sdc-qrf 0.3.4 → 0.3.6

package/lib/components.d.ts

@@ -1,8 +1,10 @@
+import { Expression } from 'fhir/r4b';
 import { ReactChild } from 'react';
-import { QRFContextData, QuestionItemProps, QuestionItemsProps } from './types';
+import { ItemContext, QRFContextData, QuestionItemProps, QuestionItemsProps } from './types';
 export declare function usePreviousValue<T = any>(value: T): T | undefined;
 export declare function QuestionItems(props: QuestionItemsProps): import("react/jsx-runtime").JSX.Element;
 export declare function QuestionItem(props: QuestionItemProps): import("react/jsx-runtime").JSX.Element | null;
 export declare function QuestionnaireResponseFormProvider({ children, ...props }: QRFContextData & {
     children: ReactChild;
 }): import("react/jsx-runtime").JSX.Element;
+export declare function evaluateQuestionItemExpression(linkId: string, path: string, context: ItemContext, expression?: Expression): any[];

package/lib/components.js

@@ -1,6 +1,6 @@
 "use strict";
 Object.defineProperty(exports, "__esModule", { value: true });
-exports.QuestionnaireResponseFormProvider = exports.QuestionItem = exports.QuestionItems = exports.usePreviousValue = void 0;
+exports.evaluateQuestionItemExpression = exports.QuestionnaireResponseFormProvider = exports.QuestionItem = exports.QuestionItems = exports.usePreviousValue = void 0;
 const tslib_1 = require("tslib");
 const jsx_runtime_1 = require("react/jsx-runtime");
 const fhirpath_1 = tslib_1.__importDefault(require("fhirpath"));
@@ -24,16 +24,19 @@ exports.usePreviousValue = usePreviousValue;
 function QuestionItems(props) {
     const { questionItems, parentPath, context } = props;
     const { formValues } = (0, _1.useQuestionnaireResponseFormContext)();
-    return ((0, jsx_runtime_1.jsx)(react_1.default.Fragment, { children: (0, utils_1.getEnabledQuestions)(questionItems, parentPath, formValues, context).map((item, index) => {
-            return ((0, jsx_runtime_1.jsx)(QuestionItem, { questionItem: item, context: context, parentPath: parentPath }, index));
+    return ((0, jsx_runtime_1.jsx)(react_1.default.Fragment, { children: (0, utils_1.getEnabledQuestions)(questionItems, parentPath, formValues, context).map((item) => {
+            return ((0, jsx_runtime_1.jsx)(QuestionItem, { questionItem: item, context: context, parentPath: parentPath }, item.linkId));
         }) }));
 }
 exports.QuestionItems = QuestionItems;
+const cqfExpressionExtensionUrl = 'http://hl7.org/fhir/StructureDefinition/cqf-expression';
 function QuestionItem(props) {
-    const { questionItem, context: initialContext, parentPath } = props;
+    const { questionItem: initialQuestionItem, context: initialContext, parentPath } = props;
     const { questionItemComponents, customWidgets, groupItemComponent, itemControlQuestionItemComponents, itemControlGroupItemComponents, } = (0, react_1.useContext)(context_1.QRFContext);
     const { formValues, setFormValues } = (0, _1.useQuestionnaireResponseFormContext)();
-    const { type, linkId, calculatedExpression, variable, repeats, itemControl, _text } = questionItem;
+    const [questionItem, setQuestionItem] = (0, react_1.useState)(initialQuestionItem);
+    const prevQuestionItem = usePreviousValue(questionItem);
+    const { type, linkId, calculatedExpression, variable, repeats, itemControl, _text, _readOnly, _required, } = questionItem;
     const fieldPath = (0, react_1.useMemo)(() => [...parentPath, linkId], [parentPath, linkId]);
     // TODO: how to do when item is not in QR (e.g. default element of repeatable group)
     const branchItems = (0, utils_1.getBranchItems)(fieldPath, initialContext.questionnaire, initialContext.resource);
@@ -41,39 +44,21 @@ function QuestionItem(props) {
         ? branchItems.qrItems.map((curQRItem) => (0, utils_1.calcContext)(initialContext, variable, branchItems.qItem, curQRItem))
         : (0, utils_1.calcContext)(initialContext, variable, branchItems.qItem, branchItems.qrItems[0]);
     const prevAnswers = usePreviousValue(lodash_1.default.get(formValues, fieldPath));
+    const itemContext = isGroupItem(questionItem, context) ? context[0] : context;
     (0, react_1.useEffect)(() => {
-        var _a;
-        if (!isGroupItem(questionItem, context) && calculatedExpression) {
-            // TODO: Add support for x-fhir-query
-            if (calculatedExpression.language === 'text/fhirpath') {
-                try {
-                    const newValues = fhirpath_1.default.evaluate(context.context || {}, calculatedExpression.expression, context);
-                    const newAnswers = newValues.length
-                        ? repeats
-                            ? newValues.map((answer) => ({
-                                value: (0, utils_1.wrapAnswerValue)(type, answer),
-                            }))
-                            : [{ value: (0, utils_1.wrapAnswerValue)(type, newValues[0]) }]
-                        : undefined;
-                    if (!(0, isEqual_1.default)(newAnswers === null || newAnswers === void 0 ? void 0 : newAnswers.map((answer) => answer.value), prevAnswers === null || prevAnswers === void 0 ? void 0 : prevAnswers.map((answer) => answer.value))) {
-                        const allValues = lodash_1.default.set(lodash_1.default.cloneDeep(formValues), fieldPath, newAnswers);
-                        setFormValues(allValues, fieldPath, newAnswers);
-                    }
-                }
-                catch (err) {
-                    throw Error(`FHIRPath expression evaluation failure for "calculatedExpression" in ${questionItem.linkId}: ${err}`);
-                }
-            }
-        }
-        if (!isGroupItem(questionItem, context) && _text) {
-            try {
-                const extension = (0, utils_1.findExtensionByUrl)('http://hl7.org/fhir/StructureDefinition/cqf-expression', _text.extension);
-                if (_text && ((_a = extension === null || extension === void 0 ? void 0 : extension.valueExpression) === null || _a === void 0 ? void 0 : _a.expression)) {
-                    questionItem.text = fhirpath_1.default.evaluate(context.context || {}, extension.valueExpression.expression, context)[0];
-                }
-            }
-            catch (err) {
-                throw Error(`FHIRPath expression evaluation failure for "cqfExpression" in ${questionItem.linkId}: ${err}`);
+        // TODO: think about use cases for group context
+        if (itemContext && calculatedExpression) {
+            const newValues = evaluateQuestionItemExpression(linkId, 'calculatedExpression', itemContext, calculatedExpression);
+            const newAnswers = newValues.length
+                ? repeats
+                    ? newValues.map((answer) => ({
+                        value: (0, utils_1.wrapAnswerValue)(type, answer),
+                    }))
+                    : [{ value: (0, utils_1.wrapAnswerValue)(type, newValues[0]) }]
+                : undefined;
+            if (!(0, isEqual_1.default)(newAnswers === null || newAnswers === void 0 ? void 0 : newAnswers.map((answer) => answer.value), prevAnswers === null || prevAnswers === void 0 ? void 0 : prevAnswers.map((answer) => answer.value))) {
+                const allValues = lodash_1.default.set(lodash_1.default.cloneDeep(formValues), fieldPath, newAnswers);
+                setFormValues(allValues, fieldPath, newAnswers);
             }
         }
     }, [
@@ -84,11 +69,38 @@ function QuestionItem(props) {
         parentPath,
         repeats,
         type,
-        questionItem,
+        linkId,
+        itemContext,
         prevAnswers,
         fieldPath,
-        _text,
     ]);
+    (0, react_1.useEffect)(() => {
+        var _a, _b, _c;
+        if (itemContext && _text) {
+            const extension = (0, utils_1.findExtensionByUrl)(cqfExpressionExtensionUrl, _text.extension);
+            const cqfExpression = extension === null || extension === void 0 ? void 0 : extension.valueExpression;
+            const calculatedValue = (_a = evaluateQuestionItemExpression(linkId, '_text.cqfExpression', itemContext, cqfExpression)[0]) !== null && _a !== void 0 ? _a : initialQuestionItem.text;
+            if ((prevQuestionItem === null || prevQuestionItem === void 0 ? void 0 : prevQuestionItem.text) !== calculatedValue) {
+                setQuestionItem((qi) => (Object.assign(Object.assign({}, qi), { text: calculatedValue })));
+            }
+        }
+        if (itemContext && _readOnly) {
+            const extension = (0, utils_1.findExtensionByUrl)(cqfExpressionExtensionUrl, _readOnly.extension);
+            const cqfExpression = extension === null || extension === void 0 ? void 0 : extension.valueExpression;
+            const calculatedValue = (_b = evaluateQuestionItemExpression(linkId, '_readOnly.cqfExpression', itemContext, cqfExpression)[0]) !== null && _b !== void 0 ? _b : initialQuestionItem.readOnly;
+            if ((prevQuestionItem === null || prevQuestionItem === void 0 ? void 0 : prevQuestionItem.readOnly) !== calculatedValue) {
+                setQuestionItem((qi) => (Object.assign(Object.assign({}, qi), { readOnly: calculatedValue })));
+            }
+        }
+        if (itemContext && _required) {
+            const extension = (0, utils_1.findExtensionByUrl)(cqfExpressionExtensionUrl, _required.extension);
+            const cqfExpression = extension === null || extension === void 0 ? void 0 : extension.valueExpression;
+            const calculatedValue = (_c = evaluateQuestionItemExpression(linkId, '_required.cqfExpression', itemContext, cqfExpression)[0]) !== null && _c !== void 0 ? _c : initialQuestionItem.required;
+            if ((prevQuestionItem === null || prevQuestionItem === void 0 ? void 0 : prevQuestionItem.required) !== calculatedValue) {
+                setQuestionItem((qi) => (Object.assign(Object.assign({}, qi), { required: calculatedValue })));
+            }
+        }
+    }, [linkId, initialQuestionItem, prevQuestionItem, itemContext, _text, _readOnly, _required]);
     if (isGroupItem(questionItem, context)) {
         if (itemControl) {
             if (!itemControlGroupItemComponents ||
@@ -147,4 +159,21 @@ exports.QuestionnaireResponseFormProvider = QuestionnaireResponseFormProvider;
 function isGroupItem(questionItem, context) {
     return questionItem.type === 'group';
 }
+function evaluateQuestionItemExpression(linkId, path, context, expression) {
+    var _a;
+    if (!expression) {
+        return [];
+    }
+    if (expression.language !== 'text/fhirpath') {
+        console.error('Only fhirpath expression is supported');
+        return [];
+    }
+    try {
+        return fhirpath_1.default.evaluate((_a = context.context) !== null && _a !== void 0 ? _a : {}, expression.expression, context);
+    }
+    catch (err) {
+        throw Error(`FHIRPath expression evaluation failure for ${linkId}.${path}: ${err}`);
+    }
+}
+exports.evaluateQuestionItemExpression = evaluateQuestionItemExpression;
 //# sourceMappingURL=components.js.map

package/lib/components.js.map

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package/lib/converter/extensions.d.ts

@@ -31,6 +31,7 @@ export declare enum ExtensionIdentifier {
     CalculatedExpression = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
     EnableWhenExpression = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
     AnswerExpression = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression",
+    CqfExpression = "http://hl7.org/fhir/StructureDefinition/cqf-expression",
     AdjustLastToRight = "https://beda.software/fhir-emr-questionnaire/adjust-last-to-right",
     SliderStart = "https://beda.software/fhir-emr-questionnaire/slider-start",
     SliderStop = "https://beda.software/fhir-emr-questionnaire/slider-stop",

package/lib/converter/extensions.js

@@ -33,6 +33,7 @@ var ExtensionIdentifier;
     ExtensionIdentifier["CalculatedExpression"] = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression";
     ExtensionIdentifier["EnableWhenExpression"] = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression";
     ExtensionIdentifier["AnswerExpression"] = "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression";
+    ExtensionIdentifier["CqfExpression"] = "http://hl7.org/fhir/StructureDefinition/cqf-expression";
     ExtensionIdentifier["AdjustLastToRight"] = "https://beda.software/fhir-emr-questionnaire/adjust-last-to-right";
     ExtensionIdentifier["SliderStart"] = "https://beda.software/fhir-emr-questionnaire/slider-start";
     ExtensionIdentifier["SliderStop"] = "https://beda.software/fhir-emr-questionnaire/slider-stop";
@@ -198,6 +199,10 @@ exports.extensionTransformers = {
             },
         },
     },
+    [ExtensionIdentifier.CqfExpression]: {
+        // @ts-ignore
+        path: { extension: 'valueExpression', questionnaire: 'cqfExpression' },
+    },
     [ExtensionIdentifier.AdjustLastToRight]: {
         path: { extension: 'valueBoolean', questionnaire: 'adjustLastToRight' },
     },

package/lib/converter/extensions.js.map

@@ -1 +1 @@
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package/lib/converter/fceToFhir/questionnaire/processItems.js

@@ -20,6 +20,17 @@ function processItems(items) {
         }
         const { enableBehavior, enableWhen, answerOption, initial, item: nestedItems, type } = item, commonOptions = tslib_1.__rest(item, ["enableBehavior", "enableWhen", "answerOption", "initial", "item", "type"]);
         const fhirItem = Object.assign(Object.assign({}, commonOptions), { type: type });
+        for (const property of Object.keys(item)) {
+            const element = item[property];
+            if (property.startsWith('_') && element instanceof Object) {
+                // @ts-ignore
+                fhirItem[property] = {
+                    // TODO: update convertToFHIRExtension to accept element type to convert
+                    // @ts-ignore
+                    extension: (0, __1.convertToFHIRExtension)(element),
+                };
+            }
+        }
         if (answerOption !== undefined) {
             fhirItem.answerOption = processAnswerOption(answerOption);
         }

package/lib/converter/fceToFhir/questionnaire/processItems.js.map

@@ -1 +1 @@
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+{"version":3,"file":"processItems.js","sourceRoot":"","sources":["../../../../src/converter/fceToFhir/questionnaire/processItems.ts"],"names":[],"mappings":";;;;AAOA,4DAAuB;AAUvB,6BAA0F;AAE1F,SAAgB,YAAY,CAAC,KAA6B;IACtD,OAAO,KAAK,CAAC,GAAG,CAAC,CAAC,IAAI,EAAE,EAAE;QACtB,MAAM,UAAU,GAAG,IAAA,0BAAsB,EAAC,IAAI,CAAC,CAAC;QAChD,IAAI,UAAU,CAAC,MAAM,GAAG,CAAC,EAAE;YACvB,MAAM,YAAY,GAAG,UAAU;iBAC1B,GAAG,CAAC,4BAAwB,CAAC;iBAC7B,MAAM,CAAC,CAAC,GAAG,EAAwC,EAAE,CAAC,GAAG,KAAK,SAAS,CAAC;iBACxE,OAAO,CAAC,MAAM,CAAC,IAAI,CAAC,CAAC;YAC1B,KAAK,MAAM,KAAK,IAAI,YAAY,EAAE;gBAC9B,YAAY;gBACZ,OAAO,IAAI,CAAC,KAAK,CAAC,CAAC;aACtB;YACD,IAAI,CAAC,SAAS,GAAG,UAAU,CAAC,IAAI,EAAE,CAAC;SACtC;QAED,MAAM,EACF,cAAc,EACd,UAAU,EACV,YAAY,EACZ,OAAO,EACP,IAAI,EAAE,WAAW,EACjB,IAAI,KAEJ,IAAI,EADD,aAAa,kBAChB,IAAI,EARF,2EAQL,CAAO,CAAC;QAET,MAAM,QAAQ,mCACP,aAAa,KAChB,IAAI,EAAE,IAAqC,GAC9C,CAAC;QAEF,KAAK,MAAM,QAAQ,IAAI,MAAM,CAAC,IAAI,CAAC,IAAI,CAAC,EAAE;YACtC,MAAM,OAAO,GAAG,IAAI,CAAC,QAAsC,CAAC,CAAC;YAE7D,IAAI,QAAQ,CAAC,UAAU,CAAC,GAAG,CAAC,IAAI,OAAO,YAAY,MAAM,EAAE;gBACvD,aAAa;gBACb,QAAQ,CAAC,QAAQ,CAAC,GAAG;oBACjB,wEAAwE;oBACxE,aAAa;oBACb,SAAS,EAAE,IAAA,0BAAsB,EAAC,OAAO,CAAC;iBAC7C,CAAC;aACL;SACJ;QAED,IAAI,YAAY,KAAK,SAAS,EAAE;YAC5B,QAAQ,CAAC,YAAY,GAAG,mBAAmB,CAAC,YAAY,CAAC,CAAC;SAC7D;QAED,IAAI,cAAc,KAAK,SAAS,EAAE;YAC9B,QAAQ,CAAC,cAAc,GAAG,cAAyD,CAAC;SACvF;QAED,IAAI,UAAU,KAAK,SAAS,EAAE;YAC1B,QAAQ,CAAC,UAAU,GAAG,iBAAiB,CAAC,UAAU,CAAC,CAAC;SACvD;QAED,IAAI,OAAO,EAAE;YACT,QAAQ,CAAC,OAAO,GAAG,cAAc,CAAC,OAAO,CAAC,CAAC;SAC9C;QAED,IAAI,WAAW,EAAE;YACb,QAAQ,CAAC,IAAI,GAAG,YAAY,CAAC,WAAW,CAAC,CAAC;SAC7C;QAED,OAAO,QAAQ,CAAC;IACpB,CAAC,CAAC,CAAC;AACP,CAAC;AAjED,oCAiEC;AAED,MAAM,iBAAiB,GAAG,CACtB,MAA4C,EAC5C,UAAkB,EAClB,MAAuC,EACzC,EAAE;IACA,YAAY;IACZ,IAAI,MAAM,CAAC,UAAU,CAAC,KAAK,SAAS,EAAE;QAClC,QAAQ,UAAU,EAAE;YAChB,KAAK,SAAS;gBACV,MAAM,CAAC,aAAa,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBAC1C,MAAM;YACV,KAAK,SAAS;gBACV,MAAM,CAAC,aAAa,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBAC1C,MAAM;YACV,KAAK,SAAS;gBACV,MAAM,CAAC,aAAa,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBAC1C,MAAM;YACV,KAAK,MAAM;gBACP,MAAM,CAAC,UAAU,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBACvC,MAAM;YACV,KAAK,UAAU;gBACX,MAAM,CAAC,cAAc,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBAC3C,MAAM;YACV,KAAK,MAAM;gBACP,MAAM,CAAC,UAAU,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBACvC,MAAM;YACV,KAAK,QAAQ;gBACT,MAAM,CAAC,YAAY,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBACzC,MAAM;YACV,KAAK,QAAQ;gBACT,MAAM,CAAC,YAAY,GAAG,MAAM,CAAC,UAAU,CAAC,CAAC;gBACzC,MAAM;YACV,KAAK,UAAU;gBACX,MAAM,CAAC,cAAc,GAAG,MAAM,CAAC,UAAU,CAAiB,CAAC;gBAC3D,MAAM;YACV,KAAK,WAAW;gBACZ,MAAM,CAAC,eAAe,GAAG,IAAA,mBAAe,EAAC,MAAM,CAAC,UAAU,CAAC,CAAC,CAAC;gBAC7D,MAAM;YACV;gBACI,MAAM;SACb;KACJ;AACL,CAAC,CAAC;AAEF,SAAS,mBAAmB,CACxB,OAA2C;IAE3C,OAAO,OAAO,CAAC,GAAG,CAAC,CAAC,MAAM,EAAE,EAAE;QAC1B,MAAM,EAAE,KAAK,KAAuB,MAAM,EAAxB,aAAa,kBAAK,MAAM,EAApC,SAA2B,CAAS,CAAC;QAE3C,MAAM,UAAU,qBAA2C,aAAa,CAAE,CAAC;QAE3E,IAAI,CAAC,KAAK,EAAE;YACR,OAAO,UAAU,CAAC;SACrB;QAED,IAAI,KAAK,CAAC,MAAM,EAAE;YACd,UAAU,CAAC,WAAW,GAAG,KAAK,CAAC,MAAM,CAAC;SACzC;QACD,IAAI,KAAK,CAAC,MAAM,EAAE;YACd,UAAU,CAAC,WAAW,GAAG,KAAK,CAAC,MAAM,CAAC;SACzC;QACD,IAAI,KAAK,CAAC,SAAS,EAAE;YACjB,UAAU,CAAC,cAAc,GAAG,IAAA,mBAAe,EAAC,KAAK,CAAC,SAAS,CAAC,CAAC;SAChE;QACD,IAAI,KAAK,CAAC,IAAI,EAAE;YACZ,UAAU,CAAC,SAAS,GAAG,KAAK,CAAC,IAAI,CAAC;SACrC;QACD,IAAI,gBAAC,CAAC,QAAQ,CAAC,KAAK,CAAC,OAAO,CAAC,EAAE;YAC3B,UAAU,CAAC,YAAY,GAAG,KAAK,CAAC,OAAO,CAAC;SAC3C;QACD,IAAI,KAAK,CAAC,IAAI,EAAE;YACZ,UAAU,CAAC,SAAS,GAAG,KAAK,CAAC,IAAI,CAAC;SACrC;QAED,OAAO,UAAU,CAAC;IACtB,CAAC,CAAC,CAAC;AACP,CAAC;AAED,SAAS,iBAAiB,CAAC,OAAyC;IAChE,OAAO,OAAO,CAAC,GAAG,CAAC,CAAC,IAAoC,EAAE,EAAE;QACxD,MAAM,EAAE,QAAQ,EAAE,QAAQ,EAAE,MAAM,EAAE,GAAG,IAAI,CAAC;QAC5C,MAAM,MAAM,GAAoC;YAC5C,QAAQ;YACR,QAAQ,EAAE,QAA2D;SACxE,CAAC;QAEF,IAAI,CAAC,MAAM,EAAE;YACT,OAAO,MAAM,CAAC;SACjB;QAED,MAAM,WAAW,GAAG;YAChB,SAAS;YACT,SAAS;YACT,SAAS;YACT,MAAM;YACN,UAAU;YACV,MAAM;YACN,QAAQ;YACR,QAAQ;YACR,UAAU;YACV,WAAW;SACd,CAAC;QAEF,WAAW,CAAC,OAAO,CAAC,CAAC,UAAU,EAAE,EAAE;YAC/B,iBAAiB,CAAC,MAAM,EAAE,UAAU,EAAE,MAAM,CAAC,CAAC;QAClD,CAAC,CAAC,CAAC;QAEH,OAAO,MAAM,CAAC;IAClB,CAAC,CAAC,CAAC;AACP,CAAC;AAED,SAAS,cAAc,CAAC,OAAsC;IAC1D,OAAO,OAAO,CAAC,GAAG,CAAC,CAAC,KAAK,EAAE,EAAE;;QACzB,MAAM,MAAM,GAAiC,EAAE,CAAC;QAChD,IAAI,CAAA,MAAA,KAAK,CAAC,KAAK,0CAAE,OAAO,MAAK,SAAS,EAAE;YACpC,MAAM,CAAC,YAAY,GAAG,KAAK,CAAC,KAAK,CAAC,OAAO,CAAC;SAC7C;QACD,IAAI,CAAA,MAAA,KAAK,CAAC,KAAK,0CAAE,MAAM,MAAK,SAAS,EAAE;YACnC,MAAM,CAAC,WAAW,GAAG,KAAK,CAAC,KAAK,CAAC,MAAM,CAAC;SAC3C;QACD,OAAO,MAAM,CAAC;IAClB,CAAC,CAAC,CAAC;AACP,CAAC"}

package/lib/converter/fhirToFce/questionnaire/processItems.js

@@ -21,7 +21,7 @@ function convertItemProperties(item) {
     return newItem;
 }
 function getUpdatedPropertiesFromItem(item) {
-    var _a, _b, _c, _d;
+    var _a, _b, _c, _d, _e;
     let updatedProperties = { linkId: item.linkId, type: item.type };
     for (const identifier of Object.values(extensions_1.ExtensionIdentifier)) {
         if (identifier === extensions_1.ExtensionIdentifier.UnitOption) {
@@ -32,14 +32,25 @@ function getUpdatedPropertiesFromItem(item) {
             }
             continue;
         }
+        for (const property of Object.keys(item)) {
+            const element = item[property];
+            if (property.startsWith('_') && element instanceof Object) {
+                const primitiveExtensions = (_b = element === null || element === void 0 ? void 0 : element.extension) !== null && _b !== void 0 ? _b : [];
+                for (const extension of primitiveExtensions) {
+                    if (extension.url === identifier) {
+                        updatedProperties = Object.assign(Object.assign({}, updatedProperties), { [property]: (0, converter_1.convertFromFHIRExtension)(extension) });
+                    }
+                }
+            }
+        }
         const extension = (0, converter_1.findExtension)(item, identifier);
         if (extension !== undefined) {
             updatedProperties = Object.assign(Object.assign({}, updatedProperties), (0, converter_1.convertFromFHIRExtension)(extension));
         }
     }
-    updatedProperties.answerOption = (_b = item.answerOption) === null || _b === void 0 ? void 0 : _b.map(processItemOption);
-    updatedProperties.initial = (_c = item.initial) === null || _c === void 0 ? void 0 : _c.map(processItemOption);
-    updatedProperties.enableWhen = (_d = item.enableWhen) === null || _d === void 0 ? void 0 : _d.map(processEnableWhenItem);
+    updatedProperties.answerOption = (_c = item.answerOption) === null || _c === void 0 ? void 0 : _c.map(processItemOption);
+    updatedProperties.initial = (_d = item.initial) === null || _d === void 0 ? void 0 : _d.map(processItemOption);
+    updatedProperties.enableWhen = (_e = item.enableWhen) === null || _e === void 0 ? void 0 : _e.map(processEnableWhenItem);
     return updatedProperties;
 }
 function processEnableWhenItem(item) {

package/lib/converter/fhirToFce/questionnaire/processItems.js.map

@@ -1 +1 @@
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package/lib/utils.js

@@ -348,7 +348,7 @@ function isQuestionEnabled(args) {
             return expressionResult;
         }
         catch (err) {
-            throw Error(`FHIRPath expression evaluation failure for "enableWhenExpression" in ${args.qItem.linkId}: ${err}`);
+            throw Error(`FHIRPath expression evaluation failure for ${args.qItem.linkId}.enableWhenExpression: ${err}`);
         }
     }
     const iterFn = enableBehavior === 'any' ? lodash_1.default.some : lodash_1.default.every;

package/lib/utils.js.map

@@ -1 +1 @@
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package/package.json

@@ -1,7 +1,7 @@
 {
     "name": "sdc-qrf",
     "license": "MIT",
-    "version": "0.3.4",
+    "version": "0.3.6",
     "scripts": {
         "build": "tsc",
         "coverage": "jest --coverage --coverageReporters=text-lcov | coveralls",

package/src/components.tsx

@@ -1,7 +1,8 @@
+import { Expression } from 'fhir/r4b';
 import fhirpath from 'fhirpath';
 import _ from 'lodash';
 import isEqual from 'lodash/isEqual';
-import React, { ReactChild, useEffect, useContext, useMemo, useRef } from 'react';
+import React, { ReactChild, useEffect, useContext, useMemo, useRef, useState } from 'react';
 
 import { QuestionnaireItem } from 'shared/src/contrib/aidbox';
 
@@ -42,24 +43,24 @@ export function QuestionItems(props: QuestionItemsProps) {
 
     return (
         <React.Fragment>
-            {getEnabledQuestions(questionItems, parentPath, formValues, context).map(
-                (item, index) => {
-                    return (
-                        <QuestionItem
-                            key={index}
-                            questionItem={item}
-                            context={context}
-                            parentPath={parentPath}
-                        />
-                    );
-                },
-            )}
+            {getEnabledQuestions(questionItems, parentPath, formValues, context).map((item) => {
+                return (
+                    <QuestionItem
+                        key={item.linkId}
+                        questionItem={item}
+                        context={context}
+                        parentPath={parentPath}
+                    />
+                );
+            })}
         </React.Fragment>
     );
 }
 
+const cqfExpressionExtensionUrl = 'http://hl7.org/fhir/StructureDefinition/cqf-expression';
+
 export function QuestionItem(props: QuestionItemProps) {
-    const { questionItem, context: initialContext, parentPath } = props;
+    const { questionItem: initialQuestionItem, context: initialContext, parentPath } = props;
     const {
         questionItemComponents,
         customWidgets,
@@ -68,9 +69,20 @@ export function QuestionItem(props: QuestionItemProps) {
         itemControlGroupItemComponents,
     } = useContext(QRFContext);
     const { formValues, setFormValues } = useQuestionnaireResponseFormContext();
+    const [questionItem, setQuestionItem] = useState(initialQuestionItem);
+    const prevQuestionItem: QuestionnaireItem | undefined = usePreviousValue(questionItem);
 
-    const { type, linkId, calculatedExpression, variable, repeats, itemControl, _text } =
-        questionItem;
+    const {
+        type,
+        linkId,
+        calculatedExpression,
+        variable,
+        repeats,
+        itemControl,
+        _text,
+        _readOnly,
+        _required,
+    } = questionItem;
     const fieldPath = useMemo(() => [...parentPath, linkId!], [parentPath, linkId]);
 
     // TODO: how to do when item is not in QR (e.g. default element of repeatable group)
@@ -89,57 +101,34 @@ export function QuestionItem(props: QuestionItemProps) {
         _.get(formValues, fieldPath),
     );
 
+    const itemContext = isGroupItem(questionItem, context) ? context[0] : context;
+
     useEffect(() => {
-        if (!isGroupItem(questionItem, context) && calculatedExpression) {
-            // TODO: Add support for x-fhir-query
-            if (calculatedExpression.language === 'text/fhirpath') {
-                try {
-                    const newValues = fhirpath.evaluate(
-                        context.context || {},
-                        calculatedExpression.expression!,
-                        context as ItemContext,
-                    );
-                    const newAnswers: FormAnswerItems[] | undefined = newValues.length
-                        ? repeats
-                            ? newValues.map((answer: any) => ({
-                                  value: wrapAnswerValue(type, answer),
-                              }))
-                            : [{ value: wrapAnswerValue(type, newValues[0]) }]
-                        : undefined;
-
-                    if (
-                        !isEqual(
-                            newAnswers?.map((answer) => answer.value),
-                            prevAnswers?.map((answer) => answer.value),
-                        )
-                    ) {
-                        const allValues = _.set(_.cloneDeep(formValues), fieldPath, newAnswers);
-                        setFormValues(allValues, fieldPath, newAnswers);
-                    }
-                } catch (err: unknown) {
-                    throw Error(
-                        `FHIRPath expression evaluation failure for "calculatedExpression" in ${questionItem.linkId}: ${err}`,
-                    );
-                }
-            }
-        }
-        if (!isGroupItem(questionItem, context) && _text) {
-            try {
-                const extension = findExtensionByUrl(
-                    'http://hl7.org/fhir/StructureDefinition/cqf-expression',
-                    _text.extension,
-                );
-                if (_text && extension?.valueExpression?.expression) {
-                    questionItem.text = fhirpath.evaluate(
-                        context.context || {},
-                        extension.valueExpression.expression,
-                        context as ItemContext,
-                    )[0];
-                }
-            } catch (err: unknown) {
-                throw Error(
-                    `FHIRPath expression evaluation failure for "cqfExpression" in ${questionItem.linkId}: ${err}`,
-                );
+        // TODO: think about use cases for group context
+        if (itemContext && calculatedExpression) {
+            const newValues = evaluateQuestionItemExpression(
+                linkId,
+                'calculatedExpression',
+                itemContext,
+                calculatedExpression,
+            );
+
+            const newAnswers: FormAnswerItems[] | undefined = newValues.length
+                ? repeats
+                    ? newValues.map((answer: any) => ({
+                          value: wrapAnswerValue(type, answer),
+                      }))
+                    : [{ value: wrapAnswerValue(type, newValues[0]) }]
+                : undefined;
+
+            if (
+                !isEqual(
+                    newAnswers?.map((answer) => answer.value),
+                    prevAnswers?.map((answer) => answer.value),
+                )
+            ) {
+                const allValues = _.set(_.cloneDeep(formValues), fieldPath, newAnswers);
+                setFormValues(allValues, fieldPath, newAnswers);
             }
         }
     }, [
@@ -150,12 +139,71 @@ export function QuestionItem(props: QuestionItemProps) {
         parentPath,
         repeats,
         type,
-        questionItem,
+        linkId,
+        itemContext,
         prevAnswers,
         fieldPath,
-        _text,
     ]);
 
+    useEffect(() => {
+        if (itemContext && _text) {
+            const extension = findExtensionByUrl(cqfExpressionExtensionUrl, _text.extension);
+            const cqfExpression = extension?.valueExpression;
+            const calculatedValue =
+                evaluateQuestionItemExpression(
+                    linkId,
+                    '_text.cqfExpression',
+                    itemContext,
+                    cqfExpression,
+                )[0] ?? initialQuestionItem.text;
+
+            if (prevQuestionItem?.text !== calculatedValue) {
+                setQuestionItem((qi) => ({
+                    ...qi,
+                    text: calculatedValue,
+                }));
+            }
+        }
+
+        if (itemContext && _readOnly) {
+            const extension = findExtensionByUrl(cqfExpressionExtensionUrl, _readOnly.extension);
+            const cqfExpression = extension?.valueExpression;
+            const calculatedValue =
+                evaluateQuestionItemExpression(
+                    linkId,
+                    '_readOnly.cqfExpression',
+                    itemContext,
+                    cqfExpression,
+                )[0] ?? initialQuestionItem.readOnly;
+
+            if (prevQuestionItem?.readOnly !== calculatedValue) {
+                setQuestionItem((qi) => ({
+                    ...qi,
+                    readOnly: calculatedValue,
+                }));
+            }
+        }
+
+        if (itemContext && _required) {
+            const extension = findExtensionByUrl(cqfExpressionExtensionUrl, _required.extension);
+            const cqfExpression = extension?.valueExpression;
+            const calculatedValue =
+                evaluateQuestionItemExpression(
+                    linkId,
+                    '_required.cqfExpression',
+                    itemContext,
+                    cqfExpression,
+                )[0] ?? initialQuestionItem.required;
+
+            if (prevQuestionItem?.required !== calculatedValue) {
+                setQuestionItem((qi) => ({
+                    ...qi,
+                    required: calculatedValue,
+                }));
+            }
+        }
+    }, [linkId, initialQuestionItem, prevQuestionItem, itemContext, _text, _readOnly, _required]);
+
     if (isGroupItem(questionItem, context)) {
         if (itemControl) {
             if (
@@ -264,3 +312,25 @@ function isGroupItem(
 ): context is ItemContext[] {
     return questionItem.type === 'group';
 }
+
+export function evaluateQuestionItemExpression(
+    linkId: string,
+    path: string,
+    context: ItemContext,
+    expression?: Expression,
+) {
+    if (!expression) {
+        return [];
+    }
+
+    if (expression.language !== 'text/fhirpath') {
+        console.error('Only fhirpath expression is supported');
+        return [];
+    }
+
+    try {
+        return fhirpath.evaluate(context.context ?? {}, expression.expression!, context);
+    } catch (err: unknown) {
+        throw Error(`FHIRPath expression evaluation failure for ${linkId}.${path}: ${err}`);
+    }
+}

package/src/converter/__tests__/fce.test.ts

@@ -14,6 +14,7 @@ import fce_allergies from './resources/questionnaire_fce/allergies.json';
 import fce_beverages from './resources/questionnaire_fce/beverages.json';
 import fce_choice_answer_option from './resources/questionnaire_fce/choice_answer_option.json';
 import fce_consent from './resources/questionnaire_fce/consent.json';
+import fce_cqf_examples from './resources/questionnaire_fce/cqf-examples.json';
 import fce_enable_when from './resources/questionnaire_fce/enable_when.json';
 import fce_encounter_create from './resources/questionnaire_fce/encounter_create.json';
 import fce_gad_7 from './resources/questionnaire_fce/gad_7.json';
@@ -37,6 +38,7 @@ import fhir_allergies from './resources/questionnaire_fhir/allergies.json';
 import fhir_beverages from './resources/questionnaire_fhir/beverages.json';
 import fhir_choice_answer_option from './resources/questionnaire_fhir/choice_answer_option.json';
 import fhir_consent from './resources/questionnaire_fhir/consent.json';
+import fhir_cqf_examples from './resources/questionnaire_fhir/cqf-examples.json';
 import fhir_enable_when from './resources/questionnaire_fhir/enable_when.json';
 import fhir_encounter_create from './resources/questionnaire_fhir/encounter_create.json';
 import fhir_gad_7 from './resources/questionnaire_fhir/gad_7.json';
@@ -134,6 +136,7 @@ describe('Questionanire and QuestionnaireResponses transformation', () => {
         [fhir_practitioner_create_structure_map, fce_practitioner_create_structure_map],
         [fhir_consent, fce_consent],
         [fhir_enable_when, fce_enable_when],
+        [fhir_cqf_examples, fce_cqf_examples],
     ])(
         'Each FHIR Questionnaire should convert to FCE',
         async (fhir_questionnaire, fce_questionnaire) => {
@@ -166,6 +169,7 @@ describe('Questionanire and QuestionnaireResponses transformation', () => {
         [fce_practitioner_create_structure_map, fhir_practitioner_create_structure_map],
         [fce_consent, fhir_consent],
         [fce_enable_when, fhir_enable_when],
+        [fce_cqf_examples, fhir_cqf_examples],
     ])(
         'Each FCE Questionnaire should convert to FHIR',
         async (fce_questionnaire, fhir_questionnaire) => {

package/src/converter/__tests__/resources/questionnaire_fce/cqf-examples.json

@@ -0,0 +1,75 @@
+{
+    "subjectType": [
+     "Encounter",
+     "Patient"
+    ],
+    "meta": {
+     "profile": [
+      "https://beda.software/beda-emr-questionnaire"
+     ],
+     "lastUpdated": "2024-11-18T13:35:34.455065Z",
+     "createdAt": "2024-11-15T17:04:52.598486Z",
+     "versionId": "11968"
+    },
+    "name": "CQF Examples",
+    "item": [
+     {
+      "text": "Click on this checkbox to see result",
+      "type": "boolean",
+      "linkId": "input-1"
+     },
+     {
+      "text": "This is default input label",
+      "type": "string",
+      "_text": {
+       "cqfExpression": {
+        "language": "text/fhirpath",
+        "expression": "iif(%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true, 'Now the input label changed', null)"
+       }
+      },
+      "linkId": "input-2"
+     },
+     {
+      "item": [
+       {
+        "text": "This input is disabled if the checkbox is unchecked",
+        "type": "string",
+        "linkId": "input-5",
+        "readOnly": true,
+        "_readOnly": {
+         "cqfExpression": {
+          "language": "text/fhirpath",
+          "expression": "%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = false"
+         }
+        }
+       },
+       {
+        "text": "This input is required if the checkbox is checked",
+        "type": "string",
+        "linkId": "input-6",
+        "required": false,
+        "_required": {
+         "cqfExpression": {
+          "language": "text/fhirpath",
+          "expression": "%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true"
+         }
+        }
+       }
+      ],
+      "text": "This is default group label",
+      "type": "group",
+      "_text": {
+       "cqfExpression": {
+        "language": "text/fhirpath",
+        "expression": "iif(%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true, 'Now the group label changed', null)"
+       }
+      },
+      "linkId": "input-3"
+     }
+    ],
+    "resourceType": "Questionnaire",
+    "title": "CQF Examples",
+    "status": "active",
+    "id": "cqf-examples",
+    "url": "https://aidbox.emr.beda.software/ui/console#/entities/Questionnaire/cqf-examples"
+   }

package/src/converter/__tests__/resources/questionnaire_fhir/cqf-examples.json

@@ -0,0 +1,100 @@
+{
+    "subjectType": [
+     "Encounter",
+     "Patient"
+    ],
+    "meta": {
+     "profile": [
+      "https://beda.software/beda-emr-questionnaire"
+     ],
+     "lastUpdated": "2024-11-18T13:35:34.455065Z",
+     "versionId": "11968",
+     "extension": [
+      {
+       "url": "ex:createdAt",
+       "valueInstant": "2024-11-15T17:04:52.598486Z"
+      }
+     ]
+    },
+    "name": "CQF Examples",
+    "item": [
+     {
+      "text": "Click on this checkbox to see result",
+      "type": "boolean",
+      "linkId": "input-1"
+     },
+     {
+      "text": "This is default input label",
+      "type": "string",
+      "_text": {
+       "extension": [
+        {
+         "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
+         "valueExpression": {
+          "language": "text/fhirpath",
+          "expression": "iif(%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true, 'Now the input label changed', null)"
+         }
+        }
+       ]
+      },
+      "linkId": "input-2"
+     },
+     {
+      "item": [
+       {
+        "text": "This input is disabled if the checkbox is unchecked",
+        "type": "string",
+        "linkId": "input-5",
+        "readOnly": true,
+        "_readOnly": {
+         "extension": [
+          {
+           "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
+           "valueExpression": {
+            "language": "text/fhirpath",
+            "expression": "%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = false"
+           }
+          }
+         ]
+        }
+       },
+       {
+        "text": "This input is required if the checkbox is checked",
+        "type": "string",
+        "linkId": "input-6",
+        "required": false,
+        "_required": {
+         "extension": [
+          {
+           "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
+           "valueExpression": {
+            "language": "text/fhirpath",
+            "expression": "%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true"
+           }
+          }
+         ]
+        }
+       }
+      ],
+      "text": "This is default group label",
+      "type": "group",
+      "_text": {
+       "extension": [
+        {
+         "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
+         "valueExpression": {
+          "language": "text/fhirpath",
+          "expression": "iif(%QuestionnaireResponse.item.where(linkId='input-1').answer.value.boolean = true, 'Now the group label changed', null)"
+         }
+        }
+       ]
+      },
+      "linkId": "input-3"
+     }
+    ],
+    "resourceType": "Questionnaire",
+    "title": "CQF Examples",
+    "status": "active",
+    "id": "cqf-examples",
+    "url": "https://aidbox.emr.beda.software/ui/console#/entities/Questionnaire/cqf-examples"
+   }

package/src/converter/extensions.ts

@@ -34,6 +34,7 @@ export enum ExtensionIdentifier {
     CalculatedExpression = 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression',
     EnableWhenExpression = 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
     AnswerExpression = 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression',
+    CqfExpression = 'http://hl7.org/fhir/StructureDefinition/cqf-expression',
 
     AdjustLastToRight = 'https://beda.software/fhir-emr-questionnaire/adjust-last-to-right',
     SliderStart = 'https://beda.software/fhir-emr-questionnaire/slider-start',
@@ -219,6 +220,10 @@ export const extensionTransformers: ExtensionTransformer = {
             },
         },
     },
+    [ExtensionIdentifier.CqfExpression]: {
+        // @ts-ignore
+        path: { extension: 'valueExpression', questionnaire: 'cqfExpression' },
+    },
 
     [ExtensionIdentifier.AdjustLastToRight]: {
         path: { extension: 'valueBoolean', questionnaire: 'adjustLastToRight' },

package/src/converter/fceToFhir/questionnaire/processItems.ts

@@ -47,6 +47,19 @@ export function processItems(items: FCEQuestionnaireItem[]): FHIRQuestionnaireIt
             type: type as FHIRQuestionnaireItem['type'],
         };
 
+        for (const property of Object.keys(item)) {
+            const element = item[property as keyof FCEQuestionnaireItem];
+
+            if (property.startsWith('_') && element instanceof Object) {
+                // @ts-ignore
+                fhirItem[property] = {
+                    // TODO: update convertToFHIRExtension to accept element type to convert
+                    // @ts-ignore
+                    extension: convertToFHIRExtension(element),
+                };
+            }
+        }
+
         if (answerOption !== undefined) {
             fhirItem.answerOption = processAnswerOption(answerOption);
         }

package/src/converter/fhirToFce/questionnaire/processItems.ts

@@ -4,6 +4,7 @@ import {
     QuestionnaireItem as FHIRQuestionnaireItem,
     QuestionnaireItemAnswerOption as FHIRQuestionnaireItemAnswerOption,
     QuestionnaireItemInitial as FHIRQuestionnaireItemInitial,
+    Element as FHIRElement,
 } from 'fhir/r4b';
 import _ from 'lodash';
 
@@ -52,6 +53,21 @@ function getUpdatedPropertiesFromItem(item: FHIRQuestionnaireItem) {
             continue;
         }
 
+        for (const property of Object.keys(item)) {
+            const element = item[property as keyof FHIRQuestionnaireItem];
+            if (property.startsWith('_') && element instanceof Object) {
+                const primitiveExtensions = (element as FHIRElement)?.extension ?? [];
+                for (const extension of primitiveExtensions) {
+                    if (extension.url === identifier) {
+                        updatedProperties = {
+                            ...updatedProperties,
+                            ...{ [property]: convertFromFHIRExtension(extension) },
+                        };
+                    }
+                }
+            }
+        }
+
         const extension = findExtension(item, identifier);
         if (extension !== undefined) {
             updatedProperties = {

package/src/utils.ts

@@ -528,7 +528,7 @@ function isQuestionEnabled(args: IsQuestionEnabledArgs) {
             return expressionResult;
         } catch (err: unknown) {
             throw Error(
-                `FHIRPath expression evaluation failure for "enableWhenExpression" in ${args.qItem.linkId}: ${err}`,
+                `FHIRPath expression evaluation failure for ${args.qItem.linkId}.enableWhenExpression: ${err}`,
             );
         }
     }