This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign | Version: 2.1.0 | |||
Draft as of 2023-07-27 | Computable Name: SDOHCCStructureMapHungerVitalSign |
A StructureMap instance that represents the resource that transforms a specific question and answer from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9) into a corresponding Observation (SDOHCC Observation response Hunger Vital Sign Q3 Example) and derived Condition (SDOHCC Condition Food Insecurity Example).
/// name = "SDOHCCHungerVitalSignMap" /// status = draft /// title = "SDOHCC StructureMap HungerVitalSign" /// description = "A StructureMap instance that represents the resource that transforms a specific question and answer from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9) into a corresponding Observation (SDOHCC Observation response Hunger Vital Sign Q3 Example) and derived Condition (SDOHCC Condition Food Insecurity Example)." map "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign" = "SDOHCCHungerVitalSignMap" uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias questionnaireResponse as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias observation as target uses "http://hl7.org/fhir/StructureDefinition/Condition" alias sdohccCondition as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias sdohccObservation as target group sdohMapping(source src : questionnaireResponse, target bundle : Bundle) { //temporarily set id to human-readable id as example //src -> bundle.id = uuid(); src -> bundle.id = 'SDOHCC-BundleHungerVitalSignExample' "bundleId"; src -> bundle.type = 'transaction' "bundleType"; //for each 'key' answer item in the questionnareResponse, create an Observation src.item as answerItem3 where linkId = '/88124-3' -> bundle.entry as entry, entry.resource = create('Observation') as observation3 then TransformObservation(src, answerItem3, observation3, entry); //create condition if answer to third question is "At Risk" src.item where linkId = '/88124-3' and answer.value.code ='LA19952-3' -> bundle.entry as entry, entry.resource = create('Condition') as condition then TransformCondition(src, bundle, condition, entry); } group TransformObservation(source src: questionnaireResponse, source answerItem, target observation: Observation, target entry) { src -> entry.request as request then { src -> request.method = 'POST' "obsnRequestMethod"; src -> request.url = 'Observation' "obsnRequestUrl"; } "obsnEntryRequest"; //temporarily set id to human-readable id as example //src -> observation.id = uuid() then // SetObservationFullUrl(observation, entry); src -> observation.id = 'SDOHCC-ObservationResponseHungerVitalSignQuestion3Example' then SetObservationFullUrl(observation, entry) "obsn3Id"; src -> observation.meta = create('Meta') as newMeta then { src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse' "obsnMetaProfile"; } "obsnMeta"; src -> observation.status = 'final' "obsnStatus"; src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') "obsnCatSocialHist"; src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') "obsnCatSurvey"; src -> observation.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "obsnCatFoodInsecurity"; answerItem as i -> observation.code = cc('http://loinc.org', '88124-3') as code "obsn3Code"; src.subject as qSubject -> observation.subject = create('Reference') as newReference then { qSubject.reference as qReference -> newReference.reference = qReference; qSubject.display as qDisplay -> newReference.display = qDisplay; }; src.authored as authored -> observation.effective = authored, observation.issued = authored; answerItem.answer as answer -> observation.value = create('CodeableConcept') as newCC then { answer.value as coding -> newCC.coding = coding as newCoding; }; src -> observation.derivedFrom = create('Reference') as newReference then { src.id as id -> newReference.reference = append('QuestionnaireResponse/', id); } "obsnDerivation"; } group SetObservationFullUrl(source observation: Observation, target entry) { observation.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/', id); } group TransformCondition(source src: QuestionnaireResponse, source bundle: Bundle, target condition: Condition, target entry) { //temporarily set id to human-readable id as example //src -> condition.id = uuid() then src -> condition.id = 'SDOHCC-ConditionFoodInsecurityExample' then SetConditionFullUrl(condition, entry) "conditionId"; src -> condition.meta = create('Meta') as newMeta then { src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition' "conditionMetaProfile"; } "conditionMeta"; src -> condition.clinicalStatus = cc('http://terminology.hl7.org/CodeSystem/condition-clinical', 'active', 'Active') "conditionClinicalStatus"; src -> condition.verificationStatus = cc('http://terminology.hl7.org/CodeSystem/condition-ver-status', 'unconfirmed', 'Unconfirmed') "conditionVeriStatus"; src -> condition.category = create('CodeableConcept') as newCC then { src -> newCC.coding = create('Coding') as newCoding then { src -> newCoding.system = 'http://hl7.org/fhir/us/core/CodeSystem/condition-category' "conditionCatCodingSystemHealthConcern"; src -> newCoding.code = 'health-concern' "conditionCatCodingCodeHealthConcern"; src -> newCoding.display = 'Health Concern' "conditionCatCodingDisplayHealthConcern"; } "conditionCatCodingHealthConcern"; } "conditionCatHealthConcern"; //Add sdoh category src -> condition.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "conditionCatFoodInsecurity"; src -> condition.code = create('CodeableConcept') as newCodeCC then { src -> newCodeCC.coding = create('Coding') as newCoding then { src -> newCoding.system = 'http://snomed.info/sct' "conditionCodeCodingSystemFoodInsecurity"; src -> newCoding.code = '733423003' "conditionCodeCodingCodeFoodInsecurity"; src -> newCoding.display = 'Food insecurity' "conditionCodeCodingDisplayFoodInsecurity"; } "conditionCodeCodingFoodInsecurity"; src -> newCodeCC.coding = create('Coding') as newCoding2 then { src -> newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' "conditionCodeCodingSystemLackOfFood"; src -> newCoding2.code = 'Z59.4' "conditionCodeCodingCodeLackOfFood"; src -> newCoding2.display = 'Lack of adequate food and safe drinking water' "conditionCodeCodingDisplayLackOfFood"; } "conditionCodeCodingLackOfFood"; } "conditionCode"; src.authored as authored -> condition.onset = create('Period') as period, period.start = authored; bundle.entry as entries -> condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then { entries.resource as obs3 where code.coding.code = '88124-3'-> detailReference.reference = reference(obs3); }; src.subject as qSubject -> condition.subject = create('Reference') as newReference then { qSubject.reference as qReference -> newReference.reference = qReference; qSubject.display as qDisplay -> newReference.display = qDisplay; }; src -> entry.request as request then { src -> request.method = 'POST' "conditionRequestMethod"; src -> request.url = 'Condition' "conditionRequestUrl"; } "conditionEntryRequest"; } group SetConditionFullUrl(source condition: Condition, target entry) { condition.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/', id); }