SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.1.0 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
| Page standards status: Trial-use |
{
"resourceType" : "StructureMap",
"id" : "SDOHCC-StructureMapHungerVitalSign",
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>/// name = "SDOHCCHungerVitalSignMap"\n/// status = draft\n/// title = "SDOHCC StructureMap HungerVitalSign"\n/// 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)."\n\nmap "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign" = "SDOHCCHungerVitalSignMap"\n\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias questionnaireResponse as source\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias bundle as target\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias 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-BundleHungerVitalSignExample' "bundleId";\n src -> bundle.type = 'transaction' "bundleType";\n\n //for each 'key' answer item in the questionnareResponse, create an Observation\n src.item as answerItem3 where linkId = '/88124-3' -> 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 "At Risk"\n src.item where linkId = '/88124-3' and answer.value.code ='LA19952-3' -> 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 -> entry.request as request then {\n src -> request.method = 'POST' "obsnRequestMethod";\n src -> request.url = 'Observation' "obsnRequestUrl";\n } "obsnEntryRequest";\n\n //temporarily set id to human-readable id as example\n //src -> observation.id = uuid() then\n // SetObservationFullUrl(observation, entry);\n src -> observation.id = 'SDOHCC-ObservationResponseHungerVitalSignQuestion3Example' then\n \tSetObservationFullUrl(observation, entry) "obsn3Id";\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 src -> observation.status = 'final' "obsnStatus";\n\n src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'social-history', 'Social History') "obsnCatSocialHist";\n src -> observation.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'survey', 'Survey') "obsnCatSurvey";\n src -> observation.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "obsnCatFoodInsecurity"; \n\n answerItem as i -> observation.code = cc('http://loinc.org', '88124-3') as code "obsn3Code";\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\n src.authored as authored -> observation.effective = authored, observation.issued = authored;\n\n answerItem.answer as answer -> observation.value = create('CodeableConcept') as newCC then {\n answer.value as coding -> newCC.coding = coding as newCoding;\n };\n\n src -> observation.derivedFrom = create('Reference') as newReference then {\n src.id as id -> newReference.reference = append('QuestionnaireResponse/', id);\n } "obsnDerivation";\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: Bundle, target condition: Condition, target entry)\n{\n //temporarily set id to human-readable id as example\n //src -> condition.id = uuid() then\n src -> condition.id = 'SDOHCC-ConditionFoodInsecurityExample' then\n SetConditionFullUrl(condition, entry) "conditionId";\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') "conditionVeriStatus";\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' "conditionCatCodingSystemHealthConcern";\n src -> newCoding.code = 'health-concern' "conditionCatCodingCodeHealthConcern";\n src -> newCoding.display = 'Health Concern' "conditionCatCodingDisplayHealthConcern";\n } "conditionCatCodingHealthConcern";\n } "conditionCatHealthConcern";\n\n //Add sdoh category\n src -> condition.category = cc('http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes', 'food-insecurity', 'Food Insecurity') "conditionCatFoodInsecurity";\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' "conditionCodeCodingSystemFoodInsecurity";\n src -> newCoding.code = '733423003' "conditionCodeCodingCodeFoodInsecurity";\n src -> newCoding.display = 'Food insecurity' "conditionCodeCodingDisplayFoodInsecurity";\n } "conditionCodeCodingFoodInsecurity";\n src -> newCodeCC.coding = create('Coding') as newCoding2 then {\n src -> newCoding2.system = 'http://hl7.org/fhir/sid/icd-10-cm' "conditionCodeCodingSystemLackOfFood";\n src -> newCoding2.code = 'Z59.4' "conditionCodeCodingCodeLackOfFood";\n src -> newCoding2.display = 'Lack of adequate food' "conditionCodeCodingDisplayLackOfFood";\n } "conditionCodeCodingLackOfFood";\n } "conditionCode";\n \n src.authored as authored -> condition.onset = create('Period') as period,\n period.start = authored;\n\n bundle.entry as entries -> condition.evidence as evidence, evidence.detail = create('Reference') as detailReference then {\n \tentries.resource as obs3 where code.coding.code = '88124-3'-> detailReference.reference = reference(obs3); \n };\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 -> 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: Condition, target entry)\n{\n condition.id as id -> entry.fullUrl = append('http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/', id);\n}</pre>\n </div>"
},
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pc"
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"url" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign",
"version" : "2.1.0",
"name" : "SDOHCCStructureMapHungerVitalSign",
"title" : "SDOHCC StructureMap HungerVitalSign",
"status" : "draft",
"date" : "2024-03-21T14:07:32+00:00",
"publisher" : "HL7 International / Patient Care",
"contact" : [
{
"name" : "HL7 International / Patient Care",
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"system" : "url",
"value" : "http://www.hl7.org/Special/committees/patientcare"
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{
"system" : "email",
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"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).",
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"parameter" : [
{
"valueString" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
},
{
"valueString" : "active"
},
{
"valueString" : "Active"
}
]
}
]
},
{
"name" : "conditionVeriStatus",
"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" : "conditionCatHealthConcern",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "category",
"variable" : "newCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCodingHealthConcern",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCatCodingSystemHealthConcern",
"source" : [
{
"context" : "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"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "health-concern"
}
]
}
]
},
{
"name" : "conditionCatCodingDisplayHealthConcern",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Health Concern"
}
]
}
]
}
]
}
]
},
{
"name" : "conditionCatFoodInsecurity",
"source" : [
{
"context" : "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"
}
],
"target" : [
{
"context" : "condition",
"contextType" : "variable",
"element" : "code",
"variable" : "newCodeCC",
"transform" : "create",
"parameter" : [
{
"valueString" : "CodeableConcept"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingFoodInsecurity",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystemFoodInsecurity",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://snomed.info/sct"
}
]
}
]
},
{
"name" : "conditionCodeCodingCodeFoodInsecurity",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "733423003"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplayFoodInsecurity",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Food insecurity"
}
]
}
]
}
]
},
{
"name" : "conditionCodeCodingLackOfFood",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCodeCC",
"contextType" : "variable",
"element" : "coding",
"variable" : "newCoding2",
"transform" : "create",
"parameter" : [
{
"valueString" : "Coding"
}
]
}
],
"rule" : [
{
"name" : "conditionCodeCodingSystemLackOfFood",
"source" : [
{
"context" : "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"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Z59.4"
}
]
}
]
},
{
"name" : "conditionCodeCodingDisplayLackOfFood",
"source" : [
{
"context" : "src"
}
],
"target" : [
{
"context" : "newCoding2",
"contextType" : "variable",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Lack of adequate food"
}
]
}
]
}
]
}
]
},
{
"name" : "authored",
"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" : "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"
}
],
"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" : "Condition",
"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"
}
]
}
]
}
]
}
]
}
IG © 2021+ HL7 International / Patient Care. Package hl7.fhir.us.sdoh-clinicalcare#2.1.0 based on FHIR 4.0.1. Generated 2024-03-21
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