SDOH Clinical Care
2.2.0 - STU 2.2 United States of America flag

SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

StructureMap: SDOHCCHungerVitalSignMap

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign Version: 2.2.0
Standards status: Trial-use Computable Name: SDOHCCHungerVitalSignMap
/// name = "SDOHCCHungerVitalSignMap"
/// status = draft
/// title = "SDOHCC StructureMap HungerVitalSign"
/// description = "A StructureMap instance that represents the resource that transforms a specific question and answer from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9) into a corresponding Observation (SDOHCC Observation response Hunger Vital Sign Q3 Example) and derived Condition (SDOHCC Condition Food Insecurity Example)."

map "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign" = "SDOHCCHungerVitalSignMap"

uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias questionnaireResponse as source
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias bundle as target
uses "http://hl7.org/fhir/StructureDefinition/Observation" alias observation as target
uses "http://hl7.org/fhir/StructureDefinition/Condition" alias sdohccCondition as target
uses "http://hl7.org/fhir/StructureDefinition/Observation" alias sdohccObservation as target

group sdohMapping(source src : questionnaireResponse, target bundle : Bundle) {
  //temporarily set id to human-readable id as example
  //src -> bundle.id = uuid();
  src -> bundle.id = 'SDOHCC-BundleHungerVitalSignExample' "bundleId";
  src -> bundle.type = 'transaction' "bundleType";

  //for each 'key' answer item in the questionnareResponse, create an Observation
  src.item as answerItem3 where linkId = '/88124-3' -> bundle.entry as entry, entry.resource = create('Observation') as observation3 then 
    TransformObservation(src, answerItem3, observation3, entry); 

  //create condition if answer to third question is "At Risk"
  src.item as answerItem4 where linkId = '/88124-3' and answer.value.code ='LA19952-3' -> bundle.entry as entry, entry.resource = create('Condition') as condition then
    TransformCondition(src, bundle, condition, entry);
}

group TransformObservation(source src: questionnaireResponse, source answerItem, target observation: Observation, target entry)
{
  src -> entry.request as request then {
    src -> request.method = 'POST' "obsnRequestMethod";
    src -> request.url = 'Observation' "obsnRequestUrl";
  } "obsnEntryRequest";

  //temporarily set id to human-readable id as example
  //src -> observation.id = uuid() then
  //  SetObservationFullUrl(observation, entry);
  src -> observation.id = 'SDOHCC-ObservationResponseHungerVitalSignQuestion3Example' then
   	SetObservationFullUrl(observation, entry) "obsn3Id";

  src -> observation.meta = create('Meta') as newMeta then {
    src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse' "obsnMetaProfile";
  } "obsnMeta";

  src -> observation.status = 'final' "obsnStatus";

  src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') "obsnCatSocialHist";
  src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') "obsnCatSurvey";
  src -> observation.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "obsnCatFoodInsecurity";  

  answerItem as i -> observation.code = cc('http://loinc.org', '88124-3') as code "obsn3Code";

  src.subject as qSubject -> observation.subject = create('Reference') as newReference then {
    qSubject.reference as qReference -> newReference.reference = qReference;
    qSubject.display as qDisplay -> newReference.display = qDisplay;
  };

  src.authored as authored -> observation.effective = authored, observation.issued = authored;

  answerItem.answer as answer -> observation.value = create('CodeableConcept') as newCC then {
    answer.value as coding -> newCC.coding = coding as newCoding;
  };

  src -> observation.derivedFrom = create('Reference') as newReference then {
    src.id as id -> newReference.reference = append('QuestionnaireResponse/', id);
  } "obsnDerivation";
}

group SetObservationFullUrl(source observation: Observation, target entry)
{
  observation.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/', id);
}

group TransformCondition(source src: QuestionnaireResponse, source bundle: Bundle, target condition: Condition, target entry)
{
  //temporarily set id to human-readable id as example
  //src -> condition.id = uuid() then
  src -> condition.id = 'SDOHCC-ConditionFoodInsecurityExample' then
    SetConditionFullUrl(condition, entry) "conditionId";
       
  src -> condition.meta = create('Meta') as newMeta then {
    src -> newMeta.profile = 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition' "conditionMetaProfile";
  } "conditionMeta";

  src -> condition.clinicalStatus = cc('http://terminology.hl7.org/CodeSystem/condition-clinical', 'active', 'Active') "conditionClinicalStatus";
  src -> condition.verificationStatus = cc('http://terminology.hl7.org/CodeSystem/condition-ver-status', 'unconfirmed', 'Unconfirmed') "conditionVeriStatus";
  src -> condition.category = create('CodeableConcept') as newCC then {
      src -> newCC.coding = create('Coding') as newCoding then {
        src -> newCoding.system = 'http://hl7.org/fhir/us/core/CodeSystem/condition-category' "conditionCatCodingSystemHealthConcern";
        src -> newCoding.code = 'health-concern' "conditionCatCodingCodeHealthConcern";
        src -> newCoding.display = 'Health Concern' "conditionCatCodingDisplayHealthConcern";
    } "conditionCatCodingHealthConcern";
  } "conditionCatHealthConcern";

  //Add sdoh category
  src -> condition.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "conditionCatFoodInsecurity";

  src -> condition.code = create('CodeableConcept') as newCodeCC then {
      src -> newCodeCC.coding = create('Coding') as newCoding then {
        src -> newCoding.system = 'http://snomed.info/sct' "conditionCodeCodingSystemFoodInsecurity";
        src -> newCoding.code = '733423003' "conditionCodeCodingCodeFoodInsecurity";
        src -> newCoding.display = 'Food insecurity' "conditionCodeCodingDisplayFoodInsecurity";
    } "conditionCodeCodingFoodInsecurity";
    src -> newCodeCC.coding = create('Coding') as newCoding2 then {
        src -> newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' "conditionCodeCodingSystemLackOfFood";
        src -> newCoding2.code = 'Z59.4' "conditionCodeCodingCodeLackOfFood";
        src -> newCoding2.display = 'Lack of adequate food' "conditionCodeCodingDisplayLackOfFood";
    } "conditionCodeCodingLackOfFood";
  } "conditionCode";
      
  src.authored as authored -> condition.onset = create('Period') as period,
    period.start = authored;

  bundle.entry as entries -> condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then {
  	entries.resource as obs3 where code.coding.code = '88124-3'-> detailReference.reference = reference(obs3); 
  };

  src.subject as qSubject -> condition.subject = create('Reference') as newReference then {
    qSubject.reference as qReference -> newReference.reference = qReference;
    qSubject.display as qDisplay -> newReference.display = qDisplay;
  };

  src -> entry.request as request then {
    src -> request.method = 'POST' "conditionRequestMethod";
    src -> request.url = 'Condition' "conditionRequestUrl";
  } "conditionEntryRequest";  
}

group SetConditionFullUrl(source condition: Condition, target entry)
{
  condition.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/', id);
}