npm - @medplum/ccda - Versions diffs - 4.0.2 → 4.0.4 - Mend

@medplum/ccda 4.0.2 → 4.0.4

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Files changed (7) hide show

package/dist/cjs/index.cjs CHANGED Viewed

@@ -1,5 +1,5 @@
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ct="2.16.840.1.113883.10.20.22.4.16";var Pi="2.16.840.1.113883.10.20.22.4.20";var ut="2.16.840.1.113883.10.20.22.4.23";var re="2.16.840.1.113883.10.20.22.4.26",bi="2.16.840.1.113883.10.20.22.4.26.2",oe="2.16.840.1.113883.10.20.22.4.27",Ui="2.16.840.1.113883.10.20.22.4.27.2";var lt="2.16.840.1.113883.10.20.22.4.30";var dt="2.16.840.1.113883.10.20.22.4.32";var Li="2.16.840.1.113883.10.20.22.4.37",Vi="2.16.840.1.113883.10.20.22.4.38",wi="2.16.840.1.113883.10.20.22.4.38.1";var pt="2.16.840.1.113883.10.20.22.4.44";var ht="2.16.840.1.113883.10.20.22.4.49";var ft="2.16.840.1.113883.10.20.22.4.52";var _t="2.16.840.1.113883.10.20.22.4.54";var Mi="2.16.840.1.113883.10.20.22.4.66";var ki="2.16.840.1.113883.10.20.22.4.67";var Bi="2.16.840.1.113883.10.20.22.4.69",Fi="2.16.840.1.113883.10.20.22.4.70";var Gi="2.16.840.1.113883.10.20.22.4.74";var Yi="2.16.840.1.113883.10.20.22.4.75";var se="2.16.840.1.113883.10.20.22.4.78",$i="2.16.840.1.113883.10.20.22.4.78.2";var ae="2.16.840.1.113883.10.20.22.4.85";var Hi="2.16.840.1.113883.10.20.22.4.86";var ji="2.16.840.1.113883.10.20.22.4.114";var qi="2.16.840.1.113883.10.20.22.4.119";var Wi="2.16.840.1.113883.10.20.22.4.121";var Qi="2.16.840.1.113883.10.20.22.4.130";var zi="2.16.840.1.113883.10.20.22.4.133";var Me="2.16.840.1.113883.10.20.22.4.147",Zi="2.16.840.1.113883.10.20.22.4.200",Xi="2.16.840.1.113883.10.20.22.4.201";var Ji="2.16.840.1.113883.10.20.22.4.244";var Ki="2.16.840.1.113883.10.20.22.4.250";var en="2.16.840.1.113883.10.20.22.4.406",tn="2.16.840.1.113883.10.20.22.4.407";var nn="2.16.840.1.113883.10.20.22.4.416";var mt="2.16.840.1.113883.10.20.22.4.500",rn="2.16.840.1.113883.10.20.22.4.501";var on="2.16.840.1.113883.10.20.22.4.503",sn="2.16.840.1.113883.10.20.22.4.504";var an="2.16.840.1.113883.10.20.22.4.506",cn="2.16.840.1.113883.10.20.22.4.507",un="2.16.840.1.113883.10.20.22.4.508";var ln="2.16.840.1.113883.10.20.22.4.512";var Et="2.16.840.1.113883.12.292",It="2.16.840.1.113883.3.3719";var m=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":pe.getEntryByCcda(this.ccdaSystemOid)?.displayName}}},b="http:",ke=`${I}/CodeSystem/condition-clinical`,Ot=`${I}/CodeSystem/condition-verification`,ho=`${I}/CodeSystem/v3-LanguageAbilityMode`,fo=`${I}/CodeSystem/v3-LanguageAbilityProficiency`,_o=`${I}/CodeSystem/v3-Race`,St=`${I}/CodeSystem/condition-category`,Be=`${I}/CodeSystem/condition-ver-status`,ce=`${I}/CodeSystem/allergyintolerance-clinical`,Fe=`${I}/CodeSystem/allergyintolerance-verification`,yt=`${I}/CodeSystem/v3-ActCode`,Ct=`${I}/CodeSystem/v3-ParticipationType`,gt=`${I}/CodeSystem/diagnosis-role`,dn=`${I}/CodeSystem/v3-Confidentiality`,pn=`${I}/CodeSystem/observation-category`,hn=`${_}/fhir/ValueSet/address-use`,fn=`${_}/fhir/ValueSet/name-use`,_n=`${_}/fhir/ValueSet/administrative-gender`,mn=`${_}/fhir/ValueSet/contactentity-use`,En=`${_}/fhir/ValueSet/medicationrequest-status`,mo=`${_}/fhir/StructureDefinition/language-mode`,Eo=`${_}/fhir/StructureDefinition/language-proficiency`,Io=`${_}/fhir/us/core/StructureDefinition/us-core-patient`,ue=`${_}/fhir/us/core/StructureDefinition/us-core-race`,le=`${_}/fhir/us/core/StructureDefinition/us-core-ethnicity`,At=`${_}/fhir/us/core/StructureDefinition/us-core-condition`,Rt=`${_}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,To=`${_}/cda/template`,In=`${b}//ncithesaurus-stage.nci.nih.gov`,Tn=`${_}/fhir/sid/us-ssn`,On=`${_}/fhir/sid/us-dln`,Sn=`${_}/fhir/sid/us-npi`,yn=`${b}//fdasis.nlm.nih.gov`,Cn=`${b}//nucc.org/provider-taxonomy`,gn=`${b}//va.gov/terminology/medrt`,An=`${b}//hl7.org/fhir/ndfrt`,Rn=`${b}//nucc.org/cvx`,Nn=`${_}/fhir/sid/cvx`,Nt=`${b}//www.w3.org/2001/XMLSchema-instance`,de="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",pe=new m("System","","",[{ccdaValue:ci,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:ui,fhirValue:In,displayName:"NCI Thesaurus"},{ccdaValue:li,fhirValue:Tn,displayName:"SSN"},{ccdaValue:di,fhirValue:On,displayName:"DLN"},{ccdaValue:pi,fhirValue:Sn,displayName:"NPI"},{ccdaValue:hi,fhirValue:yn,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:k,fhirValue:Ae,displayName:"LOINC"},{ccdaValue:_i,fhirValue:Qt,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:mi,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:Ei,fhirValue:zt,displayName:"National Drug Code (NDC)"},{ccdaValue:Ii,fhirValue:Wt,displayName:"RxNorm"},{ccdaValue:w,fhirValue:je,displayName:"SNOMED CT"},{ccdaValue:Ti,fhirValue:Cn,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:Si,fhirValue:gn,displayName:"Medication Reference Terminology 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m("Confidentiality",Je,dn,[{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"}]),he=new m("HumanNameUse","",fn,[{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"}]),xt=new m("Gender","",_n,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),fe=new m("AddressUse","",hn,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),_e=new m("TelecomUse","",mn,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"}]),me=new m("AllergyStatus","",Fe,[{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"}]),Pt=new m("AllergyCategory",w,ce,[{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)"}]),Ee=new m("AllergySeverity",je,ce,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),Ie=new m("ProblemStatus","",Be,[{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"}]),Te=new m("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"}]),bt=new m("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"}]),Ut=new m("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"}]),Oe=new m("MedicationStatus","",En,[{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"}]),Lt=new m("ObservationCategory","",pn,[{ccdaValue:Vi,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:wi,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:se,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:$i,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:ae,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:on,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:sn,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:rn,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:cn,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:Zi,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:Xi,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:yi,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:an,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:oe,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:Ui,fhirValue:"vital-signs",displayName:"Vital Signs Observation V2"},{ccdaValue:re,fhirValue:"vital-signs",displayName:"Vital Signs Organizer"},{ccdaValue:bi,fhirValue:"vital-signs",displayName:"Vital Signs Organizer 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Y=require("fast-xml-parser");var Oo=["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 So(i){return new Y.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Oo.some(c=>r.endsWith(c))}).parse(i).ClinicalDocument}function yo(i){return new Y.XMLBuilder({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":Nt,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function Vt(i){return new Y.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function wt(i){return i?typeof i=="string"?i:new Y.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
-`).map(n=>n.trim()).join(""):""}function Co(i){return new Mt(i).convert()}var Mt=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:ue,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&n.push({url:le,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:Ne(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"]&&Qe(n["@_root"]));return t?t["@_root"]:Re()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&Qe(n["@_root"])||t.push({system:F(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"]?he.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(Se)?.filter(Boolean)),e.family&&(t.family=Se(e.family)),e.given&&(t.given=e.given.map(Se)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(Se)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?fe.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"]?_e.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">${wt(r.text)}</div>`},entry:o.map(h)}),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:f(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 be:return this.processAllergyIntoleranceAct(t);case Pe:return this.processConditionAct(t);case P:return this.processCarePlanAct(t);case Le:return this.processConditionAct(t);case B:return this.processProcedureAct(t);case De:return;case Ve:return;case Ue: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:h(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:[At]},clinicalStatus:{coding:[{system:ke,code:Ie.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Ot,code:"confirmed"}]},category:[{coding:[{system:St,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(t.value),subject:h(this.patient),onsetDateTime:f(t.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:f(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:h(this.patient),description:Se(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:h(this.patient),performedDateTime:f(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 xe:case P:return this.processMedicationSubstanceAdministration(t);case z:case Z: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(E=>E.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Me)?.substanceAdministration?.[0],p,N;return s?p={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:p?[p]:void 0,meta:{profile:[Rt]},extension:this.mapTextReference(e.text),status:Oe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:p?{reference:"#med-"+t}:void 0,medicationCodeableConcept:N,subject:h(this.patient),authoredOn:f(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:f(e.effectiveTime?.[0]?.low?.["@_value"]),end:f(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:He,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:Te.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(t.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:h(this.patient),occurrenceDateTime:f(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:f(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=Ee.mapCcdaToFhir(r)),t.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return f(e["@_value"]);if(e?.low?.["@_value"])return f(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:f(e?.low?.["@_value"]),end:f(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:F(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:F(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:F(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:ce,code:me.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:Fe,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),h(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:h(r),organization:h(o)};return this.resources.push(s),h(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),h(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"]===we?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:h(this.patient)};if(e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=f(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(h(r)),this.resources.push(r)}return t}processObservation(e,t){let n=t.templateId[0]["@_root"];if(n===X||n===Wi)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case P:case X: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:h(this.patient),startDate:Ne(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:f(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:h(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:He,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=f(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=Lt.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:bt.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:yt,code:t.code?.["@_code"]??"AMB",display:t.code?.["@_displayName"]??"Ambulatory"},type:t.code?[this.mapCode(t.code)]:void 0,subject:h(this.patient),period:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0])};if(t.performer&&(n.participant=t.performer.map(r=>({type:[{coding:[{system:Ct,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:ke,code:"active"}]},verificationStatus:{coding:[{system:Be,code:"confirmed"}]},code:this.mapCode(s.value),subject:h(this.patient),onsetDateTime:f(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(c),{condition:h(c),use:{coding:[{system:gt,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:Ut.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"completed"),code:this.mapCode(t.code),subject:h(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:de,valueString:e.reference?.["@_value"]}]}};function Se(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var kt=[{"@_root":et,"@_extension":"2015-08-01"},{"@_root":et},{"@_root":tt,"@_extension":"2015-08-01"},{"@_root":tt}],Dn=[{"@_root":be,"@_extension":"2015-08-01"}],vn=[{"@_root":xe,"@_extension":"2014-06-09"}],xn=[{"@_root":Pe,"@_extension":"2015-08-01"}],Ge=[{"@_root":z},{"@_root":z,"@_extension":"2015-08-01"},{"@_root":Z},{"@_root":Z,"@_extension":"2015-08-01"}],Pn=[{"@_root":Ci,"@_extension":"2015-08-01"}],bn=[{"@_root":nt},{"@_root":nt,"@_extension":"2015-08-01"}],Un=[{"@_root":B,"@_extension":"2014-06-09"}],go=[{"@_root":P,"@_extension":"2014-06-09"}],Ao=[{"@_root":it,"@_extension":"2015-08-01"}],Ln=[{"@_root":it,"@_extension":"2015-08-01"}],Vn=[{"@_root":Ri,"@_extension":"2015-08-01"}],wn=[{"@_root":gi}],Mn=[{"@_root":P},{"@_root":P,"@_extension":"2014-06-09"}],kn=[{"@_root":Ai,"@_extension":"2015-08-01"}],Bn=[{"@_root":X}],Fn=[{"@_root":Le,"@_extension":"2015-08-01"}],Gn=[{"@_root":De,"@_extension":"2014-06-09"}],Yn=[{"@_root":Ni,"@_extension":"2015-08-01"}],$n=[{"@_root":Ve,"@_extension":"2016-11-01"}],Hn=[{"@_root":we,"@_extension":"2022-06-01"}],jn=[{"@_root":Ue,"@_extension":"2015-08-01"}],Bt={"48765-2":Dn,"10160-0":vn,"11450-4":xn,"11369-6":Ge,"11348-0":Ge,"9176-8":Ge,"8716-3":Pn,"29762-2":bn,"47519-4":Un,"30954-2":Ln,"51848-0":wn,"18776-5":Mn,"46240-8":kn,"61146-7":Bn,"75310-3":Fn,"42349-1":Gn,"10190-7":Yn,"11488-4":$n,"85847-2":Hn,"48768-6":jn,"46264-8":Vn};function Ro(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":ai,"@_extension":"POCD_HD000040"},templateId:kt,id:this.mapIdentifiers(this.composition.id,void 0),code:{"@_code":"34133-9","@_displayName":"Summarization of Episode Note","@_codeSystem":k,"@_codeSystemName":"LOINC"},title:this.composition.title,effectiveTime:this.mapEffectiveTime(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?vt.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?he.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":xt.mapFhirToCcda(e),"@_displayName":e?W(e):"Unknown","@_codeSystem":fi,"@_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?fe.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===ue)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":Ke,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===le)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;if(n)return[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":Ke,"@_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=Bt[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return{templateId:n,code:d(e.code),title:e.title,text:this.mapFhirTextDivToCcdaSectionText(e.text),entry:r.map(o=>this.createEntry(e,o)).filter(Boolean),"@_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"DeviceUseStatement":return this.createDeviceUseStatementEntry(t);case"DiagnosticReport":return this.createDiagnosticReportEntry(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);case"ServiceRequest":return this.createPlanOfTreatmentServiceRequestEntry(t);default:throw new Error(`Unknown resource type: ${t.resourceType}`)}}mapFhirTextDivToCcdaSectionText(e){if(!e)return;let t=Vt(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":lt},{"@_root":lt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":Xe},statusCode:{"@_code":me.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":ot},{"@_root":ot,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":ve},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:{...d(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":at},{"@_root":at,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":ve},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:G(t.manifestation?.[0]),text:this.createTextFromExtensions(t.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":st},{"@_root":st,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":ve,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":Ee.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?W(t.severity):void 0,"@_codeSystem":w,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){if(!e||e.length===0)return;let t=Pt.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":qi}],time:t?{"@_value":T(t)}:void 0,assignedAuthor:{id:this.mapIdentifiers(n.id,n.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(n.address),telecom:this.mapTelecom(n.telecom),code:d(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:d(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":ct,"@_extension":"2014-06-09"},{"@_root":ct}],id:[{"@_root":e.id||crypto.randomUUID()}],text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":Oe.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":ut,"@_extension":"2014-06-09"},{"@_root":ut}],manufacturedMaterial:[{code:[{...d(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":Me}],code:{"@_code":"76662-6","@_codeSystem":k,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:this.createTextFromExtensions(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}mapMedicationRoute(e){if(e)return d(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?_e.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=Dt(r.system);o&&n.push({"@_root":o,"@_extension":r.value})}return n}getNarrativeReference(e){let t=e?.find(n=>n.url===de)?.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":rt},{"@_root":rt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":Xe},statusCode:{"@_code":Ie.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":ee},{"@_root":ee,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":Re()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":w,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":"75323-6","@_codeSystem":k,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":V(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":T(e.abatementDateTime)}:void 0}],value:G(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":ft},{"@_root":ft,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":Te.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":V(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":_t},{"@_root":_t,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[d(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:G(e.category?.[0]),templateId:[{"@_root":Pi}],statusCode:{"@_code":"completed"},text:e.description?{"#text":e.description}:this.createTextFromExtensions(e.extension)}]}}createPlanOfTreatmentGoalEntry(e){return{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:[{"@_root":pt}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.description),statusCode:{"@_code":this.mapPlanOfTreatmentStatus(e.lifecycleStatus)},effectiveTime:[{"@_value":T(e.startDate)}],text:this.createTextFromExtensions(e.extension),entryRelationship:e.target?.map(n=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":te},{"@_root":te,"@_extension":"2014-06-09"}],code:d(n.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(e.startDate)}]}]}))}]}}mapPlanOfTreatmentStatus(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":re},{"@_root":re,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(e.effectiveDateTime)}],component:t}}createVitalSignObservation(e){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(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:d(t.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(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){let t=e.code?.coding?.[0]?.code,n=e.category?.[0]?.coding?.[0]?.code;return t==="72166-2"?[{"@_root":se},{"@_root":se,"@_extension":"2014-06-09"}]:t==="11367-0"?[{"@_root":ae},{"@_root":ae,"@_extension":"2014-06-09"}]:n==="exam"?[{"@_root":ie},{"@_root":ie,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":K},{"@_root":K,"@_extension":"2015-08-01"}]:[{"@_root":oe},{"@_root":oe,"@_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 G(e.valueCodeableConcept);if(e.valueString)return{"@_xsi:type":"ST","#text":e.valueString}}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":te},{"@_root":te,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":ne},{"@_root":ne,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension),targetSiteCode:d(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:d(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":dt}],id:this.mapIdentifiers(t.id,t.identifier),code:d(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":T(t.start)},high:{"@_value":T(t.end)}}];if(e)return[{"@_value":T(e)}]}mapEffectiveDate(e,t){if(t)return[{"@_xsi:type":"IVL_TS",low:t.start?{"@_value":V(t.start)}:void 0,high:t.end?{"@_value":V(t.end)}:void 0}];if(e)return[{"@_value":V(e)}]}mapEffectivePeriod(e,t,n=!1){if(!e&&!t)return;let r={};return e?r.low={"@_value":T(e)}:n&&(r.low={"@_nullFlavor":"NI"}),t?r.high={"@_value":T(t)}:n&&(r.high={"@_nullFlavor":"NI"}),[r]}createEncounterEntry(e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":ht},{"@_root":ht,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:d(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":dt}],code:d(t.type?.[0])}}))}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":mt,"@_extension":"2022-07-01"},{"@_root":mt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,e.identifier),component:e.participant?.map(t=>({"@_typeCode":"PRF",role:t.role}))}]}}createPlanOfTreatmentServiceRequestEntry(e){return{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":pt}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":this.mapPlanOfTreatmentStatus(e.status)},effectiveTime:[{"@_value":T(e.occurrenceDateTime)}],text:this.createTextFromExtensions(e.extension)}]}}createDiagnosticReportEntry(e){let t=[];if(e.result)for(let n of e.result){let r=this.findResourceByReference(n);!r||r.resourceType!=="Observation"||t.push({observation:[this.createVitalSignObservation(r)]})}return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":J},{"@_root":J,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:d(e.code),statusCode:{"@_code":"completed"},component:t}]}}createDeviceUseStatementEntry(e){let t=this.findResourceByReference(e.device);if(!t)return;let n=[],r=this.mapIdentifiers(t.id,t.identifier);return r&&n.push(...r),t.udiCarrier?.[0]?.deviceIdentifier&&n.push({"@_root":It,"@_extension":t.udiCarrier[0].carrierHRF,"@_assigningAuthorityName":"FDA"}),{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":ne,"@_extension":"2014-06-09"},{"@_root":ne}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"360030002","@_codeSystem":w,"@_codeSystemName":"SNOMED CT","@_displayName":"Application of medical device"},statusCode:{"@_code":"completed"},participant:[{"@_typeCode":"DEV",participantRole:{"@_classCode":"MANU",templateId:[{"@_root":Li}],id:n,playingDevice:{"@_classCode":"DEV",code:d(t.type)},scopingEntity:{id:[{"@_root":It}]}}}]}]}}};0&&(module.exports={ACT_CODE_SYSTEM,ADDRESS_USE_MAPPER,ADDRESS_USE_VALUE_SET,ADMINISTRATIVE_GENDER_VALUE_SET,ALLERGIES_SECTION_TEMPLATE_IDS,ALLERGY_CATEGORY_MAPPER,ALLERGY_CLINICAL_CODE_SYSTEM,ALLERGY_SEVERITY_MAPPER,ALLERGY_STATUS_MAPPER,ALLERGY_VERIFICATION_CODE_SYSTEM,ASSESSMENTS_SECTION_TEMPLATE_IDS,CARE_TEAM_SECTION_TEMPLATE_IDS,CCDA_NARRATIVE_REFERENCE_URL,CCDA_TEMPLATE_CODE_SYSTEM,CCDA_TEMPLATE_IDS,CLINICAL_CONDITION_CODE_SYSTEM,CLINICAL_NOTES_SECTION_TEMPLATE_IDS,CONDITION_CATEGORY_CODE_SYSTEM,CONDITION_VERIFICATION_CODE_SYSTEM,CONDITION_VER_STATUS_CODE_SYSTEM,CONFIDENTIALITY_CODE_SYSTEM,CONFIDENTIALITY_MAPPER,CONTACT_ENTITY_USE_VALUE_SET,CVX_URL,DEVICES_SECTION_TEMPLATE_IDS,DIAGNOSIS_ROLE_CODE_SYSTEM,ENCOUNTERS_SECTION_TEMPLATE_IDS,ENCOUNTER_STATUS_MAPPER,EnumMapper,FHIR_CVX_URL,GENDER_MAPPER,GOALS_SECTION_TEMPLATE_IDS,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,HTTP,HUMAN_NAME_USE_MAPPER,IMMUNIZATIONS_SECTION_TEMPLATE_IDS,IMMUNIZATION_STATUS_MAPPER,INSURANCE_SECTION_TEMPLATE_IDS,LAB_TESTS_SECTION_TEMPLATE_IDS,LANGUAGE_MODE_CODE_SYSTEM,LANGUAGE_MODE_URL,LANGUAGE_PROFICIENCY_CODE_SYSTEM,LANGUAGE_PROFICIENCY_URL,LOINC_TO_TEMPLATE_IDS,MEDICATIONS_SECTION_TEMPLATE_IDS,MEDICATION_REQUEST_STATUS_VALUE_SET,MEDICATION_STATUS_MAPPER,MENTAL_STATUS_SECTION_TEMPLATE_IDS,NAME_USE_VALUE_SET,NCI_THESAURUS_URL,NDFRT_URL,NUCC_TAXONOMY_URL,OBSERVATION_CATEGORY_CODE_SYSTEM,OBSERVATION_CATEGORY_MAPPER,PARTICIPATION_CODE_SYSTEM,PATIENT_NOTES_SECTION_TEMPLATE_IDS,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,PROBLEMS_SECTION_TEMPLATE_IDS,PROBLEM_STATUS_MAPPER,PROCEDURES_SECTION_TEMPLATE_IDS,PROCEDURE_STATUS_MAPPER,RACE_CODE_SYSTEM,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,RESULTS_SECTION_TEMPLATE_IDS,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,SYSTEM_MAPPER,TELECOM_USE_MAPPER,UNII_URL,US_CORE_CONDITION_URL,US_CORE_ETHNICITY_URL,US_CORE_MEDICATION_REQUEST_URL,US_CORE_PATIENT_URL,US_CORE_RACE_URL,US_DRIVER_LICENSE_URL,US_NPI_URL,US_SSN_URL,VA_MEDRT_URL,VITAL_SIGNS_SECTION_TEMPLATE_IDS,XSI_URL,convertCcdaToFhir,convertCcdaToXml,convertFhirToCcda,convertToCompactXml,convertXmlToCcda,mapCcdaSystemToFhir,mapCcdaToFhirDate,mapCcdaToFhirDateTime,mapCodeableConceptToCcdaCode,mapCodeableConceptToCcdaValue,mapCodingToCcdaCode,mapFhirSystemToCcda,mapFhirToCcdaDate,mapFhirToCcdaDateTime,parseXml});
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Ko={};vr(Ko,{ACT_CODE_SYSTEM:()=>wt,ADDRESS_USE_MAPPER:()=>Ne,ADDRESS_USE_VALUE_SET:()=>jn,ADMINISTRATIVE_GENDER_CODE_SYSTEM:()=>Yn,ADMINISTRATIVE_GENDER_VALUE_SET:()=>Wn,ALLERGIES_SECTION_TEMPLATE_IDS:()=>sr,ALLERGY_CATEGORY_MAPPER:()=>pi,ALLERGY_CLINICAL_CODE_SYSTEM:()=>me,ALLERGY_SEVERITY_MAPPER:()=>ve,ALLERGY_STATUS_MAPPER:()=>De,ALLERGY_VERIFICATION_CODE_SYSTEM:()=>nt,ASSESSMENTS_SECTION_TEMPLATE_IDS:()=>_r,CARE_TEAM_SECTION_TEMPLATE_IDS:()=>Cr,CCDA_NARRATIVE_REFERENCE_URL:()=>Ie,CCDA_TEMPLATE_CODE_SYSTEM:()=>Ho,CCDA_TEMPLATE_IDS:()=>Ti,CLINICAL_CONDITION_CODE_SYSTEM:()=>tt,CLINICAL_NOTES_SECTION_TEMPLATE_IDS:()=>Zo,CONDITION_CATEGORY_CODE_SYSTEM:()=>Mt,CONDITION_VERIFICATION_CODE_SYSTEM:()=>Vt,CONDITION_VER_STATUS_CODE_SYSTEM:()=>it,CONFIDENTIALITY_CODE_SYSTEM:()=>Hn,CONFIDENTIALITY_MAPPER:()=>di,CONTACT_ENTITY_USE_VALUE_SET:()=>Qn,CVX_URL:()=>rr,DEVICES_SECTION_TEMPLATE_IDS:()=>fr,DIAGNOSIS_ROLE_CODE_SYSTEM:()=>kt,ENCOUNTERS_SECTION_TEMPLATE_IDS:()=>Er,ENCOUNTER_STATUS_MAPPER:()=>hi,EnumMapper:()=>E,FHIR_CVX_URL:()=>or,GENDER_MAPPER:()=>li,GOALS_SECTION_TEMPLATE_IDS:()=>Ir,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS:()=>Tr,HTTP:()=>M,HUMAN_NAME_USE_MAPPER:()=>Ae,IMMUNIZATIONS_SECTION_TEMPLATE_IDS:()=>ur,IMMUNIZATION_STATUS_MAPPER:()=>xe,INSURANCE_SECTION_TEMPLATE_IDS:()=>gr,LAB_TESTS_SECTION_TEMPLATE_IDS:()=>Xo,LANGUAGE_MODE_CODE_SYSTEM:()=>wo,LANGUAGE_MODE_URL:()=>Fo,LANGUAGE_PROFICIENCY_CODE_SYSTEM:()=>Bo,LANGUAGE_PROFICIENCY_URL:()=>Go,LOINC_ADMINISTRATIVE_SEX:()=>ai,LOINC_ALLERGIES_SECTION:()=>Ht,LOINC_ASSESSMENTS_SECTION:()=>Se,LOINC_BIRTH_SEX:()=>ci,LOINC_CARE_TEAM_SECTION:()=>ei,LOINC_CONDITION:()=>ni,LOINC_DEVICES_SECTION:()=>Zt,LOINC_ENCOUNTERS_SECTION:()=>Xt,LOINC_GOALS_SECTION:()=>Y,LOINC_HEALTH_CONCERNS_SECTION:()=>H,LOINC_HISTORY_OF_TOBACCO_USE:()=>si,LOINC_IMMUNIZATIONS_SECTION:()=>$t,LOINC_INSURANCE_SECTION:()=>ti,LOINC_MEDICATIONS_SECTION:()=>jt,LOINC_MEDICATION_INSTRUCTIONS:()=>ii,LOINC_MENTAL_STATUS_SECTION:()=>Kt,LOINC_NOTES_SECTION:()=>ye,LOINC_NOTE_DOCUMENT:()=>$o,LOINC_OVERALL_GOAL:()=>ri,LOINC_PATIENT_SUMMARY_DOCUMENT:()=>jo,LOINC_PLAN_OF_TREATMENT_SECTION:()=>Oe,LOINC_PROBLEMS_SECTION:()=>Te,LOINC_PROCEDURES_SECTION:()=>zt,LOINC_REASON_FOR_REFERRAL_SECTION:()=>Jt,LOINC_RESULTS_SECTION:()=>qt,LOINC_SOCIAL_HISTORY_SECTION:()=>Wt,LOINC_SUMMARY_OF_EPISODE_NOTE:()=>Ce,LOINC_TOBACCO_SMOKING_STATUS:()=>oi,LOINC_TO_TEMPLATE_IDS:()=>Oi,LOINC_VITAL_SIGNS_SECTION:()=>Qt,MEDICATIONS_SECTION_TEMPLATE_IDS:()=>ar,MEDICATION_REQUEST_STATUS_VALUE_SET:()=>zn,MEDICATION_STATUS_MAPPER:()=>Pe,MENTAL_STATUS_SECTION_TEMPLATE_IDS:()=>Sr,NAME_USE_VALUE_SET:()=>qn,NCI_THESAURUS_URL:()=>Zn,NDFRT_URL:()=>nr,NUCC_TAXONOMY_URL:()=>tr,OBSERVATION_CATEGORY_CODE_SYSTEM:()=>$n,OBSERVATION_CATEGORY_MAPPER:()=>_i,PARTICIPATION_CODE_SYSTEM:()=>Bt,PATIENT_NOTES_SECTION_TEMPLATE_IDS:()=>yr,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS:()=>mr,PROBLEMS_SECTION_TEMPLATE_IDS:()=>cr,PROBLEM_STATUS_MAPPER:()=>q,PROCEDURES_SECTION_TEMPLATE_IDS:()=>pr,PROCEDURE_STATUS_MAPPER:()=>fi,RACE_CODE_SYSTEM:()=>ko,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS:()=>Or,RESULTS_SECTION_TEMPLATE_IDS:()=>hr,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS:()=>lr,SYSTEM_MAPPER:()=>ge,TELECOM_USE_MAPPER:()=>Re,UNII_URL:()=>er,US_CORE_CONDITION_URL:()=>Ft,US_CORE_ETHNICITY_URL:()=>Ee,US_CORE_MEDICATION_REQUEST_URL:()=>Gt,US_CORE_PATIENT_URL:()=>Yo,US_CORE_RACE_URL:()=>G,US_DRIVER_LICENSE_URL:()=>Jn,US_NPI_URL:()=>Kn,US_SSN_URL:()=>Xn,VA_MEDRT_URL:()=>ir,VITAL_SIGNS_SECTION_TEMPLATE_IDS:()=>dr,XSI_URL:()=>Yt,convertCcdaToFhir:()=>zo,convertCcdaToXml:()=>Qo,convertFhirToCcda:()=>Jo,convertToCompactXml:()=>Ei,convertXmlToCcda:()=>Wo,mapCcdaSystemToFhir:()=>$,mapCcdaToFhirDate:()=>Ge,mapCcdaToFhirDateTime:()=>m,mapCodeableConceptToCcdaCode:()=>p,mapCodeableConceptToCcdaValue:()=>j,mapCodingToCcdaCode:()=>Ut,mapFhirSystemToCcda:()=>ui,mapFhirToCcdaDate:()=>L,mapFhirToCcdaDateTime:()=>O,parseXml:()=>mi});module.exports=Pr(Ko);var br=class{constructor(i,e){this.operator=i,this.child=e}toString(){return`${this.operator}(${this.child.toString()})`}},X=class{constructor(i,e,t){this.operator=i,this.left=e,this.right=t}toString(){return`${this.left.toString()} ${this.operator} ${this.right.toString()}`}},Lr=class{constructor(){this.prefixParselets={},this.infixParselets={}}registerInfix(i,e){return this.infixParselets[i]=e,this}registerPrefix(i,e){return this.prefixParselets[i]=e,this}prefix(i,e,t){return this.registerPrefix(i,{parse(n,r){let o=n.consumeAndParse(e);return t(r,o)}})}infixLeft(i,e,t){return this.registerInfix(i,{parse(n,r,o){let s=n.consumeAndParse(e);return t(r,o,s)},precedence:e})}construct(i){return new Ur(i,this.prefixParselets,this.infixParselets)}},Ur=class{constructor(i,e,t){this.tokens=i,this.prefixParselets=e,this.infixParselets=t}hasMore(){return this.tokens.length>0}match(i){return this.peek()?.id!==i?!1:(this.consume(),!0)}consumeAndParse(i=1/0){let 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e?this.mapFhirToCcda(e)??t:t}mapCcdaToFhirCodeableConcept(e){let t=this.ccdaToFhirMap[e];if(t)return{coding:[{system:this.fhirSystemUrl,code:t.fhirValue,display:t.displayName}],text:t.displayName}}mapFhirToCcda(e){if(e)return this.fhirToCcdaMap[e]?.ccdaValue}mapFhirToCcdaCode(e){if(!e)return;let t=this.fhirToCcdaMap[e];if(t)return{"@_code":t.ccdaValue,"@_displayName":t.displayName,"@_codeSystem":this.ccdaSystemOid,"@_codeSystemName":ge.getEntryByCcda(this.ccdaSystemOid)?.displayName}}},M="http:",Yn=`${_}/fhir/administrative-gender`,tt=`${T}/CodeSystem/condition-clinical`,Vt=`${T}/CodeSystem/condition-verification`,wo=`${T}/CodeSystem/v3-LanguageAbilityMode`,Bo=`${T}/CodeSystem/v3-LanguageAbilityProficiency`,ko=`${T}/CodeSystem/v3-Race`,Mt=`${T}/CodeSystem/condition-category`,it=`${T}/CodeSystem/condition-ver-status`,me=`${T}/CodeSystem/allergyintolerance-clinical`,nt=`${T}/CodeSystem/allergyintolerance-verification`,wt=`${T}/CodeSystem/v3-ActCode`,Bt=`${T}/CodeSystem/v3-ParticipationType`,kt=`${T}/CodeSystem/diagnosis-role`,Hn=`${T}/CodeSystem/v3-Confidentiality`,$n=`${T}/CodeSystem/observation-category`,jn=`${_}/fhir/ValueSet/address-use`,qn=`${_}/fhir/ValueSet/name-use`,Wn=`${_}/fhir/ValueSet/administrative-gender`,Qn=`${_}/fhir/ValueSet/contactentity-use`,zn=`${_}/fhir/ValueSet/medicationrequest-status`,Fo=`${_}/fhir/StructureDefinition/language-mode`,Go=`${_}/fhir/StructureDefinition/language-proficiency`,Yo=`${_}/fhir/us/core/StructureDefinition/us-core-patient`,G=`${_}/fhir/us/core/StructureDefinition/us-core-race`,Ee=`${_}/fhir/us/core/StructureDefinition/us-core-ethnicity`,Ft=`${_}/fhir/us/core/StructureDefinition/us-core-condition`,Gt=`${_}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,Ho=`${_}/cda/template`,Zn=`${M}//ncithesaurus-stage.nci.nih.gov`,Xn=`${_}/fhir/sid/us-ssn`,Jn=`${_}/fhir/sid/us-dln`,Kn=`${_}/fhir/sid/us-npi`,er=`${M}//fdasis.nlm.nih.gov`,tr=`${M}//nucc.org/provider-taxonomy`,ir=`${M}//va.gov/terminology/medrt`,nr=`${M}//hl7.org/fhir/ndfrt`,rr=`${M}//nucc.org/cvx`,or=`${_}/fhir/sid/cvx`,Yt=`${M}//www.w3.org/2001/XMLSchema-instance`,Ie="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",Ht="48765-2",$t="11369-6",jt="10160-0",Te="11450-4",qt="30954-2",Wt="29762-2",Qt="8716-3",zt="47519-4",Oe="18776-5",Se="51848-0",Zt="46264-8",Y="61146-7",H="75310-3",Xt="46240-8",Jt="42349-1",Kt="10190-7",ei="85847-2",ti="48768-6",ye="11488-4",$o="34109-9",jo="60591-5",Ce="34133-9",ii="76662-6",ni="75323-6",ri="58144-7",oi="72166-2",si="11367-0",ai="46098-0",ci="76689-9",ge=new E("System","","",[{ccdaValue:Hi,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:$i,fhirValue:Zn,displayName:"NCI Thesaurus"},{ccdaValue:ji,fhirValue:Xn,displayName:"SSN"},{ccdaValue:qi,fhirValue:Jn,displayName:"DLN"},{ccdaValue:Wi,fhirValue:Kn,displayName:"NPI"},{ccdaValue:Qi,fhirValue:er,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:b,fhirValue:we,displayName:"LOINC"},{ccdaValue:zi,fhirValue:vi,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:Zi,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:Xi,fhirValue:xi,displayName:"National Drug Code (NDC)"},{ccdaValue:Ji,fhirValue:Di,displayName:"RxNorm"},{ccdaValue:U,fhirValue:at,displayName:"SNOMED CT"},{ccdaValue:Ki,fhirValue:tr,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:tn,fhirValue:ir,displayName:"Medication Reference Terminology (MED-RT)"},{ccdaValue:en,fhirValue:nr,displayName:"National Drug File Reference Terminology (NDF-RT)"},{ccdaValue:bt,fhirValue:rr,displayName:"CVX"},{ccdaValue:ht,fhirValue:"Confidentiality",displayName:"Confidentiality"},{ccdaValue:He,fhirValue:Yn,displayName:"Administrative Sex"},{ccdaValue:bt,fhirValue:or,displayName:"Vaccine Administered Code Set (CVX)"}]);function $(i){if(i)return ge.mapCcdaToFhir(i)??`urn:oid:${i}`}function ui(i){if(i)return i.startsWith("urn:oid:")?i.replace("urn:oid:",""):ge.mapFhirToCcda(i)}function p(i){if(!i?.coding)return;let e=Ut(i.coding[0]);if(i.coding.length>1){e.translation=[];for(let t=1;t<i.coding.length;t++)e.translation.push(Ut(i.coding[t]))}return e}function Ut(i){let e=i?.system?ge.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 j(i){let e=p(i);if(e)return{"@_xsi:type":"CD",...e}}var di=new E("Confidentiality",ht,Hn,[{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"}]),Ae=new E("HumanNameUse","",qn,[{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"}]),li=new E("Gender","",Wn,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Ne=new E("AddressUse","",jn,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),Re=new E("TelecomUse","",Qn,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"MC",fhirValue:"mobile",displayName:"Mobile"}]),De=new E("AllergyStatus","",nt,[{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"}]),pi=new E("AllergyCategory",U,me,[{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)"}]),ve=new E("AllergySeverity",at,me,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),q=new E("ProblemStatus","",it,[{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"}]),xe=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"}]),hi=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"}]),fi=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","",zn,[{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"}]),_i=new E("ObservationCategory","",$n,[{ccdaValue:_n,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:mn,fhirValue:"social-history",displayName:"Social History 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Result Observation"},{ccdaValue:yn,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:In,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:En,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:ue,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:ae,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:dn,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:On,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:An,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Dn,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:F,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Fn,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:Rn,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Pn,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:bn,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]);var W=require("fast-xml-parser");var qo=["ClinicalDocument.recordTarget",".id",".templateId",".name",".addr",".telecom",".streetAddressLine",".author",".effectiveTime","name.given","name.suffix","name.prefix","patient.raceCode","patient.sdtc: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 Wo(i){return new W.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>qo.some(a=>r.endsWith(a))}).parse(i).ClinicalDocument}function Qo(i){return new W.XMLBuilder({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":Yt,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function mi(i){return new W.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function Ei(i){return i?typeof i=="string"?i:new W.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
+`).map(n=>n.trim()).join(""):""}function zo(i){return new Ii(i).convert()}var Ii=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&&!t.raceCode[0]["@_nullFlavor"]&&n.push({url:G,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&!t.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:Ee,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"]&&ut(n["@_root"]));return t?t["@_root"]:Fe()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&ut(n["@_root"])||t.push({system:$(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"]?Ae.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(be)?.filter(Boolean)),e.family&&(t.family=be(e.family)),e.given&&(t.given=e.given.map(be)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(be)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?Ne.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">${Ei(r.text)}</div>`},entry:o.map(f)}),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:we,code:Ce}]},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:m(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 ne:return this.processAllergyIntoleranceAct(t);case ie:return this.processConditionAct(t);case V:return this.processCarePlanAct(t);case ze:return this.processConditionAct(t);case F:return this.processProcedureAct(t);case Ye:return;case Ze:return;case Qe: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:f(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:[Ft]},clinicalStatus:{coding:[{system:tt,code:q.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Vt,code:"confirmed"}]},category:[{coding:[{system:Mt,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(t.value),subject:f(this.patient),onsetDateTime:m(t.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:m(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:"completed",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:f(this.patient),description:be(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:f(this.patient),performedDateTime:m(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 qe:case V:return this.processMedicationSubstanceAdministration(t);case ee:case te: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],a=e.entryRelationship?.find(I=>I.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Ke)?.substanceAdministration?.[0],h,S;return s?h={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}:S={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:t,contained:h?[h]:void 0,meta:{profile:[Gt]},extension:this.mapTextReference(e.text),status:Pe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:h?{reference:"#med-"+t}:void 0,medicationCodeableConcept:S,subject:f(this.patient),authoredOn:m(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:m(e.effectiveTime?.[0]?.low?.["@_value"]),end:m(e.effectiveTime?.[0]?.high?.["@_value"])}}:void 0,dosageInstruction:[{text:typeof e.text=="string"?e.text:void 0,extension:this.mapTextReference(a?.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:st,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:xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(t.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:f(this.patient),occurrenceDateTime:m(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:m(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=ve.mapCcdaToFhir(r)),t.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return m(e["@_value"]);if(e?.low?.["@_value"])return m(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:m(e?.low?.["@_value"]),end:m(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:$(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:$(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:$(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:me,code:De.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:nt,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),f(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:f(r),organization:f(o)};return this.resources.push(s),f(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),f(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"]===Xe?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:f(this.patient)};if(e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=m(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(f(r)),this.resources.push(r)}return t}processObservation(e,t){let n=t.templateId[0]["@_root"];if(n===re||n===Je)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case V:case re: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:f(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:m(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:f(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:st,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=m(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=_i.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:hi.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:wt,code:t.code?.["@_code"]??"AMB",display:t.code?.["@_displayName"]??"Ambulatory"},type:t.code?[this.mapCode(t.code)]:void 0,subject:f(this.patient),period:this.mapEffectiveTimeToPeriod(t.effectiveTime?.[0])};if(t.performer&&(n.participant=t.performer.map(r=>({type:[{coding:[{system:Bt,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 a={resourceType:"Condition",id:this.mapId(s.id),identifier:this.mapIdentifiers(s.id),clinicalStatus:{coding:[{system:tt,code:"active"}]},verificationStatus:{coding:[{system:it,code:"confirmed"}]},code:this.mapCode(s.value),subject:f(this.patient),onsetDateTime:m(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(a),{condition:f(a),use:{coding:[{system:kt,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:fi.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"completed"),code:this.mapCode(t.code),subject:f(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:Ie,valueString:e.reference?.["@_value"]}]}};function be(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var Ti=[{"@_root":ft,"@_extension":"2015-08-01"},{"@_root":ft},{"@_root":_t,"@_extension":"2015-08-01"},{"@_root":_t}],sr=[{"@_root":ne,"@_extension":"2015-08-01"},{"@_root":ne}],ar=[{"@_root":qe,"@_extension":"2014-06-09"}],cr=[{"@_root":ie,"@_extension":"2015-08-01"},{"@_root":ie}],ur=[{"@_root":ee},{"@_root":ee,"@_extension":"2015-08-01"},{"@_root":te},{"@_root":te,"@_extension":"2015-08-01"}],dr=[{"@_root":rn,"@_extension":"2015-08-01"}],lr=[{"@_root":Et},{"@_root":Et,"@_extension":"2015-08-01"}],pr=[{"@_root":F,"@_extension":"2014-06-09"}],Zo=[{"@_root":V,"@_extension":"2014-06-09"}],Xo=[{"@_root":mt,"@_extension":"2015-08-01"}],hr=[{"@_root":mt,"@_extension":"2015-08-01"}],fr=[{"@_root":sn,"@_extension":"2015-08-01"}],_r=[{"@_root":We}],mr=[{"@_root":V},{"@_root":V,"@_extension":"2014-06-09"}],Er=[{"@_root":on,"@_extension":"2015-08-01"}],Ir=[{"@_root":re}],Tr=[{"@_root":ze,"@_extension":"2015-08-01"}],Or=[{"@_root":Ye,"@_extension":"2014-06-09"}],Sr=[{"@_root":an,"@_extension":"2015-08-01"}],yr=[{"@_root":Ze,"@_extension":"2016-11-01"}],Cr=[{"@_root":Xe,"@_extension":"2022-06-01"}],gr=[{"@_root":Qe,"@_extension":"2015-08-01"}],Oi=Object.fromEntries([[Ht,sr],[jt,ar],[Te,cr],[$t,ur],[Qt,dr],[Wt,lr],[zt,pr],[qt,hr],[Se,_r],[Oe,mr],[Xt,Er],[Y,Ir],[H,Tr],[Jt,Or],[Kt,Sr],[ye,yr],[ei,Cr],[ti,gr],[Zt,fr]]);function Jo(i){return new Si(i).convert()}var Si=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":Yi,"@_extension":"POCD_HD000040"},templateId:Ti,id:this.mapIdentifiers(this.composition.id,void 0),code:{"@_code":Ce,"@_displayName":"Summarization of Episode Note","@_codeSystem":b,"@_codeSystemName":"LOINC"},title:this.composition.title,effectiveTime:this.mapEffectiveTime(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?di.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,!0),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),"sdtc:raceCode":this.mapDetailedRace(e),ethnicGroupCode:this.mapEthnicity(e.extension),languageCommunication:this.mapLanguageCommunication(e.communication)}}mapNames(e){return e?.map(t=>({"@_use":t.use?Ae.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":li.mapFhirToCcda(e),"@_displayName":e?J(e):"Unknown","@_codeSystem":He,"@_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?Ne.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 t=ke(e,G,"ombCategory")?.valueCoding;return t?[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":je,"@_codeSystemName":"CDC Race and Ethnicity"}]:[{"@_nullFlavor":"UNK"}]}mapDetailedRace(e){let t=ke(e,G,"detailed")?.valueCoding;if(t)return[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":je,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===Ee)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;return n?[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":je,"@_codeSystemName":"CDC Race and Ethnicity"}]:[{"@_nullFlavor":"UNK"}]}mapLanguageCommunication(e){if(e?.length)return[{languageCode:{"@_code":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=Oi[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return t===Se&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):{templateId:n,code:p(e.code),title:e.title,text:this.mapFhirTextDivToCcdaSectionText(e.text),entry:r.map(o=>this.createEntry(e,o)).filter(Boolean),"@_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"ClinicalImpression":return this.createClinicalImpressionEntry(t);case"Condition":return this.createConditionEntry(e,t);case"DeviceUseStatement":return this.createDeviceUseStatementEntry(t);case"DiagnosticReport":return this.createDiagnosticReportEntry(t);case"Encounter":return this.createEncounterEntry(t);case"Goal":return this.createGoalEntry(e,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);case"ServiceRequest":return this.createPlanOfTreatmentServiceRequestEntry(t);default:return}}mapFhirTextDivToCcdaSectionText(e){if(!e)return;let t=mi(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":gt},{"@_root":gt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":pt},statusCode:{"@_code":De.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":Tt},{"@_root":Tt,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":$e},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:e.code?.coding?.[0]?.code==="716186003"?{"@_nullFlavor":"NA"}:{...p(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":St},{"@_root":St,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":$e},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:j(t.manifestation?.[0]),text:this.createTextFromExtensions(t.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":Ot},{"@_root":Ot,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":$e,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":ve.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?J(t.severity):void 0,"@_codeSystem":U,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){let t=pi.mapFhirToCcdaCode(e?.[0]);return t||(t={"@_code":"419199007","@_displayName":"Allergy to substance (disorder)","@_codeSystem":U,"@_codeSystemName":"SNOMED CT"}),{"@_xsi:type":"CD",...t}}mapAuthor(e,t,n){if(!e)return;let r=this.findResourceByReference(e);if(!r)return;let o;if(r.resourceType==="Organization"?o=r:r.resourceType==="PractitionerRole"&&(o=this.findResourceByReference(r.organization),r=this.findResourceByReference(r.practitioner)),!r)return;let s;"address"in r&&(s=r.address);let a;"telecom"in r&&(a=r.telecom);let h;"qualification"in r&&(h=r.qualification?.[0]);let S;return["Patient","Practitioner","RelatedPerson"].includes(r.resourceType)&&(S=r.name),[{templateId:[{"@_root":Nn}],time:t?{"@_value":O(t)}:void 0,assignedAuthor:{id:this.mapIdentifiers(r.id,r.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(s),telecom:this.mapTelecom(a),code:p(h),assignedPerson:S?{name:this.mapNames(S)}:void 0,assignedAuthoringDevice:!S&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}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:p(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":yt,"@_extension":"2014-06-09"},{"@_root":yt}],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":Ct,"@_extension":"2014-06-09"},{"@_root":Ct}],manufacturedMaterial:[{code:[{...p(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":Ke}],code:{"@_code":ii,"@_codeSystem":b,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:this.createTextFromExtensions(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}mapMedicationRoute(e){if(e)return p(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=ui(r.system);o&&n.push({"@_root":o,"@_extension":r.value})}return n}getNarrativeReference(e){let t=e?.find(n=>n.url===Ie)?.valueString;return t?{"@_value":t}:void 0}createTextFromExtensions(e){let t=this.getNarrativeReference(e);return t?{reference:t}:void 0}createConditionEntry(e,t){let n=e.code?.coding?.[0]?.code;if(n===Te)return this.createProblemEntry(t);if(n===H)return this.createHealthConcernEntry(t)}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":It},{"@_root":It,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":pt},statusCode:{"@_code":q.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":Fe()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":U,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":ni,"@_codeSystem":b,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":L(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":O(e.abatementDateTime)}:void 0}],value:j(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createHealthConcernEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":xt,"@_extension":"2015-08-01"},{"@_root":xt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":H,"@_codeSystem":b,"@_codeSystemName":"LOINC","@_displayName":"Health Concern"},statusCode:{"@_code":q.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0)}]}}createImmunizationEntry(e){let t=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":Dt},{"@_root":Dt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":xe.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":L(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":vt},{"@_root":vt,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[p(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){if(e.status==="completed")return{act:[{"@_classCode":"ACT","@_moodCode":"INT",templateId:[{"@_root":ln}],id:this.mapIdentifiers(e.id,e.identifier),code:j(e.category?.[0]),text:e.description?{"#text":e.description}:this.createTextFromExtensions(e.extension),statusCode:{"@_code":e.status}}]}}createGoalEntry(e,t){let n=e.code?.coding?.[0]?.code,r;if(n===Oe)r=[{"@_root":Nt}];else if(n===Y)r=[{"@_root":Je}];else return;let o;if(n===Y)o={"@_code":ri,"@_codeSystem":b,"@_codeSystemName":"LOINC","@_displayName":"Resident's overall goal established during assessment process"};else if(t.description)o=p(t.description);else return;return{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:r,id:this.mapIdentifiers(t.id,t.identifier),code:o,statusCode:{"@_code":this.mapPlanOfTreatmentStatus(t.lifecycleStatus)},effectiveTime:[{"@_value":O(t.startDate)}],value:t.description?.text?{"@_xsi:type":"ST","#text":t.description.text}:void 0,text:this.createTextFromExtensions(t.extension),entryRelationship:t.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ce},{"@_root":ce,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(t.startDate)}]}]}))}]}}mapPlanOfTreatmentStatus(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":le},{"@_root":le,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(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:p(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:p(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){let t=e.code?.coding?.[0]?.code,n=e.category?.[0]?.coding?.[0]?.code;return t===oi?[{"@_root":he},{"@_root":he,"@_extension":"2014-06-09"}]:t===si?[{"@_root":fe},{"@_root":fe,"@_extension":"2014-06-09"}]:t===ai?[{"@_root":et,"@_extension":"2023-06-28"}]:t===ci?[{"@_root":_e},{"@_root":_e,"@_extension":"2016-06-01"}]:n==="exam"?[{"@_root":ue},{"@_root":ue,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":se},{"@_root":se,"@_extension":"2015-08-01"}]:[{"@_root":pe},{"@_root":pe,"@_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 j(e.valueCodeableConcept);if(e.valueString)return{"@_xsi:type":"ST","#text":e.valueString}}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":ce},{"@_root":ce,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":de},{"@_root":de,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveTime(e.performedDateTime,e.performedPeriod),text:this.createTextFromExtensions(e.extension),targetSiteCode:p(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:p(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":At}],id:this.mapIdentifiers(t.id,t.identifier),code:p(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":L(t.start)}:void 0,high:t.end?{"@_value":L(t.end)}:void 0}];if(e)return[{"@_value":L(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:p(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":At}],code:p(t.type?.[0])}}))}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Pt,"@_extension":"2022-07-01"},{"@_root":Pt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,e.identifier),component:e.participant?.map(t=>({"@_typeCode":"PRF",role:t.role}))}]}}createClinicalImpressionSection(e,t){return{templateId:[{"@_root":We}],code:p(e.code),title:e.title,text:t.summary,author:this.mapAuthor(t.assessor,t.date)}}createPlanOfTreatmentServiceRequestEntry(e){return{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":Nt}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":this.mapPlanOfTreatmentStatus(e.status)},effectiveTime:[{"@_value":O(e.occurrenceDateTime)}],text:this.createTextFromExtensions(e.extension)}]}}createDiagnosticReportEntry(e){let t=[];if(e.result)for(let n of e.result){let r=this.findResourceByReference(n);!r||r.resourceType!=="Observation"||t.push({observation:[this.createVitalSignObservation(r)]})}return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":oe},{"@_root":oe,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},component:t}]}}createDeviceUseStatementEntry(e){let t=this.findResourceByReference(e.device);if(!t)return;let n=[],r=this.mapIdentifiers(t.id,t.identifier);return r&&n.push(...r),t.udiCarrier?.[0]?.deviceIdentifier&&n.push({"@_root":Lt,"@_extension":t.udiCarrier[0].carrierHRF,"@_assigningAuthorityName":"FDA"}),{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":de,"@_extension":"2014-06-09"},{"@_root":de}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"360030002","@_codeSystem":U,"@_codeSystemName":"SNOMED CT","@_displayName":"Application of medical device"},statusCode:{"@_code":"completed"},participant:[{"@_typeCode":"DEV",participantRole:{"@_classCode":"MANU",templateId:[{"@_root":fn}],id:n,playingDevice:{"@_classCode":"DEV",code:p(t.type)},scopingEntity:{id:[{"@_root":Lt}]}}}]}]}}createClinicalImpressionEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":xn,"@_extension":"2016-11-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code)??{"@_code":ye,"@_codeSystem":b,"@_codeSystemName":"LOINC","@_displayName":"Note"},text:e.summary?{"#text":e.summary}:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":L(e.date)}],author:this.mapAuthor(e.assessor,e.date)}]}}};0&&(module.exports={ACT_CODE_SYSTEM,ADDRESS_USE_MAPPER,ADDRESS_USE_VALUE_SET,ADMINISTRATIVE_GENDER_CODE_SYSTEM,ADMINISTRATIVE_GENDER_VALUE_SET,ALLERGIES_SECTION_TEMPLATE_IDS,ALLERGY_CATEGORY_MAPPER,ALLERGY_CLINICAL_CODE_SYSTEM,ALLERGY_SEVERITY_MAPPER,ALLERGY_STATUS_MAPPER,ALLERGY_VERIFICATION_CODE_SYSTEM,ASSESSMENTS_SECTION_TEMPLATE_IDS,CARE_TEAM_SECTION_TEMPLATE_IDS,CCDA_NARRATIVE_REFERENCE_URL,CCDA_TEMPLATE_CODE_SYSTEM,CCDA_TEMPLATE_IDS,CLINICAL_CONDITION_CODE_SYSTEM,CLINICAL_NOTES_SECTION_TEMPLATE_IDS,CONDITION_CATEGORY_CODE_SYSTEM,CONDITION_VERIFICATION_CODE_SYSTEM,CONDITION_VER_STATUS_CODE_SYSTEM,CONFIDENTIALITY_CODE_SYSTEM,CONFIDENTIALITY_MAPPER,CONTACT_ENTITY_USE_VALUE_SET,CVX_URL,DEVICES_SECTION_TEMPLATE_IDS,DIAGNOSIS_ROLE_CODE_SYSTEM,ENCOUNTERS_SECTION_TEMPLATE_IDS,ENCOUNTER_STATUS_MAPPER,EnumMapper,FHIR_CVX_URL,GENDER_MAPPER,GOALS_SECTION_TEMPLATE_IDS,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,HTTP,HUMAN_NAME_USE_MAPPER,IMMUNIZATIONS_SECTION_TEMPLATE_IDS,IMMUNIZATION_STATUS_MAPPER,INSURANCE_SECTION_TEMPLATE_IDS,LAB_TESTS_SECTION_TEMPLATE_IDS,LANGUAGE_MODE_CODE_SYSTEM,LANGUAGE_MODE_URL,LANGUAGE_PROFICIENCY_CODE_SYSTEM,LANGUAGE_PROFICIENCY_URL,LOINC_ADMINISTRATIVE_SEX,LOINC_ALLERGIES_SECTION,LOINC_ASSESSMENTS_SECTION,LOINC_BIRTH_SEX,LOINC_CARE_TEAM_SECTION,LOINC_CONDITION,LOINC_DEVICES_SECTION,LOINC_ENCOUNTERS_SECTION,LOINC_GOALS_SECTION,LOINC_HEALTH_CONCERNS_SECTION,LOINC_HISTORY_OF_TOBACCO_USE,LOINC_IMMUNIZATIONS_SECTION,LOINC_INSURANCE_SECTION,LOINC_MEDICATIONS_SECTION,LOINC_MEDICATION_INSTRUCTIONS,LOINC_MENTAL_STATUS_SECTION,LOINC_NOTES_SECTION,LOINC_NOTE_DOCUMENT,LOINC_OVERALL_GOAL,LOINC_PATIENT_SUMMARY_DOCUMENT,LOINC_PLAN_OF_TREATMENT_SECTION,LOINC_PROBLEMS_SECTION,LOINC_PROCEDURES_SECTION,LOINC_REASON_FOR_REFERRAL_SECTION,LOINC_RESULTS_SECTION,LOINC_SOCIAL_HISTORY_SECTION,LOINC_SUMMARY_OF_EPISODE_NOTE,LOINC_TOBACCO_SMOKING_STATUS,LOINC_TO_TEMPLATE_IDS,LOINC_VITAL_SIGNS_SECTION,MEDICATIONS_SECTION_TEMPLATE_IDS,MEDICATION_REQUEST_STATUS_VALUE_SET,MEDICATION_STATUS_MAPPER,MENTAL_STATUS_SECTION_TEMPLATE_IDS,NAME_USE_VALUE_SET,NCI_THESAURUS_URL,NDFRT_URL,NUCC_TAXONOMY_URL,OBSERVATION_CATEGORY_CODE_SYSTEM,OBSERVATION_CATEGORY_MAPPER,PARTICIPATION_CODE_SYSTEM,PATIENT_NOTES_SECTION_TEMPLATE_IDS,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,PROBLEMS_SECTION_TEMPLATE_IDS,PROBLEM_STATUS_MAPPER,PROCEDURES_SECTION_TEMPLATE_IDS,PROCEDURE_STATUS_MAPPER,RACE_CODE_SYSTEM,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,RESULTS_SECTION_TEMPLATE_IDS,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,SYSTEM_MAPPER,TELECOM_USE_MAPPER,UNII_URL,US_CORE_CONDITION_URL,US_CORE_ETHNICITY_URL,US_CORE_MEDICATION_REQUEST_URL,US_CORE_PATIENT_URL,US_CORE_RACE_URL,US_DRIVER_LICENSE_URL,US_NPI_URL,US_SSN_URL,VA_MEDRT_URL,VITAL_SIGNS_SECTION_TEMPLATE_IDS,XSI_URL,convertCcdaToFhir,convertCcdaToXml,convertFhirToCcda,convertToCompactXml,convertXmlToCcda,mapCcdaSystemToFhir,mapCcdaToFhirDate,mapCcdaToFhirDateTime,mapCodeableConceptToCcdaCode,mapCodeableConceptToCcdaValue,mapCodingToCcdaCode,mapFhirSystemToCcda,mapFhirToCcdaDate,mapFhirToCcdaDateTime,parseXml});
 /*!
  * Reconnecting WebSocket
  * by Pedro Ladaria <pedro.ladaria@gmail.com>