npm - @medplum/ccda - Versions diffs - 5.0.13 → 5.0.15 - Mend

@medplum/ccda 5.0.13 → 5.0.15

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Files changed (8) hide show

package/dist/esm/index.mjs CHANGED Viewed

@@ -1,5 +1,5 @@
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N({},[{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"}]),xr=new N({},[{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"}]),Pr=new N({},[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{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"}]),Rt=new N({},[{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"}]),br=new N({fhirSystemUrl:Is},[{ccdaValue:In,fhirValue:"social-history",displayName:"Social History"},{ccdaValue:Tn,fhirValue:"social-history",displayName:"Social History V2"},{ccdaValue:Re,fhirValue:"social-history",displayName:"Smoking Status"},{ccdaValue:Cn,fhirValue:"social-history",displayName:"Current Smoking Status"},{ccdaValue:De,fhirValue:"social-history",displayName:"Tobacco Use"},{ccdaValue:ct,fhirValue:"social-history",displayName:"Basic Occupation"},{ccdaValue:dt,fhirValue:"social-history",displayName:"Basic Industry"},{ccdaValue:kn,fhirValue:"social-history",displayName:"Sexual Orientation"},{ccdaValue:lt,fhirValue:"social-history",displayName:"Sex Observation"},{ccdaValue:ve,fhirValue:"social-history",displayName:"Gender Identity"},{ccdaValue:Ln,fhirValue:"social-history",displayName:"Gender Identity V2"},{ccdaValue:Ze,fhirValue:"social-history",displayName:"Pregnancy Status"},{ccdaValue:ut,fhirValue:"social-history",displayName:"Tribal Affiliation"},{ccdaValue:Ce,fhirValue:"vital-signs",displayName:"Vital Signs Observation"},{ccdaValue:_n,fhirValue:"vital-signs",displayName:"Vital Signs Observation V2"},{ccdaValue:ye,fhirValue:"vital-signs",displayName:"Vital Signs Organizer"},{ccdaValue:mn,fhirValue:"vital-signs",displayName:"Vital Signs Organizer V2"},{ccdaValue:Gn,fhirValue:"vital-signs",displayName:"Average Blood Pressure Organizer"},{ccdaValue:Oe,fhirValue:"laboratory",displayName:"Result Observation"},{ccdaValue:pn,fhirValue:"laboratory",displayName:"Result Observation V2"},{ccdaValue:wn,fhirValue:"laboratory",displayName:"Laboratory Battery (ID)"},{ccdaValue:Fn,fhirValue:"laboratory",displayName:"Laboratory Observation (ID)"},{ccdaValue:Bn,fhirValue:"laboratory",displayName:"Laboratory Result Organizer (ID)"},{ccdaValue:Te,fhirValue:"laboratory",displayName:"Result Organizer"},{ccdaValue:ln,fhirValue:"laboratory",displayName:"Result Organizer V2"},{ccdaValue:ot,fhirValue:"survey",displayName:"Assessment Scale Observation"},{ccdaValue:st,fhirValue:"survey",displayName:"Assessment Scale Supporting Observation"},{ccdaValue:Sn,fhirValue:"survey",displayName:"Cognitive Status Result Observation"},{ccdaValue:yn,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:ge,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Ae,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:Se,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:k,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:hn,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:On,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:Rn,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Pn,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:ie,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Yn,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:xn,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Mn,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Vn,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]),Lr=new N({fhirSystemUrl:di},[{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"}]);import{XMLBuilder as Ur,XMLParser as Mr}from"fast-xml-parser";var Ms=["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 Mc(t){return new Mr({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Ms.some(a=>r.endsWith(a))}).parse(t).ClinicalDocument}function Vc(t){return new Ur({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":Xn,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function Vr(t){return new Mr({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function wr(t){return t?typeof t=="string"?t:new Ur({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
-`).map(n=>n.trim()).join(""):""}function Hc(t,e){return new pi(t,e).convert()}var pi=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:xe,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&!i.ethnicGroupCode[0]["@_nullFlavor"]&&n.push({url:ht,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:wt(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=li(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"]&&Ut(n["@_root"]));return i?i["@_root"]:je()}mapIdentifiers(e){let i;for(let n of e??f)!n["@_extension"]&&n["@_root"]&&Ut(n["@_root"])||(i=bi(i,{system:X(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"]?St.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(Me)?.filter(Boolean)),e.family&&(i.family=Me(e.family)),e.given&&(i.given=e.given.map(Me)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(Me)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0||e.every(i=>i["@_nullFlavor"]==="UNK")))return e?.map(i=>({use:i["@_use"]?yt.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"]?Ct.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">${wr(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:Ye,code:Tt}]},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 _e:case on:case sn:case an:return this.processAllergyIntoleranceAct(i);case me:case tn:case nn:case rn:return this.processConditionAct(i);case W:return this.processCarePlanAct(i);case Ke:return this.processConditionAct(i);case ie:return this.processProcedureAct(i);case Z:return;case et:return;case Ee: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:[zn]},clinicalStatus:{coding:[{system:si,code:Ue.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:jn,code:"confirmed"}]},category:[{coding:[{system:qn,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:Me(e.text)}}processProcedureAct(e){return{resourceType:"Procedure",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",code:this.mapCode(e.code),subject: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 Xe:case W:return this.processMedicationSubstanceAdministration(i);case he:case fe:return this.processImmunizationSubstanceAdministration(i);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+n)}}processMedicationSubstanceAdministration(e){let i=this.mapId(e.id),n=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],r=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(I=>I.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===at)?.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:[Zn]},extension:this.mapTextReference(e.text),status:Rt.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:xt,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:gt.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=At.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:X(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}],text:e["@_displayName"]};for(let n of e.translation??f)i.coding.push({system:X(n["@_codeSystem"]),code:n["@_code"],display:n["@_displayName"]});return i}mapCodeToCoding(e){if(e)return{system:X(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}createClinicalStatus(e){return{coding:[{system:pt,code:Nt.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:ci,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"]===tt?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 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r=[];for(let s of e.hasMember??f){let a=t.findResourceByReference(s);a?.resourceType==="Observation"&&r.push({"@_typeCode":"COMP",observation:[K(t,a)]})}return{"@_classCode":"OBS","@_moodCode":"EVN",templateId:hi(e,i),id:d(e.id,e.identifier),code:n,statusCode:{"@_code":"completed"},effectiveTime:[Vi(e.effectivePeriod,e.effectiveDateTime)],value:fi(i??e),referenceRange:ma(i?.referenceRange??e.referenceRange),text:m(i?.extension??e.extension),author:t.mapAuthor(e.performer?.[0],e.effectiveDateTime),entryRelationship:r}}function fa(t){return t.code?.coding?.[0]?.code==="d5"?[{"@_root":Ae,"@_extension":"2014-06-09"},{"@_root":Ae}]:[{"@_root":ye},{"@_root":ye,"@_extension":"2015-08-01"}]}function hi(t,e){let i=t.code?.coding?.[0]?.code,n=t.category?.[0]?.coding?.[0]?.code;return i===fr?[{"@_root":Re},{"@_root":Re,"@_extension":"2014-06-09"}]:i===mr?[{"@_root":De},{"@_root":De,"@_extension":"2014-06-09"}]:i===_r?[{"@_root":lt,"@_extension":"2023-06-28"}]:i===Er?[{"@_root":ve},{"@_root":ve,"@_extension":"2016-06-01"}]:i===Sr?[{"@_root":ni},{"@_root":ni,"@_extension":"2023-05-01"}]:i===Cr?[{"@_root":ct,"@_extension":"2023-05-01"}]:i===Nr?[{"@_root":dt,"@_extension":"2023-05-01"}]:i===ui?[{"@_root":Ze}]:i===Ar?[{"@_root":ut,"@_extension":"2023-05-01"}]:i==="d5"?e?.code?.coding?.[0]?.code===yr?[{"@_root":vn}]:[{"@_root":ge,"@_extension":"2014-06-09"},{"@_root":ge}]:n==="exam"?[{"@_root":Se},{"@_root":Se,"@_extension":"2014-06-09"}]:n==="laboratory"?[{"@_root":Oe},{"@_root":Oe,"@_extension":"2015-08-01"}]:n==="survey"?t.hasMember?[{"@_root":ot,"@_extension":"2022-06-01"}]:[{"@_root":st}]:[{"@_root":Ce},{"@_root":Ce,"@_extension":"2014-06-09"}]}function fi(t){if(t.valueQuantity)return{"@_xsi:type":"PQ","@_unit":t.valueQuantity.unit,"@_value":t.valueQuantity.value?.toString()};if(t.valueCodeableConcept)return P(t.valueCodeableConcept);if(t.valueString!==void 0)return{"@_xsi:type":"ST","#text":t.valueString};if(t.valueInteger!==void 0)return{"@_xsi:type":"INT","@_value":t.valueInteger.toString()}}function ma(t){if(!(!t||t.length===0))return t.map(e=>_a(e)).filter(Boolean)}function _a(t){if(!t)return;let e=Ve(t.extension);return e?{observationRange:{text:{reference:e},value:{"@_xsi:type":"ED",reference:e}}}:{observationRange:{text:m(t.extension)}}}function Zr(t,e){let i=[];for(let n of e.result??f){let r=t.findResourceByReference(n);r?.resourceType==="Observation"&&i.push({observation:[K(t,r)]})}return{organizer:[{"@_classCode":"CLUSTER","@_moodCode":"EVN",templateId:[{"@_root":Te},{"@_root":Te,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"completed"},component:i}]}}function Xr(t,e){return{encounter:[{"@_classCode":"ENC","@_moodCode":"EVN",templateId:[{"@_root":Ne},{"@_root":Ne,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),code:l(e.type?.[0]),text:m(e.extension),effectiveTime:Q(void 0,e.period),participant:e.participant?.map(i=>({"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":it}],code:l(i.type?.[0])}})),entryRelationship:e.diagnosis?.map(i=>Ea(t,i)).filter(Boolean)}]}}function Ea(t,e){let i=t.findResourceByReference(e.condition);if(i?.resourceType==="Condition")return{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Ne,"@_extension":"2015-08-01"},{"@_root":Ne}],code:{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":y,"@_codeSystemName":"LOINC"},entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":k,"@_extension":"2015-08-01"},{"@_root":k}],id:d(i.id,i.identifier),code:{"@_code":"282291009","@_displayName":"Diagnosis interpretation","@_codeSystem":x,"@_codeSystemName":"SNOMED CT",translation:[{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":y,"@_codeSystemName":"LOINC"}]},statusCode:{"@_code":"completed"},effectiveTime:q(i.onsetDateTime,i.abatementDateTime),value:P(i.code)}]}]}]}}function Jr(t,e){let i=t.code?.coding?.[0]?.code,n;if(e.category?.[0])n=l(e.category[0]);else if(i===Pe)n={"@_code":hr,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Resident's overall goal established during assessment process"};else if(e.description)n=l(e.description);else return;let r;if(i===_t)r=[{"@_root":rt}];else if(n?.["@_code"]===Ir)r=[{"@_root":oe},{"@_root":oe,"@_extension":"2022-06-01"}];else if(i===Pe)r=[{"@_root":oe}];else return;let o;return 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":Ia(e.lifecycleStatus)},effectiveTime:[{"@_value":T(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":T(e.startDate)}]}]}))}]}}function Ia(t){switch(t){case"completed":return"completed";case"cancelled":return"cancelled";default:return"active"}}function Kr(t,e){let i=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":Xt},{"@_root":Xt,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),text:m(e.extension),statusCode:{"@_code":gt.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":V(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Jt},{"@_root":Jt,"@_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=>Ta(t,r)).filter(Boolean)),n}function Ta(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:b(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:b(r.telecom)}:void 0}}}function eo(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":ei,"@_extension":"2015-08-01"},{"@_root":ei}],id:d(r.id,r.identifier),code:{"@_code":Lr.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":Nn}],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:b(s?.telecom),representedOrganization:{name:s?.name?[s.name]:void 0,telecom:b(s?.telecom),addr:R(s?.address)}}}],participant:[{"@_typeCode":"COV",templateId:[{"@_root":An}],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":V(a.birthDate)}:void 0}}},a?{"@_typeCode":"HLD",templateId:[{"@_root":gn}],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":Kt,"@_extension":"2015-08-01"},{"@_root":Kt}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:i}]}}function to(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=se(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":Qt,"@_extension":"2014-06-09"},{"@_root":Qt}],id:[{"@_root":e.id||crypto.randomUUID()}],text:m(e.extension),statusCode:{"@_code":Rt.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:Oa(e.dosageInstruction?.[0]?.route),doseQuantity:Sa(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":zt,"@_extension":"2014-06-09"},{"@_root":zt}],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":at}],code:{"@_code":lr,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:m(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function Oa(t){if(t)return l(t)}function Sa(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function io(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:Q(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:Q(e.performedDateTime,e.performedPeriod),text:m(e.extension),targetSiteCode:l(e.bodySite?.[0]),participant:[ya(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:hi(e),id:d(e.id,e.identifier),code:l(e.code),value:fi(e),statusCode:{"@_code":"completed"},effectiveTime:Q(e.effectiveDateTime,e.effectivePeriod),text:m(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function ya(t,e){if(!e)return;let i=t.findResourceByReference(e);if(i)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":it}],id:d(i.id,i.identifier),code:l(i.type?.[0]),addr:i.address?R([i.address]):void 0,telecom:b(i.telecom),playingEntity:{"@_classCode":"PLC",name:i.name?[i.name]:void 0}}}}function no(t,e){return e.code?.coding?.[0]?.system===Ge?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":nt},{"@_root":nt,"@_extension":"2014-06-09"},{"@_root":nt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(e.authoredOn)}],text:m(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":rt}],id:d(e.id,e.identifier),code:l(e.code),statusCode:{"@_code":Ca(e.status)},effectiveTime:[{"@_value":T(e.occurrenceDateTime)}],text:m(e.extension)}]}}function Ca(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function ro(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:se(void 0,e.period)}}}function Qu(t,e){return new mi(t,e).convert()}var mi=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===Le)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=Br,r={"@_code":ar,"@_displayName":"Referral Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}):(n=Fr,r={"@_code":Tt,"@_displayName":"Summarization of Episode Note","@_codeSystem":y,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":wi,"@_extension":"POCD_HD000040"},templateId:n,id:d(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:Q(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Rr.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:ro(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:b(this.patient.telecom),patient:Yr(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=kr[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return i===Et&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):i===Le&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,r[0]):{templateId:n,code:l(e.code),title:e.title,text:Gr(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 eo(this,i);case"AllergyIntolerance":return Hr(this,i);case"CarePlan":return $r(this,i);case"CareTeam":return jr(this,i);case"ClinicalImpression":return qr(this,i);case"Condition":return Wr(this,e,i);case"DeviceUseStatement":return Qr(this,i);case"DiagnosticReport":return Zr(this,i);case"Encounter":return Xr(this,i);case"Goal":return Jr(e,i);case"Immunization":return Kr(this,i);case"MedicationRequest":return to(this,i);case"Procedure":return io(this,i);case"Observation":return zr(this,i);case"ServiceRequest":return no(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":Dn}],time:i?{"@_value":T(i)}:void 0,assignedAuthor:{id:d(r.id,r.identifier),addr:R(s),telecom:b(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:b(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":Hn,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(i.id,i.identifier),code:l(i.relationship?.[0]),addr:R(i.address),telecom:b(i.telecom),associatedPerson:{name:Y(i.name)}}}))}createClinicalImpressionSection(e,i){return{templateId:[{"@_root":Je}],code:l(e.code),title:e.title,text:i.summary,author:this.mapAuthor(i.assessor,i.date)}}createReasonForReferralSection(e,i){return{templateId:[{"@_root":Z,"@_extension":"2014-06-09"},{"@_root":Z}],code:l(e.code),title:e.title,text:i.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":bn}],id:d(i.id,i.identifier),code:l(i.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(i.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(i.requester,i.occurrenceDateTime)}]}]}}};export{di as ACT_CODE_SYSTEM,yt as ADDRESS_USE_MAPPER,Os as ADDRESS_USE_VALUE_SET,_s as ADMINISTRATIVE_GENDER_CODE_SYSTEM,ys as ADMINISTRATIVE_GENDER_VALUE_SET,Vs as ALLERGIES_SECTION_TEMPLATE_IDS,vr as ALLERGY_CATEGORY_MAPPER,pt as ALLERGY_CLINICAL_CODE_SYSTEM,At as ALLERGY_SEVERITY_MAPPER,Nt as ALLERGY_STATUS_MAPPER,ci as ALLERGY_VERIFICATION_CODE_SYSTEM,js as ASSESSMENTS_SECTION_TEMPLATE_IDS,Ks as CARE_TEAM_SECTION_TEMPLATE_IDS,ft as CCDA_NARRATIVE_REFERENCE_URL,Dc as CCDA_TEMPLATE_CODE_SYSTEM,Fr as CCDA_TEMPLATE_IDS,si as CLINICAL_CONDITION_CODE_SYSTEM,Qc as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,qn as CONDITION_CATEGORY_CODE_SYSTEM,jn as CONDITION_VERIFICATION_CODE_SYSTEM,ai as CONDITION_VER_STATUS_CODE_SYSTEM,Es as CONFIDENTIALITY_CODE_SYSTEM,Rr as CONFIDENTIALITY_MAPPER,Cs as CONTACT_ENTITY_USE_VALUE_SET,bs as CVX_URL,$s as DEVICES_SECTION_TEMPLATE_IDS,Qn as DIAGNOSIS_ROLE_CODE_SYSTEM,Ws as ENCOUNTERS_SECTION_TEMPLATE_IDS,xr as ENCOUNTER_STATUS_MAPPER,N as EnumMapper,Ls as FHIR_CVX_URL,Us as FHIR_ICF_URL,ta as FUNCTIONAL_STATUS_TEMPLATE_IDS,mi as FhirToCcdaConverter,Dr as GENDER_MAPPER,Qs as GOALS_SECTION_TEMPLATE_IDS,zs as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,J as HTTP,St as HUMAN_NAME_USE_MAPPER,Bs as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,gt as IMMUNIZATION_STATUS_MAPPER,Lr as INSURANCE_COVERAGE_TYPE_MAPPER,ea as INSURANCE_SECTION_TEMPLATE_IDS,zc as LAB_TESTS_SECTION_TEMPLATE_IDS,Sc as LANGUAGE_MODE_CODE_SYSTEM,Ac as LANGUAGE_MODE_URL,yc as LANGUAGE_PROFICIENCY_CODE_SYSTEM,gc as LANGUAGE_PROFICIENCY_URL,_r as LOINC_ADMINISTRATIVE_SEX,Jn as LOINC_ALLERGIES_SECTION,Et as LOINC_ASSESSMENTS_SECTION,Er as LOINC_BIRTH_SEX,dr as LOINC_CARE_TEAM_SECTION,Tr as LOINC_CLINICAL_FINDING,pr as LOINC_CONDITION,or as LOINC_DEVICES_SECTION,Sr as LOINC_DISABILITY_STATUS,sr as LOINC_ENCOUNTERS_SECTION,yr as LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE,Or as LOINC_FUNCTIONAL_STATUS_SECTION,Pe as LOINC_GOALS_SECTION,be as LOINC_HEALTH_CONCERNS_SECTION,Cr as LOINC_HISTORY_OF_OCCUPATION,Nr as LOINC_HISTORY_OF_OCCUPATION_INDUSTRY,Ir as LOINC_HISTORY_OF_SOCIAL_FUNCTION,mr as LOINC_HISTORY_OF_TOBACCO_USE,Kn as LOINC_IMMUNIZATIONS_SECTION,ur as LOINC_INSURANCE_SECTION,er as LOINC_MEDICATIONS_SECTION,lr as LOINC_MEDICATION_INSTRUCTIONS,cr as LOINC_MENTAL_STATUS_SECTION,It as LOINC_NOTES_SECTION,vc as LOINC_NOTE_DOCUMENT,hr as LOINC_OVERALL_GOAL,xc as LOINC_PATIENT_SUMMARY_DOCUMENT,_t as LOINC_PLAN_OF_TREATMENT_SECTION,ui as LOINC_PREGNANCY_STATUS,mt as LOINC_PROBLEMS_SECTION,rr as LOINC_PROCEDURES_SECTION,Le as LOINC_REASON_FOR_REFERRAL_SECTION,ar as LOINC_REFERRAL_NOTE,tr as LOINC_RESULTS_SECTION,ir as LOINC_SOCIAL_HISTORY_SECTION,Tt as LOINC_SUMMARY_OF_EPISODE_NOTE,fr as LOINC_TOBACCO_SMOKING_STATUS,kr as LOINC_TO_TEMPLATE_IDS,Ar as LOINC_TRIBAL_AFFILIATION,nr as LOINC_VITAL_SIGNS_SECTION,ws as MEDICATIONS_SECTION_TEMPLATE_IDS,Nc as MEDICATION_REQUEST_STATUS_VALUE_SET,Rt as MEDICATION_STATUS_MAPPER,Xs as MENTAL_STATUS_SECTION_TEMPLATE_IDS,Ss as NAME_USE_VALUE_SET,Ns as NCI_THESAURUS_URL,Ps as NDFRT_URL,vs as NUCC_TAXONOMY_URL,Is as OBSERVATION_CATEGORY_CODE_SYSTEM,br as OBSERVATION_CATEGORY_MAPPER,Wn as PARTICIPATION_CODE_SYSTEM,Js as PATIENT_NOTES_SECTION_TEMPLATE_IDS,qs as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,Fs as PROBLEMS_SECTION_TEMPLATE_IDS,Ue as PROBLEM_STATUS_MAPPER,Gs as PROCEDURES_SECTION_TEMPLATE_IDS,Pr as PROCEDURE_STATUS_MAPPER,Cc as RACE_CODE_SYSTEM,Zs as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Br as REFERRAL_TEMPLATE_IDS,Hs as RESULTS_SECTION_TEMPLATE_IDS,Ts as ROLE_CODE_CODE_SYSTEM,Ys as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,Ot as SYSTEM_MAPPER,Ct as TELECOM_USE_MAPPER,Ds as UNII_URL,zn as US_CORE_CONDITION_URL,ht as US_CORE_ETHNICITY_URL,Zn as US_CORE_MEDICATION_REQUEST_URL,Rc as US_CORE_PATIENT_URL,xe as US_CORE_RACE_URL,gs as US_DRIVER_LICENSE_URL,Rs as US_NPI_URL,As as US_SSN_URL,xs as VA_MEDRT_URL,ks as VITAL_SIGNS_SECTION_TEMPLATE_IDS,Xn as XSI_URL,Hc as convertCcdaToFhir,Vc as convertCcdaToXml,Qu as convertFhirToCcda,wr as convertToCompactXml,Mc as convertXmlToCcda,li as mapCcdaCodeToCodeableConcept,X as mapCcdaSystemToFhir,wt as mapCcdaToFhirDate,C as mapCcdaToFhirDateTime,l as mapCodeableConceptToCcdaCode,P as mapCodeableConceptToCcdaValue,$n as mapCodingToCcdaCode,Vi as mapFhirPeriodOrDateTimeToCcda,gr as mapFhirSystemToCcda,V as mapFhirToCcdaDate,T as mapFhirToCcdaDateTime,Vr as parseXml};
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A({ccdaSystemOid:kt,fhirSystemUrl:Is},[{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"}]),yt=new A({fhirSystemUrl:ys},[{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"}]),vr=new A({fhirSystemUrl:Cs},[{ccdaValue:"F",fhirValue:"female",displayName:"Female"},{ccdaValue:"M",fhirValue:"male",displayName:"Male"},{ccdaValue:"UN",fhirValue:"unknown",displayName:"Unknown"},{ccdaValue:"UN",fhirValue:"other",displayName:"Other"}]),Ct=new A({fhirSystemUrl:Ss},[{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"WP",fhirValue:"work",displayName:"Work"}]),gt=new A({fhirSystemUrl:gs},[{ccdaValue:"WP",fhirValue:"work",displayName:"Work"},{ccdaValue:"HP",fhirValue:"home",displayName:"Home"},{ccdaValue:"MC",fhirValue:"mobile",displayName:"Mobile"}]),At=new A({fhirSystemUrl:di},[{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"}]),xr=new A({ccdaSystemOid:x,fhirSystemUrl:ht},[{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)"}]),Nt=new A({ccdaSystemOid:x,fhirSystemUrl:ht},[{ccdaValue:"255604002",fhirValue:"mild",displayName:"Mild"},{ccdaValue:"6736007",fhirValue:"moderate",displayName:"Moderate"},{ccdaValue:"24484000",fhirValue:"severe",displayName:"Severe"}]),Me=new A({fhirSystemUrl:ci},[{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"}]),Rt=new A({},[{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"}]),Pr=new A({},[{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"}]),br=new A({},[{ccdaValue:"completed",fhirValue:"completed",displayName:"Completed"},{ccdaValue:"active",fhirValue:"active",displayName:"Active"},{ccdaValue:"aborted",fhirValue:"stopped",displayName:"Stopped"},{ccdaValue:"cancelled",fhirValue:"not-done",displayName:"Not 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Observation"},{ccdaValue:Cn,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:Re,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Ne,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:ye,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:B,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:fn,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:Sn,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:Dn,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:bn,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:ie,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Gn,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:Pn,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:Vn,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:wn,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]),Ur=new A({fhirSystemUrl:ui},[{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"}]);import{XMLBuilder as Mr,XMLParser as Vr}from"fast-xml-parser";var Vs=["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 kc(t){return new Vr({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,isArray:(n,r,o,s)=>Vs.some(a=>r.endsWith(a))}).parse(t).ClinicalDocument}function Bc(t){return new Mr({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":Jn,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function wr(t){return new Vr({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function Fr(t){return t?typeof t=="string"?t:new Mr({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
+`).map(n=>n.trim()).join(""):""}function Qc(t,e){return new hi(pt(t),e).convert()}var hi=class{constructor(e,i){R(this,"ccda");R(this,"options");R(this,"resources",[]);R(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&&n.push({url:Pe,extension:i.raceCode.map(r=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(r)}))}),i.ethnicGroupCode&&i.ethnicGroupCode.length>0&&n.push({url:ft,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:Ft(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=pi(n.code);return{resourceType:"RelatedPerson",id:this.mapId(n.id),patient:T(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"]&&Mt(n["@_root"]));return i?i["@_root"]:je()}mapIdentifiers(e){let i;for(let n of e??f)!n["@_extension"]&&n["@_root"]&&Mt(n["@_root"])||(i=Li(i,{system:X(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"]?yt.mapCcdaToFhir(e["@_use"]):void 0;return n&&(i.use=n),e.prefix&&(i.prefix=e.prefix.map(se)?.filter(Boolean)),e.family&&(i.family=se(e.family)),e.given&&(i.given=e.given.map(se)?.filter(Boolean)),e.suffix&&(i.suffix=e.suffix.map(se)?.filter(Boolean)),i}mapAddresses(e){if(!(!e||e.length===0))return e?.map(i=>({use:i["@_use"]?Ct.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))return e?.map(i=>({use:i["@_use"]?gt.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">${Fr(r.text)}</div>`},entry:o.map(T)}),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:Ye,code:Ot}]},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:g(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){let o=this.processObservation(e,r);o&&n.push(o)}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 Ee:case sn:case an:case cn:return this.processAllergyIntoleranceAct(i);case _e:case nn:case rn:case on:return this.processConditionAct(i);case W:return this.processCarePlanAct(i);case Ke:return this.processConditionAct(i);case ie:return this.processProcedureAct(i);case Z:return;case et:return;case Ie: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:T(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:[Zn]},clinicalStatus:{coding:[{system:ai,code:Me.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:qn,code:"confirmed"}]},category:[{coding:[{system:Wn,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(i.value),subject:T(this.patient),onsetDateTime:g(i.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:g(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:T(this.patient),description:se(e.text)}}processProcedureAct(e){return{resourceType:"Procedure",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"completed",code:this.mapCode(e.code),subject:T(this.patient),performedDateTime:g(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 Xe:case W:return this.processMedicationSubstanceAdministration(i);case fe:case me: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(E=>E.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===at)?.substanceAdministration?.[0],l,I;return s?l={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}:I={...this.mapCode(n),extension:this.mapTextReference(n?.originalText)},{resourceType:"MedicationRequest",id:i,contained:l?[l]:void 0,meta:{profile:[Xn]},extension:this.mapTextReference(e.text),status:Dt.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:l?{reference:"#med-"+i}:void 0,medicationCodeableConcept:I,subject:T(this.patient),authoredOn:g(e.author?.[0]?.time?.["@_value"]),dispenseRequest:e.effectiveTime?.[0]?{validityPeriod:{start:g(e.effectiveTime?.[0]?.low?.["@_value"]),end:g(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:Pt,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:Rt.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(i.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:T(this.patient),occurrenceDateTime:g(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:g(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=Nt.mapCcdaToFhir(r)),i.extension=this.mapTextReference(n.text)}mapEffectiveTimeToDateTime(e){if(e?.["@_value"])return g(e["@_value"]);if(e?.low?.["@_value"])return g(e.low["@_value"])}mapEffectiveTimeToPeriod(e){if(!e?.["@_value"]&&(e?.low||e?.high))return{start:g(e?.low?.["@_value"]),end:g(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=[],n=X(e["@_codeSystem"]),r=e["@_code"],o=e["@_displayName"];(n||r||o)&&i.push({...n&&{system:n},...r&&{code:r},...o&&{display:o}});for(let a of e.translation??f){let l=X(a["@_codeSystem"]),I=a["@_code"],E=a["@_displayName"];(l||I||E)&&i.push({...l&&{system:l},...I&&{code:I},...E&&{display:E}})}let s=e["@_displayName"]||e.originalText?.reference?.["@_value"]||se(e.originalText);return i.length===0?s?{text:s}:void 0:{coding:i,...s&&{text:s}}}mapCodeToCoding(e){if(e)return{system:X(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}mapQualification(e){let i=this.mapCode(e);if(i)return[{code:i}]}createClinicalStatus(e){return{coding:[{system:ht,code:At.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:di,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:this.mapQualification(e.assignedAuthor?.code)};return this.resources.push(i),T(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:T(r),organization:T(o)};return this.resources.push(s),T(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),T(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"]===tt?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:T(this.patient)};e.effectiveTime?.[0]?.["@_value"]&&(i.effectiveDateTime=g(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);r&&(i.push(T(r)),this.resources.push(r))}return i}processObservation(e,i){let n=i.templateId[0]["@_root"];if(n===Te||n===oe)return this.processGoalObservation(i);switch(e.templateId[0]["@_root"]){case W:case Te: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=pi(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:g(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:T(this.patient),startDate:Ft(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=this.mapCode(e.code);if(!i)return;let n={resourceType:"Observation",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:"final",category:this.mapObservationTemplateIdToObservationCategory(e.templateId),code:i,subject:T(this.patient),referenceRange:this.mapReferenceRangeArray(e.referenceRange),performer:e.author?.map(o=>this.mapAuthorToReference(o)).filter(Boolean)};if(e.value?.["@_xsi:type"])switch(e.value["@_xsi:type"]){case"PQ":case"CO":n.valueQuantity={value:e.value["@_value"]?Number.parseFloat(e.value["@_value"]):void 0,unit:e.value["@_unit"],system:Pt,code:e.value["@_unit"]};break;case"CD":case"CE":n.valueCodeableConcept=this.mapCode(e.value);break;case"ST":n.valueString=e.value["#text"]??"";break;case"INT":n.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"]&&(n.effectiveDateTime=g(e.effectiveTime?.[0]?.["@_value"])),n.extension=this.mapTextReference(e.text);let r=e.entryRelationship;for(let o of r??f){let s=o.observation;for(let a of s??f){let l=this.processVitalsObservation(a);l&&(this.resources.push(l),n.hasMember||(n.hasMember=[]),n.hasMember.push(T(l)))}}return n}mapObservationTemplateIdToObservationCategory(e){if(!e)return;let i=new Set,n=[];for(let r of e){let o=Lr.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 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if(i===be)n={"@_code":fr,"@_codeSystem":C,"@_codeSystemName":"LOINC","@_displayName":"Resident's overall goal established during assessment process"};else if(e.description)n=p(e.description);else return;let r;if(i===Et)r=[{"@_root":rt}];else if(n?.["@_code"]===Tr)r=[{"@_root":oe},{"@_root":oe,"@_extension":"2022-06-01"}];else if(i===be)r=[{"@_root":oe}];else return;let o;return 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":Ta(e.lifecycleStatus)},effectiveTime:[{"@_value":O(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:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":O(e.startDate)}]}]}))}]}}function Ta(t){switch(t){case"completed":return"completed";case"cancelled":return"cancelled";default:return"active"}}function eo(t,e){let i=e?.manufacturer,n={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":Jt},{"@_root":Jt,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),text:m(e.extension),statusCode:{"@_code":Rt.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":V(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Kt},{"@_root":Kt,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[p(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=>Oa(t,r)).filter(Boolean)),n}function Oa(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:D(n?.address),telecom:b(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:D(r.address),telecom:b(r.telecom)}:void 0}}}function to(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(l=>l.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":ti,"@_extension":"2015-08-01"},{"@_root":ti}],id:d(r.id,r.identifier),code:{"@_code":Ur.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":An}],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:D(s?.address),telecom:b(s?.telecom),representedOrganization:{name:s?.name?[s.name]:void 0,telecom:b(s?.telecom),addr:D(s?.address)}}}],participant:[{"@_typeCode":"COV",templateId:[{"@_root":Nn}],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:D(a?.address),playingEntity:{"@_classCode":"PSN",name:Y(a?.name),"sdtc:birthTime":a?.birthDate?{"@_value":V(a.birthDate)}:void 0}}},a?{"@_typeCode":"HLD",templateId:[{"@_root":Rn}],participantRole:{id:[{"@_root":"2.16.840.1.113883.6.300","@_extension":a.identifier?.[0]?.value||"888009335"}],addr:D(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":ei,"@_extension":"2015-08-01"},{"@_root":ei}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":C,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:i}]}}function io(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=ae(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":zt,"@_extension":"2014-06-09"},{"@_root":zt}],id:[{"@_root":e.id||crypto.randomUUID()}],text:m(e.extension),statusCode:{"@_code":Dt.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:Sa(e.dosageInstruction?.[0]?.route),doseQuantity:ya(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":Zt,"@_extension":"2014-06-09"},{"@_root":Zt}],manufacturedMaterial:[{code:[{...p(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":at}],code:{"@_code":pr,"@_codeSystem":C,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:m(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function Sa(t){if(t)return p(t)}function ya(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function no(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:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:Q(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:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:Q(e.performedDateTime,e.performedPeriod),text:m(e.extension),targetSiteCode:p(e.bodySite?.[0]),participant:[Ca(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:fi(e),id:d(e.id,e.identifier),code:p(e.code),value:mi(e),statusCode:{"@_code":"completed"},effectiveTime:Q(e.effectiveDateTime,e.effectivePeriod),text:m(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function Ca(t,e){if(!e)return;let i=t.findResourceByReference(e);if(i)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":it}],id:d(i.id,i.identifier),code:p(i.type?.[0]),addr:i.address?D([i.address]):void 0,telecom:b(i.telecom),playingEntity:{"@_classCode":"PLC",name:i.name?[i.name]:void 0}}}}function ro(t,e){return e.code?.coding?.[0]?.system===Ge?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":nt},{"@_root":nt,"@_extension":"2014-06-09"},{"@_root":nt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":O(e.authoredOn)}],text:m(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":rt}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":ga(e.status)},effectiveTime:[{"@_value":O(e.occurrenceDateTime)}],text:m(e.extension)}]}}function ga(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function oo(t){if(!t||t.length===0)return;let e=t[0];if(!(!e||!e.code&&!e.period))return{serviceEvent:{"@_classCode":"PCPR",code:p(e.code?.[0]),effectiveTime:ae(void 0,e.period)}}}function Ku(t,e){return new _i(t,e).convert()}var _i=class{constructor(e,i){R(this,"bundle");R(this,"options");R(this,"composition");R(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===Ue)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),n,r;return this.options?.type==="referral"?(n=Br,r={"@_code":cr,"@_displayName":"Referral Note","@_codeSystem":C,"@_codeSystemName":"LOINC"}):(n=kr,r={"@_code":Ot,"@_displayName":"Summarization of Episode Note","@_codeSystem":C,"@_codeSystemName":"LOINC"}),{realmCode:{"@_code":"US"},typeId:{"@_root":Fi,"@_extension":"POCD_HD000040"},templateId:n,id:d(this.composition.id,void 0),code:r,title:this.composition.title,effectiveTime:Q(this.composition.date,void 0),confidentialityCode:this.composition.confidentiality?Dr.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:oo(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:D(this.patient.address),telecom:b(this.patient.telecom),patient:Gr(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=Yr[i];if(!n)throw new Error(`Unknown section code: ${i}`);let r=this.findResourcesByReferences(e.entry);return i===It&&r.length===1&&r[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,r[0]):i===Ue&&r.length===1&&r[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,r[0]):{templateId:n,code:p(e.code),title:e.title,text:Hr(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 to(this,i);case"AllergyIntolerance":return $r(this,i);case"CarePlan":return jr(this,i);case"CareTeam":return qr(this,i);case"ClinicalImpression":return Wr(this,i);case"Condition":return Qr(this,e,i);case"DeviceUseStatement":return zr(this,i);case"DiagnosticReport":return Xr(this,i);case"Encounter":return Jr(this,i);case"Goal":return Kr(e,i);case"Immunization":return eo(this,i);case"MedicationRequest":return io(this,i);case"Procedure":return no(this,i);case"Observation":return Zr(this,i);case"ServiceRequest":return ro(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 l;"qualification"in r&&(l=r.qualification?.[0]?.code);let I;return["Patient","Practitioner","RelatedPerson"].includes(r.resourceType)&&(I=r.name),[{templateId:[{"@_root":vn}],time:i?{"@_value":O(i)}:void 0,assignedAuthor:{id:d(r.id,r.identifier),addr:D(s),telecom:b(a),code:p(l),assignedPerson:I?{name:Y(I)}:void 0,assignedAuthoringDevice:!I&&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:b(i.telecom),addr:D(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":$n,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(i.id,i.identifier),code:p(i.relationship?.[0]),addr:D(i.address),telecom:b(i.telecom),associatedPerson:{name:Y(i.name)}}}))}createClinicalImpressionSection(e,i){return{templateId:[{"@_root":Je}],code:p(e.code),title:e.title,text:i.summary,author:this.mapAuthor(i.assessor,i.date)}}createReasonForReferralSection(e,i){return{templateId:[{"@_root":Z,"@_extension":"2014-06-09"},{"@_root":Z}],code:p(e.code),title:e.title,text:i.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Ln}],id:d(i.id,i.identifier),code:p(i.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":O(i.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(i.requester,i.occurrenceDateTime)}]}]}}};export{ui as ACT_CODE_SYSTEM,Ct as ADDRESS_USE_MAPPER,Ss as ADDRESS_USE_VALUE_SET,Es as ADMINISTRATIVE_GENDER_CODE_SYSTEM,Cs as ADMINISTRATIVE_GENDER_VALUE_SET,ws as ALLERGIES_SECTION_TEMPLATE_IDS,xr as ALLERGY_CATEGORY_MAPPER,ht as ALLERGY_CLINICAL_CODE_SYSTEM,Nt as ALLERGY_SEVERITY_MAPPER,At as ALLERGY_STATUS_MAPPER,di as ALLERGY_VERIFICATION_CODE_SYSTEM,qs as ASSESSMENTS_SECTION_TEMPLATE_IDS,ea as CARE_TEAM_SECTION_TEMPLATE_IDS,mt as CCDA_NARRATIVE_REFERENCE_URL,bc as CCDA_TEMPLATE_CODE_SYSTEM,kr as CCDA_TEMPLATE_IDS,ai as CLINICAL_CONDITION_CODE_SYSTEM,Kc as CLINICAL_NOTES_SECTION_TEMPLATE_IDS,Wn as CONDITION_CATEGORY_CODE_SYSTEM,qn as CONDITION_VERIFICATION_CODE_SYSTEM,ci as CONDITION_VER_STATUS_CODE_SYSTEM,Is as CONFIDENTIALITY_CODE_SYSTEM,Dr as CONFIDENTIALITY_MAPPER,gs as CONTACT_ENTITY_USE_VALUE_SET,Ls as CVX_URL,js as DEVICES_SECTION_TEMPLATE_IDS,zn as DIAGNOSIS_ROLE_CODE_SYSTEM,Qs as ENCOUNTERS_SECTION_TEMPLATE_IDS,Pr as ENCOUNTER_STATUS_MAPPER,A as EnumMapper,Us as FHIR_CVX_URL,Ms as FHIR_ICF_URL,ia as FUNCTIONAL_STATUS_TEMPLATE_IDS,_i as FhirToCcdaConverter,vr as GENDER_MAPPER,zs as GOALS_SECTION_TEMPLATE_IDS,Zs as HEALTH_CONCERNS_SECTION_TEMPLATE_IDS,J as HTTP,yt as HUMAN_NAME_USE_MAPPER,Bs as IMMUNIZATIONS_SECTION_TEMPLATE_IDS,Rt as IMMUNIZATION_STATUS_MAPPER,Ur as INSURANCE_COVERAGE_TYPE_MAPPER,ta as INSURANCE_SECTION_TEMPLATE_IDS,ed as LAB_TESTS_SECTION_TEMPLATE_IDS,Ac as LANGUAGE_MODE_CODE_SYSTEM,vc as LANGUAGE_MODE_URL,Nc as LANGUAGE_PROFICIENCY_CODE_SYSTEM,xc as LANGUAGE_PROFICIENCY_URL,Er as LOINC_ADMINISTRATIVE_SEX,Kn as LOINC_ALLERGIES_SECTION,It as LOINC_ASSESSMENTS_SECTION,Ir as LOINC_BIRTH_SEX,ur as LOINC_CARE_TEAM_SECTION,Or as LOINC_CLINICAL_FINDING,hr as LOINC_CONDITION,sr as LOINC_DEVICES_SECTION,yr as LOINC_DISABILITY_STATUS,ar as LOINC_ENCOUNTERS_SECTION,Cr as LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE,Sr as LOINC_FUNCTIONAL_STATUS_SECTION,be as LOINC_GOALS_SECTION,Le as LOINC_HEALTH_CONCERNS_SECTION,gr as LOINC_HISTORY_OF_OCCUPATION,Ar as LOINC_HISTORY_OF_OCCUPATION_INDUSTRY,Tr as LOINC_HISTORY_OF_SOCIAL_FUNCTION,_r as LOINC_HISTORY_OF_TOBACCO_USE,er as LOINC_IMMUNIZATIONS_SECTION,lr as LOINC_INSURANCE_SECTION,tr as LOINC_MEDICATIONS_SECTION,pr as LOINC_MEDICATION_INSTRUCTIONS,dr as LOINC_MENTAL_STATUS_SECTION,Tt as LOINC_NOTES_SECTION,Lc as LOINC_NOTE_DOCUMENT,fr as LOINC_OVERALL_GOAL,Uc as LOINC_PATIENT_SUMMARY_DOCUMENT,Et as LOINC_PLAN_OF_TREATMENT_SECTION,li as LOINC_PREGNANCY_STATUS,_t as LOINC_PROBLEMS_SECTION,or as LOINC_PROCEDURES_SECTION,Ue as LOINC_REASON_FOR_REFERRAL_SECTION,cr as LOINC_REFERRAL_NOTE,ir as LOINC_RESULTS_SECTION,nr as LOINC_SOCIAL_HISTORY_SECTION,Ot as LOINC_SUMMARY_OF_EPISODE_NOTE,mr as LOINC_TOBACCO_SMOKING_STATUS,Yr as LOINC_TO_TEMPLATE_IDS,Nr as LOINC_TRIBAL_AFFILIATION,rr as LOINC_VITAL_SIGNS_SECTION,Fs as MEDICATIONS_SECTION_TEMPLATE_IDS,Dc as MEDICATION_REQUEST_STATUS_VALUE_SET,Dt as MEDICATION_STATUS_MAPPER,Js as MENTAL_STATUS_SECTION_TEMPLATE_IDS,ys as NAME_USE_VALUE_SET,As as NCI_THESAURUS_URL,bs as NDFRT_URL,xs as NUCC_TAXONOMY_URL,Ts as OBSERVATION_CATEGORY_CODE_SYSTEM,Lr as OBSERVATION_CATEGORY_MAPPER,Qn as PARTICIPATION_CODE_SYSTEM,Ks as PATIENT_NOTES_SECTION_TEMPLATE_IDS,Ws as PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS,ks as PROBLEMS_SECTION_TEMPLATE_IDS,Me as PROBLEM_STATUS_MAPPER,Hs as PROCEDURES_SECTION_TEMPLATE_IDS,br as PROCEDURE_STATUS_MAPPER,Rc as RACE_CODE_SYSTEM,Xs as REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS,Br as REFERRAL_TEMPLATE_IDS,$s as RESULTS_SECTION_TEMPLATE_IDS,Os as ROLE_CODE_CODE_SYSTEM,Gs as SOCIAL_HISTORY_SECTION_TEMPLATE_IDS,St as SYSTEM_MAPPER,gt as TELECOM_USE_MAPPER,vs as UNII_URL,Zn as US_CORE_CONDITION_URL,ft as US_CORE_ETHNICITY_URL,Xn as US_CORE_MEDICATION_REQUEST_URL,Pc as US_CORE_PATIENT_URL,Pe as US_CORE_RACE_URL,Rs as US_DRIVER_LICENSE_URL,Ds as US_NPI_URL,Ns as US_SSN_URL,Ps as VA_MEDRT_URL,Ys as VITAL_SIGNS_SECTION_TEMPLATE_IDS,Jn as XSI_URL,Qc as convertCcdaToFhir,Bc as convertCcdaToXml,Ku as convertFhirToCcda,Fr as convertToCompactXml,kc as convertXmlToCcda,pi as mapCcdaCodeToCodeableConcept,X as mapCcdaSystemToFhir,Ft as mapCcdaToFhirDate,g as mapCcdaToFhirDateTime,p as mapCodeableConceptToCcdaCode,P as mapCodeableConceptToCcdaValue,jn as mapCodingToCcdaCode,wi as mapFhirPeriodOrDateTimeToCcda,Rr as mapFhirSystemToCcda,V as mapFhirToCcdaDate,O as mapFhirToCcdaDateTime,wr as parseXml};
 /*!
  * Reconnecting WebSocket
  * by Pedro Ladaria <pedro.ladaria@gmail.com>