@the-cascade-protocol/cli 0.3.5 → 0.4.0

package/dist/lib/ccda-converter/index.js

@@ -0,0 +1,211 @@
+/**
+ * Native C-CDA R2.1 to Cascade Protocol Turtle converter.
+ *
+ * Converts HL7 Clinical Document Architecture R2.1 XML (as exported by Epic MyChart,
+ * Cerner PowerChart, Athena, and other EHR systems) directly to Cascade Protocol RDF.
+ *
+ * Converting natively (without going through FHIR as an intermediary) preserves:
+ * - CVX codes for immunizations
+ * - LOINC codes for labs and vitals
+ * - RxNorm codes for medications
+ * - SNOMED CT codes for problems and procedures
+ * - ICD-10 codes for diagnoses
+ * - Lab reference ranges (health:referenceRangeText)
+ *
+ * Supports both single C-CDA XML files and IHE XDM zip bundles
+ * (multiple C-CDA documents per zip).
+ */
+import AdmZip from 'adm-zip';
+import { Writer, DataFactory } from 'n3';
+import { NS, TURTLE_PREFIXES } from '../fhir-converter/types.js';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+import { parseCcdaXml } from './parser.js';
+import { detectVendor, getSourceSystemName } from './vendor/detect.js';
+import { applyVendorNormalization } from './vendor/normalize.js';
+import { detectDocumentType } from './document-type.js';
+import { extractPatientQuads } from './sections/patient.js';
+import { extractImmunizationQuads, IMMUNIZATIONS_TEMPLATE_ID } from './sections/immunizations.js';
+import { extractLabQuads, LABS_TEMPLATE_ID } from './sections/labs.js';
+import { extractProblemQuads, PROBLEMS_TEMPLATE_ID } from './sections/problems.js';
+import { extractAllergyQuads, ALLERGIES_TEMPLATE_ID } from './sections/allergies.js';
+import { extractMedicationQuads, MEDICATIONS_TEMPLATE_ID } from './sections/medications.js';
+import { extractVitalQuads, VITALS_TEMPLATE_ID } from './sections/vitals.js';
+import { extractProcedureQuads, PROCEDURES_TEMPLATE_ID } from './sections/procedures.js';
+import { extractEncounterQuads, ENCOUNTERS_TEMPLATE_ID } from './sections/encounters.js';
+import { extractFamilyHistoryQuads, FAMILY_HISTORY_TEMPLATE_ID } from './sections/family-history.js';
+import { extractDeviceQuads, DEVICES_TEMPLATE_ID } from './sections/devices.js';
+import { extractSocialHistoryQuads, SOCIAL_HISTORY_TEMPLATE_ID } from './sections/social-history.js';
+import { extractNarrativeQuads } from './narrative.js';
+// Map templateId → extractor function and LOINC code
+const SECTION_HANDLERS = {
+    [IMMUNIZATIONS_TEMPLATE_ID]: { loinc: '11369-6', extract: extractImmunizationQuads },
+    [LABS_TEMPLATE_ID]: { loinc: '30954-2', extract: extractLabQuads },
+    [PROBLEMS_TEMPLATE_ID]: { loinc: '11450-4', extract: extractProblemQuads },
+    [ALLERGIES_TEMPLATE_ID]: { loinc: '48765-2', extract: extractAllergyQuads },
+    [MEDICATIONS_TEMPLATE_ID]: { loinc: '10160-0', extract: extractMedicationQuads },
+    [VITALS_TEMPLATE_ID]: { loinc: '8716-3', extract: extractVitalQuads },
+    [PROCEDURES_TEMPLATE_ID]: { loinc: '47519-4', extract: extractProcedureQuads },
+    [ENCOUNTERS_TEMPLATE_ID]: { loinc: '46240-8', extract: extractEncounterQuads },
+    [FAMILY_HISTORY_TEMPLATE_ID]: { loinc: '10157-6', extract: extractFamilyHistoryQuads },
+    [DEVICES_TEMPLATE_ID]: { loinc: '46264-8', extract: extractDeviceQuads },
+    [SOCIAL_HISTORY_TEMPLATE_ID]: { loinc: '29762-2', extract: extractSocialHistoryQuads },
+};
+// Template IDs known to be narrative-only (no structured extractor needed)
+const NARRATIVE_ONLY_TEMPLATE_IDS = new Set([
+    '2.16.840.1.113883.10.20.22.2.10', // plan of care
+]);
+/**
+ * Convert a C-CDA XML document (or IHE XDM zip) to Cascade Protocol Turtle.
+ *
+ * @param xmlOrZip  C-CDA XML string, or a Buffer containing an IHE XDM zip
+ * @param options   Optional source system name and importedAt timestamp
+ */
+export async function convertCcda(xmlOrZip, options = {}) {
+    const warnings = [];
+    const allQuads = [];
+    let resourceCount = 0;
+    const importedAt = options.importedAt ?? new Date().toISOString();
+    // Handle IHE XDM zip vs single XML
+    const xmlFiles = [];
+    if (Buffer.isBuffer(xmlOrZip)) {
+        try {
+            const zip = new AdmZip(xmlOrZip);
+            for (const entry of zip.getEntries()) {
+                if (entry.entryName.toLowerCase().endsWith('.xml') && !entry.isDirectory) {
+                    xmlFiles.push(entry.getData().toString('utf-8'));
+                }
+            }
+        }
+        catch {
+            // Not a valid zip — treat as raw XML
+            xmlFiles.push(xmlOrZip.toString('utf-8'));
+        }
+    }
+    else {
+        xmlFiles.push(xmlOrZip);
+    }
+    for (const xml of xmlFiles) {
+        try {
+            const result = convertSingleCcda(xml, options, importedAt, warnings);
+            allQuads.push(...result.quads);
+            resourceCount += result.count;
+        }
+        catch (err) {
+            warnings.push(`Failed to convert C-CDA document: ${err instanceof Error ? err.message : String(err)}`);
+        }
+    }
+    // Serialize all quads to Turtle
+    const output = await new Promise((resolve, reject) => {
+        const writer = new Writer({ prefixes: TURTLE_PREFIXES });
+        for (const q of allQuads)
+            writer.addQuad(q);
+        writer.end((err, result) => (err ? reject(err) : resolve(result)));
+    });
+    const errors = [];
+    if (allQuads.length === 0) {
+        errors.push('C-CDA conversion produced no output — document may be invalid or unsupported');
+    }
+    return {
+        success: allQuads.length > 0,
+        output,
+        format: 'turtle',
+        resourceCount,
+        skippedCount: 0,
+        warnings,
+        errors,
+        results: [],
+    };
+}
+function convertSingleCcda(xml, options, importedAt, warnings) {
+    const parsed = parseCcdaXml(xml);
+    // Detect vendor and apply normalization
+    const vendor = detectVendor(parsed);
+    const normalizedDoc = applyVendorNormalization(parsed, vendor);
+    if (vendor !== 'unknown') {
+        warnings.push(`Detected EHR vendor: ${vendor}`);
+    }
+    const ccdaDoc = normalizedDoc?.ClinicalDocument ?? normalizedDoc;
+    const sourceSystem = options.sourceSystem ?? getSourceSystemName(normalizedDoc);
+    const documentType = detectDocumentType(normalizedDoc);
+    // Document ID for narrative linking
+    const docIdEl = Array.isArray(ccdaDoc?.id) ? ccdaDoc.id[0] : ccdaDoc?.id;
+    const documentId = docIdEl?.['@_extension']
+        ? `${docIdEl['@_root'] ?? ''}:${docIdEl['@_extension']}`
+        : docIdEl?.extension
+            ? `${docIdEl.root ?? ''}:${docIdEl.extension}`
+            : `doc:${importedAt}`;
+    const allQuads = [];
+    let count = 0;
+    // Extract patient demographics
+    const recordTarget = ccdaDoc?.recordTarget;
+    if (!recordTarget) {
+        warnings.push('C-CDA document has no recordTarget — patient demographics not extracted');
+        return { quads: allQuads, count };
+    }
+    const { quads: patientQuads, patientUri } = extractPatientQuads(Array.isArray(recordTarget) ? recordTarget : [recordTarget], sourceSystem);
+    allQuads.push(...patientQuads);
+    count++;
+    // Process each section
+    // ccdaDoc.component is always an array (fast-xml-parser isArray config), so we must
+    // search through the array for the element that contains structuredBody rather than
+    // accessing .structuredBody directly on the array.
+    const componentTopLevel = ccdaDoc?.component;
+    const componentTopArr = Array.isArray(componentTopLevel)
+        ? componentTopLevel
+        : componentTopLevel ? [componentTopLevel] : [];
+    const body = componentTopArr.find((c) => c?.structuredBody)?.structuredBody
+        ?? ccdaDoc?.structuredBody;
+    const components = body?.component ?? [];
+    const componentArr = Array.isArray(components) ? components : [components];
+    for (const comp of componentArr) {
+        const section = comp?.section ?? comp;
+        if (!section)
+            continue;
+        // Find template ID
+        const templateIdRaw = Array.isArray(section?.templateId)
+            ? section.templateId
+            : section?.templateId ? [section.templateId] : [];
+        const templateIds = templateIdRaw.map((t) => t?.['@_root'] ?? t?.root ?? '').filter(Boolean);
+        const matchedTemplateId = templateIds.find((id) => SECTION_HANDLERS[id]);
+        // Get LOINC from section code
+        const sectionCode = section?.code?.['@_code'] ?? section?.code?.code ?? '';
+        // Extract narrative
+        const sectionText = section?.text;
+        if (sectionText) {
+            const effectiveLoinc = sectionCode || (matchedTemplateId ? (SECTION_HANDLERS[matchedTemplateId]?.loinc ?? '') : '');
+            const narrativeQuads = extractNarrativeQuads(sectionText, effectiveLoinc, documentType, documentId, sourceSystem, importedAt);
+            allQuads.push(...narrativeQuads);
+        }
+        // Extract structured entries
+        if (matchedTemplateId && SECTION_HANDLERS[matchedTemplateId]) {
+            const handler = SECTION_HANDLERS[matchedTemplateId];
+            const entries = Array.isArray(section?.entry)
+                ? section.entry
+                : section?.entry ? [section.entry] : [];
+            const quads = handler.extract(entries, patientUri, sourceSystem);
+            // Tag each structured record from a summarization document so the
+            // reconciler can apply a lower confidence threshold for deduplication.
+            // Summarization documents (LOINC 34133-9) contain the patient's full
+            // history snapshot — the same record appearing in two such documents is
+            // almost certainly a duplicate.
+            if (documentType === 'summarization') {
+                const subjects = new Set(quads
+                    .filter((q) => q.predicate.value === NS.rdf + 'type')
+                    .map((q) => q.subject.value));
+                for (const subjectUri of subjects) {
+                    quads.push(makeQuad(namedNode(subjectUri), namedNode(NS.cascade + 'documentType'), literal(documentType)));
+                }
+            }
+            allQuads.push(...quads);
+            count += entries.length;
+        }
+        else if (templateIds.length > 0) {
+            const isKnownNarrativeOnly = templateIds.some((id) => NARRATIVE_ONLY_TEMPLATE_IDS.has(id));
+            if (!isKnownNarrativeOnly) {
+                warnings.push(`Unknown section templateId: ${templateIds[0]} — narrative preserved if present`);
+            }
+        }
+    }
+    return { quads: allQuads, count };
+}
+//# sourceMappingURL=index.js.map

package/dist/lib/ccda-converter/index.js.map

@@ -0,0 +1 @@
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package/dist/lib/ccda-converter/narrative.d.ts

@@ -0,0 +1,6 @@
+/**
+ * Extract C-CDA section narrative <text> blocks as clinical:ClinicalDocument nodes.
+ */
+import type { Quad } from 'n3';
+export declare function extractNarrativeQuads(sectionText: any, sectionLoincCode: string, documentType: string, documentId: string, sourceSystem: string, importedAt: string): Quad[];
+//# sourceMappingURL=narrative.d.ts.map

package/dist/lib/ccda-converter/narrative.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"narrative.d.ts","sourceRoot":"","sources":["../../../src/lib/ccda-converter/narrative.ts"],"names":[],"mappings":"AAAA;;GAEG;AAIH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,wBAAgB,qBAAqB,CACnC,WAAW,EAAE,GAAG,EAChB,gBAAgB,EAAE,MAAM,EACxB,YAAY,EAAE,MAAM,EACpB,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,EACpB,UAAU,EAAE,MAAM,GACjB,IAAI,EAAE,CA2BR"}

package/dist/lib/ccda-converter/narrative.js

@@ -0,0 +1,35 @@
+/**
+ * Extract C-CDA section narrative <text> blocks as clinical:ClinicalDocument nodes.
+ */
+import { NS, contentHashedUri } from '../fhir-converter/types.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export function extractNarrativeQuads(sectionText, sectionLoincCode, documentType, documentId, sourceSystem, importedAt) {
+    if (!sectionText)
+        return [];
+    // Convert the narrative to a string
+    let narrativeStr = '';
+    if (typeof sectionText === 'string') {
+        narrativeStr = sectionText;
+    }
+    else if (typeof sectionText === 'object') {
+        narrativeStr = JSON.stringify(sectionText);
+    }
+    if (!narrativeStr.trim())
+        return [];
+    const uri = contentHashedUri('ClinicalDocument', {
+        section: sectionLoincCode,
+        document: documentId,
+        source: sourceSystem,
+    });
+    const subj = namedNode(uri);
+    return [
+        makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.clinical + 'ClinicalDocument')),
+        makeQuad(subj, namedNode(NS.clinical + 'documentType'), literal(documentType)),
+        makeQuad(subj, namedNode(NS.cascade + 'sectionCode'), literal(sectionLoincCode)),
+        makeQuad(subj, namedNode(NS.clinical + 'content'), literal(narrativeStr)),
+        makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)),
+        makeQuad(subj, namedNode(NS.prov + 'generatedAtTime'), literal(importedAt, namedNode(NS.xsd + 'dateTime'))),
+    ];
+}
+//# sourceMappingURL=narrative.js.map

package/dist/lib/ccda-converter/narrative.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"narrative.js","sourceRoot":"","sources":["../../../src/lib/ccda-converter/narrative.ts"],"names":[],"mappings":"AAAA;;GAEG;AAEH,OAAO,EAAE,EAAE,EAAE,gBAAgB,EAAE,MAAM,4BAA4B,CAAC;AAClE,OAAO,EAAE,WAAW,EAAE,MAAM,IAAI,CAAC;AAGjC,MAAM,EAAE,SAAS,EAAE,OAAO,EAAE,IAAI,EAAE,QAAQ,EAAE,GAAG,WAAW,CAAC;AAE3D,MAAM,UAAU,qBAAqB,CACnC,WAAgB,EAChB,gBAAwB,EACxB,YAAoB,EACpB,UAAkB,EAClB,YAAoB,EACpB,UAAkB;IAElB,IAAI,CAAC,WAAW;QAAE,OAAO,EAAE,CAAC;IAE5B,oCAAoC;IACpC,IAAI,YAAY,GAAG,EAAE,CAAC;IACtB,IAAI,OAAO,WAAW,KAAK,QAAQ,EAAE,CAAC;QACpC,YAAY,GAAG,WAAW,CAAC;IAC7B,CAAC;SAAM,IAAI,OAAO,WAAW,KAAK,QAAQ,EAAE,CAAC;QAC3C,YAAY,GAAG,IAAI,CAAC,SAAS,CAAC,WAAW,CAAC,CAAC;IAC7C,CAAC;IACD,IAAI,CAAC,YAAY,CAAC,IAAI,EAAE;QAAE,OAAO,EAAE,CAAC;IAEpC,MAAM,GAAG,GAAG,gBAAgB,CAAC,kBAAkB,EAAE;QAC/C,OAAO,EAAE,gBAAgB;QACzB,QAAQ,EAAE,UAAU;QACpB,MAAM,EAAE,YAAY;KACrB,CAAC,CAAC;IAEH,MAAM,IAAI,GAAG,SAAS,CAAC,GAAG,CAAC,CAAC;IAC5B,OAAO;QACL,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,GAAG,GAAG,MAAM,CAAC,EAAE,SAAS,CAAC,EAAE,CAAC,QAAQ,GAAG,kBAAkB,CAAC,CAAC;QACvF,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,QAAQ,GAAG,cAAc,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC;QAC9E,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,aAAa,CAAC,EAAE,OAAO,CAAC,gBAAgB,CAAC,CAAC;QAChF,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,QAAQ,GAAG,SAAS,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC;QACzE,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,cAAc,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC;QAC7E,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,IAAI,GAAG,iBAAiB,CAAC,EAAE,OAAO,CAAC,UAAU,EAAE,SAAS,CAAC,EAAE,CAAC,GAAG,GAAG,UAAU,CAAC,CAAC,CAAC;KAC5G,CAAC;AACJ,CAAC"}

package/dist/lib/ccda-converter/parser.d.ts

@@ -0,0 +1,6 @@
+/**
+ * XML parser for C-CDA documents.
+ * Uses fast-xml-parser with attribute support and array normalization.
+ */
+export declare function parseCcdaXml(xml: string): any;
+//# sourceMappingURL=parser.d.ts.map

package/dist/lib/ccda-converter/parser.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"parser.d.ts","sourceRoot":"","sources":["../../../src/lib/ccda-converter/parser.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAmBH,wBAAgB,YAAY,CAAC,GAAG,EAAE,MAAM,GAAG,GAAG,CAE7C"}

package/dist/lib/ccda-converter/parser.js

@@ -0,0 +1,23 @@
+/**
+ * XML parser for C-CDA documents.
+ * Uses fast-xml-parser with attribute support and array normalization.
+ */
+import { XMLParser } from 'fast-xml-parser';
+const xmlParser = new XMLParser({
+    ignoreAttributes: false,
+    attributeNamePrefix: '@_',
+    textNodeName: '#text',
+    isArray: (name) => {
+        // These elements should always be arrays
+        return [
+            'entry', 'component', 'observation', 'substanceAdministration',
+            'act', 'encounter', 'procedure', 'id', 'name', 'telecom', 'addr',
+            'entryRelationship', 'participant',
+        ].includes(name);
+    },
+    allowBooleanAttributes: true,
+});
+export function parseCcdaXml(xml) {
+    return xmlParser.parse(xml);
+}
+//# sourceMappingURL=parser.js.map

package/dist/lib/ccda-converter/parser.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"parser.js","sourceRoot":"","sources":["../../../src/lib/ccda-converter/parser.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,SAAS,EAAE,MAAM,iBAAiB,CAAC;AAE5C,MAAM,SAAS,GAAG,IAAI,SAAS,CAAC;IAC9B,gBAAgB,EAAE,KAAK;IACvB,mBAAmB,EAAE,IAAI;IACzB,YAAY,EAAE,OAAO;IACrB,OAAO,EAAE,CAAC,IAAY,EAAE,EAAE;QACxB,yCAAyC;QACzC,OAAO;YACL,OAAO,EAAE,WAAW,EAAE,aAAa,EAAE,yBAAyB;YAC9D,KAAK,EAAE,WAAW,EAAE,WAAW,EAAE,IAAI,EAAE,MAAM,EAAE,SAAS,EAAE,MAAM;YAChE,mBAAmB,EAAE,aAAa;SACnC,CAAC,QAAQ,CAAC,IAAI,CAAC,CAAC;IACnB,CAAC;IACD,sBAAsB,EAAE,IAAI;CAC7B,CAAC,CAAC;AAEH,MAAM,UAAU,YAAY,CAAC,GAAW;IACtC,OAAO,SAAS,CAAC,KAAK,CAAC,GAAG,CAAC,CAAC;AAC9B,CAAC"}

package/dist/lib/ccda-converter/sections/allergies.d.ts

@@ -0,0 +1,8 @@
+/**
+ * Extract allergies from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.6.1)
+ */
+import type { Quad } from 'n3';
+export declare const ALLERGIES_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.6.1";
+export declare const ALLERGIES_LOINC = "48765-2";
+export declare function extractAllergyQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=allergies.d.ts.map

package/dist/lib/ccda-converter/sections/allergies.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"allergies.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/allergies.ts"],"names":[],"mappings":"AAAA;;GAEG;AAIH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,qBAAqB,qCAAqC,CAAC;AACxE,eAAO,MAAM,eAAe,YAAY,CAAC;AAEzC,wBAAgB,mBAAmB,CACjC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CAyDR"}

package/dist/lib/ccda-converter/sections/allergies.js

@@ -0,0 +1,57 @@
+/**
+ * Extract allergies from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.6.1)
+ */
+import { NS, contentHashedUri } from '../../fhir-converter/types.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export const ALLERGIES_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.6.1';
+export const ALLERGIES_LOINC = '48765-2';
+export function extractAllergyQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    for (const entry of entries) {
+        // entry.act is always an array from fast-xml-parser's isArray config — unwrap first element
+        const actRaw = entry?.act;
+        const act = Array.isArray(actRaw) ? actRaw[0] : (actRaw ?? entry);
+        const obs = act?.entryRelationship?.observation ?? act?.observation ?? act;
+        const obsArr = Array.isArray(obs) ? obs : [obs];
+        for (const observation of obsArr) {
+            // Allergen is typically in participant/playingEntity
+            const participant = Array.isArray(observation?.participant)
+                ? observation.participant[0]
+                : observation?.participant;
+            const playingEntity = participant?.participantRole?.playingEntity ?? {};
+            const allergenCode = playingEntity?.code ?? {};
+            const allergenName = typeof playingEntity?.name === 'string'
+                ? playingEntity.name
+                : playingEntity?.name?.['#text'] ??
+                    allergenCode?.['@_displayName'] ??
+                    allergenCode?.displayName ?? '';
+            // Reaction/severity from entryRelationship
+            const reactions = Array.isArray(observation?.entryRelationship)
+                ? observation.entryRelationship
+                : observation?.entryRelationship ? [observation.entryRelationship] : [];
+            const severityObs = reactions.find((r) => r?.observation?.code?.['@_code'] === 'SEV' || r?.typeCode === 'SUBJ')?.observation;
+            const severityCode = severityObs?.value?.['@_displayName'] ?? severityObs?.value?.displayName ?? '';
+            if (!allergenName)
+                continue;
+            const sourceId = (() => {
+                const idEl = Array.isArray(act?.id) ? act.id[0] : act?.id;
+                return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+            })();
+            const uri = contentHashedUri('Allergy', {
+                patient: patientUri,
+                allergenName: allergenName.toLowerCase(),
+            }, sourceId || undefined);
+            const subj = namedNode(uri);
+            quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'AllergyRecord')));
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+            quads.push(makeQuad(subj, namedNode(NS.health + 'allergen'), literal(allergenName)));
+            if (severityCode)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'allergySeverity'), literal(severityCode.toLowerCase())));
+            if (sourceId)
+                quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+        }
+    }
+    return quads;
+}
+//# sourceMappingURL=allergies.js.map

package/dist/lib/ccda-converter/sections/allergies.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"allergies.js","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/allergies.ts"],"names":[],"mappings":"AAAA;;GAEG;AAEH,OAAO,EAAE,EAAE,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AACrE,OAAO,EAAE,WAAW,EAAE,MAAM,IAAI,CAAC;AAGjC,MAAM,EAAE,SAAS,EAAE,OAAO,EAAE,IAAI,EAAE,QAAQ,EAAE,GAAG,WAAW,CAAC;AAE3D,MAAM,CAAC,MAAM,qBAAqB,GAAG,kCAAkC,CAAC;AACxE,MAAM,CAAC,MAAM,eAAe,GAAG,SAAS,CAAC;AAEzC,MAAM,UAAU,mBAAmB,CACjC,OAAc,EACd,UAAkB,EAClB,YAAoB;IAEpB,MAAM,KAAK,GAAW,EAAE,CAAC;IAEzB,KAAK,MAAM,KAAK,IAAI,OAAO,EAAE,CAAC;QAC5B,4FAA4F;QAC5F,MAAM,MAAM,GAAG,KAAK,EAAE,GAAG,CAAC;QAC1B,MAAM,GAAG,GAAG,KAAK,CAAC,OAAO,CAAC,MAAM,CAAC,CAAC,CAAC,CAAC,MAAM,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,MAAM,IAAI,KAAK,CAAC,CAAC;QAClE,MAAM,GAAG,GAAG,GAAG,EAAE,iBAAiB,EAAE,WAAW,IAAI,GAAG,EAAE,WAAW,IAAI,GAAG,CAAC;QAC3E,MAAM,MAAM,GAAG,KAAK,CAAC,OAAO,CAAC,GAAG,CAAC,CAAC,CAAC,CAAC,GAAG,CAAC,CAAC,CAAC,CAAC,GAAG,CAAC,CAAC;QAEhD,KAAK,MAAM,WAAW,IAAI,MAAM,EAAE,CAAC;YACjC,qDAAqD;YACrD,MAAM,WAAW,GAAG,KAAK,CAAC,OAAO,CAAC,WAAW,EAAE,WAAW,CAAC;gBACzD,CAAC,CAAC,WAAW,CAAC,WAAW,CAAC,CAAC,CAAC;gBAC5B,CAAC,CAAC,WAAW,EAAE,WAAW,CAAC;YAC7B,MAAM,aAAa,GAAG,WAAW,EAAE,eAAe,EAAE,aAAa,IAAI,EAAE,CAAC;YACxE,MAAM,YAAY,GAAG,aAAa,EAAE,IAAI,IAAI,EAAE,CAAC;YAC/C,MAAM,YAAY,GAChB,OAAO,aAAa,EAAE,IAAI,KAAK,QAAQ;gBACrC,CAAC,CAAC,aAAa,CAAC,IAAI;gBACpB,CAAC,CAAC,aAAa,EAAE,IAAI,EAAE,CAAC,OAAO,CAAC;oBAC9B,YAAY,EAAE,CAAC,eAAe,CAAC;oBAC/B,YAAY,EAAE,WAAW,IAAI,EAAE,CAAC;YAEtC,2CAA2C;YAC3C,MAAM,SAAS,GAAG,KAAK,CAAC,OAAO,CAAC,WAAW,EAAE,iBAAiB,CAAC;gBAC7D,CAAC,CAAC,WAAW,CAAC,iBAAiB;gBAC/B,CAAC,CAAC,WAAW,EAAE,iBAAiB,CAAC,CAAC,CAAC,CAAC,WAAW,CAAC,iBAAiB,CAAC,CAAC,CAAC,CAAC,EAAE,CAAC;YAC1E,MAAM,WAAW,GAAG,SAAS,CAAC,IAAI,CAChC,CAAC,CAAM,EAAE,EAAE,CAAC,CAAC,EAAE,WAAW,EAAE,IAAI,EAAE,CAAC,QAAQ,CAAC,KAAK,KAAK,IAAI,CAAC,EAAE,QAAQ,KAAK,MAAM,CACjF,EAAE,WAAW,CAAC;YACf,MAAM,YAAY,GAChB,WAAW,EAAE,KAAK,EAAE,CAAC,eAAe,CAAC,IAAI,WAAW,EAAE,KAAK,EAAE,WAAW,IAAI,EAAE,CAAC;YAEjF,IAAI,CAAC,YAAY;gBAAE,SAAS;YAE5B,MAAM,QAAQ,GAAG,CAAC,GAAG,EAAE;gBACrB,MAAM,IAAI,GAAG,KAAK,CAAC,OAAO,CAAC,GAAG,EAAE,EAAE,CAAC,CAAC,CAAC,CAAC,GAAG,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,GAAG,EAAE,EAAE,CAAC;gBAC1D,OAAO,IAAI,EAAE,CAAC,aAAa,CAAC,CAAC,CAAC,CAAC,GAAG,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,IAAI,IAAI,CAAC,aAAa,CAAC,EAAE,CAAC,CAAC,CAAC,EAAE,CAAC;YACvF,CAAC,CAAC,EAAE,CAAC;YAEL,MAAM,GAAG,GAAG,gBAAgB,CAAC,SAAS,EAAE;gBACtC,OAAO,EAAE,UAAU;gBACnB,YAAY,EAAE,YAAY,CAAC,WAAW,EAAE;aACzC,EAAE,QAAQ,IAAI,SAAS,CAAC,CAAC;YAE1B,MAAM,IAAI,GAAG,SAAS,CAAC,GAAG,CAAC,CAAC;YAC5B,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,GAAG,GAAG,MAAM,CAAC,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,eAAe,CAAC,CAAC,CAAC,CAAC;YAC/F,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,cAAc,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC,CAAC,CAAC;YAC1F,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,UAAU,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC,CAAC,CAAC;YAErF,IAAI,YAAY;gBAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,iBAAiB,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,WAAW,EAAE,CAAC,CAAC,CAAC,CAAC;YAC5H,IAAI,QAAQ;gBAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,gBAAgB,CAAC,EAAE,OAAO,CAAC,QAAQ,CAAC,CAAC,CAAC,CAAC;QACxG,CAAC;IACH,CAAC;IAED,OAAO,KAAK,CAAC;AACf,CAAC"}

package/dist/lib/ccda-converter/sections/devices.d.ts

@@ -0,0 +1,9 @@
+/**
+ * Extract implanted devices from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.23)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import type { Quad } from 'n3';
+export declare const DEVICES_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.23";
+export declare const DEVICES_LOINC = "46264-8";
+export declare function extractDeviceQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=devices.d.ts.map

package/dist/lib/ccda-converter/sections/devices.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"devices.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/devices.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAIH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,mBAAmB,oCAAoC,CAAC;AACrE,eAAO,MAAM,aAAa,YAAY,CAAC;AAEvC,wBAAgB,kBAAkB,CAChC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CA2CR"}

package/dist/lib/ccda-converter/sections/devices.js

@@ -0,0 +1,50 @@
+/**
+ * Extract implanted devices from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.23)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import { NS, contentHashedUri } from '../../fhir-converter/types.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export const DEVICES_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.23';
+export const DEVICES_LOINC = '46264-8';
+export function extractDeviceQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    for (const entry of entries) {
+        const supply = entry?.supply ?? entry;
+        if (!supply)
+            continue;
+        const participant = Array.isArray(supply?.participant)
+            ? supply.participant[0]
+            : supply?.participant;
+        const device = participant?.participantRole?.playingDevice ?? {};
+        const codeEl = device?.code ?? {};
+        const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ??
+            (typeof device?.manufacturerModelName === 'string' ? device.manufacturerModelName : '');
+        if (!displayName)
+            continue;
+        const effTime = supply?.effectiveTime ?? {};
+        const dateVal = effTime?.['@_value'] ?? effTime?.value ?? effTime?.low?.['@_value'] ?? '';
+        const dateStr = dateVal.length >= 8
+            ? `${dateVal.slice(0, 4)}-${dateVal.slice(4, 6)}-${dateVal.slice(6, 8)}`
+            : dateVal;
+        const sourceId = (() => {
+            const idEl = Array.isArray(supply?.id) ? supply.id[0] : supply?.id;
+            return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+        })();
+        const uri = contentHashedUri('Device', {
+            patient: patientUri,
+            displayName: displayName.toLowerCase(),
+            date: dateStr || undefined,
+        }, sourceId || undefined);
+        const subj = namedNode(uri);
+        quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.clinical + 'ImplantedDevice')));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'deviceName'), literal(displayName)));
+        if (dateStr)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'effectiveDate'), literal(dateStr)));
+        if (sourceId)
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+    }
+    return quads;
+}
+//# sourceMappingURL=devices.js.map

package/dist/lib/ccda-converter/sections/devices.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"devices.js","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/devices.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,EAAE,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AACrE,OAAO,EAAE,WAAW,EAAE,MAAM,IAAI,CAAC;AAGjC,MAAM,EAAE,SAAS,EAAE,OAAO,EAAE,IAAI,EAAE,QAAQ,EAAE,GAAG,WAAW,CAAC;AAE3D,MAAM,CAAC,MAAM,mBAAmB,GAAG,iCAAiC,CAAC;AACrE,MAAM,CAAC,MAAM,aAAa,GAAG,SAAS,CAAC;AAEvC,MAAM,UAAU,kBAAkB,CAChC,OAAc,EACd,UAAkB,EAClB,YAAoB;IAEpB,MAAM,KAAK,GAAW,EAAE,CAAC;IAEzB,KAAK,MAAM,KAAK,IAAI,OAAO,EAAE,CAAC;QAC5B,MAAM,MAAM,GAAG,KAAK,EAAE,MAAM,IAAI,KAAK,CAAC;QACtC,IAAI,CAAC,MAAM;YAAE,SAAS;QAEtB,MAAM,WAAW,GAAG,KAAK,CAAC,OAAO,CAAC,MAAM,EAAE,WAAW,CAAC;YACpD,CAAC,CAAC,MAAM,CAAC,WAAW,CAAC,CAAC,CAAC;YACvB,CAAC,CAAC,MAAM,EAAE,WAAW,CAAC;QACxB,MAAM,MAAM,GAAG,WAAW,EAAE,eAAe,EAAE,aAAa,IAAI,EAAE,CAAC;QACjE,MAAM,MAAM,GAAG,MAAM,EAAE,IAAI,IAAI,EAAE,CAAC;QAClC,MAAM,WAAW,GAAG,MAAM,EAAE,CAAC,eAAe,CAAC,IAAI,MAAM,EAAE,WAAW;YAClE,CAAC,OAAO,MAAM,EAAE,qBAAqB,KAAK,QAAQ,CAAC,CAAC,CAAC,MAAM,CAAC,qBAAqB,CAAC,CAAC,CAAC,EAAE,CAAC,CAAC;QAE1F,IAAI,CAAC,WAAW;YAAE,SAAS;QAE3B,MAAM,OAAO,GAAG,MAAM,EAAE,aAAa,IAAI,EAAE,CAAC;QAC5C,MAAM,OAAO,GAAG,OAAO,EAAE,CAAC,SAAS,CAAC,IAAI,OAAO,EAAE,KAAK,IAAI,OAAO,EAAE,GAAG,EAAE,CAAC,SAAS,CAAC,IAAI,EAAE,CAAC;QAC1F,MAAM,OAAO,GAAG,OAAO,CAAC,MAAM,IAAI,CAAC;YACjC,CAAC,CAAC,GAAG,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,IAAI,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,IAAI,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,EAAE;YACxE,CAAC,CAAC,OAAO,CAAC;QAEZ,MAAM,QAAQ,GAAG,CAAC,GAAG,EAAE;YACrB,MAAM,IAAI,GAAG,KAAK,CAAC,OAAO,CAAC,MAAM,EAAE,EAAE,CAAC,CAAC,CAAC,CAAC,MAAM,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,MAAM,EAAE,EAAE,CAAC;YACnE,OAAO,IAAI,EAAE,CAAC,aAAa,CAAC,CAAC,CAAC,CAAC,GAAG,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,IAAI,IAAI,CAAC,aAAa,CAAC,EAAE,CAAC,CAAC,CAAC,EAAE,CAAC;QACvF,CAAC,CAAC,EAAE,CAAC;QAEL,MAAM,GAAG,GAAG,gBAAgB,CAAC,QAAQ,EAAE;YACrC,OAAO,EAAE,UAAU;YACnB,WAAW,EAAE,WAAW,CAAC,WAAW,EAAE;YACtC,IAAI,EAAE,OAAO,IAAI,SAAS;SAC3B,EAAE,QAAQ,IAAI,SAAS,CAAC,CAAC;QAE1B,MAAM,IAAI,GAAG,SAAS,CAAC,GAAG,CAAC,CAAC;QAC5B,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,GAAG,GAAG,MAAM,CAAC,EAAE,SAAS,CAAC,EAAE,CAAC,QAAQ,GAAG,iBAAiB,CAAC,CAAC,CAAC,CAAC;QACnG,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,cAAc,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC,CAAC,CAAC;QAC1F,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,YAAY,CAAC,EAAE,OAAO,CAAC,WAAW,CAAC,CAAC,CAAC,CAAC;QACvF,IAAI,OAAO;YAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,eAAe,CAAC,EAAE,OAAO,CAAC,OAAO,CAAC,CAAC,CAAC,CAAC;QAClG,IAAI,QAAQ;YAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,gBAAgB,CAAC,EAAE,OAAO,CAAC,QAAQ,CAAC,CAAC,CAAC,CAAC;IACxG,CAAC;IAED,OAAO,KAAK,CAAC;AACf,CAAC"}

package/dist/lib/ccda-converter/sections/encounters.d.ts

@@ -0,0 +1,9 @@
+/**
+ * Extract encounters from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.22)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import type { Quad } from 'n3';
+export declare const ENCOUNTERS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.22";
+export declare const ENCOUNTERS_LOINC = "46240-8";
+export declare function extractEncounterQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=encounters.d.ts.map

package/dist/lib/ccda-converter/sections/encounters.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"encounters.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/encounters.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAIH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,sBAAsB,oCAAoC,CAAC;AACxE,eAAO,MAAM,gBAAgB,YAAY,CAAC;AAE1C,wBAAgB,qBAAqB,CACnC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CAqCR"}

package/dist/lib/ccda-converter/sections/encounters.js

@@ -0,0 +1,44 @@
+/**
+ * Extract encounters from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.22)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import { NS, contentHashedUri } from '../../fhir-converter/types.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export const ENCOUNTERS_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.22';
+export const ENCOUNTERS_LOINC = '46240-8';
+export function extractEncounterQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    for (const entry of entries) {
+        const enc = entry?.encounter ?? entry;
+        if (!enc)
+            continue;
+        const codeEl = enc?.code ?? {};
+        const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ?? '';
+        const effTime = enc?.effectiveTime ?? {};
+        const dateVal = effTime?.['@_value'] ?? effTime?.value ?? effTime?.low?.['@_value'] ?? '';
+        const dateStr = dateVal.length >= 8
+            ? `${dateVal.slice(0, 4)}-${dateVal.slice(4, 6)}-${dateVal.slice(6, 8)}`
+            : dateVal;
+        const sourceId = (() => {
+            const idEl = Array.isArray(enc?.id) ? enc.id[0] : enc?.id;
+            return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+        })();
+        const uri = contentHashedUri('Encounter', {
+            patient: patientUri,
+            displayName: displayName || undefined,
+            date: dateStr || undefined,
+        }, sourceId || undefined);
+        const subj = namedNode(uri);
+        quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.clinical + 'Encounter')));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+        if (displayName)
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'encounterType'), literal(displayName)));
+        if (dateStr)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'effectiveDate'), literal(dateStr)));
+        if (sourceId)
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+    }
+    return quads;
+}
+//# sourceMappingURL=encounters.js.map

package/dist/lib/ccda-converter/sections/encounters.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"encounters.js","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/encounters.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,EAAE,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AACrE,OAAO,EAAE,WAAW,EAAE,MAAM,IAAI,CAAC;AAGjC,MAAM,EAAE,SAAS,EAAE,OAAO,EAAE,IAAI,EAAE,QAAQ,EAAE,GAAG,WAAW,CAAC;AAE3D,MAAM,CAAC,MAAM,sBAAsB,GAAG,iCAAiC,CAAC;AACxE,MAAM,CAAC,MAAM,gBAAgB,GAAG,SAAS,CAAC;AAE1C,MAAM,UAAU,qBAAqB,CACnC,OAAc,EACd,UAAkB,EAClB,YAAoB;IAEpB,MAAM,KAAK,GAAW,EAAE,CAAC;IAEzB,KAAK,MAAM,KAAK,IAAI,OAAO,EAAE,CAAC;QAC5B,MAAM,GAAG,GAAG,KAAK,EAAE,SAAS,IAAI,KAAK,CAAC;QACtC,IAAI,CAAC,GAAG;YAAE,SAAS;QAEnB,MAAM,MAAM,GAAG,GAAG,EAAE,IAAI,IAAI,EAAE,CAAC;QAC/B,MAAM,WAAW,GAAG,MAAM,EAAE,CAAC,eAAe,CAAC,IAAI,MAAM,EAAE,WAAW,IAAI,EAAE,CAAC;QAE3E,MAAM,OAAO,GAAG,GAAG,EAAE,aAAa,IAAI,EAAE,CAAC;QACzC,MAAM,OAAO,GACX,OAAO,EAAE,CAAC,SAAS,CAAC,IAAI,OAAO,EAAE,KAAK,IAAI,OAAO,EAAE,GAAG,EAAE,CAAC,SAAS,CAAC,IAAI,EAAE,CAAC;QAC5E,MAAM,OAAO,GAAG,OAAO,CAAC,MAAM,IAAI,CAAC;YACjC,CAAC,CAAC,GAAG,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,IAAI,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,IAAI,OAAO,CAAC,KAAK,CAAC,CAAC,EAAE,CAAC,CAAC,EAAE;YACxE,CAAC,CAAC,OAAO,CAAC;QAEZ,MAAM,QAAQ,GAAG,CAAC,GAAG,EAAE;YACrB,MAAM,IAAI,GAAG,KAAK,CAAC,OAAO,CAAC,GAAG,EAAE,EAAE,CAAC,CAAC,CAAC,CAAC,GAAG,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,GAAG,EAAE,EAAE,CAAC;YAC1D,OAAO,IAAI,EAAE,CAAC,aAAa,CAAC,CAAC,CAAC,CAAC,GAAG,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,IAAI,IAAI,CAAC,aAAa,CAAC,EAAE,CAAC,CAAC,CAAC,EAAE,CAAC;QACvF,CAAC,CAAC,EAAE,CAAC;QAEL,MAAM,GAAG,GAAG,gBAAgB,CAAC,WAAW,EAAE;YACxC,OAAO,EAAE,UAAU;YACnB,WAAW,EAAE,WAAW,IAAI,SAAS;YACrC,IAAI,EAAE,OAAO,IAAI,SAAS;SAC3B,EAAE,QAAQ,IAAI,SAAS,CAAC,CAAC;QAE1B,MAAM,IAAI,GAAG,SAAS,CAAC,GAAG,CAAC,CAAC;QAC5B,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,GAAG,GAAG,MAAM,CAAC,EAAE,SAAS,CAAC,EAAE,CAAC,QAAQ,GAAG,WAAW,CAAC,CAAC,CAAC,CAAC;QAC7F,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,cAAc,CAAC,EAAE,OAAO,CAAC,YAAY,CAAC,CAAC,CAAC,CAAC;QAC1F,IAAI,WAAW;YAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,eAAe,CAAC,EAAE,OAAO,CAAC,WAAW,CAAC,CAAC,CAAC,CAAC;QAC3G,IAAI,OAAO;YAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,eAAe,CAAC,EAAE,OAAO,CAAC,OAAO,CAAC,CAAC,CAAC,CAAC;QAClG,IAAI,QAAQ;YAAE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,gBAAgB,CAAC,EAAE,OAAO,CAAC,QAAQ,CAAC,CAAC,CAAC,CAAC;IACxG,CAAC;IAED,OAAO,KAAK,CAAC;AACf,CAAC"}

package/dist/lib/ccda-converter/sections/family-history.d.ts

@@ -0,0 +1,9 @@
+/**
+ * Extract family history from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.15)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import type { Quad } from 'n3';
+export declare const FAMILY_HISTORY_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.15";
+export declare const FAMILY_HISTORY_LOINC = "10157-6";
+export declare function extractFamilyHistoryQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=family-history.d.ts.map

package/dist/lib/ccda-converter/sections/family-history.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"family-history.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/family-history.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAKH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,0BAA0B,oCAAoC,CAAC;AAC5E,eAAO,MAAM,oBAAoB,YAAY,CAAC;AAE9C,wBAAgB,yBAAyB,CACvC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CAkDR"}

package/dist/lib/ccda-converter/sections/family-history.js

@@ -0,0 +1,60 @@
+/**
+ * Extract family history from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.15)
+ * Minimal implementation — narrative is preserved by the main converter.
+ */
+import { NS, contentHashedUri } from '../../fhir-converter/types.js';
+import { resolveCodeUri } from '../code-systems.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export const FAMILY_HISTORY_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.15';
+export const FAMILY_HISTORY_LOINC = '10157-6';
+export function extractFamilyHistoryQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    const snomedOid = '2.16.840.1.113883.6.96';
+    for (const entry of entries) {
+        const organizer = entry?.organizer ?? entry;
+        if (!organizer)
+            continue;
+        // Family member relationship
+        const subject = organizer?.subject?.relatedSubject;
+        const relationCode = subject?.code ?? {};
+        const relation = relationCode?.['@_displayName'] ?? relationCode?.displayName ?? '';
+        // Observations within the organizer
+        const components = Array.isArray(organizer?.component) ? organizer.component : [];
+        for (const comp of components) {
+            const obs = comp?.observation;
+            if (!obs)
+                continue;
+            const valueEl = obs?.value ?? {};
+            const code = valueEl?.['@_code'] ?? valueEl?.code ?? '';
+            const codeSystem = valueEl?.['@_codeSystem'] ?? valueEl?.codeSystem ?? '';
+            const displayName = valueEl?.['@_displayName'] ?? valueEl?.displayName ?? '';
+            const isSnomed = codeSystem.includes('6.96') || codeSystem === snomedOid;
+            if (!displayName && !code)
+                continue;
+            const sourceId = (() => {
+                const idEl = Array.isArray(obs?.id) ? obs.id[0] : obs?.id;
+                return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+            })();
+            const uri = contentHashedUri('FamilyHistory', {
+                patient: patientUri,
+                relation: relation || undefined,
+                condition: displayName || undefined,
+                code: code || undefined,
+            }, sourceId || undefined);
+            const subj = namedNode(uri);
+            quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'FamilyHistoryRecord')));
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+            if (relation)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'familyMember'), literal(relation)));
+            if (displayName)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'conditionName'), literal(displayName)));
+            if (isSnomed && code)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'snomedCode'), namedNode(resolveCodeUri(snomedOid, code))));
+            if (sourceId)
+                quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+        }
+    }
+    return quads;
+}
+//# sourceMappingURL=family-history.js.map

package/dist/lib/ccda-converter/sections/family-history.js.map

@@ -0,0 +1 @@
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