SDOH Clinical Care
3.0.0-ballot - STU 3 Ballot

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## : SDOHCCHungerVitalSignMap

Page standards status: Trial-use | Maturity Level: 2

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    {
      "resourceType" : "StructureMap",
      "id" : "SDOHCC-StructureMapHungerVitalSign",
      "language" : "en",
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n         <pre>/// name = &quot;SDOHCCHungerVitalSignMap&quot;\n/// status = draft\n/// title = &quot;SDOHCC StructureMap HungerVitalSign&quot;\n/// description = &quot;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).&quot;\n\nmap &quot;http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign&quot; = &quot;SDOHCCHungerVitalSignMap&quot;\n\nuses &quot;http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse&quot; alias questionnaireResponse as source\nuses &quot;http://hl7.org/fhir/StructureDefinition/Bundle&quot; alias bundle as target\nuses &quot;http://hl7.org/fhir/StructureDefinition/Observation&quot; alias observation as target\nuses &quot;http://hl7.org/fhir/StructureDefinition/Condition&quot; alias sdohccCondition as target\nuses &quot;http://hl7.org/fhir/StructureDefinition/Observation&quot; 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 -&gt; bundle.id = uuid();\n  src -&gt; bundle.id = 'SDOHCC-BundleHungerVitalSignExample' &quot;bundleId&quot;;\n  src -&gt; bundle.type = 'transaction' &quot;bundleType&quot;;\n\n  //for each 'key' answer item in the questionnaireResponse, create an Observation\n  src.item as answerItem3 where linkId = '/88124-3' -&gt; bundle.entry as entry, entry.resource = create('Observation') as observation3 then \n    TransformObservation(src, answerItem3, observation3, entry); \n\n  //create condition if answer to third question is &quot;At Risk&quot;\n  src.item as answerItem4 where linkId = '/88124-3' and answer.value.code ='LA19952-3' -&gt; bundle.entry as entry, entry.resource = create('Condition') as condition then\n    TransformCondition(src, bundle, condition, entry);\n}\n\ngroup TransformObservation(source src: questionnaireResponse, source answerItem, target observation: Observation, target entry)\n{\n  src -&gt; entry.request as request then {\n    src -&gt; request.method = 'POST' &quot;obsnRequestMethod&quot;;\n    src -&gt; request.url = 'Observation' &quot;obsnRequestUrl&quot;;\n  } &quot;obsnEntryRequest&quot;;\n\n  //temporarily set id to human-readable id as example\n  //src -&gt; observation.id = uuid() then\n  //  SetObservationFullUrl(observation, entry);\n  src -&gt; observation.id = 'SDOHCC-ObservationResponseHungerVitalSignQuestion3Example' then\n   \tSetObservationFullUrl(observation, entry) &quot;obsn3Id&quot;;\n\n  src -&gt; observation.meta = create('Meta') as newMeta then {\n    src -&gt; newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse' &quot;obsnMetaProfile&quot;;\n  } &quot;obsnMeta&quot;;\n\n  src -&gt; observation.status = 'final' &quot;obsnStatus&quot;;\n\n  src -&gt; observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') &quot;obsnCatSocialHist&quot;;\n  src -&gt; observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') &quot;obsnCatSurvey&quot;;\n  src -&gt; observation.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') &quot;obsnCatFoodInsecurity&quot;;  \n\n  answerItem as i -&gt; observation.code = cc('http://loinc.org', '88124-3') as code &quot;obsn3Code&quot;;\n\n  src.subject as qSubject -&gt; observation.subject = create('Reference') as newReference then {\n    qSubject.reference as qReference -&gt; newReference.reference = qReference;\n    qSubject.display as qDisplay -&gt; newReference.display = qDisplay;\n  };\n\n  src.authored as authored -&gt; observation.effective = authored, observation.issued = authored;\n\n  answerItem.answer as answer -&gt; observation.value = create('CodeableConcept') as newCC then {\n    answer.value as coding -&gt; newCC.coding = coding as newCoding;\n  };\n\n  src -&gt; observation.derivedFrom = create('Reference') as newReference then {\n    src.id as id -&gt; newReference.reference = append('QuestionnaireResponse/', id);\n  } &quot;obsnDerivation&quot;;\n}\n\ngroup SetObservationFullUrl(source observation: Observation, target entry)\n{\n  observation.id as id -&gt; entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/', id);\n}\n\ngroup TransformCondition(source src: QuestionnaireResponse, source bundle: Bundle, target condition: Condition, target entry)\n{\n  //temporarily set id to human-readable id as example\n  //src -&gt; condition.id = uuid() then\n  src -&gt; condition.id = 'SDOHCC-ConditionFoodInsecurityExample' then\n    SetConditionFullUrl(condition, entry) &quot;conditionId&quot;;\n       \n  src -&gt; condition.meta = create('Meta') as newMeta then {\n    src -&gt; newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition' &quot;conditionMetaProfile&quot;;\n  } &quot;conditionMeta&quot;;\n\n  src -&gt; condition.clinicalStatus = cc('http://terminology.hl7.org/CodeSystem/condition-clinical', 'active', 'Active') &quot;conditionClinicalStatus&quot;;\n  src -&gt; condition.verificationStatus = cc('http://terminology.hl7.org/CodeSystem/condition-ver-status', 'unconfirmed', 'Unconfirmed') &quot;conditionVeriStatus&quot;;\n  src -&gt; condition.category = create('CodeableConcept') as newCC then {\n      src -&gt; newCC.coding = create('Coding') as newCoding then {\n        src -&gt; newCoding.system = 'http://hl7.org/fhir/us/core/CodeSystem/condition-category' &quot;conditionCatCodingSystemHealthConcern&quot;;\n        src -&gt; newCoding.code = 'health-concern' &quot;conditionCatCodingCodeHealthConcern&quot;;\n        src -&gt; newCoding.display = 'Health Concern' &quot;conditionCatCodingDisplayHealthConcern&quot;;\n    } &quot;conditionCatCodingHealthConcern&quot;;\n  } &quot;conditionCatHealthConcern&quot;;\n\n  //Add sdoh category\n  src -&gt; condition.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') &quot;conditionCatFoodInsecurity&quot;;\n\n  src -&gt; condition.code = create('CodeableConcept') as newCodeCC then {\n      src -&gt; newCodeCC.coding = create('Coding') as newCoding then {\n        src -&gt; newCoding.system = 'http://snomed.info/sct' &quot;conditionCodeCodingSystemFoodInsecurity&quot;;\n        src -&gt; newCoding.code = '733423003' &quot;conditionCodeCodingCodeFoodInsecurity&quot;;\n        src -&gt; newCoding.display = 'Food insecurity' &quot;conditionCodeCodingDisplayFoodInsecurity&quot;;\n    } &quot;conditionCodeCodingFoodInsecurity&quot;;\n    src -&gt; newCodeCC.coding = create('Coding') as newCoding2 then {\n        src -&gt; newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' &quot;conditionCodeCodingSystemLackOfFood&quot;;\n        src -&gt; newCoding2.code = 'Z59.4' &quot;conditionCodeCodingCodeLackOfFood&quot;;\n        src -&gt; newCoding2.display = 'Lack of adequate food' &quot;conditionCodeCodingDisplayLackOfFood&quot;;\n    } &quot;conditionCodeCodingLackOfFood&quot;;\n  } &quot;conditionCode&quot;;\n      \n  src.authored as authored -&gt; condition.onset = create('Period') as period,\n    period.start = authored;\n\n  bundle.entry as entries -&gt; condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then {\n  \tentries.resource as obs3 where code.coding.code = '88124-3'-&gt; detailReference.reference = reference(obs3); \n  };\n\n  src.subject as qSubject -&gt; condition.subject = create('Reference') as newReference then {\n    qSubject.reference as qReference -&gt; newReference.reference = qReference;\n    qSubject.display as qDisplay -&gt; newReference.display = qDisplay;\n  };\n\n  src -&gt; entry.request as request then {\n    src -&gt; request.method = 'POST' &quot;conditionRequestMethod&quot;;\n    src -&gt; request.url = 'Condition' &quot;conditionRequestUrl&quot;;\n  } &quot;conditionEntryRequest&quot;;  \n}\n\ngroup SetConditionFullUrl(source condition: Condition, target entry)\n{\n  condition.id as id -&gt; entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/', id);\n}</pre>\n      </div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "pc"
        }
      ],
      "url" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign",
      "version" : "3.0.0-ballot",
      "name" : "SDOHCCHungerVitalSignMap",
      "status" : "draft",
      "date" : "2025-12-13T17:11:59+00:00",
      "publisher" : "HL7 International / Patient Care",
      "contact" : [
        {
          "name" : "HL7 International / Patient Care",
          "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 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)",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US",
              "display" : "United States of America"
            }
          ]
        }
      ],
      "structure" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
          "mode" : "source",
          "alias" : "questionnaireResponse"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
          "mode" : "target",
          "alias" : "bundle"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/Observation",
          "mode" : "target",
          "alias" : "observation"
        },
        {
          "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",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "bundle",
                  "contextType" : "variable",
                  "element" : "id",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueString" : "SDOHCC-BundleHungerVitalSignExample"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "bundleType",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "bundle",
                  "contextType" : "variable",
                  "element" : "type",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueString" : "transaction"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "item",
              "source" : [
                {
                  "context" : "src",
                  "element" : "item",
                  "variable" : "answerItem3",
                  "condition" : "linkId = '/88124-3'"
                }
              ],
              "target" : [
                {
                  "context" : "bundle",
                  "contextType" : "variable",
                  "element" : "entry",
                  "variable" : "entry"
                },
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "resource",
                  "variable" : "observation3",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "Observation"
                    }
                  ]
                }
              ],
              "dependent" : [
                {
                  "name" : "TransformObservation",
                  "variable" : [
                    "src",
                    "answerItem3",
                    "observation3",
                    "entry"
                  ]
                }
              ]
            },
            {
              "name" : "item",
              "source" : [
                {
                  "context" : "src",
                  "element" : "item",
                  "variable" : "answerItem4",
                  "condition" : "(linkId = '/88124-3') and (answer.value.code = 'LA19952-3')"
                }
              ],
              "target" : [
                {
                  "context" : "bundle",
                  "contextType" : "variable",
                  "element" : "entry",
                  "variable" : "entry"
                },
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "resource",
                  "variable" : "condition",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "Condition"
                    }
                  ]
                }
              ],
              "dependent" : [
                {
                  "name" : "TransformCondition",
                  "variable" : [
                    "src",
                    "bundle",
                    "condition",
                    "entry"
                  ]
                }
              ]
            }
          ]
        },
        {
          "name" : "TransformObservation",
          "typeMode" : "none",
          "input" : [
            {
              "name" : "src",
              "type" : "questionnaireResponse",
              "mode" : "source"
            },
            {
              "name" : "answerItem",
              "mode" : "source"
            },
            {
              "name" : "observation",
              "type" : "Observation",
              "mode" : "target"
            },
            {
              "name" : "entry",
              "mode" : "target"
            }
          ],
          "rule" : [
            {
              "name" : "obsnEntryRequest",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "request",
                  "variable" : "request"
                }
              ],
              "rule" : [
                {
                  "name" : "obsnRequestMethod",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "request",
                      "contextType" : "variable",
                      "element" : "method",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "POST"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name" : "obsnRequestUrl",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "request",
                      "contextType" : "variable",
                      "element" : "url",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "Observation"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsn3Id",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "id",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueString" : "SDOHCC-ObservationResponseHungerVitalSignQuestion3Example"
                    }
                  ]
                }
              ],
              "dependent" : [
                {
                  "name" : "SetObservationFullUrl",
                  "variable" : [
                    "observation",
                    "entry"
                  ]
                }
              ]
            },
            {
              "name" : "obsnMeta",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "meta",
                  "variable" : "newMeta",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "Meta"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "obsnMetaProfile",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newMeta",
                      "contextType" : "variable",
                      "element" : "profile",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsnStatus",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "status",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueString" : "final"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsnCatSocialHist",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "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",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "category",
                  "transform" : "cc",
                  "parameter" : [
                    {
                      "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
                    },
                    {
                      "valueString" : "survey"
                    },
                    {
                      "valueString" : "Survey"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsnCatFoodInsecurity",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "category",
                  "transform" : "cc",
                  "parameter" : [
                    {
                      "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
                    },
                    {
                      "valueString" : "food-insecurity"
                    },
                    {
                      "valueString" : "Food Insecurity"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsn3Code",
              "source" : [
                {
                  "context" : "answerItem",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "code",
                  "variable" : "code",
                  "transform" : "cc",
                  "parameter" : [
                    {
                      "valueString" : "http://loinc.org"
                    },
                    {
                      "valueString" : "88124-3"
                    }
                  ]
                }
              ]
            },
            {
              "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" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newReference",
                      "contextType" : "variable",
                      "element" : "reference",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueId" : "qReference"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name" : "display",
                  "source" : [
                    {
                      "context" : "qSubject",
                      "element" : "display",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newReference",
                      "contextType" : "variable",
                      "element" : "display",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueId" : "qDisplay"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "authored",
              "source" : [
                {
                  "context" : "src",
                  "element" : "authored",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "effective",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueId" : "authored"
                    }
                  ]
                },
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "issued",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueId" : "authored"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "answer",
              "source" : [
                {
                  "context" : "answerItem",
                  "element" : "answer",
                  "variable" : "answer"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "value",
                  "variable" : "newCC",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "CodeableConcept"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "value",
                  "source" : [
                    {
                      "context" : "answer",
                      "element" : "value",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newCC",
                      "contextType" : "variable",
                      "element" : "coding",
                      "variable" : "newCoding",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueId" : "coding"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "obsnDerivation",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "observation",
                  "contextType" : "variable",
                  "element" : "derivedFrom",
                  "variable" : "newReference",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "Reference"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "id",
                  "source" : [
                    {
                      "context" : "src",
                      "element" : "id",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newReference",
                      "contextType" : "variable",
                      "element" : "reference",
                      "transform" : "append",
                      "parameter" : [
                        {
                          "valueString" : "QuestionnaireResponse/"
                        },
                        {
                          "valueId" : "id"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name" : "SetObservationFullUrl",
          "typeMode" : "none",
          "input" : [
            {
              "name" : "observation",
              "type" : "Observation",
              "mode" : "source"
            },
            {
              "name" : "entry",
              "mode" : "target"
            }
          ],
          "rule" : [
            {
              "name" : "id",
              "source" : [
                {
                  "context" : "observation",
                  "element" : "id",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "fullUrl",
                  "transform" : "append",
                  "parameter" : [
                    {
                      "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/"
                    },
                    {
                      "valueId" : "id"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name" : "TransformCondition",
          "typeMode" : "none",
          "input" : [
            {
              "name" : "src",
              "type" : "QuestionnaireResponse",
              "mode" : "source"
            },
            {
              "name" : "bundle",
              "type" : "Bundle",
              "mode" : "source"
            },
            {
              "name" : "condition",
              "type" : "Condition",
              "mode" : "target"
            },
            {
              "name" : "entry",
              "mode" : "target"
            }
          ],
          "rule" : [
            {
              "name" : "conditionId",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "id",
                  "transform" : "copy",
                  "parameter" : [
                    {
                      "valueString" : "SDOHCC-ConditionFoodInsecurityExample"
                    }
                  ]
                }
              ],
              "dependent" : [
                {
                  "name" : "SetConditionFullUrl",
                  "variable" : [
                    "condition",
                    "entry"
                  ]
                }
              ]
            },
            {
              "name" : "conditionMeta",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "meta",
                  "variable" : "newMeta",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "Meta"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "conditionMetaProfile",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newMeta",
                      "contextType" : "variable",
                      "element" : "profile",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "conditionClinicalStatus",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "clinicalStatus",
                  "transform" : "cc",
                  "parameter" : [
                    {
                      "valueString" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
                    },
                    {
                      "valueString" : "active"
                    },
                    {
                      "valueString" : "Active"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "conditionVeriStatus",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "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" : "conditionCatHealthConcern",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "category",
                  "variable" : "newCC",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "CodeableConcept"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "conditionCatCodingHealthConcern",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newCC",
                      "contextType" : "variable",
                      "element" : "coding",
                      "variable" : "newCoding",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Coding"
                        }
                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "conditionCatCodingSystemHealthConcern",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "system",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCatCodingCodeHealthConcern",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "code",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "health-concern"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCatCodingDisplayHealthConcern",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "display",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "Health Concern"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "conditionCatFoodInsecurity",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "category",
                  "transform" : "cc",
                  "parameter" : [
                    {
                      "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
                    },
                    {
                      "valueString" : "food-insecurity"
                    },
                    {
                      "valueString" : "Food Insecurity"
                    }
                  ]
                }
              ]
            },
            {
              "name" : "conditionCode",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "condition",
                  "contextType" : "variable",
                  "element" : "code",
                  "variable" : "newCodeCC",
                  "transform" : "create",
                  "parameter" : [
                    {
                      "valueString" : "CodeableConcept"
                    }
                  ]
                }
              ],
              "rule" : [
                {
                  "name" : "conditionCodeCodingFoodInsecurity",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newCodeCC",
                      "contextType" : "variable",
                      "element" : "coding",
                      "variable" : "newCoding",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Coding"
                        }
                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "conditionCodeCodingSystemFoodInsecurity",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "system",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "http://snomed.info/sct"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCodeCodingCodeFoodInsecurity",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "code",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "733423003"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCodeCodingDisplayFoodInsecurity",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding",
                          "contextType" : "variable",
                          "element" : "display",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "Food insecurity"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name" : "conditionCodeCodingLackOfFood",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "newCodeCC",
                      "contextType" : "variable",
                      "element" : "coding",
                      "variable" : "newCoding2",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Coding"
                        }
                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "conditionCodeCodingSystemLackOfFood",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding2",
                          "contextType" : "variable",
                          "element" : "system",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "http://hl7.org/fhir/sid/icd-10-cm"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCodeCodingCodeLackOfFood",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding2",
                          "contextType" : "variable",
                          "element" : "code",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "Z59.4"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "conditionCodeCodingDisplayLackOfFood",
                      "source" : [
                        {
                          "context" : "src",
                          "variable" : "src"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "newCoding2",
                          "contextType" : "variable",
                          "element" : "display",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueString" : "Lack of adequate food"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "authored",
              "source" : [
                {
                  "context" : "src",
                  "element" : "authored",
                  "variable" : "src"
                }
              ],
              "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" : "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" : "resource",
                  "source" : [
                    {
                      "context" : "entries",
                      "element" : "resource",
                      "variable" : "obs3",
                      "condition" : "code.coding.code = '88124-3'"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "detailReference",
                      "contextType" : "variable",
                      "element" : "reference",
                      "transform" : "reference",
                      "parameter" : [
                        {
                          "valueId" : "obs3"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "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" : "conditionEntryRequest",
              "source" : [
                {
                  "context" : "src",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "request",
                  "variable" : "request"
                }
              ],
              "rule" : [
                {
                  "name" : "conditionRequestMethod",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "request",
                      "contextType" : "variable",
                      "element" : "method",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "POST"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name" : "conditionRequestUrl",
                  "source" : [
                    {
                      "context" : "src",
                      "variable" : "src"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "request",
                      "contextType" : "variable",
                      "element" : "url",
                      "transform" : "copy",
                      "parameter" : [
                        {
                          "valueString" : "Condition"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name" : "SetConditionFullUrl",
          "typeMode" : "none",
          "input" : [
            {
              "name" : "condition",
              "type" : "Condition",
              "mode" : "source"
            },
            {
              "name" : "entry",
              "mode" : "target"
            }
          ],
          "rule" : [
            {
              "name" : "id",
              "source" : [
                {
                  "context" : "condition",
                  "element" : "id",
                  "variable" : "src"
                }
              ],
              "target" : [
                {
                  "context" : "entry",
                  "contextType" : "variable",
                  "element" : "fullUrl",
                  "transform" : "append",
                  "parameter" : [
                    {
                      "valueString" : "http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/"
                    },
                    {
                      "valueId" : "id"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }