Generated Narrative: StructureMap HRExtractLaboratory

/// url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractLaboratory'
/// version = '0.2.0'
/// name = 'HRExtractLaboratory'
/// 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/Specimen" alias Specimen as target
uses "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" alias DiagnosticReport as target

group HRExtractLaboratory(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "type";
  qr -> evaluate(qr, id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')) as qid then {
    qr ->  bundle.entry as e,  e.resource = create('Specimen') as sp then {
      qr ->  append(qid, '-specimen-blood') as idText,  sp.id = cast(idText, 'id') "id";
      qr -> e.fullUrl = append('Specimen/', qid, '-specimen-blood') "fullUrl";
      qr -> e.request as rq then {
        qr -> rq.method = 'PUT' "method";
        qr -> rq.url = append('Specimen/', qid, '-specimen-blood') "url";
      } "request";
      qr -> sp then Sample(qr, sp) "shared";
      qr -> sp.type = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/v2-0487' "typeSystem";
          qr -> cd.code = 'BLD' "typeCode";
          qr -> cd.display = 'Whole blood' "typeDisplay";
        } "typeCoding";
      } "type";
    } "blood";
    qr ->  bundle.entry as e,  e.resource = create('Specimen') as sp then {
      qr ->  append(qid, '-specimen-urine') as idText,  sp.id = cast(idText, 'id') "id";
      qr -> e.fullUrl = append('Specimen/', qid, '-specimen-urine') "fullUrl";
      qr -> e.request as rq then {
        qr -> rq.method = 'PUT' "method";
        qr -> rq.url = append('Specimen/', qid, '-specimen-urine') "url";
      } "request";
      qr -> sp then Sample(qr, sp) "shared";
      qr -> sp.type = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/v2-0487' "typeSystem";
          qr -> cd.code = 'UR' "typeCode";
          qr -> cd.display = 'Urine' "typeDisplay";
        } "typeCoding";
      } "type";
    } "urine";
    qr ->  bundle.entry as re,  re.resource = create('DiagnosticReport') as rep then {
      qr ->  append(qid, '-report') as idText,  rep.id = cast(idText, 'id') "id";
      qr -> re.fullUrl = append('DiagnosticReport/', qid, '-report') "fullUrl";
      qr -> re.request as rq then {
        qr -> rq.method = 'PUT' "method";
        qr -> rq.url = append('DiagnosticReport/', qid, '-report') "url";
      } "request";
      qr ->  rep.meta as m,  m.profile = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-diagnostic-report' "profile";
      qr.meta as qm then {
        qm.tag as t ->  rep.meta as m,  m.tag = t;
      } "tags";
      qr.extension as x where (url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant') -> rep.extension = x "tenant";
      qr -> rep.status = 'final' "status";
      qr -> rep.category = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://terminology.hl7.org/CodeSystem/v2-0074' "categorySystem";
          qr -> cd.code = 'LAB' "categoryCode";
          qr -> cd.display = 'Laboratory' "categoryDisplay";
        } "categoryCoding";
      } "category";
      qr -> rep.code = create('CodeableConcept') as cv then {
        qr -> cv.coding = create('Coding') as cd then {
          qr -> cd.system = 'http://loinc.org' "codeSystem";
          qr -> cd.code = '11502-2' "codeCode";
          qr -> cd.display = 'Laboratory report' "codeDisplay";
        } "codeCoding";
      } "code";
      qr.subject as s -> rep.subject = s;
      qr.encounter as en -> rep.encounter = en;
      qr ->  rep.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-blood') "bloodRef";
      qr ->  rep.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-urine') "urineRef";
      qr.item as ci where (linkId = 'samples-collected') then {
        ci.answer first as ca then {
          ca.value as cv -> rep.effective = cv "effective";
        };
      } "collected";
      qr.item as it where (linkId = '2160-0') then {
        it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
          qr -> obs then Result(qr, it, obs, e) "base";
          qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-blood') "specimen";
          qr.item as u where (linkId = '2160-0.unit') then {
            u.answer first as ua then {
              ua.value : Coding as uv where (code = 'umol/L') -> obs.code = create('CodeableConcept') as cv then {
                qr -> cv.coding = create('Coding') as cd then {
                  qr -> cd.system = 'http://loinc.org' "molarSystem";
                  qr -> cd.code = '14682-9' "molarCode";
                  qr -> cd.display = 'Creatinine [Moles/volume] in Serum or Plasma' "molarDisplay";
                } "molarCoding";
              } "molar";
              ua.value : Coding as uv where (code = 'mg/dL') -> obs.code = create('CodeableConcept') as cv then {
                qr -> cv.coding = create('Coding') as cd then {
                  qr -> cd.system = 'http://loinc.org' "massSystem";
                  qr -> cd.code = '2160-0' "massCode";
                  qr -> cd.display = 'Creatinine [Mass/volume] in Serum or Plasma' "massDisplay";
                } "massCoding";
              } "mass";
              ua.value : Coding as uv then {
                a.value as v -> obs.value = create('Quantity') as q then {
                  v -> q.value = v "value";
                  qr -> q.system = 'http://unitsofmeasure.org' "system";
                  uv.code as c -> q.code = c "unitCode";
                  uv.display as d -> q.unit = d "unit";
                } "quantity";
              } "withUnit";
            } "unitAnswer";
          } "unit";
          qr ->  rep.result = create('Reference') as r,  r.reference = append('Observation/', qid, '-2160-0') "result";
        } "obs";
      } "creatinine";
      qr.item as it where (linkId = '4548-4') then {
        it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
          qr -> obs then Result(qr, it, obs, e) "base";
          qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-blood') "specimen";
          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 = '4548-4' "codeCode";
              qr -> cd.display = 'Hemoglobin A1c/Hemoglobin.total in Blood' "codeDisplay";
            } "codeCoding";
          } "code";
          a.value as v -> obs.value = create('Quantity') as q then {
            v -> q.value = v "value";
            qr -> q.system = 'http://unitsofmeasure.org' "system";
            qr -> q.code = '%' "unitCode";
            qr -> q.unit = '%' "unit";
          } "quantity";
          qr ->  rep.result = create('Reference') as r,  r.reference = append('Observation/', qid, '-4548-4') "result";
        } "obs";
      } "hba1c";
      qr.item as it where (linkId = '9318-7') then {
        it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
          qr -> obs then Result(qr, it, obs, e) "base";
          qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-urine') "specimen";
          qr.item as u where (linkId = '9318-7.unit') then {
            u.answer first as ua then {
              ua.value : Coding as uv where (code = 'mg/g') -> obs.code = create('CodeableConcept') as cv then {
                qr -> cv.coding = create('Coding') as cd then {
                  qr -> cd.system = 'http://loinc.org' "massSystem";
                  qr -> cd.code = '9318-7' "massCode";
                  qr -> cd.display = 'Albumin/Creatinine [Mass Ratio] in Urine' "massDisplay";
                } "massCoding";
              } "mass";
              ua.value : Coding as uv where (code = 'mg/mmol') -> obs.code = create('CodeableConcept') as cv then {
                qr -> cv.coding = create('Coding') as cd then {
                  qr -> cd.system = 'http://loinc.org' "ratioSystem";
                  qr -> cd.code = '32294-1' "ratioCode";
                  qr -> cd.display = 'Albumin/Creatinine [Ratio] in Urine' "ratioDisplay";
                } "ratioCoding";
              } "ratio";
              ua.value : Coding as uv then {
                a.value as v -> obs.value = create('Quantity') as q then {
                  v -> q.value = v "value";
                  qr -> q.system = 'http://unitsofmeasure.org' "system";
                  uv.code as c -> q.code = c "unitCode";
                  uv.display as d -> q.unit = d "unit";
                } "quantity";
              } "withUnit";
            } "unitAnswer";
          } "unit";
          qr ->  rep.result = create('Reference') as r,  r.reference = append('Observation/', qid, '-9318-7') "result";
        } "obs";
      } "uacr";
      qr.item as it where (linkId = '20454-5') then {
        it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
          qr -> obs then Result(qr, it, obs, e) "base";
          qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-urine') "specimen";
          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 = '20454-5' "codeCode";
              qr -> cd.display = 'Protein [Presence] in Urine by Test strip' "codeDisplay";
            } "codeCoding";
          } "code";
          a.value as v ->  obs.value = create('CodeableConcept') as concept,  concept.coding = v;
          qr ->  rep.result = create('Reference') as r,  r.reference = append('Observation/', qid, '-20454-5') "result";
        } "obs";
      } "dipstick";
    } "report";
    qr.item as it where (linkId = 'creatinine-converted') then {
      it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then Result(qr, it, obs, e) "base";
        qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-blood') "specimen";
        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 = 'creatinine-converted' "codeCode";
            qr -> cd.display = 'Serum creatinine, converted' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = create('Quantity') as q then {
          v -> q.value = v "value";
          qr -> q.system = 'http://unitsofmeasure.org' "system";
          qr -> q.code = 'mg/dL' "unitCode";
          qr -> q.unit = 'mg/dL' "unit";
        } "quantity";
        qr ->  obs.derivedFrom = create('Reference') as r,  r.reference = append('Observation/', qid, '-2160-0') "creatinine";
      } "obs";
    } "creatinineConverted";
    qr.item as it where (linkId = 'egfr-age') then {
      it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then Result(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 = 'egfr-age' "codeCode";
            qr -> cd.display = 'Age used for the eGFR' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = create('Quantity') as q then {
          v -> q.value = v "value";
          qr -> q.system = 'http://unitsofmeasure.org' "system";
          qr -> q.code = 'a' "unitCode";
          qr -> q.unit = 'years' "unit";
        } "quantity";
      } "obs";
    } "egfrAge";
    qr.item as it where (linkId = 'egfr-sex') then {
      it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then Result(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 = 'egfr-sex' "codeCode";
            qr -> cd.display = 'Sex used for the eGFR' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = v;
      } "obs";
    } "egfrSex";
    qr.item as it where (linkId = '98979-8') then {
      it.answer first as a ->  bundle.entry as e,  e.resource = create('Observation') as obs then {
        qr -> obs then Result(qr, it, obs, e) "base";
        qr -> obs then Derived(qr, obs) "derivedCategory";
        qr ->  obs.specimen = create('Reference') as r,  r.reference = append('Specimen/', qid, '-specimen-blood') "specimen";
        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 = '98979-8' "codeCode";
            qr -> cd.display = 'Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M' "codeDisplay";
          } "codeCoding";
        } "code";
        a.value as v -> obs.value = create('Quantity') as q then {
          v -> q.value = v "value";
          qr -> q.system = 'http://unitsofmeasure.org' "system";
          qr -> q.code = 'mL/min/{1.73_m2}' "unitCode";
          qr -> q.unit = 'mL/min/1.73m2' "unit";
        } "quantity";
        qr ->  obs.derivedFrom = create('Reference') as r,  r.reference = append('Observation/', qid, '-creatinine-converted') "creatinine";
        qr ->  obs.derivedFrom = create('Reference') as r,  r.reference = append('Observation/', qid, '-egfr-age') "age";
        qr ->  obs.derivedFrom = create('Reference') as r,  r.reference = append('Observation/', qid, '-egfr-sex') "sex";
      } "obs";
    } "egfr";
  } "response";
}

// The category a value worked out on this form carries beside its FHIR one.
group Derived(source qr : QR, target obs : Observation) {
  qr -> obs.category = 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-observation-category' "derivedSystem";
      qr -> cd.code = 'derived' "derivedCode";
      qr -> cd.display = 'Derived' "derivedDisplay";
    } "derivedCoding";
  } "category";
}

// What both specimens share: the response's identity and the sample time.
group Sample(source qr : QR, target sp : Specimen) {
  qr ->  sp.meta as m,  m.profile = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-specimen' "profile";
  qr.meta as qm then {
    qm.tag as t ->  sp.meta as m,  m.tag = t;
  } "tags";
  qr.extension as x where (url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant') -> sp.extension = x "tenant";
  qr -> sp.status = 'available' "status";
  qr.subject as s -> sp.subject = s;
  qr.item as ci where (linkId = 'samples-collected') then {
    ci.answer first as ca then {
      ca.value as cv ->  sp.collection as col,  col.collected = cv "collected";
    };
  } "collected";
  qr.author as au ->  sp.collection as col,  col.collector = au "collector";
}

// What every result shares: identity, tags, tenant, the laboratory category,
// and the sample time as its effective time.
group Result(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' "categorySystem";
      qr -> cd.code = 'laboratory' "categoryCode";
      qr -> cd.display = 'Laboratory' "categoryDisplay";
    } "categoryCoding";
  } "category";
  qr.subject as s -> obs.subject = s;
  qr.encounter as en -> obs.encounter = en;
  qr.item as ci where (linkId = 'samples-collected') then {
    ci.answer first as ca then {
      ca.value as cv -> obs.effective = cv "effective";
    };
  } "collected";
}