\n <status value=\"draft\"/>\n <subjectType value=\"Patient\"/>\n <date value=\"2012-01\"/>\n <item>\n <linkId value=\"1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"COMORBIDITY\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORB\"/>\n </code>\n <prefix value=\"1\"/>\n <text>Does patient have a Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n <item>\n <linkId value=\"1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"CARDIAL\"/>\n </code>\n <type value=\"group\"/>\n <enableWhen>\n <question value=\"1.1\"/>\n <operator value=\"=\"/>\n <answerCoding>\n <system value=\"http://terminology.hl7.org/CodeSystem/v2-0136\"/>\n <code value=\"Y\"/>\n </answerCoding>\n </enableWhen>\n <item>\n <linkId value=\"1.1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORBCAR\"/>\n </code>\n <prefix value=\"1.1\"/>\n <text>Does patient have Cardial Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n <item>\n <linkId value=\"1.1.1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMCAR00\"/>\n <display value=\"Angina Pectoris\"/>\n </code>\n <code>\n <system value=\"http://snomed.info/sct\"/>\n <code value=\"194828000\"/>\n <display value=\"Angina (disorder)\"/>\n </code>\n <prefix value=\"1.1.1\"/>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n <item>\n <linkId value=\"1.1.1.1.2\"/>\n <code>\n <system value=\"http://snomed.info/sct\"/>\n <code value=\"22298006\"/>\n <display value=\"Myocardial infarction (disorder)\"/>\n </code>\n <prefix value=\"1.1.2\"/>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n </item>\n <item>\n <linkId value=\"1.1.1.2\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORBVAS\"/>\n </code>\n <prefix value=\"1.2\"/>\n <text>Does patient have Vascular Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n </item>\n </item>\n </item>\n <item>\n <linkId value=\"2\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"HISTOPATHOLOGY\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"2.1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"ABDOMINAL\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"2.1.2\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"STADPT\"/>\n <display value=\"pT category\"/>\n </code>\n <type value=\"choice\"/>\n </item>\n </item>\n </item>\n</Questionnaire>","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Example FHIR Questionnaire Response Resource","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n\n<QuestionnaireResponse xmlns=\"http://hl7.org/fhir\">\n <id value=\"3141\" />\n <text>\n <status value=\"generated\" />\n <div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre> \n Comorbidity? YES\n Cardial Comorbidity? YES\n Angina? YES\n MI? NO\n Vascular Comorbidity?\n (no answers)\n ...\n Histopathology\n Abdominal\n pT category: 1a\n ...\n </pre>\n </div>\n </text>\n <contained>\n <Patient>\n <id value=\"patsub\" />\n <identifier>\n <system value=\"http://cancer.questionnaire.org/systems/id/patientnr\" />\n <value value=\"A34442332\" />\n </identifier>\n <identifier>\n <type>\n <text value=\"Dutch BSN\" />\n </type>\n <system value=\"urn:oid:2.16.840.1.113883.2.4.6.3\" />\n <value value=\"188912345\" />\n </identifier>\n <gender value=\"male\" />\n <birthDate value=\"1972-11-30\" />\n </Patient>\n </contained>\n <contained>\n <ServiceRequest>\n <id value=\"order\" />\n <status value=\"unknown\" />\n <intent value=\"order\" />\n <subject>\n <reference value=\"#patsub\" />\n </subject>\n <requester>\n <reference value=\"Practitioner/example\" />\n </requester>\n </ServiceRequest>\n </contained>\n <contained>\n <Practitioner>\n <id value=\"questauth\" />\n <identifier>\n <type>\n <text value=\"AUMC, Den Helder\" />\n </type>\n <system value=\"http://cancer.questionnaire.org/systems/id/org\" />\n <value value=\"AUMC\" />\n </identifier>\n </Practitioner>\n </contained>\n \n <identifier>\n <system value=\"http://example.org/fhir/NamingSystem/questionnaire-ids\" />\n <value value=\"Q12349876\" />\n </identifier>\n <basedOn>\n <reference value=\"#order\" />\n </basedOn>\n <partOf>\n <reference value=\"Procedure/f201\" />\n </partOf>\n <status value=\"completed\" />\n <subject>\n <reference value=\"#patsub\" />\n </subject>\n <encounter>\n <reference value=\"Encounter/example\" />\n </encounter>\n <authored value=\"2013-02-19T14:15:00-05:00\" />\n <author>\n <reference value=\"#questauth\" />\n </author>\n <item>\n \n \n \n <linkId value=\"1\" />\n <item>\n <linkId value=\"1.1\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"1\" />\n <display value=\"Yes\" />\n </valueCoding>\n <item>\n \n \n <linkId value=\"1.1.1\" />\n <item>\n <linkId value=\"1.1.1.1\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"0\" />\n </valueCoding>\n </answer>\n </item>\n <item>\n \n <linkId value=\"1.1.1.2\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"3\" />\n </valueCoding>\n </answer>\n </item>\n <item>\n <linkId value=\"1.1.1.3\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"0\" />\n </valueCoding>\n </answer>\n </item>\n </item>\n </answer>\n </item>\n </item>\n \n \n</QuestionnaireResponse> ","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Notional Logical ANF XSTL Transformation","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<xsl:stylesheet version=\"3.0\" xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\" xpath-default-namespace=\"http://hl7.org/fhir\">\n <xsl:output indent=\"yes\" omit-xml-declaration=\"no\"/>\n <xsl:variable name=\"presentRange\">(0,INF)</xsl:variable>\n <xsl:variable name=\"absentRange\">[0,0]</xsl:variable>\n <xsl:variable name=\"indeterminateRange\">[0,INF)</xsl:variable>\n <xsl:template match=\"/\">\n <anf>\n <xsl:for-each select=\"//item\">\n <xsl:if test=\"./type/@value = 'choice'\">\n <xsl:variable name=\"questionId\" select=\"./linkId/@value\"/>\n <xsl:variable name=\"questionTopic\" select=\"./code/code/@value\"/>\n <xsl:variable name=\"questionNarrative\" select=\"./text\"/>\n <xsl:for-each select=\"document('questionnaireResponse.xml')//item\">\n <xsl:if test=\"./linkId/@value = $questionId\">\n <statement>\n <narrative>\n <xsl:value-of select=\"$questionNarrative\"/>\n </narrative>\n <topic>\n <xsl:value-of select=\"$questionTopic\"/>\n </topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>\n <xsl:choose>\n <xsl:when test=\"./answer/valueCoding/code/@value = 1\">\n <xsl:value-of select=\"$presentRange\"/>\n </xsl:when>\n <xsl:when test=\"./answer/valueCoding/code/@value = 0\">\n <xsl:value-of select=\"$absentRange\"/>\n </xsl:when>\n <xsl:when test=\"./answer/valueCoding/code/@value = 3\">\n <xsl:value-of select=\"$indeterminateRange\"/>\n </xsl:when>\n </xsl:choose>\n </result>\n </circumstance>\n </statement>\n </xsl:if>\n </xsl:for-each>\n </xsl:if>\n </xsl:for-each>\n </anf>\n </xsl:template>\n</xsl:stylesheet>","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Notional Logical ANF Output","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<anf>\n <statement>\n <narrative>Does patient have a Comorbidity?</narrative>\n <topic>COMORB</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>(0,INF)</result>\n </circumstance>\n </statement>\n <statement>\n <narrative>Does patient have Cardial Comorbidity?</narrative>\n <topic>COMORBCAR</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>[0,0]</result>\n </circumstance>\n </statement>\n <statement>\n <narrative>Does patient have Vascular Comorbidity?</narrative>\n <topic>COMORBVAS</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>[0,INF)</result>\n </circumstance>\n </statement>\n</anf>","type":"text"}]}],"version":1}</article></body></html>

{"type":"doc","content":[{"type":"heading","attrs":{"level":1},"content":[{"text":"Summary","type":"text"}]},{"type":"paragraph","content":[{"text":"Below highlights a working example of transforming both FHIR Questionnaire Resource and a corresponding Questionnaire Response Resource into a simple notional ANF logical representation. This is achieved utilizing the Saxon XSLT engine (","type":"text"},{"text":"https://www.saxonica.com/documentation/index.html#!using-xsl/commandline","type":"text","marks":[{"type":"link","attrs":{"href":"https://www.saxonica.com/documentation/index.html#!using-xsl/commandline"}}]},{"text":") against version 3.0 XSLT and version 3.1 XPath.","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Example FHIR Questionnaire Resource","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"\n\n \n \n \n

1.Comorbidity?\n              1.1 Cardial Comorbidity\n                1.1.1 Angina?\n                1.1.2 MI?\n              1.2 Vascular Comorbidity?\n              ...\n            Histopathology\n              Abdominal\n                pT category?\n              ...\n

\n \n \n \n <status value=\"draft\"/>\n <subjectType value=\"Patient\"/>\n <date value=\"2012-01\"/>\n <item>\n <linkId value=\"1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"COMORBIDITY\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORB\"/>\n </code>\n <prefix value=\"1\"/>\n <text>Does patient have a Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n <item>\n <linkId value=\"1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"CARDIAL\"/>\n </code>\n <type value=\"group\"/>\n <enableWhen>\n <question value=\"1.1\"/>\n <operator value=\"=\"/>\n <answerCoding>\n <system value=\"http://terminology.hl7.org/CodeSystem/v2-0136\"/>\n <code value=\"Y\"/>\n </answerCoding>\n </enableWhen>\n <item>\n <linkId value=\"1.1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORBCAR\"/>\n </code>\n <prefix value=\"1.1\"/>\n <text>Does patient have Cardial Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n <item>\n <linkId value=\"1.1.1.1.1\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMCAR00\"/>\n <display value=\"Angina Pectoris\"/>\n </code>\n <code>\n <system value=\"http://snomed.info/sct\"/>\n <code value=\"194828000\"/>\n <display value=\"Angina (disorder)\"/>\n </code>\n <prefix value=\"1.1.1\"/>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n <item>\n <linkId value=\"1.1.1.1.2\"/>\n <code>\n <system value=\"http://snomed.info/sct\"/>\n <code value=\"22298006\"/>\n <display value=\"Myocardial infarction (disorder)\"/>\n </code>\n <prefix value=\"1.1.2\"/>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n </item>\n <item>\n <linkId value=\"1.1.1.2\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"COMORBVAS\"/>\n </code>\n <prefix value=\"1.2\"/>\n <text>Does patient have Vascular Comorbidity?</text>\n <type value=\"choice\"/>\n <answerValueSet value=\"http://hl7.org/fhir/ValueSet/yesnodontknow\"/>\n </item>\n </item>\n </item>\n </item>\n <item>\n <linkId value=\"2\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"HISTOPATHOLOGY\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"2.1\"/>\n <code>\n <system value=\"http://example.org/system/code/sections\"/>\n <code value=\"ABDOMINAL\"/>\n </code>\n <type value=\"group\"/>\n <item>\n <linkId value=\"2.1.2\"/>\n <code>\n <system value=\"http://example.org/system/code/questions\"/>\n <code value=\"STADPT\"/>\n <display value=\"pT category\"/>\n </code>\n <type value=\"choice\"/>\n </item>\n </item>\n </item>\n</Questionnaire>","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Example FHIR Questionnaire Response Resource","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n\n<QuestionnaireResponse xmlns=\"http://hl7.org/fhir\">\n <id value=\"3141\" />\n <text>\n <status value=\"generated\" />\n <div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre> \n Comorbidity? YES\n Cardial Comorbidity? YES\n Angina? YES\n MI? NO\n Vascular Comorbidity?\n (no answers)\n ...\n Histopathology\n Abdominal\n pT category: 1a\n ...\n </pre>\n </div>\n </text>\n <contained>\n <Patient>\n <id value=\"patsub\" />\n <identifier>\n <system value=\"http://cancer.questionnaire.org/systems/id/patientnr\" />\n <value value=\"A34442332\" />\n </identifier>\n <identifier>\n <type>\n <text value=\"Dutch BSN\" />\n </type>\n <system value=\"urn:oid:2.16.840.1.113883.2.4.6.3\" />\n <value value=\"188912345\" />\n </identifier>\n <gender value=\"male\" />\n <birthDate value=\"1972-11-30\" />\n </Patient>\n </contained>\n <contained>\n <ServiceRequest>\n <id value=\"order\" />\n <status value=\"unknown\" />\n <intent value=\"order\" />\n <subject>\n <reference value=\"#patsub\" />\n </subject>\n <requester>\n <reference value=\"Practitioner/example\" />\n </requester>\n </ServiceRequest>\n </contained>\n <contained>\n <Practitioner>\n <id value=\"questauth\" />\n <identifier>\n <type>\n <text value=\"AUMC, Den Helder\" />\n </type>\n <system value=\"http://cancer.questionnaire.org/systems/id/org\" />\n <value value=\"AUMC\" />\n </identifier>\n </Practitioner>\n </contained>\n \n <identifier>\n <system value=\"http://example.org/fhir/NamingSystem/questionnaire-ids\" />\n <value value=\"Q12349876\" />\n </identifier>\n <basedOn>\n <reference value=\"#order\" />\n </basedOn>\n <partOf>\n <reference value=\"Procedure/f201\" />\n </partOf>\n <status value=\"completed\" />\n <subject>\n <reference value=\"#patsub\" />\n </subject>\n <encounter>\n <reference value=\"Encounter/example\" />\n </encounter>\n <authored value=\"2013-02-19T14:15:00-05:00\" />\n <author>\n <reference value=\"#questauth\" />\n </author>\n <item>\n \n \n \n <linkId value=\"1\" />\n <item>\n <linkId value=\"1.1\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"1\" />\n <display value=\"Yes\" />\n </valueCoding>\n <item>\n \n \n <linkId value=\"1.1.1\" />\n <item>\n <linkId value=\"1.1.1.1\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"0\" />\n </valueCoding>\n </answer>\n </item>\n <item>\n \n <linkId value=\"1.1.1.2\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"3\" />\n </valueCoding>\n </answer>\n </item>\n <item>\n <linkId value=\"1.1.1.3\" />\n <answer>\n <valueCoding>\n <system value=\"http://cancer.questionnaire.org/system/code/yesno\" />\n <code value=\"0\" />\n </valueCoding>\n </answer>\n </item>\n </item>\n </answer>\n </item>\n </item>\n \n \n</QuestionnaireResponse> ","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Notional Logical ANF XSTL Transformation","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<xsl:stylesheet version=\"3.0\" xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\" xpath-default-namespace=\"http://hl7.org/fhir\">\n <xsl:output indent=\"yes\" omit-xml-declaration=\"no\"/>\n <xsl:variable name=\"presentRange\">(0,INF)</xsl:variable>\n <xsl:variable name=\"absentRange\">[0,0]</xsl:variable>\n <xsl:variable name=\"indeterminateRange\">[0,INF)</xsl:variable>\n <xsl:template match=\"/\">\n <anf>\n <xsl:for-each select=\"//item\">\n <xsl:if test=\"./type/@value = 'choice'\">\n <xsl:variable name=\"questionId\" select=\"./linkId/@value\"/>\n <xsl:variable name=\"questionTopic\" select=\"./code/code/@value\"/>\n <xsl:variable name=\"questionNarrative\" select=\"./text\"/>\n <xsl:for-each select=\"document('questionnaireResponse.xml')//item\">\n <xsl:if test=\"./linkId/@value = $questionId\">\n <statement>\n <narrative>\n <xsl:value-of select=\"$questionNarrative\"/>\n </narrative>\n <topic>\n <xsl:value-of select=\"$questionTopic\"/>\n </topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>\n <xsl:choose>\n <xsl:when test=\"./answer/valueCoding/code/@value = 1\">\n <xsl:value-of select=\"$presentRange\"/>\n </xsl:when>\n <xsl:when test=\"./answer/valueCoding/code/@value = 0\">\n <xsl:value-of select=\"$absentRange\"/>\n </xsl:when>\n <xsl:when test=\"./answer/valueCoding/code/@value = 3\">\n <xsl:value-of select=\"$indeterminateRange\"/>\n </xsl:when>\n </xsl:choose>\n </result>\n </circumstance>\n </statement>\n </xsl:if>\n </xsl:for-each>\n </xsl:if>\n </xsl:for-each>\n </anf>\n </xsl:template>\n</xsl:stylesheet>","type":"text"}]},{"type":"heading","attrs":{"level":1},"content":[{"text":"Notional Logical ANF Output","type":"text"}]},{"type":"codeBlock","attrs":{"language":"xml"},"content":[{"text":"<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<anf>\n <statement>\n <narrative>Does patient have a Comorbidity?</narrative>\n <topic>COMORB</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>(0,INF)</result>\n </circumstance>\n </statement>\n <statement>\n <narrative>Does patient have Cardial Comorbidity?</narrative>\n <topic>COMORBCAR</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>[0,0]</result>\n </circumstance>\n </statement>\n <statement>\n <narrative>Does patient have Vascular Comorbidity?</narrative>\n <topic>COMORBVAS</topic>\n <circumstance type=\"performance\">\n <status>Complete</status>\n <result>[0,INF)</result>\n </circumstance>\n </statement>\n</anf>","type":"text"}]}],"version":1}</article></body></html>