@medplum/ccda 5.1.38 → 5.1.40

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Files changed (5) hide show
  1. package/dist/cjs/index.cjs +2 -2
  2. package/dist/cjs/index.cjs.map +3 -3
  3. package/dist/esm/index.mjs +2 -2
  4. package/dist/esm/index.mjs.map +3 -3
  5. package/package.json +4 -4
package/dist/cjs/index.cjs CHANGED
@@ -1,5 +1,5 @@
1
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Observation"},{ccdaValue:Nn,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:we,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Me,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:Pe,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:$,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:_n,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:Cn,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:xn,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Un,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:se,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Hn,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:Ln,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:kn,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Fn,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]),li=new g({fhirSystemUrl:Ft},[{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 me=require("fast-xml-parser");var Oa=["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","routeCode.translation","methodCode.translation","targetSiteCode.translation","approachSiteCode.translation","administrationUnitCode.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 ya(t){return new me.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,jPath:!0,isArray:(i,n,o,s)=>Oa.some(a=>n.endsWith(a))}).parse(t).ClinicalDocument}function Ca(t){return new me.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":Dr,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function pi(t){return new me.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function hi(t){return t?typeof t=="string"?t:new me.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
2
- `).map(i=>i.trim()).join(""):""}function ga(t,e){return new fi(Mt(t),e).convert()}var fi=class{constructor(e,r){D(this,"ccda");D(this,"options");D(this,"resources",[]);D(this,"patient");this.ccda=e,this.options=r}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(r=>({resource:r}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e),this.createRelatedPersons())}createPatient(e){let r=e.patient,i=[];return r.raceCode&&r.raceCode.length>0&&i.push({url:ue,extension:r.raceCode.map(n=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(n)}))}),r.ethnicGroupCode&&r.ethnicGroupCode.length>0&&i.push({url:Ye,extension:r.ethnicGroupCode.map(n=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(n)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(r.name),gender:this.mapGenderCode(r.administrativeGenderCode?.["@_code"]),birthDate:ft(r.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:i.length>0?i:void 0}}createRelatedPersons(){let e=this.ccda.participant;for(let r of e??m){let i=this.mapParticipantToRelatedPerson(r);i&&this.resources.push(i)}}mapParticipantToRelatedPerson(e){let r=this.patient;if(!r)return;let i=e.associatedEntity;if(!i)return;let n=Yt(i.code);return{resourceType:"RelatedPerson",id:this.mapId(i.id),patient:I(r),relationship:n?[n]:void 0,identifier:this.mapIdentifiers(i.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.associatedPerson?.name),address:this.mapAddresses(i.addr),telecom:this.mapTelecom(i.telecom)}}mapId(e){let r=e?.find(i=>!i["@_extension"]&&i["@_root"]&&Zt(i["@_root"]));return r?r["@_root"]:ht()}mapIdentifiers(e){let r;for(let i of e??m)!i["@_extension"]&&i["@_root"]&&Zt(i["@_root"])||(r=wi(r,{system:J(i["@_root"]),value:i["@_extension"]}));return r}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(r=>this.mapCcdaNameToFhirHumanName(r)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let r={},i=e["@_use"]?ze.mapCcdaToFhir(e["@_use"]):void 0;return i&&(r.use=i),e.prefix&&(r.prefix=e.prefix.map(B)?.filter(Boolean)),e.family&&(r.family=B(e.family)),e.given&&(r.given=e.given.map(B)?.filter(Boolean)),e.suffix&&(r.suffix=e.suffix.map(B)?.filter(Boolean)),r}mapAddresses(e){if(!(!e||e.length===0))return e?.map(r=>({use:r["@_use"]?Ze.mapCcdaToFhir(r["@_use"]):void 0,line:r.streetAddressLine?.map(B).filter(Boolean),city:B(r.city),state:B(r.state),postalCode:B(r.postalCode),country:B(r.country)}))}mapTelecom(e){if(!(!e||e.length===0))return e?.map(r=>({use:r["@_use"]?Je.mapCcdaToFhir(r["@_use"]):void 0,system:this.getTelecomSystem(r["@_value"]),value:this.getTelecomValue(r["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],r=[];for(let i of e)for(let n of i.section){let o=this.processSection(n);r.push({title:n.title,code:this.mapCode(n.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${hi(n.text)}</div>`},entry:o.map(I)}),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:dt,code:We}]},confidentiality:this.ccda.confidentialityCode?.["@_code"],author:this.ccda.author?.[0]?[this.mapAuthorToReference(this.ccda.author?.[0])]:[{display:"Medplum"}],custodian:this.mapCustodianToReference(this.ccda.custodian),event:this.mapDocumentationOfToEvent(this.ccda.documentationOf),date:C(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:r}}processSection(e){let r=[];for(let i of e.entry??m)this.processEntry(e,i,r);return r}processEntry(e,r,i){for(let n of r.act??m){let o=this.processAct(e,n);o&&i.push(o)}for(let n of r.substanceAdministration??m){let o=this.processSubstanceAdministration(e,n);o&&i.push(o)}for(let n of r.organizer??m)i.push(this.processOrganizer(e,n));for(let n of r.observation??m){let o=this.processObservation(e,n);o&&i.push(o)}for(let n of r.encounter??m)i.push(this.processEncounter(e,n));for(let n of r.procedure??m)i.push(this.processProcedure(e,n))}processAct(e,r){let i=e.templateId[0]["@_root"];switch(i){case Re:case cn:case dn:case un:return this.processAllergyIntoleranceAct(r);case Ne:case on:case sn:case an:return this.processConditionAct(r);case Z:return this.processCarePlanAct(r);case yt:return this.processConditionAct(r);case se:return this.processProcedureAct(r);case te:return;case Ct:return;case Ae:return;default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled act templateId: "+i)}}processAllergyIntoleranceAct(e){let r=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!r)return;let i={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:I(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(r.effectiveTime?.[0])};r.value?.["@_code"]==="414285001"&&(i.category=["food"]),i.extension=this.mapTextReference(r.text);let n=r.participant?.[0]?.participantRole?.playingEntity?.code;n&&(i.code=this.mapCode(n),i.code&&n.originalText?.reference?.["@_value"]&&(i.code.extension=this.mapTextReference(n.originalText)));let o=r.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(i.reaction=o.map(s=>this.processReaction(s))),i.asserter=this.mapAuthorToReference(r.author?.[0]),i}processConditionAct(e){let r=e.entryRelationship?.find(n=>n["@_typeCode"]==="SUBJ")?.observation?.[0];if(!r)return;let i={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(r.id)),meta:{profile:[Ar]},clinicalStatus:{coding:[{system:wt,code:fe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Cr,code:"confirmed"}]},category:[{coding:[{system:gr,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(r.value),subject:I(this.patient),onsetDateTime:C(r.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:C(r.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(r.author?.[0]),asserter:this.mapAuthorToReference(r.author?.[0])};return i.extension=this.mapTextReference(r.text),i}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:I(this.patient),description:B(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:I(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,r){let i=e.templateId[0]["@_root"];switch(i){case St:case Z:return this.processMedicationSubstanceAdministration(r);case Ce:case ge:return this.processImmunizationSubstanceAdministration(r);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+i)}}processMedicationSubstanceAdministration(e){let r=this.mapId(e.id),i=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],n=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(A=>A.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===xt)?.substanceAdministration?.[0],l,E;return s?l={resourceType:"Medication",id:"med-"+r,code:this.mapCode(i),extension:this.mapTextReference(i?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:E={...this.mapCode(i),extension:this.mapTextReference(i?.originalText)},{resourceType:"MedicationRequest",id:r,contained:l?[l]:void 0,meta:{profile:[vr]},extension:this.mapTextReference(e.text),status:tt.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:l?{reference:"#med-"+r}:void 0,medicationCodeableConcept:E,subject:I(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:n?this.mapCode(n):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:Se,value:Number(o["@_value"]),code:"[IU]",unit:"[IU]"}}]:void 0}]}}processImmunizationSubstanceAdministration(e){let r=e.consumable;if(!r)return;let i={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:et.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(r.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:I(this.patient),occurrenceDateTime:C(e.effectiveTime?.[0]?.["@_value"]),lotNumber:r.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(i.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),i.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(i.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),i}processReaction(e){let r=this.mapCode(e.value)??{extension:[{url:"http://hl7.org/fhir/StructureDefinition/data-absent-reason",valueCode:"unknown"}]},i={id:this.mapId(e.id),manifestation:[r],onset:C(e.effectiveTime?.[0]?.low?.["@_value"])};if(this.processSeverity(e,i),e.text?.reference?.["@_value"]){let n=this.mapTextReference(e.text);n&&(i.manifestation[0].extension=[...i.manifestation[0].extension??[],...n])}return i}processSeverity(e,r){let i=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n=i.value?.["@_code"];n&&(r.severity=Ke.mapCcdaToFhir(n)),r.extension=this.mapTextReference(i.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 r=[],i=J(e["@_codeSystem"]),n=e["@_code"],o=e["@_displayName"];(i||n||o)&&r.push({...i&&{system:i},...n&&{code:n},...o&&{display:o}});let s=[];Array.isArray(e.translation)?s=e.translation:e.translation&&(s=[e.translation]);for(let l of s){let E=J(l["@_codeSystem"]),A=l["@_code"],j=l["@_displayName"];(E||A||j)&&r.push({...E&&{system:E},...A&&{code:A},...j&&{display:j}})}let a=e["@_displayName"]||e.originalText?.reference?.["@_value"]||B(e.originalText);return r.length===0?a?{text:a}:void 0:{coding:r,...a&&{text:a}}}mapCodeToCoding(e){if(e)return{system:J(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}mapQualification(e){let r=this.mapCode(e);if(r)return[{code:r}]}createClinicalStatus(e){return{coding:[{system:Be,code:Xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:kt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let r={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(r),I(r)}mapAssignedEntityToReference(e){if(!e)return;let r=e.assignedPerson,i=e.representedOrganization,n={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(r?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(n);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(i?.id),name:i?.name?.[0],address:this.mapAddresses(i?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:I(n),organization:I(o)};return this.resources.push(s),I(s)}mapCustodianToReference(e){if(!e)return;let r={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(r),I(r)}mapDocumentationOfToEvent(e){if(!e)return;let r=e.serviceEvent;if(r)return[{code:r.code?[this.mapCode(r.code)]:void 0,period:this.mapEffectiveTimeToPeriod(r.effectiveTime?.[0])}]}concatArrays(e,r){return e?r?[...e,...r]:e:r}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let r=[];for(let i of e){let n=i.assignedEntity,o=this.mapAssignedEntityToReference(n);o&&r.push({actor:o})}return r}processOrganizer(e,r){return e.templateId[0]["@_root"]===gt?this.processCareTeamOrganizer(r):this.processVitalsOrganizer(r)}processCareTeamOrganizer(e){let r=[];for(let n of e.component??m){let o=this.processCareTeamMember(n);o&&r.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:r.length>0?r:void 0}}processCareTeamMember(e){let r=e.act?.[0];if(!r)return;let i=r.performer?.[0];if(i)return{role:i.functionCode?[this.mapCode(i.functionCode)]:void 0,member:this.mapAssignedEntityToReference(i.assignedEntity),period:this.mapEffectiveTimeToPeriod(r.effectiveTime?.[0])}}processVitalsOrganizer(e){let r={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:I(this.patient)};e.effectiveTime?.[0]?.["@_value"]&&(r.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"]));let i=[];for(let n of e.component??m)i.push(...this.processVitalsComponent(n));return i.length>0&&(r.hasMember=i),r}processVitalsComponent(e){let r=[];for(let i of e.observation??m){let n=this.processVitalsObservation(i);n&&(r.push(I(n)),this.resources.push(n))}return r}processObservation(e,r){let i=r.templateId[0]["@_root"];if(i===ve||i===de)return this.processGoalObservation(r);switch(e.templateId[0]["@_root"]){case Z:case ve:return this.processGoalObservation(r);default:return this.processVitalsObservation(r)}}processGoalObservation(e){let r=[];e.code&&r.push(this.mapCode(e.code));let i=[],n,o=e.value;if(o){let a=o["@_xsi:type"];a==="CD"?n=Yt(o):a==="ST"&&(n={text:o["#text"]??""})}for(let a of e.entryRelationship??m)i.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:r,description:n??{text:"Unknown goal"},subject:I(this.patient),startDate:ft(e.effectiveTime?.[0]?.["@_value"]),target:i}}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let r=this.mapCode(e.code);if(!r)return;let 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r=t.findResourceByReference(e.condition);if(r?.resourceType==="Condition")return{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Ue,"@_extension":"2015-08-01"},{"@_root":Ue}],code:{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":y,"@_codeSystemName":"LOINC"},entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":$,"@_extension":"2015-08-01"},{"@_root":$}],id:d(r.id,r.identifier),code:{"@_code":"282291009","@_displayName":"Diagnosis interpretation","@_codeSystem":L,"@_codeSystemName":"SNOMED CT",translation:[{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":y,"@_codeSystemName":"LOINC"}]},statusCode:{"@_code":"completed"},effectiveTime:z(r.onsetDateTime,r.abatementDateTime),value:U(r.code)}]}]}]}}function Ho(t,e){let r=t.code?.coding?.[0]?.code,i;if(e.category?.[0])i=p(e.category[0]);else if(r===le)i={"@_code":jr,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Resident's overall goal established during assessment process"};else if(e.description)i=p(e.description);else return;let n;if(r===He)n=[{"@_root":At}];else if(i?.["@_code"]===Zr)n=[{"@_root":de},{"@_root":de,"@_extension":"2022-06-01"}];else if(r===le)n=[{"@_root":de}];else return;let o;return e.description.coding?.[0]?.code?o=U(e.description):e.description.text&&(o={"@_xsi:type":"ST","#text":e.description.text}),{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:n,id:d(e.id,e.identifier),code:i,statusCode:{"@_code":$a(e.lifecycleStatus)},effectiveTime:[{"@_value":T(e.startDate)}],value:o,text:f(e.extension),entryRelationship:e.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(e.startDate)}]}]}))}]}}function $a(t){switch(t){case"completed":return"completed";case"cancelled":return"cancelled";default:return"active"}}function jo(t,e){let r=e?.manufacturer,i={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":hr},{"@_root":hr,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),text:f(e.extension),statusCode:{"@_code":et.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":M(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":fr},{"@_root":fr,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[p(e.vaccineCode)],lotNumberText:e.lotNumber?[e.lotNumber]:void 0}],manufacturerOrganization:r?[{id:d(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]}}]};return e.performer&&(i.substanceAdministration[0].performer=e.performer.map(n=>Ha(t,n)).filter(Boolean)),i}function Ha(t,e){if(!e)return;let r=t.findResourceByReference(e.actor);if(!r)return;let i,n;return r.resourceType==="PractitionerRole"?(i=t.findResourceByReference(r.practitioner),n=t.findResourceByReference(r.organization)):r.resourceType==="Practitioner"?i=r:r.resourceType==="Organization"&&(n=r),{assignedEntity:{id:d(r.id,r.identifier),addr:x(i?.address),telecom:w(r.telecom),assignedPerson:i?{id:d(i.id,i.identifier),name:H(i.name)}:void 0,representedOrganization:n?{id:d(n.id,n.identifier),name:n.name?[n.name]:void 0,addr:x(n.address),telecom:w(n.telecom)}:void 0}}}function qo(t,e){let r=[];for(let i of e.coverage??m){let n=t.findResourceByReference(i.coverage);if(n?.resourceType!=="Coverage")continue;let o=n.class?.find(l=>l.type?.coding?.[0]?.code==="plan"),s=t.findResourceByReference(n.payor?.[0]),a=t.findResourceByReference(n.policyHolder);r.push({"@_typeCode":"COMP",sequenceNumber:{"@_xsi:type":"INT","@_value":r.length.toString()},act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":_r,"@_extension":"2015-08-01"},{"@_root":_r}],id:d(n.id,n.identifier),code:{"@_code":li.mapFhirToCcdaWithDefault(n.type?.coding?.[0]?.code,"9999"),"@_displayName":n.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(n.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 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0].filter(Boolean),entryRelationship:[{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"DEF",id:d(n.id,n.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":mr,"@_extension":"2015-08-01"},{"@_root":mr}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:r}]}}function Wo(t,e){let r=e.contained?.find(s=>s.resourceType==="Medication"),i=r?.code||e.medicationCodeableConcept,n=r?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=_e(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":ur,"@_extension":"2014-06-09"},{"@_root":ur}],id:[{"@_root":e.id||crypto.randomUUID()}],text:f(e.extension),statusCode:{"@_code":tt.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:ja(e.dosageInstruction?.[0]?.route),doseQuantity:qa(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":lr,"@_extension":"2014-06-09"},{"@_root":lr}],manufacturedMaterial:[{code:[{...p(i),originalText:f(r?.extension)}]}],manufacturerOrganization:n?[{id:d(n.id,n.identifier?[n.identifier]:void 0),name:[n.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":xt}],code:{"@_code":$r,"@_codeSystem":y,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:f(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function ja(t){if(t)return p(t)}function qa(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function Qo(t,e){if(e.resourceType==="Procedure"){let r=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],i=e.code?.coding?.[0]?.code;return i&&r.includes(i)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:K(e.performedDateTime,e.performedPeriod),text:f(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":ce},{"@_root":ce,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:K(e.performedDateTime,e.performedPeriod),text:f(e.extension),targetSiteCode:p(e.bodySite?.[0]),participant:[Wa(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:Ii(e),id:d(e.id,e.identifier),code:p(e.code),value:Ti(e),statusCode:{"@_code":"completed"},effectiveTime:K(e.effectiveDateTime,e.effectivePeriod),text:f(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function Wa(t,e){if(!e)return;let r=t.findResourceByReference(e);if(r)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":Nt}],id:d(r.id,r.identifier),code:p(r.type?.[0]),addr:r.address?x([r.address]):void 0,telecom:w(r.telecom),playingEntity:{"@_classCode":"PLC",name:r.name?[r.name]:void 0}}}}function zo(t,e){return e.code?.coding?.[0]?.system===ut?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":Rt},{"@_root":Rt,"@_extension":"2014-06-09"},{"@_root":Rt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(e.authoredOn)}],text:f(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":At}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":Qa(e.status)},effectiveTime:[{"@_value":T(e.occurrenceDateTime)}],text:f(e.extension)}]}}function Qa(t){switch(t){case"completed":return"completed";case"entered-in-error":return"cancelled";default:return"active"}}function Zo(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:_e(void 0,e.period)}}}function za(t,e){return new Gt(t,e).convert()}var Gt=class{constructor(e,r){D(this,"bundle");D(this,"options");D(this,"composition");D(this,"patient");this.bundle=e,this.options=r;let i=this.findResource("Composition");if(!i)throw new Error("Composition not found");let n=this.findResource("Patient");if(!n)throw new Error("Patient not found");this.composition=i,this.patient=n}convert(){let e=this.createSections(),r=this.composition.section?.find(o=>o.code?.coding?.[0]?.code===he)?.entry?.find(o=>o.reference?.startsWith("ServiceRequest/")),i,n;return this.options?.type==="referral"?(i=_i,n={"@_code":Fr,"@_displayName":"Referral 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r===je&&n.length===1&&n[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,n[0]):r===he&&n.length===1&&n[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,n[0]):{templateId:i,code:p(e.code),title:e.title,text:Uo(e.text),entry:n.map(o=>this.createEntry(e,o)).filter(Boolean),"@_nullFlavor":n.length===0?"NI":void 0}}createEntry(e,r){switch(r.resourceType){case"Account":return qo(this,r);case"AllergyIntolerance":return Mo(this,r);case"CarePlan":return wo(this,r);case"CareTeam":return Vo(this,r);case"ClinicalImpression":return ko(this,r);case"Condition":return Fo(this,e,r);case"DeviceUseStatement":return Bo(this,r);case"DiagnosticReport":return Go(this,r);case"Encounter":return $o(this,r);case"Goal":return Ho(e,r);case"Immunization":return jo(this,r);case"MedicationRequest":return Wo(this,r);case"Procedure":return Qo(this,r);case"Observation":return Yo(this,r);case"ServiceRequest":return zo(this,r);default:return}}mapAuthor(e,r,i){if(!e)return;let n=this.findResourceByReference(e);if(!n)return;let o;if(n.resourceType==="Organization"?o=n:n.resourceType==="PractitionerRole"&&(o=this.findResourceByReference(n.organization),n=this.findResourceByReference(n.practitioner)),!n)return;let s;"address"in n&&(s=n.address);let a;"telecom"in n&&(a=n.telecom);let l;"qualification"in n&&(l=n.qualification?.[0]?.code);let E;return["Patient","Practitioner","RelatedPerson"].includes(n.resourceType)&&(E=n.name),[{templateId:[{"@_root":Pn}],time:r?{"@_value":T(r)}:void 0,assignedAuthor:{id:d(n.id,n.identifier),addr:x(s),telecom:w(a),code:p(l),assignedPerson:E?{name:H(E)}:void 0,assignedAuthoringDevice:!E&&i?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let r=this.findResourceByReference(e);if(r)return{assignedCustodian:{representedCustodianOrganization:{id:d(r.id,r.identifier),name:r.name?[r.name]:void 0,telecom:w(r.telecom),addr:x(r.address)}}}}mapRecipient(e){if(!e)return;let r=this.findResourceByReference(e);if(!r)return;let i=r.performer;if(!i||i.length===0)return;let n=this.findResourceByReference(i[0]);if(n?.resourceType==="Practitioner")return{intendedRecipient:{informationRecipient:{name:H(n.name)}}}}createParticipants(){let e=this.bundle.entry?.filter(r=>r.resource?.resourceType==="RelatedPerson").map(r=>r.resource);if(!(!e||e.length===0))return e.map(r=>({"@_typeCode":"IND",templateId:[{"@_root":qn,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(r.id,r.identifier),code:p(r.relationship?.[0]),addr:x(r.address),telecom:w(r.telecom),associatedPerson:{name:H(r.name)}}}))}createClinicalImpressionSection(e,r){return{templateId:[{"@_root":Ot}],code:p(e.code),title:e.title,text:r.summary,author:this.mapAuthor(r.assessor,r.date)}}createReasonForReferralSection(e,r){return{templateId:[{"@_root":te,"@_extension":"2014-06-09"},{"@_root":te}],code:p(e.code),title:e.title,text:r.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Mn}],id:d(r.id,r.identifier),code:p(r.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(r.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(r.requester,r.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});
1
+ "use strict";var it=Object.defineProperty;var Jo=Object.getOwnPropertyDescriptor;var Xo=Object.getOwnPropertyNames;var Ko=Object.prototype.hasOwnProperty;var es=(t,e,r)=>e in t?it(t,e,{enumerable:!0,configurable:!0,writable:!0,value:r}):t[e]=r;var ts=(t,e)=>{for(var r in e)it(t,r,{get:e[r],enumerable:!0})},rs=(t,e,r,i)=>{if(e&&typeof e=="object"||typeof e=="function")for(let n of Xo(e))!Ko.call(t,n)&&n!==r&&it(t,n,{get:()=>e[n],enumerable:!(i=Jo(e,n))||i.enumerable});return t};var is=t=>rs(it({},"__esModule",{value:!0}),t);var D=(t,e,r)=>es(t,typeof e!="symbol"?e+"":e,r);var Za={};ts(Za,{ACT_CODE_SYSTEM:()=>Ft,ADDRESS_USE_MAPPER:()=>Ze,ADDRESS_USE_VALUE_SET:()=>Jn,ADMINISTRATIVE_GENDER_CODE_SYSTEM:()=>Wn,ADMINISTRATIVE_GENDER_VALUE_SET:()=>Kn,ALLERGIES_SECTION_TEMPLATE_IDS:()=>ho,ALLERGY_CATEGORY_MAPPER:()=>ai,ALLERGY_CLINICAL_CODE_SYSTEM:()=>Be,ALLERGY_SEVERITY_MAPPER:()=>Ke,ALLERGY_STATUS_MAPPER:()=>Xe,ALLERGY_VERIFICATION_CODE_SYSTEM:()=>kt,ASSESSMENTS_SECTION_TEMPLATE_IDS:()=>Oo,CARE_TEAM_SECTION_TEMPLATE_IDS:()=>xo,CCDA_NARRATIVE_REFERENCE_URL:()=>Ge,CCDA_TEMPLATE_CODE_SYSTEM:()=>Ia,CCDA_TEMPLATE_IDS:()=>mi,CLINICAL_CONDITION_CODE_SYSTEM:()=>wt,CLINICAL_NOTES_SECTION_TEMPLATE_IDS:()=>Na,CONDITION_CATEGORY_CODE_SYSTEM:()=>gr,CONDITION_VERIFICATION_CODE_SYSTEM:()=>Cr,CONDITION_VER_STATUS_CODE_SYSTEM:()=>Vt,CONFIDENTIALITY_CODE_SYSTEM:()=>Qn,CONFIDENTIALITY_MAPPER:()=>oi,CONTACT_ENTITY_USE_VALUE_SET:()=>eo,CVX_URL:()=>uo,DEVICES_SECTION_TEMPLATE_IDS:()=>yo,DIAGNOSIS_ROLE_CODE_SYSTEM:()=>Rr,ENCOUNTERS_SECTION_TEMPLATE_IDS:()=>go,ENCOUNTER_STATUS_MAPPER:()=>ci,EnumMapper:()=>g,FHIR_CVX_URL:()=>lo,FHIR_ICF_URL:()=>po,FUNCTIONAL_STATUS_TEMPLATE_IDS:()=>bo,FhirToCcdaConverter:()=>Gt,GENDER_MAPPER:()=>si,GOALS_SECTION_TEMPLATE_IDS:()=>No,HEALTH_CONCERNS_SECTION_TEMPLATE_IDS:()=>Ro,HTTP:()=>X,HUMAN_NAME_USE_MAPPER:()=>ze,IMMUNIZATIONS_SECTION_TEMPLATE_IDS:()=>_o,IMMUNIZATION_STATUS_MAPPER:()=>et,INSURANCE_COVERAGE_TYPE_MAPPER:()=>li,INSURANCE_SECTION_TEMPLATE_IDS:()=>Po,LAB_TESTS_SECTION_TEMPLATE_IDS:()=>Ra,LANGUAGE_MODE_CODE_SYSTEM:()=>la,LANGUAGE_MODE_URL:()=>ma,LANGUAGE_PROFICIENCY_CODE_SYSTEM:()=>pa,LANGUAGE_PROFICIENCY_URL:()=>_a,LOINC_ADMINISTRATIVE_SEX:()=>Qr,LOINC_ALLERGIES_SECTION:()=>xr,LOINC_ASSESSMENTS_SECTION:()=>je,LOINC_BIRTH_SEX:()=>zr,LOINC_CARE_TEAM_SECTION:()=>Yr,LOINC_CLINICAL_FINDING:()=>Jr,LOINC_CONDITION:()=>Hr,LOINC_DEVICES_SECTION:()=>Vr,LOINC_DISABILITY_STATUS:()=>Kr,LOINC_ENCOUNTERS_SECTION:()=>kr,LOINC_FUNCTIONAL_STATUS_ASSESSMENT_NOTE:()=>ei,LOINC_FUNCTIONAL_STATUS_SECTION:()=>Xr,LOINC_GOALS_SECTION:()=>le,LOINC_HEALTH_CONCERNS_SECTION:()=>pe,LOINC_HISTORY_OF_OCCUPATION:()=>ti,LOINC_HISTORY_OF_OCCUPATION_INDUSTRY:()=>ri,LOINC_HISTORY_OF_SOCIAL_FUNCTION:()=>Zr,LOINC_HISTORY_OF_TOBACCO_USE:()=>Wr,LOINC_IMMUNIZATIONS_SECTION:()=>Pr,LOINC_INSURANCE_SECTION:()=>Gr,LOINC_MEDICATIONS_SECTION:()=>br,LOINC_MEDICATION_INSTRUCTIONS:()=>$r,LOINC_MENTAL_STATUS_SECTION:()=>Br,LOINC_NOTES_SECTION:()=>qe,LOINC_NOTE_DOCUMENT:()=>Ta,LOINC_OVERALL_GOAL:()=>jr,LOINC_PATIENT_SUMMARY_DOCUMENT:()=>Sa,LOINC_PLAN_OF_TREATMENT_SECTION:()=>He,LOINC_PREGNANCY_STATUS:()=>Bt,LOINC_PROBLEMS_SECTION:()=>$e,LOINC_PROCEDURES_SECTION:()=>wr,LOINC_REASON_FOR_REFERRAL_SECTION:()=>he,LOINC_REFERRAL_NOTE:()=>Fr,LOINC_RESULTS_SECTION:()=>Lr,LOINC_SOCIAL_HISTORY_SECTION:()=>Ur,LOINC_SUMMARY_OF_EPISODE_NOTE:()=>We,LOINC_TOBACCO_SMOKING_STATUS:()=>qr,LOINC_TO_TEMPLATE_IDS:()=>Ei,LOINC_TRIBAL_AFFILIATION:()=>ii,LOINC_VITAL_SIGNS_SECTION:()=>Mr,MEDICATIONS_SECTION_TEMPLATE_IDS:()=>fo,MEDICATION_REQUEST_STATUS_VALUE_SET:()=>fa,MEDICATION_STATUS_MAPPER:()=>tt,MENTAL_STATUS_SECTION_TEMPLATE_IDS:()=>Ao,NAME_USE_VALUE_SET:()=>Xn,NCI_THESAURUS_URL:()=>to,NDFRT_URL:()=>co,NUCC_TAXONOMY_URL:()=>so,OBSERVATION_CATEGORY_CODE_SYSTEM:()=>zn,OBSERVATION_CATEGORY_MAPPER:()=>ui,PARTICIPATION_CODE_SYSTEM:()=>Nr,PATIENT_NOTES_SECTION_TEMPLATE_IDS:()=>Do,PLAN_OF_TREATMENT_SECTION_TEMPLATE_IDS:()=>Co,PROBLEMS_SECTION_TEMPLATE_IDS:()=>mo,PROBLEM_STATUS_MAPPER:()=>fe,PROCEDURES_SECTION_TEMPLATE_IDS:()=>To,PROCEDURE_STATUS_MAPPER:()=>di,RACE_CODE_SYSTEM:()=>ha,REASON_FOR_REFERRAL_SECTION_TEMPLATE_IDS:()=>vo,REFERRAL_TEMPLATE_IDS:()=>_i,RESULTS_SECTION_TEMPLATE_IDS:()=>So,ROLE_CODE_CODE_SYSTEM:()=>Zn,SOCIAL_HISTORY_SECTION_TEMPLATE_IDS:()=>Io,SYSTEM_MAPPER:()=>Qe,TELECOM_USE_MAPPER:()=>Je,UNII_URL:()=>oo,US_CORE_CONDITION_URL:()=>vr,US_CORE_ETHNICITY_URL:()=>Ye,US_CORE_MEDICATION_REQUEST_URL:()=>Ar,US_CORE_PATIENT_URL:()=>Ea,US_CORE_RACE_URL:()=>ue,US_DRIVER_LICENSE_URL:()=>io,US_NPI_URL:()=>no,US_SSN_URL:()=>ro,VA_MEDRT_URL:()=>ao,VITAL_SIGNS_SECTION_TEMPLATE_IDS:()=>Eo,XSI_URL:()=>Dr,convertCcdaToFhir:()=>ga,convertCcdaToXml:()=>Ca,convertFhirToCcda:()=>za,convertToCompactXml:()=>hi,convertXmlToCcda:()=>Oa,mapCcdaCodeToCodeableConcept:()=>Yt,mapCcdaSystemToFhir:()=>J,mapCcdaToFhirDate:()=>ft,mapCcdaToFhirDateTime:()=>C,mapCodeableConceptToCcdaCode:()=>p,mapCodeableConceptToCcdaValue:()=>U,mapCodingToCcdaCode:()=>Or,mapFhirPeriodOrDateTimeToCcda:()=>Kt,mapFhirSystemToCcda:()=>ni,mapFhirToCcdaDate:()=>M,mapFhirToCcdaDateTime:()=>T,parseXml:()=>pi});module.exports=is(Za);var 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Observation"},{ccdaValue:Nn,fhirValue:"survey",displayName:"Cognitive Status Result Organizer"},{ccdaValue:we,fhirValue:"survey",displayName:"Functional Status Result Observation"},{ccdaValue:Me,fhirValue:"survey",displayName:"Functional Status Result Organizer"},{ccdaValue:Pe,fhirValue:"exam",displayName:"Procedure Activity Observation"},{ccdaValue:$,fhirValue:"exam",displayName:"Problem Observation"},{ccdaValue:_n,fhirValue:"exam",displayName:"Problem Observation V2"},{ccdaValue:Cn,fhirValue:"exam",displayName:"Pressure Ulcer Observation"},{ccdaValue:xn,fhirValue:"exam",displayName:"Wound Observation"},{ccdaValue:Un,fhirValue:"exam",displayName:"Wound Measurements Observation"},{ccdaValue:se,fhirValue:"exam",displayName:"Procedure Section"},{ccdaValue:Hn,fhirValue:"therapy",displayName:"Medication Adherence"},{ccdaValue:Ln,fhirValue:"therapy",displayName:"Nutrition Recommendations"},{ccdaValue:kn,fhirValue:"therapy",displayName:"Diet Statement (Nutrition)"},{ccdaValue:Fn,fhirValue:"therapy",displayName:"Monitoring, Evaluation and Outcome (Nutrition)"}]),li=new g({fhirSystemUrl:Ft},[{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 me=require("fast-xml-parser");var ya=["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","routeCode.translation","methodCode.translation","targetSiteCode.translation","approachSiteCode.translation","administrationUnitCode.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 Oa(t){return new me.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1,jPath:!0,isArray:(i,n,o,s)=>ya.some(a=>n.endsWith(a))}).parse(t).ClinicalDocument}function Ca(t){return new me.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":Dr,"@_xmlns:voc":"urn:hl7-org:v3/voc","@_xmlns:sdtc":"urn:hl7-org:sdtc",...t}})}function pi(t){return new me.XMLParser({ignoreAttributes:!1,attributeNamePrefix:"@_",parseAttributeValue:!1,parseTagValue:!1}).parse(t)}function hi(t){return t?typeof t=="string"?t:new me.XMLBuilder({ignoreAttributes:!1,attributeNamePrefix:"@_",format:!1,suppressBooleanAttributes:!1,suppressEmptyNode:!0}).build(t).split(`
2
+ `).map(i=>i.trim()).join(""):""}function ga(t,e){return new fi(Mt(t),e).convert()}var fi=class{constructor(e,r){D(this,"ccda");D(this,"options");D(this,"resources",[]);D(this,"patient");this.ccda=e,this.options=r}convert(){return this.processHeader(),{resourceType:"Bundle",type:"document",entry:[{resource:this.createComposition()},...this.patient?[{resource:this.patient}]:[],...this.resources.map(r=>({resource:r}))]}}processHeader(){let e=this.ccda.recordTarget?.[0]?.patientRole;e&&(this.patient=this.createPatient(e),this.createRelatedPersons())}createPatient(e){let r=e.patient,i=[];return r.raceCode&&r.raceCode.length>0&&i.push({url:ue,extension:r.raceCode.map(n=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(n)}))}),r.ethnicGroupCode&&r.ethnicGroupCode.length>0&&i.push({url:Ye,extension:r.ethnicGroupCode.map(n=>({url:"ombCategory",valueCoding:this.mapCodeToCoding(n)}))}),{resourceType:"Patient",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),name:this.mapCcdaNameArrayFhirHumanNameArray(r.name),gender:this.mapGenderCode(r.administrativeGenderCode?.["@_code"]),birthDate:ft(r.birthTime?.["@_value"]),address:this.mapAddresses(e.addr),telecom:this.mapTelecom(e.telecom),extension:i.length>0?i:void 0}}createRelatedPersons(){let e=this.ccda.participant;for(let r of e??m){let i=this.mapParticipantToRelatedPerson(r);i&&this.resources.push(i)}}mapParticipantToRelatedPerson(e){let r=this.patient;if(!r)return;let i=e.associatedEntity;if(!i)return;let n=Yt(i.code);return{resourceType:"RelatedPerson",id:this.mapId(i.id),patient:I(r),relationship:n?[n]:void 0,identifier:this.mapIdentifiers(i.id),name:this.mapCcdaNameArrayFhirHumanNameArray(i.associatedPerson?.name),address:this.mapAddresses(i.addr),telecom:this.mapTelecom(i.telecom)}}mapId(e){let r=e?.find(i=>!i["@_extension"]&&i["@_root"]&&Zt(i["@_root"]));return r?r["@_root"]:ht()}mapIdentifiers(e){let r;for(let i of e??m)!i["@_extension"]&&i["@_root"]&&Zt(i["@_root"])||(r=wi(r,{system:J(i["@_root"]),value:i["@_extension"]}));return r}mapCcdaNameArrayFhirHumanNameArray(e){return e?.map(r=>this.mapCcdaNameToFhirHumanName(r)).filter(Boolean)}mapCcdaNameToFhirHumanName(e){if(!e)return;let r={},i=e["@_use"]?ze.mapCcdaToFhir(e["@_use"]):void 0;return i&&(r.use=i),e.prefix&&(r.prefix=e.prefix.map(B)?.filter(Boolean)),e.family&&(r.family=B(e.family)),e.given&&(r.given=e.given.map(B)?.filter(Boolean)),e.suffix&&(r.suffix=e.suffix.map(B)?.filter(Boolean)),r}mapAddresses(e){if(!(!e||e.length===0))return e?.map(r=>({use:r["@_use"]?Ze.mapCcdaToFhir(r["@_use"]):void 0,line:r.streetAddressLine?.map(B).filter(Boolean),city:B(r.city),state:B(r.state),postalCode:B(r.postalCode),country:B(r.country)}))}mapTelecom(e){if(!(!e||e.length===0))return e?.map(r=>({use:r["@_use"]?Je.mapCcdaToFhir(r["@_use"]):void 0,system:this.getTelecomSystem(r["@_value"]),value:this.getTelecomValue(r["@_value"])}))}createComposition(){let e=this.ccda.component?.structuredBody?.component||[],r=[];for(let i of e)for(let n of i.section){let o=this.processSection(n);r.push({title:n.title,code:this.mapCode(n.code),text:{status:"generated",div:`<div xmlns="http://www.w3.org/1999/xhtml">${hi(n.text)}</div>`},entry:o.map(I)}),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:dt,code:We}]},confidentiality:this.ccda.confidentialityCode?.["@_code"],author:this.ccda.author?.[0]?[this.mapAuthorToReference(this.ccda.author?.[0])]:[{display:"Medplum"}],custodian:this.mapCustodianToReference(this.ccda.custodian),event:this.mapDocumentationOfToEvent(this.ccda.documentationOf),date:C(this.ccda.effectiveTime?.[0]?.["@_value"])??new Date().toISOString(),title:this.ccda.title??"Medical Summary",section:r}}processSection(e){let r=[];for(let i of e.entry??m)this.processEntry(e,i,r);return r}processEntry(e,r,i){for(let n of r.act??m){let o=this.processAct(e,n);o&&i.push(o)}for(let n of r.substanceAdministration??m){let o=this.processSubstanceAdministration(e,n);o&&i.push(o)}for(let n of r.organizer??m)i.push(this.processOrganizer(e,n));for(let n of r.observation??m){let o=this.processObservation(e,n);o&&i.push(o)}for(let n of r.encounter??m)i.push(this.processEncounter(e,n));for(let n of r.procedure??m)i.push(this.processProcedure(e,n))}processAct(e,r){let i=e.templateId[0]["@_root"];switch(i){case Re:case cn:case dn:case un:return this.processAllergyIntoleranceAct(r);case Ne:case on:case sn:case an:return this.processConditionAct(r);case Z:return this.processCarePlanAct(r);case Ot:return this.processConditionAct(r);case se:return this.processProcedureAct(r);case te:return;case Ct:return;case ve:return;default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled act templateId: "+i)}}processAllergyIntoleranceAct(e){let r=e.entryRelationship?.find(s=>s["@_typeCode"]==="SUBJ")?.observation?.[0];if(!r)return;let i={resourceType:"AllergyIntolerance",id:this.mapId(e.id),clinicalStatus:this.createClinicalStatus(e),verificationStatus:this.createVerificationStatus(),type:"allergy",category:["food"],patient:I(this.patient),recorder:this.mapAuthorToReference(e.author?.[0]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),onsetDateTime:this.mapEffectiveTimeToDateTime(r.effectiveTime?.[0])};r.value?.["@_code"]==="414285001"&&(i.category=["food"]),i.extension=this.mapTextReference(r.text);let n=r.participant?.[0]?.participantRole?.playingEntity?.code;n&&(i.code=this.mapCode(n),i.code&&n.originalText?.reference?.["@_value"]&&(i.code.extension=this.mapTextReference(n.originalText)));let o=r.entryRelationship?.find(s=>s["@_typeCode"]==="MFST")?.observation;return o&&(i.reaction=o.map(s=>this.processReaction(s))),i.asserter=this.mapAuthorToReference(r.author?.[0]),i}processConditionAct(e){let r=e.entryRelationship?.find(n=>n["@_typeCode"]==="SUBJ")?.observation?.[0];if(!r)return;let i={resourceType:"Condition",id:this.mapId(e.id),identifier:this.concatArrays(this.mapIdentifiers(e.id),this.mapIdentifiers(r.id)),meta:{profile:[vr]},clinicalStatus:{coding:[{system:wt,code:fe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]},verificationStatus:{coding:[{system:Cr,code:"confirmed"}]},category:[{coding:[{system:gr,code:"problem-list-item",display:"Problem List Item"}]}],code:this.mapCode(r.value),subject:I(this.patient),onsetDateTime:C(r.effectiveTime?.[0]?.low?.["@_value"]),abatementDateTime:C(r.effectiveTime?.[0]?.high?.["@_value"]),recordedDate:this.mapEffectiveTimeToDateTime(e.effectiveTime?.[0]),recorder:this.mapAuthorToReference(r.author?.[0]),asserter:this.mapAuthorToReference(r.author?.[0])};return i.extension=this.mapTextReference(r.text),i}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:I(this.patient),description:B(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:I(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,r){let i=e.templateId[0]["@_root"];switch(i){case St:case Z:return this.processMedicationSubstanceAdministration(r);case Ce:case ge:return this.processImmunizationSubstanceAdministration(r);default:if(this.options?.ignoreUnsupportedSections)return;throw new Error("Unhandled substance administration templateId: "+i)}}processMedicationSubstanceAdministration(e){let r=this.mapId(e.id),i=e.consumable?.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0],n=e.routeCode,o=e.doseQuantity,s=e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0],a=e.entryRelationship?.find(v=>v.substanceAdministration?.[0]?.templateId?.[0]?.["@_root"]===xt)?.substanceAdministration?.[0],l,E;return s?l={resourceType:"Medication",id:"med-"+r,code:this.mapCode(i),extension:this.mapTextReference(i?.originalText),manufacturer:s?{identifier:{value:s.id?.[0]?.["@_root"]},display:s.name?.[0]}:void 0}:E={...this.mapCode(i),extension:this.mapTextReference(i?.originalText)},{resourceType:"MedicationRequest",id:r,contained:l?[l]:void 0,meta:{profile:[Ar]},extension:this.mapTextReference(e.text),status:tt.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active"),intent:"order",medicationReference:l?{reference:"#med-"+r}:void 0,medicationCodeableConcept:E,subject:I(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:n?this.mapCode(n):void 0,timing:{repeat:e.effectiveTime?.[1]?.period?{period:Number(e.effectiveTime?.[1]?.period["@_value"]),periodUnit:e.effectiveTime?.[1]?.period["@_unit"]}:void 0},doseAndRate:this.mapDoseAndRate(o)}]}}mapDoseAndRate(e){if(e?.low||e?.high){let i=this.mapQuantity(e.low),n=this.mapQuantity(e.high);return i||n?[{doseRange:{low:i,high:n}}]:void 0}let r=this.mapQuantity(e);return r?[{doseQuantity:r}]:void 0}mapQuantity(e){let r=Number.parseFloat(e?.["@_value"]??"");if(!Number.isFinite(r))return;let i=e?.["@_unit"];return{value:r,unit:i,system:i?Se:void 0,code:i}}processImmunizationSubstanceAdministration(e){let r=e.consumable;if(!r)return;let i={resourceType:"Immunization",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),status:et.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"completed"),vaccineCode:this.mapCode(r.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.code?.[0]),patient:I(this.patient),occurrenceDateTime:C(e.effectiveTime?.[0]?.["@_value"]),lotNumber:r.manufacturedProduct?.[0]?.manufacturedMaterial?.[0]?.lotNumberText?.[0]};return e.performer&&(i.performer=this.mapCcdaPerformerArrayToImmunizationPerformerArray(e.performer)),i.extension=this.mapTextReference(e.text),e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]&&(i.manufacturer={display:e.consumable?.manufacturedProduct?.[0]?.manufacturerOrganization?.[0]?.name?.[0]}),i}processReaction(e){let r=this.mapCode(e.value)??{extension:[{url:"http://hl7.org/fhir/StructureDefinition/data-absent-reason",valueCode:"unknown"}]},i={id:this.mapId(e.id),manifestation:[r],onset:C(e.effectiveTime?.[0]?.low?.["@_value"])};if(this.processSeverity(e,i),e.text?.reference?.["@_value"]){let n=this.mapTextReference(e.text);n&&(i.manifestation[0].extension=[...i.manifestation[0].extension??[],...n])}return i}processSeverity(e,r){let i=e.entryRelationship?.find(o=>o["@_typeCode"]==="SUBJ")?.observation?.[0];if(!i)return;let n=i.value?.["@_code"];n&&(r.severity=Ke.mapCcdaToFhir(n)),r.extension=this.mapTextReference(i.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 r=[],i=J(e["@_codeSystem"]),n=e["@_code"],o=e["@_displayName"];(i||n||o)&&r.push({...i&&{system:i},...n&&{code:n},...o&&{display:o}});let s=[];Array.isArray(e.translation)?s=e.translation:e.translation&&(s=[e.translation]);for(let l of s){let E=J(l["@_codeSystem"]),v=l["@_code"],j=l["@_displayName"];(E||v||j)&&r.push({...E&&{system:E},...v&&{code:v},...j&&{display:j}})}let a=e["@_displayName"]||e.originalText?.reference?.["@_value"]||B(e.originalText);return r.length===0?a?{text:a}:void 0:{coding:r,...a&&{text:a}}}mapCodeToCoding(e){if(e)return{system:J(e["@_codeSystem"]),code:e["@_code"],display:e["@_displayName"]}}mapQualification(e){let r=this.mapCode(e);if(r)return[{code:r}]}createClinicalStatus(e){return{coding:[{system:Be,code:Xe.mapCcdaToFhirWithDefault(e.statusCode?.["@_code"],"active")}]}}createVerificationStatus(){return{coding:[{system:kt,code:"confirmed"}]}}mapAuthorToReference(e){if(!e)return;let r={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(r),I(r)}mapAssignedEntityToReference(e){if(!e)return;let r=e.assignedPerson,i=e.representedOrganization,n={resourceType:"Practitioner",id:this.mapId(e?.id),identifier:this.mapIdentifiers(e?.id),name:this.mapCcdaNameArrayFhirHumanNameArray(r?.name),address:this.mapAddresses(e?.addr),telecom:this.mapTelecom(e?.telecom)};this.resources.push(n);let o={resourceType:"Organization",id:this.mapId(e?.id),identifier:this.mapIdentifiers(i?.id),name:i?.name?.[0],address:this.mapAddresses(i?.addr)};this.resources.push(o);let s={resourceType:"PractitionerRole",id:this.mapId(e?.id),practitioner:I(n),organization:I(o)};return this.resources.push(s),I(s)}mapCustodianToReference(e){if(!e)return;let r={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(r),I(r)}mapDocumentationOfToEvent(e){if(!e)return;let r=e.serviceEvent;if(r)return[{code:r.code?[this.mapCode(r.code)]:void 0,period:this.mapEffectiveTimeToPeriod(r.effectiveTime?.[0])}]}concatArrays(e,r){return e?r?[...e,...r]:e:r}mapCcdaPerformerArrayToImmunizationPerformerArray(e){let r=[];for(let i of e){let n=i.assignedEntity,o=this.mapAssignedEntityToReference(n);o&&r.push({actor:o})}return r}processOrganizer(e,r){return e.templateId[0]["@_root"]===gt?this.processCareTeamOrganizer(r):this.processVitalsOrganizer(r)}processCareTeamOrganizer(e){let r=[];for(let n of e.component??m){let o=this.processCareTeamMember(n);o&&r.push(o)}return{resourceType:"CareTeam",id:this.mapId(e.id),identifier:this.mapIdentifiers(e.id),participant:r.length>0?r:void 0}}processCareTeamMember(e){let r=e.act?.[0];if(!r)return;let i=r.performer?.[0];if(i)return{role:i.functionCode?[this.mapCode(i.functionCode)]:void 0,member:this.mapAssignedEntityToReference(i.assignedEntity),period:this.mapEffectiveTimeToPeriod(r.effectiveTime?.[0])}}processVitalsOrganizer(e){let r={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:I(this.patient)};e.effectiveTime?.[0]?.["@_value"]&&(r.effectiveDateTime=C(e.effectiveTime?.[0]?.["@_value"]));let i=[];for(let n of e.component??m)i.push(...this.processVitalsComponent(n));return i.length>0&&(r.hasMember=i),r}processVitalsComponent(e){let r=[];for(let i of e.observation??m){let n=this.processVitalsObservation(i);n&&(r.push(I(n)),this.resources.push(n))}return r}processObservation(e,r){let i=r.templateId[0]["@_root"];if(i===Ae||i===de)return this.processGoalObservation(r);switch(e.templateId[0]["@_root"]){case Z:case Ae:return this.processGoalObservation(r);default:return this.processVitalsObservation(r)}}processGoalObservation(e){let r=[];e.code&&r.push(this.mapCode(e.code));let i=[],n,o=e.value;if(o){let a=o["@_xsi:type"];a==="CD"?n=Yt(o):a==="ST"&&(n={text:o["#text"]??""})}for(let a of e.entryRelationship??m)i.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:r,description:n??{text:"Unknown goal"},subject:I(this.patient),startDate:ft(e.effectiveTime?.[0]?.["@_value"]),target:i}}mapGoalLifecycleStatus(e){return{active:"active",completed:"completed",cancelled:"cancelled",aborted:"cancelled"}[e.statusCode["@_code"]??"active"]}processVitalsObservation(e){let r=this.mapCode(e.code);if(!r)return;let 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r=t.findResourceByReference(e.condition);if(r?.resourceType==="Condition")return{"@_typeCode":"REFR",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":Ue,"@_extension":"2015-08-01"},{"@_root":Ue}],code:{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":O,"@_codeSystemName":"LOINC"},entryRelationship:[{"@_typeCode":"SUBJ",observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:[{"@_root":$,"@_extension":"2015-08-01"},{"@_root":$}],id:d(r.id,r.identifier),code:{"@_code":"282291009","@_displayName":"Diagnosis interpretation","@_codeSystem":L,"@_codeSystemName":"SNOMED CT",translation:[{"@_code":"29308-4","@_displayName":"Diagnosis","@_codeSystem":O,"@_codeSystemName":"LOINC"}]},statusCode:{"@_code":"completed"},effectiveTime:z(r.onsetDateTime,r.abatementDateTime),value:U(r.code)}]}]}]}}function Ho(t,e){let r=t.code?.coding?.[0]?.code,i;if(e.category?.[0])i=p(e.category[0]);else if(r===le)i={"@_code":jr,"@_codeSystem":O,"@_codeSystemName":"LOINC","@_displayName":"Resident's overall goal established during assessment process"};else if(e.description)i=p(e.description);else return;let n;if(r===He)n=[{"@_root":vt}];else if(i?.["@_code"]===Zr)n=[{"@_root":de},{"@_root":de,"@_extension":"2022-06-01"}];else if(r===le)n=[{"@_root":de}];else return;let o;return e.description.coding?.[0]?.code?o=U(e.description):e.description.text&&(o={"@_xsi:type":"ST","#text":e.description.text}),{observation:[{"@_classCode":"OBS","@_moodCode":"GOL",templateId:n,id:d(e.id,e.identifier),code:i,statusCode:{"@_code":$a(e.lifecycleStatus)},effectiveTime:[{"@_value":T(e.startDate)}],value:o,text:f(e.extension),entryRelationship:e.target?.map(s=>({"@_typeCode":"RSON","@_inversionInd":"true",act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2014-06-09"}],code:p(s.measure),statusCode:{"@_code":"completed"},effectiveTime:[{"@_value":T(e.startDate)}]}]}))}]}}function $a(t){switch(t){case"completed":return"completed";case"cancelled":return"cancelled";default:return"active"}}function jo(t,e){let r=e?.manufacturer,i={substanceAdministration:[{"@_classCode":"SBADM","@_moodCode":"EVN","@_negationInd":"false",templateId:[{"@_root":hr},{"@_root":hr,"@_extension":"2015-08-01"}],id:d(e.id,e.identifier),text:f(e.extension),statusCode:{"@_code":et.mapFhirToCcdaWithDefault(e.status,"completed")},effectiveTime:[{"@_value":M(e.occurrenceDateTime)}],consumable:{manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":fr},{"@_root":fr,"@_extension":"2014-06-09"}],manufacturedMaterial:[{code:[p(e.vaccineCode)],lotNumberText:e.lotNumber?[e.lotNumber]:void 0}],manufacturerOrganization:r?[{id:d(r.id,r.identifier?[r.identifier]:void 0),name:[r.display]}]:void 0}]}}]};return e.performer&&(i.substanceAdministration[0].performer=e.performer.map(n=>Ha(t,n)).filter(Boolean)),i}function Ha(t,e){if(!e)return;let r=t.findResourceByReference(e.actor);if(!r)return;let i,n;return r.resourceType==="PractitionerRole"?(i=t.findResourceByReference(r.practitioner),n=t.findResourceByReference(r.organization)):r.resourceType==="Practitioner"?i=r:r.resourceType==="Organization"&&(n=r),{assignedEntity:{id:d(r.id,r.identifier),addr:x(i?.address),telecom:w(r.telecom),assignedPerson:i?{id:d(i.id,i.identifier),name:H(i.name)}:void 0,representedOrganization:n?{id:d(n.id,n.identifier),name:n.name?[n.name]:void 0,addr:x(n.address),telecom:w(n.telecom)}:void 0}}}function qo(t,e){let r=[];for(let i of e.coverage??m){let n=t.findResourceByReference(i.coverage);if(n?.resourceType!=="Coverage")continue;let o=n.class?.find(l=>l.type?.coding?.[0]?.code==="plan"),s=t.findResourceByReference(n.payor?.[0]),a=t.findResourceByReference(n.policyHolder);r.push({"@_typeCode":"COMP",sequenceNumber:{"@_xsi:type":"INT","@_value":r.length.toString()},act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":_r,"@_extension":"2015-08-01"},{"@_root":_r}],id:d(n.id,n.identifier),code:{"@_code":li.mapFhirToCcdaWithDefault(n.type?.coding?.[0]?.code,"9999"),"@_displayName":n.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(n.extension),performer:[{"@_typeCode":"PRF",templateId:[{"@_root":vn}],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(n.id,n.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":mr,"@_extension":"2015-08-01"},{"@_root":mr}],id:d(e.id,e.identifier),code:{"@_code":"48768-6","@_codeSystem":O,"@_codeSystemName":"LOINC","@_displayName":"Payment Sources"},statusCode:{"@_code":"completed"},entryRelationship:r}]}}function Wo(t,e){let r=e.contained?.find(s=>s.resourceType==="Medication"),i=r?.code||e.medicationCodeableConcept,n=r?.manufacturer,o=[];if(e.dispenseRequest?.validityPeriod){let s=_e(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":ur,"@_extension":"2014-06-09"},{"@_root":ur}],id:[{"@_root":e.id||crypto.randomUUID()}],text:f(e.extension),statusCode:{"@_code":tt.mapFhirToCcdaWithDefault(e.status,"active")},effectiveTime:o,routeCode:ja(e.dosageInstruction?.[0]?.route),doseQuantity:qa(e.dosageInstruction?.[0]?.doseAndRate?.[0]),consumable:{"@_typeCode":"CSM",manufacturedProduct:[{"@_classCode":"MANU",templateId:[{"@_root":lr,"@_extension":"2014-06-09"},{"@_root":lr}],manufacturedMaterial:[{code:[{...p(i),originalText:f(r?.extension)}]}],manufacturerOrganization:n?[{id:d(n.id,n.identifier?[n.identifier]:void 0),name:[n.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":xt}],code:{"@_code":$r,"@_codeSystem":O,"@_codeSystemName":"LOINC","@_displayName":"Medication Instructions"},text:f(s.extension),consumable:{manufacturedProduct:[{manufacturedLabeledDrug:[{"@_nullFlavor":"NA"}]}]}}]}))}]}}function ja(t){if(t)return p(t)}function qa(t){if(t?.doseQuantity)return{"@_value":t.doseQuantity.value?.toString(),"@_unit":t.doseQuantity.unit}}function Qo(t,e){if(e.resourceType==="Procedure"){let r=["183948003","409063005","311331002","61310001","183945009","309814009","278373008","410606002","183933003","24642003","225338006","128939004"],i=e.code?.coding?.[0]?.code;return i&&r.includes(i)?{act:[{"@_classCode":"ACT","@_moodCode":"EVN",templateId:[{"@_root":ae},{"@_root":ae,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:K(e.performedDateTime,e.performedPeriod),text:f(e.extension)}]}:{procedure:[{"@_classCode":"PROC","@_moodCode":"EVN",templateId:[{"@_root":ce},{"@_root":ce,"@_extension":"2014-06-09"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"completed"},effectiveTime:K(e.performedDateTime,e.performedPeriod),text:f(e.extension),targetSiteCode:p(e.bodySite?.[0]),participant:[Wa(t,e.location)].filter(Boolean)}]}}if(e.resourceType==="Observation")return{observation:[{"@_classCode":"OBS","@_moodCode":"EVN",templateId:Ii(e),id:d(e.id,e.identifier),code:p(e.code),value:Ti(e),statusCode:{"@_code":"completed"},effectiveTime:K(e.effectiveDateTime,e.effectivePeriod),text:f(e.extension)}]};throw new Error(`Unknown history of procedures resource type: ${e.resourceType}`)}function Wa(t,e){if(!e)return;let r=t.findResourceByReference(e);if(r)return{"@_typeCode":"LOC",participantRole:{"@_classCode":"SDLOC",templateId:[{"@_root":Nt}],id:d(r.id,r.identifier),code:p(r.type?.[0]),addr:r.address?x([r.address]):void 0,telecom:w(r.telecom),playingEntity:{"@_classCode":"PLC",name:r.name?[r.name]:void 0}}}}function zo(t,e){return e.code?.coding?.[0]?.system===ut?{procedure:[{"@_classCode":"PROC","@_moodCode":"RQO",templateId:[{"@_root":Rt},{"@_root":Rt,"@_extension":"2014-06-09"},{"@_root":Rt,"@_extension":"2022-06-01"}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(e.authoredOn)}],text:f(e.extension)}]}:{observation:[{"@_classCode":"OBS","@_moodCode":"RQO",templateId:[{"@_root":vt}],id:d(e.id,e.identifier),code:p(e.code),statusCode:{"@_code":Qa(e.status)},effectiveTime:[{"@_value":T(e.occurrenceDateTime)}],text:f(e.extension)}]}}function 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r===je&&n.length===1&&n[0].resourceType==="ClinicalImpression"?this.createClinicalImpressionSection(e,n[0]):r===he&&n.length===1&&n[0].resourceType==="ServiceRequest"?this.createReasonForReferralSection(e,n[0]):{templateId:i,code:p(e.code),title:e.title,text:Uo(e.text),entry:n.map(o=>this.createEntry(e,o)).filter(Boolean),"@_nullFlavor":n.length===0?"NI":void 0}}createEntry(e,r){switch(r.resourceType){case"Account":return qo(this,r);case"AllergyIntolerance":return Mo(this,r);case"CarePlan":return wo(this,r);case"CareTeam":return Vo(this,r);case"ClinicalImpression":return ko(this,r);case"Condition":return Fo(this,e,r);case"DeviceUseStatement":return Bo(this,r);case"DiagnosticReport":return Go(this,r);case"Encounter":return $o(this,r);case"Goal":return Ho(e,r);case"Immunization":return jo(this,r);case"MedicationRequest":return Wo(this,r);case"Procedure":return Qo(this,r);case"Observation":return Yo(this,r);case"ServiceRequest":return zo(this,r);default:return}}mapAuthor(e,r,i){if(!e)return;let n=this.findResourceByReference(e);if(!n)return;let o;if(n.resourceType==="Organization"?o=n:n.resourceType==="PractitionerRole"&&(o=this.findResourceByReference(n.organization),n=this.findResourceByReference(n.practitioner)),!n)return;let s;"address"in n&&(s=n.address);let a;"telecom"in n&&(a=n.telecom);let l;"qualification"in n&&(l=n.qualification?.[0]?.code);let E;return["Patient","Practitioner","RelatedPerson"].includes(n.resourceType)&&(E=n.name),[{templateId:[{"@_root":Pn}],time:r?{"@_value":T(r)}:void 0,assignedAuthor:{id:d(n.id,n.identifier),addr:x(s),telecom:w(a),code:p(l),assignedPerson:E?{name:H(E)}:void 0,assignedAuthoringDevice:!E&&i?{manufacturerModelName:"Medplum",softwareName:"Medplum"}:void 0,representedOrganization:o?.name?{name:[o.name]}:void 0}}]}mapCustodian(e){if(!e)return;let r=this.findResourceByReference(e);if(r)return{assignedCustodian:{representedCustodianOrganization:{id:d(r.id,r.identifier),name:r.name?[r.name]:void 0,telecom:w(r.telecom),addr:x(r.address)}}}}mapRecipient(e){if(!e)return;let r=this.findResourceByReference(e);if(!r)return;let i=r.performer;if(!i||i.length===0)return;let n=this.findResourceByReference(i[0]);if(n?.resourceType==="Practitioner")return{intendedRecipient:{informationRecipient:{name:H(n.name)}}}}createParticipants(){let e=this.bundle.entry?.filter(r=>r.resource?.resourceType==="RelatedPerson").map(r=>r.resource);if(!(!e||e.length===0))return e.map(r=>({"@_typeCode":"IND",templateId:[{"@_root":qn,"@_extension":"2023-05-01"}],associatedEntity:{"@_classCode":"PRS",id:d(r.id,r.identifier),code:p(r.relationship?.[0]),addr:x(r.address),telecom:w(r.telecom),associatedPerson:{name:H(r.name)}}}))}createClinicalImpressionSection(e,r){return{templateId:[{"@_root":yt}],code:p(e.code),title:e.title,text:r.summary,author:this.mapAuthor(r.assessor,r.date)}}createReasonForReferralSection(e,r){return{templateId:[{"@_root":te,"@_extension":"2014-06-09"},{"@_root":te}],code:p(e.code),title:e.title,text:r.note?.[0]?.text,entry:[{act:[{"@_classCode":"PCPR","@_moodCode":"INT",templateId:[{"@_root":Mn}],id:d(r.id,r.identifier),code:p(r.code),statusCode:{"@_code":"active"},effectiveTime:[{"@_value":T(r.occurrenceDateTime)}],priorityCode:{"@_code":"A","@_codeSystem":"2.16.840.1.113883.5.7","@_codeSystemName":"ActPriority","@_displayName":"ASAP"},author:this.mapAuthor(r.requester,r.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>