Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import type { CompositionSection, Goal } from '@medplum/fhirtypes'; import { mapFhirToCcdaDateTime } from '../../datetime'; import { OID_GOAL_OBSERVATION, OID_LOINC_CODE_SYSTEM, OID_PLAN_OF_CARE_ACTIVITY_OBSERVATION, OID_PROCEDURE_ACTIVITY_ACT, } from '../../oids'; import { LOINC_GOALS_SECTION, LOINC_HISTORY_OF_SOCIAL_FUNCTION, LOINC_OVERALL_GOAL, LOINC_PLAN_OF_TREATMENT_SECTION, mapCodeableConceptToCcdaCode, mapCodeableConceptToCcdaValue, } from '../../systems'; import type { CcdaCode, CcdaEntry, CcdaTemplateId, CcdaValue } from '../../types'; import { createTextFromExtensions, mapIdentifiers } from '../utils'; export function createGoalEntry(section: CompositionSection, resource: Goal): CcdaEntry | undefined { const sectionCode = section.code?.coding?.[0]?.code; let code: CcdaCode | undefined; if (resource.category?.[0]) { code = mapCodeableConceptToCcdaCode(resource.category[0]); } else if (sectionCode === LOINC_GOALS_SECTION) { code = { '@_code': LOINC_OVERALL_GOAL, '@_codeSystem': OID_LOINC_CODE_SYSTEM, '@_codeSystemName': 'LOINC', '@_displayName': "Resident's overall goal established during assessment process", }; } else if (resource.description) { code = mapCodeableConceptToCcdaCode(resource.description); } else { return undefined; } let templateId: CcdaTemplateId[]; if (sectionCode === LOINC_PLAN_OF_TREATMENT_SECTION) { templateId = [{ '@_root': OID_PLAN_OF_CARE_ACTIVITY_OBSERVATION }]; } else if (code?.['@_code'] === LOINC_HISTORY_OF_SOCIAL_FUNCTION) { templateId = [{ '@_root': OID_GOAL_OBSERVATION }, { '@_root': OID_GOAL_OBSERVATION, '@_extension': '2022-06-01' }]; } else if (sectionCode === LOINC_GOALS_SECTION) { templateId = [{ '@_root': OID_GOAL_OBSERVATION }]; } else { return undefined; } let value: CcdaValue | undefined; if (resource.description.coding?.[0]?.code) { value = mapCodeableConceptToCcdaValue(resource.description); } else if (resource.description.text) { value = { '@_xsi:type': 'ST', '#text': resource.description.text }; } return { observation: [ { '@_classCode': 'OBS', '@_moodCode': 'GOL', templateId, id: mapIdentifiers(resource.id, resource.identifier), code, statusCode: { '@_code': mapGoalStatus(resource.lifecycleStatus) }, effectiveTime: [{ '@_value': mapFhirToCcdaDateTime(resource.startDate) }], value, text: createTextFromExtensions(resource.extension), entryRelationship: resource.target?.map((target) => ({ '@_typeCode': 'RSON', '@_inversionInd': 'true', act: [ { '@_classCode': 'ACT', '@_moodCode': 'EVN', templateId: [ { '@_root': OID_PROCEDURE_ACTIVITY_ACT }, { '@_root': OID_PROCEDURE_ACTIVITY_ACT, '@_extension': '2014-06-09' }, ], code: mapCodeableConceptToCcdaCode(target.measure) as CcdaCode, statusCode: { '@_code': 'completed' }, effectiveTime: [{ '@_value': mapFhirToCcdaDateTime(resource.startDate) }], }, ], })), }, ], }; } function mapGoalStatus(status: Goal['lifecycleStatus'] | undefined): string { switch (status) { case 'completed': return 'completed'; case 'cancelled': return 'cancelled'; default: return 'active'; } }