@medplum/ccda 5.0.12 → 5.0.14

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Files changed (5) hide show
  1. package/dist/cjs/index.cjs +2 -2
  2. package/dist/cjs/index.cjs.map +4 -4
  3. package/dist/esm/index.mjs +2 -2
  4. package/dist/esm/index.mjs.map +4 -4
  5. package/package.json +5 -5
package/dist/cjs/index.cjs CHANGED
@@ -1,5 +1,5 @@
1
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2
- `).map(n=>n.trim()).join(""):""}function Ta(t,e){return new dn(t,e).convert()}var dn=class{constructor(e,i){g(this,"ccda");g(this,"options");g(this,"resources",[]);g(this,"patient");this.ccda=e,this.options=i}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(i=>({resource:i}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e),this.createRelatedPersons())}createPatient(e){let i=e.patient,n=[];return i.raceCode&&i.raceCode.length>0&&!i.raceCode[0]["@_nullFlavor"]&&n.push({url:se,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&!i.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:we,extension:i.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.name),gender:this.mapGenderCode(i.administrativeGenderCode?.["@_code"]),birthDate:ut(i.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:n.length>0?n:void 0}}createRelatedPersons(){let e=this.ccda.participant;for(let i of e??h){let n=this.mapParticipantToRelatedPerson(i);n&&this.resources.push(n)}}mapParticipantToRelatedPerson(e){let i=this.patient;if(!i)return;let n=e.associatedEntity;if(!n)return;let r=Vt(n.code);return{resourceType:"RelatedPerson",id:this.mapId(n.id),patient:E(i),relationship:r?[r]:void 0,identifier:this.mapIdentifiers(n.id),name:this.mapCcdaNameArrayFhirHumanNameArray(n.associatedPerson?.name),address:this.mapAddresses(n.addr),telecom:this.mapTelecom(n.telecom)}}mapId(e){let i=e?.find(n=>!n["@_extension"]&&n["@_root"]&&$t(n["@_root"]));return i?i["@_root"]:dt()}mapIdentifiers(e){let i;for(let n of e??h)!n["@_extension"]&&n["@_root"]&&$t(n["@_root"])||(i=Pn(i,{system:Q(n["@_root"]),value:n["@_extension"]}));return i}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(i=>this.mapCcdaNameToFhirHumanName(i)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let i={},n=e["@_use"]?je.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(Je)?.filter(Boolean)),e.family&&(i.family=Je(e.family)),e.given&&(i.given=e.given.map(Je)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(Je)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?qe.mapCcdaToFhir(i["@_use"]):void 0,line:i.streetAddressLine,city:i.city,state:i.state,postalCode:i.postalCode,country:i.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?We.mapCcdaToFhir(i["@_use"]):void 0,system:this.getTelecomSystem(i["@_value"]),value:this.getTelecomValue(i["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],i=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);i.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${cn(r.text)}</div>`},entry:o.map(E)}),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:ot,code:He}]},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:C(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:i}}processSection(e){let i=[];for(let n of e.entry??h)this.processEntry(e,n,i);return i}processEntry(e,i,n){for(let r of i.act??h){let o=this.processAct(e,r);o&&n.push(o)}for(let r of i.substanceAdministration??h){let o=this.processSubstanceAdministration(e,r);o&&n.push(o)}for(let r of i.organizer??h)n.push(this.processOrganizer(e,r));for(let r of i.observation??h)n.push(this.processObservation(e,r));for(let r of i.encounter??h)n.push(this.processEncounter(e,r));for(let r of i.procedure??h)n.push(this.processProcedure(e,r))}processAct(e,i){let n=e.templateId[0]["@_root"];switch(n){case ye:case ir:case nr:case rr:return this.processAllergyIntoleranceAct(i);case Se:case Kn:case er:case tr:return this.processConditionAct(i);case W:return this.processCarePlanAct(i);case It:return this.processConditionAct(i);case ie:return this.processProcedureAct(i);case J:return;case Tt:return;case Ce:return;default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled act templateId: "+n)}}processAllergyIntoleranceAct(e){let i=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:E(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(i.effectiveTime?.[0])};i.value?.["@_code"]==="414285001"&&(n.category=["food"]),n.extension=this.mapTextReference(i.text);let r=i.participant?.[0]?.participantRole?.playingEntity?.code;r&&(n.code=this.mapCode(r),n.code&&r.originalText?.reference?.["@_value"]&&(n.code.extension=this.mapTextReference(r.originalText)));let o=i.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(n.reaction=o.map(s=>this.processReaction(s))),n.asserter=this.mapAuthorToReference(i.author?.[0]),n}processConditionAct(e){let i=e.entryRelationship?.find(r=>r["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(i.id)),meta:{profile:[Si]},clinicalStatus:{coding:[{system:Pt,code:ue.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Ei,code:"confirmed"}]},category:[{coding:[{system:Ii,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(i.value),subject:E(this.patient),onsetDateTime:C(i.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:C(i.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(i.author?.[0]),asserter:this.mapAuthorToReference(i.author?.[0])};return n.extension=this.mapTextReference(i.text),n}processCarePlanAct(e){return{resourceType:"CarePlan",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:E(this.patient),description:Je(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:E(this.patient),performedDateTime:C(e.effectiveTime?.[0]?.["@_value"]),recorder:this.mapAuthorToReference(e.author?.[0]),asserter:this.mapAuthorToReference(e.author?.[0]),extension:this.mapTextReference(e.text)}}processSubstanceAdministration(e,i){let n=e.templateId[0]["@_root"];switch(n){case _t:case W:return this.processMedicationSubstanceAdministration(i);case Te:case Oe:return this.processImmunizationSubstanceAdministration(i);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let i=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(T=>T.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===gt)?.substanceAdministration?.[0],_,D;return s?_={resourceType:"Medication",id:"med-"+i,code:this.mapCode(n),extension:this.mapTextReference(n?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:D={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:i,contained:_?[_]:void 0,meta:{profile:[yi]},extension:this.mapTextReference(e.text),status:Xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:_?{reference:"#med-"+i}:void 0,medicationCodeableConcept:D,subject:E(this.patient),authoredOn:C(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:C(e.effectiveTime?.[0]?.low?.["@_value"]),end:C(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:kt,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let i=e.consumable;if(!i)return;let n={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:Ze.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:E(this.patient),occurrenceDateTime:C(e.effectiveTime?.[0]?.["@_value"]),lotNumber:i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(n.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),n.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(n.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),n}processReaction(e){let i={id:this.mapId(e.id),manifestation:[this.mapCode(e.value)],onset:C(e.effectiveTime?.[0]?.low?.["@_value"])};return this.processSeverity(e,i),i.manifestation&&i.manifestation.length>0&&e.text?.reference?.["@_value"]&&(i.manifestation[0].extension=this.mapTextReference(e.text)),i}processSeverity(e,i){let n=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!n)return;let r=n.value?.["@_code"];r&&(i.severity=ze.mapCcdaToFhir(r)),i.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return C(e["@_value"]);if(e?.low?.["@_value"])return C(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:C(e?.low?.["@_value"]),end:C(e?.high?.["@_value"])}}mapGenderCode(e){return e?{F:"female",M:"male",UN:"unknown"}[e]:void 0}getTelecomSystem(e){if(e)return e.startsWith("tel:")?"phone":e.startsWith("mailto:")?"email":"other"}getTelecomValue(e){if(e)return e.replace(/^(tel:|mailto:)/,"")}mapCode(e){if(!e)return;let i={coding:[{system:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};for(let n of e.translation??h)i.coding.push({system:Q(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return i}mapCodeToCoding(e){if(e)return{system:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Ve,code:Qe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:Lt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let i={resourceType:"Practitioner",id:this.mapId(e.assignedAuthor?.id),identifier:this.mapIdentifiers(e.assignedAuthor?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(e.assignedAuthor?.assignedPerson?.name),address:this.mapAddresses(e.assignedAuthor?.addr),telecom:this.mapTelecom(e.assignedAuthor?.telecom),qualification:e.assignedAuthor?.code?[this.mapCode(e.assignedAuthor?.code)]:void 0};return this.resources.push(i),E(i)}mapAssignedEntityToReference(e){if(!e)return;let i=e.assignedPerson,n=e.representedOrganization,r={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(r);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(n?.id),name:n?.name?.[0],address:this.mapAddresses(n?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:E(r),organization:E(o)};return this.resources.push(s),E(s)}mapCustodianToReference(e){if(!e)return;let i={resourceType:"Organization",id:this.mapId(e.assignedCustodian.representedCustodianOrganization.id),identifier:this.mapIdentifiers(e.assignedCustodian.representedCustodianOrganization.id),name:e.assignedCustodian.representedCustodianOrganization.name?.[0],address:this.mapAddresses(e.assignedCustodian.representedCustodianOrganization.addr),telecom:this.mapTelecom(e.assignedCustodian.representedCustodianOrganization.telecom)};return this.resources.push(i),E(i)}mapDocumentationOfToEvent(e){if(!e)return;let i=e.serviceEvent;if(i)return[{code:i.code?[this.mapCode(i.code)]:void 0,period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}]}concatArrays(e,i){return e?i?[...e,...i]:e:i}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let i=[];for(let n of e){let r=n.assignedEntity,o=this.mapAssignedEntityToReference(r);o&&i.push({actor:o})}return i}processOrganizer(e,i){return e.templateId[0]["@_root"]===Ot?this.processCareTeamOrganizer(i):this.processVitalsOrganizer(i)}processCareTeamOrganizer(e){let i=[];for(let r of e.component??h){let o=this.processCareTeamMember(r);o&&i.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:i.length>0?i:void 0}}processCareTeamMember(e){let i=e.act?.[0];if(!i)return;let n=i.performer?.[0];if(n)return{role:n.functionCode?[this.mapCode(n.functionCode)]:void 0,member:this.mapAssignedEntityToReference(n.assignedEntity),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}}processVitalsOrganizer(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:E(this.patient)};e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"]));let n=[];for(let r of e.component??h)n.push(...this.processVitalsComponent(r));return n.length>0&&(i.hasMember=n),i}processVitalsComponent(e){let i=[];for(let n of e.observation??h){let r=this.processVitalsObservation(n);i.push(E(r)),this.resources.push(r)}return i}processObservation(e,i){let n=i.templateId[0]["@_root"];if(n===Ne||n===oe)return this.processGoalObservation(i);switch(e.templateId[0]["@_root"]){case W:case Ne:return this.processGoalObservation(i);default:return this.processVitalsObservation(i)}}processGoalObservation(e){let i=[];e.code&&i.push(this.mapCode(e.code));let n=[],r,o=e.value;if(o){let a=o["@_xsi:type"];a==="CD"?r=Vt(o):a==="ST"&&(r={text:o["#text"]??""})}for(let a of e.entryRelationship??h)n.push({measure:this.mapCode(a.act?.[0]?.code),detailCodeableConcept:this.mapCode(a.act?.[0]?.code),dueDate:C(a.act?.[0]?.effectiveTime?.[0]?.low?.["@_value"])});return{resourceType:"Goal",id:this.mapId(e.id),extension:this.mapTextReference(e.text),identifier:this.mapIdentifiers(e.id),lifecycleStatus:this.mapGoalLifecycleStatus(e),category:i,description:r??{text:"Unknown goal"},subject:E(this.patient),startDate:ut(e.effectiveTime?.[0]?.["@_value"]),target:n}}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:E(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(r=>this.mapAuthorToReference(r)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":i.valueQuantity={value:e.value["@_value"]?Number.parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:kt,code:e.value["@_unit"]};break;case"CD":case"CE":i.valueCodeableConcept=this.mapCode(e.value);break;case"ST":i.valueString=e.value["#text"]??"";break;case"INT":i.valueInteger=e.value["@_value"]?Number.parseInt(e.value["@_value"],10):void 0;break;default:console.warn(`Unhandled observation value type: ${e.value["@_xsi:type"]}`)}e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"])),i.extension=this.mapTextReference(e.text);let n=e.entryRelationship;for(let r of n??h){let o=r.observation;for(let s of o??h){let a=this.processVitalsObservation(s);this.resources.push(a),i.hasMember||(i.hasMember=[]),i.hasMember.push(E(a))}}return i}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let i=new Set,n=[];for(let r of e){let o=on.mapCcdaToFhirCodeableConcept(r["@_root"]);o?.coding?.[0]?.code&&!i.has(o.coding[0].code)&&(i.add(o.coding[0].code),n.push(o))}return Array.from(n.values())}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(i=>this.mapReferenceRange(i)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let i=e.observationRange;if(!i)return;let n={};return n.extension=this.mapTextReference(i.text),n}processEncounter(e,i){let n={resourceType:"Encounter",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:nn.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"unknown"),class:{system:Ut,code:i.code?.["@_code"]??"AMB",display:i.code?.["@_displayName"]??"Ambulatory"},type:i.code?[this.mapCode(i.code)]:void 0,subject:E(this.patient),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])};if(i.performer&&(n.participant=i.performer.map(r=>({type:[{coding:[{system:Ti,code:r["@_typeCode"]??"PPRF",display:"Primary Performer"}]}],individual:this.mapAssignedEntityToReference(r.assignedEntity)}))),i.entryRelationship){let r=i.entryRelationship.filter(o=>o["@_typeCode"]==="RSON").map(o=>{let s=o.observation?.[0];if(!s)return;let a={resourceType:"Condition",id:this.mapId(s.id),identifier:this.mapIdentifiers(s.id),clinicalStatus:{coding:[{system:Pt,code:"active"}]},verificationStatus:{coding:[{system:bt,code:"confirmed"}]},code:this.mapCode(s.value),subject:E(this.patient),onsetDateTime:C(s.effectiveTime?.[0]?.low?.["@_value"])};return this.resources.push(a),{condition:E(a),use:{coding:[{system:Oi,code:"AD",display:"Admission diagnosis"}]}}}).filter(Boolean);r.length>0&&(n.diagnosis=r)}return n.extension=this.mapTextReference(i.text),n}processProcedure(e,i){return{resourceType:"Procedure",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:rn.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"completed"),code:this.mapCode(i.code),subject:E(this.patient),performedPeriod:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0]),bodySite:i.targetSiteCode?[this.mapCode(i.targetSiteCode)]:void 0,extension:this.mapTextReference(i.text)}}mapTextReference(e){if(!(!e||typeof 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o=r.class?.find(_=>_.type?.coding?.[0]?.code==="plan"),s=t.findResourceByReference(r.payor?.[0]),a=t.findResourceByReference(r.policyHolder);i.push({"@_typeCode":"COMP",sequenceNumber:{"@_xsi:type":"INT","@_value":i.length.toString()},act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ui,"@_extension":"2015-08-01"},{"@_root":ui}],id:d(r.id,r.identifier),code:{"@_code":sn.mapFhirToCcdaWithDefault(r.type?.coding?.[0]?.code,"9999"),"@_displayName":r.type?.coding?.[0]?.display||"Unknown","@_codeSystemName":"Source of Payment Typology (PHDSC)","@_codeSystem":"2.16.840.1.113883.3.221.5"},statusCode:{"@_code":"completed"},text:f(r.extension),performer:[{"@_typeCode":"PRF",templateId:[{"@_root":Sr}],assignedEntity:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":"999999"}],code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice 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0].filter(Boolean),entryRelationship:[{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"DEF",id:d(r.id,r.identifier),code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice payor"},text:o?.value?{"#text":o.value}:void 0}]}]}]})}return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":di,"@_extension":"2015-08-01"},{"@_root":di}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:i}]}}function Yo(t,e){let i=e.contained?.find(s=>s.resourceType==="Medication"),n=i?.code||e.medicationCodeableConcept,r=i?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=pe(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":ri,"@_extension":"2014-06-09"},{"@_root":ri}],id:[{"@_root":e.id||crypto.randomUUID()}],text:f(e.extension),statusCode:{"@_code":Xe.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:ka(e.dosageInstruction?.[0]?.route),doseQuantity:Ya(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":oi,"@_extension":"2014-06-09"},{"@_root":oi}],manufacturedMaterial:[{code:[{...l(n),originalText:f(i?.extension)}]}],manufacturerOrganization:r?[{id:d(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]},author:t.mapAuthor(e.requester,e.authoredOn),entryRelationship:e.dosageInstruction?.filter(s=>!!s.extension)?.map(s=>({"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":gt}],code:{"@_code":wi,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:f(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function ka(t){if(t)return l(t)}function Ya(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function Go(t,e){if(e.resourceType==="Procedure"){let i=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],n=e.code?.coding?.[0]?.code;return n&&i.includes(n)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ne},{"@_root":ne,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:Z(e.performedDateTime,e.performedPeriod),text:f(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":re},{"@_root":re,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:Z(e.performedDateTime,e.performedPeriod),text:f(e.extension),targetSiteCode:l(e.bodySite?.[0]),participant:[Ga(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:hn(e),id:d(e.id,e.identifier),code:l(e.code),value:fn(e),statusCode:{"@_code":"completed"},effectiveTime:Z(e.effectiveDateTime,e.effectivePeriod),text:f(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function Ga(t,e){if(!e)return;let i=t.findResourceByReference(e);if(i)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":St}],id:d(i.id,i.identifier),code:l(i.type?.[0]),addr:i.address?R([i.address]):void 0,telecom:L(i.telecom),playingEntity:{"@_classCode":"PLC",name:i.name?[i.name]:void 0}}}}function Ho(t,e){return e.code?.coding?.[0]?.system===st?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":yt},{"@_root":yt,"@_extension":"2014-06-09"},{"@_root":yt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":I(e.authoredOn)}],text:f(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":Ct}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":Ha(e.status)},effectiveTime:[{"@_value":I(e.occurrenceDateTime)}],text:f(e.extension)}]}}function Ha(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function $o(t){if(!t||t.length===0)return;let e=t[0];if(!(!e||!e.code&&!e.period))return{serviceEvent:{"@_classCode":"PCPR",code:l(e.code?.[0]),effectiveTime:pe(void 0,e.period)}}}function $a(t,e){return new wt(t,e).convert()}var wt=class{constructor(e,i){g(this,"bundle");g(this,"options");g(this,"composition");g(this,"patient");this.bundle=e,this.options=i;let n=this.findResource("Composition");if(!n)throw new Error("Composition not found");let r=this.findResource("Patient");if(!r)throw new Error("Patient not found");this.composition=n,this.patient=r}convert(){let e=this.createSections(),i=this.composition.section?.find(o=>o.code?.coding?.[0]?.code===de)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=ln,r={"@_code":Li,"@_displayName":"Referral Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}):(n=un,r={"@_code":He,"@_displayName":"Summarization of Episode Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":Mn,"@_extension":"POCD_HD000040"},templateId:n,id:d(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:Z(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Ki.mapFhirToCcdaCode(this.composition.confidentiality):void 0,languageCode:{"@_code":this.composition.language??"en-US"},recordTarget:this.createRecordTarget(),author:this.mapAuthor(this.composition.author?.[0],this.composition.date,!0),custodian:this.mapCustodian(this.composition.custodian),informationRecipient:this.mapRecipient(i),participant:this.createParticipants(),documentationOf:$o(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(o=>({section:[o]}))}}:void 0}}findResource(e){return this.bundle.entry?.find(i=>i.resource?.resourceType===e)?.resource}findResourceByReference(e){if(!e?.reference)return;let[i,n]=e.reference.split("/");if(!(!i||!n))return this.bundle.entry?.find(r=>r.resource?.resourceType===i&&r.resource?.id===n)?.resource}findResourcesByReferences(e){return e?e.map(i=>this.findResourceByReference(i)).filter(i=>!!i):[]}createRecordTarget(){if(!this.patient)throw new Error("Patient not found");return[{patientRole:{id:d(this.patient.id,this.patient.identifier),addr:R(this.patient.address),telecom:L(this.patient.telecom),patient:Ro(this.patient)}}]}createSections(){let e=[];for(let i of this.composition.section??h)e.push(this.createSection(i));return e}createSection(e){let i=e.code?.coding?.[0]?.code;if(!i)throw new Error(`Missing section code: ${JSON.stringify(e.code)}`);let n=pn[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return i===Ye&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):i===de&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,r[0]):{templateId:n,code:l(e.code),title:e.title,text:Do(e.text),entry:r.map(o=>this.createEntry(e,o)).filter(Boolean),"@_nullFlavor":r.length===0?"NI":void 0}}createEntry(e,i){switch(i.resourceType){case"Account":return ko(this,i);case"AllergyIntolerance":return vo(this,i);case"CarePlan":return xo(this,i);case"CareTeam":return Po(this,i);case"ClinicalImpression":return bo(this,i);case"Condition":return Lo(this,e,i);case"DeviceUseStatement":return Uo(this,i);case"DiagnosticReport":return Vo(this,i);case"Encounter":return wo(this,i);case"Goal":return Fo(e,i);case"Immunization":return Bo(this,i);case"MedicationRequest":return Yo(this,i);case"Procedure":return Go(this,i);case"Observation":return Mo(this,i);case"ServiceRequest":return Ho(this,i);default:return}}mapAuthor(e,i,n){if(!e)return;let r=this.findResourceByReference(e);if(!r)return;let o;if(r.resourceType==="Organization"?o=r:r.resourceType==="PractitionerRole"&&(o=this.findResourceByReference(r.organization),r=this.findResourceByReference(r.practitioner)),!r)return;let s;"address"in r&&(s=r.address);let a;"telecom"in r&&(a=r.telecom);let _;"qualification"in r&&(_=r.qualification?.[0]);let D;return["Patient","Practitioner","RelatedPerson"].includes(r.resourceType)&&(D=r.name),[{templateId:[{"@_root":Ar}],time:i?{"@_value":I(i)}:void 0,assignedAuthor:{id:d(r.id,r.identifier),addr:R(s),telecom:L(a),code:l(_),assignedPerson:D?{name:Y(D)}:void 0,assignedAuthoringDevice:!D&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let i=this.findResourceByReference(e);if(i)return{assignedCustodian:{representedCustodianOrganization:{id:d(i.id,i.identifier),name:i.name?[i.name]:void 0,telecom:L(i.telecom),addr:R(i.address)}}}}mapRecipient(e){if(!e)return;let i=this.findResourceByReference(e);if(!i)return;let n=i.performer;if(!n||n.length===0)return;let r=this.findResourceByReference(n[0]);if(r?.resourceType==="Practitioner")return{intendedRecipient:{informationRecipient:{name:Y(r.name)}}}}createParticipants(){let e=this.bundle.entry?.filter(i=>i.resource?.resourceType==="RelatedPerson").map(i=>i.resource);if(!(!e||e.length===0))return e.map(i=>({"@_typeCode":"IND",templateId:[{"@_root":kr,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(i.id,i.identifier),code:l(i.relationship?.[0]),addr:R(i.address),telecom:L(i.telecom),associatedPerson:{name:Y(i.name)}}}))}createClinicalImpressionSection(e,i){return{templateId:[{"@_root":Et}],code:l(e.code),title:e.title,text:i.summary,author:this.mapAuthor(i.assessor,i.date)}}createReasonForReferralSection(e,i){return{templateId:[{"@_root":J,"@_extension":"2014-06-09"},{"@_root":J}],code:l(e.code),title:e.title,text:i.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":vr}],id:d(i.id,i.identifier),code:l(i.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":I(i.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(i.requester,i.occurrenceDateTime)}]}]}}};0&&(module.exports={ACT_CODE_SYSTEM,ADDRESS_USE_MAPPER,ADDRESS_USE_VALUE_SET,ADMINISTRATIVE_GENDER_CODE_SYSTEM,ADMINISTRATIVE_GENDER_VALUE_SET,ALLERGIES_SECTION_TEMPLATE_IDS,ALLERGY_CATEGORY_MAPPER,ALLERGY_CLINICAL_CODE_SYSTEM,ALLERGY_SEVERITY_MAPPER,ALLERGY_STATUS_MAPPER,ALLERGY_VERIFICATION_CODE_SYSTEM,ASSESSMENTS_SECTION_TEMPLATE_IDS,CARE_TEAM_SECTION_TEMPLATE_IDS,CCDA_NARRATIVE_REFERENCE_URL,CCDA_TEMPLATE_CODE_SYSTEM,CCDA_TEMPLATE_IDS,CLINICAL_CONDITION_CODE_SYSTEM,CLINICAL_NOTES_SECTION_TEMPLATE_IDS,CONDITION_CATEGORY_CODE_SYSTEM,CONDITION_VERIFICATION_CODE_SYSTEM,CONDITION_VER_STATUS_CODE_SYSTEM,CONFIDENTIALITY_CODE_SYSTEM,CONFIDENTIALITY_MAPPER,CONTACT_ENTITY_USE_VALUE_SET,CVX_URL,DEVICES_SECTION_TEMPLATE_IDS,DIAGNOSIS_ROLE_CODE_SYSTEM,ENCOUNTERS_SECTION_TEMPLATE_IDS,ENCOUNTER_STATUS_MAPPER,EnumMapper,FHIR_CVX_URL,FHIR_ICF_URL,FUNCTIONAL_STATUS_TEMPLATE_IDS,FhirToCcdaConverter,GENDER_MAPPER,GOALS_SECTION_TEMPLATE_IDS,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,HTTP,HUMAN_NAME_USE_MAPPER,IMMUNIZATIONS_SECTION_TEMPLATE_IDS,IMMUNIZATION_STATUS_MAPPER,INSURANCE_COVERAGE_TYPE_MAPPER,INSURANCE_SECTION_TEMPLATE_IDS,LAB_TESTS_SECTION_TEMPLATE_IDS,LANGUAGE_MODE_CODE_SYSTEM,LANGUAGE_MODE_URL,LANGUAGE_PROFICIENCY_CODE_SYSTEM,LANGUAGE_PROFICIENCY_URL,LOINC_ADMINISTRATIVE_SEX,LOINC_ALLERGIES_SECTION,LOINC_ASSESSMENTS_SECTION,LOINC_BIRTH_SEX,LOINC_CARE_TEAM_SECTION,LOINC_CLINICAL_FINDING,LOINC_CONDITION,LOINC_DEVICES_SECTION,LOINC_DISABILITY_STATUS,LOINC_ENCOUNTERS_SECTION,LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE,LOINC_FUNCTIONAL_STATUS_SECTION,LOINC_GOALS_SECTION,LOINC_HEALTH_CONCERNS_SECTION,LOINC_HISTORY_OF_OCCUPATION,LOINC_HISTORY_OF_OCCUPATION_INDUSTRY,LOINC_HISTORY_OF_SOCIAL_FUNCTION,LOINC_HISTORY_OF_TOBACCO_USE,LOINC_IMMUNIZATIONS_SECTION,LOINC_INSURANCE_SECTION,LOINC_MEDICATIONS_SECTION,LOINC_MEDICATION_INSTRUCTIONS,LOINC_MENTAL_STATUS_SECTION,LOINC_NOTES_SECTION,LOINC_NOTE_DOCUMENT,LOINC_OVERALL_GOAL,LOINC_PATIENT_SUMMARY_DOCUMENT,LOINC_PLAN_OF_TREATMENT_SECTION,LOINC_PREGNANCY_STATUS,LOINC_PROBLEMS_SECTION,LOINC_PROCEDURES_SECTION,LOINC_REASON_FOR_REFERRAL_SECTION,LOINC_REFERRAL_NOTE,LOINC_RESULTS_SECTION,LOINC_SOCIAL_HISTORY_SECTION,LOINC_SUMMARY_OF_EPISODE_NOTE,LOINC_TOBACCO_SMOKING_STATUS,LOINC_TO_TEMPLATE_IDS,LOINC_TRIBAL_AFFILIATION,LOINC_VITAL_SIGNS_SECTION,MEDICATIONS_SECTION_TEMPLATE_IDS,MEDICATION_REQUEST_STATUS_VALUE_SET,MEDICATION_STATUS_MAPPER,MENTAL_STATUS_SECTION_TEMPLATE_IDS,NAME_USE_VALUE_SET,NCI_THESAURUS_URL,NDFRT_URL,NUCC_TAXONOMY_URL,OBSERVATION_CATEGORY_CODE_SYSTEM,OBSERVATION_CATEGORY_MAPPER,PARTICIPATION_CODE_SYSTEM,PATIENT_NOTES_SECTION_TEMPLATE_IDS,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,PROBLEMS_SECTION_TEMPLATE_IDS,PROBLEM_STATUS_MAPPER,PROCEDURES_SECTION_TEMPLATE_IDS,PROCEDURE_STATUS_MAPPER,RACE_CODE_SYSTEM,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,REFERRAL_TEMPLATE_IDS,RESULTS_SECTION_TEMPLATE_IDS,ROLE_CODE_CODE_SYSTEM,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,SYSTEM_MAPPER,TELECOM_USE_MAPPER,UNII_URL,US_CORE_CONDITION_URL,US_CORE_ETHNICITY_URL,US_CORE_MEDICATION_REQUEST_URL,US_CORE_PATIENT_URL,US_CORE_RACE_URL,US_DRIVER_LICENSE_URL,US_NPI_URL,US_SSN_URL,VA_MEDRT_URL,VITAL_SIGNS_SECTION_TEMPLATE_IDS,XSI_URL,convertCcdaToFhir,convertCcdaToXml,convertFhirToCcda,convertToCompactXml,convertXmlToCcda,mapCcdaCodeToCodeableConcept,mapCcdaSystemToFhir,mapCcdaToFhirDate,mapCcdaToFhirDateTime,mapCodeableConceptToCcdaCode,mapCodeableConceptToCcdaValue,mapCodingToCcdaCode,mapFhirPeriodOrDateTimeToCcda,mapFhirSystemToCcda,mapFhirToCcdaDate,mapFhirToCcdaDateTime,parseXml});
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(Nutrition)"},{ccdaValue:Lr,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]),sn=new N({fhirSystemUrl:Ut},[{ccdaValue:"71",fhirValue:"HMO",displayName:"Health Maintenance Organization"},{ccdaValue:"72",fhirValue:"PPO",displayName:"Preferred Provider Organization"},{ccdaValue:"73",fhirValue:"POS",displayName:"Point of Service"},{ccdaValue:"79",fhirValue:"MCPOL",displayName:"Managed Care Policy"},{ccdaValue:"81",fhirValue:"pay",displayName:"Self Pay"},{ccdaValue:"9999",fhirValue:"",displayName:"Unknown"}]);var le=require("fast-xml-parser");var _a=["ClinicalDocument.participant","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","value.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 Ea(t){return new le.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>_a.some(a=>r.endsWith(a))}).parse(t).ClinicalDocument}function Ia(t){return new le.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!0,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build({"?xml":{"@_version":"1.0","@_encoding":"UTF-8"},"?xml-stylesheet":{"@_type":"text/xsl","@_href":"CDA.xsl"},ClinicalDocument:{"@_xmlns":"urn:hl7-org:v3","@_xmlns:xsi":Ci,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function an(t){return new le.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function cn(t){return t?typeof t=="string"?t:new le.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
2
+ `).map(n=>n.trim()).join(""):""}function Ta(t,e){return new dn(t,e).convert()}var dn=class{constructor(e,i){g(this,"ccda");g(this,"options");g(this,"resources",[]);g(this,"patient");this.ccda=e,this.options=i}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(i=>({resource:i}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e),this.createRelatedPersons())}createPatient(e){let i=e.patient,n=[];return i.raceCode&&i.raceCode.length>0&&!i.raceCode[0]["@_nullFlavor"]&&n.push({url:se,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&!i.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:we,extension:i.ethnicGroupCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.name),gender:this.mapGenderCode(i.administrativeGenderCode?.["@_code"]),birthDate:ut(i.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:n.length>0?n:void 0}}createRelatedPersons(){let e=this.ccda.participant;for(let i of e??f){let n=this.mapParticipantToRelatedPerson(i);n&&this.resources.push(n)}}mapParticipantToRelatedPerson(e){let i=this.patient;if(!i)return;let n=e.associatedEntity;if(!n)return;let r=Vt(n.code);return{resourceType:"RelatedPerson",id:this.mapId(n.id),patient:E(i),relationship:r?[r]:void 0,identifier:this.mapIdentifiers(n.id),name:this.mapCcdaNameArrayFhirHumanNameArray(n.associatedPerson?.name),address:this.mapAddresses(n.addr),telecom:this.mapTelecom(n.telecom)}}mapId(e){let i=e?.find(n=>!n["@_extension"]&&n["@_root"]&&$t(n["@_root"]));return i?i["@_root"]:dt()}mapIdentifiers(e){let i;for(let n of e??f)!n["@_extension"]&&n["@_root"]&&$t(n["@_root"])||(i=Pn(i,{system:Q(n["@_root"]),value:n["@_extension"]}));return i}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(i=>this.mapCcdaNameToFhirHumanName(i)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let i={},n=e["@_use"]?je.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(Je)?.filter(Boolean)),e.family&&(i.family=Je(e.family)),e.given&&(i.given=e.given.map(Je)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(Je)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?qe.mapCcdaToFhir(i["@_use"]):void 0,line:i.streetAddressLine,city:i.city,state:i.state,postalCode:i.postalCode,country:i.country}))}mapTelecom(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?We.mapCcdaToFhir(i["@_use"]):void 0,system:this.getTelecomSystem(i["@_value"]),value:this.getTelecomValue(i["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],i=[];for(let n of e)for(let r of n.section){let o=this.processSection(r);i.push({title:r.title,code:this.mapCode(r.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${cn(r.text)}</div>`},entry:o.map(E)}),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:ot,code:He}]},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:C(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:i}}processSection(e){let i=[];for(let n of e.entry??f)this.processEntry(e,n,i);return i}processEntry(e,i,n){for(let r of i.act??f){let o=this.processAct(e,r);o&&n.push(o)}for(let r of i.substanceAdministration??f){let o=this.processSubstanceAdministration(e,r);o&&n.push(o)}for(let r of i.organizer??f)n.push(this.processOrganizer(e,r));for(let r of i.observation??f)n.push(this.processObservation(e,r));for(let r of i.encounter??f)n.push(this.processEncounter(e,r));for(let r of i.procedure??f)n.push(this.processProcedure(e,r))}processAct(e,i){let n=e.templateId[0]["@_root"];switch(n){case ye:case ir:case nr:case rr:return this.processAllergyIntoleranceAct(i);case Se:case Kn:case er:case tr:return this.processConditionAct(i);case W:return this.processCarePlanAct(i);case It:return this.processConditionAct(i);case ie:return this.processProcedureAct(i);case J:return;case Tt:return;case Ce:return;default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled act templateId: "+n)}}processAllergyIntoleranceAct(e){let i=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:E(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(i.effectiveTime?.[0])};i.value?.["@_code"]==="414285001"&&(n.category=["food"]),n.extension=this.mapTextReference(i.text);let r=i.participant?.[0]?.participantRole?.playingEntity?.code;r&&(n.code=this.mapCode(r),n.code&&r.originalText?.reference?.["@_value"]&&(n.code.extension=this.mapTextReference(r.originalText)));let o=i.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(n.reaction=o.map(s=>this.processReaction(s))),n.asserter=this.mapAuthorToReference(i.author?.[0]),n}processConditionAct(e){let i=e.entryRelationship?.find(r=>r["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(i.id)),meta:{profile:[Si]},clinicalStatus:{coding:[{system:Pt,code:ue.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Ei,code:"confirmed"}]},category:[{coding:[{system:Ii,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(i.value),subject:E(this.patient),onsetDateTime:C(i.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:C(i.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(i.author?.[0]),asserter:this.mapAuthorToReference(i.author?.[0])};return n.extension=this.mapTextReference(i.text),n}processCarePlanAct(e){return{resourceType:"CarePlan",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",intent:"plan",title:"CARE PLAN",category:e.code?[this.mapCode(e.code)]:void 0,subject:E(this.patient),description:Je(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:E(this.patient),performedDateTime:C(e.effectiveTime?.[0]?.["@_value"]),recorder:this.mapAuthorToReference(e.author?.[0]),asserter:this.mapAuthorToReference(e.author?.[0]),extension:this.mapTextReference(e.text)}}processSubstanceAdministration(e,i){let n=e.templateId[0]["@_root"];switch(n){case _t:case W:return this.processMedicationSubstanceAdministration(i);case Te:case Oe:return this.processImmunizationSubstanceAdministration(i);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let i=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(T=>T.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===gt)?.substanceAdministration?.[0],h,D;return s?h={resourceType:"Medication",id:"med-"+i,code:this.mapCode(n),extension:this.mapTextReference(n?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:D={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:i,contained:h?[h]:void 0,meta:{profile:[yi]},extension:this.mapTextReference(e.text),status:Xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:h?{reference:"#med-"+i}:void 0,medicationCodeableConcept:D,subject:E(this.patient),authoredOn:C(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:C(e.effectiveTime?.[0]?.low?.["@_value"]),end:C(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:kt,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let i=e.consumable;if(!i)return;let n={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:Ze.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:E(this.patient),occurrenceDateTime:C(e.effectiveTime?.[0]?.["@_value"]),lotNumber:i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(n.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),n.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(n.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),n}processReaction(e){let i={id:this.mapId(e.id),manifestation:[this.mapCode(e.value)],onset:C(e.effectiveTime?.[0]?.low?.["@_value"])};return this.processSeverity(e,i),i.manifestation&&i.manifestation.length>0&&e.text?.reference?.["@_value"]&&(i.manifestation[0].extension=this.mapTextReference(e.text)),i}processSeverity(e,i){let n=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!n)return;let r=n.value?.["@_code"];r&&(i.severity=ze.mapCcdaToFhir(r)),i.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return C(e["@_value"]);if(e?.low?.["@_value"])return C(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:C(e?.low?.["@_value"]),end:C(e?.high?.["@_value"])}}mapGenderCode(e){return e?{F:"female",M:"male",UN:"unknown"}[e]:void 0}getTelecomSystem(e){if(e)return e.startsWith("tel:")?"phone":e.startsWith("mailto:")?"email":"other"}getTelecomValue(e){if(e)return e.replace(/^(tel:|mailto:)/,"")}mapCode(e){if(!e)return;let i={coding:[{system:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};for(let n of e.translation??f)i.coding.push({system:Q(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return i}mapCodeToCoding(e){if(e)return{system:Q(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:Ve,code:Qe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:Lt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let i={resourceType:"Practitioner",id:this.mapId(e.assignedAuthor?.id),identifier:this.mapIdentifiers(e.assignedAuthor?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(e.assignedAuthor?.assignedPerson?.name),address:this.mapAddresses(e.assignedAuthor?.addr),telecom:this.mapTelecom(e.assignedAuthor?.telecom),qualification:e.assignedAuthor?.code?[this.mapCode(e.assignedAuthor?.code)]:void 0};return this.resources.push(i),E(i)}mapAssignedEntityToReference(e){if(!e)return;let i=e.assignedPerson,n=e.representedOrganization,r={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(r);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(n?.id),name:n?.name?.[0],address:this.mapAddresses(n?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:E(r),organization:E(o)};return this.resources.push(s),E(s)}mapCustodianToReference(e){if(!e)return;let i={resourceType:"Organization",id:this.mapId(e.assignedCustodian.representedCustodianOrganization.id),identifier:this.mapIdentifiers(e.assignedCustodian.representedCustodianOrganization.id),name:e.assignedCustodian.representedCustodianOrganization.name?.[0],address:this.mapAddresses(e.assignedCustodian.representedCustodianOrganization.addr),telecom:this.mapTelecom(e.assignedCustodian.representedCustodianOrganization.telecom)};return this.resources.push(i),E(i)}mapDocumentationOfToEvent(e){if(!e)return;let i=e.serviceEvent;if(i)return[{code:i.code?[this.mapCode(i.code)]:void 0,period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}]}concatArrays(e,i){return e?i?[...e,...i]:e:i}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let i=[];for(let n of e){let r=n.assignedEntity,o=this.mapAssignedEntityToReference(r);o&&i.push({actor:o})}return i}processOrganizer(e,i){return e.templateId[0]["@_root"]===Ot?this.processCareTeamOrganizer(i):this.processVitalsOrganizer(i)}processCareTeamOrganizer(e){let i=[];for(let r of e.component??f){let o=this.processCareTeamMember(r);o&&i.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:i.length>0?i:void 0}}processCareTeamMember(e){let i=e.act?.[0];if(!i)return;let n=i.performer?.[0];if(n)return{role:n.functionCode?[this.mapCode(n.functionCode)]:void 0,member:this.mapAssignedEntityToReference(n.assignedEntity),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])}}processVitalsOrganizer(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:E(this.patient)};e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"]));let n=[];for(let r of e.component??f)n.push(...this.processVitalsComponent(r));return n.length>0&&(i.hasMember=n),i}processVitalsComponent(e){let i=[];for(let n of e.observation??f){let r=this.processVitalsObservation(n);i.push(E(r)),this.resources.push(r)}return i}processObservation(e,i){let n=i.templateId[0]["@_root"];if(n===Ne||n===oe)return this.processGoalObservation(i);switch(e.templateId[0]["@_root"]){case W:case Ne:return this.processGoalObservation(i);default:return this.processVitalsObservation(i)}}processGoalObservation(e){let i=[];e.code&&i.push(this.mapCode(e.code));let n=[],r,o=e.value;if(o){let a=o["@_xsi:type"];a==="CD"?r=Vt(o):a==="ST"&&(r={text:o["#text"]??""})}for(let a of e.entryRelationship??f)n.push({measure:this.mapCode(a.act?.[0]?.code),detailCodeableConcept:this.mapCode(a.act?.[0]?.code),dueDate:C(a.act?.[0]?.effectiveTime?.[0]?.low?.["@_value"])});return{resourceType:"Goal",id:this.mapId(e.id),extension:this.mapTextReference(e.text),identifier:this.mapIdentifiers(e.id),lifecycleStatus:this.mapGoalLifecycleStatus(e),category:i,description:r??{text:"Unknown goal"},subject:E(this.patient),startDate:ut(e.effectiveTime?.[0]?.["@_value"]),target:n}}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let i={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:this.mapCode(e.code),subject:E(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(r=>this.mapAuthorToReference(r)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":i.valueQuantity={value:e.value["@_value"]?Number.parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:kt,code:e.value["@_unit"]};break;case"CD":case"CE":i.valueCodeableConcept=this.mapCode(e.value);break;case"ST":i.valueString=e.value["#text"]??"";break;case"INT":i.valueInteger=e.value["@_value"]?Number.parseInt(e.value["@_value"],10):void 0;break;default:console.warn(`Unhandled observation value type: ${e.value["@_xsi:type"]}`)}e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"])),i.extension=this.mapTextReference(e.text);let n=e.entryRelationship;for(let r of n??f){let o=r.observation;for(let s of o??f){let a=this.processVitalsObservation(s);this.resources.push(a),i.hasMember||(i.hasMember=[]),i.hasMember.push(E(a))}}return i}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let i=new Set,n=[];for(let r of e){let o=on.mapCcdaToFhirCodeableConcept(r["@_root"]);o?.coding?.[0]?.code&&!i.has(o.coding[0].code)&&(i.add(o.coding[0].code),n.push(o))}return Array.from(n.values())}mapReferenceRangeArray(e){if(!(!e||e.length===0))return e.map(i=>this.mapReferenceRange(i)).filter(Boolean)}mapReferenceRange(e){if(!e)return;let i=e.observationRange;if(!i)return;let n={};return n.extension=this.mapTextReference(i.text),n}processEncounter(e,i){let n={resourceType:"Encounter",id:this.mapId(i.id),identifier:this.mapIdentifiers(i.id),status:nn.mapCcdaToFhirWithDefault(i.statusCode?.["@_code"],"unknown"),class:{system:Ut,code:i.code?.["@_code"]??"AMB",display:i.code?.["@_displayName"]??"Ambulatory"},type:i.code?[this.mapCode(i.code)]:void 0,subject:E(this.patient),period:this.mapEffectiveTimeToPeriod(i.effectiveTime?.[0])};if(i.performer&&(n.participant=i.performer.map(r=>({type:[{coding:[{system:Ti,code:r["@_typeCode"]??"PPRF",display:"Primary Performer"}]}],individual:this.mapAssignedEntityToReference(r.assignedEntity)}))),i.entryRelationship){let r=i.entryRelationship.filter(o=>o["@_typeCode"]==="RSON").map(o=>{let s=o.observation?.[0];if(!s)return;let 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e.description.coding?.[0]?.code?o=P(e.description):e.description.text&&(o={"@_xsi:type":"ST","#text":e.description.text}),{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:r,id:d(e.id,e.identifier),code:n,statusCode:{"@_code":Fa(e.lifecycleStatus)},effectiveTime:[{"@_value":I(e.startDate)}],value:o,text:m(e.extension),entryRelationship:e.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ne},{"@_root":ne,"@_extension":"2014-06-09"}],code:l(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":I(e.startDate)}]}]}))}]}}function Fa(t){switch(t){case"completed":return"completed";case"cancelled":return"cancelled";default:return"active"}}function Bo(t,e){let i=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":ai},{"@_root":ai,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),text:m(e.extension),statusCode:{"@_code":Ze.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":b(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":ci},{"@_root":ci,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[l(e.vaccineCode)],lotNumberText:e.lotNumber?[e.lotNumber]:void 0}],manufacturerOrganization:i?[{id:d(i.id,i.identifier?[i.identifier]:void 0),name:[i.display]}]:void 0}]}}]};return e.performer&&(n.substanceAdministration[0].performer=e.performer.map(r=>Ba(t,r)).filter(Boolean)),n}function Ba(t,e){if(!e)return;let i=t.findResourceByReference(e.actor);if(!i)return;let n,r;return i.resourceType==="PractitionerRole"?(n=t.findResourceByReference(i.practitioner),r=t.findResourceByReference(i.organization)):i.resourceType==="Practitioner"?n=i:i.resourceType==="Organization"&&(r=i),{assignedEntity:{id:d(i.id,i.identifier),addr:R(n?.address),telecom:L(i.telecom),assignedPerson:n?{id:d(n.id,n.identifier),name:Y(n.name)}:void 0,representedOrganization:r?{id:d(r.id,r.identifier),name:r.name?[r.name]:void 0,addr:R(r.address),telecom:L(r.telecom)}:void 0}}}function ko(t,e){let i=[];for(let n of e.coverage??f){let r=t.findResourceByReference(n.coverage);if(r?.resourceType!=="Coverage")continue;let o=r.class?.find(h=>h.type?.coding?.[0]?.code==="plan"),s=t.findResourceByReference(r.payor?.[0]),a=t.findResourceByReference(r.policyHolder);i.push({"@_typeCode":"COMP",sequenceNumber:{"@_xsi:type":"INT","@_value":i.length.toString()},act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ui,"@_extension":"2015-08-01"},{"@_root":ui}],id:d(r.id,r.identifier),code:{"@_code":sn.mapFhirToCcdaWithDefault(r.type?.coding?.[0]?.code,"9999"),"@_displayName":r.type?.coding?.[0]?.display||"Unknown","@_codeSystemName":"Source of Payment Typology (PHDSC)","@_codeSystem":"2.16.840.1.113883.3.221.5"},statusCode:{"@_code":"completed"},text:m(r.extension),performer:[{"@_typeCode":"PRF",templateId:[{"@_root":Sr}],assignedEntity:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":"999999"}],code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice payor"},addr:R(s?.address),telecom:L(s?.telecom),representedOrganization:{name:s?.name?[s.name]:void 0,telecom:L(s?.telecom),addr:R(s?.address)}}}],participant:[{"@_typeCode":"COV",templateId:[{"@_root":yr}],participantRole:{"@_classCode":"PAT",id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":a?.identifier?.[0]?.value||"88800933502"}],code:{"@_code":"FAMDEP","@_codeSystem":"2.16.840.1.113883.5.111","@_displayName":a?"self":"dependent"},addr:R(a?.address),playingEntity:{"@_classCode":"PSN",name:Y(a?.name),"sdtc:birthTime":a?.birthDate?{"@_value":b(a.birthDate)}:void 0}}},a?{"@_typeCode":"HLD",templateId:[{"@_root":Cr}],participantRole:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":a.identifier?.[0]?.value||"888009335"}],addr:R(a.address),playingEntity:{name:Y(a.name)}}}:void 0].filter(Boolean),entryRelationship:[{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"DEF",id:d(r.id,r.identifier),code:{"@_code":"PAYOR","@_codeSystem":"2.16.840.1.113883.5.110","@_codeSystemName":"HL7 RoleCode","@_displayName":"invoice payor"},text:o?.value?{"#text":o.value}:void 0}]}]}]})}return{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":di,"@_extension":"2015-08-01"},{"@_root":di}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:i}]}}function Yo(t,e){let i=e.contained?.find(s=>s.resourceType==="Medication"),n=i?.code||e.medicationCodeableConcept,r=i?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=pe(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":ri,"@_extension":"2014-06-09"},{"@_root":ri}],id:[{"@_root":e.id||crypto.randomUUID()}],text:m(e.extension),statusCode:{"@_code":Xe.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:ka(e.dosageInstruction?.[0]?.route),doseQuantity:Ya(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":oi,"@_extension":"2014-06-09"},{"@_root":oi}],manufacturedMaterial:[{code:[{...l(n),originalText:m(i?.extension)}]}],manufacturerOrganization:r?[{id:d(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]},author:t.mapAuthor(e.requester,e.authoredOn),entryRelationship:e.dosageInstruction?.filter(s=>!!s.extension)?.map(s=>({"@_typeCode":"COMP",substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN",templateId:[{"@_root":gt}],code:{"@_code":wi,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:m(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function ka(t){if(t)return l(t)}function Ya(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function Go(t,e){if(e.resourceType==="Procedure"){let i=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],n=e.code?.coding?.[0]?.code;return n&&i.includes(n)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ne},{"@_root":ne,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:Z(e.performedDateTime,e.performedPeriod),text:m(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":re},{"@_root":re,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},effectiveTime:Z(e.performedDateTime,e.performedPeriod),text:m(e.extension),targetSiteCode:l(e.bodySite?.[0]),participant:[Ga(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:hn(e),id:d(e.id,e.identifier),code:l(e.code),value:fn(e),statusCode:{"@_code":"completed"},effectiveTime:Z(e.effectiveDateTime,e.effectivePeriod),text:m(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function Ga(t,e){if(!e)return;let i=t.findResourceByReference(e);if(i)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":St}],id:d(i.id,i.identifier),code:l(i.type?.[0]),addr:i.address?R([i.address]):void 0,telecom:L(i.telecom),playingEntity:{"@_classCode":"PLC",name:i.name?[i.name]:void 0}}}}function Ho(t,e){return e.code?.coding?.[0]?.system===st?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":yt},{"@_root":yt,"@_extension":"2014-06-09"},{"@_root":yt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":I(e.authoredOn)}],text:m(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":Ct}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":Ha(e.status)},effectiveTime:[{"@_value":I(e.occurrenceDateTime)}],text:m(e.extension)}]}}function Ha(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function $o(t){if(!t||t.length===0)return;let e=t[0];if(!(!e||!e.code&&!e.period))return{serviceEvent:{"@_classCode":"PCPR",code:l(e.code?.[0]),effectiveTime:pe(void 0,e.period)}}}function $a(t,e){return new wt(t,e).convert()}var wt=class{constructor(e,i){g(this,"bundle");g(this,"options");g(this,"composition");g(this,"patient");this.bundle=e,this.options=i;let n=this.findResource("Composition");if(!n)throw new Error("Composition not found");let r=this.findResource("Patient");if(!r)throw new Error("Patient not found");this.composition=n,this.patient=r}convert(){let e=this.createSections(),i=this.composition.section?.find(o=>o.code?.coding?.[0]?.code===de)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=ln,r={"@_code":Li,"@_displayName":"Referral Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}):(n=un,r={"@_code":He,"@_displayName":"Summarization of Episode Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":Mn,"@_extension":"POCD_HD000040"},templateId:n,id:d(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:Z(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Ki.mapFhirToCcdaCode(this.composition.confidentiality):void 0,languageCode:{"@_code":this.composition.language??"en-US"},recordTarget:this.createRecordTarget(),author:this.mapAuthor(this.composition.author?.[0],this.composition.date,!0),custodian:this.mapCustodian(this.composition.custodian),informationRecipient:this.mapRecipient(i),participant:this.createParticipants(),documentationOf:$o(this.composition.event),component:e.length>0?{structuredBody:{component:e.map(o=>({section:[o]}))}}:void 0}}findResource(e){return this.bundle.entry?.find(i=>i.resource?.resourceType===e)?.resource}findResourceByReference(e){if(!e?.reference)return;let[i,n]=e.reference.split("/");if(!(!i||!n))return this.bundle.entry?.find(r=>r.resource?.resourceType===i&&r.resource?.id===n)?.resource}findResourcesByReferences(e){return e?e.map(i=>this.findResourceByReference(i)).filter(i=>!!i):[]}createRecordTarget(){if(!this.patient)throw new Error("Patient not found");return[{patientRole:{id:d(this.patient.id,this.patient.identifier),addr:R(this.patient.address),telecom:L(this.patient.telecom),patient:Ro(this.patient)}}]}createSections(){let e=[];for(let i of this.composition.section??f)e.push(this.createSection(i));return e}createSection(e){let i=e.code?.coding?.[0]?.code;if(!i)throw new Error(`Missing section code: ${JSON.stringify(e.code)}`);let n=pn[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return i===Ye&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):i===de&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,r[0]):{templateId:n,code:l(e.code),title:e.title,text:Do(e.text),entry:r.map(o=>this.createEntry(e,o)).filter(Boolean),"@_nullFlavor":r.length===0?"NI":void 0}}createEntry(e,i){switch(i.resourceType){case"Account":return ko(this,i);case"AllergyIntolerance":return vo(this,i);case"CarePlan":return xo(this,i);case"CareTeam":return Po(this,i);case"ClinicalImpression":return bo(this,i);case"Condition":return Lo(this,e,i);case"DeviceUseStatement":return Uo(this,i);case"DiagnosticReport":return Vo(this,i);case"Encounter":return wo(this,i);case"Goal":return Fo(e,i);case"Immunization":return Bo(this,i);case"MedicationRequest":return Yo(this,i);case"Procedure":return Go(this,i);case"Observation":return Mo(this,i);case"ServiceRequest":return Ho(this,i);default:return}}mapAuthor(e,i,n){if(!e)return;let r=this.findResourceByReference(e);if(!r)return;let o;if(r.resourceType==="Organization"?o=r:r.resourceType==="PractitionerRole"&&(o=this.findResourceByReference(r.organization),r=this.findResourceByReference(r.practitioner)),!r)return;let s;"address"in r&&(s=r.address);let a;"telecom"in r&&(a=r.telecom);let h;"qualification"in r&&(h=r.qualification?.[0]);let D;return["Patient","Practitioner","RelatedPerson"].includes(r.resourceType)&&(D=r.name),[{templateId:[{"@_root":Ar}],time:i?{"@_value":I(i)}:void 0,assignedAuthor:{id:d(r.id,r.identifier),addr:R(s),telecom:L(a),code:l(h),assignedPerson:D?{name:Y(D)}:void 0,assignedAuthoringDevice:!D&&n?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let i=this.findResourceByReference(e);if(i)return{assignedCustodian:{representedCustodianOrganization:{id:d(i.id,i.identifier),name:i.name?[i.name]:void 0,telecom:L(i.telecom),addr:R(i.address)}}}}mapRecipient(e){if(!e)return;let i=this.findResourceByReference(e);if(!i)return;let n=i.performer;if(!n||n.length===0)return;let r=this.findResourceByReference(n[0]);if(r?.resourceType==="Practitioner")return{intendedRecipient:{informationRecipient:{name:Y(r.name)}}}}createParticipants(){let e=this.bundle.entry?.filter(i=>i.resource?.resourceType==="RelatedPerson").map(i=>i.resource);if(!(!e||e.length===0))return e.map(i=>({"@_typeCode":"IND",templateId:[{"@_root":kr,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(i.id,i.identifier),code:l(i.relationship?.[0]),addr:R(i.address),telecom:L(i.telecom),associatedPerson:{name:Y(i.name)}}}))}createClinicalImpressionSection(e,i){return{templateId:[{"@_root":Et}],code:l(e.code),title:e.title,text:i.summary,author:this.mapAuthor(i.assessor,i.date)}}createReasonForReferralSection(e,i){return{templateId:[{"@_root":J,"@_extension":"2014-06-09"},{"@_root":J}],code:l(e.code),title:e.title,text:i.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":vr}],id:d(i.id,i.identifier),code:l(i.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":I(i.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(i.requester,i.occurrenceDateTime)}]}]}}};0&&(module.exports={ACT_CODE_SYSTEM,ADDRESS_USE_MAPPER,ADDRESS_USE_VALUE_SET,ADMINISTRATIVE_GENDER_CODE_SYSTEM,ADMINISTRATIVE_GENDER_VALUE_SET,ALLERGIES_SECTION_TEMPLATE_IDS,ALLERGY_CATEGORY_MAPPER,ALLERGY_CLINICAL_CODE_SYSTEM,ALLERGY_SEVERITY_MAPPER,ALLERGY_STATUS_MAPPER,ALLERGY_VERIFICATION_CODE_SYSTEM,ASSESSMENTS_SECTION_TEMPLATE_IDS,CARE_TEAM_SECTION_TEMPLATE_IDS,CCDA_NARRATIVE_REFERENCE_URL,CCDA_TEMPLATE_CODE_SYSTEM,CCDA_TEMPLATE_IDS,CLINICAL_CONDITION_CODE_SYSTEM,CLINICAL_NOTES_SECTION_TEMPLATE_IDS,CONDITION_CATEGORY_CODE_SYSTEM,CONDITION_VERIFICATION_CODE_SYSTEM,CONDITION_VER_STATUS_CODE_SYSTEM,CONFIDENTIALITY_CODE_SYSTEM,CONFIDENTIALITY_MAPPER,CONTACT_ENTITY_USE_VALUE_SET,CVX_URL,DEVICES_SECTION_TEMPLATE_IDS,DIAGNOSIS_ROLE_CODE_SYSTEM,ENCOUNTERS_SECTION_TEMPLATE_IDS,ENCOUNTER_STATUS_MAPPER,EnumMapper,FHIR_CVX_URL,FHIR_ICF_URL,FUNCTIONAL_STATUS_TEMPLATE_IDS,FhirToCcdaConverter,GENDER_MAPPER,GOALS_SECTION_TEMPLATE_IDS,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,HTTP,HUMAN_NAME_USE_MAPPER,IMMUNIZATIONS_SECTION_TEMPLATE_IDS,IMMUNIZATION_STATUS_MAPPER,INSURANCE_COVERAGE_TYPE_MAPPER,INSURANCE_SECTION_TEMPLATE_IDS,LAB_TESTS_SECTION_TEMPLATE_IDS,LANGUAGE_MODE_CODE_SYSTEM,LANGUAGE_MODE_URL,LANGUAGE_PROFICIENCY_CODE_SYSTEM,LANGUAGE_PROFICIENCY_URL,LOINC_ADMINISTRATIVE_SEX,LOINC_ALLERGIES_SECTION,LOINC_ASSESSMENTS_SECTION,LOINC_BIRTH_SEX,LOINC_CARE_TEAM_SECTION,LOINC_CLINICAL_FINDING,LOINC_CONDITION,LOINC_DEVICES_SECTION,LOINC_DISABILITY_STATUS,LOINC_ENCOUNTERS_SECTION,LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE,LOINC_FUNCTIONAL_STATUS_SECTION,LOINC_GOALS_SECTION,LOINC_HEALTH_CONCERNS_SECTION,LOINC_HISTORY_OF_OCCUPATION,LOINC_HISTORY_OF_OCCUPATION_INDUSTRY,LOINC_HISTORY_OF_SOCIAL_FUNCTION,LOINC_HISTORY_OF_TOBACCO_USE,LOINC_IMMUNIZATIONS_SECTION,LOINC_INSURANCE_SECTION,LOINC_MEDICATIONS_SECTION,LOINC_MEDICATION_INSTRUCTIONS,LOINC_MENTAL_STATUS_SECTION,LOINC_NOTES_SECTION,LOINC_NOTE_DOCUMENT,LOINC_OVERALL_GOAL,LOINC_PATIENT_SUMMARY_DOCUMENT,LOINC_PLAN_OF_TREATMENT_SECTION,LOINC_PREGNANCY_STATUS,LOINC_PROBLEMS_SECTION,LOINC_PROCEDURES_SECTION,LOINC_REASON_FOR_REFERRAL_SECTION,LOINC_REFERRAL_NOTE,LOINC_RESULTS_SECTION,LOINC_SOCIAL_HISTORY_SECTION,LOINC_SUMMARY_OF_EPISODE_NOTE,LOINC_TOBACCO_SMOKING_STATUS,LOINC_TO_TEMPLATE_IDS,LOINC_TRIBAL_AFFILIATION,LOINC_VITAL_SIGNS_SECTION,MEDICATIONS_SECTION_TEMPLATE_IDS,MEDICATION_REQUEST_STATUS_VALUE_SET,MEDICATION_STATUS_MAPPER,MENTAL_STATUS_SECTION_TEMPLATE_IDS,NAME_USE_VALUE_SET,NCI_THESAURUS_URL,NDFRT_URL,NUCC_TAXONOMY_URL,OBSERVATION_CATEGORY_CODE_SYSTEM,OBSERVATION_CATEGORY_MAPPER,PARTICIPATION_CODE_SYSTEM,PATIENT_NOTES_SECTION_TEMPLATE_IDS,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,PROBLEMS_SECTION_TEMPLATE_IDS,PROBLEM_STATUS_MAPPER,PROCEDURES_SECTION_TEMPLATE_IDS,PROCEDURE_STATUS_MAPPER,RACE_CODE_SYSTEM,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,REFERRAL_TEMPLATE_IDS,RESULTS_SECTION_TEMPLATE_IDS,ROLE_CODE_CODE_SYSTEM,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,SYSTEM_MAPPER,TELECOM_USE_MAPPER,UNII_URL,US_CORE_CONDITION_URL,US_CORE_ETHNICITY_URL,US_CORE_MEDICATION_REQUEST_URL,US_CORE_PATIENT_URL,US_CORE_RACE_URL,US_DRIVER_LICENSE_URL,US_NPI_URL,US_SSN_URL,VA_MEDRT_URL,VITAL_SIGNS_SECTION_TEMPLATE_IDS,XSI_URL,convertCcdaToFhir,convertCcdaToXml,convertFhirToCcda,convertToCompactXml,convertXmlToCcda,mapCcdaCodeToCodeableConcept,mapCcdaSystemToFhir,mapCcdaToFhirDate,mapCcdaToFhirDateTime,mapCodeableConceptToCcdaCode,mapCodeableConceptToCcdaValue,mapCodingToCcdaCode,mapFhirPeriodOrDateTimeToCcda,mapFhirSystemToCcda,mapFhirToCcdaDate,mapFhirToCcdaDateTime,parseXml});
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  /*!
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  * Reconnecting WebSocket
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  * by Pedro Ladaria <pedro.ladaria@gmail.com>