Convert item elements starting with _ to fce and to fhir

sdc-qrf/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) => {

sdc-qrf/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"
+   }

sdc-qrf/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"
+   }

sdc-qrf/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' },

sdc-qrf/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);
         }

sdc-qrf/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 = {