{ "resourceType" : "StructureMap", "id" : "SmokingStatusQuestionnaireResponseToObservation", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap SmokingStatusQuestionnaireResponseToObservation

\r\nmap "https://fhir.hl7.at/prenudge/appdata/r4/StructureMap/SmokingStatusQuestionnaireResponseToObservation" = "SmokingStatusQuestionnaireResponseToObservation"\r\n\r\n// ATHIS-based Smoking Status Q to O\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Obs as target\r\n\r\ngroup SmokingStatusQuestionnaireResponseToObservation(source src : QR, target tgt : Obs) {\r\n  // Administrative metadata. Implementations may replace or enrich the identifier\r\n  // if the Observation needs a separate stable business identifier.\r\n  src -> tgt.status = 'final' "setFinalStatus";\r\n  src.identifier as identifier -> tgt.identifier = identifier "copyIdentifier";\r\n  src.subject as subject -> tgt.subject = subject "copySubject";\r\n  src.authored as authored ->  tgt.effective = authored,  tgt.issued = authored "copyAuthoredToObservationTimes";\r\n  // IPS/APS-style tobacco smoking status coding.\r\n  src -> tgt.code = cc('http://loinc.org', '72166-2', 'Tobacco smoking status') "setTobaccoSmokingStatusCode";\r\n  // User-entered QuestionnaireResponse data is considered manual input.\r\n  src -> tgt.method = cc('http://snomed.info/sct', '87982008', 'Manual') "setManualMethod";\r\n  // Keep the derivation from QuestionnaireResponse to Observation traceable.\r\n  src.id as id -> tgt.derivedFrom = create('Reference') as reference then {\r\n    id -> reference.reference = append('QuestionnaireResponse/', id) "setDerivedFromReference";\r\n  } "setDerivedFrom";\r\n  // ATHIS answer mapping to the clinical SNOMED CT valueCodeableConcept.\r\n  src.item as groupItem where groupItem.linkId = 'smoking-status-athis' then SmokingStatusGroupToObservation(groupItem, tgt) "mapSmokingStatusGroup";\r\n}\r\n\r\ngroup SmokingStatusGroupToObservation(source groupItem : QR, target tgt : Obs) {\r\n  // SK1 = Ja, täglich -> current every day smoker.\r\n  groupItem.item as sk1 where sk1.linkId = 'sk1' then {\r\n    sk1.answer as answer then {\r\n      answer.valueCoding as coding where (coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily') -> tgt.valueCodeableConcept = cc('http://snomed.info/sct', '449868002', 'Smokes tobacco daily') "mapCurrentDailySmoker";\r\n    } "evaluateSk1Daily";\r\n  } "sk1Daily";\r\n  // SK1 = Ja, gelegentlich -> current occasional smoker.\r\n  groupItem.item as sk1 where sk1.linkId = 'sk1' then {\r\n    sk1.answer as answer then {\r\n      answer.valueCoding as coding where (coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally') -> tgt.valueCodeableConcept = cc('http://snomed.info/sct', '428041000124106', 'Occasional tobacco smoker') "mapCurrentOccasionalSmoker";\r\n    } "evaluateSk1Occasional";\r\n  } "sk1Occasional";\r\n  // SK1 = Nein and past tobacco smoking = Ja, täglich or Ja, gelegentlich -> former smoker.\r\n  // The past-tobacco-smoking item is enabled only when SK1 is negative.\r\n  groupItem.item as past where past.linkId = 'past-tobacco-smoking' then {\r\n    past.answer as answer then {\r\n      answer.valueCoding as coding where (coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily') -> tgt.valueCodeableConcept = cc('http://snomed.info/sct', '8517006', 'Ex-smoker') "mapPastDailyToFormerSmoker";\r\n      answer.valueCoding as coding where (coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally') -> tgt.valueCodeableConcept = cc('http://snomed.info/sct', '8517006', 'Ex-smoker') "mapPastOccasionalToFormerSmoker";\r\n    } "evaluatePastSmoking";\r\n  } "pastSmokingFormer";\r\n  // SK1 = Nein and past tobacco smoking = Nein -> never smoker.\r\n  groupItem.item as past where past.linkId = 'past-tobacco-smoking' then {\r\n    past.answer as answer then {\r\n      answer.valueCoding as coding where (coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-no') -> tgt.valueCodeableConcept = cc('http://snomed.info/sct', '266919005', 'Never smoked tobacco') "mapPastNoToNeverSmoker";\r\n    } "evaluatePastNo";\r\n  } "pastSmokingNever";\r\n}\r\n\r\n
" }, "url" : "https://fhir.hl7.at/prenudge/appdata/r4/StructureMap/SmokingStatusQuestionnaireResponseToObservation", "version" : "0.1.0", "name" : "SmokingStatusQuestionnaireResponseToObservation", "title" : "ATHIS-based Smoking Status Q to O", "status" : "active", "date" : "2026-06-03T13:38:36+00:00", "publisher" : "The PreNUDGE Consortium", "contact" : [{ "name" : "The PreNUDGE Consortium", "telecom" : [{ "system" : "url", "value" : "https://prenudge.at" }] }, { "name" : "The PreNUDGE Consortium", "telecom" : [{ "system" : "url", "value" : "https://prenudge.at", "use" : "work" }] }], "description" : "ATHIS-based Smoking Status Q to O", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "mode" : "source", "alias" : "QR" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "target", "alias" : "Obs" }], "group" : [{ "name" : "SmokingStatusQuestionnaireResponseToObservation", "typeMode" : "none", "input" : [{ "name" : "src", "type" : "QR", "mode" : "source" }, { "name" : "tgt", "type" : "Obs", "mode" : "target" }], "rule" : [{ "name" : "setFinalStatus", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "status", "transform" : "copy", "parameter" : [{ "valueString" : "final" }] }] }, { "name" : "copyIdentifier", "source" : [{ "context" : "src", "element" : "identifier", "variable" : "identifier" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "identifier", "transform" : "copy", "parameter" : [{ "valueId" : "identifier" }] }] }, { "name" : "copySubject", "source" : [{ "context" : "src", "element" : "subject", "variable" : "subject" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "subject", "transform" : "copy", "parameter" : [{ "valueId" : "subject" }] }] }, { "name" : "copyAuthoredToObservationTimes", "source" : [{ "context" : "src", "element" : "authored", "variable" : "authored" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "effective", "transform" : "copy", "parameter" : [{ "valueId" : "authored" }] }, { "context" : "tgt", "contextType" : "variable", "element" : "issued", "transform" : "copy", "parameter" : [{ "valueId" : "authored" }] }] }, { "name" : "setTobaccoSmokingStatusCode", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "code", "transform" : "cc", "parameter" : [{ "valueString" : "http://loinc.org" }, { "valueString" : "72166-2" }, { "valueString" : "Tobacco smoking status" }] }] }, { "name" : "setManualMethod", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "method", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "87982008" }, { "valueString" : "Manual" }] }] }, { "name" : "setDerivedFrom", "source" : [{ "context" : "src", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "derivedFrom", "variable" : "reference", "transform" : "create", "parameter" : [{ "valueString" : "Reference" }] }], "rule" : [{ "name" : "setDerivedFromReference", "source" : [{ "context" : "id" }], "target" : [{ "context" : "reference", "contextType" : "variable", "element" : "reference", "transform" : "append", "parameter" : [{ "valueString" : "QuestionnaireResponse/" }, { "valueId" : "id" }] }] }] }, { "name" : "mapSmokingStatusGroup", "source" : [{ "context" : "src", "element" : "item", "variable" : "groupItem", "condition" : "groupItem.linkId = 'smoking-status-athis'" }], "dependent" : [{ "name" : "SmokingStatusGroupToObservation", "variable" : ["groupItem", "tgt"] }] }] }, { "name" : "SmokingStatusGroupToObservation", "typeMode" : "none", "input" : [{ "name" : "groupItem", "type" : "QR", "mode" : "source" }, { "name" : "tgt", "type" : "Obs", "mode" : "target" }], "rule" : [{ "name" : "sk1Daily", "source" : [{ "context" : "groupItem", "element" : "item", "variable" : "sk1", "condition" : "sk1.linkId = 'sk1'" }], "rule" : [{ "name" : "evaluateSk1Daily", "source" : [{ "context" : "sk1", "element" : "answer", "variable" : "answer" }], "rule" : [{ "name" : "mapCurrentDailySmoker", "source" : [{ "context" : "answer", "element" : "valueCoding", "variable" : "coding", "condition" : "(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "valueCodeableConcept", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "449868002" }, { "valueString" : "Smokes tobacco daily" }] }] }] }] }, { "name" : "sk1Occasional", "source" : [{ "context" : "groupItem", "element" : "item", "variable" : "sk1", "condition" : "sk1.linkId = 'sk1'" }], "rule" : [{ "name" : "evaluateSk1Occasional", "source" : [{ "context" : "sk1", "element" : "answer", "variable" : "answer" }], "rule" : [{ "name" : "mapCurrentOccasionalSmoker", "source" : [{ "context" : "answer", "element" : "valueCoding", "variable" : "coding", "condition" : "(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "valueCodeableConcept", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "428041000124106" }, { "valueString" : "Occasional tobacco smoker" }] }] }] }] }, { "name" : "pastSmokingFormer", "source" : [{ "context" : "groupItem", "element" : "item", "variable" : "past", "condition" : "past.linkId = 'past-tobacco-smoking'" }], "rule" : [{ "name" : "evaluatePastSmoking", "source" : [{ "context" : "past", "element" : "answer", "variable" : "answer" }], "rule" : [{ "name" : "mapPastDailyToFormerSmoker", "source" : [{ "context" : "answer", "element" : "valueCoding", "variable" : "coding", "condition" : "(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "valueCodeableConcept", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "8517006" }, { "valueString" : "Ex-smoker" }] }] }, { "name" : "mapPastOccasionalToFormerSmoker", "source" : [{ "context" : "answer", "element" : "valueCoding", "variable" : "coding", "condition" : "(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "valueCodeableConcept", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "8517006" }, { "valueString" : "Ex-smoker" }] }] }] }] }, { "name" : "pastSmokingNever", "source" : [{ "context" : "groupItem", "element" : "item", "variable" : "past", "condition" : "past.linkId = 'past-tobacco-smoking'" }], "rule" : [{ "name" : "evaluatePastNo", "source" : [{ "context" : "past", "element" : "answer", "variable" : "answer" }], "rule" : [{ "name" : "mapPastNoToNeverSmoker", "source" : [{ "context" : "answer", "element" : "valueCoding", "variable" : "coding", "condition" : "(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-no')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "valueCodeableConcept", "transform" : "cc", "parameter" : [{ "valueString" : "http://snomed.info/sct" }, { "valueString" : "266919005" }, { "valueString" : "Never smoked tobacco" }] }] }] }] }] }] }