POC - Mapping CDA to FHIR
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## : Mapping CSE-MDE vers FHIR Bundle - Contexte Français - JSON Representation

Draft as of 2025-11-07

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    {
      "resourceType" : "StructureMap",
      "id" : "CdaFrMDEToBundle",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narratif généré : StructureMap CdaFrMDEToBundle</b></p><a name=\"CdaFrMDEToBundle\"> </a><a name=\"hcCdaFrMDEToBundle\"> </a><pre class=\"fml\">\r\n<b>map</b><span style=\"color: navy\"> &quot;</span>https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrMDEToBundle<span style=\"color: navy\">&quot; = &quot;</span>CdaFrMDEToBundle<span style=\"color: navy\">&quot;\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Mapping CSE-MDE vers FHIR Bundle - Contexte Français</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html\" title=\"ClinicalDocument (CDA Class)\">http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument</a><span style=\"color: navy\">&quot; </span><b>alias </b>ClinicalDocument <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4/bundle.html\" title=\"Bundle\">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style=\"color: navy\">&quot; </span><b>alias </b>Bundle <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4/composition.html\" title=\"Composition\">http://hl7.org/fhir/StructureDefinition/Composition</a><span style=\"color: navy\">&quot; </span><b>alias </b>Composition <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4/patient.html\" title=\"Patient\">http://hl7.org/fhir/StructureDefinition/Patient</a><span style=\"color: navy\">&quot; </span><b>alias </b>Patient <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4/observation.html\" title=\"Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a><span style=\"color: navy\">&quot; </span><b>alias </b>Observation <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> &quot;</span><a href=\"StructureMap-CdaToFHIRTypes.html\" title=\"Mapping de CDA vers les FHIR Types (A partir des sources de Oliver Egger)\">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToFHIRTypes</a><span style=\"color: navy\">&quot;\r\n</span><b>imports</b><span style=\"color: navy\"> &quot;</span><a href=\"StructureMap-CdaToBundle.html\" title=\"Mapping de CDA vers FHIR Bundle (A partir des sources de Oliver Egger)\">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToBundle</a><span style=\"color: navy\">&quot;\r\n</span><b>imports</b><span style=\"color: navy\"> &quot;</span><a href=\"StructureMap-CdaFrToBundle.html\" title=\"Mapping de CDAFr vers FHIR Bundle (A partir des sources de Oliver Egger)\">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrToBundle</a><span style=\"color: navy\">&quot;\r\n</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Entry point</span>\r\n<b>group </b>CdaFrMDEToBundle<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">cda</span><span style=\"color: navy\"> : </span>ClinicalDocument, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  cda<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\">, </span> e.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Composition'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">composition</span><span style=\"color: navy\">, </span> composition.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">uuid</span><span style=\"color: navy\">, </span> e.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'urn:uuid:'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">uuid</span><span style=\"color: navy\">)</span><span style=\"color: navy\">, </span> bundle.entry<b> as </b><span style=\"color: maroon\">e2</span><span style=\"color: navy\">, </span> e2.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Patient'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">patient</span><span style=\"color: navy\">, </span> patient.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">uuid2</span><span style=\"color: navy\">, </span> e2.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'urn:uuid:'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">uuid2</span><span style=\"color: navy\">)</span><b> then </b>CdaFrMDEMapping<span style=\"color: navy\">(</span><span style=\"color: maroon\">cda</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">patient</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">composition</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">bundle</span><span style=\"color: navy\">)</span> <i>&quot;main&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Main mapping group</span>\r\n<b>group </b>CdaFrMDEMapping<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">cda</span><span style=\"color: navy\"> : </span>ClinicalDocument, <b>target</b> <span style=\"color: maroon\">patient</span><span style=\"color: navy\"> : </span>Patient, <b>target</b> <span style=\"color: maroon\">composition</span><span style=\"color: navy\"> : </span>Composition, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  <span style=\"color: navy\">// </span><span style=\"color: green\">Bundle metadata</span>\r\n  cda<span style=\"color: navy\"><b> -&gt; </b></span>bundle.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span> <i>&quot;bundleId&quot;</i><span style=\"color: navy\">;</span>\r\n  cda.id<b> as </b><span style=\"color: maroon\">cdaId</span><span style=\"color: navy\"><b> -&gt; </b></span>bundle.identifier<b> as </b><span style=\"color: maroon\">identifier</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    cdaId.root<b> as </b><span style=\"color: maroon\">root</span><b> where </b>cdaId.extension.exists()<span style=\"color: navy\"><b> -&gt; </b></span>identifier.system = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">root</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#oid2uri'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'uri'</span><span style=\"color: navy\">)</span> <i>&quot;system&quot;</i><span style=\"color: navy\">;</span>\r\n    cdaId.extension<b> as </b><span style=\"color: maroon\">extension</span><span style=\"color: navy\"><b> -&gt; </b></span>identifier.value = <span style=\"color: maroon\">extension</span> <i>&quot;value&quot;</i><span style=\"color: navy\">;</span>\r\n    cdaId.root<b> as </b><span style=\"color: maroon\">root</span><b> where </b>cdaId.extension.empty()<span style=\"color: navy\"><b> -&gt; </b></span>identifier.system = <span style=\"color: blue\">'urn:ietf:rfc:3986'</span> <i>&quot;systemOid&quot;</i><span style=\"color: navy\">;</span>\r\n    cdaId.root<b> as </b><span style=\"color: maroon\">root</span><b> where </b>cdaId.extension.empty()<span style=\"color: navy\"><b> -&gt; </b></span>identifier.value = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'urn:oid:'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">root</span><span style=\"color: navy\">)</span> <i>&quot;valueOid&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;bundleIdentifier&quot;</i><span style=\"color: navy\">;</span>\r\n  cda<span style=\"color: navy\"><b> -&gt; </b></span>bundle.type = <span style=\"color: blue\">'document'</span> <i>&quot;bundleType&quot;</i><span style=\"color: navy\">;</span>\r\n  cda.effectiveTime<b> as </b><span style=\"color: maroon\">effectiveTime</span><span style=\"color: navy\"><b> -&gt; </b></span>bundle.timestamp = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'instant'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">timestamp</span><b> then </b>TSInstant<span style=\"color: navy\">(</span><span style=\"color: maroon\">effectiveTime</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">timestamp</span><span style=\"color: navy\">)</span> <i>&quot;bundleTimestamp&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Composition using CdaToBundle function (includes patient mapping)</span>\r\n  cda<span style=\"color: navy\"><b> -&gt; </b></span>composition<b> then </b>ClinicalDocumentComposition<span style=\"color: navy\">(</span><span style=\"color: maroon\">cda</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">composition</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">patient</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">bundle</span><span style=\"color: navy\">)</span> <i>&quot;composition&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Add gender mapping after ClinicalDocumentComposition (which calls ClinicalDocumentPatientRole)</span>\r\n  cda.recordTarget<b> as </b><span style=\"color: maroon\">recordTarget</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    recordTarget.patientRole<b> as </b><span style=\"color: maroon\">patientRole</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      patientRole.patient<b> as </b><span style=\"color: maroon\">cdaPatient</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        cdaPatient.administrativeGenderCode<b> as </b><span style=\"color: maroon\">gender</span><b> then </b>MapGender<span style=\"color: navy\">(</span><span style=\"color: maroon\">gender</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">patient</span><span style=\"color: navy\">)</span> <i>&quot;patientGender&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;cdaPatient&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;recordTargetGender&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Process sections with observations</span>\r\n  cda.component<b> as </b><span style=\"color: maroon\">cdaComp</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    cdaComp.structuredBody<b> as </b><span style=\"color: maroon\">body</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      body.component<b> as </b><span style=\"color: maroon\">bodyComp</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        bodyComp.section<b> as </b><span style=\"color: maroon\">section</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          <span style=\"color: navy\">// </span><span style=\"color: green\">Create composition section</span>\r\n          section<span style=\"color: navy\"><b> -&gt; </b></span>composition.section<b> as </b><span style=\"color: maroon\">compSection</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            section.title<b> as </b><span style=\"color: maroon\">sectionTitle</span><span style=\"color: navy\"><b> -&gt; </b></span>compSection.title = <span style=\"color: navy\">(</span>sectionTitle.xmlText<span style=\"color: navy\">)</span> <i>&quot;sectionTitle&quot;</i><span style=\"color: navy\">;</span>\r\n            section.code<b> as </b><span style=\"color: maroon\">sectionCode</span><span style=\"color: navy\"><b> -&gt; </b></span>compSection.code = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cc</span><b> then </b>CDCodeableConcept<span style=\"color: navy\">(</span><span style=\"color: maroon\">sectionCode</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cc</span><span style=\"color: navy\">)</span> <i>&quot;sectionCode&quot;</i><span style=\"color: navy\">;</span>\r\n            section.text<b> as </b><span style=\"color: maroon\">sectionText</span><span style=\"color: navy\"><b> -&gt; </b></span>compSection.text = <span style=\"color: maroon\">sectionText</span> <i>&quot;sectionText&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">// </span><span style=\"color: green\">Process observations in organizers</span>\r\n            section.entry<b> as </b><span style=\"color: maroon\">entry</span><b> then</b><span style=\"color: navy\"> {\r\n</span>              entry.organizer<b> as </b><span style=\"color: maroon\">organizer</span><b> then</b><span style=\"color: navy\"> {\r\n</span>                organizer.component<b> as </b><span style=\"color: maroon\">orgComp</span><b> then</b><span style=\"color: navy\"> {\r\n</span>                  orgComp.observation<b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span>                    obs<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">obsEntry</span><span style=\"color: navy\">, </span> obsEntry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">observation</span><span style=\"color: navy\">, </span> observation.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obsUuid</span><span style=\"color: navy\">, </span> obsEntry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'urn:uuid:'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsUuid</span><span style=\"color: navy\">)</span><span style=\"color: navy\">, </span> compSection.entry = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obsRef</span><span style=\"color: navy\">, </span> obsRef.reference = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'urn:uuid:'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsUuid</span><span style=\"color: navy\">)</span><b> then </b>ProcessObservation<span style=\"color: navy\">(</span><span style=\"color: maroon\">cda</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">observation</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">patient</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">composition</span><span style=\"color: navy\">)</span> <i>&quot;processObs&quot;</i><span style=\"color: navy\">;</span>\r\n                  <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n                <span style=\"color: navy\">}</span> <i>&quot;orgComponent&quot;</i><span style=\"color: navy\">;</span>\r\n              <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;compSection&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;bodyComponent&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;cdaComponent&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Process individual observation using CdaToFHIRTypes functions</span>\r\n<b>group </b>ProcessObservation<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">cda</span><span style=\"color: navy\"> : </span>ClinicalDocument, <b>source</b> <span style=\"color: maroon\">obs</span>, <b>target</b> <span style=\"color: maroon\">observation</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">patient</span><span style=\"color: navy\"> : </span>Patient, <b>target</b> <span style=\"color: maroon\">composition</span><span style=\"color: navy\"> : </span>Composition<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  <span style=\"color: navy\">// </span><span style=\"color: green\">Meta profile - ANS profiles based on LOINC code</span>\r\n  obs.code<b> as </b><span style=\"color: maroon\">obsCode</span><b> where </b>code = '29463-7'<span style=\"color: navy\"><b> -&gt; </b></span>observation.meta = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Meta'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">meta</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    obsCode<span style=\"color: navy\"><b> -&gt; </b></span>meta.profile = <span style=\"color: blue\">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-body-weight'</span> <i>&quot;profileWeight&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;metaWeight&quot;</i><span style=\"color: navy\">;</span>\r\n  obs.code<b> as </b><span style=\"color: maroon\">obsCode</span><b> where </b>code = '8302-2'<span style=\"color: navy\"><b> -&gt; </b></span>observation.meta = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Meta'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">meta</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    obsCode<span style=\"color: navy\"><b> -&gt; </b></span>meta.profile = <span style=\"color: blue\">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-bodyheight'</span> <i>&quot;profileHeight&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;metaHeight&quot;</i><span style=\"color: navy\">;</span>\r\n  obs.code<b> as </b><span style=\"color: maroon\">obsCode</span><b> where </b>code = '8287-5'<span style=\"color: navy\"><b> -&gt; </b></span>observation.meta = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Meta'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">meta</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    obsCode<span style=\"color: navy\"><b> -&gt; </b></span>meta.profile = <span style=\"color: blue\">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-head-circumference'</span> <i>&quot;profileHeadCirc&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;metaHeadCirc&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Status - map CDA &quot;completed&quot; to FHIR &quot;final&quot;</span>\r\n  obs.statusCode<b> as </b><span style=\"color: maroon\">statusCode</span><b> where </b>code = 'completed'<span style=\"color: navy\"><b> -&gt; </b></span>observation.status = <span style=\"color: blue\">'final'</span> <i>&quot;statusCompleted&quot;</i><span style=\"color: navy\">;</span>\r\n  obs.statusCode<b> as </b><span style=\"color: maroon\">statusCode</span><b> where </b>code != 'completed'<span style=\"color: navy\"><b> -&gt; </b></span>observation.status = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">status</span><b> then </b>CSCode<span style=\"color: navy\">(</span><span style=\"color: maroon\">statusCode</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">status</span><span style=\"color: navy\">)</span> <i>&quot;statusOther&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Category - vital-signs for all observations in CSE-MDE</span>\r\n  obs<span style=\"color: navy\"><b> -&gt; </b></span>observation.category = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">category</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    obs<span style=\"color: navy\"><b> -&gt; </b></span>category.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      obs<span style=\"color: navy\"><b> -&gt; </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;system&quot;</i><span style=\"color: navy\">;</span>\r\n      obs<span style=\"color: navy\"><b> -&gt; </b></span>coding.code = <span style=\"color: blue\">'vital-signs'</span> <i>&quot;code&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;coding&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;category&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Code using CDCodeableConcept from CdaToFHIRTypes</span>\r\n  obs.code<b> as </b><span style=\"color: maroon\">code</span><span style=\"color: navy\"><b> -&gt; </b></span>observation.code = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cc</span><b> then </b>CDCodeableConcept<span style=\"color: navy\">(</span><span style=\"color: maroon\">code</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cc</span><span style=\"color: navy\">)</span> <i>&quot;obsCode&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">EffectiveDateTime - use effectiveTime from observation</span>\r\n  obs.effectiveTime<b> as </b><span style=\"color: maroon\">effectiveTime</span><span style=\"color: navy\"><b> -&gt; </b></span>observation.effective = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'dateTime'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">dt</span><b> then </b>TSDateTime<span style=\"color: navy\">(</span><span style=\"color: maroon\">effectiveTime</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dt</span><span style=\"color: navy\">)</span> <i>&quot;effectiveDateTime&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Value as Quantity using PQQuantity from CdaToFHIRTypes</span>\r\n  obs.value<b> as </b><span style=\"color: maroon\">value</span><span style=\"color: navy\"><b> -&gt; </b></span>observation.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Quantity'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">qty</span><b> then </b>PQQuantity<span style=\"color: navy\">(</span><span style=\"color: maroon\">value</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">qty</span><span style=\"color: navy\">)</span> <i>&quot;obsValue&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Subject reference</span>\r\n  obs<span style=\"color: navy\"><b> -&gt; </b></span> observation.subject = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><span style=\"color: navy\">, </span> ref.reference = <span style=\"color: navy\">(</span>'urn:uuid:' + %patient.id<span style=\"color: navy\">)</span> <i>&quot;obsSubject&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Map CDA v3 administrative gender to FHIR gender</span>\r\n<b>group </b>MapGender<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">patient</span><span style=\"color: navy\"> : </span>Patient<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  src<b> where </b>code = 'M'<span style=\"color: navy\"><b> -&gt; </b></span>patient.gender = <span style=\"color: blue\">'male'</span> <i>&quot;genderMale&quot;</i><span style=\"color: navy\">;</span>\r\n  src<b> where </b>code = 'F'<span style=\"color: navy\"><b> -&gt; </b></span>patient.gender = <span style=\"color: blue\">'female'</span> <i>&quot;genderFemale&quot;</i><span style=\"color: navy\">;</span>\r\n  src<b> where </b>code = 'UN'<span style=\"color: navy\"><b> -&gt; </b></span>patient.gender = <span style=\"color: blue\">'other'</span> <i>&quot;genderOther&quot;</i><span style=\"color: navy\">;</span>\r\n  src<b> where </b>code = 'UNK'<span style=\"color: navy\"><b> -&gt; </b></span>patient.gender = <span style=\"color: blue\">'unknown'</span> <i>&quot;genderUnknown&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
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