{
"description": "A StructureMap instance that represents the resource that transforms a specific question and answer from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9) into a corresponding Observation (SDOHCC Observation response Hunger Vital Sign Q3 Example) and derived Condition (SDOHCC Condition Food Insecurity Example)",
"_filename": "StructureMap-SDOHCC-StructureMapHungerVitalSign.json",
"package_name": "hl7.fhir.us.sdoh-clinicalcare",
"date": "2025-12-13T17:11:59+00:00",
"group": [ {
"name": "sdohMapping",
"rule": [ {
"name": "bundleId",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "bundle",
"element": "id",
"parameter": [ {
"valueString": "SDOHCC-BundleHungerVitalSignExample"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "bundleType",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "bundle",
"element": "type",
"parameter": [ {
"valueString": "transaction"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "item",
"source": [ {
"context": "src",
"element": "item",
"variable": "answerItem3",
"condition": "linkId = '/88124-3'"
} ],
"target": [ {
"context": "bundle",
"element": "entry",
"variable": "entry",
"contextType": "variable"
}, {
"context": "entry",
"element": "resource",
"variable": "observation3",
"parameter": [ {
"valueString": "Observation"
} ],
"transform": "create",
"contextType": "variable"
} ],
"dependent": [ {
"name": "TransformObservation",
"variable": [ "src", "answerItem3", "observation3", "entry" ]
} ]
}, {
"name": "item",
"source": [ {
"context": "src",
"element": "item",
"variable": "answerItem4",
"condition": "(linkId = '/88124-3') and (answer.value.code = 'LA19952-3')"
} ],
"target": [ {
"context": "bundle",
"element": "entry",
"variable": "entry",
"contextType": "variable"
}, {
"context": "entry",
"element": "resource",
"variable": "condition",
"parameter": [ {
"valueString": "Condition"
} ],
"transform": "create",
"contextType": "variable"
} ],
"dependent": [ {
"name": "TransformCondition",
"variable": [ "src", "bundle", "condition", "entry" ]
} ]
} ],
"input": [ {
"mode": "source",
"name": "src",
"type": "questionnaireResponse"
}, {
"mode": "target",
"name": "bundle",
"type": "Bundle"
} ],
"typeMode": "none"
}, {
"name": "TransformObservation",
"rule": [ {
"name": "obsnEntryRequest",
"rule": [ {
"name": "obsnRequestMethod",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "request",
"element": "method",
"parameter": [ {
"valueString": "POST"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "obsnRequestUrl",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "request",
"element": "url",
"parameter": [ {
"valueString": "Observation"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "entry",
"element": "request",
"variable": "request",
"contextType": "variable"
} ]
}, {
"name": "obsn3Id",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "id",
"parameter": [ {
"valueString": "SDOHCC-ObservationResponseHungerVitalSignQuestion3Example"
} ],
"transform": "copy",
"contextType": "variable"
} ],
"dependent": [ {
"name": "SetObservationFullUrl",
"variable": [ "observation", "entry" ]
} ]
}, {
"name": "obsnMeta",
"rule": [ {
"name": "obsnMetaProfile",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newMeta",
"element": "profile",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "meta",
"variable": "newMeta",
"parameter": [ {
"valueString": "Meta"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "obsnStatus",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "status",
"parameter": [ {
"valueString": "final"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "obsnCatSocialHist",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "category",
"parameter": [ {
"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}, {
"valueString": "social-history"
}, {
"valueString": "Social History"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "obsnCatSurvey",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "category",
"parameter": [ {
"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}, {
"valueString": "survey"
}, {
"valueString": "Survey"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "obsnCatFoodInsecurity",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "category",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
}, {
"valueString": "food-insecurity"
}, {
"valueString": "Food Insecurity"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "obsn3Code",
"source": [ {
"context": "answerItem",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "code",
"variable": "code",
"parameter": [ {
"valueString": "http://loinc.org"
}, {
"valueString": "88124-3"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "subject",
"rule": [ {
"name": "reference",
"source": [ {
"context": "qSubject",
"element": "reference",
"variable": "src"
} ],
"target": [ {
"context": "newReference",
"element": "reference",
"parameter": [ {
"valueId": "qReference"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "display",
"source": [ {
"context": "qSubject",
"element": "display",
"variable": "src"
} ],
"target": [ {
"context": "newReference",
"element": "display",
"parameter": [ {
"valueId": "qDisplay"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"element": "subject",
"variable": "qSubject"
} ],
"target": [ {
"context": "observation",
"element": "subject",
"variable": "newReference",
"parameter": [ {
"valueString": "Reference"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "authored",
"source": [ {
"context": "src",
"element": "authored",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "effective",
"parameter": [ {
"valueId": "authored"
} ],
"transform": "copy",
"contextType": "variable"
}, {
"context": "observation",
"element": "issued",
"parameter": [ {
"valueId": "authored"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "answer",
"rule": [ {
"name": "value",
"source": [ {
"context": "answer",
"element": "value",
"variable": "src"
} ],
"target": [ {
"context": "newCC",
"element": "coding",
"variable": "newCoding",
"parameter": [ {
"valueId": "coding"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "answerItem",
"element": "answer",
"variable": "answer"
} ],
"target": [ {
"context": "observation",
"element": "value",
"variable": "newCC",
"parameter": [ {
"valueString": "CodeableConcept"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "obsnDerivation",
"rule": [ {
"name": "id",
"source": [ {
"context": "src",
"element": "id",
"variable": "src"
} ],
"target": [ {
"context": "newReference",
"element": "reference",
"parameter": [ {
"valueString": "QuestionnaireResponse/"
}, {
"valueId": "id"
} ],
"transform": "append",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "observation",
"element": "derivedFrom",
"variable": "newReference",
"parameter": [ {
"valueString": "Reference"
} ],
"transform": "create",
"contextType": "variable"
} ]
} ],
"input": [ {
"mode": "source",
"name": "src",
"type": "questionnaireResponse"
}, {
"mode": "source",
"name": "answerItem"
}, {
"mode": "target",
"name": "observation",
"type": "Observation"
}, {
"mode": "target",
"name": "entry"
} ],
"typeMode": "none"
}, {
"name": "SetObservationFullUrl",
"rule": [ {
"name": "id",
"source": [ {
"context": "observation",
"element": "id",
"variable": "src"
} ],
"target": [ {
"context": "entry",
"element": "fullUrl",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/Observation/"
}, {
"valueId": "id"
} ],
"transform": "append",
"contextType": "variable"
} ]
} ],
"input": [ {
"mode": "source",
"name": "observation",
"type": "Observation"
}, {
"mode": "target",
"name": "entry"
} ],
"typeMode": "none"
}, {
"name": "TransformCondition",
"rule": [ {
"name": "conditionId",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "id",
"parameter": [ {
"valueString": "SDOHCC-ConditionFoodInsecurityExample"
} ],
"transform": "copy",
"contextType": "variable"
} ],
"dependent": [ {
"name": "SetConditionFullUrl",
"variable": [ "condition", "entry" ]
} ]
}, {
"name": "conditionMeta",
"rule": [ {
"name": "conditionMetaProfile",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newMeta",
"element": "profile",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "meta",
"variable": "newMeta",
"parameter": [ {
"valueString": "Meta"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "conditionClinicalStatus",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "clinicalStatus",
"parameter": [ {
"valueString": "http://terminology.hl7.org/CodeSystem/condition-clinical"
}, {
"valueString": "active"
}, {
"valueString": "Active"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "conditionVeriStatus",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "verificationStatus",
"parameter": [ {
"valueString": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
}, {
"valueString": "unconfirmed"
}, {
"valueString": "Unconfirmed"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "conditionCatHealthConcern",
"rule": [ {
"name": "conditionCatCodingHealthConcern",
"rule": [ {
"name": "conditionCatCodingSystemHealthConcern",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "system",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCatCodingCodeHealthConcern",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "code",
"parameter": [ {
"valueString": "health-concern"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCatCodingDisplayHealthConcern",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "display",
"parameter": [ {
"valueString": "Health Concern"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCC",
"element": "coding",
"variable": "newCoding",
"parameter": [ {
"valueString": "Coding"
} ],
"transform": "create",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "category",
"variable": "newCC",
"parameter": [ {
"valueString": "CodeableConcept"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "conditionCatFoodInsecurity",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "category",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"
}, {
"valueString": "food-insecurity"
}, {
"valueString": "Food Insecurity"
} ],
"transform": "cc",
"contextType": "variable"
} ]
}, {
"name": "conditionCode",
"rule": [ {
"name": "conditionCodeCodingFoodInsecurity",
"rule": [ {
"name": "conditionCodeCodingSystemFoodInsecurity",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "system",
"parameter": [ {
"valueString": "http://snomed.info/sct"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCodeCodingCodeFoodInsecurity",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "code",
"parameter": [ {
"valueString": "733423003"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCodeCodingDisplayFoodInsecurity",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding",
"element": "display",
"parameter": [ {
"valueString": "Food insecurity"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCodeCC",
"element": "coding",
"variable": "newCoding",
"parameter": [ {
"valueString": "Coding"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "conditionCodeCodingLackOfFood",
"rule": [ {
"name": "conditionCodeCodingSystemLackOfFood",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding2",
"element": "system",
"parameter": [ {
"valueString": "http://hl7.org/fhir/sid/icd-10-cm"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCodeCodingCodeLackOfFood",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding2",
"element": "code",
"parameter": [ {
"valueString": "Z59.4"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionCodeCodingDisplayLackOfFood",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCoding2",
"element": "display",
"parameter": [ {
"valueString": "Lack of adequate food"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "newCodeCC",
"element": "coding",
"variable": "newCoding2",
"parameter": [ {
"valueString": "Coding"
} ],
"transform": "create",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "code",
"variable": "newCodeCC",
"parameter": [ {
"valueString": "CodeableConcept"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "authored",
"source": [ {
"context": "src",
"element": "authored",
"variable": "src"
} ],
"target": [ {
"context": "condition",
"element": "onset",
"variable": "period",
"parameter": [ {
"valueString": "Period"
} ],
"transform": "create",
"contextType": "variable"
}, {
"context": "period",
"element": "start",
"parameter": [ {
"valueId": "authored"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "entry",
"rule": [ {
"name": "resource",
"source": [ {
"context": "entries",
"element": "resource",
"variable": "obs3",
"condition": "code.coding.code = '88124-3'"
} ],
"target": [ {
"context": "detailReference",
"element": "reference",
"parameter": [ {
"valueId": "obs3"
} ],
"transform": "reference",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "bundle",
"element": "entry",
"variable": "entries"
} ],
"target": [ {
"context": "condition",
"element": "evidence",
"variable": "evidence",
"contextType": "variable"
}, {
"context": "evidence",
"element": "detail",
"variable": "detailReference",
"parameter": [ {
"valueString": "Reference"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "subject",
"rule": [ {
"name": "reference",
"source": [ {
"context": "qSubject",
"element": "reference",
"variable": "qReference"
} ],
"target": [ {
"context": "newReference",
"element": "reference",
"parameter": [ {
"valueId": "qReference"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "display",
"source": [ {
"context": "qSubject",
"element": "display",
"variable": "qDisplay"
} ],
"target": [ {
"context": "newReference",
"element": "display",
"parameter": [ {
"valueId": "qDisplay"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"element": "subject",
"variable": "qSubject"
} ],
"target": [ {
"context": "condition",
"element": "subject",
"variable": "newReference",
"parameter": [ {
"valueString": "Reference"
} ],
"transform": "create",
"contextType": "variable"
} ]
}, {
"name": "conditionEntryRequest",
"rule": [ {
"name": "conditionRequestMethod",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "request",
"element": "method",
"parameter": [ {
"valueString": "POST"
} ],
"transform": "copy",
"contextType": "variable"
} ]
}, {
"name": "conditionRequestUrl",
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "request",
"element": "url",
"parameter": [ {
"valueString": "Condition"
} ],
"transform": "copy",
"contextType": "variable"
} ]
} ],
"source": [ {
"context": "src",
"variable": "src"
} ],
"target": [ {
"context": "entry",
"element": "request",
"variable": "request",
"contextType": "variable"
} ]
} ],
"input": [ {
"mode": "source",
"name": "src",
"type": "QuestionnaireResponse"
}, {
"mode": "source",
"name": "bundle",
"type": "Bundle"
}, {
"mode": "target",
"name": "condition",
"type": "Condition"
}, {
"mode": "target",
"name": "entry"
} ],
"typeMode": "none"
}, {
"name": "SetConditionFullUrl",
"rule": [ {
"name": "id",
"source": [ {
"context": "condition",
"element": "id",
"variable": "src"
} ],
"target": [ {
"context": "entry",
"element": "fullUrl",
"parameter": [ {
"valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/Condition/"
}, {
"valueId": "id"
} ],
"transform": "append",
"contextType": "variable"
} ]
} ],
"input": [ {
"mode": "source",
"name": "condition",
"type": "Condition"
}, {
"mode": "target",
"name": "entry"
} ],
"typeMode": "none"
} ],
"publisher": "HL7 International / Patient Care",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "SDOHCCHungerVitalSignMap",
"type": null,
"experimental": null,
"resourceType": "StructureMap",
"title": null,
"package_version": "3.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pc"
} ],
"structure": [ {
"url": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"mode": "source",
"alias": "questionnaireResponse"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode": "target",
"alias": "bundle"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/Observation",
"mode": "target",
"alias": "observation"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/Condition",
"mode": "target",
"alias": "sdohccCondition"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/Observation",
"mode": "target",
"alias": "sdohccObservation"
} ],
"status": "draft",
"id": "ecc5307a-64c5-460d-addc-c54126786b85",
"kind": null,
"url": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign",
"version": "3.0.0-ballot",
"contact": [ {
"name": "HL7 International / Patient Care",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/patientcare",
"system": "url"
}, {
"value": "patientcare@lists.hl7.org",
"system": "email"
} ]
} ]
}