CDA to FHIR Maps
0.1.0 - ci-build

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

## StructureMap: CDA to FHIR - AMB

Official URL: http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirAmbReport | Version: 0.1.0
Draft as of 2025-10-01 | Computable Name: cda2fhirAmbReport

    map "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirAmbReport" = "cda2fhirAmbReport"

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

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

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

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

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

    group DiagnosticReportFunction(source section : section, source src : entry, target dReport : DiagnosticReport, target bundle : Bundle, target encounter : Encounter, target patient : Patient) {
      src.observation as observation then {
        section where code.code = '29299-5' ->  bundle.entry as e1,  e1.request = create('BackboneElement') as request,  request.method = 'POST',  e1.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid1,  e1.fullUrl = append('https://example/Observation/', uuid1),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then Observation(observation, patient, encounter, obs1, bundle) "QuesitoDiagnostico";
        section where code.code = '11329-0' ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Observation') as obs2,  obs2.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Observation/', uuid2),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs2.id) then {
          section ->  obs2.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
          section ->  obs2.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
          section -> obs2.status = 'final' "STatusobse";
          section.code -> obs2.code;
          observation.statusCode as s then {
            s.code as cos -> obs2.status = translate(cos, '#OBSstatus', 'code') "codeS";
          } "status";
          section.component as component then {
            component.section as section then {
              section.code where code = '10160-0' then {
                section.entry as entry then {
                                              entry.substanceAdministration as subAdmin ->  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('MedicationStatement') as medicationstatement,  medicationstatement.id = uuid() as uuid11,  e11.fullUrl = append('https://example/MedicationStatement/', uuid11),  request.url = 'MedicationStatement',  obs2.partOf = create('Reference') as reference,  reference.reference = ('https://example/MedicationStatement/' + %medicationstatement.id) then MedicationStatement(subAdmin, medicationstatement, patient, encounter, bundle) "creat";
                };
              } "sectionCode";
              section.code where code = '48765-2' then {
                section ->  bundle.entry as e4,  e4.request = create('BackboneElement') as request,  request.method = 'POST',  e4.resource = create('List') as list1,  list1.id = uuid() as uuid4,  e4.fullUrl = append('https://example/List/', uuid4),  request.url = 'List',  obs2.focus = create('Reference') as reference,  reference.reference = ('https://example/List/' + %list1.id) then {
                  section ->  list1.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
                  section -> list1.status = 'current' "listatus";
                  section -> list1.mode = 'working' "lstmod";
                  section ->  list1.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
                  section -> list1.entry as entryList1 then {
                    section.entry as entry then {
                      entry.act as act1 ->  bundle.entry as e5,  e5.request = create('BackboneElement') as request,  request.method = 'POST',  e5.resource = create('AllergyIntolerance') as allergy,  allergy.id = uuid() as uuid5,  e5.fullUrl = append('https://example/AllergyIntolerance/', uuid5),  request.url = 'AllergyIntolerance',  entryList1.item = create('Reference') as reference,  reference.reference = ('https://example/AllergyIntolerance/' + %allergy.id) then allergyFunction(act1, allergy, patient, encounter) "allergy";
                    } "entryAll";
                  } "entryList";
                } "section";
              } "conditionAllergie";
            };
          } "subSection";
          section.entry as entry then {
            entry.observation ->  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Condition') as condition,  condition.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Condition/', uuid3),  request.url = 'Condition',  obs2.focus = create('Reference') as reference,  reference.reference = ('https://example/Condition/' + %condition.id) then ConditionFunction(observation, condition, patient, encounter, bundle) "condition";
            entry.organizer as organizer then {
              section ->  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('List') as list11,  list11.id = uuid() as uuid11,  e11.fullUrl = append('https://example/List/', uuid11),  request.url = 'List',  obs2.focus = create('Reference') as reference,  reference.reference = ('https://example/List/' + %list11.id) then {
                section ->  list11.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
                section -> list11.status = 'current' "liststat";
                section -> list11.mode = 'working' "listmd";
                section ->  list11.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
                organizer -> list11.entry as entryList2 then {
                  organizer ->  bundle.entry as e12,  e12.request = create('BackboneElement') as request,  request.method = 'POST',  e12.resource = create('FamilyMemberHistory') as familyMember,  familyMember.id = uuid() as uuid12,  e12.fullUrl = append('https://example/FamilyMemberHistory/', uuid12),  request.url = 'FamilyMemberHistory',  entryList2.item = create('Reference') as reference,  reference.reference = ('https://example/FamilyMemberHistory/' + %familyMember.id) then FamilyMemberFunction(organizer, familyMember, patient) "family";
                } "org";
              } "List";
            };
          };
        } "StoriaClinica1";
        section where code.code = '30954-2' ->  bundle.entry as e4,  e4.request = create('BackboneElement') as request,  request.method = 'POST',  e4.resource = create('Observation') as obs4,  obs4.id = uuid() as uuid4,  e4.fullUrl = append('https://example/Observation/', uuid4),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs4.id) then Observation(observation, patient, encounter, obs4, bundle) "PrecedentiEsamiEseguiti";
        section where code.code = '29548-5' ->  bundle.entry as e5,  e5.request = create('BackboneElement') as request,  request.method = 'POST',  e5.resource = create('Observation') as obs5,  obs5.id = uuid() as uuid5,  e5.fullUrl = append('https://example/Observation/', uuid5),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs5.id) then Observation(observation, patient, encounter, obs5, bundle) "Diagnosi";
      } "entryObs";
      src.act as act then {
        section where code.code = '62387-6' ->  dReport.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) then {
          act.code -> encounter.type "type";
          act.effectiveTime as effectiveTime -> encounter.period as period then {
            effectiveTime -> period.start = create('dateTime') as start then TSDateTime(effectiveTime, start) "val";
          } "period";
          act ->  bundle.entry as e10,  e10.request = create('BackboneElement') as request,  request.method = 'POST',  e10.resource = create('Procedure') as procedureRes,  procedureRes.id = uuid() as uuid10,  e10.fullUrl = append('https://example/Procedure/', uuid10),  request.url = 'Procedure',  encounter.reasonReference = create('Reference') as reference,  reference.reference = ('https://example/Procedure/' + %procedureRes.id) then {
            act ->  procedureRes.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
            act ->  procedureRes.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
            act.statusCode -> procedureRes.status "status1";
            act where statusCode.exists().not() -> procedureRes.status = 'unknown' "status2";
            act.entryRelationship as entryRel then {
              entryRel.procedure as proc ->  bundle.entry as e9,  e9.request = create('BackboneElement') as request,  request.method = 'POST',  e9.resource = create('Procedure') as procedure2,  procedure2.id = uuid() as uuid9,  e9.fullUrl = append('https://example/Procedure/', uuid9),  request.url = 'Procedure',  procedureRes.partOf = create('Reference') as reference,  reference.reference = ('https://example/Procedure/' + %procedure2.id) then Procedure(proc, patient, encounter, procedure2, bundle) "procedurePrestazioni";
              entryRel.substanceAdministration as subAdmin ->  bundle.entry as e8,  e8.request = create('BackboneElement') as request,  request.method = 'POST',  e8.resource = create('MedicationAdministration') as medAdmin,  medAdmin.id = uuid() as uuid8,  e8.fullUrl = append('https://example/MedicationAdministration/', uuid8),  request.url = 'MedicationAdministration',  procedureRes.partOf = create('Reference') as reference,  reference.reference = ('https://example/MedicationAdministration/' + %medAdmin.id) then MedicationAdministration(subAdmin, patient, encounter, medAdmin, bundle) "farmacPrestazioni";
              entryRel.observation as entryRobs ->  bundle.entry as e7,  e7.request = create('BackboneElement') as request,  request.method = 'POST',  e7.resource = create('Observation') as obs7,  obs7.id = uuid() as uuid7,  e7.fullUrl = append('https://example/Observation/', uuid7),  request.url = 'Observation',  procedureRes.partOf = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs7.id) then ObservationPrest(entryRobs, patient, encounter, obs7, bundle) "osservazioniPrestazioni";
              entryRel.act as act2 ->  bundle.entry as e6,  e6.request = create('BackboneElement') as request,  request.method = 'POST',  e6.resource = create('Procedure') as procedure3,  procedure3.id = uuid() as uuid6,  e6.fullUrl = append('https://example/Procedure/', uuid6),  request.url = 'Procedure',  procedureRes.partOf = create('Reference') as reference,  reference.reference = ('https://example/Procedure/' + %procedure3.id) then Procedure(act2, patient, encounter, procedure3, bundle) "procedureGenerichePrestazioni";
            } "Relationship";
          } "proceduraMadre";
        } "Prestazioni";
        section where code.code = '80615-8' ->  bundle.entry as e12,  e12.request = create('BackboneElement') as request,  request.method = 'POST',  e12.resource = create('Observation') as obs12,  obs12.id = uuid() as uuid12,  e12.fullUrl = append('https://example/Observation/', uuid12),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs12.id) then Observation(act, patient, encounter, obs12, bundle) "Followup";
      } "entryAct";
      // src.substanceAdministration
      src.substanceAdministration as substanceadmin then {
        section where code.code = '93341-6' ->  bundle.entry as e6,  e6.request = create('BackboneElement') as request,  request.method = 'POST',  e6.resource = create('MedicationRequest') as medre1,  medre1.id = uuid() as uuid6,  e6.fullUrl = append('https://example/MedicationRequest/', uuid6),  request.url = 'MedicationRequest',  dReport.basedOn = create('Reference') as reference,  reference.reference = ('https://example/MedicationRequest/' + %medre1.id) then MedicationRequest(substanceadmin, patient, encounter, medre1, bundle) "TerapiaFarmacologicaConsigliata";
      } "substanceadmin";
      section where section.entry.exists().not() then {
        section where (code.code = '48765-2') ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Observation/', uuid2),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then {
          section ->  obs1.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
          section ->  obs1.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
          section -> obs1.status = 'final' "STatusobse";
          section.code -> obs1.code;
          section.statusCode as s then {
            s.code as cos -> obs1.status = translate(cos, '#OBSstatus', 'code') "codeS";
          } "status";
          section.text as text ->  bundle.entry as e5,  e5.request = create('BackboneElement') as request,  request.method = 'POST',  e5.resource = create('AllergyIntolerance') as allergy,  allergy.id = uuid() as uuid5,  e5.fullUrl = append('https://example/AllergyIntolerance/', uuid5),  request.url = 'AllergyIntolerance',  obs1.focus = create('Reference') as reference,  reference.reference = ('https://example/AllergyIntolerance/' + %allergy.id) then {
            section ->  allergy.patient = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
            section ->  allergy.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
            section -> allergy.clinicalStatus as clinicalStatus then {
              section -> clinicalStatus.coding = create('Coding') as coding then {
                section -> coding.code = 'active' "code";
                section -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system";
              } "coding";
            } "status";
            text -> allergy.note as note then {
              text as t -> note.text = create('string') as textNote then EDstring(t, textNote) "note";
            } "narrative";
          } "allergytext";
        } "allergyAct";
        section where (code.code = '93341-6') then {
          section.text as text ->  bundle.entry as e13,  e13.request = create('BackboneElement') as request,  request.method = 'POST',  e13.resource = create('MedicationRequest') as obs13,  obs13.id = uuid() as uuid13,  e13.fullUrl = append('https://example/MedicationRequest/', uuid13),  request.url = 'MedicationRequest',  dReport.basedOn = create('Reference') as reference,  reference.reference = ('https://example/MedicationRequest/' + %obs13.id) then {
            section ->  obs13.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
            section ->  obs13.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
            section -> obs13.intent = 'order' "intent";
            section where statusCode.exists().not() -> obs13.status = 'unknown' "st";
            text -> obs13.note as note then {
              text as t -> note.text = create('string') as textNote then EDstring(t, textNote) "note";
            } "note";
            section -> obs13.medication = create('CodeableConcept') as code then {
              section -> code.text = 'string' "string";
            } "code";
          } "txtsec";
        } "MedicationRequest";
        section where (code.code = '55110-1').not() and (code.code = '93341-6').not() and (code.code = '48765-2').not() then {
          section.text as text ->  bundle.entry as e13,  e13.request = create('BackboneElement') as request,  request.method = 'POST',  e13.resource = create('Observation') as obs13,  obs13.id = uuid() as uuid13,  e13.fullUrl = append('https://example/Observation/', uuid13),  request.url = 'Observation',  dReport.result = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs13.id) then {
            section ->  obs13.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
            section ->  obs13.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
            section -> obs13.status = 'preliminary' "obsst";
            section.code -> obs13.code "obscde";
            section -> obs13.status = 'final' "statusS";
            text -> obs13.note as note then {
              text as t -> note.text = create('string') as textNote then EDstring(t, textNote) "note";
            } "narrative";
          } "txtsec";
        } "NonConclusion";
        section where (code.code = '55110-1') then {
          section.text as t -> dReport.conclusion = create('string') as textConclusion then EDstring(t, textConclusion) "conc";
        } "conclusion";
      } "whereCond";
    }

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

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

    group Procedure(source src : procedure, target patient : Patient, target encounter : Encounter, target tgt : Procedure, target bundle : Bundle) {
      src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      src.statusCode -> tgt.status "status1";
      src where statusCode.exists().not() -> tgt.status = 'unknown' "status2";
      src.id -> tgt.identifier;
      src.code -> tgt.code;
      src.effectiveTime as effectiveTime where (value.exists()) -> tgt.performed = create('dateTime') as value then TSDateTime(effectiveTime, value) "value1";
      src.effectiveTime as effectiveTime where (low.exists()) -> tgt.performed = create('Period') as value then IVLTSPeriod(effectiveTime, value) "valuePeriod";
      src.methodCode as methodCode -> tgt.extension as ext1 then ITMethodExt(methodCode, ext1);
      src.participant as participant then {
        participant.participantRole as participantRole -> tgt.performer as performer then {
          participantRole.playingDevice as device ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Device') as deviceRes,  deviceRes.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Device/', uuid2),  request.url = 'Device',  performer.actor = create('Reference') as reference,  reference.reference = ('https://example/Device/' + %deviceRes.id) then {
            device.manufacturerModelName as manufacturerModelName then {
              manufacturerModelName.displayName as displayName -> deviceRes.manufacturer = cast(displayName, 'string') "manuf";
            } "manufacturer";
            device.code -> deviceRes.type;
          } "device";
        };
      };
      src.entryRelationship as entryR then {
        entryR.observation as observation ->  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Observation/', uuid3),  request.url = 'Observation',  tgt.partOf = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then Observation(observation, patient, encounter, obs1, bundle) "Parametri";
        entryR.act as act then {
          act.text as text -> tgt.note as note then {
            text.reference as reference -> note.text = (reference.value) "text";
          } "note";
        };
      } "entryRelProcedure";
    }

    group ITMethodExt(source src, target ext) {
      src -> ext.url = 'http://hl7.org/fhir/StructureDefinition/procedure-method' "url";
      src -> ext.value = create('CodeableConcept') as value then CECodeableConcept(src, value) "value";
    }

    group MedicationAdministration(source src : substanceAdministration, target patient : Patient, target encounter : Encounter, target tgt : MedicationAdministration, target bundle : Bundle) {
      src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      src ->  tgt.context = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      src.statusCode -> tgt.status "status1";
      src where statusCode.exists().not() -> tgt.status = 'unknown' "status2";
      src.id -> tgt.identifier;
      src.effectiveTime as effectiveTime where (value.exists()) -> tgt.effective = create('dateTime') as value then TSDateTime(effectiveTime, value) "value1";
      src.effectiveTime as effectiveTime where (low.exists()) -> tgt.effective = create('Period') as value then IVLTSPeriod(effectiveTime, value) "valuePeriod";
      src -> tgt.dosage as dosage then {
        src.routeCode -> dosage.route "route";
        src.repeatNumber as repeatNumber -> dosage.rate = create('SimpleQuantity') as value then PQQuantity(repeatNumber, value) "repQ";
        src.approachSiteCode -> dosage.site "site";
        src.targetSiteCode -> dosage.site "site";
      } "dosage";
      src.consumable as consumable ->  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',  tgt.medication = create('Reference') as medref,  medref.reference = ('https://example/Medication/' + %medication.id) then Medication(src, medication, patient, bundle) "medication";
      src.participant as participant then {
        participant.participantRole as participantRole -> tgt.performer as performer then {
          participantRole.device as device ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Device') as deviceRes,  deviceRes.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Device/', uuid2),  request.url = 'Device',  performer.actor = create('Reference') as reference,  reference.reference = ('https://example/Device/' + %deviceRes.id) then {
            device.ManufacturerModelName as ManufacturerModelName then {
              ManufacturerModelName.code -> deviceRes.manufacturer "manuf";
            } "manufacturer";
          };
        };
      };
      src.entryRelationship as entryR then {
        entryR.observation as observation ->  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Observation/', uuid3),  request.url = 'Observation',  tgt.partOf = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then Observation(observation, patient, encounter, obs1, bundle) "Parametri";
        entryR.act as act then {
          act.text as text -> tgt.note as note then {
            text.reference as reference -> note.text = (reference.value) "text";
          } "note";
        };
      } "entryRelMedication";
      src where (src.doseQuantity.exists() or src.rateQuantity.exists()) ->  bundle.entry as e1,  e1.request = create('BackboneElement') as request,  request.method = 'POST',  e1.resource = create('MedicationRequest') as medicationRq,  medicationRq.id = uuid() as uuid1,  e1.fullUrl = append('https://example/MedicationRequest/', uuid1),  request.url = 'MedicationRequest',  tgt.request = create('Reference') as reference,  reference.reference = ('https://example/MedicationRequest/' + %medicationRq.id) then MedicationRequest(src, patient, encounter, medicationRq, bundle) "medRequ";
      src.text as text -> tgt.note as note then {
        text -> note.text "text";
      } "note";
    }

    group ObservationPrest(source src : observation, target patient : Patient, target encounter : Encounter, target tgt : Observation, target bundle : Bundle) {
      src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      src.statusCode as s then {
        s.code as cos -> tgt.status = translate(cos, '#OBSstatus', 'code') "codeS";
      } "status";
      src.id -> tgt.identifier;
      src.code -> tgt.code;
      src.effectiveTime as effectiveTime where (value.exists()) -> tgt.perfomed = create('dateTime') as value then TSDateTime(effectiveTime, value) "value1";
      src.effectiveTime as effectiveTime where (low.exists()) -> tgt.perfomed = create('Period') as value then IVLTSPeriod(effectiveTime, value) "valuePeriod";
      src.methodCode -> tgt.method;
      src.participant as participant then {
        participant.participantRole as participantRole then {
          participantRole.device as device ->  bundle.entry as e2,  e2.request = create('BackboneElement') as request,  request.method = 'POST',  e2.resource = create('Device') as deviceRes,  deviceRes.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Device/', uuid2),  request.url = 'Device',  tgt.device = create('Reference') as reference,  reference.reference = ('https://example/Device/' + %deviceRes.id) then {
            device.ManufacturerModelName as ManufacturerModelName then {
              ManufacturerModelName.code -> deviceRes.manufacturer "manuf";
            } "manufacturer";
          };
        };
      };
      src.entryRelationship as entryR then {
        entryR.observation as observation ->  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Observation') as obs1,  obs1.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Observation/', uuid3),  request.url = 'Observation',  tgt.hasMember = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %obs1.id) then Observation(observation, patient, encounter, obs1, bundle) "Parametri";
        entryR.act as act then {
          act.text as text -> tgt.note as note then {
            text.reference as reference -> note.text = (reference.value) "text";
          } "note";
        };
      } "entryRelOsservazioni";
    }

    group MedicationRequest(source src : substanceAdministration, target patient : Patient, target encounter : Encounter, target tgt : MedicationRequest, target bundle : Bundle) {
      // default  + mandatory
      src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      src ->  tgt.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %encounter.id) "reference";
      src -> tgt.intent = 'order' "intent";
      src where statusCode.exists().not() -> tgt.status = 'unknown' "st";
      src.statusCode as sc then {
        sc.code as cos -> tgt.status = translate(cos, '#MedicationStatusMap', 'code') "codeS";
      } "status";
      src.text as txt -> tgt.note as note then {
        txt.reference as reference -> note.text = (reference.value) "text";
      } "note";
      src.effectiveTime : IVL_TS as eff -> tgt.dosageInstruction = create('Dosage') as dosage then {
        eff -> dosage.timing = create('Timing') as timing then {
          eff -> timing.repeat as rep then {
            eff as eff where (value.exists()) -> rep.bounds = create('dateTime') as value then TSDateTime(eff, value) "value1";
            eff as eff where (low.exists()) -> rep.bounds = create('Period') as value then IVLTSPeriod(eff, value) "valuePeriod";
          } "rep";
        } "timing";
      } "period";
      src.effectiveTime : EIVL_TS as effe -> tgt.dosageInstruction = create('Dosage') as dosage then {
        effe -> dosage.timing = create('Timing') as timing then {
          effe -> timing.repeat as rep then {
            effe.eventCode as ev -> rep.when = (ev.code);
          } "rep";
        } "timing";
      } "period";
      src.effectiveTime : IVL_TS as eff ->  tgt.dosageInstruction = create('Dosage') as dosage,  dosage.timing = create('Timing') as timing,  timing.event = (eff.value) "tim";
      src.effectiveTime : PIVL_TS as eff -> tgt.dosageInstruction = create('Dosage') as dosage then {
        eff -> dosage.timing = create('Timing') as timing then periodTiming(eff, timing) "cod";
      } "eff";
      src where (src.doseQuantity.exists() or src.rateQuantity.exists()) then {
        src -> tgt.dosageInstruction = create('Dosage') as dosageInstruction then {
          src.doseQuantity as doseQuant 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";
          };
          src.rateQuantity as rateQuantity then {
            rateQuantity.originalText as ot then {
              ot.reference -> dosageInstruction.text;
            } "ot";
            rateQuantity -> dosageInstruction.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);
                } "high";
              } "r";
            } "dosageRate";
          } "rate";
          src.routeCode -> dosageInstruction.route "route";
          src.approachSiteCode -> dosageInstruction.site "site";
          src.targetSiteCode -> dosageInstruction.site "site";
        } "dosageIn";
      } "condition";
      src.consumable as consumable ->  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',  tgt.medication = create('Reference') as medref,  medref.reference = ('https://example/Medication/' + %medication.id) then Medication(src, medication, patient, bundle) "medication";
      src.entryRelationship as entryRelationship then {
        entryRelationship.supply as supply -> tgt.dispenseRequest as dispenseRequest then {
          supply.quantity as quantityCDA -> dispenseRequest.quantity as quantityFHIR then {
            quantityCDA -> quantityFHIR.value = (quantityCDA.value) "value";
          };
        };
      } "entryR";
      src.participant as participant then {
        participant then Practitioner(participant, tgt, bundle) "function";
        participant.effectiveTime -> tgt.authoredOn "autor";
      } "Partecipant";
    }

    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";
    }

    group Medication(source src : cda, target tgt : Medication, target patient : Patient, target bundle : Bundle) {
      src.consumable as consumable then {
        consumable.manufacturedProduct as manufacturedProduct then {
          manufacturedProduct.manufacturedMaterial as manufacturedMaterial then {
            manufacturedMaterial.code -> tgt.code "CE";
            src.administrationUnitCode -> tgt.form "form";
          } "material";
        } "product";
      };
      src.entryRelationship as entryR then {
        entryR.observation as observation then {
          observation.code where displayName = 'Grammatura' -> tgt.ingredient as ingredient then {
            src.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 -> tgt.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";
    }

    group MedicationStatement(source src : subAdmin, target tgt : MedicationStatement, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
      src ->  tgt.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) "reference";
      src.statusCode -> tgt.status;
      src where statusCode.exists().not() -> tgt.status = 'unknown' "notpresent";
      src.consumable as consumable then {
        consumable.manufacturedProduct as manufacturedProduct then {
          manufacturedProduct.manufacturedMaterial as manufacturedMaterial then {
            manufacturedMaterial.code as code -> tgt.medication = create('CodeableConcept') as ce then CECodeableConcept(code, ce) "CE";
          } "material";
        } "product";
      };
    }

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

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

    group Practitioner(source src : participant, target tgt : MedicationRequest, target bundle : Bundle) {
      src ->  bundle.entry as e22,  e22.request = create('BackboneElement') as request,  request.method = 'PUT',  e22.resource = create('Practitioner') as practitioner1 then {
        src.participantRole as practr then {
          practr.id as id -> practitioner1.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 "ext";
            id.assigningAuthorityName as s ->  identifier.assigner as a,  a.display = s;
            id.root as r then {
              id.extension as ext ->  practitioner1.id = (r + '-' + ext) as uuid22,  e22.fullUrl = append('https://example/Practitioner/', uuid22),  tgt.requester = create('Reference') as reference,  reference.reference = ('https://example/Practitioner/' + %practitioner1.id) "id";
            } "r";
          } "identifier";
          practr.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";
          practr.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";
          } "diverso";
          practr -> practitioner1.meta as meta then {
            practr -> meta.tag = create('Coding') as coding then {
              practr -> coding.system = 'http://algoritmodiscoring' "system";
              practr -> coding.code = 'ClinicalDocument/body/TerapiaFarmacologicaConsigliata/participant' "code";
            } "coding";
          } "meta";
          practr.addr -> practitioner1.address;
          practr.telecom -> practitioner1.telecom;
          practr.playingEntity as plentity then {
            plentity.name -> practitioner1.name;
            plentity.birthTime as birthTime then {
              birthTime.value as date -> practitioner1.birthDate = truncate(date, 10);
            } "birth";
          } "partname";
        } "resurceCreation";
      } "practitionerCreate";
    }