<status value="active"/> <date value="2026-06-03T13:38:36+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="ATHIS-based Smoking Status 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="SmokingStatusQuestionnaireResponseToObservation"/> <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="copyAuthoredToObservationTimes"/> <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> <target> <context value="tgt"/> <contextType value="variable"/> <element value="issued"/> <transform value="copy"/> <parameter> <valueId value="authored"/> </parameter> </target> </rule> <rule> <name value="setTobaccoSmokingStatusCode"/> <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="72166-2"/> </parameter> <parameter> <valueString value="Tobacco smoking status"/> </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="mapSmokingStatusGroup"/> <source> <context value="src"/> <element value="item"/> <variable value="groupItem"/> <condition value="groupItem.linkId = 'smoking-status-athis'"/> </source> <dependent> <name value="SmokingStatusGroupToObservation"/> <variable value="groupItem"/> <variable value="tgt"/> </dependent> </rule> </group> <group> <name value="SmokingStatusGroupToObservation"/> <typeMode value="none"/> <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="sk1Daily"/> <source> <context value="groupItem"/> <element value="item"/> <variable value="sk1"/> <condition value="sk1.linkId = 'sk1'"/> </source> <rule> <name value="evaluateSk1Daily"/> <source> <context value="sk1"/> <element value="answer"/> <variable value="answer"/> </source> <rule> <name value="mapCurrentDailySmoker"/> <source> <context value="answer"/> <element value="valueCoding"/> <variable value="coding"/> <condition value="(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily')"/> </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="449868002"/> </parameter> <parameter> <valueString value="Smokes tobacco daily"/> </parameter> </target> </rule> </rule> </rule> <rule> <name value="sk1Occasional"/> <source> <context value="groupItem"/> <element value="item"/> <variable value="sk1"/> <condition value="sk1.linkId = 'sk1'"/> </source> <rule> <name value="evaluateSk1Occasional"/> <source> <context value="sk1"/> <element value="answer"/> <variable value="answer"/> </source> <rule> <name value="mapCurrentOccasionalSmoker"/> <source> <context value="answer"/> <element value="valueCoding"/> <variable value="coding"/> <condition value="(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally')"/> </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="428041000124106"/> </parameter> <parameter> <valueString value="Occasional tobacco smoker"/> </parameter> </target> </rule> </rule> </rule> <rule> <name value="pastSmokingFormer"/> <source> <context value="groupItem"/> <element value="item"/> <variable value="past"/> <condition value="past.linkId = 'past-tobacco-smoking'"/> </source> <rule> <name value="evaluatePastSmoking"/> <source> <context value="past"/> <element value="answer"/> <variable value="answer"/> </source> <rule> <name value="mapPastDailyToFormerSmoker"/> <source> <context value="answer"/> <element value="valueCoding"/> <variable value="coding"/> <condition value="(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-daily')"/> </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="8517006"/> </parameter> <parameter> <valueString value="Ex-smoker"/> </parameter> </target> </rule> <rule> <name value="mapPastOccasionalToFormerSmoker"/> <source> <context value="answer"/> <element value="valueCoding"/> <variable value="coding"/> <condition value="(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-yes-occasionally')"/> </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="8517006"/> </parameter> <parameter> <valueString value="Ex-smoker"/> </parameter> </target> </rule> </rule> </rule> <rule> <name value="pastSmokingNever"/> <source> <context value="groupItem"/> <element value="item"/> <variable value="past"/> <condition value="past.linkId = 'past-tobacco-smoking'"/> </source> <rule> <name value="evaluatePastNo"/> <source> <context value="past"/> <element value="answer"/> <variable value="answer"/> </source> <rule> <name value="mapPastNoToNeverSmoker"/> <source> <context value="answer"/> <element value="valueCoding"/> <variable value="coding"/> <condition value="(coding.system = 'https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/athis-answers') and (coding.code = 'yn-no')"/> </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="266919005"/> </parameter> <parameter> <valueString value="Never smoked tobacco"/> </parameter> </target> </rule> </rule> </rule> </group> </StructureMap>

Generated Narrative: StructureMap SmokingStatusQuestionnaireResponseToObservation

map "https://fhir.hl7.at/prenudge/appdata/r4/StructureMap/SmokingStatusQuestionnaireResponseToObservation" = "SmokingStatusQuestionnaireResponseToObservation"

// ATHIS-based Smoking Status Q to O

uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source
uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Obs as target

group SmokingStatusQuestionnaireResponseToObservation(source src : QR, target tgt : Obs) {
  // Administrative metadata. Implementations may replace or enrich the identifier
  // if the Observation needs a separate stable business identifier.
  src -> tgt.status = 'final' "setFinalStatus";
  src.identifier as identifier -> tgt.identifier = identifier "copyIdentifier";
  src.subject as subject -> tgt.subject = subject "copySubject";
  src.authored as authored ->  tgt.effective = authored,  tgt.issued = authored "copyAuthoredToObservationTimes";
  // IPS/APS-style tobacco smoking status coding.
  src -> tgt.code = cc('http://loinc.org', '72166-2', 'Tobacco smoking status') "setTobaccoSmokingStatusCode";
  // User-entered QuestionnaireResponse data is considered manual input.
  src -> tgt.method = cc('http://snomed.info/sct', '87982008', 'Manual') "setManualMethod";
  // Keep the derivation from QuestionnaireResponse to Observation traceable.
  src.id as id -> tgt.derivedFrom = create('Reference') as reference then {
    id -> reference.reference = append('QuestionnaireResponse/', id) "setDerivedFromReference";
  } "setDerivedFrom";
  // ATHIS answer mapping to the clinical SNOMED CT valueCodeableConcept.
  src.item as groupItem where groupItem.linkId = 'smoking-status-athis' then SmokingStatusGroupToObservation(groupItem, tgt) "mapSmokingStatusGroup";
}

group SmokingStatusGroupToObservation(source groupItem : QR, target tgt : Obs) {
  // SK1 = Ja, täglich -> current every day smoker.
  groupItem.item as sk1 where sk1.linkId = 'sk1' then {
    sk1.answer as answer then {
      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";
    } "evaluateSk1Daily";
  } "sk1Daily";
  // SK1 = Ja, gelegentlich -> current occasional smoker.
  groupItem.item as sk1 where sk1.linkId = 'sk1' then {
    sk1.answer as answer then {
      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";
    } "evaluateSk1Occasional";
  } "sk1Occasional";
  // SK1 = Nein and past tobacco smoking = Ja, täglich or Ja, gelegentlich -> former smoker.
  // The past-tobacco-smoking item is enabled only when SK1 is negative.
  groupItem.item as past where past.linkId = 'past-tobacco-smoking' then {
    past.answer as answer then {
      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";
      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";
    } "evaluatePastSmoking";
  } "pastSmokingFormer";
  // SK1 = Nein and past tobacco smoking = Nein -> never smoker.
  groupItem.item as past where past.linkId = 'past-tobacco-smoking' then {
    past.answer as answer then {
      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";
    } "evaluatePastNo";
  } "pastSmokingNever";
}