npm - @medplum/ccda - Versions diffs - 4.3.6 → 4.3.7 - Mend

@medplum/ccda 4.3.6 → 4.3.7

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Files changed (5) hide show

package/dist/esm/index.mjs CHANGED Viewed

@@ -1,5 +1,5 @@
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Dt="2.16.840.1.113883.10.20.22.4.500",nn="2.16.840.1.113883.10.20.22.4.501";var rn="2.16.840.1.113883.10.20.22.4.503",on="2.16.840.1.113883.10.20.22.4.504";var sn="2.16.840.1.113883.10.20.22.4.506",Fe="2.16.840.1.113883.10.20.22.4.507",an="2.16.840.1.113883.10.20.22.4.508";var cn="2.16.840.1.113883.10.20.22.4.512";var vt="2.16.840.1.113883.12.292",xt="2.16.840.1.113883.3.3719";var I=class{constructor(e,t,n,r){this.systemName=e,this.ccdaSystemOid=t,this.fhirSystemUrl=n,this.entries=r,this.ccdaToFhirMap={},this.fhirToCcdaMap={};for(let o of r)this.ccdaToFhirMap[o.ccdaValue]||(this.ccdaToFhirMap[o.ccdaValue]=o),this.fhirToCcdaMap[o.fhirValue]||(this.fhirToCcdaMap[o.fhirValue]=o)}getEntryByFhir(e){return this.fhirToCcdaMap[e]}getEntryByCcda(e){return this.ccdaToFhirMap[e]}mapCcdaToFhir(e){return this.ccdaToFhirMap[e]?.fhirValue}mapCcdaToFhirWithDefault(e,t){return e?this.mapCcdaToFhir(e)??t:t}mapFhirToCcdaWithDefault(e,t){return e?this.mapFhirToCcda(e)??t:t}mapCcdaToFhirCodeableConcept(e){let t=this.ccdaToFhirMap[e];if(t)return{coding:[{system:this.fhirSystemUrl,code:t.fhirValue,display:t.displayName}],text:t.displayName}}mapFhirToCcda(e){if(e)return this.fhirToCcdaMap[e]?.ccdaValue}mapFhirToCcdaCode(e){if(!e)return;let t=this.fhirToCcdaMap[e];if(t)return{"@_code":t.ccdaValue,"@_displayName":t.displayName,"@_codeSystem":this.ccdaSystemOid,"@_codeSystemName":Qe.getEntryByCcda(this.ccdaSystemOid)?.displayName}}},k="http:",ro=`${_}/fhir/administrative-gender`,Pt=`${T}/CodeSystem/condition-clinical`,dn=`${T}/CodeSystem/condition-verification`,Fs=`${T}/CodeSystem/v3-LanguageAbilityMode`,ks=`${T}/CodeSystem/v3-LanguageAbilityProficiency`,Gs=`${T}/CodeSystem/v3-Race`,ln=`${T}/CodeSystem/condition-category`,bt=`${T}/CodeSystem/condition-ver-status`,ke=`${T}/CodeSystem/allergyintolerance-clinical`,Lt=`${T}/CodeSystem/allergyintolerance-verification`,pn=`${T}/CodeSystem/v3-ActCode`,hn=`${T}/CodeSystem/v3-ParticipationType`,fn=`${T}/CodeSystem/diagnosis-role`,oo=`${T}/CodeSystem/v3-Confidentiality`,so=`${T}/CodeSystem/observation-category`,ao=`${_}/fhir/ValueSet/address-use`,co=`${_}/fhir/ValueSet/name-use`,uo=`${_}/fhir/ValueSet/administrative-gender`,lo=`${_}/fhir/ValueSet/contactentity-use`,po=`${_}/fhir/ValueSet/medicationrequest-status`,Ys=`${_}/fhir/StructureDefinition/language-mode`,Hs=`${_}/fhir/StructureDefinition/language-proficiency`,$s=`${_}/fhir/us/core/StructureDefinition/us-core-patient`,he=`${_}/fhir/us/core/StructureDefinition/us-core-race`,Ge=`${_}/fhir/us/core/StructureDefinition/us-core-ethnicity`,_n=`${_}/fhir/us/core/StructureDefinition/us-core-condition`,mn=`${_}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,js=`${_}/cda/template`,ho=`${k}//ncithesaurus-stage.nci.nih.gov`,fo=`${_}/fhir/sid/us-ssn`,_o=`${_}/fhir/sid/us-dln`,mo=`${_}/fhir/sid/us-npi`,Eo=`${k}//fdasis.nlm.nih.gov`,Io=`${k}//nucc.org/provider-taxonomy`,To=`${k}//va.gov/terminology/medrt`,Oo=`${k}//hl7.org/fhir/ndfrt`,So=`${k}//nucc.org/cvx`,yo=`${_}/fhir/sid/cvx`,En=`${k}//www.w3.org/2001/XMLSchema-instance`,Ye="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",In="48765-2",Tn="11369-6",On="10160-0",He="11450-4",Sn="30954-2",yn="29762-2",Cn="8716-3",gn="47519-4",$e="18776-5",je="51848-0",An="46264-8",fe="61146-7",_e="75310-3",Nn="46240-8",me="42349-1",Rn="57133-1",Dn="10190-7",vn="85847-2",xn="48768-6",qe="11488-4",qs="34109-9",Ws="60591-5",We="34133-9",Pn="76662-6",bn="75323-6",Ln="58144-7",Un="72166-2",Vn="11367-0",Mn="46098-0",wn="76689-9",Qe=new I("System","","",[{ccdaValue:ni,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:ri,fhirValue:ho,displayName:"NCI Thesaurus"},{ccdaValue:oi,fhirValue:fo,displayName:"SSN"},{ccdaValue:si,fhirValue:_o,displayName:"DLN"},{ccdaValue:ai,fhirValue:mo,displayName:"NPI"},{ccdaValue:ci,fhirValue:Eo,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:N,fhirValue:ge,displayName:"LOINC"},{ccdaValue:ui,fhirValue:Ht,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:di,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:li,fhirValue:$t,displayName:"National Drug Code (NDC)"},{ccdaValue:pi,fhirValue:Yt,displayName:"RxNorm"},{ccdaValue:L,fhirValue:rt,displayName:"SNOMED CT"},{ccdaValue:hi,fhirValue:Io,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:_i,fhirValue:To,displayName:"Medication Reference Terminology (MED-RT)"},{ccdaValue:fi,fhirValue:Oo,displayName:"National Drug File Reference Terminology (NDF-RT)"},{ccdaValue:vt,fhirValue:So,displayName:"CVX"},{ccdaValue:lt,fhirValue:"Confidentiality",displayName:"Confidentiality"},{ccdaValue:De,fhirValue:ro,displayName:"Administrative Sex"},{ccdaValue:vt,fhirValue:yo,displayName:"Vaccine Administered Code Set (CVX)"}]);function Ee(i){if(i)return Qe.mapCcdaToFhir(i)??`urn:oid:${i}`}function Bn(i){if(i)return i.startsWith("urn:oid:")?i.replace("urn:oid:",""):Qe.mapFhirToCcda(i)}function p(i){if(!i?.coding)return;let e=un(i.coding[0]);if(i.coding.length>1){e.translation=[];for(let t=1;t<i.coding.length;t++)e.translation.push(un(i.coding[t]))}return e}function un(i){let e=i?.system?Qe.getEntryByFhir(i.system):void 0,t=e?.ccdaValue,n=e?.displayName,r=i.system?.startsWith("urn:oid:")?i.system.replace("urn:oid:",""):void 0;return{"@_code":i.code,"@_displayName":i.display,"@_codeSystem":t??r,"@_codeSystemName":n}}function H(i){let e=p(i);if(e)return{"@_xsi:type":"CD",...e}}var Fn=new I("Confidentiality",lt,oo,[{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"}]),ze=new I("HumanNameUse","",co,[{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"}]),kn=new I("Gender","",uo,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Ze=new I("AddressUse","",ao,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),Xe=new I("TelecomUse","",lo,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"MC",fhirValue:"mobile",displayName:"Mobile"}]),Je=new I("AllergyStatus","",Lt,[{ccdaValue:"unconfirmed",fhirValue:"unconfirmed",displayName:"Unconfirmed"},{ccdaValue:"provisional",fhirValue:"provisional",displayName:"Provisional"},{ccdaValue:"differential",fhirValue:"differential",displayName:"Differential"},{ccdaValue:"confirmed",fhirValue:"confirmed",displayName:"Confirmed"},{ccdaValue:"refuted",fhirValue:"refuted",displayName:"Refuted"},{ccdaValue:"entered-in-error",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Gn=new I("AllergyCategory",L,ke,[{ccdaValue:"414285001",fhirValue:"food",displayName:"Allergy to food (finding)"},{ccdaValue:"419511003",fhirValue:"medication",displayName:"Propensity to adverse reactions to drug (finding)"},{ccdaValue:"426232007",fhirValue:"environment",displayName:"Environmental allergy (finding)"},{ccdaValue:"418038007",fhirValue:"biologic",displayName:"Propensity to adverse reactions to substance (finding)"}]),Ke=new I("AllergySeverity",rt,ke,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),Ie=new I("ProblemStatus","",bt,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"inactive",fhirValue:"inactive",displayName:"Inactive"},{ccdaValue:"resolved",fhirValue:"inactive",displayName:"Resolved"},{ccdaValue:"remission",fhirValue:"inactive",displayName:"In Remission"},{ccdaValue:"relapse",fhirValue:"active",displayName:"Relapse"},{ccdaValue:"resolved relapse",fhirValue:"inactive",displayName:"Resolved Relapse"},{ccdaValue:"aborted",fhirValue:"aborted",displayName:"Aborted"}]),et=new I("ImmunizationStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"nullified",fhirValue:"entered-in-error",displayName:"Nullified"},{ccdaValue:"aborted",fhirValue:"not-done",displayName:"Aborted"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Cancelled"},{ccdaValue:"obsolete",fhirValue:"not-done",displayName:"Obsolete"}]),Yn=new I("EncounterStatus","","",[{ccdaValue:"active",fhirValue:"in-progress",displayName:"In Progress"},{ccdaValue:"completed",fhirValue:"finished",displayName:"Finished"},{ccdaValue:"aborted",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Hn=new I("ProcedureStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Not Done"},{ccdaValue:"new",fhirValue:"not-done",displayName:"Draft"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),tt=new I("MedicationStatus","",po,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"aborted",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"active",fhirValue:"draft",displayName:"Draft"},{ccdaValue:"cancelled",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"nullified",fhirValue:"cancelled",displayName:"Nullified"},{ccdaValue:"obsolete",fhirValue:"cancelled",displayName:"Obsolete"}]),$n=new I("ObservationCategory","",so,[{ccdaValue:Ui,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:Vi,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:de,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:Yi,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:le,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:rn,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:on,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:nn,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:Fe,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:pe,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:zi,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:mi,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:sn,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:ce,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:bi,fhirValue:"vital-signs",displayName:"Vital Signs Observation 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Result Observation"},{ccdaValue:Gi,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:wi,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Mi,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:oe,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:F,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:vi,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:Fi,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:$i,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Wi,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:Y,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:an,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:qi,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Xi,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Ji,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]);import{XMLBuilder as jn,XMLParser as qn}from"fast-xml-parser";var Co=["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 Xs(i){return new qn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Co.some(a=>r.endsWith(a))}).parse(i).ClinicalDocument}function Js(i){return new jn({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":En,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function Wn(i){return new qn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function Qn(i){return i?typeof i=="string"?i:new jn({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
-`).map(n=>n.trim()).join(""):""}function oa(i,e){return new Ut(i,e).convert()}var Ut=class{constructor(e,t){this.resources=[];this.ccda=e,this.options=t}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(t=>({resource:t}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e))}createPatient(e){let t=e.patient,n=[];return t.raceCode&&t.raceCode.length>0&&!t.raceCode[0]["@_nullFlavor"]&&n.push({url:he,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&!t.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:Ge,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:ut(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"]&&st(n["@_root"]));return t?t["@_root"]:Re()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&st(n["@_root"])||t.push({system:Ee(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"]?ze.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(Te)?.filter(Boolean)),e.family&&(t.family=Te(e.family)),e.given&&(t.given=e.given.map(Te)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(Te)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?Ze.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"]?Xe.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">${Qn(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:We}]},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 ee:case Si:case yi:case Ci:return this.processAllergyIntoleranceAct(t);case K:case Ii:case Ti:case Oi:return this.processConditionAct(t);case U:return this.processCarePlanAct(t);case Ue:return this.processConditionAct(t);case Y:return this.processProcedureAct(t);case B:return;case Ve:return;case Le: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:[_n]},clinicalStatus:{coding:[{system:Pt,code:Ie.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:dn,code:"confirmed"}]},category:[{coding:[{system:ln,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:Te(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 Pe:case U:return this.processMedicationSubstanceAdministration(t);case X:case J: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(E=>E.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Be)?.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:[mn]},extension:this.mapTextReference(e.text),status:tt.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:nt,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:et.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=Ke.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:Ee(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:Ee(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:Ee(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:ke,code:Je.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:Lt,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"]===Me?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===te||n===we)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case U:case te: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:ut(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:nt,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: ${e.value["@_xsi:type"]}`)}return e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=m(e.effectiveTime?.[0]?.["@_value"])),t.extension=this.mapTextReference(e.text),t}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let t=new Set,n=[];for(let r of e){let o=$n.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:Yn.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:pn,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:hn,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:Pt,code:"active"}]},verificationStatus:{coding:[{system:bt,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:fn,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:Hn.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 Te(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var zn=[{"@_root":Z,"@_extension":"2015-08-01"},{"@_root":Z},{"@_root":pt,"@_extension":"2015-08-01"},{"@_root":pt}],Zn=[{"@_root":Z,"@_extension":"2015-08-01"},{"@_root":Z},{"@_root":ht,"@_extension":"2015-08-01"},{"@_root":ht}],go=[{"@_root":ee,"@_extension":"2015-08-01"},{"@_root":ee}],Ao=[{"@_root":Pe,"@_extension":"2014-06-09"}],No=[{"@_root":K,"@_extension":"2015-08-01"},{"@_root":K}],Ro=[{"@_root":X},{"@_root":X,"@_extension":"2015-08-01"},{"@_root":J},{"@_root":J,"@_extension":"2015-08-01"}],Do=[{"@_root":Ei,"@_extension":"2015-08-01"}],vo=[{"@_root":_t},{"@_root":_t,"@_extension":"2015-08-01"}],xo=[{"@_root":Y,"@_extension":"2014-06-09"}],ua=[{"@_root":U,"@_extension":"2014-06-09"}],da=[{"@_root":ft,"@_extension":"2015-08-01"}],Po=[{"@_root":ft,"@_extension":"2015-08-01"}],bo=[{"@_root":Ai,"@_extension":"2015-08-01"}],Lo=[{"@_root":be}],Uo=[{"@_root":U},{"@_root":U,"@_extension":"2014-06-09"}],Vo=[{"@_root":gi,"@_extension":"2015-08-01"}],Mo=[{"@_root":te}],wo=[{"@_root":Ue,"@_extension":"2015-08-01"}],Bo=[{"@_root":B,"@_extension":"2014-06-09"}],Fo=[{"@_root":Ni,"@_extension":"2015-08-01"}],ko=[{"@_root":Ve,"@_extension":"2016-11-01"}],Go=[{"@_root":Me,"@_extension":"2022-06-01"}],Yo=[{"@_root":Le,"@_extension":"2015-08-01"}],Xn=Object.fromEntries([[In,go],[On,Ao],[He,No],[Tn,Ro],[Cn,Do],[yn,vo],[gn,xo],[Sn,Po],[je,Lo],[$e,Uo],[Nn,Vo],[fe,Mo],[_e,wo],[me,Bo],[Dn,Fo],[qe,ko],[vn,Go],[xn,Yo],[An,bo]]);function Ia(i,e){return new Vt(i,e).convert()}var Vt=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===me)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=Zn,r={"@_code":Rn,"@_displayName":"Referral Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}):(n=zn,r={"@_code":We,"@_displayName":"Summarization of Episode Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":ii,"@_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?Fn.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?ze.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":kn.mapFhirToCcda(e),"@_displayName":e?Q(e):"Unknown","@_codeSystem":De,"@_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?Ze.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=Ne(e,he,"ombCategory")?.valueCoding;return t?[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":xe,"@_codeSystemName":"CDC Race and Ethnicity"}]:[{"@_nullFlavor":"UNK"}]}mapDetailedRace(e){let t=Ne(e,he,"detailed")?.valueCoding;if(t)return[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":xe,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===Ge)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;return n?[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":xe,"@_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=Xn[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return t===je&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):t===me&&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=Wn(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":yt},{"@_root":yt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":dt},statusCode:{"@_code":Je.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":Et},{"@_root":Et,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":ve},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":Tt},{"@_root":Tt,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":ve},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:H(t.manifestation?.[0]),text:this.createTextFromExtensions(t.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":It},{"@_root":It,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":ve,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":Ke.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?Q(t.severity):void 0,"@_codeSystem":L,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){let t=Gn.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":ji}],time:t?{"@_value":O(t)}:void 0,assignedAuthor:{id:this.mapIdentifiers(r.id,r.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(s),telecom:this.mapTelecom(a),code:p(h),assignedPerson:S?{name:this.mapNames(S)}:void 0,assignedAuthoringDevice:!S&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let t=this.findResourceByReference(e);if(t)return{assignedCustodian:{representedCustodianOrganization:{id:this.mapIdentifiers(t.id,t.identifier),name:t.name?[t.name]:void 0,telecom:this.mapTelecom(t.telecom),addr:this.mapFhirAddressArrayToCcdaAddressArray(t.address)}}}}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":Ot,"@_extension":"2014-06-09"},{"@_root":Ot}],id:[{"@_root":e.id||crypto.randomUUID()}],text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":tt.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":St,"@_extension":"2014-06-09"},{"@_root":St}],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":Be}],code:{"@_code":Pn,"@_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?Xe.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=Bn(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===He)return this.createProblemEntry(t);if(n===_e)return this.createHealthConcernEntry(t)}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":mt},{"@_root":mt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":dt},statusCode:{"@_code":Ie.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":F},{"@_root":F,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":Re()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":L,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":bn,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":w(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":O(e.abatementDateTime)}:void 0}],value:H(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createHealthConcernEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Rt,"@_extension":"2015-08-01"},{"@_root":Rt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":_e,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Health Concern"},statusCode:{"@_code":Ie.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":At},{"@_root":At,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":et.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":w(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Nt},{"@_root":Nt,"@_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":xi}],id:this.mapIdentifiers(e.id,e.identifier),code:H(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===$e)r=[{"@_root":gt}];else if(n===fe)r=[{"@_root":we}];else return;let o;if(n===fe)o={"@_code":Ln,"@_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":O(t.startDate)}],value:t.description?.text?{"@_xsi:type":"ST","#text":t.description.text}:void 0,text:this.createTextFromExtensions(t.extension),entryRelationship:t.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":re},{"@_root":re,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(t.startDate)}]}]}))}]}}mapPlanOfTreatmentStatus(e){switch(e){case"achieved":return"completed";case"cancelled":return"cancelled";default:return"active"}}createVitalSignsOrganizer(e){let t=[];if(e.hasMember)for(let r of e.hasMember){let o=this.findResourceByReference(r);if(!(!o||o.resourceType!=="Observation"))if(o.component)for(let s of o.component)t.push({observation:[this.createVitalSignComponentObservation(o,s)]});else t.push({observation:[this.createVitalSignObservation(o)]})}return{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],component:t}}createVitalSignObservation(e){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(e),referenceRange:this.mapReferenceRangeArray(e.referenceRange),text:this.createTextFromExtensions(e.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}createVitalSignComponentObservation(e,t){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:p(t.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(t),referenceRange:this.mapReferenceRangeArray(t.referenceRange),text:this.createTextFromExtensions(t.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}mapObservationTemplateId(e){let t=e.code?.coding?.[0]?.code,n=e.category?.[0]?.coding?.[0]?.code;return t===Un?[{"@_root":de},{"@_root":de,"@_extension":"2014-06-09"}]:t===Vn?[{"@_root":le},{"@_root":le,"@_extension":"2014-06-09"}]:t===Mn?[{"@_root":Fe,"@_extension":"2023-06-28"}]:t===wn?[{"@_root":pe},{"@_root":pe,"@_extension":"2016-06-01"}]:n==="exam"?[{"@_root":oe},{"@_root":oe,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":ne},{"@_root":ne,"@_extension":"2015-08-01"}]:[{"@_root":ce},{"@_root":ce,"@_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 H(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":re},{"@_root":re,"@_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":se},{"@_root":se,"@_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":Ct}],id:this.mapIdentifiers(t.id,t.identifier),code:p(t.type?.[0]),addr:t.address?this.mapFhirAddressArrayToCcdaAddressArray([t.address]):void 0,telecom:this.mapTelecom(t.telecom),playingEntity:{"@_classCode":"PLC",name:t.name?[t.name]:void 0}}}}mapEffectiveTime(e,t){if(t)return[{low:{"@_value":O(t.start)},high:{"@_value":O(t.end)}}];if(e)return[{"@_value":O(e)}]}mapEffectiveDate(e,t){if(t)return[{"@_xsi:type":"IVL_TS",low:t.start?{"@_value":w(t.start)}:void 0,high:t.end?{"@_value":w(t.end)}:void 0}];if(e)return[{"@_value":w(e)}]}mapEffectivePeriod(e,t,n=!1){if(!e&&!t)return;let r={};return e?r.low={"@_value":O(e)}:n&&(r.low={"@_nullFlavor":"NI"}),t?r.high={"@_value":O(t)}:n&&(r.high={"@_nullFlavor":"NI"}),[r]}createEncounterEntry(e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":ue},{"@_root":ue,"@_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":Ct}],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":ue,"@_extension":"2015-08-01"},{"@_root":ue}],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:H(t.code)}]}]}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Dt,"@_extension":"2022-07-01"},{"@_root":Dt,"@_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":be}],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":gt}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":this.mapPlanOfTreatmentStatus(e.status)},effectiveTime:[{"@_value":O(e.occurrenceDateTime)}],text:this.createTextFromExtensions(e.extension)}]}}createDiagnosticReportEntry(e){let t=[];if(e.result)for(let n of e.result){let r=this.findResourceByReference(n);!r||r.resourceType!=="Observation"||t.push({observation:[this.createVitalSignObservation(r)]})}return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":ie},{"@_root":ie,"@_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":xt,"@_extension":t.udiCarrier[0].carrierHRF,"@_assigningAuthorityName":"FDA"}),{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":se,"@_extension":"2014-06-09"},{"@_root":se}],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":Li}],id:n,playingDevice:{"@_classCode":"DEV",code:p(t.type)},scopingEntity:{id:[{"@_root":xt}]}}}]}]}}createClinicalImpressionEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Zi,"@_extension":"2016-11-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code)??{"@_code":qe,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Note"},text:e.summary?{"#text":e.summary}:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":w(e.date)}],author:this.mapAuthor(e.assessor,e.date)}]}}createReasonForReferralSection(e,t){return{templateId:[{"@_root":B,"@_extension":"2014-06-09"},{"@_root":B}],code:p(e.code),title:e.title,text:t.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Qi}],id:this.mapIdentifiers(t.id,t.identifier),code:p(t.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":O(t.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(t.requester,t.occurrenceDateTime)}]}]}}};export{pn as ACT_CODE_SYSTEM,Ze as ADDRESS_USE_MAPPER,ao as ADDRESS_USE_VALUE_SET,ro as ADMINISTRATIVE_GENDER_CODE_SYSTEM,uo as ADMINISTRATIVE_GENDER_VALUE_SET,go as ALLERGIES_SECTION_TEMPLATE_IDS,Gn as ALLERGY_CATEGORY_MAPPER,ke as ALLERGY_CLINICAL_CODE_SYSTEM,Ke as ALLERGY_SEVERITY_MAPPER,Je as ALLERGY_STATUS_MAPPER,Lt as ALLERGY_VERIFICATION_CODE_SYSTEM,Lo as ASSESSMENTS_SECTION_TEMPLATE_IDS,Go as CARE_TEAM_SECTION_TEMPLATE_IDS,Ye as CCDA_NARRATIVE_REFERENCE_URL,js as CCDA_TEMPLATE_CODE_SYSTEM,zn as CCDA_TEMPLATE_IDS,Pt as CLINICAL_CONDITION_CODE_SYSTEM,ua as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,ln as CONDITION_CATEGORY_CODE_SYSTEM,dn as CONDITION_VERIFICATION_CODE_SYSTEM,bt as CONDITION_VER_STATUS_CODE_SYSTEM,oo as CONFIDENTIALITY_CODE_SYSTEM,Fn as CONFIDENTIALITY_MAPPER,lo as CONTACT_ENTITY_USE_VALUE_SET,So as CVX_URL,bo as DEVICES_SECTION_TEMPLATE_IDS,fn as DIAGNOSIS_ROLE_CODE_SYSTEM,Vo as ENCOUNTERS_SECTION_TEMPLATE_IDS,Yn as ENCOUNTER_STATUS_MAPPER,I as EnumMapper,yo as FHIR_CVX_URL,kn as GENDER_MAPPER,Mo as GOALS_SECTION_TEMPLATE_IDS,wo as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,k as HTTP,ze as HUMAN_NAME_USE_MAPPER,Ro as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,et as IMMUNIZATION_STATUS_MAPPER,Yo as INSURANCE_SECTION_TEMPLATE_IDS,da as LAB_TESTS_SECTION_TEMPLATE_IDS,Fs as LANGUAGE_MODE_CODE_SYSTEM,Ys as LANGUAGE_MODE_URL,ks as LANGUAGE_PROFICIENCY_CODE_SYSTEM,Hs as LANGUAGE_PROFICIENCY_URL,Mn as LOINC_ADMINISTRATIVE_SEX,In as LOINC_ALLERGIES_SECTION,je as LOINC_ASSESSMENTS_SECTION,wn as LOINC_BIRTH_SEX,vn as LOINC_CARE_TEAM_SECTION,bn as LOINC_CONDITION,An as LOINC_DEVICES_SECTION,Nn as LOINC_ENCOUNTERS_SECTION,fe as LOINC_GOALS_SECTION,_e as LOINC_HEALTH_CONCERNS_SECTION,Vn as LOINC_HISTORY_OF_TOBACCO_USE,Tn as LOINC_IMMUNIZATIONS_SECTION,xn as LOINC_INSURANCE_SECTION,On as LOINC_MEDICATIONS_SECTION,Pn as LOINC_MEDICATION_INSTRUCTIONS,Dn as LOINC_MENTAL_STATUS_SECTION,qe as LOINC_NOTES_SECTION,qs as LOINC_NOTE_DOCUMENT,Ln as LOINC_OVERALL_GOAL,Ws as LOINC_PATIENT_SUMMARY_DOCUMENT,$e as LOINC_PLAN_OF_TREATMENT_SECTION,He as LOINC_PROBLEMS_SECTION,gn as LOINC_PROCEDURES_SECTION,me as LOINC_REASON_FOR_REFERRAL_SECTION,Rn as LOINC_REFERRAL_NOTE,Sn as LOINC_RESULTS_SECTION,yn as LOINC_SOCIAL_HISTORY_SECTION,We as LOINC_SUMMARY_OF_EPISODE_NOTE,Un as LOINC_TOBACCO_SMOKING_STATUS,Xn as LOINC_TO_TEMPLATE_IDS,Cn as LOINC_VITAL_SIGNS_SECTION,Ao as MEDICATIONS_SECTION_TEMPLATE_IDS,po as MEDICATION_REQUEST_STATUS_VALUE_SET,tt as MEDICATION_STATUS_MAPPER,Fo as MENTAL_STATUS_SECTION_TEMPLATE_IDS,co as NAME_USE_VALUE_SET,ho as NCI_THESAURUS_URL,Oo as NDFRT_URL,Io as NUCC_TAXONOMY_URL,so as OBSERVATION_CATEGORY_CODE_SYSTEM,$n as OBSERVATION_CATEGORY_MAPPER,hn as PARTICIPATION_CODE_SYSTEM,ko as PATIENT_NOTES_SECTION_TEMPLATE_IDS,Uo as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,No as PROBLEMS_SECTION_TEMPLATE_IDS,Ie as PROBLEM_STATUS_MAPPER,xo as PROCEDURES_SECTION_TEMPLATE_IDS,Hn as PROCEDURE_STATUS_MAPPER,Gs as RACE_CODE_SYSTEM,Bo as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Zn as REFERRAL_TEMPLATE_IDS,Po as RESULTS_SECTION_TEMPLATE_IDS,vo as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,Qe as SYSTEM_MAPPER,Xe as TELECOM_USE_MAPPER,Eo as UNII_URL,_n as US_CORE_CONDITION_URL,Ge as US_CORE_ETHNICITY_URL,mn as US_CORE_MEDICATION_REQUEST_URL,$s as US_CORE_PATIENT_URL,he as US_CORE_RACE_URL,_o as US_DRIVER_LICENSE_URL,mo as US_NPI_URL,fo as US_SSN_URL,To as VA_MEDRT_URL,Do as VITAL_SIGNS_SECTION_TEMPLATE_IDS,En as XSI_URL,oa as convertCcdaToFhir,Js as convertCcdaToXml,Ia as convertFhirToCcda,Qn as convertToCompactXml,Xs as convertXmlToCcda,Ee as mapCcdaSystemToFhir,ut as mapCcdaToFhirDate,m as mapCcdaToFhirDateTime,p as mapCodeableConceptToCcdaCode,H as mapCodeableConceptToCcdaValue,un as mapCodingToCcdaCode,Bn as mapFhirSystemToCcda,w as mapFhirToCcdaDate,O as mapFhirToCcdaDateTime,Wn as parseXml};
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Dt="2.16.840.1.113883.10.20.22.4.500",nn="2.16.840.1.113883.10.20.22.4.501";var rn="2.16.840.1.113883.10.20.22.4.503",on="2.16.840.1.113883.10.20.22.4.504";var sn="2.16.840.1.113883.10.20.22.4.506",ke="2.16.840.1.113883.10.20.22.4.507",an="2.16.840.1.113883.10.20.22.4.508";var cn="2.16.840.1.113883.10.20.22.4.512";var vt="2.16.840.1.113883.12.292",xt="2.16.840.1.113883.3.3719";var I=class{constructor(e,t,n,r){this.systemName=e,this.ccdaSystemOid=t,this.fhirSystemUrl=n,this.entries=r,this.ccdaToFhirMap={},this.fhirToCcdaMap={};for(let o of r)this.ccdaToFhirMap[o.ccdaValue]||(this.ccdaToFhirMap[o.ccdaValue]=o),this.fhirToCcdaMap[o.fhirValue]||(this.fhirToCcdaMap[o.fhirValue]=o)}getEntryByFhir(e){return this.fhirToCcdaMap[e]}getEntryByCcda(e){return this.ccdaToFhirMap[e]}mapCcdaToFhir(e){return this.ccdaToFhirMap[e]?.fhirValue}mapCcdaToFhirWithDefault(e,t){return e?this.mapCcdaToFhir(e)??t:t}mapFhirToCcdaWithDefault(e,t){return e?this.mapFhirToCcda(e)??t:t}mapCcdaToFhirCodeableConcept(e){let t=this.ccdaToFhirMap[e];if(t)return{coding:[{system:this.fhirSystemUrl,code:t.fhirValue,display:t.displayName}],text:t.displayName}}mapFhirToCcda(e){if(e)return this.fhirToCcdaMap[e]?.ccdaValue}mapFhirToCcdaCode(e){if(!e)return;let t=this.fhirToCcdaMap[e];if(t)return{"@_code":t.ccdaValue,"@_displayName":t.displayName,"@_codeSystem":this.ccdaSystemOid,"@_codeSystemName":Qe.getEntryByCcda(this.ccdaSystemOid)?.displayName}}},F="http:",ro=`${_}/fhir/administrative-gender`,Pt=`${T}/CodeSystem/condition-clinical`,dn=`${T}/CodeSystem/condition-verification`,ks=`${T}/CodeSystem/v3-LanguageAbilityMode`,Fs=`${T}/CodeSystem/v3-LanguageAbilityProficiency`,Gs=`${T}/CodeSystem/v3-Race`,ln=`${T}/CodeSystem/condition-category`,bt=`${T}/CodeSystem/condition-ver-status`,Fe=`${T}/CodeSystem/allergyintolerance-clinical`,Lt=`${T}/CodeSystem/allergyintolerance-verification`,pn=`${T}/CodeSystem/v3-ActCode`,hn=`${T}/CodeSystem/v3-ParticipationType`,fn=`${T}/CodeSystem/diagnosis-role`,oo=`${T}/CodeSystem/v3-Confidentiality`,so=`${T}/CodeSystem/observation-category`,ao=`${_}/fhir/ValueSet/address-use`,co=`${_}/fhir/ValueSet/name-use`,uo=`${_}/fhir/ValueSet/administrative-gender`,lo=`${_}/fhir/ValueSet/contactentity-use`,po=`${_}/fhir/ValueSet/medicationrequest-status`,Ys=`${_}/fhir/StructureDefinition/language-mode`,Hs=`${_}/fhir/StructureDefinition/language-proficiency`,$s=`${_}/fhir/us/core/StructureDefinition/us-core-patient`,he=`${_}/fhir/us/core/StructureDefinition/us-core-race`,Ge=`${_}/fhir/us/core/StructureDefinition/us-core-ethnicity`,_n=`${_}/fhir/us/core/StructureDefinition/us-core-condition`,mn=`${_}/fhir/us/core/StructureDefinition/us-core-medicationrequest`,js=`${_}/cda/template`,ho=`${F}//ncithesaurus-stage.nci.nih.gov`,fo=`${_}/fhir/sid/us-ssn`,_o=`${_}/fhir/sid/us-dln`,mo=`${_}/fhir/sid/us-npi`,Eo=`${F}//fdasis.nlm.nih.gov`,Io=`${F}//nucc.org/provider-taxonomy`,To=`${F}//va.gov/terminology/medrt`,Oo=`${F}//hl7.org/fhir/ndfrt`,So=`${F}//nucc.org/cvx`,yo=`${_}/fhir/sid/cvx`,En=`${F}//www.w3.org/2001/XMLSchema-instance`,Ye="https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",In="48765-2",Tn="11369-6",On="10160-0",He="11450-4",Sn="30954-2",yn="29762-2",Cn="8716-3",gn="47519-4",$e="18776-5",je="51848-0",An="46264-8",fe="61146-7",_e="75310-3",Nn="46240-8",me="42349-1",Rn="57133-1",Dn="10190-7",vn="85847-2",xn="48768-6",qe="11488-4",qs="34109-9",Ws="60591-5",We="34133-9",Pn="76662-6",bn="75323-6",Ln="58144-7",Un="72166-2",Vn="11367-0",Mn="46098-0",wn="76689-9",Qe=new I("System","","",[{ccdaValue:ni,fhirValue:"https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD",displayName:"pan-Canadian LOINC Observation Code Database (pCLOCD)"},{ccdaValue:ri,fhirValue:ho,displayName:"NCI Thesaurus"},{ccdaValue:oi,fhirValue:fo,displayName:"SSN"},{ccdaValue:si,fhirValue:_o,displayName:"DLN"},{ccdaValue:ai,fhirValue:mo,displayName:"NPI"},{ccdaValue:ci,fhirValue:Eo,displayName:"Unique Ingredient Identifier (UNII)"},{ccdaValue:N,fhirValue:ge,displayName:"LOINC"},{ccdaValue:ui,fhirValue:Ht,displayName:"Current Procedural Terminology (CPT)"},{ccdaValue:di,fhirValue:"urn:iso:std:iso:11073:10101",displayName:"Medical Device Communications (MDC)"},{ccdaValue:li,fhirValue:$t,displayName:"National Drug Code (NDC)"},{ccdaValue:pi,fhirValue:Yt,displayName:"RxNorm"},{ccdaValue:L,fhirValue:rt,displayName:"SNOMED CT"},{ccdaValue:hi,fhirValue:Io,displayName:"NUCC Health Care Provider Taxonomy"},{ccdaValue:_i,fhirValue:To,displayName:"Medication Reference Terminology (MED-RT)"},{ccdaValue:fi,fhirValue:Oo,displayName:"National Drug File Reference Terminology (NDF-RT)"},{ccdaValue:vt,fhirValue:So,displayName:"CVX"},{ccdaValue:lt,fhirValue:"Confidentiality",displayName:"Confidentiality"},{ccdaValue:De,fhirValue:ro,displayName:"Administrative Sex"},{ccdaValue:vt,fhirValue:yo,displayName:"Vaccine Administered Code Set (CVX)"}]);function Ee(i){if(i)return Qe.mapCcdaToFhir(i)??`urn:oid:${i}`}function Bn(i){if(i)return i.startsWith("urn:oid:")?i.replace("urn:oid:",""):Qe.mapFhirToCcda(i)}function p(i){if(!i?.coding)return;let e=un(i.coding[0]);if(i.coding.length>1){e.translation=[];for(let t=1;t<i.coding.length;t++)e.translation.push(un(i.coding[t]))}return e}function un(i){let e=i?.system?Qe.getEntryByFhir(i.system):void 0,t=e?.ccdaValue,n=e?.displayName,r=i.system?.startsWith("urn:oid:")?i.system.replace("urn:oid:",""):void 0;return{"@_code":i.code,"@_displayName":i.display,"@_codeSystem":t??r,"@_codeSystemName":n}}function H(i){let e=p(i);if(e)return{"@_xsi:type":"CD",...e}}var kn=new I("Confidentiality",lt,oo,[{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"}]),ze=new I("HumanNameUse","",co,[{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"}]),Fn=new I("Gender","",uo,[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Ze=new I("AddressUse","",ao,[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),Xe=new I("TelecomUse","",lo,[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"MC",fhirValue:"mobile",displayName:"Mobile"}]),Je=new I("AllergyStatus","",Lt,[{ccdaValue:"unconfirmed",fhirValue:"unconfirmed",displayName:"Unconfirmed"},{ccdaValue:"provisional",fhirValue:"provisional",displayName:"Provisional"},{ccdaValue:"differential",fhirValue:"differential",displayName:"Differential"},{ccdaValue:"confirmed",fhirValue:"confirmed",displayName:"Confirmed"},{ccdaValue:"refuted",fhirValue:"refuted",displayName:"Refuted"},{ccdaValue:"entered-in-error",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Gn=new I("AllergyCategory",L,Fe,[{ccdaValue:"414285001",fhirValue:"food",displayName:"Allergy to food (finding)"},{ccdaValue:"419511003",fhirValue:"medication",displayName:"Propensity to adverse reactions to drug (finding)"},{ccdaValue:"426232007",fhirValue:"environment",displayName:"Environmental allergy (finding)"},{ccdaValue:"418038007",fhirValue:"biologic",displayName:"Propensity to adverse reactions to substance (finding)"}]),Ke=new I("AllergySeverity",rt,Fe,[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),Ie=new I("ProblemStatus","",bt,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"inactive",fhirValue:"inactive",displayName:"Inactive"},{ccdaValue:"resolved",fhirValue:"inactive",displayName:"Resolved"},{ccdaValue:"remission",fhirValue:"inactive",displayName:"In Remission"},{ccdaValue:"relapse",fhirValue:"active",displayName:"Relapse"},{ccdaValue:"resolved relapse",fhirValue:"inactive",displayName:"Resolved Relapse"},{ccdaValue:"aborted",fhirValue:"aborted",displayName:"Aborted"}]),et=new I("ImmunizationStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"nullified",fhirValue:"entered-in-error",displayName:"Nullified"},{ccdaValue:"aborted",fhirValue:"not-done",displayName:"Aborted"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Cancelled"},{ccdaValue:"obsolete",fhirValue:"not-done",displayName:"Obsolete"}]),Yn=new I("EncounterStatus","","",[{ccdaValue:"active",fhirValue:"in-progress",displayName:"In Progress"},{ccdaValue:"completed",fhirValue:"finished",displayName:"Finished"},{ccdaValue:"aborted",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),Hn=new I("ProcedureStatus","","",[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Not Done"},{ccdaValue:"new",fhirValue:"not-done",displayName:"Draft"},{ccdaValue:"unknown",fhirValue:"unknown",displayName:"Unknown"}]),tt=new I("MedicationStatus","",po,[{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"cancelled",displayName:"Cancelled"},{ccdaValue:"aborted",fhirValue:"entered-in-error",displayName:"Entered in Error"},{ccdaValue:"active",fhirValue:"draft",displayName:"Draft"},{ccdaValue:"cancelled",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"nullified",fhirValue:"cancelled",displayName:"Nullified"},{ccdaValue:"obsolete",fhirValue:"cancelled",displayName:"Obsolete"}]),$n=new I("ObservationCategory","",so,[{ccdaValue:Ui,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:Vi,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:de,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:Yi,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:le,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:rn,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:on,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:nn,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:ke,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:pe,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:zi,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:mi,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:sn,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:ce,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:bi,fhirValue:"vital-signs",displayName:"Vital Signs Observation 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Result Observation"},{ccdaValue:Gi,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:wi,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Mi,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:oe,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:k,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:vi,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:ki,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:$i,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Wi,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:Y,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:an,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:qi,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Xi,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Ji,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]);import{XMLBuilder as jn,XMLParser as qn}from"fast-xml-parser";var Co=["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 Xs(i){return new qn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Co.some(a=>r.endsWith(a))}).parse(i).ClinicalDocument}function Js(i){return new jn({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":En,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...i}})}function Wn(i){return new qn({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(i)}function Qn(i){return i?typeof i=="string"?i:new jn({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(i).split(`
+`).map(n=>n.trim()).join(""):""}function oa(i,e){return new Ut(i,e).convert()}var Ut=class{constructor(e,t){this.resources=[];this.ccda=e,this.options=t}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(t=>({resource:t}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e))}createPatient(e){let t=e.patient,n=[];return t.raceCode&&t.raceCode.length>0&&!t.raceCode[0]["@_nullFlavor"]&&n.push({url:he,extension:t.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),t.ethnicGroupCode&&t.ethnicGroupCode.length>0&&!t.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:Ge,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:ut(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"]&&st(n["@_root"]));return t?t["@_root"]:Re()}mapIdentifiers(e){if(!e)return;let t=[];for(let n of e)!n["@_extension"]&&n["@_root"]&&st(n["@_root"])||t.push({system:Ee(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"]?ze.mapCcdaToFhir(e["@_use"]):void 0;return n&&(t.use=n),e.prefix&&(t.prefix=e.prefix.map(Te)?.filter(Boolean)),e.family&&(t.family=Te(e.family)),e.given&&(t.given=e.given.map(Te)?.filter(Boolean)),e.suffix&&(t.suffix=e.suffix.map(Te)?.filter(Boolean)),t}mapAddresses(e){if(!(!e||e.length===0||e.every(t=>t["@_nullFlavor"]==="UNK")))return e?.map(t=>({"@_use":t["@_use"]?Ze.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"]?Xe.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">${Qn(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:We}]},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 ee:case Si:case yi:case Ci:return this.processAllergyIntoleranceAct(t);case K:case Ii:case Ti:case Oi:return this.processConditionAct(t);case U:return this.processCarePlanAct(t);case Ue:return this.processConditionAct(t);case Y:return this.processProcedureAct(t);case B:return;case Ve:return;case Le: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:[_n]},clinicalStatus:{coding:[{system:Pt,code:Ie.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:dn,code:"confirmed"}]},category:[{coding:[{system:ln,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:Te(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 Pe:case U:return this.processMedicationSubstanceAdministration(t);case X:case J: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(E=>E.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===Be)?.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:[mn]},extension:this.mapTextReference(e.text),status:tt.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:nt,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:et.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=Ke.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:Ee(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};if(e.translation)for(let n of e.translation)t.coding.push({system:Ee(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return t}mapCodeToCoding(e){if(e)return{system:Ee(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Fe,code:Je.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:Lt,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"]===Me?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===te||n===we)return this.processGoalObservation(t);switch(e.templateId[0]["@_root"]){case U:case te: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:ut(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:nt,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: ${e.value["@_xsi:type"]}`)}return e.effectiveTime?.[0]?.["@_value"]&&(t.effectiveDateTime=m(e.effectiveTime?.[0]?.["@_value"])),t.extension=this.mapTextReference(e.text),t}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let t=new Set,n=[];for(let r of e){let o=$n.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:Yn.mapCcdaToFhirWithDefault(t.statusCode?.["@_code"],"unknown"),class:{system:pn,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:hn,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:Pt,code:"active"}]},verificationStatus:{coding:[{system:bt,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:fn,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:Hn.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 Te(i){if(i){if(typeof i=="string")return i;if(typeof i=="object"&&"#text"in i)return i["#text"]}}var zn=[{"@_root":Z,"@_extension":"2015-08-01"},{"@_root":Z},{"@_root":pt,"@_extension":"2015-08-01"},{"@_root":pt}],Zn=[{"@_root":Z,"@_extension":"2015-08-01"},{"@_root":Z},{"@_root":ht,"@_extension":"2015-08-01"},{"@_root":ht}],go=[{"@_root":ee,"@_extension":"2015-08-01"},{"@_root":ee}],Ao=[{"@_root":Pe,"@_extension":"2014-06-09"}],No=[{"@_root":K,"@_extension":"2015-08-01"},{"@_root":K}],Ro=[{"@_root":X},{"@_root":X,"@_extension":"2015-08-01"},{"@_root":J},{"@_root":J,"@_extension":"2015-08-01"}],Do=[{"@_root":Ei,"@_extension":"2015-08-01"}],vo=[{"@_root":_t},{"@_root":_t,"@_extension":"2015-08-01"}],xo=[{"@_root":Y,"@_extension":"2014-06-09"}],ua=[{"@_root":U,"@_extension":"2014-06-09"}],da=[{"@_root":ft,"@_extension":"2015-08-01"}],Po=[{"@_root":ft,"@_extension":"2015-08-01"}],bo=[{"@_root":Ai,"@_extension":"2015-08-01"}],Lo=[{"@_root":be}],Uo=[{"@_root":U},{"@_root":U,"@_extension":"2014-06-09"}],Vo=[{"@_root":gi,"@_extension":"2015-08-01"}],Mo=[{"@_root":te}],wo=[{"@_root":Ue,"@_extension":"2015-08-01"}],Bo=[{"@_root":B,"@_extension":"2014-06-09"}],ko=[{"@_root":Ni,"@_extension":"2015-08-01"}],Fo=[{"@_root":Ve,"@_extension":"2016-11-01"}],Go=[{"@_root":Me,"@_extension":"2022-06-01"}],Yo=[{"@_root":Le,"@_extension":"2015-08-01"}],Xn=Object.fromEntries([[In,go],[On,Ao],[He,No],[Tn,Ro],[Cn,Do],[yn,vo],[gn,xo],[Sn,Po],[je,Lo],[$e,Uo],[Nn,Vo],[fe,Mo],[_e,wo],[me,Bo],[Dn,ko],[qe,Fo],[vn,Go],[xn,Yo],[An,bo]]);function Ia(i,e){return new Vt(i,e).convert()}var Vt=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===me)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=Zn,r={"@_code":Rn,"@_displayName":"Referral Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}):(n=zn,r={"@_code":We,"@_displayName":"Summarization of Episode Note","@_codeSystem":N,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":ii,"@_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?kn.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?ze.mapFhirToCcdaWithDefault(t.use,"L"):void 0,prefix:t.prefix,family:t.family,given:t.given,suffix:t.suffix}))}mapGender(e){if(e)return{"@_code":Fn.mapFhirToCcda(e),"@_displayName":e?Q(e):"Unknown","@_codeSystem":De,"@_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?Ze.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=Ne(e,he,"ombCategory")?.valueCoding;return t?[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":xe,"@_codeSystemName":"CDC Race and Ethnicity"}]:[{"@_nullFlavor":"UNK"}]}mapDetailedRace(e){let t=Ne(e,he,"detailed")?.valueCoding;if(t)return[{"@_code":t.code,"@_displayName":t.display,"@_codeSystem":xe,"@_codeSystemName":"CDC Race and Ethnicity"}]}mapEthnicity(e){let n=e?.find(r=>r.url===Ge)?.extension?.find(r=>r.url==="ombCategory")?.valueCoding;return n?[{"@_code":n.code,"@_displayName":n.display,"@_codeSystem":xe,"@_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=Xn[t];if(!n)throw new Error(`Unknown section code: ${t}`);let r=this.findResourcesByReferences(e.entry);return t===je&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):t===me&&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=Wn(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":yt},{"@_root":yt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"CONC","@_codeSystem":dt},statusCode:{"@_code":Je.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":Et},{"@_root":Et,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(e.id,e.identifier),code:{"@_code":"ASSERTION","@_codeSystem":ve},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":Tt},{"@_root":Tt,"@_extension":"2014-06-09"}],id:this.mapIdentifiers(t.id,void 0),code:{"@_code":"ASSERTION","@_codeSystem":ve},statusCode:{"@_code":"completed"},effectiveTime:this.mapEffectiveDate(e.onsetDateTime,e.onsetPeriod),value:H(t.manifestation?.[0]),text:this.createTextFromExtensions(t.manifestation?.[0]?.extension),entryRelationship:[{"@_typeCode":"SUBJ","@_inversionInd":"true",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":It},{"@_root":It,"@_extension":"2014-06-09"}],code:{"@_code":"SEV","@_codeSystem":ve,"@_codeSystemName":"ActCode"},statusCode:{"@_code":"completed"},value:{"@_xsi:type":"CD","@_code":Ke.mapFhirToCcdaWithDefault(t.severity,"M"),"@_displayName":t.severity?Q(t.severity):void 0,"@_codeSystem":L,"@_codeSystemName":"SNOMED CT"},text:this.createTextFromExtensions(t.extension)}]}]}]}]:[]}]}]}]}}mapAllergyCategory(e){let t=Gn.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":ji}],time:t?{"@_value":O(t)}:void 0,assignedAuthor:{id:this.mapIdentifiers(r.id,r.identifier),addr:this.mapFhirAddressArrayToCcdaAddressArray(s),telecom:this.mapTelecom(a),code:p(h),assignedPerson:S?{name:this.mapNames(S)}:void 0,assignedAuthoringDevice:!S&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let t=this.findResourceByReference(e);if(t)return{assignedCustodian:{representedCustodianOrganization:{id:this.mapIdentifiers(t.id,t.identifier),name:t.name?[t.name]:void 0,telecom:this.mapTelecom(t.telecom),addr:this.mapFhirAddressArrayToCcdaAddressArray(t.address)}}}}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":Ot,"@_extension":"2014-06-09"},{"@_root":Ot}],id:[{"@_root":e.id||crypto.randomUUID()}],text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":tt.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":St,"@_extension":"2014-06-09"},{"@_root":St}],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":Be}],code:{"@_code":Pn,"@_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?Xe.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=Bn(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===He)return this.createProblemEntry(t);if(n===_e)return this.createHealthConcernEntry(t)}createProblemEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":mt},{"@_root":mt,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":"CONC","@_codeSystem":dt},statusCode:{"@_code":Ie.mapFhirToCcdaWithDefault(e.clinicalStatus?.coding?.[0]?.code,"active")},effectiveTime:this.mapEffectivePeriod(e.recordedDate,void 0),entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":k},{"@_root":k,"@_extension":"2015-08-01"}],id:e.identifier?this.mapIdentifiers(void 0,e.identifier):[{"@_root":Re()}],text:this.createTextFromExtensions(e.extension),code:{"@_code":"55607006","@_codeSystem":L,"@_codeSystemName":"SNOMED CT","@_displayName":"Problem",translation:[{"@_code":bn,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Condition"}]},statusCode:{"@_code":"completed"},effectiveTime:[{low:e.onsetDateTime?{"@_value":w(e.onsetDateTime)}:void 0,high:e.abatementDateTime?{"@_value":O(e.abatementDateTime)}:void 0}],value:H(e.code),author:this.mapAuthor(e.asserter,e.recordedDate)}]}]}]}}createHealthConcernEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Rt,"@_extension":"2015-08-01"},{"@_root":Rt,"@_extension":"2022-06-01"}],id:this.mapIdentifiers(e.id,void 0),code:{"@_code":_e,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Health Concern"},statusCode:{"@_code":Ie.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":At},{"@_root":At,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),text:this.createTextFromExtensions(e.extension),statusCode:{"@_code":et.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":w(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Nt},{"@_root":Nt,"@_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":xi}],id:this.mapIdentifiers(e.id,e.identifier),code:H(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===$e)r=[{"@_root":gt}];else if(n===fe)r=[{"@_root":we}];else return;let o;if(n===fe)o={"@_code":Ln,"@_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":O(t.startDate)}],value:t.description?.text?{"@_xsi:type":"ST","#text":t.description.text}:void 0,text:this.createTextFromExtensions(t.extension),entryRelationship:t.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":re},{"@_root":re,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(t.startDate)}]}]}))}]}}mapPlanOfTreatmentStatus(e){switch(e){case"achieved":return"completed";case"cancelled":return"cancelled";default:return"active"}}createVitalSignsOrganizer(e){let t=[];if(e.hasMember)for(let r of e.hasMember){let o=this.findResourceByReference(r);if(!(!o||o.resourceType!=="Observation"))if(o.component)for(let s of o.component)t.push({observation:[this.createVitalSignComponentObservation(o,s)]});else t.push({observation:[this.createVitalSignObservation(o)]})}return{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2015-08-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],component:t}}createVitalSignObservation(e){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(e),referenceRange:this.mapReferenceRangeArray(e.referenceRange),text:this.createTextFromExtensions(e.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}createVitalSignComponentObservation(e,t){return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:this.mapObservationTemplateId(e),id:this.mapIdentifiers(e.id,e.identifier),code:p(t.code),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.effectiveDateTime)}],value:this.mapObservationValue(t),referenceRange:this.mapReferenceRangeArray(t.referenceRange),text:this.createTextFromExtensions(t.extension),author:this.mapAuthor(e.performer?.[0],e.effectiveDateTime)}}mapObservationTemplateId(e){let t=e.code?.coding?.[0]?.code,n=e.category?.[0]?.coding?.[0]?.code;return t===Un?[{"@_root":de},{"@_root":de,"@_extension":"2014-06-09"}]:t===Vn?[{"@_root":le},{"@_root":le,"@_extension":"2014-06-09"}]:t===Mn?[{"@_root":ke,"@_extension":"2023-06-28"}]:t===wn?[{"@_root":pe},{"@_root":pe,"@_extension":"2016-06-01"}]:n==="exam"?[{"@_root":oe},{"@_root":oe,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":ne},{"@_root":ne,"@_extension":"2015-08-01"}]:[{"@_root":ce},{"@_root":ce,"@_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 H(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":re},{"@_root":re,"@_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":se},{"@_root":se,"@_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":Ct}],id:this.mapIdentifiers(t.id,t.identifier),code:p(t.type?.[0]),addr:t.address?this.mapFhirAddressArrayToCcdaAddressArray([t.address]):void 0,telecom:this.mapTelecom(t.telecom),playingEntity:{"@_classCode":"PLC",name:t.name?[t.name]:void 0}}}}mapEffectiveTime(e,t){if(t)return[{low:{"@_value":O(t.start)},high:{"@_value":O(t.end)}}];if(e)return[{"@_value":O(e)}]}mapEffectiveDate(e,t){if(t)return[{"@_xsi:type":"IVL_TS",low:t.start?{"@_value":w(t.start)}:void 0,high:t.end?{"@_value":w(t.end)}:void 0}];if(e)return[{"@_value":w(e)}]}mapEffectivePeriod(e,t,n=!1){if(!e&&!t)return;let r={};return e?r.low={"@_value":O(e)}:n&&(r.low={"@_nullFlavor":"NI"}),t?r.high={"@_value":O(t)}:n&&(r.high={"@_nullFlavor":"NI"}),[r]}createEncounterEntry(e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":ue},{"@_root":ue,"@_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":Ct}],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":ue,"@_extension":"2015-08-01"},{"@_root":ue}],code:{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":N,"@_codeSystemName":"LOINC"},entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":k,"@_extension":"2015-08-01"},{"@_root":k}],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:H(t.code)}]}]}]}}createCareTeamEntry(e){return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Dt,"@_extension":"2022-07-01"},{"@_root":Dt,"@_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":be}],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":gt}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":this.mapPlanOfTreatmentStatus(e.status)},effectiveTime:[{"@_value":O(e.occurrenceDateTime)}],text:this.createTextFromExtensions(e.extension)}]}}createDiagnosticReportEntry(e){let t=[];if(e.result)for(let n of e.result){let r=this.findResourceByReference(n);!r||r.resourceType!=="Observation"||t.push({observation:[this.createVitalSignObservation(r)]})}return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":ie},{"@_root":ie,"@_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":xt,"@_extension":t.udiCarrier[0].carrierHRF,"@_assigningAuthorityName":"FDA"}),{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":se,"@_extension":"2014-06-09"},{"@_root":se}],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":Li}],id:n,playingDevice:{"@_classCode":"DEV",code:p(t.type)},scopingEntity:{id:[{"@_root":xt}]}}}]}]}}createClinicalImpressionEntry(e){return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Zi,"@_extension":"2016-11-01"}],id:this.mapIdentifiers(e.id,e.identifier),code:p(e.code)??{"@_code":qe,"@_codeSystem":N,"@_codeSystemName":"LOINC","@_displayName":"Note"},text:e.summary?{"#text":e.summary}:this.createTextFromExtensions(e.extension),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":w(e.date)}],author:this.mapAuthor(e.assessor,e.date)}]}}createReasonForReferralSection(e,t){return{templateId:[{"@_root":B,"@_extension":"2014-06-09"},{"@_root":B}],code:p(e.code),title:e.title,text:t.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Qi}],id:this.mapIdentifiers(t.id,t.identifier),code:p(t.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":O(t.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(t.requester,t.occurrenceDateTime)}]}]}}};export{pn as ACT_CODE_SYSTEM,Ze as ADDRESS_USE_MAPPER,ao as ADDRESS_USE_VALUE_SET,ro as ADMINISTRATIVE_GENDER_CODE_SYSTEM,uo as ADMINISTRATIVE_GENDER_VALUE_SET,go as ALLERGIES_SECTION_TEMPLATE_IDS,Gn as ALLERGY_CATEGORY_MAPPER,Fe as ALLERGY_CLINICAL_CODE_SYSTEM,Ke as ALLERGY_SEVERITY_MAPPER,Je as ALLERGY_STATUS_MAPPER,Lt as ALLERGY_VERIFICATION_CODE_SYSTEM,Lo as ASSESSMENTS_SECTION_TEMPLATE_IDS,Go as CARE_TEAM_SECTION_TEMPLATE_IDS,Ye as CCDA_NARRATIVE_REFERENCE_URL,js as CCDA_TEMPLATE_CODE_SYSTEM,zn as CCDA_TEMPLATE_IDS,Pt as CLINICAL_CONDITION_CODE_SYSTEM,ua as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,ln as CONDITION_CATEGORY_CODE_SYSTEM,dn as CONDITION_VERIFICATION_CODE_SYSTEM,bt as CONDITION_VER_STATUS_CODE_SYSTEM,oo as CONFIDENTIALITY_CODE_SYSTEM,kn as CONFIDENTIALITY_MAPPER,lo as CONTACT_ENTITY_USE_VALUE_SET,So as CVX_URL,bo as DEVICES_SECTION_TEMPLATE_IDS,fn as DIAGNOSIS_ROLE_CODE_SYSTEM,Vo as ENCOUNTERS_SECTION_TEMPLATE_IDS,Yn as ENCOUNTER_STATUS_MAPPER,I as EnumMapper,yo as FHIR_CVX_URL,Fn as GENDER_MAPPER,Mo as GOALS_SECTION_TEMPLATE_IDS,wo as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,F as HTTP,ze as HUMAN_NAME_USE_MAPPER,Ro as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,et as IMMUNIZATION_STATUS_MAPPER,Yo as INSURANCE_SECTION_TEMPLATE_IDS,da as LAB_TESTS_SECTION_TEMPLATE_IDS,ks as LANGUAGE_MODE_CODE_SYSTEM,Ys as LANGUAGE_MODE_URL,Fs as LANGUAGE_PROFICIENCY_CODE_SYSTEM,Hs as LANGUAGE_PROFICIENCY_URL,Mn as LOINC_ADMINISTRATIVE_SEX,In as LOINC_ALLERGIES_SECTION,je as LOINC_ASSESSMENTS_SECTION,wn as LOINC_BIRTH_SEX,vn as LOINC_CARE_TEAM_SECTION,bn as LOINC_CONDITION,An as LOINC_DEVICES_SECTION,Nn as LOINC_ENCOUNTERS_SECTION,fe as LOINC_GOALS_SECTION,_e as LOINC_HEALTH_CONCERNS_SECTION,Vn as LOINC_HISTORY_OF_TOBACCO_USE,Tn as LOINC_IMMUNIZATIONS_SECTION,xn as LOINC_INSURANCE_SECTION,On as LOINC_MEDICATIONS_SECTION,Pn as LOINC_MEDICATION_INSTRUCTIONS,Dn as LOINC_MENTAL_STATUS_SECTION,qe as LOINC_NOTES_SECTION,qs as LOINC_NOTE_DOCUMENT,Ln as LOINC_OVERALL_GOAL,Ws as LOINC_PATIENT_SUMMARY_DOCUMENT,$e as LOINC_PLAN_OF_TREATMENT_SECTION,He as LOINC_PROBLEMS_SECTION,gn as LOINC_PROCEDURES_SECTION,me as LOINC_REASON_FOR_REFERRAL_SECTION,Rn as LOINC_REFERRAL_NOTE,Sn as LOINC_RESULTS_SECTION,yn as LOINC_SOCIAL_HISTORY_SECTION,We as LOINC_SUMMARY_OF_EPISODE_NOTE,Un as LOINC_TOBACCO_SMOKING_STATUS,Xn as LOINC_TO_TEMPLATE_IDS,Cn as LOINC_VITAL_SIGNS_SECTION,Ao as MEDICATIONS_SECTION_TEMPLATE_IDS,po as MEDICATION_REQUEST_STATUS_VALUE_SET,tt as MEDICATION_STATUS_MAPPER,ko as MENTAL_STATUS_SECTION_TEMPLATE_IDS,co as NAME_USE_VALUE_SET,ho as NCI_THESAURUS_URL,Oo as NDFRT_URL,Io as NUCC_TAXONOMY_URL,so as OBSERVATION_CATEGORY_CODE_SYSTEM,$n as OBSERVATION_CATEGORY_MAPPER,hn as PARTICIPATION_CODE_SYSTEM,Fo as PATIENT_NOTES_SECTION_TEMPLATE_IDS,Uo as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,No as PROBLEMS_SECTION_TEMPLATE_IDS,Ie as PROBLEM_STATUS_MAPPER,xo as PROCEDURES_SECTION_TEMPLATE_IDS,Hn as PROCEDURE_STATUS_MAPPER,Gs as RACE_CODE_SYSTEM,Bo as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Zn as REFERRAL_TEMPLATE_IDS,Po as RESULTS_SECTION_TEMPLATE_IDS,vo as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,Qe as SYSTEM_MAPPER,Xe as TELECOM_USE_MAPPER,Eo as UNII_URL,_n as US_CORE_CONDITION_URL,Ge as US_CORE_ETHNICITY_URL,mn as US_CORE_MEDICATION_REQUEST_URL,$s as US_CORE_PATIENT_URL,he as US_CORE_RACE_URL,_o as US_DRIVER_LICENSE_URL,mo as US_NPI_URL,fo as US_SSN_URL,To as VA_MEDRT_URL,Do as VITAL_SIGNS_SECTION_TEMPLATE_IDS,En as XSI_URL,oa as convertCcdaToFhir,Js as convertCcdaToXml,Ia as convertFhirToCcda,Qn as convertToCompactXml,Xs as convertXmlToCcda,Ee as mapCcdaSystemToFhir,ut as mapCcdaToFhirDate,m as mapCcdaToFhirDateTime,p as mapCodeableConceptToCcdaCode,H as mapCodeableConceptToCcdaValue,un as mapCodingToCcdaCode,Bn as mapFhirSystemToCcda,w as mapFhirToCcdaDate,O as mapFhirToCcdaDateTime,Wn as parseXml};
 /*!
  * Reconnecting WebSocket
  * by Pedro Ladaria <pedro.ladaria@gmail.com>