{ "resourceType" : "StructureMap", "id" : "Q2FSL", "text" : { "status" : "generated", "div" : "

Narratif généré : StructureMap Q2FSL

\r\nmap "https://interop.aphp.fr/ig/fhir/dm/StructureMap/Q2FSL" = "Q2FSL"\r\n\r\n// Transforms QuestionnaireResponse based on Questionnaire Usage Variables socles into FHIR resources conforming to DM profiles\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QuestionnaireResponse as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\n\r\n// Main entry point: Transform QuestionnaireResponse to Bundle\r\ngroup QuestionnaireResponseToBundle(source src : QuestionnaireResponse, target bundle : Bundle) {\r\n  // Initialize Bundle\r\n  src -> bundle.id = uuid() "bundleid";\r\n  src -> bundle.type = 'collection' "bundletype";\r\n  src -> bundle.timestamp = (now()) "setTimestamp";\r\n  // Create Patient resource\r\n  src -> bundle.entry as patientEntry then {\r\n    src -> patientEntry.resource = create('Patient') as patient then {\r\n      src then CreatePatient(src, patient) "createpatient";\r\n      src ->  patient.id as patientId,  patientEntry.fullUrl = append('urn:uuid:', patientId) "setfullUrl";\r\n      // Create Locations from geocoding data\r\n      // src then CreateLocations(src, patient, bundle) "create-locations";\r\n      // Create Encounters from PMSI data\r\n      src then CreateEncounters(src, patient, bundle) "createencounters";\r\n      // Create Laboratory Observations\r\n      src then CreateLaboratoryObservations(src, patient, bundle) "createlabobservations";\r\n      // Create Medication Requests\r\n      src then CreateMedicationRequests(src, patient, bundle) "createmedicationrequests";\r\n      // Create Medication Administrations\r\n      src then CreateMedicationAdministrations(src, patient, bundle) "createmedicationadministrations";\r\n      // Create Vital Sign Observations\r\n      src then CreateVitalSignObservations(src, patient, bundle) "createvitalsigns";\r\n    } "createpatientresource";\r\n  } "patiententry";\r\n}\r\n\r\n// Group: Create Patient from QuestionnaireResponse\r\ngroup CreatePatient(source src : QuestionnaireResponse, target patient : Patient) {\r\n  src -> patient.id = uuid() "patientid";\r\n  src -> patient.meta = create('Meta') as meta then {\r\n    src -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient' "patientprofile";\r\n  } "patientmeta";\r\n  // Extract patient identity data from linkId 4647259356106 > 2958000860428\r\n  src.item as socioDemo where (linkId = '4647259356106') then {\r\n    socioDemo.item as identity where (linkId = '2958000860428') then {\r\n      // Patient name (linkId 8605698058770 = family, 6214879623503 = given)\r\n      identity -> patient.name = create('HumanName') as name then {\r\n        identity.item as familyItem where (linkId = '8605698058770') then {\r\n          familyItem.answer as ans -> name.family = (ans.valueString) "setfamily";\r\n        } "extractfamily";\r\n        identity.item as givenItem where (linkId = '6214879623503') then {\r\n          givenItem.answer as ans -> name.given = (ans.valueString) "setgiven";\r\n        } "extractgiven";\r\n      } "setname";\r\n      // NIR identifier (linkId 5711960356160)\r\n      identity.item as nirItem where (linkId = '5711960356160') then {\r\n        nirItem.answer as ans -> patient.identifier = create('Identifier') as nir then {\r\n          ans -> nir.system = 'urn:oid:1.2.250.1.213.1.4.8' "nirsystem";\r\n          ans -> nir.value = (ans.valueString) "nirvalue";\r\n          ans -> nir.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'NIR') "nirtype";\r\n        } "setnir";\r\n      } "extractnir";\r\n      // INS identifier (linkId 3764723550987)\r\n      identity.item as insItem where (linkId = '3764723550987') then {\r\n        insItem.answer as ans -> patient.identifier = create('Identifier') as ins then {\r\n          ans -> ins.system = 'urn:oid:1.2.250.1.213.1.4.10' "inssystem";\r\n          ans -> ins.value = (ans.valueString) "insvalue";\r\n          ans -> ins.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'INS-C') "instype";\r\n        } "setins";\r\n      } "extractins";\r\n      // Birth date (linkId 5036133558154)\r\n      identity.item as birthItem where (linkId = '5036133558154') then {\r\n        birthItem.answer as ans -> patient.birthDate = (ans.valueDate) "setbirthdate";\r\n      } "extractbirthdate";\r\n      // Death date (linkId 5633552097315)\r\n      identity.item as deathItem where (linkId = '5633552097315') then {\r\n        deathItem.answer as ans -> patient.deceased = (ans.valueDate) "setdeceaseddate";\r\n        // Death source (linkId 9098810065693)\r\n        deathItem.item as deathSource where (linkId = '9098810065693') then {\r\n          deathSource.answer as sourceAns -> patient.extension = create('Extension') as ext then {\r\n            sourceAns -> ext.url = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/death-source' "deathsourceurl";\r\n            sourceAns -> ext.value = (sourceAns.valueCoding) "deathsourcevalue";\r\n          } "setdeathsourceext";\r\n        } "extractdeathsource";\r\n      } "extractdeath";\r\n      // Multiple birth rank (linkId 6931296968515)\r\n      identity.item as multipleItem where (linkId = '6931296968515') then {\r\n        multipleItem.answer as ans then {\r\n          ans.valueInteger as valueInteger -> patient.multipleBirth = valueInteger "setmultiplebirth";\r\n        } "navigatevalue";\r\n      } "extractmultiplebirth";\r\n    } "processidentity";\r\n    // Gender from PMSI data (linkId 3894630481120 within 2825244231605)\r\n    src.item as pmsiGroup where (linkId = '2825244231605') then {\r\n      pmsiGroup.item as sexItem where (linkId = '3894630481120') then {\r\n        sexItem.answer as ans then {\r\n          ans.valueCoding as valueCoding -> patient.gender = translate(valueCoding, 'https://interop.aphp.fr/ig/fhir/dm/ConceptMap/dpi-gender-2-hl7-gender', 'code') "setgender";\r\n        } "valueCoding";\r\n      } "extractgender";\r\n      // Address from code géographique (linkId 2446369196222)\r\n      pmsiGroup.item as codeGeoItem where (linkId = '2446369196222') then {\r\n        codeGeoItem.answer as ans -> patient.address = create('Address') as addr then {\r\n          ans -> addr.extension = create('Extension') as ext then {\r\n            ans -> ext.url = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/pmsi-code-geo' "codegeourl";\r\n            ans -> ext.value = (ans.valueCoding) "codegeovalue";\r\n          } "setcodegeoext";\r\n        } "setaddress";\r\n      } "extractcodegeo";\r\n    } "extractpmsidemographics";\r\n  } "processsociodemographics";\r\n}\r\n\r\n// Group: Create Locations from geocoding and IRIS data\r\ngroup CreateLocations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // Extract geocoding data from linkId 4647259356106 > 5491974639955 > 3816475533472\r\n  src.item as socioDemo where (linkId = '4647259356106') then {\r\n    socioDemo.item as environment where (linkId = '5491974639955') then {\r\n      // Geocoding locations (repeating group 3816475533472)\r\n      environment.item as geocodingItem where (linkId = '3816475533472') -> bundle.entry as locationEntry then {\r\n        geocodingItem -> locationEntry.resource = create('Location') as location then {\r\n          geocodingItem -> location.id = uuid() "locationid";\r\n          geocodingItem -> location.meta = create('Meta') as meta then {\r\n            geocodingItem -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMLocation' "locationprofile";\r\n          } "locationmeta";\r\n          // Position with latitude and longitude\r\n          geocodingItem -> location.position = create('LocationPosition') as pos then {\r\n            // Latitude (linkId 3709843054556)\r\n            geocodingItem.item as latItem where (linkId = '3709843054556') then {\r\n              latItem.answer as ans -> pos.latitude = (ans.valueDecimal) "setlatitude";\r\n            } "extractlatitude";\r\n            // Longitude (linkId 7651448032665)\r\n            geocodingItem.item as longItem where (linkId = '7651448032665') then {\r\n              longItem.answer as ans -> pos.longitude = (ans.valueDecimal) "setlongitude";\r\n            } "extractlongitude";\r\n          } "setposition";\r\n          // Extension for collection date (linkId 1185653257776)\r\n          // geocodingItem.item as dateItem where (linkId = '1185653257776') then {             dateItem.answer as ans -> location.extension = create('Extension') as ext then {               ans -> ext.url = 'http://hl7.org/fhir/StructureDefinition/data-collection-date' "date-url";               ans -> ext.value = (ans.valueDate) "date-value";             } "set-collection-date";           } "extract-collection-date";\r\n          location -> locationEntry.request as request then {\r\n            location -> request.method = 'POST' "setmethod";\r\n            location -> request.url = 'Location' "seturl";\r\n          } "setrequest";\r\n          location.id as locId -> locationEntry.fullUrl = append('urn:uuid:', locId) "setfullUrl";\r\n        } "createlocation";\r\n      } "geocodinglocationentry";\r\n      // IRIS locations (repeating item 7621032273792)\r\n      environment.item as irisItem where (linkId = '7621032273792') then {\r\n        irisItem.answer as irisAnswer -> bundle.entry as locationEntry then {\r\n          irisAnswer -> locationEntry.resource = create('Location') as location then {\r\n            irisAnswer -> location.id = uuid() "locationid";\r\n            irisAnswer -> location.meta = create('Meta') as meta then {\r\n              irisAnswer -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMLocation' "locationprofile";\r\n            } "locationmeta";\r\n            // IRIS code as identifier\r\n            irisAnswer -> location.identifier = create('Identifier') as identifier then {\r\n              irisAnswer -> identifier.system = 'urn:oid:2.16.840.1.113883.2.8.1.5.5' "irissystem";\r\n              irisAnswer -> identifier.value = (irisAnswer.valueCoding.code) "irisvalue";\r\n            } "setirisidentifier";\r\n            // Collection date from nested item (linkId 4999580038872)\r\n            // irisAnswer.item as dateItem where (linkId = '4999580038872') then {               dateItem.answer as ans -> location.extension = create('Extension') as ext then {                 ans -> ext.url = 'http://hl7.org/fhir/StructureDefinition/data-collection-date' "date-url";                 ans -> ext.value = (ans.valueDate) "date-value";               } "set-collection-date";             } "extract-iris-date";\r\n            location -> locationEntry.request as request then {\r\n              location -> request.method = 'POST' "setmethod";\r\n              location -> request.url = 'Location' "seturl";\r\n            } "setrequest";\r\n            location.id as locId -> locationEntry.fullUrl = append('urn:uuid:', locId) "setfullUrl";\r\n          } "createirislocation";\r\n        } "irislocationentry";\r\n      } "processiris";\r\n    } "processenvironment";\r\n  } "processsociodemographicslocation";\r\n}\r\n\r\n// Group: Create Encounters from PMSI data\r\ngroup CreateEncounters(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // PMSI data group (linkId 2825244231605) - Note: This can repeat in the structure\r\n  src.item as pmsiItem where (linkId = '2825244231605') -> bundle.entry as encounterEntry then {\r\n    pmsiItem -> encounterEntry.resource = create('Encounter') as encounter then {\r\n      pmsiItem -> encounter.id = uuid() "encounterid";\r\n      pmsiItem -> encounter.meta = create('Meta') as meta then {\r\n        pmsiItem -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMEncounter' "encounterprofile";\r\n      } "encountermeta";\r\n      // Link to patient\r\n      src ->  encounter.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n      // Encounter period (start: 5991443718282, end: 6114780320846)\r\n      pmsiItem -> encounter.period = create('Period') as period then {\r\n        pmsiItem.item as startItem where (linkId = '5991443718282') then {\r\n          startItem.answer as ans -> period.start = (ans.valueDate) "setstart";\r\n        } "extractstart";\r\n        pmsiItem.item as endItem where (linkId = '6114780320846') then {\r\n          endItem.answer as ans -> period.end = (ans.valueDate) "setend";\r\n        } "extractend";\r\n      } "setperiod";\r\n      // Mode d'entrée (linkId 6172398101212)\r\n      pmsiItem.item as modeInItem where (linkId = '6172398101212') "extractmodein";\r\n      // Mode de sortie (linkId 3354867075704)\r\n      pmsiItem.item as modeOutItem where (linkId = '3354867075704') "extractmodeout";\r\n      src ->  encounter.id as encId,  encounterEntry.fullUrl = append('urn:uuid:', encId) "setfullUrl";\r\n      // Create nested Conditions and Procedures\r\n      pmsiItem then CreateConditions(pmsiItem, patient, encounter, bundle) "createconditions";\r\n      pmsiItem then CreateProcedures(pmsiItem, patient, encounter, bundle) "createprocedures";\r\n    } "createencounter";\r\n  } "encounterentry";\r\n}\r\n\r\n// Group: Create Conditions from nested diagnostics\r\ngroup CreateConditions(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {\r\n  // Diagnostics group (linkId 9391816419630) - can repeat\r\n  pmsiItem.item as diagGroup where (linkId = '9391816419630') -> bundle.entry as conditionEntry then {\r\n    diagGroup -> conditionEntry.resource = create('Condition') as condition then {\r\n      diagGroup -> condition.id = uuid() "conditionid";\r\n      diagGroup -> condition.meta = create('Meta') as meta then {\r\n        diagGroup -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMCondition' "conditionprofile";\r\n      } "conditionmeta";\r\n      // Link to patient\r\n      diagGroup ->  condition.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n      // Link to encounter\r\n      diagGroup ->  encounter.id as encId,  condition.encounter = create('Reference') as ref,  ref.reference = append('Encounter/', encId) "setencounter";\r\n      // Diagnostic code (linkId 5505101189372) - CIM-10\r\n      diagGroup.item as diagCodeItem where (linkId = '5505101189372') then {\r\n        diagCodeItem.answer as ans -> condition.code = create('CodeableConcept') as code then {\r\n          ans -> code.coding = (ans.valueCoding) "setcoding";\r\n        } "setcode";\r\n      } "extractdiagcode";\r\n      // Type de diagnostic (linkId 6427586743735) - DP/DAS/DR\r\n      diagGroup.item as diagTypeItem where (linkId = '6427586743735') then {\r\n        diagTypeItem.answer as ans -> condition.category = create('CodeableConcept') as category then {\r\n          ans -> category.coding = create('Coding') as coding then {\r\n            ans -> coding.system = 'https://interop.aphp.fr/ig/fhir/dm/CodeSystem/pmsi-mco-diag-type' "diagtypesystem";\r\n            ans -> coding.code = (ans.valueCoding.code) "diagtypecode";\r\n            ans -> coding.display = (ans.valueCoding.display) "diagtypedisplay";\r\n          } "setcategorycoding";\r\n        } "setcategory";\r\n      } "extractdiagtype";\r\n      // Recorded date (linkId 7114466839467)\r\n      diagGroup.item as dateItem where (linkId = '7114466839467') then {\r\n        dateItem.answer as ans -> condition.recordedDate = (ans.valueDate) "setrecordeddate";\r\n      } "extractrecordeddate";\r\n    } "createcondition";\r\n  } "conditionentry";\r\n}\r\n\r\n// Group: Create Procedures from nested actes\r\ngroup CreateProcedures(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {\r\n  // Actes group (linkId 591926901726) - can repeat\r\n  pmsiItem.item as acteGroup where (linkId = '591926901726') -> bundle.entry as procedureEntry then {\r\n    acteGroup -> procedureEntry.resource = create('Procedure') as procedure then {\r\n      acteGroup -> procedure.id = uuid() "procedureid";\r\n      acteGroup -> procedure.meta = create('Meta') as meta then {\r\n        acteGroup -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMProcedure' "procedureprofile";\r\n      } "proceduremeta";\r\n      // Link to patient\r\n      acteGroup ->  procedure.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n      // Link to encounter\r\n      acteGroup ->  encounter.id as encId,  procedure.encounter = create('Reference') as ref,  ref.reference = append('Encounter/', encId) "setencounter";\r\n      // Acte code (linkId 7758110033600) - CCAM\r\n      acteGroup.item as acteCodeItem where (linkId = '7758110033600') then {\r\n        acteCodeItem.answer as ans -> procedure.code = create('CodeableConcept') as code then {\r\n          ans -> code.coding = (ans.valueCoding) "setcoding";\r\n        } "setcode";\r\n      } "extractactecode";\r\n      // Date de l'acte (linkId 5066866286682)\r\n      acteGroup.item as dateItem where (linkId = '5066866286682') then {\r\n        dateItem.answer as ans -> procedure.performed = (ans.valueDateTime) "setperformed";\r\n      } "extractperformeddate";\r\n    } "createprocedure";\r\n  } "procedureentry";\r\n}\r\n\r\n// Group: Create Medication Requests\r\ngroup CreateMedicationRequests(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // Exposition médicamenteuse (linkId 817801935685)\r\n  src.item as medExpoGroup where (linkId = '817801935685') then {\r\n    // Médicament prescrit (linkId 156631794800) - repeating\r\n    medExpoGroup.item as prescribedGroup where (linkId = '156631794800') -> bundle.entry as medReqEntry then {\r\n      prescribedGroup -> medReqEntry.resource = create('MedicationRequest') as medReq then {\r\n        prescribedGroup -> medReq.id = uuid() "medreqid";\r\n        prescribedGroup -> medReq.meta = create('Meta') as meta then {\r\n          prescribedGroup -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMMedicationRequest' "medreqprofile";\r\n        } "medreqmeta";\r\n        // Link to patient\r\n        prescribedGroup ->  medReq.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n        // Status and intent\r\n        prescribedGroup -> medReq.status = 'active' "setstatus";\r\n        prescribedGroup -> medReq.intent = 'order' "setintent";\r\n        // Create Medication resource and reference\r\n        prescribedGroup -> bundle.entry as medEntry then {\r\n          prescribedGroup -> medEntry.resource = create('Medication') as medication then {\r\n            prescribedGroup -> medication.id = uuid() "medid";\r\n            // ATC code from nested items\r\n            prescribedGroup.item as atcItem where (linkId.contains('ATC')) then {\r\n              atcItem.answer as ans -> medication.code = create('CodeableConcept') as code then {\r\n                ans -> code.coding = (ans.valueCoding) "setatccoding";\r\n              } "setmedcode";\r\n            } "extractatc";\r\n            prescribedGroup ->  medication.id as medId,  medEntry.fullUrl = append('urn:uuid:', medId) "setfullUrl";\r\n            // Link MedicationRequest to Medication\r\n            prescribedGroup ->  medication.id as medId,  medReq.medication = create('Reference') as ref,  ref.reference = append('Medication/', medId) "setmedicationreference";\r\n          } "createmedication";\r\n        } "medicationentry";\r\n        // Dosage instructions\r\n        prescribedGroup -> medReq.dosageInstruction = create('Dosage') as dosage then {\r\n          // Route\r\n          prescribedGroup.item as routeItem where (linkId.contains('voie')) then {\r\n            routeItem.answer as ans -> dosage.route = create('CodeableConcept') as route then {\r\n              ans -> route.coding = (ans.valueCoding) "setroutecoding";\r\n            } "setroute";\r\n          } "extractroute";\r\n          // Timing\r\n          prescribedGroup.item as timingItem where (linkId.contains('timing') or linkId.contains('fréquence')) then {\r\n            timingItem.answer as ans -> dosage.timing = create('Timing') as timing then {\r\n              ans -> timing.repeat = create('TimingRepeat') as repeat "settiming";\r\n            } "settimingstructure";\r\n          } "extracttiming";\r\n        } "setdosage";\r\n      } "createmedreq";\r\n    } "medreqentry";\r\n  } "processmedexpo";\r\n}\r\n\r\n// Group: Create Medication Administrations\r\ngroup CreateMedicationAdministrations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // Exposition médicamenteuse (linkId 817801935685)\r\n  src.item as medExpoGroup where (linkId = '817801935685') then {\r\n    // Médicament administré (linkId 266852453304) - repeating\r\n    medExpoGroup.item as adminGroup where (linkId = '266852453304') -> bundle.entry as medAdminEntry then {\r\n      adminGroup -> medAdminEntry.resource = create('MedicationAdministration') as medAdmin then {\r\n        adminGroup -> medAdmin.id = uuid() "medadminid";\r\n        adminGroup -> medAdmin.meta = create('Meta') as meta then {\r\n          adminGroup -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMMedicationAdministration' "medadminprofile";\r\n        } "medadminmeta";\r\n        // Link to patient\r\n        adminGroup ->  medAdmin.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n        // Status\r\n        adminGroup -> medAdmin.status = 'completed' "setstatus";\r\n        // Create Medication resource and reference\r\n        adminGroup -> bundle.entry as medEntry then {\r\n          adminGroup -> medEntry.resource = create('Medication') as medication then {\r\n            adminGroup -> medication.id = uuid() "medid";\r\n            // ATC code from nested items\r\n            adminGroup.item as atcItem where (linkId.contains('ATC')) then {\r\n              atcItem.answer as ans -> medication.code = create('CodeableConcept') as code then {\r\n                ans -> code.coding = (ans.valueCoding) "setatccoding";\r\n              } "setmedcode";\r\n            } "extractatc";\r\n            adminGroup ->  medication.id as medId,  medEntry.fullUrl = append('Medication/', medId) "setfullUrl";\r\n            // Link MedicationAdministration to Medication\r\n            adminGroup ->  medication.id as medId,  medAdmin.medication = create('Reference') as ref,  ref.reference = append('urn:uuid:', medId) "setmedicationreference";\r\n          } "createmedication";\r\n        } "medicationentry";\r\n        // Effective period\r\n        adminGroup -> medAdmin.effective = create('Period') as period then {\r\n          adminGroup.item as startItem where (linkId.contains('début')) then {\r\n            startItem.answer as ans -> period.start = (ans.valueDateTime) "setstart";\r\n          } "extractstart";\r\n          adminGroup.item as endItem where (linkId.contains('fin')) then {\r\n            endItem.answer as ans -> period.end = (ans.valueDateTime) "setend";\r\n          } "extractend";\r\n        } "seteffective";\r\n        // Dosage\r\n        adminGroup -> medAdmin.dosage = create('Dosage') as dosage then {\r\n          // Route\r\n          adminGroup.item as routeItem where (linkId.contains('voie')) then {\r\n            routeItem.answer as ans -> dosage.route = create('CodeableConcept') as route then {\r\n              ans -> route.coding = (ans.valueCoding) "setroutecoding";\r\n            } "setroute";\r\n          } "extractroute";\r\n          // Dose\r\n          adminGroup.item as doseItem where (linkId.contains('dose')) then {\r\n            doseItem.answer as ans -> dosage.dose = (ans.valueQuantity) "setdose";\r\n          } "extractdose";\r\n        } "setdosage";\r\n      } "createmedadmin";\r\n    } "medadminentry";\r\n  } "processmedexpoadmin";\r\n}\r\n\r\n// Group: Create Vital Sign Observations\r\ngroup CreateVitalSignObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // Examen clinique (linkId 214880328197)\r\n  src.item as examGroup where (linkId = '214880328197') then {\r\n    // Dossier de soins (linkId 305831246173) - repeating\r\n    examGroup.item as dossierGroup where (linkId = '305831246173') then {\r\n      // Height (linkId 4846902346416)\r\n      dossierGroup.item as heightItem where (linkId = '4846902346416') then {\r\n        heightItem.answer as ans -> bundle.entry as obsEntry then {\r\n          ans -> obsEntry.resource = create('Observation') as obs then {\r\n            ans -> obs.id = uuid() "obsid";\r\n            ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";\r\n            ans -> obs.meta = create('Meta') as meta then {\r\n              ans -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMObservationBodyHeight' "obsprofile";\r\n            } "obsmeta";\r\n            ans -> obs.status = 'final' "obsstatus";\r\n            ans -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";\r\n            ans -> obs.code = cc('http://loinc.org', '8302-2', 'Body height') "obscode";\r\n            // Link to patient\r\n            ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n            // Value\r\n            ans -> obs.value = (ans.valueQuantity) "setvalue";\r\n            // Effective date from nested item\r\n            heightItem.item as dateItem where (linkId.contains('Date')) then {\r\n              dateItem.answer as dateAns -> obs.effective = (dateAns.valueDate) "seteffective";\r\n            } "extracteffective";\r\n          } "createheightobs";\r\n        } "heightobsentry";\r\n      } "extractheight";\r\n      // Weight (linkId 451513217936)\r\n      dossierGroup.item as weightItem where (linkId = '451513217936') then {\r\n        weightItem.answer as ans -> bundle.entry as obsEntry then {\r\n          ans -> obsEntry.resource = create('Observation') as obs then {\r\n            ans -> obs.id = uuid() "obsid";\r\n            ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";\r\n            ans -> obs.meta = create('Meta') as meta then {\r\n              ans -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMObservationBodyWeight' "obsprofile";\r\n            } "obsmeta";\r\n            ans -> obs.status = 'final' "obsstatus";\r\n            ans -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";\r\n            ans -> obs.code = cc('http://loinc.org', '29463-7', 'Body weight') "obscode";\r\n            // Link to patient\r\n            ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n            // Value\r\n            ans -> obs.value = (ans.valueQuantity) "setvalue";\r\n            // Effective date from nested item\r\n            weightItem.item as dateItem where (linkId.contains('Date')) then {\r\n              dateItem.answer as dateAns -> obs.effective = (dateAns.valueDate) "seteffective";\r\n            } "extracteffective";\r\n          } "createweightobs";\r\n        } "weightobsentry";\r\n      } "extractweight";\r\n      // Blood Pressure - need both systolic and diastolic\r\n      dossierGroup.item as sysItem where (linkId = '4160905247955') then {\r\n        sysItem.answer as sysAns then {\r\n          dossierGroup.item as diaItem where (linkId = '848797127998') then {\r\n            diaItem.answer as diaAns -> bundle.entry as obsEntry then {\r\n              sysAns -> obsEntry.resource = create('Observation') as obs then {\r\n                sysAns -> obs.id = uuid() "obsid";\r\n                sysAns ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";\r\n                sysAns -> obs.meta = create('Meta') as meta then {\r\n                  sysAns -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMObservationBloodPressure' "obsprofile";\r\n                } "obsmeta";\r\n                sysAns -> obs.status = 'final' "obsstatus";\r\n                sysAns -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";\r\n                sysAns -> obs.code = cc('http://loinc.org', '85354-9', 'Blood pressure panel') "obscode";\r\n                // Link to patient\r\n                sysAns ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n                // Systolic component\r\n                sysAns -> obs.component = create('Observation') as sysComp then {\r\n                  sysAns -> sysComp.code = cc('http://loinc.org', '8480-6', 'Systolic blood pressure') "syscode";\r\n                  sysAns -> sysComp.value = (sysAns.valueQuantity) "sysvalue";\r\n                } "setsystolic";\r\n                // Diastolic component\r\n                diaAns -> obs.component = create('Observation') as diaComp then {\r\n                  diaAns -> diaComp.code = cc('http://loinc.org', '8462-4', 'Diastolic blood pressure') "diacode";\r\n                  diaAns -> diaComp.value = (diaAns.valueQuantity) "diavalue";\r\n                } "setdiastolic";\r\n                // Effective date from nested item\r\n                sysItem.item as dateItem where (linkId.contains('Date')) then {\r\n                  dateItem.answer as dateAns -> obs.effective = (dateAns.valueDate) "seteffective";\r\n                } "extracteffective";\r\n              } "createbpobs";\r\n            } "bpobsentr";\r\n          } "extractdiastolic";\r\n        } "processsystolic";\r\n      } "extractbloodpressure";\r\n    } "processdossier";\r\n  } "processexam";\r\n}\r\n\r\n// Group: Create Laboratory Observations\r\ngroup CreateLaboratoryObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {\r\n  // Biologie group (linkId 7702944131447)\r\n  src.item as bioGroup where (linkId = '7702944131447') then {\r\n    // Fonction rénale (linkId 5241323453538)\r\n    bioGroup.item as renalGroup where (linkId = '5241323453538') then {\r\n      // Urée (linkId 7169026818760)\r\n      renalGroup.item as ureaItem where (linkId = '7169026818760') then {\r\n        ureaItem.answer as ans -> bundle then CreateLabObservation(ans, ureaItem, patient, bundle) "createureaobs";\r\n      } "extracturea";\r\n      // Créatininémie (linkId 500408205043)\r\n      renalGroup.item as creatItem where (linkId = '500408205043') then {\r\n        creatItem.answer as ans -> bundle then CreateLabObservation(ans, creatItem, patient, bundle) "createcreatobs";\r\n      } "extractcreat";\r\n      // DFG (linkId 786621340679)\r\n      renalGroup.item as dfgItem where (linkId = '786621340679') then {\r\n        dfgItem.answer as ans -> bundle then CreateLabObservation(ans, dfgItem, patient, bundle) "createdfgobs";\r\n      } "extractdfg";\r\n    } "processrenal";\r\n    // Hémogramme (linkId 419282985970)\r\n    bioGroup.item as hemoGroup where (linkId = '419282985970') then {\r\n      // Leucocytes (linkId 210077225604)\r\n      hemoGroup.item as leukoItem where (linkId = '210077225604') then {\r\n        leukoItem.answer as ans -> bundle then CreateLabObservation(ans, leukoItem, patient, bundle) "createleukoobs";\r\n      } "extractleuko";\r\n      // Hémoglobine (linkId 304159088493)\r\n      hemoGroup.item as hemoItem where (linkId = '304159088493') then {\r\n        hemoItem.answer as ans -> bundle then CreateLabObservation(ans, hemoItem, patient, bundle) "createhemoobs";\r\n      } "extracthemo";\r\n      // Hématocrite (linkId 5687959006070)\r\n      hemoGroup.item as hematItem where (linkId = '5687959006070') then {\r\n        hematItem.answer as ans -> bundle then CreateLabObservation(ans, hematItem, patient, bundle) "createhematobs";\r\n      } "extracthemat";\r\n      // Erythrocytes (linkId 8697447896867)\r\n      hemoGroup.item as eryItem where (linkId = '8697447896867') then {\r\n        eryItem.answer as ans -> bundle then CreateLabObservation(ans, eryItem, patient, bundle) "createeryobs";\r\n      } "extractery";\r\n      // VGM (linkId 5584978899134)\r\n      hemoGroup.item as vgmItem where (linkId = '5584978899134') then {\r\n        vgmItem.answer as ans -> bundle then CreateLabObservation(ans, vgmItem, patient, bundle) "createvgmobs";\r\n      } "extractvgm";\r\n      // Plaquettes (linkId 2881119993430)\r\n      hemoGroup.item as platItem where (linkId = '2881119993430') then {\r\n        platItem.answer as ans -> bundle then CreateLabObservation(ans, platItem, patient, bundle) "createplatobs";\r\n      } "extractplat";\r\n      // Neutrophiles (linkId 7408951746270)\r\n      hemoGroup.item as neutItem where (linkId = '7408951746270') then {\r\n        neutItem.answer as ans -> bundle then CreateLabObservation(ans, neutItem, patient, bundle) "createneutobs";\r\n      } "extractneut";\r\n      // Lymphocytes (linkId 809808816195)\r\n      hemoGroup.item as lymphItem where (linkId = '809808816195') then {\r\n        lymphItem.answer as ans -> bundle then CreateLabObservation(ans, lymphItem, patient, bundle) "createlymphobs";\r\n      } "extractlymph";\r\n      // Eosinophiles (linkId 6451887990893)\r\n      hemoGroup.item as eosiItem where (linkId = '6451887990893') then {\r\n        eosiItem.answer as ans -> bundle then CreateLabObservation(ans, eosiItem, patient, bundle) "createeosiobs";\r\n      } "extracteosi";\r\n      // Monocytes (linkId 7935935816936)\r\n      hemoGroup.item as monoItem where (linkId = '7935935816936') then {\r\n        monoItem.answer as ans -> bundle then CreateLabObservation(ans, monoItem, patient, bundle) "createmonoobs";\r\n      } "extractmono";\r\n      // TP (linkId 2055949655770)\r\n      hemoGroup.item as tpItem where (linkId = '2055949655770') then {\r\n        tpItem.answer as ans -> bundle then CreateLabObservation(ans, tpItem, patient, bundle) "createtpobs";\r\n      } "extracttp";\r\n      // TCA (linkId 2527095476817)\r\n      hemoGroup.item as tcaItem where (linkId = '2527095476817') then {\r\n        tcaItem.answer as ans -> bundle then CreateLabObservation(ans, tcaItem, patient, bundle) "createtcaobs";\r\n      } "extracttca";\r\n    } "processhemo";\r\n    // Bilan hépatique (linkId 3893612773040)\r\n    bioGroup.item as liverGroup where (linkId = '3893612773040') then {\r\n      // ASAT (linkId 3028330976100)\r\n      liverGroup.item as asatItem where (linkId = '3028330976100') then {\r\n        asatItem.answer as ans -> bundle then CreateLabObservation(ans, asatItem, patient, bundle) "createasatobs";\r\n      } "extractasat";\r\n      // ALAT (linkId 8486813893880)\r\n      liverGroup.item as alatItem where (linkId = '8486813893880') then {\r\n        alatItem.answer as ans -> bundle then CreateLabObservation(ans, alatItem, patient, bundle) "createalatobs";\r\n      } "extractalat";\r\n      // GGT (linkId 3663296044037)\r\n      liverGroup.item as ggtItem where (linkId = '3663296044037') then {\r\n        ggtItem.answer as ans -> bundle then CreateLabObservation(ans, ggtItem, patient, bundle) "createggtobs";\r\n      } "extractggt";\r\n      // PAL (linkId 2690026606933)\r\n      liverGroup.item as palItem where (linkId = '2690026606933') then {\r\n        palItem.answer as ans -> bundle then CreateLabObservation(ans, palItem, patient, bundle) "createpalobs";\r\n      } "extractpal";\r\n      // Bilirubine totale (linkId 9068831071023)\r\n      liverGroup.item as bilTotItem where (linkId = '9068831071023') then {\r\n        bilTotItem.answer as ans -> bundle then CreateLabObservation(ans, bilTotItem, patient, bundle) "createbiltotobs";\r\n      } "extractbiltot";\r\n      // Bilirubine conjuguée (linkId 8893717988787)\r\n      liverGroup.item as bilConjItem where (linkId = '8893717988787') then {\r\n        bilConjItem.answer as ans -> bundle then CreateLabObservation(ans, bilConjItem, patient, bundle) "createbilconjobs";\r\n      } "extractbilconj";\r\n    } "processliver";\r\n    // Métabolisme glucidique (linkId 8929068894076)\r\n    bioGroup.item as glucoseGroup where (linkId = '8929068894076') then {\r\n      // Glycémie à jeun (linkId 8193929027997)\r\n      glucoseGroup.item as glycItem where (linkId = '8193929027997') then {\r\n        glycItem.answer as ans -> bundle then CreateLabObservation(ans, glycItem, patient, bundle) "createglycobs";\r\n      } "extractglyc";\r\n      // HbA1c (linkId 7063892830923)\r\n      glucoseGroup.item as hba1cItem where (linkId = '7063892830923') then {\r\n        hba1cItem.answer as ans -> bundle then CreateLabObservation(ans, hba1cItem, patient, bundle) "createhba1cobs";\r\n      } "extracthba1c";\r\n    } "processglucose";\r\n  } "processbiology";\r\n}\r\n\r\n// Helper: Create a single Laboratory Observation\r\ngroup CreateLabObservation(source ans, source parentItem, target patient : Patient, target bundle : Bundle) {\r\n  ans -> bundle.entry as obsEntry then {\r\n    ans -> obsEntry.resource = create('Observation') as obs then {\r\n      ans -> obs.id = uuid() "obsid";\r\n      ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";\r\n      ans -> obs.meta = create('Meta') as meta then {\r\n        ans -> meta.profile = 'https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/dm-observation-laboratory-generic' "obsprofile";\r\n      } "obsmeta";\r\n      // Status\r\n      ans -> obs.status = 'final' "obsstatus";\r\n      // Category\r\n      ans -> obs.category = create('CodeableConcept') as cat then {\r\n        ans -> cat.coding = create('Coding') as coding then {\r\n          ans -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catsystem";\r\n          ans -> coding.code = 'laboratory' "catcode";\r\n        } "setcategorycoding";\r\n      } "setcategory";\r\n      // Link to patient\r\n      ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";\r\n      // Value as Quantity\r\n      ans -> obs.value = (ans.valueQuantity) "setvalue";\r\n      // Extract nested items - LOINC code, effective date, status, reference ranges\r\n      parentItem.item as loincItem where (linkId.contains('code loinc')) then {\r\n        loincItem.answer as loincAns -> obs.code = create('CodeableConcept') as code then {\r\n          loincAns -> code.coding = (loincAns.valueCoding) "setloinccoding";\r\n        } "setcode";\r\n      } "extractloinc";\r\n      parentItem.item as dateItem where (linkId.contains('Date et heure du prélèvement')) then {\r\n        dateItem.answer as dateAns -> obs.effective = (dateAns.valueDateTime) "seteffective";\r\n      } "extracteffective";\r\n    } "createobs";\r\n  } "obsentry";\r\n}\r\n\r\n
" }, "url" : "https://interop.aphp.fr/ig/fhir/dm/StructureMap/Q2FSL", "version" : "0.1.0", "name" : "Q2FSL", "title" : "Transforms QuestionnaireResponse based on Questionnaire Usage Variables socles into FHIR resources conforming to DM profiles", "status" : "draft", "date" : "2026-04-16T14:35:38+00:00", "publisher" : "AP-HP", "contact" : [{ "name" : "AP-HP", "telecom" : [{ "system" : "url", "value" : "https://aphp.fr" }] }], "description" : "Transforms QuestionnaireResponse based on Questionnaire Usage Variables socles into FHIR resources conforming to DM profiles", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "FR" }] }], "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "mode" : "source", "alias" : "QuestionnaireResponse" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "target", "alias" : "Bundle" }], "group" : [{ "name" : "QuestionnaireResponseToBundle", "typeMode" : "none", "documentation" : "Main entry point: Transform QuestionnaireResponse to Bundle", "input" : [{ "name" : "src", "type" : "QuestionnaireResponse", "mode" : "source" }, { "name" : "bundle", "type" : "Bundle", "mode" : "target" }], "rule" : [{ "name" : "bundleid", "source" : [{ "context" : "src" }], "target" : [{ "context" : "bundle", "contextType" : "variable", "element" : "id", "transform" : "uuid" }] }, { "name" : "bundletype", "source" : [{ "context" : "src" }], "target" : [{ "context" : "bundle", "contextType" : "variable", "element" : "type", "transform" : "copy", "parameter" : [{ "valueString" : "collection" }] }] }, { "name" : "setTimestamp", "source" : [{ "context" : "src" }], "target" : [{ "context" : "bundle", "contextType" : "variable", "element" : "timestamp", "transform" : "evaluate", "parameter" : [{ "valueString" : "now()" }] }] }, { "name" : "patiententry", "source" : [{ "context" : "src" }], "target" : [{ "context" : "bundle", "contextType" : "variable", "element" : "entry", "variable" : "patientEntry" }], "rule" : [{ "name" : "createpatientresource", "source" : [{ "context" : "src" }], "target" : [{ "context" : "patientEntry", "contextType" : "variable", "element" : "resource", "variable" : "patient", "transform" : "create", "parameter" : [{ "valueString" : "Patient" }] }], "rule" : [{ "name" : "createpatient", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreatePatient", "variable" : ["src", "patient"] }] }, { "name" : "setfullUrl", "source" : [{ "context" : "src" }], "target" : [{ "context" : "patient", "contextType" : "variable", "element" : "id", "variable" : "patientId" }, { "context" : "patientEntry", "contextType" : "variable", "element" : "fullUrl", "transform" : "append", "parameter" : [{ "valueString" : "urn:uuid:" }, { "valueId" : "patientId" }] }] }, { "name" : "createencounters", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreateEncounters", "variable" : ["src", "patient", "bundle"] }] }, { "name" : "createlabobservations", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreateLaboratoryObservations", "variable" : ["src", "patient", "bundle"] }] }, { "name" : "createmedicationrequests", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreateMedicationRequests", "variable" : ["src", "patient", "bundle"] }] }, { "name" : "createmedicationadministrations", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreateMedicationAdministrations", "variable" : ["src", "patient", "bundle"] }] }, { "name" : "createvitalsigns", "source" : [{ "context" : "src" }], "dependent" : [{ "name" : "CreateVitalSignObservations", "variable" : ["src", "patient", "bundle"] }] }] }] }] }, { "name" : "CreatePatient", "typeMode" : "none", "documentation" : "Group: Create Patient from QuestionnaireResponse", "input" : [{ "name" : "src", "type" : "QuestionnaireResponse", "mode" : "source" }, { "name" : "patient", "type" : "Patient", "mode" : "target" }], "rule" : [{ "name" : "patientid", "source" : [{ "context" : "src" }], "target" : [{ "context" : "patient", "contextType" : "variable", "element" : "id", "transform" : "uuid" }] }, { "name" : "patientmeta", "source" : [{ "context" : "src" }], "target" : [{ "context" : "patient", "contextType" : "variable", "element" : "meta", "variable" : "meta", "transform" : "create", "parameter" : [{ "valueString" : "Meta" }] }], "rule" : [{ "name" : "patientprofile", "source" : [{ "context" : "src" }], "target" : [{ "context" : "meta", "contextType" : "variable", "element" : "profile", "transform" : "copy", "parameter" : [{ "valueString" : "https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient" }] }] }] }, { "name" : "processsociodemographics", "source" : [{ "context" : "src", "element" : "item", "variable" : "socioDemo", "condition" : "(linkId = '4647259356106')" }], "rule" : [{ "name" : "processidentity", "source" : [{ "context" : "socioDemo", "element" : "item", "variable" : "identity", 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