@medplum/ccda 4.3.13 → 4.3.15

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (7) hide show
  1. package/dist/cjs/index.cjs +2 -2
  2. package/dist/cjs/index.cjs.map +4 -4
  3. package/dist/cjs/index.d.ts +148 -10
  4. package/dist/esm/index.d.ts +148 -10
  5. package/dist/esm/index.mjs +2 -2
  6. package/dist/esm/index.mjs.map +4 -4
  7. package/package.json +4 -4
package/dist/cjs/index.cjs CHANGED
@@ -1,5 +1,5 @@
1
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e=p(i);if(e)return{"@_xsi:type":"CD",...e}}var pi=new E("Confidentiality",mt,Kn,[{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"}]),ve=new E("HumanNameUse","",ir,[{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"}]),hi=new 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ns=["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 rs(i){return new Z.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>ns.some(a=>r.endsWith(a))}).parse(i).ClinicalDocument}function os(i){return new Z.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":$t,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function Ii(i){return new Z.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function Ti(i){return i?typeof i=="string"?i:new Z.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
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t.raceCode&&t.raceCode.length>0&&!t.raceCode[0]["@_nullFlavor"]&&n.push({url:$,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&!t.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:Se,extension:t.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(t.name),gender:this.mapGenderCode(t.administrativeGenderCode?.["@_code"]),birthDate:je(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"]&&pt(n["@_root"]));return t?t["@_root"]:$e()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&pt(n["@_root"])||t.push({system:Q(n["@_root"]),value:n["@_extension"]});return t}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(t=>this.mapCcdaNameToFhirHumanName(t)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let t={},n=e["@_use"]?ve.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(Me)?.filter(Boolean)),e.family&&(t.family=Me(e.family)),e.given&&(t.given=e.given.map(Me)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(Me)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({use:t["@_use"]?xe.mapCcdaToFhir(t["@_use"]):void 0,line:t.streetAddressLine,city:t.city,state:t.state,postalCode:t.postalCode,country:t.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({use:t["@_use"]?Pe.mapCcdaToFhir(t["@_use"]):void 0,system:this.getTelecomSystem(t["@_value"]),value:this.getTelecomValue(t["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],t=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);t.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${Ti(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:Ge,code:Re}]},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 ae:case ln:case pn:case hn:return this.processAllergyIntoleranceAct(t);case se:case cn:case un:case dn:return this.processConditionAct(t);case V:return this.processCarePlanAct(t);case Je:return this.processConditionAct(t);case H:return this.processProcedureAct(t);case k:return;case Ke:return;case Xe:return;default:if(this.options?.ignoreUnsupportedSections)return;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:[Yt]},clinicalStatus:{coding:[{system:rt,code:z.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:wt,code:"confirmed"}]},category:[{coding:[{system:Bt,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:Me(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 ze:case V:return this.processMedicationSubstanceAdministration(t);case re:case oe:return this.processImmunizationSubstanceAdministration(t);default:if(this.options?.ignoreUnsupportedSections)return;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"]===it)?.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:[Ht]},extension:this.mapTextReference(e.text),status:Ve.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:ut,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:Ue.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=Le.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:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:Q(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Oe,code:be.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:st,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"]===et?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===ce||n===tt)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case V:case ce: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:je(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:ut,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=Ei.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:_i.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:kt,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:Ft,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:rt,code:"active"}]},verificationStatus:{coding:[{system:ot,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: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:mi.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:ye,valueString:e.reference?.["@_value"]}]}};function Me(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var Si=[{"@_root":ne,"@_extension":"2015-08-01"},{"@_root":ne},{"@_root":Et,"@_extension":"2015-08-01"},{"@_root":Et}],yi=[{"@_root":ne,"@_extension":"2015-08-01"},{"@_root":ne},{"@_root":It,"@_extension":"2015-08-01"},{"@_root":It}],mr=[{"@_root":ae,"@_extension":"2015-08-01"},{"@_root":ae}],Er=[{"@_root":ze,"@_extension":"2014-06-09"}],Ir=[{"@_root":se,"@_extension":"2015-08-01"},{"@_root":se}],Tr=[{"@_root":re},{"@_root":re,"@_extension":"2015-08-01"},{"@_root":oe},{"@_root":oe,"@_extension":"2015-08-01"}],Or=[{"@_root":an,"@_extension":"2015-08-01"}],Sr=[{"@_root":Ot},{"@_root":Ot,"@_extension":"2015-08-01"}],yr=[{"@_root":H,"@_extension":"2014-06-09"}],as=[{"@_root":V,"@_extension":"2014-06-09"}],cs=[{"@_root":Tt,"@_extension":"2015-08-01"}],Cr=[{"@_root":Tt,"@_extension":"2015-08-01"}],gr=[{"@_root":_n,"@_extension":"2015-08-01"}],Ar=[{"@_root":Ze}],Nr=[{"@_root":V},{"@_root":V,"@_extension":"2014-06-09"}],Rr=[{"@_root":fn,"@_extension":"2015-08-01"}],Dr=[{"@_root":ce}],vr=[{"@_root":Je,"@_extension":"2015-08-01"}],xr=[{"@_root":k,"@_extension":"2014-06-09"}],Pr=[{"@_root":mn,"@_extension":"2015-08-01"}],br=[{"@_root":Ke,"@_extension":"2016-11-01"}],Lr=[{"@_root":et,"@_extension":"2022-06-01"}],Ur=[{"@_root":Xe,"@_extension":"2015-08-01"}],Ci=Object.fromEntries([[jt,mr],[Wt,Er],[Ce,Ir],[qt,Tr],[Zt,Or],[zt,Sr],[Xt,yr],[Qt,Cr],[Ae,Ar],[ge,Nr],[Kt,Rr],[j,Dr],[q,vr],[W,xr],[ti,Pr],[Ne,br],[ii,Lr],[ni,Ur],[Jt,gr]]);function us(i,e){return new gi(i,e).convert()}var gi=class{constructor(e,t){this.bundle=e,this.options=t;let n=this.findResource("Composition");if(!n)throw new Error("Composition not found");let r=this.findResource("Patient");if(!r)throw new Error("Patient not found");this.composition=n,this.patient=r}convert(){let e=this.createSections(),t=this.composition.section?.find(o=>o.code?.coding?.[0]?.code===W)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=yi,r={"@_code":ei,"@_displayName":"Referral Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}):(n=Si,r={"@_code":Re,"@_displayName":"Summarization of Episode Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":ji,"@_extension":"POCD_HD000040"},templateId:n,id:this.mapIdentifiers(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:this.mapEffectiveTime(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?pi.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),informationRecipient:this.mapRecipient(t),documentationOf:this.mapDocumentationOf(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(o=>({section:[o]}))}}: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?ve.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":hi.mapFhirToCcda(e),"@_displayName":e?te(e):"Unknown","@_codeSystem":qe,"@_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?xe.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=He(e,$,"ombCategory")?.valueCoding;return t?[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":Qe,"@_codeSystemName":"CDC Race and Ethnicity"}]:[{"@_nullFlavor":"UNK"}]}mapDetailedRace(e){let t=He(e,$,"detailed")?.valueCoding;if(t)return[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":Qe,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===Se)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;return n?[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":Qe,"@_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=Ci[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return t===Ae&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):t===W&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(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=Ii(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":Rt},{"@_root":Rt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":_t},statusCode:{"@_code":be.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":yt},{"@_root":yt,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":We},text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectivePeriod(e.onsetPeriod?.start??e.onsetDateTime,e.onsetPeriod?.end,!0),value:this.mapAllergyCategory(e.category),author:this.mapAuthor(e.asserter,e.recordedDate),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":gt},{"@_root":gt,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":We},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":Ct},{"@_root":Ct,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":We,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":Le.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?te(t.severity):void 0,"@_codeSystem":L,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){let t=fi.mapFhirToCcdaCode(e?.[0]);return t||(t={"@_code":"419199007","@_displayName":"Allergy to substance (disorder)","@_codeSystem":L,"@_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":Vn}],time:t?{"@_value":T(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)}}}}mapRecipient(e){if(!e)return;let t=this.findResourceByReference(e);if(!t)return;let n=t.performer;if(!n||n.length===0)return;let r=this.findResourceByReference(n[0]);if(!(!r||r.resourceType!=="Practitioner"))return{intendedRecipient:{informationRecipient:{name:this.mapNames(r.name)}}}}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":At,"@_extension":"2014-06-09"},{"@_root":At}],id:[{"@_root":e.id||crypto.randomUUID()}],text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":Ve.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":Nt,"@_extension":"2014-06-09"},{"@_root":Nt}],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}]},author:this.mapAuthor(e.requester,e.authoredOn),entryRelationship:e.dosageInstruction?.filter(s=>!!s.extension)?.map(s=>({"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":it}],code:{"@_code":ri,"@_codeSystem":N,"@_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?Pe.mapFhirToCcda(t.use):void 0,"@_value":`${this.mapTelecomSystemToPrefix(t.system)}${t.value}`}))}mapTelecomSystemToPrefix(e){return e==="email"?"mailto:":e==="phone"?"tel:":e==="fax"?"fax:":""}mapIdentifiers(e,t){let n=[];if(e&&n.push({"@_root":e}),t)for(let r of t){let o=li(r.system);o&&n.push({"@_root":o,"@_extension":r.value})}return n}getNarrativeReference(e){let t=e?.find(n=>n.url===ye)?.valueString;return t?{"@_value":t}:void 0}createTextFromExtensions(e){let t=this.getNarrativeReference(e);return t?{reference:t}:void 0}createConditionEntry(e,t){let n=e.code?.coding?.[0]?.code;if(n===Ce)return this.createProblemEntry(t);if(n===q)return this.createHealthConcernEntry(t)}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":St},{"@_root":St,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":_t},statusCode:{"@_code":z.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":F},{"@_root":F,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":$e()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":L,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":oi,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":U(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":T(e.abatementDateTime)}:void 0}],value:G(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createHealthConcernEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":bt,"@_extension":"2015-08-01"},{"@_root":bt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":q,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Health Concern"},statusCode:{"@_code":z.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":xt},{"@_root":xt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":Ue.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":U(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Pt},{"@_root":Pt,"@_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":On}],id:this.mapIdentifiers(e.id,e.identifier),code:G(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===ge)r=[{"@_root":vt}];else if(n===j)r=[{"@_root":tt}];else return;let o;if(n===j)o={"@_code":si,"@_codeSystem":N,"@_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":T(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":le},{"@_root":le,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(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":fe},{"@_root":fe,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(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:p(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:p(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===ai?[{"@_root":Ee},{"@_root":Ee,"@_extension":"2014-06-09"}]:t===ci?[{"@_root":Ie},{"@_root":Ie,"@_extension":"2014-06-09"}]:t===ui?[{"@_root":nt,"@_extension":"2023-06-28"}]:t===di?[{"@_root":Te},{"@_root":Te,"@_extension":"2016-06-01"}]:n==="exam"?[{"@_root":pe},{"@_root":pe,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":de},{"@_root":de,"@_extension":"2015-08-01"}]:[{"@_root":_e},{"@_root":_e,"@_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":le},{"@_root":le,"@_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":he},{"@_root":he,"@_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":Dt}],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":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":U(t.start)}:void 0,high:t.end?{"@_value":U(t.end)}:void 0}];if(e)return[{"@_value":U(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":me},{"@_root":me,"@_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),participant:e.participant?.map(t=>({"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":Dt}],code:p(t.type?.[0])}})),entryRelationship:e.diagnosis?.map(t=>this.createEncounterDiagnosis(t)).filter(Boolean)}]}}createEncounterDiagnosis(e){let t=this.findResourceByReference(e.condition);if(!(!t||t.resourceType!=="Condition"))return{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":me,"@_extension":"2015-08-01"},{"@_root":me}],code:{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":N,"@_codeSystemName":"LOINC"},entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":F,"@_extension":"2015-08-01"},{"@_root":F}],id:this.mapIdentifiers(t.id,t.identifier),code:{"@_code":"282291009","@_displayName":"Diagnosis interpretation","@_codeSystem":L,"@_codeSystemName":"SNOMED CT",translation:[{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":N,"@_codeSystemName":"LOINC"}]},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectivePeriod(t.onsetDateTime,t.abatementDateTime),value:G(t.code)}]}]}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Lt,"@_extension":"2022-07-01"},{"@_root":Lt,"@_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":Ze}],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":vt}],id:this.mapIdentifiers(e.id,e.identifier),code:p(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":ue},{"@_root":ue,"@_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":Vt,"@_extension":t.udiCarrier[0].carrierHRF,"@_assigningAuthorityName":"FDA"}),{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":he,"@_extension":"2014-06-09"},{"@_root":he}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"360030002","@_codeSystem":L,"@_codeSystemName":"SNOMED CT","@_displayName":"Application of medical device"},statusCode:{"@_code":"completed"},participant:[{"@_typeCode":"DEV",participantRole:{"@_classCode":"MANU",templateId:[{"@_root":Cn}],id:n,playingDevice:{"@_classCode":"DEV",code:p(t.type)},scopingEntity:{id:[{"@_root":Vt}]}}}]}]}}createClinicalImpressionEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Fn,"@_extension":"2016-11-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code)??{"@_code":Ne,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Note"},text:e.summary?{"#text":e.summary}:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":U(e.date)}],author:this.mapAuthor(e.assessor,e.date)}]}}createReasonForReferralSection(e,t){return{templateId:[{"@_root":k,"@_extension":"2014-06-09"},{"@_root":k}],code:p(e.code),title:e.title,text:t.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Bn}],id:this.mapIdentifiers(t.id,t.identifier),code:p(t.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(t.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(t.requester,t.occurrenceDateTime)}]}]}}};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_REFERRAL_NOTE,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,REFERRAL_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});
1
+ "use strict";var Ut=Object.defineProperty;var Yo=Object.getOwnPropertyDescriptor;var Ho=Object.getOwnPropertyNames;var $o=Object.prototype.hasOwnProperty;var jo=(t,e)=>{for(var i in e)Ut(t,i,{get:e[i],enumerable:!0})},qo=(t,e,i,n)=>{if(e&&typeof e=="object"||typeof e=="function")for(let r of Ho(e))!$o.call(t,r)&&r!==i&&Ut(t,r,{get:()=>e[r],enumerable:!(n=Yo(e,r))||n.enumerable});return t};var Wo=t=>qo(Ut({},"__esModule",{value:!0}),t);var Ma={};jo(Ma,{ACT_CODE_SYSTEM:()=>xt,ADDRESS_USE_MAPPER:()=>He,ADDRESS_USE_VALUE_SET:()=>Gr,ADMINISTRATIVE_GENDER_CODE_SYSTEM:()=>wr,ADMINISTRATIVE_GENDER_VALUE_SET:()=>Hr,ALLERGIES_SECTION_TEMPLATE_IDS:()=>io,ALLERGY_CATEGORY_MAPPER:()=>Ji,ALLERGY_CLINICAL_CODE_SYSTEM:()=>Le,ALLERGY_SEVERITY_MAPPER:()=>qe,ALLERGY_STATUS_MAPPER:()=>je,ALLERGY_VERIFICATION_CODE_SYSTEM:()=>vt,ASSESSMENTS_SECTION_TEMPLATE_IDS:()=>po,CARE_TEAM_SECTION_TEMPLATE_IDS:()=>Oo,CCDA_NARRATIVE_REFERENCE_URL:()=>Ve,CCDA_TEMPLATE_CODE_SYSTEM:()=>ra,CCDA_TEMPLATE_IDS:()=>an,CLINICAL_CONDITION_CODE_SYSTEM:()=>gt,CLINICAL_NOTES_SECTION_TEMPLATE_IDS:()=>la,CONDITION_CATEGORY_CODE_SYSTEM:()=>_i,CONDITION_VERIFICATION_CODE_SYSTEM:()=>fi,CONDITION_VER_STATUS_CODE_SYSTEM:()=>Dt,CONFIDENTIALITY_CODE_SYSTEM:()=>Fr,CONFIDENTIALITY_MAPPER:()=>Zi,CONTACT_ENTITY_USE_VALUE_SET:()=>$r,CVX_URL:()=>Kr,DEVICES_SECTION_TEMPLATE_IDS:()=>lo,DIAGNOSIS_ROLE_CODE_SYSTEM:()=>Ei,ENCOUNTERS_SECTION_TEMPLATE_IDS:()=>fo,ENCOUNTER_STATUS_MAPPER:()=>Ki,EnumMapper:()=>C,FHIR_CVX_URL:()=>eo,FHIR_ICF_URL:()=>to,FUNCTIONAL_STATUS_TEMPLATE_IDS:()=>Co,FhirToCcdaConverter:()=>Lt,GENDER_MAPPER:()=>Xi,GOALS_SECTION_TEMPLATE_IDS:()=>_o,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS:()=>mo,HTTP:()=>q,HUMAN_NAME_USE_MAPPER:()=>Ye,IMMUNIZATIONS_SECTION_TEMPLATE_IDS:()=>oo,IMMUNIZATION_STATUS_MAPPER:()=>We,INSURANCE_COVERAGE_TYPE_MAPPER:()=>nn,INSURANCE_SECTION_TEMPLATE_IDS:()=>So,LAB_TESTS_SECTION_TEMPLATE_IDS:()=>pa,LANGUAGE_MODE_CODE_SYSTEM:()=>Xs,LANGUAGE_MODE_URL:()=>ta,LANGUAGE_PROFICIENCY_CODE_SYSTEM:()=>Js,LANGUAGE_PROFICIENCY_URL:()=>ia,LOINC_ADMINISTRATIVE_SEX:()=>Bi,LOINC_ALLERGIES_SECTION:()=>Si,LOINC_ASSESSMENTS_SECTION:()=>Fe,LOINC_BIRTH_SEX:()=>ki,LOINC_CARE_TEAM_SECTION:()=>bi,LOINC_CLINICAL_FINDING:()=>Yi,LOINC_CONDITION:()=>Vi,LOINC_DEVICES_SECTION:()=>Di,LOINC_DISABILITY_STATUS:()=>$i,LOINC_ENCOUNTERS_SECTION:()=>vi,LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE:()=>ji,LOINC_FUNCTIONAL_STATUS_SECTION:()=>Hi,LOINC_GOALS_SECTION:()=>re,LOINC_HEALTH_CONCERNS_SECTION:()=>oe,LOINC_HISTORY_OF_OCCUPATION:()=>qi,LOINC_HISTORY_OF_OCCUPATION_INDUSTRY:()=>Wi,LOINC_HISTORY_OF_SOCIAL_FUNCTION:()=>Gi,LOINC_HISTORY_OF_TOBACCO_USE:()=>Fi,LOINC_IMMUNIZATIONS_SECTION:()=>Ci,LOINC_INSURANCE_SECTION:()=>Li,LOINC_MEDICATIONS_SECTION:()=>yi,LOINC_MEDICATION_INSTRUCTIONS:()=>Ui,LOINC_MENTAL_STATUS_SECTION:()=>Pi,LOINC_NOTES_SECTION:()=>Be,LOINC_NOTE_DOCUMENT:()=>oa,LOINC_OVERALL_GOAL:()=>Mi,LOINC_PATIENT_SUMMARY_DOCUMENT:()=>sa,LOINC_PLAN_OF_TREATMENT_SECTION:()=>we,LOINC_PREGNANCY_STATUS:()=>Pt,LOINC_PROBLEMS_SECTION:()=>Me,LOINC_PROCEDURES_SECTION:()=>gi,LOINC_REASON_FOR_REFERRAL_SECTION:()=>se,LOINC_REFERRAL_NOTE:()=>xi,LOINC_RESULTS_SECTION:()=>Ni,LOINC_SOCIAL_HISTORY_SECTION:()=>Ai,LOINC_SUMMARY_OF_EPISODE_NOTE:()=>ke,LOINC_TOBACCO_SMOKING_STATUS:()=>wi,LOINC_TO_TEMPLATE_IDS:()=>dn,LOINC_TRIBAL_AFFILIATION:()=>Qi,LOINC_VITAL_SIGNS_SECTION:()=>Ri,MEDICATIONS_SECTION_TEMPLATE_IDS:()=>no,MEDICATION_REQUEST_STATUS_VALUE_SET:()=>ea,MEDICATION_STATUS_MAPPER:()=>Qe,MENTAL_STATUS_SECTION_TEMPLATE_IDS:()=>Io,NAME_USE_VALUE_SET:()=>Yr,NCI_THESAURUS_URL:()=>jr,NDFRT_URL:()=>Jr,NUCC_TAXONOMY_URL:()=>Zr,OBSERVATION_CATEGORY_CODE_SYSTEM:()=>Br,OBSERVATION_CATEGORY_MAPPER:()=>tn,PARTICIPATION_CODE_SYSTEM:()=>mi,PATIENT_NOTES_SECTION_TEMPLATE_IDS:()=>To,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS:()=>ho,PROBLEMS_SECTION_TEMPLATE_IDS:()=>ro,PROBLEM_STATUS_MAPPER:()=>ae,PROCEDURES_SECTION_TEMPLATE_IDS:()=>co,PROCEDURE_STATUS_MAPPER:()=>en,RACE_CODE_SYSTEM:()=>Ks,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS:()=>Eo,REFERRAL_TEMPLATE_IDS:()=>cn,RESULTS_SECTION_TEMPLATE_IDS:()=>uo,ROLE_CODE_CODE_SYSTEM:()=>kr,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS:()=>ao,SYSTEM_MAPPER:()=>Ge,TELECOM_USE_MAPPER:()=>$e,UNII_URL:()=>zr,US_CORE_CONDITION_URL:()=>Ii,US_CORE_ETHNICITY_URL:()=>Ue,US_CORE_MEDICATION_REQUEST_URL:()=>Ti,US_CORE_PATIENT_URL:()=>na,US_CORE_RACE_URL:()=>ne,US_DRIVER_LICENSE_URL:()=>Wr,US_NPI_URL:()=>Qr,US_SSN_URL:()=>qr,VA_MEDRT_URL:()=>Xr,VITAL_SIGNS_SECTION_TEMPLATE_IDS:()=>so,XSI_URL:()=>Oi,convertCcdaToFhir:()=>ua,convertCcdaToXml:()=>da,convertFhirToCcda:()=>Va,convertToCompactXml:()=>on,convertXmlToCcda:()=>ca,mapCcdaCodeToCodeableConcept:()=>bt,mapCcdaSystemToFhir:()=>j,mapCcdaToFhirDate:()=>st,mapCcdaToFhirDateTime:()=>S,mapCodeableConceptToCcdaCode:()=>l,mapCodeableConceptToCcdaValue:()=>D,mapCodingToCcdaCode:()=>hi,mapFhirPeriodOrDateTimeToCcda:()=>$t,mapFhirSystemToCcda:()=>zi,mapFhirToCcdaDate:()=>v,mapFhirToCcdaDateTime:()=>E,parseXml:()=>rn});module.exports=Wo(Ma);var Qo=class{constructor(t,e){this.operator=t,this.child=e}toString(){return`${this.operator}(${this.child.toString()})`}},he=class{constructor(t,e,i){this.operator=t,this.left=e,this.right=i}toString(){return`(${this.left.toString()} ${this.operator} ${this.right.toString()})`}},zo=class{constructor(){this.prefixParselets={},this.infixParselets={}}registerInfix(t,e){return this.infixParselets[t]=e,this}registerPrefix(t,e){return this.prefixParselets[t]=e,this}prefix(t,e,i){return this.registerPrefix(t,{parse(n,r){let o=n.consumeAndParse(e);return i(r,o)}})}infixLeft(t,e,i){return this.registerInfix(t,{parse(n,r,o){let s=n.consumeAndParse(e);return i(r,o,s)},precedence:e})}construct(t){return new Zo(t,this.prefixParselets,this.infixParselets)}},Zo=class{constructor(t,e,i){this.tokens=t,this.prefixParselets=e,this.infixParselets=i}hasMore(){return this.tokens.length>0}match(t){return this.peek()?.id!==t?!1:(this.consume(),!0)}consumeAndParse(t=1/0){let e=this.consume(),i=this.prefixParselets[e.id];if(!i)throw Error(`Parse error at "${e.value}" (line ${e.line}, column ${e.column}). No matching prefix parselet.`);let n=i.parse(this,e);for(;t>this.getPrecedence();){let r=this.consume();n=this.getInfixParselet(r).parse(this,n,r)}return n}getPrecedence(){let t=this.peek();if(!t)return 1/0;let e=this.getInfixParselet(t);return e?e.precedence:1/0}consume(t,e){if(!this.tokens.length)throw Error("Cant consume unknown more tokens.");if(t&&this.peek()?.id!==t){let i=this.peek();throw Error(`Expected ${t} but got "${i.id}" (${i.value}) at line ${i.line} column ${i.column}.`)}if(e&&this.peek()?.value!==e){let i=this.peek();throw Error(`Expected "${e}" but got "${i.value}" at line ${i.line} column ${i.column}.`)}return this.tokens.shift()}peek(){return this.tokens.length>0?this.tokens[0]:void 0}removeComments(){this.tokens=this.tokens.filter(t=>t.id!=="Comment")}getInfixParselet(t){return this.infixParselets[t.id==="Symbol"?t.value:t.id]}},Xo=class{constructor(t=10){this.max=t,this.cache=new Map}clear(){this.cache.clear()}get(t){let e=this.cache.get(t);return 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C({fhirSystemUrl:Yr},[{ccdaValue:"C",fhirValue:"usual",displayName:"Common/Called by"},{ccdaValue:"L",fhirValue:"official",displayName:"Legal"},{ccdaValue:"TEMP",fhirValue:"temp",displayName:"Temporary"},{ccdaValue:"P",fhirValue:"nickname",displayName:"Nickname"},{ccdaValue:"ANON",fhirValue:"anonymous",displayName:"Anonymous"},{ccdaValue:"L",fhirValue:"maiden",displayName:"Maiden"},{ccdaValue:"L",fhirValue:"old",displayName:"Old"}]),Xi=new C({fhirSystemUrl:Hr},[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),He=new C({fhirSystemUrl:Gr},[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),$e=new 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ca(t){return new ce.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>aa.some(a=>r.endsWith(a))}).parse(t).ClinicalDocument}function da(t){return new ce.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":Oi,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function rn(t){return new ce.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function on(t){return t?typeof t=="string"?t:new ce.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
2
+ `).map(n=>n.trim()).join(""):""}function ua(t,e){return new sn(t,e).convert()}var sn=class{constructor(e,i){this.resources=[];this.ccda=e,this.options=i}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(i=>({resource:i}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e),this.createRelatedPersons())}createPatient(e){let i=e.patient,n=[];return i.raceCode&&i.raceCode.length>0&&!i.raceCode[0]["@_nullFlavor"]&&n.push({url:ne,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&!i.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:Ue,extension:i.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.name),gender:this.mapGenderCode(i.administrativeGenderCode?.["@_code"]),birthDate:st(i.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:n.length>0?n:void 0}}createRelatedPersons(){let e=this.ccda.participant;if(e)for(let i of e){let n=this.mapParticipantToRelatedPerson(i);n&&this.resources.push(n)}}mapParticipantToRelatedPerson(e){let i=this.patient;if(!i)return;let n=e.associatedEntity;if(!n)return;let r=bt(n.code);return{resourceType:"RelatedPerson",id:this.mapId(n.id),patient:m(i),relationship:r?[r]:void 0,identifier:this.mapIdentifiers(n.id),name:this.mapCcdaNameArrayFhirHumanNameArray(n.associatedPerson?.name),address:this.mapAddresses(n.addr),telecom:this.mapTelecom(n.telecom)}}mapId(e){let i=e?.find(n=>!n["@_extension"]&&n["@_root"]&&Gt(n["@_root"]));return i?i["@_root"]:ot()}mapIdentifiers(e){if(!e)return;let i=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&Gt(n["@_root"])||i.push({system:j(n["@_root"]),value:n["@_extension"]});return i}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(i=>this.mapCcdaNameToFhirHumanName(i)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let i={},n=e["@_use"]?Ye.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(ze)?.filter(Boolean)),e.family&&(i.family=ze(e.family)),e.given&&(i.given=e.given.map(ze)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(ze)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?He.mapCcdaToFhir(i["@_use"]):void 0,line:i.streetAddressLine,city:i.city,state:i.state,postalCode:i.postalCode,country:i.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?$e.mapCcdaToFhir(i["@_use"]):void 0,system:this.getTelecomSystem(i["@_value"]),value:this.getTelecomValue(i["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],i=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);i.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${on(r.text)}</div>`},entry:o.map(m)}),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:tt,code:ke}]},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:S(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:i}}processSection(e){let i=[];if(e.entry)for(let n of e.entry)this.processEntry(e,n,i);return i}processEntry(e,i,n){for(let r of i.act??[]){let o=this.processAct(e,r);o&&n.push(o)}for(let r of i.substanceAdministration??[]){let o=this.processSubstanceAdministration(e,r);o&&n.push(o)}for(let r of i.organizer??[])n.push(this.processOrganizer(e,r));for(let r of i.observation??[])n.push(this.processObservation(e,r));for(let r of i.encounter??[])n.push(this.processEncounter(e,r));for(let r of i.procedure??[])n.push(this.processProcedure(e,r))}processAct(e,i){let n=e.templateId[0]["@_root"];switch(n){case Te:case Jn:case Kn:case er:return this.processAllergyIntoleranceAct(i);case Ie:case zn:case Zn:case Xn:return this.processConditionAct(i);case $:return this.processCarePlanAct(i);case ft:return this.processConditionAct(i);case K:return this.processProcedureAct(i);case z:return;case _t:return;case Oe:return;default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled act templateId: "+n)}}processAllergyIntoleranceAct(e){let i=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:m(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(i.effectiveTime?.[0])};i.value?.["@_code"]==="414285001"&&(n.category=["food"]),n.extension=this.mapTextReference(i.text);let r=i.participant?.[0]?.participantRole?.playingEntity?.code;r&&(n.code=this.mapCode(r),n.code&&r.originalText?.reference?.["@_value"]&&(n.code.extension=this.mapTextReference(r.originalText)));let o=i.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(n.reaction=o.map(s=>this.processReaction(s))),n.asserter=this.mapAuthorToReference(i.author?.[0]),n}processConditionAct(e){let i=e.entryRelationship?.find(r=>r["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(i.id)),meta:{profile:[Ii]},clinicalStatus:{coding:[{system:gt,code:ae.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:fi,code:"confirmed"}]},category:[{coding:[{system:_i,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(i.value),subject:m(this.patient),onsetDateTime:S(i.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:S(i.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(i.author?.[0]),asserter:this.mapAuthorToReference(i.author?.[0])};return n.extension=this.mapTextReference(i.text),n}processCarePlanAct(e){return{resourceType:"CarePlan",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:m(this.patient),description:ze(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:m(this.patient),performedDateTime:S(e.effectiveTime?.[0]?.["@_value"]),recorder:this.mapAuthorToReference(e.author?.[0]),asserter:this.mapAuthorToReference(e.author?.[0]),extension:this.mapTextReference(e.text)}}processSubstanceAdministration(e,i){let n=e.templateId[0]["@_root"];switch(n){case pt:case $:return this.processMedicationSubstanceAdministration(i);case me:case Ee:return this.processImmunizationSubstanceAdministration(i);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let i=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(I=>I.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Ct)?.substanceAdministration?.[0],_,A;return s?_={resourceType:"Medication",id:"med-"+i,code:this.mapCode(n),extension:this.mapTextReference(n?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:A={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:i,contained:_?[_]:void 0,meta:{profile:[Ti]},extension:this.mapTextReference(e.text),status:Qe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:_?{reference:"#med-"+i}:void 0,medicationCodeableConcept:A,subject:m(this.patient),authoredOn:S(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:S(e.effectiveTime?.[0]?.low?.["@_value"]),end:S(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:wt,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let i=e.consumable;if(!i)return;let n={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:We.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:m(this.patient),occurrenceDateTime:S(e.effectiveTime?.[0]?.["@_value"]),lotNumber:i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(n.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),n.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(n.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),n}processReaction(e){let i={id:this.mapId(e.id),manifestation:[this.mapCode(e.value)],onset:S(e.effectiveTime?.[0]?.low?.["@_value"])};return this.processSeverity(e,i),i.manifestation&&i.manifestation.length>0&&e.text?.reference?.["@_value"]&&(i.manifestation[0].extension=this.mapTextReference(e.text)),i}processSeverity(e,i){let n=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!n)return;let r=n.value?.["@_code"];r&&(i.severity=qe.mapCcdaToFhir(r)),i.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return S(e["@_value"]);if(e?.low?.["@_value"])return S(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:S(e?.low?.["@_value"]),end:S(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 i={coding:[{system:j(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)i.coding.push({system:j(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return i}mapCodeToCoding(e){if(e)return{system:j(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Le,code:je.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:vt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let i={resourceType:"Practitioner",id:this.mapId(e.assignedAuthor?.id),identifier:this.mapIdentifiers(e.assignedAuthor?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(e.assignedAuthor?.assignedPerson?.name),address:this.mapAddresses(e.assignedAuthor?.addr),telecom:this.mapTelecom(e.assignedAuthor?.telecom),qualification:e.assignedAuthor?.code?[this.mapCode(e.assignedAuthor?.code)]:void 0};return this.resources.push(i),m(i)}mapAssignedEntityToReference(e){if(!e)return;let i=e.assignedPerson,n=e.representedOrganization,r={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(r);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(n?.id),name:n?.name?.[0],address:this.mapAddresses(n?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:m(r),organization:m(o)};return this.resources.push(s),m(s)}mapCustodianToReference(e){if(!e)return;let i={resourceType:"Organization",id:this.mapId(e.assignedCustodian.representedCustodianOrganization.id),identifier:this.mapIdentifiers(e.assignedCustodian.representedCustodianOrganization.id),name:e.assignedCustodian.representedCustodianOrganization.name?.[0],address:this.mapAddresses(e.assignedCustodian.representedCustodianOrganization.addr),telecom:this.mapTelecom(e.assignedCustodian.representedCustodianOrganization.telecom)};return this.resources.push(i),m(i)}mapDocumentationOfToEvent(e){if(!e)return;let i=e.serviceEvent;if(i)return[{code:i.code?[this.mapCode(i.code)]:void 0,period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}]}concatArrays(e,i){return e?i?[...e,...i]:e:i}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let i=[];for(let n of e){let r=n.assignedEntity,o=this.mapAssignedEntityToReference(r);o&&i.push({actor:o})}return i}processOrganizer(e,i){return e.templateId[0]["@_root"]===mt?this.processCareTeamOrganizer(i):this.processVitalsOrganizer(i)}processCareTeamOrganizer(e){let i=[];if(e.component)for(let r of e.component){let o=this.processCareTeamMember(r);o&&i.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:i.length>0?i:void 0}}processCareTeamMember(e){let i=e.act?.[0];if(!i)return;let n=i.performer?.[0];if(n)return{role:n.functionCode?[this.mapCode(n.functionCode)]:void 0,member:this.mapAssignedEntityToReference(n.assignedEntity),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}}processVitalsOrganizer(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:m(this.patient)};if(e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=S(e.effectiveTime?.[0]?.["@_value"])),e.component){let n=[];for(let r of e.component)n.push(...this.processVitalsComponent(r));n.length>0&&(i.hasMember=n)}return i}processVitalsComponent(e){let i=[];if(e.observation)for(let n of e.observation){let r=this.processVitalsObservation(n);i.push(m(r)),this.resources.push(r)}return i}processObservation(e,i){let n=i.templateId[0]["@_root"];if(n===Se||n===ie)return this.processGoalObservation(i);switch(e.templateId[0]["@_root"]){case $:case Se:return this.processGoalObservation(i);default:return this.processVitalsObservation(i)}}processGoalObservation(e){let i=[];e.code&&i.push(this.mapCode(e.code));let n=[],r,o=e.value;if(o){let a=o["@_xsi:type"];a==="CD"?r=bt(o):a==="ST"&&(r={text:o["#text"]??""})}if(e.entryRelationship)for(let a of e.entryRelationship)n.push({measure:this.mapCode(a.act?.[0]?.code),detailCodeableConcept:this.mapCode(a.act?.[0]?.code),dueDate:S(a.act?.[0]?.effectiveTime?.[0]?.low?.["@_value"])});return{resourceType:"Goal",id:this.mapId(e.id),extension:this.mapTextReference(e.text),identifier:this.mapIdentifiers(e.id),lifecycleStatus:this.mapGoalLifecycleStatus(e),category:i,description:r??{text:"Unknown goal"},subject:m(this.patient),startDate:st(e.effectiveTime?.[0]?.["@_value"]),target:n}}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:m(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(r=>this.mapAuthorToReference(r)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":i.valueQuantity={value:e.value["@_value"]?parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:wt,code:e.value["@_unit"]};break;case"CD":case"CE":i.valueCodeableConcept=this.mapCode(e.value);break;case"ST":i.valueString=e.value["#text"]??"";break;case"INT":i.valueInteger=e.value["@_value"]?parseInt(e.value["@_value"],10):void 0;break;default:console.warn(`Unhandled observation value type: ${e.value["@_xsi:type"]}`)}e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=S(e.effectiveTime?.[0]?.["@_value"])),i.extension=this.mapTextReference(e.text);let n=e.entryRelationship;if(n)for(let r of n){let o=r.observation;if(o)for(let s of o){let a=this.processVitalsObservation(s);this.resources.push(a),i.hasMember||(i.hasMember=[]),i.hasMember.push(m(a))}}return i}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let i=new Set,n=[];for(let r of e){let o=tn.mapCcdaToFhirCodeableConcept(r["@_root"]);o?.coding?.[0]?.code&&!i.has(o.coding[0].code)&&(i.add(o.coding[0].code),n.push(o))}return Array.from(n.values())}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(i=>this.mapReferenceRange(i)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let i=e.observationRange;if(!i)return;let n={};return n.extension=this.mapTextReference(i.text),n}processEncounter(e,i){let n={resourceType:"Encounter",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:Ki.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"unknown"),class:{system:xt,code:i.code?.["@_code"]??"AMB",display:i.code?.["@_displayName"]??"Ambulatory"},type:i.code?[this.mapCode(i.code)]:void 0,subject:m(this.patient),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])};if(i.performer&&(n.participant=i.performer.map(r=>({type:[{coding:[{system:mi,code:r["@_typeCode"]??"PPRF",display:"Primary Performer"}]}],individual:this.mapAssignedEntityToReference(r.assignedEntity)}))),i.entryRelationship){let r=i.entryRelationship.filter(o=>o["@_typeCode"]==="RSON").map(o=>{let s=o.observation?.[0];if(!s)return;let a={resourceType:"Condition",id:this.mapId(s.id),identifier:this.mapIdentifiers(s.id),clinicalStatus:{coding:[{system:gt,code:"active"}]},verificationStatus:{coding:[{system:Dt,code:"confirmed"}]},code:this.mapCode(s.value),subject:m(this.patient),onsetDateTime:S(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(a),{condition:m(a),use:{coding:[{system:Ei,code:"AD",display:"Admission diagnosis"}]}}}).filter(Boolean);r.length>0&&(n.diagnosis=r)}return n.extension=this.mapTextReference(i.text),n}processProcedure(e,i){return{resourceType:"Procedure",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:en.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"completed"),code:this.mapCode(i.code),subject:m(this.patient),performedPeriod:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0]),bodySite:i.targetSiteCode?[this.mapCode(i.targetSiteCode)]:void 0,extension:this.mapTextReference(i.text)}}mapTextReference(e){if(!(!e||typeof 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o=r.class?.find(_=>_.type?.coding?.[0]?.code==="plan"),s=t.findResourceByReference(r.payor?.[0]),a=t.findResourceByReference(r.policyHolder);i.push({"@_typeCode":"COMP",sequenceNumber:{"@_xsi:type":"INT","@_value":i.length.toString()},act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ai,"@_extension":"2015-08-01"},{"@_root":ai}],id:d(r.id,r.identifier),code:{"@_code":nn.mapFhirToCcdaWithDefault(r.type?.coding?.[0]?.code,"9999"),"@_displayName":r.type?.coding?.[0]?.display||"Unknown","@_codeSystemName":"Source of Payment Typology (PHDSC)","@_codeSystem":"2.16.840.1.113883.3.221.5"},statusCode:{"@_code":"completed"},text:h(r.extension),performer:[{"@_typeCode":"PRF",templateId:[{"@_root":Er}],assignedEntity:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":"999999"}],code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice payor"},addr:N(s?.address),telecom:x(s?.telecom),representedOrganization:{name:s?.name?[s.name]:void 0,telecom:x(s?.telecom),addr:N(s?.address)}}}],participant:[{"@_typeCode":"COV",templateId:[{"@_root":Ir}],participantRole:{"@_classCode":"PAT",id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":a?.identifier?.[0]?.value||"88800933502"}],code:{"@_code":"FAMDEP","@_codeSystem":"2.16.840.1.113883.5.111","@_displayName":a?"self":"dependent"},addr:N(a?.address),playingEntity:{"@_classCode":"PSN",name:F(a?.name),"sdtc:birthTime":a?.birthDate?{"@_value":v(a.birthDate)}:void 0}}},a?{"@_typeCode":"HLD",templateId:[{"@_root":Tr}],participantRole:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":a.identifier?.[0]?.value||"888009335"}],addr:N(a.address),playingEntity:{name:F(a.name)}}}:void 0].filter(Boolean),entryRelationship:[{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"DEF",id:d(r.id,r.identifier),code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice payor"},text:o?.value?{"#text":o.value}:void 0}]}]}]})}return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":si,"@_extension":"2015-08-01"},{"@_root":si}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":O,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:i}]}}function wo(t,e){let i=e.contained?.find(s=>s.resourceType==="Medication"),n=i?.code||e.medicationCodeableConcept,r=i?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=de(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":ti,"@_extension":"2014-06-09"},{"@_root":ti}],id:[{"@_root":e.id||crypto.randomUUID()}],text:h(e.extension),statusCode:{"@_code":Qe.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:Pa(e.dosageInstruction?.[0]?.route),doseQuantity:ba(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":ii,"@_extension":"2014-06-09"},{"@_root":ii}],manufacturedMaterial:[{code:[{...l(n),originalText:h(i?.extension)}]}],manufacturerOrganization:r?[{id:d(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]},author:t.mapAuthor(e.requester,e.authoredOn),entryRelationship:e.dosageInstruction?.filter(s=>!!s.extension)?.map(s=>({"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":Ct}],code:{"@_code":Ui,"@_codeSystem":O,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:h(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function Pa(t){if(t)return l(t)}function ba(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function Fo(t,e){if(e.resourceType==="Procedure"){let i=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],n=e.code?.coding?.[0]?.code;return n&&i.includes(n)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ee},{"@_root":ee,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:W(e.performedDateTime,e.performedPeriod),text:h(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":te},{"@_root":te,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:W(e.performedDateTime,e.performedPeriod),text:h(e.extension),targetSiteCode:l(e.bodySite?.[0]),participant:[La(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:un(e),id:d(e.id,e.identifier),code:l(e.code),value:ln(e),statusCode:{"@_code":"completed"},effectiveTime:W(e.effectiveDateTime,e.effectivePeriod),text:h(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function La(t,e){if(!e)return;let i=t.findResourceByReference(e);if(i)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":Et}],id:d(i.id,i.identifier),code:l(i.type?.[0]),addr:i.address?N([i.address]):void 0,telecom:x(i.telecom),playingEntity:{"@_classCode":"PLC",name:i.name?[i.name]:void 0}}}}function Bo(t,e){return e.code?.coding?.[0]?.system===it?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":It},{"@_root":It,"@_extension":"2014-06-09"},{"@_root":It,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":E(e.authoredOn)}],text:h(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":Tt}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":Ua(e.status)},effectiveTime:[{"@_value":E(e.occurrenceDateTime)}],text:h(e.extension)}]}}function Ua(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function ko(t){if(!t||t.length===0)return;let e=t[0];if(!(!e||!e.code&&!e.period))return{serviceEvent:{"@_classCode":"PCPR",code:l(e.code?.[0]),effectiveTime:de(void 0,e.period)}}}function Va(t,e){return new Lt(t,e).convert()}var Lt=class{constructor(e,i){this.bundle=e,this.options=i;let n=this.findResource("Composition");if(!n)throw new Error("Composition not found");let r=this.findResource("Patient");if(!r)throw new Error("Patient not found");this.composition=n,this.patient=r}convert(){let e=this.createSections(),i=this.composition.section?.find(o=>o.code?.coding?.[0]?.code===se)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=cn,r={"@_code":xi,"@_displayName":"Referral Note","@_codeSystem":O,"@_codeSystemName":"LOINC"}):(n=an,r={"@_code":ke,"@_displayName":"Summarization of Episode Note","@_codeSystem":O,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":Pn,"@_extension":"POCD_HD000040"},templateId:n,id:d(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:W(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Zi.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),informationRecipient:this.mapRecipient(i),participant:this.createParticipants(),documentationOf:ko(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(o=>({section:[o]}))}}:void 0}}findResource(e){return this.bundle.entry?.find(i=>i.resource?.resourceType===e)?.resource}findResourceByReference(e){if(!e?.reference)return;let[i,n]=e.reference.split("/");if(!(!i||!n))return this.bundle.entry?.find(r=>r.resource?.resourceType===i&&r.resource?.id===n)?.resource}findResourcesByReferences(e){return e?e.map(i=>this.findResourceByReference(i)).filter(i=>!!i):[]}createRecordTarget(){if(!this.patient)throw new Error("Patient not found");return[{patientRole:{id:d(this.patient.id,this.patient.identifier),addr:N(this.patient.address),telecom:x(this.patient.telecom),patient:yo(this.patient)}}]}createSections(){let e=[];if(this.composition.section)for(let i of this.composition.section)e.push(this.createSection(i));return e}createSection(e){let i=e.code?.coding?.[0]?.code;if(!i)throw new Error(`Missing section code: ${JSON.stringify(e.code)}`);let n=dn[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return i===Fe&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):i===se&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,r[0]):{templateId:n,code:l(e.code),title:e.title,text:No(e.text),entry:r.map(o=>this.createEntry(e,o)).filter(Boolean),"@_nullFlavor":r.length===0?"NI":void 0}}createEntry(e,i){switch(i.resourceType){case"Account":return Mo(this,i);case"AllergyIntolerance":return Ao(this,i);case"CarePlan":return Ro(this,i);case"CareTeam":return go(this,i);case"ClinicalImpression":return Do(this,i);case"Condition":return vo(this,e,i);case"DeviceUseStatement":return xo(this,i);case"DiagnosticReport":return bo(this,i);case"Encounter":return Lo(this,i);case"Goal":return Uo(e,i);case"Immunization":return Vo(this,i);case"MedicationRequest":return wo(this,i);case"Procedure":return Fo(this,i);case"Observation":return Po(this,i);case"ServiceRequest":return Bo(this,i);default:return}}mapAuthor(e,i,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 _;"qualification"in r&&(_=r.qualification?.[0]);let A;return["Patient","Practitioner","RelatedPerson"].includes(r.resourceType)&&(A=r.name),[{templateId:[{"@_root":Sr}],time:i?{"@_value":E(i)}:void 0,assignedAuthor:{id:d(r.id,r.identifier),addr:N(s),telecom:x(a),code:l(_),assignedPerson:A?{name:F(A)}:void 0,assignedAuthoringDevice:!A&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let i=this.findResourceByReference(e);if(i)return{assignedCustodian:{representedCustodianOrganization:{id:d(i.id,i.identifier),name:i.name?[i.name]:void 0,telecom:x(i.telecom),addr:N(i.address)}}}}mapRecipient(e){if(!e)return;let i=this.findResourceByReference(e);if(!i)return;let n=i.performer;if(!n||n.length===0)return;let r=this.findResourceByReference(n[0]);if(!(!r||r.resourceType!=="Practitioner"))return{intendedRecipient:{informationRecipient:{name:F(r.name)}}}}createParticipants(){let e=this.bundle.entry?.filter(i=>i.resource?.resourceType==="RelatedPerson").map(i=>i.resource);if(!(!e||e.length===0))return e.map(i=>({"@_typeCode":"IND",templateId:[{"@_root":Mr,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(i.id,i.identifier),code:l(i.relationship?.[0]),addr:N(i.address),telecom:x(i.telecom),associatedPerson:{name:F(i.name)}}}))}createClinicalImpressionSection(e,i){return{templateId:[{"@_root":ht}],code:l(e.code),title:e.title,text:i.summary,author:this.mapAuthor(i.assessor,i.date)}}createReasonForReferralSection(e,i){return{templateId:[{"@_root":z,"@_extension":"2014-06-09"},{"@_root":z}],code:l(e.code),title:e.title,text:i.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Ar}],id:d(i.id,i.identifier),code:l(i.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":E(i.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(i.requester,i.occurrenceDateTime)}]}]}}};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,FHIR_ICF_URL,FUNCTIONAL_STATUS_TEMPLATE_IDS,FhirToCcdaConverter,GENDER_MAPPER,GOALS_SECTION_TEMPLATE_IDS,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,HTTP,HUMAN_NAME_USE_MAPPER,IMMUNIZATIONS_SECTION_TEMPLATE_IDS,IMMUNIZATION_STATUS_MAPPER,INSURANCE_COVERAGE_TYPE_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_CLINICAL_FINDING,LOINC_CONDITION,LOINC_DEVICES_SECTION,LOINC_DISABILITY_STATUS,LOINC_ENCOUNTERS_SECTION,LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE,LOINC_FUNCTIONAL_STATUS_SECTION,LOINC_GOALS_SECTION,LOINC_HEALTH_CONCERNS_SECTION,LOINC_HISTORY_OF_OCCUPATION,LOINC_HISTORY_OF_OCCUPATION_INDUSTRY,LOINC_HISTORY_OF_SOCIAL_FUNCTION,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_PREGNANCY_STATUS,LOINC_PROBLEMS_SECTION,LOINC_PROCEDURES_SECTION,LOINC_REASON_FOR_REFERRAL_SECTION,LOINC_REFERRAL_NOTE,LOINC_RESULTS_SECTION,LOINC_SOCIAL_HISTORY_SECTION,LOINC_SUMMARY_OF_EPISODE_NOTE,LOINC_TOBACCO_SMOKING_STATUS,LOINC_TO_TEMPLATE_IDS,LOINC_TRIBAL_AFFILIATION,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,REFERRAL_TEMPLATE_IDS,RESULTS_SECTION_TEMPLATE_IDS,ROLE_CODE_CODE_SYSTEM,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,mapCcdaCodeToCodeableConcept,mapCcdaSystemToFhir,mapCcdaToFhirDate,mapCcdaToFhirDateTime,mapCodeableConceptToCcdaCode,mapCodeableConceptToCcdaValue,mapCodingToCcdaCode,mapFhirPeriodOrDateTimeToCcda,mapFhirSystemToCcda,mapFhirToCcdaDate,mapFhirToCcdaDateTime,parseXml});
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  /*!
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  * Reconnecting WebSocket
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  * by Pedro Ladaria <pedro.ladaria@gmail.com>