CDA-FHIR-Maps (R4)
0.3.0 - DSTU 1
CDA-FHIR-Maps (R4)
0.3.0 - DSTU 1
This page is part of the CDA-FHIR-Maps (R4) (v0.3.0: DSTU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
map "http://fhir.ch/ig/cda-fhir-maps/StructureMap/BundleToCdaChEmed" = "BundleToCdaChEmed"
// Medication Entries
// 2020-11-11 Michaela Ziegler, copyright ahdis ag, Apache License
// CDA-CH-EMED: https://art-decor.org/art-decor/decor-project--cdachemed-
// FHIR CH-EMED: http://fhir.ch/ig/ch-emed/index.html
uses "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" alias ClinicalDocument as target
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor" alias AssignedAuthor as target
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" alias AssignedEntity as target
uses "http://hl7.org/fhir/cda/StructureDefinition/Author" alias Author as target
uses "http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization" alias CustodianOrganization as target
uses "http://hl7.org/fhir/cda/StructureDefinition/IVL_TS" alias IVL_TS as target
uses "http://hl7.org/fhir/cda/StructureDefinition/EIVL_TS" alias EIVL_TS as target
uses "http://hl7.org/fhir/cda/StructureDefinition/PatientRole" alias PatientRole as target
uses "http://hl7.org/fhir/cda/StructureDefinition/RecordTarget" alias RecordTarget as target
uses "http://hl7.org/fhir/cda/StructureDefinition/Section" alias Section as target
uses "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" alias SubstanceAdministration as target
uses "http://hl7.org/fhir/cda/StructureDefinition/SXPR_TS" alias SXPR_TS as target
uses "http://hl7.org/fhir/cda/StructureDefinition/Supply" alias Supply as target
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as source
uses "http://hl7.org/fhir/StructureDefinition/Composition" alias Composition as source
uses "http://hl7.org/fhir/StructureDefinition/Patient" alias Patient as source
uses "http://hl7.org/fhir/StructureDefinition/Practitioner" alias Practitioner as source
uses "http://hl7.org/fhir/StructureDefinition/Organization" alias Organization as source
uses "http://hl7.org/fhir/StructureDefinition/MedicationStatement" alias MedicationStatement as source
uses "http://hl7.org/fhir/StructureDefinition/Dosage" alias Dosage as source
imports "http://fhir.ch/ig/cda-fhir-maps/StructureMap/FhirToCdaTypes"
imports "http://fhir.ch/ig/cda-fhir-maps/StructureMap/BundleToCda"
imports "http://fhir.ch/ig/cda-fhir-maps/StructureMap/BundleToCdaCh"
// source: Annotation note (e.g. http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationstatement.html)
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.2
group AnnotationComment(source note : Annotation, target act : Act) {
note -> act.classCode = 'ACT' "ACT";
note -> act.moodCode = 'EVN' "EVN";
note -> act.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.2' "templateId";
note -> act.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.40' "templateId";
note -> act.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.2' "templateId";
note -> act.code as code, code.code = '48767-8', code.codeSystem = '2.16.840.1.113883.6.1', code.displayName = 'Annotation comment', code.codeSystemName = 'LOINC' "code";
note.text as noteText -> act.text as text then {
noteText -> text.data = noteText "text";
note.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' then {
extension.valueUrl as valueUrl -> text.reference as reference, reference.value = valueUrl "reference";
} "id";
note where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> text.reference as reference, reference.value = '#refpdf' "reference";
};
note -> act.statusCode as code, code.code = 'completed' "statusCode";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationstatement.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.33&effectiveDate=2019-12-11T11:34:24&language=en-US
group ManufacturedMaterialEntryContentModuleStatement(source bundle : Bundle, source medicationStatement : MedicationStatement, source medication : Medication, target manufacturedMaterial : ManufacturedMaterial) {
medication -> manufacturedMaterial.classCode = 'MMAT' "MMAT";
medication -> manufacturedMaterial.determinerCode = 'KIND' "KIND";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.33' "CH-PHARM-ManufacturedMaterialContentModule";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.1' "templateId";
medication.code as code then {
code.text as text -> manufacturedMaterial.name as name, name.other = text "brandname";
} "name";
medication.code as code then {
// #mtpc.no.brandedmedication
code.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> manufacturedMaterial.code as code then {
extension.valueUrl as valueUrl -> code.originalText as text, text.reference as reference, reference.value = valueUrl "reference";
} "id";
code where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> manufacturedMaterial.code as code, code.originalText as text, text.reference as reference, reference.value = '#refpdf' "reference";
code.coding as coding -> manufacturedMaterial.code as ce then CodingCE(coding, ce) "code";
code where coding.exists() = false -> manufacturedMaterial.code as ce, ce.nullFlavor = 'NA' "nullFlavor";
};
medication.form as form then {
form.coding as coding -> manufacturedMaterial.formCode as formCode then CodingCE(coding, formCode) "formCode";
};
medication.code as code -> manufacturedMaterial.asContent as asContent, asContent.classCode = 'CONT', asContent.containerPackagedMedicine as containerPackagedMedicine then {
code -> containerPackagedMedicine.classCode = 'CONT' "CONT";
code -> containerPackagedMedicine.determinerCode = 'INSTANCE' "INSTANCE";
code.coding as coding -> containerPackagedMedicine.code as ce then CodingCE(coding, ce) "pharm-code";
code.text as text -> containerPackagedMedicine.name as name, name.other = text "pharm-name";
medication.form as form then {
form.coding as coding -> containerPackagedMedicine.formCode as formCode then CodingCE(coding, formCode) "pharm-formCode";
};
// Package size
medication.amount as amount then {
amount.numerator as numerator -> containerPackagedMedicine.capacityQuantity as capacityQuantity then {
numerator.value as value -> capacityQuantity.value = value;
numerator.code as unit -> capacityQuantity.unit = unit "unit";
};
};
};
medication.ingredient as ingredient -> manufacturedMaterial.ingredient as ingredient, ingredient.classCode = 'ACTI' then {
ingredient.itemCodeableConcept as itemCodeableConcept -> ingredient.ingredient as pharmsubstance then {
itemCodeableConcept -> pharmsubstance.classCode = 'MMAT' "MMAT";
itemCodeableConcept -> pharmsubstance.determinerCode = 'KIND' "KIND";
itemCodeableConcept.text as text -> pharmsubstance.name as name, name.other = text "name";
itemCodeableConcept.coding as coding then {
coding -> pharmsubstance.code as ce then CodingCE(coding, ce) "formCode";
};
} "PharmSubstance";
ingredient.strength as strength -> ingredient.quantity as quantity then RatioRTOPQPQ(strength, quantity);
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationstatement.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.34&effectiveDate=2019-12-11T11:31:52&language=en-US
group MedicationTreatmentPlanItemEntryContentModule(source bundle : Bundle, source medicationStatement : MedicationStatement, target substanceAdministration : SubstanceAdministration) {
medicationStatement -> substanceAdministration.classCode = 'SBADM' "SBADM";
medicationStatement -> substanceAdministration.moodCode = 'INT' "INT";
medicationStatement -> substanceAdministration.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.34' "CH-PHARM-MedicationTreatmentPlanItemEntryContentModule";
medicationStatement -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.7' "IHE-PHARM-MTP";
medicationStatement -> substanceAdministration.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.24' "CCD";
medicationStatement -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7' "PCC-MedicationEntryContentModule";
medicationStatement.identifier as identifier -> substanceAdministration.id as id then IdentifierII(identifier, id) "id";
medicationStatement.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> substanceAdministration.text as text, text.reference as reference then {
extension.valueUrl as valueUrl -> reference.value = valueUrl;
} "narrativeLink";
medicationStatement where extension.where(url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists().not() -> substanceAdministration.text as text, text.reference as reference then {
medicationStatement -> reference.value = '#refpdf' "referencetopdf";
} "cat1narrativelink";
medicationStatement -> substanceAdministration.statusCode as statusCode, statusCode.code = 'completed' "code";
medicationStatement.contained as medication where ('#' + $this.id) in %medicationStatement.medicationReference.reference -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.classCode = 'MANU' then {
medication -> manufacturedProduct.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.2' "MP-TemplateId";
medication -> manufacturedProduct.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.53' "MP-TemplateId";
medication -> manufacturedProduct.manufacturedMaterial as manufacturedMaterial then ManufacturedMaterialEntryContentModuleStatement(bundle, medicationStatement, medication, manufacturedMaterial) "manufacturedMaterial";
};
// TODO: AUTHOR1 Medication Treatment Plan Author
medicationStatement where dosage.count() = 1 then {
medicationStatement.dosage as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.1' "normalDose";
} "onylonedosage";
// dosage for normal dosing, as no sequences are present there
medicationStatement.dosage as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal') then DosageInstructionsStartStopFrequencySubstanceAdministration(dosage, substanceAdministration) "DosageSubstanceAdministration";
// dosage for split dosing (with sequences): effectiveTime (start/stop) & routeCode
medicationStatement.dosage first as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split') -> substanceAdministration.entryRelationship as entryRelationship then DosageInstructionsEntryStartStopRoute(dosage, substanceAdministration, entryRelationship) "DosageSubstanceAdministration";
// dosage for split dosing (with sequences): sequence number, effectiveTime (when), dose quantity, consumable
medicationStatement.dosage as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split') -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP' then DosageInstructionsEntryDosageChangeSubstanceAdministration(dosage, substanceAdministration, entryRelationship) "DosageSubstanceAdministration";
medicationStatement.reasonCode as reasonCode -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'RSON', entryRelationship.observation as observation then TreatmentReasonEntryContentModule(reasonCode, observation) "TreatmentReasonEntryContentModule";
medicationStatement.extension as extension where url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan' -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'REFR', entryRelationship.substanceAdministration as substanceAdministration then MTPReferenceEntryContentModule(extension, substanceAdministration) "MTP-Reference";
// https://github.com/ehealthsuisse/ch-emed/issues/56
medicationStatement -> substanceAdministration.repeatNumber as repeatNumber, repeatNumber.nullFlavor = 'NI' "repeatNumberDefault";
// TODO: Patient Medication Instructions Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC)
medicationStatement.dosage as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.substanceAdministration as substanceAdministration then DosageInstructionsNonStructuredEntryContentModule(dosage, substanceAdministration) "DosageInstructionsNonStructuredEntryContentModule";
medicationStatement.note as note -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then AnnotationComment(note, act) "AnnotationComment";
medicationStatement.extension as extension where $this.url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution' -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then SubstitutionStatement(extension, act) "Substitution";
}
// TODO: Tapered Dose
// medicationStatement -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.8' "taperedDose";
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.35
// dosage for normal dosing (without sequences) (Statement, Prescription)
group DosageInstructionsStartStopFrequencySubstanceAdministration(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.1' "normalDose";
dosage as dosage -> substanceAdministration as substanceAdministration then EffectiveTimeStartEnd(dosage, substanceAdministration) "effectiveTimeStartEnd";
dosage as dosage -> substanceAdministration as substanceAdministration then EffectiveTimeWhenNormal(dosage, substanceAdministration) "effectiveTimeWhen";
dosage.route as route -> substanceAdministration.routeCode as routeCode then CodeableConceptCE(route, routeCode);
dosage as dosage -> substanceAdministration as substanceAdministration then DoseQuantity(dosage, substanceAdministration) "doseQuantity";
}
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.36
// dosage for split dosing: effectiveTime (start/stop) & routeCode (Statement, Prescription)
group DosageInstructionsEntryStartStopRoute(source dosage : Dosage, target substanceAdministration : substanceAdministration, target entry : entryRelationship) {
// if the FHIR doucment has no dosage templateId -> create templateId for split dose
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.9' "splitDose";
dosage as dosage -> substanceAdministration as substanceAdministration then EffectiveTimeStartEnd(dosage, substanceAdministration) "effectiveTimeStartEnd";
dosage.route as route -> substanceAdministration.routeCode as routeCode then CodeableConceptCE(route, routeCode);
}
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.36
// dosage for split dosing: sequence number, effectiveTime (when), dose quantity, consumable (Statement, Prescription)
group DosageInstructionsEntryDosageChangeSubstanceAdministration(source dosage : Dosage, target substanceAdministration : substanceAdministration, target entry : entryRelationship) {
dosage.sequence as sequence -> entry.sequenceNumber as sequenceNumber, sequenceNumber.value = sequence;
dosage -> entry.substanceAdministration as substanceAdministration, substanceAdministration.classCode = 'SBADM', substanceAdministration.moodCode = 'INT' then {
dosage as dosage -> substanceAdministration as substanceAdministration then EffectiveTimeWhenSplit(dosage, substanceAdministration) "effectiveTimeWhen";
dosage as dosage -> substanceAdministration as substanceAdministration then DoseQuantity(dosage, substanceAdministration) "doseQuantity";
dosage as dosage -> substanceAdministration as substanceAdministration, substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
} "dosage";
}
// effective time low and high for dosage (Statement, Prescription)
group EffectiveTimeStartEnd(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage.timing as timing then {
timing.repeat as repeat then {
repeat.bounds : Period as bounds -> substanceAdministration.effectiveTime = create('IVL_TS') as effectiveTime then {
bounds.start as start -> effectiveTime.low as low then DateTS(start, low) "low";
bounds where start.exists().not() -> effectiveTime.low as low, low.nullFlavor = 'UNK' "NullFlavorLow";
bounds.end as end -> effectiveTime.high as high then DateTS(end, high) "high";
bounds where end.exists().not() -> effectiveTime.high as high, high.nullFlavor = 'UNK' "NullFlavorhigh";
};
};
};
}
// dose quantity for dosage (application schema) (Statement)
group DoseQuantity(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage.doseAndRate as doseAndRate -> substanceAdministration.doseQuantity as doseQuantity then {
doseAndRate.dose : Quantity as quantity then {
quantity.value as value -> doseQuantity.value = value;
quantity.code as code -> doseQuantity.unit = code;
} "quantity";
} "doseQuantity";
}
// source: reasonCode Coding (e.g. http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement)
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.41
// Treatment Reason (Statement, Prescription)
group TreatmentReasonEntryContentModule(source reasonCode : Coding, target observation : Observation) {
reasonCode -> observation.classCode = 'OBS' "OBS";
reasonCode -> observation.moodCode = 'EVN' "EVN";
reasonCode -> observation.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.41' "TreatmentReasonEntryContentModule";
reasonCode -> observation.code as code, code.code = '75326-9', code.codeSystem = '2.16.840.1.113883.6.1', code.displayName = 'Problem', code.codeSystemName = 'LOINC' "code";
reasonCode.text as reasonText -> observation.text as text then {
reasonText -> text.data = reasonText "text";
reasonCode.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' then {
extension.valueUrl as valueUrl -> text.reference as reference, reference.value = valueUrl "reference";
} "id";
reasonCode where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> text.reference as reference, reference.value = '#refpdf' "reference";
};
reasonCode -> observation.statusCode as code, code.code = 'completed' "statusCode";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-ext-treatmentplan.html
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?section=templates&id=2.16.756.5.30.1.1.10.4.45&effectiveDate=2017-01-10T15:34:25&language=en-US
group MTPReferenceEntryContentModule(source ext : Extension, target substanceAdministration : SubstanceAdministration) {
ext -> substanceAdministration.classCode = 'SBADM' "SBADM";
ext -> substanceAdministration.moodCode = 'INT' "INT";
ext -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.10' "referenceTo-MTP-PlanItemGeneralSpecificationTemplateId";
ext -> substanceAdministration.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.45' "CH-PHARM-templateId";
ext.extension as extension where $this.url = 'id' then {
extension.valueIdentifier as valueIdentifier -> substanceAdministration.id as id then IdentifierII(valueIdentifier, id) "id";
} "id";
ext -> substanceAdministration.code as code, code.code = 'MTPItem', code.codeSystem = '1.3.6.1.4.1.19376.1.9.2.2', code.displayName = 'Medication Treatment Plan Item', code.codeSystemName = 'IHE Pharmacy Item Type List' "code";
ext -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
ext.extension as extension where $this.url = 'externalDocumentId' then {
extension.valueIdentifier as valueIdentifier -> substanceAdministration.reference as reference, reference.typeCode = 'XCRPT', reference.externalDocument as externalDocument, externalDocument.id as id then IdentifierII(valueIdentifier, id) "id";
} "externalDocumentId";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-dosage-nonstructured.html
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?section=templates&id=2.16.756.5.30.1.1.10.4.52
// Dosage Instruction (Statement, Prescription)
group DosageInstructionsNonStructuredEntryContentModule(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage -> substanceAdministration.classCode = 'SBADM' "SBADM";
dosage -> substanceAdministration.moodCode = 'INT' "INT";
dosage -> substanceAdministration.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.52' "templateId";
dosage.text as noteText -> substanceAdministration.text as text then {
noteText -> text.data = noteText "text";
dosage.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' then {
extension.valueUrl as valueUrl -> text.reference as reference, reference.value = valueUrl "reference";
} "id";
dosage where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> text.reference as reference, reference.value = '#refpdf' "reference";
};
dosage -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationdispense.html
// target: Substitution act Contains 1.3.6.1.4.1.19376.1.9.1.3.9.2 IHE Substitution Act Content Module
// Substitution (Dispense)
group SubstitutionDispense(source substitution : Substitution, target act : Act) {
substitution -> act.classCode = 'ACT' "ACT";
substitution -> act.moodCode = 'EVN' "EVN";
substitution -> act.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.9.2' "templateId";
substitution.type as type -> act.code as code then CodeableConceptCE(type, code) "substitution";
substitution -> act.statusCode as statusCode, statusCode.code = 'completed' "statusCode";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationdispense.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.33&effectiveDate=2019-12-11T11:34:24&language=en-US
group ManufacturedMaterialEntryContentModuleDispense(source bundle : Bundle, source medicationDispense : MedicationDispense, source medication : Medication, target manufacturedMaterial : ManufacturedMaterial) {
medication -> manufacturedMaterial.classCode = 'MMAT' "MMAT";
medication -> manufacturedMaterial.determinerCode = 'KIND' "KIND";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.33' "CH-PHARM-ManufacturedMaterialContentModule";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.1' "templateId";
medication.code as code then {
code.text as text -> manufacturedMaterial.name as name, name.other = text "brandname";
} "name";
medication.code as code then {
// #dis.no.brandedmedication
code.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> manufacturedMaterial.code as code then {
extension.valueUrl as valueUrl -> code.originalText as text, text.reference as reference, reference.value = valueUrl "reference";
} "id";
code where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> manufacturedMaterial.code as code, code.originalText as text, text.reference as reference, reference.value = '#refpdf' "reference";
code.coding as coding -> manufacturedMaterial.code as ce then CodingCE(coding, ce) "code";
};
medication.form as form then {
form.coding as coding -> manufacturedMaterial.formCode as formCode then CodingCE(coding, formCode) "formCode";
};
medication.code as code -> manufacturedMaterial.asContent as asContent, asContent.classCode = 'CONT', asContent.containerPackagedMedicine as containerPackagedMedicine then {
code -> containerPackagedMedicine.classCode = 'CONT' "CONT";
code -> containerPackagedMedicine.determinerCode = 'INSTANCE' "INSTANCE";
code.coding as coding -> containerPackagedMedicine.code as ce then CodingCE(coding, ce) "pharm-code";
code.text as text -> containerPackagedMedicine.name as name, name.other = text "pharm-name";
medication.form as form then {
form.coding as coding -> containerPackagedMedicine.formCode as formCode then CodingCE(coding, formCode) "pharm-formCode";
};
// Package size
medication.amount as amount then {
amount.numerator as numerator -> containerPackagedMedicine.capacityQuantity as capacityQuantity then {
numerator.value as value -> capacityQuantity.value = value;
numerator.code as unit -> capacityQuantity.unit = unit "unit";
};
};
};
medication.ingredient as ingredient -> manufacturedMaterial.ingredient as ingredient, ingredient.classCode = 'ACTI' then {
ingredient.itemCodeableConcept as itemCodeableConcept -> ingredient.ingredient as pharmsubstance then {
itemCodeableConcept -> pharmsubstance.classCode = 'MMAT' "MMAT";
itemCodeableConcept -> pharmsubstance.determinerCode = 'KIND' "KIND";
itemCodeableConcept.text as text -> pharmsubstance.name as name, name.other = text "name";
itemCodeableConcept.coding as coding then {
coding -> pharmsubstance.code as ce then CodingCE(coding, ce) "formCode";
};
} "PharmSubstance";
ingredient.strength as strength -> ingredient.quantity as quantity then RatioRTOPQPQ(strength, quantity);
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationdispense.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.42
group DispenseItemEntryContentModule(source bundle : Bundle, source medicationDispense : MedicationDispense, target supply : Supply) {
medicationDispense -> supply.classCode = 'SPLY' "SPLY";
medicationDispense -> supply.moodCode = 'EVN' "EVN";
medicationDispense -> supply.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.42' "CH-PHARM-DispenseItemEntryContentModule";
medicationDispense -> supply.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.4' "IHE-PHARM-DIS";
medicationDispense -> supply.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.3' "supplyEntry";
medicationDispense -> supply.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.34' "CCD";
medicationDispense.identifier as identifier -> supply.id as id then IdentifierII(identifier, id) "id";
medicationDispense.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> supply.text as text, text.reference as reference then {
extension.valueUrl as valueUrl -> reference.value = valueUrl;
} "narrativeLink";
medicationDispense where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> supply.text as text, text.reference as reference, text.reference as reference, reference.value = '#refpdf' "reference";
medicationDispense.contained as medication where ('#' + $this.id) in %medicationDispense.medicationReference.reference -> supply.product as product, product.manufacturedProduct as manufacturedProduct, manufacturedProduct.classCode = 'MANU' then {
medication -> manufacturedProduct.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.2' "MP-TemplateId";
medication -> manufacturedProduct.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.53' "MP-TemplateId";
medication -> manufacturedProduct.manufacturedMaterial as manufacturedMaterial then ManufacturedMaterialEntryContentModuleDispense(bundle, medicationDispense, medication, manufacturedMaterial) "manufacturedMaterial";
};
// TODO: AUTHOR1 Medication Treatment Plan Author
medicationDispense.extension as extension where url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan' -> supply.entryRelationship as entryRelationship, entryRelationship.typeCode = 'REFR', entryRelationship.substanceAdministration as substanceAdministration then MTPReferenceEntryContentModule(extension, substanceAdministration) "MTP-Reference";
// #24 missing template it if ch-emed-dosage-nonstructured
medicationDispense where dosageInstruction.count() = 1 then {
medicationDispense.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.1' "normalDose";
} "onylonedosage";
// dosage for normal dosing, as no sequences are present there
medicationDispense.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal') then DosageInstructionsStartStopFrequencySupply(dosage, supply) "DosageSubstanceAdministration";
// dosage for split dosing, as sequences are present there
medicationDispense -> supply.entryRelationship as entryRelationship then {
medicationDispense -> entryRelationship.substanceAdministration as substanceAdministration then {
// split dosing (with sequences): effectiveTime (start/stop) & routeCode & consumable
medicationDispense.dosageInstruction first as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split') -> substanceAdministration then DosageInstructionsEntryStartStopRouteConsumable(dosage, entryRelationship, substanceAdministration) "DosageSubstanceAdministration";
// split dosing (with sequences): sequence number, effectiveTime (when), dose quantity, consumable
medicationDispense.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split') -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP' then DosageInstructionsEntryDosageChangeEntryRelationship(dosage, entryRelationship) "DosageSubstanceAdministration";
} "substanceAdministration";
} "entryRelationship";
// TODO: Precondition Criterion
medicationDispense.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> supply.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.substanceAdministration as substanceAdministration then DosageInstructionsNonStructuredEntryContentModule(dosage, substanceAdministration) "DosageInstructionsNonStructuredEntryContentModule";
// Number of packages
medicationDispense.quantity as quantity -> supply.quantity as supplyQuantity then {
quantity.value as value -> supplyQuantity.value = value;
};
medicationDispense.note as note -> supply.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then AnnotationComment(note, act) "AnnotationComment";
medicationDispense.substitution as substitution -> supply.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then SubstitutionDispense(substitution, act) "Substitution";
}
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.35
// dosage for normal dosing (without sequences) (Dispense)
group DosageInstructionsStartStopFrequencySupply(source dosage : Dosage, target supply : Supply) {
dosage -> supply.entryRelationship as entryRelationship then {
dosage -> entryRelationship.typeCode = 'COMP' "COMP";
dosage -> entryRelationship.substanceAdministration as substanceAdministration then {
dosage -> substanceAdministration.classCode = 'SBADM' "SBADM";
dosage -> substanceAdministration.moodCode = 'INT' "INT";
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.6' "templateId";
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.1' "normalDose";
dosage -> substanceAdministration as substanceAdministration then EffectiveTimeStartEnd(dosage, substanceAdministration) "effectiveTimeStartEnd";
dosage -> substanceAdministration as substanceAdministration then EffectiveTimeWhenNormal(dosage, substanceAdministration) "effectiveTimeWhen";
dosage.route as route -> substanceAdministration.routeCode as routeCode then CodeableConceptCE(route, routeCode);
dosage -> substanceAdministration as substanceAdministration then DoseQuantity(dosage, substanceAdministration) "doseQuantity";
dosage -> substanceAdministration as substanceAdministration, substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
} "substanceAdministration";
} "entryRelationship";
}
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.36
// dosage for split dosing: effectiveTime (start/stop) & routeCode & consumable (Dispense)
group DosageInstructionsEntryStartStopRouteConsumable(source dosage : Dosage, target entryRelationship : entryRelationship, target substanceAdministration : SubstanceAdministration) {
dosage -> entryRelationship.typeCode = 'COMP' "COMP";
dosage -> substanceAdministration.classCode = 'SBADM' "SBADM";
dosage -> substanceAdministration.moodCode = 'INT' "INT";
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.6' "templateId";
dosage -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.9' "splitDose";
dosage -> substanceAdministration as substanceAdministration then EffectiveTimeStartEnd(dosage, substanceAdministration) "effectiveTimeStartEnd";
dosage.route as route -> substanceAdministration.routeCode as routeCode then CodeableConceptCE(route, routeCode);
dosage -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
}
// source: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split
// target: https://art-decor.org/art-decor/decor-templates--ch-pharm-?id=2.16.756.5.30.1.1.10.4.36
// dosage for split dosing: sequence number, effectiveTime (when), dose quantity, consumable (Dispense)
group DosageInstructionsEntryDosageChangeEntryRelationship(source dosage : Dosage, target entryRelationship : entryRelationship) {
dosage.sequence as sequence -> entryRelationship.sequenceNumber as sequenceNumber, sequenceNumber.value = sequence;
dosage -> entryRelationship.substanceAdministration as substanceAdministration, substanceAdministration.classCode = 'SBADM', substanceAdministration.moodCode = 'INT' then {
dosage as dosage -> substanceAdministration then EffectiveTimeWhenSplit(dosage, substanceAdministration) "effectiveTimeWhen";
dosage as dosage -> substanceAdministration then DoseQuantity(dosage, substanceAdministration) "doseQuantity";
dosage as dosage -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.manufacturedMaterial as manufacturedMaterial, manufacturedMaterial.nullFlavor = 'NA' "consumable";
} "dosage";
}
// effective time when for normal dosage (Dispense, Statement, Prescription)
group EffectiveTimeWhenNormal(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage.timing as timing then {
timing.repeat as repeat then {
repeat where $this.when.count() = 1 -> substanceAdministration.effectiveTime = create('EIVL_TS') as effectiveTime, effectiveTime.operator = 'A' then {
repeat.when as when -> effectiveTime.event as event, event.code = when;
} "when";
repeat where $this.when.count() > 1 -> substanceAdministration.effectiveTime = create('SXPR_TS') as effectiveTime, effectiveTime.operator = 'A' then {
repeat.when first as when -> effectiveTime.comp = create('EIVL_TS') as comp then {
when -> comp.event as event, event.code = when "when";
} "comp";
repeat.when not_first as when -> effectiveTime.comp = create('EIVL_TS') as comp, comp.operator = 'I' then {
when -> comp.event as event, event.code = when "when";
} "compnotfirst";
} "when";
};
};
}
// effective time when for split dosage (Dispense, Statement, Prescription)
group EffectiveTimeWhenSplit(source dosage : Dosage, target substanceAdministration : SubstanceAdministration) {
dosage.timing as timing then {
timing.repeat as repeat then {
repeat where $this.when.count() = 1 -> substanceAdministration.effectiveTime = create('EIVL_TS') as effectiveTime then {
repeat.when as when -> effectiveTime.event as event, event.code = when;
} "when";
repeat where $this.when.count() > 1 -> substanceAdministration.effectiveTime = create('SXPR_TS') as effectiveTime, effectiveTime.operator = 'A' then {
repeat.when first as when -> effectiveTime.comp = create('EIVL_TS') as comp then {
when -> comp.event as event, event.code = when "when";
} "comp";
repeat.when not_first as when -> effectiveTime.comp = create('EIVL_TS') as comp, comp.operator = 'I' then {
when -> comp.event as event, event.code = when "when";
} "compnotfirst";
} "when";
};
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: Substitution permission Contains 1.3.6.1.4.1.19376.1.9.1.3.9.1 IHE Substitution Permission Content Module
group SubstitutionRequest(source substitution : Substitution, target act : Act) {
substitution -> act.classCode = 'ACT' "ACT";
substitution -> act.moodCode = 'DEF' "DEF";
substitution -> act.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.9.1' "templateId";
substitution.allowedCodeableConcept as allowedCC -> act.code as code then CodeableConceptCE(allowedCC, code) "substitution";
substitution -> act.statusCode as statusCode, statusCode.code = 'completed' "statusCode";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: Substitution permission Contains 1.3.6.1.4.1.19376.1.9.1.3.9.1 IHE Substitution Permission Content Module
group SubstitutionStatement(source extension : Extension, target act : Act) {
extension -> act.classCode = 'ACT' "ACT";
extension -> act.moodCode = 'DEF' "DEF";
extension -> act.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.9.1' "templateId";
extension.valueCodeableConcept as valueCC -> act.code as code then CodeableConceptCE(valueCC, code) "extension";
extension -> act.statusCode as statusCode, statusCode.code = 'completed' "statusCode";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.38
group PrescribedQuantity(source dispenseRequest : DispenseRequest, target supply : Supply) {
dispenseRequest -> supply.classCode = 'SPLY' "SPLY";
dispenseRequest -> supply.moodCode = 'RQO' "RQO";
dispenseRequest -> supply.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.8' "templateId";
dispenseRequest -> supply.independentInd as independentInd, independentInd.value = 'false' "independentInd";
// Number of packages
dispenseRequest.quantity as quantity -> supply.quantity as quant then {
quantity.value as value -> quant.value = value;
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?id=2.16.756.5.30.1.1.10.4.38
group PrescribedQuantityUnit(source dispenseRequest : DispenseRequest, target supply : Supply) {
dispenseRequest -> supply.classCode = 'SPLY' "SPLY";
dispenseRequest -> supply.moodCode = 'RQO' "RQO";
dispenseRequest -> supply.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.8' "TemplateId";
dispenseRequest -> supply.independentInd as independentInd, independentInd.value = 'false' "independentInd";
// Number of packages
dispenseRequest.quantity as quantity -> supply.quantity as quant then {
quantity.value as value -> quant.value = value;
quantity.unit as unit -> quant.unit = unit;
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.33
group ManufacturedMaterialEntryContentModulePrescription(source bundle : Bundle, source medicationRequest : MedicationRequest, source medication : Medication, target manufacturedMaterial : ManufacturedMaterial, target substanceAdministration : SubstanceAdministration) {
medication -> manufacturedMaterial.classCode = 'MMAT' "MMAT";
medication -> manufacturedMaterial.determinerCode = 'KIND' "KIND";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.33' "CH-PHARM-ManufacturedMaterialContentModule";
medication -> manufacturedMaterial.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.1' "templateId";
medication.code as code then {
code.text as text -> manufacturedMaterial.name as name, name.other = text "brandname";
} "name";
medication.code as code then {
// #pre.no.brandedmedication
code.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> manufacturedMaterial.code as code then {
extension.valueUrl as valueUrl -> code.originalText as text, text.reference as reference, reference.value = valueUrl "reference";
} "id";
code where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> manufacturedMaterial.code as code, code.originalText as text, text.reference as reference, reference.value = '#refpdf' "reference";
code.coding as coding -> manufacturedMaterial.code as ce then CodingCE(coding, ce) "code";
};
medication.form as form then {
form.coding as coding -> manufacturedMaterial.formCode as formCode then CodingCE(coding, formCode) "formCode";
};
medication.code as code -> manufacturedMaterial.asContent as asContent, asContent.classCode = 'CONT', asContent.containerPackagedMedicine as containerPackagedMedicine then {
code -> containerPackagedMedicine.classCode = 'CONT' "CONT";
code -> containerPackagedMedicine.determinerCode = 'INSTANCE' "INSTANCE";
code.coding as coding -> containerPackagedMedicine.code as ce then CodingCE(coding, ce) "pharm-code";
code.text as text -> containerPackagedMedicine.name as name, name.other = text "pharm-name";
medication.form as form then {
form.coding as coding -> containerPackagedMedicine.formCode as formCode then CodingCE(coding, formCode) "pharm-formCode";
};
// Package size
medication.amount as amount then {
amount.numerator as numerator -> containerPackagedMedicine.capacityQuantity as capacityQuantity then {
numerator.value as value -> capacityQuantity.value = value;
numerator.code as unit -> capacityQuantity.unit = unit "unit";
};
// IHE-DIS: Case 1: If the product-element contains package information, the unit attribute is not be present
medicationRequest.dispenseRequest as dispenseRequest -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.supply as supply then PrescribedQuantity(dispenseRequest, supply) "PrescribedQuantity";
};
// IHE-DIS: Case 2: If the product-element does not contain package information, the unit attribut is present and the value SHALL be out of the UCUM code system
medication where $this.amount.exists() = false then {
medicationRequest.dispenseRequest as dispenseRequest -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.supply as supply then PrescribedQuantityUnit(dispenseRequest, supply) "PrescribedQuantityUnit";
} "noAmount";
};
medication.ingredient as ingredient -> manufacturedMaterial.ingredient as ingredient, ingredient.classCode = 'ACTI' then {
ingredient.itemCodeableConcept as itemCodeableConcept -> ingredient.ingredient as pharmsubstance then {
itemCodeableConcept -> pharmsubstance.classCode = 'MMAT' "MMAT";
itemCodeableConcept -> pharmsubstance.determinerCode = 'KIND' "KIND";
itemCodeableConcept.text as text -> pharmsubstance.name as name, name.other = text "name";
itemCodeableConcept.coding as coding then {
coding -> pharmsubstance.code as ce then CodingCE(coding, ce) "formCode";
};
} "PharmSubstance";
ingredient.strength as strength -> ingredient.quantity as quantity then RatioRTOPQPQ(strength, quantity);
};
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/branches/master/StructureDefinition-ch-emed-medicationrequest.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.43
group PrescriptionItemEntryContentModule(source bundle : Bundle, source medicationRequest : MedicationRequest, target substanceAdministration : SubstanceAdministration) {
medicationRequest -> substanceAdministration.classCode = 'SBADM' "SBADM";
medicationRequest -> substanceAdministration.moodCode = 'INT' "INT";
medicationRequest -> substanceAdministration.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.43' "CH-PHARM-PrescriptionItemEntryContentModule";
medicationRequest -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.2' "PrescriptionItemEntryTemplateId";
medicationRequest -> substanceAdministration.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.24' "CCD";
medicationRequest -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7' "PCC-MedicationEntryContentModule";
medicationRequest.identifier as identifier -> substanceAdministration.id as id then IdentifierII(identifier, id) "id";
medicationRequest.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> substanceAdministration.text as text, text.reference as reference then {
extension.valueUrl as valueUrl -> reference.value = valueUrl;
} "narrativeLink";
medicationRequest where extension.where(url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists().not() -> substanceAdministration.text as text, text.reference as reference then {
medicationRequest -> reference.value = '#refpdf' "referencetopdf";
} "cat1narrativelink";
medicationRequest -> substanceAdministration.statusCode as statusCode, statusCode.code = 'completed' "code";
medicationRequest.dispenseRequest as dispenseRequest -> substanceAdministration.repeatNumber as repeatNumber then {
dispenseRequest.numberOfRepeatsAllowed as number -> repeatNumber.value = number "repeatNumber";
dispenseRequest where numberOfRepeatsAllowed.exists() = false -> repeatNumber.nullFlavor = 'NI' "repeatNumberNull";
};
medicationRequest.contained as medication where ('#' + $this.id) in %medicationRequest.medicationReference.reference -> substanceAdministration.consumable as consumable, consumable.manufacturedProduct as manufacturedProduct, manufacturedProduct.classCode = 'MANU' then {
medication -> manufacturedProduct.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.2' "MP-templateId";
medication -> manufacturedProduct.templateId as templateId, templateId.root = '2.16.840.1.113883.10.20.1.53' "MP-templateId";
medication -> manufacturedProduct.manufacturedMaterial as manufacturedMaterial then ManufacturedMaterialEntryContentModulePrescription(bundle, medicationRequest, medication, manufacturedMaterial, substanceAdministration) "manufacturedMaterial";
};
// TODO: AUTHOR1 Medication Treatment Plan Author
medicationRequest where dosageInstruction.count() = 1 then {
medicationRequest.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> substanceAdministration.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.5.3.1.4.7.1' "normalDose";
} "onylonedosage";
medicationRequest.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal-medicationrequest') then DosageInstructionsStartStopFrequencySubstanceAdministration(dosage, substanceAdministration) "DosageSubstanceAdministration";
// dosage for split dosing (with sequences): effectiveTime (start/stop) & routeCode
medicationRequest.dosageInstruction first as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split-medicationrequest') -> substanceAdministration.entryRelationship as entryRelationship then DosageInstructionsEntryStartStopRoute(dosage, substanceAdministration, entryRelationship) "DosageSubstanceAdministration";
// dosage for split dosing (with sequences): sequence number, effectiveTime (when), dose quantity, consumable
medicationRequest.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split-medicationrequest') -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP' then DosageInstructionsEntryDosageChangeSubstanceAdministration(dosage, substanceAdministration, entryRelationship) "DosageSubstanceAdministration";
medicationRequest.reasonCode as reasonCode -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'RSON', entryRelationship.observation as observation then TreatmentReasonEntryContentModule(reasonCode, observation) "TreatmentReasonEntryContentModule";
medicationRequest.extension as extension where url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan' -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'REFR', entryRelationship.substanceAdministration as substanceAdministration then MTPReferenceEntryContentModule(extension, substanceAdministration) "MTP-Reference";
// TODO: Patient Medication Instructions Contains 1.3.6.1.4.1.19376.1.5.3.1.4.3 IHE Patient Medication Instructions (DYNAMIC)
medicationRequest.dosageInstruction as dosage where $this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured') -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.substanceAdministration as substanceAdministration then DosageInstructionsNonStructuredEntryContentModule(dosage, substanceAdministration) "DosageInstructionsNonStructuredEntryContentModule";
medicationRequest.note as note -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then AnnotationComment(note, act) "AnnotationComment";
medicationRequest.substitution as substitution -> substanceAdministration.entryRelationship as entryRelationship, entryRelationship.typeCode = 'COMP', entryRelationship.act as act then SubstitutionRequest(substitution, act) "Substitution";
}
// source: http://build.fhir.org/ig/hl7ch/ch-emed/StructureDefinition-ch-emed-observation.html
// target: https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates&id=2.16.756.5.30.1.1.10.4.44
group PharmaceuticalAdviceItemEntryContentModule(source bundle : Bundle, source fhirobservation : Observation, target cdaobservation : Observation) {
fhirobservation -> cdaobservation.classCode = 'OBS' "OBS";
fhirobservation -> cdaobservation.moodCode = 'EVN' "EVN";
fhirobservation -> cdaobservation.templateId as templateId, templateId.root = '1.3.6.1.4.1.19376.1.9.1.3.3' "IHE-PHARM-PADV";
fhirobservation -> cdaobservation.templateId as templateId, templateId.root = '2.16.756.5.30.1.1.10.4.44' "CH-PHARM-PharmaceuticalAdviceItemEntryContentModule";
fhirobservation.identifier as identifier -> cdaobservation.id as id then IdentifierII(identifier, id) "id";
fhirobservation.code as fhirCode -> cdaobservation.code as cdaCode then CodeableConceptCE(fhirCode, cdaCode);
fhirobservation -> cdaobservation.statusCode as statusCode, statusCode.code = 'completed' "code";
fhirobservation.effectiveDateTime as effectiveDateTime -> cdaobservation.effectiveTime as effectiveTime then {
effectiveDateTime -> effectiveTime.value = effectiveDateTime "value";
} "effectiveTime";
fhirobservation.extension as extension where url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan' -> cdaobservation.entryRelationship as entryRelationship, entryRelationship.typeCode = 'REFR', entryRelationship.substanceAdministration as substanceAdministration then MTPReferenceEntryContentModule(extension, substanceAdministration) "MTP-Reference";
fhirobservation.extension as extension where url = 'http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-medicationstatement-changed' -> cdaobservation.entryRelationship as entryRelationship, entryRelationship.typeCode = 'REFR' then {
bundle.entry as entry then {
entry.fullUrl where ($this in %extension.valueReference.reference) and $this.startsWith('urn:uuid') then {
entry.resource as medicationStatement where $this.ofType(FHIR.MedicationStatement) -> entryRelationship.substanceAdministration as substanceAdministration then MedicationTreatmentPlanItemEntryContentModule(bundle, medicationStatement, substanceAdministration) "MedicationStatement";
} "fullUrlAsUuid";
entry.resource as medicationStatement where $this.ofType(FHIR.MedicationStatement) and (('MedicationStatement' + '/' + $this.id) in %extension.valueReference.reference) -> entryRelationship.substanceAdministration as substanceAdministration then MedicationTreatmentPlanItemEntryContentModule(bundle, medicationStatement, substanceAdministration) "MedicationStatement";
};
} "changedmtp";
fhirobservation.note as note then {
note.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' -> cdaobservation.text as text, text.reference as reference then {
extension.valueUrl as valueUrl -> reference.value = valueUrl;
} "narrativeLink";
note where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> cdaobservation.text as text, text.reference as reference, reference.value = '#refpdf' "reference";
};
fhirobservation.note as note -> cdaobservation.text as text then {
note.text as noteText -> text.data = noteText;
note.extension as extension where $this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' then {
extension.valueUrl as valueUrl -> text.reference as reference, reference.value = valueUrl "reference";
} "id";
note where (extension.where($this.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink').exists() = false) -> text.reference as reference, reference.value = '#refpdf' "reference";
} "text";
}