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: PHQ-2/Whooley Q to O - XML Representation

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="WhooleyQuestionnaireResponseToObservation"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap WhooleyQuestionnaireResponseToObservation</b></p><a name="WhooleyQuestionnaireResponseToObservation"> </a><a name="hcWhooleyQuestionnaireResponseToObservation"> </a><pre class="fml">
<b>map</b><span style="color: navy"> &quot;</span>https://fhir.hl7.at/prenudge/appdata/r4/StructureMap/WhooleyQuestionnaireResponseToObservation<span style="color: navy">&quot; = &quot;</span>WhooleyQuestionnaireResponseToObservation<span style="color: navy">&quot;

</span><span style="color: navy">// </span><span style="color: green">PHQ-2/Whooley Q to O</span>

<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/questionnaireresponse.html" title="QuestionnaireResponse">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style="color: navy">&quot; </span><b>alias </b>QR <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">&quot; </span><b>alias </b>Obs <b>as </b><b>target</b>

<b>group </b>WhooleyQuestionnaireResponseToObservation<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Obs<span style="color: navy">)</span><span style="color: navy"> {
</span>  src<span style="color: navy"><b> -&gt; </b></span>tgt.status = <span style="color: blue">'final'</span> <i>&quot;setFinalStatus&quot;</i><span style="color: navy">;</span>
  src.identifier<b> as </b><span style="color: maroon">identifier</span><span style="color: navy"><b> -&gt; </b></span>tgt.identifier = <span style="color: maroon">identifier</span> <i>&quot;copyIdentifier&quot;</i><span style="color: navy">;</span>
  src.subject<b> as </b><span style="color: maroon">subject</span><span style="color: navy"><b> -&gt; </b></span>tgt.subject = <span style="color: maroon">subject</span> <i>&quot;copySubject&quot;</i><span style="color: navy">;</span>
  src.authored<b> as </b><span style="color: maroon">authored</span><span style="color: navy"><b> -&gt; </b></span>tgt.effective = <span style="color: maroon">authored</span> <i>&quot;copyAuthoredToEffective&quot;</i><span style="color: navy">;</span>
  src.authored<b> as </b><span style="color: maroon">authored</span><span style="color: navy"><b> -&gt; </b></span>tgt.issued = <span style="color: maroon">authored</span> <i>&quot;copyAuthoredToIssued&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">LOINC 55757-9: closest available code for a PHQ-2 screening result.</span>
  <span style="color: navy">// </span><span style="color: green">The Whooley Ja/Nein variant over the last month differs from the standard scored PHQ-2.</span>
  src<span style="color: navy"><b> -&gt; </b></span>tgt.code = <b>cc</b><span style="color: navy">(</span><span style="color: blue">'http://loinc.org'</span><span style="color: navy">, </span><span style="color: blue">'73832-8'</span><span style="color: navy">, </span><span style="color: blue">'Adult depression screening assessment'</span><span style="color: navy">)</span> <i>&quot;setCode&quot;</i><span style="color: navy">;</span>
  src<span style="color: navy"><b> -&gt; </b></span>tgt.method = <b>cc</b><span style="color: navy">(</span><span style="color: blue">'http://snomed.info/sct'</span><span style="color: navy">, </span><span style="color: blue">'87982008'</span><span style="color: navy">, </span><span style="color: blue">'Manual'</span><span style="color: navy">)</span> <i>&quot;setManualMethod&quot;</i><span style="color: navy">;</span>
  src.id<b> as </b><span style="color: maroon">id</span><span style="color: navy"><b> -&gt; </b></span>tgt.derivedFrom = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Reference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">reference</span><b> then</b><span style="color: navy"> {
</span>    id<span style="color: navy"><b> -&gt; </b></span>reference.reference = <b>append</b><span style="color: navy">(</span><span style="color: blue">'QuestionnaireResponse/'</span><span style="color: navy">, </span><span style="color: maroon">id</span><span style="color: navy">)</span> <i>&quot;setDerivedFromReference&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;setDerivedFrom&quot;</i><span style="color: navy">;</span>
  src.item<b> as </b><span style="color: maroon">whooleyGroup</span><b> where </b>whooleyGroup.linkId = 'whooley'<b> then </b>WhooleyGroupToObservation<span style="color: navy">(</span><span style="color: maroon">whooleyGroup</span><span style="color: navy">, </span><span style="color: maroon">tgt</span><span style="color: navy">)</span> <i>&quot;mapWhooleyGroup&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Routes based on q1 answer.</span>
<span style="color: navy">// </span><span style="color: green">If q1 = SNOMED 373066001 (Ja): delegates to WhooleyQ2Check to test q2.</span>
<span style="color: navy">// </span><span style="color: green">If q1 = SNOMED 373067005 (Nein): sets Negative result immediately.</span>
<b>group </b>WhooleyGroupToObservation<span style="color: navy">(</span><b>source</b> <span style="color: maroon">groupItem</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Obs<span style="color: navy">)</span><span style="color: navy"> {
</span>  groupItem.item<b> as </b><span style="color: maroon">q1</span><b> where </b>q1.linkId = '/whooley-q1'<b> then</b><span style="color: navy"> {
</span>    q1.answer<b> as </b><span style="color: maroon">a1</span><b> where </b>a1.valueCoding.code = '373066001'<b> then </b>WhooleyQ2Check<span style="color: navy">(</span><span style="color: maroon">groupItem</span><span style="color: navy">, </span><span style="color: maroon">tgt</span><span style="color: navy">)</span> <i>&quot;whenQ1Ja&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;q1Ja&quot;</i><span style="color: navy">;</span>
  groupItem.item<b> as </b><span style="color: maroon">q1</span><b> where </b>q1.linkId = '/whooley-q1'<b> then</b><span style="color: navy"> {
</span>    q1.answer<b> as </b><span style="color: maroon">a1</span><b> where </b>a1.valueCoding.code = '373067005'<span style="color: navy"><b> -&gt; </b></span>tgt.valueCodeableConcept = <b>cc</b><span style="color: navy">(</span><span style="color: blue">'http://snomed.info/sct'</span><span style="color: navy">, </span><span style="color: blue">'260385009'</span><span style="color: navy">, </span><span style="color: blue">'Negative (qualifier value)'</span><span style="color: navy">)</span> <i>&quot;q1Nein&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;q1Nein&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Called only when q1 = Ja. Sets Positive if q2 = Ja, Negative if q2 = Nein.</span>
<b>group </b>WhooleyQ2Check<span style="color: navy">(</span><b>source</b> <span style="color: maroon">groupItem</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Obs<span style="color: navy">)</span><span style="color: navy"> {
</span>  groupItem.item<b> as </b><span style="color: maroon">q2</span><b> where </b>q2.linkId = '/whooley-q2'<b> then</b><span style="color: navy"> {
</span>    q2.answer<b> as </b><span style="color: maroon">a2</span><b> where </b>a2.valueCoding.code = '373066001'<span style="color: navy"><b> -&gt; </b></span>tgt.valueCodeableConcept = <b>cc</b><span style="color: navy">(</span><span style="color: blue">'http://snomed.info/sct'</span><span style="color: navy">, </span><span style="color: blue">'10828004'</span><span style="color: navy">, </span><span style="color: blue">'Positive (qualifier value)'</span><span style="color: navy">)</span> <i>&quot;bothJa&quot;</i><span style="color: navy">;</span>
    q2.answer<b> as </b><span style="color: maroon">a2</span><b> where </b>a2.valueCoding.code = '373067005'<span style="color: navy"><b> -&gt; </b></span>tgt.valueCodeableConcept = <b>cc</b><span style="color: navy">(</span><span style="color: blue">'http://snomed.info/sct'</span><span style="color: navy">, </span><span style="color: blue">'260385009'</span><span style="color: navy">, </span><span style="color: blue">'Negative (qualifier value)'</span><span style="color: navy">)</span> <i>&quot;q2Nein&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;processQ2&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span></pre></div>
  </text>
  <url
       value="https://fhir.hl7.at/prenudge/appdata/r4/StructureMap/WhooleyQuestionnaireResponseToObservation"/>
  <version value="0.1.0"/>
  <name value="WhooleyQuestionnaireResponseToObservation"/>
  <title value="PHQ-2/Whooley Q to O"/>
  <status value="active"/>
  <date value="2026-07-01T10:20:10+00:00"/>
  <publisher value="The PreNUDGE Consortium"/>
  <contact>
    <name value="The PreNUDGE Consortium"/>
    <telecom>
      <system value="url"/>
      <value value="https://prenudge.at"/>
    </telecom>
  </contact>
  <contact>
    <name value="The PreNUDGE Consortium"/>
    <telecom>
      <system value="url"/>
      <value value="https://prenudge.at"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="PHQ-2/Whooley Q to O"/>
  <structure>
    <url
         value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
    <mode value="source"/>
    <alias value="QR"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <mode value="target"/>
    <alias value="Obs"/>
  </structure>
  <group>
    <name value="WhooleyQuestionnaireResponseToObservation"/>
    <typeMode value="none"/>
    <input>
      <name value="src"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Obs"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="setFinalStatus"/>
      <source>
        <context value="src"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="copyIdentifier"/>
      <source>
        <context value="src"/>
        <element value="identifier"/>
        <variable value="identifier"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="identifier"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="identifier"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="copySubject"/>
      <source>
        <context value="src"/>
        <element value="subject"/>
        <variable value="subject"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="subject"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="copyAuthoredToEffective"/>
      <source>
        <context value="src"/>
        <element value="authored"/>
        <variable value="authored"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="effective"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="authored"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="copyAuthoredToIssued"/>
      <source>
        <context value="src"/>
        <element value="authored"/>
        <variable value="authored"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="issued"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="authored"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="setCode"/>
      <source>
        <context value="src"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="code"/>
        <transform value="cc"/>
        <parameter>
          <valueString value="http://loinc.org"/>
        </parameter>
        <parameter>
          <valueString value="73832-8"/>
        </parameter>
        <parameter>
          <valueString value="Adult depression screening assessment"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="setManualMethod"/>
      <source>
        <context value="src"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="cc"/>
        <parameter>
          <valueString value="http://snomed.info/sct"/>
        </parameter>
        <parameter>
          <valueString value="87982008"/>
        </parameter>
        <parameter>
          <valueString value="Manual"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="setDerivedFrom"/>
      <source>
        <context value="src"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="derivedFrom"/>
        <variable value="reference"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <rule>
        <name value="setDerivedFromReference"/>
        <source>
          <context value="id"/>
        </source>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="append"/>
          <parameter>
            <valueString value="QuestionnaireResponse/"/>
          </parameter>
          <parameter>
            <valueId value="id"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="mapWhooleyGroup"/>
      <source>
        <context value="src"/>
        <element value="item"/>
        <variable value="whooleyGroup"/>
        <condition value="whooleyGroup.linkId = 'whooley'"/>
      </source>
      <dependent>
        <name value="WhooleyGroupToObservation"/>
        <variable value="whooleyGroup"/>
        <variable value="tgt"/>
      </dependent>
    </rule>
  </group>
  <group>
    <name value="WhooleyGroupToObservation"/>
    <typeMode value="none"/>
    <documentation
                   value="Routes based on q1 answer.
If q1 = SNOMED 373066001 (Ja): delegates to WhooleyQ2Check to test q2.
If q1 = SNOMED 373067005 (Nein): sets Negative result immediately."/>
    <input>
      <name value="groupItem"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Obs"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="q1Ja"/>
      <source>
        <context value="groupItem"/>
        <element value="item"/>
        <variable value="q1"/>
        <condition value="q1.linkId = '/whooley-q1'"/>
      </source>
      <rule>
        <name value="whenQ1Ja"/>
        <source>
          <context value="q1"/>
          <element value="answer"/>
          <variable value="a1"/>
          <condition value="a1.valueCoding.code = '373066001'"/>
        </source>
        <dependent>
          <name value="WhooleyQ2Check"/>
          <variable value="groupItem"/>
          <variable value="tgt"/>
        </dependent>
      </rule>
    </rule>
    <rule>
      <name value="q1Nein"/>
      <source>
        <context value="groupItem"/>
        <element value="item"/>
        <variable value="q1"/>
        <condition value="q1.linkId = '/whooley-q1'"/>
      </source>
      <rule>
        <name value="q1Nein"/>
        <source>
          <context value="q1"/>
          <element value="answer"/>
          <variable value="a1"/>
          <condition value="a1.valueCoding.code = '373067005'"/>
        </source>
        <target>
          <context value="tgt"/>
          <contextType value="variable"/>
          <element value="valueCodeableConcept"/>
          <transform value="cc"/>
          <parameter>
            <valueString value="http://snomed.info/sct"/>
          </parameter>
          <parameter>
            <valueString value="260385009"/>
          </parameter>
          <parameter>
            <valueString value="Negative (qualifier value)"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="WhooleyQ2Check"/>
    <typeMode value="none"/>
    <documentation
                   value="Called only when q1 = Ja. Sets Positive if q2 = Ja, Negative if q2 = Nein."/>
    <input>
      <name value="groupItem"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Obs"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="processQ2"/>
      <source>
        <context value="groupItem"/>
        <element value="item"/>
        <variable value="q2"/>
        <condition value="q2.linkId = '/whooley-q2'"/>
      </source>
      <rule>
        <name value="bothJa"/>
        <source>
          <context value="q2"/>
          <element value="answer"/>
          <variable value="a2"/>
          <condition value="a2.valueCoding.code = '373066001'"/>
        </source>
        <target>
          <context value="tgt"/>
          <contextType value="variable"/>
          <element value="valueCodeableConcept"/>
          <transform value="cc"/>
          <parameter>
            <valueString value="http://snomed.info/sct"/>
          </parameter>
          <parameter>
            <valueString value="10828004"/>
          </parameter>
          <parameter>
            <valueString value="Positive (qualifier value)"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="q2Nein"/>
        <source>
          <context value="q2"/>
          <element value="answer"/>
          <variable value="a2"/>
          <condition value="a2.valueCoding.code = '373067005'"/>
        </source>
        <target>
          <context value="tgt"/>
          <contextType value="variable"/>
          <element value="valueCodeableConcept"/>
          <transform value="cc"/>
          <parameter>
            <valueString value="http://snomed.info/sct"/>
          </parameter>
          <parameter>
            <valueString value="260385009"/>
          </parameter>
          <parameter>
            <valueString value="Negative (qualifier value)"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
</StructureMap>