Generated Narrative: StructureMap HRExtractHistory

/// url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractHistory'
/// version = '0.2.0'
/// name = 'HRExtractHistory'
/// status = 'draft'

uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR 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 Condition as target

group HRExtractHistory(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "type";
  qr.item as it where (linkId = 'history-dm') then {
    it.answer first as a then {
      a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then SurveyObservation(qr, it, obs, e) "base";
        qr -> obs.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement' "codeSystem";
            qr -> cd.code = 'history-dm' "codeCode";
            qr -> cd.display = 'Diabetes, reported' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = v;
      } "obs";
      a where (value = true) ->  bundle.entry as e,  e.resource = create('Condition') as cond then {
        qr -> cond then ReportedCondition(qr, it, cond, e) "base";
        qr -> cond.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'http://id.who.int/icd/release/11/mms' "codeSystem";
            qr -> cd.code = '5A14' "codeCode";
            qr -> cd.display = 'Diabetes mellitus, type unspecified' "codeDisplay";
          } "codeCoding";
        } "code";
      } "condition";
    };
  } "dm";
  qr.item as it where (linkId = 'history-htn') then {
    it.answer first as a then {
      a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then SurveyObservation(qr, it, obs, e) "base";
        qr -> obs.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement' "codeSystem";
            qr -> cd.code = 'history-htn' "codeCode";
            qr -> cd.display = 'Hypertension, reported' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = v;
      } "obs";
      a where (value = true) ->  bundle.entry as e,  e.resource = create('Condition') as cond then {
        qr -> cond then ReportedCondition(qr, it, cond, e) "base";
        qr -> cond.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'http://id.who.int/icd/release/11/mms' "codeSystem";
            qr -> cd.code = 'BA00' "codeCode";
            qr -> cd.display = 'Essential hypertension' "codeDisplay";
          } "codeCoding";
        } "code";
      } "condition";
    };
  } "htn";
  qr.item as it where (linkId = 'history-ckd') then {
    it.answer first as a then {
      a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then SurveyObservation(qr, it, obs, e) "base";
        qr -> obs.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement' "codeSystem";
            qr -> cd.code = 'history-ckd' "codeCode";
            qr -> cd.display = 'Chronic kidney disease, reported' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = v;
      } "obs";
      a where (value = true) ->  bundle.entry as e,  e.resource = create('Condition') as cond then {
        qr -> cond then ReportedCondition(qr, it, cond, e) "base";
        qr -> cond.code = create('CodeableConcept') as cv then {
          qr -> cv.coding = create('Coding') as cd then {
            qr -> cd.system = 'http://id.who.int/icd/release/11/mms' "codeSystem";
            qr -> cd.code = 'GB61' "codeCode";
            qr -> cd.display = 'Chronic kidney disease' "codeDisplay";
          } "codeCoding";
        } "code";
      } "condition";
    };
  } "ckd";
  qr.item as it where (linkId = 'history-alcohol') then {
    it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
      qr -> obs then SurveyObservation(qr, it, obs, e) "base";
      qr -> obs.category = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "socialHistorySystem";
          qr -> cd.code = 'social-history' "socialHistoryCode";
          qr -> cd.display = 'Social History' "socialHistoryDisplay";
        } "socialHistoryCoding";
      } "socialHistory";
      qr -> obs.code = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement' "codeSystem";
          qr -> cd.code = 'history-alcohol' "codeCode";
          qr -> cd.display = 'Alcohol use' "codeDisplay";
        } "codeCoding";
      } "code";
      a.value as v ->  obs.value = create('CodeableConcept') as concept,  concept.coding = v;
    } "obs";
  } "alcohol";
  qr.item as it where (linkId = '72166-2') then {
    it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
      qr -> obs then SurveyObservation(qr, it, obs, e) "base";
      qr -> obs.category = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "socialHistorySystem";
          qr -> cd.code = 'social-history' "socialHistoryCode";
          qr -> cd.display = 'Social History' "socialHistoryDisplay";
        } "socialHistoryCoding";
      } "socialHistory";
      qr -> obs.code = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://loinc.org' "codeSystem";
          qr -> cd.code = '72166-2' "codeCode";
          qr -> cd.display = 'Tobacco smoking status' "codeDisplay";
        } "codeCoding";
      } "code";
      a.value as v ->  obs.value = create('CodeableConcept') as concept,  concept.coding = v;
    } "obs";
  } "smoking";
}

// What every answer-as-Observation shares. The id is the response id followed
// by the item's linkId, which is why a linkId is never longer than the id type
// allows once the response id is in front of it.
group SurveyObservation(source qr : QR, source it, target obs : Observation, target e) {
  qr -> evaluate(qr, id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')) as qid then {
    it.linkId as k ->  append(qid, '-', k) as idText,  obs.id = cast(idText, 'id') "id";
    it.linkId as k -> e.fullUrl = append('Observation/', qid, '-', k) "fullUrl";
    it.linkId as k -> e.request as rq then {
      qr -> rq.method = 'PUT' "method";
      qr -> rq.url = append('Observation/', qid, '-', k) "url";
    } "request";
  } "ids";
  qr ->  obs.meta as m,  m.profile = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-observation' "profile";
  qr.meta as qm then {
    qm.tag as t ->  obs.meta as m,  m.tag = t;
  } "tags";
  qr.extension as x where (url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant') -> obs.extension = x "tenant";
  qr -> obs.status = 'final' "status";
  qr -> obs.category = create('CodeableConcept') as cv then {
    qr -> cv.coding = create('Coding') as cd then {
      qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "surveySystem";
      qr -> cd.code = 'survey' "surveyCode";
      qr -> cd.display = 'Survey' "surveyDisplay";
    } "surveyCoding";
  } "survey";
  qr.subject as s -> obs.subject = s;
  qr.encounter as en -> obs.encounter = en;
  qr.authored as t -> obs.effective = t "effective";
  qr.author as au -> obs.performer = au "performer";
}

// A Yes to a reported diagnosis, asserted as a Condition that points back at
// the answer it came from.
group ReportedCondition(source qr : QR, source it, target cond : Condition, target e) {
  qr -> evaluate(qr, id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')) as qid then {
    it.linkId as k ->  append(qid, '-', k, '-condition') as idText,  cond.id = cast(idText, 'id') "id";
    it.linkId as k -> e.fullUrl = append('Condition/', qid, '-', k, '-condition') "fullUrl";
    it.linkId as k -> e.request as rq then {
      qr -> rq.method = 'PUT' "method";
      qr -> rq.url = append('Condition/', qid, '-', k, '-condition') "url";
    } "request";
    it.linkId as k ->  cond.evidence as ev,  ev.reference = create('Reference') as ref,  ref.reference = append('Observation/', qid, '-', k) "evidence";
  } "ids";
  qr ->  cond.meta as m,  m.profile = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-condition' "profile";
  qr.meta as qm then {
    qm.tag as t ->  cond.meta as m,  m.tag = t;
  } "tags";
  qr.extension as x where (url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant') -> cond.extension = x "tenant";
  qr -> cond.clinicalStatus = create('CodeableConcept') as cv then {
    qr -> cv.coding = create('Coding') as cd then {
      qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "clinicalSystem";
      qr -> cd.code = 'active' "clinicalCode";
      qr -> cd.display = 'Active' "clinicalDisplay";
    } "clinicalCoding";
  } "clinical";
  qr -> cond.verificationStatus = create('CodeableConcept') as cv then {
    qr -> cv.coding = create('Coding') as cd then {
      qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "verificationSystem";
      qr -> cd.code = 'unconfirmed' "verificationCode";
      qr -> cd.display = 'Unconfirmed' "verificationDisplay";
    } "verificationCoding";
  } "verification";
  qr -> cond.category = create('CodeableConcept') as cv then {
    qr -> cv.coding = create('Coding') as cd then {
      qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "categorySystem";
      qr -> cd.code = 'problem-list-item' "categoryCode";
      qr -> cd.display = 'Problem List Item' "categoryDisplay";
    } "categoryCoding";
  } "category";
  qr.subject as s -> cond.subject = s;
  qr.encounter as en -> cond.encounter = en;
  qr.authored as t -> cond.recordedDate = t "recorded";
}