map "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirEdReport" = "cda2fhirEdReport" 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/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/IVL-TS" 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 e6, e6.request = create('BackboneElement') as request, request.method = 'POST', e6.resource = create('DocumentReference') as DocumentReference, DocumentReference.id = uuid() as uuid6, e6.fullUrl = append('https://example/DocumentReference/', uuid6), 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"; } "record"; } "recPat"; } "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.component as component then { component.structuredBody as body then { body.component as component then { component.section as srcSection then { srcSection.code where (code = '11459-5') -> composition.section as tgtSection then ModalitadiTrasposto(cda, srcSection, patient, tgtSection, bundle, encounter) "Modalitaditrasporto"; srcSection.code where (code = '78337-3') -> composition.section as tgtSection then InquadramentoClinicoIniziale(cda, srcSection, patient, tgtSection, bundle, encounter) "Inquadramentoclinico"; srcSection.code where (code = '46239-0') -> composition.section as tgtSection then MotivoDellaVisita(cda, srcSection, patient, tgtSection, bundle, encounter) "Inquadramentoclinico"; srcSection.code where (code = '54094-8') -> composition.section as tgtSection then Triage(cda, srcSection, patient, tgtSection, bundle, encounter) "Triage"; srcSection.code where (code = '46240-8') -> composition.section as tgtSection then ClinicalDocumentSectionEncounter(cda, srcSection, patient, tgtSection, bundle, encounter) "motivoricovero"; srcSection.code where (code = '8648-8') -> composition.section as tgtSection then ClinicalDocumentSectionDecorsoOspedaliero(cda, srcSection, patient, tgtSection, bundle, encounter) "DecorsoOspedaliero"; srcSection.code where (code = '55109-3') -> composition.section as tgtSection then ClinicalDocumentSectionComplicanze(cda, srcSection, patient, tgtSection, bundle, encounter) "Complicazioni"; srcSection.code where (code = '62387-6') -> composition.section as tgtSection then ClinicalDocumentSectionConsulenza(cda, srcSection, patient, tgtSection, bundle, encounter) "Hospitaldischargestudiessummary"; srcSection.code where (code = '30954-2') -> composition.section as tgtSection then ClinicalDocumentSectionAccertamenti(cda, srcSection, patient, tgtSection, bundle, encounter) "Accertamenti"; srcSection.code where (code = '8716-3') -> composition.section as tgtSection then ClinicalDocumentSectionParametriVitali(cda, srcSection, patient, tgtSection, bundle, encounter) "Accertamenti"; srcSection.code where (code = '29549-3') -> composition.section as tgtSection then ClinicalDocumentSectionTerapiaFarmacoInPronto(cda, srcSection, patient, tgtSection, bundle, encounter) "Accertamenti"; srcSection.code where (code = '18776-5') -> composition.section as tgtSection then ClinicalDocumentSectionPianoCuraDimissione(cda, srcSection, patient, tgtSection, bundle, encounter) "Pianodicuraalladimissione"; srcSection.code where (code = '28574-2') -> composition.section as tgtSection then ClinicalDocumentSectionDimissione(cda, srcSection, patient, tgtSection, bundle, encounter) "Dimissione"; srcSection.code where (code = '75311-1') -> composition.section as tgtSection then ClinicalDocumentSectionTerapiaFarmacologicaDimissione(cda, srcSection, patient, tgtSection, bundle, encounter) "TerapiaFarmacologicaDimissione"; }; }; } "body"; }; } // Sezione complicanze-------------------------------------------------------------------------- group ClinicalDocumentSectionComplicanze(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src where src.entry.exists() then { src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; } "entryexists"; // Sezione Strutturata----------------------------------------------------------------------------------------------------------------------------------------------- src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entry1.observation as obs then Observation(obs, patient, enc, observation, bundle) "act"; }; // Sezione Narrativa--------------------------------------------------------------------------------------------------------------------------------------------- src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('Observation') as Observation, Observation.id = uuid() as uuid8, e8.fullUrl = append('https://example/Observation/', uuid8), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %Observation.id) then { src -> Observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> Observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src.code -> Observation.code; src where observation.statusCode.exists().not() then { src -> Observation.status = 'final' "status"; } "statuscode"; cdaText -> Observation.note as note then { cdaText as t -> note.text = t "reference"; } "reference"; } "cdaText"; } "where"; } group Observation(source obs : Observation, target patient : Patient, target encounter : Encounter, target ob : Observation, target bundle : Bundle) { obs -> ob.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> ob.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encounter.id) "reference"; obs.code -> ob.code; obs.statusCode as statusc where (code = 'completed') -> ob.status = 'final'; obs.statusCode as statusc where (code = 'active') -> ob.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> ob.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> ob.status = 'partial'; obs where obs.statusCode.exists().not() then { obs -> ob.status = 'final' "status"; } "statuscode"; obs.effectiveTime as effectiveTime -> ob.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> ob.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value : INT as int -> ob.value = (int.value); obs.value : CD as val then { val -> ob.value = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); }; } "translation1"; }; } "coding"; } "val"; obs.value : CE as val then { val -> ob.value = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); }; } "translation1"; }; } "coding"; } "val"; obs.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"; obs.value : BL as value -> ob.value = create('boolean'), ob.value = (value.value); obs.value : ST as value -> ob.value = create('string'), ob.value = (value.dataString); obs.interpretationCode -> ob.interpretation; obs.methodCode -> ob.method; obs.performer as performer -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner then { performer.assignedEntity as entity then { entity -> practitioner.meta as meta then { entity -> meta.tag = create('Coding') as coding then { entity -> coding.system = 'http://algoritmodiscoring' "system"; entity -> coding.code = 'ClinicalDocument/body/observation/performer' "code"; } "coding"; } "meta"; entity.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext then { entity -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "ext"; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), ob.performer = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "performer"; } "r"; } "identifier"; entity.assignedPerson as person then { person.name -> practitioner.name; person.birthTime as birthTime then { birthTime.value as date -> practitioner.birthDate = truncate(date, 10); } "birth"; } "name"; }; }; obs.referenceRange as refRange -> ob.referenceRange = create('BackboneElement') as ref then { refRange.observationRange as obsRange -> ref.low = create('SimpleQuantity') as Low then { obsRange.value : IVL_PQ as v then { v.low as l1 then { l1.value as decValue -> Low.value = decValue; l1.unit as Unit -> Low.unit = Unit; } "decValue"; } "IVL-PQ"; } "obsRange"; } "refRange"; } // ------------------------------------------------------------------------------------------------------ // Sezione Decorso Ospedaliero---------------------------------------------------------------------------- group ClinicalDocumentSectionDecorsoOspedaliero(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id), observation.note as note then { src.code -> observation.code; src where observation.statusCode.exists().not() then { src -> observation.status = 'final' "status"; } "statuscode"; src -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src.text as t -> note.text = t "reference"; src.author as auth -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { auth.time as ti -> note.time = create('dateTime') as value then TSDateTime(ti, value); auth.assignedAuthor as assAuth then { // meta+identifier assAuth -> practitioner.meta as meta then { assAuth -> meta.tag = create('Coding') as coding then { assAuth -> coding.system = 'http://algoritmodiscoring' "system"; assAuth -> coding.code = 'ClinicalDocument/body/DecorsoOspedaliero/author' "code"; } "coding"; } "meta"; assAuth.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assAuth.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assAuth.assignedPerson as assPers then { assPers.name -> practitioner.name; } "assPers"; } "assAuth"; } "Auth"; } "OB-note"; } // -------------------------------------------------------------------------------------------------------- // Sezione Encounter--------------------------------------------------------------------------------------- group ClinicalDocumentSectionEncounter(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc1 : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Encounter') as encounter, encounter.id = uuid() as uuid1, e1.fullUrl = append('https://example/Encounter/', uuid1), request.url = 'Encounter', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encounter.id) then { entry1 -> encounter.partOf = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc1.id) "refer"; entry1 -> encounter.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "refer"; entry1 -> encounter.status = 'finished' "status"; entry1 -> encounter.class = create('Coding') as cl then { entry1 -> cl.code = 'AMB' "code"; entry1 -> cl.display = 'ambulatory' "code"; } "class"; entry1.encounter as enc then { enc.code -> encounter.type; // effectiveTime=period enc where effectiveTime.low.exists() or effectiveTime.high.exists() then { enc.effectiveTime as eff -> encounter.period = create('Period') as period then IVLTSPeriod(eff, period); } "where"; // effectiveTime = time-stamp enc where effectiveTime.low.exists().not() or effectiveTime.high.exists().not() then { enc.effectiveTime as effectivetime1 -> encounter.period = create('Period') as period then { effectivetime1 -> period.start = create('dateTime') as start then TSDateTime(effectivetime1, start) "val"; } "efft"; } "where"; // enc.effectiveTime as eff -> encounter.period = create('Period') as period then{ enc.participant as part where (typeCode != 'LOC') -> encounter.participant = create('BackboneElement') as patarg then { part -> patarg.type as type then { part -> type.coding as coding then { part -> coding.code = (part.typeCode) "codice"; part -> coding.system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' "system"; } "codeType"; } "type"; part.time as time1 -> patarg.period = create('Period') as period then { time1 -> period.start = create('dateTime') as start then TSDateTime(time1, start) "val"; }; part.time as ti -> patarg.period = create('Period') as period then IVLTSPeriod(ti, period); part.participantRole as partRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // modifica meta+identifier partRole -> practitioner.meta as meta then { partRole -> meta.tag = create('Coding') as coding then { partRole -> coding.system = 'http://algoritmodiscoring' "system"; partRole -> coding.code = 'ClinicalDocument/body/Encounter/participant' "code"; } "coding"; } "meta"; partRole.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), patarg.individual = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; partRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; partRole.playingEntity as playEnt then { playEnt.name -> practitioner.name; } "playEnt"; } "partRole"; } "participant-ADM"; enc.participant as part where (typeCode = 'LOC') then { part.time as tim -> encounter.location as locat then { tim -> locat.period = create('Period') as period then IVLTSPeriod(tim, period) "time"; part.time as tim -> locat.period = create('Period') as period then { tim -> period.start = create('dateTime') as start then TSDateTime(tim, start) "val"; }; part.participantRole as partRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Location') as location, location.id = uuid() as uuid1, e1.fullUrl = append('https://example/Location/', uuid1) then { part -> location.meta as meta then { part -> meta.tag = create('Coding') as coding then { part -> coding.system = 'http://algoritmodiscoring' "system"; part -> coding.code = 'ClinicalDocument/body/Encounter/participant' "code"; } "coding"; } "meta"; partRole.id as id -> location.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext then { partRole -> request.url = append('Location?identifier=', ext) "UUID"; } "ext"; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> location.id = (r + '-' + ext) as uuid, e1.fullUrl = append('https://example/Location/', uuid), locat.location = create('Reference') as reference, reference.reference = ('https://example/Location/' + %location.id) "idasi"; } "r"; } "identifier"; partRole.code -> location.type; } "partRole"; } "location"; } "participant2"; enc.entryRelationship as entr -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', encounter.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entr.act as act then { act.code -> observation.code; act -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; act -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc1.id) "reference"; act where act.statusCode.exists().not() then { act -> observation.status = 'final' "status"; } "statuscode"; act -> observation.note = create('Annotation') as note then { act.text as text then { text.reference as reff -> note.text = (reff.value); }; act.text as tx then { tx.reference as ref -> note.text = (ref.value) "val"; } "String"; act.author as auth -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { auth.time as ti -> note.time = create('dateTime') as value then TSDateTime(ti, value) "notetime"; auth.assignedAuthor as assAuth then { assAuth -> practitioner.meta as meta then { assAuth -> meta.tag = create('Coding') as coding then { assAuth -> coding.system = 'http://algoritmodiscoring' "system"; assAuth -> coding.code = 'ClinicalDocument/body/Encounter/author' "code"; } "coding"; } "meta"; assAuth.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assAuth.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica assAuth.time as t -> note.text = create('dateTime') as value then TSDateTime(t, value); assAuth.assignedPerson as assPers then { assPers.name -> practitioner.name; } "name"; } "assAush"; } "practitioner"; } "note"; }; } "entryRel-SUBJ"; }; }; } // -------------------------------------------------------------------------------------------------------- // Sezione Consulenza-------------------------------------------------------------------------------------- group ClinicalDocumentSectionConsulenza(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src where src.entry.exists() then { src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; } "entry-exists"; // Sezione Narrativa-------------------------------------------------------------------------------------------------------------------------------------------------- src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('ServiceRequest') as ServiceRequest, ServiceRequest.id = uuid() as uuid8, e8.fullUrl = append('https://example/ServiceRequest/', uuid8), request.url = 'ServiceRequest', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %ServiceRequest.id) then { src -> ServiceRequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> ServiceRequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src -> ServiceRequest.status = 'active' "status"; src -> ServiceRequest.intent = 'order' "intent"; cdaText -> ServiceRequest.note as note then { cdaText as t -> note.text = t "reference"; } "reference"; } "cdaText"; } "where"; // Sezione Strutturata-------------------------------------------------------------------------------------------------------------------------------------------- src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('ServiceRequest') as serviceRequest, serviceRequest.id = uuid() as uuid1, e1.fullUrl = append('https://example/ServiceRequest/', uuid1), request.url = 'ServiceRequest', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %serviceRequest.id), serviceRequest.note as note then { entry1 -> serviceRequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; entry1 -> serviceRequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; entry1 -> serviceRequest.status = 'active' "status"; entry1 -> serviceRequest.intent = 'order' "intent"; entry1.act as act then { act.code -> serviceRequest.code; act.text as t -> note.text = (t.dataString); act.statusCode as code -> serviceRequest.status = (code.code); act.performer as perf -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { perf.time as time -> serviceRequest.occurrence = create('dateTime') as t then TSDateTime(time, t); perf.assignedEntity as assEnt then { assEnt -> practitioner.meta as meta then { assEnt -> meta.tag = create('Coding') as coding then { assEnt -> coding.system = 'http://algoritmodiscoring' "system"; assEnt -> coding.code = 'ClinicalDocument/body/Consulenze/performer' "code"; } "coding"; } "meta"; assEnt.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), serviceRequest.performer = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assEnt.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assEnt.assignedPerson as assPer then { assPer.name -> practitioner.name; } "assPer"; } "assEnt"; }; act.participant as parti -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { parti.time as time -> serviceRequest.authoredOn = create('dateTime') as t then TSDateTime(time, t); parti.participantRole as partRole then { partRole -> practitioner.meta as meta then { partRole -> meta.tag = create('Coding') as coding then { partRole -> coding.system = 'http://algoritmodiscoring' "system"; partRole -> coding.code = 'ClinicalDocument/body/Consulenze/participant' "code"; } "coding"; } "meta"; partRole.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), serviceRequest.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; partRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; partRole.playingEntity as entity then { entity.name -> practitioner.name; } "entity"; } "partRole"; }; } "ACT"; }; } // --------------------------------------------------------------------------------------------------------- // Sezione Accertamenti-------------------------------------------------------------------------------------- group ClinicalDocumentSectionAccertamenti(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src where src.entry.exists() then { src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; } "entryExists"; // Sezione Strutturata--------------------------------------------------------------------------------------------------------------------------------------------- src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entry1.organizer as obs then { src.code -> observation.code; obs then ObservationAccertamenti(obs, patient, enc, observation, bundle) "act"; } "obs"; }; // Sezione Narrativa-------------------------------------------------------------------------------------------------------------------------------------------- src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('Observation') as Observation, Observation.id = uuid() as uuid8, e8.fullUrl = append('https://example/Observation/', uuid8), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %Observation.id) then { src -> Observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> Observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src.code -> Observation.code; src where observation.statusCode.exists().not() then { src -> Observation.status = 'final' "status"; } "statuscode"; cdaText -> Observation.note as note then { cdaText as t -> note.text = t "reference"; } "reference"; } "cdaText"; } "where"; } group ObservationAccertamenti(source obs : Observation, target patient : Patient, target encounter : Encounter, target ob : Observation, target bundle : Bundle) { obs.code -> ob.code; obs.statusCode as statusc where (code = 'completed') -> ob.status = 'final'; obs.statusCode as statusc where (code = 'active') -> ob.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> ob.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> ob.status = 'partial'; obs where obs.statusCode.exists().not() then { obs -> ob.status = 'final' "status"; } "statuscode"; obs.effectiveTime as effectiveTime -> ob.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> ob.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value : CD as val then { val -> ob.value = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); }; } "qual"; }; } "coding"; } "val"; obs.value : CE as val then { val -> ob.value = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); }; } "qual"; }; } "coding"; } "val"; obs.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"; obs.value : ST as value -> ob.value = create('string'), ob.value = (value.dataString); obs.value : INT as int -> ob.value = (int.value); obs.value : BL as boolean -> ob.value = (boolean.value) "boolean"; obs -> ob.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> ob.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encounter.id) "reference"; obs.interpretationCode -> ob.interpretation; obs.methodCode -> ob.method; obs.referenceRange as refRange -> ob.referenceRange = create('BackboneElement') as ref then { refRange.observationRange as obsRange -> ref.low = create('SimpleQuantity') as Low then { obsRange.value : IVL_PQ as v then { v.low as l1 then { l1.value as decValue -> Low.value = decValue; l1.unit as Unit -> Low.unit = Unit; } "decValue"; } "IVL-PQ"; } "obsRange"; } "refRange"; obs.performer as performer -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { performer.assignedEntity as assEntity then { // inizio modifica identifier+meta assEntity -> practitioner.meta as meta then { assEntity -> meta.tag = create('Coding') as coding then { assEntity -> coding.system = 'http://algoritmodiscoring' "system"; assEntity -> coding.code = 'ClinicalDocument/body/Accertamenti/performer' "code"; } "coding"; } "meta"; assEntity.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), ob.performer = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assEntity.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica assEntity.assignedPerson as assi then { assi.name -> practitioner.name; } "assi"; } "assEntity"; } "perf"; obs.participant as participant -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('ServiceRequest') as serviceRequest, serviceRequest.id = uuid() as uuid1, e1.fullUrl = append('https://example/ServiceRequest/', uuid1), request.url = 'ServiceRequest', ob.basedOn = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %serviceRequest.id) then { // participant.time as t -> serviceRequest.authoredOn = (t.value); participant.time as t -> serviceRequest.authoredOn = create('dateTime') as value then TSDateTime(t, value) "value2"; obs -> serviceRequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> serviceRequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encounter.id) "reference"; obs -> serviceRequest.status = 'active' "status"; obs -> serviceRequest.intent = 'order' "intent"; participant.participantRole as participantRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // modifica meta+identifier participantRole -> practitioner.meta as meta then { participantRole -> meta.tag = create('Coding') as coding then { participantRole -> coding.system = 'http://algoritmodiscoring' "system"; participantRole -> coding.code = 'ClinicalDocument/body/Accertamenti/participant' "code"; } "coding"; } "meta"; participantRole.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), serviceRequest.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; participantRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica participantRole.playingEntity as pe then { pe.name -> practitioner.name; } "pe"; }; }; obs.component as comp -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', ob.hasMember = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { comp.observation as obs then { obs.code -> observation.code; obs.statusCode as statusc where (code = 'completed') -> observation.status = 'final'; obs.statusCode as statusc where (code = 'active') -> observation.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> observation.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> observation.status = 'partial'; obs where obs.statusCode.exists().not() then { obs -> observation.status = 'final' "status"; } "statuscode"; obs -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encounter.id) "reference"; obs.effectiveTime as effectiveTime -> ob.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> ob.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value as val -> observation.value = (val.dataString); } "obs"; } "observation"; } // ----------------------------------------------------------------------------------------------------------- // Sezione ParametriVitali-------------------------------------------------------------------------------------- group ClinicalDocumentSectionParametriVitali(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src where src.entry.exists() then { src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; } "entry-exists"; // Sezione Narrativa---------------------------------------------------------------------------------------------------------------------------------------------------- src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('Observation') as Observation, Observation.id = uuid() as uuid8, e8.fullUrl = append('https://example/Observation/', uuid8), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %Observation.id) then { src -> Observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> Observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src.code -> Observation.code; src where observation.statusCode.exists().not() then { src -> Observation.status = 'final' "status"; } "statuscode"; cdaText -> Observation.note as note then { cdaText as t -> note.text = t "reference"; } "reference"; } "cdaText"; } "where"; // Sezione Strutturata -------------------------------------------------------------------------------------------------------------------------------------------------------- src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entry1.organizer as org then { org -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; org -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; org.statusCode as statusc where (code = 'completed') -> observation.status = 'final'; org.statusCode as statusc where (code = 'active') -> observation.status = 'registered'; org.statusCode as statusc where (code = 'aborted') -> observation.status = 'cancelled'; org.statusCode as statusc where (code = 'suspended') -> observation.status = 'partial'; org where obs.statusCode.exists().not() then { org -> observation.status = 'final' "status"; } "statuscode"; org.code -> observation.code; org where org.code.exists().not() then { src.code -> observation.code; } "code"; org.component as component -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation1, observation1.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', observation.hasMember = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation1.id) then { component.observation as obs then { obs -> observation1.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation1.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; obs.code -> observation1.code; obs.statusCode -> observation1.status; obs.statusCode as statusc where (code = 'completed') -> observation1.status = 'final'; obs.statusCode as statusc where (code = 'active') -> observation1.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> observation1.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> observation1.status = 'partial'; obs where obs.statusCode.exists().not() then { obs -> observation1.status = 'final' "status"; } "statuscode"; obs -> observation1.value = create('Quantity') as quant then { obs.value as v -> quant.value = (v.value); obs.value as v -> quant.unit = (v.unit); } "quant"; obs.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; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.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; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : ST as value -> ob.value = create('string'), ob.value = (value.dataString); obs.value : INT as int -> ob.value = (int.value); obs.value : BL as boolean -> ob.value = (boolean.value) "boolean"; obs.interpretationCode -> observation1.interpretation; obs.methodCode -> observation1.method; obs.targetSiteCode -> observation1.bodySite; obs.performer as performer -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { performer.time as t -> observation1.issued = create('dateTime') as date then TSDateTime(t, date); performer.assignedEntity as assEntity then { // inizio modifica meta+ identifier assEntity -> practitioner.meta as meta then { assEntity -> meta.tag = create('Coding') as coding then { assEntity -> coding.system = 'http://algoritmodiscoring' "system"; assEntity -> coding.code = 'ClinicalDocument/body/ParametriVitali/performer' "code"; } "coding"; } "meta"; assEntity.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), observation1.performer = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assEntity.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica assEntity.assignedPerson as assPerson then { assPerson.name -> practitioner.name; } "assPerson"; } "assEntity"; }; obs.participant as parti -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('ServiceRequest') as serviceRequest, serviceRequest.id = uuid() as uuid1, e1.fullUrl = append('https://example/ServiceRequest/', uuid1), request.url = 'ServiceRequest', observation1.basedOn = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %serviceRequest.id) then { parti -> serviceRequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; parti -> serviceRequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; parti -> serviceRequest.status = 'active' "status"; parti -> serviceRequest.intent = 'order' "intent"; parti.time as t -> serviceRequest.authoredOn = create('dateTime') as value then TSDateTime(t, value) "value2"; parti.participantRole as partRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // inizio modifica meta + identifier partRole -> practitioner.meta as meta then { partRole -> meta.tag = create('Coding') as coding then { partRole -> coding.system = 'http://algoritmodiscoring' "system"; partRole -> coding.code = 'ClinicalDocument/body/ParametriVitali/participant' "code"; } "coding"; } "meta"; partRole.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), serviceRequest.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; partRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica partRole.playingEntity as playingEntity then { playingEntity.name -> practitioner.name; } "name"; } "partRole"; } "parti"; } "obs"; }; } "obs"; } "Observation"; } // ----------------------------------------------------------------------------------------------------------------- // Sezione terapia Farma in Pronto---------------------------------------------------------------------------------- group ClinicalDocumentSectionTerapiaFarmacoInPronto(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src where src.entry.exists() then { src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; } "entry-exists"; // Sezione Narrativa------------------------------------------------------------------------------------------------------------------------------------------------ src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('MedicationAdministration') as MedicationAdministration, MedicationAdministration.id = uuid() as uuid8, e8.fullUrl = append('https://example/MedicationAdministration/', uuid8), request.url = 'MedicationAdministration', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/MedicationAdministration/' + %MedicationAdministration.id) then { src -> MedicationAdministration.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> MedicationAdministration.context = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src -> MedicationAdministration.effective = create('Period') as period then { src -> period.start = (start.now()) "low"; src -> period.end = (end.now()) "high"; } "Period"; src where sub.statusCode.exists().not() then { src -> MedicationAdministration.status = 'completed' "status"; } "statuscode"; cdaText -> MedicationAdministration.note as note then { cdaText as t -> note.text = t "reference"; cdaText -> MedicationAdministration.medication = create('CodeableConcept') as medication then { cdaText as txt -> medication.text = txt "text"; } "medication"; } "reference"; } "cdaText"; } "where"; // Sezione Strutturata------------------------------------------------------------------------------------------------------------------------------------------------- src.entry as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('MedicationAdministration') as medAdm, medAdm.id = uuid() as uuid1, e1.fullUrl = append('https://example/MedicationAdministration/', uuid1), request.url = 'MedicationAdministration', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/MedicationAdministration/' + %medAdm.id), medAdm.note as note then { entry1 -> medAdm.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; entry1 -> medAdm.context = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; entry1.substanceAdministration as sub then { sub.text as tx then { tx.reference as reff -> note.text = (reff.value); } "txx"; sub.statusCode -> medAdm.status; // sub.effectiveTime: IVL_TS as eff -> medAdm.effective =create('Period') as period then IVLTSPeriod(eff,period); CHECK THIS sub.effectiveTime as eff -> medAdm.effective = create('Period') as period then IVLTSPeriod(eff, period); sub.effectiveTime : PIVL_TS as eff -> medAdm.dosage as dosage then { eff -> dosage.rate = create('Ratio') as ratio then { eff -> ratio.numerator = create('Quantity') as num then { eff.period as per -> num.value = (per.value); eff.period as per -> num.unit = (per.unit); } "num"; eff -> ratio.denominator = create('Quantity') as num then { eff.period as per -> num.value = '1'; eff.period as per -> num.unit = (per.unit); } "den"; } "ratio"; } "eff2"; sub -> medAdm.dosage as dosage then { sub.routeCode -> dosage.route; } "route"; sub -> medAdm.dosage as dosage then { sub.approachSiteCode -> dosage.site; } "route"; sub -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('MedicationRequest') as medRq, medRq.id = uuid() as uuid1, e1.fullUrl = append('https://example/MedicationRequest/', uuid1), request.url = 'MedicationRequest', medAdm.request = create('Reference') as reference, reference.reference = ('https://example/MedicationRequest/' + %medRq.id) then { sub.entryRelationship as rel then { rel.supply as supl -> medRq.dispenseRequest = create('BackboneElement') as disp then { supl -> disp.quantity = create('SimpleQuantity') as q then { supl.quantity as qua -> q.value = (qua.value) "fds"; } "SimpleQuantity"; } "obs"; } "rel"; sub -> medRq.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; sub -> medRq.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; sub -> medRq.status = 'active' "status"; sub -> medRq.intent = 'order' "intent"; sub -> medRq.medication = create('CodeableConcept') as cod then { sub -> cod.text = 'medication' "Medi"; } "code"; sub.doseQuantity as quantity then { quantity -> medRq.dosageInstruction = create('Dosage') as dosage then { quantity -> dosage.doseAndRate as dosRange then { quantity -> dosRange.dose = create('Range') as range then { quantity -> range.low = create('SimpleQuantity') as quant then { quantity.low as l -> quant.value = (l.value) "v1"; quantity.low as l -> quant.unit = (l.unit) "v1"; } "low"; quantity -> range.high = create('SimpleQuantity') as quant then { quantity.high as h -> quant.value = (h.value) "v1"; quantity.high as h -> quant.unit = (h.unit) "v1"; } "high"; } "range"; } "dos"; } "dosage"; } "dose-quantity"; sub.rateQuantity as rate then { rate -> medRq.dosageInstruction = create('Dosage') as dosage then { rate -> dosage.doseAndRate as dosRange then { rate -> dosRange.dose = create('Range') as range then { rate -> range.low = create('SimpleQuantity') as quant then { rate.low as l -> quant.value = (l.value) "v1"; rate.low as l -> quant.unit = (l.unit) "v1"; } "low"; rate -> range.high = create('SimpleQuantity') as quant then { rate.high as h -> quant.value = (h.value) "v1"; rate.high as h -> quant.unit = (h.unit) "v1"; } "high"; } "range"; } "dos"; } "dosage"; } "Rate-quantity"; sub.participant as part then { part.time as t -> medRq.authoredOn = create('dateTime') as date then TSDateTime(t, date); part.participantRole as partRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // inizio meta+identifier partRole -> practitioner.meta as meta then { partRole -> meta.tag = create('Coding') as coding then { partRole -> coding.system = 'http://algoritmodiscoring' "system"; partRole -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaPS/participant' "code"; } "coding"; } "meta"; partRole.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), medRq.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; partRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifiche partRole.id -> practitioner.identifier; partRole.playingEntity as play then { play.name -> practitioner.name; } "play"; } "Part"; } "part"; } "medicationRequest"; sub -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Medication') as med, med.id = uuid() as uuid1, e1.fullUrl = append('https://example/Medication/', uuid1), request.url = 'Medication', medAdm.medication = create('Reference') as reference, reference.reference = ('https://example/Medication/' + %med.id) then { sub.administrationUnitCode as adduni then { sub.administrationUnitCode -> med.form; sub.consumable as consum then { consum.manufacturedProduct as manuProd then { manuProd.manufacturedMaterial as manuMt then { manuMt.code -> med.code; } "manuMat"; } "manuMat"; } "consum"; } "unicode"; sub.entryRelationship as entryR then { entryR.observation as observation then { observation.code where displayName = 'Grammatura' -> med.ingredient as ingredient then { sub.consumable as consumable then { consumable.manufacturedProduct as manufacturedProduct then { manufacturedProduct.manufacturedMaterial as manufacturedMaterial then { manufacturedMaterial.code as code -> ingredient.item = create('CodeableConcept') as value then CECodeableConcept(code, value) "CE"; } "material"; } "product"; }; observation.value as value -> ingredient.strength as strength then { value -> strength.numerator as numerator then { value -> numerator.value = (value.value) "valueN"; } "numerator"; value -> strength.denominator as denominator then { value -> denominator.value = 1 "valueD"; } "denominator"; } "strenght"; } "ingredient"; observation.code where displayName = 'Quantità nella Confezione' then { observation.value as value -> med.amount as amount then { value -> amount.numerator as numerator then { value -> numerator.value = (value.value) "valueN"; } "numerator"; value -> amount.denominator as denominator then { value -> denominator.value = 1 "valueD"; } "denominator"; } "amount"; } "quantita"; } "obs"; } "entry-R"; } "med"; sub.performer as perf -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { perf -> medAdm.note as note then { perf -> note.text = 'performertime' "notaa"; perf.time as t -> note.time = create('dateTime') as value then TSDateTime(t, value) "notetime"; } "preftime"; perf.assignedEntity as ent then { // inizio modifica meta+identifier ent -> practitioner.meta as meta then { ent -> meta.tag = create('Coding') as coding then { ent -> coding.system = 'http://algoritmodiscoring' "system"; ent -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaPS/performer' "code"; } "coding"; } "meta"; ent.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), medAdm.performer as p, p.actor = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; ent.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica ent.assignedPerson as assPerson then { assPerson.name -> practitioner.name; } "assperson"; } "ent"; } "perform"; } "MedAdm"; }; } // ------------------------------------------------------------------------------------------------------------------ // - group ClinicalDocumentSectionPianoCuraDimissione(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src as entry1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('CarePlan') as careplan, careplan.id = uuid() as uuid1, e1.fullUrl = append('https://example/CarePlan/', uuid1), request.url = 'CarePlan', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/CarePlan/' + %careplan.id) then { src -> careplan.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> careplan.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src -> careplan.status = 'active' "status"; src -> careplan.intent = 'order' "intent"; src.text as cdaText -> careplan.note as carenote then { cdaText as t -> carenote.text = t "notetxt"; entry1.author as author then { author.time as t -> carenote.time = create('dateTime') as value then TSDateTime(t, value) "notetime"; author.assignedAuthor as assauthor -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // inizio modifica meta+identifier assauthor -> practitioner.meta as meta then { assauthor -> meta.tag = create('Coding') as coding then { assauthor -> coding.system = 'http://algoritmodiscoring' "system"; assauthor -> coding.code = 'ClinicalDocument/body/PianoCuraDimissione/author' "code"; } "coding"; } "meta"; assauthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), carenote.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assauthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica assauthor.assignedPerson as pers then { pers.name -> practitioner.name; } "namepers"; } "authpract"; } "CFauthor"; } "author"; entry1.entry as entry2 then { entry2.act as entryact -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('ServiceRequest') as servicerequest, servicerequest.id = uuid() as uuid1, e1.fullUrl = append('https://example/ServiceRequest/', uuid1), request.url = 'ServiceRequest', careplan.activity = create('BackboneElement') as activ, activ.reference = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %servicerequest.id) then { entryact -> servicerequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; entryact -> servicerequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; entryact -> servicerequest.status = 'active' "status"; entryact -> servicerequest.intent = 'order' "intent"; entryact -> servicerequest.identifier = create('BackboneElement') as identif then { entryact.reference as actref then { actref.externalAct as extact then { extact -> servicerequest.identifier = create('BackboneElement') as identif3 then { extact.id as id then { id.root as r -> identif3.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identif3.value = ext then { id.assigningAuthorityName as s -> identif3.assigner as a, a.display = s; } "ext"; } "idnetn"; } "extact"; } "actref"; } "jarilemes"; entryact.code -> servicerequest.code; entryact.statusCode -> servicerequest.status; entryact.author as actauthor then { actauthor.time as t -> servicerequest.authoredOn = create('dateTime') as date then TSDateTime(t, date); actauthor.assignedAuthor as assauthor -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // inizio modifica identifier assauthor -> practitioner.meta as meta then { assauthor -> meta.tag = create('Coding') as coding then { assauthor -> coding.system = 'http://algoritmodiscoring' "system"; assauthor -> coding.code = 'ClinicalDocument/body/PianoCuraDimissione/author' "code"; } "coding"; } "meta"; assauthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), servicerequest.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assauthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; // fine modifica assauthor.assignedPerson as pers then { pers.name -> practitioner.name; } "namepers"; } "author"; } "servReq"; } "entry2"; } "carnote"; } "entry1"; } "entryident3"; } // -------Dimissione------------------------------------------------------------------------------------------------------ group ClinicalDocumentSectionDimissione(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; src.entry as entry1 then { entry1.act as act -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Encounter') as encountert, encountert.id = uuid() as uuid1, e1.fullUrl = append('https://example/Encounter/', uuid1), request.url = 'Encounter', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encountert.id) then { act -> encountert.status = 'finished' "status"; act -> encountert.class = create('Coding') as cl then { act -> cl.code = 'AMB' "code"; act -> cl.display = 'ambulatory' "code"; } "class"; act -> encountert.partOf = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + enc.id) "refenc"; act -> encountert.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + patient.id) "refpatient"; act.code -> encountert.type; act where effectiveTime.low.exists() or effectiveTime.high.exists() then { act.effectiveTime as eff -> encountert.period = create('Period') as period then IVLTSPeriod(eff, period); } "where"; // effectiveTime = time-stamp act where effectiveTime.low.exists().not() or effectiveTime.high.exists().not() then { act.effectiveTime as effectivetime1 -> encountert.period = create('Period') as period then { effectivetime1 -> period.start = create('dateTime') as start then TSDateTime(effectivetime1, start) "val"; } "efft"; } "where"; act.performer as performer -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { // performer.time as ti -> note.time = (ti.value); performer.assignedEntity as assEnty then { assEnty -> practitioner.meta as meta then { assEnty -> meta.tag = create('Coding') as coding then { assEnty -> coding.system = 'http://algoritmodiscoring' "system"; assEnty -> coding.code = 'ClinicalDocument/body/Dimissione/performer' "code"; } "coding"; } "meta"; assEnty.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), encountert.participant as perf then { performer -> perf.period = create('Period') as period then { performer.time as time -> period.start = create('dateTime') as start then TSDateTime(time, start); } "period"; performer -> perf.individual = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "perf"; } "r"; } "identifier"; assEnty.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assEnty.assignedPerson as assPers then { assPers.name -> practitioner.name; } "assPer"; } "ass"; } "erformer"; // Encounter Post dimissione--------------------------------------------------------------------------------------------------------------------------------------- act.entryRelationship as entriRel then { entriRel.encounter as enc1 then { enc1 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Encounter') as encountert1, encountert1.id = uuid() as uuid1, e1.fullUrl = append('https://example/Encounter/', uuid1), request.url = 'Encounter', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encountert1.id), encountert1.partOf = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + encountert.id) then { enc1 -> encountert1.status = 'finished' "status"; enc1 -> encountert1.class = create('Coding') as cl then { enc1 -> cl.code = 'AMB' "code"; enc1 -> cl.display = 'ambulatory' "code"; } "class"; enc1 -> encountert1.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + patient.id) "refpatient"; enc1.id -> encountert1.identifier; // enc1.code -> encountert1.type; enc1 -> encountert1.type = create('CodeableConcept') as ti then { enc1 -> ti.coding = create('Coding') as cod then { enc1.code as c -> cod.code = (c.code); enc1.code as c then { c.codeSystem as s -> cod.system = translate(s, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "system"; } "syst"; enc1.code as c -> cod.display = (c.displayName) "dispaly"; } "coding"; enc1.text as tx then { tx.reference as ref -> ti.text = (ref.value) "val"; }; } "code"; enc1 where effectiveTime.low.exists() or effectiveTime.high.exists() then { enc1.effectiveTime as eff -> encountert1.period = create('Period') as period then IVLTSPeriod(eff, period); } "where"; // effectiveTime = time-stamp enc1 where effectiveTime.low.exists().not() or effectiveTime.high.exists().not() then { enc1.effectiveTime as effectivetime1 -> encountert1.period = create('Period') as period then { effectivetime1 -> period.start = create('dateTime') as start then TSDateTime(effectivetime1, start) "val"; } "efft"; } "where"; enc1.participant as part where (typeCode = 'LOC') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Location') as location, location.id = uuid() as uuid1, e1.fullUrl = append('https://example/Location/', uuid1), request.url = append('Location/', uuid1) then { part -> location.meta as meta then { part -> meta.tag = create('Coding') as coding then { part -> coding.system = 'http://algoritmodiscoring' "system"; part -> coding.code = 'ClinicalDocument/body/Dimissione/participant' "code"; } "coding"; } "meta"; part.time as tim -> encountert1.location as locat then { tim -> locat.period = create('Period') as period then IVLTSPeriod(tim, period) "time"; part.time as tim -> locat.period = create('Period') as period then { tim -> period.start = create('dateTime') as start then TSDateTime(tim, start) "val"; }; part.participantRole as partRole then { partRole.id as id -> location.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext then { partRole -> request.url = append('Location?identifier=', ext) "UUID"; } "ext"; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> location.id = (r + '-' + ext) as uuid, e1.fullUrl = append('https://example/Location/', uuid), locat.location = create('Reference') as reference, reference.reference = ('https://example/Location/' + %location.id) "idasi"; } "r"; } "identifier"; // partRole.id -> location.identifier; partRole.code -> location.type; } "partRole"; } "location1"; } "Location"; enc1.entryRelationship as entryrel2 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', encountert1.reasonReference = create('BackboneElement') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entryrel2.observation as obs then { obs -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encountert1.id) "reference"; obs.code -> observation.code; obs.statusCode as statusc where (code = 'completed') -> observation.status = 'final'; obs.statusCode as statusc where (code = 'active') -> observation.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> observation.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> observation.status = 'partial'; obs -> observation.status = 'final' "notpresent"; obs.effectiveTime as effectiveTime -> observation.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> observation.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value : INT as int -> observation.value = (int.value); obs.value : BL as boolean -> observation.value = (boolean.value) "boolean"; obs.value : CE as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText as originalText then { originalText.reference as reference -> ce.text = reference; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : CD as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText as originalText then { originalText.reference as reference -> ce.text = reference; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : PQ as val then { val -> observation.value = create('Quantity') as quantity then { val.value as value -> quantity.value = value; val.unit as unit -> quantity.unit = unit; } "quantity"; } "valueQuantity"; obs.value : ST as value -> observation.value = create('string'), observation.value = (value.dataString); } "obs"; } "entryrel2"; } "enc1"; } "enc"; } "entriRel"; // Trasferimento post dimissione------------------------------------------------------------------------------------------------------------------------------------- act.entryRelationship as entriRel2 then { entriRel2.act as a then { a -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Encounter') as encountert2, encountert2.id = uuid() as uuid1, e1.fullUrl = append('https://example/Encounter/', uuid1), request.url = 'Encounter', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + encountert2.id), encountert2.partOf = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + encountert.id) then { a -> encountert2.status = 'finished' "status"; a -> encountert2.class = create('Coding') as cl then { a -> cl.code = 'AMB' "code"; a -> cl.display = 'ambulatory' "code"; } "class"; a -> encountert2.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + patient.id) "refpatient"; a where effectiveTime.low.exists() or effectiveTime.high.exists() then { a.effectiveTime as eff -> encountert2.period = create('Period') as period then IVLTSPeriod(eff, period); } "where"; // effectiveTime = time-stamp a where effectiveTime.low.exists().not() or effectiveTime.high.exists().not() then { a.effectiveTime as effectivetime1 -> encountert2.period = create('Period') as period then { effectivetime1 -> period.start = create('dateTime') as start then TSDateTime(effectivetime1, start) "val"; } "efft"; } "where"; a -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Location') as location, location.id = uuid() as uuid1, e1.fullUrl = append('https://example/Location/', uuid1), request.url = append('Location/', uuid1) then { a.text as tx then { tx.reference as ref -> location.description = (ref.value) "dfs"; }; a.participant as part then { part -> location.meta as meta then { part -> meta.tag = create('Coding') as coding then { part -> coding.system = 'http://algoritmodiscoring' "system"; part -> coding.code = 'ClinicalDocument/body/Dimissione/act' "code"; } "coding"; } "meta"; part.time as tim -> encountert2.location as locat then { tim -> locat.period = create('Period') as period then IVLTSPeriod(tim, period) "time"; part.time as tim -> locat.period = create('Period') as period then { tim -> period.start = create('dateTime') as start then TSDateTime(tim, start) "val"; }; part.participantRole as partRole then { partRole.id as id -> location.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext then { partRole -> request.url = append('Location?identifier=', ext) "UUID"; } "ext"; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> location.id = (r + '-' + ext) as uuid, e1.fullUrl = append('https://example/Location/', uuid), locat.location = create('Reference') as reference, reference.reference = ('https://example/Location/' + %location.id) "idasi"; } "r"; } "identifier"; // partRole.id -> location.identifier; partRole.code -> location.type; } "partRole"; } "loc2"; } "Location"; } "loc"; a.entryRelationship as entryrel2 -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', encountert2.reasonReference = create('BackboneElement') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entryrel2.observation as obs then { obs -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encountert2.id) "reference"; obs.code -> observation.code; obs.statusCode as statusc where (code = 'completed') -> observation.status = 'final'; obs.statusCode as statusc where (code = 'active') -> observation.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> observation.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> observation.status = 'partial'; obs -> observation.status = 'final' "notpresent"; obs.effectiveTime as effectiveTime -> observation.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> observation.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value : INT as int -> observation.value = (int.value); obs.value : BL as boolean -> observation.value = (boolean.value) "boolean"; obs.value : CE as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText as originalText then { originalText.reference as reference -> ce.text = reference; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : CD as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText as originalText then { originalText.reference as reference -> ce.text = reference; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : PQ as val then { val -> observation.value = create('Quantity') as quantity then { val.value as value -> quantity.value = value; val.unit as unit -> quantity.unit = unit; } "quantity"; } "valueQuantity"; obs.value : ST as value -> observation.value = create('string'), observation.value = (value.dataString); } "obs"; } "entryrel2"; } "act"; } "a"; } "entri-act"; // --------------Diagnosi alla dimissione------------------------------------------------------------- act.entryRelationship as entryrel2 then { entryrel2.observation as obs then { obs.code as code where (code = '29308-4') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', encountert.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { obs -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %encountert.id) "reference"; obs.code -> observation.code; obs.statusCode as statusc where (code = 'completed') -> observation.status = 'final'; obs.statusCode as statusc where (code = 'active') -> observation.status = 'registered'; obs.statusCode as statusc where (code = 'aborted') -> observation.status = 'cancelled'; obs.statusCode as statusc where (code = 'suspended') -> observation.status = 'partial'; // obs where obs.statusCode.exists().not() then { obs -> observation.status = 'final' "status"; // }"statuscode"; obs.effectiveTime as effectiveTime -> observation.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; obs where effectiveTime.low.exists() or effectiveTime.high.exists() then { obs.effectiveTime as eff -> observation.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; obs.value as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText as originalText then { originalText.reference as reference -> ce.text = reference; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : INT as int -> ob.value = (int.value); obs.value : BL as boolean -> ob.value = (boolean.value) "boolean"; obs.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"; obs.value : ST as value -> ob.value = create('string'), ob.value = (value.dataString); } "222"; } "obs"; } "entryrel2"; // --------Esito---------------------------- act.entryRelationship as entriRel3 then { entriRel3.observation as obs2 then { obs2.code as code then { code.code where (code.code = '11302-7') then { obs2 -> encountert.hospitalization as hospital then { obs2.value -> hospital.dischargeDisposition; } "hospital"; } "entry-obs1"; } "act"; } "x"; } "3"; }; } "entry1"; src.entry as entry1 then { entry1.observation as obs then { obs -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { obs.value as val where ('xsi:type' = 'BL') -> observation.value = (val.value); obs then Observation(obs, patient, enc, observation, bundle) "act"; } "obstarg"; } "obs"; }; } // ----------------------------------------------------------------------------------------------------------------------- // ------------------------------TerapiaFarmacologicaDimissione----------------------------------------------------------------------------------------- group ClinicalDocumentSectionTerapiaFarmacologicaDimissione(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; // Sezione Narrativa------------------------------------------------------------------------------------------------------------------------------------------------ src where src.entry.exists().not() then { src.text as cdaText -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('MedicationRequest') as medRq, medRq.id = uuid() as uuid1, e1.fullUrl = append('https://example/MedicationRequest/', uuid1), request.url = 'MedicationRequest', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/MedicationRequest/' + %medRq.id), medRq.note = create('Annotation') as note then { cdaText -> note.text = cdaText "reference"; cdaText -> medRq.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; cdaText -> medRq.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; cdaText -> medRq.status = 'active' "status"; cdaText -> medRq.intent = 'order' "intent"; src.author as auth -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { auth.time as t -> note.time = create('dateTime') as value then TSDateTime(t, value); auth.assignedAuthor as assAuth then { // assAuth.time -> note.time; assAuth -> practitioner.meta as meta then { assAuth -> meta.tag = create('Coding') as coding then { assAuth -> coding.system = 'http://algoritmodiscoring' "system"; assAuth -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaDimissione/author' "code"; } "coding"; } "meta"; assAuth.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assAuth.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assAuth.assignedPerson as asspers then { asspers.name -> practitioner.name; } "assPers"; } "assAuth"; } "auth"; src -> medRq.medication = create('CodeableConcept') as medication then { src.text as txt -> medication.text = txt; } "medicationesiste"; } "note"; } "text"; // Sezione Strutturata------------------------------------------------------------------------------------------------------------------------------------------ src where src.entry.exists() then { src -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('MedicationRequest') as medRq, medRq.id = uuid() as uuid1, e1.fullUrl = append('https://example/MedicationRequest/', uuid1), request.url = 'MedicationRequest', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/MedicationRequest/' + %medRq.id), medRq.note = create('Annotation') as note then { src.text as t -> note.text = t "reference"; src -> medRq.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> medRq.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; src -> medRq.status = 'active' "status"; src -> medRq.intent = 'order' "intent"; src.author as auth -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid1, e1.fullUrl = append('https://example/Practitioner/', uuid1), request.url = append('Practitioner/', uuid1) then { auth.time as t -> note.time = create('dateTime') as value then TSDateTime(t, value); auth.assignedAuthor as assAuth then { // assAuth.time -> note.time; assAuth -> practitioner.meta as meta then { assAuth -> meta.tag = create('Coding') as coding then { assAuth -> coding.system = 'http://algoritmodiscoring' "system"; assAuth -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaDimissione/author' "code"; } "coding"; } "meta"; assAuth.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assAuth.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assAuth.assignedPerson as asspers then { asspers.name -> practitioner.name; } "assPers"; } "assAuth"; } "auth"; src.entry as entry1 then { entry1.substanceAdministration as sub then { sub.statusCode -> medRq.status; sub -> medRq.dosageInstruction = create('Dosage') as dosage then { sub -> dosage.timing = create('Timing') as tim then { sub.effectiveTime as eff -> tim.repeat as repeat then { eff -> repeat.bounds = create('Period') as period then IVLTSPeriod(eff, period) "boundsperiod"; } "repeat"; } "timing"; } "dosage"; sub.effectiveTime : PIVL_TS as eff -> medRq.dosageInstruction = create('Dosage') as dosage then { eff -> dosage.timing = create('Timing') as timing then periodTiming(eff, timing) "cod"; } "eff"; sub -> medRq.dosageInstruction = create('Dosage') as dosage then { sub.routeCode -> dosage.route; } "dosage"; sub -> medRq.dosageInstruction = create('Dosage') as dosage then { sub.approachSiteCode -> dosage.site; } "dosage"; sub.doseQuantity as doseQuant then { doseQuant -> medRq.dosageInstruction = create('Dosage') as dosageInstruction then { doseQuant.originalText as ot then { ot.reference -> dosageInstruction.text; } "ot"; doseQuant -> dosageInstruction.doseAndRate as dosageRate then { doseQuant -> dosageRate.dose = create('Range') as d then { doseQuant -> d.low = create('SimpleQuantity') as l then { doseQuant.low as lo -> l.value = (lo.value); doseQuant.low as lo -> l.unit = (lo.unit); } "low"; doseQuant -> d.high = create('SimpleQuantity') as h then { doseQuant.high as hi -> h.value = (hi.value); doseQuant.high as hi -> h.unit = (hi.unit); } "low"; } "d"; } "dosageRate"; sub.rateQuantity as rateQuantity -> medRq.dosageInstruction = create('Dosage') as dosageInstruction1 then { rateQuantity.originalText as ot then { ot.reference -> dosageInstruction1.text; } "ot"; rateQuantity -> dosageInstruction1.doseAndRate as dosageRate then { rateQuantity -> dosageRate.rate = create('Range') as d then { rateQuantity -> d.low = create('SimpleQuantity') as l then { rateQuantity.low as lo -> l.value = (lo.value); rateQuantity.low as lo -> l.unit = (lo.unit); } "low"; rateQuantity -> d.high = create('SimpleQuantity') as h then { rateQuantity.high as hi -> h.value = (hi.value); rateQuantity.high as hi -> h.unit = (hi.unit); } "low"; } "d"; } "qualcosa"; } "dosageRate"; } "Dosage"; } "doseQuant"; sub -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Medication') as medication, medication.id = uuid() as uuid1, e1.fullUrl = append('https://example/Medication/', uuid1), request.url = 'Medication', medRq.medication = create('Reference') as reference, reference.reference = ('https://example/Medication/' + %medication.id) then { sub.administrationUnitCode -> medication.form; sub.consumable as cons then { cons.manufacturedProduct as manuprod then { manuprod.manufacturedMaterial as manufact then { manufact.code -> medication.code; } "manuFact"; } "manumat"; } "cons"; sub.entryRelationship as entryR then { entryR.observation as observation then { observation.code where displayName = 'Grammatura' -> medication.ingredient as ingredient then { sub.consumable as consumable then { consumable.manufacturedProduct as manufacturedProduct then { manufacturedProduct.manufacturedMaterial as manufacturedMaterial then { manufacturedMaterial.code as code -> ingredient.item = create('CodeableConcept') as value then CECodeableConcept(code, value) "CE"; } "material"; } "product"; }; observation.value as value -> ingredient.strength as strength then { value -> strength.numerator as numerator then { value -> numerator.value = (value.value) "valueN"; } "numerator"; value -> strength.denominator as denominator then { value -> denominator.value = 1 "valueD"; } "denominator"; } "strenght"; } "ingredient"; observation.code where displayName = 'Quantità nella Confezione' then { observation.value as value -> medication.amount as amount then { value -> amount.numerator as numerator then { value -> numerator.value = (value.value) "valueN"; } "numerator"; value -> amount.denominator as denominator then { value -> denominator.value = 1 "valueD"; } "denominator"; } "amount"; } "quantita"; } "obs"; } "entryR"; sub.participant as part -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Practitioner') as participant, participant.id = uuid() as uuid1, e1.fullUrl = append('https://example/Participant/', uuid1), request.url = append('Participant/', uuid1) then { part.time as t -> medRq.authoredOn = create('dateTime') as date then TSDateTime(t, date) "authoredOn"; part.participantRole as partRole then { partRole -> participant.meta as meta then { partRole -> meta.tag = create('Coding') as coding then { partRole -> coding.system = 'http://algoritmodiscoring' "system"; partRole -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaDimissione/participant' "code"; } "coding"; } "meta"; partRole.id as id -> participant.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> participant.id = (r + '-' + ext) as uuid2, e1.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), medRq.requester = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %participant.id) "aut"; } "r"; } "identifier"; partRole.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; partRole.playingEntity as playent then { playent.name -> participant.name; } "playent"; } "partRole"; }; sub.reference as ref then { ref.externalAct as external then { external.id -> medRq.identifier; } "external"; } "ref"; sub.entryRelationship as entryRelationship then { entryRelationship.supply as sup -> medRq.dispenseRequest as dispreq then { sup -> dispreq.quantity = create('SimpleQuantity') as quantity then { sup.quantity as q -> quantity.value = (q.value); } "quantity"; } "sub"; } "med"; } "admnistrationUnicode"; } "sub"; }; } "medication"; } "sezioneesiste"; } // ----------------------------------------------------------------------------------------------------------------------- // ______1._____________Sections________________________ group ModalitadiTrasposto(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; src.entry as entry1 then { src.entry as entry1 -> tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) then { entry1.act as act1 then Act(act1, patient, enc, bundle); } "entry1"; }; } group MotivoDellaVisita(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; src.entry as entry -> bundle.entry as e2, e2.request = create('BackboneElement') as request, request.method = 'POST', e2.resource = create('Observation') as observation, observation.id = uuid() as uuid2, e2.fullUrl = append('https://example/Observation/', uuid2), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entry.observation as obs then Observation(obs, patient, enc, observation, bundle); }; } group Triage(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> tgt.text as fhirText then { cdaText -> fhirText.status = 'generated' "narrativeStatus"; cdaText as t -> fhirText.div = t "narrativeText"; } "cdaText"; src.entry as entry -> bundle.entry as e2, e2.request = create('BackboneElement') as request, request.method = 'POST', e2.resource = create('Observation') as observation, observation.id = uuid() as uuid2, e2.fullUrl = append('https://example/Observation/', uuid2), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { entry.observation as obs then Observation(obs, patient, enc, observation, bundle); }; } group InquadramentoClinicoIniziale(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) { src.title as t -> tgt.title = (t.dataString); src.code -> tgt.code; src.text as cdaText -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id), tgt.text as fhirText then { src.code -> observation.code; src where observation.statusCode.exists().not() then { src -> observation.status = 'final' "status"; } "statuscode"; src -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; cdaText -> observation.note as note then { src.author as author then { author -> bundle.entry as e2, e2.request = create('BackboneElement') as request, request.method = 'PUT', e2.resource = create('Practitioner') as practitioner then { author.assignedAuthor as assignedAuthor then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/InquadramentoClinicoIniziale/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid2, e2.fullUrl = append('https://example/Practitioner/', uuid2), request.url = append('Practitioner/', uuid2), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; } "name"; }; } "practitioner"; author.time as t -> note.time = create('dateTime') as value then TSDateTime(t, value); } "Author"; cdaText as t -> note.text = t "reference"; } "reference"; } "cdaText"; // START sottosections src.component as component then { component.section as sottosection then { sottosection -> tgt.section as section then { // 1. Anamnesi Narrativa------------------------------------------------------------------------------------------------------------------------------------------- sottosection.code where (code = '11329-0') -> section.code; sottosection.code as code1 where (code = '11329-0') then { src where sottosection.entry.exists().not() then { sottosection.title as t -> section.title = (t.dataString); sottosection.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('Observation') as observation, observation.id = uuid() as uuid8, e8.fullUrl = append('https://example/Observation/', uuid8), request.url = 'Observation', section.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { cdaText -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; cdaText -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; sottosection.code -> observation.code; src where observation.statusCode.exists().not() then { src -> observation.status = 'final' "status"; } "statuscode"; cdaText -> observation.note as note then { cdaText as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e9, e9.request = create('BackboneElement') as request, request.method = 'PUT', e9.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/EsameObiettivo/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid9, e9.fullUrl = append('https://example/Practitioner/', uuid9), request.url = append('Practitioner/', uuid9), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "autore"; } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "reference"; } "cdaText"; } "where"; // Anamnesi Strutturata----------------------------------------------------------------------------------------------------------------------------------------- sottosection.entry as entry1 then { entry1.observation as obs then { obs.code where (code = '75326-9') then { obs -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Condition') as condition, condition.id = uuid() as uuid1, e1.fullUrl = append('https://example/Condition/', uuid1), request.url = 'Condition', section.entry = create('Reference') as reference, reference.reference = ('https://example/Condition/' + %condition.id) then { obs.code -> condition.category; obs -> condition.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> condition.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; obs.statusCode as status where (code = 'completed') -> condition.verificationStatus as status2 then { status -> status2.coding as status3 then { status -> status3.code = 'confirmed' "finald"; status -> status3.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "system"; } "st3"; } "status"; // blocco Narrativo sottosection.text as cdaText1 -> condition.note as note then { cdaText1 as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e5, e5.request = create('BackboneElement') as request, request.method = 'PUT', e5.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/Anamnesi/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid5, e5.fullUrl = append('https://example/Practitioner/', uuid5), request.url = append('Practitioner/', uuid5), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id); } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "cdaText1"; obs.effectiveTime as effective1 then { effective1 where effective1.low.exists() or effective1.high.exists() then { effective1 -> condition.onset = create('Period') as periodonset then IVLTSPeriod(effective1, periodonset) "onsetperiod"; } "ef"; } "effectivetime1"; obs.effectiveTime as effectiveTime -> condition.onset = create('dateTime') as value then TSDateTime(effectiveTime, value) "onsetDateTime"; obs.value : INT as int -> ob.value = (int.value); obs.value : BL as boolean -> ob.value = (boolean.value) "boolean"; obs.value : ST as value -> ob.value = create('string'), ob.value = (value.dataString); obs.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; } "originltext"; 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'); val.codeSystemVersion as version -> coding.version = cast(version, '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.codeSystemVersion as version -> coding.version = cast(version, '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'); value.codeSystemVersion as version -> coding.version = cast(version, 'string'); }; }; }; } "coding"; } "val"; obs.value : CD as val then { val -> condition.code = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); } "coding"; } "Ce"; } "Value"; obs.entryRelationship as entriRel then { entriRel -> condition.evidence = create('BackboneElement') as evidence then { entriRel.observation as observation2 then { observation2.code as code then { code.code where (code.code = '89261-2') then { obs -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation' then { entriRel -> evidence.detail = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) "ref"; observation2.code -> observation.code; observation2 where observation.statusCode.exists().not() then { observation2 -> observation.status = 'final' "status"; } "statuscode"; observation2.text as text -> observation.note = create('Annotation') as note then { text.reference as ref -> note.text = (ref.value) "val"; } "Annontation"; obs -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; obs -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; observation2.statusCode as statusc where (code = 'completed') -> ob.status = 'final'; observation2.statusCode as statusc where (code = 'active') -> ob.status = 'registered'; observation2.statusCode as statusc where (code = 'aborted') -> ob.status = 'cancelled'; observation2.statusCode as statusc where (code = 'suspended') -> ob.status = 'partial'; observation2.value : INT as int -> observation.value = (int.value); observation2.value : BL as boolean -> observation.value = (boolean.value) "boolean"; observation2.value : ST as value -> observation.value = create('string'), observation.value = (value.dataString); observation2.effectiveTime as effectiveTime -> observation.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value2"; observation2 where effectiveTime.low.exists() or effectiveTime.high.exists() then { observation2.effectiveTime as eff -> observation.effective = create('Period') as period then IVLTSPeriod(eff, period); } "where"; observation2.value : PQ as val then { val -> observation.value = create('Quantity') as quantity then { val.value as value -> quantity.value = value; val.unit as unit -> quantity.unit = unit; } "quantity"; } "valueQuantity"; observation2.value : CE as val then { val -> observation.value = create('CodeableConcept') as ce then { val.originalText -> ce.text; 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'); } "coding"; } "Ce"; } "Value"; } "obser"; } "whereDecorsoClinico"; }; } "Observation2"; } "evidence"; } "EntryRelationship1"; obs.entryRelationship as entriRel then { entriRel.observation as observation2 then { observation2.code as code then { code.code where (code.code = '33999-4') then { observation2 -> condition.clinicalStatus = create('CodeableConcept') as status then { observation2.text as text then { text.reference as refstat -> status.text = (refstat.value) "statref"; } "textstat"; observation2 -> status.coding = create('Coding') as coding then { observation2.value as value then { value.code where (value.code = 'LA16666-2') -> coding.code = 'active' "active"; value.code where (value.code = 'LA18632-2') -> coding.code = 'inactive' "inactive"; value.codeSystem as system -> coding.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "system"; value.displayName as display -> coding.display = cast(display, 'string'); } "value1"; } "coding"; } "code"; } "whereDecorsoClinico"; } "codestatus"; } "observationstatus"; } "entryrelationshipstatus"; } "condition"; } "89261-2"; } "entryobservation1"; // Anamnesi Familiare--------------------------------------------------------------------------------------------------------------------------------------------- entry1.organizer as organizer then { organizer.code where (code = '10157-6') then { organizer -> bundle.entry as e4, e4.request = create('BackboneElement') as request, request.method = 'POST', e4.resource = create('FamilyMemberHistory') as FamilyMemberHistory, FamilyMemberHistory.id = uuid() as uuid5, e4.fullUrl = append('https://example/FamilyMemberHistory/', uuid5), request.url = 'FamilyMemberHistory', section.entry = create('Reference') as reference, reference.reference = ('https://example/FamilyMemberHistory/' + %FamilyMemberHistory.id) then { organizer.effectiveTime as effective then { effective.value as eff -> FamilyMemberHistory.date = create('dateTime') as value then TSDateTime(eff, value) "date"; } "effective"; organizer -> FamilyMemberHistory.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; organizer.subject as subject then { subject.relatedSubject as relatedSubject then { relatedSubject.code -> FamilyMemberHistory.relationship "relationship"; relatedSubject.subject as subject -> FamilyMemberHistory.sex as sex then { subject.administrativeGenderCode as administrativeGenderCode -> sex.coding as coding then { administrativeGenderCode.code as code -> coding.code = translate(code, '#AdministrativeGender', 'code') "gender"; administrativeGenderCode -> coding.system = 'http://hl7.org/fhir/administrative-gender' "system"; } "coding"; } "subject1"; }; }; // blocco Narrativo sottosection.text as cdaText1 -> FamilyMemberHistory.note as note then { cdaText1 as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e7, e7.request = create('BackboneElement') as request, request.method = 'PUT', e7.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/Anamnesi/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid7, e7.fullUrl = append('https://example/Practitioner/', uuid7), request.url = append('Practitioner/', uuid7), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id); } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "cdaText1"; organizer.component as component -> FamilyMemberHistory.condition as condition then { component.observation as observation then { observation.code -> condition.code; observation.text as text -> FamilyMemberHistory.note as note then { text.reference as reference -> note.text = (reference.value) "value"; } "reference"; observation.statusCode -> FamilyMemberHistory.status; observation.value -> condition.outcome "codeable"; observation.entryRelationship as entryRelationship then { entryRelationship.observation as obsservation1 then { obsservation1.code as code then { code.code where (code.code = '35267-4') then { obsservation1.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"; }; obsservation1.code as code then { code.code where (code.code = '39016-1') then { obsservation1.value as value -> FamilyMemberHistory.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"; }; } "deceased"; }; } "obser"; } "EntryRel"; observation where observation.effectiveTime.exists() then { observation.effectiveTime as effectiveTime -> FamilyMemberHistory.condition = create('BackboneElement') as condition then { effectiveTime -> condition.onset = create('Period') as period then { effectiveTime -> period.start = create('dateTime') as start then TSDateTime(effectiveTime, start) "val"; } "efft"; observation.code -> condition.code; observation.value -> condition.outcome "codeable"; } "effttemp"; } "cont"; } "observationCondition"; }; } "organizer"; } "10157-6"; } "observation1"; } "subsection1"; } "11329-0"; // 2. Esame Obiettivo Narrativa----------------------------------------------------------------------------------------------------------------------------------- sottosection.code where (code = '29545-1') -> section.code; sottosection.code as code1 where (code = '29545-1') then { sottosection.title as t -> section.title = (t.dataString); sottosection.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('Observation') as observation, observation.id = uuid() as uuid8, e8.fullUrl = append('https://example/Observation/', uuid8), request.url = 'Observation', section.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then { cdaText -> observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; cdaText -> observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; sottosection.code -> observation.code; sottosection where observation.statusCode.exists().not() then { sottosection -> observation.status = 'final' "status"; } "statuscode"; cdaText -> observation.note as note then { cdaText as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e9, e9.request = create('BackboneElement') as request, request.method = 'PUT', e9.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/EsameObiettivo/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid9, e9.fullUrl = append('https://example/Practitioner/', uuid9), request.url = append('Practitioner/', uuid9), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "autore"; } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "reference"; } "cdaText"; } "condizioneesameObiettivo"; // 3. Terapia Farmacologica all'ingresso Narrativa -------------------------------------------------------------------------------------------------------------- sottosection.code where (code = '42346-7') -> section.code; sottosection.code as code1 where (code = '42346-7') then { sottosection.title as t -> section.title = (t.dataString); sottosection.text as cdaText -> bundle.entry as e10, e10.request = create('BackboneElement') as request, request.method = 'POST', e10.resource = create('MedicationStatement') as medicStatement, medicStatement.id = uuid() as uuid10, e10.fullUrl = append('https://example/MedicationStatement/', uuid10), request.url = 'MedicationStatement', section.entry = create('Reference') as reference, reference.reference = ('https://example/MedicationStatement/' + %medicStatement.id) then { cdaText -> medicStatement.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; sottosection where medicStatement.statusCode.exists().not() then { sottosection -> medicStatement.status = 'completed' "status"; } "statuscode"; cdaText -> medicStatement.medication = create('CodeableConcept') as medication then { cdaText as txt -> medication.text = txt "text"; } "medication"; cdaText -> medicStatement.note as note then { cdaText as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'PUT', e11.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaIngresso/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid11, e11.fullUrl = append('https://example/Practitioner/', uuid11), request.url = append('Practitioner/', uuid11), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id); } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "reference"; } "cdaText"; } "condizioneterapiaingresso"; // 4. Allergie sottosection.code where (code = '48765-2') -> section.code; sottosection.code as code1 where (code = '48765-2') then { sottosection.title as t -> section.title = (t.dataString); // Allergia Narrativa------------------------------------------------------------------------------------------------------------------------------------------- src where sottosection.entry.exists().not() then { sottosection.title as t -> section.title = (t.dataString); sottosection.text as cdaText -> bundle.entry as e8, e8.request = create('BackboneElement') as request, request.method = 'POST', e8.resource = create('AllergyIntolerance') as AllergyIntolerance, AllergyIntolerance.id = uuid() as uuid8, e8.fullUrl = append('https://example/AllergyIntolerance/', uuid8), request.url = 'AllergyIntolerance', section.entry = create('Reference') as reference, reference.reference = ('https://example/AllergyIntolerance/' + %AllergyIntolerance.id) then { cdaText -> AllergyIntolerance.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; cdaText -> AllergyIntolerance.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; cdaText -> AllergyIntolerance.clinicalStatus = create('CodeableConcept') as status then { cdaText -> status.coding = create('Coding') as coding then { cdaText -> coding.code = 'active' "active"; cdaText -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system"; cdaText -> coding.display = 'active' "active"; } "coding"; } "clinicalStatus"; cdaText -> AllergyIntolerance.note as note then { cdaText as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e9, e9.request = create('BackboneElement') as request, request.method = 'PUT', e9.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/EsameObiettivo/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid9, e9.fullUrl = append('https://example/Practitioner/', uuid9), request.url = append('Practitioner/', uuid9), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "autore"; } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "reference"; } "cdaText"; } "where"; // Allergia Strutturata---------------------------------------------------------------------------------------------------------------------------------------- sottosection.entry as entry1 -> bundle.entry as e12, e12.request = create('BackboneElement') as request, request.method = 'POST', e12.resource = create('AllergyIntolerance') as allergy, allergy.id = uuid() as uuid12, e12.fullUrl = append('https://example/AllergyIntolerance/', uuid12), request.url = 'AllergyIntolerance', section.entry = create('Reference') as reference, reference.reference = ('https://example/AllergyIntolerance/' + %allergy.id) then { src -> allergy.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; src -> allergy.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; entry1.act as actallint then { actallint.effectiveTime as effectiveTime -> allergy.onset = create('dateTime') as value then TSDateTime(effectiveTime, value) "onsetDateTime"; actallint where effectiveTime.low.exists() or effectiveTime.high.exists() then { actallint.effectiveTime as eff -> allergy.onset = create('Period') as period then IVLTSPeriod(eff, period) "onsetPeriod"; } "where"; // mapping note sottosection.text as cdaText1 -> allergy.note as note then { cdaText1 as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e13, e13.request = create('BackboneElement') as request, request.method = 'PUT', e13.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/Allergie/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid13, e13.fullUrl = append('https://example/Practitioner/', uuid13), request.url = append('Practitioner/', uuid13), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id); } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "cdaText1"; actallint.entryRelationship as entryact then { entryact.observation as entryobs then { entryobs.value as code then { code.code as code1 -> allergy.type = translate(code1, '#AllergyTypeMap', 'code') "type"; code.code as code2 -> allergy.category = translate(code2, '#AllergyCategoryMap', 'code') "category"; } "code"; entryobs.participant as partic then { partic.participantRole as pratRole then { pratRole.playingEntity as pratent then { pratent -> allergy.reaction = create('BackboneElement') as reaction then { pratent.code -> reaction.substance "subs"; entryobs.entryRelationship as entryobs1 where (typeCode = 'MFST') then { entryobs1.observation as entobs then { entobs.effectiveTime as eff then { eff.low as l -> reaction.onset = create('dateTime') as value then TSDateTime(l, value); } "eff"; entobs.value -> reaction.manifestation "manifest"; } "entryobservation"; }; } "reaction"; }; }; }; entryobs.entryRelationship as entryobs2 then { entryobs2.observation as entobs then { entobs.code as code where (code = 'SEV') then { entobs.value as value then { value.code where (value.code = 'M') -> allergy.criticality = 'unable-to-assess' "active"; value.code where (value.code = 'L') -> allergy.criticality = 'low' "active"; value.code where (value.code = 'H') -> allergy.criticality = 'high' "active"; }; } "severity"; } "entryobservation2"; } "entryrelationship2"; entryobs.entryRelationship as entryobs3 then { entryobs3.observation as entobs then { entobs.code as code where (code = '33999-4') then { // entobs.value->allergy.clinicalStatus "cstatus"; entobs -> allergy.clinicalStatus = create('CodeableConcept') as status then { entobs -> status.coding = create('Coding') as coding then { entobs.value as value then { value.code where (value.code = 'LA16666-2') -> coding.code = 'active' "active"; value.code where (value.code = 'LA18632-2') -> coding.code = 'inactive' "active"; value.codeSystem as system -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system"; // value->coding.version='ConditionClinicalStatusCodes 4.0.1'"version"; value.displayName as display -> coding.display = cast(display, 'string'); } "value1"; } "coding"; } "clinicalStatus"; } "33999-4"; } "entryobservation3"; } "entryrelationship3"; entryobs.entryRelationship as entryobs4 then { entryobs4.act as entact then { entact.text as actext then { actext.reference as reftxt -> allergy.note = create('BackboneElement') as note then { reftxt as ref -> note.text = (ref.value) "notxt"; } "notetxt"; } "txtact"; } "entryact1"; } "entryrelationshi4"; } "entryobservation"; } "entryrelationshipact"; } "entryact2"; } "allergy"; } "condizioneallergie"; // 5. Problemi aperti sottosection.code where (code = '11450-4') -> section.code; sottosection.code as code1 where (code = '11450-4') then { sottosection.title as t -> section.title = (t.dataString); sottosection.text as cdaText -> bundle.entry as e14, e14.request = create('BackboneElement') as request, request.method = 'POST', e14.resource = create('Condition') as condition, condition.id = uuid() as uuid14, e14.fullUrl = append('https://example/Condition/', uuid14), request.url = 'Condition', section.entry = create('Reference') as reference, reference.reference = ('https://example/Condition/' + %condition.id) then { cdaText -> condition.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference"; cdaText -> condition.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference"; sottosection.code -> condition.code; cdaText -> condition.note as note then { cdaText as t -> note.text = t "reference"; sottosection.author as authors then { authors.time as time -> note.time = create('dateTime') as value then TSDateTime(time, value) "timeAuthor"; authors.assignedAuthor as assignedAuthor -> bundle.entry as e15, e15.request = create('BackboneElement') as request, request.method = 'PUT', e15.resource = create('Practitioner') as practitioner then { assignedAuthor -> practitioner.meta as meta then { assignedAuthor -> meta.tag = create('Coding') as coding then { assignedAuthor -> coding.system = 'http://algoritmodiscoring' "system"; assignedAuthor -> coding.code = 'ClinicalDocument/body/ProblemiAperti/author' "code"; } "coding"; } "meta"; assignedAuthor.id as id -> practitioner.identifier as identifier then { id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1"; id.extension as ext -> identifier.value = ext; id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s; id.root as r then { id.extension as ext -> practitioner.id = (r + '-' + ext) as uuid15, e15.fullUrl = append('https://example/Practitioner/', uuid15), request.url = append('Practitioner/', uuid15), note.author = create('Reference') as reference, reference.reference = ('https://example/Practitioner/' + %practitioner.id) "aut"; } "r"; } "identifier"; assignedAuthor.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') then { id.extension as ext -> request.url = append('Practitioner?identifier=', ext) "UUID"; } "2"; assignedAuthor.assignedPerson as person then { person.name -> practitioner.name; }; } "assighedAuthor"; }; } "reference"; } "cdaText"; } "condizioneproblemiaperti"; } "Sectionfhir"; } "Sottosection"; }; } // ______2._____________ClinicalStatements________________________ group Act(source cda : Act, target pat : Patient, target enc : Encounter, target bundle : Bundle) { cda.code as code -> enc.extension as extension2 then modeOfArrival(code, extension2); cda.participant as participant then { participant -> enc.participant as FhirParticipant then { participant as p -> FhirParticipant.type as type then { p -> type.coding as coding then { p -> coding.code = (p.typeCode) "codice"; p -> coding.system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' "system"; } "codeType"; } "type"; } "fhirParticipant"; participant.participantRole as participantRole -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('PractitionerRole') as practitionerRole, practitionerRole.id = uuid() as uuid1, e1.fullUrl = append('https://example/PractitionerRole/', uuid1), request.url = 'PractitionerRole', enc.participant = create('BackboneElement') as participant1, participant1.individual = create('Reference') as referencepart, referencepart.reference = ('https://example/PractitionerRole/' + %practitionerRole.id) then { participantRole.code -> practitionerRole.code; } "participantrole"; }; } // ______3._____________Extensions_DtType________________________ group modeOfArrival(source src : CE, target ext : Extension) { src -> ext.url = 'http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival' "url"; src -> ext.value = create('Coding') as code1 then coding(src, code1) "coding"; } group coding(source src : CE, target tgt : Coding) { src.code as code -> tgt.code = cast(code, 'string'); src.codeSystem as system -> tgt.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri'); src.displayName as display -> tgt.display = cast(display, 'string'); src.codeSystemVersion as version -> tgt.version = cast(version, 'string'); } group periodTiming(source effectiveTime : PIVL_TS, target timing : Timing) { effectiveTime -> timing.repeat as r then { effectiveTime.period as p -> r.period = (p.value); effectiveTime.period as p -> r.periodUnit = (p.unit); } "repeat"; }
'https://example/Observation/' + %observation.id
'https://example/Patient/' + %patient.id
'https://example/Encounter/' + %encounter.id
effectiveTime.low.exists() or effectiveTime.high.exists()
'https://example/Practitioner/' + %practitioner.id
effectiveTime.low.exists().not() or effectiveTime.high.exists().not()
enc.effectiveTime as eff -> encounter.period = create('Period') as period then{
'https://example/Location/' + %location.id
'https://example/ServiceRequest/' + %ServiceRequest.id
participant.time as t -> serviceRequest.authoredOn = (t.value);
'https://example/Observation/' + %observation1.id
'https://example/MedicationAdministration/' + %MedicationAdministration.id
'https://example/MedicationAdministration/' + %medAdm.id
sub.effectiveTime: IVL_TS as eff -> medAdm.effective =create('Period') as period then IVLTSPeriod(eff,period); CHECK THIS
'https://example/MedicationRequest/' + %medRq.id
displayName = 'Quantità nella Confezione'
'https://example/CarePlan/' + %careplan.id
'https://example/Encounter/' + %encountert.id
performer.time as ti -> note.time = (ti.value);
'https://example/Encounter/' + %encountert1.id
'https://example/Encounter/' + encountert.id
'https://example/Encounter/' + encountert2.id
'https://example/Encounter/' + %encountert2.id
obs where obs.statusCode.exists().not() then {
'https://example/Medication/' + %medication.id
'https://example/Practitioner/' + %participant.id
'https://example/Condition/' + %condition.id
effective1.low.exists() or effective1.high.exists()
'https://example/FamilyMemberHistory/' + %FamilyMemberHistory.id
'https://example/MedicationStatement/' + %medicStatement.id
'https://example/AllergyIntolerance/' + %AllergyIntolerance.id
'https://example/AllergyIntolerance/' + %allergy.id
value->coding.version='ConditionClinicalStatusCodes 4.0.1'"version";
entobs.value->allergy.clinicalStatus "cstatus";
'https://example/PractitionerRole/' + %practitionerRole.id