDS,Rr as MEDICATION_REQUEST_STATUS_VALUE_SET,Ce as MEDICATION_STATUS_MAPPER,Xr as MENTAL_STATUS_SECTION_TEMPLATE_IDS,Cr as NAME_USE_VALUE_SET,Nr as NCI_THESAURUS_URL,Lr as NDFRT_URL,br as NUCC_TAXONOMY_URL,Sr as OBSERVATION_CATEGORY_CODE_SYSTEM,ge as OBSERVATION_CATEGORY_MAPPER,Yi as PARTICIPATION_CODE_SYSTEM,Jr as PATIENT_NOTES_SECTION_TEMPLATE_IDS,qr as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,Fr as PROBLEMS_SECTION_TEMPLATE_IDS,Xi as PROBLEM_STATUS_MAPPER,$r as PROCEDURES_SECTION_TEMPLATE_IDS,Ki as PROCEDURE_STATUS_MAPPER,Wo as RACE_CODE_SYSTEM,Zr as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Hr as RESULTS_SECTION_TEMPLATE_IDS,Yr as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,tt as SYSTEM_MAPPER,Se as TELECOM_USE_MAPPER,Pr as UNII_URL,Hi as US_CORE_CONDITION_URL,me as US_CORE_ETHNICITY_URL,ji as US_CORE_MEDICATION_REQUEST_URL,Zo as US_CORE_PATIENT_URL,_e as US_CORE_RACE_URL,xr as US_DRIVER_LICENSE_URL,vr as US_NPI_URL,Dr as US_SSN_URL,Ur as VA_MEDRT_URL,Gr as VITAL_SIGNS_SECTION_TEMPLATE_IDS,qi as XSI_URL,cs as convertCcdaToFhir,ts as convertCcdaToXml,Ss as convertFhirToCcda,rn as convertToCompactXml,es as convertXmlToCcda,Ie as mapCcdaSystemToFhir,Ue as mapCcdaToFhirDate,_ as mapCcdaToFhirDateTime,h as mapCodeableConceptToCcdaCode,K as mapCodeableConceptToCcdaValue,Wi as mapFhirSystemToCcda,V as mapFhirToCcdaDate,R as mapFhirToCcdaDateTime,nn as parseXml};
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var ln=class{constructor(i,e){this.operator=i,this.child=e}toString(){return`${this.operator}(${this.child.toString()})`}},$=class{constructor(i,e,t){this.operator=i,this.left=e,this.right=t}toString(){return`${this.left.toString()} ${this.operator} ${this.right.toString()}`}},dn=class{constructor(){this.prefixParselets={},this.infixParselets={}}registerInfix(i,e){return this.infixParselets[i]=e,this}registerPrefix(i,e){return this.prefixParselets[i]=e,this}prefix(i,e,t){return this.registerPrefix(i,{parse(n,r){let o=n.consumeAndParse(e);return t(r,o)}})}infixLeft(i,e,t){return this.registerInfix(i,{parse(n,r,o){let s=n.consumeAndParse(e);return t(r,o,s)},precedence:e})}construct(i){return new pn(i,this.prefixParselets,this.infixParselets)}},pn=class{constructor(i,e,t){this.tokens=i,this.prefixParselets=e,this.infixParselets=t}hasMore(){return this.tokens.length>0}match(i){return this.peek()?.id!==i?!1:(this.consume(),!0)}consumeAndParse(i=1/0){let e=this.consume(),t=this.prefixParselets[e.id];if(!t)throw Error(`Parse error at "${e.value}" (line ${e.line}, column ${e.column}). 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E=class{constructor(e,t,n,r){this.systemName=e,this.ccdaSystemOid=t,this.fhirSystemUrl=n,this.entries=r,this.ccdaToFhirMap={},this.fhirToCcdaMap={};for(let o of r)this.ccdaToFhirMap[o.ccdaValue]||(this.ccdaToFhirMap[o.ccdaValue]=o),this.fhirToCcdaMap[o.fhirValue]||(this.fhirToCcdaMap[o.fhirValue]=o)}getEntryByFhir(e){return this.fhirToCcdaMap[e]}getEntryByCcda(e){return this.ccdaToFhirMap[e]}mapCcdaToFhir(e){return this.ccdaToFhirMap[e]?.fhirValue}mapCcdaToFhirWithDefault(e,t){return e?this.mapCcdaToFhir(e)??t:t}mapFhirToCcdaWithDefault(e,t){return e?this.mapFhirToCcda(e)??t:t}mapCcdaToFhirCodeableConcept(e){let t=this.ccdaToFhirMap[e];if(t)return{coding:[{system:this.fhirSystemUrl,code:t.fhirValue,display:t.displayName}],text:t.displayName}}mapFhirToCcda(e){if(e)return this.fhirToCcdaMap[e]?.ccdaValue}mapFhirToCcdaCode(e){if(!e)return;let t=this.fhirToCcdaMap[e];if(t)return{"@_code":t.ccdaValue,"@_displayName":t.displayName,"@_codeSystem":this.ccdaSystemOid,"@_codeSystemName":Ce.getEntryByCcda(this.ccdaSystemOid)?.displayName}}},L="http:",ut=`${I}/CodeSystem/condition-clinical`,Yi=`${I}/CodeSystem/condition-verification`,Qo=`${I}/CodeSystem/v3-LanguageAbilityMode`,zo=`${I}/CodeSystem/v3-LanguageAbilityProficiency`,Zo=`${I}/CodeSystem/v3-Race`,$i=`${I}/CodeSystem/condition-category`,lt=`${I}/CodeSystem/condition-ver-status`,Te=`${I}/CodeSystem/allergyintolerance-clinical`,dt=`${I}/CodeSystem/allergyintolerance-verification`,Hi=`${I}/CodeSystem/v3-ActCode`,ji=`${I}/CodeSystem/v3-ParticipationType`,qi=`${I}/CodeSystem/diagnosis-role`,Cr=`${I}/CodeSystem/v3-Confidentiality`,gr=`${I}/CodeSystem/observation-category`,Ar=`${f}/fhir/ValueSet/address-use`,Rr=`${f}/fhir/ValueSet/name-use`,Nr=`${f}/fhir/ValueSet/administrative-gender`,Dr=`${f}/fhir/ValueSet/contactentity-use`,xr=`${f}/fhir/ValueSet/medicationrequest-status`,Xo=`${f}/fhir/StructureDefinition/language-mode`,Jo=`${f}/fhir/StructureDefinition/language-proficiency`,Ko=`${f}/fhir/us/core/StructureDefinition/us-core-patient`,Oe=`${f}/fhir/us/core/StructureDefinition/us-core-race`,Se=`${f}/fhir/us/core/StructureDefinition/us-core-ethnicity`,Wi=`${f}/fhir/us/core/StructureDefinition/us-core-condition`,Qi=`${f}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,es=`${f}/cda/template`,vr=`${L}//ncithesaurus-stage.nci.nih.gov`,Pr=`${f}/fhir/sid/us-ssn`,br=`${f}/fhir/sid/us-dln`,Ur=`${f}/fhir/sid/us-npi`,Lr=`${L}//fdasis.nlm.nih.gov`,Vr=`${L}//nucc.org/provider-taxonomy`,wr=`${L}//va.gov/terminology/medrt`,Mr=`${L}//hl7.org/fhir/ndfrt`,kr=`${L}//nucc.org/cvx`,Br=`${f}/fhir/sid/cvx`,zi=`${L}//www.w3.org/2001/XMLSchema-instance`,ye="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",Ce=new E("System","","",[{ccdaValue:wt,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:Mt,fhirValue:vr,displayName:"NCI Thesaurus"},{ccdaValue:kt,fhirValue:Pr,displayName:"SSN"},{ccdaValue:Bt,fhirValue:br,displayName:"DLN"},{ccdaValue:Ft,fhirValue:Ur,displayName:"NPI"},{ccdaValue:Gt,fhirValue:Lr,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:M,fhirValue:ae,displayName:"LOINC"},{ccdaValue:$t,fhirValue:yt,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:Ht,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:jt,fhirValue:Ct,displayName:"National Drug Code (NDC)"},{ccdaValue:qt,fhirValue:St,displayName:"RxNorm"},{ccdaValue:k,fhirValue:Ve,displayName:"SNOMED CT"},{ccdaValue:Wt,fhirValue:Vr,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:zt,fhirValue:wr,displayName:"Medication Reference Terminology (MED-RT)"},{ccdaValue:Qt,fhirValue:Mr,displayName:"National Drug File Reference Terminology (NDF-RT)"},{ccdaValue:ct,fhirValue:kr,displayName:"CVX"},{ccdaValue:$e,fhirValue:"Confidentiality",displayName:"Confidentiality"},{ccdaValue:ct,fhirValue:Br,displayName:"Vaccine Administered Code Set (CVX)"}]);function te(i){if(i)return Ce.mapCcdaToFhir(i)??`urn:oid:${i}`}function Zi(i){if(i)return i.startsWith("urn:oid:")?i.replace("urn:oid:",""):Ce.mapFhirToCcda(i)}function h(i){if(!i?.coding)return;let e=Gi(i.coding[0]);if(i.coding.length>1){e.translation=[];for(let t=1;t<i.coding.length;t++)e.translation.push(Gi(i.coding[t]))}return e}function Gi(i){let e=i?.system?Ce.getEntryByFhir(i.system):void 0,t=e?.ccdaValue,n=e?.displayName,r=i.system?.startsWith("urn:oid:")?i.system.replace("urn:oid:",""):void 0;return{"@_code":i.code,"@_displayName":i.display,"@_codeSystem":t??r,"@_codeSystemName":n}}function ie(i){let e=h(i);if(e)return{"@_xsi:type":"CD",...e}}var Xi=new E("Confidentiality",$e,Cr,[{ccdaValue:"U",fhirValue:"U",displayName:"unrestricted"},{ccdaValue:"L",fhirValue:"L",displayName:"low"},{ccdaValue:"M",fhirValue:"M",displayName:"moderate"},{ccdaValue:"N",fhirValue:"N",displayName:"normal"},{ccdaValue:"R",fhirValue:"R",displayName:"restricted"},{ccdaValue:"V",fhirValue:"V",displayName:"very restricted"}]),ge=new E("HumanNameUse","",Rr,[{ccdaValue:"C",fhirValue:"usual",displayName:"Common/Called by"},{ccdaValue:"L",fhirValue:"official",displayName:"Legal"},{ccdaValue:"TEMP",fhirValue:"temp",displayName:"Temporary"},{ccdaValue:"P",fhirValue:"nickname",displayName:"Nickname"},{ccdaValue:"ANON",fhirValue:"anonymous",displayName:"Anonymous"},{ccdaValue:"L",fhirValue:"maiden",displayName:"Maiden"},{ccdaValue:"L",fhirValue:"old",displayName:"Old"}]),Ji=new E("Gender","",Nr,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Ae=new E("AddressUse","",Ar,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),Re=new E("TelecomUse","",Dr,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"}]),Ne=new E("AllergyStatus","",dt,[{ccdaValue:"unconfirmed",fhirValue:"unconfirmed",displayName:"Unconfirmed"},{ccdaValue:"provisional",fhirValue:"provisional",displayName:"Provisional"},{ccdaValue:"differential",fhirValue:"differential",displayName:"Differential"},{ccdaValue:"confirmed",fhirValue:"confirmed",displayName:"Confirmed"},{ccdaValue:"refuted",fhirValue:"refuted",displayName:"Refuted"},{ccdaValue:"entered-in-error",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Ki=new E("AllergyCategory",k,Te,[{ccdaValue:"414285001",fhirValue:"food",displayName:"Allergy to food (finding)"},{ccdaValue:"419511003",fhirValue:"medication",displayName:"Propensity to adverse reactions to drug (finding)"},{ccdaValue:"426232007",fhirValue:"environment",displayName:"Environmental allergy (finding)"},{ccdaValue:"418038007",fhirValue:"biologic",displayName:"Propensity to adverse reactions to substance (finding)"}]),De=new E("AllergySeverity",Ve,Te,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),xe=new E("ProblemStatus","",lt,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"inactive",fhirValue:"inactive",displayName:"Inactive"},{ccdaValue:"resolved",fhirValue:"inactive",displayName:"Resolved"},{ccdaValue:"remission",fhirValue:"inactive",displayName:"In Remission"},{ccdaValue:"relapse",fhirValue:"active",displayName:"Relapse"},{ccdaValue:"resolved relapse",fhirValue:"inactive",displayName:"Resolved Relapse"},{ccdaValue:"aborted",fhirValue:"aborted",displayName:"Aborted"}]),ve=new E("ImmunizationStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"nullified",fhirValue:"entered-in-error",displayName:"Nullified"},{ccdaValue:"aborted",fhirValue:"not-done",displayName:"Aborted"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Cancelled"},{ccdaValue:"obsolete",fhirValue:"not-done",displayName:"Obsolete"}]),en=new E("EncounterStatus","","",[{ccdaValue:"active",fhirValue:"in-progress",displayName:"In Progress"},{ccdaValue:"completed",fhirValue:"finished",displayName:"Finished"},{ccdaValue:"aborted",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),tn=new E("ProcedureStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Not Done"},{ccdaValue:"new",fhirValue:"not-done",displayName:"Draft"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Pe=new E("MedicationStatus","",xr,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"aborted",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"active",fhirValue:"draft",displayName:"Draft"},{ccdaValue:"cancelled",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"nullified",fhirValue:"cancelled",displayName:"Nullified"},{ccdaValue:"obsolete",fhirValue:"cancelled",displayName:"Obsolete"}]),be=new E("ObservationCategory","",gr,[{ccdaValue:di,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:pi,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:K,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:Oi,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:ee,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:Vi,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:wi,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:Li,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:ki,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:Ni,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:Di,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:Zt,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:Mi,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:J,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:li,fhirValue:"vital-signs",displayName:"Vital Signs Observation V2"},{ccdaValue:X,fhirValue:"vital-signs",displayName:"Vital Signs Organizer"},{ccdaValue:ui,fhirValue:"vital-signs",displayName:"Vital Signs Organizer V2"},{ccdaValue:Fi,fhirValue:"vital-signs",displayName:"Average Blood Pressure Organizer"},{ccdaValue:ii,fhirValue:"laboratory",displayName:"Result Organizer"},{ccdaValue:ni,fhirValue:"laboratory",displayName:"Result Organizer V2"},{ccdaValue:ri,fhirValue:"laboratory",displayName:"Result Observation"},{ccdaValue:oi,fhirValue:"laboratory",displayName:"Result Observation V2"},{ccdaValue:Pi,fhirValue:"laboratory",displayName:"Laboratory Battery (ID)"},{ccdaValue:bi,fhirValue:"laboratory",displayName:"Laboratory Observation (ID)"},{ccdaValue:Ui,fhirValue:"laboratory",displayName:"Laboratory Result Organizer (ID)"},{ccdaValue:mi,fhirValue:"survey",displayName:"Assessment Scale Observation"},{ccdaValue:Si,fhirValue:"survey",displayName:"Assessment Scale Supporting Observation"},{ccdaValue:Ii,fhirValue:"survey",displayName:"Cognitive Status Result Observation"},{ccdaValue:Ti,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:_i,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:fi,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:ai,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:z,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:si,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:Ei,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:yi,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Ri,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:B,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Bi,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:Ai,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:xi,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:vi,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]);import{XMLBuilder as nn,XMLParser as rn}from"fast-xml-parser";var Fr=["ClinicalDocument.recordTarget",".id",".templateId",".name",".addr",".telecom",".streetAddressLine",".author",".effectiveTime","name.given","name.suffix","name.prefix","patient.raceCode","patient.ethnicGroupCode","patient.languageCommunication","component.structuredBody.component","component.structuredBody.component.section","component.section","component.observation","component.act","code.translation","section.entry","entry.act","entry.organizer","entry.substanceAdministration","entry.observation","entry.encounter","entry.procedure","encounter.performer","encounter.participant","encounter.entryRelationship","entryRelationship.observation","entryRelationship.substanceAdministration","entryRelationship.act","organizer.component","substanceAdministration.consumable.manufacturedProduct","substanceAdministration.entryRelationship","substanceAdministration.performer","act.entryRelationship","act.performer","observation.participant","observation.entryRelationship","observation.referenceRange","consumable.manufacturedProduct","manufacturedProduct.manufacturedMaterial","manufacturedProduct.manufacturerOrganization","manufacturedProduct.manufacturedLabeledDrug","manufacturedMaterial.code","manufacturedMaterial.lotNumberText"];function rs(i){return new rn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Fr.some(c=>r.endsWith(c))}).parse(i).ClinicalDocument}function os(i){return new nn({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!0,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build({"?xml":{"@_version":"1.0","@_encoding":"UTF-8"},"?xml-stylesheet":{"@_type":"text/xsl","@_href":"CDA.xsl"},ClinicalDocument:{"@_xmlns":"urn:hl7-org:v3","@_xmlns:xsi":zi,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function on(i){return new rn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function sn(i){return i?typeof i=="string"?i:new nn({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
|
|
2
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+
`).map(n=>n.trim()).join(""):""}function ps(i){return new pt(i).convert()}var pt=class{constructor(e){this.resources=[];this.ccda=e}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(t=>({resource:t}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e))}createPatient(e){let t=e.patient,n=[];return t.raceCode&&t.raceCode.length>0&&n.push({url:Oe,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&n.push({url:Se,extension:t.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(t.name),gender:this.mapGenderCode(t.administrativeGenderCode?.["@_code"]),birthDate:Ge(t.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:n.length>0?n:void 0}}mapId(e){let t=e?.find(n=>!n["@_extension"]&&n["@_root"]&&ke(n["@_root"]));return t?t["@_root"]:ce()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&ke(n["@_root"])||t.push({system:te(n["@_root"]),value:n["@_extension"]});return t}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(t=>this.mapCcdaNameToFhirHumanName(t)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let t={},n=e["@_use"]?ge.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(ne)?.filter(Boolean)),e.family&&(t.family=ne(e.family)),e.given&&(t.given=e.given.map(ne)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(ne)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?Ae.mapCcdaToFhir(t["@_use"]):void 0,line:t.streetAddressLine,city:t.city,state:t.state,postalCode:t.postalCode,country:t.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?Re.mapCcdaToFhir(t["@_use"]):void 0,system:this.getTelecomSystem(t["@_value"]),value:this.getTelecomValue(t["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],t=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);t.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${sn(r.text)}</div>`},entry:o.map(p)}),this.resources.push(...o)}return{resourceType:"Composition",id:this.mapId(this.ccda.id),language:this.ccda.languageCode?.["@_code"],status:"final",type:this.ccda.code?this.mapCode(this.ccda.code):{coding:[{system:ae,code:"34133-9"}]},confidentiality:this.ccda.confidentialityCode?.["@_code"],author:this.ccda.author?.[0]?[this.mapAuthorToReference(this.ccda.author?.[0])]:[{display:"Medplum"}],custodian:this.mapCustodianToReference(this.ccda.custodian),event:this.mapDocumentationOfToEvent(this.ccda.documentationOf),date:_(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:t}}processSection(e){let t=[];if(e.entry)for(let n of e.entry)this.processEntry(e,n,t);return t}processEntry(e,t,n){for(let r of t.act??[]){let o=this.processAct(e,r);o&&n.push(o)}for(let r of t.substanceAdministration??[]){let o=this.processSubstanceAdministration(e,r);o&&n.push(o)}for(let r of t.organizer??[])n.push(this.processOrganizer(e,r));for(let r of t.observation??[])n.push(this.processObservation(e,r));for(let r of t.encounter??[])n.push(this.processEncounter(e,r));for(let r of t.procedure??[])n.push(this.processProcedure(e,r))}processAct(e,t){let n=e.templateId[0]["@_root"];switch(n){case he:return this.processAllergyIntoleranceAct(t);case pe:return this.processConditionAct(t);case P:return this.processCarePlanAct(t);case _e:return this.processConditionAct(t);case B:return this.processProcedureAct(t);case ue:return;case me:return;case fe:return;default:throw new Error("Unhandled act templateId: "+n)}}processAllergyIntoleranceAct(e){let t=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!t)return;let n={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:p(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(t.effectiveTime?.[0])};t.value?.["@_code"]==="414285001"&&(n.category=["food"]),n.extension=this.mapTextReference(t.text);let r=t.participant?.[0]?.participantRole?.playingEntity?.code;r&&(n.code=this.mapCode(r),n.code&&r.originalText?.reference?.["@_value"]&&(n.code.extension=this.mapTextReference(r.originalText)));let o=t.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(n.reaction=o.map(s=>this.processReaction(s))),n.asserter=this.mapAuthorToReference(t.author?.[0]),n}processConditionAct(e){let t=e.entryRelationship?.find(r=>r["@_typeCode"]==="SUBJ")?.observation?.[0];if(!t)return;let n={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(t.id)),meta:{profile:[Wi]},clinicalStatus:{coding:[{system:ut,code:xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Yi,code:"confirmed"}]},category:[{coding:[{system:$i,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(t.value),subject:p(this.patient),onsetDateTime:_(t.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:_(t.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(t.author?.[0]),asserter:this.mapAuthorToReference(t.author?.[0])};return n.extension=this.mapTextReference(t.text),n}processCarePlanAct(e){return{resourceType:"CarePlan",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"active",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:p(this.patient),description:ne(e.text)}}processProcedureAct(e){return{resourceType:"Procedure",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",code:this.mapCode(e.code),subject:p(this.patient),performedDateTime:_(e.effectiveTime?.[0]?.["@_value"]),recorder:this.mapAuthorToReference(e.author?.[0]),asserter:this.mapAuthorToReference(e.author?.[0]),extension:this.mapTextReference(e.text)}}processSubstanceAdministration(e,t){let n=e.templateId[0]["@_root"];switch(n){case de:case P:return this.processMedicationSubstanceAdministration(t);case q:case W:return this.processImmunizationSubstanceAdministration(t);default:throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let t=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],c=e.entryRelationship?.find(m=>m.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Ie)?.substanceAdministration?.[0],d,N;return s?d={resourceType:"Medication",id:"med-"+t,code:this.mapCode(n),extension:this.mapTextReference(n?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:N={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:t,contained:d?[d]:void 0,meta:{profile:[Qi]},extension:this.mapTextReference(e.text),status:Pe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:d?{reference:"#med-"+t}:void 0,medicationCodeableConcept:N,subject:p(this.patient),authoredOn:_(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:_(e.effectiveTime?.[0]?.low?.["@_value"]),end:_(e.effectiveTime?.[0]?.high?.["@_value"])}}:void 0,dosageInstruction:[{text:typeof e.text=="string"?e.text:void 0,extension:this.mapTextReference(c?.text),route:r?this.mapCode(r):void 0,timing:{repeat:e.effectiveTime?.[1]?.period?{period:Number(e.effectiveTime?.[1]?.period["@_value"]),periodUnit:e.effectiveTime?.[1]?.period["@_unit"]}:void 0},doseAndRate:o?[{doseQuantity:{system:Le,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let t=e.consumable;if(!t)return;let n={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:ve.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(t.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:p(this.patient),occurrenceDateTime:_(e.effectiveTime?.[0]?.["@_value"]),lotNumber:t.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(n.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),n.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(n.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),n}processReaction(e){let t={id:this.mapId(e.id),manifestation:[this.mapCode(e.value)],onset:_(e.effectiveTime?.[0]?.low?.["@_value"])};return this.processSeverity(e,t),t.manifestation&&t.manifestation.length>0&&e.text?.reference?.["@_value"]&&(t.manifestation[0].extension=this.mapTextReference(e.text)),t}processSeverity(e,t){let n=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!n)return;let r=n.value?.["@_code"];r&&(t.severity=De.mapCcdaToFhir(r)),t.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return _(e["@_value"]);if(e?.low?.["@_value"])return _(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:_(e?.low?.["@_value"]),end:_(e?.high?.["@_value"])}}mapGenderCode(e){return e?{F:"female",M:"male",UN:"unknown"}[e]:void 0}getTelecomSystem(e){if(e)return e.startsWith("tel:")?"phone":e.startsWith("mailto:")?"email":"other"}getTelecomValue(e){if(e)return e.replace(/^(tel:|mailto:)/,"")}mapCode(e){if(!e)return;let t={coding:[{system:te(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:te(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:te(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Te,code:Ne.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:dt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let t={resourceType:"Practitioner",id:this.mapId(e.assignedAuthor?.id),identifier:this.mapIdentifiers(e.assignedAuthor?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(e.assignedAuthor?.assignedPerson?.name),address:this.mapAddresses(e.assignedAuthor?.addr),telecom:this.mapTelecom(e.assignedAuthor?.telecom),qualification:e.assignedAuthor?.code?[this.mapCode(e.assignedAuthor?.code)]:void 0};return this.resources.push(t),p(t)}mapAssignedEntityToReference(e){if(!e)return;let t=e.assignedPerson,n=e.representedOrganization,r={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(t?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(r);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(n?.id),name:n?.name?.[0],address:this.mapAddresses(n?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:p(r),organization:p(o)};return this.resources.push(s),p(s)}mapCustodianToReference(e){if(!e)return;let t={resourceType:"Organization",id:this.mapId(e.assignedCustodian.representedCustodianOrganization.id),identifier:this.mapIdentifiers(e.assignedCustodian.representedCustodianOrganization.id),name:e.assignedCustodian.representedCustodianOrganization.name?.[0],address:this.mapAddresses(e.assignedCustodian.representedCustodianOrganization.addr),telecom:this.mapTelecom(e.assignedCustodian.representedCustodianOrganization.telecom)};return this.resources.push(t),p(t)}mapDocumentationOfToEvent(e){if(!e)return;let t=e.serviceEvent;if(t)return[{code:t.code?[this.mapCode(t.code)]:void 0,period:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0])}]}concatArrays(e,t){return e?t?[...e,...t]:e:t}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let t=[];for(let n of e){let r=n.assignedEntity,o=this.mapAssignedEntityToReference(r);o&&t.push({actor:o})}return t}processOrganizer(e,t){return e.templateId[0]["@_root"]===Ee?this.processCareTeamOrganizer(t):this.processVitalsOrganizer(t)}processCareTeamOrganizer(e){let t=[];if(e.component)for(let r of e.component){let o=this.processCareTeamMember(r);o&&t.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:t.length>0?t:void 0}}processCareTeamMember(e){let t=e.act?.[0];if(!t)return;let n=t.performer?.[0];if(n)return{role:n.functionCode?[this.mapCode(n.functionCode)]:void 0,member:this.mapAssignedEntityToReference(n.assignedEntity),period:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0])}}processVitalsOrganizer(e){let t={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:p(this.patient)};if(e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=_(e.effectiveTime?.[0]?.["@_value"])),e.component){let n=[];for(let r of e.component)n.push(...this.processVitalsComponent(r));n.length>0&&(t.hasMember=n)}return t}processVitalsComponent(e){let t=[];if(e.observation)for(let n of e.observation){let r=this.processVitalsObservation(n);t.push(p(r)),this.resources.push(r)}return t}processObservation(e,t){let n=t.templateId[0]["@_root"];if(n===Q||n===gi)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case P:case Q:return this.processGoalObservation(t);default:return this.processVitalsObservation(t)}}processGoalObservation(e){let t={resourceType:"Goal",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),lifecycleStatus:this.mapGoalLifecycleStatus(e),description:this.mapCode(e.code),subject:p(this.patient),startDate:Ge(e.effectiveTime?.[0]?.["@_value"])};return t.target=e.entryRelationship?.map(n=>({measure:this.mapCode(n.act?.[0]?.code),detailCodeableConcept:this.mapCode(n.act?.[0]?.code),dueDate:_(n.act?.[0]?.effectiveTime?.[0]?.low?.["@_value"])})),t.extension=this.mapTextReference(e.text),t}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let t={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:p(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(n=>this.mapAuthorToReference(n)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":t.valueQuantity={value:e.value["@_value"]?parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:Le,code:e.value["@_unit"]};break;case"CD":case"CE":t.valueCodeableConcept=this.mapCode(e.value);break;case"ST":t.valueString=e.value["#text"]??"";break;default:console.warn(`Unhandled observation value type: ${e.value["@_xsi:type"]}`)}return e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=_(e.effectiveTime?.[0]?.["@_value"])),t.extension=this.mapTextReference(e.text),t}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let t=new Set,n=[];for(let r of e){let o=be.mapCcdaToFhirCodeableConcept(r["@_root"]);o?.coding?.[0]?.code&&!t.has(o.coding[0].code)&&(t.add(o.coding[0].code),n.push(o))}return Array.from(n.values())}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(t=>this.mapReferenceRange(t)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let t=e.observationRange;if(!t)return;let n={};return n.extension=this.mapTextReference(t.text),n}processEncounter(e,t){let n={resourceType:"Encounter",id:this.mapId(t.id),identifier:this.mapIdentifiers(t.id),status:en.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:Hi,code:t.code?.["@_code"]??"AMB",display:t.code?.["@_displayName"]??"Ambulatory"},type:t.code?[this.mapCode(t.code)]:void 0,subject:p(this.patient),period:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0])};if(t.performer&&(n.participant=t.performer.map(r=>({type:[{coding:[{system:ji,code:r["@_typeCode"]??"PPRF",display:"Primary Performer"}]}],individual:this.mapAssignedEntityToReference(r.assignedEntity)}))),t.entryRelationship){let r=t.entryRelationship.filter(o=>o["@_typeCode"]==="RSON").map(o=>{let s=o.observation?.[0];if(!s)return;let c={resourceType:"Condition",id:this.mapId(s.id),identifier:this.mapIdentifiers(s.id),clinicalStatus:{coding:[{system:ut,code:"active"}]},verificationStatus:{coding:[{system:lt,code:"confirmed"}]},code:this.mapCode(s.value),subject:p(this.patient),onsetDateTime:_(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(c),{condition:p(c),use:{coding:[{system:qi,code:"AD",display:"Admission diagnosis"}]}}}).filter(Boolean);r.length>0&&(n.diagnosis=r)}return n.extension=this.mapTextReference(t.text),n}processProcedure(e,t){return{resourceType:"Procedure",id:this.mapId(t.id),identifier:this.mapIdentifiers(t.id),status:tn.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"completed"),code:this.mapCode(t.code),subject:p(this.patient),performedPeriod:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0]),bodySite:t.targetSiteCode?[this.mapCode(t.targetSiteCode)]:void 0,extension:this.mapTextReference(t.text)}}mapTextReference(e){if(!(!e||typeof e!="object")&&e?.reference?.["@_value"])return[{url:ye,valueString:e.reference?.["@_value"]}]}};function ne(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var an=[{"@_root":je,"@_extension":"2015-08-01"},{"@_root":je},{"@_root":qe,"@_extension":"2015-08-01"},{"@_root":qe}],Gr=[{"@_root":he,"@_extension":"2015-08-01"}],Yr=[{"@_root":de,"@_extension":"2014-06-09"}],$r=[{"@_root":pe,"@_extension":"2015-08-01"}],ht=[{"@_root":q},{"@_root":q,"@_extension":"2015-08-01"},{"@_root":W},{"@_root":W,"@_extension":"2015-08-01"}],Hr=[{"@_root":Xt,"@_extension":"2015-08-01"}],jr=[{"@_root":Qe},{"@_root":Qe,"@_extension":"2015-08-01"}],qr=[{"@_root":B,"@_extension":"2014-06-09"}],_s=[{"@_root":P,"@_extension":"2014-06-09"}],ms=[{"@_root":We,"@_extension":"2015-08-01"}],Wr=[{"@_root":We,"@_extension":"2015-08-01"}],Es=[{"@_root":ei,"@_extension":"2015-08-01"}],Qr=[{"@_root":Jt}],zr=[{"@_root":P},{"@_root":P,"@_extension":"2014-06-09"}],Zr=[{"@_root":Kt,"@_extension":"2015-08-01"}],Xr=[{"@_root":Q}],Jr=[{"@_root":_e,"@_extension":"2015-08-01"}],Kr=[{"@_root":ue,"@_extension":"2014-06-09"}],eo=[{"@_root":ti,"@_extension":"2015-08-01"}],to=[{"@_root":me,"@_extension":"2016-11-01"}],io=[{"@_root":Ee,"@_extension":"2022-06-01"}],no=[{"@_root":fe,"@_extension":"2015-08-01"}],cn={"48765-2":Gr,"10160-0":Yr,"11450-4":$r,"11369-6":ht,"11348-0":ht,"9176-8":ht,"8716-3":Hr,"29762-2":jr,"47519-4":qr,"30954-2":Wr,"51848-0":Qr,"18776-5":zr,"46240-8":Zr,"61146-7":Xr,"75310-3":Jr,"42349-1":Kr,"10190-7":eo,"11488-4":to,"85847-2":io,"48768-6":no};function As(i){return new ft(i).convert()}var ft=class{constructor(e){this.bundle=e;let t=this.findResource("Composition");if(!t)throw new Error("Composition not found");let n=this.findResource("Patient");if(!n)throw new Error("Patient not found");this.composition=t,this.patient=n}convert(){let e=this.createSections();return{realmCode:{"@_code":"US"},typeId:{"@_root":Vt,"@_extension":"POCD_HD000040"},templateId:an,id:this.mapIdentifiers(this.composition.id,void 0),code:{"@_code":"34133-9","@_displayName":"Summarization of Episode Note","@_codeSystem":M,"@_codeSystemName":"LOINC"},title:this.composition.title,effectiveTime:this.mapEffectiveTime(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Xi.mapFhirToCcdaCode(this.composition.confidentiality):void 0,languageCode:{"@_code":this.composition.language??"en-US"},recordTarget:this.createRecordTarget(),author:this.mapAuthor(this.composition.author?.[0],this.composition.date),custodian:this.mapCustodian(this.composition.custodian),documentationOf:this.mapDocumentationOf(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(t=>({section:[t]}))}}:void 0}}findResource(e){return this.bundle.entry?.find(t=>t.resource?.resourceType===e)?.resource}findResourceByReference(e){if(!e?.reference)return;let[t,n]=e.reference.split("/");if(!(!t||!n))return this.bundle.entry?.find(r=>r.resource?.resourceType===t&&r.resource?.id===n)?.resource}findResourcesByReferences(e){return e?e.map(t=>this.findResourceByReference(t)).filter(t=>!!t):[]}createRecordTarget(){if(!this.patient)throw new Error("Patient not found");return[{patientRole:{id:this.mapIdentifiers(this.patient.id,this.patient.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(this.patient.address),telecom:this.mapTelecom(this.patient.telecom),patient:this.mapPatient(this.patient)}}]}mapPatient(e){return{name:this.mapNames(e.name),administrativeGenderCode:this.mapGender(e.gender),birthTime:this.mapBirthDate(e.birthDate),raceCode:this.mapRace(e.extension),ethnicGroupCode:this.mapEthnicity(e.extension),languageCommunication:this.mapLanguageCommunication(e.communication)}}mapNames(e){return e?.map(t=>({"@_use":t.use?ge.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":Ji.mapFhirToCcda(e),"@_displayName":e?H(e):"Unknown","@_codeSystem":Yt,"@_codeSystemName":"AdministrativeGender"}}mapBirthDate(e){if(e)return{"@_value":e.replace(/-/g,"")}}mapFhirAddressArrayToCcdaAddressArray(e){return!e||e.length===0?[{"@_nullFlavor":"UNK"}]:e.map(t=>this.mapFhirAddressToCcdaAddress(t)).filter(Boolean)}mapFhirAddressToCcdaAddress(e){return e?{"@_use":e.use?Ae.mapFhirToCcda(e.use):void 0,streetAddressLine:e.line||[],city:e.city,state:e.state,postalCode:e.postalCode,country:e.country}:void 0}mapRace(e){let n=e?.find(r=>r.url===Oe)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":He,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===Se)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":He,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapLanguageCommunication(e){if(e?.length)return[{"@_languageCode":e[0].language?.coding?.[0]?.code}]}createSections(){let e=[];if(this.composition.section)for(let t of this.composition.section)e.push(this.createSection(t));return e}createSection(e){let t=e.code?.coding?.[0]?.code;if(!t)throw new Error(`Missing section code: ${JSON.stringify(e.code)}`);let n=cn[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return{templateId:n,code:h(e.code),title:e.title,text:this.mapFhirTextDivToCcdaSectionText(e.text),entry:r.map(o=>this.createEntry(e,o)),"@_nullFlavor":r.length===0?"NI":void 0}}createEntry(e,t){switch(t.resourceType){case"AllergyIntolerance":return this.createAllergyEntry(t);case"CarePlan":return this.createPlanOfTreatmentCarePlanEntry(t);case"CareTeam":return this.createCareTeamEntry(t);case"Condition":return this.createProblemEntry(t);case"Encounter":return this.createEncounterEntry(t);case"Goal":return this.createPlanOfTreatmentGoalEntry(t);case"Immunization":return this.createImmunizationEntry(t);case"MedicationRequest":return this.createMedicationEntry(t);case"Procedure":return this.createHistoryOfProceduresEntry(t);case"Observation":return this.createObservationEntry(t);default:throw new Error(`Unknown resource type: ${t.resourceType}`)}}mapFhirTextDivToCcdaSectionText(e){if(!e)return;let t=on(e.div)?.div;return t?.["@_xmlns"]&&delete t["@_xmlns"],t}createAllergyEntry(e){let t=e.reaction?.[0];return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":it},{"@_root":it,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":Ye},statusCode:{"@_code":Ne.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),author:this.mapAuthor(e.recorder,e.recordedDate),text:this.createTextFromExtensions(e.extension),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Ze},{"@_root":Ze,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":le},statusCode:{"@_code":"completed"},author:this.mapAuthor(e.asserter,e.recordedDate),effectiveTime:this.mapEffectivePeriod(e.onsetPeriod?.start??e.onsetDateTime,e.onsetPeriod?.end,!0),value:this.mapAllergyCategory(e.category),text:this.createTextFromExtensions(e.extension),participant:[{"@_typeCode":"CSM",participantRole:{"@_classCode":"MANU",playingEntity:{"@_classCode":"MMAT",code:{...h(e.code),originalText:e.code?.extension?{reference:this.getNarrativeReference(e.code?.extension)}:void 0}}}}],entryRelationship:t?[{"@_typeCode":"MFST","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Je},{"@_root":Je,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":le},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:ie(t.manifestation?.[0]),text:this.createTextFromExtensions(t.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Xe},{"@_root":Xe,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":le,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":De.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?H(t.severity):void 0,"@_codeSystem":k,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){if(!e||e.length===0)return;let t=Ki.mapFhirToCcdaCode(e[0]);if(t)return{"@_xsi:type":"CD",...t}}mapAuthor(e,t){if(!e)return;let n=this.findResourceByReference(e);if(n?.resourceType==="Practitioner")return[{templateId:[{"@_root":Ci}],time:t?{"@_value":O(t)}:void 0,assignedAuthor:{id:this.mapIdentifiers(n.id,n.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(n.address),telecom:this.mapTelecom(n.telecom),code:h(n.qualification?.[0]),assignedPerson:{name:this.mapNames(n.name)}}}]}mapCustodian(e){if(!e)return;let t=this.findResourceByReference(e);if(t)return{assignedCustodian:{representedCustodianOrganization:{id:this.mapIdentifiers(t.id,t.identifier),name:t.name?[t.name]:void 0,telecom:this.mapTelecom(t.telecom),addr:this.mapFhirAddressArrayToCcdaAddressArray(t.address)}}}}mapDocumentationOf(e){if(!e||e.length===0)return;let t=e[0];if(!(!t||!t.code&&!t.period))return{serviceEvent:{"@_classCode":"PCPR",code:h(t.code?.[0]),effectiveTime:this.mapEffectiveDate(void 0,t.period)}}}createMedicationEntry(e){let t=e.contained?.find(s=>s.resourceType==="Medication"),n=t?.code||e.medicationCodeableConcept,r=t?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=this.mapEffectiveDate(void 0,e.dispenseRequest.validityPeriod);s&&o.push(...s)}return e.dosageInstruction?.[0]?.timing?.repeat?.period&&o.push({"@_xsi:type":"PIVL_TS","@_institutionSpecified":"true","@_operator":"A",period:{"@_value":e.dosageInstruction[0].timing.repeat.period.toString(),"@_unit":e.dosageInstruction[0].timing.repeat.periodUnit}}),{substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":et,"@_extension":"2014-06-09"},{"@_root":et}],id:[{"@_root":e.id||crypto.randomUUID()}],text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":Pe.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:this.mapMedicationRoute(e.dosageInstruction?.[0]?.route),doseQuantity:this.mapDoseQuantity(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":tt,"@_extension":"2014-06-09"},{"@_root":tt}],manufacturedMaterial:[{code:[{...h(n),originalText:this.createTextFromExtensions(t?.extension)}]}],manufacturerOrganization:r?[{id:this.mapIdentifiers(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]},entryRelationship:e.dosageInstruction?.filter(s=>!!s.extension)?.map(s=>({"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":Ie}],code:{"@_code":"76662-6","@_codeSystem":M,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:this.createTextFromExtensions(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}mapMedicationRoute(e){if(e)return h(e)}mapDoseQuantity(e){if(e?.doseQuantity)return{"@_value":e.doseQuantity.value?.toString(),"@_unit":e.doseQuantity.unit}}mapTelecom(e){return!e||e.length===0?[{"@_nullFlavor":"UNK"}]:e?.map(t=>({"@_use":t.use?Re.mapFhirToCcda(t.use):void 0,"@_value":`${this.mapTelecomSystemToPrefix(t.system)}${t.value}`}))}mapTelecomSystemToPrefix(e){return e==="email"?"mailto:":e==="phone"?"tel:":e==="fax"?"fax:":""}mapIdentifiers(e,t){let n=[];if(e&&n.push({"@_root":e}),t)for(let r of t){let o=Zi(r.system);o&&n.push({"@_root":o,"@_extension":r.value})}return n}getNarrativeReference(e){let t=e?.find(n=>n.url===ye)?.valueString;return t?{"@_value":t}:void 0}createTextFromExtensions(e){let t=this.getNarrativeReference(e);return t?{reference:t}:void 0}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ze},{"@_root":ze,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":Ye},statusCode:{"@_code":xe.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":z},{"@_root":z,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":ce()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":k,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":"75323-6","@_codeSystem":M,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":w(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":O(e.abatementDateTime)}:void 0}],value:ie(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createImmunizationEntry(e){let t=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":ot},{"@_root":ot,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":ve.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":w(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":st},{"@_root":st,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[h(e.vaccineCode)],lotNumberText:e.lotNumber?[e.lotNumber]:void 0}],manufacturerOrganization:t?[{id:this.mapIdentifiers(t.id,t.identifier?[t.identifier]:void 0),name:[t.display]}]:void 0}]}}]};return e.performer&&(n.substanceAdministration[0].performer=e.performer.map(r=>this.mapImmunizationPerformerToCcdaPerformer(r)).filter(Boolean)),n}mapImmunizationPerformerToCcdaPerformer(e){if(!e)return;let t=this.findResourceByReference(e.actor);if(!t)return;let n,r;return t.resourceType==="PractitionerRole"?(n=this.findResourceByReference(t.practitioner),r=this.findResourceByReference(t.organization)):t.resourceType==="Practitioner"?n=t:t.resourceType==="Organization"&&(r=t),{assignedEntity:{id:this.mapIdentifiers(t.id,t.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(n?.address),telecom:this.mapTelecom(t.telecom),assignedPerson:n?{id:this.mapIdentifiers(n.id,n.identifier),name:this.mapNames(n.name)}:void 0,representedOrganization:r?{id:this.mapIdentifiers(r.id,r.identifier),name:r.name?[r.name]:void 0,addr:this.mapFhirAddressArrayToCcdaAddressArray(r.address),telecom:this.mapTelecom(r.telecom)}:void 0}}}createObservationEntry(e){return e.hasMember?{organizer:[this.createVitalSignsOrganizer(e)]}:{observation:[this.createVitalSignObservation(e)]}}createPlanOfTreatmentCarePlanEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"INT",id:this.mapIdentifiers(e.id,e.identifier),code:ie(e.category?.[0]),templateId:[{"@_root":ci}],statusCode:{"@_code":"completed"},text:e.description?{"#text":e.description}:this.createTextFromExtensions(e.extension)}]}}createPlanOfTreatmentGoalEntry(e){return{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:[{"@_root":hi}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.description),statusCode:{"@_code":this.mapGoalStatus(e.lifecycleStatus)},effectiveTime:[{"@_value":O(e.startDate)}],text:this.createTextFromExtensions(e.extension),entryRelationship:e.target?.map(n=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Z},{"@_root":Z,"@_extension":"2014-06-09"}],code:h(n.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.startDate)}]}]}))}]}}mapGoalStatus(e){switch(e){case"achieved":return"completed";case"cancelled":return"cancelled";default:return"active"}}createVitalSignsOrganizer(e){let t=[];if(e.hasMember)for(let r of e.hasMember){let o=this.findResourceByReference(r);if(!(!o||o.resourceType!=="Observation"))if(o.component)for(let s of o.component)t.push({observation:[this.createVitalSignComponentObservation(o,s)]});else t.push({observation:[this.createVitalSignObservation(o)]})}return{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":X},{"@_root":X,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],component:t}}createVitalSignObservation(e){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(e),referenceRange:this.mapReferenceRangeArray(e.referenceRange),text:this.createTextFromExtensions(e.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}createVitalSignComponentObservation(e,t){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:h(t.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(t),referenceRange:this.mapReferenceRangeArray(t.referenceRange),text:this.createTextFromExtensions(t.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}mapObservationTemplateId(e){if(e.code?.coding?.[0]?.code==="72166-2")return[{"@_root":K},{"@_root":K,"@_extension":"2014-06-09"}];if(e.code?.coding?.[0]?.code==="11367-0")return[{"@_root":ee},{"@_root":ee,"@_extension":"2014-06-09"}];if(e.category?.[0]?.coding?.[0]?.code){let t=be.getEntryByFhir(e.category?.[0]?.coding?.[0]?.code);if(t)return[{"@_root":t.ccdaValue},{"@_root":t.ccdaValue,"@_extension":"2014-06-09"}]}return[{"@_root":J},{"@_root":J,"@_extension":"2014-06-09"}]}mapObservationValue(e){if(e.valueQuantity)return{"@_xsi:type":"PQ","@_unit":e.valueQuantity.unit,"@_value":e.valueQuantity.value?.toString()};if(e.valueCodeableConcept)return ie(e.valueCodeableConcept)}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(t=>this.mapReferenceRange(t)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let t=this.getNarrativeReference(e.extension);return t?{observationRange:{text:{reference:t},value:{"@_xsi:type":"ED",reference:t}}}:{observationRange:{text:this.createTextFromExtensions(e.extension)}}}createHistoryOfProceduresEntry(e){if(e.resourceType==="Procedure"){let t=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],n=e.code?.coding?.[0]?.code;return n&&t.includes(n)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Z},{"@_root":Z,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":Ke},{"@_root":Ke,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension),targetSiteCode:h(e.bodySite?.[0]),participant:[this.mapLocationToParticipant(e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:h(e.code),value:this.mapObservationValue(e),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.effectiveDateTime,e.effectivePeriod),text:this.createTextFromExtensions(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}mapLocationToParticipant(e){if(!e)return;let t=this.findResourceByReference(e);if(t)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":nt}],id:this.mapIdentifiers(t.id,t.identifier),code:h(t.type?.[0]),addr:t.address?this.mapFhirAddressArrayToCcdaAddressArray([t.address]):void 0,telecom:this.mapTelecom(t.telecom),playingEntity:{"@_classCode":"PLC",name:t.name?[t.name]:void 0}}}}mapEffectiveTime(e,t){if(t)return[{low:{"@_value":O(t.start)},high:{"@_value":O(t.end)}}];if(e)return[{"@_value":O(e)}]}mapEffectiveDate(e,t){if(t)return[{"@_xsi:type":"IVL_TS",low:t.start?{"@_value":w(t.start)}:void 0,high:t.end?{"@_value":w(t.end)}:void 0}];if(e)return[{"@_value":w(e)}]}mapEffectivePeriod(e,t,n=!1){if(!e&&!t)return;let r={};return e?r.low={"@_value":O(e)}:n&&(r.low={"@_nullFlavor":"NI"}),t?r.high={"@_value":O(t)}:n&&(r.high={"@_nullFlavor":"NI"}),[r]}createEncounterEntry(e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":rt},{"@_root":rt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:h(e.type?.[0]),text:this.createTextFromExtensions(e.extension),effectiveTime:this.mapEffectiveTime(void 0,e.period),entryRelationship:e.participant?.map(t=>({"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":nt}],code:h(t.type?.[0])}}))}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":at,"@_extension":"2022-07-01"},{"@_root":at,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,e.identifier),component:e.participant?.map(t=>({"@_typeCode":"PRF",role:t.role}))}]}}};export{Hi as ACT_CODE_SYSTEM,Ae as ADDRESS_USE_MAPPER,Ar as ADDRESS_USE_VALUE_SET,Nr as ADMINISTRATIVE_GENDER_VALUE_SET,Gr as ALLERGIES_SECTION_TEMPLATE_IDS,Ki as ALLERGY_CATEGORY_MAPPER,Te as ALLERGY_CLINICAL_CODE_SYSTEM,De as ALLERGY_SEVERITY_MAPPER,Ne as ALLERGY_STATUS_MAPPER,dt as ALLERGY_VERIFICATION_CODE_SYSTEM,Qr as ASSESSMENTS_SECTION_TEMPLATE_IDS,io as CARE_TEAM_SECTION_TEMPLATE_IDS,ye as CCDA_NARRATIVE_REFERENCE_URL,es as CCDA_TEMPLATE_CODE_SYSTEM,an as CCDA_TEMPLATE_IDS,ut as CLINICAL_CONDITION_CODE_SYSTEM,_s as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,$i as CONDITION_CATEGORY_CODE_SYSTEM,Yi as CONDITION_VERIFICATION_CODE_SYSTEM,lt as CONDITION_VER_STATUS_CODE_SYSTEM,Cr as CONFIDENTIALITY_CODE_SYSTEM,Xi as CONFIDENTIALITY_MAPPER,Dr as CONTACT_ENTITY_USE_VALUE_SET,kr as CVX_URL,Es as DEVICES_SECTION_TEMPLATE_IDS,qi as DIAGNOSIS_ROLE_CODE_SYSTEM,Zr as ENCOUNTERS_SECTION_TEMPLATE_IDS,en as ENCOUNTER_STATUS_MAPPER,E as EnumMapper,Br as FHIR_CVX_URL,Ji as GENDER_MAPPER,Xr as GOALS_SECTION_TEMPLATE_IDS,Jr as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,L as HTTP,ge as HUMAN_NAME_USE_MAPPER,ht as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,ve as IMMUNIZATION_STATUS_MAPPER,no as INSURANCE_SECTION_TEMPLATE_IDS,ms as LAB_TESTS_SECTION_TEMPLATE_IDS,Qo as LANGUAGE_MODE_CODE_SYSTEM,Xo as LANGUAGE_MODE_URL,zo as LANGUAGE_PROFICIENCY_CODE_SYSTEM,Jo as LANGUAGE_PROFICIENCY_URL,cn as LOINC_TO_TEMPLATE_IDS,Yr as MEDICATIONS_SECTION_TEMPLATE_IDS,xr as MEDICATION_REQUEST_STATUS_VALUE_SET,Pe as MEDICATION_STATUS_MAPPER,eo as MENTAL_STATUS_SECTION_TEMPLATE_IDS,Rr as NAME_USE_VALUE_SET,vr as NCI_THESAURUS_URL,Mr as NDFRT_URL,Vr as NUCC_TAXONOMY_URL,gr as OBSERVATION_CATEGORY_CODE_SYSTEM,be as OBSERVATION_CATEGORY_MAPPER,ji as PARTICIPATION_CODE_SYSTEM,to as PATIENT_NOTES_SECTION_TEMPLATE_IDS,zr as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,$r as PROBLEMS_SECTION_TEMPLATE_IDS,xe as PROBLEM_STATUS_MAPPER,qr as PROCEDURES_SECTION_TEMPLATE_IDS,tn as PROCEDURE_STATUS_MAPPER,Zo as RACE_CODE_SYSTEM,Kr as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Wr as RESULTS_SECTION_TEMPLATE_IDS,jr as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,Ce as SYSTEM_MAPPER,Re as TELECOM_USE_MAPPER,Lr as UNII_URL,Wi as US_CORE_CONDITION_URL,Se as US_CORE_ETHNICITY_URL,Qi as US_CORE_MEDICATION_REQUEST_URL,Ko as US_CORE_PATIENT_URL,Oe as US_CORE_RACE_URL,br as US_DRIVER_LICENSE_URL,Ur as US_NPI_URL,Pr as US_SSN_URL,wr as VA_MEDRT_URL,Hr as VITAL_SIGNS_SECTION_TEMPLATE_IDS,zi as XSI_URL,ps as convertCcdaToFhir,os as convertCcdaToXml,As as convertFhirToCcda,sn as convertToCompactXml,rs as convertXmlToCcda,te as mapCcdaSystemToFhir,Ge as mapCcdaToFhirDate,_ as mapCcdaToFhirDateTime,h as mapCodeableConceptToCcdaCode,ie as mapCodeableConceptToCcdaValue,Gi as mapCodingToCcdaCode,Zi as mapFhirSystemToCcda,w as mapFhirToCcdaDate,O as mapFhirToCcdaDateTime,on as parseXml};
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/*!
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* Reconnecting WebSocket
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* by Pedro Ladaria <pedro.ladaria@gmail.com>
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