@medplum/ccda 4.3.12 → 4.3.14

package/dist/cjs/index.d.ts

@@ -1,6 +1,16 @@
 import { Bundle } from '@medplum/fhirtypes';
+import { CareTeam } from '@medplum/fhirtypes';
 import { CodeableConcept } from '@medplum/fhirtypes';
 import { Coding } from '@medplum/fhirtypes';
+import { Device } from '@medplum/fhirtypes';
+import { Organization } from '@medplum/fhirtypes';
+import { Patient } from '@medplum/fhirtypes';
+import { Period } from '@medplum/fhirtypes';
+import { Practitioner } from '@medplum/fhirtypes';
+import { PractitionerRole } from '@medplum/fhirtypes';
+import { Reference } from '@medplum/fhirtypes';
+import { RelatedPerson } from '@medplum/fhirtypes';
+import { Resource } from '@medplum/fhirtypes';
 
 export declare const ACT_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/v3-ActCode";
 
@@ -39,6 +49,7 @@ export declare interface Ccda {
     effectiveTime?: CcdaEffectiveTime[];
     custodian?: CcdaCustodian;
     informationRecipient?: CcdaInformationRecipient;
+    participant?: CcdaParticipant[];
     documentationOf?: CcdaDocumentationOf;
     title?: string;
     code?: CcdaCode;
@@ -61,7 +72,7 @@ export declare const CCDA_TEMPLATE_IDS: ({
 export declare interface CcdaAct {
     '@_classCode': string;
     '@_moodCode': string;
-    templateId: CcdaTemplateId[];
+    templateId?: CcdaTemplateId[];
     id?: CcdaId[];
     code: CcdaCode;
     statusCode?: CcdaCode;
@@ -71,6 +82,7 @@ export declare interface CcdaAct {
     author?: CcdaAuthor[];
     text?: CcdaText;
     performer?: CcdaPerformer[];
+    participant?: CcdaParticipant[];
 }
 
 export declare interface CcdaAddr {
@@ -87,6 +99,7 @@ export declare interface CcdaAssignedAuthor {
     id?: CcdaId[];
     code?: CcdaCode;
     assignedPerson?: CcdaAssignedPerson;
+    associatedPerson?: CcdaAssignedPerson;
     addr: CcdaAddr[];
     telecom: CcdaTelecom[];
     assignedAuthoringDevice?: CcdaAssignedAuthoringDevice;
@@ -105,6 +118,7 @@ export declare interface CcdaAssignedCustodian {
 
 export declare interface CcdaAssignedEntity {
     id: CcdaId[];
+    code?: CcdaCode;
     addr: CcdaAddr[];
     telecom: CcdaTelecom[];
     assignedPerson?: CcdaAssignedPerson;
@@ -184,6 +198,7 @@ export declare interface CcdaEntry {
 export declare interface CcdaEntryRelationship {
     '@_typeCode': string;
     '@_inversionInd'?: string;
+    sequenceNumber?: CcdaInteger;
     observation?: CcdaObservation[];
     act?: CcdaAct[];
     substanceAdministration?: CcdaSubstanceAdministration[];
@@ -211,6 +226,11 @@ export declare interface CcdaInnerComponent {
     section: CcdaSection[];
 }
 
+export declare interface CcdaInteger {
+    '@_xsi:type': 'INT';
+    '@_value': string;
+}
+
 export declare interface CcdaIntendedRecipient {
     informationRecipient: CcdaInformationRecipientEntry;
 }
@@ -281,7 +301,7 @@ export declare interface CcdaOrganization {
 }
 
 export declare interface CcdaOrganizer {
-    '@_classCode': 'CLUSTER';
+    '@_classCode': 'CLUSTER' | 'OBS';
     '@_moodCode': 'EVN';
     templateId: CcdaTemplateId[];
     id: CcdaId[];
@@ -303,7 +323,9 @@ export declare interface CcdaOuterComponent {
 export declare interface CcdaParticipant {
     '@_classCode'?: string;
     '@_typeCode'?: string;
+    templateId?: CcdaTemplateId[];
     participantRole?: CcdaParticipantRole;
+    associatedEntity?: CcdaAssignedAuthor;
 }
 
 export declare interface CcdaParticipantRole {
@@ -338,6 +360,7 @@ export declare interface CcdaPatientRole {
 
 export declare interface CcdaPerformer {
     '@_typeCode'?: string;
+    templateId?: CcdaTemplateId[];
     assignedEntity: CcdaAssignedEntity;
     functionCode?: CcdaCode;
 }
@@ -359,7 +382,7 @@ export declare interface CcdaPlayingEntity {
     '@_classCode'?: string;
     '@_typeCode'?: string;
     code?: CcdaCode;
-    name?: string[];
+    name?: CcdaName[] | string[];
 }
 
 export declare interface CcdaProcedure {
@@ -368,7 +391,7 @@ export declare interface CcdaProcedure {
     templateId: CcdaTemplateId[];
     id?: CcdaId[];
     code: CcdaCode;
-    statusCode: CcdaCode<'completed' | 'aborted' | 'cancelled' | 'new' | 'unknown'>;
+    statusCode: CcdaCode<'completed' | 'active' | 'aborted' | 'cancelled' | 'new' | 'unknown'>;
     effectiveTime?: CcdaEffectiveTime[];
     methodCode?: CcdaCode;
     targetSiteCode?: CcdaCode;
@@ -472,7 +495,7 @@ export declare interface CcdaToFhirOptions {
     ignoreUnsupportedSections?: boolean;
 }
 
-export declare type CcdaValue = CcdaCode | CcdaText | CcdaQuantity | CcdaReference;
+export declare type CcdaValue = CcdaCode | CcdaText | CcdaQuantity | CcdaReference | CcdaInteger;
 
 export declare const CLINICAL_CONDITION_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/condition-clinical";
 
@@ -534,13 +557,11 @@ export declare interface EnumEntry<TFhirValue extends string = string, TCcdaValu
 }
 
 export declare class EnumMapper<TFhirValue extends string, TCcdaValue extends string> {
-    readonly systemName: string;
-    readonly ccdaSystemOid: string;
-    readonly fhirSystemUrl: string;
+    readonly details: EnumMapperDetails;
     readonly entries: EnumEntry<TFhirValue, TCcdaValue>[];
     readonly ccdaToFhirMap: Record<TCcdaValue, EnumEntry<TFhirValue, TCcdaValue>>;
     readonly fhirToCcdaMap: Record<TFhirValue, EnumEntry<TFhirValue, TCcdaValue>>;
-    constructor(systemName: string, ccdaSystemOid: string, fhirSystemUrl: string, entries: EnumEntry<TFhirValue, TCcdaValue>[]);
+    constructor(details: EnumMapperDetails, entries: EnumEntry<TFhirValue, TCcdaValue>[]);
     getEntryByFhir(fhir: TFhirValue): EnumEntry<TFhirValue, TCcdaValue> | undefined;
     getEntryByCcda(ccda: TCcdaValue): EnumEntry<TFhirValue, TCcdaValue> | undefined;
     mapCcdaToFhir(ccda: TCcdaValue): TFhirValue | undefined;
@@ -551,8 +572,92 @@ export declare class EnumMapper<TFhirValue extends string, TCcdaValue extends st
     mapFhirToCcdaCode(fhir: TFhirValue | undefined): CcdaCode<TCcdaValue> | undefined;
 }
 
+export declare interface EnumMapperDetails {
+    readonly ccdaSystemOid?: string;
+    readonly fhirSystemUrl?: string;
+}
+
 export declare const FHIR_CVX_URL = "http://hl7.org/fhir/sid/cvx";
 
+export declare const FHIR_ICF_URL = "http://hl7.org/fhir/sid/icf";
+
+/**
+ * The FhirToCcdaConverter class is responsible for converting a FHIR bundle to a C-CDA document.
+ */
+export declare class FhirToCcdaConverter {
+    private readonly bundle;
+    private readonly options;
+    private readonly composition;
+    private readonly patient;
+    /**
+     * Creates a new FhirToCcdaConverter for the given FHIR bundle.
+     * @param bundle - The FHIR bundle to convert.
+     * @param options - Optional options.
+     */
+    constructor(bundle: Bundle, options?: FhirToCcdaOptions);
+    /**
+     * Convert the FHIR bundle to a C-CDA document.
+     * @returns The C-CDA document.
+     */
+    convert(): Ccda;
+    /**
+     * Find a resource in the FHIR bundle by resource type.
+     * @param resourceType - The type of resource to find.
+     * @returns The resource if found, otherwise undefined.
+     */
+    private findResource;
+    /**
+     * Find a resource in the FHIR bundle by reference.
+     * @param reference - The reference to the resource.
+     * @returns The resource if found, otherwise undefined.
+     */
+    findResourceByReference<T extends Resource>(reference: Reference<T> | undefined): T | undefined;
+    /**
+     * Find resources in the FHIR bundle by references.
+     * @param references - The references to the resources.
+     * @returns The resources if found, otherwise undefined.
+     */
+    private findResourcesByReferences;
+    /**
+     * Create the record target for the C-CDA document.
+     * @returns The record target.
+     */
+    private createRecordTarget;
+    /**
+     * Create the sections for the C-CDA document.
+     * @returns The sections.
+     */
+    private createSections;
+    private createSection;
+    private createEntry;
+    /**
+     * Map the FHIR author to the C-CDA author.
+     * @param author - The author to map.
+     * @param time - The time to map.
+     * @param includeDevice - Whether to include device information.
+     * @returns The C-CDA author.
+     */
+    mapAuthor(author: Reference<CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson> | undefined, time?: string, includeDevice?: boolean): CcdaAuthor[] | undefined;
+    private mapCustodian;
+    private mapRecipient;
+    private createParticipants;
+    /**
+     * Handles the ClinicalImpression special case.
+     * Unlike most other sections, the "Assessments" section can skip the `<entry>` elements and directly contain the `<text>` element.
+     * @param section - The Composition section to create the C-CDA section for.
+     * @param resource - The ClinicalImpression resource to create the C-CDA section for.
+     * @returns The C-CDA section for the ClinicalImpression resource.
+     */
+    private createClinicalImpressionSection;
+    /**
+     * Handles the Reason for Referral special case.
+     * @param section - The Composition section to create the C-CDA section for.
+     * @param resource - The ClinicalImpression resource to create the C-CDA section for.
+     * @returns The C-CDA section for the ClinicalImpression resource.
+     */
+    private createReasonForReferralSection;
+}
+
 export declare interface FhirToCcdaOptions {
     /**
      * Type of C-CDA document to generate.
@@ -560,6 +665,8 @@ export declare interface FhirToCcdaOptions {
     type?: 'referral' | 'discharge' | 'summary';
 }
 
+export declare const FUNCTIONAL_STATUS_TEMPLATE_IDS: CcdaTemplateId[];
+
 export declare const GENDER_MAPPER: EnumMapper<"unknown" | "female" | "male" | "other", "M" | "F" | "UN">;
 
 export declare const GOALS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
@@ -579,6 +686,8 @@ export declare const IMMUNIZATION_STATUS_MAPPER: EnumMapper<"completed" | "enter
 
 export declare const IMMUNIZATIONS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
+export declare const INSURANCE_COVERAGE_TYPE_MAPPER: EnumMapper<string, string>;
+
 export declare const INSURANCE_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
 export declare const LAB_TESTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
@@ -601,16 +710,30 @@ export declare const LOINC_BIRTH_SEX = "76689-9";
 
 export declare const LOINC_CARE_TEAM_SECTION = "85847-2";
 
+export declare const LOINC_CLINICAL_FINDING = "75321-0";
+
 export declare const LOINC_CONDITION = "75323-6";
 
 export declare const LOINC_DEVICES_SECTION = "46264-8";
 
+export declare const LOINC_DISABILITY_STATUS = "89571-4";
+
 export declare const LOINC_ENCOUNTERS_SECTION = "46240-8";
 
+export declare const LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE = "47420-5";
+
+export declare const LOINC_FUNCTIONAL_STATUS_SECTION = "47420-5";
+
 export declare const LOINC_GOALS_SECTION = "61146-7";
 
 export declare const LOINC_HEALTH_CONCERNS_SECTION = "75310-3";
 
+export declare const LOINC_HISTORY_OF_OCCUPATION = "11341-5";
+
+export declare const LOINC_HISTORY_OF_OCCUPATION_INDUSTRY = "86188-0";
+
+export declare const LOINC_HISTORY_OF_SOCIAL_FUNCTION = "8689-2";
+
 export declare const LOINC_HISTORY_OF_TOBACCO_USE = "11367-0";
 
 export declare const LOINC_IMMUNIZATIONS_SECTION = "11369-6";
@@ -633,6 +756,8 @@ export declare const LOINC_PATIENT_SUMMARY_DOCUMENT = "60591-5";
 
 export declare const LOINC_PLAN_OF_TREATMENT_SECTION = "18776-5";
 
+export declare const LOINC_PREGNANCY_STATUS = "82810-3";
+
 export declare const LOINC_PROBLEMS_SECTION = "11450-4";
 
 export declare const LOINC_PROCEDURES_SECTION = "47519-4";
@@ -651,8 +776,17 @@ export declare const LOINC_TO_TEMPLATE_IDS: Record<string, CcdaTemplateId[]>;
 
 export declare const LOINC_TOBACCO_SMOKING_STATUS = "72166-2";
 
+export declare const LOINC_TRIBAL_AFFILIATION = "95370-3";
+
 export declare const LOINC_VITAL_SIGNS_SECTION = "8716-3";
 
+/**
+ * Maps a C-CDA code to a FHIR CodeableConcept.
+ * @param ccdaCode - The C-CDA code to map.
+ * @returns The FHIR CodeableConcept.
+ */
+export declare function mapCcdaCodeToCodeableConcept(ccdaCode: CcdaCode | undefined): CodeableConcept | undefined;
+
 /**
  * Map the C-CDA system to the FHIR system.
  * @param ccda - The C-CDA system to map.
@@ -695,6 +829,8 @@ export declare function mapCodeableConceptToCcdaValue(codeableConcept: CodeableC
  */
 export declare function mapCodingToCcdaCode(coding: Coding): CcdaCode;
 
+export declare function mapFhirPeriodOrDateTimeToCcda(period: Period | undefined, dateTime: string | undefined): CcdaEffectiveTime;
+
 /**
  * Map the FHIR system to the C-CDA system.
  * @param system - The system to map.
@@ -748,7 +884,7 @@ export declare const PROBLEM_STATUS_MAPPER: EnumMapper<string, string>;
 
 export declare const PROBLEMS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
-export declare const PROCEDURE_STATUS_MAPPER: EnumMapper<"completed" | "unknown" | "not-done" | "stopped", "completed" | "aborted" | "cancelled" | "unknown" | "new">;
+export declare const PROCEDURE_STATUS_MAPPER: EnumMapper<"active" | "completed" | "unknown" | "not-done" | "stopped", "active" | "completed" | "aborted" | "cancelled" | "unknown" | "new">;
 
 export declare const PROCEDURES_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
@@ -766,6 +902,8 @@ export declare const REFERRAL_TEMPLATE_IDS: ({
 
 export declare const RESULTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
+export declare const ROLE_CODE_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/v3-RoleCode";
+
 export declare const SOCIAL_HISTORY_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
 export declare const SYSTEM_MAPPER: EnumMapper<string, string>;

package/dist/esm/index.d.ts

@@ -1,6 +1,16 @@
 import { Bundle } from '@medplum/fhirtypes';
+import { CareTeam } from '@medplum/fhirtypes';
 import { CodeableConcept } from '@medplum/fhirtypes';
 import { Coding } from '@medplum/fhirtypes';
+import { Device } from '@medplum/fhirtypes';
+import { Organization } from '@medplum/fhirtypes';
+import { Patient } from '@medplum/fhirtypes';
+import { Period } from '@medplum/fhirtypes';
+import { Practitioner } from '@medplum/fhirtypes';
+import { PractitionerRole } from '@medplum/fhirtypes';
+import { Reference } from '@medplum/fhirtypes';
+import { RelatedPerson } from '@medplum/fhirtypes';
+import { Resource } from '@medplum/fhirtypes';
 
 export declare const ACT_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/v3-ActCode";
 
@@ -39,6 +49,7 @@ export declare interface Ccda {
     effectiveTime?: CcdaEffectiveTime[];
     custodian?: CcdaCustodian;
     informationRecipient?: CcdaInformationRecipient;
+    participant?: CcdaParticipant[];
     documentationOf?: CcdaDocumentationOf;
     title?: string;
     code?: CcdaCode;
@@ -61,7 +72,7 @@ export declare const CCDA_TEMPLATE_IDS: ({
 export declare interface CcdaAct {
     '@_classCode': string;
     '@_moodCode': string;
-    templateId: CcdaTemplateId[];
+    templateId?: CcdaTemplateId[];
     id?: CcdaId[];
     code: CcdaCode;
     statusCode?: CcdaCode;
@@ -71,6 +82,7 @@ export declare interface CcdaAct {
     author?: CcdaAuthor[];
     text?: CcdaText;
     performer?: CcdaPerformer[];
+    participant?: CcdaParticipant[];
 }
 
 export declare interface CcdaAddr {
@@ -87,6 +99,7 @@ export declare interface CcdaAssignedAuthor {
     id?: CcdaId[];
     code?: CcdaCode;
     assignedPerson?: CcdaAssignedPerson;
+    associatedPerson?: CcdaAssignedPerson;
     addr: CcdaAddr[];
     telecom: CcdaTelecom[];
     assignedAuthoringDevice?: CcdaAssignedAuthoringDevice;
@@ -105,6 +118,7 @@ export declare interface CcdaAssignedCustodian {
 
 export declare interface CcdaAssignedEntity {
     id: CcdaId[];
+    code?: CcdaCode;
     addr: CcdaAddr[];
     telecom: CcdaTelecom[];
     assignedPerson?: CcdaAssignedPerson;
@@ -184,6 +198,7 @@ export declare interface CcdaEntry {
 export declare interface CcdaEntryRelationship {
     '@_typeCode': string;
     '@_inversionInd'?: string;
+    sequenceNumber?: CcdaInteger;
     observation?: CcdaObservation[];
     act?: CcdaAct[];
     substanceAdministration?: CcdaSubstanceAdministration[];
@@ -211,6 +226,11 @@ export declare interface CcdaInnerComponent {
     section: CcdaSection[];
 }
 
+export declare interface CcdaInteger {
+    '@_xsi:type': 'INT';
+    '@_value': string;
+}
+
 export declare interface CcdaIntendedRecipient {
     informationRecipient: CcdaInformationRecipientEntry;
 }
@@ -281,7 +301,7 @@ export declare interface CcdaOrganization {
 }
 
 export declare interface CcdaOrganizer {
-    '@_classCode': 'CLUSTER';
+    '@_classCode': 'CLUSTER' | 'OBS';
     '@_moodCode': 'EVN';
     templateId: CcdaTemplateId[];
     id: CcdaId[];
@@ -303,7 +323,9 @@ export declare interface CcdaOuterComponent {
 export declare interface CcdaParticipant {
     '@_classCode'?: string;
     '@_typeCode'?: string;
+    templateId?: CcdaTemplateId[];
     participantRole?: CcdaParticipantRole;
+    associatedEntity?: CcdaAssignedAuthor;
 }
 
 export declare interface CcdaParticipantRole {
@@ -338,6 +360,7 @@ export declare interface CcdaPatientRole {
 
 export declare interface CcdaPerformer {
     '@_typeCode'?: string;
+    templateId?: CcdaTemplateId[];
     assignedEntity: CcdaAssignedEntity;
     functionCode?: CcdaCode;
 }
@@ -359,7 +382,7 @@ export declare interface CcdaPlayingEntity {
     '@_classCode'?: string;
     '@_typeCode'?: string;
     code?: CcdaCode;
-    name?: string[];
+    name?: CcdaName[] | string[];
 }
 
 export declare interface CcdaProcedure {
@@ -368,7 +391,7 @@ export declare interface CcdaProcedure {
     templateId: CcdaTemplateId[];
     id?: CcdaId[];
     code: CcdaCode;
-    statusCode: CcdaCode<'completed' | 'aborted' | 'cancelled' | 'new' | 'unknown'>;
+    statusCode: CcdaCode<'completed' | 'active' | 'aborted' | 'cancelled' | 'new' | 'unknown'>;
     effectiveTime?: CcdaEffectiveTime[];
     methodCode?: CcdaCode;
     targetSiteCode?: CcdaCode;
@@ -472,7 +495,7 @@ export declare interface CcdaToFhirOptions {
     ignoreUnsupportedSections?: boolean;
 }
 
-export declare type CcdaValue = CcdaCode | CcdaText | CcdaQuantity | CcdaReference;
+export declare type CcdaValue = CcdaCode | CcdaText | CcdaQuantity | CcdaReference | CcdaInteger;
 
 export declare const CLINICAL_CONDITION_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/condition-clinical";
 
@@ -534,13 +557,11 @@ export declare interface EnumEntry<TFhirValue extends string = string, TCcdaValu
 }
 
 export declare class EnumMapper<TFhirValue extends string, TCcdaValue extends string> {
-    readonly systemName: string;
-    readonly ccdaSystemOid: string;
-    readonly fhirSystemUrl: string;
+    readonly details: EnumMapperDetails;
     readonly entries: EnumEntry<TFhirValue, TCcdaValue>[];
     readonly ccdaToFhirMap: Record<TCcdaValue, EnumEntry<TFhirValue, TCcdaValue>>;
     readonly fhirToCcdaMap: Record<TFhirValue, EnumEntry<TFhirValue, TCcdaValue>>;
-    constructor(systemName: string, ccdaSystemOid: string, fhirSystemUrl: string, entries: EnumEntry<TFhirValue, TCcdaValue>[]);
+    constructor(details: EnumMapperDetails, entries: EnumEntry<TFhirValue, TCcdaValue>[]);
     getEntryByFhir(fhir: TFhirValue): EnumEntry<TFhirValue, TCcdaValue> | undefined;
     getEntryByCcda(ccda: TCcdaValue): EnumEntry<TFhirValue, TCcdaValue> | undefined;
     mapCcdaToFhir(ccda: TCcdaValue): TFhirValue | undefined;
@@ -551,8 +572,92 @@ export declare class EnumMapper<TFhirValue extends string, TCcdaValue extends st
     mapFhirToCcdaCode(fhir: TFhirValue | undefined): CcdaCode<TCcdaValue> | undefined;
 }
 
+export declare interface EnumMapperDetails {
+    readonly ccdaSystemOid?: string;
+    readonly fhirSystemUrl?: string;
+}
+
 export declare const FHIR_CVX_URL = "http://hl7.org/fhir/sid/cvx";
 
+export declare const FHIR_ICF_URL = "http://hl7.org/fhir/sid/icf";
+
+/**
+ * The FhirToCcdaConverter class is responsible for converting a FHIR bundle to a C-CDA document.
+ */
+export declare class FhirToCcdaConverter {
+    private readonly bundle;
+    private readonly options;
+    private readonly composition;
+    private readonly patient;
+    /**
+     * Creates a new FhirToCcdaConverter for the given FHIR bundle.
+     * @param bundle - The FHIR bundle to convert.
+     * @param options - Optional options.
+     */
+    constructor(bundle: Bundle, options?: FhirToCcdaOptions);
+    /**
+     * Convert the FHIR bundle to a C-CDA document.
+     * @returns The C-CDA document.
+     */
+    convert(): Ccda;
+    /**
+     * Find a resource in the FHIR bundle by resource type.
+     * @param resourceType - The type of resource to find.
+     * @returns The resource if found, otherwise undefined.
+     */
+    private findResource;
+    /**
+     * Find a resource in the FHIR bundle by reference.
+     * @param reference - The reference to the resource.
+     * @returns The resource if found, otherwise undefined.
+     */
+    findResourceByReference<T extends Resource>(reference: Reference<T> | undefined): T | undefined;
+    /**
+     * Find resources in the FHIR bundle by references.
+     * @param references - The references to the resources.
+     * @returns The resources if found, otherwise undefined.
+     */
+    private findResourcesByReferences;
+    /**
+     * Create the record target for the C-CDA document.
+     * @returns The record target.
+     */
+    private createRecordTarget;
+    /**
+     * Create the sections for the C-CDA document.
+     * @returns The sections.
+     */
+    private createSections;
+    private createSection;
+    private createEntry;
+    /**
+     * Map the FHIR author to the C-CDA author.
+     * @param author - The author to map.
+     * @param time - The time to map.
+     * @param includeDevice - Whether to include device information.
+     * @returns The C-CDA author.
+     */
+    mapAuthor(author: Reference<CareTeam | Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson> | undefined, time?: string, includeDevice?: boolean): CcdaAuthor[] | undefined;
+    private mapCustodian;
+    private mapRecipient;
+    private createParticipants;
+    /**
+     * Handles the ClinicalImpression special case.
+     * Unlike most other sections, the "Assessments" section can skip the `<entry>` elements and directly contain the `<text>` element.
+     * @param section - The Composition section to create the C-CDA section for.
+     * @param resource - The ClinicalImpression resource to create the C-CDA section for.
+     * @returns The C-CDA section for the ClinicalImpression resource.
+     */
+    private createClinicalImpressionSection;
+    /**
+     * Handles the Reason for Referral special case.
+     * @param section - The Composition section to create the C-CDA section for.
+     * @param resource - The ClinicalImpression resource to create the C-CDA section for.
+     * @returns The C-CDA section for the ClinicalImpression resource.
+     */
+    private createReasonForReferralSection;
+}
+
 export declare interface FhirToCcdaOptions {
     /**
      * Type of C-CDA document to generate.
@@ -560,6 +665,8 @@ export declare interface FhirToCcdaOptions {
     type?: 'referral' | 'discharge' | 'summary';
 }
 
+export declare const FUNCTIONAL_STATUS_TEMPLATE_IDS: CcdaTemplateId[];
+
 export declare const GENDER_MAPPER: EnumMapper<"unknown" | "female" | "male" | "other", "M" | "F" | "UN">;
 
 export declare const GOALS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
@@ -579,6 +686,8 @@ export declare const IMMUNIZATION_STATUS_MAPPER: EnumMapper<"completed" | "enter
 
 export declare const IMMUNIZATIONS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
+export declare const INSURANCE_COVERAGE_TYPE_MAPPER: EnumMapper<string, string>;
+
 export declare const INSURANCE_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
 export declare const LAB_TESTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
@@ -601,16 +710,30 @@ export declare const LOINC_BIRTH_SEX = "76689-9";
 
 export declare const LOINC_CARE_TEAM_SECTION = "85847-2";
 
+export declare const LOINC_CLINICAL_FINDING = "75321-0";
+
 export declare const LOINC_CONDITION = "75323-6";
 
 export declare const LOINC_DEVICES_SECTION = "46264-8";
 
+export declare const LOINC_DISABILITY_STATUS = "89571-4";
+
 export declare const LOINC_ENCOUNTERS_SECTION = "46240-8";
 
+export declare const LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE = "47420-5";
+
+export declare const LOINC_FUNCTIONAL_STATUS_SECTION = "47420-5";
+
 export declare const LOINC_GOALS_SECTION = "61146-7";
 
 export declare const LOINC_HEALTH_CONCERNS_SECTION = "75310-3";
 
+export declare const LOINC_HISTORY_OF_OCCUPATION = "11341-5";
+
+export declare const LOINC_HISTORY_OF_OCCUPATION_INDUSTRY = "86188-0";
+
+export declare const LOINC_HISTORY_OF_SOCIAL_FUNCTION = "8689-2";
+
 export declare const LOINC_HISTORY_OF_TOBACCO_USE = "11367-0";
 
 export declare const LOINC_IMMUNIZATIONS_SECTION = "11369-6";
@@ -633,6 +756,8 @@ export declare const LOINC_PATIENT_SUMMARY_DOCUMENT = "60591-5";
 
 export declare const LOINC_PLAN_OF_TREATMENT_SECTION = "18776-5";
 
+export declare const LOINC_PREGNANCY_STATUS = "82810-3";
+
 export declare const LOINC_PROBLEMS_SECTION = "11450-4";
 
 export declare const LOINC_PROCEDURES_SECTION = "47519-4";
@@ -651,8 +776,17 @@ export declare const LOINC_TO_TEMPLATE_IDS: Record<string, CcdaTemplateId[]>;
 
 export declare const LOINC_TOBACCO_SMOKING_STATUS = "72166-2";
 
+export declare const LOINC_TRIBAL_AFFILIATION = "95370-3";
+
 export declare const LOINC_VITAL_SIGNS_SECTION = "8716-3";
 
+/**
+ * Maps a C-CDA code to a FHIR CodeableConcept.
+ * @param ccdaCode - The C-CDA code to map.
+ * @returns The FHIR CodeableConcept.
+ */
+export declare function mapCcdaCodeToCodeableConcept(ccdaCode: CcdaCode | undefined): CodeableConcept | undefined;
+
 /**
  * Map the C-CDA system to the FHIR system.
  * @param ccda - The C-CDA system to map.
@@ -695,6 +829,8 @@ export declare function mapCodeableConceptToCcdaValue(codeableConcept: CodeableC
  */
 export declare function mapCodingToCcdaCode(coding: Coding): CcdaCode;
 
+export declare function mapFhirPeriodOrDateTimeToCcda(period: Period | undefined, dateTime: string | undefined): CcdaEffectiveTime;
+
 /**
  * Map the FHIR system to the C-CDA system.
  * @param system - The system to map.
@@ -748,7 +884,7 @@ export declare const PROBLEM_STATUS_MAPPER: EnumMapper<string, string>;
 
 export declare const PROBLEMS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
-export declare const PROCEDURE_STATUS_MAPPER: EnumMapper<"completed" | "unknown" | "not-done" | "stopped", "completed" | "aborted" | "cancelled" | "unknown" | "new">;
+export declare const PROCEDURE_STATUS_MAPPER: EnumMapper<"active" | "completed" | "unknown" | "not-done" | "stopped", "active" | "completed" | "aborted" | "cancelled" | "unknown" | "new">;
 
 export declare const PROCEDURES_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
@@ -766,6 +902,8 @@ export declare const REFERRAL_TEMPLATE_IDS: ({
 
 export declare const RESULTS_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
+export declare const ROLE_CODE_CODE_SYSTEM = "http://terminology.hl7.org/CodeSystem/v3-RoleCode";
+
 export declare const SOCIAL_HISTORY_SECTION_TEMPLATE_IDS: CcdaTemplateId[];
 
 export declare const SYSTEM_MAPPER: EnumMapper<string, string>;