@the-cascade-protocol/cli 0.3.5 → 0.4.0

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

@@ -0,0 +1,8 @@
+/**
+ * Extract immunizations from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.2.1)
+ */
+import type { Quad } from 'n3';
+export declare const IMMUNIZATIONS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.2.1";
+export declare const IMMUNIZATIONS_LOINC = "11369-6";
+export declare function extractImmunizationQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=immunizations.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"immunizations.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/immunizations.ts"],"names":[],"mappings":"AAAA;;GAEG;AAKH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,yBAAyB,qCAAqC,CAAC;AAC5E,eAAO,MAAM,mBAAmB,YAAY,CAAC;AAE7C,wBAAgB,wBAAwB,CACtC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CA2DR"}

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

@@ -0,0 +1,62 @@
+/**
+ * Extract immunizations from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.2.1)
+ */
+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 IMMUNIZATIONS_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.2.1';
+export const IMMUNIZATIONS_LOINC = '11369-6';
+export function extractImmunizationQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    for (const entry of entries) {
+        // entry.substanceAdministration is always an array from fast-xml-parser's isArray config — unwrap first element
+        const saRaw = entry?.substanceAdministration;
+        const sa = Array.isArray(saRaw) ? saRaw[0] : (saRaw ?? entry);
+        if (!sa)
+            continue;
+        // Extract vaccine code
+        const material = sa?.consumable?.manufacturedProduct?.manufacturedMaterial;
+        const codeEl = material?.code ?? {};
+        const cvxOid = '2.16.840.1.113883.12.292';
+        const codeSystem = codeEl?.['@_codeSystem'] ?? codeEl?.codeSystem ?? '';
+        const code = codeEl?.['@_code'] ?? codeEl?.code ?? '';
+        const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ?? 'Unknown Vaccine';
+        // Extract date
+        const effectiveTime = sa?.effectiveTime ?? {};
+        const dateVal = effectiveTime?.['@_value'] ?? effectiveTime?.value ??
+            effectiveTime?.low?.['@_value'] ?? effectiveTime?.low?.value ?? '';
+        const dateStr = dateVal.length >= 8
+            ? `${dateVal.slice(0, 4)}-${dateVal.slice(4, 6)}-${dateVal.slice(6, 8)}`
+            : dateVal;
+        // Extract source ID for fallback
+        const idEl = Array.isArray(sa?.id) ? sa.id[0] : sa?.id;
+        const sourceId = idEl?.['@_extension']
+            ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}`
+            : idEl?.extension
+                ? `${idEl.root ?? ''}:${idEl.extension}`
+                : '';
+        // Deterministic URI
+        const uri = contentHashedUri('Immunization', {
+            patient: patientUri,
+            cvxCode: codeSystem.includes('292') || codeSystem === cvxOid ? code : undefined,
+            vaccineName: displayName !== 'Unknown Vaccine' ? displayName.toLowerCase() : undefined,
+            date: dateStr,
+        }, sourceId || undefined);
+        const subj = namedNode(uri);
+        quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'ImmunizationRecord')));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+        quads.push(makeQuad(subj, namedNode(NS.health + 'vaccineName'), literal(displayName)));
+        if (code && (codeSystem.includes('292') || codeSystem === cvxOid)) {
+            quads.push(makeQuad(subj, namedNode(NS.health + 'cvxCode'), namedNode(resolveCodeUri(cvxOid, code))));
+        }
+        if (dateStr) {
+            quads.push(makeQuad(subj, namedNode(NS.health + 'administrationDate'), literal(dateStr)));
+        }
+        if (sourceId) {
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+        }
+    }
+    return quads;
+}
+//# sourceMappingURL=immunizations.js.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"immunizations.js","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/immunizations.ts"],"names":[],"mappings":"AAAA;;GAEG;AAEH,OAAO,EAAE,EAAE,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AACrE,OAAO,EAAE,cAAc,EAAE,MAAM,oBAAoB,CAAC;AACpD,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,yBAAyB,GAAG,kCAAkC,CAAC;AAC5E,MAAM,CAAC,MAAM,mBAAmB,GAAG,SAAS,CAAC;AAE7C,MAAM,UAAU,wBAAwB,CACtC,OAAc,EACd,UAAkB,EAClB,YAAoB;IAEpB,MAAM,KAAK,GAAW,EAAE,CAAC;IAEzB,KAAK,MAAM,KAAK,IAAI,OAAO,EAAE,CAAC;QAC5B,gHAAgH;QAChH,MAAM,KAAK,GAAG,KAAK,EAAE,uBAAuB,CAAC;QAC7C,MAAM,EAAE,GAAG,KAAK,CAAC,OAAO,CAAC,KAAK,CAAC,CAAC,CAAC,CAAC,KAAK,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,KAAK,IAAI,KAAK,CAAC,CAAC;QAC9D,IAAI,CAAC,EAAE;YAAE,SAAS;QAElB,uBAAuB;QACvB,MAAM,QAAQ,GAAG,EAAE,EAAE,UAAU,EAAE,mBAAmB,EAAE,oBAAoB,CAAC;QAC3E,MAAM,MAAM,GAAG,QAAQ,EAAE,IAAI,IAAI,EAAE,CAAC;QACpC,MAAM,MAAM,GAAG,0BAA0B,CAAC;QAC1C,MAAM,UAAU,GAAG,MAAM,EAAE,CAAC,cAAc,CAAC,IAAI,MAAM,EAAE,UAAU,IAAI,EAAE,CAAC;QACxE,MAAM,IAAI,GAAG,MAAM,EAAE,CAAC,QAAQ,CAAC,IAAI,MAAM,EAAE,IAAI,IAAI,EAAE,CAAC;QACtD,MAAM,WAAW,GAAG,MAAM,EAAE,CAAC,eAAe,CAAC,IAAI,MAAM,EAAE,WAAW,IAAI,iBAAiB,CAAC;QAE1F,eAAe;QACf,MAAM,aAAa,GAAG,EAAE,EAAE,aAAa,IAAI,EAAE,CAAC;QAC9C,MAAM,OAAO,GACX,aAAa,EAAE,CAAC,SAAS,CAAC,IAAI,aAAa,EAAE,KAAK;YAClD,aAAa,EAAE,GAAG,EAAE,CAAC,SAAS,CAAC,IAAI,aAAa,EAAE,GAAG,EAAE,KAAK,IAAI,EAAE,CAAC;QACrE,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,iCAAiC;QACjC,MAAM,IAAI,GAAG,KAAK,CAAC,OAAO,CAAC,EAAE,EAAE,EAAE,CAAC,CAAC,CAAC,CAAC,EAAE,CAAC,EAAE,CAAC,CAAC,CAAC,CAAC,CAAC,CAAC,EAAE,EAAE,EAAE,CAAC;QACvD,MAAM,QAAQ,GAAG,IAAI,EAAE,CAAC,aAAa,CAAC;YACpC,CAAC,CAAC,GAAG,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,IAAI,IAAI,CAAC,aAAa,CAAC,EAAE;YAClD,CAAC,CAAC,IAAI,EAAE,SAAS;gBACf,CAAC,CAAC,GAAG,IAAI,CAAC,IAAI,IAAI,EAAE,IAAI,IAAI,CAAC,SAAS,EAAE;gBACxC,CAAC,CAAC,EAAE,CAAC;QAET,oBAAoB;QACpB,MAAM,GAAG,GAAG,gBAAgB,CAAC,cAAc,EAAE;YAC3C,OAAO,EAAE,UAAU;YACnB,OAAO,EAAE,UAAU,CAAC,QAAQ,CAAC,KAAK,CAAC,IAAI,UAAU,KAAK,MAAM,CAAC,CAAC,CAAC,IAAI,CAAC,CAAC,CAAC,SAAS;YAC/E,WAAW,EAAE,WAAW,KAAK,iBAAiB,CAAC,CAAC,CAAC,WAAW,CAAC,WAAW,EAAE,CAAC,CAAC,CAAC,SAAS;YACtF,IAAI,EAAE,OAAO;SACd,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,MAAM,GAAG,oBAAoB,CAAC,CAAC,CAAC,CAAC;QACpG,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,MAAM,GAAG,aAAa,CAAC,EAAE,OAAO,CAAC,WAAW,CAAC,CAAC,CAAC,CAAC;QAEvF,IAAI,IAAI,IAAI,CAAC,UAAU,CAAC,QAAQ,CAAC,KAAK,CAAC,IAAI,UAAU,KAAK,MAAM,CAAC,EAAE,CAAC;YAClE,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,SAAS,CAAC,EAAE,SAAS,CAAC,cAAc,CAAC,MAAM,EAAE,IAAI,CAAC,CAAC,CAAC,CAAC,CAAC;QACxG,CAAC;QACD,IAAI,OAAO,EAAE,CAAC;YACZ,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,MAAM,GAAG,oBAAoB,CAAC,EAAE,OAAO,CAAC,OAAO,CAAC,CAAC,CAAC,CAAC;QAC5F,CAAC;QACD,IAAI,QAAQ,EAAE,CAAC;YACb,KAAK,CAAC,IAAI,CAAC,QAAQ,CAAC,IAAI,EAAE,SAAS,CAAC,EAAE,CAAC,OAAO,GAAG,gBAAgB,CAAC,EAAE,OAAO,CAAC,QAAQ,CAAC,CAAC,CAAC,CAAC;QAC1F,CAAC;IACH,CAAC;IAED,OAAO,KAAK,CAAC;AACf,CAAC"}

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

@@ -0,0 +1,8 @@
+/**
+ * Extract lab results from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.3.1)
+ */
+import type { Quad } from 'n3';
+export declare const LABS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.3.1";
+export declare const LABS_LOINC = "30954-2";
+export declare function extractLabQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=labs.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"labs.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/labs.ts"],"names":[],"mappings":"AAAA;;GAEG;AAKH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,gBAAgB,qCAAqC,CAAC;AACnE,eAAO,MAAM,UAAU,YAAY,CAAC;AAEpC,wBAAgB,eAAe,CAC7B,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CA0ER"}

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

@@ -0,0 +1,82 @@
+/**
+ * Extract lab results from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.3.1)
+ */
+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 LABS_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.3.1';
+export const LABS_LOINC = '30954-2';
+export function extractLabQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    const loincOid = '2.16.840.1.113883.6.1';
+    for (const entry of entries) {
+        // Labs may be wrapped in an organizer
+        const observations = [];
+        if (entry?.organizer?.component) {
+            const comps = Array.isArray(entry.organizer.component)
+                ? entry.organizer.component
+                : [entry.organizer.component];
+            for (const comp of comps) {
+                if (comp?.observation)
+                    observations.push(comp.observation);
+            }
+        }
+        else if (entry?.observation) {
+            observations.push(entry.observation);
+        }
+        for (const obs of observations) {
+            if (!obs)
+                continue;
+            const codeEl = obs?.code ?? {};
+            const code = codeEl?.['@_code'] ?? codeEl?.code ?? '';
+            const codeSystem = codeEl?.['@_codeSystem'] ?? codeEl?.codeSystem ?? '';
+            const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ?? '';
+            const isLoinc = codeSystem.includes('6.1') || codeSystem === loincOid;
+            // Extract effective date
+            const effTime = obs?.effectiveTime;
+            const dateVal = effTime?.['@_value'] ?? effTime?.value ??
+                effTime?.low?.['@_value'] ?? effTime?.low?.value ?? '';
+            const dateStr = dateVal.length >= 8
+                ? `${dateVal.slice(0, 4)}-${dateVal.slice(4, 6)}-${dateVal.slice(6, 8)}`
+                : dateVal;
+            // Extract value
+            const valueEl = obs?.value ?? {};
+            const value = valueEl?.['@_value'] ?? valueEl?.value ?? valueEl?.['#text'] ?? '';
+            const unit = valueEl?.['@_unit'] ?? valueEl?.unit ?? '';
+            // Extract reference range
+            const refRange = obs?.referenceRange?.observationRange;
+            const refRangeText = refRange?.text?.['#text'] ?? refRange?.text ?? '';
+            const sourceId = (() => {
+                const idEl = Array.isArray(obs?.id) ? obs.id[0] : obs?.id;
+                return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+            })();
+            const uri = contentHashedUri('LabResult', {
+                patient: patientUri,
+                loincCode: isLoinc ? code : undefined,
+                testName: displayName || undefined,
+                date: dateStr || undefined,
+            }, sourceId || undefined);
+            const subj = namedNode(uri);
+            quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'LabResultRecord')));
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+            if (isLoinc && code) {
+                quads.push(makeQuad(subj, namedNode(NS.health + 'testCode'), namedNode(resolveCodeUri(loincOid, code))));
+            }
+            if (displayName)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'testName'), literal(displayName)));
+            if (dateStr)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'performedDate'), literal(dateStr)));
+            if (value)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'resultValue'), literal(value)));
+            if (unit)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'resultUnit'), literal(unit)));
+            if (refRangeText)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'referenceRangeText'), literal(refRangeText)));
+            if (sourceId)
+                quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+        }
+    }
+    return quads;
+}
+//# sourceMappingURL=labs.js.map

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

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

@@ -0,0 +1,8 @@
+/**
+ * Extract medications from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.1.1)
+ */
+import type { Quad } from 'n3';
+export declare const MEDICATIONS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.1.1";
+export declare const MEDICATIONS_LOINC = "10160-0";
+export declare function extractMedicationQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=medications.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"medications.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/medications.ts"],"names":[],"mappings":"AAAA;;GAEG;AAKH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,uBAAuB,qCAAqC,CAAC;AAC1E,eAAO,MAAM,iBAAiB,YAAY,CAAC;AAE3C,wBAAgB,sBAAsB,CACpC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CA4DR"}

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

@@ -0,0 +1,68 @@
+/**
+ * Extract medications from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.1.1)
+ */
+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 MEDICATIONS_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.1.1';
+export const MEDICATIONS_LOINC = '10160-0';
+export function extractMedicationQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    const rxNormOid = '2.16.840.1.113883.6.88';
+    for (const entry of entries) {
+        // entry.substanceAdministration is always an array from fast-xml-parser's isArray config — unwrap first element
+        const saRaw = entry?.substanceAdministration;
+        const sa = Array.isArray(saRaw) ? saRaw[0] : (saRaw ?? entry);
+        if (!sa)
+            continue;
+        const material = sa?.consumable?.manufacturedProduct?.manufacturedMaterial;
+        const codeEl = material?.code ?? {};
+        const code = codeEl?.['@_code'] ?? codeEl?.code ?? '';
+        const codeSystem = codeEl?.['@_codeSystem'] ?? codeEl?.codeSystem ?? '';
+        const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ??
+            (typeof material?.name === 'string' ? material.name : material?.name?.['#text'] ?? '');
+        const isRxNorm = codeSystem.includes('6.88') || codeSystem === rxNormOid;
+        // Extract dates
+        const effectiveTimeRaw = sa?.effectiveTime;
+        const effectiveTime = Array.isArray(effectiveTimeRaw) ? effectiveTimeRaw : [effectiveTimeRaw];
+        const periodEl = effectiveTime.find((t) => t?.low || t?.['@_operator'] === 'A');
+        const startVal = periodEl?.low?.['@_value'] ?? periodEl?.low?.value ?? '';
+        const startDate = startVal.length >= 8
+            ? `${startVal.slice(0, 4)}-${startVal.slice(4, 6)}-${startVal.slice(6, 8)}`
+            : startVal;
+        // Dose
+        const doseEl = sa?.doseQuantity ?? {};
+        const dose = doseEl?.['@_value'] ?? doseEl?.value ?? '';
+        const doseUnit = doseEl?.['@_unit'] ?? doseEl?.unit ?? '';
+        const sourceId = (() => {
+            const idEl = Array.isArray(sa?.id) ? sa.id[0] : sa?.id;
+            return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+        })();
+        if (!displayName && !code)
+            continue;
+        const uri = contentHashedUri('Medication', {
+            patient: patientUri,
+            rxNormCode: isRxNorm ? code : undefined,
+            medicationName: displayName ? displayName.toLowerCase() : undefined,
+            startDate: startDate || undefined,
+        }, sourceId || undefined);
+        const subj = namedNode(uri);
+        quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'MedicationRecord')));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+        if (isRxNorm && code)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'rxNormCode'), namedNode(resolveCodeUri(rxNormOid, code))));
+        if (displayName)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'medicationName'), literal(displayName)));
+        if (startDate)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'startDate'), literal(startDate)));
+        if (dose)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'doseQuantity'), literal(dose)));
+        if (doseUnit)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'doseUnit'), literal(doseUnit)));
+        if (sourceId)
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+    }
+    return quads;
+}
+//# sourceMappingURL=medications.js.map

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

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

@@ -0,0 +1,9 @@
+/**
+ * Extract patient demographics from C-CDA recordTarget → cascade:PatientProfile
+ */
+import type { Quad } from 'n3';
+export declare function extractPatientQuads(recordTarget: any, sourceSystem: string): {
+    quads: Quad[];
+    patientUri: string;
+};
+//# sourceMappingURL=patient.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"patient.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/patient.ts"],"names":[],"mappings":"AAAA;;GAEG;AAIH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,wBAAgB,mBAAmB,CACjC,YAAY,EAAE,GAAG,EACjB,YAAY,EAAE,MAAM,GACnB;IAAE,KAAK,EAAE,IAAI,EAAE,CAAC;IAAC,UAAU,EAAE,MAAM,CAAA;CAAE,CAyCvC"}

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

@@ -0,0 +1,46 @@
+/**
+ * Extract patient demographics from C-CDA recordTarget → cascade:PatientProfile
+ */
+import { NS, contentHashedUri } from '../../fhir-converter/types.js';
+import { DataFactory } from 'n3';
+const { namedNode, literal, quad: makeQuad } = DataFactory;
+export function extractPatientQuads(recordTarget, sourceSystem) {
+    // recordTarget may be an array (Epic wraps it)
+    const rt = Array.isArray(recordTarget) ? recordTarget[0] : recordTarget;
+    const patient = rt?.patientRole?.patient ?? rt?.patient ?? {};
+    // const patientRole = rt?.patientRole ?? rt ?? {};
+    // Extract demographics
+    const nameArr = Array.isArray(patient.name) ? patient.name : (patient.name ? [patient.name] : []);
+    const nameEl = nameArr[0] ?? {};
+    const given = Array.isArray(nameEl.given) ? nameEl.given[0] : nameEl.given ?? '';
+    const family = Array.isArray(nameEl.family) ? nameEl.family[0] : nameEl.family ?? '';
+    const givenStr = typeof given === 'string' ? given : given?.['#text'] ?? '';
+    const familyStr = typeof family === 'string' ? family : family?.['#text'] ?? '';
+    const dob = patient?.birthTime?.['@_value'] ?? patient?.birthTime?.value ?? '';
+    const sex = patient?.administrativeGenderCode?.['@_code'] ?? patient?.administrativeGenderCode?.code ?? '';
+    // Deterministic URI from identity fields
+    const patientUri = contentHashedUri('Patient', {
+        dob: dob.slice(0, 8), // YYYYMMDD
+        sex: sex,
+        family: familyStr.toLowerCase(),
+        given: givenStr.toLowerCase(),
+    });
+    const subj = namedNode(patientUri);
+    const quads = [
+        makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.cascade + 'PatientProfile')),
+        makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)),
+    ];
+    if (givenStr)
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'givenName'), literal(givenStr)));
+    if (familyStr)
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'familyName'), literal(familyStr)));
+    if (dob) {
+        // Convert YYYYMMDD to YYYY-MM-DD
+        const dobFormatted = dob.length >= 8 ? `${dob.slice(0, 4)}-${dob.slice(4, 6)}-${dob.slice(6, 8)}` : dob;
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'dateOfBirth'), literal(dobFormatted)));
+    }
+    if (sex)
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'biologicalSex'), literal(sex)));
+    return { quads, patientUri };
+}
+//# sourceMappingURL=patient.js.map

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

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

@@ -0,0 +1,8 @@
+/**
+ * Extract conditions/problems from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.5.1)
+ */
+import type { Quad } from 'n3';
+export declare const PROBLEMS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.5.1";
+export declare const PROBLEMS_LOINC = "11450-4";
+export declare function extractProblemQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=problems.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"problems.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/problems.ts"],"names":[],"mappings":"AAAA;;GAEG;AAKH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAI/B,eAAO,MAAM,oBAAoB,qCAAqC,CAAC;AACvE,eAAO,MAAM,cAAc,YAAY,CAAC;AAExC,wBAAgB,mBAAmB,CACjC,OAAO,EAAE,GAAG,EAAE,EACd,UAAU,EAAE,MAAM,EAClB,YAAY,EAAE,MAAM,GACnB,IAAI,EAAE,CAsER"}

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

@@ -0,0 +1,76 @@
+/**
+ * Extract conditions/problems from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.5.1)
+ */
+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 PROBLEMS_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.5.1';
+export const PROBLEMS_LOINC = '11450-4';
+export function extractProblemQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    const snomedOid = '2.16.840.1.113883.6.96';
+    const icd10Oid = '2.16.840.1.113883.6.90';
+    for (const entry of entries) {
+        // Conditions are inside an act/observation
+        // 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 entryRelArr = Array.isArray(act?.entryRelationship) ? act.entryRelationship : (act?.entryRelationship ? [act.entryRelationship] : []);
+        const obs = entryRelArr.flatMap((er) => {
+            const o = er?.observation;
+            return Array.isArray(o) ? o : (o ? [o] : []);
+        });
+        const obsArr = obs.length > 0 ? obs : (act?.observation ? (Array.isArray(act.observation) ? act.observation : [act.observation]) : [act]);
+        for (const observation of obsArr) {
+            if (!observation?.code && !observation?.value)
+                continue;
+            // The condition code is typically in <value> not <code> for problem observations
+            const valueEl = observation?.value ?? observation?.code ?? {};
+            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;
+            const isIcd10 = codeSystem.includes('6.90') || codeSystem === icd10Oid;
+            // Status from entryRelationship
+            const statusObs = observation?.entryRelationship?.observation;
+            const statusValue = (Array.isArray(statusObs) ? statusObs[0] : statusObs)?.value;
+            const status = statusValue?.['@_displayName'] ?? statusValue?.displayName ?? 'active';
+            // Onset date
+            const effectiveTime = observation?.effectiveTime ?? act?.effectiveTime ?? {};
+            const onsetVal = effectiveTime?.low?.['@_value'] ?? effectiveTime?.low?.value ??
+                effectiveTime?.['@_value'] ?? effectiveTime?.value ?? '';
+            const onsetDate = onsetVal.length >= 8
+                ? `${onsetVal.slice(0, 4)}-${onsetVal.slice(4, 6)}-${onsetVal.slice(6, 8)}`
+                : onsetVal;
+            const sourceId = (() => {
+                const idEl = Array.isArray(observation?.id) ? observation.id[0] : observation?.id;
+                return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+            })();
+            const uri = contentHashedUri('Condition', {
+                patient: patientUri,
+                snomedCode: isSnomed ? code : undefined,
+                icd10Code: isIcd10 ? code : undefined,
+                conditionName: displayName || undefined,
+                onsetDate: onsetDate || undefined,
+            }, sourceId || undefined);
+            const subj = namedNode(uri);
+            quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.health + 'ConditionRecord')));
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+            if (isSnomed && code)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'snomedCode'), namedNode(resolveCodeUri(snomedOid, code))));
+            if (isIcd10 && code)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'icd10Code'), namedNode(resolveCodeUri(icd10Oid, code))));
+            if (displayName)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'conditionName'), literal(displayName)));
+            if (status)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'status'), literal(status.toLowerCase())));
+            if (onsetDate)
+                quads.push(makeQuad(subj, namedNode(NS.health + 'onsetDate'), literal(onsetDate)));
+            if (sourceId)
+                quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+        }
+    }
+    return quads;
+}
+//# sourceMappingURL=problems.js.map

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

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

@@ -0,0 +1,8 @@
+/**
+ * Extract procedures from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.7.1)
+ */
+import type { Quad } from 'n3';
+export declare const PROCEDURES_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.7.1";
+export declare const PROCEDURES_LOINC = "47519-4";
+export declare function extractProcedureQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=procedures.d.ts.map

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

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

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

@@ -0,0 +1,57 @@
+/**
+ * Extract procedures from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.7.1)
+ */
+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 PROCEDURES_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.7.1';
+export const PROCEDURES_LOINC = '47519-4';
+export function extractProcedureQuads(entries, patientUri, sourceSystem) {
+    const quads = [];
+    const snomedOid = '2.16.840.1.113883.6.96';
+    const cptOid = '2.16.840.1.113883.6.12';
+    for (const entry of entries) {
+        const proc = entry?.procedure ?? entry?.act ?? entry;
+        if (!proc)
+            continue;
+        const codeEl = proc?.code ?? {};
+        const code = codeEl?.['@_code'] ?? codeEl?.code ?? '';
+        const codeSystem = codeEl?.['@_codeSystem'] ?? codeEl?.codeSystem ?? '';
+        const displayName = codeEl?.['@_displayName'] ?? codeEl?.displayName ?? '';
+        const effTime = proc?.effectiveTime ?? {};
+        const dateVal = effTime?.['@_value'] ?? effTime?.value ?? effTime?.low?.['@_value'] ?? '';
+        const dateStr = dateVal.length >= 8
+            ? `${dateVal.slice(0, 4)}-${dateVal.slice(4, 6)}-${dateVal.slice(6, 8)}`
+            : dateVal;
+        const sourceId = (() => {
+            const idEl = Array.isArray(proc?.id) ? proc.id[0] : proc?.id;
+            return idEl?.['@_extension'] ? `${idEl['@_root'] ?? ''}:${idEl['@_extension']}` : '';
+        })();
+        const uri = contentHashedUri('Procedure', {
+            patient: patientUri,
+            code: code || undefined,
+            displayName: displayName || undefined,
+            date: dateStr || undefined,
+        }, sourceId || undefined);
+        const subj = namedNode(uri);
+        quads.push(makeQuad(subj, namedNode(NS.rdf + 'type'), namedNode(NS.clinical + 'Procedure')));
+        quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceSystem'), literal(sourceSystem)));
+        if (displayName)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'procedureName'), literal(displayName)));
+        if (dateStr)
+            quads.push(makeQuad(subj, namedNode(NS.health + 'performedDate'), literal(dateStr)));
+        if (code) {
+            if (codeSystem.includes('6.96') || codeSystem === snomedOid) {
+                quads.push(makeQuad(subj, namedNode(NS.health + 'snomedCode'), namedNode(resolveCodeUri(snomedOid, code))));
+            }
+            else if (codeSystem.includes('6.12') || codeSystem === cptOid) {
+                quads.push(makeQuad(subj, namedNode(NS.health + 'cptCode'), literal(code)));
+            }
+        }
+        if (sourceId)
+            quads.push(makeQuad(subj, namedNode(NS.cascade + 'sourceRecordId'), literal(sourceId)));
+    }
+    return quads;
+}
+//# sourceMappingURL=procedures.js.map

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

@@ -0,0 +1 @@
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package/dist/lib/ccda-converter/sections/social-history.d.ts

@@ -0,0 +1,9 @@
+/**
+ * Social history section (templateId 2.16.840.1.113883.10.20.22.2.17)
+ * Structured extraction not yet implemented — narrative is preserved by main converter.
+ */
+import type { Quad } from 'n3';
+export declare const SOCIAL_HISTORY_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.17";
+export declare const SOCIAL_HISTORY_LOINC = "29762-2";
+export declare function extractSocialHistoryQuads(_entries: any[], _patientUri: string, _sourceSystem: string): Quad[];
+//# sourceMappingURL=social-history.d.ts.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"social-history.d.ts","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/social-history.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,KAAK,EAAE,IAAI,EAAE,MAAM,IAAI,CAAC;AAE/B,eAAO,MAAM,0BAA0B,oCAAoC,CAAC;AAC5E,eAAO,MAAM,oBAAoB,YAAY,CAAC;AAE9C,wBAAgB,yBAAyB,CACvC,QAAQ,EAAE,GAAG,EAAE,EACf,WAAW,EAAE,MAAM,EACnB,aAAa,EAAE,MAAM,GACpB,IAAI,EAAE,CAGR"}

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

@@ -0,0 +1,11 @@
+/**
+ * Social history section (templateId 2.16.840.1.113883.10.20.22.2.17)
+ * Structured extraction not yet implemented — narrative is preserved by main converter.
+ */
+export const SOCIAL_HISTORY_TEMPLATE_ID = '2.16.840.1.113883.10.20.22.2.17';
+export const SOCIAL_HISTORY_LOINC = '29762-2';
+export function extractSocialHistoryQuads(_entries, _patientUri, _sourceSystem) {
+    // Social history structured extraction is deferred; narrative is preserved separately.
+    return [];
+}
+//# sourceMappingURL=social-history.js.map

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

@@ -0,0 +1 @@
+{"version":3,"file":"social-history.js","sourceRoot":"","sources":["../../../../src/lib/ccda-converter/sections/social-history.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAIH,MAAM,CAAC,MAAM,0BAA0B,GAAG,iCAAiC,CAAC;AAC5E,MAAM,CAAC,MAAM,oBAAoB,GAAG,SAAS,CAAC;AAE9C,MAAM,UAAU,yBAAyB,CACvC,QAAe,EACf,WAAmB,EACnB,aAAqB;IAErB,uFAAuF;IACvF,OAAO,EAAE,CAAC;AACZ,CAAC"}

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

@@ -0,0 +1,8 @@
+/**
+ * Extract vital signs from C-CDA section (templateId 2.16.840.1.113883.10.20.22.2.4.1)
+ */
+import type { Quad } from 'n3';
+export declare const VITALS_TEMPLATE_ID = "2.16.840.1.113883.10.20.22.2.4.1";
+export declare const VITALS_LOINC = "8716-3";
+export declare function extractVitalQuads(entries: any[], patientUri: string, sourceSystem: string): Quad[];
+//# sourceMappingURL=vitals.d.ts.map

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

@@ -0,0 +1 @@
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