CDA to FHIR Maps
0.1.0 - ci-build Italy flag

CDA to FHIR Maps, published by HL7 Italy. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/cda2fhir/ and changes regularly. See the Directory of published versions

StructureMap: CDA to FHIR - RAD

Official URL: http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirRadReport Version: 0.1.0
Draft as of 2024-09-15 Computable Name: cda2fhirRadReport
map "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirRadReport" = "cda2fhirRadReport"

uses "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" alias ClinicalDocument as source
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor" alias AssignedAuthor as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" alias AssignedEntity as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity" alias AssociatedEntity as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization" alias CustodianOrganization as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf" alias OrganizationPartOf as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/Organization" alias rapresentedOrganization as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/Section" alias Section as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/PatientRole" alias PatientRole as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AD" alias AD as source
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target
uses "http://hl7.org/fhir/StructureDefinition/Composition" alias Composition as produced
uses "http://hl7.org/fhir/StructureDefinition/Patient" alias Patient as produced
uses "http://hl7.org/fhir/StructureDefinition/Encounter" alias Encounter as produced
uses "http://hl7.org/fhir/StructureDefinition/Person" alias Patient as produced
uses "http://hl7.org/fhir/StructureDefinition/List" alias List as produced
uses "http://hl7.org/fhir/StructureDefinition/Practitioner" alias Practitioner as produced
uses "http://hl7.org/fhir/StructureDefinition/Organization" alias Organization as produced
uses "http://hl7.org/fhir/cda/StructureDefinition/Act" alias Act as produced
uses "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ" alias IVL_PQ as source
uses "http://hl7.org/fhir/cda/StructureDefinition/PQ" alias PQ as source
uses "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" alias SimpleQuantity as target

imports "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirDataTypes"
imports "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirHeader"

group CdaToBundle(source cda : ClinicalDocument, target bundle : Bundle) {
  cda ->  bundle.entry as e,  e.request = create('BackboneElement') as request,  request.method = 'POST',  e.resource = create('Composition') as composition,  composition.id = uuid() as uuid1,  e.fullUrl = append('https://example/Composition/', uuid1),  request.url = 'Composition',  bundle.entry as e2,  e2.request = create('BackboneElement') as requestPAT,  requestPAT.method = 'PUT',  e2.resource = create('Patient') as patient,  patient.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Patient/', uuid2),  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Encounter') as encounter,  encounter.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Encounter/', uuid3),  request.url = 'Encounter',  bundle.entry as e4,  e4.request = create('BackboneElement') as request,  request.method = 'POST',  e4.resource = create('DocumentReference') as DocumentReference,  DocumentReference.id = uuid() as uuid4,  e4.fullUrl = append('https://example/DocumentReference/', uuid4),  request.url = 'DocumentReference' then {
    cda then ClinicalDocumentToBundle(cda, patient, composition, encounter, bundle, DocumentReference) "cdatobundle";
    cda.recordTarget as recordTarget then {
      recordTarget.patientRole as patient then {
        patient.id as id -> patient.identifier as identifier then {
          id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
          id.extension as ext1 -> identifier.value = ext1 "value";
          id.assigningAuthorityName as s ->  identifier.assigner as a,  a.display = s;
        } "idfr";
        patient.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') or (root = '2.16.840.1.113883.2.9.4.3.7') or (root = '2.16.840.1.113883.2.9.4.3.3') or (root = '2.16.840.1.113883.2.9.4.3.17') or (root = '2.16.840.1.113883.2.9.4.3.18') or (root = '2.16.840.1.113883.2.9.2.10.4.1.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1.1') or (root = '2.16.840.1.113883.2.9.2.10.4.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1') or (root = '2.16.840.1.113883.2.9.4.3.15') then {
          id.extension as ext -> requestPAT.url = append('Patient?identifier=', ext) "UUID";
        } "ext";
      } "recPat";
    } "patient";
  } "ClinicalDocumentToBody";
}

group ClinicalDocumentToBundle(source cda : ClinicalDocument, target patient : Patient, target composition : Composition, target encounter : Encounter, target bundle : Bundle, target DocumentReference : DocumentReference) {
  cda -> bundle.id = uuid() "id";
  cda.id -> bundle.identifier "identifier";
  cda -> bundle.type = 'transaction' "type";
  cda -> bundle.timestamp = (timestamp.now()) "date";
  cda then ClinicalDocumentComposition(cda, composition, patient, encounter, bundle, DocumentReference) "composition";
  cda ->  bundle.entry as e,  e.request = create('BackboneElement') as request,  request.method = 'POST',  e.resource = create('DiagnosticReport') as diagnosticReport,  diagnosticReport.id = uuid() as uuid1,  e.fullUrl = append('https://example/DiagnosticReport/', uuid1),  request.url = 'DiagnosticReport' then {
    cda.code -> diagnosticReport.code "diagnosticCode";
    cda -> diagnosticReport.status = 'registered' "stats";
    cda.component as component then {
      component.structuredBody as body then {
        body.component as component then {
          component.section as srcSection then {
            srcSection.code -> composition.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle, encounter, diagnosticReport);
          };
        };
      } "body";
    };
  } "diagnostic";
}

group ClinicalDocumentSection(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter, target dReport : DiagnosticReport) {
  src.title as t -> tgt.title = (t.dataString);
  src.code -> tgt.code;
  src ->  tgt.entry = create('Reference') as reference,  reference.reference = ('https://example/DiagnosticReport/' + %dReport.id) "reference";
  src.entry as entry then {
    src.text as cdaText -> tgt.text as fhirText then {
      cdaText -> fhirText.status = 'generated' "narrativeStatus";
      cdaText as t -> fhirText.div = t "narrativeText";
    } "cdaText";
    entry then DiagnosticReportFunction(src, entry, dReport, bundle, enc, patient) "dreport";
  };
  src where src.entry.exists().not() then DiagnosticReportFunction(src, cda, dReport, bundle, enc, patient) "narrative";
  src.component as component then {
    component.section as sec -> tgt.section as tgtSection then ClinicalDocumentSection(cda, sec, patient, tgtSection, bundle, enc, dReport);
  };
}

group DiagnosticReportFunction(source section : section, source src : entry, target dReport : DiagnosticReport, target bundle : Bundle, target encounter : Encounter, target patient : Patient) {
  src.act as act1 then {
    section where (code.code = '121181') ->  bundle.entry as e1,  e1.request = create('BackboneElement') as request,  request.method = 'POST',  e1.resource = create('ImagingStudy') as imageS,  imageS.id = uuid() as uuid1,  e1.fullUrl = append('https://example/ImagingStudy/', uuid1),  request.url = 'ImagingStudy',  dReport.imagingStudy = create('Reference') as reference,  reference.reference = ('https://example/ImagingStudy/' + %imageS.id) then ImagingStudy(act1, section, imageS, patient, encounter) "imagingStudy";
    section where (code.code = '48765-2') ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Observation/', uuid2),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then {
      section ->  obs1.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      section ->  obs1.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      section -> obs1.status = 'final' "STatusobse";
      section.code -> obs1.code;
      act1.statusCode as s then {
        s.code as cos -> obs1.status = translate(cos, '#OBSstatus', 'code') "codeS";
      } "status";
      section ->  bundle.entry as e4,  e4.request = create('BackboneElement') as request,  request.method = 'POST',  e4.resource = create('List') as list1,  list1.id = uuid() as uuid4,  e4.fullUrl = append('https://example/List/', uuid4),  request.url = 'List',  obs1.focus = create('Reference') as reference,  reference.reference = ('https://example/List/' + %list1.id) then {
        section ->  list1.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
        section -> list1.status = 'current' "listatus";
        section -> list1.mode = 'working' "lstmod";
        section ->  list1.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
        src -> list1.entry as entryList1 then {
          act1 ->  bundle.entry as e5,  e5.request = create('BackboneElement') as request,  request.method = 'POST',  e5.resource = create('AllergyIntolerance') as allergy,  allergy.id = uuid() as uuid5,  e5.fullUrl = append('https://example/AllergyIntolerance/', uuid5),  request.url = 'AllergyIntolerance',  entryList1.item = create('Reference') as reference,  reference.reference = ('https://example/AllergyIntolerance/' + %allergy.id) then allergyFunction(act1, allergy, patient, encounter) "allergy";
        } "item";
      } "list";
    } "allergyAct";
    section where (code.code = '55111-9') ->  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Observation') as obs2,  obs2.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Observation/', uuid3),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs2.id) then Observation(act1, patient, encounter, obs2, bundle) "observation";
  };
  src.observation as entryobs then {
    section where (code.code = '11329-0') ->  bundle.entry as e6,  e6.request = create('BackboneElement') as request,  request.method = 'POST',  e6.resource = create('Observation') as obs6,  obs6.id = uuid() as uuid6,  e6.fullUrl = append('https://example/Observation/', uuid6),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs6.id) then {
      section ->  obs6.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      section ->  obs6.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      section -> obs6.status = 'final' "tatusobse";
      section.code -> obs6.code;
      entryobs ->  bundle.entry as e7,  e7.request = create('BackboneElement') as request,  request.method = 'POST',  e7.resource = create('Condition') as condition1,  condition1.id = uuid() as uuid7,  e7.fullUrl = append('https://example/Condition/', uuid7),  request.url = 'Condition',  obs6.focus = create('Reference') as reference,  reference.reference = ('https://example/Condition/' + %condition1.id) then ConditionFunction(entryobs, condition1, patient, encounter, bundle) "condition";
    } "observationstclinica";
    section where (code.code = '55114-3') ->  bundle.entry as e9,  e9.request = create('BackboneElement') as request,  request.method = 'POST',  e9.resource = create('Observation') as obs9,  obs9.id = uuid() as uuid9,  e9.fullUrl = append('https://example/Observation/', uuid9),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs9.id) then Observation(entryobs, patient, encounter, obs9, bundle) "precedentiEsami";
    section where (code.code = '55109-3') ->  bundle.entry as e8,  e8.request = create('BackboneElement') as request,  request.method = 'POST',  e8.resource = create('Observation') as obs8,  obs8.id = uuid() as uuid8,  e8.fullUrl = append('https://example/Observation/', uuid8),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs8.id) then Observation(entryobs, patient, encounter, obs8, bundle) "complicanze";
    section where (code.code = '18785-6') ->  bundle.entry as e14,  e14.request = create('BackboneElement') as request,  request.method = 'POST',  e14.resource = create('Observation') as obs14,  obs14.id = uuid() as uuid14,  e14.fullUrl = append('https://example/Observation/', uuid14),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs14.id) then Observation(entryobs, patient, encounter, obs14, bundle) "quesitoDiagnostico";
  } "entryObs";
  src.organizer as organizer then {
    src ->  bundle.entry as e10,  e10.request = create('BackboneElement') as request,  request.method = 'POST',  e10.resource = create('Observation') as obs10,  obs10.id = uuid() as uuid10,  e10.fullUrl = append('https://example/Observation/', uuid10),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs10.id) then {
      section ->  obs10.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      section ->  obs10.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      section -> obs10.status = 'final' "tatusobse";
      section.code -> obs10.code "codeObs";
      section ->  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('List') as list11,  list11.id = uuid() as uuid11,  e11.fullUrl = append('https://example/List/', uuid11),  request.url = 'List',  obs10.focus = create('Reference') as reference,  reference.reference = ('https://example/List/' + %list11.id) then {
        section ->  list11.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
        section -> list11.status = 'current' "liststat";
        section -> list11.mode = 'working' "listmd";
        section ->  list11.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
        organizer -> list11.entry as entryList2 then {
          organizer ->  bundle.entry as e12,  e12.request = create('BackboneElement') as request,  request.method = 'POST',  e12.resource = create('FamilyMemberHistory') as familyMember,  familyMember.id = uuid() as uuid12,  e12.fullUrl = append('https://example/FamilyMemberHistory/', uuid12),  request.url = 'FamilyMemberHistory',  entryList2.item = create('Reference') as reference,  reference.reference = ('https://example/FamilyMemberHistory/' + %familyMember.id) then FamilyMemberFunction(organizer, familyMember, patient) "family";
        } "org";
      } "List";
    } "entryOrganizer";
  };
  section where section.entry.exists().not() then {
    section where (code.code = '48765-2') ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Observation/', uuid2),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then {
      section ->  obs1.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      section ->  obs1.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      section -> obs1.status = 'final' "STatusobse";
      section.code -> obs1.code;
      section.statusCode as s then {
        s.code as cos -> obs1.status = translate(cos, '#OBSstatus', 'code') "codeS";
      } "status";
      section.text as text ->  bundle.entry as e5,  e5.request = create('BackboneElement') as request,  request.method = 'POST',  e5.resource = create('AllergyIntolerance') as allergy,  allergy.id = uuid() as uuid5,  e5.fullUrl = append('https://example/AllergyIntolerance/', uuid5),  request.url = 'AllergyIntolerance',  obs1.focus = create('Reference') as reference,  reference.reference = ('https://example/AllergyIntolerance/' + %allergy.id) then {
        section ->  allergy.patient = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
        section ->  allergy.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
        section -> allergy.clinicalStatus as clinicalStatus then {
          section -> clinicalStatus.coding = create('Coding') as coding then {
            section -> coding.code = 'active' "code";
            section -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system";
          } "coding";
        } "status";
        text -> allergy.note as note then {
          text as t -> note.text = create('string') as textNote then EDstring(t, textNote) "note";
        } "narrative";
      } "allergytext";
    } "allergyAct";
    section where (code.code = '55110-1').not() or (code.code = '11329-0').not() then {
      section.text as text ->  bundle.entry as e13,  e13.request = create('BackboneElement') as request,  request.method = 'POST',  e13.resource = create('Observation') as obs13,  obs13.id = uuid() as uuid13,  e13.fullUrl = append('https://example/Observation/', uuid13),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs13.id) then {
        section ->  obs13.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
        section ->  obs13.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
        section -> obs13.status = 'preliminary' "obsst";
        section.code -> obs13.code "obscde";
        section -> obs13.status = 'final' "statusS";
        text -> obs13.note as note then {
          text as t -> note.text = create('string') as textNote then EDstring(t, textNote) "note";
        } "narrative";
      } "txtsec";
    } "NonConclusion";
    section where (code.code = '55110-1') then {
      section.text as t -> dReport.conclusion = create('string') as textConclusion then EDstring(t, textConclusion) "conc";
    } "conclusion";
  } "whereCond";
}

group Observation(source cda : observation, target patient : Patient, target encounter : Encounter, target ob : Observation, target bundle : Bundle) {
  cda ->  ob.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
  cda ->  ob.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
  cda.code -> ob.code;
  cda -> ob.status = 'final' "Stats";
  // value datatype
  cda.value : ST as st ->  ob.value = create('string'),  ob.value = (st.dataString);
  cda.value : BL as boolean -> ob.value = (boolean.value) "boolean";
  cda.value : INT as int -> ob.value = (int.value);
  cda.value : CE as val then {
    val -> ob.value = create('CodeableConcept') as ce then {
      val.originalText as originalText then {
        originalText.reference as reference -> ce.text = (reference.value);
      };
      val -> ce.coding as coding then {
        val.code as code -> coding.code = cast(code, 'string');
        val.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
        val.displayName as display -> coding.display = cast(display, 'string');
      } "code";
      val.translation as translation -> ce.coding as coding then {
        translation.code as code -> coding.code = cast(code, 'string');
        translation.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
        translation.displayName as display -> coding.display = cast(display, 'string');
        translation.qualifier as qualifier then {
          qualifier.value as value -> ce.coding as coding then {
            value.code as code -> coding.code = cast(code, 'string');
            value.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
            value.displayName as display -> coding.display = cast(display, 'string');
          };
        };
      };
    } "coding";
  } "val";
  cda.value : CD as val then {
    val -> ob.value = create('CodeableConcept') as ce then {
      val.originalText as originalText then {
        originalText.reference as reference -> ce.text = (reference.value);
      };
      val -> ce.coding as coding then {
        val.code as code -> coding.code = cast(code, 'string');
        val.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
        val.displayName as display -> coding.display = cast(display, 'string');
      } "code";
      val.translation as translation -> ce.coding as coding then {
        translation.code as code -> coding.code = cast(code, 'string');
        translation.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
        translation.displayName as display -> coding.display = cast(display, 'string');
        translation.qualifier as qualifier then {
          qualifier.value as value -> ce.coding as coding then {
            value.code as code -> coding.code = cast(code, 'string');
            value.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
            value.displayName as display -> coding.display = cast(display, 'string');
          };
        };
      };
    } "coding";
  } "val";
  cda.value : PQ as val then {
    val -> ob.value = create('Quantity') as quantity then {
      val.value as value -> quantity.value = value;
      val.unit as unit -> quantity.unit = unit;
    } "quantity";
  } "valueQuantity";
  cda.effectiveTime as effectiveTime -> ob.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value1";
  cda.effectiveTime as effectiveTime where effectiveTime.low.exists() or effectiveTime.high.exists() then {
    cda.effectiveTime as eff -> ob.effective = create('Period') as period then IVLTSPeriod(effectiveTime, period) "value3";
  } "where";
  cda.text as text -> ob.note as note then {
    text.reference as reference -> note.text = (reference.value) "text";
  } "note";
  cda.statusCode as s then {
    s.code as cos -> ob.status = translate(cos, '#OBSstatus', 'code') "codeS";
  } "status";
}

group ImagingStudy(source src : act, source section : section, target tgt : ImagingStudy, target patient : Patient, target encounter : Encounter) {
  src.id -> tgt.identifier;
  src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
  src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
  src -> tgt.status = 'available' "status";
  src.entryRelationship as entryRelationship then {
    entryRelationship.act as act -> tgt.series as series then {
      act.id as id -> series.uid = (id.root);
      section.code as code -> series.modality = create('Coding') as coding then {
        code.code as code1 -> coding.code = cast(code1, 'string');
        code.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
        code.displayName as display -> coding.display = cast(display, 'string');
      } "modality";
      act.entryRelationship as entryRelationship2 then {
        entryRelationship2.observation as obs -> series.instance as instance then {
          obs.id as id -> instance.uid = (id.root) "root";
          obs.code as code1 -> instance.sopClass = create('Coding') as coding then {
            code1.code as code -> coding.code = cast(code, 'string');
            code1.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
            code1.displayName as display -> coding.display = cast(display, 'string');
          } "sopClass";
        } "idRoot";
      } "instance";
    } "series";
  };
}

group ConditionFunction(source src : cdaElement, target tgt : Condition, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
  src.code -> tgt.category;
  src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
  src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
  src.statusCode as stscode -> tgt.verificationStatus as verifstatus then {
    stscode as codeS -> verifstatus.coding = create('Coding') as coding then {
      codeS.code -> coding.code = 'confirmed';
      codeS -> coding.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "system";
      codeS -> coding.display = cast('Confirmed', 'string') "display";
    } "coding";
  } "verifstatus";
  src where effectiveTime.low.exists() or effectiveTime.high.exists() then {
    src.effectiveTime as effectiveTime -> tgt.onset = create('Period') as period then IVLTSPeriod(effectiveTime, period) "valuePeriod";
  } "where";
  src.effectiveTime as effectiveTime -> tgt.onset = create('dateTime') as dateTime then TSDateTime(effectiveTime, dateTime) "value2";
  src.value -> tgt.code;
  src.entryRelationship as entryRelationship then {
    entryRelationship.observation as obsentry then {
      obsentry.code where code = '89261-2' then {
        obsentry ->  tgt.evidence as evidence,  bundle.entry as e1,  e1.request = create('BackboneElement') as request,  request.method = 'POST',  e1.resource = create('Observation') as obsy,  obsy.id = uuid() as uuid1,  e1.fullUrl = append('https://example/Observation/', uuid1),  request.url = 'Observation',  evidence.detail = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obsy.id) then Observation(obsentry, patient, encounter, obsy, bundle) "observation";
      } "observation";
      obsentry.code where code = '33999-4' then {
        obsentry.value as value -> tgt.clinicalStatus as clinicalstatus then {
          value as val -> clinicalstatus.coding = create('Coding') as coding then {
            val where (code = 'LA9041-0') -> coding.code = 'resolved' "code";
            val where (code = 'LA18632-2') -> coding.code = 'inactive' "code";
            val where (code = 'LA16666-2') -> coding.code = 'active' "code";
            val -> coding.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "system";
            val.displayName as display -> coding.display = cast(display, 'string') "display";
          } "coding";
          obsentry.text as text then {
            text.reference as reference -> clinicalstatus.text = (reference.value) "text";
          };
        } "clinicalstatus";
      } "clinicalStatus2";
    } "EntryRelObsevation";
  } "entryR";
}

group allergyFunction(source src : cdaElement, target tgt : AllergyIntolerance, target patient : Patient, target encounter : Encounter) {
  src ->  tgt.patient = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
  src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
  src.entryRelationship as entryRelationship1 then {
    entryRelationship1.observation as observation1 then {
      observation1 where effectiveTime.low.exists() or effectiveTime.high.exists() then {
        observation1.effectiveTime as effectiveTime -> tgt.onset = create('Period') as period then IVLTSPeriod(effectiveTime, period) "valuePeriod";
      } "where";
      observation1.effectiveTime as effectiveTime -> tgt.onset = create('dateTime') as dateTime then TSDateTime(effectiveTime, dateTime) "value2";
      observation1.value as code then {
        code.code as code1 -> tgt.type = translate(code1, '#AllergyTypeMap', 'code') "type";
        code.code as code1 -> tgt.category = translate(code1, '#AllergyCategoryMap', 'code') "category";
      } "code";
      observation1.participant as participant -> tgt.reaction as reaction then {
        observation1.entryRelationship as entryRelationship2 where (typeCode = 'MFST') then {
          entryRelationship2.observation as observation2 then {
            observation2.value -> reaction.manifestation "manifestation";
            observation2.effectiveTime as effectiveTime then {
              effectiveTime.low as low -> reaction.onset = create('dateTime') as value then TSDateTime(low, value) "valuePeriodLow";
            } "low";
          } "observ2";
        } "entryR2";
        participant.participantRole as participantRole then {
          participantRole.playingEntity as playingEntity then {
            playingEntity.code -> reaction.substance "reaction";
          };
        };
      };
      observation1.entryRelationship as entryRelationship2 where (typeCode = 'MFST') then {
        entryRelationship2.observation as observation2 where observation1.participant.exists().not() -> tgt.reaction as reaction then {
          observation2.value -> reaction.manifestation "manifestation";
          observation2.effectiveTime as effectiveTime then {
            effectiveTime.low as low -> reaction.onset = create('dateTime') as value then TSDateTime(low, value) "valuePeriodLow";
          } "low";
        } "observ2";
      } "entryR2";
      observation1.entryRelationship as entryRelationship3 where (typeCode = 'SUBJ') then {
        entryRelationship3.observation as observation3 then {
          // criticality
          observation3.value as value then {
            value.code as c -> tgt.criticality = translate(c, '#CricalityMap', 'code') "value";
          } "criticality";
        } "observ3";
        entryRelationship3.act as act -> tgt.note as note then {
          act.text as text then {
            text.reference as reference -> note.text = (reference.value);
          } "note";
        };
      } "entryR3";
      observation1.entryRelationship as entryRelationship4 where (typeCode = 'REFR') then {
        entryRelationship4.observation as observation4 then {
          // observation4.value -> tgt.clinicalStatus;
          observation4.value as value -> tgt.clinicalStatus as clinicalStatus then {
            value as valu -> clinicalStatus.coding = create('Coding') as coding then {
              valu where (code = 'LA9041-0') -> coding.code = 'resolved' "code";
              valu where (code = 'LA18632-2') -> coding.code = 'inactive' "code";
              valu where (code = 'LA16666-2') -> coding.code = 'active' "code";
              valu -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system";
              valu.displayName as display -> coding.display = cast(display, 'string') "display";
            } "coding";
          } "clinicalStatus";
        } "observ4";
      } "entryR4";
    };
  } "entryrelationship";
}

group FamilyMemberFunction(source src : organizer, target tgt : FamilyMemberHistory, target patient : Patient) {
  src ->  tgt.patient = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "patReference";
  src.statusCode -> tgt.status;
  src.effectiveTime as effectiveTime -> tgt.date = create('dateTime') as value then TSDateTime(effectiveTime, value) "date";
  src.subject as subject then {
    subject.relatedSubject as relatedSubject then {
      relatedSubject.code -> tgt.relationship "relationshipCode";
      relatedSubject.subject as subject -> tgt.sex as sex then {
        subject.administrativeGenderCode as administrativeGenderCode -> sex.coding as coding then {
          administrativeGenderCode.code as sexCode -> coding.code = translate(sexCode, '#cm-v3-administrative-gender', 'code') "gender";
          administrativeGenderCode.system -> coding.system = 'http://hl7.org/fhir/administrative-gender';
        } "coding";
      };
    } "relatedSub";
  } "relationship";
  src.component as component -> tgt.condition as condition then {
    component.observation as observation then {
      observation.code -> condition.code;
      observation.text as text -> tgt.note as note then {
        text.reference as reference -> note.text = (reference.value) "value";
      } "reference";
      observation.statusCode -> tgt.status;
      observation where observation.effectiveTime.exists() then {
        observation.effectiveTime as effectiveTime -> tgt.condition = create('BackboneElement') as condition then {
          observation.code -> condition.code;
          observation.value -> condition.outcome "codeable";
          effectiveTime -> condition.onset = create('Period') as period then {
            effectiveTime -> period.start = create('dateTime') as start then TSDateTime(effectiveTime, start) "val";
          } "efft";
        } "effttemp";
      } "cont";
      observation.value -> condition.outcome "codeable";
      observation.entryRelationship as entryR then {
        entryR.observation as obs then {
          obs where (code.code = '35267-4') then {
            obs.value as value -> condition.onset = create('Age') as Age then {
              value.value as valueAge -> Age.value = valueAge "age";
              value.unit as unit -> Age.code = unit;
              value.unit as unit -> Age.unit = unit;
              value -> Age.system = 'http://unitsofmeasure.org' "system";
            };
          } "insorgenza";
          obs where (code.code = '39016-1') then {
            obs.value as value -> tgt.deceased = create('Age') as Age then {
              value.value as valueAge -> Age.value = valueAge "age";
              value.unit as unit -> Age.code = unit;
              value.unit as unit -> Age.unit = unit;
              value -> Age.system = 'http://unitsofmeasure.org' "system";
            };
          } "death";
        } "obser";
      } "EntryRel";
    };
  };
}