SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care
2.1.0 - STU 2.1
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 
| Draft as of 2023-07-27 |
{
"resourceType" : "StructureMap",
"id" : "SDOHCC-StructureMapPRAPARE",
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>/// name = "SDOHCCPRAPAREMap"\n/// status = draft\n/// title = "SDOHCC StructureMap PRAPARE"\n/// description = "A StructureMap instance that represents the resource that transforms specific questions and answers from the PRAPARE questionnaire represented in LOINC (code 93025-5) into their corresponding Observations and derived Conditions (health concerns)."\n\n\n// This is a more complex example where the author has chosen to extract *all* answers to Observations and to create a grouping Observation\n\nmap "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapPRAPARE" = "SDOHCCPRAPAREMap"\n\nuses "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse" alias questionnaireResponse as source\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" as target\nuses "http://hl7.org/fhir/StructureDefinition/Observation" as target\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias sdohccCondition as target\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias sdohccObservation as target\n\ngroup sdohMapping(source src : questionnaireResponse, target bundle : Bundle) {\n //temporarily set id to human-readable id as example\n //src -> bundle.id = uuid();\n src -> bundle.id = 'SDOHCC-BundlePRAPAREExample' "bundleId";\n src -> bundle.type = 'transaction' "bundleType";\n \n //for each answer item in the questionnareResponse, create an Observation and add it to the groupObservation\n src.item as rootItem then \n rootContent(src, rootItem, bundle);\n\n //create group observation containing all observations as hasMember\n src -> bundle.entry as entry, entry.resource = create('sdohccObservation') as groupObservation then \n TransformGroupObservation(src, bundle, groupObservation, entry) "bundleGroupObsn"; \n}\n\ngroup rootContent(source qResponse: questionnaireResponse, source rootItem, target bundle) {\n rootItem.item as groupItem then \n groupContent(qResponse, groupItem, bundle);\n}\n\ngroup groupContent(source qResponse: questionnaireResponse, source groupItem, target bundle) {\n groupItem.item as answerItem then\n itemContent(qResponse, answerItem, bundle);\n}\n\ngroup itemContent(source qResponse: questionnaireResponse, source answerItem, target bundle) {\n //create a single Observation for questions that can only have one answer\n answerItem where answerItem.linkId != '/93043-8/32624-9' and answerItem.linkId != '/93041-2/93031-3' and answerItem.linkId != '/93041-2/93030-5'-> bundle.entry as entry, entry.resource = create('sdohccObservation') as observation then \n TransformObservation(qResponse, answerItem, bundle, observation, entry, bundle) "obsn";\n\n //create multiple Observations for each answer on questions that can have multiple answers (Question 2, 14 and 15)\n answerItem.answer as answer where answerItem.linkId = '/93043-8/32624-9' or answerItem.linkId = '/93041-2/93031-3' or answerItem.linkId = '/93041-2/93030-5' -> bundle.entry as entry, entry.resource = create('sdohccObservation') as observation then \n TransformObservation(qResponse, answerItem, bundle, observation, entry, bundle),\n SetValueCodeableConceptFromAnswer(answer, observation);\n}\n\ngroup SetValueCodeableConceptFromAnswer(source answer, target observation) {\n answer -> observation.value = create('CodeableConcept') as newCC then {\n answer.value as coding -> newCC.coding = coding as newCoding;\n } "obsnValue";\n}\n\ngroup TransformObservation(source src: questionnaireResponse, source answerItem, source srcBundle: Bundle, target observation: sdohccObservation, target entry, target bundle: Bundle)\n{\n src -> observation.id = uuid() then\n \tSetObservationFullUrl(observation, entry) "obsnFullUrl";\n src -> observation.status = 'final' "obsnStatus";\n src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') "obsnCatSocialHistory";\n src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') "obsnCatSurvey";\n \n src -> observation.meta = create('Meta') as newMeta then {\n src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse' "obsnMetaProfile";\n } "obsnMeta";\n\n //set dates\n src.authored as authored -> observation.issued = authored, observation.effective = authored;\n \n src.subject as qSubject -> observation.subject = create('Reference') as newReference then {\n qSubject.reference as qReference -> newReference.reference = qReference;\n qSubject.display as qDisplay -> newReference.display = qDisplay;\n };\n src.subject as qSubject -> observation.performer = create('Reference') as newReference then {\n qSubject.reference as qReference -> newReference.reference = qReference;\n qSubject.display as qDisplay -> newReference.display = qDisplay;\n }; \n\n src.id as id -> observation.derivedFrom = create('Reference') as newReference then {\n id -> newReference.reference = append('QuestionnaireResponse/', id) "obsnDerivedFromReference";\n } "obsnDerivedFrom";\n\n //answerItem.answer as answer -> observation.id = uuid() then\n //\tSetValue(answer, observation);\n\n //Set observation.code mapping for each corresponding answer\n\n // 1. Ethnicity\n answerItem where linkId = '/93043-8/56051-6' -> observation.code = cc('http://loinc.org', '56051-6') as code then \n SetValueCodeableConcept(answerItem, observation) "obsnCodeEthnicity";\n answerItem where linkId = '/93043-8/56051-6' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 2. Race\n //TBD: How to handle "Others" text?\n answerItem where linkId = '/93043-8/32624-9' -> observation.code = cc('http://loinc.org', '32624-9') as code "obsCodeRace";\n answerItem where linkId = '/93043-8/32624-9' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 3. Farm Worker Status\n answerItem where linkId = '/93043-8/93035-4' -> observation.code = cc('http://loinc.org', '93035-4') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeFarmWorkerStatus";\n answerItem where linkId = '/93043-8/93035-4' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 4. Veteran Status\n answerItem where linkId = '/93043-8/93034-7' -> observation.code = cc('http://loinc.org', '93034-7') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeVetStatus";\n answerItem where linkId = '/93043-8/93034-7' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'veteran-status' "obsnCatCodingCode";\n src -> newCoding.display = 'Veteran Status' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat"; \n \n // 5. English Proficiency\n answerItem where linkId = '/93043-8/54899-0' -> observation.code = cc('http://loinc.org', '54899-0') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeEngProf";\n answerItem where linkId = '/93043-8/54899-0' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 6. Household Size\n answerItem where linkId = '/93042-0/63512-8' -> observation.code = cc('http://loinc.org', '63512-8') as code then {\n answerItem.answer as answer -> observation.value = create('Quantity') as newQty then {\n answer.value as vs -> newQty.value = vs "obsnQtyValue";\n src -> newQty.unit = '{#}' "obsnQtyUnit";\n src -> newQty.system = 'http://unitsofmeasure.org' "obsnQtySystem";\n src -> newQty.code = '{#}' "obsnQtyCode";\n } "obsnValue";\n } "obsnCodeHouseholdSize";\n answerItem where linkId = '/93042-0/63512-8' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 7. Housing\n answerItem where linkId = '/93042-0/71802-3' -> observation.code = cc('http://loinc.org', '71802-3') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeHousing";\n answerItem where linkId = '/93042-0/71802-3' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'homelessness' "obsnCatCodingCode";\n src -> newCoding.display = 'Homelessness' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 8. Housing Status\n answerItem where linkId = '/93042-0/93033-9' -> observation.code = cc('http://loinc.org', '93033-9') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeHousingStatus";\n answerItem where linkId = '/93042-0/93033-9' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'housing-instability' "obsnCatCodingCode";\n src -> newCoding.display = 'Housing Instability' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 9. Neighborhood\n answerItem where linkId = '/93042-0/56799-0' -> observation.code = cc('http://loinc.org', '56799-0') as code then\n SetValue(answerItem, observation) "obsnCodeNeighborhood";\n answerItem where linkId = '/93042-0/56799-0' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 10. Education\n answerItem where linkId = '/93041-2/82589-3' -> observation.code = cc('http://loinc.org', '82589-3') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeEducation";\n answerItem where linkId = '/93041-2/82589-3' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'educational-attainment' "obsnCatCodingCode";\n src -> newCoding.display = 'Educational Attainment' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 11. Employment\n answerItem where linkId = '/93041-2/67875-5' -> observation.code = cc('http://loinc.org', '67875-5') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeEmployment";\n answerItem where linkId = '/93041-2/67875-5' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'employment-status' "obsnCatCodingCode";\n src -> newCoding.display = 'Employment Status' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 12. Insurance\n answerItem where linkId = '/93041-2/76437-3' -> observation.code = cc('http://loinc.org', '76437-3') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeInsurance";\n answerItem where linkId = '/93041-2/76437-3' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'health-insurance-coverage-status' "obsnCatCodingCode";\n src -> newCoding.display = 'Health Insurance Coverage Status' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 13. Household Income\n answerItem where linkId = '/93041-2/63586-2' -> observation.code = cc('http://loinc.org', '63586-2') as code then {\n answerItem.answer as answer -> observation.value = create('Quantity') as newQty then {\n answer.value as vs -> newQty.value = vs "obsnQtyValue";\n src -> newQty.unit = '/a' "obsnQtyUnit";\n src -> newQty.system = 'http://unitsofmeasure.org' "obsnQtySystem";\n src -> newQty.code = '/a' "obsnQtyCode";\n } "obsnBalue";\n } "obsnCodeHouseholdIncome";\n answerItem where linkId = '/93041-2/63586-2' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat"; \n\n // 14. Material Security\n answerItem where linkId = '/93041-2/93031-3' -> observation.code = cc('http://loinc.org', '93031-3') as code "obsnCodeMaterialSecurity";\n // answer: Food\n answerItem where linkId = '/93041-2/93031-3' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'material-hardship' "obsnCatCodingCode";\n src -> newCoding.display = 'Material Hardship' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n \n // 15. Transportation\n answerItem where linkId = '/93041-2/93030-5' -> observation.code = cc('http://loinc.org', '93030-5') as code "obsnCodeTransportation";\n answerItem where linkId = '/93041-2/93030-5' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'transportation-insecurity' "obsnCatCodingCode";\n src -> newCoding.display = 'Transportation Insecurity' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 16. Social Integration\n answerItem where linkId = '/93040-4/93029-7' -> observation.code = cc('http://loinc.org', '93029-7') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeSocInteg";\n answerItem where linkId = '/93040-4/93029-7' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'social-connection' "obsnCatCodingCode";\n src -> newCoding.display = 'Social Connection' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 17. Stress\n answerItem where linkId = '/93040-4/93038-8' -> observation.code = cc('http://loinc.org', '93038-8') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeStress";\n answerItem where linkId = '/93040-4/93038-8' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'stress' "obsnCatCodingCode";\n src -> newCoding.display = 'Stress' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 18. Incarceration\n answerItem where linkId = '/93039-6/93028-9' -> observation.code = cc('http://loinc.org', '93028-9') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeIncarceration";\n answerItem where linkId = '/93039-6/93028-9' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 19. Refugee\n answerItem where linkId = '/93039-6/93027-1' -> observation.code = cc('http://loinc.org', '93027-1') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeRefugee";\n answerItem where linkId = '/93039-6/93027-1' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 20. Safety\n answerItem where linkId = '/93039-6/93026-3' -> observation.code = cc('http://loinc.org', '93026-3') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeSafety";\n answerItem where linkId = '/93039-6/93026-3' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'sdoh-category-unspecified' "obsnCatCodingCode";\n src -> newCoding.display = 'SDOH Category Unspecified' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n // 21. Domestic Violence\n answerItem where linkId = '/93039-6/76501-6' -> observation.code = cc('http://loinc.org', '76501-6') as code then\n SetValueCodeableConcept(answerItem, observation) "obsnCodeDomViolence";\n answerItem where linkId = '/93039-6/76501-6' -> observation.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "obsnCatCodingSystem";\n src -> newCoding.code = 'intimate-partner-violence' "obsnCatCodingCode";\n src -> newCoding.display = 'Intimate Partner Violence' "obsnCatCodingDisplay";\n } "obsnCatCoding";\n } "obsnCat";\n\n //create a Condition if homeless\n answerItem where linkId = '/93042-0/71802-3' and answer.value.code ='LA30190-5' -> bundle.entry as entry, entry.resource = create('sdohccCondition') as condition then\n TransformCondition(src, bundle, condition, entry), SetConditionCodeAndEvidence1(src, srcBundle, condition) "conditionHomeless";\n\n //create a Condition if unemployed\n answerItem where linkId = '/93041-2/67875-5' and answer.value.code ='LA17956-6' -> bundle.entry as entry, entry.resource = create('sdohccCondition') as condition then\n TransformCondition(src, bundle, condition, entry), SetConditionCodeAndEvidence2(src, srcBundle, condition) "conditionUnemployed";\n\n src -> entry.request as request then {\n src -> request.method = 'POST' "obsnRequestMethod";\n src -> request.url = 'Observation' "obsnRequestUrl";\n } "obsnEntryRequest";\n}\n\ngroup SetValue(source answerItem, target observation) {\n answerItem.answer as answer -> observation.id as id then {\n answer.value as vs -> observation.value = vs;\n };\n}\n\ngroup SetValueCodeableConcept(source src, target observation) {\n src.answer as answer -> observation.value = create('CodeableConcept') as newCC then {\n answer.value as coding -> newCC.coding = coding as newCoding;\n };\n}\n\ngroup SetObservationFullUrl(source observation: Observation, target entry)\n{\n observation.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/', id);\n}\n\ngroup TransformCondition(source src: questionnaireResponse, source bundle, target condition: sdohccCondition, target entry)\n{\n src -> condition.id = uuid() then\n SetConditionFullUrl(condition, entry) "conditionFullUrl";\n\n src -> condition.meta = create('Meta') as newMeta then {\n src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition' "conditionMetaProfile";\n } "conditionMeta";\n\n src -> condition.clinicalStatus = cc('http://terminology.hl7.org/CodeSystem/condition-clinical', 'active', 'Active') "conditionClinicalStatus";\n src -> condition.verificationStatus = cc('http://terminology.hl7.org/CodeSystem/condition-ver-status', 'unconfirmed', 'Unconfirmed') "conditionVerificationStatus";\n\n src -> condition.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/core/CodeSystem/condition-category' "conditionCatCodingSystem";\n src -> newCoding.code = 'health-concern' "conditionCatCodingCode";\n src -> newCoding.display = 'Health Concern' "conditionCatCodingDisplay";\n } "conditionCatCoding";\n } "conditionCat";\n \n src.authored as authored -> condition.onset = create('Period') as period,\n period.start = authored "conditionOnset";\n\n src.subject as qSubject -> condition.subject = create('Reference') as newReference then {\n qSubject.reference as qReference -> newReference.reference = qReference;\n qSubject.display as qDisplay -> newReference.display = qDisplay;\n };\n\n src.subject as qSubject -> condition.asserter = create('Reference') as newReference then {\n qSubject.reference as qReference -> newReference.reference = qReference;\n qSubject.display as qDisplay -> newReference.display = qDisplay;\n };\n\n src -> entry.request as request then {\n src -> request.method = 'POST' "conditionRequestMethod";\n src -> request.url = 'Condition' "conditionRequestUrl";\n } "conditionEntryRequest"; \n}\n\ngroup SetConditionFullUrl(source condition: sdohccCondition, target entry)\n{\n condition.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/', id);\n}\n\ngroup SetConditionCodeAndEvidence1(source src: questionnaireResponse, source bundle, target condition)\n{\n src -> condition.code = create('CodeableConcept') as newCodeCC then {\n src -> newCodeCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://snomed.info/sct' "conditionCodeCodingSystem";\n src -> newCoding.code = '32911000' "conditionCodeCodingCode";\n src -> newCoding.display = 'Homeless' "conditionCodeCodingDisplay";\n } "conditionCoding";\n src -> newCodeCC.coding = create('Coding') as newCoding2 then {\n src -> newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' "conditionCodeCodingSystem";\n src -> newCoding2.code = 'Z59.0' "conditionCodeCodingCode";\n src -> newCoding2.display = 'Homelessness' "conditionCodeCodingDisplay";\n } "conditionCoding";\n } "conditionCode";\n \n //Add sdoh category\n src -> condition.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "conditionCatCodingSystem";\n src -> newCoding.code = 'homelessness' "conditionCatCodingCode";\n src -> newCoding.display = 'Homelessness' "conditionCatCodingDisplay";\n } "conditionCatCoding";\n } "conditionCat";\n\n bundle.entry as entries -> condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then {\n \tentries.resource as obs where code.coding.code = '71802-3'-> detailReference.reference = reference(obs) "conditionEvidence";\n };\n}\n\ngroup SetConditionCodeAndEvidence2(source src: questionnaireResponse, source bundle, target condition)\n{\n src -> condition.code = create('CodeableConcept') as newCodeCC then {\n src -> newCodeCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://snomed.info/sct' "conditionCodeCodingSystem";\n src -> newCoding.code = '73438004' "conditionCodeCodingCode";\n src -> newCoding.display = 'Unemployed' "conditionCodeCodingDisplay";\n } "conditionCoding";\n src -> newCodeCC.coding = create('Coding') as newCoding2 then {\n src -> newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' "conditionCodeCodingSystem";\n src -> newCoding2.code = 'Z56.0' "conditionCodeCodingCode";\n src -> newCoding2.display = 'Unemployment, unspecified' "conditionCodeCodingDisplay";\n } "conditionCoding";\n } "conditionCode"; \n //Add sdoh category\n src -> condition.category = create('CodeableConcept') as newCC then {\n src -> newCC.coding = create('Coding') as newCoding then {\n src -> newCoding.system = 'http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes' "conditionCatCodingSystem";\n src -> newCoding.code = 'employment-status' "conditionCatCodingCode";\n src -> newCoding.display = 'Employment Status' "conditionCatCodingDisplay";\n } "conditionCatCoding";\n }"conditionCat"; \n bundle.entry as entries -> condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then {\n \tentries.resource as obs where code.coding.code = '67875-5'-> detailReference.reference = reference(obs) "conditionEvidence"; \n };\n}\n\ngroup TransformGroupObservation(source src: questionnaireResponse, source bundle:Bundle, target groupObservation: Observation, target entry)\n{\n src -> groupObservation.id = uuid() then\n SetObservationFullUrl(groupObservation, entry) "grpObsnFullUrl"; \n src -> groupObservation.status = 'final' "grpObsnStatus"; \n src -> groupObservation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') "grpObsnCatSocialHistory";\n src -> groupObservation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') "grpObsnCatSurvey";\n\n src -> groupObservation.meta = create('Meta') as newMeta then {\n src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse' "grpObsnMetaProfile";\n } "grpObsMeta"; \n\n src.authored as authored -> groupObservation.effective = authored;\n src.subject as qSubject -> groupObservation.subject = create('Reference') as newReference then {\n qSubject.reference as qReference -> newReference.reference = qReference "grpObsnSubjRef";\n qSubject.display as qDisplay -> newReference.display = qDisplay "grpObsnSubjDisplay";\n } "grpObsnSubject"; \n\n src -> groupObservation.code = cc('http://loinc.org', '93025-5') "grpObsnCode"; \n\n //only add observations that are derived from the answers\n bundle.entry as entries -> groupObservation.hasMember = create('Reference') as df then {\n entries.resource as obs where status.exists() and hasMember.exists().not() -> df.reference = reference(obs) "grpObsnHasMemberReference"; \n } "grpObsnHasMember";\n\n src.id as id -> groupObservation.derivedFrom = create('Reference') as newReference then {\n id -> newReference.reference = append('QuestionnaireResponse/', id) "grpObsnDerivedFromReference";\n } "grpObsnDerivedFrom";\n\n src -> entry.request as request then {\n src -> request.method = 'POST' "obsnRequestMethod";\n src -> request.url = 'Observation' "obsnRequestUrl";\n } "obsnEntryRequest"; \n}</pre>\n </div>"
},
"url" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapPRAPARE",
"version" : "2.1.0",
"name" : "SDOHCCStructureMapPRAPARE",
"title" : "SDOHCC StructureMap PRAPARE",
"status" : "draft",
"date" : "2023-07-27T20:42:33+00:00",
"publisher" : "HL7 International Patient Care WG",
"contact" : [
{
"name" : "HL7 International Patient Care WG",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/patientcare"
},
{
"system" : "email",
"value" : "patientcare@lists.hl7.org"
}
]
}
],
"description" : "A StructureMap instance that represents the resource that transforms specific questions and answers from the PRAPARE questionnaire represented in LOINC (code 93025-5) into their corresponding Observations and derived Conditions (health concerns).",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"structure" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse",
"mode" : "source",
"alias" : "questionnaireResponse"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode" : "target"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Observation",
"mode" : "target"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Condition",
"mode" : "target",
"alias" : "sdohccCondition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Observation",
"mode" : "target",
"alias" : "sdohccObservation"
}
],
"group" : [
{
"name" : "sdohMapping",
"typeMode" : "none",
"input" : [
{
"name" : "src",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "bundleId",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "bundle",
"contextType" : "variable",
"element" : "id",
"transform" : "copy",
"parameter" : [
{
"valueString" : "SDOHCC-BundlePRAPAREExample"
}
]
}
]
},
{
"name" : "bundleType",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "bundle",
"contextType" : "variable",
"element" : "type",
"transform" : "copy",
"parameter" : [
{
"valueString" : "transaction"
}
]
}
]
},
{
"name" : "item",
"source" : [
{
"context" : "src",
"element" : "item",
"variable" : "rootItem"
}
],
"dependent" : [
{
"name" : "rootContent",
"variable" : [
"src",
"rootItem",
"bundle"
]
}
]
},
{
"name" : "bundleGroupObsn",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "bundle",
"contextType" : "variable",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"contextType" : "variable",
"element" : "resource",
"variable" : "groupObservation",
"transform" : "create",
"parameter" : [
{
"valueString" : "sdohccObservation"
}
]
}
],
"dependent" : [
{
"name" : "TransformGroupObservation",
"variable" : [
"src",
"bundle",
"groupObservation",
"entry"
]
}
]
}
]
},
{
"name" : "rootContent",
"typeMode" : "none",
"input" : [
{
"name" : "qResponse",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "rootItem",
"mode" : "source"
},
{
"name" : "bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "item",
"source" : [
{
"context" : "rootItem",
"element" : "item",
"variable" : "groupItem"
}
],
"dependent" : [
{
"name" : "groupContent",
"variable" : [
"qResponse",
"groupItem",
"bundle"
]
}
]
}
]
},
{
"name" : "groupContent",
"typeMode" : "none",
"input" : [
{
"name" : "qResponse",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "groupItem",
"mode" : "source"
},
{
"name" : "bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "item",
"source" : [
{
"context" : "groupItem",
"element" : "item",
"variable" : "answerItem"
}
],
"dependent" : [
{
"name" : "itemContent",
"variable" : [
"qResponse",
"answerItem",
"bundle"
]
}
]
}
]
},
{
"name" : "itemContent",
"typeMode" : "none",
"input" : [
{
"name" : "qResponse",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "answerItem",
"mode" : "source"
},
{
"name" : "bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "obsn",
"source" : [
{
"context" : "answerItem",
"condition" : "(answerItem.linkId != '/93043-8/32624-9') and (answerItem.linkId != '/93041-2/93031-3') and (answerItem.linkId != '/93041-2/93030-5')"
}
],
"target" : [
{
"context" : "bundle",
"contextType" : "variable",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"contextType" : "variable",
"element" : "resource",
"variable" : "observation",
"transform" : "create",
"parameter" : [
{
"valueString" : "sdohccObservation"
}
]
}
],
"dependent" : [
{
"name" : "TransformObservation",
"variable" : [
"qResponse",
"answerItem",
"bundle",
"observation",
"entry",
"bundle"
]
}
]
},
{
"name" : "answer",
"source" : [
{
"context" : "answerItem",
"element" : "answer",
"variable" : "answer",
"condition" : "(answerItem.linkId = '/93043-8/32624-9') or (answerItem.linkId = '/93041-2/93031-3') or (answerItem.linkId = '/93041-2/93030-5')"
}
],
"target" : [
{
"context" : "bundle",
"contextType" : "variable",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"contextType" : "variable",
"element" : "resource",
"variable" : "observation",
"transform" : "create",
"parameter" : [
{
"valueString" : "sdohccObservation"
}
]
}
],
"dependent" : [
{
"name" : "TransformObservation",
"variable" : [
"qResponse",
"answerItem",
"bundle",
"observation",
"entry",
"bundle"
]
},
{
"name" : "SetValueCodeableConceptFromAnswer",
"variable" : [
"answer",
"observation"
]
}
]
}
]
},
{
"name" : "SetValueCodeableConceptFromAnswer",
"typeMode" : "none",
"input" : [
{
"name" : "answer",
"mode" : "source"
},
{
"name" : "observation",
"mode" : "target"
}
],
"rule" : [
{
"name" : "obsnValue",
"source" : [
{
"context" : "answer"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "value",
"variable" : "newCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "value",
"source" : [
{
"context" : "answer",
"element" : "value",
"variable" : "coding"
}
],
"target" : [
{
"context" : "newCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "copy",
"parameter" : [
{
"valueId" : "coding"
}
]
}
]
}
]
}
]
},
{
"name" : "TransformObservation",
"typeMode" : "none",
"input" : [
{
"name" : "src",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "answerItem",
"mode" : "source"
},
{
"name" : "srcBundle",
"type" : "Bundle",
"mode" : "source"
},
{
"name" : "observation",
"type" : "sdohccObservation",
"mode" : "target"
},
{
"name" : "entry",
"mode" : "target"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "obsnFullUrl",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "id",
"transform" : "uuid"
}
],
"dependent" : [
{
"name" : "SetObservationFullUrl",
"variable" : [
"observation",
"entry"
]
}
]
},
{
"name" : "obsnStatus",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "status",
"transform" : "copy",
"parameter" : [
{
"valueString" : "final"
}
]
}
]
},
{
"name" : "obsnCatSocialHistory",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "category",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
},
{
"valueString" : "social-history"
},
{
"valueString" : "Social History"
}
]
}
]
},
{
"name" : "obsnCatSurvey",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "category",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
},
{
"valueString" : "survey"
},
{
"valueString" : "Survey"
}
]
}
]
},
{
"name" : "obsnMeta",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "meta",
"variable" : "newMeta",
"transform" : "create",
"parameter" : [
{
"valueString" : "Meta"
}
]
}
],
"rule" : [
{
"name" : "obsnMetaProfile",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newMeta",
"contextType" : "variable",
"element" : "profile",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
}
]
}
]
}
]
},
{
"name" : "authored",
"source" : [
{
"context" : "src",
"element" : "authored",
"variable" : "authored"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "issued",
"transform" : "copy",
"parameter" : [
{
"valueId" : "authored"
}
]
},
{
"context" : "observation",
"contextType" : "variable",
"element" : "effective",
"transform" : "copy",
"parameter" : [
{
"valueId" : "authored"
}
]
}
]
},
{
"name" : "subject",
"source" : [
{
"context" : "src",
"element" : "subject",
"variable" : "qSubject"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "subject",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "reference",
"source" : [
{
"context" : "qSubject",
"element" : "reference",
"variable" : "qReference"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qReference"
}
]
}
]
},
{
"name" : "display",
"source" : [
{
"context" : "qSubject",
"element" : "display",
"variable" : "qDisplay"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qDisplay"
}
]
}
]
}
]
},
{
"name" : "subject",
"source" : [
{
"context" : "src",
"element" : "subject",
"variable" : "qSubject"
}
],
"target" : [
{
"context" : "observation",
"contextType" : "variable",
"element" : "performer",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "reference",
"source" : [
{
"context" : "qSubject",
"element" : "reference",
"variable" : "qReference"
}
],
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"context" : "condition",
"contextType" : "variable",
"element" : "clinicalStatus",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
},
{
"valueString" : "active"
},
{
"valueString" : "Active"
}
]
}
]
},
{
"name" : "conditionVerificationStatus",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "verificationStatus",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/condition-ver-status"
},
{
"valueString" : "unconfirmed"
},
{
"valueString" : "Unconfirmed"
}
]
}
]
},
{
"name" : "conditionCat",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "category",
"variable" : "newCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
}
]
}
]
},
{
"name" : "conditionCatCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "health-concern"
}
]
}
]
},
{
"name" : "conditionCatCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Health Concern"
}
]
}
]
}
]
}
]
},
{
"name" : "conditionOnset",
"source" : [
{
"context" : "src",
"element" : "authored",
"variable" : "authored"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "onset",
"variable" : "period",
"transform" : "create",
"parameter" : [
{
"valueString" : "Period"
}
]
},
{
"context" : "period",
"contextType" : "variable",
"element" : "start",
"transform" : "copy",
"parameter" : [
{
"valueId" : "authored"
}
]
}
]
},
{
"name" : "subject",
"source" : [
{
"context" : "src",
"element" : "subject",
"variable" : "qSubject"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "subject",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "reference",
"source" : [
{
"context" : "qSubject",
"element" : "reference",
"variable" : "qReference"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qReference"
}
]
}
]
},
{
"name" : "display",
"source" : [
{
"context" : "qSubject",
"element" : "display",
"variable" : "qDisplay"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qDisplay"
}
]
}
]
}
]
},
{
"name" : "subject",
"source" : [
{
"context" : "src",
"element" : "subject",
"variable" : "qSubject"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "asserter",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "reference",
"source" : [
{
"context" : "qSubject",
"element" : "reference",
"variable" : "qReference"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qReference"
}
]
}
]
},
{
"name" : "display",
"source" : [
{
"context" : "qSubject",
"element" : "display",
"variable" : "qDisplay"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qDisplay"
}
]
}
]
}
]
},
{
"name" : "conditionEntryRequest",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "entry",
"contextType" : "variable",
"element" : "request",
"variable" : "request"
}
],
"rule" : [
{
"name" : "conditionRequestMethod",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "request",
"contextType" : "variable",
"element" : "method",
"transform" : "copy",
"parameter" : [
{
"valueString" : "POST"
}
]
}
]
},
{
"name" : "conditionRequestUrl",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "request",
"contextType" : "variable",
"element" : "url",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Condition"
}
]
}
]
}
]
}
]
},
{
"name" : "SetConditionFullUrl",
"typeMode" : "none",
"input" : [
{
"name" : "condition",
"type" : "sdohccCondition",
"mode" : "source"
},
{
"name" : "entry",
"mode" : "target"
}
],
"rule" : [
{
"name" : "id",
"source" : [
{
"context" : "condition",
"element" : "id",
"variable" : "id"
}
],
"target" : [
{
"context" : "entry",
"contextType" : "variable",
"element" : "fullUrl",
"transform" : "append",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/"
},
{
"valueId" : "id"
}
]
}
]
}
]
},
{
"name" : "SetConditionCodeAndEvidence1",
"typeMode" : "none",
"input" : [
{
"name" : "src",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "bundle",
"mode" : "source"
},
{
"name" : "condition",
"mode" : "target"
}
],
"rule" : [
{
"name" : "conditionCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "code",
"variable" : "newCodeCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://snomed.info/sct"
}
]
}
]
},
{
"name" : "conditionCodeCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "32911000"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Homeless"
}
]
}
]
}
]
},
{
"name" : "conditionCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding2",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/sid/icd-10-cm"
}
]
}
]
},
{
"name" : "conditionCodeCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Z59.0"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Homelessness"
}
]
}
]
}
]
}
]
},
{
"name" : "conditionCat",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "category",
"variable" : "newCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
}
]
}
]
},
{
"name" : "conditionCatCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "homelessness"
}
]
}
]
},
{
"name" : "conditionCatCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Homelessness"
}
]
}
]
}
]
}
]
},
{
"name" : "entry",
"source" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entries"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "evidence",
"variable" : "evidence"
},
{
"context" : "evidence",
"contextType" : "variable",
"element" : "detail",
"variable" : "detailReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "conditionEvidence",
"source" : [
{
"context" : "entries",
"element" : "resource",
"variable" : "obs",
"condition" : "code.coding.code = '71802-3'"
}
],
"target" : [
{
"context" : "detailReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "reference",
"parameter" : [
{
"valueId" : "obs"
}
]
}
]
}
]
}
]
},
{
"name" : "SetConditionCodeAndEvidence2",
"typeMode" : "none",
"input" : [
{
"name" : "src",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "bundle",
"mode" : "source"
},
{
"name" : "condition",
"mode" : "target"
}
],
"rule" : [
{
"name" : "conditionCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "code",
"variable" : "newCodeCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://snomed.info/sct"
}
]
}
]
},
{
"name" : "conditionCodeCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "73438004"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Unemployed"
}
]
}
]
}
]
},
{
"name" : "conditionCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding2",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/sid/icd-10-cm"
}
]
}
]
},
{
"name" : "conditionCodeCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Z56.0"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Unemployment, unspecified"
}
]
}
]
}
]
}
]
},
{
"name" : "conditionCat",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "category",
"variable" : "newCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCoding",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCodingSystem",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
}
]
}
]
},
{
"name" : "conditionCatCodingCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "employment-status"
}
]
}
]
},
{
"name" : "conditionCatCodingDisplay",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Employment Status"
}
]
}
]
}
]
}
]
},
{
"name" : "entry",
"source" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entries"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "evidence",
"variable" : "evidence"
},
{
"context" : "evidence",
"contextType" : "variable",
"element" : "detail",
"variable" : "detailReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "conditionEvidence",
"source" : [
{
"context" : "entries",
"element" : "resource",
"variable" : "obs",
"condition" : "code.coding.code = '67875-5'"
}
],
"target" : [
{
"context" : "detailReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "reference",
"parameter" : [
{
"valueId" : "obs"
}
]
}
]
}
]
}
]
},
{
"name" : "TransformGroupObservation",
"typeMode" : "none",
"input" : [
{
"name" : "src",
"type" : "questionnaireResponse",
"mode" : "source"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "source"
},
{
"name" : "groupObservation",
"type" : "Observation",
"mode" : "target"
},
{
"name" : "entry",
"mode" : "target"
}
],
"rule" : [
{
"name" : "grpObsnFullUrl",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "id",
"transform" : "uuid"
}
],
"dependent" : [
{
"name" : "SetObservationFullUrl",
"variable" : [
"groupObservation",
"entry"
]
}
]
},
{
"name" : "grpObsnStatus",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "status",
"transform" : "copy",
"parameter" : [
{
"valueString" : "final"
}
]
}
]
},
{
"name" : "grpObsnCatSocialHistory",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "category",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
},
{
"valueString" : "social-history"
},
{
"valueString" : "Social History"
}
]
}
]
},
{
"name" : "grpObsnCatSurvey",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "category",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
},
{
"valueString" : "survey"
},
{
"valueString" : "Survey"
}
]
}
]
},
{
"name" : "grpObsMeta",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "meta",
"variable" : "newMeta",
"transform" : "create",
"parameter" : [
{
"valueString" : "Meta"
}
]
}
],
"rule" : [
{
"name" : "grpObsnMetaProfile",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newMeta",
"contextType" : "variable",
"element" : "profile",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
}
]
}
]
}
]
},
{
"name" : "authored",
"source" : [
{
"context" : "src",
"element" : "authored",
"variable" : "authored"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "effective",
"transform" : "copy",
"parameter" : [
{
"valueId" : "authored"
}
]
}
]
},
{
"name" : "grpObsnSubject",
"source" : [
{
"context" : "src",
"element" : "subject",
"variable" : "qSubject"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "subject",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "grpObsnSubjRef",
"source" : [
{
"context" : "qSubject",
"element" : "reference",
"variable" : "qReference"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qReference"
}
]
}
]
},
{
"name" : "grpObsnSubjDisplay",
"source" : [
{
"context" : "qSubject",
"element" : "display",
"variable" : "qDisplay"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueId" : "qDisplay"
}
]
}
]
}
]
},
{
"name" : "grpObsnCode",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "code",
"transform" : "cc",
"parameter" : [
{
"valueString" : "http://loinc.org"
},
{
"valueString" : "93025-5"
}
]
}
]
},
{
"name" : "grpObsnHasMember",
"source" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entries"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "hasMember",
"variable" : "df",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "grpObsnHasMemberReference",
"source" : [
{
"context" : "entries",
"element" : "resource",
"variable" : "obs",
"condition" : "status.exists() and hasMember.exists().not()"
}
],
"target" : [
{
"context" : "df",
"contextType" : "variable",
"element" : "reference",
"transform" : "reference",
"parameter" : [
{
"valueId" : "obs"
}
]
}
]
}
]
},
{
"name" : "grpObsnDerivedFrom",
"source" : [
{
"context" : "src",
"element" : "id",
"variable" : "id"
}
],
"target" : [
{
"context" : "groupObservation",
"contextType" : "variable",
"element" : "derivedFrom",
"variable" : "newReference",
"transform" : "create",
"parameter" : [
{
"valueString" : "Reference"
}
]
}
],
"rule" : [
{
"name" : "grpObsnDerivedFromReference",
"source" : [
{
"context" : "id"
}
],
"target" : [
{
"context" : "newReference",
"contextType" : "variable",
"element" : "reference",
"transform" : "append",
"parameter" : [
{
"valueString" : "QuestionnaireResponse/"
},
{
"valueId" : "id"
}
]
}
]
}
]
},
{
"name" : "obsnEntryRequest",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "entry",
"contextType" : "variable",
"element" : "request",
"variable" : "request"
}
],
"rule" : [
{
"name" : "obsnRequestMethod",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "request",
"contextType" : "variable",
"element" : "method",
"transform" : "copy",
"parameter" : [
{
"valueString" : "POST"
}
]
}
]
},
{
"name" : "obsnRequestUrl",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "request",
"contextType" : "variable",
"element" : "url",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Observation"
}
]
}
]
}
]
}
]
}
]
}
IG © 2021+ HL7 International Patient Care WG. Package hl7.fhir.us.sdoh-clinicalcare#2.1.0 based on FHIR 4.0.1. Generated 2023-07-27
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